Sample records for simplified acute physiology

  1. A comparison of Simplified Acute Physiology Score II, Acute ...

    African Journals Online (AJOL)

    A comparison of Simplified Acute Physiology Score II, Acute Physiology and Chronic Health Evaluation II and Acute Physiology and Chronic Health Evaluation III scoring system in predicting mortality and length of stay at surgical intensive care unit.

  2. Mortality Probability Model III and Simplified Acute Physiology Score II (United States)

    Vasilevskis, Eduard E.; Kuzniewicz, Michael W.; Cason, Brian A.; Lane, Rondall K.; Dean, Mitzi L.; Clay, Ted; Rennie, Deborah J.; Vittinghoff, Eric; Dudley, R. Adams


    Background: To develop and compare ICU length-of-stay (LOS) risk-adjustment models using three commonly used mortality or LOS prediction models. Methods: Between 2001 and 2004, we performed a retrospective, observational study of 11,295 ICU patients from 35 hospitals in the California Intensive Care Outcomes Project. We compared the accuracy of the following three LOS models: a recalibrated acute physiology and chronic health evaluation (APACHE) IV-LOS model; and models developed using risk factors in the mortality probability model III at zero hours (MPM0) and the simplified acute physiology score (SAPS) II mortality prediction model. We evaluated models by calculating the following: (1) grouped coefficients of determination; (2) differences between observed and predicted LOS across subgroups; and (3) intraclass correlations of observed/expected LOS ratios between models. Results: The grouped coefficients of determination were APACHE IV with coefficients recalibrated to the LOS values of the study cohort (APACHE IVrecal) [R2 = 0.422], mortality probability model III at zero hours (MPM0 III) [R2 = 0.279], and simplified acute physiology score (SAPS II) [R2 = 0.008]. For each decile of predicted ICU LOS, the mean predicted LOS vs the observed LOS was significantly different (p ≤ 0.05) for three, two, and six deciles using APACHE IVrecal, MPM0 III, and SAPS II, respectively. Plots of the predicted vs the observed LOS ratios of the hospitals revealed a threefold variation in LOS among hospitals with high model correlations. Conclusions: APACHE IV and MPM0 III were more accurate than SAPS II for the prediction of ICU LOS. APACHE IV is the most accurate and best calibrated model. Although it is less accurate, MPM0 III may be a reasonable option if the data collection burden or the treatment effect bias is a consideration. PMID:19363210

  3. Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II in Predicting Hospital Mortality of Neurosurgical Intensive Care Unit Patients

    National Research Council Canada - National Science Library

    Park, Sang-Kyu; Chun, Hyoung-Joon; Kim, Dong-Won; Im, Tai-Ho; Hong, Hyun-Jong; Yi, Hyeong-Joong


    ...) and Simplified Acute Physiology Score II (SAPS II) in neurosurgical intensive care unit (ICU) patients. Retrospective investigation was conducted on 672 consecutive ICU patients during the last 2 yr...

  4. External validation of Acute Physiology and Chronic Health Evaluation IV in Dutch intensive care units and comparison with Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II

    NARCIS (Netherlands)

    Brinkman, Sylvia; Bakhshi-Raiez, Ferishta; Abu-Hanna, Ameen; de Jonge, Evert; Bosman, Robert J.; Peelen, Linda; de Keizer, Nicolette F.


    Purpose: The aim of this study was to validate and compare the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) IV in the Dutch intensive care unit (ICU) population to the APACHE II and Simplified Acute Physiology Score (SAPS) II. Materials and Methods: This is a

  5. Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study. (United States)

    Desa, Kristian; Peric, Mladen; Husedzinovic, Ino; Sustic, Alan; Korusic, Andelko; Karadza, Vjekoslav; Matlekovic, Drazen; Prstec-Veronek, Branka; Zuvic-Butorac, Marta; Sokolic, Jadranko; Siranovic, Mladen; Bosnjak, Danica; Spicek-Macan, Jasna; Gustin, Denis; Ozeg-Jakopovic, Drazenka


    To perform an external validation of the original Simplified Acute Physiology Score II (SAPS II) system and to assess its performance in a selected group of patients in major Croatian hospitals. A prospective, multicenter study was conducted in five university hospitals and one general hospital during a six-month period between November 1, 2007 and May 1, 2008. Standardized hospital mortality ratio (SMR) was calculated from the mean predicted mortality of all the 2756 patients and the actual mortality for the same group of patients. The validation of SAPS II was made using the area under receiver operating characteristic curve (AUC), 2×2 classification tables, and Hosmer-Lemeshow tests. The predicted mortality was as low as 14.6% due to a small proportion of medical patients and the SMR being 0.89 (95% confidence interval [CI], 0.78-0.98). The SAPS II system demonstrated a good discriminatory power as measured by the AUC (0.85; standard error [SE]=0.012; 95% CI=0.840-0.866; P<0.001). This system significantly overestimated the actual mortality (Hosmer-Lemeshow goodness-of-fit H statistic: χ(2) =584.4; P<0.001 and C statistics: χ(2)(8) =313.0; P<0.001) in the group of patients included in the study. The SAPS II had a good discrimination, but it significantly overestimated the observed mortality in comparison with the predicted mortality in this group of patients in Croatia. Therefore, caution is required when an evaluation is performed at the individual level.

  6. Mortality probability model III and simplified acute physiology score II: assessing their value in predicting length of stay and comparison to APACHE IV. (United States)

    Vasilevskis, Eduard E; Kuzniewicz, Michael W; Cason, Brian A; Lane, Rondall K; Dean, Mitzi L; Clay, Ted; Rennie, Deborah J; Vittinghoff, Eric; Dudley, R Adams


    To develop and compare ICU length-of-stay (LOS) risk-adjustment models using three commonly used mortality or LOS prediction models. Between 2001 and 2004, we performed a retrospective, observational study of 11,295 ICU patients from 35 hospitals in the California Intensive Care Outcomes Project. We compared the accuracy of the following three LOS models: a recalibrated acute physiology and chronic health evaluation (APACHE) IV-LOS model; and models developed using risk factors in the mortality probability model III at zero hours (MPM(0)) and the simplified acute physiology score (SAPS) II mortality prediction model. We evaluated models by calculating the following: (1) grouped coefficients of determination; (2) differences between observed and predicted LOS across subgroups; and (3) intraclass correlations of observed/expected LOS ratios between models. The grouped coefficients of determination were APACHE IV with coefficients recalibrated to the LOS values of the study cohort (APACHE IVrecal) [R(2) = 0.422], mortality probability model III at zero hours (MPM(0) III) [R(2) = 0.279], and simplified acute physiology score (SAPS II) [R(2) = 0.008]. For each decile of predicted ICU LOS, the mean predicted LOS vs the observed LOS was significantly different (p APACHE IVrecal, MPM(0) III, and SAPS II, respectively. Plots of the predicted vs the observed LOS ratios of the hospitals revealed a threefold variation in LOS among hospitals with high model correlations. APACHE IV and MPM(0) III were more accurate than SAPS II for the prediction of ICU LOS. APACHE IV is the most accurate and best calibrated model. Although it is less accurate, MPM(0) III may be a reasonable option if the data collection burden or the treatment effect bias is a consideration.

  7. [Interest of ambulatory simplified acute physiology score (ASAPS) applied to patients admitted in an intensive care unit of an infectious diseases unit in Dakar]. (United States)

    Dia, N M; Diallo, I; Manga, N M; Diop, S A; Fortes-Deguenonvo, L; Lakhe, N A; Ka, D; Seydi, M; Diop, B M; Sow, P S


    The evaluation of patients by a scale of gravity allows a better categorization of patients admitted in intensive care unit (ICU). Our study had for objective to estimate interest of Ambulatory Simplified Acute Physiologic Score (ASAPS) applied to patients admitted in ICU of infectious diseases department of FANN hospital. It was about a descriptive and analytical retrospective study, made from the data found in patients' files admitted into the USI infectious diseases department of FANN hospital in Dakar, from January 1(st), 2009 till December 31st, 2009.The data of 354 patients' files were analyzed. The sex-ratio was 1.77 with an average age of 37.6 years ± 19.4 years old [5-94 years]. The majority of the patients were unemployed paid (39.6%). The most frequent failures were the following ones: neurological (80.5%), cardio-respiratory (16.7%). The average duration of stay was 6.2 days ± 8.2 days going of less than 24 hours to more than 10 weeks. The deaths arose much more at night (53.1%) than in the daytime (46.9%) and the strongest rate of death was recorded in January (61.5%), most low in October (26.7%). The global mortality was 48.3%. The rate of lethality according to the highest main diagnosis was allocated to the AIDS (80.5%). The average ambulatory simplified acute physiology score was 5.3 ± 3.6 with extremes of 0 and 18. The deaths in our series increased with this index (p = 0.000005). The female patients had a rate of lethality higher than that of the men people, 55.5% against 44.2% (p = 0.03). In spite of a predictive score of a high survival (ASAPS < 8), certain number of patients died (n = 105) that is 61.4% of the deaths. The metabolic disturbances, hyperleukocytosis or leukopenia when realised, the presence of a chronic disease, seemed also to influence this lethality. ASAPS only, although interesting, would not good estimate the gravity of patients, where from the necessity thus of a minimum biological balance sheet. It seems better adapted

  8. Predictive Performance of the Simplified Acute Physiology Score (SAPS) II and the Initial Sequential Organ Failure Assessment (SOFA) Score in Acutely Ill Intensive Care Patients

    DEFF Research Database (Denmark)

    Granholm, Anders; Møller, Morten Hylander; Kragh, Mette


    and the initial SOFA score for in-hospital and 90-day mortality in a contemporary international cohort. METHODS: This was a post-hoc study of the Stress Ulcer Prophylaxis in the Intensive Care Unit (SUP-ICU) inception cohort study, which included acutely ill adults from ICUs across 11 countries (n = 1034). We...

  9. Predictive Performance of the Simplified Acute Physiology Score (SAPS II and the Initial Sequential Organ Failure Assessment (SOFA Score in Acutely Ill Intensive Care Patients: Post-Hoc Analyses of the SUP-ICU Inception Cohort Study.

    Directory of Open Access Journals (Sweden)

    Anders Granholm

    Full Text Available Severity scores including the Simplified Acute Physiology Score (SAPS II and the Sequential Organ Failure Assessment (SOFA score are used in intensive care units (ICUs to assess disease severity, predict mortality and in research. We aimed to assess the predictive performance of SAPS II and the initial SOFA score for in-hospital and 90-day mortality in a contemporary international cohort.This was a post-hoc study of the Stress Ulcer Prophylaxis in the Intensive Care Unit (SUP-ICU inception cohort study, which included acutely ill adults from ICUs across 11 countries (n = 1034. We compared the discrimination of SAPS II and initial SOFA scores, compared the discrimination of SAPS II in our cohort with the original cohort, assessed the calibration of SAPS II customised to our cohort, and compared the discrimination for 90-day mortality vs. in-hospital mortality for both scores. Discrimination was evaluated using areas under the receiver operating characteristics curves (AUROC. Calibration was evaluated using Hosmer-Lemeshow's goodness-of-fit Ĉ-statistic.AUROC for in-hospital mortality was 0.80 (95% confidence interval (CI 0.77-0.83 for SAPS II and 0.73 (95% CI 0.69-0.76 for initial SOFA score (P<0.001 for the comparison. Calibration of the customised SAPS II for predicting in-hospital mortality was adequate (P = 0.60. Discrimination of SAPS II was reduced compared with the original SAPS II validation sample (AUROC 0.80 vs. 0.86; P = 0.001. AUROC for 90-day mortality was 0.79 (95% CI 0.76-0.82; P = 0.74 for comparison with in-hospital mortality for SAPS II and 0.71 (95% CI 0.68-0.75; P = 0.66 for comparison with in-hospital mortality for the initial SOFA score.The predictive performance of SAPS II was similar for in-hospital and 90-day mortality and superior to that of the initial SOFA score, but SAPS II's performance has decreased over time. Use of a contemporary severity score with improved predictive performance may be of value.

  10. Simplified percutaneous large bore suprapubic cystostomy for acute ...

    African Journals Online (AJOL)

    C.O. Okorie

    simplified percutaneous suprapubic cystostomy technique that utilizes specially selected surgical blades in the place of commercial trocars. Subjects and methods: Eighty-nine male patients with acute urinary retention underwent puncturing of the visibly and palpably distended bladder with surgical blade size 20 (7 mm ...

  11. BrainSignals Revisited: Simplifying a Computational Model of Cerebral Physiology.

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    Matthew Caldwell

    Full Text Available Multimodal monitoring of brain state is important both for the investigation of healthy cerebral physiology and to inform clinical decision making in conditions of injury and disease. Near-infrared spectroscopy is an instrument modality that allows non-invasive measurement of several physiological variables of clinical interest, notably haemoglobin oxygenation and the redox state of the metabolic enzyme cytochrome c oxidase. Interpreting such measurements requires the integration of multiple signals from different sources to try to understand the physiological states giving rise to them. We have previously published several computational models to assist with such interpretation. Like many models in the realm of Systems Biology, these are complex and dependent on many parameters that can be difficult or impossible to measure precisely. Taking one such model, BrainSignals, as a starting point, we have developed several variant models in which specific regions of complexity are substituted with much simpler linear approximations. We demonstrate that model behaviour can be maintained whilst achieving a significant reduction in complexity, provided that the linearity assumptions hold. The simplified models have been tested for applicability with simulated data and experimental data from healthy adults undergoing a hypercapnia challenge, but relevance to different physiological and pathophysiological conditions will require specific testing. In conditions where the simplified models are applicable, their greater efficiency has potential to allow their use at the bedside to help interpret clinical data in near real-time.

  12. Predicting outcome in the intensive care unit using scoring systems: is new better? A comparison of SAPS and SAPS II in a cohort of 1,393 patients. GiViTi Investigators (Gruppo Italiano per la Valutazione degli interventi in Terapia Intensiva). Simplified Acute Physiology Score. (United States)

    Bertolini, G; D'Amico, R; Apolone, G; Cattaneo, A; Ravizza, A; Iapichino, G; Brazzi, L; Melotti, R M


    This study sought to compare the performance of the old and new versions of the Simplified Acute Physiology Score, SAPS and SAPS II, in classifying patients according to the risk of hospital mortality. To compare the performance of the two systems, measures of association between the scores and observed mortality were adopted, together with discrimination (area under the Receiver Operating Characteristics curve) and calibration (goodness-of-fit statistics) estimates. Subjects were 1,393 eligible patients recruited during 1 month in 1994. The outcome measure was vital status at hospital discharge. SAPS II was associated more strongly with hospital mortality than the earlier version. SAPS II also had better discrimination ability than SAPS (area under Receiver Operating Characteristics curve 0.80 versus 0.74) and predicted an overall number of deaths (416.5) closer to the observed figure (475) than SAPS (267.7). Conversely, neither SAPS nor SAPS II fitted our data. Both P values derived from goodness-of-fit statistics were lower than 0.05. SAPS II offers a real improvement compared with SAPS in its ability to explain hospital mortality, but its standard parameters do not fit our data from Italy. The role and impact of potential determinants of this lack of fit, such as random errors and confounders related to casemix and/or quality of care should be clarified before this scoring system be used outside formal research projects. Special caution is suggested when SAPS II is adopted to predict mortality to compare intensive care unit performance across different countries and systems of care.

  13. Simplified percutaneous large bore suprapubic cystostomy for acute ...

    African Journals Online (AJOL)

    Introduction and objectives: Commercial cystostomy kits/trocars are not always readily available in regions with insufficient funding. Open suprapubic cystostomy procedures are yet prevalent. This paper presents a simplified percutaneous suprapubic cystostomy technique that utilizes specially selected surgical blades in ...

  14. Physiologically based model of acute ischemic stroke. (United States)

    Duval, Vincent; Chabaud, Sylvie; Girard, Pascal; Cucherat, Michel; Hommel, Marc; Boissel, Jean Pierre


    In the treatment of acute ischemic stroke most of the clinical trials have failed, contrasting with promising results in the preclinical stages. This continuing discrepancy suggests some misconceptions in the understanding of acute ischemic stroke. One possible method for identifying the shortcomings of present-day approaches is to integrate all the available knowledge into a single mathematical model and to subject that model to challenges via simulations with available experimental data. As a first stage, then, the authors developed a simplified model, defining the structure and the different parameters that represent the phenomena that occur during the hyperacute phase of ischemic stroke. First, the different critical points of the evolution of ischemic stroke, based on the available evidence on the pathophysiology of stroke, were identified. Those key steps were then related to the quantitative data obtained by magnetic resonance imaging and positron emission tomography scan. These two techniques allow the measurement of diverse key markers of cerebral metabolism: cerebral blood flow (CBF), oxygen extraction factor, cerebral metabolism rate of oxygen, and the apparent diffusion coefficient of water, among others. Those markers were organized together through mathematical equations, and changed over time in order to describe the evolution of an acute ischemic stroke. At each time during the evolution of stroke those parameters are summarized in a parameter called survival delay. This parameter made possible the definition of three different states for tissues-functional, infarcted, salvageable-as end point. Once the model was designed, simulations were performed to explore its internal validity. Simulation results were consistent with the reality of acute ischemic stroke and did not reveal any major drawbacks in the use of the model. The more rapid the decrease in CBF, the larger is the final infarcted area. The model also allowed for the characterization of two

  15. Aplicabilidade do escore fisiológico agudo simplificado (SAPS 3 em hospitais brasileiros Aplicabilidad de la puntuación fisiológica aguda simplificada (SAPS 3 en hospitales brasileños Applicability of the simplified acute physiology score (SAPS 3 in brazilian hospitals

    Directory of Open Access Journals (Sweden)

    João Manoel Silva Junior


    Full Text Available JUSTIFICATIVA E OBJETIVOS: O sistema prognóstico SAPS 3 (Simplified Acute Physiology Score 3 é composto de 20 variáveis, representadas por escore fisiológico agudo e avaliação do estado prévio, visando estabelecer índice preditivo de mortalidade para pacientes admitidos em unidades de terapia intensiva (UTI. O estudo teve objetivo de validar este sistema e verificar o poder discriminatório deste índice em pacientes cirúrgicos do Brasil. MÉTODO: Estudo prospectivo, realizado em duas UTI especializadas em pacientes cirúrgicos de dois diferentes hospitais, no período de um ano, excluiuse pacientes com idade inferior a 16 anos, que permaneceram tempo inferior a 24 horas na UTI, readmitidos e aqueles admitidos para procedimento dialítico. A habilidade preditiva do índice SAPS 3 em diferenciar sobreviventes e não sobreviventes foi verificada utilizando curva ROC e a calibração pelo teste Hosmer-Lemeshow goodness-of-fit. RESULTADOS: Foram incluídos no estudo 1.310 pacientes. Operações gastrintestinais foram predominantes (34,9%. O menor valor do índice SAPS 3 foi 18 e o maior 154, média de 48,5 ± 18,1. A mortalidade hospitalar prevista e real foi de 10,3% e de 10,8%, respectivamente, razão de mortalidade padronizada (SMR foi 1,04 (IC95% = 1,03-1,07. A calibração pelo método Hosmer e Lemeshow mostrou X² = 10,47 p = 0,234. O valor do escore SAPS 3 que melhor discriminou sobreviventes e não sobreviventes foi 57, com sensibilidade de 75,8% e especificidade de 86%. Dos pacientes com índice SAPS 3 maior que 57, 73,5% não sobreviveram versus 26,5% de sobreviventes (OR = 1,32 IC95% 1,23 - 1,42, p JUSTIFICATIVA Y OBJETIVOS: El sistema de pronóstico SAPS 3 (Simplified Acute Physiology Score 3, se compone de 20 variables, representadas por una puntuación fisiológica aguda y por una evaluación del estado previo, con el fin de establecer el índice predictivo de mortalidad para los pacientes admitidos en las unidades de cuidados

  16. Assessment of acute physiological demand for soccer

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    Daniel Barbosa Coelho


    Full Text Available Soccer is a sport practiced worldwide, on all continents. It is considered an intermittent activity of high intensity and long duration, in which movements that require great strength and speed, such as jumps and sprints, result in high levels of muscle microtrauma, hampering athletes’ training and recovery. The present study aimed to evaluate the magnitude of changes in different markers of physiological demand resulting from a soccer match in healthy individuals. Ten healthy male physical education students participated in the study and were evaluated in two matches: the semi-final and final games of the college tournament at the federal university where they studied. Blood samples were collected from each volunteer pre- and post-match. Cortisol, IL-6 and CK concentrations were increased after the match (p < 0.05. Testosterone and alpha-actin concentrations did not change. Our results indicate that changes in some of the acute response markers evaluated in players before and after competitive soccer matches provide important information for planning training or recovery, as well as nutritional strategies for improving performance.

  17. Assessment of acute physiological demand for soccer

    Directory of Open Access Journals (Sweden)

    Daniel Barbosa Coelho


    Full Text Available DOI: Soccer is a sport practiced worldwide, on all continents. It is considered an intermittent activity of high intensity and long duration, in which movements that require great strength and speed, such as jumps and sprints, result in high levels of muscle microtrauma, hampering athletes’ training and recovery. The present study aimed to evaluate the magnitude of changes in different markers of physiological demand resulting from a soccer match in healthy individuals. Ten healthy male physical education students participated in the study and were evaluated in two matches: the semi-final and final games of the college tournament at the federal university where they studied. Blood samples were collected from each volunteer pre- and post-match. Cortisol, IL-6 and CK concentrations were increased after the match (p < 0.05. Testosterone and alpha-actin concentrations did not change. Our results indicate that changes in some of the acute response markers evaluated in players before and after competitive soccer matches provide important information for planning training or recovery, as well as nutritional strategies for improving performance.

  18. Acute T-2 Intoxication: Physiologic Consequences and New Therapeutic Approaches (United States)


    although in the monkey, death from respiratory failure has been reported. Following acute trichothecene intoxication , on the other hand, mortality appears...exposure. Despite this fact, detailed physiologic studies of the autonomic nervous system and other neurological consequences of acute trichothecene ... intoxication have been lacking. Moreover, treatment for the mycotoxicoses, whether acute or chronic, is limited. Beyond removal from exposure and general

  19. Physiological determinants of human acute hypoxia tolerance. (United States)


    AbstractIntroduction. We investigated possible physiological determinants of variability in hypoxia tolerance in subjects given a 5-minute normobaric exposure to 25,000 ft equivalent. Physiological tolerance to hypoxia was defined as the magnitude of...

  20. Acute physiological and chronic health evaluation II score and its ...

    African Journals Online (AJOL)

    Acute physiological and chronic health evaluation II score and its correlation with three surgical strategies for management of ileal perforations. Anand Munghate, Ashwani Kumar, Sushil Mittal, Harnam Singh, Jyoti Sharma, Manish Yadav ...

  1. Generalized Safety and Efficacy of Simplified Intravenous Thrombolysis Treatment (SMART) Criteria in Acute Ischemic Stroke

    DEFF Research Database (Denmark)

    Sørensen, Sigrid B; Barazangi, Nobl; Chen, Charlene


    BACKGROUND: Common intravenous recombinant tissue plasminogen activator (IV rt-PA) exclusion criteria may substantially limit the use of thrombolysis. Preliminary data have shown that the SMART (Simplified Management of Acute stroke using Revised Treatment) criteria greatly expand patient...... eligibility by reducing thrombolysis exclusions, but they have not been assessed on a large scale. We evaluated the safety and efficacy of general adoption of SMART thrombolysis criteria to a large regional stroke network. METHODS: Retrospective analysis of consecutive patients who received IV thrombolysis...... application of SMART criteria is safe and effective. Widespread application of these criteria could substantially increase the proportion of patients who might qualify for treatment....

  2. Establishment of a Novel Simplified Surgical Model of Acute Liver Failure in the Cynomolgus Monkey

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    Lei Cai


    Full Text Available Models using large animals that are suitable for studying artificial liver support system (ALSS are urgently needed. Presently available acute liver failure (ALF models mainly involve pigs or dogs. Establishment of current surgical ALF models (hepatectomy/devascularization requires either very good surgical skills or multistep processes—even multiple stages of surgery. Therefore, it is necessary to develop a simplified surgical method. Here we report a novel simplified surgical ALF model using cynomolgus monkeys. Six monkeys underwent portal-right renal venous shunt combined with common bile duct ligation and transection (PRRS + CBDLT. Postoperatively, the monkeys had progressively increased listlessness, loss of appetite, and obvious jaundice. Blood biochemistry levels (Amm, ALT, AST, TBiL, DBiL, ALP, LDH, CK, and Cr and prothrombin time (PT were significantly increased (all P<0.01 and albumin (ALB was markedly reduced (P<0.01 compared with baseline values. Histological examination of liver specimens on postoperative day 10 revealed cholestasis and inflammation. PRRS + CBDLT produced ALF that closely correlated with clinical situations. Compared with other surgical or drug ALF models, ours was simplified and animals were hemodynamically stable. This model could provide a good platform for further research on ALSS, especially regarding their detoxification functions.

  3. Remote physiological monitoring of acute cocaine exposure. (United States)

    Yoon, Jin H; Shah, Ravi S; Arnoudse, Nicholas M; De La Garza, Richard


    Cocaine exposure results in predictable cardiovascular changes. The current study evaluated the utility of BioHarness for assessing cardiovascular and respiratory changes following cocaine exposure (0 and 40 mg, IV) under controlled laboratory conditions. Participants (n = 28) included non-treatment-seeking, cocaine-dependent volunteers. Results showed that BioHarness was able to detect a significant increase in heart rate following cocaine exposure, in comparison to placebo, (p < 0.0001). Additionally, heart rate values obtained using BioHarness were significantly correlated with those obtained from standard hospital equipment (p < 0.001). Significantly greater peak effects in breathing rate were also observed (p = 0.04). BioHarness is a promising remote physiological monitoring device that can accurately assess exposure to cocaine in the laboratory and may provide additional advantages when compared to standard hospital equipment.

  4. A simplified prognostic model to predict mortality in patients with acute variceal bleeding. (United States)

    Lee, Han Hee; Park, Jae Myung; Han, Seunghoon; Park, Sung Min; Kim, Hee Yeon; Oh, Jung Hwan; Kim, Chang Wook; Yoon, Seung Kew; Choi, Myung-Gyu


    Acute variceal bleeding (AVB) is a major cause of death in patients with liver cirrhosis. The aim of this study was to investigate mortality predictors and develop a new simple prognostic model using easily verified factors at admission in AVB patients. Between January 2009 and May 2015, 333 consecutive patients with AVB were included. A simplified prognostic model was developed using multiple logistic regression after identifying significant predictors of 6-week mortality. Mortality prediction accuracy was assessed with area under the receiver operating characteristic (AUROC) curve. We compared the new model to existing models of model for end-stage liver disease (MELD) and Child-Pugh scores. The 6-week overall mortality rate was 12.9%. Multivariate analysis showed that C-reactive protein (CRP), total bilirubin, and the international normalized ratio were independent predictors of mortality. A new logistic model using these variables was developed. This model's AUROC was 0.834, which was significantly higher than that of MELD (0.764) or Child-Pugh scores (0.699). Two external validation studies showed that the AUROC of our model was consistently higher than 0.8. Our new simplified model accurately and consistently predicted 6-week mortality in patients with AVB using objective variables measured at admission. Our system can be used to identify high risk AVB patients. Copyright © 2017 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  5. Acute ischaemic stroke prediction from physiological time series patterns

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    Qing Zhang,


    Full Text Available BackgroundStroke is one of the major diseases with human mortality. Recent clinical research has indicated that early changes in common physiological variables represent a potential therapeutic target, thus the manipulation of these variables may eventually yield an effective way to optimise stroke recovery.AimsWe examined correlations between physiological parameters of patients during the first 48 hours after a stroke, and their stroke outcomes after 3 months. We wanted to discover physiological determinants that could be used to improve health outcomes by supporting the medical decisions that need to be made early on a patient’s stroke experience.Method We applied regression-based machine learning techniques to build a prediction algorithm that can forecast 3-month outcomes from initial physiological time series data during the first 48 hours after stroke. In our method, not only did we use statistical characteristics as traditional prediction features, but also we adopted trend patterns of time series data as new key features.ResultsWe tested our prediction method on a real physiological data set of stroke patients. The experiment results revealed an average high precision rate: 90%. We also tested prediction methods only considering statistical characteristics of physiological data, and concluded an average precision rate: 71%.ConclusionWe demonstrated that using trend pattern features in prediction methods improved the accuracy of stroke outcome prediction. Therefore, trend patterns of physiological time series data have an important role in the early treatment of patients with acute ischaemic stroke.

  6. Performance of Simplified Acute Physiology Score 3 In Predicting Hospital Mortality In Emergency Intensive Care Unit

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    Qing-Bian Ma


    Conclusions: The SAPS 3 score system exhibited satisfactory performance even superior to APACHE II in discrimination. In predicting hospital mortality, SAPS 3 did not exhibit good calibration and overestimated hospital mortality, which demonstrated that SAPS 3 needs improvement in the future.

  7. External validation of the Simplified Acute Physiology Score (SAPS) 3 in Spain. (United States)

    López-Caler, C; García-Delgado, M; Carpio-Sanz, J; Alvarez-Rodríguez, J; Aguilar-Alonso, E; Castillo-Lorente, E; Barrueco-Francioni, J E; Rivera-Fernández, R


    To evaluate SAPS 3 performance in Spain, assessing discrimination and calibration in a multicenter study. A prospective, multicenter study was carried out. A prospective cohort study was performed in Spanish hospitals between 2006 and 2011. A total of 2171 patients were included in the study. The mean age was 61.4±16.09 years, the ICU mortality was 11.6%, and hospital mortality 16.03%. The SAPS 3 score was 46.29±14.34 points, with a probability of death for our geographical area of 18.57%, and 17.97% for the general equation. The differences between observed-to-predicted mortality were analyzed with the Hosmer-Lemeshow test, which yielded H=31.71 (p<0.05) for our geographical area and H=20.05 (p<0.05) for the general equation. SAPS 3 discrimination with regard to hospital mortality, tested using the area under the ROC curve, was 0.845 (0.821-0.869). Our study shows good discrimination of the SAPS 3 system in Spain, but also inadequate calibration, with differences between predicted and observed mortality. There are more similarities with regard to the general equation than with respect to our geographical area equation, and in both cases the SAPS 3 system overestimates mortality. According to our results, Spanish ICU mortality is lower than in other hospitals included in the multicenter study that developed the SAPS 3 system, in patients with similar characteristics and severity of illness. Copyright © 2013 Elsevier España, S.L. and SEMICYUC. All rights reserved.

  8. Evolution of Simplified Frozen Elephant Trunk Repair for Acute DeBakey Type I Dissection: Midterm Outcomes. (United States)

    Roselli, Eric E; Idrees, Jay J; Bakaeen, Faisal G; Tong, Michael Z; Soltesz, Edward G; Mick, Stephanie; Johnston, Douglas R; Eagleton, Mathew J; Menon, Venu; Svensson, Lars G


    A modified technique for frozen elephant trunk (FET) repair of acute DeBakey type I dissection has evolved. Procedural modifications are described and midterm outcomes evaluated. From 2009 to 2016, 72 patients with DeBakey type I dissection underwent emergency simplified FET. Mean age was 59 ± 15 years. Presentation included malperfusion (n = 22, 31%), rupture (n = 12, 16%), and aortic insufficiency (n = 42, 58%). Concomitant procedures included valve replacement (n = 9), root replacement (n = 11; valve sparing n = 6), cusp repair (n = 11), and valve resuspension (n = 21). The first 39 were treated by modifying an early generation stent graft. The next 16 received newer modified stent grafts, and the latest 17 underwent branched single anastomosis technique with left subclavian stent grafting. Operative mortality was 4.2% (n = 3 of 72). Two presented comatose without recovering, the other died from coagulopathy complications. Morbidity included stroke (n = 3, 4.2%), spinal injury (n = 3, 4.2%; 1 permanent), tracheostomy (n = 7, 9.7%), and renal failure (n = 2, 2.8%). Median follow-up was 28 ± 25 months. Survival was 92% at 6 months, 92% at 1 year, 89% at 3 years, and 80% at 5 years. Among 69 survivors, follow-up imaging was available in 63 (91%). Of these, 58 (92%) patients thrombosed the treated false lumen, with shrinkage in 37(54%) patients from 42 ± 8 mm to 37 ± 7 mm. Ten patients underwent 14 late reinterventions for growth and incomplete thrombosis (7 endo extension, 4 left subclavian embolization, 1 bypass, 2 false lumen embolization). Freedom from reintervention was 93% at 6 months, 87% at 1 year, 77% at 3 years, and 72% at 5 years. Simplified FET for treating acute DeBakey type I dissection has evolved and remained safe. It promotes aortic remodeling, and simplifies management of chronic aortic complications. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  9. Acute and phase-shifting effects of ocular and extraocular light in human circadian physiology

    NARCIS (Netherlands)

    Rüger, Melanie; Gordijn, Marijke C.M.; Beersma, Domien G.M.; de Vries, Bonnie; Daan, Serge


    Light can influence physiology and performance of humans in two distinct ways. It can acutely change the level of physiological and behavioral parameters, and it can induce a phase shift in the circadian oscillators underlying variations in these levels. Until recently, both effects were thought to

  10. Renal response to acute acid loading--an organ physiological approach

    DEFF Research Database (Denmark)

    Osther, P J; Engel, K; Kildeberg, P


    OBJECTIVE: In previous studies of the renal response to acute NH4Cl acidosis no correlation was found between systemic acid-base status and the traditionally used quantity, renal net acid excretion (NAE). If NAE is to be considered a physiologically meaningful quantity then this is surprising......, as the extracellular acid-base status would be expected to be the key physiological trigger for renal NAE. The object of this study was to investigate the renal response to acute non-carbonic acid loading using a quantitative organ physiological approach. MATERIAL AND METHODS: Five-h NH4Cl loading studies were...... from bone contributed substantially to the current net extrarenal NA input. CONCLUSION: From a physiological point of view, NB can be regarded as the actual substrate for renal acid-base control, and measurement of renal turnover of NB may give a more precise description of renal acid-base metabolism...

  11. Error consciousness predicts physiological response to an acute psychosocial stressor in men

    NARCIS (Netherlands)

    Wu, J.; Sun, X.; Wang, L.; Zhang, L.; Fernandez, G.; Yao, Z.


    There are substantial individual differences in the response towards acute stressor. The aim of the current study was to examine how the neural activity after an error response during a non-stressful state, prospectively predicts the magnitude of physiological stress response (e.g., cortisol

  12. Sex differences in physiological reactivity to acute psychosocial stress in adolescence (United States)

    Ordaz, Sarah; Luna, Beatriz


    Summary Females begin to demonstrate greater negative affective responses to stress than males in adolescence. This may reflect the concurrent emergence of underlying differences in physiological response systems, including corticolimbic circuitries, the hypothalamic—pituitary— adrenal axis (HPAA), and the autonomic nervous system (ANS). This review examines when sex differences in physiological reactivity to acute psychosocial stress emerge and the directionality of these differences over development. Indeed, the literature indicates that sex differences emerge during adolescence and persist into adulthood for all three physiological response systems. However, the directionality of the differences varies by system. The emerging corti-colimbic reactivity literature suggests greater female reactivity, particularly in limbic regions densely innervated by gonadal hormone receptors. In contrast, males generally show higher levels of HPAA and ANS reactivity. We argue that the contrasting directionality of corticolimbic and peripheral physiological responses may reflect specific effects of gonadal hormones on distinct systems and also sex differences in evolved behavioral responses that demand different levels of peripheral physiological activation. Studies that examine both subjective reports of negative affect and physiological responses indicate that beginning in adolescence, females respond to acute stressors with more intense negative affect than males despite their comparatively lower peripheral physiological responses. This dissociation is not clearly explained by sex differences in the strength of the relationship between physiological and subjective responses. We suggest that females' greater subjective responsivity may instead arise from a greater activity in brain regions that translate stress responses to subjective awareness in adolescence. Future research directions include investigations of the role of pubertal hormones in physiological reactivity

  13. Physiology (United States)

    Kay, Ian


    Underlying recent developments in health care and new treatments for disease are advances in basic medical sciences. This edition of "Webwatch" focuses on sites dealing with basic medical sciences, with particular attention given to physiology. There is a vast amount of information on the web related to physiology. The sites that are included here…

  14. Simplified Boardgames


    Kowalski, Jakub; Sutowicz, Jakub; Szykuła, Marek


    We formalize Simplified Boardgames language, which describes a subclass of arbitrary board games. The language structure is based on the regular expressions, which makes the rules easily machine-processable while keeping the rules concise and fairly human-readable.

  15. Physiological and biochemical changes associated with acute experimental dehydration in the desert adapted mouse, Peromyscus eremicus. (United States)

    Kordonowy, Lauren; Lombardo, Kaelina D; Green, Hannah L; Dawson, Molly D; Bolton, Evice A; LaCourse, Sarah; MacManes, Matthew D


    Characterizing traits critical for adaptation to a given environment is an important first step in understanding how phenotypes evolve. How animals adapt to the extreme heat and aridity commonplace to deserts is an exceptionally interesting example of these processes, and has been the focus of study for decades. In contrast to those studies, where experiments are conducted on either wild animals or captive animals held in non-desert conditions, the study described here leverages a unique environmental chamber that replicates desert conditions for captive Peromyscus eremicus (cactus mouse). Here, we establish baseline values for daily water intake and for serum electrolytes, as well as the response of these variables to acute experimental dehydration. In brief, P eremicus daily water intake is very low. Its serum electrolytes are distinct from many previously studied animals, and its response to acute dehydration is profound, though not suggestive of renal impairment, which is atypical of mammals. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

  16. Some physiological and biochemical methods for acute and chronic stress evaluation in dairy cows

    Directory of Open Access Journals (Sweden)

    Giuseppe Bertoni


    Full Text Available Stress factors are so numerous and so diverse in their strength and duration that the consequences on animal welfare can be quite varied. The first important distinction concerns the characterization of acute and chronic stress conditions. Acute stress is a short-lived negative situation that allows a quick and quite complete recovery of the physiological balance (adaptation, while chronic stress is a long lasting condition from which the subject cannot fully recover (maladaptation. In the latter case, the direct effects of the stress factors (heat, low energy, anxiety, suffering etc., as well as the indirect ones (changes occurring at endocrinological, immune system or function level can be responsible for pre-pathological or pathological consequences which reduce animal welfare. To evaluate the possible chronic stress conditions in single animals or on a farm (in particular a farm of dairy cows, some parameters of the direct or indirect effects can be utilised. They are physiological (mainly hormone changes: cortisol, β-endorphin, behavioural (depression, biochemical (metabolites, acute phase proteins, glycated proteins etc., as well as performance parameters (growing rate, milk yield, fertility, etc.. Special attention has been paid to the interpretation of cortisol levels and to its changes after an ACTH challenge. Despite fervent efforts, well established and accepted indices of chronic stress (distress are currently lacking; but without this objective evaluation, the assessment of animal welfare and, therefore, the optimization of the livestock production, could prove more difficult.

  17. Rapid changes in cell physiology as a result of acute thermal stress house sparrows, Passer domesticus. (United States)

    Jimenez, Ana G; Williams, Joseph B


    Given that our climate is rapidly changing, Physiological Ecologists have the critical task of identifying characteristics of species that make them either resilient or susceptible to changes in their natural air temperature regime. Because climate change models suggest that heat events will become more common, and in some places more extreme, it is important to consider how extreme heat events might affect the physiology of a species. The implications of more frequent heat wave events for birds have only recently begun to be addressed, however, the impact of these events on the cellular physiology of a species is difficult to assess. We have developed a novel approach using dermal fibroblasts to explore how short-term thermal stress at the whole animal level might affect cellular rates of metabolism. House sparrows, Passer domesticus were separated into a "control group" and a "heat shocked" group, the latter acclimated to 43°C for 24h. We determined the plasticity of cellular thermal responses by assigning a "recovery group" that was heat shocked as above, but then returned to room temperature for 24h. Primary dermal fibroblasts were grown from skin of all treatment groups and the pectoralis muscle was collected. We found that glycolysis (ECAR) and oxygen consumption rates (OCR), measured using a Seahorse XF 96 analyzer, were significantly higher in the fibroblasts from the heat shocked group of House sparrows compared with their control counterparts. Additionally, muscle fiber diameters decreased and, in turn, Na(+)-K(+)-ATPase maximal activity in the muscle significantly increased in heat shocked sparrows compared with birds in the control group. All of these physiological alterations due to short-term heat exposure were reversible within 24h of recovery at room temperature. These results show that acute exposure to heat stress significantly alters the cellular physiology of sparrows, but that this species is plastic enough to recover from such a thermal

  18. Physiological effects of noninvasive positive ventilation during acute moderate hypercapnic respiratory insufficiency in children. (United States)

    Essouri, Sandrine; Durand, Philippe; Chevret, Laurent; Haas, Vincent; Perot, Claire; Clement, Annick; Devictor, Denis; Fauroux, Brigitte


    A prospective physiological study was performed in 12 paediatric patients with acute moderate hypercapnic respiratory insufficiency to assess the ability of noninvasive positive pressure ventilation (NPPV) to unload the respiratory muscles and improve gas exchange. Breathing pattern, gas exchange, and inspiratory muscle effort were measured during spontaneous breathing and NPPV. NPPV was associated with a significant improvement in breathing pattern, gas exchange and respiratory muscle output. Tidal volume and minute ventilation increased by 33 and 17%, and oesophageal and diaphragmatic pressure time product decreased by 49 and 56%, respectively. This improvement in alveolar ventilation translated into a reduction in mean partial pressure in carbon dioxide from 48 to 40 mmHg (P = 0.01) and in respiratory rate from 48 to 41 breaths/min (P = 0.01). No difference between a clinical setting and a physiological setting of NPPV was observed. In conclusion, this study shows that NPPV is able to unload the respiratory muscles and improve clinical outcome in young patients admitted to the paediatric intensive care unit for acute moderate hypercapnic respiratory insufficiency.

  19. Comparison of acute physiological adaptations between three variants of a basic head-out water exercise

    Directory of Open Access Journals (Sweden)

    Georgina Costa


    Full Text Available The aim of this investigation was to compare the acute physiological adaptations to several variants of the same basic head-out aquatic exercise (only with legs actions, with simultaneous legs and arms actions, with simultaneous legs and arms actions using buoyancy dumb-bells. 16 young females, clinically healthy and with a regular level of physical activity were studied. Each subjected performed a basic head-out aquatic exercise named “rocking horse”. Before and after each 6 minutes exercise, rate of perceived exertion (RPE and blood lactate (La-] were evaluated. Before, during and after eachexercise, the maximal heart rate achieved (FCmax was measured and the percentage of maximal theoretical heart rate estimated (%FCmax. The subjects perceived an increasing exertion from the exercise only with legs actions to the exercise with simultaneous legs and arms actions, to the exercise with simultaneous legs and arms actions including dumb-bells. The cardiac workout (FCmax and %FCmax was significantly lower performing the exercise only with the legs than in the other two exercise conditions. The increasing number of limb’s actions and the adoption of dumb-bells promoted an increase ofthe blood lactate. In conclusion, the increasing number of simultaneous limb’s actions and the inclusion of materials, justlike buoyancy dumb-bells, increased the acute physiological response in head-out aquatic exercises.

  20. How to Regulate the Acute Physiological Response to “Aerobic” High-Intensity Interval Exercise (United States)

    Tschakert, Gerhard; Kroepfl, Julia; Mueller, Alexander; Moser, Othmar; Groeschl, Werner; Hofmann, Peter


    The acute physiological processes during “aerobic” high-intensity interval exercise (HIIE) and their regulation are inadequately studied. The main goal of this study was to investigate the acute metabolic and cardiorespiratory response to long and short HIIE compared to continuous exercise (CE) as well as its regulation and predictability. Six healthy well-trained sport students (5 males, 1 female; age: 25.7 ± 3.1 years; height: 1.80 ± 0.04 m; weight: 76.7 ± 6.4 kg; VO2max: 4.33 ± 0.7 l·min-1) performed a maximal incremental exercise test (IET) and subsequently three different exercise sessions matched for mean load (Pmean) and exercise duration (28 min): 1) long HIIE with submaximal peak workloads (Ppeak = power output at 95 % of maximum heart rate), peak workload durations (tpeak) of 4 min, and recovery durations (trec) of 3 min, 2) short HIIE with Ppeak according to the maximum power output (Pmax) from IET, tpeak of 20 s, and individually calculated trec (26.7 ± 13.4 s), and 3) CE with a target workload (Ptarget) equating to Pmean of HIIE. In short HIIE, mean lactate (Lamean) (5.22 ± 1.41 mmol·l-1), peak La (7.14 ± 2.48 mmol·l-1), and peak heart rate (HRpeak) (181.00 ± 6.66 b·min-1) were significantly lower compared to long HIIE (Lamean: 9.83 ± 2.78 mmol·l-1; Lapeak: 12.37 ± 4.17 mmol·l-1, HRpeak: 187.67 ± 5.72 b·min-1). No significant differences in any parameters were found between short HIIE and CE despite considerably higher peak workloads in short HIIE. The acute metabolic and peak cardiorespiratory demand during “aerobic” short HIIE was significantly lower compared to long HIIE and regulable via Pmean. Consequently, short HIIE allows a consciously aimed triggering of specific and desired or required acute physiological responses. Key points High-intensity interval exercise (HIIE) with short peak workload durations (tpeak) induce a lower acute metabolic and peak cardiorespiratory response compared to intervals with long tpeak

  1. Risk stratifying emergency department patients with acute pulmonary embolism: Does the simplified Pulmonary Embolism Severity Index perform as well as the original? (United States)

    Vinson, David R; Ballard, Dustin W; Mark, Dustin G; Huang, Jie; Reed, Mary E; Rauchwerger, Adina S; Wang, David H; Lin, James S; Kene, Mamata V; Pleshakov, Tamara S; Sax, Dana K; Sax, Jordan M; McLachlan, D Ian; Yamin, Cyrus K; Swap, Clifford J; Iskin, Hilary R; Vemula, Ridhima; Fleming, Bethany S; Elms, Andrew R; Aujesky, Drahomir


    The Pulmonary Embolism Severity Index (PESI) is a validated prognostic score to estimate the 30-day mortality of emergency department (ED) patients with acute pulmonary embolism (PE). A simplified version (sPESI) was derived but has not been as well studied in the U.S. We sought to validate both indices in a community hospital setting in the U.S. and compare their performance in predicting 30-day all-cause mortality and classification of cases into low-risk and higher-risk categories. This retrospective cohort study included adults with acute objectively confirmed PE from 1/2013 to 4/2015 across 21 community EDs. We evaluated the misclassification rate of the sPESI compared with the PESI. We assessed accuracy of both indices with regard to 30-day mortality. Among 3006 cases of acute PE, the 30-day all-cause mortality rate was 4.4%. The sPESI performed as well as the PESI in identifying low-risk patients: both had similar sensitivities, negative predictive values, and negative likelihood ratios. The sPESI, however, classified a smaller proportion of patients as low risk than the PESI (27.5% vs. 41.0%), but with similar low-risk mortality rates (<1%). Compared with the PESI, the sPESI overclassified 443 low-risk patients (14.7%) as higher risk, yet their 30-day mortality was 0.7%. The sPESI underclassified 100 higher-risk patients (3.3%) as low risk who also had a low mortality rate (1.0%). Both indices identified patients with PE who were at low risk for 30-day mortality. The sPESI, however, misclassified a significant number of low-mortality patients as higher risk, which could lead to unnecessary hospitalizations. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Modification of Simplified Pulmonary Embolism Severity Index and its Prognostic Value in Patients with Acute Pulmonary Embolism. (United States)

    Ostovan, Mohammad Ali; Ghaffari, Samad; Pourafkari, Leili; Dehghani, Pooyan; Hajizadeh, Reza; Nadiri, Mehdi; Ghaffari, Mohammad Reza


    Various risk stratification systems have been used to predict the clinical outcome of patients with pulmonary embolism (PE). In this study we present a modification of the simplified Pulmonary Embolism Severity Index (S-PESI) score and evaluate its accuracy in predicting the outcome of these patients. Patients older than 18 years with documented PE were enrolled in this study. S-PESI was calculated in all patients. We added electrocardiographic evidence of right ventricular strain as a new criteria and replaced the O2 saturation of <90% in S-PESI score with PaO2 /PaCO2 ratio obtained from the arterial blood gas analysis as two newly modified criteria to define a modified form of S-PESI system (modified s-PESI). Patients were followed for about one year in outpatient clinics. Any deaths attributable to PE or for unknown reasons were considered as PE related. We defined Major Adverse Cardio-Pulmonary Events (MACPE) as sum of one-year mortality, need for thrombolysis and mechanical ventilation during index hospitalisation. Among 300 enrolled patients, in-hospital mortality occurred in 38 (12.7%) and one-year mortality in 73 (24.3%) patients. Considering a cut-off point of 3, modified s-PESI score had a lower sensitivity (49.3% vs. 89%) and higher specificity (79.4% vs. 37.7%) than S-PESI to predict one-year mortality. Area Under Curve (AUC) to predict MACPE was significantly higher for modified s-PESI (0.692 vs 0.730, P=0.012). The modified s-PESI is superior to S-PESI in predicting one-year outcome in patients with PE and can be used for more accurate risk stratification of these patients. Copyright © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

  3. Probing skin physiology through the volatile footprint: Discriminating volatile emissions before and after acute barrier disruption. (United States)

    Duffy, Emer; Jacobs, Matthew R; Kirby, Brian; Morrin, Aoife


    Volatile organic compounds emitted by human skin were sampled before and after acute barrier disruption of the volar forearm to investigate the significance of this approach to skin physiology research. A small wearable housing integrating a solid-phase micro-extraction fibre permitting rapid enclosed headspace sampling of human skin volatiles is presented, enabling non-invasive sample collection in 15 minutes, in a comfortable wearable format. Gas chromatography-mass spectrometry was utilised to separate and identify the volatile metabolites. A total of 37 compounds were identified, with aldehydes (hexanal, nonanal, decanal), acids (nonanoic, decanoic, dodecanoic, tetradecanoic and pentadecanoic acids) and hydrocarbons (squalane, squalene) predominant within the chemical profile. Acute barrier disruption was achieved through tape stripping (TS) of the stratum corneum to determine the impact on the volatile signature. Principle component analysis demonstrated there to be a discriminating volatile signature before and after TS. The dysregulation of significant features was examined. Several compounds derived from sebaceous components and their oxidation products were altered following barrier disruption, including squalane, squalene, octanal and nonanal. The upregulation of glycine was also observed, which may indicate a perturbation to the skin's natural moisturising factor production. TS impacted the hydro-lipid film that functions within the skin barrier, resulting in a differing volatile signature from affected skin. This provides a valuable non-invasive approach for scientific and clinical studies in dermatology, particularly around dermatological disorders associated with compromised barrier function. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  4. Physiologic Cryoamputation in Managing Critically Ill Patients with Septic, Advanced Acute Limb Ischemia. (United States)

    Chen, Samuel L; Kuo, Isabella J; Kabutey, Nii-Kabu; Fujitani, Roy M


    Certain critically ill patients with advanced acute limb ischemia with a nonviable extremity may be unsuitable for transport to the operating room to undergo definitive amputation. In these unstable patients, rapid regional cryotherapy allows for prompt infectious source control and correction of hemodynamic and metabolic abnormalities, thereby lessening the risk associated with definitive surgical amputation. We describe our refined technique for lower extremity physiologic cryoamputation and review our institutional experience. After adequate analgesia is administered to the patient, a heating pad is secured circumferentially at the proximal amputation margin and the affected extremity is placed in a customized Styrofoam cooler. A circumferential seal is secured at the proximal chill zone without use of a tourniquet and dry ice is placed into the cooler to surround the entire affected leg. Delayed definitive lower extremity amputation is later performed when hemodynamic and metabolic derangements are corrected. We reviewed 5 patients who underwent lower extremity cryoamputation with this technique identified at our institution between 2005 and 2015. Age ranged from 31 to 79 years old. All presented with severe foot infection and septic shock requiring vasopressor support. All 5 patients stabilized hemodynamically following the initial cryoamputation and later underwent definitive lower extremity amputation, with a median time of 3 days following initial cryoamputation. Lower extremity physiologic cryoamputation is an effective, immediate bedside procedure that can provide local source control and the opportunity for correction of metabolic derangements in initially unstable patients to lessen the risk for definitive major lower extremity amputation. Refinement of the cryoamputation technique, as described in this report, allows for a predictable and reproducible physiologic amputation. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Dried citrus pulp modulates the physiological and acute phase responses of crossbred heifers to an endotoxin challenge (United States)

    This study examined the effect of feeding dried citrus pulp (CP) pellets on the physiological and acute phase responses (APR) of newly-received crossbred heifers to an endotoxin (lipopolysaccharide; LPS) challenge. Heifers (n=24; 218.3±2.4 kg) were obtained from commercial sale barns and transported...

  6. Physiological and cytokine response to acute exercise under hypoxic conditions: a pilot study. (United States)

    Lira, Fábio S; Lemos, Valdir A; Bittar, Irene G; Caris, Aline V; Dos Santos, Ronaldo V; Tufik, Sergio; Zagatto, Alessandro M; de Souza, Claudio T; Pimentel, Gustavo D; De Mello, Marco T


    Studies have demonstrated that exercise in hypoxia situations induces a cytotoxicity effects. However, the cytokines participation in this condition is remaining unknown. Thus, the aim the present study was to evaluate physiological parameters and inflammatory profiles in response to acute exercise after five hours of hypoxic conditions. Fourteen healthy men were distributed randomly into two groups: normoxic exercise (N.=7) and hypoxic exercise (N.=7). All volunteers were blinded to the protocol. Initially, all subjects were submitted to chamber normobaric in a room fitted for altitude simulations of up to 4500 m, equivalent to a barometric pressure of 433 mmHg. All analyses began at 7:00 a.m. and was maintained for 5 hours; the fraction of inspired oxygen (FiO2) was 13.5%. The groups began a 60-minute session of physical exercise starting at 11:00 a.m., at 50% of peak VO2 (50% VO2peak). Blood was collected for cytokine analysis in the morning upon waking, before the 60-minute exercise session and immediately thereafter. The heart rate during 60 minutes' exercise training was significantly increased in both exercise groups (P<0.05), and the oxygen saturation was reduced under hypoxic conditions during exercise (P<0.05). After exercise, significant increases were found for IL-1ra and IL-10 under hypoxic conditions (P<0.05) and for IL-6 for both groups (P<0.05). TNF-α was not altered under either environmental condition. Our data demonstrate that acute exercise performance in hypoxic conditions can promotes early inflammatory response, leads for immunosuppression state.

  7. The impact of windows and daylight on acute-care nurses' physiological, psychological, and behavioral health. (United States)

    Zadeh, Rana Sagha; Shepley, Mardelle McCuskey; Williams, Gary; Chung, Susan Sung Eun


    To investigate the physiological and psychological effects of windows and daylight on registered nurses. To date, evidence has indicated that appropriate environmental lighting with characteristics similar to natural light can improve mood, alertness, and performance. The restorative effects of windows also have been documented. Hospital workspaces generally lack windows and daylight, and the impact of the lack of windows and daylight on healthcare employees' well being has not been thoroughly investigated. Data were collected using multiple methods with a quasi-experimental approach (i.e., biological measurements, behavioral mapping, and analysis of archival data) in an acute-care nursing unit with two wards that have similar environmental and organizational conditions, and similar patient populations and acuity, but different availability of windows in the nursing stations. Findings indicated that blood pressure (p windows and daylight. A possible micro-restorative effect of windows and daylight may result in lowered blood pressure and increased oxygen saturation and a positive effect on circadian rhythms (as suggested by body temperature) and morning sleepiness. Critical care/intensive care, lighting, nursing, quality care, work environment.

  8. Acute Physiological and Thermoregulatory Responses to Extended Interval Training in Endurance Runners: Influence of Athletic Performance and Age

    Directory of Open Access Journals (Sweden)

    García-Pinillos Felipe


    Full Text Available This study aimed to describe the acute impact of extended interval training (EIT on physiological and thermoregulatory levels, as well as to determine the influence of athletic performance and age effect on the aforementioned response in endurance runners. Thirty-one experienced recreational male endurance runners voluntarily participated in this study. Subjects performed EIT on an outdoor running track, which consisted of 12 runs of 400 m. The rate of perceived exertion, physiological response through the peak and recovery heart rate, blood lactate, and thermoregulatory response through tympanic temperature, were controlled. A repeated measures analysis revealed significant differences throughout EIT in examined variables. Cluster analysis grouped according to the average performance in 400 m runs led to distinguish between athletes with a higher and lower sports level. Cluster analysis was also performed according to age, obtaining an older group and a younger group. The one-way analysis of variance between groups revealed no significant differences (p≥0.05 in the response to EIT. The results provide a detailed description of physiological and thermoregulatory responses to EIT in experienced endurance runners. This allows a better understanding of the impact of a common training stimulus on the physiological level inducing greater accuracy in the training prescription. Moreover, despite the differences in athletic performance or age, the acute physiological and thermoregulatory responses in endurance runners were similar, as long as EIT was performed at similar relative intensity.

  9. Computer aided analysis of additional chromosome aberrations in Philadelphia chromosome positive acute lymphoblastic leukaemia using a simplified computer readable cytogenetic notation

    Directory of Open Access Journals (Sweden)

    Mohr Brigitte


    Full Text Available Abstract Background The analysis of complex cytogenetic databases of distinct leukaemia entities may help to detect rare recurring chromosome aberrations, minimal common regions of gains and losses, and also hot spots of genomic rearrangements. The patterns of the karyotype alterations may provide insights into the genetic pathways of disease progression. Results We developed a simplified computer readable cytogenetic notation (SCCN by which chromosome findings are normalised at a resolution of 400 bands. Lost or gained chromosomes or chromosome segments are specified in detail, and ranges of chromosome breakpoint assignments are recorded. Software modules were written to summarise the recorded chromosome changes with regard to the respective chromosome involvement. To assess the degree of karyotype alterations the ploidy levels and numbers of numerical and structural changes were recorded separately, and summarised in a complex karyotype aberration score (CKAS. The SCCN and CKAS were used to analyse the extend and the spectrum of additional chromosome aberrations in 94 patients with Philadelphia chromosome positive (Ph-positive acute lymphoblastic leukemia (ALL and secondary chromosome anomalies. Dosage changes of chromosomal material represented 92.1% of all additional events. Recurring regions of chromosome losses were identified. Structural rearrangements affecting (pericentromeric chromosome regions were recorded in 24.6% of the cases. Conclusions SCCN and CKAS provide unifying elements between karyotypes and computer processable data formats. They proved to be useful in the investigation of additional chromosome aberrations in Ph-positive ALL, and may represent a step towards full automation of the analysis of large and complex karyotype databases.

  10. A strategy combining imaging and laboratory biomarkers in comparison with a simplified clinical score for risk stratification of patients with acute pulmonary embolism. (United States)

    Lankeit, Mareike; Gómez, Vicente; Wagner, Carolin; Aujesky, Drahomir; Recio, Mónica; Briongos, Sem; Moores, Col Lisa K; Yusen, Roger D; Konstantinides, Stavros; Jiménez, David


    This study aimed to assess the performance of two prognostic models-the European Society of Cardiology (ESC) model and the simplified Pulmonary Embolism Severity Index (sPESI)-in predicting short-term mortality in patients with pulmonary embolism (PE). We compared the test characteristics of the ESC model and the sPESI for predicting 30-day outcomes in a cohort of 526 patients with objectively confirmed PE. The primary end point of the study was all-cause mortality. The secondary end point included all-cause mortality, nonfatal symptomatic recurrent VTE, or nonfatal major bleeding. Overall, 40 of 526 patients died (7.6%; 95% CI, 5.3%-9.9%) during the first month of follow-up. The sPESI classified fewer patients as low risk (31% [165 of 526], 95% CI, 27%-35%) compared with the ESC model (39% [207 of 526], 95% CI, 35% to 44%; P < .01). Importantly however, low-risk patients based on the sPESI had no 30-day mortality compared with 3.4% (95% CI, 0.9-5.8) in low-risk patients by the ESC model. The secondary end point occurred in 1.8% of patients in the sPESI low-risk and 5.8% in the ESC low-risk group (difference, 4.0 percentage points; 95% CI, 0.2-7.8). The prognostic ability of the ESC model remained significant in the subgroup of patients at high-risk according to the sPESI model (OR 1.95, 95% CI, 1.41 to 2.71, P < .001). Both the sPESI and the ESC model successfully predict 30-day mortality after acute symptomatic PE, but exclusion of an adverse early outcome does not appear to require routine imaging procedures or laboratory biomarker testing.

  11. Acute Physiologic Stress and Subsequent Anxiety Among Family Members of ICU Patients. (United States)

    Beesley, Sarah J; Hopkins, Ramona O; Holt-Lunstad, Julianne; Wilson, Emily L; Butler, Jorie; Kuttler, Kathryn G; Orme, James; Brown, Samuel M; Hirshberg, Eliotte L


    The ICU is a complex and stressful environment and is associated with significant psychologic morbidity for patients and their families. We sought to determine whether salivary cortisol, a physiologic measure of acute stress, was associated with subsequent psychologic distress among family members of ICU patients. This is a prospective, observational study of family members of adult ICU patients. Adult medical and surgical ICU in a tertiary care center. Family members of ICU patients. Participants provided five salivary cortisol samples over 24 hours at the time of the patient ICU admission. The primary measure of cortisol was the area under the curve from ground; the secondary measure was the cortisol awakening response. Outcomes were obtained during a 3-month follow-up telephone call. The primary outcome was anxiety, measured by the Hospital Anxiety and Depression Scale-Anxiety. Secondary outcomes included depression and posttraumatic stress disorder. Among 100 participants, 92 completed follow-up. Twenty-nine participants (32%) reported symptoms of anxiety at 3 months, 15 participants (16%) reported depression symptoms, and 14 participants (15%) reported posttraumatic stress symptoms. In our primary analysis, cortisol level as measured by area under the curve from ground was not significantly associated with anxiety (odds ratio, 0.94; p = 0.70). In our secondary analysis, however, cortisol awakening response was significantly associated with anxiety (odds ratio, 1.08; p = 0.02). Roughly one third of family members experience anxiety after an ICU admission for their loved one, and many family members also experience depression and posttraumatic stress. Cortisol awakening response is associated with anxiety in family members of ICU patients 3 months following the ICU admission. Physiologic measurements of stress among ICU family members may help identify individuals at particular risk of adverse psychologic outcomes.This is an open-access article distributed under

  12. Behavioral and Physiological Responses to Nicotine Patch Administration Among Nonsmokers Based on Acute and Chronic Secondhand Tobacco Smoke Exposure. (United States)

    Okoli, Chizimuzo; Kodet, Jonathan; Robertson, Heather


    Despite the large amount that is known about the physical health effects of secondhand tobacco smoke (SHS) exposure, little is known about the behavioral health effects. Nicotine, the principle psychoactive substance in SHS, elicits subjective mood and physiological responses in nonsmokers. However, no studies have examined the subjective mood or physiological responses to nicotine in nonsmokers while accounting for prior chronic or acute SHS exposure. A 7-mg nicotine patch was administered to 17 adult nonsmokers for 2 hr. Main outcome measures obtained at ½ hr, 1 hr, and 2 hr were subjective behavioral drug effects (based on eleven 10-cm Visual Analog Scales [VASs]) and the physiological measures of heart rate, blood pressure, and serum nicotine levels. Analysis of outcome data was based on participants' chronic (using hair nicotine) or acute (using saliva cotinine) SHS exposure. Greater chronic SHS exposure was negatively associated with pleasurable responses to nicotine administration ("drug feels good" score at 2-hr time point, Spearman's ρ = -.65, p < .004), whereas greater acute SHS exposure was associated with positive responses ("like feeling of drug" score at 2-hr time point, Spearman's ρ = .63, p < .01). There were no associations between chronic or acute exposure and physiological changes in response to nicotine administration. The findings of this study may be useful in providing preliminary empirical data for future explorations of the mechanism whereby SHS exposure can influence behavioral outcomes in nonsmokers. Such studies can inform future interventions to reduce the physical and behavioral health risks associated with SHS exposure. © The Author(s) 2015.

  13. Ocean Acidification Portends Acute Habitat Compression for Atlantic Cod (Gadus morhua) in a Physiologically-informed Metabolic Rate Model (United States)

    Del Raye, G.; Weng, K.


    Ocean acidification affects organisms on a biochemical scale, yet its societal impacts manifest from changes that propagate through entire populations. Successful forecasting of the effects of ocean acidification therefore depends on at least two steps: (1) deducing systemic physiology based on subcellular stresses and (2) scaling individual physiology up to ecosystem processes. Predictions that are based on known biological processes (process-based models) may fare better than purely statistical models in both these steps because the latter are less robust to novel environmental conditions. Here we present a process-based model that uses temperature, pO2, and pCO2 to predict maximal aerobic scope in Atlantic cod. Using this model, we show that (i) experimentally-derived physiological parameters are sufficient to capture the response of cod aerobic scope to temperature and oxygen, and (ii) subcellular pH effects can be used to predict the systemic physiological response of cod to an acidified ocean. We predict that acute pH stress (on a scale of hours) could limit the mobility of Atlantic cod during diel vertical migration across a pCO2 gradient, promoting habitat compression. Finally, we use a global sensitivity analysis to identify opportunities for the improvement of model uncertainty as well as some physiological adaptations that could mitigate climate stresses on cod in the future.

  14. Cognitive and physiological effects of an acute physical activity intervention in elementary school children

    National Research Council Canada - National Science Library

    Jäger, Katja; Schmidt, Mirko; Conzelmann, Achim; Roebers, Claudia M


    The aim of the present study was to investigate the effects of an acute physical activity intervention that included cognitive engagement on executive functions and on cortisol level in young elementary school children...

  15. The acute cardiorenal syndrome type I: considerations on physiology, epidemiology, and therapy. (United States)

    Valika, Ali A; Costanzo, Maria Rosa


    Acute cardiorenal syndrome, also known as cardiorenal syndrome type 1, is defined as an abrupt worsening of cardiac function that occurs in at least 30 % of patients with acute decompensated heart failure and can lead to the development of acute kidney injury. The changes in renal function that occur in this setting have variable prognostic implications, as both poorer and better outcomes have been reported when renal function worsens during treatment of heart failure decompensation. Furthermore, it remains unclear when worsening renal function is actually a manifestation of true acute kidney injury or simply an indicator of hemoconcentration. Given these gaps in the understanding of the significance of renal function changes in the setting of decompensated heart failure, it is not surprising that studies on the effects of available therapies, including diuretics, vasoactive drugs, and mechanical fluid removal have yielded inconsistent results. The purpose of this review is to analyze critically the current knowledge on the pathophysiology, epidemiology, prognosis, and treatment of acute cardiorenal syndrome.

  16. Comparison of the Mortality Probability Admission Model III, National Quality Forum, and Acute Physiology and Chronic Health Evaluation IV hospital mortality models: implications for national benchmarking*. (United States)

    Kramer, Andrew A; Higgins, Thomas L; Zimmerman, Jack E


    To examine the accuracy of the original Mortality Probability Admission Model III, ICU Outcomes Model/National Quality Forum modification of Mortality Probability Admission Model III, and Acute Physiology and Chronic Health Evaluation IVa models for comparing observed and risk-adjusted hospital mortality predictions. Retrospective paired analyses of day 1 hospital mortality predictions using three prognostic models. Fifty-five ICUs at 38 U.S. hospitals from January 2008 to December 2012. Among 174,001 intensive care admissions, 109,926 met model inclusion criteria and 55,304 had data for mortality prediction using all three models. None. We compared patient exclusions and the discrimination, calibration, and accuracy for each model. Acute Physiology and Chronic Health Evaluation IVa excluded 10.7% of all patients, ICU Outcomes Model/National Quality Forum 20.1%, and Mortality Probability Admission Model III 24.1%. Discrimination of Acute Physiology and Chronic Health Evaluation IVa was superior with area under receiver operating curve (0.88) compared with Mortality Probability Admission Model III (0.81) and ICU Outcomes Model/National Quality Forum (0.80). Acute Physiology and Chronic Health Evaluation IVa was better calibrated (lowest Hosmer-Lemeshow statistic). The accuracy of Acute Physiology and Chronic Health Evaluation IVa was superior (adjusted Brier score = 31.0%) to that for Mortality Probability Admission Model III (16.1%) and ICU Outcomes Model/National Quality Forum (17.8%). Compared with observed mortality, Acute Physiology and Chronic Health Evaluation IVa overpredicted mortality by 1.5% and Mortality Probability Admission Model III by 3.1%; ICU Outcomes Model/National Quality Forum underpredicted mortality by 1.2%. Calibration curves showed that Acute Physiology and Chronic Health Evaluation performed well over the entire risk range, unlike the Mortality Probability Admission Model and ICU Outcomes Model/National Quality Forum models. Acute

  17. Video-Based Physiologic Monitoring During an Acute Hypoxic Challenge: Heart Rate, Respiratory Rate, and Oxygen Saturation. (United States)

    Addison, Paul S; Jacquel, Dominique; Foo, David M H; Antunes, André; Borg, Ulf R


    The physiologic information contained in the video photoplethysmogram is well documented. However, extracting this information during challenging conditions requires new analysis techniques to capture and process the video image streams to extract clinically useful physiologic parameters. We hypothesized that heart rate, respiratory rate, and oxygen saturation trending can be evaluated accurately from video information during acute hypoxia. Video footage was acquired from multiple desaturation episodes during a porcine model of acute hypoxia using a standard visible light camera. A novel in-house algorithm was used to extract photoplethysmographic cardiac pulse and respiratory information from the video image streams and process it to extract a continuously reported video-based heart rate (HRvid), respiratory rate (RRvid), and oxygen saturation (SvidO2). This information was then compared with HR and oxygen saturation references from commercial pulse oximetry and the known rate of respiration from the ventilator. Eighty-eight minutes of data were acquired during 16 hypoxic episodes in 8 animals. A linear mixed-effects regression showed excellent responses relative to a nonhypoxic reference signal with slopes of 0.976 (95% confidence interval [CI], 0.973-0.979) for HRvid; 1.135 (95% CI, 1.101-1.168) for RRvid, and 0.913 (95% CI, 0.905-0.920) for video-based oxygen saturation. These results were obtained while maintaining continuous uninterrupted vital sign monitoring for the entire study period. Video-based monitoring of HR, RR, and oxygen saturation may be performed with reasonable accuracy during acute hypoxic conditions in an anesthetized porcine hypoxia model using standard visible light camera equipment. However, the study was conducted during relatively low motion. A better understanding of the effect of motion and the effect of ambient light on the video photoplethysmogram may help refine this monitoring technology for use in the clinical environment.

  18. Preservation of high glycolytic phenotype by establishing new acute lymphoblastic leukemia cell lines at physiologic oxygen concentration

    Energy Technology Data Exchange (ETDEWEB)

    Sheard, Michael A., E-mail: [Developmental Therapeutics Program, USC-CHLA Institute for Pediatric Clinical Research, Division of Hematology-Oncology, Children' s Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA 90027 (United States); Ghent, Matthew V., E-mail: [Department of Pathology, Keck School of Medicine, University of Southern California, Health Sciences Campus, Los Angeles, CA 90089 (United States); Cabral, Daniel J., E-mail: [Cancer Center and Departments of Cell Biology & Biochemistry, Pharmacology & Neuroscience, Internal Medicine and Pediatrics, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430 (United States); Lee, Joanne C., E-mail: [Cancer Center and Departments of Cell Biology & Biochemistry, Pharmacology & Neuroscience, Internal Medicine and Pediatrics, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430 (United States); Khankaldyyan, Vazgen, E-mail: [Developmental Therapeutics Program, USC-CHLA Institute for Pediatric Clinical Research, Division of Hematology-Oncology, Children' s Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA 90027 (United States); Ji, Lingyun, E-mail: [Developmental Therapeutics Program, USC-CHLA Institute for Pediatric Clinical Research, Division of Hematology-Oncology, Children' s Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA 90027 (United States); Wu, Samuel Q., E-mail: [Medical Genetics, Children' s Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA 90027 (United States); Kang, Min H., E-mail: [Cancer Center and Departments of Cell Biology & Biochemistry, Pharmacology & Neuroscience, Internal Medicine and Pediatrics, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430 (United States); and others


    Cancer cells typically exhibit increased glycolysis and decreased mitochondrial oxidative phosphorylation, and they continue to exhibit some elevation in glycolysis even under aerobic conditions. However, it is unclear whether cancer cell lines employ a high level of glycolysis comparable to that of the original cancers from which they were derived, even if their culture conditions are changed to physiologically relevant oxygen concentrations. From three childhood acute lymphoblastic leukemia (ALL) patients we established three new pairs of cell lines in both atmospheric (20%) and physiologic (bone marrow level, 5%) oxygen concentrations. Cell lines established in 20% oxygen exhibited lower proliferation, survival, expression of glycolysis genes, glucose consumption, and lactate production. Interestingly, the effects of oxygen concentration used during cell line initiation were only partially reversible when established cell cultures were switched from one oxygen concentration to another for eight weeks. These observations indicate that ALL cell lines established at atmospheric oxygen concentration can exhibit relatively low levels of glycolysis and these levels are semi-permanent, suggesting that physiologic oxygen concentrations may be needed from the time of cell line initiation to preserve the high level of glycolysis commonly exhibited by leukemias in vivo. - Highlights: • Establishing new ALL cell lines in 5% oxygen resulted in higher glycolytic expression and function. • Establishing new ALL cell lines in 5% oxygen resulted in higher proliferation and lower cell death. • The divergent metabolic phenotypes selected in 5% and 20% oxygen are semi-permanent.

  19. Cognitive and physiological effects of an acute physical activity intervention in elementary school children

    Directory of Open Access Journals (Sweden)

    Katja eJäger


    Full Text Available The aim of the present study was to investigate the effects of an acute physical activity intervention including cognitive engagement on executive functions and on cortisol level in young elementary school children. Half of the 104 participating children (6 to 8 years old attended a 20-minute sport sequence, which included cognitively engaging and playful forms of physical activity. The other half was assigned to a resting control condition. Individual differences in children`s updating, inhibition, and shifting performance as well as salivary cortisol were assessed before (pre-test, immediately after (post-test, and 40 minutes after (follow-up the intervention or control condition respectively. Results revealed a significantly stronger improvement in inhibition in the experimental group compared to the control group, while it appeared that acute physical activity had no specific effect on updating and shifting. The intervention effect on inhibition levelled out 40 minutes after physical activity. Salivary cortisol increased significantly more in the experimental compared to the control group between post-test and follow-up and results support partly the assumed inverted U-shaped relationship between cortisol level and cognitive performance. In conclusion, results indicate that acute physical activity including cognitive engagement may have immediate positive effects on inhibition, but not necessarily on updating and shifting in elementary school children. This positive effect may partly be explained trough cortisol elevation after acute physical activity.

  20. Effects of basic training on acute physiological responses to a combat loaded run test. (United States)

    Santtila, Matti; Häkkinen, Keijo; Kraemer, William J; Kyröläinen, Heikki


    The purpose of the study was to examine the effects of an 8-week basic training (BT) with added strength training (ST) or endurance training (ET) on both the performance of a 3K-combat loaded run test and the acute neuromuscular and hormonal responses. All training groups improved (p < 0.001) their run-test times: ST by 12.4%, ET by 11.6%, and normal training (NT) by 10.2%. Significant acute decreases were observed in maximal isometric force of leg extensors (p < 0.01-0.05) in all subject groups following the run. Increases were observed in acute testosterone responses (p < 0.001) after the test in all groups both at pre- and post-training. However, ET and NT demonstrated lower (p < 0.001-0.05) acute post-training serum cortisol responses than ST. In conclusion, the present results indicate that within a demanding BT, the added training for ET and especially ST may be compromised in their adaptation potential due to interference from the demands of BT.

  1. Application of physiologically based pharmacokinetic modeling in setting acute exposure guideline levels for methylene chloride.

    NARCIS (Netherlands)

    Bos, Peter Martinus Jozef; Zeilmaker, Marco Jacob; Eijkeren, Jan Cornelis Henri van


    Acute exposure guideline levels (AEGLs) are derived to protect the human population from adverse health effects in case of single exposure due to an accidental release of chemicals into the atmosphere. AEGLs are set at three different levels of increasing toxicity for exposure durations ranging from

  2. Mindfulness-based stress reduction and physiological activity during acute stress : A randomized controlled trial

    NARCIS (Netherlands)

    Nyklicek, I.; Mommersteeg, P.M.C.; van Beugen, S.; Ramakers, C.; van Boxtel, G.J.M.


    Objective: The aim was to examine the effects of a Mindfulness-Based Stress Reduction (MBSR) intervention on cardiovascular and cortisol activity during acute stress. Method: Eighty-eight healthy community-dwelling individuals reporting elevated stress levels were randomly assigned to the MBSR

  3. Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial

    NARCIS (Netherlands)

    Nyklicek, I.; Mommersteeg, P.M.; Beugen, S. van; Ramakers, C.; Boxtel, G.J.M. van


    OBJECTIVE: The aim was to examine the effects of a Mindfulness-Based Stress Reduction (MBSR) intervention on cardiovascular and cortisol activity during acute stress. METHOD: Eighty-eight healthy community-dwelling individuals reporting elevated stress levels were randomly assigned to the MBSR

  4. Acute Effect of A Judo Contest on Muscular Performance Parameters And Physiological Response

    Directory of Open Access Journals (Sweden)

    Víctor Serrano-Huete


    Full Text Available Background: It is necessary to know accurately the physical effects of judo contest on athletes in order to quantify how successive judo bouts impair muscular performance parameters and physiological response associated with the aim to create specific training programs that take the demands of judo bout into account. Purpose: The purpose of current study was to characterise the evolution of muscular performance parameters and physiological response during a judo contest. Methods: Twenty-nine men performed five 5-minute bouts with 15 minutes of passive rest. Immediately after the bouts, some muscular performance parameters and physiological variables were measured, in this order: Borg´s rate of perceived exertion (RPE, maximal dynamic strength in upper body (MDS, countermovement jump (CMJ, dominant (DHS and non-dominant handgrip isometric strength (NDHS. Lactate (LAC was measured 3 minutes after each bout and 1 minute before the next too. Heart rate (HR was monitored during the contest. ANOVA to compare baseline test data and successive bouts was used. Results: ANOVA revealed significant differences in HRmean (p=0.045, LAC (p<0.001 and in RPE (p<0.001. A decrease in NDHS (p<0.001, DHS (p<0.001, MDS (p<0.001 was found. Some significant correlations were found between NDHS and DMPV (r=0.368, p=0.050, DMS (r=0.369, p=0.050 and DMXS (r=0.405, p=0.029; between DHS and DLACb (r=0.430, p=0.020, DMXS (r=0.379, p=0.043, DMP (r=0.369, p=0.050 and DRPE (r=0.456, p=0.013; between CMJ and DPM (r=0.381, p=0.041, DPMX (r=0.417, p=0.024, DFM (r=0.423, p=0.022 and DDHS (r=0.348, p=0.040. These results show a high decrease of muscular performance parameters and an increase of physiological parameters, specially between baseline test and postbout 5, but gradual between all bouts. Conclusion: Judo contest can be considered a high intensity exercise, due to high levels of physiological parameters and the decrease in force production obtained. Keywords: judo contest

  5. Physiological effects of acute and ordinary bed rest conditions on endurance trained volunteers. (United States)

    Zorbas, Y. G.; Ivanov, A. A.; Madvedev, S. N.; Kakurin, A. G.


    The aim of this study was to carry out a comparative study of water balance and water protein composition of the blood during exposure to acute (abrupt restriction of motor activity) and ordinary rigorous bed rest of 7 days. The studies were performed on 30 long distance runners aged 22-25 years old who had a VO 2 max of 66 ml kg -1·min -1 on the average. The volunteers were divided into three equal groups: the volunteers in the 1st group were under a normal ambulatory life conditions (control subjects), the volunteers of the 2nd group subjected to an acute bed rest (abrupt restriction of motor activity) regime (acute bed rested subjects) and the volunteers of the 3rd group were submitted to ordinary and rigorous bed rest (rigorous bed rested subjects). All volunteers were on an average of 13.8 km/day before taking part in this investigation. The 2nd and 3rd groups of volunteers were kept under a rigorous bed rest regime for 7 days. During the prebed rest period and actual bed rest period plasma volume (PV), total protein and protein fractions (albumins and globulins) and hematocrit were measured. Exposure to acute bed rest conditions induced a significant increase in hematocrit, hemoglobin concentration, protein fractions and marked decrease in (PV) and water balance which were significantly more pronounced than during exposure to ordinary rigorous bed rest. It was concluded that exposure to acute bed rest conditions induces significantly greater changes in water balance and water-protein concentration of the blood of endurance trained volunteers than exposure to ordinary rigorous bed rest conditions.

  6. Sweat-inducing physiological challenges do not result in acute changes in hair cortisol concentrations. (United States)

    Grass, Juliane; Kirschbaum, Clemens; Miller, Robert; Gao, Wei; Steudte-Schmiedgen, Susann; Stalder, Tobias


    Hair cortisol concentrations (HCC) are assumed to provide a stable, integrative marker of long-term systemic cortisol secretion. However, contrary to this assumption, some recent observations have raised the possibility that HCC may be subject to acute influences, potentially related to cortisol incorporation from sweat. Here, we provide a first detailed in vivo investigation of this possibility comprising two independent experimental studies: study I (N=42) used a treadmill challenge to induce sweating together with systemic cortisol reactivity while in study II (N=52) a sauna bathing challenge induced sweating without systemic cortisol changes. In both studies, repeated assessments of HCC, salivary cortisol, cortisol in sweat and individuals' sweating rate (single assessment) were conducted on the experimental day and at a next-day follow-up. Results across the two studies consistently revealed that HCC were not altered by the acute interventions. Further, HCC were found to be unrelated to acute salivary cortisol reactivity, sweat cortisol levels, sweating rate or the time of examination. In line with previous data, cortisol levels in sweat were strongly related to total salivary cortisol output across the examined periods. The present results oppose recent case report data by showing that single sweat-inducing interventions do not result in acute changes in HCC. Our data also tentatively speak against the notion that cortisol in sweat may be a dominant source of HCC. Further, our findings also indicate that HCC are not subject to diurnal variation. This research provides further support for hair cortisol analysis as a marker of integrated long-term systemic cortisol secretion. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Acute physiological responses to castration-related pain in piglets: the effect of two local anesthetics with or without meloxicam. (United States)

    Bonastre, C; Mitjana, O; Tejedor, M T; Calavia, M; Yuste, A G; Úbeda, J L; Falceto, M V


    Methods to reduce castration-related pain in piglets are still issues of concern and interest for authorities and producers. Our objectives were to estimate the effectiveness of two protocols of local anesthesia (lidocaine and the combination of lidocaine+bupivacaine) as well as the use of meloxicam as a postoperative analgesic in alleviating castration-related pain, measured by acute physiological responses. Eight groups (15 piglets/group) were included in the study: (1) castration without anesthesia or analgesia, without meloxicam (TRAD WITHOUT), (2) castration without anesthesia or analgesia, but with meloxicam (TRAD WITH), (3) handling without meloxicam (SHAM WITHOUT), (4) handling with meloxicam (SHAM WITH), (5) castration after local anesthesia with lidocaine but without meloxicam (LIDO WITHOUT), (6) castration after local anesthesia with lidocaine and meloxicam (LIDO WITH), (7) castration after local anesthesia with lidocaine+bupivacaine without meloxicam (LIDO+BUPI WITHOUT), (8) castration after local anesthesia with lidocaine+bupivacaine and meloxicam (LIDO+BUPI WITH). Acute physiological responses measured included skin surface temperature and serum glucose and cortisol concentrations. On days 4 and 11 post-castration BW was recorded and average daily gain was calculated over this period. Furthermore, piglet mortality was recorded over the 11-day post-castration period. Administration of local anesthetic or meloxicam did not prevent the decrease in skin surface temperature associated with castration. Lidocaine reduced the increase in glucose concentration associated with castration. For castrated pigs, the joint use of lidocaine and meloxicam caused a significant decrease in cortisol concentration; the combination of intratesticular lidocaine and bupivacaine did not seem to be more effective than lidocaine alone. No effect of treatments on mortality and growth were detected.

  8. A Puzzle of Vestibular Physiology in a Meniere’s Disease Acute Attack

    Directory of Open Access Journals (Sweden)

    Marta Martinez-Lopez


    Full Text Available The aim of this paper is to present for the first time the functional evaluation of each of the vestibular receptors in the six semicircular canals in a patient diagnosed with Meniere’s disease during an acute attack. A 54-year-old lady was diagnosed with left Meniere’s disease who during her regular clinic review suffers an acute attack of vertigo, with fullness and an increase of tinnitus in her left ear. Spontaneous nystagmus and the results in the video head-impulse test (vHIT are shown before, during, and after the attack. Nystagmus was initially left beating and a few minutes later an upbeat component was added. No skew deviation was observed. A decrease in the gain of the vestibuloocular reflex (VOR and the presence of overt saccades were observed when the stimuli were in the plane of the left superior semicircular canal. At the end of the crisis nystagmus decreased and vestibuloocular reflex returned to almost normal. A review of the different possibilities to explain these findings points to a hypothetical utricular damage.

  9. Prolonged aerobic exercise: physiological studies in rat gastrocnemius with additional observations on the effects of acute mitochondrial blockade. (United States)

    Byrne, E; Morgan Hughes, J A


    Protracted low frequency (1 and 5 Hz) stimulation of rat gastrocnemius in vivo leads to fatigue and fall out of glycolytic fibres with the development of a stable twitch response with continuation of the stimulus train. This model was used to examine the physiological effects of acute mitochondrial blockade on oxidative fibre function with the injection of a mitochondrial uncoupler (dinitrophenol) and a site I inhibitor (diphenyleneiodonium) intraarterially after a stable twitch response had developed. Dinitrophenol leads to progressive failure of contractility, closely followed by action potential failure and electrically silent contracture: external work accelerated this sequence but it also developed in resting muscle suggesting that DNP lead to active ATP hydrolysis and a more severe energy depletion than that encountered in human disease states. Diphenyleneiodonium also leads to progressive twitch tension and action potential failure but contracture was late and inconstant, considerable recovery in twitch parameters was seen with rest and restimulation lead to pathological fatiguability of twitch tension. This model has some similarity to human mitochondriopathies with pathological fatiguability. This acute model should allow ready testing of any therapeutic approaches which bypass respiratory chain blocks.

  10. Acute and Post-Exercise Physiological Responses to High-Intensity Interval Training in Endurance and Sprint Athletes

    Directory of Open Access Journals (Sweden)

    Lukas Cipryan, Gerhard Tschakert, Peter Hofmann


    Full Text Available The purpose of the presented study was to compare acute and post-exercise differences in cardiorespiratory, metabolic, cardiac autonomic, inflammatory and muscle damage responses to high-intensity interval exercise (HIIT between endurance and sprint athletes. The study group consisted of sixteen highly-trained males (age 22.1 ± 2.5 years participating in endurance (n = 8 or sprint (n = 8 sporting events. All the participants underwent three exercise sessions: short HIIT (work interval duration 30s, long HIIT (3min and constant load exercise (CE. The exercise interventions were matched for mean power, total time and in case of HIIT interventions also for work-to-relief ratio. The acute cardiorespiratory (HR, V̇O2, RER and metabolic (lactate variables as well as the post-exercise changes (up to 3 h in the heart rate variability, inflammation (interleukin-6, leucocytes and muscle damage (creatine kinase, myoglobin were monitored. Endurance athletes performed exercise interventions with moderately (CE or largely (both HIIT modes higher mean V̇O2. These differences were trivial/small when V̇O2 was expressed as a percentage of V̇O2max. Moderately to largely lower RER and lactate values were found in endurance athletes. Markers of cardiac autonomic regulation, inflammation and muscle damage did not reveal any considerable differences between endurance and sprint athletes. In conclusions, endurance athletes were able to perform both HIIT formats with increased reliance on aerobic metabolic pathways although exercise intensity was identical in relative terms for all the participants. However, other markers of the acute and early post-exercise physiological response to these HIIT interventions indicated similarities between endurance and sprint athletes.

  11. Intra-individual psychological and physiological responses to acute laboratory stressors of different intensity. (United States)

    Skoluda, Nadine; Strahler, Jana; Schlotz, Wolff; Niederberger, Larissa; Marques, Sofia; Fischer, Susanne; Thoma, Myriam V; Spoerri, Corinne; Ehlert, Ulrike; Nater, Urs M


    The phenomenon of stress is understood as a multidimensional concept which can be captured by psychological and physiological measures. There are various laboratory stress protocols which enable stress to be investigated under controlled conditions. However, little is known about whether these protocols differ with regard to the induced psycho-physiological stress response pattern. In a within-subjects design, 20 healthy young men underwent four of the most common stress protocols (Stroop test [Stroop], cold pressor test [CPT], Trier Social Stress Test [TSST], and bicycle ergometer test [Ergometer]) and a no-stress control condition (rest) in a randomized order. For the multidimensional assessment of the stress response, perceived stress, endocrine and autonomic biomarkers (salivary cortisol, salivary alpha-amylase, and heart rate) were obtained during the experiments. All stress protocols evoked increases in perceived stress levels, with the highest levels in the TSST, followed by Ergometer, Stroop, and CPT. The highest HPA axis response was found in the TSST, followed by Ergometer, CPT, and Stroop, whilst the highest autonomic response was found in the Ergometer, followed by TSST, Stroop, and CPT. These findings suggest that different stress protocols differentially stimulate various aspects of the stress response. Physically demanding stress protocols such as the Ergometer test appear to be particularly suitable for evoking autonomic stress responses, whereas uncontrollable and social-evaluative threatening stressors (such as the TSST) are most likely to elicit HPA axis stress responses. The results of this study may help researchers in deciding which stress protocol to use, depending on the individual research question. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Acute physiological impacts of CO{sub 2} ocean sequestration on marine animals

    Energy Technology Data Exchange (ETDEWEB)

    Ishimatsu, A.; Hayashi, M.; Lee, K.S.; Murata, K.; Kumagai, E. [Nagasaki Univ., Nagasaki (Japan). Marine Research Inst.; Kikkawa, T. [Marine Ecology Research Inst., Chiba (Japan). Central Laboratory; Kita, J. [Research Inst. of Innovative Technology for the Earth, Kyoto (Japan)


    The biological impacts of ocean carbon dioxide (CO{sub 2}) sequestration must be carefully considered before it is implemented as a mitigation strategy. This paper presented details of a study investigating the effects of high CO{sub 2} concentrations on marine fish, lobster, and octopus. The influence of water temperature on the physiological effects of CO{sub 2} was also discussed. In the first part of the study, eggs and larvae of red seabream were exposed to both CO{sub 2} and HCI-acidified seawater at identical pH levels. Seabream in the CO{sub 2} group showed a much higher mortality rate than fish in the HCI group. Other tests showed that Japanese Flounder died after complete recovery of pH in seawater equilibrated with 5 per cent CO{sub 2}. Cardiac output was rapidly depressed in Yellowtail fish without significant changes in blood oxygen concentrations. Lower temperatures resulted in higher mortality and delayed pH recovery during hypercapnia in all fish. Western rock lobsters were the most tolerant to CO{sub 2} among all species tested. The recovery of hemolymph pH was complete at exposure to CO{sub 2} concentrations of 1 per cent. Changes in hemolymph bicarbonate concentrations indicated that acid-based regulatory mechanisms differed between fish and lobsters. Mortality rates for octopus were significant at CO{sub 2} concentrations of 1 per cent. The results of all tests showed that aquatic animals are more susceptible to increases in ambient CO{sub 2} levels than terrestrial animals. It was concluded that even slight elevations in CO{sub 2} concentration levels adversely affected physiological functioning in the tested species. It was concluded that CO{sub 2} sequestration in deeper, colder waters will have a more pronounced effect on aquatic animals due to the interactions between CO{sub 2} and lower temperatures, as well as the fact that most deep-sea fish are less tolerant to environmental perturbations. 3 refs., 1 tab., 3 figs.

  13. Part 2: effect of training surface on acute physiological responses after sport-specific training. (United States)

    Binnie, Martyn J; Dawson, Brian; Pinnington, Hugh; Landers, Grant; Peeling, Peter


    This study compared the effect of sand and grass training surfaces during a sport-specific conditioning session in well-trained team sport athletes (n = 10). The participants initially completed a preliminary testing session to gather baseline (BASE) performance data for vertical jump, repeated sprint ability, and 3-km running time trial. Three days subsequent to BASE, all the athletes completed the first sport-specific conditioning session, which was followed by a repeat of the BASE performance tests the following day (24 hours postexercise). Seven days later, the same training session was completed on the opposing surface and was again followed 24 hours later by the BASE performance tests. During each session, blood lactate, ratings of perceived exertion (RPE), and heart rate (HR) were recorded, with player movement patterns also monitored via global positioning system units. Additionally, venous blood was collected preexercise, postexercise, and 24 hours postexercise, and analyzed for serum concentrations of Myoglobin, Haptoglobin, and C-Reactive Protein. Results showed significantly higher HR and RPE responses on SAND (p > 0.05), despite significantly lower distance and velocity outputs for the training session (p > 0.05). There were no differences in 24 hours postexercise performance (p > 0.05), and blood markers of muscle damage, inflammation and hemolysis were also similar between the surfaces (p > 0.05). These results suggest that performing a sport-specific conditioning session on a sand (vs. grass) surface can result in a greater physiological response, without any additional decrement to next-day performance.

  14. Physiological effects of short acute UVB treatments in Chenopodium quinoa Willd. (United States)

    Huarancca Reyes, Thais; Scartazza, Andrea; Castagna, Antonella; Cosio, Eric G; Ranieri, Annamaria; Guglielminetti, Lorenzo


    Increased ultraviolet B (UVB) radiation due to global change can affect plant growth and metabolism. Here, we evaluated the capacity of quinoa to resist under short acute UVB irradiation. Quinoa was daily exposed for 30 or 60 min to 1.69 W m-2 UVB. The results showed that 30 min exposure in 9 d-course did not cause severe alterations on photosynthetic pigments and flavonoids, but a significant increase of antioxidant capacity was observed. Otherwise, 60 min UVB in 5 d-course reduced almost all these parameters except for an increase in the de-epoxidation of xanthophyll cycle pigments and led to the death of the plants. Further studies of gas exchange and fluorescence measurements showed that 30 min UVB dramatically decrease stomatal conductance, probably associated to reactive oxygen species (ROS) production. Inhibition of photosynthetic electron transport was also observed, which could be a response to reduce ROS. Otherwise, irreversible damage to the photosynthetic apparatus was found with 60 min UVB probably due to severe ROS overproduction that decompensates the redox balance inducing UVB non-specific signaling. Moreover, 60 min UVB compromised Rubisco carboxylase activity and photosynthetic electron transport. Overall, these data suggest that quinoa modulates different response mechanisms depending on the UVB irradiation dosage.

  15. Simplifying Massive Contour Maps

    DEFF Research Database (Denmark)

    Arge, Lars; Deleuran, Lasse Kosetski; Mølhave, Thomas


    We present a simple, efficient and practical algorithm for constructing and subsequently simplifying contour maps from massive high-resolution DEMs, under some practically realistic assumptions on the DEM and contours.......We present a simple, efficient and practical algorithm for constructing and subsequently simplifying contour maps from massive high-resolution DEMs, under some practically realistic assumptions on the DEM and contours....

  16. Acute effects of visits to urban green environments on cardiovascular physiology in women: A field experiment. (United States)

    Lanki, Timo; Siponen, Taina; Ojala, Ann; Korpela, Kalevi; Pennanen, Arto; Tiittanen, Pekka; Tsunetsugu, Yuko; Kagawa, Takahide; Tyrväinen, Liisa


    Epidemiological studies have reported positive associations between the amount of green space in the living environment and mental and cardiovascular human health. In a search for effect mechanisms, field studies have found short-term visits to green environments to be associated with psychological stress relief. Less evidence is available on the effect of visits on cardiovascular physiology. To evaluate whether visits to urban green environments, in comparison to visits to a built-up environment, lead to beneficial short-term changes in indicators of cardiovascular health. Thirty-six adult female volunteers visited three different types of urban environments: an urban forest, an urban park, and a built-up city centre, in Helsinki, Finland. The visits consisted of 15min of sedentary viewing, and 30min of walking. During the visits, blood pressure and heart rate were measured, and electrocardiogram recorded for the determination of indicators of heart rate variability. In addition, levels of respirable ambient particles and environmental noise were monitored. Visits to the green environments were associated with lower blood pressure (viewing period only), lower heart rate, and higher indices of heart rate variability [standard deviation of normal-to-normal intervals (SDNN), high frequency power] than visits to the city centre. In the green environments, heart rate decreased and SDNN increased during the visit. Associations between environment and indicators of cardiovascular health weakened slightly after inclusion of particulate air pollution and noise in the models. Visits to urban green environments are associated with beneficial short-term changes in cardiovascular risk factors. This can be explained by psychological stress relief with contribution from reduced air pollution and noise exposure during the visits. Future research should evaluate the amount of exposure to green environments needed for longer-term benefits for cardiovascular health. Copyright

  17. Physiological and subjective effects of acute intranasal methamphetamine during extended-release alprazolam maintenance. (United States)

    Lile, Joshua A; Stoops, William W; Glaser, Paul E A; Hays, Lon R; Rush, Craig R


    Medications development for methamphetamine dependence is ongoing, but no widely accepted, effective pharmacotherapy has been identified. Previous studies have demonstrated neurobiological perturbations to central GABA(A) activity following chronic stimulant use, and that positive modulation of GABA(A) receptors attenuates the neurochemical and behavioral response to stimulant drugs such as methamphetamine. Therefore, GABA(A) modulators could be useful as pharmacotherapies for stimulant-use disorders. This study tested the hypothesis that intranasal methamphetamine would be safe and well tolerated during maintenance on extended-release alprazolam (XR), and that the effects of methamphetamine would be attenuated. Eight non-treatment-seeking, stimulant-dependent individuals completed an inpatient experiment in which ascending doses of intranasal methamphetamine (0, 5, 10, 20 and 30 mg) were administered after four days of alprazolam XR maintenance (0 and 1mg/day). Intranasal methamphetamine produced prototypical effects (e.g., increased positive subjective ratings and elevated cardiovascular signs). The combination of intranasal methamphetamine and alprazolam XR was safe and well tolerated. Alprazolam XR produced small, but orderly, reductions in some of the subjective effects of methamphetamine, and performance impairment. The present results demonstrate that methamphetamine use during alprazolam XR treatment would not pose a significant safety risk. Given the potential of GABA(A) positive modulators to manage certain aspects of stimulant abuse and dependence (i.e., drug-induced seizures, anxiety and stress), but the relatively small impact on the acute abuse-related effects of methamphetamine observed here, additional research with GABA(A) positive modulators is warranted, but should consider their use as an adjunct component of combination behavioral and/or drug treatment. Copyright © 2011. Published by Elsevier Ireland Ltd.

  18. Modulation by insulin rather than blood glucose of the pain threshold in acute physiological and flavone induced antinociception in mice. (United States)

    Rajendran, N N; Thirugnanasambandam, P; Parvathavarthini, S; Viswanathan, S; Ramaswamy, S


    The present study investigated the cause effect relationship between glycemic and algesic states. The hypo- and hyperglycemic conditions were induced physiologically through exercise (3 min swim at room temperature 28 degrees - 30 degrees C) and external dextrose (2 g/kg, ip) administration respectively in mice. Besides, flavone (50 mg/kg, sc) a known antinociceptive drug was chosen to study such a cause effect relationship. The anti-nociception was assessed by acetic acid assay, blood glucose measured using glucometer (Ames) and serum insulin by radioimmunoassay. The findings revealed that irrespective of the glycemic state whether hypo-, hyper, or euglycemic induced by swim stress, dextrose or flavone per se respectively, significant antinociceptive response was recorded. Pretreatment with flavone (50 mg/kg, sc) always exhibited a tendency to reverse the hyperglycemia, if any, but enhanced the antinociceptive response either after swim stress or after dextrose. These data support the contention that changes in the glycemic state in acute condition is not responsible for antinociceptive response and thereby suggesting dissociation between these two parameters. Extended studies estimating serum insulin level after the above mentioned maneuvers showed a significant rise whenever antinociceptive response was recorded irrespective of the glycemic state. It is suggested that serum insulin level, a hormonal parameter rather than the blood glucose level, which is a metabolic parameter, appears more reliable. It appears that the changes in serum insulin level produced by various treatments may have a relationship with the antinociceptive response. However, this study has the limitation that the results can apply only for acute conditions and extrapolation to clinical conditions is debatable.

  19. FWS Interest Simplified (United States)

    US Fish and Wildlife Service, Department of the Interior — These boundaries are simplified from the U.S. Fish and Wildlife Service Real Estate Interest data layer containing polygons representing tracts of land (parcels) in...

  20. Comparison of acute physiology and chronic health evaluation II (APACHE II) and acute physiology and chronic health evaluation IV (APACHE IV) severity of illness scoring systems, in a multidisciplinary ICU. (United States)

    Varghese, Yeldho Eason; Kalaiselvan, M S; Renuka, M K; Arunkumar, A S


    Outcome prediction of critically ill patients is an integral part of care in an Intensive Care Unit (ICU). Acute Physiology and Chronic Health Evaluation (APACHE) scoring systems provide an objective means of mortality prediction in ICU. The aim of this study was to compare the performance of APACHE II and IV scoring system in our ICU. All patients admitted to the ICU between January and June 2014 and who met the inclusion criteria were evaluated. APACHE II and IV score were calculated during the first 24 h of ICU stay based on the worst values. All patients were followed up till discharge from the hospital or death. Statistical analysis was performed using SPSS version 19.0. Discrimination of the model for mortality was assessed using receiver operating characteristic curve and calibration was assessed using the Hosmer-Lemeshow goodness-of-fit test. Of a total 1268, 1003 patients were included in this study. The mean (±standard deviation) admission APACHE II score was 19.4 ± 8.9, and APACHE IV score was 59.1 ± 27.2. The APACHE scores were significantly higher among nonsurvivors than survivors (P APACHE IV had better discriminative power area under the ROC curve ([AUC] -0.82) than APACHE II (AUC-0.75). Both APACHE II and APACHE IV had poor calibration. APACHE IV showed better discrimination compared to APACHE II in our ICU population. Both APACHE II and APACHE IV had poor calibration. However, APACHE II calibrated better compared to APACHE IV.

  1. Measures of acute physiology, comorbidity and functional status to differentiate illness severity and length of stay among acute general medical admissions: a prospective cohort study. (United States)

    Huggan, P J; Akram, F; Er, B H D; Christen, L S J; Weixian, L; Lim, V; Huang, Y; Merchant, R A


    Simple measures of acute physiologic compromise, functional status and comorbidity may help clinicians to make decisions relating to clinical care and resource utilisation. To explore the usefulness of common assessment tools in predicting outcomes of (i) death or intensive care unit (ICU) admission and (ii) length of hospital stay at a busy tertiary hospital in Singapore. Three hundred and ninety-eight consecutive admissions to two general medicine teams were prospectively assessed during 2 months in 2011. Patients were followed until discharge or transfer to ICU/high dependency unit (HDU). Data collected included routine demographic data, final diagnosis, comorbid conditions including a weighted prognostic comorbidity index (the updated Charlson index) and the modified Early Warning Score (MEWS) at presentation to the emergency department. The admission modified Barthel Index was recorded for patients aged 65 and over. Death and total length of hospital stay were recorded in all cases. Of 398 patients, 16 (4 %) died or were transferred to ICU and 99 (25%) stayed for more than 7 days. Medical early warning (MEW) scores of ≥5 were significantly associated with death or ICU admission (hazard ratio 5.50, 95% confidence interval 1.77-17.07, P = 0.003). There was no independent association between this outcome and the Charlson score or admission Barthel Index. Excess length of stay was associated with a modified Barthel Index ≤17 and altered mental status at presentation. Among unselected general medical patients, MEW scores of ≥5 were significantly associated with death or ICU admissions and only functional status and altered mental status were independent predictors of excess length of stay. © 2015 Royal Australasian College of Physicians.

  2. Acute physiological responses and time-motion characteristics of two small-sided training regimes in youth soccer players. (United States)

    Hill-Haas, Stephen V; Rowsell, Greg J; Dawson, Brian T; Coutts, Aaron J


    The purpose of this study was to examine the acute physiological responses and time-motion characteristics associated with continuous and intermittent small-sided games (SSGs). The continuous (SSGC) regime involved 24 minutes' playing duration (no planned rest intervals), whereas the intermittent regime (SSGI) involved 4 x 6-minute bouts with 1.5 minutes of passive planned rest (work:rest ratio 4:1). Both training regimes were implemented across 3 SSG formats, which included games with 2 vs. 2, 4 vs. 4, and 6 vs. 6 players. Sixteen men's soccer players (mean +/- SE: age = 16.2 +/- 0.2 years, height = 173.7 +/- 2.1 cm, body mass = 65.0+/- 2.5 kg, estimated VO2max = 54.8 +/- 0.7 ml x kg-1 x min-1) participated in the study. Heart rate (HR) was measured every 5 seconds during all SSGs. Global ratings of perceived exertion (RPEs) were recorded immediately after the SSGs using the Borg scale (RPEs, 6-20). Capillary blood samples were drawn at rest and within 5 minutes after the end of each SSG. Time-motion characteristics were measured using portable global positioning system units. There were no significant differences between SSGC and SSGI for total distance covered or for distance traveled while walking, jogging, or running at moderate speed. However, players covered a significantly greater distance at 13.0-17.9 km x h-1, a greater total distance at higher running speed, and a greater total number of sprints (>18 km x h-1) with SSGI compared with SSGC. In contrast, global RPE and %HRmax were significantly higher in SSGC than in SSGI. Both intermittent and continuous SSG training regimes could be used during the season for match-specific aerobic conditioning. However, both training regimes used in this study seem unlikely to provide a sufficient stimulus overload for fully developing VO2max.

  3. Increased Resistin Levels in Intra-abdominal Sepsis: Correlation with proinflammatory cytokines & Acute Physiology & Chronic Health Evaluation II scores

    Directory of Open Access Journals (Sweden)

    Tonguç U. Yilmaz


    Full Text Available Objectives: Resistin, a hormone secreted from adipocytes and considered to be a likely cause of insulin resistance, has recently been accepted as a proinflammatory cytokine. This study aimed to determine the correlation between resistin levels in patients with intra-abdominal sepsis and mortality. Methods: Of 45 patients with intraabdominal sepsis, a total of 35 adult patients were included in the study. This study was undertaken from December 2011 to December 2012 and included patients who had no history of diabetes mellitus and who were admitted to the general surgery intensive care units of Gazi University and Bülent Ecevit University School of Medicine, Turkey. Evaluations were performed on 12 patients with sepsis, 10 patients with severe sepsis, 13 patients with septic shock and 15 healthy controls. The patients’ plasma resistin, interleukin-6 (IL-6, tumour necrosis factor alpha (TNF-α, interleukin-1 beta (IL-1β, procalcitonin, lactate and glucose levels and Acute Physiology and Chronic Health Evaluation (APACHE II scores were studied daily for the first five days after admission. A correlation analysis of serum resistin levels with cytokine levels and APACHE II scores was performed. Results: Serum resistin levels in patients with sepsis were significantly higher than in the healthy controls (P <0.001. A significant correlation was found between serum resistin levels and APACHE II scores, serum IL-6, IL-1β, TNF-α, procalcitonin, lactate and glucose levels. Furthermore, a significant correlation was found between serum resistin levels and all-cause mortality (P = 0.02. Conclusion: The levels of resistin were significantly positively correlated with the severity of disease and were a possible mediator of a prolonged inflammatory state in patients with intra-abdominal sepsis.

  4. An Acute Respiratory Infection of a Physiologically Anemic Infant is a More Likely Cause of SIDS than Neurological Prematurity

    Directory of Open Access Journals (Sweden)

    E. Maria Donner


    Full Text Available Introduction: The cause of the Sudden Infant Death Syndrome (SIDS is perhaps the oldest of unsolved mysteries of medicine, possibly dating back to Exodus in Biblical times when Egyptian children died in their sleep as if from a plague. It occurs when infants die unexpectedly with no sufficient cause of death found in a forensic autopsy including death scene investigation and review of medical history. That SIDS is an X-linked recessive death from infectious respiratory disease of a physiologically anemic infant and not a simple anomalous cardiac or neurological condition is an extraordinary claim that requires extraordinary evidence. If it were by a simple cause it would have been solved already with over 11,000 papers on SIDS listed now in PUBMED. Any proposed cause of SIDS must explain: 1 its 50% excess male death rate; 2 its 4-parameter lognormal distribution of ages at death; 3 its winter maxima and summer minima; and 4 its increasing rate with livebirth order.Methods: From extensive SIDS vital statistics data and published epidemiologic studies, we developed probability models to explain the mathematical behavior of SIDS meeting the four constraints mentioned above. We then compare these SIDS properties to infant death from Acute Respiratory Infection (ARI, and infant death from Encephalopathy, Unspecified (EU.Results: Comparisons show that SIDS are congruent with ARI and are not consistent with EU, and that these probability models not only fit the SIDS data but they also predict and fit the male fraction of all infant and child mortality from birth through the first 5 years of their life.Conclusions: SIDS are not rejected as an X-linked disease involving ARI and are not explained by a triple risk model that has been commonly accepted by the SIDS medical community as implicating a neurological causation process in a subset of SIDS.

  5. Evaluation of three physiologically based pharmacokinetic (PBPK) modeling tools for emergency risk assessment after acute dichloromethane exposure. (United States)

    Boerleider, R Z; Olie, J D N; van Eijkeren, J C H; Bos, P M J; Hof, B G H; de Vries, I; Bessems, J G M; Meulenbelt, J; Hunault, C C


    Physiologically based pharmacokinetic (PBPK) models may be useful in emergency risk assessment, after acute exposure to chemicals, such as dichloromethane (DCM). We evaluated the applicability of three PBPK models for human risk assessment following a single exposure to DCM: one model is specifically developed for DCM (Bos) and the two others are semi-generic ones (Mumtaz and Jongeneelen). We assessed the accuracy of the models' predictions by simulating exposure data from a previous healthy volunteer study, in which six subjects had been exposed to DCM for 1h. The time-course of both the blood DCM concentration and percentage of carboxyhemoglobin (HbCO) were simulated. With all models, the shape of the simulated time course resembled the shape of the experimental data. For the end of the exposure, the predicted DCM blood concentration ranged between 1.52-4.19mg/L with the Bos model, 1.42-4.04mg/L with the Mumtaz model, and 1.81-4.31mg/L with the Jongeneelen model compared to 0.27-5.44mg/L in the experimental data. % HbCO could be predicted only with the Bos model. The maximum predicted % HbCO ranged between 3.1 and 4.2% compared to 0.4-2.3% in the experimental data. The % HbCO predictions were more in line with the experimental data after adjustment of the Bos model for the endogenous HbCO levels. The Bos Mumtaz and Jongeneelen PBPK models were able to simulate experimental DCM blood concentrations reasonably well. The Bos model appears to be useful for calculating HbCO concentrations in emergency risk assessment. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  6. Separate and combined impact of acute naltrexone and alprazolam on subjective and physiological effects of oral d-amphetamine in stimulant users (United States)

    Marks, Katherine R.; Lile, Joshua A.; Stoops, William W.


    Rationale Opioid antagonists (e.g., naltrexone) and positive modulators of γ-aminobutyric-acidA (GABAA) receptors (e.g., alprazolam) modestly attenuate the abuse-related effects of stimulants like amphetamine. The use of higher doses to achieve greater efficacy is precluded by side effects. Combining naltrexone and alprazolam might safely maximize efficacy while avoiding the untoward effects of the constituent compounds. Objectives The present pilot study tested the hypothesis that acute pretreatment with the combination of naltrexone and alprazolam would not produce clinically problematic physiological effects or negative subjective effects and would reduce the positive subjective effects of d-amphetamine to a greater extent than the constituent drugs alone. Methods Eight nontreatment-seeking, stimulant-using individuals completed an outpatient experiment in which oral d-amphetamine (0, 15, and 30 mg) was administered following acute pretreatment with naltrexone (0 and 50 mg) and alprazolam (0 and 0.5 mg). Subjective effects, psychomotor task performance, and physiological measures were collected. Results Oral d-amphetamine produced prototypical physiological and stimulant-like positive subjective effects (e.g., VAS ratings of Active/Alert/Energetic, Good Effect, and High). Pretreatment with naltrexone, alprazolam, and their combination did not produce clinically problematic acute physiological effects or negative subjective effects. Naltrexone and alprazolam each significantly attenuated some of the subjective effects of d-amphetamine. The combination attenuated a greater number of subjective effects than the constituent drugs alone. Conclusions The present results support the continued evaluation of an opioid receptor antagonist combined with a GABAA-positive modulator using more clinically relevant experimental conditions like examining the effect of chronic dosing with these drugs on methamphetamine self-administration. PMID:24464531

  7. Simplifying EU environmental legislation

    DEFF Research Database (Denmark)

    Anker, Helle Tegner


    The recent review of the EIA Directive was launched as part of the ‘better regulation’ agenda with the purpose to simplify procedures and reduce administrative burdens. This was combined with an attempt to further harmonise procedures in order address shortcomings in the Directive and to overcome...


    Directory of Open Access Journals (Sweden)

    Maria del Pilar Naranjo


    Full Text Available After using simplified Labanotation as a didactic tool for some years, the author can conclude that it accomplishes at least three main functions: efficiency of rehearsing time, social recognition and broadening of the choreographic consciousness of the dancer. The doubts of the dancing community about the issue of ‘to write or not to write’ are highly determined by the contexts and their own choreographic evolution, but the utility of Labanotation, as a tool for knowledge, is undeniable.

  9. Comparison of the acute physiology and chronic health evaluation score (APACHE) II with GCS in predicting hospital mortality of neurosurgical intensive care unit patients. (United States)

    Zali, Ali Reza; Seddighi, Amir Saied; Seddighi, Afsoun; Ashrafi, Farzad


    The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. However, a systemic evaluation scale specially in patients with multiple trauma is so important. The revised Acute Physiology and Chronic Health Evaluation system type 2 (APACHE II) is a physiologically based system including physiological variables. This study compares the efficacy of the predicting power for mortality and functional outcome of GCS and APACHEII in patients with multiple trauma in intensive care unit. This study included the patients with head injury associated with systemic trauma admitted in the ICU of Shahid Rajaee Hospital in 2007 and 2008. Sensitivity, specificity and correct prediction of outcome by GCS and APACHE II were assessed and compared. This study included 93 patients (79 males, 14 females; mean age 60.5; range 14 to 87 years) with head injury associated with systemic trauma in 2007 and 2008. Mortality increased in the elderly group. The mean survival score using APACHE II was 36.5 and death score was 67.4 . These values using GCS were 10.3 and 6.8, respectively. For the assessment of mortality, the GCS score still provides simple, less-time consuming and effective information concerning head injury patients, especially in emergencies; however, for the prediction of mortality in patients with multiple trauma. APACHE II is superior to GCS since it includes the main physiologic parameters of patients.

  10. Consequences of acute stress and cortisol manipulation on the physiology, behavior, and reproductive outcome of female Pacific salmon on spawning grounds. (United States)

    McConnachie, Sarah H; Cook, Katrina V; Patterson, David A; Gilmour, Kathleen M; Hinch, Scott G; Farrell, Anthony P; Cooke, Steven J


    Life-history theory predicts that stress responses should be muted to maximize reproductive fitness. Yet, the relationship between stress and reproduction for semelparous salmon is unusual because successfully spawning individuals have elevated plasma cortisol levels. To tease apart the effects of high baseline cortisol levels and stress-induced elevation of cortisol titers, we determined how varying degrees of cortisol elevation (i.e., acute and chronic) affected behavior, reproductive physiology, and reproductive success of adult female pink salmon (Oncorhynchus gorbuscha) relative to different states of ovulation (i.e., ripe and unripe). Exhaustive exercise and air exposure were applied as acute stressors to manipulate plasma cortisol in salmon either confined to a behavioral arena or free-swimming in a spawning channel. Cortisol (eliciting a cortisol elevation to levels similar to those in post-spawn female salmon) and metyrapone (a corticosteroid synthesis inhibitor) implants were also used to chemically manipulate plasma cortisol. Cortisol implants elevated plasma cortisol, and impaired reproductive success; cortisol-treated fish released fewer eggs and died sooner than fish in other treatment groups. In contrast, acute stressors elevated plasma cortisol and the metyrapone implant suppressed plasma cortisol, but neither treatment significantly altered reproductive success, behavior, or physiology. Our results suggest that acute stressors do not influence behavior or reproductive outcome when experienced upon arrival at spawning grounds. Thus, certain critical aspects of salmonid reproduction can become refractory to various stressful conditions on spawning grounds. However, there is a limit to the ability of these fish to tolerate elevated cortisol levels as revealed by experimental elevation of cortisol. Copyright © 2012 Elsevier Inc. All rights reserved.

  11. Characterization of the Psychological, Physiological and EEG Profile of Acute Betel Quid Intoxication in Naïve Subjects


    Osborne, Peter G.; Tung-Shan Chou; Tsu-Wang Shen


    Betel quid use and abuse is wide spread in Asia but the physiological basis of intoxication and addiction are unknown. In subjects naïve to the habit of betel quid intoxication, the psychological and physiological profile of intoxication has never been reported. We compared the effect of chewing gum or chewing betel quid, and subsequent betel quid intoxication, on psychological assessment, prospective time interval estimation, numerical and character digit span, computerized 2 choice tests an...

  12. Office 2013 simplified

    CERN Document Server

    Marmel, Elaine


    A basic introduction to learn Office 2013 quickly, easily, and in full color Office 2013 has new features and tools to master, and whether you're upgrading from an earlier version or using the Office applications for the first time, you'll appreciate this simplified approach. Offering a clear, visual style of learning, this book provides you with concise, step-by-step instructions and full-color screen shots that walk you through the applications in the Microsoft Office 2013 suite: Word, Excel, PowerPoint, Outlook, and Publisher.Shows you how to tackle dozens of Office 2013

  13. Implant success!!!.....simplified

    Directory of Open Access Journals (Sweden)

    Luthra Kaushal


    Full Text Available The endeavor towards life-like restoration has helped nurture new vistas in the art and science of implant dentistry. The protocol of "restoration-driven implant placement" ensures that the implant is an apical extension of the ideal future restoration and not the opposite. Meticulous pre-implant evaluation of soft and hard tissues, diagnostic cast and use of aesthetic wax-up and radiographic template combined with surgical template can simplify the intricate roadmap for appropriate implant treatment. By applying the harmony of artistic skill, scientific knowledge and clinical expertise, we can simply master the outstanding implant success in requisites of aesthetics, phonetics and function.

  14. Implant success!!!.....simplified. (United States)

    Luthra, Kaushal K


    The endeavor towards life-like restoration has helped nurture new vistas in the art and science of implant dentistry. The protocol of "restoration-driven implant placement" ensures that the implant is an apical extension of the ideal future restoration and not the opposite. Meticulous pre-implant evaluation of soft and hard tissues, diagnostic cast and use of aesthetic wax-up and radiographic template combined with surgical template can simplify the intricate roadmap for appropriate implant treatment.By applying the harmony of artistic skill, scientific knowledge and clinical expertise, we can simply master the outstanding implant success in requisites of aesthetics, phonetics and function.

  15. Creating Web Pages Simplified

    CERN Document Server

    Wooldridge, Mike


    The easiest way to learn how to create a Web page for your family or organization Do you want to share photos and family lore with relatives far away? Have you been put in charge of communication for your neighborhood group or nonprofit organization? A Web page is the way to get the word out, and Creating Web Pages Simplified offers an easy, visual way to learn how to build one. Full-color illustrations and concise instructions take you through all phases of Web publishing, from laying out and formatting text to enlivening pages with graphics and animation. This easy-to-follow visual guide sho

  16. Windows 10 simplified

    CERN Document Server

    McFedries, Paul


    Learn Windows 10 quickly and painlessly with this beginner's guide Windows 10 Simplified is your absolute beginner's guide to the ins and outs of Windows. Fully updated to cover Windows 10, this highly visual guide covers all the new features in addition to the basics, giving you a one-stop resource for complete Windows 10 mastery. Every page features step-by-step screen shots and plain-English instructions that walk you through everything you need to know, no matter how new you are to Windows. You'll master the basics as you learn how to navigate the user interface, work with files, create

  17. Simplified Monitoring System

    CERN Document Server

    Jelinskas, Adomas


    This project can be considered as a model for a simplified grid monitoring. In particular, I was creating a specific monitoring instance, which can be easily set up on a machine and, depending on an input information, automatically start monitoring services using Nagios software application. I had to automate the set up process and configuration of the monitoring system in order for the user to use it easily. I developed a script which automatically sets up the monitoring system, configures it and starts monitoring. I put the script, files and instructions in the repository ';a=summary' under the sub-directory called SNCG.

  18. Windows 8 simplified

    CERN Document Server

    McFedries, Paul


    The easiest way for visual learners to get started with Windows 8 The popular Simplified series makes visual learning easier than ever, and with more than 360,000 copies sold, previous Windows editions are among the bestselling Visual books. This guide goes straight to the point with easy-to-follow, two-page tutorials for each task. With full-color screen shots and step-by-step directions, it gets beginners up and running on the newest version of Windows right away. Learn to work with the new interface and improved Internet Explorer, manage files, share your computer, and much more. Perfect fo

  19. Acute Peritoneal Dialysis in Patients with Acute Kidney Injury. (United States)

    Cho, Seong; Lee, Yu-Ji; Kim, Sung-Rok


    The purpose of this study was to evaluate the efficacy, complications, and mortality rate associated with acute peritoneal dialysis (PD) in patients with acute kidney injury (AKI). A total of 75 patients who were treated at Samsung Changwon Hospital between February 2005 and March 2016 were included in the study sample. The outcomes included in-hospital survival, renal recovery, metabolic and fluid control rates, and technical success rates. Refractory heart failure was the most frequent cause of acute PD (49.3%), followed by hepatic failure (20.0%), septic shock (14.7%), acute pancreatitis (9.3%), and unknown causes (6.7%). The hospital survival of patients in the acute PD was 48.0%. Etiologies of acute kidney injury (AKI) (refractory heart failure, acute pancreatitis compared with hepatic failure, septic shock or miscellaneous causes), use of inotropes, use of a ventilator, and simplified acute physiology score (SAPS) II were associated with survival differences. Maintenance dialysis required after survival was high (80.1% [29/36]) due to AKI etiologies (heart or hepatic failures). Metabolic and fluid control rates were 77.3%. The technical success rate for acute PD was 93.3%. Acute PD remains a suitable treatment modality for patients with AKI in the era of continuous renal replacement therapy (CRRT). Nearly all patients who require dialysis can be dialyzed with acute PD without mechanical difficulties. This is particularly true in patients with refractory heart failure and acute pancreatitis who had a weak requirement for inotropes. Copyright © 2017 International Society for Peritoneal Dialysis.

  20. Simplifying massive planar subdivisions

    DEFF Research Database (Denmark)

    Arge, Lars; Truelsen, Jakob; Yang, Jungwoo


    (SORT(N)) I/Os, where N is the size of the decomposition and SORT(N) is the number of I/Os need to sort in the standard external-memory model of computation. Previously, such an algorithm was only known for the special case of contour map simplification. Our algorithm is simple enough to be of practical......We present the first I/O- and practically-efficient algorithm for simplifying a planar subdivision, such that no point is moved more than a given distance εxy and such that neighbor relations between faces (homotopy) are preserved. Under some practically realistic assumptions, our algorithm uses...... interest. In fact, although more general, it is significantly simpler than the previous contour map simplification algorithm. We have implemented our algorithm and present results of experimenting with it on massive real-life data. The experiments confirm that the algorithm is efficient in practice...

  1. Physiological study on CT image analysis of acute pulmonary edema by oleic acid and its application to diagnosis of drowning

    Energy Technology Data Exchange (ETDEWEB)

    Nosaka, Mizuho [Wakayama Medical Coll. (Japan)


    Recently, various investigations are carried out about the relationship between the pathophysiological changes and the images of the destructive extent in acute lung injury. In present paper, we examined, in progression time, the pathophysiological and histological changes basing upon pulmonary edema model made by administration of oleic acid to beagle dogs, and simultaneously took images of the lung by employing high-resolution X-ray CT and analyzed them. In pathophysiological and histological investigation, V{sub A}/Q heterogeneity and lung water volume increased, and decrease of PO{sub 2} in arterial blood was observed, and also filling of the alveoli with exudate, edema of the alveolar interstitium, congestion of the alveoli were observed histologically. In image analysis, the findings, that is enough to reflect the pathophysiological and histological changes, were obtained from mean CT value and the distribution of CT value histogram. Moreover, the same examination as in acute pulmonary edema model was carried out in drowning model with seawater. Consequently, it became evident that presuming of pathophysiological changes in drowning was possible from results of X-ray CT image analysis. The results described above seem to indicate that X-ray CT image analysis in acute lung injury can use as an index of the damage degree, and also is available for elucidation of the pathophysiological changes. (author)

  2. Acute effects of caffeine supplementation on cortical arousal, anxiety, physiological response and marksmanship in close quarter combat


    Clemente Suárez, Vicente Javier; Robles Pérez, José Juan


    Previous studies have researched the ergogenic effect of caffeine in different shooting actions, but none of them in a stressful combat action. This study aimed to analyse the effect of a dose of 400 mg of caffeine monohydrate on the psycho-physiological response and marksmanship of soldiers in close quarter combat. We analysed the heart rate, blood lactate concentration, cortical arousal, state anxiety and marksmanship of 19 soldiers in the Spanish Army (38.9 ± 4.1 years; 177.4 ± 5.3 cm; 78....

  3. Simplified fractional Fourier transforms. (United States)

    Pei, S C; Ding, J J


    The fractional Fourier transform (FRFT) has been used for many years, and it is useful in many applications. Most applications of the FRFT are based on the design of fractional filters (such as removal of chirp noise and the fractional Hilbert transform) or on fractional correlation (such as scaled space-variant pattern recognition). In this study we introduce several types of simplified fractional Fourier transform (SFRFT). Such transforms are all special cases of a linear canonical transform (an affine Fourier transform or an ABCD transform). They have the same capabilities as the original FRFT for design of fractional filters or for fractional correlation. But they are simpler than the original FRFT in terms of digital computation, optical implementation, implementation of gradient-index media, and implementation of radar systems. Our goal is to search for the simplest transform that has the same capabilities as the original FRFT. Thus we discuss not only the formulas and properties of the SFRFT's but also their implementation. Although these SFRFT's usually have no additivity properties, they are useful for the practical applications. They have great potential for replacing the original FRFT's in many applications.

  4. Comparison of Acute Physiological and Psychological Responses Between Moderate Intensity Continuous Exercise and three Regimes of High Intensity Training. (United States)

    Green, Nicole; Wertz, Timothy; LaPorta, Zachary; Mora, Adam; Serbas, Jasmine; Astorino, Todd A


    High intensity interval training (HIIT) elicits similar physiological adaptations as moderate intensity continuous training (MICT) despite less time commitment. However, there is debate whether HIIT is more aversive than MICT. This study compared physiological and perceptual responses between MICT and three regimes of HIIT. Nineteen active adults (age = 24.0 ± 3.3 yr) unfamiliar with HIIT initially performed ramp exercise to exhaustion to measure maximal oxygen uptake (VO2 max) and determine workload for subsequent sessions, whose order was randomized. Sprint interval training (SIT) consisted of six 20 s bouts of "all-out" cycling at 140% of maximum watts (Wmax). Low volume (HIITLV) and high volume HIIT (HIITHV) consisted of eight 60 s bouts at 85% Wmax and six 2 min bouts at 70% Wmax, respectively. MICT consisted of 25 min at 40% Wmax. Across regimes, work was not matched. Heart rate, VO2, blood lactate concentration (BLa), affect, and rating of perceived exertion (RPE) were assessed during exercise. Ten minutes post-exercise, Physical Activity Enjoyment (PACES) was measured via a survey. Results revealed significantly higher (pregimes versus MICT at 50, 75, and 100 % of session duration, PACES was similar across regimes (p=0.65) although it was higher in women (p=0.03). Findings from healthy adults unaccustomed to interval training demonstrate that HIIT and SIT are perceived as enjoyable as MICT despite being more aversive.

  5. Variability of acute physiological responses and performance profiles of youth soccer players in small-sided games. (United States)

    Hill-Haas, Stephen; Coutts, Aaron; Rowsell, Greg; Dawson, Brian


    The aim of this study was to examine the variability in physiological and perceptual responses and time-motion profiles of various small-sided soccer game (SSG) formats (2 versus 2, 4 versus 4 and 6 versus 6 players) and regimes (interval and continuous). Typical error (TE) was calculated for mean heart rate as a percentage of maximum heart rate (%HR(max)), global ratings of perceived exertion (RPE), blood lactate [La(-)] and various time-motion characteristics for 16 male soccer players (mean 16.2 years, range 15.6-17.9). The TE for HR responses were 8km/h) reflected increased variability, irrespective of game format or regime. Collectively, these results suggest that SSG training can provide a reliable aerobic training stimulus.

  6. Performance, acute health symptoms and physiological responses during exposure to high air temperature and carbon dioxide concentration

    DEFF Research Database (Denmark)

    liu, weiwei; Zhong, Weidi; Wargocki, Pawel


    Human subjects were exposed for 3 h in a climate chamber to the air temperature of 35 °C that is an action level, at which the working time needs to be diminished in China. The purpose was to put this action level to test by measuring physiological responses, subjective ratings and cognitive...... performance, and compare them with responses at temperature of 26 °C (reference exposure). Moreover, CO2 was increased to 3000 ppm (CO2 exposure) at 35 °C to further examine, whether this change will have any effect on the measured responses. Compared with the reference exposure, exposure to 35 °C caused...... ppm at 35 °C caused no significant changes in responses. Present results reaffirm the selection of 35 °C as an action level, and show that concurrently occurring high CO2 levels should not exacerbate the hazards....

  7. Characterization of the psychological, physiological and EEG profile of acute betel quid intoxication in naïve subjects. (United States)

    Osborne, Peter G; Chou, Tung-Shan; Shen, Tsu-Wang


    Betel quid use and abuse is wide spread in Asia but the physiological basis of intoxication and addiction are unknown. In subjects naïve to the habit of betel quid intoxication, the psychological and physiological profile of intoxication has never been reported. We compared the effect of chewing gum or chewing betel quid, and subsequent betel quid intoxication, on psychological assessment, prospective time interval estimation, numerical and character digit span, computerized 2 choice tests and mental tasks such as reading and mathematics with concurrent monitoring of ECG, EEG and face temperature in healthy, non-sleep deprived, male subjects naïve to the habit of chewing betel quid. Betel quid intoxication, dose dependently induced tachycardia (max 30 bpm) and elevated face temperature (0.7°C) (Peffects observed in response to chewing gum (max 12 bpm and 0.3°C) in 12 subjects. Gross behavioral indices of working memory such as numerical or character digit span in 8 subjects, or simple visual-motor performance such as reaction speed or accuracy in a two choice scenario in 8 subjects were not affected by betel quid intoxication. Betel quid intoxication strongly influenced the psychological aspects of perception such as slowing of the prospective perception of passage of a 1 minute time interval in 8 subjects (Pchewing gum by betel quid intoxication in 10 subjects. The prevalence of betel quid consumption across a range of social and work settings warrants greater investigation of this widespread but largely under researched drug.

  8. Characterization of the psychological, physiological and EEG profile of acute betel quid intoxication in naïve subjects.

    Directory of Open Access Journals (Sweden)

    Peter G Osborne

    Full Text Available Betel quid use and abuse is wide spread in Asia but the physiological basis of intoxication and addiction are unknown. In subjects naïve to the habit of betel quid intoxication, the psychological and physiological profile of intoxication has never been reported. We compared the effect of chewing gum or chewing betel quid, and subsequent betel quid intoxication, on psychological assessment, prospective time interval estimation, numerical and character digit span, computerized 2 choice tests and mental tasks such as reading and mathematics with concurrent monitoring of ECG, EEG and face temperature in healthy, non-sleep deprived, male subjects naïve to the habit of chewing betel quid. Betel quid intoxication, dose dependently induced tachycardia (max 30 bpm and elevated face temperature (0.7°C (P<0.001 above the effects observed in response to chewing gum (max 12 bpm and 0.3°C in 12 subjects. Gross behavioral indices of working memory such as numerical or character digit span in 8 subjects, or simple visual-motor performance such as reaction speed or accuracy in a two choice scenario in 8 subjects were not affected by betel quid intoxication. Betel quid intoxication strongly influenced the psychological aspects of perception such as slowing of the prospective perception of passage of a 1 minute time interval in 8 subjects (P<0.05 and perceived increased arousal (P<0.01 and perceived decreased ability to think (P<0.05 in 31 subjects. The EEG spectral profile recorded from mental states associated with open and closed eyes, and mental tasks such as reading and eyes closed mental arithmetic were significantly modified (P<0.05 relative to chewing gum by betel quid intoxication in 10 subjects. The prevalence of betel quid consumption across a range of social and work settings warrants greater investigation of this widespread but largely under researched drug.

  9. Physiological Correlation of Airway Pressure and Transpulmonary Pressure Stress Index on Respiratory Mechanics in Acute Respiratory Failure. (United States)

    Pan, Chun; Chen, Lu; Zhang, Yun-Hang; Liu, Wei; Urbino, Rosario; Ranieri, V Marco; Qiu, Hai-Bo; Yang, Yi


    Stress index at post-recruitment maneuvers could be a method of positive end-expiratory pressure (PEEP) titration in acute respiratory distress syndrome (ARDS) patients. However, airway pressure (Paw) stress index may not reflect lung mechanics in the patients with high chest wall elastance. This study was to evaluate the Pawstress index on lung mechanics and the correlation between Pawstress index and transpulmonary pressure (PL) stress index in acute respiratory failure (ARF) patients. Twenty-four ARF patients with mechanical ventilation (MV) were consecutively recruited from July 2011 to April 2013 in Zhongda Hospital, Nanjing, China and Ospedale S. Giovanni Battista-Molinette Hospital, Turin, Italy. All patients underwent MV with volume control (tidal volume 6 ml/kg) for 20 min. PEEP was set according to the ARDSnet study protocol. The patients were divided into two groups according to the chest wall elastance/respiratory system elastance ratio. The high elastance group (H group, n = 14) had a ratio ≥30%, and the low elastance group (L group, n = 10) had a ratio Respiratory elastance, gas-exchange, Pawstress index, and PLstress index were measured. Student's t-test, regression analysis, and Bland-Altman analysis were used for statistical analysis. Pneumonia was the major cause of respiratory failure (71.0%). Compared with the L group, PEEP was lower in the H group (5.7 ± 1.7 cmH2O vs. 9.0 ± 2.3 cmH2O, P < 0.01). Compared with the H group, lung elastance was higher (20.0 ± 7.8 cmH2O/L vs. 11.6 ± 3.6 cmH2O/L, P < 0.01), and stress was higher in the L group (7.0 ± 1.9 vs. 4.9 ± 1.9, P = 0.02). A linear relationship was observed between the Pawstress index and the PLstress index in H group (R2 = 0.56, P < 0.01) and L group (R2 = 0.85, P < 0.01). In the ARF patients with MV, Pawstress index can substitute for PLto guide ventilator settings. NCT02196870 (

  10. Acute effects of short term use of e-cigarettes on airways physiology and respiratory symptoms in smokers with and without airways obstructive diseases and in healthy non smokers

    Directory of Open Access Journals (Sweden)

    Anastasios Palamidas


    Short term use of e-cigarette has acute effects on airways physiology and respiratory symptoms in COPD smokers, asthmatic smokers, “healthy” smokers and healthy never smokers. E-cigarette use is associated with health effects in healthy never smokers irrespectively of nicotine concentration. More studies are needed to investigate both short and long term effects of e-cig.

  11. Assessment Of Physiological Cardio respiratory Parameters During Sub maximal Exercise On Acute Exposure To Normobaric Hypoxia In Healthy Young Males

    Directory of Open Access Journals (Sweden)

    Bipin K Shrestha


    Full Text Available To estimate changes in SBP, DBP, HR, RR and Lactate Level at Near Sea Level (NSL and at Simulated altitude (3000meters at rest and during sub-maximal exercise.Mean Resting values at NSL vs. Hypoxic Chamber were: SBP (1276vs1325mmHg, DBP (703vs786mmHg, HR (725vs806bpm, RR (254vs293/min and LL (2.10.35vs2.50.42mmol/l. Similarly, mean values at the end of exercise were: SBP (1529vs16913mmHg, DBP (836vs926mmHg, HR (13412vs1557bpm, RR (356vs516/min and LL (7.110.89vs8.011.03mmol/l.  A significant difference exists in mean resting values of SBP, DBP, HR and RR at NSL and on acute exposure to Normobaric Hypoxia. Sub-maximal exercise in hypoxic conditions appears to depend more on anaerobic metabolism and results in greater sympathetic activity. Keywords: Cardiorespiratory parameters, Normobaric hypoxia, Sub-maximal exercise, Near Sea Level

  12. Extraocular light via the ear canal does not acutely affect human circadian physiology, alertness and psychomotor vigilance performance. (United States)

    Bromundt, Vivien; Frey, Sylvia; Odermatt, Jonas; Cajochen, Christian


    We aimed at testing potential effects of extraocular bright light via the ear canals on human evening melatonin levels, sleepiness and psychomotor vigilance performance. Twenty healthy young men and women (10/10) kept a regular sleep-wake cycle during the 2-week study. The volunteers reported to the laboratory on three evenings, 2 h 15 min before usual bedtime, on average at 21:45 h. They were exposed to three different light conditions, each lasting for 12 min: extraocular bright light via the ear canal, ocular bright light as an active control condition and a control condition (extraocular light therapy device with completely blacked out LEDs). The timing of exposure was on average from 22:48 to 23:00 h. During the 2-h protocol, saliva samples were collected in 15-min intervals for melatonin assays along with subjective sleepiness ratings, and the volunteers performed a 10-min visual psychomotor vigilance task (PVT) prior to and after each light condition. The evening melatonin rise was significantly attenuated after the 12-min ocular bright light exposure while no significant changes were observed after the extraocular bright light and sham light condition. Subjective sleepiness decreased immediately over a short period only after ocular light exposure. No significant differences were observed for mean reaction times and the number of lapses for the PVT between the three light conditions. We conclude that extraocular transcranial light exposure in the late evening does not suppress melatonin, reduce subjective sleepiness or improve performance, and therefore, does not acutely influence the human circadian timing system.

  13. Vascular Physiology according to Clinical Scenario in Patients with Acute Heart Failure: Evaluation using the Cardio-Ankle Vascular Index. (United States)

    Goto, Toshihiko; Wakami, Kazuaki; Mori, Kento; Kikuchi, Shohei; Fukuta, Hidekatsu; Ohte, Nobuyuki


    Increased aortic stiffness may be an important cause of acute heart failure (AHF). Clinical scenario (CS), which classifies the pathophysiology of AHF based on the initial systolic blood pressure (sBP), was proposed to provide the most appropriate therapy for AHF patients. In CS, elevated aortic stiffness, vascular failure, has been considered as a feature of patients categorized as CS1 (sBP > 140 mmHg at initial presentation). However, whether elevated aortic stiffness, vascular failure, is present in such patients has not been fully elucidated. Therefore, we assessed aortic stiffness in AHF patients using the cardio-ankle vascular index (CAVI), which is considered to be independent of instantaneous blood pressure. Sixty-four consecutive AHF patients (mean age, 70.6 ± 12.8 years; 39 men) were classified with CS, based on their initial sBP: CS1: sBP > 140 mmHg (n = 29); CS2: sBP 100-140 mmHg (n = 22); and CS3: sBP < 100 mmHg (n = 13). There were significant group differences in CAVI (CS1 vs. CS2 vs. CS3: 9.7 ± 1.4 vs. 8.4 ± 1.7 vs. 8.3 ± 1.7, p = 0.006, analysis of variance). CAVI was significantly higher in CS1 than in CS2 (p = 0.02) and CS3 (p = 0.04). CAVI did not significantly correlate with sBP at the time of measurement of CAVI (r = 0.24 and p = 0.06). Aortic stiffness assessed using blood pressure-independent methodology apparently increased in CS1 AHF patients. We conclude that vascular failure is a feature of CS1 AHF initiation.

  14. Simplified Universal Intelligent PID Controller


    Mohamed I. Abu El- Sebah


    Many researches give a great attention to invent different techniques for process controller application. All of them tend to simplify the controller design algorithm and make it more intelligent, but the two goals seem to be an opposite goals. Although the artificial intelligent controller is proper, they need sometimes a complicated algorithm and parameter adaptation process. This paper presents a new idea to simplify the process controller, also to make it an intellige...

  15. Acute physiological and electrical accentuation of vagal tone has no effect on pain or gastrointestinal motility in chronic pancreatitis

    Directory of Open Access Journals (Sweden)

    Juel J


    Full Text Available Jacob Juel,1 Christina Brock,1–4 Søren S Olesen,1,2 Adnan Madzak,5 Adam D Farmer,5–7 Qasim Aziz,7 Jens B Frøkjær,2,5 Asbjørn Mohr Drewes1,2 1Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, 2Department of Clinical Medicine, Aalborg University, Aalborg, 3Department of Rheumatology, Aarhus University Hospital, Aarhus, 4Drug Design and Pharmacology, University of Copenhagen, Copenhagen, 5Mech-Sense, Department of Radiology, Aalborg University Hospital, Aalborg, Denmark; 6Department of Gastroenterology, University Hospitals of North Midlands, Stoke-on-Trent, 7Centre for Neuroscience and Trauma, Blizard Institute, Wingate Institute of Neurogastroenterology, Barts and the London School of Medicine & Dentistry, Queen Mary University of London, London, UK Background: The effective management of pain in chronic pancreatitis (CP remains a therapeutic challenge. Analgesic drugs, such as opioids, and the underlying pathology can impair gut function. The autonomic nervous system influences hormone secretion and gut motility. In healthy volunteers, electrical (using noninvasive transcutaneous vagal nerve stimulation [t-VNS] and physiological (using deep slow breathing [DSB] modulation of parasympathetic tone results in pain attenuation and enhanced gut motility. Thus, the aims were to investigate whether t-VNS and DSB could enhance the parasympathetic tone, decrease pain sensitivity and improve gut motility in CP.Patients and methods: A total of 20 patients (12 males, mean age=61 years, range: 50–78 years with CP were randomized to short-term (60 minutes t-VNS and DSB, or their placebo equivalent, in a crossover design. Cardiometrically derived parameters of autonomic tone, quantitative sensory testing of bone and muscle pain pressure, conditioned pain modulation (CPM and assessments of gastroduodenal motility with ultrasound were performed.Results: In comparison to sham, t-VNS and DSB increased cardiac

  16. The Ability of the Acute Physiology and Chronic Health Evaluation (APACHE IV Score to Predict Mortality in a Single Tertiary Hospital

    Directory of Open Access Journals (Sweden)

    Jae Woo Choi


    Full Text Available Background The Acute Physiology and Chronic Health Evaluation (APACHE II model has been widely used in Korea. However, there have been few studies on the APACHE IV model in Korean intensive care units (ICUs. The aim of this study was to compare the ability of APACHE IV and APACHE II in predicting hospital mortality, and to investigate the ability of APACHE IV as a critical care triage criterion. Methods The study was designed as a prospective cohort study. Measurements of discrimination and calibration were performed using the area under the receiver operating characteristic curve (AUROC and the Hosmer-Lemeshow goodness-of-fit test respectively. We also calculated the standardized mortality ratio (SMR. Results The APACHE IV score, the Charlson Comorbidity index (CCI score, acute respiratory distress syndrome, and unplanned ICU admissions were independently associated with hospital mortality. The calibration, discrimination, and SMR of APACHE IV were good (H = 7.67, P = 0.465; C = 3.42, P = 0.905; AUROC = 0.759; SMR = 1.00. However, the explanatory power of an APACHE IV score >93 alone on hospital mortality was low at 44.1%. The explanatory power was increased to 53.8% when the hospital mortality was predicted using a model that considers APACHE IV >93 scores, medical admission, and risk factors for CCI >3 coincidentally. However, the discriminative ability of the prediction model was unsatisfactory (C index <0.70. Conclusions The APACHE IV presented good discrimination, calibration, and SMR for hospital mortality.

  17. Acute kidney damage induced by low- and iso-osmolar contrast media in rats: Comparison study with physiologic MRI and histologic-gene examination. (United States)

    Wu, Chen-Jiang; Bao, Mei-Ling; Wang, Qing; Wang, Xiao-Ning; Liu, Xi-Sheng; Shi, Hai-Bin; Zhang, Yu-Dong


    To investigate the physiopathological effects of low- and iso-osmolar contrast media (CM) on renal function with physiologic MRI and histologic-gene examination. Forty-eight rats underwent time-course DWI and DCE-MRI at 3.0 Tesla (T) before and 5-15 min after exposure of CM or saline (Iop.370: 370 mgI/mL iopromide; Iod.320: 320 mgI/mL iodixanol; Iod.270: 270 mgI/mL iodixanol; 4 gI/kg body weight). Intrarenal viscosity was reflected by apparent diffusion coefficient (ADC). Renal physiologies were evaluated by DCE-derived glomerular filtration rate (GFR), renal blood flow (RBF), and renal blood volume (RBV). Potential acute kidney injury (AKI) was determined by histology and the expression of kidney injury molecule 1 (Kim-1). Iop.370 mainly increased ADC in inner-medulla (△ADC IM : 12.3 ± 11.1%; P < 0.001). Iod.320 and Iod.270 mainly decreased ADC in outer-medulla (△ADC IM ; Iod.320: 16.8 ± 7.5%; Iod.270: 18.1 ± 9.5%; P < 0.001) and inner-medulla (△ADC IM ; Iod.320: 28.4 ± 9.3%; Iod.270: 30.3 ± 6.3%; P < 0.001). GFR, RBF and RBV were significantly decreased by Iod.320 (△GFR: 45.5 ± 24.1%; △RBF: 44.6 ± 19.0%; △RBV: 35.2 ± 10.1%; P < 0.001) and Iod.270 (33.2 ± 19.0%; 38.1 ± 15.6%; 30.1 ± 10.1%; P < 0.001), while rarely changed by Iop.370 and saline. Formation of vacuoles and increase in Kim-1 expression was prominently detected in group of Iod.320, while rarely in Iod.270 and Iop.370. Iso-osmolar iodixanol, given at high-dose, produced prominent AKI in nonhydrated rats. This renal dysfunction could be assessed noninvasively by physiologic MRI. 1 J. Magn. Reson. Imaging 2017;45:291-302. © 2016 International Society for Magnetic Resonance in Medicine.

  18. The impact of chronic stress burden of 520-d isolation and confinement on the physiological response to subsequent acute stress challenge. (United States)

    Yi, Buqing; Matzel, Sandra; Feuerecker, Matthias; Hörl, Marion; Ladinig, Camilla; Abeln, Vera; Choukèr, Alexander; Schneider, Stefan


    Collective evidence indicates that previous exposure to stressful condition might be able to induce changes in brain structure, HPA axis activity and related neurotransmission, and accordingly affect physiological responses to subsequent challenges. During long-term spaceflight, space travelers have to live under the condition of isolation and confinement in the spacecraft for a long period. It is still largely unknown if this kind of chronic stress burden can induce any long-lasting changes. To address this question, following 520-d isolation and confinement simulating a flight to Mars, the participants and a matched control group were exposed to an acute stress challenge called parabolic flight. Brain cortical activity, HPA axis activity, and sympathetic adrenal-medullary system response were monitored by EEG signal, cortisol secretion, and catecholamine production, respectively. We observed enhanced EEG signals, elevated cortisol levels and increased adrenaline productions. A group effect on cortisol output was revealed showing higher cortisol peak levels in the Mars520 group as compared to the control group, suggesting that HPA axis was to a certain extent more activated in the subjects who had chronic stress experience. Copyright © 2014 Elsevier B.V. All rights reserved.

  19. Psychomotor performance, subjective and physiological effects and whole blood Δ⁹-tetrahydrocannabinol concentrations in heavy, chronic cannabis smokers following acute smoked cannabis. (United States)

    Schwope, David M; Bosker, Wendy M; Ramaekers, Johannes G; Gorelick, David A; Huestis, Marilyn A


    Δ⁹-Tetrahydrocannabinol (THC) is the illicit drug most frequently observed in accident and driving under the influence of drugs investigations. Whole blood is often the only available specimen collected during such investigations, yet few studies have examined relationships between cannabis effects and whole blood concentrations following cannabis smoking. Nine male and one female heavy, chronic cannabis smokers resided on a closed research unit and smoked ad libitum one 6.8% THC cannabis cigarette. THC, 11-hydroxy-THC and 11-nor-9-carboxy-THC were quantified in whole blood and plasma. Assessments were performed before and up to 6 h after smoking, including subjective [visual analog scales (VAS) and Likert scales], physiological (heart rate, blood pressure and respirations) and psychomotor (critical-tracking and divided-attention tasks) measures. THC significantly increased VAS responses and heart rate, with concentration-effect curves demonstrating counter-clockwise hysteresis. No significant differences were observed for critical-tracking or divided-attention task performance in this cohort of heavy, chronic cannabis smokers. The cannabis influence factor was not suitable for quantifying psychomotor impairment following cannabis consumption and was not precise enough to determine recent cannabis use with accuracy. These data inform our understanding of impairment and subjective effects following acute smoked cannabis and interpretation of whole blood cannabinoid concentrations in forensic investigations.

  20. Simplified design of data converters

    CERN Document Server

    Lenk, John


    Simplified Design of Data Converters shows how to design and experiment with data converters, both analog-to-digital and digital to analog. The design approach here is the same one used in all of John Lenk's best-selling books on simplified and practical design. Throughout the book, design problems start with guidelines for selecting all components on a trial-value basis, assuming a specific design goal and set of conditions. Then, using the guideline values in experimental circuits, the desired results are produced by varying the experimental component values, if needed.If you are a w

  1. Simplified design of filter circuits

    CERN Document Server

    Lenk, John


    Simplified Design of Filter Circuits, the eighth book in this popular series, is a step-by-step guide to designing filters using off-the-shelf ICs. The book starts with the basic operating principles of filters and common applications, then moves on to describe how to design circuits by using and modifying chips available on the market today. Lenk's emphasis is on practical, simplified approaches to solving design problems.Contains practical designs using off-the-shelf ICsStraightforward, no-nonsense approachHighly illustrated with manufacturer's data sheets

  2. Physiological relevance and performance of a minimal lung model – an experimental study in healthy and acute respiratory distress syndrome model piglets

    Directory of Open Access Journals (Sweden)

    Chiew Yeong


    Full Text Available Abstract Background Mechanical ventilation (MV is the primary form of support for acute respiratory distress syndrome (ARDS patients. However, intra- and inter- patient-variability reduce the efficacy of general protocols. Model-based approaches to guide MV can be patient-specific. A physiological relevant minimal model and its patient-specific performance are tested to see if it meets this objective above. Methods Healthy anesthetized piglets weighing 24.0 kg [IQR: 21.0-29.6] underwent a step-wise PEEP increase manoeuvre from 5cmH2O to 20cmH2O. They were ventilated under volume control using Engström Care Station (Datex, General Electric, Finland, with pressure, flow and volume profiles recorded. ARDS was then induced using oleic acid. The data were analyzed with a Minimal Model that identifies patient-specific mean threshold opening and closing pressure (TOP and TCP, and standard deviation (SD of these TOP and TCP distributions. The trial and use of data were approved by the Ethics Committee of the Medical Faculty of the University of Liege, Belgium. Results and discussions 3 of the 9 healthy piglets developed ARDS, and these data sets were included in this study. Model fitting error during inflation and deflation, in healthy or ARDS state is less than 5.0% across all subjects, indicating that the model captures the fundamental lung mechanics during PEEP increase. Mean TOP was 42.4cmH2O [IQR: 38.2-44.6] at PEEP = 5cmH2O and decreased with PEEP to 25.0cmH2O [IQR: 21.5-27.1] at PEEP = 20cmH2O. In contrast, TCP sees a reverse trend, increasing from 10.2cmH2O [IQR: 9.0-10.4] to 19.5cmH2O [IQR: 19.0-19.7]. Mean TOP increased from average 21.2-37.4cmH2O to 30.4-55.2cmH2O between healthy and ARDS subjects, reflecting the higher pressure required to recruit collapsed alveoli. Mean TCP was effectively unchanged. Conclusion The minimal model is capable of capturing physiologically relevant TOP, TCP and SD of both healthy and ARDS lungs. The

  3. Lifestyle and physiological risk factor profiles six weeks after an acute cardiac event: are patients achieving recommended targets for secondary prevention? (United States)

    Murphy, Barbara M; Worcester, Marian U C; Goble, Alan J; Mitchell, Fiona; Navaratnam, Hema; Higgins, Rosemary O; Elliott, Peter C; Le Grande, Michael R


    People who have had a cardiac event are at increased risk of a subsequent event and death and are, therefore, the priority for preventive cardiology in Australia and elsewhere. Guidelines for physiological and lifestyle risk factors have been developed to encourage risk reduction as a means of secondary prevention. The aim of the present study was to investigate achievement of recommended risk factor targets in a sample of Australian cardiac patients. A consecutive sample of 275 patients admitted to one of two Melbourne hospitals after acute myocardial infarction (AMI; 32%) or for coronary artery bypass graft surgery (CABGS; 40%) or percutaneous coronary intervention (PCI; 28%) participated in risk factor screening approximately five weeks after hospital discharge. The 2007 National Heart Foundation (NHF) of Australia 'Guidelines for Reducing Risk in Heart Disease' (1) and the 2001 NHF and Cardiac Society of Australia and New Zealand lipid management guidelines (2) were used to define risk factor targets. Target achievement was compared for AMI, CABGS and PCI patients. Patients ranged in age from 32 to 75 years (mean=59.0; SD=9.1). Most (86%) were male. Almost three quarters of the patients were above recommended targets for waist girth (70%) and almost half were above targets for blood pressure (48%) and below target for high density lipoprotein cholesterol (47%). Around a quarter were over target for total cholesterol (27%) and under target for physical activity (27%). Most patients met the NHF guidelines of non-smoking (95%) and restricted alcohol consumption (88%). For several risk factors, PCI patients were at greater risk of not achieving recommended targets than either CABGS or AMI patients. Six weeks after an acute cardiac event, substantial proportions of Australian patients do not achieve recommended targets for waist girth, blood pressure, total cholesterol, physical activity, and HDL cholesterol. PCI patients are particularly at risk. Considerable

  4. Effects of increased positive end-expiratory pressure on intracranial pressure in acute respiratory distress syndrome: a protocol of a prospective physiological study. (United States)

    Chen, Han; Xu, Ming; Yang, Yan-Lin; Chen, Kai; Xu, Jing-Qing; Zhang, Ying-Rui; Yu, Rong-Guo; Zhou, Jian-Xin


    There are concerns that the use of positive end-expiratory pressure (PEEP) in patients with brain injury may potentially elevate intracranial pressure (ICP). However, the transmission of PEEP into the thoracic cavity depends on the properties of the lungs and the chest wall. When chest wall elastance is high, PEEP can significantly increase pleural pressure. In the present study, we investigate the different effects of PEEP on the pleural pressure and ICP in different respiratory mechanics. This study is a prospective, single-centre, physiological study in patients with severe brain injury. Patients with acute respiratory distress syndrome with ventricular drainage will be enrolled. An oesophageal balloon catheter will be inserted to measure oesophageal pressure. Patients will be sedated and paralysed; airway pressure and oesophageal pressure will be measured during end-inspiratory occlusion and end-expiratory occlusion. Elastance of the chest wall, the lungs and the respiratory system will be calculated at PEEP levels of 5, 10 and 15 cm H2O. We will classify each patient based on the maximal ΔICP/ΔPEEP being above or below the median for the study population. 2 groups will thus be compared. The study protocol and consent forms were approved by the Institutional Review Board of Fujian Provincial Hospital. Study findings will be disseminated through peer-reviewed publications and conference presentations. NCT02670733; pre-results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  5. Heat transfer, insulation calculations simplified

    Energy Technology Data Exchange (ETDEWEB)

    Ganapathy, V.


    Determination of heat transfer coefficients for air, water, and steam flowing in tubes and calculation of heat loss through multilayered insulated surfaces have been simplified by two computer programs. The programs, written in BASIC, have been developed for the IBM and equivalent personal computers.

  6. Simplifying the Water Poverty Index (United States)

    Cho, Danny I.; Ogwang, Tomson; Opio, Christopher


    In this paper, principal components methodology is used to derive simplified and cost effective indexes of water poverty. Using a well known data set for 147 countries from which an earlier five-component water poverty index comprising of "Resources," "Access," "Capacity," "Use" and "Environment" was constructed, we find that a simplified…

  7. SEA - A Simplified Employee Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Busby, L


    This paper presents a proposal for modifying the current employee annual evaluation process in SCAD. It purports to simplify that process, primarily by breaking up the resultant document into a set of more or less independent components. It claims to reduce the overall time and effort required from each actor.

  8. Observational study on the performance of the Narhinel method (nasal aspirator and physiological saline solution) versus physiological saline solution in the prevention of recurrences of viral rhinitis and associated complications of the upper respiratory tract infections (URTI), with a special focus on acute rhinosinusitis and acute otitis of the middle ear. (United States)

    Montanari, G; Ceschin, F; Masotti, S; Bravi, F; Chinea, B; Quartarone, G


    The aim of this study was to assess the validity of Narhinel method in the prevention of recurrences of viral rhinitis and of any associated sequelae, in particular acute otitis of the middle ear (AOM) and acute rhinosinusitis (AR). This was a prospective observational study, in children aged from two months to two years, observed for five months during the cold season and carried out by family pediatricians (FIMP association) in Friuli Venezia Giulia, Italy. The study enrolled 435 patients. The observed population consisted of two groups: the first one of 238 children treated with Narhinel method and the second one of 197 patients treated only with the physiological saline solution. In compliance with the guidelines of an observational trial, the children were prescribed the therapeutic treatments used as a routine. The patients were recruited for the trial after the responsible parent had signed the informed consent form. The study protocol had been approved by the Ethics Committee of the area of Pordenone. In order to be recruited, patients had to comply with the following criteria: symptoms suggestive of the common cold; age > or =2 months common cold; systemic and/or topical use of antibiotics and/or corticosteroids at the moment of recruitment. During the five months of the observation period, all the therapies that the investigators had decided it was necessary to administer had been included and recorded in the CRF. Patients evaluations were carried out for five months. The clinical assessment was performed at baseline (B), in the first week (Fw) and monthly and described as M1 to 5; several clinical parameters were analyzed (anterior and posterior rhinorrhoea, oral respiration, noisy nasal respiration, and nasally transmitted thoracic sounds) and measured by the pediatrician at all examinations from B to M5. Other parameters were derived from the parents' daily observations, recorded in a diary and made note of the quality of sleep, diet and respiration

  9. Simplified Approach to Inspection Planning

    DEFF Research Database (Denmark)

    Bloch, Allan; Sørensen, John Dalsgaard; Faber, Michael Havbro


    structural details and thereby develop pre-made inspection plans in tables which depend on relative cost of inspections, repairs and failures. Due to the simplicity of the format of the developed inspection plans the proposed approach has a high potential in code making for the design and maintenance......A simplified and practically applicable approach for risk based inspection planning of fatigue sensitive structural details is presented. The basic idea behind the approach is that the fatigue sensitive details are categorized according to their stress intensity factors and their design fatigue...... of steel structures. The validity of the proposed approach is illustrated through a study regarding inspection planning of offshore structures....

  10. Simplifying Contract-Violating Traces

    Directory of Open Access Journals (Sweden)

    Christian Colombo


    Full Text Available Contract conformance is hard to determine statically, prior to the deployment of large pieces of software. A scalable alternative is to monitor for contract violations post-deployment: once a violation is detected, the trace characterising the offending execution is analysed to pinpoint the source of the offence. A major drawback with this technique is that, often, contract violations take time to surface, resulting in long traces that are hard to analyse. This paper proposes a methodology together with an accompanying tool for simplifying traces and assisting contract-violation debugging.

  11. A simplified indirect bonding technique

    Directory of Open Access Journals (Sweden)

    Radha Katiyar


    Full Text Available With the advent of lingual orthodontics, indirect bonding technique has become an integral part of practice. It involves placement of brackets initially on the models and then their transfer to teeth with the help of transfer trays. Problems encountered with current indirect bonding techniques used are (1 the possibility of adhesive flash remaining around the base of the brackets which requires removal (2 longer time required for the adhesive to gain enough bond strength for secure tray removal. The new simplified indirect bonding technique presented here overcomes both these problems.

  12. Simplified design of IC amplifiers

    CERN Document Server

    Lenk, John


    Simplified Design of IC Amplifiers has something for everyone involved in electronics. No matter what skill level, this book shows how to design and experiment with IC amplifiers. For experimenters, students, and serious hobbyists, this book provides sufficient information to design and build IC amplifier circuits from 'scratch'. For working engineers who design amplifier circuits or select IC amplifiers, the book provides a variety of circuit configurations to make designing easier.Provides basics for all phases of practical design.Covers the most popular forms for amplif

  13. Simplified prognostic model for critically ill patients in resource limited settings in South Asia. (United States)

    Haniffa, Rashan; Mukaka, Mavuto; Munasinghe, Sithum Bandara; De Silva, Ambepitiyawaduge Pubudu; Jayasinghe, Kosala Saroj Amarasiri; Beane, Abi; de Keizer, Nicolette; Dondorp, Arjen M


    Current critical care prognostic models are predominantly developed in high-income countries (HICs) and may not be feasible in intensive care units (ICUs) in lower- and middle-income countries (LMICs). Existing prognostic models cannot be applied without validation in LMICs as the different disease profiles, resource availability, and heterogeneity of the population may limit the transferability of such scores. A major shortcoming in using such models in LMICs is the unavailability of required measurements. This study proposes a simplified critical care prognostic model for use at the time of ICU admission. This was a prospective study of 3855 patients admitted to 21 ICUs from Bangladesh, India, Nepal, and Sri Lanka who were aged 16 years and over and followed to ICU discharge. Variables captured included patient age, admission characteristics, clinical assessments, laboratory investigations, and treatment measures. Multivariate logistic regression was used to develop three models for ICU mortality prediction: model 1 with clinical, laboratory, and treatment variables; model 2 with clinical and laboratory variables; and model 3, a purely clinical model. Internal validation based on bootstrapping (1000 samples) was used to calculate discrimination (area under the receiver operating characteristic curve (AUC)) and calibration (Hosmer-Lemeshow C-Statistic; higher values indicate poorer calibration). Comparison was made with the Acute Physiology and Chronic Health Evaluation (APACHE) II and Simplified Acute Physiology Score (SAPS) II models. Model 1 recorded the respiratory rate, systolic blood pressure, Glasgow Coma Scale (GCS), blood urea, haemoglobin, mechanical ventilation, and vasopressor use on ICU admission. Model 2, named TropICS (Tropical Intensive Care Score), included emergency surgery, respiratory rate, systolic blood pressure, GCS, blood urea, and haemoglobin. Model 3 included respiratory rate, emergency surgery, and GCS. AUC was 0.818 (95% confidence

  14. Simplifying Microbial Electrosynthesis Reactor Design

    Directory of Open Access Journals (Sweden)

    Cloelle G.S. Giddings


    Full Text Available Microbial electrosynthesis, an artificial form of photosynthesis, can efficiently convert carbon dioxide into organic commodities; however, this process has only previously been demonstrated in reactors that have features likely to be a barrier to scale-up. Therefore, the possibility of simplifying reactor design by both eliminating potentiostatic control of the cathode and removing the membrane separating the anode and cathode was investigated with biofilms of Sporomusa ovata, which reduces carbon dioxide to acetate. In traditional ‘H-cell’ reactors, where the anode and cathode chambers were separated with a proton-selective membrane, the rates and columbic efficiencies of microbial electrosynthesis remained high when electron delivery at the cathode was powered with a direct current power source rather than with a poteniostat-poised cathode utilized in previous studies. A membrane-less reactor with a direct-current power source with the cathode and anode positioned to avoid oxygen exposure at the cathode, retained high rates of acetate production as well as high columbic and energetic efficiencies. The finding that microbial electrosynthesis is feasible without a membrane separating the anode from the cathode, coupled with a direct current power source supplying the energy for electron delivery, is expected to greatly simplify future reactor design and lower construction costs.

  15. Comparison of bare metal stenting and percutaneous pulmonary valve implantation for treatment of right ventricular outflow tract obstruction: use of an x-ray/magnetic resonance hybrid laboratory for acute physiological assessment. (United States)

    Lurz, Philipp; Nordmeyer, Johannes; Muthurangu, Vivek; Khambadkone, Sachin; Derrick, Graham; Yates, Robert; Sury, Michael; Bonhoeffer, Philipp; Taylor, Andrew M


    Treatment of right ventricular outflow tract obstruction is possible with a bare metal stent (BMS), although this treatment causes pulmonary regurgitation. In this study, we assessed the acute physiological effects of BMS versus percutaneous pulmonary valve implantation (PPVI) using an x-ray/magnetic resonance hybrid laboratory. Fourteen consecutive children (median age, 12.9 years) with significant right ventricular outflow tract obstruction underwent BMS followed by PPVI. Magnetic resonance imaging (ventricular volumes and function and great vessel blood flow) and hemodynamic assessment (invasive pressure measurements) were performed before BMS, after BMS, and after PPVI; all were performed under general anesthesia in an x-ray/magnetic resonance hybrid laboratory. BMS significantly reduced the ratio of right ventricular to systemic pressure (0.75+/-0.17% versus 0.41+/-0.14%; Phybrid laboratory, we have demonstrated the superior acute hemodynamic effects of PPVI over BMS in patients with right ventricular outflow tract obstruction.

  16. The revised Acute Physiology and Chronic Health Evaluation System (APACHE II) is more effective than the Glasgow Coma Scale for prediction of mortality in head-injured patients with systemic trauma. (United States)

    Dalgiç, Ali; Ergüngör, Fikret M; Becan, Türker; Elhan, Atila; Okay, Onder; Yüksel, Bülent C


    The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. Nevertheless, the necessity of using a more complex system than GCS has been questioned recently. The revised Acute Physiology and Chronic Health Evaluation system (APACHE II) is a physiologically based system including 12 physiological variables, and it also includes GCS. In addition, it is thought to be superior to GCS due to recognition of increasing age and significant chronic health problems, which adversely affect mortality. This retrospective study included 266 patients (195 males, 71 females; mean age 60.5; range 14 to 87 years) with head injury associated with systemic trauma in 2003 and 2004. Mortality increased in the elderly group (pAPACHE II was 38.0 and death score was 68.7 (pAPACHE II at the cut-off point was better than GCS in the prediction of death and survival in patients (pAPACHE II (0.892+/-0.028) than GCS (0.862+/-0.029). For the assessment of mortality, the GCS score still provides simple, less-time consuming and effective information concerning head injury patients, especially in emergencies; however, for the prediction of mortality in multitrauma patients, APACHE II is superior to GCS since it includes the main physiologic parameters of patients.

  17. Nasal Physiology (United States)

    ... Anatomy Virtual Anatomy Disclosure Statement Printer Friendly Nasal Physiology Jeremiah A. Alt, MD, PhD Noam Cohen, MD, ... control the inflammation. CONCLUSION An understanding of the physiology of the nose is critical to understand nasal ...

  18. Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel. (United States)

    Wolkow, Alexander; Ferguson, Sally; Aisbett, Brad; Main, Luana


    Emergency work can expose personnel to sleep restriction. Inadequate amounts of sleep can negatively affect physiological and psychological stress responses. This review critiqued the emergency service literature (e.g., firefighting, police/law enforcement, defense forces, ambulance/paramedic personnel) that has investigated the effect of sleep restriction on hormonal, inflammatory and psychological responses. Furthermore, it investigated if a psycho-physiological approach can help contextualize the significance of such responses to assist emergency service agencies monitor the health of their personnel. The available literature suggests that sleep restriction across multiple work days can disrupt cytokine and cortisol levels, deteriorate mood and elicit simultaneous physiological and psychological responses. However, research concerning the interaction between such responses is limited and inconclusive. Therefore, it is unknown if a psycho-physiological relationship exists and as a result, it is currently not feasible for agencies to monitor sleep restriction related stress based on psycho- physiological interactions. Sleep restriction does however, appear to be a major stressor contributing to physiological and psychological responses and thus, warrants further investigation. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  19. Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel

    Directory of Open Access Journals (Sweden)

    Alexander Wolkow


    Full Text Available Emergency work can expose personnel to sleep restriction. Inadequate amounts of sleep can negatively affect physiological and psychological stress responses. This review critiqued the emergency service literature (e.g., firefighting, police/law enforcement, defense forces, ambulance/paramedic personnel that has investigated the effect of sleep restriction on hormonal, inflammatory and psychological responses. Furthermore, it investigated if a psycho-physiological approach can help contextualize the significance of such responses to assist emergency service agencies monitor the health of their personnel. The available literature suggests that sleep restriction across multiple work days can disrupt cytokine and cortisol levels, deteriorate mood and elicit simultaneous physiological and psychological responses. However, research concerning the interaction between such responses is limited and inconclusive. Therefore, it is unknown if a psycho-physiological relationship exists and as a result, it is currently not feasible for agencies to monitor sleep restriction related stress based on psycho- physiological interactions. Sleep restriction does however, appear to be a major stressor contributing to physiological and psychological responses and thus, warrants further investigation.

  20. Rice Physiology (United States)

    P.A. Counce; Davidi R. Gealy; Shi-Jean Susana Sung


    Physiology occurs tn physical space through chemical reactions constrained by anatomy and morphology, yet guided by genetics. Physiology has been called the logic of life. Genes encode structural and fimcdonal proteins. These proteins are subsequently processed to produce enzymes that direct and govern the biomechanical processes involved in the physiology of the...

  1. Simplifying Nondeterministic Finite Cover Automata

    Directory of Open Access Journals (Sweden)

    Cezar Câmpeanu


    Full Text Available The concept of Deterministic Finite Cover Automata (DFCA was introduced at WIA '98, as a more compact representation than Deterministic Finite Automata (DFA for finite languages. In some cases representing a finite language, Nondeterministic Finite Automata (NFA may significantly reduce the number of states used. The combined power of the succinctness of the representation of finite languages using both cover languages and non-determinism has been suggested, but never systematically studied. In the present paper, for nondeterministic finite cover automata (NFCA and l-nondeterministic finite cover automaton (l-NFCA, we show that minimization can be as hard as minimizing NFAs for regular languages, even in the case of NFCAs using unary alphabets. Moreover, we show how we can adapt the methods used to reduce, or minimize the size of NFAs/DFCAs/l-DFCAs, for simplifying NFCAs/l-NFCAs.

  2. Rationale simplified hardening training and recreational complexes future teachers

    Directory of Open Access Journals (Sweden)

    Verbludov I.B.


    Full Text Available Distribution in the modern world epidemiological diseases are influenza and acute respiratory viral infections requires a search for simplified, effective preventive means. The main direction of prevention of these diseases is to strengthen and enhance the activities of the immune system. Strengthening the protective systems of the body is directly related to the constant holding of different types of hardening. This study illustrates the possibility of using quenching air and water in the independent exercise training and recreational facilities in all conditions of students.

  3. Chronic Psychosocial Factors and Acute Physiological Responses to Laboratory-Induced Stress in Healthy Populations: A Quantitative Review of 30 Years of Investigations (United States)

    Chida, Yoichi; Hamer, Mark


    This meta-analysis included 729 studies from 161 articles investigating how acute stress responsivity (including stress reactivity and recovery of hypothalamic-pituitary-adrenal [HPA] axis, autonomic, and cardiovascular systems) changes with various chronic psychosocial exposures (job stress; general life stress; depression or hopelessness;…

  4. Rowing Physiology. (United States)

    Spinks, W. L.

    This review of the literature discusses and examines the methods used in physiological assessment of rowers, results of such assessments, and future directions emanating from research in the physiology of rowing. The first section discusses the energy demands of rowing, including the contribution of the energy system, anaerobic metabolism, and the…

  5. Simplified Models for LHC New Physics Searches

    CERN Document Server

    Alves, Daniele; Arora, Sanjay; Bai, Yang; Baumgart, Matthew; Berger, Joshua; Buckley, Matthew; Butler, Bart; Chang, Spencer; Cheng, Hsin-Chia; Cheung, Clifford; Chivukula, R.Sekhar; Cho, Won Sang; Cotta, Randy; D'Alfonso, Mariarosaria; El Hedri, Sonia; Essig, Rouven; Evans, Jared A.; Fitzpatrick, Liam; Fox, Patrick; Franceschini, Roberto; Freitas, Ayres; Gainer, James S.; Gershtein, Yuri; Gray, Richard; Gregoire, Thomas; Gripaios, Ben; Gunion, Jack; Han, Tao; Haas, Andy; Hansson, Per; Hewett, JoAnne; Hits, Dmitry; Hubisz, Jay; Izaguirre, Eder; Kaplan, Jared; Katz, Emanuel; Kilic, Can; Kim, Hyung-Do; Kitano, Ryuichiro; Koay, Sue Ann; Ko, Pyungwon; Krohn, David; Kuflik, Eric; Lewis, Ian; Lisanti, Mariangela; Liu, Tao; Liu, Zhen; Lu, Ran; Luty, Markus; Meade, Patrick; Morrissey, David; Mrenna, Stephen; Nojiri, Mihoko; Okui, Takemichi; Padhi, Sanjay; Papucci, Michele; Park, Michael; Park, Myeonghun; Perelstein, Maxim; Peskin, Michael; Phalen, Daniel; Rehermann, Keith; Rentala, Vikram; Roy, Tuhin; Ruderman, Joshua T.; Sanz, Veronica; Schmaltz, Martin; Schnetzer, Stephen; Schuster, Philip; Schwaller, Pedro; Schwartz, Matthew D.; Schwartzman, Ariel; Shao, Jing; Shelton, Jessie; Shih, David; Shu, Jing; Silverstein, Daniel; Simmons, Elizabeth; Somalwar, Sunil; Spannowsky, Michael; Spethmann, Christian; Strassler, Matthew; Su, Shufang; Tait, Tim; Thomas, Brooks; Thomas, Scott; Toro, Natalia; Volansky, Tomer; Wacker, Jay; Waltenberger, Wolfgang; Yavin, Itay; Yu, Felix; Zhao, Yue; Zurek, Kathryn


    This document proposes a collection of simplified models relevant to the design of new-physics searches at the LHC and the characterization of their results. Both ATLAS and CMS have already presented some results in terms of simplified models, and we encourage them to continue and expand this effort, which supplements both signature-based results and benchmark model interpretations. A simplified model is defined by an effective Lagrangian describing the interactions of a small number of new particles. Simplified models can equally well be described by a small number of masses and cross-sections. These parameters are directly related to collider physics observables, making simplified models a particularly effective framework for evaluating searches and a useful starting point for characterizing positive signals of new physics. This document serves as an official summary of the results from the "Topologies for Early LHC Searches" workshop, held at SLAC in September of 2010, the purpose of which was to develop a...

  6. Extension of the biotic ligand model of acute toxicity to a physiologically-based model of the survival time of rainbow trout (Oncorhynchus mykiss) exposed to silver. (United States)

    Paquin, Paul R; Zoltay, Viktoria; Winfield, Richard P; Wu, Kuen Benjamin; Mathew, Rooni; Santore, Robert C; Di Toro, Dominic M


    Chemical speciation controls the bioavailability and toxicity of metals in aquatic systems and regulatory agencies are recognizing this as they develop updated water quality criteria (WQC) for metals. The factors that affect bioavailability may be quantitatively evaluated with the biotic ligand model (BLM). Within the context of the BLM framework, the 'biotic ligand' is the site where metal binding results in the manifestation of a toxic effect. While the BLM does account for the speciation and complexation of dissolved metal in solution, and competition among the free metal ion and other cations for binding sites at the biotic ligand, it does not explicitly consider either the physiological effects of metals on aquatic organisms, or the direct effect of water chemistry parameters such as pH, Ca(2+)and Na(+) on the physiological state of the organism. Here, a physiologically-based model of survival time is described. In addition to incorporating the effects of water chemistry on metal availability to the organism, via the BLM, it also considers the interaction of water chemistry on the physiological condition of the organism, independent of its effect on metal availability. At the same time it explicitly considers the degree of interaction of these factors with the organism and how this affects the rate at which cumulative damage occurs. An example application of the model to toxicity data for rainbow trout exposed to silver is presented to illustrate how this framework may be used to predict survival time for alternative exposure durations. The sodium balance model (SBM) that is described herein, a specific application of a more generic ion balance model (IBM) framework, adds a new physiological dimension to the previously developed BLM. As such it also necessarily adds another layer of complexity to this already useful predictive framework. While the demonstrated capability of the SBM to predict effects in relation to exposure duration is a useful feature of this

  7. Utility of the simplified Wells and revised Geneva scores to exclude pulmonary embolism in femur fracture patients. (United States)

    Kim, Youn-Jung; Choi, Dae-Hee; Lee, Eu Sun; Ryoo, Seung Mok; Ahn, Shin; Sohn, Chang Hwan; Seo, Dong-Woo; Lim, Kyoung Soo; Kim, Won Young


    The diagnosis of acute pulmonary embolism (PE) in trauma patients is challenging. This study evaluated the diagnostic value of simplified Wells and simplified revised Geneva scores to predict PE in femur fracture patients in emergency department (ED). All consecutive adult patients with femur fractures and elevated D-dimer levels (>0.5μg/mL) who underwent CTPA within 72h of injury from January 2010 to December 2014 were included. The simplified Wells and simplified revised Geneva scores were applied to evaluate the clinical probability of PE. Among 519 femur fracture patients, 446 patients were finally included, and 23 patients (5.2%) were diagnosed with acute PE. The median values of simplified Wells and simplified revised Geneva scores [0 (IQR: 0-1) vs. 0 (IQR: 0-0), P=0.23; 3 (IQR: 2-4) vs. 3 (IQR: 2-3), P=0.48] showed no differences between the PE (n=23) and non-PE (n=423) groups. Using the simplified Wells score, 98% of the patients were categorized into the "PE unlikely" group. The sensitivity, specificity, positive predictive value, and negative predictive value of the simplified revised Geneva score (≥3 points) for the diagnosis of PE were 74%, 35%, 6%, and 96%, respectively. In femur fracture patients with elevated D-dimer levels, the simplified Wells and simplified revised Geneva scores have limited predictive value. However, the simplified revised Geneva score of <3 points may be possibly used as a diagnostic tool. Copyright © 2017 Elsevier Inc. All rights reserved.


    National Research Council Canada - National Science Library

    O. S. Golubova; N. A. Golubova


    Specificity concerning cost formation of construction work executed by entities of small business enterprises that use a simplified taxation system has a direct impact on the effectiveness of organization activity...

  9. Acute psychological and physiological effects of psilocybin in healthy humans: a double-blind, placebo-controlled dose-effect study. (United States)

    Hasler, Felix; Grimberg, Ulrike; Benz, Marco A; Huber, Theo; Vollenweider, Franz X


    Serotonin (5-Hydroxytryptamine, 5-HT) receptors play an important role in perception, affect regulation and attention. Pharmacological challenge with the 5-HT(2A) agonist psilocybin (PY) is useful in studying the neurobiological basis of cognition and consciousness. Investigation of dose-dependent effects of PY on psycho(patho)logical and physiological parameters. Eight subjects received placebo (PL), and 45 ("very low dose, VLD"), 115 ("low dose, LD"), 215 ("medium dose, MD"), and 315 ("high dose, HD") microg/kg body weight PY. The "Altered States of Consciousness Rating Scale" (5D-ASC), the "Frankfurt Attention Inventory" (FAIR), and the "Adjective Mood Rating Scale" (AMRS) were used to assess the effects of PY on psycho(patho)logical core dimensions, attention, and mood. A 24-h electrocardiogram (EKG) was recorded and blood pressure was measured. Plasma concentrations of thyroid-stimulating hormone (TSH), prolactin (PRL), cortisol (CORT), adrenocorticotropic hormone (ACTH), and standard clinical chemical parameters were determined. PY dose dependently increased scores of all 5D-ASC core dimensions. Only one subject reacted with transient anxiety to HD PY. Compared with PL, MD and HD PY led to a 50% reduction of performance in the FAIR test. "General inactivation", "emotional excitability", and "dreaminess" were the only domains of the AMRS showing increased scores following MD and HD PY. The mean arterial blood pressure (MAP) was moderately elevated only 60 min following administration of HD PY. Neither EKG nor body temperature was affected by any dose of PY. TSH, ACTH, and CORT plasma levels were elevated during peak effects of HD PY, whereas PRL plasma levels were increased following MD and HD PY. PY affects core dimensions of altered states of consciousness and physiological parameters in a dose-dependent manner. Our study provided no cause for concern that PY is hazardous with respect to somatic health.

  10. Simplified Models for LHC New Physics Searches

    Energy Technology Data Exchange (ETDEWEB)

    Alves, Daniele; /SLAC; Arkani-Hamed, Nima; /Princeton, Inst. Advanced Study; Arora, Sanjay; /Rutgers U., Piscataway; Bai, Yang; /SLAC; Baumgart, Matthew; /Johns Hopkins U.; Berger, Joshua; /Cornell U., Phys. Dept.; Buckley, Matthew; /Fermilab; Butler, Bart; /SLAC; Chang, Spencer; /Oregon U. /UC, Davis; Cheng, Hsin-Chia; /UC, Davis; Cheung, Clifford; /UC, Berkeley; Chivukula, R.Sekhar; /Michigan State U.; Cho, Won Sang; /Tokyo U.; Cotta, Randy; /SLAC; D' Alfonso, Mariarosaria; /UC, Santa Barbara; El Hedri, Sonia; /SLAC; Essig, Rouven, (ed.); /SLAC; Evans, Jared A.; /UC, Davis; Fitzpatrick, Liam; /Boston U.; Fox, Patrick; /Fermilab; Franceschini, Roberto; /LPHE, Lausanne /Pittsburgh U. /Argonne /Northwestern U. /Rutgers U., Piscataway /Rutgers U., Piscataway /Carleton U. /CERN /UC, Davis /Wisconsin U., Madison /SLAC /SLAC /SLAC /Rutgers U., Piscataway /Syracuse U. /SLAC /SLAC /Boston U. /Rutgers U., Piscataway /Seoul Natl. U. /Tohoku U. /UC, Santa Barbara /Korea Inst. Advanced Study, Seoul /Harvard U., Phys. Dept. /Michigan U. /Wisconsin U., Madison /Princeton U. /UC, Santa Barbara /Wisconsin U., Madison /Michigan U. /UC, Davis /SUNY, Stony Brook /TRIUMF; /more authors..


    This document proposes a collection of simplified models relevant to the design of new-physics searches at the LHC and the characterization of their results. Both ATLAS and CMS have already presented some results in terms of simplified models, and we encourage them to continue and expand this effort, which supplements both signature-based results and benchmark model interpretations. A simplified model is defined by an effective Lagrangian describing the interactions of a small number of new particles. Simplified models can equally well be described by a small number of masses and cross-sections. These parameters are directly related to collider physics observables, making simplified models a particularly effective framework for evaluating searches and a useful starting point for characterizing positive signals of new physics. This document serves as an official summary of the results from the 'Topologies for Early LHC Searches' workshop, held at SLAC in September of 2010, the purpose of which was to develop a set of representative models that can be used to cover all relevant phase space in experimental searches. Particular emphasis is placed on searches relevant for the first {approx} 50-500 pb{sup -1} of data and those motivated by supersymmetric models. This note largely summarizes material posted at, which includes simplified model definitions, Monte Carlo material, and supporting contacts within the theory community. We also comment on future developments that may be useful as more data is gathered and analyzed by the experiments.

  11. Mathematical physiology

    CERN Document Server

    Sneyd, James


    There has been a long history of interaction between mathematics and physiology. This book looks in detail at a wide selection of mathematical models in physiology, showing how physiological problems can be formulated and studied mathematically, and how such models give rise to interesting and challenging mathematical questions. With its coverage of many recent models it gives an overview of the field, while many older models are also discussed, to put the modern work in context. In this second edition the coverage of basic principles has been expanded to include such topics as stochastic differential equations, Markov models and Gibbs free energy, and the selection of models has also been expanded to include some of the basic models of fluid transport, respiration/perfusion, blood diseases, molecular motors, smooth muscle, neuroendrocine cells, the baroreceptor loop, turboglomerular oscillations, blood clotting and the retina. Owing to this extensive coverage, the second edition is published in two volumes. ...

  12. Regulatory Physiology (United States)

    Lane, Helen W.; Whitson, Peggy A.; Putcha, Lakshmi; Baker, Ellen; Smith, Scott M.; Stewart, Karen; Gretebeck, Randall; Nimmagudda, R. R.; Schoeller, Dale A.; Davis-Street, Janis


    As noted elsewhere in this report, a central goal of the Extended Duration Orbiter Medical Project (EDOMP) was to ensure that cardiovascular and muscle function were adequate to perform an emergency egress after 16 days of spaceflight. The goals of the Regulatory Physiology component of the EDOMP were to identify and subsequently ameliorate those biochemical and nutritional factors that deplete physiological reserves or increase risk for disease, and to facilitate the development of effective muscle, exercise, and cardiovascular countermeasures. The component investigations designed to meet these goals focused on biochemical and physiological aspects of nutrition and metabolism, the risk of renal (kidney) stone formation, gastrointestinal function, and sleep in space. Investigations involved both ground-based protocols to validate proposed methods and flight studies to test those methods. Two hardware tests were also completed.

  13. Physiological impacts of acute Cu exposure on deep-sea vent mussel Bathymodiolus azoricus under a deep-sea mining activity scenario. (United States)

    Martins, Inês; Goulart, Joana; Martins, Eva; Morales-Román, Rosa; Marín, Sergio; Riou, Virginie; Colaço, Ana; Bettencourt, Raul


    Over the past years, several studies have been dedicated to understanding the physiological ability of the vent mussel Bathymodiolus azoricus to overcome the high metal concentrations present in their surrounding hydrothermal environment. Potential deep-sea mining activities at Azores Triple junction hydrothermal vent deposits would inevitably lead to the emergence of new fluid sources close to mussel beds, with consequent emission of high metal concentrations and potential resolubilization of Cu from minerals formed during the active phase of the vent field. Copper is an essential metal playing a key role in the activation of metalloenzymes and metalloproteins responsible for important cellular metabolic processes and tissue homeostasis. However, excessive intracellular amounts of reactive Cu ions may cause irreversible damages triggering possible cell apoptosis. In the present study, B. azoricus was exposed to increasing concentrations of Cu for 96h in conditions of temperature and hydrostatic pressure similar to those experienced at the Lucky Strike hydrothermal vent field. Specimens were kept in 1L flasks, exposed to four Cu concentrations: 0μg/L (control), 300, 800 and 1600μg/L and pressurized to 1750bar. We addressed the question of how increased Cu concentration would affect the function of antioxidant defense proteins and expression of antioxidant and immune-related genes in B. azoricus. Both antioxidant enzymatic activities and gene expression were examined in gills, mantle and digestive gland tissues of exposed vent mussels. Our study reveals that stressful short-term Cu exposure has a strong effect on molecular metabolism of the hydrothermal vent mussel, especially in gill tissue. Initially, both the stress caused by unpressurization or by Cu exposure was associated with high antioxidant enzyme activities and tissue-specific transcriptional up-regulation. However, mussels exposed to increased Cu concentrations showed both antioxidant and immune

  14. Reduced cortisol and metabolic responses of thin ewes to an acute cold challenge in mid-pregnancy: implications for animal physiology and welfare.

    Directory of Open Access Journals (Sweden)

    Else Verbeek

    Full Text Available BACKGROUND: Low food availability leading to reductions in Body Condition Score (BCS; 0 indicates emaciation and 5 obesity in sheep often coincides with low temperatures associated with the onset of winter in New Zealand. The ability to adapt to reductions in environmental temperature may be impaired in animals with low BCS, in particular during pregnancy when metabolic demand is higher. Here we assess whether BCS affects a pregnant animal's ability to cope with cold challenges. METHODS: Eighteen pregnant ewes with a BCS of 2.7±0.1 were fed to attain low (LBC: BCS2.3±0.1, medium (MBC: BCS3.2±0.2 or high BCS (HBC: BCS3.6±0.2. Shorn ewes were exposed to a 6-h acute cold challenge in a climate-controlled room (wet and windy conditions, 4.4±0.1°C in mid-pregnancy. Blood samples were collected during the BCS change phase, acute cold challenge and recovery phase. RESULTS: During the BCS change phase, plasma glucose and leptin concentrations declined while free fatty acids (FFA increased in LBC compared to MBC (P<0.01, P<0.01 and P<0.05, respectively and HBC ewes (P<0.05, P<0.01 and P<0.01, respectively. During the cold challenge, plasma cortisol concentrations were lower in LBC than MBC (P<0.05 and HBC ewes (P<0.05, and FFA and insulin concentrations were lower in LBC than HBC ewes (P<0.05 and P<0.001, respectively. Leptin concentrations declined in MBC and HBC ewes while remaining unchanged in LBC ewes (P<0.01. Glucose concentrations and internal body temperature (T(core increased in all treatments, although peak T(core tended to be higher in HBC ewes (P<0.1. During the recovery phase, T4 concentrations were lower in LBC ewes (P<0.05. CONCLUSION: Even though all ewes were able to increase T(core and mobilize glucose, low BCS animals had considerably reduced cortisol and metabolic responses to a cold challenge in mid-pregnancy, suggesting that their ability to adapt to cold challenges through some of the expected pathways was reduced.

  15. Acute effects of the number of players and scoring method on physiological, physical, and technical performance in small-sided soccer games. (United States)

    Clemente, Filipe Manuel; Wong, Del P; Martins, Fernando Manuel Lourenço; Mendes, Rui Sousa


    This study aims to examine the effect of differences in the number of players and scoring method on heart rate responses, time-motion characteristics, and technical/tactical performance during small-sided soccer games. Ten male amateur soccer players (26.4 ± 5.3 years old, 8.4 ± 3.2 years of practice, 179.3 ± 5.2 cm body height, 71.2 ± 7.1 kg body weight, 45.8 ± 2.6 from the Portuguese regional league played nine different small-sided games (i.e., 3 formats × 3 scoring methods). The study used two-way MANOVA, two-away ANOVA, and one-way ANOVA, depending on the specific procedure for the analysis. Compared with other formats, 2v2 induced significantly greater values of technical/tactical indexes (p = 0.001), 3v3 induced significantly higher %HRreserve values (p = 0.001), and 4v4 led to significantly greater distance coverage and speed (p = 0.001). The study provided evidence for coaches to set different small-sided game conditions depending on the training purpose in terms of physiological, physical, and technical performance.

  16. Acute exercise and physiological insulin induce distinct phosphorylation signatures on TBC1D1 and TBC1D4 in human skeletal muscle

    DEFF Research Database (Denmark)

    Treebak, Jonas Thue; Pehmøller, Christian; Kristensen, Jonas Møller


    We investigated the phosphorylation signatures of two Rab GTPase activating proteins TBC1D1 and TBC1D4 in human skeletal muscle in response to physical exercise and physiological insulin levels induced by a carbohydrate rich meal using a paired experimental design. Eight healthy male volunteers......; TBC1D4: S588, S751), and that responded to both insulin and exercise (TBC1D1: T596; TBC1D4: S341, T642, S704). In the insulin stimulated leg, Akt phosphorylation on both T308 and S473 correlated significantly with multiple sites on both TBC1D1 (T596) and TBC1D4 (S318, S341, S704). Interestingly......, in the exercised leg in the fasted state TBC1D1 phosphorylation (S237, T596) correlated significantly with the activity of the α2β2γ3 AMPK trimer, whereas TBC1D4 phosphorylation (S341, S704) correlated with the activity of the α2β2γ1 AMPK trimer. Our data show differential phosphorylation of TBC1D1 and TBC1D4...

  17. Reproductive physiology (United States)

    Gee, G.F.; Russman, S.E.; Ellis, David H.; Gee, George F.; Mirande, Claire M.


    Conclusions: Although the general pattern of avian physiology applies to cranes, we have identified many physiological mechanisms (e.g., effects of disturbance) that need further study. Studies with cranes are expensive compared to those done with domestic fowl because of the crane's larger size, low reproductive rate, and delayed sexual maturity. To summarize, the crane reproductive system is composed of physiological and anatomical elements whose function is controlled by an integrated neural-endocrine system. Males generally produce semen at a younger age than when females lay eggs. Eggs are laid in clutches of two (1 to 3), and females will lay additional clutches if the preceding clutches are removed. Both sexes build nests and incubate the eggs. Molt begins during incubation and body molt may be completed annually in breeding pairs. However, remiges are replaced sequentially over 2 to 3 years, or abruptly every 2 to 3 years in other species. Most immature birds replace their juvenal remiges over a 2 to 3 year period. Stress interferes with reproduction in cranes by reducing egg production or terminating the reproductive effort. In other birds, stress elevates corticosterone levels and decreases LHRH release. We know little about the physiological response of cranes to stress.

  18. Exercise physiology

    DEFF Research Database (Denmark)

    Kiens, Bente; Richter, Erik; Wojtaszewski, Jørgen


    The passing of Professor Bengt Saltin on September 12, 2014 truly marks the end of an era. As editor of the Journal of Applied Physiology and one of Bengt’s many collaborators and colleagues, I wanted the Journal to celebrate his many seminal contributions by means of an Editorial. Professor Bente...

  19. Responses of juvenile sea bass, Dicentrarchus labrax, exposed to acute concentrations of crude oil, as assessed by molecular and physiological biomarkers. (United States)

    Kerambrun, E; Le Floch, S; Sanchez, W; Thomas Guyon, H; Meziane, T; Henry, F; Amara, R


    In the present study, juvenile sea bass were exposed for 48 and 96 h to an Arabian light crude oil and their responses were assessed at the molecular and physiological levels. The aim of the study was therefore to assess (i) the short term effects of crude oil exposure by the measurement of several molecular biomarkers, (ii) the consequences of this short term exposure on fish health by using growth and condition indices measured after a decontamination period of 28 and 26 d in seawater. Hydrocarbon petroleum concentrations was monitored during the 96 h experiments and an increase of PAH concentrations were found in fish following both exposure times. An 7-ethoxyresorufin-O-deethylase (EROD) induction was observed after 48 h of exposure, while a significant decrease in the sea bass specific growth rate in length and for the RNA:DNA ratio was observed 28 d after that exposure ceased. The EROD induction doubled after the 96 h exposure, and a significant increase in GST activities was observed. A significant decrease in the specific growth rates, the otolith recent growth, the RNA:DNA ratio and the Fulton's K condition index were then observed in sea bass 26 d after the 96 h exposure to mechanically dispersed crude oil compared to the control. The present study shows that growth and condition indices can prove useful in assessing fish health status following an oil spill. Their complementary analysis with sensitive molecular biomarkers as EROD could improve the determination of oil spill impact on fish populations. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. [Simplified laparoscopic gastric bypass. Initial experience]. (United States)

    Hernández-Miguelena, Luis; Maldonado-Vázquez, Angélica; Cortes-Romano, Pablo; Ríos-Cruz, Daniel; Marín-Domínguez, Raúl; Castillo-González, Armando


    Obesity surgery includes various gastrointestinal procedures. Roux-en-Y gastric bypass is the prototype of mixed procedures being the most practiced worldwide. A similar and novel technique has been adopted by Dr. Almino Cardoso Ramos and Dr. Manoel Galvao called "simplified bypass," which has been accepted due to the greater ease and very similar results to the conventional technique. The aim of this study is to describe the results of the simplified gastric bypass for treatment of morbid obesity in our institution. We performed a descriptive, retrospective study of all patients undergoing simplified gastric bypass from January 2008 to July 2012 in the obesity clinic of a private hospital in Mexico City. A total of 90 patients diagnosed with morbid obesity underwent simplified gastric bypass. Complications occurred in 10% of patients; these were more frequent bleeding and internal hernia. Mortality in the study period was 0%. The average weight loss at 12 months was 72.7%. Simplified gastric bypass surgery is safe with good mid-term results and a loss of adequate weight in 71% of cases.

  1. Physiological Acute Response to High-Intensity Intermittent and Moderate-Intensity Continuous 5 km Running Performance: Implications for Training Prescription (United States)

    Cabral-Santos, Carolina; Gerosa-Neto, José; Inoue, Daniela S.; Rossi, Fabrício E.; Cholewa, Jason M.; Panissa, Valéria L. G.; Lira, Fábio S.


    Abstract The aim of this study was to investigate the physiological responses to moderate-intensity continuous and high-intensity intermittent exercise. Twelve physically active male subjects were recruited and completed a 5-km run on a treadmill in two experimental sessions in randomized order: continuously (70% sVO2max) and intermittently (1:1 min at sVO2max). Oxygen uptake, excess post-exercise oxygen consumption, lactate concentration, heart rate and rating of perceived exertion data were recorded during and after each session. The lactate levels exhibited higher values immediately post-exercise than at rest (High-Intensity: 1.43 ± 0.25 to 7.36 ± 2.78; Moderate-Intensity: 1.64 ± 1.01 to 4.05 ± 1.52 mmol⋅L−1, p = 0.0004), but High-Intensity promoted higher values (p = 0.001) than Moderate-Intensity. There was a difference across time on oxygen uptake at all moments tested in both groups (High-Intensity: 100.19 ± 8.15L; Moderate-Intensity: 88.35 ± 11.46, p exercise conditions promoted increases in excess postexercise oxygen consumption (High-Intensity: 6.61 ± 1.85 L; Moderate-Intensity: 5.32 ± 2.39 L, p exercise protocol. High-Intensity was more effective at modifying the heart rate and rating of perceived exertion (High-Intensity: 183 ± 12.54 and 19; Moderate-Intensity: 172 ± 8.5 and 16, respectively, p exercise exhibited different lactate concentrations, heart rate and rating of perceived exertion. As expected, the metabolic contribution also differed, and High-Intensity induced higher energy expenditure, however, the total duration of the session may have to be taken into account. Moreover, when following moderate-intensity training, the percentage of sVO2max and the anaerobic threshold might influence exercise and training responses. PMID:28469751

  2. Physiological Acute Response to High-Intensity Intermittent and Moderate-Intensity Continuous 5 km Running Performance: Implications for Training Prescription. (United States)

    Cabral-Santos, Carolina; Gerosa-Neto, José; Inoue, Daniela S; Rossi, Fabrício E; Cholewa, Jason M; Campos, Eduardo Z; Panissa, Valéria L G; Lira, Fábio S


    The aim of this study was to investigate the physiological responses to moderate-intensity continuous and high-intensity intermittent exercise. Twelve physically active male subjects were recruited and completed a 5-km run on a treadmill in two experimental sessions in randomized order: continuously (70% sVO 2max ) and intermittently (1:1 min at sVO 2max ). Oxygen uptake, excess post-exercise oxygen consumption, lactate concentration, heart rate and rating of perceived exertion data were recorded during and after each session. The lactate levels exhibited higher values immediately post-exercise than at rest (High-Intensity: 1.43 ± 0.25 to 7.36 ± 2.78; Moderate-Intensity: 1.64 ± 1.01 to 4.05 ± 1.52 mmol⋅L -1 , p = 0.0004), but High-Intensity promoted higher values (p = 0.001) than Moderate-Intensity. There was a difference across time on oxygen uptake at all moments tested in both groups (High-Intensity: 100.19 ± 8.15L; Moderate-Intensity: 88.35 ± 11.46, p < 0.001). Both exercise conditions promoted increases in excess postexercise oxygen consumption (High-Intensity: 6.61 ± 1.85 L; Moderate-Intensity: 5.32 ± 2.39 L, p < 0.005), but higher values were observed in the High-Intensity exercise protocol. High-Intensity was more effective at modifying the heart rate and rating of perceived exertion (High-Intensity: 183 ± 12.54 and 19; Moderate-Intensity: 172 ± 8.5 and 16, respectively, p < 0.05). In conclusion, over the same distance, Moderate-Intensity and High-Intensity exercise exhibited different lactate concentrations, heart rate and rating of perceived exertion. As expected, the metabolic contribution also differed, and High-Intensity induced higher energy expenditure, however, the total duration of the session may have to be taken into account. Moreover, when following moderate-intensity training, the percentage of sVO 2max and the anaerobic threshold might influence exercise and training responses.

  3. Setting limits on supersymmetry using simplified models

    CERN Document Server

    Gutschow, C.


    Experimental limits on supersymmetry and similar theories are difficult to set because of the enormous available parameter space and difficult to generalize because of the complexity of single points. Therefore, more phenomenological, simplified models are becoming popular for setting experimental limits, as they have clearer physical implications. The use of these simplified model limits to set a real limit on a concrete theory has not, however, been demonstrated. This paper recasts simplified model limits into limits on a specific and complete supersymmetry model, minimal supergravity. Limits obtained under various physical assumptions are comparable to those produced by directed searches. A prescription is provided for calculating conservative and aggressive limits on additional theories. Using acceptance and efficiency tables along with the expected and observed numbers of events in various signal regions, LHC experimental results can be re-cast in this manner into almost any theoretical framework, includ...

  4. Hypersonic Vehicle Propulsion System Simplified Model Development (United States)

    Stueber, Thomas J.; Raitano, Paul; Le, Dzu K.; Ouzts, Peter


    This document addresses the modeling task plan for the hypersonic GN&C GRC team members. The overall propulsion system modeling task plan is a multi-step process and the task plan identified in this document addresses the first steps (short term modeling goals). The procedures and tools produced from this effort will be useful for creating simplified dynamic models applicable to a hypersonic vehicle propulsion system. The document continues with the GRC short term modeling goal. Next, a general description of the desired simplified model is presented along with simulations that are available to varying degrees. The simulations may be available in electronic form (FORTRAN, CFD, MatLab,...) or in paper form in published documents. Finally, roadmaps outlining possible avenues towards realizing simplified model are presented.

  5. Simplified design of switching power supplies

    CERN Document Server

    Lenk, John


    * Describes the operation of each circuit in detail * Examines a wide selection of external components that modify the IC package characteristics * Provides hands-on, essential information for designing a switching power supply Simplified Design of Switching Power Supplies is an all-inclusive, one-stop guide to switching power-supply design. Step-by-step instructions and diagrams render this book essential for the student and the experimenter, as well as the design professional. Simplified Design of Switching Power Supplies concentrates on the use of IC regulators. All popular forms of swit

  6. Simplified design of micropower and battery circuits

    CERN Document Server

    Lenk, John


    'Simplified Design of Micropower and Battery Circuits' provides a simplified, step-by-step approach to micropower and supply cell circuit design. No previous experience in design is required to use the techniques described, thus making the book well suited for the beginner, student, or experimenter as well as the design professional.The book concentrates on the use of commercial micropower ICs by discussing selections of external components that modify the IC-package characteristics. The basic approach is to start design problems with approximations for trial-value components in expe

  7. Simplified design of switching power supplies

    CERN Document Server

    Lenk, John


    Simplified Design of Switching Power Supplies is an all-inclusive, one-stop guide to switching power-supply design. Step-by-step instructions and diagrams render this book essential for the student and the experimenter, as well as the design professional.Simplified Design of Switching Power Supplies concentrates on the use of IC regulators. All popular forms of switching supplies, including DC-DC converters, inverters, buck, boost, buck-boost, pulse frequency modulation, pulse width modulation, current-mode control and pulse skipping, are described in detail. The design examples may


    Directory of Open Access Journals (Sweden)



    Full Text Available Acid-base, electrolyte, and metabolic disturbances are common in the intensive care unit. Almost all critically ill patients often suffer from compound acid-base and electrolyte disorders. Successful evaluation and management of such patients requires recognition of common patterns (e.g., metabolic acidosis and the ability to dissect one disorder from another. The intensivists needs to identify and correct these condition with the easiest available tools as they are the associated with multiorgan failure. Understanding the elements of normal physiology in these areas is very important so as to diagnose the pathological condition and take adequate measures as early as possible. Arterial blood gas analysis is one such tool for early detection of acid base disorder. Physiology of acid base is complex and here is the attempt to simplify it in our day to day application for the benefit of critically ill patients.

  9. The effect of high-frequency oscillatory ventilation combined with tracheal gas insufflation on extravascular lung water in patients with acute respiratory distress syndrome: a randomized, crossover, physiologic study. (United States)

    Vrettou, Charikleia S; Zakynthinos, Spyros G; Malachias, Sotirios; Mentzelopoulos, Spyros D


    High-frequency oscillation combined with tracheal gas insufflation (HFO-TGI) improves oxygenation in patients with acute respiratory distress syndrome (ARDS). There are limited physiologic data regarding the effects of HFO-TGI on hemodynamics and pulmonary edema during ARDS. The aim of this study was to investigate the effect of HFO-TGI on extravascular lung water (EVLW). We conducted a prospective, randomized, crossover study. Consecutive eligible patients with ARDS received sessions of conventional mechanical ventilation with recruitment maneuvers (RMs), followed by HFO-TGI with RMs, or vice versa. Each ventilatory technique was administered for 8 hours. The order of administration was randomly assigned. Arterial/central venous blood gas analysis and measurement of hemodynamic parameters and EVLW were performed at baseline and after each 8-hour period using the single-indicator thermodilution technique. Twelve patients received 32 sessions. Pao2/fraction of inspired oxygen and respiratory system compliance were higher (Plung water index to predicted body weight and oxygenation index were lower (P=.021 and .029, respectively) in HFO-TGI compared with conventional mechanical ventilation. There was a significant correlation between Pao2/fraction of inspired oxygen improvement and extravascular lung water index drop during HFO-TGI (Rs=-0.452, P=.009). High-frequency oscillation combined with tracheal gas insufflation improves gas exchange and lung mechanics in ARDS and potentially attenuates EVLW accumulation. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. Occupational physiology

    CERN Document Server

    Toomingas, Allan; Tornqvist, Ewa Wigaeus


    In a clear and accessible presentation, Occupational Physiology focuses on important issues in the modern working world. Exploring major public health problems-such as musculoskeletal disorders and stress-this book explains connections between work, well-being, and health based on up-to-date research in the field. It provides useful methods for risk assessment and guidelines on arranging a good working life from the perspective of the working individual, the company, and society as a whole.The book focuses on common, stressful situations in different professions. Reviewing bodily demands and r

  11. Pavlov and integrative physiology. (United States)

    Smith, G P


    Ivan Petrovich Pavlov was the first physiologist to win the Nobel Prize. The Prize was given in 1904 for his research on the neural control of salivary, gastric, and pancreatic secretion. A major reason for the success and novelty of his research was the use of unanesthetized dogs surgically prepared with chronic fistulas or gastric pouches that permitted repeated experiments in the same animal for months. Pavlov invented this chronic method because of the limitations he perceived in the use of acute anesthetized animals for investigating physiological systems. By introducing the chronic method and by showing its experimental advantages, Pavlov founded modern integrative physiology. This paper reviews Pavlov's journey from his birthplace in a provincial village in Russia to Stockholm to receive the Prize. It begins with childhood influences, describes his training and mentors, summarizes the major points of his research by reviewing his book Lectures on the Work of the Digestive Glands, and discusses his views on the relationship between physiology and medicine.

  12. Heterogeneous Computing in Economics: A Simplified Approach

    DEFF Research Database (Denmark)

    Dziubinski, Matt P.; Grassi, Stefano

    This paper shows the potential of heterogeneous computing in solving dynamic equilibrium models in economics. We illustrate the power and simplicity of the C++ Accelerated Massive Parallelism recently introduced by Microsoft. Starting from the same exercise as Aldrich et al. (2011) we document...... a speed gain together with a simplified programming style that naturally enables parallelization....

  13. Simplified Signalling System: A Beginning Reading Orthography. (United States)

    McClintick, Otto F.

    A beginning reading alphabet identified as the Simplified Signalling System was developed in this study for the teaching of reading. The system consisted of (1) key symbols and augmentations used in the introduction for beginning and remedial readers and (2) transliteration of sample materials suggested for use by beginning and remedial readers.…

  14. Simplified flow cytometric assay to detect minimal residual disease in childhood with acute lymphoblastic leukemia Detecção de doença residual mínima em crianças com leucemia linfoblástica aguda por citometria de fluxo

    Directory of Open Access Journals (Sweden)

    Elizabete Delbuono


    Full Text Available The detection of minimal residual disease (MRD is an important prognostic factor in childhood acute lymphoblastic leukemia (ALL providing crucial information on the response to treatment and risk of relapse. However, the high cost of these techniques restricts their use in countries with limited resources. Thus, we prospectively studied the use of flow cytometry (FC with a simplified 3-color assay and a limited antibody panel to detect MRD in the bone marrow (BM and peripheral blood (PB of children with ALL. BM and PB samples from 40 children with ALL were analyzed on days (d 14 and 28 during induction and in weeks 24-30 of maintenance therapy. Detectable MRD was defined as > 0.01% cells expressing the aberrant immunophenotype as characterized at diagnosis among total events in the sample. A total of 87% of the patients had an aberrant immunophenotype at diagnosis. On d14, 56% of the BM and 43% of the PB samples had detectable MRD. On d28, this decreased to 45% and 31%, respectively. The percentage of cells with the aberrant phenotype was similar in both BM and PB in T-ALL but about 10 times higher in the BM of patients with B-cell-precursor ALL. Moreover, MRD was detected in the BM of patients in complete morphological remission (44% on d14 and 39% on d28. MRD was not significantly associated to gender, age, initial white blood cell count or cell lineage. This FC assay is feasible, affordable and readily applicable to detect MRD in centers with limited resources.A detecção de doença residual mínima (DRM é um importante fator prognóstico na leucemia linfóide aguda (LLA infantil e fornece informações sobre a resposta ao tratamento e o risco de recaída. Entretanto, os altos custos das técnicas utilizadas limitam seu uso nos países em desenvolvimento. Desta forma, realizamos um estudo prospectivo para avaliar a citometria de fluxo (CF, utilizando três fluorescências e um painel limitado de anticorpos monoclonais, como método de detec

  15. The use of simplified English language for writing technical documentation: The proposal for a research project

    Directory of Open Access Journals (Sweden)

    Pendić Zoran R.


    Full Text Available Natural language permits an enormous amount of expressive variation. Writers, especially technical writers, tend to develop special vocabularies (jargons, styles, and grammatical constructions. Technical language becomes opaque not just to ordinary readers, but to experts as well. The problem becomes particularly acute when such text is translated into another language, since the translator may not even be an expert in the technical domain. Controlled Languages (CL have been developed to counter the tendency of writers to use unusual or overly-specialized, inconsistent language [1, Section 7.6]. Engineering professionals know that making text understandable is very challenging in domestic environment (Serbian language, and especially in an international environment (mostly English language. Simplified Serbian language could help in domestic environment. Simplified English language already helps in international environment. Simplified English is sometimes used as a generic term for a controlled language. Simplified English is the original name of a controlled language originally developed for aerospace industry to facilitate the use of maintenance manuals by engineers for whom English is not the native language. It is now officially known under its trademarked name as Simplified Technical English (STE. Although STE is developed for use in the aerospace and defense industries, other industries have used it as a basis for developing their own controlled English standards, which are mostly used for making appropriate technical documentation.

  16. Physiological Acoustics (United States)

    Young, Eric D.

    The analysis of physiological sound in the peripheral auditory system solves three important problems. First, sound energy impinging on the head must be captured and presented to the transduction apparatus in the ear as a suitable mechanical signal; second, this mechanical signal needs to be transduced into a neural representation that can be used by the brain; third, the resulting neural representation needs to be analyzed by central neurons to extract information useful to the animal. This chapter provides an overview of some aspects of the first two of these processes. The description is entirely focused on the mammalian auditory system, primarily on human hearing and on the hearing of a few commonly used laboratory animals (mainly rodents and carnivores). Useful summaries of non-mammalian hearing are available [1]. Because of the large size of the literature, review papers are referenced wherever possible.

  17. The simplified models approach to constraining supersymmetry

    Energy Technology Data Exchange (ETDEWEB)

    Perez, Genessis [Institut fuer Theoretische Physik, Karlsruher Institut fuer Technologie (KIT), Wolfgang-Gaede-Str. 1, 76131 Karlsruhe (Germany); Kulkarni, Suchita [Laboratoire de Physique Subatomique et de Cosmologie, Universite Grenoble Alpes, CNRS IN2P3, 53 Avenue des Martyrs, 38026 Grenoble (France)


    The interpretation of the experimental results at the LHC are model dependent, which implies that the searches provide limited constraints on scenarios such as supersymmetry (SUSY). The Simplified Models Spectra (SMS) framework used by ATLAS and CMS collaborations is useful to overcome this limitation. SMS framework involves a small number of parameters (all the properties are reduced to the mass spectrum, the production cross section and the branching ratio) and hence is more generic than presenting results in terms of soft parameters. In our work, the SMS framework was used to test Natural SUSY (NSUSY) scenario. To accomplish this task, two automated tools (SModelS and Fastlim) were used to decompose the NSUSY parameter space in terms of simplified models and confront the theoretical predictions against the experimental results. The achievement of both, just as the strengths and limitations, are here expressed for the NSUSY scenario.

  18. Development of a simplified biofilm model (United States)

    Sarkar, Sushovan; Mazumder, Debabrata


    A simplified approach for analyzing the biofilm process in deriving an easy model has been presented. This simplified biofilm model formulated correlations between substrate concentration in the influent/effluent and at biofilm-liquid interface along with substrate flux and biofilm thickness. The model essentially considered the external mass transport according to Fick's Law, steady state substrate as well as biomass balance for attached growth microorganisms. In substrate utilization, Monod growth kinetics has been followed incorporating relevant boundary conditions at the liquid-biofilm interface and at the attachment surface. The numerical solution of equations was accomplished using Runge-Kutta method and accordingly an integrated computer program was developed. The model has been successfully applied in a distinct set of trials with varying range of representative input variables. The model performance was compared with available existing methods and it was found an easy, accurate method that can be used for process design of biofilm reactor.

  19. Cloud computing can simplify HIT infrastructure management. (United States)

    Glaser, John


    Software as a Service (SaaS), built on cloud computing technology, is emerging as the forerunner in IT infrastructure because it helps healthcare providers reduce capital investments. Cloud computing leads to predictable, monthly, fixed operating expenses for hospital IT staff. Outsourced cloud computing facilities are state-of-the-art data centers boasting some of the most sophisticated networking equipment on the market. The SaaS model helps hospitals safeguard against technology obsolescence, minimizes maintenance requirements, and simplifies management.


    Directory of Open Access Journals (Sweden)

    O. S. Golubova


    Full Text Available Specificity concerning cost formation of construction work executed by  entities of small business enterprises that use a simplified taxation system has a direct impact on the effectiveness of organization activity. Dozens of business entities applying various taxation systems are involved in the execution of the construction process. For this reason an inclusion of taxes in work cost may have a decisive influence on the selection of a contractor for an object construction.  

  1. Simplified robot arm dynamics for control (United States)

    Bejczy, A. K.; Paul, R. P.


    A brief summary and evaluation is presented on the use of symbolic state equation techniques in order to represent robot arm dynamics with sufficient accuracy for controlling arm motion. The use of homogeneous transformations and the Lagrangian formulation of mechanics offers a convenient frame for the derivation, analysis and simplification of complex robot dynamics equations. It is pointed out that simplified state equations can represent robot arm dynamics with good accuracy.

  2. Estimating performance of HRSGs is simplified

    Energy Technology Data Exchange (ETDEWEB)

    Ganapathy, V. (ABCO Industries, Abilene, TX (United States))


    This article describes calculating heat recovery steam generators (HRSG) performance without the use of an elaborate computer program. In designing HRSG, used in gas-turbine-based cogeneration plants, the following information must be calculated: HRSG steam production in the fired and unfired mode, oxygen content of the exhaust, and fuel consumption. With the simplified procedure described, engineers can obtain the information quickly without consulting HRSG suppliers or using a computer program.

  3. A comparison of the Acute Physiology and Chronic Health Evaluation (APACHE) II score and the Trauma-Injury Severity Score (TRISS) for outcome assessment in Srinagarind Intensive Care Unit trauma patients. (United States)

    Thanapaisal, Chaiyut; Saksaen, Puthipong


    To assess the ability of the Acute Physiology and Chronic Health Evaluation (APACHE II) system and Trauma-Injury Severity Scoring (TRISS) system in predicting group mortality in intensive care unit (ICU) trauma patients. The trauma patients admitted to ICU at Srinagarind Hospital between June 2008 and December 2010 were studied. For each patient, demographic data, mechanism of injury and surgical status were collected. The probability of death was calculated for each patient based on the APACHE II and TRISS equations. The ability to predict group mortality for APACHE II and TRISS was assessed by receiver operating characteristic curve analysis, two by two decision matrices and calibration curve analysis. One hundred and thirty-two trauma patients were admitted to the ICU. Twenty-seven (20%) patients died and hundred and five (80%) survived. There were significant differences between survivors and non-survivors in Glasgow Coma Scale, Revised Trauma Score, Injury Severity Score and APACHE II score. By receiver operating characteristic (ROC) curve analysis, the areas under the curves (+/- SEM) of APACHE II and TRISS were 0.89 +/- 0.04 and 0.83 +/- 0.04, respectively. Using two by two decision matrices with a decision criterion of 0.5, the sensitivities, specificities and percentages correctly classified were 44.4%, 98.1% and 87.1%, respectively for APACHE II and 25.9%, 98.1% and 83.3%, respectively, for TRISS. From the calibration curves, the r2 value was 0.99 (p = 0.0001) for APACHE II and 0.98 (p = 0.0001) for TRISS. Both APACHE II and TRISS scores were shown to accurately predict group mortality in ICU trauma patients. APACHE II and TRISS may be utilized for quality assurance in ICU trauma patients. However, neither APACHE II nor TRISS provides sufficient confidence for prediction of outcome of individual patients.

  4. Retrospective study on prognostic importance of serum procalcitonin and amino - terminal pro - brain natriuretic peptide levels as compared to Acute Physiology and Chronic Health Evaluation IV Score on Intensive Care Unit admission, in a mixed Intensive Care Unit population

    Directory of Open Access Journals (Sweden)

    Chitra Mehta


    Full Text Available Background: Timely decision making in Intensive Care Unit (ICU is very essential to improve the outcome of critically sick patients. Conventional scores like Acute Physiology and Chronic Health Evaluation (APACHE IV are quite cumbersome with calculations and take minimum 24 hours. Procalcitonin has shown to have prognostic value in ICU/Emergency department (ED in disease states like pneumonia, sepsis etc. NTproBNP has demonstrated excellent diagnostic and prognostic importance in cardiac diseases. It has also been found elevated in non-cardiac diseases. We chose to study the prognostic utility of these markers on ICU admission. Settings and Design: Retrospective observational study. Materials and Methods: A Retrospective analysis of 100 eligible patients was done who had undergone PCT and NTproBNP measurements on ICU admission. Their correlations with all cause mortality, length of hospital stay, need for ventilator support, need for vasopressors were performed. Results: Among 100 randomly selected ICU patients, 28 were non-survivors. NTproBNP values on admission significantly correlated with all cause mortality (P = 0.036, AUC = 0.643 and morbidity (P = 0.000, AUC = 0.763, comparable to that of APACHE-IV score. PCT values on admission did not show significant association with mortality, but correlated well with morbidity and prolonged hospital length of stay (AUC = 0.616, P = 0.045. Conclusion: The current study demonstrated a good predictive value of NTproBNP, in terms of mortality and morbidity comparable to that of APACHE-IV score. Procalcitonin, however, was found to have doubtful prognostic importance. These findings need to be confirmed in a prospective larger study.

  5. Physiological Mechanisms of Acute Intestinal Radiation Death (United States)


    SUPPLEMENTARY NOTATION This work was sponsored by the Defense Nuclear Agency under PDT &E RMSS Code 3350085466 U99QMXMKO0040 H2590D. 17 COSATi CODES 18...irradiation had no effect on survival time in the pure gut death dose range where survival time is dose independent (Figure 8). Hence antimicrobial ...Figures 10 and 11) when there is an overlap of intestinal and hematopoietic injuries in these animals. Hence, antimicrobial therapy after irradiation

  6. Physiological Determinants of Human Acute Hypoxia Tolerance (United States)


    exp 2 2 2 22            −= 4 Finger Plethysmographic Hemodynamic Variables Beat-to-beat arterial blood pressure ( ABP ) and its first...derivative were continuously recorded using finger photo- plesthysmography (NexFin, BMEYE B.V., Amsterdam, The Netherlands). ABP values were corrected to...brief plateau periods lasting several seconds. ABP tended to increase with exposure to hy- poxia, but the magnitude was variable across subjects

  7. Space Physiology within an Exercise Physiology Curriculum (United States)

    Carter, Jason R.; West, John B.


    Compare and contrast strategies remain common pedagogical practices within physiological education. With the support of an American Physiological Society Teaching Career Enhancement Award, we have developed a junior- or senior-level undergraduate curriculum for exercise physiology that compares and contrasts the physiological adaptations of…

  8. Swimming physiology. (United States)

    Holmér, I


    Swimming takes place in a medium, that presents different gravitational and resistive forces, respiratory conditions and thermal stress compared to air. The energy cost of propulsion in swimming is high, but a considerable reduction occurs at a given velocity as result of regular swim training. In medley swimmers the energy cost is lowest for front crawl, followed by backstroke, butterfly and breast-stroke. Cardiac output is probably not limiting for performance since swimmers easily achieve higher values during running. Maximal heart rate, however, is lowered by approx. 10 beats/min during swimming compared to running. Most likely active muscle mass is smaller and rate of power production lesser in swimming. Local factors, such as peripheral circulation, capillary density, perfusion pressure and metabolic capacity of active muscles, are important determinants of the power production capacity and emphasize the role of swim specific training movements. Improved swimming technique and efficiency are likely to explain much of the continuous progress in performance. Rational principles based on improved understanding of the biomechanics and physiology of swimming should be guidelines for swimmers and coaches in their efforts to explore the limits of human performance.

  9. Chinese-Mandarin Table of Simplified Chinese Characters. (United States)

    Defense Language Inst., Monterey, CA.

    The table of 545 simplified Chinese characters indicates the proper forms for general use according to the State Council of the People's Republic of China. The simplified characters are arranged according to a system that combines stroke counting and stroke order. Alongside the simplified characters are their traditional and more complex forms,…

  10. Comparing three clinical prediction rules for primarily predicting the 30-day mortality of patients with pulmonary embolism: The "Simplified Revised Geneva Score," the "Original PESI," and the "Simplified PESI". (United States)

    Tamizifar, Babak; Fereyduni, Farid; Esfahani, Morteza Abdar; Kheyri, Saeed


    Patients with suspected pulmonary embolism (PE) should be evaluated for the clinical probability of PE using an applicable risk score. The Geneva prognostic score, the PE Severity Index (PESI), and its simplified version (sPESI) are well-known clinical prognostic scores for PE. The purpose of this study was to analyze these clinical scores as prognostic tools. A historical cohort study was conducted on patients with acute PE in Al-Zahra Teaching Hospital, Isfahan, Iran, from June 2013 to August 2014. To compare survival in the 1-month follow-up and factor-analyze mortality from the survival graph, Kaplan-Meier, and log-rank logistic regression were applied. Two hundred and twenty four patients were assigned to two "low risk" and "high risk" groups using the three versions of "Simplified PESI, Original PESI, and Simplified Geneva." They were followed for a period of 1 month after admission. The overall mortality rate within 1 month from diagnosis was about 24% (95% confidence interval, 21.4-27.2). The mortality rate of low risk PE patients was about 4% in the PESI, 17% in the Geneva, and <1% in the simplified PESI scales (P < 0.005). The mortality rate among high risk patients was 33%, 33.5%, and 27.5%, respectively. Among patients with acute PE, the simplified PESI model was able to accurately predict mortality rate for low risk patients. Among high risk patients, however, the difference between the three models in predicting prognosis was not significant.

  11. Chronic Meningitis: Simplifying a Diagnostic Challenge. (United States)

    Baldwin, Kelly; Whiting, Chris


    Chronic meningitis can be a diagnostic dilemma for even the most experienced clinician. Many times, the differential diagnosis is broad and encompasses autoimmune, neoplastic, and infectious etiologies. This review will focus on a general approach to chronic meningitis to simplify the diagnostic challenges many clinicians face. The article will also review the most common etiologies of chronic meningitis in some detail including clinical presentation, diagnostic testing, treatment, and outcomes. By using a case-based approach, we will focus on the key elements of clinical presentation and laboratory analysis that will yield the most rapid and accurate diagnosis in these complicated cases.

  12. Simplified cryopreservation of porcine cloned blastocysts

    DEFF Research Database (Denmark)

    Du, Yutao; Zhang, Yunhai; Li, Juan


    )â€"handmade cloning (HMC)â€"to establish a simplified and efficient cryopreservation system for porcine cloned embryos. In Experiment 1, zonae pellucidae of oocytes were partially digested with pronase, followed by centrifugation to polarize lipid particles. Ninety percent (173/192) oocytes were successfully......). Our results prove that porcine embryos produced from delipated oocytes by PA or HMC can be cryopreserved effectively by ultrarapid vitrification. Further experiments are required to assess the in vivo developmental competence of the cloned-vitrified embryos  ...

  13. A simplified multisupport response spectrum method (United States)

    Ye, Jihong; Zhang, Zhiqiang; Liu, Xianming


    A simplified multisupport response spectrum method is presented. The structural response is a sum of two components of a structure with a first natural period less than 2 s. The first component is the pseudostatic response caused by the inconsistent motions of the structural supports, and the second is the structural dynamic response to ground motion accelerations. This method is formally consistent with the classical response spectrum method, and the effects of multisupport excitation are considered for any modal response spectrum or modal superposition. If the seismic inputs at each support are the same, the support displacements caused by the pseudostatic response become rigid body displacements. The response spectrum in the case of multisupport excitations then reduces to that for uniform excitations. In other words, this multisupport response spectrum method is a modification and extension of the existing response spectrum method under uniform excitation. Moreover, most of the coherency coefficients in this formulation are simplified by approximating the ground motion excitation as white noise. The results indicate that this simplification can reduce the calculation time while maintaining accuracy. Furthermore, the internal forces obtained by the multisupport response spectrum method are compared with those produced by the traditional response spectrum method in two case studies of existing long-span structures. Because the effects of inconsistent support displacements are not considered in the traditional response spectrum method, the values of internal forces near the supports are underestimated. These regions are important potential failure points and deserve special attention in the seismic design of reticulated structures.

  14. [Human physiology: kidney]. (United States)

    Natochin, Iu V


    The content of human physiology as an independent part of current physiology is discussed. Substantiated is the point that subjects of human physiology are not only special sections of physiology where functions are inherent only in human (physiology of intellectual activity, speech, labor, sport), but also in peculiarities of functions, specificity of regulation of each of physiological systems. By the example of physiology of kidney and water-salt balance there are shown borders of norm, peculiarities of regulation in human, new chapters of renal physiology which have appeared in connection with achievements of molecular physiology.

  15. A simplified immunohistochemical classification of skeletal muscle fibres in mouse

    Directory of Open Access Journals (Sweden)

    M. Kammoun


    Full Text Available The classification of muscle fibres is of particular interest for the study of the skeletal muscle properties in a wide range of scientific fields, especially animal phenotyping. It is therefore important to define a reliable method for classifying fibre types. The aim of this study was to establish a simplified method for the immunohistochemical classification of fibres in mouse. To carry it out, we first tested a combination of several anti myosin heavy chain (MyHC antibodies in order to choose a minimum number of antibodies to implement a semi-automatic classification. Then, we compared the classification of fibres to the MyHC electrophoretic pattern on the same samples. Only two anti MyHC antibodies on serial sections with the fluorescent labeling of the Laminin were necessary to classify properly fibre types in Tibialis Anterior and Soleus mouse muscles in normal physiological conditions. This classification was virtually identical to the classification realized by the electrophoretic separation of MyHC. This immunohistochemical classification can be applied to the total area of Tibialis Anterior and Soleus mouse muscles. Thus, we provide here a useful, simple and time-efficient method for immunohistochemical classification of fibres, applicable for research in mouse

  16. A simplified immunohistochemical classification of skeletal muscle fibres in mouse. (United States)

    Kammoun, M; Cassar-Malek, I; Meunier, B; Picard, B


    The classification of muscle fibres is of particular interest for the study of the skeletal muscle properties in a wide range of scientific fields, especially animal phenotyping. It is therefore important to define a reliable method for classifying fibre types. The aim of this study was to establish a simplified method for the immunohistochemical classification of fibres in mouse. To carry it out, we first tested a combination of several anti myosin heavy chain (MyHC) antibodies in order to choose a minimum number of antibodies to implement a semi-automatic classification. Then, we compared the classification of fibres to the MyHC electrophoretic pattern on the same samples. Only two anti MyHC antibodies on serial sections with the fluorescent labeling of the Laminin were necessary to classify properly fibre types in Tibialis Anterior and Soleus mouse muscles in normal physiological conditions. This classification was virtually identical to the classification realized by the electrophoretic separation of MyHC. This immunohistochemical classification can be applied to the total area of Tibialis Anterior and Soleus mouse muscles. Thus, we provide here a useful, simple and time-efficient method for immunohistochemical classification of fibres, applicable for research in mouse.

  17. Benefits of fundamental modelling : the case of physiological disorders

    NARCIS (Netherlands)

    Konopacki, P.; Tijskens, L.M.M.


    A model was developed assuming that the occurrence and the development of physiological disorders are effects of a balance between processes of disorder formation and scavenging of initiating compounds. Based on this (simplified) mechanism and applying the fundamental rules of chemical kinetics, the

  18. QT dispersion and prognostication of the outcome in acute cardiotoxicities: A comparison with SAPS II and APACHE II scoring systems. (United States)

    Hassanian-Moghaddam, Hossein; Amiri, Hassan; Zamani, Nasim; Rahimi, Mitra; Shadnia, Shahin; Taherkhani, Maryam


    We aimed to evaluate the efficacy of QT dispersion (QTD) in determining the outcome of the patients poisoned by cardiotoxic medications and toxins. Patients who referred to our emergency department (ED) due to acute toxicity with any cardiotoxic medication or toxin and were admitted to medical toxicology intensive care unit (MTICU) were enrolled into the study. A questionnaire containing the demographic characteristics, vital signs, laboratory tests, electrocardiographic (ECG) parameters of the first ECG taken on MTICU or ED admission, simplified acute physiology score (SAPS), and acute physiology and chronic health evaluation (APACHE) score was filled for every single patient. QTD was manually calculated. The patients were divided into two groups of survivors and non-survivors and compared. Although QTD was not significantly different between the survivors and non-survivors (P = 0.8), SAPS II and APACHE II score were so. SAPS and APACHE had the highest sensitivity and specificity in determining the patients' mortality, respectively. SAPS had the highest sensitivity, and QTD had the highest specificity in predicting the later development of the complications. SAPS II and APACHE II scoring systems are the best systems for prognostication of death in patients with acute cardiotoxic medication-induced poisonings. QTD can be successfully used for the prediction of complications.

  19. Combustion Safety Simplified Test Protocol Field Study

    Energy Technology Data Exchange (ETDEWEB)

    Brand, L. [Gas Technology Inst., Des Plaines, IL (United States); Cautley, D. [Gas Technology Inst., Des Plaines, IL (United States); Bohac, D. [Gas Technology Inst., Des Plaines, IL (United States); Francisco, P. [Gas Technology Inst., Des Plaines, IL (United States); Shen, L. [Gas Technology Inst., Des Plaines, IL (United States); Gloss, S. [Gas Technology Inst., Des Plaines, IL (United States)


    Combustions safety is an important step in the process of upgrading homes for energy efficiency. There are several approaches used by field practitioners, but researchers have indicated that the test procedures in use are complex to implement and provide too many false positives. Field failures often mean that the house is not upgraded until after remediation or not at all, if not include in the program. In this report the PARR and NorthernSTAR DOE Building America Teams provide a simplified test procedure that is easier to implement and should produce fewer false positives. A survey of state weatherization agencies on combustion safety issues, details of a field data collection instrumentation package, summary of data collected over seven months, data analysis and results are included. The project team collected field data on 11 houses in 2015.

  20. Simplified Model of Nonlinear Landau Damping

    Energy Technology Data Exchange (ETDEWEB)

    N. A. Yampolsky and N. J. Fisch


    The nonlinear interaction of a plasma wave with resonant electrons results in a plateau in the electron distribution function close to the phase velocity of the plasma wave. As a result, Landau damping of the plasma wave vanishes and the resonant frequency of the plasma wave downshifts. However, this simple picture is invalid when the external driving force changes the plasma wave fast enough so that the plateau cannot be fully developed. A new model to describe amplification of the plasma wave including the saturation of Landau damping and the nonlinear frequency shift is proposed. The proposed model takes into account the change of the plasma wave amplitude and describes saturation of the Landau damping rate in terms of a single fluid equation, which simplifies the description of the inherently kinetic nature of Landau damping. A proposed fluid model, incorporating these simplifications, is verified numerically using a kinetic Vlasov code.

  1. A simplified approach to the brachistochrone problem (United States)

    Gómez-Aíza, S.; Gómez, R. W.; Marquina, V.


    Ever since Johann Bernoulli put forward the challenge "Problema novum ad cujus solutionem Mathematice invitantur" in Acta Eruditorum Lipsiae of June, 1696, of finding the minimum time trajectory (the brachistochrone) described by an object moving from one point to another (not directly behind the first one) in a constant uniform gravitational field, many works have been published on this subject, and some books mention it as part of the applications of the Euler-Lagrange formalism. However, we have found only one reference of the problem related to the general inhomogeneous inverse square gravitational field (Supplee and Schmidt 1991 Am. J. Phys. 59 467). Even in this reference, the problem is treated for particular initial conditions. In this work, we develop a simplified method to arrive to the equation of the brachistochrone curve for an arbitrary potential and also to the inverse formulation of the problem: what type of potential energy function is associated with a specified brachistochrone curve?

  2. A Simplified Stabilizer ZX-calculus

    Directory of Open Access Journals (Sweden)

    Miriam Backens


    Full Text Available The stabilizer ZX-calculus is a rigorous graphical language for reasoning about quantum mechanics.The language is sound and complete: a stabilizer ZX-diagram can be transformed into another one if and only if these two diagrams represent the same quantum evolution or quantum state. We show that the stabilizer ZX-calculus can be simplified, removing unnecessary equations while keeping only the essential axioms which potentially capture fundamental structures of quantum mechanics. We thus give a significantly smaller set of axioms and prove that meta-rules like 'colour symmetry' and 'upside-down symmetry', which were considered as axioms in previous versions of the language, can in fact be derived. In particular, we show that the additional symbol and one of the rules which had been recently introduced to keep track of scalars (diagrams with no inputs or outputs are not necessary.

  3. Analytic solution of simplified Cardan's shaft model

    Directory of Open Access Journals (Sweden)

    Zajíček M.


    Full Text Available Torsional oscillations and stability assessment of the homokinetic Cardan shaft with a small misalignment angle is described in this paper. The simplified mathematical model of this system leads to the linearized equation of the Mathieu's type. This equation with and without a stationary damping parameter is considered. The solution of the original differential equation is identical with those one of the Fredholm’s integral equation with degenerated kernel assembled by means of a periodic Green's function. The conditions of solvability of such problem enable the identification of the borders between stability and instability regions. These results are presented in the form of stability charts and they are verified using the Floquet theory. The correctness of oscillation results for the system with periodic stiffness is then validated by means of the Runge-Kutta integration method.

  4. Aeroacoustic Analysis of a Simplified Landing Gear (United States)

    Lockard, David P.; Khorrami, Mehdi, R.; Li, Fei


    A hybrid approach is used to investigate the noise generated by a simplified landing gear without small scale parts such as hydraulic lines and fasteners. The Ffowcs Williams and Hawkings equation is used to predict the noise at far-field observer locations from flow data provided by an unsteady computational fluid dynamics calculation. A simulation with 13 million grid points has been completed, and comparisons are made between calculations with different turbulence models. Results indicate that the turbulence model has a profound effect on the levels and character of the unsteadiness. Flow data on solid surfaces and a set of permeable surfaces surrounding the gear have been collected. Noise predictions using the porous surfaces appear to be contaminated by errors caused by large wake fluctuations passing through the surfaces. However, comparisons between predictions using the solid surfaces with the near-field CFD solution are in good agreement giving confidence in the far-field results.

  5. Simplifying the circuit of Josephson parametric converters (United States)

    Abdo, Baleegh; Brink, Markus; Chavez-Garcia, Jose; Keefe, George

    Josephson parametric converters (JPCs) are quantum-limited three-wave mixing devices that can play various important roles in quantum information processing in the microwave domain, including amplification of quantum signals, transduction of quantum information, remote entanglement of qubits, nonreciprocal amplification, and circulation of signals. However, the input-output and biasing circuit of a state-of-the-art JPC consists of bulky components, i.e. two commercial off-chip broadband 180-degree hybrids, four phase-matched short coax cables, and one superconducting magnetic coil. Such bulky hardware significantly hinders the integration of JPCs in scalable quantum computing architectures. In my talk, I will present ideas on how to simplify the JPC circuit and show preliminary experimental results

  6. Simplified Citrate Anticoagulation for CRRT Without Calcium Replacement. (United States)

    Broman, Marcus; Klarin, Bengt; Sandin, Karin; Carlsson, Ola; Wieslander, Anders; Sternby, Jan; Godaly, Gabriela


    Since 2012, citrate anticoagulation is the recommended anticoagulation strategy for continuous renal replacement therapy (CRRT). The main drawback using citrate as anticoagulant compared with heparin is the need for calcium replacement and the rigorous control of calcium levels. This study investigated the possibility to achieve anticoagulation while eliminating the need for calcium replacement. This was successfully achieved by including citrate and calcium in all CRRT solutions. Thereby the total calcium concentration was kept constant throughout the extracorporeal circuit, whereas the ionized calcium was kept at low levels enough to avoid clotting. Being a completely new concept, only five patients with acute renal failure were included in a short, prospective, intensely supervised nonrandomized pilot study. Systemic electrolyte levels and acid-base parameters were stable and remained within physiologic levels. Ionized calcium levels declined slightly initially but stabilized at 1.1 mmol/L. Plasma citrate concentrations stabilized at approximately 0.6 mmol/L. All postfilter ionized calcium levels were CRRT.

  7. From Physiology to Prevention: Further remarks on a physiological imperative

    Directory of Open Access Journals (Sweden)

    B Jouanjean


    Full Text Available Physiology, is the fundamental and functional expression of life. It is the study of all the representative functions of Man in all his capacities, and in particular, his capacity to work. It is very possible to establish a link between a physiological and physiopathological state, the capacity of work and the economy, which can be understood as the articulation between the physiological capacities of Man and the production of work. If these functions are innately acquired by Man they are likewise maintained by regulatory functions throughout life. The stability of these regulatory mechanisms represent the state of good health. The management of this state, constitutes Primary Prevention where both chronic and acute physiopathology defines an alteration in these regulatory mechanisms. We deduce from this reasoning that a tripartite management adapted to the physiological situation is viable and that by choosing parameters specific to individual and collective behavior, it is possible to inject, and combine, at each level and to each demand in order to budget a healthcare system in a more balanced and equitable way. 

  8. Simplifying a physiologically structured population model to a stage-structured biomass model

    NARCIS (Netherlands)

    de Roos, A.M.; Schellekens, T.; van Kooten, T.; van de Wolfshaar, K.E.; Claessen, D.; Persson, L.


    We formulate and analyze an archetypal consumer-resource model in terms of ordinary differential equations that consistently translates individual life history processes, in particular food-dependent growth in body size and stage-specific differences between juveniles and adults in resource use and

  9. Simplified analysis of sub-wavelength triangular gratings by simplified modal method. (United States)

    Sridharan, Gayathri; Bhattacharya, Shanti


    A phase-equivalence of a triangular grating and a "corresponding" blazed structure is proposed. This equivalence is used to simplify the analysis of the grating, which otherwise would require the repetitive application of the simplified modal method to each lamellar grating that constitutes the triangular grating. The concept is used to arrive at an equation for the phase introduced by the triangular grating. The proposed model is verified by finite element simulations. A method of fabricating a triangular grating in quartz is presented. The proposed theory, along with optical testing, can be used as a non-destructive means by which to estimate the height of the triangular grating during the dry etching process.

  10. Simplified Model of Brushless Synchronous Generator for Real Time Simulation

    CERN Document Server

    Lopez, M D; Rebollo, E; Blanquez, F R


    This paper presents a simplified model of brushless synchronous machine for saving hardware resources in a real time simulation system. Firstly, a brushless excitation system model is described. Thereafter, the simplified transfer function of an AC exciter and rotating diodes of the brushless excitation system is estimated. Finally, the complete system is simulated, comparing the main generator's voltage with both detailed and simplified excitation systems in several scenarios. These results show the accuracy of the simplified model against the detailed simulation model, resulting on an important hardware resources savings.

  11. New weak keys in simplified IDEA (United States)

    Hafman, Sari Agustini; Muhafidzah, Arini


    Simplified IDEA (S-IDEA) is simplified version of International Data Encryption Algorithm (IDEA) and useful teaching tool to help students to understand IDEA. In 2012, Muryanto and Hafman have found a weak key class in the S-IDEA by used differential characteristics in one-round (0, ν, 0, ν) → (0,0, ν, ν) on the first round to produce input difference (0,0, ν, ν) on the fifth round. Because Muryanto and Hafman only use three differential characteristics in one-round, we conducted a research to find new differential characteristics in one-round and used it to produce new weak key classes of S-IDEA. To find new differential characteristics in one-round of S-IDEA, we applied a multiplication mod 216+1 on input difference and combination of active sub key Z1, Z4, Z5, Z6. New classes of weak keys are obtained by combining all of these characteristics and use them to construct two new differential characteristics in full-round of S-IDEA with or without the 4th round sub key. In this research, we found six new differential characteristics in one round and combined them to construct two new differential characteristics in full-round of S-IDEA. When two new differential characteristics in full-round of S-IDEA are used and the 4th round sub key required, we obtain 2 new classes of weak keys, 213 and 28. When two new differential characteristics in full-round of S-IDEA are used, yet the 4th round sub key is not required, the weak key class of 213 will be 221 and 28 will be 210. Membership test can not be applied to recover the key bits in those weak key classes. The recovery of those unknown key bits can only be done by using brute force attack. The simulation result indicates that the bit of the key can be recovered by the longest computation time of 0,031 ms.

  12. Multilevel Ventilation: Theory and Simplified Mathematical Model

    Directory of Open Access Journals (Sweden)

    P. Torok


    Full Text Available Considering the issues of artificial ventilation (AV in non-homogenous pathological lung processes (acute lung injury, acute respiratory distress syndrome, pneumonia, etc., the authors created a mathematical model of multicompartment non-homogenous injured lungs that were ventilated by a new mode of AV, the so-called three-level ventilation. Multilevel ventilation was defined a type (modification of ALV whose basic ventilation level was produced by the modes CMV, PCV or PS (ASB and add-on level, and the so-called background ventilation was generated by the levels of PEEP and high PEEP (PEEPh with varying frequency and duration. Multi-level ventilation on 3 pressure levels was realized by the mathematical model as a combination of pressure-controlled ventilation (PCV and two levels of PEEP and PEEPh. The objective was to prove that in cases of considerably non-homogenous gas distribution in acute pathological disorders of lungs, gas entry into the so-called slow bronchoalveolar compartments could be improved by multilevel AV, without substabtially changing the volume of so-called fast compartments. Material and Method. Multi-level ventilation at 3 pressure levels was realized by the mathematical model as a combination of PCV and two levels of PEEP and PEEPh. Results. By comparing the single-level AV in the PCV mode with the so-called three-level ventilation defined as a combination of PCV+PEEPh/PEEP, the authors have discovered that the loading of slow compartments in the model was considerably improved by 50—60% as compared with the baseline values. In absolute terms, this difference was as many as 2—10 times of the volume. Conclusion. The mathematical model may demonstrate that the application of the so-called three-level AV causes considerable changes in gas distribution in the lung parenchyma disordered by a non-homogenous pathological process. The authors state that the proposed mathematical model requires clinical verification in order

  13. Combustion Safety Simplified Test Protocol Field Study

    Energy Technology Data Exchange (ETDEWEB)

    Brand, L [Gas Technology Inst., Des Plaines, IL (United States); Cautley, D. [Gas Technology Inst., Des Plaines, IL (United States); Bohac, D. [Gas Technology Inst., Des Plaines, IL (United States); Francisco, P. [Gas Technology Inst., Des Plaines, IL (United States); Shen, L. [Gas Technology Inst., Des Plaines, IL (United States); Gloss, S. [Gas Technology Inst., Des Plaines, IL (United States)


    "9Combustions safety is an important step in the process of upgrading homes for energy efficiency. There are several approaches used by field practitioners, but researchers have indicated that the test procedures in use are complex to implement and provide too many false positives. Field failures often mean that the house is not upgraded until after remediation or not at all, if not include in the program. In this report the PARR and NorthernSTAR DOE Building America Teams provide a simplified test procedure that is easier to implement and should produce fewer false positives. A survey of state weatherization agencies on combustion safety issues, details of a field data collection instrumentation package, summary of data collected over seven months, data analysis and results are included. The project provides several key results. State weatherization agencies do not generally track combustion safety failures, the data from those that do suggest that there is little actual evidence that combustion safety failures due to spillage from non-dryer exhaust are common and that only a very small number of homes are subject to the failures. The project team collected field data on 11 houses in 2015. Of these homes, two houses that demonstrated prolonged and excessive spillage were also the only two with venting systems out of compliance with the National Fuel Gas Code. The remaining homes experienced spillage that only occasionally extended beyond the first minute of operation. Combustion zone depressurization, outdoor temperature, and operation of individual fans all provide statistically significant predictors of spillage.

  14. Reinterpreting ATLAS monojet results using simplified models

    CERN Document Server

    Nordstrom, Karl Anders


    The 8 TeV LHC run set the most stringent collider limits on particle dark matter yet, surpassing the sensitivities of the most advanced direct and indirect detection experiments in some parts of parameter space. However the interpretation of LHC results has for the purposes of model-independence and ease of comparison to other experiments so far mainly been done in an effective field theory framework which integrates out the mediator under the assumption it is heavier than the scale of the interaction, which is not necessarily a valid assumption at the LHC. This report presents a reinterpretation of 10.5 fb$^{-1}$ of ATLAS 8 TeV data in terms of so-called simplified models which introduce model-independent mediators as degrees of freedom that can be taken into consideration when setting limits, together with a study of the expected limits that can be set with the first 20 fb$^{-1}$ of data from the 14 TeV LHC.

  15. Simplified hemostatic technique during laparoscopic partial nephrectomy

    Directory of Open Access Journals (Sweden)

    Alexander Tsivian


    Full Text Available INTRODUCTION: Laparoscopic partial nephrectomy (LPN has gained popularity in recent years, although it remains a challenging procedure. Herein we describe our technique of renal defect closure using sutures as the sole means of hemostasis during LPN. SURGICAL TECHNIQUE: The kidney is approached transperitoneally in a standard fashion. After the renal artery is clamped and the tumor has been excised, the defect is closed in two separate knot-free suture layers. The deep layer suture is continuous and involves deep parenchyma including the collecting system, if opened. The superficial layer suture approximates the margins of the defect using absorbable clips on one parenchymal edge only. No bolsters, glues or other additional hemostatic agents are used. RESULTS: At present this technique was applied in 34 patients. Tumor size ranged from 17-85 mm. Median warm ischemia time was 23 min (range 12-45 and estimated blood loss 55 mL (30-1000. There were no intraoperative complications or conversions to open surgery. No urine leaks or postoperative bleedings were observed. CONCLUSIONS: This simplified technique appears reliable and quick, and therefore may be attractive for many urologic surgeons. Furthermore, the avoidance of routine use of additional hemostatic maneuvers may provide an economical advantage to this approach with no compromise of the surgical outcome.

  16. 26 CFR 1.41-9 - Alternative simplified credit. (United States)


    ... 26 Internal Revenue 1 2010-04-01 2010-04-01 true Alternative simplified credit. 1.41-9 Section 1.41-9 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY INCOME TAX INCOME TAXES Credits Against Tax § 1.41-9 Alternative simplified credit. For further guidance, see § 1.41-9T. ...

  17. Simplified method for calculating shear deflections of beams. (United States)

    I. Orosz


    When one designs with wood, shear deflections can become substantial compared to deflections due to moments, because the modulus of elasticity in bending differs from that in shear by a large amount. This report presents a simplified energy method to calculate shear deflections in bending members. This simplified approach should help designers decide whether or not...

  18. Simplified models for dark matter searches at the LHC

    NARCIS (Netherlands)

    Abdallah, J.; et al., [Unknown; de Jong, P.; Liem, S.; McCabe, C.; Pani, P.; Salek, D.; Tunnell, C.


    This document outlines a set of simplified models for dark matter and its interactions with Standard Model particles. It is intended to summarize the main characteristics that these simplified models have when applied to dark matter searches at the LHC, and to provide a number of useful expressions

  19. Simplified Freeman-Tukey test statistics for testing probabilities in ...

    African Journals Online (AJOL)

    This paper presents the simplified version of the Freeman-Tukey test statistic for testing hypothesis about multinomial probabilities in one, two and multidimensional contingency tables that does not require calculating the expected cell frequencies before test of significance. The simplified method established new criteria of ...

  20. Comparison of Detailed and Simplified Models of Human Atrial Myocytes to Recapitulate Patient Specific Properties.

    Directory of Open Access Journals (Sweden)

    Daniel M Lombardo


    Full Text Available Computer studies are often used to study mechanisms of cardiac arrhythmias, including atrial fibrillation (AF. A crucial component in these studies is the electrophysiological model that describes the membrane potential of myocytes. The models vary from detailed, describing numerous ion channels, to simplified, grouping ionic channels into a minimal set of variables. The parameters of these models, however, are determined across different experiments in varied species. Furthermore, a single set of parameters may not describe variations across patients, and models have rarely been shown to recapitulate critical features of AF in a given patient. In this study we develop physiologically accurate computational human atrial models by fitting parameters of a detailed and of a simplified model to clinical data for five patients undergoing ablation therapy. Parameters were simultaneously fitted to action potential (AP morphology, action potential duration (APD restitution and conduction velocity (CV restitution curves in these patients. For both models, our fitting procedure generated parameter sets that accurately reproduced clinical data, but differed markedly from published sets and between patients, emphasizing the need for patient-specific adjustment. Both models produced two-dimensional spiral wave dynamics for that were similar for each patient. These results show that simplified, computationally efficient models are an attractive choice for simulations of human atrial electrophysiology in spatially extended domains. This study motivates the development and validation of patient-specific model-based mechanistic studies to target therapy.

  1. A Simplified HTTR Diffusion Theory Benchmark

    Energy Technology Data Exchange (ETDEWEB)

    Rodolfo M. Ferrer; Abderrafi M. Ougouag; Farzad Rahnema


    The Georgia Institute of Technology (GA-Tech) recently developed a transport theory benchmark based closely on the geometry and the features of the HTTR reactor that is operational in Japan. Though simplified, the benchmark retains all the principal physical features of the reactor and thus provides a realistic and challenging test for the codes. The purpose of this paper is twofold. The first goal is an extension of the benchmark to diffusion theory applications by generating the additional data not provided in the GA-Tech prior work. The second goal is to use the benchmark on the HEXPEDITE code available to the INL. The HEXPEDITE code is a Green’s function-based neutron diffusion code in 3D hexagonal-z geometry. The results showed that the HEXPEDITE code accurately reproduces the effective multiplication factor of the reference HELIOS solution. A secondary, but no less important, conclusion is that in the testing against actual HTTR data of a full sequence of codes that would include HEXPEDITE, in the apportioning of inevitable discrepancies between experiment and models, the portion of error attributable to HEXPEDITE would be expected to be modest. If large discrepancies are observed, they would have to be explained by errors in the data fed into HEXPEDITE. Results based on a fully realistic model of the HTTR reactor are presented in a companion paper. The suite of codes used in that paper also includes HEXPEDITE. The results shown here should help that effort in the decision making process for refining the modeling steps in the full sequence of codes.

  2. A randomised trial on simplified and conventional methods for complete denture fabrication: masticatory performance and ability. (United States)

    Cunha, T R; Della Vecchia, M P; Regis, R R; Ribeiro, A B; Muglia, V A; Mestriner, W; de Souza, R F


    To compare a simplified method to a conventional protocol for complete denture fabrication regarding masticatory performance and ability. A sample was formed by edentulous patients requesting treatment with maxillary and mandibular complete dentures. Participants were randomly divided into two groups: Group S, which received dentures fabricated by a simplified method, and Group C (n=21 each), which received conventionally fabricated dentures. After three months following insertion, masticatory performance was evaluated by a colorimetric assay based on chewing two capsules as test food during twenty and forty cycles. Masticatory ability was assessed by a questionnaire with binary answers and a single question answered by means of a 0-10 scale. A third group (DN) formed by seventeen dentate volunteers served as an external comparator. Groups were compared by statistical tests suitable for data distribution (α=0.05). Thirty-nine participants were assessed for three months (twenty from Group C and nineteen from Group S). Groups C and S presented similar masticatory performance which corresponded to approximately 30% of Group DN. Results for masticatory ability showed similarity between S and C, regardless of the assessment method, although an isolate questionnaire item showed more favourable results for the first group. The simplified method for complete denture fabrication is able to restore masticatory function to a level comparable to a conventional protocol, both physiologically and according to patient's perceptions. Although masticatory function is impaired by the loss of natural teeth and dentures can restore only a fraction of such function, patients can benefit from a simplified protocol for complete denture fabrication to the same extent they would by conventional techniques. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Preterm labor and preterm premature rupture of membranes have a different pattern in the involved compartments of acute histologoic chorioamnionitis and/or funisitis: Patho-physiologic implication related to different clinical manifestations. (United States)

    Park, Chan-Wook; Park, Joong Shin; Moon, Kyung Chul; Jun, Jong Kwan; Yoon, Bo Hyun


    It is unknown whether histo-topographic findings about the involved compartments (i.e., choriodecidua, amnion, chorionic-plate) of acute-histologic chorioamnionitis (acute-HCA) and/or funisitis according to the presence or absence of intra-amniotic inflammation (IAI) and/or fetal inflammatory response syndrome (FIRS) are different between preterm labor and intact membranes (PTL) and preterm premature rupture of membranes (preterm-PROM). The involved compartments of acute-HCA and/or funisitis were examined in 161 singleton preterm-births ( 0.1). However, IAI(+)/FIRS(+) group had a significantly higher rate of inflammation in each compartment than IAI(+)/FIRS(-) group in both PTL and preterm-PROM (each-for P < 0.05). We first demonstrated that PTL and preterm-PROM had a different pattern in the involved compartments of acute-HCA and/or funisitis in the IAI(-)/FIRS(--) group and in the change of involved compartments from IAI(-)/FIRS(-) to IAI(+)/FIRS(-). © 2016 Japanese Society of Pathology and John Wiley & Sons Australia, Ltd.

  4. Simplifying CEA through Excel, VBA, and Subeq (United States)

    Foster, Ryan


    Many people use compound equilibrium programs for very different reasons, varying from refrigerators to light bulbs to rockets. A commonly used equilibrium program is CEA. CEA can take various inputs such as pressure, temperature, and volume along with numerous reactants and run them through equilibrium equations to obtain valuable output information, including products formed and their relative amounts. A little over a year ago, Bonnie McBride created the program subeq with the goal to simplify the calling of CEA. Subeq was also designed to be called by other programs, including Excel, through the use of Visual Basic for Applications (VBA). The largest advantage of using Excel is that it allows the user to input the information in a colorful and user-friendly environment while allowing VBA to run subeq, which is in the form of a FORTRAN DLL (Dynamic Link Library). Calling subeq in this form makes it much faster than if it were converted to VBA. Since subeq requires such large lists of reactant and product names, all of which can't be passed in as an array, subeq had to be changed to accept very long strings of reactants and products. To pass this string and adjust the transfer of input and output parameters, the subeq DLL had to be changed. One program that does this is Compaq Visual FORTRAN, which allows DLLs to be edited, debugged, and compiled. Compaq Visual FORTRAN uses FORTRAN 90/95, which has additional features to that of FORTRAN 77. My goals this summer include finishing up the excel spreadsheet of subeq, which I started last summer, and putting it on the Internet so that others can use it without having to download my spreadsheet. To finish up the spreadsheet I will need to work on debugging current options and problems. I will also work on making it as robust as possible, so that all errors that may arise will be clearly communicated to the user. New features will be added old ones will be changed as I receive comments from people using the spreadsheet

  5. Generic simplified simulation model for DFIG with active crowbar

    Energy Technology Data Exchange (ETDEWEB)

    Buendia, Francisco Jimenez [Gamesa Innovation and Technology, Sarriguren, Navarra (Spain). Technology Dept.; Barrasa Gordo, Borja [Assystem Iberia, Bilbao, Vizcaya (Spain)


    Simplified models for transient stability studies are a general requirement for transmission system operators to wind turbine (WTG) manufacturers. Those models must represent the performance of the WTGs for transient stability studies, mainly voltage dips originated by short circuits in the electrical network. Those models are implemented in simulation software as PSS/E, DigSilent or PSLF. Those software platforms allow simulation of transients in large electrical networks with thousands of busses, generators and loads. The high complexity of the grid requires that the models inserted into the grid should be simplified in order to allow the simulations being executed as fast as possible. The development of a model which is simplified enough to be integrated in those complex grids and represent the performance of WTG is a challenge. The IEC TC88 working group has developed generic models for different types of generators, among others for WTGs using doubly fed induction generators (DFIG). This paper will focus in an extension of the models for DFIG WTGs developed in IEC in order to be able to represent the simplified model of DFIG with an active crowbar, which is required to withstand voltage dips without disconnecting from the grid. This paper improves current generic model of Type 3 for DFIG adding a simplified version of the generator including crowbar functionality and a simplified version of the crowbar firing. In addition, this simplified model is validated by correlation with voltage dip field test from a real wind turbine. (orig.)

  6. Simplified Models for Dark Matter Searches at the LHC

    CERN Document Server

    Abdallah, Jalal; Arbey, Alexandre; Ashkenazi, Adi; Belyaev, Alexander; Berger, Joshua; Boehm, Celine; Boveia, Antonio; Brennan, Amelia; Brooke, Jim; Buchmueller, Oliver; Buckley, Matthew; Busoni, Giorgio; Calibbi, Lorenzo; Chauhan, Sushil; Daci, Nadir; Davies, Gavin; De Bruyn, Isabelle; de Jong, Paul; De Roeck, Albert; de Vries, Kees; del Re, Daniele; De Simone, Andrea; Di Simone, Andrea; Doglioni, Caterina; Dolan, Matthew; Dreiner, Herbi K.; Ellis, John; Eno, Sarah; Etzion, Erez; Fairbairn, Malcolm; Feldstein, Brian; Flaecher, Henning; Feng, Eric; Fox, Patrick; Genest, Marie-Hélène; Gouskos, Loukas; Gramling, Johanna; Haisch, Ulrich; Harnik, Roni; Hibbs, Anthony; Hoh, Siewyan; Hopkins, Walter; Ippolito, Valerio; Jacques, Thomas; Kahlhoefer, Felix; Khoze, Valentin V.; Kirk, Russell; Korn, Andreas; Kotov, Khristian; Kunori, Shuichi; Landsberg, Greg; Liem, Sebastian; Lin, Tongyan; Lowette, Steven; Lucas, Robyn; Malgeri, Luca; Malik, Sarah; McCabe, Christopher; Mete, Alaettin Serhan; Morgante, Enrico; Mrenna, Stephen; Nakahama, Yu; Newbold, Dave; Nordstrom, Karl; Pani, Priscilla; Papucci, Michele; Pataraia, Sophio; Penning, Bjoern; Pinna, Deborah; Polesello, Giacomo; Racco, Davide; Re, Emanuele; Riotto, Antonio Walter; Rizzo, Thomas; Salek, David; Sarkar, Subir; Schramm, Steven; Skubic, Patrick; Slone, Oren; Smirnov, Juri; Soreq, Yotam; Sumner, Timothy; Tait, Tim M.P.; Thomas, Marc; Tomalin, Ian; Tunnell, Christopher; Vichi, Alessandro; Volansky, Tomer; Weiner, Neal; West, Stephen M.; Wielers, Monika; Worm, Steven; Yavin, Itay; Zaldivar, Bryan; Zhou, Ning; Zurek, Kathryn


    This document outlines a set of simplified models for dark matter and its interactions with Standard Model particles. It is intended to summarize the main characteristics that these simplified models have when applied to dark matter searches at the LHC, and to provide a number of useful expressions for reference. The list of models includes both s-channel and t-channel scenarios. For s-channel, spin-0 and spin-1 mediation is discussed, and also realizations where the Higgs particle provides a portal between the dark and visible sectors. The guiding principles underpinning the proposed simplified models are spelled out, and some suggestions for implementation are presented.

  7. Simplified models for dark matter searches at the LHC

    Energy Technology Data Exchange (ETDEWEB)

    Abdallah, Jalal; Araujo, Henrique; Arbey, Alexandre; Ashkenazi, Adi; Belyaev, Alexander; Berger, Joshua; Boehm, Celine; Boveia, Antonio; Brennan, Amelia; Brooke, Jim; Buchmueller, Oliver; Buckley, Matthew; Busoni, Giorgio; Calibbi, Lorenzo; Chauhan, Sushil; Daci, Nadir; Davies, Gavin; De Bruyn, Isabelle; De Jong, Paul; De Roeck, Albert; de Vries, Kees; Del Re, Daniele; De Simone, Andrea; Di Simone, Andrea; Doglioni, Caterina; Dolan, Matthew; Dreiner, Herbi K.; Ellis, John; Eno, Sarah; Etzion, Erez; Fairbairn, Malcolm; Feldstein, Brian; Flaecher, Henning; Feng, Eric; Fox, Patrick; Genest, Marie-Hélène; Gouskos, Loukas; Gramling, Johanna; Haisch, Ulrich; Harnik, Roni; Hibbs, Anthony; Hoh, Siewyan; Hopkins, Walter; Ippolito, Valerio; Jacques, Thomas; Kahlhoefer, Felix; Khoze, Valentin V.; Kirk, Russell; Korn, Andreas; Kotov, Khristian; Kunori, Shuichi; Landsberg, Greg; Liem, Sebastian; Lin, Tongyan; Lowette, Steven; Lucas, Robyn; Malgeri, Luca; Malik, Sarah; McCabe, Christopher; Mete, Alaettin Serhan; Morgante, Enrico; Mrenna, Stephen; Nakahama, Yu; Newbold, Dave; Nordstrom, Karl; Pani, Priscilla; Papucci, Michele; Pataraia, Sophio; Penning, Bjoern; Pinna, Deborah; Polesello, Giacomo; Racco, Davide; Re, Emanuele; Riotto, Antonio Walter; Rizzo, Thomas; Salek, David; Sarkar, Subir; Schramm, Steven; Skubic, Patrick; Slone, Oren; Smirnov, Juri; Soreq, Yotam; Sumner, Timothy; Tait, Tim M. P.; Thomas, Marc; Tomalin, Ian; Tunnell, Christopher; Vichi, Alessandro; Volansky, Tomer; Weiner, Neal; West, Stephen M.; Wielers, Monika; Worm, Steven; Yavin, Itay; Zaldivar, Bryan; Zhou, Ning; Zurek, Kathryn


    This document a outlines a set of simplified models for dark matter and its interactions with Standard Model particles. It is intended to summarize the main characteristics that these simplified models have when applied to dark matter searches at the LHC, and to provide a number of useful expressions for reference. The list of models includes both s-channel and t-channel scenarios. For s-channel, spin-0 and spin-1 mediations are discussed, and also realizations where the Higgs particle provides a portal between the dark and visible sectors. The guiding principles underpinning the proposed simplified models are spelled out, and some suggestions for implementation are presented.

  8. Simplified models for dark matter face their consistent completions

    Energy Technology Data Exchange (ETDEWEB)

    Gonçalves, Dorival; Machado, Pedro A. N.; No, Jose Miguel


    Simplified dark matter models have been recently advocated as a powerful tool to exploit the complementarity between dark matter direct detection, indirect detection and LHC experimental probes. Focusing on pseudoscalar mediators between the dark and visible sectors, we show that the simplified dark matter model phenomenology departs significantly from that of consistent ${SU(2)_{\\mathrm{L}} \\times U(1)_{\\mathrm{Y}}}$ gauge invariant completions. We discuss the key physics simplified models fail to capture, and its impact on LHC searches. Notably, we show that resonant mono-Z searches provide competitive sensitivities to standard mono-jet analyses at $13$ TeV LHC.

  9. Acute Bronchitis (United States)

    ... of bronchitis: acute and chronic. Most cases of acute bronchitis get better within several days. But your cough ... that cause colds and the flu often cause acute bronchitis. These viruses spread through the air when people ...

  10. Doppler radar physiological sensing

    CERN Document Server

    Lubecke, Victor M; Droitcour, Amy D; Park, Byung-Kwon; Singh, Aditya


    Presents a comprehensive description of the theory and practical implementation of Doppler radar-based physiological monitoring. This book includes an overview of current physiological monitoring techniques and explains the fundamental technology used in remote non-contact monitoring methods. Basic radio wave propagation and radar principles are introduced along with the fundamentals of physiological motion and measurement. Specific design and implementation considerations for physiological monitoring radar systems are then discussed in detail. The authors address current research and commercial development of Doppler radar based physiological monitoring for healthcare and other applications.

  11. Acute Hepatic Porphyria (United States)

    Bissell, D. Montgomery; Wang, Bruce


    The porphyrias comprise a set of diseases, each representing an individual defect in one of the eight enzymes mediating the pathway of heme synthesis. The diseases are genetically distinct but have in common the overproduction of heme precursors. In the case of the acute (neurologic) porphyrias, the cause of symptoms appears to be overproduction of a neurotoxic precursor. For the cutaneous porphyrias, it is photosensitizing porphyrins. Some types have both acute and cutaneous manifestations. The clinical presentation of acute porphyria consists of abdominal pain, nausea, and occasionally seizures. Only a small minority of those who carry a mutation for acute porphyria have pain attacks. The triggers for an acute attack encompass certain medications and severely decreased caloric intake. The propensity of females to acute attacks has been linked to internal changes in ovarian physiology. Symptoms are accompanied by large increases in delta-aminolevulinic acid and porphobilinogen in plasma and urine. Treatment of an acute attack centers initially on pain relief and elimination of inducing factors such as medications; glucose is administered to reverse the fasting state. The only specific treatment is administration of intravenous hemin. An important goal of treatment is preventing progression of the symptoms to a neurological crisis. Patients who progress despite hemin administration have undergone liver transplantation with complete resolution of symptoms. A current issue is the unavailability of a rapid test for urine porphobilinogen in the urgent-care setting. PMID:26357631

  12. Basic Shock Physiology and Critical Care. (United States)

    Roberts, Brian K


    Veterinarians practicing emergency medicine and/or working with exotic animals must be well versed in the pathophysiology of shock because many exotic pets present with an acute crisis or an acute manifestation of a chronic process causing poor organ perfusion. This article discusses the pathophysiology of shock and the systemic inflammatory response syndrome, which may lead to organ dysfunction, organ failure, sepsis, and death. The physiology of perfusion, perfusion measurements, categories of shock, and altered function of the immune system, gastrointestinal barrier, and coagulation system are discussed. Veterinarians providing emergency care to patients with shock must also be aware of comorbidities. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Effect of Two FSH Preparations and Simplified Superovulatory ...

    African Journals Online (AJOL)



    wool sheep to superovulation with two follicles stimulating hormone (FSH) preparations and simplified superovulatory treatments. In Experiment I, 22 adult Xinji fine-wool sheep were randomly allocated in equal number (n =.

  14. Simplified Magazines for Students of English. Specialised Bibliography B11. (United States)

    British Council, London (England). English-Teaching Information Centre.

    This bibliography cites simplified periodicals for students of English, with price and subscription information included. English periodicals for speakers of French and German are also listed. Publications are mainly British. (CLK)

  15. 7 CFR 273.25 - Simplified Food Stamp Program. (United States)


    ... Food Stamp Program. (a) Definitions. For purposes of this section: (1) Simplified Food Stamp Program (SFSP) means a program authorized under 7 U.S.C. 2035. (2) Temporary Assistance for Needy Families (TANF...

  16. Gas/Aerosol partitioning: a simplified method for global modeling

    NARCIS (Netherlands)

    Metzger, S.M.


    The main focus of this thesis is the development of a simplified method to routinely calculate gas/aerosol partitioning of multicomponent aerosols and aerosol associated water within global atmospheric chemistry and climate models. Atmospheric aerosols are usually multicomponent mixtures,

  17. Simplified method for numerical modeling of fiber lasers. (United States)

    Shtyrina, O V; Yarutkina, I A; Fedoruk, M P


    A simplified numerical approach to modeling of dissipative dispersion-managed fiber lasers is examined. We present a new numerical iteration algorithm for finding the periodic solutions of the system of nonlinear ordinary differential equations describing the intra-cavity dynamics of the dissipative soliton characteristics in dispersion-managed fiber lasers. We demonstrate that results obtained using simplified model are in good agreement with full numerical modeling based on the corresponding partial differential equations.

  18. Procedural Content Generation for GDL Descriptions of Simplified Boardgames


    Kowalski, Jakub; Szykuła, Marek


    We present initial research towards procedural generation of Simplified Boardgames and translating them into an efficient GDL code. This is a step towards establishing Simplified Boardgames as a comparison class for General Game Playing agents. To generate playable, human readable, and balanced chess-like games we use an adaptive evolutionary algorithm with the fitness function based on simulated playouts. In future, we plan to use the proposed method to diversify and extend the set of GGP to...

  19. Acute pollution of recipients in urban areas

    DEFF Research Database (Denmark)

    Rauch, W.; Harremoës, P.


    Oxygen and ammonia concentration are key parameters of acute water pollution in urban rivers. These two abiotic parameters are statistically assessed for a historical rain series by means of a simplified deterministic model of the integrated drainage system. Continuous simulation of the system...... performance indicates that acute water pollution is caused by intermittent discharges from both sewer system and wastewater treatment plant. Neglecting one of them in the evaluation of the environmental impact gives a wrong impression of total system behavior. Detention basins and alternative operational...... modes in the treatment plant under wet weather loading have a limited positive effect for minimizing acute water pollution. (C) 1997 IAWQ. Published by Elsevier Science Ltd....

  20. Phun Week: Understanding Physiology (United States)

    Limson, Mel; Matyas, Marsha Lakes


    Topics such as sports, exercise, health, and nutrition can make the science of physiology relevant and engaging for students. In addition, many lessons on these topics, such as those on the cardiovascular, respiratory, and digestive systems, align with national and state life science education standards. Physiology Understanding Week (PhUn…

  1. Advances in physiological computing

    CERN Document Server

    Fairclough, Stephen H


    This edited collection will provide an overview of the field of physiological computing, i.e. the use of physiological signals as input for computer control. It will cover a breadth of current research, from brain-computer interfaces to telemedicine.

  2. S-Channel Dark Matter Simplified Models and Unitarity

    CERN Document Server

    Englert, Christoph; Spannowsky, Michael

    The ultraviolet structure of $s$-channel mediator dark matter simplified models at hadron colliders is considered. In terms of commonly studied $s$-channel mediator simplified models it is argued that at arbitrarily high energies the perturbative description of dark matter production in high energy scattering at hadron colliders will break down in a number of cases. This is analogous to the well documented breakdown of an EFT description of dark matter collider production. With this in mind, to diagnose whether or not the use of simplified models at the LHC is valid, perturbative unitarity of the scattering amplitude in the processes relevant to LHC dark matter searches is studied. The results are as one would expect: at the LHC and future proton colliders the simplified model descriptions of dark matter production are in general valid. As a result of the general discussion, a simple new class of previously unconsidered `Fermiophobic Scalar' simplified models is proposed, in which a scalar mediator couples to...

  3. Physiology in conservation translocations (United States)

    Tarszisz, Esther; Dickman, Christopher R.; Munn, Adam J.


    Conservation translocations aim to restore species to their indigenous ranges, protect populations from threats and/or reinstate ecosystem functions. They are particularly important for the conservation and management of rare and threatened species. Despite tremendous efforts and advancement in recent years, animal conservation translocations generally have variable success, and the reasons for this are often uncertain. We suggest that when little is known about the physiology and wellbeing of individuals either before or after release, it will be difficult to determine their likelihood of survival, and this could limit advancements in the science of translocations for conservation. In this regard, we argue that physiology offers novel approaches that could substantially improve translocations and associated practices. As a discipline, it is apparent that physiology may be undervalued, perhaps because of the invasive nature of some physiological measurement techniques (e.g. sampling body fluids, surgical implantation). We examined 232 publications that dealt with translocations of terrestrial vertebrates and aquatic mammals and, defining ‘success’ as high or low, determined how many of these studies explicitly incorporated physiological aspects into their protocols and monitoring. From this review, it is apparent that physiological evaluation before and after animal releases could progress and improve translocation/reintroduction successes. We propose a suite of physiological measures, in addition to animal health indices, for assisting conservation translocations over the short term and also for longer term post-release monitoring. Perhaps most importantly, we argue that the incorporation of physiological assessments of animals at all stages of translocation can have important welfare implications by helping to reduce the total number of animals used. Physiological indicators can also help to refine conservation translocation methods. These approaches fall

  4. Acute pyelonephritis in ER

    Directory of Open Access Journals (Sweden)

    Giovanni Volpicelli


    Full Text Available Symptoms and signs of acute pyelonephritis sometimes are subtle and emergency physicians attending overcrowded and busy institutions could easily miss the right diagnosis. The presence of a renal damage is decisive in the therapeutic choice. Aims of our study are: 1 to assess prevalence of renal damage in patients presenting to our ED with symptoms and signs of primary urinary tract infection (UTI; 2 to evaluate the reliability of such symptoms and signs in predicting a renal damage; 3 to assess accuracy of the contrast enhanced ultrasound (CEUS in the ED diagnosis of renal damage due to acute uncomplicated pyelonephritis. We studied 54 patients with suspected UTI. Each patient underwent clinical examination, routine blood and urine sampling and conventional renal ultrasound (US. 23 patients had confirmation of acute primary UTI, and performed renal magnetic resonance (MR to rule out renal parenchymal involvement. In 16 patients (69,6% one or more parenchymal lesions were visualized at MR, and diagnosis of acute uncomplicated pyelonephritis was confirmed (group A. The other 7 patients had a diagnosis of UTI without renal involvement (group B. Some of 23 patients presented with few atypical symptoms. Lumbar pain was the most frequent symptom (n = 21, without a statistically significant difference between group A and B (P 0,958; p = 0,328. No other symptom or sign has demonstrated statistically valid in predicting the renal involvement. Renal US was positive in only 3 patients of group A (18,7%. During this first part of our study, CEUS was performed in a limited number of patients (n = 8, and in 7 examinations data were concordant with MR. In conclusion, analysis of our preliminary data confirms that a distinction between patients with different extension of the UTI is not possible through the simple clinical examination and routine tests. CEUS is very promising and its routine employment in the ED could simplify the diagnostic practice in

  5. Simplified Mortality Score for the Intensive Care Unit (SMS-ICU)

    DEFF Research Database (Denmark)

    Granholm, Anders; Perner, Anders; Krag, Mette


    bedside in daily clinical practice. We propose the development and validation of a new, simple and updated clinical prediction rule: the Simplified Mortality Score for use in the Intensive Care Unit (SMS-ICU). METHODS AND ANALYSIS: During the first phase of the study, we will develop and internally...... analysis with backward stepwise elimination of candidate variables, and subsequently be converted into a point-based clinical prediction rule. The general performance, discrimination and calibration of the score will be evaluated, and the score will be internally validated using bootstrapping. During...... validate a clinical prediction rule that predicts 90-day mortality on ICU admission. The development sample will comprise 4247 adult critically ill patients acutely admitted to the ICU, enrolled in 5 contemporary high-quality ICU studies/trials. The score will be developed using binary logistic regression...

  6. Simplified hourly method to calculate summer temperatures in dwellings

    DEFF Research Database (Denmark)

    Mortensen, Lone Hedegaard; Aggerholm, Søren


    :2008 but with further simplifications. The method is used for calculating room temperatures for all hours of a reference year. It is essential that the simplified method is able to predict the temperature in the room with the highest heat load. The heat load is influenced by the solar load, internal load, ventilation...... with an ordinary distribution of windows and a “worst” case where the window area facing south and west was increased by more than 60%. The simplified method used Danish weather data and only needs information on transmission losses, thermal mass, surface contact, internal load, ventilation scheme and solar load......The objective of this study was to develop a method for hourly calculation of the operating temperature in order to evaluate summer comfort in dwellings to help improve building design. A simplified method was developed on the basis of the simple hourly method of the standard ISO 13790...

  7. Optical chirp z-transform processor with a simplified architecture. (United States)

    Ngo, Nam Quoc


    Using a simplified chirp z-transform (CZT) algorithm based on the discrete-time convolution method, this paper presents the synthesis of a simplified architecture of a reconfigurable optical chirp z-transform (OCZT) processor based on the silica-based planar lightwave circuit (PLC) technology. In the simplified architecture of the reconfigurable OCZT, the required number of optical components is small and there are no waveguide crossings which make fabrication easy. The design of a novel type of optical discrete Fourier transform (ODFT) processor as a special case of the synthesized OCZT is then presented to demonstrate its effectiveness. The designed ODFT can be potentially used as an optical demultiplexer at the receiver of an optical fiber orthogonal frequency division multiplexing (OFDM) transmission system.

  8. Towards the next generation of simplified Dark Matter models

    CERN Document Server

    Albert, Andreas


    This White Paper is an input to the ongoing discussion about the extension and refinement of simplified Dark Matter (DM) models. Based on two concrete examples, we show how existing simplified DM models (SDMM) can be extended to provide a more accurate and comprehensive framework to interpret and characterise collider searches. In the first example we extend the canonical SDMM with a scalar mediator to include mixing with the Higgs boson. We show that this approach not only provides a better description of the underlying kinematic properties that a complete model would possess, but also offers the option of using this more realistic class of scalar mixing models to compare and combine consistently searches based on different experimental signatures. The second example outlines how a new physics signal observed in a visible channel can be connected to DM by extending a simplified model including effective couplings. This discovery scenario uses the recently observed excess in the high-mass diphoton searches of...

  9. Bronchitis - acute (United States)

    ... sharing features on this page, please enable JavaScript. Acute bronchitis is swelling and inflamed tissue in the main ... present only for a short time. Causes When acute bronchitis occurs, it almost always comes after having a ...

  10. Acute cholecystitis (United States)

    ... this page: // Acute cholecystitis To use the sharing features on this page, please enable JavaScript. Acute cholecystitis is sudden swelling and irritation of the gallbladder. ...

  11. Physiological Background of Differences in Quantitative Diffusion-Weighted Magnetic Resonance Imaging Between Acute Malignant and Benign Vertebral Body Fractures: Correlation of Apparent Diffusion Coefficient With Quantitative Perfusion Magnetic Resonance Imaging Using the 2-Compartment Exchange Model. (United States)

    Geith, Tobias; Biffar, Andreas; Schmidt, Gerwin; Sourbron, Steven; Dietrich, Olaf; Reiser, Maximilian; Baur-Melnyk, Andrea


    To test the hypothesis that apparent diffusion coefficient (ADC) in vertebral bone marrow of benign and malignant fractures is related to the volume of the interstitial space, determined with dynamic contrast-enhanced (DCE) magnetic resonance imaging. Patients with acute benign (n = 24) and malignant (n = 19) vertebral body fractures were examined at 1.5 T. A diffusion-weighted single-shot turbo-spin-echo sequence (b = 100 to 600 s/mm) and DCE turbo-FLASH sequence were evaluated. Regions of interest were manually selected for each fracture. Apparent diffusion coefficient was determined with a monoexponential decay model. The DCE magnetic resonance imaging concentration-time curves were analyzed using a 2-compartment tracer-kinetic model. Apparent diffusion coefficient showed a significant positive correlation with interstitial volume in the whole study population (Pearson r = 0.66, P correlation between ADC and the permeability-surface area product could be observed when analyzing the whole study population (Spearman rs = 0.40, P = 0.008), but not when separately examining the subgroups. Plasma flow showed a significant correlation with ADC in benign fractures (Pearson r = 0.23, P = 0.03). Plasma volume did not show significant correlations with ADC. The results support the hypothesis that the ADC of a lesion is inversely correlated to its cellularity. This explains previous observations that ADC is reduced in more malignant lesions.

  12. Reproduction, physiology and biochemistry (United States)

    This chapter summarizes fundamental knowledge and recent discoveries about the reproduction, physiology and biochemistry of plant-parasitic nematodes. Various types of reproduction are reviewed, including sexual reproduction and mitotic and meiotic parthenogenesis. Although much is known about the p...

  13. SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units? (United States)

    Nassar Junior, Antonio Paulo; Mocelin, Amilcar Oshiro; Andrade, Fabio Moreira; Brauer, Leonardo; Giannini, Fabio Poianas; Nunes, Andre Luiz Baptiston; Dias, Carlos Augusto


    CONTEXT AND OBJECTIVE Acute coronary syndromes (ACS) are a common cause of intensive care unit (ICU) admission. Specific prognostic scores have been developed and validated for ACS patients and, among them, GRACE (Global Registry of Acute Coronary Events) has had the best performance. However, intensive care clinicians generally use prognostic scores developed from heterogeneous populations of critically ill patients, such as APACHE IV (Acute Physiologic and Chronic Health Evaluation IV) and SAPS 3 (Simplified Acute Physiology Score 3). The aim of this study was to evaluate and compare the performance of these three scores in a non-selected population of ACS cases. DESIGN AND SETTING Retrospective observational study to evaluate three prognostic scores in a population of ACS patients admitted to three general ICUs in private hospitals in São Paulo. METHODS All patients with ACS admitted from July 2008 to December 2009 were considered for inclusion in the study. Score calibration and discrimination were evaluated in relation to predicting hospital mortality. RESULTS A total of 1065 patients were included. The calibration was appropriate for APACHE IV and GRACE but not for SAPS 3. The discrimination was very good for all scores (area under curve of 0.862 for GRACE, 0.860 for APACHE IV and 0.804 for SAPS 3). CONCLUSIONS In this population of ACS patients admitted to ICUs, GRACE and APACHE IV were adequately calibrated, but SAPS 3 was not. All three scores had very good discrimination. GRACE and APACHE IV may be used for predicting mortality risk among ACS patients.

  14. Physiology of Ramadan fasting


    Shokoufeh Bonakdaran


    Considering the emphasis of Islam on the importance of fasting, Muslims attempt to fast from dawn until sunset during the holy month of Ramadan. Fasting is associated with several benefits for normal and healthy individuals. However, it could pose high risks to the health of diabetic patients due to certain physiological changes. This study aimed to compare the physiological changes associated with fasting in healthy individuals and diabetic patients during Ramadan. Furthermore, we reviewed t...

  15. Respiratory physiology at altitude. (United States)

    Sandberg, C; Naylor, J


    The changes in respiratory physiology that occur with increasing altitude are driven by the fall in the partial pressure of oxygen that occurs with decreasing barometric pressure. At altitude, respiratory system changes occur which impact on each step of the oxygen cascade that occurs within the body. These changes are pivotal to the process of acclimatisation to altitude. The study of human respiratory physiology at altitude has the potential to produce research that will be translational to disease states characterised by hypoxaemia.

  16. Weight-band dosing tables: simplifying paediatric art | Nuttall ...

    African Journals Online (AJOL)

    One of the obstacles to scaling up paediatric antiretroviral therapy (ART) coverage in resource-limited settings is the relative complexity of paediatric dosing. There is a need to simplify ART in order to facilitate treatment initiation and ongoing management of infants and children by health care providers, as well as to support ...

  17. Simplified versus Complex Characters: Socio-Political Considerations (United States)

    Cheng, Chin-chuan


    Discusses realities contributing to the avoidance of simplified characters by Chinese language teachers: (1) Many of them left China before 1949. (2) The Cold War and McCarthyism retarded the introduction of Chinese language realities. (3) Chinese language publications in the U.S. are mostly in complex characters. (KM)

  18. A simplified model of pathogenic pollution for managing beaches ...

    African Journals Online (AJOL)

    Existing models for urban runoff water quality and dispersion in the coastal zone are cumbersome for application to everyday management of beach use. A simplified model is therefore proposed and tested using a case study. The model captures the key physical processes involved in mixing and dispersion of pathogenic ...

  19. Measuring Phantom Recollection in the Simplified Conjoint Recognition Paradigm (United States)

    Stahl, Christoph; Klauer, Karl Christoph


    False memories are sometimes strong enough to elicit recollective experiences. This phenomenon has been termed Phantom Recollection (PR). The Conjoint Recognition (CR) paradigm has been used to empirically separate PR from other memory processes. Recently, a simplification of the CR procedure has been proposed. We herein extend the simplified CR…

  20. Validation of the Simplified Motor Score in patients with traumatic ...

    African Journals Online (AJOL)

    Background. This study used data from a large prospectively entered database to assess the efficacy of the motor score (M score) component of the Glasgow Coma Scale (GCS) and the Simplified Motor Score (SMS) in predicting overall outcome in patients with traumatic brain injury (TBI). Objective. To safely and reliably ...

  1. Simplified Clinical Tools and Educational Outreach for Health Workers

    International Development Research Centre (IDRC) Digital Library (Canada)

    Developed in South Africa, simplified tools and training have been shown to improve outcomes for HIV, tuberculosis (TB) and primary care patients, and to enhance staff satisfaction and confidence. The following are key to their success: point-of-care training provided onsite in a clinical setting; case-based content; ...

  2. Simplified kinetic models of methanol oxidation on silver

    DEFF Research Database (Denmark)

    Andreasen, A.; Lynggaard, H.; Stegelmann, C.


    physically realistic parameters. Unfortunately the rate expression based on this microkinetic model is complex and impractical to apply for reactor engineering purposes. In this paper the rate expression is simplified by a number of approximations to make it suitable for practical applications without...

  3. Validity and reliability of the simplified Therapeutic Intervention ...

    African Journals Online (AJOL)

    Validity and reliability of the simplified Therapeutic Intervention Scoring System in intensive care units of a public sector hospital in Johannesburg. ... the validity and reliability of TISS-28 as a suitable measure of quantifying nursing workload in the adult intensive care units (ICUs) of a public sector hospital in Johannesburg.

  4. Simplified Load-Following Control for a Fuel Cell System (United States)

    Vasquez, Arturo


    A simplified load-following control scheme has been proposed for a fuel cell power system. The scheme could be used to control devices that are important parts of a fuel cell system but are sometimes characterized as parasitic because they consume some of the power generated by the fuel cells.

  5. "4 x 4 vasovasostomy": A simplified technique for vasectomy reversal

    Directory of Open Access Journals (Sweden)

    Rajeev Kumar


    Conclusions : The "4 × 4" modified two-layer vasovasostomy is a simple technique that can be performed in quick time with excellent results. It may allow a common ground between the complex microdot two-layer technique and the over-simplified single-layer procedure.

  6. Validation of the standardized and simplified cutting bill (United States)

    Urs Buehlmann; D. Earl Kline; Janice K. Wiedenbeck; R., Jr. Noble


    This research validated the framework for the standardized and simplified cutting bill presented in an earlier paper. The cutting bill validation was carried out in two ways. First, all 20 of the cutting bill's part groups were examined to determine if significant yield influences resulted from changing specific part sizes within the boundaries of a given part...

  7. On the sustainability area as a simplifying didactic device

    DEFF Research Database (Denmark)

    Harck, Søren H.


    Recently, the sustainability area of public finance has been launched as a simplifying screening device for the analysis of fiscal sustainability. In this paper it is argued that the novel notion of the sustainability area (reflecting, in turn, a simple notion of public debt sustainability) does ...

  8. A Simplified Diagnostic Method for Elastomer Bond Durability (United States)

    White, Paul


    A simplified method has been developed for determining bond durability under exposure to water or high humidity conditions. It uses a small number of test specimens with relatively short times of water exposure at elevated temperature. The method is also gravimetric; the only equipment being required is an oven, specimen jars, and a conventional laboratory balance.

  9. 48 CFR 14.201-9 - Simplified contract format. (United States)


    ... CONTRACTING METHODS AND CONTRACT TYPES SEALED BIDDING Solicitation of Bids 14.201-9 Simplified contract format...) Contract line item number. (2) Description of supplies or services, or data sufficient to identify the..., but shall retain them in the contract file. Award by acceptance of a bid on the award portion of SF...

  10. 77 FR 54482 - Allocation of Costs Under the Simplified Methods (United States)


    ... to allocate capitalizable section 263A costs to specific items in inventory. The legislative history... methods of allocating costs to items in their inventory that were available under prior law. See S. Rep.... The simplified methods differ from facts-and-circumstances methods in that, as applied to inventories...

  11. A Simplified Technique for Evaluating Human "CCR5" Genetic Polymorphism (United States)

    Falteisek, Lukáš; Cerný, Jan; Janštová, Vanda


    To involve students in thinking about the problem of AIDS (which is important in the view of nondecreasing infection rates), we established a practical lab using a simplified adaptation of Thomas's (2004) method to determine the polymorphism of HIV co-receptor CCR5 from students' own epithelial cells. CCR5 is a receptor involved in inflammatory…

  12. An OOP Approach to Simplify MDI Application Development An OOP Approach to Simplify MDI Application Development

    Directory of Open Access Journals (Sweden)

    Donato Hernández Fusilier


    Full Text Available The Multiple Document Interface (MDI is a Microsoft Windows specification that allows managing multiple documents using a single graphic interface application. An MDI application allows opening several documents simultaneously. Only one document is active at a particular time. MDI applications can be deployed using Win32 or Microsoft Foundation Classes (MFC. Programs developed using Win32 are faster than those using MFC. However, Win32applications are difficult to implement and prone to errors. It should be mentioned that, learning how to properly use MFC to deploy MDI applications is not simple, and performance is typically worse than that of Win32 applications. A method to simplify the development of MDI applications using Object-Oriented Programming (OOP is proposed. Subsequently, it is shown that this method generates compact code that is easier to read and maintain than other methods (i.e., MFC. Finally, it is demonstrated that the proposed method allowsthe rapid development of MDI applications without sacrificing application performance.La Interfase para Múltiples Documentos (MDI es una especificación del sistema operativo Microsoft Windows que permite manipular varios documentos usando un sólo programa. Un programa del tipo MDI permite abrir varios documentos simultáneamente. En un instante dado, sólo un documento es activo. Los programas del tipo MDI pueden desarrollarseu sando Win32 o las clases fundamentales de Microsoft (MFC. Los programas desarrollados usando Win32 son más rápidos que los programas que usan MFC. Sin embargo, éstos son difíciles de implementar promoviendo la existencia de errores. Cabe mencionar que el desarrollo de programas del tipo MDI usando MFC no es sencillo, y que su desempeño estípicamente peor que el de un programa del tipo Win32. Se propone un método que drásticamente simplifica el desarrollo de programas del tipo MDI por medio de la Programación Orientada a Objetos (POO. Se demuestra que el m

  13. Anger management style moderates effects of attention strategy during acute pain induction on physiological responses to subsequent mental stress and recovery: a comparison of chronic pain patients and healthy nonpatients. (United States)

    Burns, John W; Quartana, Phillip J; Bruehl, Stephen


    To examine whether high trait anger-out chronic low back (CLBP) patients would show exceptionally large symptom-specific lower paraspinal (LP) responses, compared with healthy nonpatients, during pain induction, a subsequent mental stressor, and recovery when they were urged to suppress awareness of pain and suffering. CLBP patients (n = 93) and nonpatients (n = 105) were assigned randomly to one of four attention strategy conditions for use during pain induction: sensory-focus, distraction, suppression, or control. All participants underwent a cold pressor, and then performed mental arithmetic. They completed the anger-out (AOS) and anger-in (AIS) subscales of the Anger Expression Inventory. General Linear Model procedures were used to test Attention Strategy Condition x Patient/Nonpatient Status x AOS (or AIS) x Period interactions for physiological indices. Significant interactions were found such that: a) high trait anger-out patients in the Suppression condition seemed to show the greatest LP reactivity during the mental arithmetic followed by the slowest recovery compared with other conditions; b) high trait anger-out patients and nonpatients in the Suppression condition seemed to show the slowest systolic blood pressure recoveries compared with other conditions. Results extend previous work by suggesting that an anger-out style moderates effects of how attention is allocated during pain on responses to and recovery from a subsequent mental stressor. Results provide further evidence that trait anger-out and trait anger-in among CLBP patients are associated with increased LP muscle tension during and after pain and mental stress.

  14. Acute Porphyrias. (United States)

    Besur, Siddesh; Schmeltzer, Paul; Bonkovsky, Herbert L


    Porphyrias are a group of eight metabolic disorders characterized by defects in heme biosynthesis. Porphyrias are classified into two major categories: 1) the acute or inducible porphyrias and 2) the chronic cutaneous porphyrias. The acute hepatic porphyrias are further classified into acute intermittent porphyria (AIP), hereditary coproporphyria, variegate porphyria, and porphyria due to severe deficiency of delta-aminolevulinic acid (ALA) dehydratase (ALADP). AIP is the most common, and ALADP is the least common acute porphyria. The clinical presentations of acute porphyrias are nonspecific. There are no pathognomonic signs or symptoms. The most frequent presenting symptom is abdominal pain, but pain in the chest, back, or lower extremities may also occur. Hyponatremia is the most common electrolyte abnormality during acute attacks, and hypomagnesemia is also common. Both are risk factors for development of seizures, which occur in ∼ 20-30% of acute attacks. Once suspected, the diagnosis of porphyria can be rapidly established by checking random urinary porphobilinogen. Initial management of acute porphyria includes discontinuation of all potentially harmful drugs and management of symptoms. Acute attacks should be treated emergently with intravenous heme and glucose to avoid considerable morbidity and mortality. Acute attacks last a few days, and the majority of patients are asymptomatic between attacks. Prognosis is good if the condition is recognized early and treated aggressively. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Human physiology in space (United States)

    Vernikos, J.


    The universality of gravity (1 g) in our daily lives makes it difficult to appreciate its importance in morphology and physiology. Bone and muscle support systems were created, cellular pumps developed, neurons organised and receptors and transducers of gravitational force to biologically relevant signals evolved under 1g gravity. Spaceflight provides the only microgravity environment where systematic experimentation can expand our basic understanding of gravitational physiology and perhaps provide new insights into normal physiology and disease processes. These include the surprising extent of our body's dependence on perceptual information, and understanding the effect and importance of forces generated within the body's weightbearing structures such as muscle and bones. Beyond this exciting prospect is the importance of this work towards opening the solar system for human exploration. Although both appear promising, we are only just beginning to taste what lies ahead.

  16. Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Ringbaek, T.; Lange, P.; Mogensen, T.


    Acute exacerbation of COPD is a major cause of hospitalisation in Denmark. Most of the patients require supplemental oxygen in the acute phase and some patients continue oxygen therapy at home after discharge. In this paper we discuss the physiological mechanisms of respiratory failure seen...... in acute exacerbations of COPD. The principles for oxygen therapy in the acute phase are described and recommendations for oxygen therapy are suggested Udgivelsesdato: 2008/5/5...

  17. Acute cholecystitis


    Fialkowski, Elizabeth; Halpin, Valerie; Whinney, Robb R


    Acute cholecystitis causes unremitting right upper quadrant pain, anorexia, nausea, vomiting, and fever, and if untreated can lead to perforations, abscess formation, or fistulae. About 95% of people with acute cholecystitis have gallstones.It is thought that blockage of the bile duct by a gallstone or local inflammation can lead to acute cholecystitis, but we don't know whether bacterial infection is also necessary.

  18. Acute cholecystitis


    Halpin, Valerie


    Acute cholecystitis causes unremitting right upper quadrant pain, anorexia, nausea, vomiting, and fever, and if untreated can lead to perforations, abscess formation, or fistulae. About 95% of people with acute cholecystitis have gallstones.It is thought that blockage of the cystic duct by a gallstone or local inflammation can lead to acute cholecystitis, but we don't know whether bacterial infection is also necessary.

  19. Acute cholecystitis


    Halpin, Valerie; Gupta, Aditya


    Acute cholecystitis causes unremitting right upper quadrant pain, anorexia, nausea, vomiting, and fever, and if untreated can lead to perforations, abscess formation, or fistulae. About 95% of people with acute cholecystitis have gallstones.It is thought that blockage of the bile duct by a gallstone or local inflammation can lead to acute cholecystitis, but we don't know whether bacterial infection is also necessary.

  20. Treatment of Acute Hepatitis C

    Directory of Open Access Journals (Sweden)

    İlkay Bozkurt


    Full Text Available An acute hepatitis C virus (HCV infection is an uncommonly encountered illness. Patients infected with the HCV commonly tend to be asymptomatic because of spontaneous viral clearance or chronic infection. Early antiviral treatment may be beneficial especially in symptomatic cases. Antiviral therapy with an (IFN-based regimen is standard except in the instance of a human immunodeficiency virus (HIV coinfection. The efficacy of HCV therapy has been restricted by the side effects of treatment. Advances in the treatment options of chronic HCV infection have resulted in the development of many new antiviral drugs that may allow for simplified and shortened treatments with increased tolerability and efficacy in patients with acute HCV infection. J Microbiol Infect Dis 2016;6(1: 40-44

  1. Interpretation of searches for supersymmetry with simplified models

    CERN Document Server

    Chatrchyan, Serguei; Sirunyan, Albert M; Tumasyan, Armen; Adam, Wolfgang; Aguilo, Ernest; Bergauer, Thomas; Dragicevic, Marko; Erö, Janos; Fabjan, Christian; Friedl, Markus; Fruehwirth, Rudolf; Ghete, Vasile Mihai; Hörmann, Natascha; Hrubec, Josef; Jeitler, Manfred; Kiesenhofer, Wolfgang; Knünz, Valentin; Krammer, Manfred; Krätschmer, Ilse; Liko, Dietrich; Mikulec, Ivan; Pernicka, Manfred; Rabady, Dinyar; Rahbaran, Babak; Rohringer, Christine; Rohringer, Herbert; Schöfbeck, Robert; Strauss, Josef; Taurok, Anton; Waltenberger, Wolfgang; Wulz, Claudia-Elisabeth; Mossolov, Vladimir; Shumeiko, Nikolai; Suarez Gonzalez, Juan; Bansal, Monika; Bansal, Sunil; Cornelis, Tom; De Wolf, Eddi A; Janssen, Xavier; Luyckx, Sten; Mucibello, Luca; Ochesanu, Silvia; Roland, Benoit; Rougny, Romain; Selvaggi, Michele; Van Haevermaet, Hans; Van Mechelen, Pierre; Van Remortel, Nick; Van Spilbeeck, Alex; Blekman, Freya; Blyweert, Stijn; D'Hondt, Jorgen; Gonzalez Suarez, Rebeca; Kalogeropoulos, Alexis; Maes, Michael; Olbrechts, Annik; Van Doninck, Walter; Van Mulders, Petra; Van Onsem, Gerrit Patrick; Villella, Ilaria; Clerbaux, Barbara; De Lentdecker, Gilles; Dero, Vincent; Gay, Arnaud; Hreus, Tomas; Léonard, Alexandre; Marage, Pierre Edouard; Mohammadi, Abdollah; Reis, Thomas; Thomas, Laurent; Vander Velde, Catherine; Vanlaer, Pascal; Wang, Jian; Adler, Volker; Beernaert, Kelly; Cimmino, Anna; Costantini, Silvia; Garcia, Guillaume; Grunewald, Martin; Klein, Benjamin; Lellouch, Jérémie; Marinov, Andrey; Mccartin, Joseph; Ocampo Rios, Alberto Andres; Ryckbosch, Dirk; Strobbe, Nadja; Thyssen, Filip; Tytgat, Michael; Walsh, Sinead; Yazgan, Efe; Zaganidis, Nicolas; Basegmez, Suzan; Bruno, Giacomo; Castello, Roberto; Ceard, Ludivine; Delaere, Christophe; Du Pree, Tristan; Favart, Denis; Forthomme, Laurent; Giammanco, Andrea; Hollar, Jonathan; Lemaitre, Vincent; Liao, Junhui; Militaru, Otilia; Nuttens, Claude; Pagano, Davide; Pin, Arnaud; Piotrzkowski, Krzysztof; Vizan Garcia, Jesus Manuel; Beliy, Nikita; Caebergs, Thierry; Daubie, Evelyne; Hammad, Gregory Habib; Alves, Gilvan; Correa Martins Junior, Marcos; Martins, Thiago; Pol, Maria Elena; Henrique Gomes E Souza, Moacyr; Aldá Júnior, Walter Luiz; Carvalho, Wagner; Custódio, Analu; Melo Da Costa, Eliza; De Jesus Damiao, Dilson; De Oliveira Martins, Carley; Fonseca De Souza, Sandro; Malbouisson, Helena; Malek, Magdalena; Matos Figueiredo, Diego; Mundim, Luiz; Nogima, Helio; Prado Da Silva, Wanda Lucia; Santoro, Alberto; Soares Jorge, Luana; Sznajder, Andre; Vilela Pereira, Antonio; Souza Dos Anjos, Tiago; Bernardes, Cesar Augusto; De Almeida Dias, Flavia; Tomei, Thiago; De Moraes Gregores, Eduardo; Lagana, Caio; Da Cunha Marinho, Franciole; Mercadante, Pedro G; Novaes, Sergio F; Padula, Sandra; Genchev, Vladimir; Iaydjiev, Plamen; Piperov, Stefan; Rodozov, Mircho; Stoykova, Stefka; Sultanov, Georgi; Tcholakov, Vanio; Trayanov, Rumen; Vutova, Mariana; Dimitrov, Anton; Hadjiiska, Roumyana; Kozhuharov, Venelin; Litov, Leander; Pavlov, Borislav; Petkov, Peicho; Bian, Jian-Guo; Chen, Guo-Ming; Chen, He-Sheng; Jiang, Chun-Hua; Liang, Dong; Liang, Song; Meng, Xiangwei; Tao, Junquan; Wang, Jian; Wang, Xianyou; Wang, Zheng; Xiao, Hong; Xu, Ming; Zang, Jingjing; Zhang, Zhen; Asawatangtrakuldee, Chayanit; Ban, Yong; Guo, Yifei; Li, Wenbo; Liu, Shuai; Mao, Yajun; Qian, Si-Jin; Teng, Haiyun; Wang, Dayong; Zhang, Linlin; Zou, Wei; Avila, Carlos; Gomez, Juan Pablo; Gomez Moreno, Bernardo; Osorio Oliveros, Andres Felipe; Sanabria, Juan Carlos; Godinovic, Nikola; Lelas, Damir; Plestina, Roko; Polic, Dunja; Puljak, Ivica; Antunovic, Zeljko; Kovac, Marko; Brigljevic, Vuko; Duric, Senka; Kadija, Kreso; Luetic, Jelena; Mekterovic, Darko; Morovic, Srecko; Attikis, Alexandros; Galanti, Mario; Mavromanolakis, Georgios; Mousa, Jehad; Nicolaou, Charalambos; Ptochos, Fotios; Razis, Panos A; Finger, Miroslav; Finger Jr, Michael; Assran, Yasser; Elgammal, Sherif; Ellithi Kamel, Ali; Mahmoud, Mohammed; Mahrous, Ayman; Radi, Amr; Kadastik, Mario; Müntel, Mait; Raidal, Martti; Rebane, Liis; Tiko, Andres; Eerola, Paula; Fedi, Giacomo; Voutilainen, Mikko; Härkönen, Jaakko; Heikkinen, Mika Aatos; Karimäki, Veikko; Kinnunen, Ritva; Kortelainen, Matti J; Lampén, Tapio; Lassila-Perini, Kati; Lehti, Sami; Lindén, Tomas; Luukka, Panja-Riina; Mäenpää, Teppo; Peltola, Timo; Tuominen, Eija; Tuominiemi, Jorma; Tuovinen, Esa; Ungaro, Donatella; Wendland, Lauri; Banzuzi, Kukka; Karjalainen, Ahti; Korpela, Arja; Tuuva, Tuure; Besancon, Marc; Choudhury, Somnath; Dejardin, Marc; Denegri, Daniel; Fabbro, Bernard; Faure, Jean-Louis; Ferri, Federico; Ganjour, Serguei; Givernaud, Alain; Gras, Philippe; Hamel de Monchenault, Gautier; Jarry, Patrick; Locci, Elizabeth; Malcles, Julie; Millischer, Laurent; Nayak, Aruna; Rander, John; Rosowsky, André; Titov, Maksym; Baffioni, Stephanie; Beaudette, Florian; Benhabib, Lamia; Bianchini, Lorenzo; Bluj, Michal; Busson, Philippe; Charlot, Claude; Daci, Nadir; Dahms, Torsten; Dalchenko, Mykhailo; Dobrzynski, Ludwik; Florent, Alice; Granier de Cassagnac, Raphael; Haguenauer, Maurice; Miné, Philippe; Mironov, Camelia; Naranjo, Ivo Nicolas; Nguyen, Matthew; Ochando, Christophe; Paganini, Pascal; Sabes, David; Salerno, Roberto; Sirois, Yves; Veelken, Christian; Zabi, Alexandre; Agram, Jean-Laurent; Andrea, Jeremy; Bloch, Daniel; Bodin, David; Brom, Jean-Marie; Cardaci, Marco; Chabert, Eric Christian; Collard, Caroline; Conte, Eric; Drouhin, Frédéric; Fontaine, Jean-Charles; Gelé, Denis; Goerlach, Ulrich; Juillot, Pierre; Le Bihan, Anne-Catherine; Van Hove, Pierre; Fassi, Farida; Mercier, Damien; Beauceron, Stephanie; Beaupere, Nicolas; Bondu, Olivier; Boudoul, Gaelle; Brochet, Sébastien; Chasserat, Julien; Chierici, Roberto; Contardo, Didier; Depasse, Pierre; El Mamouni, Houmani; Fay, Jean; Gascon, Susan; Gouzevitch, Maxime; Ille, Bernard; Kurca, Tibor; Lethuillier, Morgan; Mirabito, Laurent; Perries, Stephane; Sgandurra, Louis; Sordini, Viola; Tschudi, Yohann; Verdier, Patrice; Viret, Sébastien; Tsamalaidze, Zviad; Autermann, Christian; Beranek, Sarah; Calpas, Betty; Edelhoff, Matthias; Feld, Lutz; Heracleous, Natalie; Hindrichs, Otto; Jussen, Ruediger; Klein, Katja; Merz, Jennifer; Ostapchuk, Andrey; Perieanu, Adrian; Raupach, Frank; Sammet, Jan; Schael, Stefan; Sprenger, Daniel; Weber, Hendrik; Wittmer, Bruno; Zhukov, Valery; Ata, Metin; Caudron, Julien; Dietz-Laursonn, Erik; Duchardt, Deborah; Erdmann, Martin; Fischer, Robert; Güth, Andreas; Hebbeker, Thomas; Heidemann, Carsten; Hoepfner, Kerstin; Klingebiel, Dennis; Kreuzer, Peter; Merschmeyer, Markus; Meyer, Arnd; Olschewski, Mark; Papacz, Paul; Pieta, Holger; Reithler, Hans; Schmitz, Stefan Antonius; Sonnenschein, Lars; Steggemann, Jan; Teyssier, Daniel; Thüer, Sebastian; Weber, Martin; Bontenackels, Michael; Cherepanov, Vladimir; Erdogan, Yusuf; Flügge, Günter; Geenen, Heiko; Geisler, Matthias; Haj Ahmad, Wael; Hoehle, Felix; Kargoll, Bastian; Kress, Thomas; Kuessel, Yvonne; Lingemann, Joschka; Nowack, Andreas; Perchalla, Lars; Pooth, Oliver; Sauerland, Philip; Stahl, Achim; Aldaya Martin, Maria; Behr, Joerg; Behrenhoff, Wolf; Behrens, Ulf; Bergholz, Matthias; Bethani, Agni; Borras, Kerstin; Burgmeier, Armin; Cakir, Altan; Calligaris, Luigi; Campbell, Alan; Castro, Elena; Costanza, Francesco; Dammann, Dirk; Diez Pardos, Carmen; Eckerlin, Guenter; Eckstein, Doris; Flucke, Gero; Geiser, Achim; Glushkov, Ivan; Gunnellini, Paolo; Habib, Shiraz; Hauk, Johannes; Hellwig, Gregor; Jung, Hannes; Kasemann, Matthias; Katsas, Panagiotis; Kleinwort, Claus; Kluge, Hannelies; Knutsson, Albert; Krämer, Mira; Krücker, Dirk; Kuznetsova, Ekaterina; Lange, Wolfgang; Leonard, Jessica; Lohmann, Wolfgang; Lutz, Benjamin; Mankel, Rainer; Marfin, Ihar; Marienfeld, Markus; Melzer-Pellmann, Isabell-Alissandra; Meyer, Andreas Bernhard; Mnich, Joachim; Mussgiller, Andreas; Naumann-Emme, Sebastian; Novgorodova, Olga; Olzem, Jan; Perrey, Hanno; Petrukhin, Alexey; Pitzl, Daniel; Raspereza, Alexei; Ribeiro Cipriano, Pedro M; Riedl, Caroline; Ron, Elias; Rosin, Michele; Salfeld-Nebgen, Jakob; Schmidt, Ringo; Schoerner-Sadenius, Thomas; Sen, Niladri; Spiridonov, Alexander; Stein, Matthias; Walsh, Roberval; Wissing, Christoph; Blobel, Volker; Enderle, Holger; Erfle, Joachim; Gebbert, Ulla; Görner, Martin; Gosselink, Martijn; Haller, Johannes; Hermanns, Thomas; Höing, Rebekka Sophie; Kaschube, Kolja; Kaussen, Gordon; Kirschenmann, Henning; Klanner, Robert; Lange, Jörn; Nowak, Friederike; Peiffer, Thomas; Pietsch, Niklas; Rathjens, Denis; Sander, Christian; Schettler, Hannes; Schleper, Peter; Schlieckau, Eike; Schmidt, Alexander; Schröder, Matthias; Schum, Torben; Seidel, Markus; Sibille, Jennifer; Sola, Valentina; Stadie, Hartmut; Steinbrück, Georg; Thomsen, Jan; Vanelderen, Lukas; Barth, Christian; Berger, Joram; Böser, Christian; Chwalek, Thorsten; De Boer, Wim; Descroix, Alexis; Dierlamm, Alexander; Feindt, Michael; Guthoff, Moritz; Hackstein, Christoph; Hartmann, Frank; Hauth, Thomas; Heinrich, Michael; Held, Hauke; Hoffmann, Karl-Heinz; Husemann, Ulrich; Katkov, Igor; Komaragiri, Jyothsna Rani; Lobelle Pardo, Patricia; Martschei, Daniel; Mueller, Steffen; Müller, Thomas; Niegel, Martin; Nürnberg, Andreas; Oberst, Oliver; Oehler, Andreas; Ott, Jochen; Quast, Gunter; Rabbertz, Klaus; Ratnikov, Fedor; Ratnikova, Natalia; Röcker, Steffen; Schilling, Frank-Peter; Schott, Gregory; Simonis, Hans-Jürgen; Stober, Fred-Markus Helmut; Troendle, Daniel; Ulrich, Ralf; Wagner-Kuhr, Jeannine; Wayand, Stefan; Weiler, Thomas; Zeise, Manuel; Anagnostou, Georgios; Daskalakis, Georgios; Geralis, Theodoros; Kesisoglou, Stilianos; Kyriakis, Aristotelis; Loukas, Demetrios; Manolakos, Ioannis; Markou, Athanasios; Markou, Christos; Ntomari, Eleni; Gouskos, Loukas; Mertzimekis, Theodoros; Panagiotou, Apostolos; Saoulidou, Niki; Evangelou, Ioannis; Foudas, Costas; Kokkas, Panagiotis; Manthos, Nikolaos; Papadopoulos, Ioannis; Patras, Vaios; Bencze, Gyorgy; Hajdu, Csaba; Hidas, Pàl; Horvath, Dezso; Sikler, Ferenc; Veszpremi, Viktor; Vesztergombi, Gyorgy; Beni, Noemi; Czellar, Sandor; Molnar, Jozsef; Palinkas, Jozsef; Szillasi, Zoltan; Karancsi, János; Raics, Peter; Trocsanyi, Zoltan Laszlo; Ujvari, Balazs; Beri, Suman Bala; Bhatnagar, Vipin; Dhingra, Nitish; Gupta, Ruchi; Kaur, Manjit; Mehta, Manuk Zubin; Nishu, Nishu; Saini, Lovedeep Kaur; Sharma, Archana; Singh, Jasbir; Kumar, Ashok; Kumar, Arun; Ahuja, Sudha; Bhardwaj, Ashutosh; Choudhary, Brajesh C; Malhotra, Shivali; Naimuddin, Md; Ranjan, Kirti; Sharma, Varun; Shivpuri, Ram Krishen; Banerjee, Sunanda; Bhattacharya, Satyaki; Dutta, Suchandra; Gomber, Bhawna; Jain, Sandhya; Jain, Shilpi; Khurana, Raman; Sarkar, Subir; Sharan, Manoj; Abdulsalam, Abdulla; Dutta, Dipanwita; Kailas, Swaminathan; Kumar, Vineet; Mohanty, Ajit Kumar; Pant, Lalit Mohan; Shukla, Prashant; Aziz, Tariq; Ganguly, Sanmay; Guchait, Monoranjan; Gurtu, Atul; Maity, Manas; Majumder, Gobinda; Mazumdar, Kajari; Mohanty, Gagan Bihari; Parida, Bibhuti; Sudhakar, Katta; Wickramage, Nadeesha; Banerjee, Sudeshna; Dugad, Shashikant; Arfaei, Hessamaddin; Bakhshiansohi, Hamed; Etesami, Seyed Mohsen; Fahim, Ali; Hashemi, Majid; Hesari, Hoda; Jafari, Abideh; Khakzad, Mohsen; Mohammadi Najafabadi, Mojtaba; Paktinat Mehdiabadi, Saeid; Safarzadeh, Batool; Zeinali, Maryam; Abbrescia, Marcello; Barbone, Lucia; Calabria, Cesare; Chhibra, Simranjit Singh; Colaleo, Anna; Creanza, Donato; De Filippis, Nicola; De Palma, Mauro; Fiore, Luigi; Iaselli, Giuseppe; Maggi, Giorgio; Maggi, Marcello; Marangelli, Bartolomeo; My, Salvatore; Nuzzo, Salvatore; Pacifico, Nicola; Pompili, Alexis; Pugliese, Gabriella; Selvaggi, Giovanna; Silvestris, Lucia; Singh, Gurpreet; Venditti, Rosamaria; Verwilligen, Piet; Zito, Giuseppe; Abbiendi, Giovanni; Benvenuti, Alberto; Bonacorsi, Daniele; Braibant-Giacomelli, Sylvie; Brigliadori, Luca; Capiluppi, Paolo; Castro, Andrea; Cavallo, Francesca Romana; Cuffiani, Marco; Dallavalle, Gaetano-Marco; Fabbri, Fabrizio; Fanfani, Alessandra; Fasanella, Daniele; Giacomelli, Paolo; Grandi, Claudio; Guiducci, Luigi; Marcellini, Stefano; Masetti, Gianni; Meneghelli, Marco; Montanari, Alessandro; Navarria, Francesco; Odorici, Fabrizio; Perrotta, Andrea; Primavera, Federica; Rossi, Antonio; Rovelli, Tiziano; Siroli, Gian Piero; Tosi, Nicolò; Travaglini, Riccardo; Albergo, Sebastiano; Cappello, Gigi; Chiorboli, Massimiliano; Costa, Salvatore; Potenza, Renato; Tricomi, Alessia; Tuve, Cristina; Barbagli, Giuseppe; Ciulli, Vitaliano; Civinini, Carlo; D'Alessandro, Raffaello; Focardi, Ettore; Frosali, Simone; Gallo, Elisabetta; Gonzi, Sandro; Meschini, Marco; Paoletti, Simone; Sguazzoni, Giacomo; Tropiano, Antonio; Benussi, Luigi; Bianco, Stefano; Colafranceschi, Stefano; Fabbri, Franco; Piccolo, Davide; Fabbricatore, Pasquale; Musenich, Riccardo; Tosi, Silvano; Benaglia, Andrea; De Guio, Federico; Di Matteo, Leonardo; Fiorendi, Sara; Gennai, Simone; Ghezzi, Alessio; Malvezzi, Sandra; Manzoni, Riccardo Andrea; Martelli, Arabella; Massironi, Andrea; Menasce, Dario; Moroni, Luigi; Paganoni, Marco; Pedrini, Daniele; Ragazzi, Stefano; Redaelli, Nicola; Sala, Silvano; Tabarelli de Fatis, Tommaso; Buontempo, Salvatore; Carrillo Montoya, Camilo Andres; Cavallo, Nicola; De Cosa, Annapaola; Dogangun, Oktay; Fabozzi, Francesco; Iorio, Alberto Orso Maria; Lista, Luca; Meola, Sabino; Merola, Mario; Paolucci, Pierluigi; Azzi, Patrizia; Bacchetta, Nicola; Bisello, Dario; Branca, Antonio; Carlin, Roberto; Checchia, Paolo; Dorigo, Tommaso; Gasparini, Fabrizio; Gozzelino, Andrea; Kanishchev, Konstantin; Lacaprara, Stefano; Lazzizzera, Ignazio; Margoni, Martino; Meneguzzo, Anna Teresa; Pazzini, Jacopo; Pozzobon, Nicola; Ronchese, Paolo; Simonetto, Franco; Torassa, Ezio; Tosi, Mia; Triossi, Andrea; Vanini, Sara; Zotto, Pierluigi; Zucchetta, Alberto; Zumerle, Gianni; Gabusi, Michele; Ratti, Sergio P; Riccardi, Cristina; Torre, Paola; Vitulo, Paolo; Biasini, Maurizio; Bilei, Gian Mario; Fanò, Livio; Lariccia, Paolo; Mantovani, Giancarlo; Menichelli, Mauro; Nappi, Aniello; Romeo, Francesco; Saha, Anirban; Santocchia, Attilio; Spiezia, Aniello; Taroni, Silvia; Azzurri, Paolo; Bagliesi, Giuseppe; Bernardini, Jacopo; Boccali, Tommaso; Broccolo, Giuseppe; Castaldi, Rino; D'Agnolo, Raffaele Tito; Dell'Orso, Roberto; Fiori, Francesco; Foà, Lorenzo; Giassi, Alessandro; Kraan, Aafke; Ligabue, Franco; Lomtadze, Teimuraz; Martini, Luca; Messineo, Alberto; Palla, Fabrizio; Rizzi, Andrea; Serban, Alin Titus; Spagnolo, Paolo; Squillacioti, Paola; Tenchini, Roberto; Tonelli, Guido; Venturi, Andrea; Verdini, Piero Giorgio; Barone, Luciano; Cavallari, Francesca; Del Re, Daniele; Diemoz, Marcella; Fanelli, Cristiano; Grassi, Marco; Longo, Egidio; Meridiani, Paolo; Micheli, Francesco; Nourbakhsh, Shervin; Organtini, Giovanni; Paramatti, Riccardo; Rahatlou, Shahram; Sigamani, Michael; Soffi, Livia; Amapane, Nicola; Arcidiacono, Roberta; Argiro, Stefano; Arneodo, Michele; Biino, Cristina; Cartiglia, Nicolo; Casasso, Stefano; Costa, Marco; Demaria, Natale; Mariotti, Chiara; Maselli, Silvia; Migliore, Ernesto; Monaco, Vincenzo; Musich, Marco; Obertino, Maria Margherita; Pastrone, Nadia; Pelliccioni, Mario; Potenza, Alberto; Romero, Alessandra; Ruspa, Marta; Sacchi, Roberto; Solano, Ada; Staiano, Amedeo; Belforte, Stefano; Candelise, Vieri; Casarsa, Massimo; Cossutti, Fabio; Della Ricca, Giuseppe; Gobbo, Benigno; Marone, Matteo; Montanino, Damiana; Penzo, Aldo; Schizzi, Andrea; Kim, Tae Yeon; Nam, Soon-Kwon; Chang, Sunghyun; Kim, Dong Hee; Kim, Gui Nyun; Kong, Dae Jung; Park, Hyangkyu; Son, Dong-Chul; Son, Taejin; Kim, Jae Yool; Kim, Zero Jaeho; Song, Sanghyeon; Choi, Suyong; Gyun, Dooyeon; Hong, Byung-Sik; Jo, Mihee; Kim, Hyunchul; Kim, Tae Jeong; Lee, Kyong Sei; Moon, Dong Ho; Park, Sung Keun; Roh, Youn; Choi, Minkyoo; Kim, Ji Hyun; Park, Chawon; Park, Inkyu; Park, Sangnam; Ryu, Geonmo; Choi, Young-Il; Choi, Young Kyu; Goh, Junghwan; Kim, Min Suk; Kwon, Eunhyang; Lee, Byounghoon; Lee, Jongseok; Lee, Sungeun; Seo, Hyunkwan; Yu, Intae; Bilinskas, Mykolas Jurgis; Grigelionis, Ignas; Janulis, Mindaugas; Juodagalvis, Andrius; Castilla-Valdez, Heriberto; De La Cruz-Burelo, Eduard; Heredia-de La Cruz, Ivan; Lopez-Fernandez, Ricardo; Martínez-Ortega, Jorge; Sánchez Hernández, Alberto; Villasenor-Cendejas, Luis Manuel; Carrillo Moreno, Salvador; Vazquez Valencia, Fabiola; Salazar Ibarguen, Humberto Antonio; Casimiro Linares, Edgar; Morelos Pineda, Antonio; Reyes-Santos, Marco A; Krofcheck, David; Bell, Alan James; Butler, Philip H; Doesburg, Robert; Reucroft, Steve; Silverwood, Hamish; Ahmad, Muhammad; Asghar, Muhammad Irfan; Butt, Jamila; Hoorani, Hafeez R; Khalid, Shoaib; Khan, Wajid Ali; Khurshid, Taimoor; Qazi, Shamona; Shah, Mehar Ali; Shoaib, Muhammad; Bialkowska, Helena; Boimska, Bozena; Frueboes, Tomasz; Górski, Maciej; Kazana, Malgorzata; Nawrocki, Krzysztof; Romanowska-Rybinska, Katarzyna; Szleper, Michal; Wrochna, Grzegorz; Zalewski, Piotr; Brona, Grzegorz; Bunkowski, Karol; Cwiok, Mikolaj; Dominik, Wojciech; Doroba, Krzysztof; Kalinowski, Artur; Konecki, Marcin; Krolikowski, Jan; Misiura, Maciej; Almeida, Nuno; Bargassa, Pedrame; David Tinoco Mendes, Andre; Faccioli, Pietro; Ferreira Parracho, Pedro Guilherme; Gallinaro, Michele; Seixas, Joao; Varela, Joao; Vischia, Pietro; Bunin, Pavel; Gavrilenko, Mikhail; Golutvin, Igor; Gorbunov, Ilya; Kamenev, Alexey; Karjavin, Vladimir; Kozlov, Guennady; Lanev, Alexander; Malakhov, Alexander; Moisenz, Petr; Palichik, Vladimir; Perelygin, Victor; Savina, Maria; Shmatov, Sergey; Smirnov, Vitaly; Volodko, Anton; Zarubin, Anatoli; Evstyukhin, Sergey; Golovtsov, Victor; Ivanov, Yury; Kim, Victor; Levchenko, Petr; Murzin, Victor; Oreshkin, Vadim; Smirnov, Igor; Sulimov, Valentin; Uvarov, Lev; Vavilov, Sergey; Vorobyev, Alexey; Vorobyev, Andrey; Andreev, Yuri; Dermenev, Alexander; Gninenko, Sergei; Golubev, Nikolai; Kirsanov, Mikhail; Krasnikov, Nikolai; Matveev, Viktor; Pashenkov, Anatoli; Tlisov, Danila; Toropin, Alexander; Epshteyn, Vladimir; Erofeeva, Maria; Gavrilov, Vladimir; Kossov, Mikhail; Lychkovskaya, Natalia; Popov, Vladimir; Safronov, Grigory; Semenov, Sergey; Shreyber, Irina; Stolin, Viatcheslav; Vlasov, Evgueni; Zhokin, Alexander; Belyaev, Andrey; Boos, Edouard; Dubinin, Mikhail; Dudko, Lev; Ershov, Alexander; Gribushin, Andrey; Klyukhin, Vyacheslav; Kodolova, Olga; Lokhtin, Igor; Markina, Anastasia; Obraztsov, Stepan; Perfilov, Maxim; Petrushanko, Sergey; Popov, Andrey; Sarycheva, Ludmila; Savrin, Viktor; Snigirev, Alexander; Andreev, Vladimir; Azarkin, Maksim; Dremin, Igor; Kirakosyan, Martin; Leonidov, Andrey; Mesyats, Gennady; Rusakov, Sergey V; Vinogradov, Alexey; Azhgirey, Igor; Bayshev, Igor; Bitioukov, Sergei; Grishin, Viatcheslav; Kachanov, Vassili; Konstantinov, Dmitri; Krychkine, Victor; Petrov, Vladimir; Ryutin, Roman; Sobol, Andrei; Tourtchanovitch, Leonid; Troshin, Sergey; Tyurin, Nikolay; Uzunian, Andrey; Volkov, Alexey; Adzic, Petar; Djordjevic, Milos; Ekmedzic, Marko; Krpic, Dragomir; Milosevic, Jovan; Aguilar-Benitez, Manuel; Alcaraz Maestre, Juan; Arce, Pedro; Battilana, Carlo; Calvo, Enrique; Cerrada, Marcos; Chamizo Llatas, Maria; Colino, Nicanor; De La Cruz, Begona; Delgado Peris, Antonio; Domínguez Vázquez, Daniel; Fernandez Bedoya, Cristina; Fernández Ramos, Juan Pablo; Ferrando, Antonio; Flix, Jose; Fouz, Maria Cruz; Garcia-Abia, Pablo; Gonzalez Lopez, Oscar; Goy Lopez, Silvia; Hernandez, Jose M; Josa, Maria Isabel; Merino, Gonzalo; Puerta Pelayo, Jesus; Quintario Olmeda, Adrián; Redondo, Ignacio; Romero, Luciano; Santaolalla, Javier; Senghi Soares, Mara; Willmott, Carlos; Albajar, Carmen; Codispoti, Giuseppe; de Trocóniz, Jorge F; Brun, Hugues; Cuevas, Javier; Fernandez Menendez, Javier; Folgueras, Santiago; Gonzalez Caballero, Isidro; Lloret Iglesias, Lara; Piedra Gomez, Jonatan; Brochero Cifuentes, Javier Andres; Cabrillo, Iban Jose; Calderon, Alicia; Chuang, Shan-Huei; Duarte Campderros, Jordi; Felcini, Marta; Fernandez, Marcos; Gomez, Gervasio; Gonzalez Sanchez, Javier; Graziano, Alberto; Jorda, Clara; Lopez Virto, Amparo; Marco, Jesus; Marco, Rafael; Martinez Rivero, Celso; Matorras, Francisco; Munoz Sanchez, Francisca Javiela; Rodrigo, Teresa; Rodríguez-Marrero, Ana Yaiza; Ruiz-Jimeno, Alberto; Scodellaro, Luca; Vila, Ivan; Vilar Cortabitarte, Rocio; Abbaneo, Duccio; Auffray, Etiennette; Auzinger, Georg; Bachtis, Michail; Baillon, Paul; Ball, Austin; Barney, David; Benitez, Jose F; Bernet, Colin; Bianchi, Giovanni; Bloch, Philippe; Bocci, Andrea; Bonato, Alessio; Botta, Cristina; Breuker, Horst; Camporesi, Tiziano; Cerminara, Gianluca; Christiansen, Tim; Coarasa Perez, Jose Antonio; D'Enterria, David; Dabrowski, Anne; De Roeck, Albert; Di Guida, Salvatore; Dobson, Marc; Dupont-Sagorin, Niels; Elliott-Peisert, Anna; Frisch, Benjamin; Funk, Wolfgang; Georgiou, Georgios; Giffels, Manuel; Gigi, Dominique; Gill, Karl; Giordano, Domenico; Girone, Maria; Giunta, Marina; Glege, Frank; Gomez-Reino Garrido, Robert; Govoni, Pietro; Gowdy, Stephen; Guida, Roberto; Gundacker, Stefan; Hammer, Josef; Hansen, Magnus; Harris, Philip; Hartl, Christian; Harvey, John; Hegner, Benedikt; Hinzmann, Andreas; Innocente, Vincenzo; Janot, Patrick; Kaadze, Ketino; Karavakis, Edward; Kousouris, Konstantinos; Lecoq, Paul; Lee, Yen-Jie; Lenzi, Piergiulio; Lourenco, Carlos; Magini, Nicolo; Maki, Tuula; Malberti, Martina; Malgeri, Luca; Mannelli, Marcello; Masetti, Lorenzo; Meijers, Frans; Mersi, Stefano; Meschi, Emilio; Moser, Roland; Mozer, Matthias Ulrich; Mulders, Martijn; Musella, Pasquale; Nesvold, Erik; Orsini, Luciano; Palencia Cortezon, Enrique; Perez, Emmanuelle; Perrozzi, Luca; Petrilli, Achille; Pfeiffer, Andreas; Pierini, Maurizio; Pimiä, Martti; Piparo, Danilo; Polese, Giovanni; Quertenmont, Loic; Racz, Attila; Reece, William; Rodrigues Antunes, Joao; Rolandi, Gigi; Rovelli, Chiara; Rovere, Marco; Sakulin, Hannes; Santanastasio, Francesco; Schäfer, Christoph; Schwick, Christoph; Segoni, Ilaria; Sekmen, Sezen; Sharma, Archana; Siegrist, Patrice; Silva, Pedro; Simon, Michal; Sphicas, Paraskevas; Spiga, Daniele; Tsirou, Andromachi; Veres, Gabor Istvan; Vlimant, Jean-Roch; Wöhri, Hermine Katharina; Worm, Steven; Zeuner, Wolfram Dietrich; Bertl, Willi; Deiters, Konrad; Erdmann, Wolfram; Gabathuler, Kurt; Horisberger, Roland; Ingram, Quentin; Kaestli, Hans-Christian; König, Stefan; Kotlinski, Danek; Langenegger, Urs; Meier, Frank; Renker, Dieter; Rohe, Tilman; Bäni, Lukas; Bortignon, Pierluigi; Buchmann, Marco-Andrea; Casal, Bruno; Chanon, Nicolas; Deisher, Amanda; Dissertori, Günther; Dittmar, Michael; Donegà, Mauro; Dünser, Marc; Eller, Philipp; Eugster, Jürg; Freudenreich, Klaus; Grab, Christoph; Hits, Dmitry; Lecomte, Pierre; Lustermann, Werner; Marini, Andrea Carlo; Martinez Ruiz del Arbol, Pablo; Mohr, Niklas; Moortgat, Filip; Nägeli, Christoph; Nef, Pascal; Nessi-Tedaldi, Francesca; Pandolfi, Francesco; Pape, Luc; Pauss, Felicitas; Peruzzi, Marco; Ronga, Frederic Jean; Rossini, Marco; Sala, Leonardo; Sanchez, Ann - Karin; Starodumov, Andrei; Stieger, Benjamin; Takahashi, Maiko; Tauscher, Ludwig; Thea, Alessandro; Theofilatos, Konstantinos; Treille, Daniel; Urscheler, Christina; Wallny, Rainer; Weber, Hannsjoerg Artur; Wehrli, Lukas; 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    The results of searches for supersymmetry by the CMS experiment are interpreted in the framework of simplified models. The results are based on data corresponding to an integrated luminosity of 4.73 to 4.98 inverse femtobarns. The data were collected at the LHC in proton-proton collisions at a center-of-mass energy of 7 TeV. This paper describes the method of interpretation and provides upper limits on the product of the production cross section and branching fraction as a function of new particle masses for a number of simplified models. These limits and the corresponding experimental acceptance calculations can be used to constrain other theoretical models and to compare different supersymmetry-inspired analyses.

  2. Interpretation of searches for supersymmetry with simplified models

    Energy Technology Data Exchange (ETDEWEB)

    Chatrchyan, S.; Khachatryan, V.; Sirunyan, A. M.; Tumasyan, A.; Adam, W.; Aguilo, E.; Bergauer, T.; Dragicevic, M.; Erö, J.; Fabjan, C.; Friedl, M.; Frühwirth, R.; Ghete, V. M.; Hörmann, N.; Hrubec, J.; Jeitler, M.; Kiesenhofer, W.; Knünz, V.; Krammer, M.; Krätschmer, I.; Liko, D.; Mikulec, I.; Pernicka, M.; Rabady, D.; Rahbaran, B.; Rohringer, C.; Rohringer, H.; Schöfbeck, R.; Strauss, J.; Taurok, A.; Waltenberger, W.; Wulz, C. -E.; Mossolov, V.; Shumeiko, N.; Suarez Gonzalez, J.; Bansal, M.; Bansal, S.; Cornelis, T.; De Wolf, E. A.; Janssen, X.; Luyckx, S.; Mucibello, L.; Ochesanu, S.; Roland, B.; Rougny, R.; Selvaggi, M.; Van Haevermaet, H.; Van Mechelen, P.; Van Remortel, N.; Van Spilbeeck, A.; Blekman, F.; Blyweert, S.; D’Hondt, J.; Gonzalez Suarez, R.; Kalogeropoulos, A.; Maes, M.; Olbrechts, A.; Van Doninck, W.; Van Mulders, P.; Van Onsem, G. P.; Villella, I.; Clerbaux, B.; De Lentdecker, G.; Dero, V.; Gay, A. P. R.; Hreus, T.; Léonard, A.; Marage, P. 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L.; Santoro, A.; Soares Jorge, L.; Sznajder, A.; Vilela Pereira, A.; Anjos, T. S.; Bernardes, C. A.; Dias, F. A.; Fernandez Perez Tomei, T. R.; Gregores, E. M.; Lagana, C.; Marinho, F.; Mercadante, P. G.; Novaes, S. F.; Padula, Sandra S.; Genchev, V.; Iaydjiev, P.; Piperov, S.; Rodozov, M.; Stoykova, S.; Sultanov, G.; Tcholakov, V.; Trayanov, R.; Vutova, M.; Dimitrov, A.; Hadjiiska, R.; Kozhuharov, V.; Litov, L.; Pavlov, B.; Petkov, P.; Bian, J. G.; Chen, G. M.; Chen, H. S.; Jiang, C. H.; Liang, D.; Liang, S.; Meng, X.; Tao, J.; Wang, J.; Wang, X.; Wang, Z.; Xiao, H.; Xu, M.; Zang, J.; Zhang, Z.; Asawatangtrakuldee, C.; Ban, Y.; Guo, Y.; Li, W.; Liu, S.; Mao, Y.; Qian, S. J.; Teng, H.; Wang, D.; Zhang, L.; Zou, W.; Avila, C.; Gomez, J. P.; Gomez Moreno, B.; Osorio Oliveros, A. F.; Sanabria, J. 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A.; Sonnenschein, L.; Steggemann, J.; Teyssier, D.; Thüer, S.; Weber, M.; Bontenackels, M.; Cherepanov, V.; Erdogan, Y.; Flügge, G.; Geenen, H.; Geisler, M.; Haj Ahmad, W.; Hoehle, F.; Kargoll, B.; Kress, T.; Kuessel, Y.; Lingemann, J.; Nowack, A.; Perchalla, L.; Pooth, O.; Sauerland, P.; Stahl, A.; Aldaya Martin, M.; Behr, J.; Behrenhoff, W.; Behrens, U.; Bergholz, M.; Bethani, A.; Borras, K.; Burgmeier, A.; Cakir, A.; Calligaris, L.; Campbell, A.; Castro, E.; Costanza, F.; Dammann, D.; Diez Pardos, C.; Eckerlin, G.; Eckstein, D.; Flucke, G.; Geiser, A.; Glushkov, I.; Gunnellini, P.; Habib, S.; Hauk, J.; Hellwig, G.; Jung, H.; Kasemann, M.; Katsas, P.; Kleinwort, C.; Kluge, H.; Knutsson, A.; Krämer, M.; Krücker, D.; Kuznetsova, E.; Lange, W.; Leonard, J.; Lohmann, W.; Lutz, B.; Mankel, R.; Marfin, I.; Marienfeld, M.; Melzer-Pellmann, I. -A.; Meyer, A. 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R.; Lobelle Pardo, P.; Martschei, D.; Mueller, S.; Müller, Th.; Niegel, M.; Nürnberg, A.; Oberst, O.; Oehler, A.; Ott, J.; Quast, G.; Rabbertz, K.; Ratnikov, F.; Ratnikova, N.; Röcker, S.; Schilling, F. -P.; Schott, G.; Simonis, H. J.; Stober, F. M.; Troendle, D.; Ulrich, R.; Wagner-Kuhr, J.; Wayand, S.; Weiler, T.; Zeise, M.; Anagnostou, G.; Daskalakis, G.; Geralis, T.; Kesisoglou, S.; Kyriakis, A.; Loukas, D.; Manolakos, I.; Markou, A.; Markou, C.; Ntomari, E.; Gouskos, L.; Mertzimekis, T. J.; Panagiotou, A.; Saoulidou, N.; Evangelou, I.; Foudas, C.; Kokkas, P.; Manthos, N.; Papadopoulos, I.; Patras, V.; Bencze, G.; Hajdu, C.; Hidas, P.; Horvath, D.; Sikler, F.; Veszpremi, V.; Vesztergombi, G.; Beni, N.; Czellar, S.; Molnar, J.; Palinkas, J.; Szillasi, Z.; Karancsi, J.; Raics, P.; Trocsanyi, Z. L.; Ujvari, B.; Beri, S. B.; Bhatnagar, V.; Dhingra, N.; Gupta, R.; Kaur, M.; Mehta, M. Z.; Nishu, N.; Saini, L. K.; Sharma, A.; Singh, J. B.; Kumar, Ashok; Kumar, Arun; Ahuja, S.; Bhardwaj, A.; Choudhary, B. C.; Malhotra, S.; Naimuddin, M.; Ranjan, K.; Sharma, V.; Shivpuri, R. K.; Banerjee, S.; Bhattacharya, S.; Dutta, S.; Gomber, B.; Jain, Sa.; Jain, Sh.; Khurana, R.; Sarkar, S.; Sharan, M.; Abdulsalam, A.; Dutta, D.; Kailas, S.; Kumar, V.; Mohanty, A. K.; Pant, L. M.; Shukla, P.; Aziz, T.; Ganguly, S.; Guchait, M.; Gurtu, A.; Maity, M.; Majumder, G.; Mazumdar, K.; Mohanty, G. B.; Parida, B.; Sudhakar, K.; Wickramage, N.; Banerjee, S.; Dugad, S.; Arfaei, H.; Bakhshiansohi, H.; Etesami, S. M.; Fahim, A.; Hashemi, M.; Hesari, H.; Jafari, A.; Khakzad, M.; Mohammadi Najafabadi, M.; Paktinat Mehdiabadi, S.; Safarzadeh, B.; Zeinali, M.; Abbrescia, M.; Barbone, L.; Calabria, C.; Chhibra, S. S.; Colaleo, A.; Creanza, D.; De Filippis, N.; De Palma, M.; Fiore, L.; Iaselli, G.; Maggi, G.; Maggi, M.; Marangelli, B.; My, S.; Nuzzo, S.; Pacifico, N.; Pompili, A.; Pugliese, G.; Selvaggi, G.; Silvestris, L.; Singh, G.; Venditti, R.; Verwilligen, P.; Zito, G.; Abbiendi, G.; Benvenuti, A. C.; Bonacorsi, D.; Braibant-Giacomelli, S.; Brigliadori, L.; Capiluppi, P.; Castro, A.; Cavallo, F. R.; Cuffiani, M.; Dallavalle, G. M.; Fabbri, F.; Fanfani, A.; Fasanella, D.; Giacomelli, P.; Grandi, C.; Guiducci, L.; Marcellini, S.; Masetti, G.; Meneghelli, M.; Montanari, A.; Navarria, F. L.; Odorici, F.; Perrotta, A.; Primavera, F.; Rossi, A. M.; Rovelli, T.; Siroli, G. 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T.; Pazzini, J.; Pozzobon, N.; Ronchese, P.; Simonetto, F.; Torassa, E.; Tosi, M.; Triossi, A.; Vanini, S.; Zotto, P.; Zucchetta, A.; Zumerle, G.; Gabusi, M.; Ratti, S. P.; Riccardi, C.; Torre, P.; Vitulo, P.; Biasini, M.; Bilei, G. M.; Fanò, L.; Lariccia, P.; Mantovani, G.; Menichelli, M.; Nappi, A.; Romeo, F.; Saha, A.; Santocchia, A.; Spiezia, A.; Taroni, S.; Azzurri, P.; Bagliesi, G.; Bernardini, J.; Boccali, T.; Broccolo, G.; Castaldi, R.; D’Agnolo, R. T.; Dell’Orso, R.; Fiori, F.; Foà, L.; Giassi, A.; Kraan, A.; Ligabue, F.; Lomtadze, T.; Martini, L.; Messineo, A.; Palla, F.; Rizzi, A.; Serban, A. T.; Spagnolo, P.; Squillacioti, P.; Tenchini, R.; Tonelli, G.; Venturi, A.; Verdini, P. 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S.; Kwon, E.; Lee, B.; Lee, J.; Lee, S.; Seo, H.; Yu, I.; Bilinskas, M. J.; Grigelionis, I.; Janulis, M.; Juodagalvis, A.; Castilla-Valdez, H.; De La Cruz-Burelo, E.; Heredia-de La Cruz, I.; Lopez-Fernandez, R.; Martínez-Ortega, J.; Sanchez-Hernandez, A.; Villasenor-Cendejas, L. M.; Carrillo Moreno, S.; Vazquez Valencia, F.; Salazar Ibarguen, H. A.; Casimiro Linares, E.; Morelos Pineda, A.; Reyes-Santos, M. A.; Krofcheck, D.; Bell, A. J.; Butler, P. H.; Doesburg, R.; Reucroft, S.; Silverwood, H.; Ahmad, M.; Asghar, M. I.; Butt, J.; Hoorani, H. R.; Khalid, S.; Khan, W. A.; Khurshid, T.; Qazi, S.; Shah, M. A.; Shoaib, M.; Bialkowska, H.; Boimska, B.; Frueboes, T.; Górski, M.; Kazana, M.; Nawrocki, K.; Romanowska-Rybinska, K.; Szleper, M.; Wrochna, G.; Zalewski, P.; Brona, G.; Bunkowski, K.; Cwiok, M.; Dominik, W.; Doroba, K.; Kalinowski, A.; Konecki, M.; Krolikowski, J.; Misiura, M.; Almeida, N.; Bargassa, P.; David, A.; Faccioli, P.; Ferreira Parracho, P. 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V.; Vinogradov, A.; Azhgirey, I.; Bayshev, I.; Bitioukov, S.; Grishin, V.; Kachanov, V.; Konstantinov, D.; Krychkine, V.; Petrov, V.; Ryutin, R.; Sobol, A.; Tourtchanovitch, L.; Troshin, S.; Tyurin, N.; Uzunian, A.; Volkov, A.; Adzic, P.; Djordjevic, M.; Ekmedzic, M.; Krpic, D.; Milosevic, J.; Aguilar-Benitez, M.; Alcaraz Maestre, J.; Arce, P.; Battilana, C.; Calvo, E.; Cerrada, M.; Chamizo Llatas, M.; Colino, N.; De La Cruz, B.; Delgado Peris, A.; Domínguez Vázquez, D.; Fernandez Bedoya, C.; Fernández Ramos, J. P.; Ferrando, A.; Flix, J.; Fouz, M. C.; Garcia-Abia, P.; Gonzalez Lopez, O.; Goy Lopez, S.; Hernandez, J. M.; Josa, M. I.; Merino, G.; Puerta Pelayo, J.; Quintario Olmeda, A.; Redondo, I.; Romero, L.; Santaolalla, J.; Soares, M. S.; Willmott, C.; Albajar, C.; Codispoti, G.; de Trocóniz, J. F.; Brun, H.; Cuevas, J.; Fernandez Menendez, J.; Folgueras, S.; Gonzalez Caballero, I.; Lloret Iglesias, L.; Piedra Gomez, J.; Brochero Cifuentes, J. A.; Cabrillo, I. 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A.; D’Enterria, D.; Dabrowski, A.; De Roeck, A.; Di Guida, S.; Dobson, M.; Dupont-Sagorin, N.; Elliott-Peisert, A.; Frisch, B.; Funk, W.; Georgiou, G.; Giffels, M.; Gigi, D.; Gill, K.; Giordano, D.; Girone, M.; Giunta, M.; Glege, F.; Gomez-Reino Garrido, R.; Govoni, P.; Gowdy, S.; Guida, R.; Gundacker, S.; Hammer, J.; Hansen, M.; Harris, P.; Hartl, C.; Harvey, J.; Hegner, B.; Hinzmann, A.; Innocente, V.; Janot, P.; Kaadze, K.; Karavakis, E.; Kousouris, K.; Lecoq, P.; Lee, Y. -J.; Lenzi, P.; Lourenço, C.; Magini, N.; Mäki, T.; Malberti, M.; Malgeri, L.; Mannelli, M.; Masetti, L.; Meijers, F.; Mersi, S.; Meschi, E.; Moser, R.; Mozer, M. U.; Mulders, M.; Musella, P.; Nesvold, E.; Orsini, L.; Palencia Cortezon, E.; Perez, E.; Perrozzi, L.; Petrilli, A.; Pfeiffer, A.; Pierini, M.; Pimiä, M.; Piparo, D.; Polese, G.; Quertenmont, L.; Racz, A.; Reece, W.; Rodrigues Antunes, J.; Rolandi, G.; Rovelli, C.; Rovere, M.; Sakulin, H.; Santanastasio, F.; Schäfer, C.; Schwick, C.; Segoni, I.; Sekmen, S.; Sharma, A.; Siegrist, P.; Silva, P.; Simon, M.; Sphicas, P.; Spiga, D.; Tsirou, A.; Veres, G. I.; Vlimant, J. R.; Wöhri, H. K.; Worm, S. D.; Zeuner, W. D.; Bertl, W.; Deiters, K.; Erdmann, W.; Gabathuler, K.; Horisberger, R.; Ingram, Q.; Kaestli, H. C.; König, S.; Kotlinski, D.; Langenegger, U.; Meier, F.; Renker, D.; Rohe, T.; Bäni, L.; Bortignon, P.; Buchmann, M. A.; Casal, B.; Chanon, N.; Deisher, A.; Dissertori, G.; Dittmar, M.; Donegà, M.; Dünser, M.; Eller, P.; Eugster, J.; Freudenreich, K.; Grab, C.; Hits, D.; Lecomte, P.; Lustermann, W.; Marini, A. C.; Martinez Ruiz del Arbol, P.; Mohr, N.; Moortgat, F.; Nägeli, C.; Nef, P.; Nessi-Tedaldi, F.; Pandolfi, F.; Pape, L.; Pauss, F.; Peruzzi, M.; Ronga, F. J.; Rossini, M.; Sala, L.; Sanchez, A. K.; Starodumov, A.; Stieger, B.; Takahashi, M.; Tauscher, L.; Thea, A.; Theofilatos, K.; Treille, D.; Urscheler, C.; Wallny, R.; Weber, H. A.; Wehrli, L.; Amsler, C.; Chiochia, V.; De Visscher, S.; Favaro, C.; Ivova Rikova, M.; Kilminster, B.; Millan Mejias, B.; Otiougova, P.; Robmann, P.; Snoek, H.; Tupputi, S.; Verzetti, M.; Chang, Y. H.; Chen, K. H.; Ferro, C.; Kuo, C. M.; Li, S. W.; Lin, W.; Lu, Y. J.; Singh, A. P.; Volpe, R.; Yu, S. S.; Bartalini, P.; Chang, P.; Chang, Y. H.; Chang, Y. W.; Chao, Y.; Chen, K. F.; Dietz, C.; Grundler, U.; Hou, W. -S.; Hsiung, Y.; Kao, K. Y.; Lei, Y. J.; Lu, R. -S.; Majumder, D.; Petrakou, E.; Shi, X.; Shiu, J. G.; Tzeng, Y. M.; Wan, X.; Wang, M.; Asavapibhop, B.; Srimanobhas, N.; Adiguzel, A.; Bakirci, M. N.; Cerci, S.; Dozen, C.; Dumanoglu, I.; Eskut, E.; Girgis, S.; Gokbulut, G.; Gurpinar, E.; Hos, I.; Kangal, E. E.; Karaman, T.; Karapinar, G.; Kayis Topaksu, A.; Onengut, G.; Ozdemir, K.; Ozturk, S.; Polatoz, A.; Sogut, K.; Sunar Cerci, D.; Tali, B.; Topakli, H.; Vergili, L. N.; Vergili, M.; Akin, I. V.; Aliev, T.; Bilin, B.; Bilmis, S.; Deniz, M.; Gamsizkan, H.; Guler, A. M.; Ocalan, K.; Ozpineci, A.; Serin, M.; Sever, R.; Surat, U. E.; Yalvac, M.; Yildirim, E.; Zeyrek, M.; Gülmez, E.; Isildak, B.; Kaya, M.; Kaya, O.; Ozkorucuklu, S.; Sonmez, N.; Cankocak, K.; Levchuk, L.; Brooke, J. J.; Clement, E.; Cussans, D.; Flacher, H.; Frazier, R.; Goldstein, J.; Grimes, M.; Heath, G. P.; Heath, H. F.; Kreczko, L.; Metson, S.; Newbold, D. M.; Nirunpong, K.; Poll, A.; Senkin, S.; Smith, V. J.; Williams, T.; Basso, L.; Bell, K. W.; Belyaev, A.; Brew, C.; Brown, R. M.; Cockerill, D. J. A.; Coughlan, J. A.; Harder, K.; Harper, S.; Jackson, J.; Kennedy, B. W.; Olaiya, E.; Petyt, D.; Radburn-Smith, B. C.; Shepherd-Themistocleous, C. H.; Tomalin, I. R.; Womersley, W. J.; Bainbridge, R.; Ball, G.; Beuselinck, R.; Buchmuller, O.; Colling, D.; Cripps, N.; Cutajar, M.; Dauncey, P.; Davies, G.; Della Negra, M.; Ferguson, W.; Fulcher, J.; Futyan, D.; Gilbert, A.; Guneratne Bryer, A.; Hall, G.; Hatherell, Z.; Hays, J.; Iles, G.; Jarvis, M.; Karapostoli, G.; Lyons, L.; Magnan, A. -M.; Marrouche, J.; Mathias, B.; Nandi, R.; Nash, J.; Nikitenko, A.; Pela, J.; Pesaresi, M.; Petridis, K.; Pioppi, M.; Raymond, D. M.; Rogerson, S.; Rose, A.; Ryan, M. J.; Seez, C.; Sharp, P.; Sparrow, A.; Stoye, M.; Tapper, A.; Vazquez Acosta, M.; Virdee, T.; Wakefield, S.; Wardle, N.; Whyntie, T.; Chadwick, M.; Cole, J. E.; Hobson, P. R.; Khan, A.; Kyberd, P.; Leggat, D.; Leslie, D.; Martin, W.; Reid, I. D.; Symonds, P.; Teodorescu, L.; Turner, M.; Hatakeyama, K.; Liu, H.; Scarborough, T.; Charaf, O.; Henderson, C.; Rumerio, P.; Avetisyan, A.; Bose, T.; Fantasia, C.; Heister, A.; St. John, J.; Lawson, P.; Lazic, D.; Rohlf, J.; Sperka, D.; Sulak, L.; Alimena, J.; Bhattacharya, S.; Christopher, G.; Cutts, D.; Demiragli, Z.; Ferapontov, A.; Garabedian, A.; Heintz, U.; Jabeen, S.; Kukartsev, G.; Laird, E.; Landsberg, G.; Luk, M.; Narain, M.; Nguyen, D.; Segala, M.; Sinthuprasith, T.; Speer, T.; Breedon, R.; Breto, G.; Calderon De La Barca Sanchez, M.; Chauhan, S.; Chertok, M.; Conway, J.; Conway, R.; Cox, P. T.; Dolen, J.; Erbacher, R.; Gardner, M.; Houtz, R.; Ko, W.; Kopecky, A.; Lander, R.; Mall, O.; Miceli, T.; Pellett, D.; Ricci-Tam, F.; Rutherford, B.; Searle, M.; Smith, J.; Squires, M.; Tripathi, M.; Vasquez Sierra, R.; Yohay, R.; Andreev, V.; Cline, D.; Cousins, R.; Duris, J.; Erhan, S.; Everaerts, P.; Farrell, C.; Hauser, J.; Ignatenko, M.; Jarvis, C.; Rakness, G.; Schlein, P.; Traczyk, P.; Valuev, V.; Weber, M.; Babb, J.; Clare, R.; Dinardo, M. E.; Ellison, J.; Gary, J. W.; Giordano, F.; Hanson, G.; Liu, H.; Long, O. R.; Luthra, A.; Nguyen, H.; Paramesvaran, S.; Sturdy, J.; Sumowidagdo, S.; Wilken, R.; Wimpenny, S.; Andrews, W.; Branson, J. G.; Cerati, G. B.; Cittolin, S.; Evans, D.; Holzner, A.; Kelley, R.; Lebourgeois, M.; Letts, J.; Macneill, I.; Mangano, B.; Padhi, S.; Palmer, C.; Petrucciani, G.; Pieri, M.; Sani, M.; Sharma, V.; Simon, S.; Sudano, E.; Tadel, M.; Tu, Y.; Vartak, A.; Wasserbaech, S.; Würthwein, F.; Yagil, A.; Yoo, J.; Barge, D.; Bellan, R.; Campagnari, C.; D’Alfonso, M.; Danielson, T.; Flowers, K.; Geffert, P.; Golf, F.; Incandela, J.; Justus, C.; Kalavase, P.; Kovalskyi, D.; Krutelyov, V.; Lowette, S.; Magaña Villalba, R.; Mccoll, N.; Pavlunin, V.; Ribnik, J.; Richman, J.; Rossin, R.; Stuart, D.; To, W.; West, C.; Apresyan, A.; Bornheim, A.; Chen, Y.; Di Marco, E.; Duarte, J.; Gataullin, M.; Ma, Y.; Mott, A.; Newman, H. B.; Rogan, C.; Spiropulu, M.; Timciuc, V.; Veverka, J.; Wilkinson, R.; Xie, S.; Yang, Y.; Zhu, R. Y.; Azzolini, V.; Calamba, A.; Carroll, R.; Ferguson, T.; Iiyama, Y.; Jang, D. W.; Liu, Y. F.; Paulini, M.; Vogel, H.; Vorobiev, I.; Cumalat, J. P.; Drell, B. R.; Ford, W. T.; Gaz, A.; Luiggi Lopez, E.; Smith, J. G.; Stenson, K.; Ulmer, K. A.; Wagner, S. R.; Alexander, J.; Chatterjee, A.; Eggert, N.; Gibbons, L. K.; Heltsley, B.; Hopkins, W.; Khukhunaishvili, A.; Kreis, B.; Mirman, N.; Nicolas Kaufman, G.; Patterson, J. R.; Ryd, A.; Salvati, E.; Sun, W.; Teo, W. D.; Thom, J.; Thompson, J.; Tucker, J.; Vaughan, J.; Weng, Y.; Winstrom, L.; Wittich, P.; Winn, D.; Abdullin, S.; Albrow, M.; Anderson, J.; Bauerdick, L. A. T.; Beretvas, A.; Berryhill, J.; Bhat, P. C.; Burkett, K.; Butler, J. N.; Chetluru, V.; Cheung, H. W. K.; Chlebana, F.; Elvira, V. D.; Fisk, I.; Freeman, J.; Gao, Y.; Green, D.; Gutsche, O.; Hanlon, J.; Harris, R. M.; Hirschauer, J.; Hooberman, B.; Jindariani, S.; Johnson, M.; Joshi, U.; Klima, B.; Kunori, S.; Kwan, S.; Leonidopoulos, C.; Linacre, J.; Lincoln, D.; Lipton, R.; Lykken, J.; Maeshima, K.; Marraffino, J. M.; Maruyama, S.; Mason, D.; McBride, P.; Mishra, K.; Mrenna, S.; Musienko, Y.; Newman-Holmes, C.; O’Dell, V.; Prokofyev, O.; Sexton-Kennedy, E.; Sharma, S.; Spalding, W. J.; Spiegel, L.; Taylor, L.; Tkaczyk, S.; Tran, N. V.; Uplegger, L.; Vaandering, E. W.; Vidal, R.; Whitmore, J.; Wu, W.; Yang, F.; Yun, J. C.; Acosta, D.; Avery, P.; Bourilkov, D.; Chen, M.; Cheng, T.; Das, S.; De Gruttola, M.; Di Giovanni, G. P.; Dobur, D.; Drozdetskiy, A.; Field, R. D.; Fisher, M.; Fu, Y.; Furic, I. K.; Gartner, J.; Hugon, J.; Kim, B.; Konigsberg, J.; Korytov, A.; Kropivnitskaya, A.; Kypreos, T.; Low, J. F.; Matchev, K.; Milenovic, P.; Mitselmakher, G.; Muniz, L.; Park, M.; Remington, R.; Rinkevicius, A.; Sellers, P.; Skhirtladze, N.; Snowball, M.; Yelton, J.; Zakaria, M.; Gaultney, V.; Hewamanage, S.; Lebolo, L. M.; Linn, S.; Markowitz, P.; Martinez, G.; Rodriguez, J. L.; Adams, T.; Askew, A.; Bochenek, J.; Chen, J.; Diamond, B.; Gleyzer, S. V.; Haas, J.; Hagopian, S.; Hagopian, V.; Jenkins, M.; Johnson, K. F.; Prosper, H.; Veeraraghavan, V.; Weinberg, M.; Baarmand, M. M.; Dorney, B.; Hohlmann, M.; Kalakhety, H.; Vodopiyanov, I.; Yumiceva, F.; Adams, M. R.; Anghel, I. M.; Apanasevich, L.; Bai, Y.; Bazterra, V. E.; Betts, R. R.; Bucinskaite, I.; Callner, J.; Cavanaugh, R.; Evdokimov, O.; Gauthier, L.; Gerber, C. E.; Hofman, D. J.; Khalatyan, S.; Lacroix, F.; O’Brien, C.; Silkworth, C.; Strom, D.; Turner, P.; Varelas, N.; Akgun, U.; Albayrak, E. A.; Bilki, B.; Clarida, W.; Duru, F.; Griffiths, S.; Merlo, J. -P.; Mermerkaya, H.; Mestvirishvili, A.; Moeller, A.; Nachtman, J.; Newsom, C. R.; Norbeck, E.; Onel, Y.; Ozok, F.; Sen, S.; Tan, P.; Tiras, E.; Wetzel, J.; Yetkin, T.; Yi, K.; Barnett, B. A.; Blumenfeld, B.; Bolognesi, S.; Fehling, D.; Giurgiu, G.; Gritsan, A. V.; Guo, Z. J.; Hu, G.; Maksimovic, P.; Swartz, M.; Whitbeck, A.; Baringer, P.; Bean, A.; Benelli, G.; Kenny, R. P.; Murray, M.; Noonan, D.; Sanders, S.; Stringer, R.; Tinti, G.; Wood, J. S.; Barfuss, A. F.; Bolton, T.; Chakaberia, I.; Ivanov, A.; Khalil, S.; Makouski, M.; Maravin, Y.; Shrestha, S.; Svintradze, I.; Gronberg, J.; Lange, D.; Rebassoo, F.; Wright, D.; Baden, A.; Calvert, B.; Eno, S. C.; Gomez, J. A.; Hadley, N. J.; Kellogg, R. G.; Kirn, M.; Kolberg, T.; Lu, Y.; Marionneau, M.; Mignerey, A. C.; Pedro, K.; Skuja, A.; Temple, J.; Tonjes, M. B.; Tonwar, S. C.; Apyan, A.; Bauer, G.; Bendavid, J.; Busza, W.; Butz, E.; Cali, I. A.; Chan, M.; Dutta, V.; Gomez Ceballos, G.; Goncharov, M.; Kim, Y.; Klute, M.; Krajczar, K.; Levin, A.; Luckey, P. D.; Ma, T.; Nahn, S.; Paus, C.; Ralph, D.; Roland, C.; Roland, G.; Rudolph, M.; Stephans, G. S. F.; Stöckli, F.; Sumorok, K.; Sung, K.; Velicanu, D.; Wenger, E. A.; Wolf, R.; Wyslouch, B.; Yang, M.; Yilmaz, Y.; Yoon, A. S.; Zanetti, M.; Zhukova, V.; Cooper, S. I.; Dahmes, B.; De Benedetti, A.; Franzoni, G.; Gude, A.; Kao, S. C.; Klapoetke, K.; Kubota, Y.; Mans, J.; Pastika, N.; Rusack, R.; Sasseville, M.; Singovsky, A.; Tambe, N.; Turkewitz, J.; Cremaldi, L. M.; Kroeger, R.; Perera, L.; Rahmat, R.; Sanders, D. A.; Avdeeva, E.; Bloom, K.; Bose, S.; Claes, D. R.; Dominguez, A.; Eads, M.; Keller, J.; Kravchenko, I.; Lazo-Flores, J.; Malik, S.; Snow, G. R.; Godshalk, A.; Iashvili, I.; Jain, S.; Kharchilava, A.; Kumar, A.; Rappoccio, S.; Alverson, G.; Barberis, E.; Baumgartel, D.; Chasco, M.; Haley, J.; Nash, D.; Orimoto, T.; Trocino, D.; Wood, D.; Zhang, J.; Anastassov, A.; Hahn, K. A.; Kubik, A.; Lusito, L.; Mucia, N.; Odell, N.; Ofierzynski, R. A.; Pollack, B.; Pozdnyakov, A.; Schmitt, M.; Stoynev, S.; Velasco, M.; Won, S.; Antonelli, L.; Berry, D.; Brinkerhoff, A.; Chan, K. M.; Hildreth, M.; Jessop, C.; Karmgard, D. J.; Kolb, J.; Lannon, K.; Luo, W.; Lynch, S.; Marinelli, N.; Morse, D. M.; Pearson, T.; Planer, M.; Ruchti, R.; Slaunwhite, J.; Valls, N.; Wayne, M.; Wolf, M.; Bylsma, B.; Durkin, L. S.; Hill, C.; Hughes, R.; Kotov, K.; Ling, T. Y.; Puigh, D.; Rodenburg, M.; Vuosalo, C.; Williams, G.; Winer, B. L.; Berry, E.; Elmer, P.; Halyo, V.; Hebda, P.; Hegeman, J.; Hunt, A.; Jindal, P.; Koay, S. A.; Lopes Pegna, D.; Lujan, P.; Marlow, D.; Medvedeva, T.; Mooney, M.; Olsen, J.; Piroué, P.; Quan, X.; Raval, A.; Saka, H.; Stickland, D.; Tully, C.; Werner, J. S.; Zuranski, A.; Brownson, E.; Lopez, A.; Mendez, H.; Ramirez Vargas, J. E.; Alagoz, E.; Barnes, V. E.; Benedetti, D.; Bolla, G.; Bortoletto, D.; De Mattia, M.; Everett, A.; Hu, Z.; Jones, M.; Koybasi, O.; Kress, M.; Laasanen, A. T.; Leonardo, N.; Maroussov, V.; Merkel, P.; Miller, D. H.; Neumeister, N.; Shipsey, I.; Silvers, D.; Svyatkovskiy, A.; Vidal Marono, M.; Yoo, H. D.; Zablocki, J.; Zheng, Y.; Guragain, S.; Parashar, N.; Adair, A.; Akgun, B.; Boulahouache, C.; Ecklund, K. M.; Geurts, F. J. M.; Li, W.; Padley, B. P.; Redjimi, R.; Roberts, J.; Zabel, J.; Betchart, B.; Bodek, A.; Chung, Y. S.; Covarelli, R.; de Barbaro, P.; Demina, R.; Eshaq, Y.; Ferbel, T.; Garcia-Bellido, A.; Goldenzweig, P.; Han, J.; Harel, A.; Miner, D. C.; Vishnevskiy, D.; Zielinski, M.; Bhatti, A.; Ciesielski, R.; Demortier, L.; Goulianos, K.; Lungu, G.; Malik, S.; Mesropian, C.; Arora, S.; Barker, A.; Chou, J. P.; Contreras-Campana, C.; Contreras-Campana, E.; Duggan, D.; Ferencek, D.; Gershtein, Y.; Gray, R.; Halkiadakis, E.; Hidas, D.; Lath, A.; Panwalkar, S.; Park, M.; Patel, R.; Rekovic, V.; Robles, J.; Rose, K.; Salur, S.; Schnetzer, S.; Seitz, C.; Somalwar, S.; Stone, R.; Thomas, S.; Walker, M.; Cerizza, G.; Hollingsworth, M.; Spanier, S.; Yang, Z. C.; York, A.; Eusebi, R.; Flanagan, W.; Gilmore, J.; Kamon, T.; Khotilovich, V.; Montalvo, R.; Osipenkov, I.; Pakhotin, Y.; Perloff, A.; Roe, J.; Safonov, A.; Sakuma, T.; Sengupta, S.; Suarez, I.; Tatarinov, A.; Toback, D.; Akchurin, N.; Damgov, J.; Dragoiu, C.; Dudero, P. R.; Jeong, C.; Kovitanggoon, K.; Lee, S. W.; Libeiro, T.; Volobouev, I.; Appelt, E.; Delannoy, A. G.; Florez, C.; Greene, S.; Gurrola, A.; Johns, W.; Kurt, P.; Maguire, C.; Melo, A.; Sharma, M.; Sheldon, P.; Snook, B.; Tuo, S.; Velkovska, J.; Arenton, M. W.; Balazs, M.; Boutle, S.; Cox, B.; Francis, B.; Goodell, J.; Hirosky, R.; Ledovskoy, A.; Lin, C.; Neu, C.; Wood, J.; Gollapinni, S.; Harr, R.; Karchin, P. E.; Kottachchi Kankanamge Don, C.; Lamichhane, P.; Sakharov, A.; Anderson, M.; Belknap, D. A.; Borrello, L.; Carlsmith, D.; Cepeda, M.; Dasu, S.; Friis, E.; Gray, L.; Grogg, K. S.; Grothe, M.; Hall-Wilton, R.; Herndon, M.; Hervé, A.; Klabbers, P.; Klukas, J.; Lanaro, A.; Lazaridis, C.; Loveless, R.; Mohapatra, A.; Ojalvo, I.; Palmonari, F.; Pierro, G. A.; Ross, I.; Savin, A.; Smith, W. H.; Swanson, J.


    The results of searches for supersymmetry by the CMS experiment are interpreted in the framework of simplified models. The results are based on data corresponding to an integrated luminosity of 4.73 to 4.98 inverse femtobarns. The data were collected at the LHC in proton-proton collisions at a center-of-mass energy of 7 TeV. This paper describes the method of interpretation and provides upper limits on the product of the production cross section and branching fraction as a function of new particle masses for a number of simplified models. These limits and the corresponding experimental acceptance calculations can be used to constrain other theoretical models and to compare different supersymmetry-inspired analyses.

  3. Simplified Design of Low-Delay Oversampled NPR GDFT Filterbanks

    Directory of Open Access Journals (Sweden)

    Dumitrescu Bogdan


    Full Text Available We propose an efficient algorithm for designing the prototype filters of oversampled, near-perfect reconstruction (NPR, GDFT modulated filterbanks (FB with arbitrary delay. We describe simplified conditions for imposing NPR, posed on the frequency response of the distortion transfer function and on the stopband attenuation of the prototype filters. Given the analysis prototype, we show that the minimization of the stopband energy of the synthesis prototype, subject to the simplified NPR constraints, can be expressed as a convex optimization problem. Our algorithm consists of initialization with the prototype of a near-orthogonal FB—which can also be designed via convex optimization—and then successive optimization of the synthesis and analysis prototypes. We give design examples, discuss the properties of the obtained FBs, and present synthetic echo control experiments. The presented results show that, for a given delay, our algorithm produces FBs with significantly better properties than the near-orthogonal FBs.

  4. Development of simplified sampling methods for behavioural data in rabbit does

    Directory of Open Access Journals (Sweden)

    C. Alfonso-Carrillo


    Full Text Available The aim of this study was to compare the results of different simplified sampling methods for behavioural data compared to reference records of 24-h in order to assess rabbit doe behaviours at different physiological stages (gestation and lactation in animals housed in 2 types of cages (conventional and alternative. In total, we analysed 576 h of continuous video of 12 rabbit does at the end of lactation and the same females after weaning. The behavioural observations were studied using 3 independent categories of classification (location in the cage, posture and functional behaviours. Continuous behavioural recordings of 24 h were considered as the reference method to validate another 4 data collection sampling methods by aggregated video recordings of different frequency and duration [regular short and long methods with 2.4 and 8 h of observation respectively, and irregular (more frequent during the active period short and long methods with 6 and 8 h of observation, respectively]. The current results showed that, independently of the housing system, the best method to reduce the total observation time required to assess rabbit does’ behaviour depends on the trait studied and physiological stage of the does. In gestating does, irregular methods were not suitable to estimate behaviours of long duration such as lying, sitting, resting and grooming. However, in both physiological stages, regular methods were accurate for location behaviours, postures and functional behaviours of long duration. Instead, for the study of infrequent behaviours performed mainly during dark period, where coefficients of variation were high, the irregular long method led to the lowest mean estimation errors.

  5. Field physiology: physiological insights from animals in nature. (United States)

    Costa, Daniel P; Sinervo, Barry


    Whereas comparative physiology documents the range of physiological variation across a range of organisms, field physiology provides insight into the actual mechanisms an organism employs to maintain homeostasis in its everyday life. This requires an understanding of an organism's natural history and is prerequisite to developing hypotheses about physiological mechanisms. This review focuses on a few areas of field physiology that exemplify how the underlying physiology could not have been understood without appropriate field measurements. The examples we have chosen highlight the methods and inference afforded by an application of this physiological analysis to organismal function in nature, often in extreme environments. The specific areas examined are diving physiology, the thermal physiology of large endothermic fishes, reproductive physiology of air breathing vertebrates, and endocrine physiology of reproductive homeostasis. These areas form a bridge from physiological ecology to evolutionary ecology. All our examples revolve around the central issue of physiological limits as they apply to organismal homeostasis. We view this theme as the cornerstone of physiological analysis and supply a number of paradigms on homeostasis that have been tested in the context of field physiology.

  6. A simplified model of aerosol removal by containment sprays

    Energy Technology Data Exchange (ETDEWEB)

    Powers, D.A. (Sandia National Labs., Albuquerque, NM (United States)); Burson, S.B. (Nuclear Regulatory Commission, Washington, DC (United States). Div. of Safety Issue Resolution)


    Spray systems in nuclear reactor containments are described. The scrubbing of aerosols from containment atmospheres by spray droplets is discussed. Uncertainties are identified in the prediction of spray performance when the sprays are used as a means for decontaminating containment atmospheres. A mechanistic model based on current knowledge of the physical phenomena involved in spray performance is developed. With this model, a quantitative uncertainty analysis of spray performance is conducted using a Monte Carlo method to sample 20 uncertain quantities related to phenomena of spray droplet behavior as well as the initial and boundary conditions expected to be associated with severe reactor accidents. Results of the uncertainty analysis are used to construct simplified expressions for spray decontamination coefficients. Two variables that affect aerosol capture by water droplets are not treated as uncertain; they are (1) [open quote]Q[close quote], spray water flux into the containment, and (2) [open quote]H[close quote], the total fall distance of spray droplets. The choice of values of these variables is left to the user since they are plant and accident specific. Also, they can usually be ascertained with some degree of certainty. The spray decontamination coefficients are found to be sufficiently dependent on the extent of decontamination that the fraction of the initial aerosol remaining in the atmosphere, m[sub f], is explicitly treated in the simplified expressions. The simplified expressions for the spray decontamination coefficient are given. Parametric values for these expressions are found for median, 10 percentile, and 90 percentile values in the uncertainty distribution for the spray decontamination coefficient. Examples are given to illustrate the utility of the simplified expressions to predict spray decontamination of an aerosol-laden atmosphere.

  7. Option valuation with the simplified component GARCH model

    DEFF Research Database (Denmark)

    Dziubinski, Matt P.

    We introduce the Simplified Component GARCH (SC-GARCH) option pricing model, show and discuss sufficient conditions for non-negativity of the conditional variance, apply it to low-frequency and high-frequency financial data, and consider the option valuation, comparing the model performance...... with similar models from the literature. Two volatility components in our model allow us to model time structure of volatility....

  8. Towards the next generation of simplified Dark Matter models (United States)

    Albert, Andreas; Bauer, Martin; Brooke, Jim; Buchmueller, Oliver; Cerdeño, David G.; Citron, Matthew; Davies, Gavin; de Cosa, Annapaola; De Roeck, Albert; De Simone, Andrea; Du Pree, Tristan; Flaecher, Henning; Fairbairn, Malcolm; Ellis, John; Grohsjean, Alexander; Hahn, Kristian; Haisch, Ulrich; Harris, Philip C.; Khoze, Valentin V.; Landsberg, Greg; McCabe, Christopher; Penning, Bjoern; Sanz, Veronica; Schwanenberger, Christian; Scott, Pat; Wardle, Nicholas


    This White Paper is an input to the ongoing discussion about the extension and refinement of simplified Dark Matter (DM) models. It is not intended as a comprehensive review of the discussed subjects, but instead summarises ideas and concepts arising from a brainstorming workshop that can be useful when defining the next generation of simplified DM models (SDMM). In this spirit, based on two concrete examples, we show how existing SDMM can be extended to provide a more accurate and comprehensive framework to interpret and characterise collider searches. In the first example we extend the canonical SDMM with a scalar mediator to include mixing with the Higgs boson. We show that this approach not only provides a better description of the underlying kinematic properties that a complete model would possess, but also offers the option of using this more realistic class of scalar mixing models to compare and combine consistently searches based on different experimental signatures. The second example outlines how a new physics signal observed in a visible channel can be connected to DM by extending a simplified model including effective couplings. In the next part of the White Paper we outline other interesting options for SDMM that could be studied in more detail in the future. Finally, we review important aspects of supersymmetric models for DM and use them to propose how to develop more complete SDMMs. This White Paper is a summary of the brainstorming meeting ;Next generation of simplified Dark Matter models; that took place at Imperial College, London on May 6, 2016, and corresponding follow-up studies on selected subjects.

  9. The pentabox Master Integrals with the Simplified Differential Equations approach

    Energy Technology Data Exchange (ETDEWEB)

    Papadopoulos, Costas G. [Institute of Nuclear and Particle Physics, NCSR ‘Demokritos’,PO Box 60037, Agia Paraskevi, 15310 (Greece); University of Debrecen and MTA-DE Particle Physics Research Group,PO Box 105, H-4010 Debrecen (Hungary); Tommasini, Damiano [Institute of Nuclear and Particle Physics, NCSR ‘Demokritos’,PO Box 60037, Agia Paraskevi, 15310 (Greece); Wever, Christopher [Institute of Nuclear and Particle Physics, NCSR ‘Demokritos’,PO Box 60037, Agia Paraskevi, 15310 (Greece); Institute for Theoretical Particle Physics (TTP), Karlsruhe Institute of Technology,Engesserstraße 7, D-76128 Karlsruhe (Germany); Institute for Nuclear Physics (IKP), Karlsruhe Institute of Technology,Hermann-von-Helmholtz-Platz 1, D-76344 Eggenstein-Leopoldshafen (Germany)


    We present the calculation of massless two-loop Master Integrals relevant to five-point amplitudes with one off-shell external leg and derive the complete set of planar Master Integrals with five on-mass-shell legs, that contribute to many 2→3 amplitudes of interest at the LHC, as for instance three jet production, γ,V,H+2 jets etc., based on the Simplified Differential Equations approach.

  10. Versatile composite resins simplifying the practice of restorative dentistry. (United States)

    Margeas, Robert


    After decades of technical development and refinement, composite resins continue to simplify the practice of restorative dentistry, offering clinicians versatility, predictability, and enhanced physical properties. With a wide range of products available today, composite resins are a reliable, conservative, multi-functional restorative material option. As manufacturers strive to improve such properties as compression strength, flexural strength, elastic modulus, coefficient of thermal expansion, water sorption, and wear resistance, several classification systems of composite resins have been developed.

  11. A simplified immunohistochemical classification of skeletal muscle fibres in mouse


    Kammoun, M.; Cassar-malek, I.; Meunier, B; Picard, B.


    The classification of muscle fibres is of particular interest for the study of the skeletal muscle properties in a wide range of scientific fields, especially animal phenotyping. It is therefore important to define a reliable method for classifying fibre types. The aim of this study was to establish a simplified method for the immunohistochemical classification of fibres in mouse. To carry it out, we first tested a combination of several anti myosin heavy chain (MyHC) antibodies in order to c...

  12. Nigerian Journal of Physiological Sciences

    African Journals Online (AJOL)

    Nigerian Journal of Physiological Sciences (Niger. J. Physiol. Sci.) is a biannual publication of the Physiological Society of Nigeria. It covers diverse areas of research in physiological sciences, publishing reviews in current research areas and original laboratory and clinical research in physiological sciences. Other websites ...

  13. Gastrin and gastric epithelial physiology (United States)

    Dockray, G J


    Transepithelial transducing cells, particularly the gastrin (G) cell, co-ordinate gastric acid secretion with the arrival of food in the stomach. Recent work suggests that multiple active products are generated from the gastrin precursor, and that there are multiple control points in gastrin biosynthesis. Biosynthetic precursors and intermediates (progastrin and Gly-gastrins) are putative growth factors; their products, the amidated gastrins, regulate epithelial cell proliferation, the differentiation of acid-producing parietal cells and histamine-secreting enterochromaffin-like (ECL) cells, and the expression of genes associated with histamine synthesis and storage in ECL cells, as well as acutely stimulating acid secretion. Gastrin also stimulates the production of members of the epidermal growth factor (EGF) family, which in turn inhibit parietal cell function but stimulate the growth of surface epithelial cells. Plasma gastrin concentrations are elevated in subjects with Helicobacter pylori, who are known to have increased risk of duodenal ulcer disease and gastric cancer. Studies of the physiology of gastrin may therefore contribute to an understanding of the mechanisms relevant to major upper gastrointestinal tract disease. PMID:10381581

  14. Physiologic amputation: a case study. (United States)

    Long, Jeri; Hall, Virginia


    Acute limb ischemia is a complication of severe peripheral arterial disease that can be a threatening limb as well as life. Multiple procedures exist today to help revascularize extremities; however, even with the latest technologies, surgical amputation of the limb may still be necessary. Cryoamputation, or physiologic amputation, is a method used to treat patients who are hemodynamically unstable for the operating room and who are in need of urgent amputation owing to arterial ischemia. This procedure is used in the rare instance where not only a persons' limb is threatened, but also their life. This is a case study regarding one patient who presented to the hospital with limb-threatening ischemia who became hemodynamically unstable owing to the rhabdomyolysis associated with the ischemia of his lower extremity. Cryoamputation was used to stabilize the patient and prevent further deterioration, so that he could safely undergo surgical amputation of the limb without an increase in mortality risk. Cryoamputation must be followed by formal surgical amputation when the patient is hemodynamically stabilized. It is not a limb salvaging, procedure but it is a life-saving procedure. This case study demonstrates the usefulness of the procedure and discusses the technique used for cryoamputation. Copyright © 2014 Society for Vascular Nursing, Inc. Published by Mosby, Inc. All rights reserved.

  15. Influencing Factors and Simplified Model of Film Hole Irrigation

    Directory of Open Access Journals (Sweden)

    Yi-Bo Li


    Full Text Available Film hole irrigation is an advanced low-cost and high-efficiency irrigation method, which can improve water conservation and water use efficiency. Given its various advantages and potential applications, we conducted a laboratory study to investigate the effects of soil texture, bulk density, initial soil moisture, irrigation depth, opening ratio (ρ, film hole diameter (D, and spacing on cumulative infiltration using SWMS-2D. We then proposed a simplified model based on the Kostiakov model for infiltration estimation. Error analyses indicated SWMS-2D to be suitable for infiltration simulation of film hole irrigation. Additional SWMS-2D-based investigations indicated that, for a certain soil, initial soil moisture and irrigation depth had the weakest effects on cumulative infiltration, whereas ρ and D had the strongest effects on cumulative infiltration. A simplified model with ρ and D was further established, and its use was then expanded to different soils. Verification based on seven soil types indicated that the established simplified double-factor model effectively estimates cumulative infiltration for film hole irrigation, with a small mean average error of 0.141–2.299 mm, a root mean square error of 0.177–2.722 mm, a percent bias of −2.131–1.479%, and a large Nash–Sutcliffe coefficient that is close to 1.0.

  16. Documenting resident procedure and diagnostic experience: simplifying the process. (United States)

    Baldor, R A; Broadhurst, J


    The Residency Review Committee (RRC) requires documentation of family practice residents' procedural and diagnostic experiences. Further, hospital privileging is frequently based on documentation of prior clinical experience. Residency programs need a user-friendly (ie, resident-friendly) mechanism for collecting data and generating reports to document these experiences. This paper outlines a simplified, user-friendly method of documenting resident procedural and diagnostic experiences. We developed a pocket-sized, optically scannable card for data input. This is coupled with a computerized database with report generation capability. The system is based on diagnostic clusters to further simplify the data input process. The system's setup costs are about $10,000. Annual maintenance and operational fees are about $5,000. After instituting the system, the number of residents submitting documentation information increased substantially. This system meets both RRC and potential clinical privileging requirements and provides a useful tool for guiding resident evaluation and developing appropriate training opportunities during the latter half of the residency. Simplified, accurate documentation may allow for comparisons among residents at various levels--program, state, and national.

  17. Development of a simplified model for droplet vaporization

    Directory of Open Access Journals (Sweden)

    Xiao Helin


    Full Text Available Droplet vaporization is an essential sub-process of fuel spray in diesel engines,which has important effects on combustion and emissions performance. Development of a simplified droplet vaporization model is necessary to simulate gas mixture formation in cylinder for lower computational costs, and it is also applicable in practical multi-dimension spray calculations for diesel engines. An empirical exponential equation is introduced in this paper to approximate the internal temperature profile of droplet instead of solving the partial differential equation for temperature distribution. Results indicate that the computational cost has been reduced by almost thirty percent in total. Also, the concept of effective diffusion is introduced by using an enlarged diffusivity to take account of the effect of internal circulations inside droplets. The calculated result of the simplified evaporation model has been compared with that of the infinite diffusivity model and one-dimensional model respectively. It shows that the calculation precision of the simplified model is among those two models.

  18. The Face of Physiology

    Directory of Open Access Journals (Sweden)

    Paul White


    Full Text Available This article explores the relationship between the physiology of the emotions and the display of character in Victorian Britain. Charles Bell and others had begun to link certain physiological functions, such as respiration, with the expression of feelings such as fear, regarding the heart and other internal organs as instruments by which the emotions were made visible. But a purely functional account of the emotions, which emerged through the development of reflex physiology during the second half of the century, would dramatically alter the nature of feelings and the means of observing them. At the same time, instinctual or acquired sympathy, which had long underpinned the accurate reading of expressions, became a problem to be surmounted by new 'objectively'. Graphic recording instruments measuring a variety of physiological functions and used with increasing frequency in clinical diagnostics became of fundamental importance for tracing the movement of feelings during the period prior to the development of cinematography. They remained, in the form of devices such as the polygraph, a crucial and controversial means of measuring affective states, beneath the potentially deceptive surface of the body.

  19. Starting Physiology: Bioelectrogenesis (United States)

    Baptista, Vander


    From a Cartesian perspective of rational analysis, the electric potential difference across the cell membrane is one of the fundamental concepts for the study of physiology. Unfortunately, undergraduate students often struggle to understand the genesis of this energy gradient, which makes the teaching activity a hard task for the instructor. The…

  20. Physiology of alpine skiing. (United States)

    Turnbull, J R; Kilding, A E; Keogh, J W L


    The extreme environment of cold, altitude and movement complexity makes alpine ski racing a difficult sport to study. This review comprises >30 years of research and includes 29 on-snow investigations of specific physiology relating to the various ski racing disciplines, nine off-snow investigations of the physiological capacities of ski racers of varying ability and four review articles. Alpine ski racing appears to involve a complex integration of many different physiological systems, none of which may be more important than the other to overall performance. While technical ability appears to be the greatest influencing factor on performance, the ability to continually exhibit technical competence through a long competitive season requires high capabilities within all physiological systems. Identifying the optimal approach and time to concurrently develop these systems is a challenge for sport scientists. Further research is required using modern portable investigative tools for determining aerobic and anaerobic demands and abilities, especially in the areas of muscle function and relative energy system contribution during both single and multiple runs on varying terrain.

  1. Physiology of Sleep. (United States)

    Carley, David W; Farabi, Sarah S


    IN BRIEF Far from a simple absence of wakefulness, sleep is an active, regulated, and metabolically distinct state, essential for health and well-being. In this article, the authors review the fundamental anatomy and physiology of sleep and its regulation, with an eye toward interactions between sleep and metabolism.

  2. Physiology Flies with Time. (United States)

    Sehgal, Amita


    The 2017 Nobel Prize in Medicine or Physiology has been awarded to Jeffrey Hall, Michael Rosbash, and Michael Young for elucidating molecular mechanisms of the circadian clock. From studies beginning in fruit flies, we now know that circadian regulation pervades most biological processes and has strong ties to human health and disease. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Physiology of Breastfeeding (United States)

    This powerpoint presentation summaries physiology of lactation and the impact of a variety of clinical practices on lactation from delivery through weaning. Factors that inhibit lactogenesis stage II are explained, including retained placenta, excess blood loss during delivery, and hypoplastic brea...

  4. The Physiology of Motivation. (United States)

    Stellar, Eliot


    A theory of the physiology of motivation is presented. The basic assumption is that the amount of motivated behavior is a direct function of the amount of activity in certain excitatory centers of the hypothalamus. Activities of these centers are determined by factors in four general classes. (SLD)

  5. Research on gravitational physiology (United States)

    Brown, A. H.; Dahl, A. O.


    The topic of gravitational plant physiology was studied through aspects of plant development (in ARABIDOPSIS) and of behavior (in HELIANTHUS) as these were affected by altered g experience. The effect of increased g levels on stem polarity (in COLEUS) was also examined.

  6. Renal Physiology of Pregnancy (United States)

    Cheung, Katharine L.; Lafayette, Richard A.


    Pregnancy involves remarkable orchestration of physiologic changes. The kidneys are central players in the evolving hormonal milieu of pregnancy, responding and contributing to the changes in the environment for the pregnant woman and fetus. The functional impact of pregnancy on kidney physiology is widespread, involving practically all aspects of kidney function. The glomerular filtration rate increases 50% with subsequent decrease in serum creatinine, urea, and uric acid values. The threshold for thirst and antidiuretic hormone secretion are depressed, resulting in lower osmolality and serum sodium levels. Blood pressure drops approximately 10 mmHg by the second trimester despite a gain in intravascular volume of 30% to 50%. The drop in systemic vascular resistance is multifactorial, attributed in part to insensitivity to vasoactive hormones, and leads to activation of the renin-aldosterone-angiostensin system. A rise in serum aldosterone results in a net gain of approximately 1000 mg of sodium. A parallel rise in progesterone protects the pregnant woman from hypokalemia. The kidneys increase in length and volume, and physiologic hydronephrosis occurs in up to 80% of women. This review will provide an understanding of these important changes in kidney physiology during pregnancy, which is fundamental in caring for the pregnant patient. PMID:23928384

  7. Avian reproductive physiology (United States)

    Gee, G.F.; Gibbons, Edward F.; Durrant, Barbara S.; Demarest, Jack


    Knowledge of the many physiological factors associated with egg production , fertility, incubation, and brooding in nondomestic birds is limited. Science knows even less about reproduction in most of the 238 endangered or threatened birds. This discussion uses studies of nondomestic and, when necessary, domestic birds to describe physiological control of reproduction. Studies of the few nondomestic avian species show large variation in physiological control of reproduction. Aviculturists, in order to successfully propagate an endangered bird, must understand the bird's reproductive peculiarities. First, investigators can do studies with carefully chosen surrogate species, but eventually they need to confirm the results in the target endangered bird. Studies of reproduction in nondomestic birds increased in the last decade. Still, scientists need to do more comparative studies to understand the mechanisms that control reproduction in birds. New technologies are making it possible to study reproductive physiology of nondomestic species in less limiting ways. These technologies include telemetry to collect information without inducing stress on captives (Howey et al., 1987; Klugman, 1987), new tests for most of the humoral factors associated with reproduction, and the skill to collect small samples and manipulate birds without disrupting the physiological mechanisms (Bercovitz et al., 1985). Managers are using knowledge from these studies to improve propagation in zoological parks, private and public propagation facilities, and research institutions. Researchers need to study the control of ovulation, egg formation, and oviposition in the species of nondomestic birds that lay very few eggs in a season, hold eggs in the oviduct for longer intervals, or differ in other ways from the more thoroughly studied domestic birds. Other techniques that would enhance propagation for nondomestlc birds include tissue culture of cloned embryonic cells, cryopreservation of embryos

  8. Bronchitis (acute)


    Wark, Peter


    Acute bronchitis affects more than 40 in 1000 adults per year in the UK. The causes are usually considered to be infective, but only around half of people have identifiable pathogens.The role of smoking or environmental tobacco smoke inhalation in predisposing to acute bronchitis is unclear.One third of people may have longer-term symptoms or recurrence.

  9. Acute nierschade

    NARCIS (Netherlands)

    Hageman, D.; Kooman, J.P.; Lance, M.D.; van Heurn, L.W.E.; Snoeijs, M.G.


    - 'Acute kidney injury' is modern terminology for a sudden decline in kidney function, and is defined by the RIFLE classification (RIFLE is an acronym for Risk, Injury, Failure, Loss and End-stage kidney disease).- Acute kidney injury occurs as a result of the combination of reduced perfusion in the

  10. 76 FR 14437 - Economic Simplified Boiling Water Reactor Standard Design: GE Hitachi Nuclear Energy; Issuance of... (United States)


    ... From the Federal Register Online via the Government Publishing Office ] NUCLEAR REGULATORY COMMISSION Economic Simplified Boiling Water Reactor Standard Design: GE Hitachi Nuclear Energy; Issuance of... GE Hitachi Nuclear Energy (GEH) for the economic simplified boiling water reactor (ESBWR) standard...

  11. Hair and Physiological Baldness (United States)

    Mercantini, Edward S.


    Human hair is one of the structures of the body about which little is generally known. Disease affecting the hair is often minimized or ignored by physicians because of lack of knowledge of this rudimentary organ. However, the patient's attitude toward hair loss is very different from the doctor's and he feels great concern about such loss. The development, growth and morphology of human hair are briefly presented. Experimental work which will increase our knowledge of hair growth and loss is reviewed. The various forms of physiological alopecia from birth onward are discussed, with special emphasis on the least-known type of physiological baldness, “male-pattern baldness” in the adult female. PMID:14312445

  12. Renal phosphate handling: Physiology

    Directory of Open Access Journals (Sweden)

    Narayan Prasad


    Full Text Available Phosphorus is a common anion. It plays an important role in energy generation. Renal phosphate handling is regulated by three organs parathyroid, kidney and bone through feedback loops. These counter regulatory loops also regulate intestinal absorption and thus maintain serum phosphorus concentration in physiologic range. The parathyroid hormone, vitamin D, Fibrogenic growth factor 23 (FGF23 and klotho coreceptor are the key regulators of phosphorus balance in body.

  13. Integrative Physiology of Fasting. (United States)

    Secor, Stephen M; Carey, Hannah V


    Extended bouts of fasting are ingrained in the ecology of many organisms, characterizing aspects of reproduction, development, hibernation, estivation, migration, and infrequent feeding habits. The challenge of long fasting episodes is the need to maintain physiological homeostasis while relying solely on endogenous resources. To meet that challenge, animals utilize an integrated repertoire of behavioral, physiological, and biochemical responses that reduce metabolic rates, maintain tissue structure and function, and thus enhance survival. We have synthesized in this review the integrative physiological, morphological, and biochemical responses, and their stages, that characterize natural fasting bouts. Underlying the capacity to survive extended fasts are behaviors and mechanisms that reduce metabolic expenditure and shift the dependency to lipid utilization. Hormonal regulation and immune capacity are altered by fasting; hormones that trigger digestion, elevate metabolism, and support immune performance become depressed, whereas hormones that enhance the utilization of endogenous substrates are elevated. The negative energy budget that accompanies fasting leads to the loss of body mass as fat stores are depleted and tissues undergo atrophy (i.e., loss of mass). Absolute rates of body mass loss scale allometrically among vertebrates. Tissues and organs vary in the degree of atrophy and downregulation of function, depending on the degree to which they are used during the fast. Fasting affects the population dynamics and activities of the gut microbiota, an interplay that impacts the host's fasting biology. Fasting-induced gene expression programs underlie the broad spectrum of integrated physiological mechanisms responsible for an animal's ability to survive long episodes of natural fasting. Copyright © 2016 John Wiley & Sons, Inc.

  14. Physiology of wrestlers` dehydration


    Cengiz, Asim; DEMİRHAN, Bilal


    Rapid weight loss via dehydration has profound adverse effects on the wrestler's physiology and muscular endurance even with %1 of body weight loss. Additionally, there is a decline after 4% of weight loss in strength or anaerobic power performance. However, these adverse effects do not seem to impair muscle strength during high-power exertions lasting less than 30 seconds. In fact, for athletes participating in brief-duration, high- power sports, rapid weight loss may give them an advan...

  15. 76 FR 33994 - Alternative Simplified Credit Under Section 41(c)(5) (United States)


    ... Internal Revenue Service 26 CFR Part 1 RIN 1545-BH32 Alternative Simplified Credit Under Section 41(c)(5... alternative simplified credit under section 41(c)(5) of the Internal Revenue Code (Code). The final... alternative simplified credit (ASC) under section 41(c)(5). The ASC was added by the Tax Relief and Health...

  16. A simplified model of choice behavior under uncertainty

    Directory of Open Access Journals (Sweden)

    Ching-Hung Lin


    Full Text Available The Iowa Gambling Task (IGT has been standardized as a clinical assessment tool (Bechara, 2007. Nonetheless, numerous research groups have attempted to modify IGT models to optimize parameters for predicting the choice behavior of normal controls and patients. A decade ago, most researchers considered the expected utility (EU model (Busemeyer and Stout, 2002 to be the optimal model for predicting choice behavior under uncertainty. However, in recent years, studies have demonstrated the prospect utility (PU models (Ahn et al., 2008 to be more effective than the EU models in the IGT. Nevertheless, after some preliminary tests, we propose that Ahn et al. (2008 PU model is not optimal due to some incompatible results between our behavioral and modeling data. This study aims to modify Ahn et al. (2008 PU model to a simplified model and collected 145 subjects’ IGT performance as the benchmark data for comparison. In our simplified PU model, the best goodness-of-fit was found mostly while α approaching zero. More specifically, we retested the key parameters α, λ , and A in the PU model. Notably, the power of influence of the parameters α, λ, and A has a hierarchical order in terms of manipulating the goodness-of-fit in the PU model. Additionally, we found that the parameters λ and A may be ineffective when the parameter α is close to zero in the PU model. The present simplified model demonstrated that decision makers mostly adopted the strategy of gain-stay-loss-shift rather than foreseeing the long-term outcome. However, there still have other behavioral variables that are not well revealed under these dynamic uncertainty situations. Therefore, the optimal behavioral models may not have been found. In short, the best model for predicting choice behavior under dynamic-uncertainty situations should be further evaluated.

  17. The cost of simplifying air travel when modeling disease spread.

    Directory of Open Access Journals (Sweden)

    Justin Lessler

    Full Text Available BACKGROUND: Air travel plays a key role in the spread of many pathogens. Modeling the long distance spread of infectious disease in these cases requires an air travel model. Highly detailed air transportation models can be over determined and computationally problematic. We compared the predictions of a simplified air transport model with those of a model of all routes and assessed the impact of differences on models of infectious disease. METHODOLOGY/PRINCIPAL FINDINGS: Using U.S. ticket data from 2007, we compared a simplified "pipe" model, in which individuals flow in and out of the air transport system based on the number of arrivals and departures from a given airport, to a fully saturated model where all routes are modeled individually. We also compared the pipe model to a "gravity" model where the probability of travel is scaled by physical distance; the gravity model did not differ significantly from the pipe model. The pipe model roughly approximated actual air travel, but tended to overestimate the number of trips between small airports and underestimate travel between major east and west coast airports. For most routes, the maximum number of false (or missed introductions of disease is small (<1 per day but for a few routes this rate is greatly underestimated by the pipe model. CONCLUSIONS/SIGNIFICANCE: If our interest is in large scale regional and national effects of disease, the simplified pipe model may be adequate. If we are interested in specific effects of interventions on particular air routes or the time for the disease to reach a particular location, a more complex point-to-point model will be more accurate. For many problems a hybrid model that independently models some frequently traveled routes may be the best choice. Regardless of the model used, the effect of simplifications and sensitivity to errors in parameter estimation should be analyzed.

  18. Acute Pancreatitis and Pregnancy (United States)

    ... Pancreatitis Acute Pancreatitis and Pregnancy Acute Pancreatitis and Pregnancy Timothy Gardner, MD Acute pancreatitis is defined as ... pancreatitis in pregnancy. Reasons for Acute Pancreatitis and Pregnancy While acute pancreatitis is responsible for almost 1 ...

  19. Information security governance simplified from the boardroom to the keyboard

    CERN Document Server

    Fitzgerald, Todd


    Security practitioners must be able to build cost-effective security programs while also complying with government regulations. Information Security Governance Simplified: From the Boardroom to the Keyboard lays out these regulations in simple terms and explains how to use control frameworks to build an air-tight information security (IS) program and governance structure. Defining the leadership skills required by IS officers, the book examines the pros and cons of different reporting structures and highlights the various control frameworks available. It details the functions of the security d

  20. Simplified numerical study of evaporation processes inside vertical tubes (United States)

    Ocłoń, Paweł; Nowak, Marzena; Łopata, Stanisław


    The paper presents a simplified numerical model of evaporation processes inside vertical tubes. In this model only the temperature fields in the fluid domain (the liquid or two-phase mixture) and solid domain (a tube wall) are determined. Therefore its performance and efficiency is high. The analytical formulas, which allow calculating the pressure drop and the distribution of heat transfer coefficient along the tube length, are used in this model. The energy equation for the fluid domain is solved with the Control Volume Method and for the solid domain with the Finite Element Method in order to determine the temperature field for the fluid and solid domains.

  1. Simplified Drift Analysis for Proving Lower Bounds in Evolutionary Computation

    DEFF Research Database (Denmark)

    Oliveto, Pietro S.; Witt, Carsten


    Drift analysis is a powerful tool used to bound the optimization time of evolutionary algorithms (EAs). Various previous works apply a drift theorem going back to Hajek in order to show exponential lower bounds on the optimization time of EAs. However, this drift theorem is tedious to read...... involving the complicated theorem can be redone in a much simpler and clearer way. In some cases even improved results may be achieved. Therefore, the simplified theorem is also a didactical contribution to the runtime analysis of EAs....

  2. Simplified polynomial digital predistortion for multimode software defined radios

    DEFF Research Database (Denmark)

    Kardaras, Georgios; Soler, José; Dittmann, Lars


    Increasing the efficiency of mobile communication networks while keeping operational and maintenance cost at reasonable level is a major task for operators. Multimode radios capable of operating according to various mobile broadband standards, such as WCDMA, WiMAX and LTE, represent the new trend...... a simplified approach using polynomial digital predistortion in the intermediated frequency (IF) domain. It is fully implementable in software and no hardware changes are required on the digital or analog platform. The adaptation algorithm selected was Least Mean Squares because of its relevant simplicity...

  3. Location audio simplified capturing your audio and your audience

    CERN Document Server

    Miles, Dean


    From the basics of using camera, handheld, lavalier, and shotgun microphones to camera calibration and mixer set-ups, Location Audio Simplified unlocks the secrets to clean and clear broadcast quality audio no matter what challenges you face. Author Dean Miles applies his twenty-plus years of experience as a professional location operator to teach the skills, techniques, tips, and secrets needed to produce high-quality production sound on location. Humorous and thoroughly practical, the book covers a wide array of topics, such as:* location selection* field mixing* boo

  4. Sensitivity Analysis of a Simplified Fire Dynamic Model

    DEFF Research Database (Denmark)

    Sørensen, Lars Schiøtt; Nielsen, Anker


    This paper discusses a method for performing a sensitivity analysis of parameters used in a simplified fire model for temperature estimates in the upper smoke layer during a fire. The results from the sensitivity analysis can be used when individual parameters affecting fire safety are assessed...... results for the period before thermal penetration (tp) has occurred. The analysis is also done for all combinations of two parameters in order to find the combination with the largest effect. The Sobol total for pairs had the highest value for the combination of energy release rate and area of opening...

  5. On Mono-W Signatures in Spin-1 Simplified Models

    CERN Document Server

    Haisch, Ulrich; Tait, Tim M. P.


    The potential sensitivity to isospin-breaking effects makes LHC searches for mono-W signatures promising probes of the coupling structure between the Standard Model and dark matter. It has been shown, however, that the strong sensitivity of the mono-W channel to the relative magnitude and sign of the up-type and down-type quark couplings to dark matter is an artefact of unitarity violation. We provide three different solutions to this mono-W problem in the context of spin-1 simplified models and briefly discuss the impact that our findings have on the prospects of mono-W searches at future LHC runs.

  6. Simplified subsurface modelling: data assimilation and violated model assumptions (United States)

    Erdal, Daniel; Lange, Natascha; Neuweiler, Insa


    Integrated models are gaining more and more attention in hydrological modelling as they can better represent the interaction between different compartments. Naturally, these models come along with larger numbers of unknowns and requirements on computational resources compared to stand-alone models. If large model domains are to be represented, e.g. on catchment scale, the resolution of the numerical grid needs to be reduced or the model itself needs to be simplified. Both approaches lead to a reduced ability to reproduce the present processes. This lack of model accuracy may be compensated by using data assimilation methods. In these methods observations are used to update the model states, and optionally model parameters as well, in order to reduce the model error induced by the imposed simplifications. What is unclear is whether these methods combined with strongly simplified models result in completely data-driven models or if they can even be used to make adequate predictions of the model state for times when no observations are available. In the current work we consider the combined groundwater and unsaturated zone, which can be modelled in a physically consistent way using 3D-models solving the Richards equation. For use in simple predictions, however, simpler approaches may be considered. The question investigated here is whether a simpler model, in which the groundwater is modelled as a horizontal 2D-model and the unsaturated zones as a few sparse 1D-columns, can be used within an Ensemble Kalman filter to give predictions of groundwater levels and unsaturated fluxes. This is tested under conditions where the feedback between the two model-compartments are large (e.g. shallow groundwater table) and the simplification assumptions are clearly violated. Such a case may be a steep hill-slope or pumping wells, creating lateral fluxes in the unsaturated zone, or strong heterogeneous structures creating unaccounted flows in both the saturated and unsaturated

  7. On mono-W signatures in spin-1 simplified models

    Directory of Open Access Journals (Sweden)

    Ulrich Haisch


    Full Text Available The potential sensitivity to isospin-breaking effects makes LHC searches for mono-W signatures promising probes of the coupling structure between the Standard Model and dark matter. It has been shown, however, that the strong sensitivity of the mono-W channel to the relative magnitude and sign of the up-type and down-type quark couplings to dark matter is an artifact of unitarity violation. We provide three different solutions to this mono-W problem in the context of spin-1 simplified models and briefly discuss the impact that our findings have on the prospects of mono-W searches at future LHC runs.

  8. Analyzing Physiologic occlusion

    Directory of Open Access Journals (Sweden)

    M. Emamie


    Full Text Available Generally speaking, when preserving and restoring the gnathostomatic system the dentist controls tooth morphology to insure proper distribution of stress. So, we restore a portion of a tooth or all the teeth in such a manner as to subject the associated parts of the system to the least stress. We evaluate our diagnosis and control it in our treatment. The treatment should be based on the scientific method. We create optimal occlusion or a desirable functional state of the masticatory system.  Many persons with occlusal imperfections will not have symptoms of functional disorders. This is the psychological adaptive capacity of the neuromuscular system, teeth, dental arches, and periodontal tissues.Recent developments in dental material, technology and instruments however, have simplified the taskaf restoring rebuilding and rehabilitating diseased mouths. So, optimum oral health and function should be the prime objective of all treatment procedures. Because the ultimate aim will always be to restore the mouth to health and preserve this status throughout the life of a patient.

  9. Acute Cholecystitis

    National Research Council Canada - National Science Library

    Schuld, Jochen; Glanemann, Matthias


    The treatment of acute cholecystitis has been controversially discussed in the literature as there are no high-evidence-level data yet for determining the optimal point in time for surgical intervention...

  10. Bronchitis (acute)


    Wark, Peter


    Acute bronchitis, with transient inflammation of the trachea and major bronchi, affects over 40/1000 adults a year in the UK. The causes are usually considered to be infective, but only around half of people have identifiable pathogens.The role of smoking or environmental tobacco smoke inhalation in predisposing to acute bronchitis is unclear.A third of people may have longer-term symptoms or recurrence.

  11. The emergence of Applied Physiology within the discipline of Physiology. (United States)

    Tipton, Charles M


    Despite the availability and utilization of the physiology textbooks authored by Albrecht von Haller during the 18th century that heralded the modern age of physiology, not all physicians or physiologists were satisfied with its presentation, contents, or application to medicine. Initial reasons were fundamental disagreements between the "mechanists," represented by Boerhaave, Robinson, and von Haller, and the "vitalists," represented by the faculty and graduates of the Montpellier School of Medicine in France, notably, Bordeu and Barthez. Subsequently, objections originated from Europe, United Kingdom, and the United States in publications that focused not only on the teaching of physiology to medical and secondary students, but on the specific applications of the content of physiology to medicine, health, hygiene, pathology, and chronic diseases. At the turn of the 20th century, texts began to appear with applied physiology in their titles and in 1926, physician Samson Wright published a textbook entitled Applied Physiology that was intended for both medical students and the medical profession. Eleven years later, physicians Best and Taylor published The Physiological Basis of Medical Practice: A University of Toronto Texbook in Applied Physiology Although both sets of authors defined the connection between applied physiology and physiology, they failed to define the areas of physiology that were included within applied physiology. This was accomplished by the American Physiological Society (APS) Publications Committee in 1948 with the publication of the Journal of Appplied Physiology, that stated the word "applied" would broadly denote human physiology whereas the terms stress and environment would broadly include work, exercise, plus industrial, climatic and social factors. NIH established a study section (SS) devoted to applied physiology in 1964 which remained active until 2001 when it became amalgamated into other SSs. Before the end of the 20th century when

  12. Gastrointestinal Physiology and Function. (United States)

    Greenwood-Van Meerveld, Beverley; Johnson, Anthony C; Grundy, David


    The gastrointestinal (GI) system is responsible for the digestion and absorption of ingested food and liquids. Due to the complexity of the GI tract and the substantial volume of material that could be covered under the scope of GI physiology, this chapter briefly reviews the overall function of the GI tract, and discusses the major factors affecting GI physiology and function, including the intestinal microbiota, chronic stress, inflammation, and aging with a focus on the neural regulation of the GI tract and an emphasis on basic brain-gut interactions that serve to modulate the GI tract. GI diseases refer to diseases of the esophagus, stomach, small intestine, colon, and rectum. The major symptoms of common GI disorders include recurrent abdominal pain and bloating, heartburn, indigestion/dyspepsia, nausea and vomiting, diarrhea, and constipation. GI disorders rank among the most prevalent disorders, with the most common including esophageal and swallowing disorders, gastric and peptic ulcer disease, gastroparesis or delayed gastric emptying, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD). Many GI disorders are difficult to diagnose and their symptoms are not effectively managed. Thus, basic research is required to drive the development of novel therapeutics which are urgently needed. One approach is to enhance our understanding of gut physiology and pathophysiology especially as it relates to gut-brain communications since they have clinical relevance to a number of GI complaints and represent a therapeutic target for the treatment of conditions including inflammatory diseases of the GI tract such as IBD and functional gut disorders such as IBS.

  13. Physiological responses to acute experimental hypoxia in the air ...

    Indian Academy of Sciences (India)


    Mar 5, 2013 ... 1National Bureau of Fish Genetic Resources, Canal Ring Road, P.O. Dilkusha,. Lucknow 226 001 ... respond through increase in the oxygen carrying capacity, metabolic depression and efficient antioxidant defense system to survive ... sustained metabolic depression or to up-regulate anaerobic glycolysis ...

  14. Acute Physiological and Chronic Health Evaluation II Score and its ...

    African Journals Online (AJOL)

    Ileal perforation peritonitis is a common surgical emergency in Indian subcontinent and in tropical countries. It is reported to constitute the fifth common cause of abdominal emergencies due to high incidence of enteric fever and tuberculosis in these regions. Despite the availability of modern diagnostic facilities and ...

  15. Physiological responses to acute experimental hypoxia in the air ...

    Indian Academy of Sciences (India)

    During progressive hypoxia, C. batrachus was found to be an oxyconformer and showed a steady decline in its aquatic oxygen consumption rate. When C. ... Antioxidant enzymes were found to operate independently of one another, while total glutathione concentration was unaffected in any of the tissues across treatments.

  16. On a nonlinear Kalman filter with simplified divided difference approximation

    KAUST Repository

    Luo, Xiaodong


    We present a new ensemble-based approach that handles nonlinearity based on a simplified divided difference approximation through Stirling\\'s interpolation formula, which is hence called the simplified divided difference filter (sDDF). The sDDF uses Stirling\\'s interpolation formula to evaluate the statistics of the background ensemble during the prediction step, while at the filtering step the sDDF employs the formulae in an ensemble square root filter (EnSRF) to update the background to the analysis. In this sense, the sDDF is a hybrid of Stirling\\'s interpolation formula and the EnSRF method, while the computational cost of the sDDF is less than that of the EnSRF. Numerical comparison between the sDDF and the EnSRF, with the ensemble transform Kalman filter (ETKF) as the representative, is conducted. The experiment results suggest that the sDDF outperforms the ETKF with a relatively large ensemble size, and thus is a good candidate for data assimilation in systems with moderate dimensions. © 2011 Elsevier B.V. All rights reserved.

  17. Simplified Physics Based Models Research Topical Report on Task #2

    Energy Technology Data Exchange (ETDEWEB)

    Mishra, Srikanta; Ganesh, Priya


    We present a simplified-physics based approach, where only the most important physical processes are modeled, to develop and validate simplified predictive models of CO2 sequestration in deep saline formation. The system of interest is a single vertical well injecting supercritical CO2 into a 2-D layered reservoir-caprock system with variable layer permeabilities. We use a set of well-designed full-physics compositional simulations to understand key processes and parameters affecting pressure propagation and buoyant plume migration. Based on these simulations, we have developed correlations for dimensionless injectivity as a function of the slope of fractional-flow curve, variance of layer permeability values, and the nature of vertical permeability arrangement. The same variables, along with a modified gravity number, can be used to develop a correlation for the total storage efficiency within the CO2 plume footprint. Similar correlations are also developed to predict the average pressure within the injection reservoir, and the pressure buildup within the caprock.

  18. Simplified Bishop score including parity predicts successful induction of labor. (United States)

    Ivars, Joanna; Garabedian, Charles; Devos, Patrick; Therby, Denis; Carlier, Sabine; Deruelle, Philippe; Subtil, Damien


    Our objectives were to confirm the predictiveness of parity for successful labor induction and propose an improvement in the Bishop's score to take parity into account and simultaneously simplify the original Bishop score. Retrospective study of 326 deliveries induced by oxytocin and amniotomy before prostaglandins between January 1, 1987, and June 30, 1988. We conducted a univariate and then a multivariate analysis of the relation between successful labor induction - defined by vaginal delivery- and the components of Bishop's score and parity. Nulliparous accounted for 38% of the studied population. The mean Bishop at induction was 5.75±1.4. Fetal station, cervical effacement, and parity were the only factors associated with the success of induction in this study. Removing the cervical position and consistency from the score as well as adding parity significantly improved the prediction of success (ROC curves, AUC 0.88 vs 0.68, plabor in 90% of the women that were considered in the study (vs 26% or 60%, according to whether the cutoff point of the original Bishop's score is set, respectively, at 7 or 6, plabor induction by oxytocin and amniotomy. We confirmed the usefulness of a simplified Bishop score that considers parity. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. A simplified classification for describing colposcopic vaginal patterns. (United States)

    Indraccolo, Ugo; Baldoni, Angelo


    This study aimed to highlight that colposcopic vaginal patterns are not specific, unlike cervical colposcopic patterns, and to provide a simpler classification of vaginal colposcopic patterns. A total of 223 patients who underwent colposcopy with Schiller test were assessed (hierarchical log-linear model) retrospectively. The greatest predictability for histologically confirmed warts and cancers is represented by colposcopic patterns of wart and cancer. Lugol-negative area is strongly predictive of koilocytosis, even if it is found in other vaginal lesions. Thickened epithelium seems to better predict a severe vaginal lesion, whereas thin white epithelium better suggests a mild vaginal lesion. Colposcopic patterns were simplified as follows: Lugol-negative area, white epithelia (thin white epithelium and white thickened epithelium), vascular lesions (regular and irregular mosaicisms and punctations), wart, and cancer. Thus, koilocytosis is predicted by the Lugol-negative area, whereas white epithelia patterns and vascular patterns are not specific, suggesting overall vaginal intraepithelial neoplasias. Wart and cancer patterns are pathognomonic for histologically confirmed warts and cancers. Vaginal colposcopy poorly predicts the severity of vaginal lesions. By including each type of white epithelium within a new category called "white epithelia patterns" and each type of vascular pattern within a new category called "vascular patterns," it is possible to simplify vaginal colposcopy without compromising its accuracy.

  20. Pioneering in gravitational physiology (United States)

    Soffen, G. A.


    Gravity affects biology at almost all levels above that of the cell organelle. Attention is presently given to progress made in the understanding of gravitational effects through studies employing centrifuges, clinostats, inverted preparations, linear devices, water immersion, free fall, and short- and long-term spaceflight. The cardiovascular changes which cause malaise and illness during the first few days of extended space missions are the direct result of fluid translocation from the lower extremities. Upon reentry, there is hypovolumnia and a cardiovascular deconditioning that can include tachycardia, changes in arterial blood pressure, narrow pulse pressure, and syncope. Attention is also given to NASA's gravitational physiology reseach program.

  1. Conservation physiology of marine fishes

    DEFF Research Database (Denmark)

    Jørgensen, Christian; Peck, Myron A.; Antognarelli, Fabio


    At the end of May, 17 scientists involved in an EU COST Action on Conservation Physiology of Marine Fishes met in Oristano, Sardinia, to discuss how physiology can be better used in modelling tools to aid in management of marine ecosystems. Current modelling approaches incorporate physiology...

  2. Starting physiology: bioelectrogenesis. (United States)

    Baptista, Vander


    From a Cartesian perspective of rational analysis, the electric potential difference across the cell membrane is one of the fundamental concepts for the study of physiology. Unfortunately, undergraduate students often struggle to understand the genesis of this energy gradient, which makes the teaching activity a hard task for the instructor. The topic of bioelectrogenesis encompasses multidisciplinary concepts, involves several mechanisms, and is a dynamic process, i.e., it never turns off during the lifetime of the cell. Therefore, to improve the transmission and acquisition of knowledge in this field, I present an alternative didactic model. The design of the model assumes that it is possible to build, in a series of sequential steps, an assembly of proteins within the membrane of an isolated cell in a simulated electrophysiology experiment. Initially, no proteins are inserted in the membrane and the cell is at a baseline energy state; the extracellular and intracellular fluids are at thermodynamic equilibrium. Students are guided through a sequence of four steps that add key membrane transport proteins to the model cell. The model is simple at the start and becomes progressively more complex, finally producing transmembrane chemical and electrical gradients. I believe that this didactic approach helps instructors with a more efficient tool for the teaching of the mechanisms of resting membrane potential while helping students avoid common difficulties that may be encountered when learning this topic. Copyright © 2015 The American Physiological Society.

  3. Teaching neurology to medical students with a simplified version of team-based learning. (United States)

    Brich, Jochen; Jost, Meike; Brüstle, Peter; Giesler, Marianne; Rijntjes, Michel


    To compare the effect of a simplified version of team-based learning (sTBL), an active learning/small group instructional strategy, with that of the traditionally used small group interactive seminars on the acquisition of knowledge and clinical reasoning (CR) skills. Third- and fourth-year medical students (n = 122) were randomly distributed into 2 groups. A crossover design was used in which 2 neurologic topics were taught by sTBL and 2 by small group interactive seminars. Knowledge was assessed with a multiple-choice question examination (MCQE), CR skills with a key feature problem examination (KFPE). Questionnaires were used for further methodologic evaluation. No group differences were found in the MCQE results. sTBL instruction of the topic "acute altered mental status" was associated with a significantly better student performance in the KFPE (p = 0.008), with no differences in the other 3 topics covered. Although both teaching methods were highly rated by the students, a clear majority voted for sTBL as their preferred future teaching method. sTBL served as an equivalent alternative to small group interactive seminars for imparting knowledge and teaching CR skills, and was particularly advantageous for teaching CR in the setting of a complex neurologic topic. Furthermore, students reported a strong preference for the sTBL approach, making it a promising tool for effectively teaching neurology. © 2017 American Academy of Neurology.

  4. Simplified Predictive Models for CO2 Sequestration Performance Assessment (United States)

    Mishra, Srikanta; RaviGanesh, Priya; Schuetter, Jared; Mooney, Douglas; He, Jincong; Durlofsky, Louis


    We present results from an ongoing research project that seeks to develop and validate a portfolio of simplified modeling approaches that will enable rapid feasibility and risk assessment for CO2 sequestration in deep saline formation. The overall research goal is to provide tools for predicting: (a) injection well and formation pressure buildup, and (b) lateral and vertical CO2 plume migration. Simplified modeling approaches that are being developed in this research fall under three categories: (1) Simplified physics-based modeling (SPM), where only the most relevant physical processes are modeled, (2) Statistical-learning based modeling (SLM), where the simulator is replaced with a "response surface", and (3) Reduced-order method based modeling (RMM), where mathematical approximations reduce the computational burden. The system of interest is a single vertical well injecting supercritical CO2 into a 2-D layered reservoir-caprock system with variable layer permeabilities. In the first category (SPM), we use a set of well-designed full-physics compositional simulations to understand key processes and parameters affecting pressure propagation and buoyant plume migration. Based on these simulations, we have developed correlations for dimensionless injectivity as a function of the slope of fractional-flow curve, variance of layer permeability values, and the nature of vertical permeability arrangement. The same variables, along with a modified gravity number, can be used to develop a correlation for the total storage efficiency within the CO2 plume footprint. In the second category (SLM), we develop statistical "proxy models" using the simulation domain described previously with two different approaches: (a) classical Box-Behnken experimental design with a quadratic response surface fit, and (b) maximin Latin Hypercube sampling (LHS) based design with a Kriging metamodel fit using a quadratic trend and Gaussian correlation structure. For roughly the same number of

  5. Simplified Ion Thruster Xenon Feed System for NASA Science Missions (United States)

    Snyder, John Steven; Randolph, Thomas M.; Hofer, Richard R.; Goebel, Dan M.


    The successful implementation of ion thruster technology on the Deep Space 1 technology demonstration mission paved the way for its first use on the Dawn science mission, which launched in September 2007. Both Deep Space 1 and Dawn used a "bang-bang" xenon feed system which has proven to be highly successful. This type of feed system, however, is complex with many parts and requires a significant amount of engineering work for architecture changes. A simplified feed system, with fewer parts and less engineering work for architecture changes, is desirable to reduce the feed system cost to future missions. An attractive new path for ion thruster feed systems is based on new components developed by industry in support of commercial applications of electric propulsion systems. For example, since the launch of Deep Space 1 tens of mechanical xenon pressure regulators have successfully flown on commercial spacecraft using electric propulsion. In addition, active proportional flow controllers have flown on the Hall-thruster-equipped Tacsat-2, are flying on the ion thruster GOCE mission, and will fly next year on the Advanced EHF spacecraft. This present paper briefly reviews the Dawn xenon feed system and those implemented on other xenon electric propulsion flight missions. A simplified feed system architecture is presented that is based on assembling flight-qualified components in a manner that will reduce non-recurring engineering associated with propulsion system architecture changes, and is compared to the NASA Dawn standard. The simplified feed system includes, compared to Dawn, passive high-pressure regulation, a reduced part count, reduced complexity due to cross-strapping, and reduced non-recurring engineering work required for feed system changes. A demonstration feed system was assembled using flight-like components and used to operate a laboratory NSTAR-class ion engine. Feed system components integrated into a single-string architecture successfully operated

  6. Carbon Dioxide Physiological Training at NASA. (United States)

    Law, Jennifer; Young, Millennia; Alexander, David; Mason, Sara S; Wear, Mary L; Méndez, Claudia M; Stanley, David; Ryder, Valerie Meyers; Van Baalen, Mary


    Astronauts undergo CO2 exposure training to recognize their symptoms that can arise acutely both on the ground and in spaceflight. This article describes acute CO2 exposure training at NASA and examines the symptoms reported by astronauts during training. In a controlled training environment, astronauts are exposed to up to 8% CO2 (60 mmHg) by a rebreathing apparatus. Symptoms are reported using a standard form. Symptom documentation forms between April 1994 and February 2012 were obtained for 130 astronauts. The number of symptoms reported per session out of the possible 24 was related to age and sex, with those older slightly more likely to report symptoms. Women reported more symptoms on average than men (men: 3.7, women: 4.7). Respiratory symptoms (90%), flushing sensation/sweating (56%), and dizziness/feeling faint/lightheadedness (43%) were the top symptoms. Only headache reached statistical significance in differences between men (13%) and women (37%) after adjustment for multiple testing. Among those with multiple training sessions, respiratory symptoms were the most consistently reported. CO2 exposure training is an important tool to educate astronauts about their potential acute CO2 symptoms. Wide interindividual and temporal variations were observed in symptoms reported during astronaut CO2 exposure training. Headache could not be relied on as a marker of acute exposure during testing since fewer than half the subjects reported it. Our results support periodic refresher training since symptoms may change over time. Further study is needed to determine the optimal interval of training to maximize symptom recognition and inform operational decisions.Law J, Young M, Alexander D, Mason SS, Wear ML, Méndez CM, Stanley D, Meyers Ryder V, Van Baalen M. Carbon dioxide physiological training at NASA. Aerosp Med Hum Perform. 2017; 88(10):897-902.

  7. Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Ringbaek, T.; Lange, P.; Mogensen, T.


    Acute exacerbation of COPD is a major cause of hospitalisation in Denmark. Most of the patients require supplemental oxygen in the acute phase and some patients continue oxygen therapy at home after discharge. In this paper we discuss the physiological mechanisms of respiratory failure seen in ac...

  8. Single Cell Physiology (United States)

    Neveu, Pierre; Sinha, Deepak Kumar; Kettunen, Petronella; Vriz, Sophie; Jullien, Ludovic; Bensimon, David

    The possibility to control at specific times and specific places the activity of biomolecules (enzymes, transcription factors, RNA, hormones, etc.) is opening up new opportunities in the study of physiological processes at the single cell level in a live organism. Most existing gene expression systems allow for tissue specific induction upon feeding the organism with exogenous inducers (e.g., tetracycline). Local genetic control has earlier been achieved by micro-injection of the relevant inducer/repressor molecule, but this is an invasive and possibly traumatic technique. In this chapter, we present the requirements for a noninvasive optical control of the activity of biomolecules and review the recent advances in this new field of research.

  9. Prediction of protein folding rates from simplified secondary structure alphabet. (United States)

    Huang, Jitao T; Wang, Titi; Huang, Shanran R; Li, Xin


    Protein folding is a very complicated and highly cooperative dynamic process. However, the folding kinetics is likely to depend more on a few key structural features. Here we find that secondary structures can determine folding rates of only large, multi-state folding proteins and fails to predict those for small, two-state proteins. The importance of secondary structures for protein folding is ordered as: extended β strand > α helix > bend > turn > undefined secondary structure>310 helix > isolated β strand > π helix. Only the first three secondary structures, extended β strand, α helix and bend, can achieve a good correlation with folding rates. This suggests that the rate-limiting step of protein folding would depend upon the formation of regular secondary structures and the buckling of chain. The reduced secondary structure alphabet provides a simplified description for the machine learning applications in protein design. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Modeling moisture ingress through simplified concrete crack geometries

    DEFF Research Database (Denmark)

    Pease, Bradley Justin; Michel, Alexander; Geiker, Mette Rica


    This paper introduces a numerical model for ingress in cracked steel fibre reinforced concrete. Details of a simplified crack are preset in the model’s geometry using the cracked hinge model (CHM). The total crack length estimated using the CHM was, based on earlier work on conventional concrete......, considered to have two parts; 1) a coalesced crack length which behaves as a free-surface for moisture ingress, and 2) an isolated microcracking length which resists ingress similarly to the bulk material. Transport model results are compared to experimental results from steel fibre reinforced concrete wedge...... on moisture ingress. Results from the transport model indicate the length of the isolated microcracks was approximately 19 mm for the investigated concrete composition....

  11. Simplified equation for Young's modulus of CNT reinforced concrete (United States)

    Chandran, RameshBabu; Gifty Honeyta A, Maria


    This research investigation focuses on finite element modeling of carbon nanotube (CNT) reinforced concrete matrix for three grades of concrete namely M40, M60 and M120. Representative volume element (RVE) was adopted and one-eighth model depicting the CNT reinforced concrete matrix was simulated using FEA software ANSYS17.2. Adopting random orientation of CNTs, with nine fibre volume fractions from 0.1% to 0.9%, finite element modeling simulations replicated exactly the CNT reinforced concrete matrix. Upon evaluations of the model, the longitudinal and transverse Young's modulus of elasticity of the CNT reinforced concrete was arrived. The graphical plots between various fibre volume fractions and the concrete grade revealed simplified equation for estimating the young's modulus. It also exploited the fact that the concrete grade does not have significant impact in CNT reinforced concrete matrix.

  12. Simplified scaling model for the THETA-pinch

    Energy Technology Data Exchange (ETDEWEB)

    Ewing, K. J.; Thomson, D. B.


    A simple ID scaling model for the fast THETA-pinch was developed and written as a code that would be flexible, inexpensive in computer time, and readily available for use with the Los Alamos explosive-driven high-magnetic-field program. The simplified model uses three successive separate stages: (1) a snowplow-like radial implosion, (2) an idealized resistive annihilation of reverse bias field, and (3) an adiabatic compression stage of a BETA = 1 plasma for which ideal pressure balance is assumed to hold. The code uses one adjustable fitting constant whose value was first determined by comparison with results from the Los Alamos Scylla III, Scyllacita, and Scylla IA THETA-pinches.

  13. Experimental and numerical investigation of a simplified exhaust model

    Directory of Open Access Journals (Sweden)

    Balázs Vehovszky


    Full Text Available A simplified experimental equipment was built to investigate heat radiation and free convection around hot exhaust pipe. Temperatures were measured on the surface of the pipe as like as on heat insulating and -reflecting aluminum shield. Special care was taken to the temperature measuring method: result proved that inappropriate fixing of measuring thermocouples lead to an error of up to 30 % in the temperature-increase values. A detailed 1D numerical model was set up and parametrized so as to the calculation results can be fitted to measured temperature values. In this way thermal properties of the surfaces – as emissivities, absorption coefficients and convective heat transfer coefficients – were determined for temperature sweeps and stationary state cases. The used methods are to be further improved for real automotive parts and higher temperatures.

  14. Simplifying the audit of risk factor recording and control

    DEFF Research Database (Denmark)

    Zhao, Min; Cooney, Marie Therese; Klipstein-Grobusch, Kerstin


    BACKGROUND: To simplify the assessment of the recording and control of coronary heart disease risk factors in different countries and regions. DESIGN: The SUrvey of Risk Factors (SURF) is an international clinical audit. METHODS: Data on consecutive patients with established coronary heart disease...... summarized in a Cardiovascular Health Index Score. RESULTS: Coronary heart disease patients (N = 10,186; 29% women) were enrolled from 79 centres in 11 countries. Recording of risk factors varied considerably: smoking was recorded in over 98% of subjects, while about 20% lacked data on laboratory...... measurements relevant to cardiovascular disease risk. Sixteen per cent of participants reported smoking, 29% were obese, and 46% had abdominal obesity. Sixty per cent of participants had blood pressure

  15. Simplified Expert Elicitation Procedure for Risk Assessment of Operating Events

    Energy Technology Data Exchange (ETDEWEB)

    Ronald L. Boring; David Gertman; Jeffrey Joe; Julie Marble; William Galyean; Larry Blackwood; Harold Blackman


    This report describes a simplified, tractable, and usable procedure within the US Nuclear Regulator Commission (NRC) for seeking expert opinion and judgment. The NRC has increased efforts to document the reliability and risk of nuclear power plants (NPPs) through Probabilistic Risk Assessment (PRA) and Human Reliability Analysis (HRA) models. The Significance Determination Process (SDP) and Accident Sequence Precursor (ASP) programs at the NRC utilize expert judgment on the probability of failure, human error, and the operability of equipment in cases where otherwise insufficient operational data exist to make meaningful estimates. In the past, the SDP and ASP programs informally sought the opinion of experts inside and outside the NRC. This document represents a formal, documented procedure to take the place of informal expert elicitation. The procedures outlined in this report follow existing formal expert elicitation methodologies, but are streamlined as appropriate to the degree of accuracy required and the schedule for producing SDP and ASP analyses.

  16. A comparative analysis between fuzzy topsis and simplified fuzzy topsis (United States)

    Ahmad, Sharifah Aniza Sayed; Mohamad, Daud


    Fuzzy Multiple Criteria Decision Making plays an important role in solving problems in decision making under fuzzy environment. Among the popular methods used is the fuzzy TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) where the solution is based on the shortest distance from its positive ideal solution and the farthest distance from its negative ideal solution. The fuzzy TOPSIS method was first introduced by Chen (2000). At present, there are several variants of fuzzy TOPSIS methods and each of them claimed to have its own advantages. In this paper, a comparative analysis is made between the classical fuzzy TOPSIS method proposed by Chen in 2000 and the simplified fuzzy TOPSIS proposed by Sodhi in 2012. The purpose of this study is to show the similarities and the differences between these two methods and also elaborate on their strengths and limitations as well. A comparison is also made by providing numerical examples of both methods.

  17. A simplified computational memory model from information processing (United States)

    Zhang, Lanhua; Zhang, Dongsheng; Deng, Yuqin; Ding, Xiaoqian; Wang, Yan; Tang, Yiyuan; Sun, Baoliang


    This paper is intended to propose a computational model for memory from the view of information processing. The model, called simplified memory information retrieval network (SMIRN), is a bi-modular hierarchical functional memory network by abstracting memory function and simulating memory information processing. At first meta-memory is defined to express the neuron or brain cortices based on the biology and graph theories, and we develop an intra-modular network with the modeling algorithm by mapping the node and edge, and then the bi-modular network is delineated with intra-modular and inter-modular. At last a polynomial retrieval algorithm is introduced. In this paper we simulate the memory phenomena and functions of memorization and strengthening by information processing algorithms. The theoretical analysis and the simulation results show that the model is in accordance with the memory phenomena from information processing view. PMID:27876847

  18. Assessing uncertainty in radar measurements on simplified meteorological scenarios

    Directory of Open Access Journals (Sweden)

    L. Molini


    Full Text Available A three-dimensional radar simulator model (RSM developed by Haase (1998 is coupled with the nonhydrostatic mesoscale weather forecast model Lokal-Modell (LM. The radar simulator is able to model reflectivity measurements by using the following meteorological fields, generated by Lokal Modell, as inputs: temperature, pressure, water vapour content, cloud water content, cloud ice content, rain sedimentation flux and snow sedimentation flux. This work focuses on the assessment of some uncertainty sources associated with radar measurements: absorption by the atmospheric gases, e.g., molecular oxygen, water vapour, and nitrogen; attenuation due to the presence of a highly reflecting structure between the radar and a "target structure". RSM results for a simplified meteorological scenario, consisting of a humid updraft on a flat surface and four cells placed around it, are presented.

  19. Simplified theory of plastic zones based on Zarka's method

    CERN Document Server

    Hübel, Hartwig


    The present book provides a new method to estimate elastic-plastic strains via a series of linear elastic analyses. For a life prediction of structures subjected to variable loads, frequently encountered in mechanical and civil engineering, the cyclically accumulated deformation and the elastic plastic strain ranges are required. The Simplified Theory of Plastic Zones (STPZ) is a direct method which provides the estimates of these and all other mechanical quantities in the state of elastic and plastic shakedown. The STPZ is described in detail, with emphasis on the fact that not only scientists but engineers working in applied fields and advanced students are able to get an idea of the possibilities and limitations of the STPZ. Numerous illustrations and examples are provided to support the reader's understanding.

  20. A Simplified Cryogenic Distribution Scheme for the Large Hadron Collider

    CERN Document Server

    Chorowski, M; Lebrun, P; Riddone, G; Serio, L; Tavian, L; Wagner, U; Van Weelderen, R


    The Large Hadron Collider (LHC), currently under construction at CERN, will make use of superconducting magnets operating in superfluid helium below 2 K. The reference cryogenic distribution scheme was based, in each 3.3 km sector served by a cryogenic plant, on a separate cryogenic distribution line which feeds elementary cooling loops corresponding to the length of a half-cell (53 m). In order to decrease the number of active components, cryogenic modules and jumper connections between distribution line and magnet strings a simplified cryogenic scheme is now implemented, based on cooling loops corresponding to the length of a full-cell (107 m) and compatible with the LHC requirements. Performance and redundancy limitations are discussed with respect to the previous scheme and balanced against potential cost savings.

  1. A Simplified Mobile Ad Hoc Network Structure for Helicopter Communication

    Directory of Open Access Journals (Sweden)

    Abdeldime Mohamed Salih Abdelgader


    Full Text Available There are a number of volunteer and statutory organizations who are capable of conducting an emergency response using helicopters. Rescue operations require a rapidly deployable high bandwidth network to coordinate necessary relief efforts between rescue teams on the ground and helicopters. Due to massive destruction and loss of services, ordinary communication infrastructures may collapse in these situations. Consequently, information exchange becomes one of the major challenges in these circumstances. Helicopters can be also employed for providing many services in rugged environments, military applications, and aerial photography. Ad hoc network can be used to provide alternative communication link between a set of helicopters, particularly in case of significant amount of data required to be shared. This paper addresses the ability of using ad hoc networks to support the communication between a set of helicopters. A simplified network structure model is presented and extensively discussed. Furthermore, a streamlined routing algorithm is proposed. Comprehensive simulations are conducted to evaluate the proposed routing algorithm.

  2. Subcortical band heterotopia with simplified gyral pattern and syndactyly. (United States)

    Sicca, Federico; Silengo, Margherita; Parrini, Elena; Ferrero, Giovanni B; Guerrini, Renzo


    We describe a girl with an unusual form of subcortical band heterotopia (SBH) and a complex malformation syndrome. SBH had an irregular inner margin, organized in contiguous fascicles of migrating neurons, sometimes giving the appearance of many small contiguous gyri. The true cortex had decreased thickness and showed a simplified gyral pattern with decreased number of gyri, which were usually of increased width, and shallow sulci. The cerebellum was hypoplastic. Additional features included epicanthal folds, hypertelorism, small nose with hypoplastic nares, bilateral syndactyly of the toes, pulmonary valve stenosis, atrial and ventricular septal defects. At the age of 1 year the patient had severe developmental delay and epilepsy. Chromosome studies and mutation analysis of the DCX and LIS1 genes gave negative results. This observation delineates a new multiple congenital abnormalities mental retardation syndrome and confirms genetic heterogeneity of SBH. Copyright 2003 Wiley-Liss, Inc.

  3. Simplified cusum model for automated control of fab processes (United States)

    Downing, John T.; Sorenson, Tracey


    Advanced process control can be achieved using basic math to create a simplified cumulative sum (cusum) chart. The method is simple: plot the difference between the measured value and the desired target (error value). Each new data point is summed with the last data point. A process that is only slightly off target will be evidenced by a gradual trend towards the control limits. The farther from target the process is the steeper the slope will be, and the sooner it will breach the control limits. Subtracting a noise threshold value from the error value can control the sensitivity of the cusum chart. For example, if the threshold is 5 and the measured value is 8, the plotted value would be 3. Measured values of less than the threshold considered on-target and plotted as zero. Substantial improvements in process capability were realized using an APC system built on this simple cusum model.

  4. Using simplified Chaos Theory to manage nursing services. (United States)

    Haigh, Carol A


    The purpose of this study was to evaluate the part simplified chaos theory could play in the management of nursing services. As nursing care becomes more complex, practitioners need to become familiar with business planning and objective time management. There are many time-limited methods that facilitate this type of planning but few that can help practitioners to forecast the end-point outcome of the service they deliver. A growth model was applied to a specialist service to plot service trajectory. Components of chaos theory can play a role in forecasting service outcomes and consequently the impact upon the management of such services. The ability to (1) track the trajectory of a service and (2) manipulate that trajectory by introducing new variables can allow managers to forward plan for service development and to evaluate the effectiveness of a service by plotting its end-point state.

  5. Physiology for engineers applying engineering methods to physiological systems

    CERN Document Server

    Chappell, Michael


    This book provides an introduction to qualitative and quantitative aspects of human physiology. It looks at biological and physiological processes and phenomena, including a selection of mathematical models, showing how physiological problems can be mathematically formulated and studied. It also illustrates how a wide range of engineering and physics topics, including electronics, fluid dynamics, solid mechanics and control theory can be used to describe and understand physiological processes and systems. Throughout the text there are introductions to measuring and quantifying physiological processes using both signal and imaging technologies. Physiology for Engineers describes the basic structure and models of cellular systems, the structure and function of the cardiovascular system, the electrical and mechanical activity of the heart and provides an overview of the structure and function of the respiratory and nervous systems. It also includes an introduction to the basic concepts and applications of reacti...

  6. Predicting optimum vortex tube performance using a simplified CFD model

    Energy Technology Data Exchange (ETDEWEB)

    Karimi-Esfahani, M; Fartaj, A.; Rankin, G.W. [Univ. of Windsor, Dept. of Mechanical, Automotive and Materials Engineering, Windsor, Ontario (Canada)]. E-mail:


    The Ranque-Hilsch tube is a particular type of vortex tube device. The flow enters the device tangentially near one end and exits from the open ends of the tube. The inlet air is of a uniform temperature throughout while the outputs are of different temperatures. One outlet is hotter and the other is colder than the inlet air. This device has no moving parts and does not require any additional power for its operation other than that supplied to the device to compress the inlet air. It has, however, not been widely used, mainly because of its low efficiency. In this paper, a simplified 2-dimensional computational fluid dynamics model for the flow in the vortex tube is developed using FLUENT. This model makes use of the assumption of axial symmetry throughout the entire flow domain. Compared to a three-dimensional computational solution, the simplified model requires significantly less computational time. This is important because the model is to be used for an optimization study. A user-defined function is generated to implement a modified version of the k-epsilon model to account for turbulence. This model is validated by comparing a particular solution with available experimental data. The variation of cold temperature drop and efficiency of the device with orifice diameter, inlet pressure and cold mass flow ratio qualitatively agree with experimental results. Variation of these performance indices with tube length did not agree with the experiments for small values of tube length. However, it did agree qualitatively for large values. (author)

  7. A Simplified Protocol for the Treatment of Alcohol Withdrawal. (United States)

    Feeney, Colin; Alter, Harrison J; Jacobsen, Elke; Rehrer, Matthew; Shao, Shirley; Subramanian, Indhu; Clements, R Carter


    The aim of the study was to evaluate a novel simplified tool for symptom-triggered treatment of alcohol withdrawal. This retrospective cohort study involved inpatients in a county hospital with an International Classification of Diseases, Ninth Revision, Clinical Modification discharge diagnosis of alcohol withdrawal syndrome (AWS) or delirium tremens between January 1, 2007 and December 31, 2008. The study used the Highland Alcohol Withdrawal Protocol (HAWP)-a simplified derivative of the Revised Clinical Institute Withdrawal Assessment for Alcohol. Multivariable regression analysis was performed to compare severity of withdrawal to hospital length of stay, total dose of sedative given, and risk of complications. The study identified 442 patients with a primary diagnosis of AWS or delirium tremens, and those with another primary medical diagnosis complicated by alcohol withdrawal. After adjusting for demographic variables, each one-point increase in the initial and maximum HAWP scores correlated with an increase in the hospital length of stay of 0.3 days [95% confidence interval (95% CI), 0.17 to 0.43 days] and 0.45 days (95% CI, 0.32-0.57 days), and a 15.8 mg (95% CI, 6.6-25.1 mg) and 19.8 mg (95% CI, 11.1-28.5 mg) increase in the total dose of lorazepam given, respectively. The complication rate of seizures, intubations, pneumonia, and death was 13.1%, 12.9%, 6.1% and 0.9%, respectively; a composite endpoint of these outcomes also correlated with initial and maximum HAWP scores (odds ratio 1.09, 95% CI, 1.03%-1.14%). The HAWP correlates with medication received and complications, and as such appears to give an indication of AWS severity. It is feasible and shorter than prior scales, and merits further study to confirm its effectiveness as part of symptom-triggered protocols to manage alcohol withdrawal in the hospital.


    Directory of Open Access Journals (Sweden)


    Full Text Available Strong reduction of new aircraft design period using new technology based on artificial intelligence is the key problem mentioned in forecasts of leading aerospace industry research centers. This article covers the approach to devel- opment of quick aerodynamic design methods based on artificial intelligence neural system. The problem is being solved for the classical scheme of small sized unmanned aircraft vehicle (UAV. The principal parts of the method are the mathe- matical model of layout, layout generator of this type of aircraft is built on aircraft neural networks, automatic selection module for cleaning variety of layouts generated in automatic mode, robust direct computational fluid dynamics method, aerodynamic characteristics approximators on artificial neural networks.Methods based on artificial neural networks have intermediate position between computational fluid dynamics methods or experiments and simplified engineering approaches. The use of ANN for estimating aerodynamic characteris-tics put limitations on input data. For this task the layout must be presented as a vector with dimension not exceeding sev-eral hundred. Vector components must include all main parameters conventionally used for layouts description and com- pletely replicate the most important aerodynamics and structural properties.The first stage of the work is presented in the paper. Simplified mathematical model of small sized UAV was developed. To estimate the range of geometrical parameters of layouts the review of existing vehicle was done. The result of the work is the algorithm and computer software for generating the layouts based on ANN technolo-gy. 10000 samples were generated and the dataset containig geometrical and aerodynamic characteristics of layoutwas created.

  9. Acute Pancreatitis

    DEFF Research Database (Denmark)

    Bertilsson, Sara; Håkansson, Anders; Kalaitzakis, Evangelos


    Aims: We aimed to evaluate the potential relation between the incidence of (alcoholic and non-alcoholic) acute pancreatitis (AP) and alcohol consumption in the general population, and whether the occurrence of AP shows any seasonal variation, particularly in relation to periods with expected...... consumption in the general population do not appear to be related to changes in the incidence of AP and there are no significant seasonal differences in the occurrence of AP in Sweden. Short summary: The incidence of acute pancreatitis (AP) is increasing, and alcohol is still recognized as one of the most...

  10. Predictors of Critical Acute Pancreatitis: A Prospective Cohort Study


    Ke, Lu; Tong, Zhi-hui; Li, Wei-Qin; Wu, Congye; Li, Ning; Windsor, John A.; Li, Jie-Shou; Petrov, Maxim S.


    Abstract Critical acute pancreatitis (CAP) has recently emerged as the most ominous severity category of acute pancreatitis (AP). As such there have been no studies specifically designed to evaluate predictors of CAP. In this study, we aimed to evaluate the accuracy of 4 parameters (Acute Physiology and Chronic Health Evaluation [APACHE] II score, C-reactive protein [CRP], D-dimer, and intra-abdominal pressure [IAP]) for predicting CAP early after hospital admission. During the study period, ...

  11. Acute Sinusitis (United States)

    ... Acute sinusitis is mostly caused by the common cold. Unless a bacterial infection develops, most cases resolve within a week to 10 days. In ... sinusitis is most often caused by the common cold, which is a viral infection. In some cases, a bacterial infection develops. Risk factors You may ...

  12. Acute pancreatitis. (United States)

    Munsell, Melissa A; Buscaglia, Jonathan M


    Acute pancreatitis is a common disease most frequently caused by gallstone disease or excess alcohol ingestion. Diagnosis is usually based on characteristic symptoms, often in conjunction with elevated serum pancreatic enzymes. Imaging is not always necessary, but may be performed for many reasons, such as to confirm a diagnosis of pancreatitis, rule out other causes of abdominal pain, elucidate the cause of pancreatitis, or to evaluate for complications such as necrosis or pseudocysts. Though the majority of patients will have mild, self-limiting disease, some will develop severe disease associated with organ failure. These patients are at risk to develop complications from ongoing pancreatic inflammation such as pancreatic necrosis, fluid collections, pseudocysts, and pancreatic duct disruption. Validated scoring systems can help predict the severity of pancreatitis, and thus, guide monitoring and intervention.Treatment of acute pancreatitis involves supportive care with fluid replacement, pain control, and controlled initiation of regular food intake. Prophylactic antibiotics are not recommended in acute pancreatitis if there is no evidence of pancreatic infection. In patients who fail to improve, further evaluation is necessary to assess for complications that require intervention such as pseudocysts or pancreatic necrosis. Endoscopy, including ERCP and EUS, and/or cholecystectomy may be indicated in the appropriate clinical setting. Ultimately, the management of the patient with severe acute pancreatitis will require a multidisciplinary approach. (c) 2010 Society of Hospital Medicine.

  13. Acute Bronchitis. (United States)

    Kinkade, Scott; Long, Natalie A


    Cough is the most common illness-related reason for ambulatory care visits in the United States. Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the trachea and large airways without evidence of pneumonia. Pneumonia should be suspected in patients with tachypnea, tachycardia, dyspnea, or lung findings suggestive of pneumonia, and radiography is warranted. Pertussis should be suspected in patients with cough persisting for more than two weeks that is accompanied by symptoms such as paroxysmal cough, whooping cough, and post-tussive emesis, or recent pertussis exposure. The cough associated with acute bronchitis typically lasts about two to three weeks, and this should be emphasized with patients. Acute bronchitis is usually caused by viruses, and antibiotics are not indicated in patients without chronic lung disease. Antibiotics have been shown to provide only minimal benefit, reducing the cough or illness by about half a day, and have adverse effects, including allergic reactions, nausea and vomiting, and Clostridium difficile infection. Evaluation and treatment of bronchitis include ruling out secondary causes for cough, such as pneumonia; educating patients about the natural course of the disease; and recommending symptomatic treatment and avoidance of unnecessary antibiotic use. Strategies to reduce inappropriate antibiotic use include delayed prescriptions, patient education, and calling the infection a chest cold.

  14. Procedures of Exercise Physiology Laboratories (United States)

    Bishop, Phillip A.; Fortney, Suzanne; Greenisen, Michael; Siconolfi, Steven F.; Bamman, Marcas M.; Moore, Alan D., Jr.; Squires, William


    This manual describes the laboratory methods used to collect flight crew physiological performance data at the Johnson Space Center. The Exercise Countermeasures Project Laboratory is a standard physiology laboratory; only the application to the study of human physiological adaptations to spaceflight is unique. In the absence of any other recently published laboratory manual, this manual should be a useful document staffs and students of other laboratories.

  15. Performance of the third-generation models of severity scoring systems (APACHE IV, SAPS 3 and MPM-III) in acute kidney injury critically ill patients. (United States)

    Costa e Silva, Verônica Torres; de Castro, Isac; Liaño, Fernando; Muriel, Alfonso; Rodríguez-Palomares, José R; Yu, Luis


    Severity scores are useful to guarantee similar disease severity among groups in clinical trials and to enable comparison between different studies. The aim of this study was to assess the performance of the third generation models of severity scoring systems [simplified acute physiology score (SAPS) 3, acute physiology and chronic health evaluation (APACHE) IV and mortality probability model (MPM)-III] in acute kidney injury (AKI) patients in the intensive care unit (ICU). Three hundred and sixty-six consecutive AKI critically ill patients were prospectively assessed in six ICUs of an academic tertiary care center. Scores were applied on AKI diagnosis day (DD) and on the day of nephrology consultation (NCD). Discrimination was assessed by area under the receiver operating characteristic curve (AUCROC) and calibration by Hosmer-Lemeshow (HL) goodness-of-fit test. Hospital mortality rate was 67.8%. SAPS 3 general and Central and South America (CSA) customized equations presented identical good discrimination (AUCROC curve: 0.80 on NCD) and satisfactory HL tests on both analyzed days (P > 0.100). CSA SAPS 3 equation predicted mortality more accurately [standardized mortality ratio (SMR) on NCD = 1.00 (95% confidence interval (CI) 0.84-1.34)]. APACHE IV and MPM-III scores presented similar discrimination compared to SAPS 3 on both analyzed days (P > 0.05). APACHE IV presented satisfactory HL tests over time (P > 0.100) but underestimated mortality [SMR on DD = 1.92 (95% CI 1.61-2.23); SMR on NCD = 1.46 (95% CI 1.48-1.96)]. MPM-III showed unsatisfactory HL test results (P = 0.027 on DD; P = 0.045 on NCD) and underestimated mortality [SMR on NCD = 2.09 (95% CI 1.48-1.96)]. SAPS 3, especially the geographical customized equation, presented good discrimination and calibration performances, accurately predicting mortality in this group of AKI critically ill patients.

  16. Gas/Aerosol partitioning: a simplified method for global modeling (United States)

    Metzger, S. M.


    The main focus of this thesis is the development of a simplified method to routinely calculate gas/aerosol partitioning of multicomponent aerosols and aerosol associated water within global atmospheric chemistry and climate models. Atmospheric aerosols are usually multicomponent mixtures, partly composed of acids (e.g. H2SO4, HNO3), their salts (e.g. (NH4)2SO4, NH4NO3, respectively), and water. Because these acids and salts are highly hygroscopic, water, that is associated with aerosols in humid environments, often exceeds the total dry aerosol mass. Both the total dry aerosol mass and the aerosol associated water are important for the role of atmospheric aerosols in climate change simulations. Still, multicomponent aerosols are not yet routinely calculated within global atmospheric chemistry or climate models. The reason is that these particles, especially volatile aerosol compounds, require a complex and computationally expensive thermodynamical treatment. For instance, the aerosol associated water depends on the composition of the aerosol, which is determined by the gas/liquid/solid partitioning, in turn strongly dependent on temperature, relative humidity, and the presence of pre-existing aerosol particles. Based on thermodynamical relations such a simplified method has been derived. This method is based on the assumptions generally made by the modeling of multicomponent aerosols, but uses an alternative approach for the calculation of the aerosol activity and activity coefficients. This alternative approach relates activity coefficients to the ambient relative humidity, according to the vapor pressure reduction and the generalization of Raoult s law. This relationship, or simplification, is a consequence of the assumption that the aerosol composition and the aerosol associated water are in thermodynamic equilibrium with the ambient relative humidity, which determines the solute activity and, hence, activity coefficients of a multicomponent aerosol mixture

  17. Physiology Considerations in Geriatric Patients. (United States)

    Alvis, Bret D; Hughes, Christopher G


    Physiology changes at the structural, functional, and molecular levels as people age, and every major organ system experiences physiologic change with time. The changes to the nervous system result mostly in cognitive impairments, the cardiovascular system develops higher blood pressures with lower cardiac output, the respiratory system undergoes a reduction of arterial oxyhemoglobin levels, the gastrointestinal system experiences delayed gastric emptying and reduction of hepatic metabolism, and the renal system experiences a diminished glomerular filtration rate. Combined, these changes create a complex physiologic condition. This unique physiology must be taken into consideration for geriatric patients undergoing general anesthesia. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Hemorrhagic shock: The "physiology approach"

    Directory of Open Access Journals (Sweden)

    Fabrizio Giuseppe Bonanno


    Full Text Available A shift of approach from ′clinics trying to fit physiology′ to the one of ′physiology to clinics′, with interpretation of the clinical phenomena from their physiological bases to the tip of the clinical iceberg, and a management exclusively based on modulation of physiology, is finally surging as the safest and most efficacious philosophy in hemorrhagic shock. ATLS® classification and recommendations on hemorrhagic shock are not helpful because antiphysiological and potentially misleading. Hemorrhagic shock needs to be reclassified in the direction of usefulness and timing of intervention: in particular its assessment and management need to be tailored to physiology.

  19. Brain Physiology: Research and Theory. (United States)

    Esler, William K.


    Indicates how research about the physiology and chemistry of the brain verifies the educational applications of Piaget's theory. Discusses maturation, experience, social transmission, and equilibration. (Author/DC)

  20. Egg activation in physiological polyspermy

    National Research Council Canada - National Science Library

    Iwao, Yasuhiro


    .... While most animals exhibit monospermy, which is ensured by polyspermy blocks to prevent the entry of extra sperm into the egg at fertilization, several animals exhibit physiological polyspermy...

  1. Smolt physiology and endocrinology (United States)

    McCormick, Stephen D.; McCormick, Stephen D.; Farrell, Anthony Peter; Brauner, Colin J.


    Hormones play a critical role in maintaining body fluid balance in euryhaline fishes during changes in environmental salinity. The neuroendocrine axis senses osmotic and ionic changes, then signals and coordinates tissue-specific responses to regulate water and ion fluxes. Rapid-acting hormones, e.g. angiotensins, cope with immediate challenges by controlling drinking rate and the activity of ion transporters in the gill, gut, and kidney. Slow-acting hormones, e.g. prolactin and growth hormone/insulin-like growth factor-1, reorganize the body for long-term acclimation by altering the abundance of ion transporters and through cell proliferation and differentiation of ionocytes and other osmoregulatory cells. Euryhaline species exist in all groups of fish, including cyclostomes, and cartilaginous and teleost fishes. The diverse strategies for responding to changes in salinity have led to differential regulation and tissue-specific effects of hormones. Combining traditional physiological approaches with genomic, transcriptomic, and proteomic analyses will elucidate the patterns and diversity of the endocrine control of euryhalinity.

  2. Polyamines in plant physiology (United States)

    Galston, A. W.; Sawhney, R. K.


    The diamine putrescine, the triamine spermidine, and the tetramine spermine are ubiquitous in plant cells, while other polyamines are of more limited occurrence. Their chemistry and pathways of biosynthesis and metabolism are well characterized. They occur in the free form as cations, but are often conjugated to small molecules like phenolic acids and also to various macromolecules. Their titer varies from approximately micromolar to more than millimolar, and depends greatly on environmental conditions, especially stress. In cereals, the activity of one of the major polyamine biosynthetic enzymes, arginine decarboxylase, is rapidly and dramatically increased by almost every studied external stress, leading to 50-fold or greater increases in putrescine titer within a few hours. The physiological significance of this increase is not yet clear, although most recent work suggests an adaptive, protective role. Polyamines produced through the action of ornithine decarboxylase, by contrast, seem essential for DNA replication and cell division. The application of exogenous polyamines produces effects on patterns of senescence and morphogenesis, suggesting but not proving a regulatory role for polyamines in these processes. The evidence for such a regulatory role is growing.

  3. Physiology in Modelica

    Directory of Open Access Journals (Sweden)

    Marek Mateják


    Full Text Available Modelica is an object-oriented language, in which models can be created and graphically represented by connecting instances of classes from libraries. These connections are not only assignments of values; they can also represent acausal equality. Even more, they can model Kirchhoff’s laws of circuits. In Modelica it is possible to develop library classes which are an analogy of electrical circuit components. The result of our work in this field is Physiolibrary ( – a free, open-source Modelica library for human physiology. By graphical joining instances of Physiolibrary classes, user can create models of cardiovascular circulation, thermoregulation, metabolic processes, nutrient distribution, gas transport, electrolyte regulation, water distribution, hormonal regulation and pharmacological regulation. After simple setting of the parameters, the models are ready to simulate. After simulation, the user can examine variables as their values change over time. Representing the model as a diagram has also great educational advantages, because students are able to better understand physical principles when they see them modeled graphically.

  4. Intermittent Noise Induces Physiological Stress in a Coastal Marine Fish.

    Directory of Open Access Journals (Sweden)

    Tye A Nichols

    Full Text Available Anthropogenic noise in the ocean has increased substantially in recent decades, and motorized vessels produce what is likely the most common form of underwater noise pollution. Noise has the potential to induce physiological stress in marine fishes, which may have negative ecological consequences. In this study, physiological effects of increased noise (playback of boat noise recorded in the field on a coastal marine fish (the giant kelpfish, Heterostichus rostratus were investigated by measuring the stress responses (cortisol concentration of fish to increased noise of various temporal dynamics and noise levels. Giant kelpfish exhibited acute stress responses when exposed to intermittent noise, but not to continuous noise or control conditions (playback of recorded natural ambient sound. These results suggest that variability in the acoustic environment may be more important than the period of noise exposure for inducing stress in a marine fish, and provide information regarding noise levels at which physiological responses occur.

  5. 30-Day Mortality in Acute Pulmonary Embolism: Prognostic Value of Clinical Scores and Anamnestic Features.

    Directory of Open Access Journals (Sweden)

    Andreas Gunter Bach

    Full Text Available Identification of high-risk patients with pulmonary embolism is vital. The aim of the present study was to examine clinical scores, their single items, and anamnestic features in their ability to predict 30-day mortality.A retrospective, single-center study from 06/2005 to 01/2010 was performed. Inclusion criteria were presence of pulmonary embolism, availability of patient records and 30-day follow-up. The following clinical scores were calculated: Acute Physiology and Chronic Health Evaluation II, original and simplified pulmonary embolism severity index, Glasgow Coma Scale, and euroSCORE II.In the study group of 365 patients 39 patients (10.7% died within 30 days due to pulmonary embolism. From all examined scores and parameters the best predictor of 30-day mortality were the Glasgow Coma scale (≤ 10 and parameters of the circulatory system including presence of mechanical ventilation, arterial pH (< 7.335, and systolic blood pressure (< 99 mm Hg.Easy to ascertain circulatory parameters have the same or higher prognostic value than the clinical scores that were applied in this study. From all clinical scores studied the Glasgow Coma Scale was the most time- and cost-efficient one.

  6. Applied physiology of cycling. (United States)

    Faria, I E


    Historically, the bicycle has evolved through the stages of a machine for efficient human transportation, a toy for children, a finely-tuned racing machine, and a tool for physical fitness development, maintenance and testing. Recently, major strides have been made in the aerodynamic design of the bicycle. These innovations have resulted in new land speed records for human powered machines. Performance in cycling is affected by a variety of factors, including aerobic and anaerobic capacity, muscular strength and endurance, and body composition. Bicycle races range from a 200m sprint to approximately 5000km. This vast range of competitive racing requires special attention to the principle of specificity of training. The physiological demands of cycling have been examined through the use of bicycle ergometers, rollers, cycling trainers, treadmill cycling, high speed photography, computer graphics, strain gauges, electromyography, wind tunnels, muscle biopsy, and body composition analysis. These techniques have been useful in providing definitive data for the development of a work/performance profile of the cyclist. Research evidence strongly suggests that when measuring the cyclist's aerobic or anaerobic capacity, a cycling protocol employing a high pedalling rpm should be used. The research bicycle should be modified to resemble a racing bicycle and the cyclist should wear cycling shoes. Prolonged cycling requires special nutritional considerations. Ingestion of carbohydrates, in solid form and carefully timed, influences performance. Caffeine appears to enhance lipid metabolism. Injuries, particularly knee problems which are prevalent among cyclists, may be avoided through the use of proper gearing and orthotics. Air pollution has been shown to impair physical performance. When pollution levels are high, training should be altered or curtailed. Effective training programmes simulate competitive conditions. Short and long interval training, blended with long

  7. Behavioral and physiological consequences of sleep restriction. (United States)

    Banks, Siobhan; Dinges, David F


    Adequate sleep is essential for general healthy functioning. This paper reviews recent research on the effects of chronic sleep restriction on neurobehavioral and physiological functioning and discusses implications for health and lifestyle. Restricting sleep below an individual's optimal time in bed (TIB) can cause a range of neurobehavioral deficits, including lapses of attention, slowed working memory, reduced cognitive throughput, depressed mood, and perseveration of thought. Neurobehavioral deficits accumulate across days of partial sleep loss to levels equivalent to those found after 1 to 3 nights of total sleep loss. Recent experiments reveal that following days of chronic restriction of sleep duration below 7 hours per night, significant daytime cognitive dysfunction accumulates to levels comparable to that found after severe acute total sleep deprivation. Additionally, individual variability in neurobehavioral responses to sleep restriction appears to be stable, suggesting a trait-like (possibly genetic) differential vulnerability or compensatory changes in the neurobiological systems involved in cognition. A causal role for reduced sleep duration in adverse health outcomes remains unclear, but laboratory studies of healthy adults subjected to sleep restriction have found adverse effects on endocrine functions, metabolic and inflammatory responses, suggesting that sleep restriction produces physiological consequences that may be unhealthy.

  8. Simplifying the Development, Use and Sustainability of HPC Software

    Directory of Open Access Journals (Sweden)

    Jeremy Cohen


    Full Text Available Developing software to undertake complex, compute-intensive scientific processes requires a challenging combination of both specialist domain knowledge and software development skills to convert this knowledge into efficient code. As computational platforms become increasingly heterogeneous and newer types of platform such as Infrastructure-as-a-Service (IaaS cloud computing become more widely accepted for high-performance computing (HPC, scientists require more support from computer scientists and resource providers to develop efficient code that offers long-term sustainability and makes optimal use of the resources available to them. As part of the libhpc stage 1 and 2 projects we are developing a framework to provide a richer means of job specification and efficient execution of complex scientific software on heterogeneous infrastructure. In this updated version of our submission to the WSSSPE13 workshop at SuperComputing 2013 we set out our approach to simplifying access to HPC applications and resources for end-users through the use of flexible and interchangeable software components and associated high-level functional-style operations. We believe this approach can support sustainability of scientific software and help to widen access to it.

  9. Simplified two and three dimensional HTTR benchmark problems

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Zhan [Nuclear and Radiological Engineering and Medical Physics Programs, George W. Woodruff School, Georgia Institute of Technology, 770 State St., Atlanta, GA 30332 (United States); Rahnema, Farzad, E-mail: [Nuclear and Radiological Engineering and Medical Physics Programs, George W. Woodruff School, Georgia Institute of Technology, 770 State St., Atlanta, GA 30332 (United States); Zhang Dingkang; Pounders, Justin M. [Nuclear and Radiological Engineering and Medical Physics Programs, George W. Woodruff School, Georgia Institute of Technology, 770 State St., Atlanta, GA 30332 (United States); Ougouag, Abderrafi M. [Idaho National Laboratory, Ms-3860, PO Box 1625, Idaho Falls, ID 83415-3860 (United States)


    To assess the accuracy of diffusion or transport methods for reactor calculations, it is desirable to create heterogeneous benchmark problems that are typical of whole core configurations. In this paper we have created two and three dimensional numerical benchmark problems typical of high temperature gas cooled prismatic cores. Additionally, a single cell and single block benchmark problems are also included. These problems were derived from the HTTR start-up experiment. Since the primary utility of the benchmark problems is in code-to-code verification, minor details regarding geometry and material specification of the original experiment have been simplified while retaining the heterogeneity and the major physics properties of the core from a neutronics viewpoint. A six-group material (macroscopic) cross section library has been generated for the benchmark problems using the lattice depletion code HELIOS. Using this library, Monte Carlo solutions are presented for three configurations (all-rods-in, partially-controlled and all-rods-out) for both the 2D and 3D problems. These solutions include the core eigenvalues, the block (assembly) averaged fission densities, local peaking factors, the absorption densities in the burnable poison and control rods, and pin fission density distribution for selected blocks. Also included are the solutions for the single cell and single block problems.

  10. The Use of Aspects to Simplify Concurrent Programming

    Directory of Open Access Journals (Sweden)

    Michał Negacz


    Full Text Available Developers who create multi-threaded programs must pay attention to ensuring safe implemen- tations that avoid problems and prevent introduction of a system in an inconsistent state. To achieve this objective programming languages offer more and more support for the programmer by syntactic structures and standard libraries. Despite these enhancements, multi-threaded pro- gramming is still generally considered to be difficult. The aim of our study was the analysis of existing aspect oriented solutions, which were designed to simplify concurrent programming, propose improvements to these solutions and examine influence of concurrent aspects on complexity of programs. Improved solutions were compared with existing by listing differing characteristics. Then we com- pared classical concurrent applications with their aspect oriented equivalents using metrics. Values of 2 metrics (from 7 considered decreased after using aspect oriented solutions. Values of 2 other metrics decreased or remained at the same level. The rest behaved unstably depending on the problem. No metric reported increase of complexity in more than one aspect oriented version of program from set. Our results indicate that the use of aspects does not increase the complexity of a program and in some cases application of aspects can reduce it.

  11. Discrimination of musical instrument sounds resynthesized with simplified spectrotemporal parameters. (United States)

    McAdams, S; Beauchamp, J W; Meneguzzi, S


    The perceptual salience of several outstanding features of quasiharmonic, time-variant spectra was investigated in musical instrument sounds. Spectral analyses of sounds from seven musical instruments (clarinet, flute, oboe, trumpet, violin, harpsichord, and marimba) produced time-varying harmonic amplitude and frequency data. Six basic data simplifications and five combinations of them were applied to the reference tones: amplitude-variation smoothing, coherent variation of amplitudes over time, spectral-envelope smoothing, forced harmonic-frequency variation, frequency-variation smoothing, and harmonic-frequency flattening. Listeners were asked to discriminate sounds resynthesized with simplified data from reference sounds resynthesized with the full data. Averaged over the seven instruments, the discrimination was very good for spectral envelope smoothing and amplitude envelope coherence, but was moderate to poor in decreasing order for forced harmonic frequency variation, frequency variation smoothing, frequency flattening, and amplitude variation smoothing. Discrimination of combinations of simplifications was equivalent to that of the most potent constituent simplification. Objective measurements were made on the spectral data for harmonic amplitude, harmonic frequency, and spectral centroid changes resulting from simplifications. These measures were found to correlate well with discrimination results, indicating that listeners have access to a relatively fine-grained sensory representation of musical instrument sounds.

  12. Multispectral satellite imagery segmentation using a simplified JSEG approach (United States)

    Chen, QiuXiao; Luo, JianCheng; Zhou, ChengHu


    It is a big challenge to segment remote sensing images especially multispectral satellite imagery due to their unique features. In consideration of the fact that satellite imagery are playing an increasing important role, we conducted the research on segmentation of such imagery. Since multispectral satellite imagery are more similar to natural color images than to other type of images, it is more likely that studies on natural color images segmentation can be extended to multispectral satellite imagery. The obstacle of applying these studies into multispectral satellite imagery lies into their inefficiency when dealing with the large size of images. Therefore, based on a natural color image segmentation approach - JSEG, we proposed a more efficient one. First, a grid-based cluster initialization approach is proposed to obtain the initial cluster centers, based on which, a fast image quantization approach is implemented. Second, a feature image named J-image to describe local homogeneity is obtained. Then a watershed approach is applied to the J-image, and initial segmentation results are obtained. At last, based on the histogram similarity of each region, a simplified growth merging approach is proposed and the final segmentation results are obtained. By comparing the result of the JSEG approach and the proposed one, we found that the latter is rather efficient and accuracy. Advice on further studies is also presented.

  13. Simplified human thermoregulatory model for designing wearable thermoelectric devices (United States)

    Wijethunge, Dimuthu; Kim, Donggyu; Kim, Woochul


    Research on wearable and implantable devices have become popular with the strong need in market. A precise understanding of the thermal properties of human skin, which are not constant values but vary depending on ambient condition, is required for the development of such devices. In this paper, we present simplified human thermoregulatory model for accurately estimating the thermal properties of the skin without applying rigorous calculations. The proposed model considers a variable blood flow rate through the skin, evaporation functions, and a variable convection heat transfer from the skin surface. In addition, wearable thermoelectric generation (TEG) and refrigeration devices were simulated. We found that deviations of 10–60% can be resulted in estimating TEG performance without considering human thermoregulatory model owing to the fact that thermal resistance of human skin is adapted to ambient condition. Simplicity of the modeling procedure presented in this work could be beneficial for optimizing and predicting the performance of any applications that are directly coupled with skin thermal properties.

  14. River predisposition to ice jams: a simplified geospatial model (United States)

    De Munck, Stéphane; Gauthier, Yves; Bernier, Monique; Chokmani, Karem; Légaré, Serge


    Floods resulting from river ice jams pose a great risk to many riverside municipalities in Canada. The location of an ice jam is mainly influenced by channel morphology. The goal of this work was therefore to develop a simplified geospatial model to estimate the predisposition of a river channel to ice jams. Rather than predicting the timing of river ice breakup, the main question here was to predict where the broken ice is susceptible to jam based on the river's geomorphological characteristics. Thus, six parameters referred to potential causes for ice jams in the literature were initially selected: presence of an island, narrowing of the channel, high sinuosity, presence of a bridge, confluence of rivers, and slope break. A GIS-based tool was used to generate the aforementioned factors over regular-spaced segments along the entire channel using available geospatial data. An ice jam predisposition index (IJPI) was calculated by combining the weighted optimal factors. Three Canadian rivers (province of Québec) were chosen as test sites. The resulting maps were assessed from historical observations and local knowledge. Results show that 77 % of the observed ice jam sites on record occurred in river sections that the model considered as having high or medium predisposition. This leaves 23 % of false negative errors (missed occurrence). Between 7 and 11 % of the highly predisposed river sections did not have an ice jam on record (false-positive cases). Results, limitations, and potential improvements are discussed.


    Directory of Open Access Journals (Sweden)

    M. Salim Ferwati


    Full Text Available Street hierarchy, as a way of presenting intended information, conforms to social rules that underlay architectural and urban designs to create public, semi-public, and semi-private. These social rules have the responsibility to convey necessary information about place to outsiders as well as to insiders. This research looks at urban spaces as physical structures that represent foci of attention of users and that are collectively a part of the social pattern framework. The argument of this study is that connectivity and forms of streets house certain social rules that intended to serve users, so that any changes in the street layout lead to changes in its social rules. As a case study, the complexity of a walled Arab neighborhood was examined through Sur Lawatyia, located in Muscat Governorate, Oman. By replacing the curvilinear and broken streets of this neighborhood with straight ones; a simplified street layout was derived. Then, a comparison of both street layouts was carried out through mapping, tabulation, charts, correlation test, and with reliance on the method of measurement of street control values introduced by Hillier and Hanson in 1984. The result was that the simple form is far short to be the representation of the space syntax of the traditional street layout.

  16. Probing dimensionality using a simplified 4-probe method. (United States)

    Kjeldby, Snorre B; Evenstad, Otto M; Cooil, Simon P; Wells, Justin W


    4-probe electrical measurements have been in existence for many decades. One of the most useful aspects of the 4-probe method is that it is not only possible to find the resistivity of a sample (independently of the contact resistances), but that it is also possible to probe the dimensionality of the sample. In theory, this is straightforward to achieve by measuring the 4-probe resistance as a function of probe separation. In practice, it is challenging to move all four probes with sufficient precision over the necessary range. Here, we present an alternative approach. We demonstrate that the dimensionality of the conductive path within a sample can be directly probed using a modified 4-probe method in which an unconventional geometry is exploited; three of the probes are rigidly fixed, and the position of only one probe is changed. This allows 2D and 3D (and other) contributions the to resistivity to be readily disentangled. The required experimental instrumentation can be vastly simplified relative to traditional variable spacing 4-probe instruments.

  17. A simplified building airflow model for agent concentration prediction. (United States)

    Jacques, David R; Smith, David A


    A simplified building airflow model is presented that can be used to predict the spread of a contaminant agent from a chemical or biological attack. If the dominant means of agent transport throughout the building is an air-handling system operating at steady-state, a linear time-invariant (LTI) model can be constructed to predict the concentration in any room of the building as a result of either an internal or external release. While the model does not capture weather-driven and other temperature-driven effects, it is suitable for concentration predictions under average daily conditions. The model is easily constructed using information that should be accessible to a building manager, supplemented with assumptions based on building codes and standard air-handling system design practices. The results of the model are compared with a popular multi-zone model for a simple building and are demonstrated for building examples containing one or more air-handling systems. The model can be used for rapid concentration prediction to support low-cost placement strategies for chemical and biological detection sensors.

  18. A simplified model for TIG-dressing numerical simulation (United States)

    Ferro, P.; Berto, F.; James, M. N.


    Irrespective of the mechanical properties of the alloy to be welded, the fatigue strength of welded joints is primarily controlled by the stress concentration associated with the weld toe or weld root. In order to reduce the effects of such notch defects in welds, which are influenced by tensile properties of the alloy, post-weld improvement techniques have been developed. The two most commonly used techniques are weld toe grinding and TIG dressing, which are intended to both remove toe defects such as non-metallic intrusions and to re-profile the weld toe region to give a lower stress concentration. In the case of TIG dressing the weld toe is re-melted to provide a smoother transition between the plate and the weld crown and to beneficially modify the residual stress redistribution. Assessing the changes to weld stress state arising from TIG-dressing is most easily accomplished through a complex numerical simulation that requires coupled thermo-fluid dynamics and solid mechanics. However, this can be expensive in terms of computational cost and time needed to reach a solution. The present paper therefore proposes a simplified numerical model that overcomes such drawbacks and which simulates the remelted toe region by means of the activation and deactivation of elements in the numerical model.

  19. Cyclosporin safety in a simplified rat brain tumor implantation model

    Directory of Open Access Journals (Sweden)

    Francisco H. C. Felix


    Full Text Available Brain cancer is the second neurological cause of death. A simplified animal brain tumor model using W256 (carcinoma 256, Walker cell line was developed to permit the testing of novel treatment modalities. Wistar rats had a cell tumor solution inoculated stereotactically in the basal ganglia (right subfrontal caudate. This model yielded tumor growth in 95% of the animals, and showed absence of extracranial metastasis and systemic infection. Survival median was 10 days. Estimated tumor volume was 17.08±6.7 mm³ on the 7th day and 67.25±19.8 mm³ on 9th day post-inoculation. Doubling time was 24.25 h. Tumor growth induced cachexia, but no hematological or biochemical alterations. This model behaved as an undifferentiated tumor and can be promising for studying tumor cell migration in the central nervous system. Dexamethasone 3.0 mg/kg/day diminished significantly survival in this model. Cyclosporine 10 mg/kg/day administration was safely tolerated.

  20. Simplified Modeling of Tropospheric Ozone Formation Considering Alternative Fuels Using

    Directory of Open Access Journals (Sweden)

    Leonardo Aragão Ferreira da Silva


    Full Text Available Brazilian cities have been constantly exposed to air quality episodes of high ozone concentrations (O3 . Known for not be emitted directly into the environment, O3 is a result of several chemical reactions of other pollutants emitted to atmosphere. The growth of vehicle fleet and government incentives for using alternative fuels like ethanol and Compressed Natural Gas (CNG are changing the Brazilian Metropolitan Areas in terms of acetaldehyde and formaldehyde emissions, Volatile Organic Compounds (VOC's present in the atmosphere and known to act on the kinetics of ozone. Driven by high concentrations of tropospheric ozone in urban/industry centers and its implications for environment and population health, the target of this work is understand the kinetics of ozone formation through the creation of a mathematical model in FORTRAN 90, describing a system of coupled ordinary differential equations able to represent a simplified mechanism of photochemical reactions in the Brazilian Metropolitan Area. Evaluating the concentration results of each pollutant were possible to observe the precursor’s influence on tropospheric ozone formation, which seasons were more conducive to this one and which are the influences of weather conditions on formation of photochemical smog.

  1. A simplified Suomi NPP VIIRS dust detection algorithm (United States)

    Yang, Yikun; Sun, Lin; Zhu, Jinshan; Wei, Jing; Su, Qinghua; Sun, Wenxiao; Liu, Fangwei; Shu, Meiyan


    Due to the complex characteristics of dust and sparse ground-based monitoring stations, dust monitoring is facing severe challenges, especially in dust storm-prone areas. Aim at constructing a high-precision dust storm detection model, a pixel database, consisted of dusts over a variety of typical feature types such as cloud, vegetation, Gobi and ice/snow, was constructed, and their distributions of reflectance and Brightness Temperatures (BT) were analysed, based on which, a new Simplified Dust Detection Algorithm (SDDA) for the Suomi National Polar-Orbiting Partnership Visible infrared Imaging Radiometer (NPP VIIRS) is proposed. NPP VIIRS images covering the northern China and Mongolian regions, where features serious dust storms, were selected to perform the dust detection experiments. The monitoring results were compared with the true colour composite images, and results showed that most of the dust areas can be accurately detected, except for fragmented thin dusts over bright surfaces. The dust ground-based measurements obtained from the Meteorological Information Comprehensive Analysis and Process System (MICAPS) and the Ozone Monitoring Instrument Aerosol Index (OMI AI) products were selected for comparison purposes. Results showed that the dust monitoring results agreed well in the spatial distribution with OMI AI dust products and the MICAPS ground-measured data with an average high accuracy of 83.10%. The SDDA is relatively robust and can realize automatic monitoring for dust storms.

  2. A Simplified Supercritical Fast Reactor with Thorium Fuel

    Directory of Open Access Journals (Sweden)

    Peng Zhang


    Full Text Available Super-Critical water-cooled Fast Reactor (SCFR is a feasible option for the Gen-IV SCWR designs, in which much less moderator and thus coolant are needed for transferring the fission heat from the core compared with the traditional LWRs. The fast spectrum of SCFR is useful for fuel breeding and thorium utilization, which is then beneficial for enhancing the sustainability of the nuclear fuel cycle. A SCFR core is constructed in this work, with the aim of simplifying the mechanical structure and keeping negative coolant void reactivity during the whole core life. A core burnup simulation scheme based on Monte Carlo lattice homogenization is adopted in this study, and the reactor physics analysis has been performed with DU-MOX and Th-MOX fuel. The main issues discussed include the fuel conversion ratio and the coolant void reactivity. The analysis shows that thorium-based fuel can provide inherent safety for SCFR without use of blanket, which is favorable for the mechanical design of SCFR.

  3. Adolescent cocaine exposure simplifies orbitofrontal cortical dendritic arbors

    Directory of Open Access Journals (Sweden)

    Lauren M DePoy


    Full Text Available Cocaine and amphetamine remodel dendritic spines within discrete cortico-limbic brain structures including the orbitofrontal cortex (oPFC. Whether dendrite structure is similarly affected, and whether pre-existing cellular characteristics influence behavioral vulnerabilities to drugs of abuse, remain unclear. Animal models provide an ideal venue to address these issues because neurobehavioral phenotypes can be defined both before, and following, drug exposure. We exposed mice to cocaine from postnatal days 31-35, corresponding to early adolescence, using a dosing protocol that causes impairments in an instrumental reversal task in adulthood. We then imaged and reconstructed excitatory neurons in deep-layer oPFC. Prior cocaine exposure shortened and simplified arbors, particularly in the basal region. Next, we imaged and reconstructed orbital neurons in a developmental-genetic model of cocaine vulnerability – the p190rhogap+/- mouse. p190RhoGAP is an actin cytoskeleton regulatory protein that stabilizes dendrites and dendritic spines, and p190rhogap+/- mice develop rapid and robust locomotor activation in response to cocaine. Despite this, oPFC dendritic arbors were intact in drug-naïve p190rhogap+/- mice. Together, these findings provide evidence that adolescent cocaine exposure has long-term effects on dendrite structure in the oPFC, and they suggest that cocaine-induced modifications in dendrite structure may contribute to the behavioral effects of cocaine more so than pre-existing structural abnormalities in this cell population.

  4. River predisposition to ice jams: a simplified geospatial model

    Directory of Open Access Journals (Sweden)

    S. De Munck


    Full Text Available Floods resulting from river ice jams pose a great risk to many riverside municipalities in Canada. The location of an ice jam is mainly influenced by channel morphology. The goal of this work was therefore to develop a simplified geospatial model to estimate the predisposition of a river channel to ice jams. Rather than predicting the timing of river ice breakup, the main question here was to predict where the broken ice is susceptible to jam based on the river's geomorphological characteristics. Thus, six parameters referred to potential causes for ice jams in the literature were initially selected: presence of an island, narrowing of the channel, high sinuosity, presence of a bridge, confluence of rivers, and slope break. A GIS-based tool was used to generate the aforementioned factors over regular-spaced segments along the entire channel using available geospatial data. An ice jam predisposition index (IJPI was calculated by combining the weighted optimal factors. Three Canadian rivers (province of Québec were chosen as test sites. The resulting maps were assessed from historical observations and local knowledge. Results show that 77 % of the observed ice jam sites on record occurred in river sections that the model considered as having high or medium predisposition. This leaves 23 % of false negative errors (missed occurrence. Between 7 and 11 % of the highly predisposed river sections did not have an ice jam on record (false-positive cases. Results, limitations, and potential improvements are discussed.

  5. Beams on Elastic Foundation. The Simplified Continuum Approach

    Directory of Open Access Journals (Sweden)

    Iancu-Bogdan Teodoru


    Full Text Available The key aspect in the design of flexible structural elements in contact with bearing soils is the way in which soil reaction, referred to qualitatively as soil’s reactive pressure (p, is assumed or accounted for in analysis. A magnitude and distribution of p might be preliminary assumed, or some mathematical relationships could be incorporated into the analysis itself, so that p is calculated as part of the analysis. In order to eliminate the bearing soil reaction as a variable in the problem solution, the simplified continuum approach is presented. This idealization provides much more information on the stress and deformation within soil mass compared to ordinary Winkler model, and it has the important advantage of the elimination of the necessity to determine the values of the foundation parameters, arbitrarily, because these values can be computed from the material properties (deformation modulus, Es, Poisson ratio, νs and depth of influence zone, H, along the beam for the soil. A numerical investigatio proach is also presented.

  6. Uncertainty assessment in building energy performance with a simplified model

    Directory of Open Access Journals (Sweden)

    Titikpina Fally


    Full Text Available To assess a building energy performance, the consumption being predicted or estimated during the design stage is compared to the measured consumption when the building is operational. When valuing this performance, many buildings show significant differences between the calculated and measured consumption. In order to assess the performance accurately and ensure the thermal efficiency of the building, it is necessary to evaluate the uncertainties involved not only in measurement but also those induced by the propagation of the dynamic and the static input data in the model being used. The evaluation of measurement uncertainty is based on both the knowledge about the measurement process and the input quantities which influence the result of measurement. Measurement uncertainty can be evaluated within the framework of conventional statistics presented in the Guide to the Expression of Measurement Uncertainty (GUM as well as by Bayesian Statistical Theory (BST. Another choice is the use of numerical methods like Monte Carlo Simulation (MCS. In this paper, we proposed to evaluate the uncertainty associated to the use of a simplified model for the estimation of the energy consumption of a given building. A detailed review and discussion of these three approaches (GUM, MCS and BST is given. Therefore, an office building has been monitored and multiple temperature sensors have been mounted on candidate locations to get required data. The monitored zone is composed of six offices and has an overall surface of 102 m2.

  7. Simplified method for calculation of equilibrium plasma composition (United States)

    Rydalevskaya, Maria A.


    In this work, a simplified method for the evaluation of equilibrium composition of plasmas consisted of monoatomic species is proposed. Multicomponent gas systems resulting from thermal ionization of spatially uniform mixtures are assumed enough rarefied to be treated as ideal gases even after multiple ionization steps. The method developed for the calculation of equilibrium composition of these mixtures makes use of the fundamental principles of statistical physics. Equilibrium concentrations of mixture components are determined by integration of distribution functions over the space of momentum and summation over electronic energy levels. These functions correspond to the entropy maximum. To determine unknown parameters, the systems of equations corresponding to the normalization conditions are derived. It is shown that the systems may be reduced to one algebraic equation if the equilibrium temperature is known. Numeral method to solve this equation is proposed. Special attention is given to the ionized mixtures, generated from the atoms of a single chemical species and the situations, when in the gas only the first- or the first- and second-order ionization are possible.

  8. Acute abdomen

    Directory of Open Access Journals (Sweden)

    Wig J


    Full Text Available 550 cases of acute abdomen have been analysed in detail includ-ing their clinical presentation and operative findings. Males are more frequently affected than females in a ratio of 3: 1. More than 45% of patients presented after 48 hours of onset of symptoms. Intestinal obstruction was the commonest cause of acute abdomen (47.6%. External hernia was responsible for 26% of cases of intestinal obstruction. Perforated peptic ulcer was the commonest cause of peritonitis in the present series (31.7% while incidence of biliary peritonitis was only 2.4%.. The clinical accuracy rate was 87%. The mortality in operated cases was high (10% while the over-all mortality rate was 7.5%.

  9. [Acute cholangiocholecystitis]. (United States)

    Gavrilescu, S; Rădulescu, D


    In analysis of a group of 48 patients, the authors describe an entity they call acute cholangio-cholecystitis (or acute cholecystitis of choledochal origin) and define it by 4 obligatory criteria: 1. vesicular lesion of acute cholecystitis type; 2. the obstruction of the main bile duct in the direction of its junction with the cystic duct; 3. free duct communication between the gallbladder and the main bile ducts; 4. fluid content (purulent gallbladder) found identical over the whole biliary territory (the gallbladder the main bile ducts the intrahepatic bile ducts). This entity represents 7.6% of the total of acute cholecystitis and was met in 2.8% of the total of the interventions for the main bile ducts obstruction. The deficient biological background of the patients (60% over 60 years old), and other seriousness factors--vesicular destructive lesions associated with biliary peritonitis (7/48), the existence of the duct obstruction, usually calculous (42/48), but also hydatic (3/48) or tumoural (3/48), the multitude and seriousness of the associated lesions are emphasized. The surgery, performed in over 80% emergent cases, was directed to the decomprimation of the main biliary axis to which the increase of the gangrenous cholecyst, treatment of the duct obstructive factor, repair of the internal biliary fistulas, treatment of the consequent peritonitis were added. The results, very often good (71%), were shadowed by a series of complications (29%) which ended in deaths (14.5%). The paper pleads for the early surgery of the lithiasic biliary disease, before the appearance of the inevitable complications.

  10. Sinusitis (acute) (United States)


    Introduction Acute sinusitis is defined pathologically, by transient inflammation of the mucosal lining of the paranasal sinuses lasting less than 4 weeks. Clinically, it is characterised by nasal congestion, rhinorrhoea, facial pain, hyposmia, sneezing, and, if more severe, additional malaise and fever. It affects 1−5% of the adult population each year in Europe. Methods and outcomes We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments in people with clinically diagnosed acute sinusitis, and with radiologically or bacteriologically confirmed acute sinusitis? We searched: Medline, Embase, The Cochrane Library and other important databases up to August 2007 (BMJ Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). Results We found 19 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: antibiotics (amoxicillin, co-amoxiclav, doxycycline, cephalosporins, macrolides, different doses [amoxicillin, co-amoxiclav, doxycycline, cephalosporins, macrolides], long-course regimens), antihistamines, cephalosporins or macrolides, decongestants (xylometazoline, phenylephrine, pseudoephedrine), doxycycline, saline nasal washes, steam inhalation, and topical corticosteroids (intra-nasal). PMID:19450327

  11. Bronchitis (acute). (United States)

    Wark, Peter


    Acute bronchitis affects over 40/1000 adults a year in the UK. The causes are usually considered to be infective, but only around half of people have identifiable pathogens. The role of smoking or of environmental tobacco smoke inhalation in predisposing to acute bronchitis is unclear. One third of people may have longer-term symptoms or recurrence. We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for acute bronchitis in people without chronic respiratory disease? We searched: Medline, Embase, The Cochrane Library, and other important databases up to March 2010 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). We found 21 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. In this systematic review we present information relating to the effectiveness and safety of the following interventions: analgesics, antibiotics (macrolides, tetracyclines, cephalosporins, penicillins, or trimethoprim-sulfamethoxazole [co-trimoxazole]), antihistamines, antitussives, beta(2) agonists (inhaled or oral), and expectorants/mucolytics.

  12. Cassava biology and physiology. (United States)

    El-Sharkawy, Mabrouk A


    Cassava or manioc (Manihot esculenta Crantz), a perennial shrub of the New World, currently is the sixth world food crop for more than 500 million people in tropical and sub-tropical Africa, Asia and Latin America. It is cultivated mainly by resource-limited small farmers for its starchy roots, which are used as human food either fresh when low in cyanogens or in many processed forms and products, mostly starch, flour, and for animal feed. Because of its inherent tolerance to stressful environments, where other food crops would fail, it is often considered a food-security source against famine, requiring minimal care. Under optimal environmental conditions, it compares favorably in production of energy with most other major staple food crops due to its high yield potential. Recent research at the Centro Internacional de Agricultura Tropical (CIAT) in Colombia has demonstrated the ability of cassava to assimilate carbon at very high rates under high levels of humidity, temperature and solar radiation,which correlates with productivity across all environments whether dry or humid. When grown on very poor soils under prolonged drought for more than 6 months, the crop reduce both its leaf canopy and transpiration water loss, but its attached leaves remain photosynthetically active, though at greatly reduced rates. The main physiological mechanism underlying such a remarkable tolerance to drought was rapid stomatal closure under both atmospheric and edaphic water stress, protecting the leaf against dehydration while the plant depletes available soil water slowly during long dry periods. This drought tolerance mechanism leads to high crop water use efficiency values. Although the cassava fine root system is sparse, compared to other crops, it can penetrate below 2 m soil,thus enabling the crop to exploit deep water if available. Leaves of cassava and wild Manihot possess elevated activities of the C4 enzyme PEP carboxylase but lack the leaf Kranz anatomy typical of C4

  13. Physiology of Alpine skiing. (United States)

    Andersen, R E; Montgomery, D L


    Physiological profiles of elite Alpine skiers reveal the importance of muscular strength, anaerobic power, anaerobic endurance, aerobic endurance, coordination, agility, balance, and flexibility. On-hill snow training and dryland training programmes should focus on the elevation of these fitness components. Physical characteristics of elite skiers reveal an average height and body mass. Today, successful skiers are taller and heavier than their predecessors. Slalom skiers tend to be leaner than skiers in other events while the downhill racers are the heaviest. Elite skiers have strong legs when peak torque is measured during isometric and isokinetic conditions involving knee extension, which may be a specific adaptation since the skier is in a crouched position for a prolonged period when racing. Leg strength correlates significantly with performance in the downhill and giant slalom events. The glycolytic contribution in the slalom and giant slalom events is about 40% of the total energy cost. Following a race, blood lactate concentration averages 9 to 13 mmol/L. A muscle lactate concentration of 24 mmol/kg wet muscle tissue has been reported. Elite skiers have higher lactate values than advanced or novice skiers. The aerobic demands of competitive Alpine skiing may approach (90 to 95%) of the athlete's maximal aerobic power. Maximal heart rate is achieved during the latter part of the race. Elite skiers have a high VO2max. This may reflect their training programme and not the actual demands of the sport. When turning, muscular activity acts to impede blood flow and oxygen delivery. As a consequence, anaerobic metabolism is increased. Glycogen studies show significant utilisation from both slow and fast twitch muscle fibres. Skilled and unskilled skiers differ with respect to glycogen utilisation. Skilled skiers have greater glycogen depletion in the slow twitch fibres compared to unskilled skiers. Muscle glycogen decreases by about 32 mmol/kg wet muscle tissue

  14. Further simplification of the simplified erosion narrowing score with item response theory methodology

    NARCIS (Netherlands)

    Oude Voshaar, Antonius H.; Schenk, Olga; ten Klooster, Peter M.; Vonkeman, Harald Erwin; Bernelot Moens, Hein J.; Boers, Maarten; van de Laar, Mart A F J

    Objective: To further simplify the Simple Erosion Narrowing Score (SENS) by removing scored areas that contribute least to its measurement precision according to Item Response Theory (IRT) based analysis and to compare the measurement performance of the simplified version to the original. Methods:

  15. 76 FR 44280 - Defense Federal Acquisition Regulation Supplement; Simplified Acquisition Threshold for... (United States)


    ... Regulation Supplement; Simplified Acquisition Threshold for Humanitarian or Peacekeeping Operations (DFARS... humanitarian or peacekeeping operation. The current simplified acquisition threshold is $150,000 as specified... against the United States; and (c) In support of a humanitarian or peacekeeping operation. The first two...

  16. Lignes directrices simplifiées sur les lipides (United States)

    Allan, G. Michael; Lindblad, Adrienne J.; Comeau, Ann; Coppola, John; Hudson, Brianne; Mannarino, Marco; McMinis, Cindy; Padwal, Raj; Schelstraete, Christine; Zarnke, Kelly; Garrison, Scott; Cotton, Candra; Korownyk, Christina; McCormack, James; Nickel, Sharon; Kolber, Michael R.


    Résumé Objectif Produire un guide de pratique clinique comportant une approche simplifiée à la prévention primaire des maladies cardiovasculaires (MCV), en insistant sur l’estimation du risque de MCV et la prise en charge des profils lipidiques à l’intention des cliniciens de soins primaires et leurs équipes; nous avons recherché la contribution de professionnels des soins primaires qui n’avaient que peu ou pas de conflits d’intérêts et nous nous sommes concentrés sur les données probantes de la plus haute qualité accessibles. Méthodes Neuf professionnels de la santé (4 médecins de famille, 2 internistes, 1 infirmière praticienne, 1 infirmière autorisée et 1 pharmacienne) et 1 membre non votant (pharmacienne gestionnaire de projet) formaient le comité principal appelé le Lipid Pathway Committee (le comité). La sélection des membres s’est fondée sur la profession, le milieu de pratique et son emplacement. Les membres ont divulgué tous leurs conflits d’intérêts potentiels ou réels. Le processus d’élaboration des lignes directrices était itératif et s’appuyait sur des affichages en ligne, une révision détaillée des données probantes, des réunions par téléphone et en ligne. Le comité a cerné 12 questions prioritaires à répondre. Le groupe de révision des données probantes a répondu à ces questions. À la suite d’un examen des réponses, les principales recommandations ont été formulées par consensus du comité. Nous avons produit une ébauche des lignes directrices qui a ensuite été peaufinée, distribuée à un groupe de cliniciens (médecins de famille, autres spécialistes, pharmaciens, infirmières et infirmières praticiennes) et à des patients pour obtenir de la rétroaction, la réviser en conséquence et le comité l’a ensuite finalisée. Recommandations Des recommandations sont présentées concernant le dépistage et les analyses, les évaluations du risque, le suivi, de même que le r

  17. Apparent digestibility of simplified and semi-simplified diets, with and without addition of enzymes, and nutritional value of fibrous sources for rabbits

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Machado


    Full Text Available The objectives of this study were to evaluate the digestibility of the nutrients of simplified and semi-simplified diets, with and without inclusion of exogenous enzymes and to determine the nutritional value of the fibrous sources. The tested feedstuffs were: alfalfa hay, hay from the upper third of the cassava foliage and cassava leaf meal, using a completely randomized design with 11 diets and 8 repetitions. The treatments were constituted of 1 reference diet, 2 simplified diets and 8 semi-simplified diets (4 enzymatic inclusion. The enzymes used were carbohydrases (alpha-galactosidase, galactomanose, xylanase and beta glucanase and phytase. It was observed that the digestibility of the nutrients of the diets was influenced by the type of feed studied. Semi-simplified diets presented coefficients inferior to the reference diet and superior to the simplified diets. Exogenous enzymes promoted improvements in the digestibility of the dry matter (DM, organic matter, crude protein and gross energy. It was also observed that great part of the crude protein of the cassava leaf meal complexed, which depreciated the digestibility of diets with high inclusion of this ingredient. The nutritional value of fibrous sources was 1822.7 kcal digestible energy - DE/kgDM and 122,6 g digestible protein - DP/kg DM, for the hay from the upper third of the cassava foliage; 2232.5 kcalDE/kgDM and 155.4 gDP/kgDM for alfalfa hay and 1888.9 kcalDE/kgDM and 73.6 gDP/kgDM for the cassava leaf meal. With the exception of diets with elevated inclusion of cassava leaf meal, the semi-simplified diets presented satisfactory coefficients of digestibility improved by the enzymatic inclusion.

  18. Evaluating performances of simplified physically based models for landslide susceptibility (United States)

    Formetta, G.; Capparelli, G.; Versace, P.


    Rainfall induced shallow landslides cause loss of life and significant damages involving private and public properties, transportation system, etc. Prediction of shallow landslides susceptible locations is a complex task that involves many disciplines: hydrology, geotechnical science, geomorphology, and statistics. Usually to accomplish this task two main approaches are used: statistical or physically based model. Reliable models' applications involve: automatic parameters calibration, objective quantification of the quality of susceptibility maps, model sensitivity analysis. This paper presents a methodology to systemically and objectively calibrate, verify and compare different models and different models performances indicators in order to individuate and eventually select the models whose behaviors are more reliable for a certain case study. The procedure was implemented in package of models for landslide susceptibility analysis and integrated in the NewAge-JGrass hydrological model. The package includes three simplified physically based models for landslides susceptibility analysis (M1, M2, and M3) and a component for models verifications. It computes eight goodness of fit indices by comparing pixel-by-pixel model results and measurements data. Moreover, the package integration in NewAge-JGrass allows the use of other components such as geographic information system tools to manage inputs-output processes, and automatic calibration algorithms to estimate model parameters. The system was applied for a case study in Calabria (Italy) along the Salerno-Reggio Calabria highway, between Cosenza and Altilia municipality. The analysis provided that among all the optimized indices and all the three models, the optimization of the index distance to perfect classification in the receiver operating characteristic plane (D2PC) coupled with model M3 is the best modeling solution for our test case.

  19. Simplified and representative bacterial community of maize roots. (United States)

    Niu, Ben; Paulson, Joseph Nathaniel; Zheng, Xiaoqi; Kolter, Roberto


    Plant-associated microbes are important for the growth and health of their hosts. As a result of numerous prior studies, we know that host genotypes and abiotic factors influence the composition of plant microbiomes. However, the high complexity of these communities challenges detailed studies to define experimentally the mechanisms underlying the dynamics of community assembly and the beneficial effects of such microbiomes on plant hosts. In this work, from the distinctive microbiota assembled by maize roots, through host-mediated selection, we obtained a greatly simplified synthetic bacterial community consisting of seven strains (Enterobacter cloacae, Stenotrophomonas maltophilia, Ochrobactrum pituitosum, Herbaspirillum frisingense, Pseudomonas putida, Curtobacterium pusillum, and Chryseobacterium indologenes) representing three of the four most dominant phyla found in maize roots. By using a selective culture-dependent method to track the abundance of each strain, we investigated the role that each plays in community assembly on roots of axenic maize seedlings. Only the removal of E. cloacae led to the complete loss of the community, and C. pusillum took over. This result suggests that E. cloacae plays the role of keystone species in this model ecosystem. In planta and in vitro, this model community inhibited the phytopathogenic fungus Fusarium verticillioides, indicating a clear benefit to the host. Thus, combined with the selective culture-dependent quantification method, our synthetic seven-species community representing the root microbiome has the potential to serve as a useful system to explore how bacterial interspecies interactions affect root microbiome assembly and to dissect the beneficial effects of the root microbiota on hosts under laboratory conditions in the future.

  20. A simplified model of decontamination by BWR steam suppression pools

    Energy Technology Data Exchange (ETDEWEB)

    Powers, D.A.


    Phenomena that can decontaminate aerosol-laden gases sparging through steam suppression pools of boiling water reactors during reactor accidents are described. Uncertainties in aerosol properties, aerosol behavior within gas bubbles, and bubble behavior in plumes affect predictions of decontamination by steam suppression pools. Uncertainties in the boundary and initial conditions that are dictated by the progression of severe reactor accidents and that will affect predictions of decontamination by steam suppression pools are discussed. Ten parameters that characterize boundary and initial condition uncertainties, nine parameters that characterize aerosol property and behavior uncertainties, and eleven parameters that characterize uncertainties in the behavior of bubbles in steam suppression pools are identified. Ranges for the values of these parameters and subjective probability distributions for parametric values within the ranges are defined. These uncertain parameters are used in Monte Carlo uncertainty analyses to develop uncertainty distributions for the decontamination that can be achieved by steam suppression pools and the size distribution of aerosols that do emerge from such pools. A simplified model of decontamination by steam suppression pools is developed by correlating features of the uncertainty distributions for total decontamination factor, DF(total), mean size of emerging aerosol particles, d{sub p}, and the standard deviation of the emerging aerosol size distribution, {sigma}, with pool depth, H. Correlations of the median values of the uncertainty distributions are suggested as the best estimate of decontamination by suppression pools. Correlations of the 10 percentile and 90 percentile values of the uncertainty distributions characterize the uncertainty in the best estimates. 295 refs., 121 figs., 113 tabs.

  1. Development of a simplified spinal cord ischemia model in mice. (United States)

    Wang, Zhengfeng; Yang, Wei; Britz, Gavin W; Lombard, Frederick W; Warner, David S; Sheng, Huaxin


    Use of genetically manipulated mice facilitates understanding pathological mechanisms in many diseases and contributes to therapy development. However, there is no practical and clinically relevant mouse model available for spinal cord ischemia. This report introduces a simplified long-term outcome mouse model of spinal cord ischemia. Male C57Bl/6J mice were anesthetized with isoflurane and endotracheally intubated. The middle segment of the thoracic aorta was clamped for 0, 8, 10 or 12 min via left lateral thoracotomy. Rectal temperature was maintained at 37.0+/-0.5 degrees C. A laser Doppler probe was used to measure lumbar spinal cord blood flow during thoracic aorta cross-clamping. Open field locomotor function and rotarod performance were evaluated at 1h and 1, 3, 5, and 7 days post-injury. Surviving neurons in the lumbar ventral horn were counted at 7 days post-injury. Cross-clamping the middle segment of the thoracic aorta resulted in approximately 90% blood flow reduction in the lumbar spinal cord. Neurological deficit and neuronal cell death were associated with ischemia duration. Another set of mice were subjected to 10 min aortic clamping or sham surgery and neurological function was examined at 1h and 1, 3, 5, 7, 14, and 28 days. Four of 5 mice (80%) in the injured group survived 28 days and had significant neurological deficit. This study indicates that cross-clamping of the aorta via left thoracotomy is a simple and reliable method to induce spinal cord ischemia in mice allowing definition of long-term outcome. Published by Elsevier B.V.

  2. Office of River Protection: Simplifying Project management tools

    Energy Technology Data Exchange (ETDEWEB)

    TAYLOR, D.G.


    The primary approach to the effort was to form a multi-organizational team comprised of federal and contractor staff to develop and implement the necessary tools and systems to manage the project. In late 1999 the DOE Manager of the Office of River Protection formed the Project Integration Office to achieve the objective of managing the efforts as a single project. The first major task, and the foundation upon which to base the development of all other tools, was the establishment of a single baseline of activities. However, defining a single scope schedule and cost was a difficult matter indeed. Work scopes were available throughout the project, but the level of detail and the integration of the activities existed primarily between working groups and individuals and not on a project-wide basis. This creates a situation where technical needs, logic flaws, resource balancing, and other similar integration needs are not elevated for management attention and resolution. It should be noted that probably 90% of the interface issues were known and being addressed. The key is simplifying the process and providing tangible assurance that the other 10% does not contain issues that can delay the project. Fortunately all of the contractors employed a common scheduling tool, which served as the basis for first communicating and then integrating baseline activities. Utilizing a powerful computer-based scheduling tool, it was soon possible to integrate the various schedules after the following was accomplished: Establishment of a scheduling specification (standardized input, coding, and approach to logic); and Clearly defined project assumptions.

  3. Energetics, physiology and vertebrate ecology. (United States)

    Karasov, W H


    The magnitude of energy flow through individual animals and their populations is potentially limited by several physiological factors. These include thermal constraints affecting the time available for foraging, physiological design constraints affecting foraging mode and the rate of prey capture, and digestive constraints on how much food can be processed per day. Over short periods (hours or less), maximal rates of metabolism may determine survival during exposure to cold or when fleeing predators. Energetics, physiology and ecology can be usefully integrated within the context of the concept of maximum rate of energy flow. Copyright © 1986. Published by Elsevier Ltd.

  4. Patients with Acute Myeloid Leukemia Admitted to Intensive Care Units: Outcome Analysis and Risk Prediction.

    Directory of Open Access Journals (Sweden)

    Michele Pohlen

    Full Text Available This retrospective, multicenter study aimed to reveal risk predictors for mortality in the intensive care unit (ICU as well as survival after ICU discharge in patients with acute myeloid leukemia (AML requiring treatment in the ICU.Multivariate analysis of data for 187 adults with AML treated in the ICU in one institution revealed the following as independent prognostic factors for death in the ICU: arterial oxygen partial pressure below 72 mmHg, active AML and systemic inflammatory response syndrome upon ICU admission, and need for hemodialysis and mechanical ventilation in the ICU. Based on these variables, we developed an ICU mortality score and validated the score in an independent cohort of 264 patients treated in the ICU in three additional tertiary hospitals. Compared with the Simplified Acute Physiology Score (SAPS II, the Logistic Organ Dysfunction (LOD score, and the Sequential Organ Failure Assessment (SOFA score, our score yielded a better prediction of ICU mortality in the receiver operator characteristics (ROC analysis (AUC = 0.913 vs. AUC = 0.710 [SAPS II], AUC = 0.708 [LOD], and 0.770 [SOFA] in the training cohort; AUC = 0.841 for the developed score vs. AUC = 0.730 [SAPSII], AUC = 0.773 [LOD], and 0.783 [SOFA] in the validation cohort. Factors predicting decreased survival after ICU discharge were as follows: relapse or refractory disease, previous allogeneic stem cell transplantation, time between hospital admission and ICU admission, time spent in ICU, impaired diuresis, Glasgow Coma Scale <8 and hematocrit of ≥25% at ICU admission. Based on these factors, an ICU survival score was created and used for risk stratification into three risk groups. This stratification discriminated distinct survival rates after ICU discharge.Our data emphasize that although individual risks differ widely depending on the patient and disease status, a substantial portion of critically ill patients with AML benefit from intensive care.

  5. Predictors of Acute Lung Injury (United States)


    related to development of ARDS were chest trauma, femoral fracture , Acute Physiology 11 Distribution A: Approved for public release; distribution...Contusions 16 62 5 83.7 8 53 NS Rib Fractures 16 62 3 50 9 60 NS Pelvic Fractures 2 7.7 1 16.7 1 6.7 NS Femur Fractures 4 15.4 0...intubation. Arch Otolaryngol Head Neck Surg 2012; 138(9):854-8. 8. Puyo CA, Tricomi SM, Dahms TE. Early biochemical markers of inflammation in a swine

  6. [Cardiac insufficiency: acute right heart failure]. (United States)

    Wetsch, Wolfgang A; Lahm, Tim; Hinkelbein, Jochen; Happel, Christoph M; Padosch, Stephan A


    Acute right heart failure (RHF) is a frequent and severe complication during perioperative and intensive care treatment in intensive care units (ICUs). The most common causes are pulmonary hypertension, left heart failure, pulmonary embolism, sepsis, acute lung injury (ALI) and thoracosurgical procedures. Acute RHF is not only a major contributor to morbidity and mortality; it also influences efficacy and outcome of routinely performed procedures, such as vasopressors, in critically ill patients. In contrast to the left ventricle, the right ventricle's physiology and pathophysiology are understudied, and the diagnosis of acute RHF is frequently challenging. Although many drugs are available for the treatment of RHF, randomized trials for this setting are still missing. This article gives an overview of aetiology and pathogenesis of RHF and reviews the diagnostic and therapeutic interventions currently available for providers in anaesthesiology and critical care. © Georg Thieme Verlag Stuttgart · New York.

  7. Acute leukemia. (United States)

    Rose-Inman, Hayley; Kuehl, Damon


    Although great progress has been made in the understanding and treatment of acute leukemia, this disease has not been conquered. For emergency providers (EPs), the presentation of these patients to an emergency department presents a host of challenges. A patient may present with a new diagnosis of leukemia or with complications of the disease process or associated chemotherapy. It is incumbent on EPs to be familiar with the manifestations of leukemia in its various stages and maintain some suspicion for this diagnosis, given the nebulous and insidious manner in which leukemia can present. Copyright © 2014 Elsevier Inc. All rights reserved.

  8. Picophytoplankton physiology and the microbial loop (United States)

    Stawiarski, Beate


    Physiological observations are needed for a better understanding of the complexity of marine ecosystem processes. This information is important for a better model formulation and parameterisation to identify the consequences of, and feedbacks to, global change and to make future projections. Picophytoplankton form the smallest component of the phytoplankton community (˜ 3μm) and show a substantial contribution to phytoplankton biomass in oligotrophic oceans. Here they also have an important function as primary producers in the microbial loop. They include cyanobacteria, represented by Prochlorococcus and Synechococcus, and picoeukaryotes. The aim of this project is to achieve a better representation of picophytoplankton in the global biogeochemical model PlankTOM 10. PlankTOM 10 simplifies the complex ecosystem into 10 conceptual groups also known as plankton functional types (PFTs). These groups of organisms are defined by physiological and biochemical parameters (6 of phytoplankton, 3 of zooplankton and 1 of bacteria). Furthermore, the question will be addressed, whether picophytoplankton are typical K-strategists with low minimum nutrient and high maximum chlorophyll quota relative to carbon, or by having superior nutrient uptake kinetics and light harvesting (high αChl). Laboratory experiments showed that the smaller picoprokaryotes respond faster to increasing light intensities than their picoeukaryotic counterpart. Preliminary data show that the initial slope of the photosynthesis vs. irradiance curve (αChl) of picoprokaryotes is about 1.5 times higher than of picoeukaryotes. This is consistent with their common distribution at the deep chlorophyll maximum. The maximum chlorophyll quota are not significantly different. Temperature experiments confirmed that the maximum growth rates of picophytoplankton at the optimum temperature (0.47 ± 0.17 d-1 for prokaryotes and 1.05 ± 0.47 d-1 for eukaryotes) are significantly lower than of diatoms (1.57 ± 0.73 d-1

  9. Physiological Studies of Lactococcus lactis

    DEFF Research Database (Denmark)

    Hansen, Gunda

    was found to facilitate the differentiation and accurate quantification of L. lactis cells in different physiological states, which agreed with the reproductive viability of reference samples and of exponential cells. The high viability of one particular L. lactis strain demonstrated its robustness during......, cell size comparison and pHi determination reflected the increasing physiological impairment during this accelerated stability test, while a preincubation in buffer led to inconsistent flow cytometric results. The comparison of reproductive and growth-independent viability suggested the presence......Aiming at a superior performance, survival and stability of dairy starter cultures requires deeper insights into physiological dynamics and relationships. This PhD thesis contributes to a more comprehensive physiological understanding of Lactococcus lactis under conditions encountered during...

  10. Olfaction: anatomy, physiology and behavior


    Benignus, Vernon A.; Prah, James D.


    The anatomy, physiology and function of the olfactory system are reviewed, as are the normal effects of olfactory stimulation. It is speculated that olfaction may have important but unobtrusive effects on human behavior.

  11. Development and internal validation of the Simplified Mortality Score for the Intensive Care Unit (SMS-ICU). (United States)

    Granholm, A; Perner, A; Krag, M; Hjortrup, P B; Haase, N; Holst, L B; Marker, S; Collet, M O; Jensen, A K G; Møller, M H


    Intensive care unit (ICU) mortality prediction scores deteriorate over time, and their complexity decreases clinical applicability and commonly causes problems with missing data. We aimed to develop and internally validate a new and simple score that predicts 90-day mortality in adults upon acute admission to the ICU: the Simplified Mortality Score for the Intensive Care Unit (SMS-ICU). We used data from an international cohort of 2139 patients acutely admitted to the ICU and 1947 ICU patients with severe sepsis/septic shock from 2009 to 2016. We performed multiple imputations for missing data and used binary logistic regression analysis with variable selection by backward elimination, followed by conversion to a simple point-based score. We assessed the apparent performance and validated the score internally using bootstrapping to present optimism-corrected performance estimates. The SMS-ICU comprises seven variables available in 99.5% of the patients: two numeric variables: age and lowest systolic blood pressure, and five dichotomous variables: haematologic malignancy/metastatic cancer, acute surgical admission and use of vasopressors/inotropes, respiratory support and renal replacement therapy. Discrimination (area under the receiver operating characteristic curve) was 0.72 (95% CI: 0.71-0.74), overall performance (Nagelkerke's R2 ) was 0.19 and calibration (intercept and slope) was 0.00 and 0.99, respectively. Optimism-corrected performance was similar to apparent performance. The SMS-ICU predicted 90-day mortality with reasonable and stable performance. If performance remains adequate after external validation, the SMS-ICU could prove a valuable tool for ICU clinicians and researchers because of its simplicity and expected very low number of missing values. © 2017 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  12. Nitric Oxide in the Kidney : Its Physiological Role and Pathophysiological Implications


    Lee, JongUn


    Nitric oxide has been implicated in many physiologic processes that influence both acute and long-term control of kidney function. Its net effect in the kidney is to promote natriuresis and diuresis, contributing to adaptation to variations of dietary salt intake and maintenance of normal blood pressure. A pretreatment with nitric oxide donors or L-arginine may prevent the ischemic acute renal injury. In chronic kidney diseases, the systolic blood pressure is correlated with the plasma level ...

  13. Physiological anthropology: past and future. (United States)

    Steegmann, A Theodore


    Environmental studies in adaptive human biology by North American anthropologists have a history of strong investigative research. From both laboratory and field work, we have gained major insights into human response to physical and social challenges. While these results were considered by most professionals to belong within evolutionary biology, in fact the intellectual structure sprang almost entirely from physiological equilibrium models. Consequently, physiological process itself was the focus. Further, most of the physiological patterns were not linked directly to important outcomes such as work output, reproductive success or survival. About 1975, American physiological anthropologists, led by Paul Baker, turned to studies of health, change and stress response. These studies were strong, but were still neither genetic nor evolutionary in intellectual structure. Evolutionary human biology was taken over by a new body of theory now called "behavior ecology", positing that selfish genes control human behavior to promote their own reproduction. This was paralleled by strong use of evolutionary theory in some areas of molecular biology. However, although physiological anthropologists have not focused on evolution, we have been developing powerful causal models that incorporate elements of physiology, morphology, physical environment and cultural behavior. In these "proximate" biocultural models, it is of little importance whether outcomes such as work or energy management are genetically based. Our future offers two major challenges. First, we must confirm causal links between specific physiological patterns and outcomes of practical importance to individuals and societies. Second, if we are to take our place in evolutionary biology, the one overarching theory of life on earth, we must understand the heritability of physiological traits, and determine whether they play a role in survival and reproduction.

  14. Regulatory physiology discipline science plan (United States)


    The focus of the Regulatory Physiology discipline of the Space Physiology and Countermeasures Program is twofold. First, to determine and study how microgravity and associated factors of space flight affect the regulatory mechanisms by which humans adapt and achieve homeostasis and thereby regulate their ability to respond to internal and external signals; and, second, to study selected physiological systems that have been demonstrated to be influenced by gravity. The Regulatory Physiology discipline, as defined here, is composed of seven subdisciplines: (1) Circadian Rhythms, (2) Endocrinology, (3) Fluid and Electrolyte Regulation, (4) Hematology, (5) Immunology, (6) Metabolism and Nutrition, and (7) Temperature Regulation. The purpose of this Discipline Science Plan is to provide a conceptual strategy for NASA's Life Sciences Division research and development activities in the area of regulatory physiology. It covers the research areas critical to NASA's programmatic requirements for the Extended-Duration Orbiter, Space Station Freedom, and exploration mission science activities. These science activities include ground-based and flight; basic, applied, and operational; and animal and human research and development. This document summarizes the current status of the program, outlines available knowledge, establishes goals and objectives, identifies science priorities, and defines critical questions in regulatory physiology. It contains a general plan that will be used by both NASA Headquarters Program Offices and the field centers to review and plan basic, applied, and operational intramural and extramural research and development activities in this area.

  15. Evaluating simplified methods for liquefaction assessment for loss estimation (United States)

    Kongar, Indranil; Rossetto, Tiziana; Giovinazzi, Sonia


    Currently, some catastrophe models used by the insurance industry account for liquefaction by applying a simple factor to shaking-induced losses. The factor is based only on local liquefaction susceptibility and this highlights the need for a more sophisticated approach to incorporating the effects of liquefaction in loss models. This study compares 11 unique models, each based on one of three principal simplified liquefaction assessment methods: liquefaction potential index (LPI) calculated from shear-wave velocity, the HAZUS software method and a method created specifically to make use of USGS remote sensing data. Data from the September 2010 Darfield and February 2011 Christchurch earthquakes in New Zealand are used to compare observed liquefaction occurrences to forecasts from these models using binary classification performance measures. The analysis shows that the best-performing model is the LPI calculated using known shear-wave velocity profiles, which correctly forecasts 78 % of sites where liquefaction occurred and 80 % of sites where liquefaction did not occur, when the threshold is set at 7. However, these data may not always be available to insurers. The next best model is also based on LPI but uses shear-wave velocity profiles simulated from the combination of USGS VS30 data and empirical functions that relate VS30 to average shear-wave velocities at shallower depths. This model correctly forecasts 58 % of sites where liquefaction occurred and 84 % of sites where liquefaction did not occur, when the threshold is set at 4. These scores increase to 78 and 86 %, respectively, when forecasts are based on liquefaction probabilities that are empirically related to the same values of LPI. This model is potentially more useful for insurance since the input data are publicly available. HAZUS models, which are commonly used in studies where no local model is available, perform poorly and incorrectly forecast 87 % of sites where liquefaction occurred, even at

  16. Simplified Methods Applied to Nonlinear Motion of Spar Platforms

    Energy Technology Data Exchange (ETDEWEB)

    Haslum, Herbjoern Alf


    Simplified methods for prediction of motion response of spar platforms are presented. The methods are based on first and second order potential theory. Nonlinear drag loads and the effect of the pumping motion in a moon-pool are also considered. Large amplitude pitch motions coupled to extreme amplitude heave motions may arise when spar platforms are exposed to long period swell. The phenomenon is investigated theoretically and explained as a Mathieu instability. It is caused by nonlinear coupling effects between heave, surge, and pitch. It is shown that for a critical wave period, the envelope of the heave motion makes the pitch motion unstable. For the same wave period, a higher order pitch/heave coupling excites resonant heave response. This mutual interaction largely amplifies both the pitch and the heave response. As a result, the pitch/heave instability revealed in this work is more critical than the previously well known Mathieu's instability in pitch which occurs if the wave period (or the natural heave period) is half the natural pitch period. The Mathieu instability is demonstrated both by numerical simulations with a newly developed calculation tool and in model experiments. In order to learn more about the conditions for this instability to occur and also how it may be controlled, different damping configurations (heave damping disks and pitch/surge damping fins) are evaluated both in model experiments and by numerical simulations. With increased drag damping, larger wave amplitudes and more time are needed to trigger the instability. The pitch/heave instability is a low probability of occurrence phenomenon. Extreme wave periods are needed for the instability to be triggered, about 20 seconds for a typical 200m draft spar. However, it may be important to consider the phenomenon in design since the pitch/heave instability is very critical. It is also seen that when classical spar platforms (constant cylindrical cross section and about 200m draft

  17. Comparison between a typical and a simplified model for blast load-induced structural response (United States)

    Abd-Elhamed, A.; Mahmoud, S.


    As explosive blasts continue to cause severe damage as well as victims in both civil and military environments. There is a bad need for understanding the behavior of structural elements to such extremely short duration dynamic loads where it is of great concern nowadays. Due to the complexity of the typical blast pressure profile model and in order to reduce the modelling and computational efforts, the simplified triangle model for blast loads profile is used to analyze structural response. This simplified model considers only the positive phase and ignores the suction phase which characterizes the typical one in simulating blast loads. The closed from solution for the equation of motion under blast load as a forcing term modelled either typical or simplified models has been derived. The considered herein two approaches have been compared using the obtained results from simulation response analysis of a building structure under an applied blast load. The computed error in simulating response using the simplified model with respect to the typical one has been computed. In general, both simplified and typical models can perform the dynamic blast-load induced response of building structures. However, the simplified one shows a remarkably different response behavior as compared to the typical one despite its simplicity and the use of only positive phase for simulating the explosive loads. The prediction of the dynamic system responses using the simplified model is not satisfactory due to the obtained larger errors as compared to the system responses obtained using the typical one.

  18. Using simplified peer review processes to fund research: a prospective study. (United States)

    Herbert, Danielle L; Graves, Nicholas; Clarke, Philip; Barnett, Adrian G


    To prospectively test two simplified peer review processes, estimate the agreement between the simplified and official processes, and compare the costs of peer review. A prospective parallel study of Project Grant proposals submitted in 2013 to the National Health and Medical Research Council (NHMRC) of Australia. The official funding outcomes were compared with two simplified processes using proposals in Public Health and Basic Science. The two simplified processes were: panels of 7 reviewers who met face-to-face and reviewed only the nine-page research proposal and track record (simplified panel); and 2 reviewers who independently reviewed only the nine-page research proposal (journal panel). The official process used panels of 12 reviewers who met face-to-face and reviewed longer proposals of around 100 pages. We compared the funding outcomes of 72 proposals that were peer reviewed by the simplified and official processes. Agreement in funding outcomes; costs of peer review based on reviewers' time and travel costs. The agreement between the simplified and official panels (72%, 95% CI 61% to 82%), and the journal and official panels (74%, 62% to 83%), was just below the acceptable threshold of 75%. Using the simplified processes would save $A2.1-$A4.9 million per year in peer review costs. Using shorter applications and simpler peer review processes gave reasonable agreement with the more complex official process. Simplified processes save time and money that could be reallocated to actual research. Funding agencies should consider streamlining their application processes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  19. Acute cerebellar ataxia (United States)

    Cerebellar ataxia; Ataxia - acute cerebellar; Cerebellitis; Post-varicella acute cerebellar ataxia; PVACA ... Acute cerebellar ataxia in children, particularly younger than age 3, may occur several weeks after an illness caused by a virus. ...

  20. Acute Liver Failure (United States)

    Acute liver failure Overview Acute liver failure is loss of liver function that occurs rapidly — in days or weeks — usually in a person who has no pre-existing liver disease. Acute liver failure is less common than ...

  1. Smart sensor: a platform for an interactive human physiological state recognition study

    Directory of Open Access Journals (Sweden)

    Andrej Gorochovik


    Full Text Available This paper describes a concept of making interactive human state recognition systems based on smart sensor design. The token measures on proper ADC signal processing had significantly lowered the interference level. A more reliable way of measuring human skin temperature was offered by using Maxim DS18B20 digital thermometers. They introduced a more sensible response to temperature changes compared to previously used analog LM35 thermometers. An adaptive HR measuring algorithm was introduced to suppress incorrect ECG signal readings caused by human muscular activities. User friendly interactive interface for touch sensitive GLCD screen was developed to present real time physiological data readings both in numerals and graphics. User was granted an ability to dynamically customize data processing methods according to his needs. Specific procedures were developed to simplify physiological state recording for further analysis. The introduced physiological data sampling and preprocessing platform was optimized to be compatible with “ATmega Oscilloscope” PC data collecting and visualizing software.

  2. A few considerations on simplifying the fiscal and accounting systems of small and medium enterprises

    Directory of Open Access Journals (Sweden)

    Ialomiţianu, G.


    Full Text Available The application of the complex accounting and fiscal systems represents an administrative burden for small and medium enterprises. This situation generates huge costs, too hard to bear by legal entities. The introduction of simplified accounting and fiscal systems has to represent a priority for every state, because it triggers the reduction of the administrative burden. The fiscal systems based on low taxation should not be confused with simplified fiscal systems. Many a time, enterprises prefer simplified systems, even if they do not totally comply with the fiscal equity principle.

  3. Simplified drive system models for power system transient studies in industrial plants

    DEFF Research Database (Denmark)

    Chen, Peiyuan; Sannino, Ambra


    In order to simulate industrial plants for different power system transient studies, simplified adjustable speed drive (ASD) models are needed. For power system transient studies such as assessing the voltage dip ride-through capability of ASDs, detailed representation of semiconductor valve...... switching can be avoided, thereby making possible to increase the time step of the simulation. In this paper, simplified ASD models are developed and compared with corresponding detailed models. The performance of the simplified models is assessed when increasing the simulation step as much as possible...

  4. Complexity analysis of human physiological signals based on case studies (United States)

    Angelova, Maia; Holloway, Philip; Ellis, Jason


    This work focuses on methods for investigation of physiological time series based on complexity analysis. It is a part of a wider programme to determine non-invasive markers for healthy ageing. We consider two case studies investigated with actigraphy: (a) sleep and alternations with insomnia, and (b) ageing effects on mobility patterns. We illustrate, using these case studies, the application of fractal analysis to the investigation of regulation patterns and control, and change of physiological function. In the first case study, fractal analysis techniques were implemented to study the correlations present in sleep actigraphy for individuals suffering from acute insomnia in comparison with healthy controls. The aim was to investigate if complexity analysis can detect the onset of adverse health-related events. The subjects with acute insomnia displayed significantly higher levels of complexity, possibly a result of too much activity in the underlying regulatory systems. The second case study considered mobility patterns during night time and their variations with age. It showed that complexity metrics can identify change in physiological function with ageing. Both studies demonstrated that complexity analysis can be used to investigate markers of health, disease and healthy ageing.

  5. Conservation physiology of animal migration (United States)

    Lennox, Robert J.; Chapman, Jacqueline M.; Souliere, Christopher M.; Tudorache, Christian; Wikelski, Martin; Metcalfe, Julian D.; Cooke, Steven J.


    Migration is a widespread phenomenon among many taxa. This complex behaviour enables animals to exploit many temporally productive and spatially discrete habitats to accrue various fitness benefits (e.g. growth, reproduction, predator avoidance). Human activities and global environmental change represent potential threats to migrating animals (from individuals to species), and research is underway to understand mechanisms that control migration and how migration responds to modern challenges. Focusing on behavioural and physiological aspects of migration can help to provide better understanding, management and conservation of migratory populations. Here, we highlight different physiological, behavioural and biomechanical aspects of animal migration that will help us to understand how migratory animals interact with current and future anthropogenic threats. We are in the early stages of a changing planet, and our understanding of how physiology is linked to the persistence of migratory animals is still developing; therefore, we regard the following questions as being central to the conservation physiology of animal migrations. Will climate change influence the energetic costs of migration? Will shifting temperatures change the annual clocks of migrating animals? Will anthropogenic influences have an effect on orientation during migration? Will increased anthropogenic alteration of migration stopover sites/migration corridors affect the stress physiology of migrating animals? Can physiological knowledge be used to identify strategies for facilitating the movement of animals? Our synthesis reveals that given the inherent challenges of migration, additional stressors derived from altered environments (e.g. climate change, physical habitat alteration, light pollution) or interaction with human infrastructure (e.g. wind or hydrokinetic turbines, dams) or activities (e.g. fisheries) could lead to long-term changes to migratory phenotypes. However, uncertainty remains

  6. Acute Appendicitis

    DEFF Research Database (Denmark)

    Tind, Sofie; Qvist, Niels


    BACKGROUND: The classification of acute appendicitis (AA) into various grades is not consistent, partly because it is not clear whether the perioperative or the histological findings should be the foundation of the classification. When comparing results from the literature on the frequency...... patients were included. In 116 (89 %) of these cases, appendicitis was confirmed histological. There was low concordance between the perioperative and histological diagnoses, varying from 16 to 76 % depending on grade of AA. Only 44 % of the patients receiving antibiotics postoperatively had a positive...... peritoneal fluid cultivation. CONCLUSION: There was a low concordance in clinical and histopathological diagnoses of the different grades of appendicitis. Perioperative cultivation of the peritoneal fluid as a standard should be further examined. The potential could be a reduced postoperative antibiotic use...

  7. Acute kidney failure (United States)

    ... kidney injury. Alternative Names Kidney failure; Renal failure; Renal failure - acute; ARF; Kidney injury - acute Images Kidney anatomy References Devarajan P. Biomarkers for assessment of renal ...

  8. Agrotransformation of Phytophthora nicotianae: a simplified and optimized method

    Directory of Open Access Journals (Sweden)

    Ronaldo José Durigan Dalio

    Full Text Available ABSTRACT Phytophthora nicotianae is a plant pathogen responsible for damaging crops and natural ecosystems worldwide. P. nicotianae is correlated with the diseases: citrus gummosis and citrus root rot, and the management of these diseases relies mainly on the certification of seedlings and eradication of infected trees. However, little is known about the infection strategies of P. nicotianae interacting with citrus plants, which rises up the need for examining its virulence at molecular levels. Here we show an optimized method to genetically manipulate P. nicotianae mycelium. We have transformed P. nicotianae with the expression cassette of fluorescence protein DsRed. The optimized AMT method generated relatively high transformation efficiency. It also shows advantages over the other methods since it is the simplest one, it does not require protoplasts or spores as targets, it is less expensive and it does not require specific equipment. Transformation with DsRed did not impair the physiology, reproduction or virulence of the pathogen. The optimized AMT method presented here is useful for rapid, cost-effective and reliable transformation of P. nicotianae with any gene of interest.

  9. Using systems biology to simplify complex disease: immune cartography. (United States)

    Polpitiya, Ashoka D; McDunn, Jonathan E; Burykin, Anton; Ghosh, Bijoy K; Cobb, J Perren


    What if there was a rapid, inexpensive, and accurate blood diagnostic that could determine which patients were infected, identify the organism(s) responsible, and identify patients who were not responding to therapy? We hypothesized that systems analysis of the transcriptional activity of circulating immune effector cells could be used to identify conserved elements in the host response to systemic inflammation, and furthermore, to discriminate between sterile and infectious etiologies. We review herein a validated, systems biology approach demonstrating that 1) abdominal and pulmonary sepsis diagnoses can be made in mouse models using microarray (RNA) data from circulating blood, 2) blood microarray data can be used to differentiate between the host response to Gram-negative and Gram-positive pneumonia, 3) the endotoxin response of normal human volunteers can be mapped at the level of gene expression, and 4) a similar strategy can be used in the critically ill to follow septic patients and quantitatively determine immune recovery. These findings provide the foundation of immune cartography and demonstrate the potential of this approach for rapidly diagnosing sepsis and identifying pathogens. Further, our data suggest a new approach to determine how specific pathogens perturb the physiology of circulating leukocytes in a cell-specific manner. Large, prospective clinical trails are needed to validate the clinical utility of leukocyte RNA diagnostics (e.g., the riboleukogram).

  10. Simplified Mathematical Model to Evaluate Sperm Concentration in Kremer'S Capillary Tube Test: A Preliminary Study Report

    Directory of Open Access Journals (Sweden)

    Stephen Tang


    Conclusion: The strong correlation of sperm concentrations between these two methods suggests that the postulated equation may provide a simplified calculation model to indicate penetration efficiency in the capillary tube test.

  11. Non-SUSY WIMPS: simplified models and Dark Matter at the LHC


    Morgante, Enrico


    I discuss the construction of Simplified Models for Dark Matter searches at the LHC. After reviewing the phylosophy and some simple example, I turn the attention to the aspect of the theoretical consistency of these models.

  12. Study on Collision of Ship Side Structure by Simplified Plastic Analysis Method (United States)

    Sun, C. J.; Zhou, J. H.; Wu, W.


    During its lifetime, a ship may encounter collision or grounding and sustain permanent damage after these types of accidents. Crashworthiness has been based on two kinds of main methods: simplified plastic analysis and numerical simulation. A simplified plastic analysis method is presented in this paper. Numerical methods using the non-linear finite-element software LS-DYNA are conducted to validate the method. The results show that, as for the accuracy of calculation results, the simplified plasticity analysis are in good agreement with the finite element simulation, which reveals that the simplified plasticity analysis method can quickly and accurately estimate the crashworthiness of the side structure during the collision process and can be used as a reliable risk assessment method.

  13. Multidirectional Cranial Distraction Osteogenesis with Simplified Modifications for Treating Sagittal Synostosis

    Directory of Open Access Journals (Sweden)

    Ataru Sunaga, MD


    Conclusions:. Simplified MCDO has a number of advantages over conventional distraction procedures such as discretionary reshaping/expansion of cranium and predictable osteogenesis and is a valid treatment option for patients with sagittal synostosis.

  14. Coping with Nasty Surprises: Improving Risk Management in the Public Sector Using Simplified Bayesian Methods

    National Research Council Canada - National Science Library

    Matthews, Mark; Kompas, Tom


    .... Given the utility of these approaches to public policy, this article considers the case for refreshing the general practice of risk management in governance by using a simplified B ayesian approach...


    National Research Council Canada - National Science Library

    Gheorghe Ialomitianu


    .... This situation generates huge costs, too hard to bear by legal entities. The introduction of simplified accounting and fiscal systems has to represent a priority for every state, because it triggers the reduction of the administrative burden...

  16. A Simplified Quantitative Method to Measure Brain Shifts in Patients with Middle Cerebral Artery Stroke. (United States)

    Paletta, Nina; Maali, Laith; Zahran, Abdurrehman; Sethuraman, Sankara; Figueroa, Ramon; Nichols, Fenwick T; Bruno, Askiel


    A standardized and validated method to measure brain shifts in malignant middle cerebral artery (MCA) stroke with decompressive hemicraniectomy (DHC) could facilitate clinical decision making, prognostication, and comparison of results between studies. We tested for reliability simplified methods to measure transcalvarial herniation, midline brain shift, and the contralateral cerebral ventricular atrium in malignant MCA stroke after DHC. Multiple raters measured brain shifts on post-DHC computed tomography (CT) scans with aligned and unaligned slice orientations in 25 patients. We compared the simplified measurements to previously reported more meticulous measurements. The simplified measurements correlate well with the more meticulous measurements on both aligned and unaligned CTs (intraclass correlation coefficients .72-.89). These simplified and expedient methods of measuring brain shifts in malignant MCA stroke after DHC correlate well with the more meticulous methods. Copyright © 2017 by the American Society of Neuroimaging.

  17. Physiologic effects of bowel preparation

    DEFF Research Database (Denmark)

    Holte, Kathrine; Nielsen, Kristine Grubbe; Madsen, Jan Lysgård


    PURPOSE: Despite the universal use of bowel preparation before colonoscopy and colorectal surgery, the physiologic effects have not been described in a standardized setting. This study was designed to investigate the physiologic effects of bowel preparation. METHODS: In a prospective study, 12...... healthy volunteers (median age, 63 years) underwent bowel preparation with bisacodyl and sodium phosphate. Fluid and food intake were standardized according to weight, providing adequate calorie and oral fluid intake. Before and after bowel preparation, weight, exercise capacity, orthostatic tolerance...... preparation has significant adverse physiologic effects, which may be attributed to dehydration. The majority of these findings is small and may not be of clinical relevance in otherwise healthy patients undergoing bowel preparation and following recommendations for oral fluid intake....

  18. Centrifuges in gravitational physiology research (United States)

    Ballard, Rodney W.; Davies, Phil; Fuller, Charles A.


    Data from space flight and ground based experiments have clearly demonstrated the importance of Earth gravity for normal physiological function in man and animals. Gravitational Physiology is concerned with the role and influence of gravity on physiological systems. Research in this field examines how we perceive and respond to gravity and the mechanisms underlying these responses. Inherent in our search for answers to these questions is the ability to alter gravity, which is not physically possible without leaving Earth. However, useful experimental paradigms have been to modify the perceived force of gravity by changing either the orientation of subjects to the gravity vector (i.e., postural changes) or by applying inertial forces to augment the magnitude of the gravity vector. The later technique has commonly been used by applying centripetal force via centrifugation.

  19. Using Authentic and Simplified Texts with SQ3R in Teaching Vocabulary and Reading


    Soma, Robi


    The objectives of the study were to find out whether or not (1) there was a significant increase of students' achievement in vocabulary and reading literacy after they were taught using SQ3R with authentic texts and simplified texts (2) there was any significant difference in the students' achievement in vocabulary and reading literacy between the students who were taught using SQ3R with authentic texts and simplified texts, and (3) there was a significant interaction of authentic texts and s...

  20. Estimation of cardiac reserve by peak power: validation and initial application of a simplified index


    Armstrong, G; Carlier, S.; Fukamachi, K; Thomas, J; Marwick, T


    OBJECTIVES—To validate a simplified estimate of peak power (SPP) against true (invasively measured) peak instantaneous power (TPP), to assess the feasibility of measuring SPP during exercise and to correlate this with functional capacity.
DESIGN—Development of a simplified method of measurement and observational study.
SETTING—Tertiary referral centre for cardiothoracic disease.
SUBJECTS—For validation of SPP with TPP, seven normal dogs and four dogs with dilated cardiomyopathy were studied. ...

  1. Simplified Metrics Calculation for Soft Bit Detection in DVB-T2

    Directory of Open Access Journals (Sweden)

    D. Perez-Calderon


    Full Text Available The constellation rotation and cyclic quadrature component delay (RQD technique has been adopted in the second generation terrestrial digital video broadcasting (DVB-T2 standard. It improves the system performance under severe propagation conditions, but introduces serious complexity problems in the hardware implementation of the detection process. In this paper, we present a simplified scheme that greatly reduces the complexity of the demapper by simplifying the soft bit metrics computation having a negligible overall system performance loss.

  2. Simplified procedures for calculation of instantaneous and long-term deflections of reinforced concrete beams


    Araújo, José Milton de


    The simplified methods of CEB and of ACI for prediction of deflections of reinforced concrete beams are analyzed in this work. Obtained results with those methods are compared with those obtained through a nonlinear analysis. Additional deflections due to creep and shrinkage are considered in the study. The obtained results indicate that the two simplified methods are appropriate for calculation of instantaneous deflections of reinforced concrete beams. The method of CEB also supplies good...





    In this paper a simplified predictive control design is applied for the controlling a temperature of a fluid stream using the shell and tube heat exchanger. The predictive control design based on Dynamic Matrix Control (DMC) involves the complicated inversion computation for higher dimensional matrix. Using DMC for controlling a temperature of the shell and tube heat exchanger, there is still a need for optimization of conversation of energy. The simplified predictive control is based on DMC,...

  4. Stimulating Student Interest in Physiology: The Intermedical School Physiology Quiz (United States)

    Cheng, Hwee-Ming


    The Intermedical School Physiology Quiz (IMSPQ) was initiated in 2003 during the author's last sabbatical from the University of Malaya. At this inaugural event, there were just seven competing teams from Malaysian medical schools. The challenge trophy for the IMSPQ is named in honor of Prof. A. Raman, who was the first Malaysian Professor of…

  5. Diagnosing and Treating Acute Bronchitis (United States)

    ... Lung Disease Lookup > Acute Bronchitis Diagnosing and Treating Acute Bronchitis Questions to Ask Your Doctor about Acute Bronchitis ... Symptoms that last a few weeks How Is Acute Bronchitis Diagnosed? Healthcare providers diagnose acute bronchitis by asking ...

  6. The Limits of Exercise Physiology

    DEFF Research Database (Denmark)

    Gabriel, Brendan M; Zierath, Juleen R


    Many of the established positive health benefits of exercise have been documented by historical discoveries in the field of exercise physiology. These investigations often assess limits: the limits of performance, or the limits of exercise-induced health benefits. Indeed, several key findings have...... been informed by studying highly trained athletes, in addition to healthy or unhealthy people. Recent progress has been made in regard to skeletal muscle metabolism and personalized exercise regimes. In this perspective, we review some of the historical milestones of exercise physiology, discuss how...... these inform contemporary knowledge, and speculate on future questions....

  7. A simplified approach to calculate slurry production of growing pigs at farm level

    Directory of Open Access Journals (Sweden)

    Franco Tagliapietra


    Full Text Available A simplified approach to predict the amount of slurry produced by growing pigs at farm level is proposed. The inputs are initial (LWi and final (LWf live weights, production (t and empty (empty periods, feed consumption (FC, dry matter (DMD, N digestibilities and farm water consumption per pig (FWC. Estimates of the amount of water required (or arisen per kg of feed for the various physiological functions were estimated by running a published mathematical model using data representing the ordinary conditions of rearing. Water excretion was estimated in two ways depending on: 1 free access (ad lib to water; 2 restricted access (forced. In the first case, the proportion of water consumed (wiad lib and those excreted with the urine (wuad lib and the faeces (wfec were quantified to be 2.9, 1.72 and 0.33 kg per kg of feed, respectively. From the urinary excretions of N and minerals, obtained as the difference between the digestible nutrient intakes and the retentions, the model predicted a urinary DM content of 2.1% (by weight. In the second case, for pigs receiving drinking water in forced ratio with the feed (wiforced, the urinary production was calculated as wuforced=(wiforced+wf+wo-(wd+ws+wg+wfec+we, where wf=water content in feed (0.12 kg/kg, wo=water arising from nutrient oxidation (0.25 kg/kg, wd=water required for digestion (0.08 kg/kg, ws=water demand for protein and lipid synthesis (0.06 kg/kg, wg=water retained in body tissues (0.14 kg/kg and we=water lost through evaporation (0.96 kg/kg. Estimates of fresh slurry production (faeces+urine were regressed against the values resulting from empirical literature equations and referred to pigs fed water:feed ratios of 2.5:1, 2.9:1 and 4:1. The resulting regression (R2=0.97, with a slope close to unity (1.05, indicated that the approach can be extended to predict the farm fresh slurry production with pigs having free access to water or kept on different water:feed ratios. In agreement with

  8. Neonatal Acute Kidney Injury. (United States)

    Selewski, David T; Charlton, Jennifer R; Jetton, Jennifer G; Guillet, Ronnie; Mhanna, Maroun J; Askenazi, David J; Kent, Alison L


    In recent years, there have been significant advancements in our understanding of acute kidney injury (AKI) and its impact on outcomes across medicine. Research based on single-center cohorts suggests that neonatal AKI is very common and associated with poor outcomes. In this state-of-the-art review on neonatal AKI, we highlight the unique aspects of neonatal renal physiology, definition, risk factors, epidemiology, outcomes, evaluation, and management of AKI in neonates. The changes in renal function with gestational and chronologic age are described. We put forth and describe the neonatal modified Kidney Diseases: Improving Global Outcomes AKI criteria and provide the rationale for its use as the standardized definition of neonatal AKI. We discuss risk factors for neonatal AKI and suggest which patient populations may warrant closer surveillance, including neonates neonates with AKI to identify those children who will go on to develop chronic kidney disease. This review highlights the deficits in our understanding of neonatal AKI that require further investigation. In an effort to begin to address these needs, the Neonatal Kidney Collaborative was formed in 2014 with the goal of better understanding neonatal AKI, beginning to answer critical questions, and improving outcomes in these vulnerable populations. Copyright © 2015 by the American Academy of Pediatrics.

  9. [Acute intracranial hypertension]. (United States)

    Gilo Arrojo, F; Herrera Muñoz, A; Anciones, B


    Acute intracranial hypertension is a syndrome with multiple etiologies. Diagnosis and treatment must be performed urgently to save the patient's life and prevent the development of significant disabilities. The appearance of this syndrome is due to intracraincreased volumes and -in turn- the pressure of the intracranial contents, either through an increase in the physiological components (blood, cerebrospinal fluid and brain parenchyma), or through the appearance of a volume in the form of added mass. The underlying brain edema in this condition may be of several types: cytotoxic, vasogenic, interstitial, or hydrostatic. Increased intracranial pressure decreases cerebral perfusion pressure, creating a vicious cycle because of the resulting cerebral ischemia, which progressively increases cerebral blood volume by decreasing resistance and further increases intracranial pressure. Treatment depends on the etiology and will generally require medical and surgical care. Patient management is usually carried out in neurocritical units and involves intracranial pressure monitoring to guide treatment. Correction of all hemostasis disorders is also crucial to patient survival. Copyright © 2010 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  10. Prior Acute Mental Exertion in Exercise and Sport. (United States)

    Silva-Júnior, Fernando Lopes E; Emanuel, Patrick; Sousa, Jordan; Silva, Matheus; Teixeira, Silmar; Pires, Flávio; Machado, Sérgio; Arias-Carrion, Oscar


    Mental exertion is a psychophysiological state caused by sustained and prolonged cognitive activity. The understanding of the possible effects of acute mental exertion on physical performance, and their physiological and psychological responses are of great importance for the performance of different occupations, such as military, construction workers, athletes (professional or recreational) or simply practicing regular exercise, since these occupations often combine physical and mental tasks while performing their activities. However, the effects of implementation of a cognitive task on responses to aerobic exercise and sports are poorly understood. Our narrative review aims to provide information on the current research related to the effects of prior acute mental fatigue on physical performance and their physiological and psychological responses associated with exercise and sports. The literature search was conducted using the databases PubMed, ISI Web of Knowledge and PsycInfo using the following terms and their combinations: "mental exertion", "mental fatigue", "mental fatigue and performance", "mental exertion and sports" "mental exertion and exercise". We concluded that prior acute mental exertion affects effectively the physiological and psychophysiological responses during the cognitive task, and performance in exercise. Additional studies involving prior acute mental exertion, exercise/sports and physical performance still need to be carried out in order to analyze the physiological, psychophysiological and neurophysiological responses subsequently to acute mental exertion in order to identify cardiovascular factors, psychological, neuropsychological associates.

  11. Acute lower extremity ischaemia

    African Journals Online (AJOL)

    In a nutshell. • A patient with sudden onset of a cold, weak, numb and painful foot has acute lower extremity ischaemia (ALEXI) until proven otherwise. Labelling patients as acute gout, acute phlegmasia (deep vein thrombosis), acute sciatica, etc. may result in unnecessary delays in treatment, with tragic consequences.

  12. Ethanol co-administration moderates 3,4-methylenedioxymethamphetamine effects on human physiology.

    NARCIS (Netherlands)

    Dumont, G.J.H.; Kramers, C.; Sweep, F.C.; Willemsen, J.J.; Touw, D.J.; Schoemaker, R.C.; Gerven, J.M. van; Buitelaar, J.K.; Verkes, R.J.


    Alcohol is frequently used in combination with 3,4-methylenedioxymethamphetamine (MDMA). Both drugs affect cardiovascular function, hydration and temperature regulation, but may have partly opposing effects. The present study aims to assess the acute physiologic effects of (co-) administration of


    Directory of Open Access Journals (Sweden)

    L. Yu. Glukhova


    Full Text Available Physiologic patterns of sleep on EEG can sometimes be similar to epileptiform activity and even to the EEG pattern of epileptic seizures, but they have no connection to epilepsy and their incorrect interpretation may lead to overdiagnosis of epilepsy. These sleep patterns include vertex transients, K-complexes, hypnagogic hypersynchrony, 14 and 6 Hz positive bursts, wicket-potentials, etc. The main distinctive features of acute physiological phenomena of sleep unlike epileptiform activity are stereotyped, monomorphic morphology of waves, which frequently has rhythmic, arcuate pattern, often with change of lateralization, mainly dominated in the first stages of sleep (N1-N2, with their reduction in the deeper stages and transition to delta sleep (N3. The correct interpretation of physiological sharp-wave phenomena of sleep on EEG requires considerable training and experience of the physician. Our review includes a variety of physiological sleep patterns, which can mimic epileptiform activity on EEG, their criteria of diagnostic with demonstration of own illustrations of EEG.

  14. Acute circulatory deficiency due to endocrinal tumoral manipulation: the pinealoblastoma. (United States)

    Heithem, Chemchihik; Issaoui, Ghazi; Khadraoui, Mejdi; Ladib, Mohamed; Naija, Walid; Said, Rachid


    We rapport the case of a patient presenting intra-abdominal metastasis of a pinealoblastoma, via a ventriculo-peritoneal shunt, confirmed by an anatomo-pathologic exam. The patient presented an acute hydrocephalus secondary to DVP dysfunction. The surgical manipulation of this metastasis had caused an acute circulatory deficiency due to massive serotonin release. In this case we analyze pineal gland physiology and serotonin effect on different systems.

  15. Acute circulatory deficiency due to endocrinal tumoral manipulation: the pinealoblastoma


    Heithem, Chemchihik; Issaoui, Ghazi; Khadraoui, Mejdi; Ladib, Mohamed; Naija, Walid; Said, Rachid


    We rapport the case of a patient presenting intra-abdominal metastasis of a pinealoblastoma, via a ventriculo-peritoneal shunt, confirmed by an anatomo-pathologic exam. The patient presented an acute hydrocephalus secondary to DVP dysfunction. The surgical manipulation of this metastasis had caused an acute circulatory deficiency due to massive serotonin release. In this case we analyze pineal gland physiology and serotonin effect on different systems.

  16. Nigerian Journal of Physiological Sciences: Editorial Policies

    African Journals Online (AJOL)

    Focus and Scope. Nigerian Journal of Physiological Sciences (Niger. J. Physiol. Sci.) is a biannual publication of the Physiological Society of Nigeria. It covers diverse areas of research in physiological sciences, publishing reviews in current research areas and original laboratory and clinical research in physiological ...

  17. Role of CFTR in epithelial physiology. (United States)

    Saint-Criq, Vinciane; Gray, Michael A


    Salt and fluid absorption and secretion are two processes that are fundamental to epithelial function and whole body fluid homeostasis, and as such are tightly regulated in epithelial tissues. The CFTR anion channel plays a major role in regulating both secretion and absorption in a diverse range of epithelial tissues, including the airways, the GI and reproductive tracts, sweat and salivary glands. It is not surprising then that defects in CFTR function are linked to disease, including life-threatening secretory diarrhoeas, such as cholera, as well as the inherited disease, cystic fibrosis (CF), one of the most common life-limiting genetic diseases in Caucasian populations. More recently, CFTR dysfunction has also been implicated in the pathogenesis of acute pancreatitis, chronic obstructive pulmonary disease (COPD), and the hyper-responsiveness in asthma, underscoring its fundamental role in whole body health and disease. CFTR regulates many mechanisms in epithelial physiology, such as maintaining epithelial surface hydration and regulating luminal pH. Indeed, recent studies have identified luminal pH as an important arbiter of epithelial barrier function and innate defence, particularly in the airways and GI tract. In this chapter, we will illustrate the different operational roles of CFTR in epithelial function by describing its characteristics in three different tissues: the airways, the pancreas, and the sweat gland.

  18. Electronic Textbook in Human Physiology. (United States)

    Broering, Naomi C.; Lilienfield, Lawrence S.


    Describes the development of an electronic textbook in human physiology at the Georgetown University Medical Center Library that was designed to enhance learning and visualization through a prototype knowledge base of core instructional materials stored in digital format on Macintosh computers. The use of computers in the medical curriculum is…

  19. Physiological adaptation in desert birds

    NARCIS (Netherlands)

    Williams, JB; Tieleman, BI; Williams, Joseph B.

    We call into question the idea that birds have not evolved unique physiological adaptations to desert environments. The rate at which desert larks metabolize energy is lower than in mesic species within the same family, and this lower rate of living translates into a lower overall energy requirement

  20. Exercise Effects on Sleep Physiology

    Directory of Open Access Journals (Sweden)

    Sunao eUchida


    Full Text Available This mini-review focuses on the effects of exercise on sleep. In its early days, sleep research largely focused on central nervous system (CNS physiology using standardized tabulations of several sleep-specific landmark electroencephalogram (EEG waveforms. Though coarse, this method has enabled the observation and inspection of numerous uninterrupted sleep phenomena. Thus, research on the effects of exercise on sleep began, in the 1960’s, with a focus primarily on sleep EEG (CNS sleep changes. Those early studies found only small effects of exercise on sleep. More recent sleep research has explored not only CNS functioning, but somatic physiology as well. As physical exercise mostly affects somatic functions, endocrine and autonomic nervous system (ANS changes that occur during sleep should be affected by daytime exercise. Since endocrinological, metabolic and autonomic changes can be measured during sleep, it should be possible to assess exercise effects on somatic physiology in addition to CNS sleep quality, building from standard polysomnographic (PSG techniques. Incorporating measures of somatic physiology in the quantitative assessment of sleep could further our understanding of sleep's function as an auto-regulatory, global phenomenon.

  1. [Physiologic skin changes in pregnancy]. (United States)

    Zerouali, Aida; Zaraa, Inès; Trojjet, Sondes; El Euch, Dalenda; Azeiez, Mohamed Iadh; Mokni, Mourad; Zouari, Faouzia; Ben Osman, Amel


    Pregnancy is a period of hormonal, immunological, metabolic and vascular changes. Some of them are considered to be physiologic, but others are real diseases specific or not of pregnancy. The aim of our study is to present the epidemiological and clinical physiologic dermatological changes of pregnancy. We present a transversal monocentric study. One hundred pregnant women attending the department of dermatology of the La Rabta hospital were enrolled. Systematic detailed cutaneous examination was performed by a dermatologist to look for a physiologic skin changes. The mean age was 29 years [20-46 years]. Pigmentary changes were the most preponderant (93%), dominated by the areolar region pigmentation (77%). The glandular changes were noted in 75% of cases. The vascular modifications were observed in 77% of pregnant women. Of these, gingival hyperemia was the most common (46%). Others cutaneous changes were less frequent (stria distensae 45%, nevi changes 35%, molluscum gravidarum 10%). The physiologic cutaneous changes during pregnancy are numerous. Our study confirms the frequency and the variability of these modifications. The pigmentary changes were the most common finding. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  2. Physiology Of Prolonged Bed Rest (United States)

    Greenleaf, John E.


    Report describes physiological effects of prolonged bed rest. Rest for periods of 24 hours or longer deconditions body to some extent; healing proceeds simultaneously with deconditioning. Report provides details on shifts in fluid electrolytes and loss of lean body mass, which comprises everything in body besides fat - that is, water, muscle, and bone. Based on published research.

  3. Acute otitis externa


    Hui, Charles PS


    Acute otitis externa, also known as ‘swimmer’s ear’, is a common disease of children, adolescents and adults. While chronic suppurative otitis media or acute otitis media with tympanostomy tubes or a perforation can cause acute otitis externa, both the infecting organisms and management protocol are different. This practice point focuses solely on managing acute otitis externa, without acute otitis media, tympanostomy tubes or a perforation being present.

  4. Diagnosis of vertebral fractures in children: is a simplified algorithm-based qualitative technique reliable?

    Energy Technology Data Exchange (ETDEWEB)

    Adiotomre, E. [Sheffield Teaching Hospitals NHS Foundation Trust UK, Radiology Department, Sheffield (United Kingdom); Sheffield Children' s NHS Foundation Trust, Radiology Department, Sheffield (United Kingdom); Summers, L.; Digby, M. [University of Sheffield UK, Sheffield Medical School, Sheffield (United Kingdom); Allison, A.; Walters, S.J. [University of Sheffield UK, School of Health and Related Research, Sheffield (United Kingdom); Broadley, P.; Lang, I. [Sheffield Children' s NHS Foundation Trust, Radiology Department, Sheffield (United Kingdom); Offiah, A.C. [Sheffield Children' s NHS Foundation Trust, Radiology Department, Sheffield (United Kingdom); University of Sheffield UK, Academic Unit of Child Health, Sheffield (United Kingdom)


    Identification of osteoporotic vertebral fractures allows treatment opportunity reducing future risk. There is no agreed standardised method for diagnosing paediatric vertebral fractures. To evaluate the precision of a modified adult algorithm-based qualitative (ABQ) technique, applicable to children with primary or secondary osteoporosis. Three radiologists independently assessed lateral spine radiographs of 50 children with suspected reduction in bone mineral density using a modified ABQ scoring system and following simplification to include only clinically relevant parameters, a simplified ABQ score. A final consensus of all observers using simplified ABQ was performed as a reference standard for fracture characterisation. Kappa was calculated for interobserver agreement of the components of both scoring systems and intraobserver agreement of simplified ABQ based on a second read of 29 randomly selected images. Interobserver Kappa for modified ABQ scoring for fracture detection, severity and shape ranged from 0.34 to 0.49 Kappa for abnormal endplate and position assessment was 0.27 to 0.38. Inter- and intraobserver Kappa for simplified ABQ scoring for fracture detection and grade ranged from 0.37 to 0.46 and 0.45 to 0.56, respectively. Inter- and intraobserver Kappa for affected endplate ranged from 0.31 to 0.41 and 0.45 to 0.51, respectively. Subjectively, observers' felt simplified ABQ was easier and less time-consuming. Observer reliability of modified and simplified ABQ was similar, with slight to moderate agreement for fracture detection and grade/severity. Due to subjective preference for simplified ABQ, we suggest its use as a semi-objective measure of diagnosing paediatric vertebral fractures. (orig.)

  5. History of nutrition and acid-base physiology. (United States)

    Manz, F


    In the 17th century the notion of nutrition and diet changed in northern European countries. First chemical experiments fostered the idea that salts resulted from a union of acids and bases. Digestion was no more regarded as a process of cooking but a succession of fermentations controlled by a balanced production of acids and alkali. Life seemed to depend on the equilibrium of acids and alkalis. In the 19th century food was systematically analysed for the content of energy and macronutrients and first scientifically based nutritional standards were formulated. The preferred use of processed food from the new food industry resulted in epidemics of nutritional disorders. Acidosis seemed to be a plausible pathogenic factor. Practitioners (S Ishizuka, H Hay, FX Mayr) formulated holistic doctrines integrating the concept of balance of acids and bases and recommending food with an excess of alkali. New micromethods to determine the concentration of electrolytes and blood acid-base status promoted physiological and clinical research into acid-base metabolism in the 1960s. In the new physiologically based terminology of systemic acid-base status, the relationship between blood acid-base status and net acid intake or excretion was, however, incorrectly simplified. In the 1970s metabolic acidosis was observed in patients on chemically defined diets and parenteral nutrition. Based on the data of comprehensive acid-base balance studies, calculation models were used to estimate renal net acid excretion from nutrient intake and to predict the potential renal acid load of single foods. Extrapolating current trends to the future, one can say that acid-base physiology will probably remain a challenge in nutrition and functional medicine over the next few years. The challenge will include new concepts for the manipulation of nutritional acid load in sports, dietetics and preventive medicine as well as new definitions of the upper intake level of potential renal acid load in

  6. Risk Factors for Acute Kidney Injury and In-Hospital Mortality in Patients Receiving Extracorporeal Membrane Oxygenation.

    Directory of Open Access Journals (Sweden)

    Sung Woo Lee

    Full Text Available Although acute kidney injury (AKI is the most frequent complication in patients receiving extracorporeal membrane oxygenation (ECMO, few studies have been conducted on the risk factors of AKI. We performed this study to identify the risk factors of AKI associated with in-hospital mortality.Data from 322 adult patients receiving ECMO were analyzed. AKI and its stages were defined according to Kidney Disease Improving Global Outcomes (KDIGO classifications. Variables within 24 h before ECMO insertion were collected and analyzed for the associations with AKI and in-hospital mortality.Stage 3 AKI was associated with in-hospital mortality, with a hazard ratio (HR (95% CI of 2.690 (1.472-4.915 compared to non-AKI (p = 0.001. The simplified acute physiology score 2 (SAPS2 and serum sodium level were also associated with in-hospital mortality, with HRs of 1.02 (1.004-1.035 per 1 score increase (p = 0.01 and 1.042 (1.014-1.070 per 1 mmol/L increase (p = 0.003. The initial pump speed of ECMO was significantly related to in-hospital mortality with a HR of 1.333 (1.020-1.742 per 1,000 rpm increase (p = 0.04. The pump speed was also associated with AKI (p = 0.02 and stage 3 AKI (p = 0.03 with ORs (95% CI of 2.018 (1.129-3.609 and 1.576 (1.058-2.348, respectively. We also found that the red cell distribution width (RDW above 14.1% was significantly related to stage 3 AKI.The initial pump speed of ECMO was a significant risk factor of in-hospital mortality and AKI in patients receiving ECMO. The RDW was a risk factor of stage 3 AKI.

  7. Physiologic effects of bowel preparation

    DEFF Research Database (Denmark)

    Holte, Kathrine; Nielsen, Kristine Grubbe; Madsen, Jan Lysgård


    PURPOSE: Despite the universal use of bowel preparation before colonoscopy and colorectal surgery, the physiologic effects have not been described in a standardized setting. This study was designed to investigate the physiologic effects of bowel preparation. METHODS: In a prospective study, 12...... healthy volunteers (median age, 63 years) underwent bowel preparation with bisacodyl and sodium phosphate. Fluid and food intake were standardized according to weight, providing adequate calorie and oral fluid intake. Before and after bowel preparation, weight, exercise capacity, orthostatic tolerance......, plasma and extracellular volume, balance function, and biochemical parameters were measured. RESULTS: Bowel preparation led to a significant decrease in exercise capacity (median, 9 percent) and weight (median, 1.2 kg). Plasma osmolality was significantly increased from 287 to 290 mmol kg(-1), as well...

  8. The Fast Simulation of Scattering Characteristics from a Simplified Time Varying Sea Surface

    Directory of Open Access Journals (Sweden)

    Yiwen Wei


    Full Text Available This paper aims at applying a simplified sea surface model into the physical optics (PO method to accelerate the scattering calculation from 1D time varying sea surface. To reduce the number of the segments and make further improvement on the efficiency of PO method, a simplified sea surface is proposed. In this simplified sea surface, the geometry of long waves is locally approximated by tilted facets that are much longer than the electromagnetic wavelength. The capillary waves are considered to be sinusoidal line superimposing on the long waves. The wavenumber of the sinusoidal waves is supposed to satisfy the resonant condition of Bragg waves which is dominant in all the scattered short wave components. Since the capillary wave is periodical within one facet, an analytical integration of the PO term can be performed. The backscattering coefficient obtained from a simplified sea surface model agrees well with that obtained from a realistic sea surface. The Doppler shifts and width also agree well with the realistic model since the capillary waves are taken into consideration. The good agreements indicate that the simplified model is reasonable and valid in predicting both the scattering coefficients and the Doppler spectra.

  9. Modeling of Nitrogen in River Water Using a Detailed and a Simplified Model

    Directory of Open Access Journals (Sweden)

    Mona Radwan


    Full Text Available To model catchment surface water quantity and quality, different model types are available. They vary from detailed physically based models to simplified conceptual and empirical models. The most appropriate model type for a certain application depends on the project objectives and the data availability. The detailed models are very useful for short-term simulations of representative events. They cannot be used for long-term statistical information or as a management tool. For those purposes, more simplified (conceptual or meta- models must be used. In this study, nitrogen dynamics are modeled in a river in Flanders. Nitrogen sources from agricultural leaching and domestic point sources are considered. Based on this input, concentrations of ammonium (NH4-N and nitrate (NO3-N in the river water are modeled in MIKE 11 by taking into consideration advection and dispersion and the most important biological and chemical processes. Model calibration was done on the basis of available measured water quality data. To this detailed model, a more simplified model was calibrated with the objective to more easily yield long-term simulation results that can be used in a statistical analysis. The results show that the conceptual simplified model is 1800 times faster than the MIKE 11 model. Moreover the two models have almost the same accuracy. The detailed models are recommended for short-term simulations unless there are enough data for model input and model parameters. The conceptual simplified model is recommended for long-term simulations.

  10. The role of redox status on chemokine expression in acute pancreatitis


    Yubero, S.; Ramudo, L.; Manso, M.A.; De Dios, I.


    The role of redox status on chemokine expression in acute pancreatitis correspondance: Corresponding author. Departamento Fisiologia y Farmacologia. Edificio Departamental Campus Miguel de Unamuno 37007 Salamanca Spain. Fax: +34 923 294673. (De Dios, I.) (De Dios, I.) Department of Physiology and Pharmacology. University of Salamanca. 37007 Salamanca. Spain--> - (Yubero, S.) Department of Physiology and Pharmacology. ...

  11. Tool for Rapid & Easy Identification of High Risk Diabetic Foot: Validation & Clinical Pilot of the Simplified 60 Second Diabetic Foot Screening Tool.

    Directory of Open Access Journals (Sweden)

    M Gail Woodbury

    Full Text Available Most diabetic foot amputations are caused by ulcers on the skin of the foot i.e. diabetic foot ulcers. Early identification of patients at high risk for diabetic foot ulcers is crucial. The 'Simplified 60-Second Diabetic Foot Screening Tool' has been designed to rapidly detect high risk diabetic feet, allowing for timely identification and referral of patients needing treatment. This study aimed to determine the clinical performance and inter-rater reliability of 'Simplified 60 Second Diabetic Foot Screening Tool' in order to evaluate its applicability for routine screening.The tool was independently tested by n=12 assessors with n=18 Guyanese patients with diabetes. Inter-rater reliability was assessed by calculating Cronbach's alpha for each of the assessment items. A minimum value of 0.60 was considered acceptable. Reliability scores of the screening tool assessment items were: 'monofilament test' 0.98; 'active ulcer' 0.97; 'previous amputation' 0.97; 'previous ulcer' 0.97; 'fixed ankle' 0.91; 'deformity' 0.87; 'callus' 0.87; 'absent pulses' 0.87; 'fixed toe' 0.80; 'blisters' 0.77; 'ingrown nail' 0.72; and 'fissures' 0.55. The item 'stiffness in the toe or ankle' was removed as it was observed in only 1.3% of patients. The item 'fissures' was also removed due to low inter-rater reliability. Clinical performance was assessed via a pilot study utilizing the screening tool on n=1,266 patients in an acute care setting in Georgetown, Guyana. In total, 48% of patients either had existing diabetic foot ulcers or were found to be at high risk for developing ulcers.Clinicians in low and middle income countries such as Guyana can use the Simplified 60-Second Diabetic Screening Tool to facilitate early detection and appropriate treatment of diabetic foot ulcers. Implementation of this screening tool has the potential to decrease diabetes related disability and mortality.

  12. Normal Bone Anatomy and Physiology


    Clarke, Bart


    This review describes normal bone anatomy and physiology as an introduction to the subsequent articles in this section that discuss clinical applications of iliac crest bone biopsy. The normal anatomy and functions of the skeleton are reviewed first, followed by a general description of the processes of bone modeling and remodeling. The bone remodeling process regulates the gain and loss of bone mineral density in the adult skeleton and directly influences bone strength. Thorough understandin...

  13. Anatomy and physiology of cisternostomy. (United States)

    Cherian, Iype; Grasso, Giovanni; Bernardo, Antonio; Munakomi, Sunil


    Cisternostomy is defined as opening the basal cisterns to atmospheric pressure. This technique helps to reduce the intracranial pressure in severe head trauma as well as other conditions when the so-called sudden "brain swelling" troubles the surgeon. We elaborated the surgical anatomy of this procedure as well as the proposed physiology of how cisternostomy works. This novel technique may change the current trends in neurosurgery.

  14. Exercise Effects on Sleep Physiology


    Uchida, Sunao; Shioda, Kohei; Morita, Yuko; Kubota, Chie; Ganeko, Masashi; Takeda, Noriko


    This mini-review focuses on the effects of exercise on sleep. In its early days, sleep research largely focused on central nervous system (CNS) physiology using standardized tabulations of several sleep-specific landmark electroencephalogram (EEG) waveforms. Though coarse, this method has enabled the observation and inspection of numerous uninterrupted sleep phenomena. The research on the effects of exercise on sleep began, in the 1960s, with a focus primarily on sleep related EEG changes (CN...

  15. Exercise Effects on Sleep Physiology


    Sunao eUchida; Kohei eShioda; Yuko eMorita; Chie eKubota; Masashi eGaneko; Noriko eTakeda; Noriko eTakeda


    This mini-review focuses on the effects of exercise on sleep. In its early days, sleep research largely focused on central nervous system (CNS) physiology using standardized tabulations of several sleep-specific landmark electroencephalogram (EEG) waveforms. Though coarse, this method has enabled the observation and inspection of numerous uninterrupted sleep phenomena. Thus, research on the effects of exercise on sleep began, in the 1960’s, with a focus primarily on sleep EEG (CNS sleep) c...

  16. Physiology of in vitro culture

    Directory of Open Access Journals (Sweden)

    Maria Jesús Cañal


    Full Text Available The culture procedures described up to the eighties, did not made any mention to the environmental control of in vitro plant development. However, growth rate, development and many of the physiologic-morphologic features of the in vitro grown plants are influenced by the culture vessel. The increasing knowledge about the environmental control of culture vessels under sterile conditions, is helping to change micorpropagation procedures. The in vitro environment with lower rate ventilation, brings about low flow rates of matter and energy, with minimum variations of temperature, high relative humidity and large daily changes of the concentration of CO2 inside the culture vessel. The type of culture vessel (size, shape, fabric and closing system can influence the evolution of the atmosphere along the time of culture. Although submitted to different stresses factors plant can be grown in vitro, but plants can be faulty in their anatomy, morphology and physiology. As a consequence, these plants shown a phenotype unable to survive to ex vitro conditions. Different strategies can be used to control the atmosphere along the different phases of micropropagation, in heterotrophic, mixotrophic or autotrophic cultures. The election of the best strategy will be based on different factors as species, number of transplantes required, or quality-price relationship. enviromental control, tissue culture, micropropagation Keywords: in vitro enviromental, characteristic physiology,


    Jensen, Roy A.; Haas, Felix L.


    Jensen, Roy A. (The University of Texas M. D. Anderson Hospital and Tumor Institute, Houston) and Felix L. Haas. Electrokinetics and cell physiology. I. Experimental basis for electrokinetic cell studies. J. Bacteriol. 86:73–78. 1963.—The stable and regular electrokinetic pattern displayed by Bacillus subtilis cell populations was presented as the basis for precisely controlled experimental procedures. The course of electrokinetic behavior characteristic of a cell population was one which paralleled the overall physiology of the culture. The prospects of capitalizing upon this biological feature of the cell were considered in cases where portions of a cell population were separable with respect to some distinct physiological criterion. Such cell fractions may be associated with a discrete and detectable difference in the net charge residing upon the bacterial cell surface. Within a limited pore-size range, membrane filters lost or retained cells, depending upon the electrostatic interaction between cell and filter disc. Fractionation on membrane filters proved to be adjustable and could be controlled by selecting the proper ionic strength in the culture medium. Procedures of this kind have potential for the development of preparative techniques or, alternatively, as experimental vehicles for kinetic analysis. PMID:14051825

  18. Physiological and pathological cardiac hypertrophy. (United States)

    Shimizu, Ippei; Minamino, Tohru


    The heart must continuously pump blood to supply the body with oxygen and nutrients. To maintain the high energy consumption required by this role, the heart is equipped with multiple complex biological systems that allow adaptation to changes of systemic demand. The processes of growth (hypertrophy), angiogenesis, and metabolic plasticity are critically involved in maintenance of cardiac homeostasis. Cardiac hypertrophy is classified as physiological when it is associated with normal cardiac function or as pathological when associated with cardiac dysfunction. Physiological hypertrophy of the heart occurs in response to normal growth of children or during pregnancy, as well as in athletes. In contrast, pathological hypertrophy is induced by factors such as prolonged and abnormal hemodynamic stress, due to hypertension, myocardial infarction etc. Pathological hypertrophy is associated with fibrosis, capillary rarefaction, increased production of pro-inflammatory cytokines, and cellular dysfunction (impairment of signaling, suppression of autophagy, and abnormal cardiomyocyte/non-cardiomyocyte interactions), as well as undesirable epigenetic changes, with these complex responses leading to maladaptive cardiac remodeling and heart failure. This review describes the key molecules and cellular responses involved in physiological/pathological cardiac hypertrophy. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Plant Physiological Aspects of Silicon

    Energy Technology Data Exchange (ETDEWEB)

    Epstein, E.; Fan, T.W-M.; Higashi, R.M.; Silk, W.K.


    The element silicon, Si, represents an anomaly in plant physiology (Epstein, 1994, 1999b). Plants contain the element in amounts comparable to those of such macronutrient elements as phosphorus, calcium, magnesium, viz. at tissue concentrations (dry weight basis) of about 0.1-10%, although both lower and higher values may be encountered. In some plants, such as rice and sugarcane, Si may be the mineral element present in largest amount. In much of plant physiological research, however, Si is considered a nonentity. Thus, not a single formulation of the widely used nutrient solutions includes Si. Experimental plants grown in these solutions are therefore abnormally low in their content of the element, being able to obtain only what Si is present as an unavoidable contaminant of the nutrient salts used, and from the experimental environment and their own seeds. The reason for the astonishing discrepancy between the prominence of Si in plants and its neglect in much of the enterprise of plant physiological research is that Si does not qualify as an ''essential'' element. Ever since the introduction of the solution culture method in the middle of the last century (Epstein, 1999a, b) it has been found that higher plants can grow in nutrient solutions in the formulation of which Si is not included. The only exceptions are the Equisitaceae (horsetails or scouring rushes), for which Si is a quantitatively major essential element.

  20. Feasibility of implementation of a "simplified, No-X-Ray, no-lead apron, two-catheter approach" for ablation of supraventricular arrhythmias in children and adults. (United States)

    Stec, Sebastian; Sledź, Janusz; Mazij, Mariusz; Raś, Małgorzata; Ludwik, Bartosz; Chrabąszcz, Michał; Sledź, Arkadiusz; Banasik, Małgorzata; Bzymek, Magdalena; Młynarczyk, Krzysztof; Deutsch, Karol; Labus, Michał; Spikowski, Jerzy; Szydłowski, Lesław


    Although the "near-zero-X-Ray" or "No-X-Ray" catheter ablation (CA) approach has been reported for treatment of various arrhythmias, few prospective studies have strictly used "No-X-Ray," simplified 2-catheter approaches for CA in patients with supraventricular tachycardia (SVT). We assessed the feasibility of a minimally invasive, nonfluoroscopic (MINI) CA approach in such patients. Data were obtained from a prospective multicenter CA registry of patients with regular SVTs. After femoral access, 2 catheters were used to create simple, 3D electroanatomic maps and to perform electrophysiologic studies. Medical staff did not use lead aprons after the first 10 MINI CA cases. A total of 188 patients (age, 45 ± 21 years; 17% 0.05), major complications (0% vs. 0%, P > 0.05) and acute (98% vs. 98%, P > 0.05) and long-term (93% vs. 94%, P > 0.05) success rates were similar in the "No-X-Ray" and control groups. Implementation of a strict "No-X-Ray, simplified 2-catheter" CA approach is safe and effective in majority of the patients with SVT. This modified approach for SVTs should be prospectively validated in a multicenter study. © 2014 Wiley Periodicals, Inc.