WorldWideScience

Sample records for space climate manifestation

  1. Space Weather Influence on the Earth Climate: Possible Manifestations in Wheat Markets Reaction

    Science.gov (United States)

    Pustilnik, Lev; Yom Din, Gregory; Zagnetko, Alexander

    We consider problem of a possible influence of unfavorable states of the space weather on agri-culture market through chain of connections: "space weather"-"earth weather"-"agriculture crops"-"price reaction". We show that new manifestations of "space weather"-"earth weather" relations discovered in the last time allow to revise wide field of expected solar-terrestrial con-nections. In the previous works we proposed possible mechanisms of wheat market reaction in the form of price bursts on the specific unfavorable states of space weather. We show that implementation of considered "price reaction scenarios" is possible only for condition of simul-taneous realization of several necessary conditions: high sensitivity of local earth weather in selected region to space weather; state of "high risk agriculture" in selected agriculture zone; high sensitivity of agricultural market to possible deficit of supply. Results of previous works included application of this approach to wheat market in Medieval England and to modern USA durum market showed that real connection between wheat price bursts and space weather state is observed with high confidence level. The aim of present work is answer on the ques-tion, why wheat markets in one region are sensitive to space weather factor, while another regional wheat markets demonstrate absolute indifferent reaction on this factor. For this aim we consider distribution of sensitivity of wheat markets in Europe to space weather as function of localization in different climatic zones. We analyze giant database of 95 European wheat markets from 14 countries during about 600-year period (1260-1912). We show that observed sensitivity of wheat market to space weather effects controlled, first of all, by type of predomi-nant climate in different zones of agriculture. Wheat markets in the North and part of Central Europe (England, Iceland, Holland) shows reliable sensitivity to space weather in minimum states of solar activity with low

  2. Understanding Climate Change and Manifestation of its Driven ...

    African Journals Online (AJOL)

    This article examines the nature and manifestation of climate change driven impacts on the agrarian districts of Kongwa and Bahi in the semi arid areas of Dodoma region in Tanzania. A Survey of 398 households in the study area was undertaken to elicit information on the nature and manifestation of climate change driven ...

  3. Manifestly T-dual formulation of AdS space

    International Nuclear Information System (INIS)

    Hatsuda, Machiko; Kamimura, Kiyoshi; Siegel, Warren

    2017-01-01

    We present a manifestly T-dual formulation of curved spaces such as an AdS space. For group manifolds related by the orthogonal vielbein fields the three form H=dB in the doubled space is universal at least locally. We construct an affine nondegenerate doubled bosonic AdS algebra to define the AdS space with the Ramond-Ramond flux. The non-zero commutator of the left and right momenta leads to that the left momentum is in an AdS space while the right momentum is in a dS space. Dimensional reduction constraints and the physical AdS algebra are shown to preserve all the doubled coordinates.

  4. Manifestly T-dual formulation of AdS space

    Energy Technology Data Exchange (ETDEWEB)

    Hatsuda, Machiko [Physics Division, Faculty of Medicine, Juntendo University,Chiba 270-1695 (Japan); KEK Theory Center, High Energy Accelerator Research Organization,Tsukuba, Ibaraki 305-0801 (Japan); Kamimura, Kiyoshi [Physics Division, Faculty of Medicine, Juntendo University,Chiba 270-1695 (Japan); Siegel, Warren [C.N. Yang Institute for Theoretical Physics, Stony Brook University,Stony Brook, NY 11794-3840 (United States)

    2017-05-12

    We present a manifestly T-dual formulation of curved spaces such as an AdS space. For group manifolds related by the orthogonal vielbein fields the three form H=dB in the doubled space is universal at least locally. We construct an affine nondegenerate doubled bosonic AdS algebra to define the AdS space with the Ramond-Ramond flux. The non-zero commutator of the left and right momenta leads to that the left momentum is in an AdS space while the right momentum is in a dS space. Dimensional reduction constraints and the physical AdS algebra are shown to preserve all the doubled coordinates.

  5. Climate engineering and space

    Science.gov (United States)

    Schrogl, K.-U.; Summerer, L.

    2016-12-01

    This article provides a comprehensive look at climate engineering and space. Its starting point is that the States are failing to slow down global warming. The consequences for the environment and the economic and societal burden are uncontested. The priority to maintain the use of fossil resources might soon lead to the implementation of deliberate engineering measures to alter the climate instead of reducing the greenhouse gases. The article describes these currently discussed measures for such climate engineering. It will particularly analyse the expected contributions from space to these concepts. Based on this it evaluates the economic and political implications and finally tests the conformity of these concepts with space law.

  6. Indoor Climate of Large Glazed Spaces

    DEFF Research Database (Denmark)

    Hendriksen, Ole Juhl; Madsen, Christina E.; Heiselberg, Per

    In recent years large glazed spaces has found increased use both in connection with renovation of buildings and as part of new buildings. One of the objectives is to add an architectural element, which combines indoor- and outdoor climate. In order to obtain a satisfying indoor climate it is crui...... it is cruicial at the design stage to be able to predict the performance regarding thermal comfort and energy consumption. This paper focus on the practical implementation of Computational Fluid Dynamics (CFD) and the relation to other simulation tools regarding indoor climate.......In recent years large glazed spaces has found increased use both in connection with renovation of buildings and as part of new buildings. One of the objectives is to add an architectural element, which combines indoor- and outdoor climate. In order to obtain a satisfying indoor climate...

  7. Deep Space Climate Observatory (DSCOVR)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Deep Space Climate ObserVatoRy (DSCOVR) satellite is a NOAA operated asset at the first Lagrange (L1) point. The primary space weather instrument is the PlasMag...

  8. Climate and energy use in glazed spaces

    Energy Technology Data Exchange (ETDEWEB)

    Wall, M.

    1996-11-01

    One objective of the thesis has been to elucidate the relationship between building design and the climate, thermal comfort and energy requirements in different types of glazed spaces. Another object has been to study the effect of the glazed spaces on energy requirements in adjacent buildings. It has also been the object to develop a simple calculation method for the assessment of temperatures and energy requirements in glazed spaces. The research work has mainly comprised case studies of existing buildings with glazed spaces and energy balance calculations using both the developed steady-state method and a dynamic building energy simulation program. Parameters such as the geometry of the building, type of glazing, orientation, thermal inertia, airtightness, ventilation system and sunshades have been studied. These parameters are of different importance for each specific type of glazed space. In addition, the significance of each of these parameters varies for different types of glazed spaces. The developed calculation method estimates the minimum and mean temperature in glazed spaces and the energy requirements for heating and cooling. The effect of the glazed space on the energy requirement of the surrounding buildings can also be estimated. It is intended that the method should be applied during the preliminary design stage so that the effect which the design of the building will have on climate and energy requirement may be determined. The method may provide an insight into how glazed spaces behave with regard to climate and energy. 99 refs

  9. World Cup, manifestations and the occupation of the public space

    Directory of Open Access Journals (Sweden)

    Luiza Aguiar dos Anjos

    2013-11-01

    Full Text Available Since the announcement of Brazil to host the FIFA World Cup in 2014, social movements organized themselves to denounce and question decisions and arbitrariness about their preparations. During the Confederations Cup of 2013, a series of manifestations marked by the diversity of its participants and their demands became known as the June Journeys. This article presents an analysis of such events focusing on matters relates to the occupation of the public space, problematizing, later, the relation of the movements and the mega sports events in question.

  10. Comments on Current Space Systems Observing the Climate

    Science.gov (United States)

    Fisk, L. A.

    2016-07-01

    The Global Climate Observing System (GCOS), which was established in 1992, has been effective in specifying the observations needed for climate studies, and advocating that these observations be made. As a result, there are essential climate variables being observed, particularly from space, and these have formed the basis for our ever-improving models of how the Earth system functions and the human impact on it. We cannot conclude, however, that the current observing system in space is adequate. Climate change is accelerating, and we need to ensure that our observations capture, with completeness and with proper resolution and cadence, the most important changes. Perhaps of most significance, we need to use observations from space to guide the mitigation and adaptation strategies on which at last our civilization seems prepared to embark. And we need to use our observations to educate particularly policy makers on the reality of climate change, so that none deny the need to act. COSPAR is determined to play its part in highlighting the need to strengthen the climate observing system and notably its research component. This is being accomplished through events like the present roundtable, through the work of its Scientific Commission A, its Task Group on GEO (where COSPAR is serving as a member of its Program Board), and by promoting among space agencies and policy-makers the recently released scientific roadmap on Integrated Earth System Science for the period 2016-2025.

  11. Space can substitute for time in predicting climate-change effects on biodiversity

    Science.gov (United States)

    Blois, Jessica L.; Williams, John W.; Fitzpatrick, Matthew C.; Jackson, Stephen T.; Ferrier, Simon

    2013-01-01

    Space-for-time” substitution is widely used in biodiversity modeling to infer past or future trajectories of ecological systems from contemporary spatial patterns. However, the foundational assumption—that drivers of spatial gradients of species composition also drive temporal changes in diversity—rarely is tested. Here, we empirically test the space-for-time assumption by constructing orthogonal datasets of compositional turnover of plant taxa and climatic dissimilarity through time and across space from Late Quaternary pollen records in eastern North America, then modeling climate-driven compositional turnover. Predictions relying on space-for-time substitution were ∼72% as accurate as “time-for-time” predictions. However, space-for-time substitution performed poorly during the Holocene when temporal variation in climate was small relative to spatial variation and required subsampling to match the extent of spatial and temporal climatic gradients. Despite this caution, our results generally support the judicious use of space-for-time substitution in modeling community responses to climate change.

  12. Space can substitute for time in predicting climate-change effects on biodiversity.

    Science.gov (United States)

    Blois, Jessica L; Williams, John W; Fitzpatrick, Matthew C; Jackson, Stephen T; Ferrier, Simon

    2013-06-04

    "Space-for-time" substitution is widely used in biodiversity modeling to infer past or future trajectories of ecological systems from contemporary spatial patterns. However, the foundational assumption--that drivers of spatial gradients of species composition also drive temporal changes in diversity--rarely is tested. Here, we empirically test the space-for-time assumption by constructing orthogonal datasets of compositional turnover of plant taxa and climatic dissimilarity through time and across space from Late Quaternary pollen records in eastern North America, then modeling climate-driven compositional turnover. Predictions relying on space-for-time substitution were ∼72% as accurate as "time-for-time" predictions. However, space-for-time substitution performed poorly during the Holocene when temporal variation in climate was small relative to spatial variation and required subsampling to match the extent of spatial and temporal climatic gradients. Despite this caution, our results generally support the judicious use of space-for-time substitution in modeling community responses to climate change.

  13. Climatic changes

    DEFF Research Database (Denmark)

    Majgaard Krarup, Jonna

    2014-01-01

    According to Cleo Paskal climatic changes are environmental changes. They are global, but their impact is local, and manifests them selves in the landscape, in our cities, in open urban spaces, and in everyday life. The landscape and open public spaces will in many cases be the sites where...... spaces. From Henri LeFebvre’s thinking we learn that the production of space is a feed back loop, where the space is constructed when we attach meaning to it, and when the space offers meaning to us. Spatial identity is thus not the same as identifying with space. Without indentifying with space, space...... doesn’t become place, and thus not experienced as a common good. Many Danish towns are situated by the sea; this has historically supported a strong spatial, functional and economically identity of the cities, with which people have identified. Effects of globalization processes and a rising sea level...

  14. Growing Diversity in Space Weather and Climate Change Research

    Science.gov (United States)

    Johnson, L. P.; Ng, C.; Marchese, P.; Austin, S.; Frost, J.; Cheung, T. D.; Robbins, I.; Carlson, B. E.; Steiner, J. C.; Tremberger, G.; Paglione, T.; Damas, C.; Howard, A.; Scalzo, F.

    2013-12-01

    Space Weather and Global Climate Impacts are critical items on the present national and international science agendas. Understanding and forecasting solar activity is increasingly important for manned space flight, unmanned missions (including communications satellites, satellites that monitor the space and earth environment), and regional power grids. The ability to predict the effects of forcings and feedback mechanisms on global and local climate is critical to survival of the inhabitants of planet Earth. It is therefore important to motivate students to continue their studies via advanced degrees and pursue careers related to these areas. This CUNY-based initiative, supported by NASA and NSF, provided undergraduate research experience for more than 70 students in topics ranging from urban impacts of global climate change to magnetic rope structure, solar flares and CMEs. Other research topics included investigations of the ionosphere using a CubeSat, stratospheric aerosols in Jupiter's atmosphere, and ocean climate modeling. Mentors for the primarily summer research experiences included CUNY faculty, GISS and GSFC scientists. Students were recruited from CUNY colleges as well as other colleges including Spelman, Cornell, Rutgers and SUNY colleges. Fifty-eight percent of the undergraduate students were under-represented minorities and thirty-four percent were female. Many of the research teams included high school teachers and students as well as graduate students. Supporting workshops for students included data analysis and visualization tools, space weather, planetary energy balance and BalloonSats. The project is supported by NASA awards NNX10AE72G and NNX09AL77G, and NSF REU Site award 0851932.

  15. Cosmic rays and space weather: effects on global climate change

    Directory of Open Access Journals (Sweden)

    L. I. Dorman

    2012-01-01

    Full Text Available We consider possible effects of cosmic rays and some other space factors on the Earth's climate change. It is well known that the system of internal and external factors formatting the climate is very unstable; decreasing planetary temperature leads to an increase of snow surface, and decrease of the total solar energy input into the system decreases the planetary temperature even more, etc. From this it follows that even energetically small factors may have a big influence on climate change. In our opinion, the most important of these factors are cosmic rays and cosmic dust through their influence on clouds, and thus, on climate.

  16. Cosmic rays and space weather. Effects on global climate change

    International Nuclear Information System (INIS)

    Dorman, L.I.; Israel Space Agency; Russian Academy of Sciences

    2012-01-01

    We consider possible effects of cosmic rays and some other space factors on the Earth's climate change. It is well known that the system of internal and external factors formatting the climate is very unstable; decreasing planetary temperature leads to an increase of snow surface, and decrease of the total solar energy input into the system decreases the planetary temperature even more, etc. From this it follows that even energetically small factors may have a big influence on climate change. In our opinion, the most important of these factors are cosmic rays and cosmic dust through their influence on clouds, and thus, on climate. (orig.)

  17. 77 FR 54818 - Polychlorinated Biphenyls (PCBs): Revisions to Manifesting Regulations

    Science.gov (United States)

    2012-09-06

    ... Transportation of PCB waste. Waste Management and 562 Facilities that manage Remediation Services. PCB waste... as noted in the manifest discrepancy space. 264.72(a)(2) Definition of rejected wastes as manifest... Conservation and Recovery Act (RCRA) Uniform Hazardous Waste Manifest, under the Toxic Substances Control Act...

  18. Self(ie)-esteem? – A manifestation of adolescent self-creating endeavours in the virtual space of Facebook

    OpenAIRE

    Lili Fejes-Vékássy

    2017-01-01

    In the centre of our interest stand the manifestations of adolescent self-creating endeavours in the virtual space of the social media portal called Facebook. Frequent self-photography (selfie) making, as a pronounced cultural feature of contemporary youth, and regular activity on Facebook handled as tightly connected factors; we propose that youngsters, bearing these attributes, have a different self-esteem than those adolescents who rarely or never take any photographs of themselves. In the...

  19. Potential application of glazed transpired collectors to space heating in cold climates

    International Nuclear Information System (INIS)

    Gao, Lixin; Bai, Hua; Mao, Shufeng

    2014-01-01

    Highlights: • A mathematical model for glazed transpired collectors (GTC) is developed. • Glazing results in optical loss, but it decreases convective heat loss effectively. • Thermal performance of GTC shows considerable improvement on flat-plate collectors. • GTC using recirculated air is applicable to space heating in cold climates. - Abstract: Although unglazed transpired collectors (UTC) succeed in industrial ventilation applications, solar fraction is very low when they are used in space heating in cold climates due to the lower exit air temperature. Considering the potential for glazed transpired collectors (GTC) using recirculated air for space heating applications in cold climates, a mathematical model is developed for predicting the thermal performance of GTC. Simulation results show that although glazing results in optical loss, it could decrease convective heat loss resulted from high crosswind velocities effectively. For a solar radiation of 400 W/m 2 , an ambient temperature of −10 °C, and a suction velocity of 0.01 m/s, the exit air temperature of GTC is higher than that of UTC for crosswind velocities exceeding 3.0 m/s. By comparison with a conventional flat-plate solar air collector operating under the same conditions, the thermal performance of GTC shows a significant improvement. For a five-storey hotel building located in the severe cold climate zone of China, case study shows that the annual solar fraction of the GTC-based solar air heating system is about 20%, which is two times higher than that of the flat-plate collector-based system and nearly nine times higher than that of the UTC-based system respectively. Hence, an enormous amount of energy will be saved with the application of GTC to space heating in cold climates

  20. Cosmic rays and space weather: effects on global climate change

    OpenAIRE

    L. I. Dorman; L. I. Dorman

    2012-01-01

    We consider possible effects of cosmic rays and some other space factors on the Earth's climate change. It is well known that the system of internal and external factors formatting the climate is very unstable; decreasing planetary temperature leads to an increase of snow surface, and decrease of the total solar energy input into the system decreases the planetary temperature even more, etc. From this it follows that even energetically small factors may have a big influence ...

  1. Urban climate and energy demand interaction in Northern Eurasia

    Science.gov (United States)

    Kasilova, E. V.; Ginzburg, A. S.; Demchenko, P. F.

    2017-11-01

    The regional and urban climate change in Northern Eurasia is one of the main challenges for sustainable development of human habitats situated in boreal and temperate areas. The half of primary energy is spent for space heating even under quite a mild European climate. Implementation of the district heating in urban areas is currently seen as one of the key conditions of sustainable development. The clear understanding of main problems of the urban climateenergy demand interaction is crucial for both small towns and megacities. The specific features of the urban energy systems in Finland, Russia and China under the changing climate conditions were studied. Regional manifestations of the climate change were examined. The climate projections were established for urban regions of the Northern Eurasia. It was shown that the climate warming is likely to continue intensively there. History and actual development trends were discussed for the urban district heating systems in Russia, China and Finland. Common challenges linked with the climate change have been identified for the considered areas. Adaptation possibilities were discussed taking into account climate-energy interactions.

  2. HYPOTHETIC FIVE-DIMESION SPACE OF BASIC FACTORS EXTRACTED FROM THE FACTOR ANLYSIS OF CERTAIN NUMBERS OF MORPHOLOGIC, MOBILE AND MANIFEST MOBILE VARIABLES

    Directory of Open Access Journals (Sweden)

    Goran Šekeljić

    2008-08-01

    Full Text Available This research was made on sample of 183 schoolboys and school girls attending the fourth grade of the elementary school. It was conducted in order to examine the possibilities of the adoption of an alternative curriculum which contains the elemements of basket ball game. After an experimental treatament, the effects of the teaching were estmated in these segments of antropological space: antropometrical, mobile and manifest mobile space concerning the basic elements of basketball technique. It was applicated the method of canonic corelated analysis which means that there were determined statistically important coefficient of correlation based on certain number of prmal and basic vectors of morphological, mobile and manifest mobile variables. According to the results of the research we can expect that five-dimension hypothetic model should present some kind of base for an eventual progress: methods of Teaching Physical Education, cibernetic navigation of the training technology such as the selection of the pupils who are able to play basketball.

  3. Space-based observatories providing key data for climate change applications

    Science.gov (United States)

    Lecomte, J.; Juillet, J. J.

    2016-12-01

    The Sentinel-1 & 3 mission are part of the Copernicus program, previously known as GMES (Global Monitoring for Environment and Security), whose overall objective is to support Europe's goals regarding sustainable development and global governance of the environment by providing timely and quality data, information, services and knowledge. This European Earth Observation program is led by the European Commission and the space infrastructure is developed under the European Space Agency leadership. Many services will be developed through the Copernicus program among different thematic areas. The climate change is one of this thematic area and the Sentinel-1 & 3 satellites will provide key space-based observations in this area. The Sentinel-1 mission is based on a constellation of 2 identical satellites each one embarking C-SAR Instrument and provides capability for continuous radar mapping of the Earth with enhanced revisit frequency, coverage, timeliness and reliability for operational services and applications requiring long time series. In particular, Sentinel 1 provides all-weather, day-and-night estimates of soil moisture, wind speed and direction, sea ice, continental ice sheets and glaciers. The Sentinel-3 mission will mainly be devoted to the provision of Ocean observation data in routine, long term (20 years of operations) and continuous fashion with a consistent quality and a very high level of availability. Among these data, very accurate surface temperatures and topography measurements will be provided and will constitute key indicators, once ingested in climate change models, for identifying climate drivers and expected climate impacts. The paper will briefly recall the satellite architectures, their main characteristics and performance. The inflight performance and key features of their images or data of the 3 satellites namely Sentinel 1A, 1B and 3A will be reviewed to demonstrate the quality and high scientific potential of the data as well as their

  4. Collaboration pathway(s) using new tools for optimizing `operational' climate monitoring from space

    Science.gov (United States)

    Helmuth, Douglas B.; Selva, Daniel; Dwyer, Morgan M.

    2015-09-01

    Consistently collecting the earth's climate signatures remains a priority for world governments and international scientific organizations. Architecting a long term solution requires transforming scientific missions into an optimized robust `operational' constellation that addresses the collective needs of policy makers, scientific communities and global academic users for trusted data. The application of new tools offers pathways for global architecture collaboration. Recent rule-based expert system (RBES) optimization modeling of the intended NPOESS architecture becomes a surrogate for global operational climate monitoring architecture(s). These rulebased systems tools provide valuable insight for global climate architectures, by comparison/evaluation of alternatives and the sheer range of trade space explored. Optimization of climate monitoring architecture(s) for a partial list of ECV (essential climate variables) is explored and described in detail with dialogue on appropriate rule-based valuations. These optimization tool(s) suggest global collaboration advantages and elicit responses from the audience and climate science community. This paper will focus on recent research exploring joint requirement implications of the high profile NPOESS architecture and extends the research and tools to optimization for a climate centric case study. This reflects work from SPIE RS Conferences 2013 and 2014, abridged for simplification30, 32. First, the heavily securitized NPOESS architecture; inspired the recent research question - was Complexity (as a cost/risk factor) overlooked when considering the benefits of aggregating different missions into a single platform. Now years later a complete reversal; should agencies considering Disaggregation as the answer. We'll discuss what some academic research suggests. Second, using the GCOS requirements of earth climate observations via ECV (essential climate variables) many collected from space-based sensors; and accepting their

  5. Solar thermal space heating combined with swimming pool heating: A promising solution for southern Europe climates

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, M.J.; Neves, Ana [INETI/DER, Lisboa (Portugal)

    2006-07-01

    The system concept evaluation performed focused on systems that can provide hot water, space heating and swimming-pool heating, and are designed for application in southern climates specifically for single-family houses. Due to the climate characteristics of southern Europe, space heating is required only for a few months in the year. In this evaluation it was considered a six month period for space heating and, on the other six months, swimming pool heating was considered. This type of systems are applicable to a niche market of people who are building their houses as single-family houses and want also to take profit of the good climate conditions for the use of solar energy. It is common that the construction of a swimming pool is also planned and constructed. The evaluation is made considering as reference system a factory made with 4m{sup 2} collector area and 300 l storage tank. The system in evaluation offers extra service - space heating and swimming pool heating and is formed by a collector field and a combistore providing solar hot water preparation and space heating in the winter period and providing also swimming pool heating in the summer period. The evaluation made shows that in southern Europe climates this system will give extra service in comparison to the traditional solar systems used and can be economically interesting.

  6. Sea Surface Temperature for Climate Applications: A New Dataset from the European Space Agency Climate Change Initiative

    Science.gov (United States)

    Merchant, C. J.; Hulley, G. C.

    2013-12-01

    There are many datasets describing the evolution of global sea surface temperature (SST) over recent decades -- so why make another one? Answer: to provide observations of SST that have particular qualities relevant to climate applications: independence, accuracy and stability. This has been done within the European Space Agency (ESA) Climate Change Initative (CCI) project on SST. Independence refers to the fact that the new SST CCI dataset is not derived from or tuned to in situ observations. This matters for climate because the in situ observing network used to assess marine climate change (1) was not designed to monitor small changes over decadal timescales, and (2) has evolved significantly in its technology and mix of types of observation, even during the past 40 years. The potential for significant artefacts in our picture of global ocean surface warming is clear. Only by having an independent record can we confirm (or refute) that the work done to remove biases/trend artefacts in in-situ datasets has been successful. Accuracy is the degree to which SSTs are unbiased. For climate applications, a common accuracy target is 0.1 K for all regions of the ocean. Stability is the degree to which the bias, if any, in a dataset is constant over time. Long-term instability introduces trend artefacts. To observe trends of the magnitude of 'global warming', SST datasets need to be stable to <5 mK/year. The SST CCI project has produced a satellite-based dataset that addresses these characteristics relevant to climate applications. Satellite radiances (brightness temperatures) have been harmonised exploiting periods of overlapping observations between sensors. Less well-characterised sensors have had their calibration tuned to that of better characterised sensors (at radiance level). Non-conventional retrieval methods (optimal estimation) have been employed to reduce regional biases to the 0.1 K level, a target violated in most satellite SST datasets. Models for

  7. Methods for assessment of climate variability and climate changes in different time-space scales

    International Nuclear Information System (INIS)

    Lobanov, V.; Lobanova, H.

    2004-01-01

    climate changes indexes of such classification have been developed which included: statistical significance or non-significance of climate changes, direction of climate change tendency in conditions of its statistical significance, assessment of its contribution and a form of the tendency if it enough complex over the time. In detected homogeneous regions the spatial generalization is fulfilled which includes different approach in dependence on regularities of spatial features. They are: an averaging, development of spatial distribution functions or spatial simulation. New spatial linear model has been developed and suggested which includes two coefficients connected with a gradient and a level of space field and one parameter which characterizes the internal inhomogeneity of the field. The last step of the suggested methodology is a using of the detected point and field climate changes for determination of design hydrological value. Traditional design characteristics (as one random event in each year) as well as new ones (POT, rare extremes, characteristics of cycles of climate variability), which can be rare or often than one value per year have been chosen. Approach and methods for using of detected climate changes in hydrological computations have been developed. Application of developed methods has been shown on some examples of different hydrometeorological characteristics (floods, low flow, annual runoff, monthly and annual temperature and precipitation) in some regions with different climatic conditions.(Author)

  8. Everyday spaces of inter-ethnic interaction: the meaning of urban public spaces in the Netherlands

    NARCIS (Netherlands)

    Peters, K.B.M.; Haan, de H.J.

    2011-01-01

    Ethnic diversity is manifest in public spaces by the presence of people originating from all over the world. It is also manifest in typical ethnic spaces that are predominantly used by specific ethnic groups. This article focuses on how people from various ethnic backgrounds use urban public spaces

  9. Freedom space for rivers: An economically viable river management concept in a changing climate

    Science.gov (United States)

    Buffin-Bélanger, Thomas; Biron, Pascale M.; Larocque, Marie; Demers, Sylvio; Olsen, Taylor; Choné, Guénolé; Ouellet, Marie-Audray; Cloutier, Claude-André; Desjarlais, Claude; Eyquem, Joanna

    2015-12-01

    The freedom space concept applies hydrogeomorphic principles to delineate zones that are either frequently flooded or actively eroding, or that include riparian wetlands. Freedom space limits mapped for three rivers in southern Quebec (Canada) were assessed to determine whether they would still be valid under a future climate using a sensitivity analysis approach with numerical models predicting mobility of meanders (RVRMeander) and flood stage (HEC-RAS). The freedom space limits were also used in a cost-benefit analysis over a 50-year period where costs consist of loss or limitations to the right of farming and construction in this zone, whereas benefits are avoided costs for existing or future bank stabilization structures and avoided costs of flooding in agricultural areas. The economic value of ecosystem services provided by riparian wetlands and increased buffer zones within the freedom space were also included in the analysis. Results show that freedom space limits would be robust in future climate, and show net present values ranging from CDN0.7 to 3.7 million for the three rivers, with ratios of benefits over costs ranging between 1.5:1 and 4.8:1. River management based on freedom space is thus beneficial for society over a 50-year period.

  10. Long-term solar activity and its implications to the heliosphere, geomagnetic activity, and the Earth’s climate

    Directory of Open Access Journals (Sweden)

    Tanskanen Eija

    2013-06-01

    Full Text Available The Sun’s long-term magnetic variability is the primary driver of space climate. This variability is manifested not only in the long-observed and dramatic change of magnetic fields on the solar surface, but also in the changing solar radiative output across all wavelengths. The Sun’s magnetic variability also modulates the particulate and magnetic fluxes in the heliosphere, which determine the interplanetary conditions and impose significant electromagnetic forces and effects upon planetary atmospheres. All these effects due to the changing solar magnetic fields are also relevant for planetary climates, including the climate of the Earth. The ultimate cause of solar variability, at time scales much shorter than stellar evolutionary time scales, i.e., at decadal to centennial and, maybe, even millennial or longer scales, has its origin in the solar dynamo mechanism. Therefore, in order to better understand the origin of space climate, one must analyze different proxies of solar magnetic variability and develop models of the solar dynamo mechanism that correctly produce the observed properties of the magnetic fields. This Preface summarizes the most important findings of the papers of this Special Issue, most of which were presented in the Space Climate-4 Symposium organized in 2011 in Goa, India.

  11. Emerging infectious diseases with cutaneous manifestations: Viral and bacterial infections.

    Science.gov (United States)

    Nawas, Zeena Y; Tong, Yun; Kollipara, Ramya; Peranteau, Andrew J; Woc-Colburn, Laila; Yan, Albert C; Lupi, Omar; Tyring, Stephen K

    2016-07-01

    Given increased international travel, immigration, and climate change, bacterial and viral infections that were once unrecognized or uncommon are being seen more frequently in the Western Hemisphere. A delay in diagnosis and treatment of these diseases can lead to significant patient morbidity and mortality. However, the diagnosis and management of these infections is fraught with a lack of consistency because there is a dearth of dermatology literature on the cutaneous manifestations of these infections. We review the epidemiology, cutaneous manifestations, diagnosis, and management of these emerging bacterial and viral diseases. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  12. Caracterisation des dechets solides des grandes manifestations ...

    African Journals Online (AJOL)

    This situation aggravates the structural inadequacy of the city managers and leads to unsanitary. The content of a pilgrim's trash behaves like a mirror reflecting his consumption habits, his attitude towards a manifestation of piety in the public space considered as private area as well as a no man's land. Keywords: Dassa ...

  13. Defining climate change scenario characteristics with a phase space of cumulative primary energy and carbon intensity

    Science.gov (United States)

    Ritchie, Justin; Dowlatabadi, Hadi

    2018-02-01

    Climate change modeling relies on projections of future greenhouse gas emissions and other phenomena leading to changes in planetary radiative forcing. Scenarios of socio-technical development consistent with end-of-century forcing levels are commonly produced by integrated assessment models. However, outlooks for forcing from fossil energy combustion can also be presented and defined in terms of two essential components: total energy use this century and the carbon intensity of that energy. This formulation allows a phase space diagram to succinctly describe a broad range of possible outcomes for carbon emissions from the future energy system. In the following paper, we demonstrate this phase space method with the Representative Concentration Pathways (RCPs) as used in the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (AR5). The resulting RCP phase space is applied to map IPCC Working Group III (WGIII) reference case ‘no policy’ scenarios. Once these scenarios are described as coordinates in the phase space, data mining techniques can readily distill their core features. Accordingly, we conduct a k-means cluster analysis to distinguish the shared outlooks of these scenarios for oil, gas and coal resource use. As a whole, the AR5 database depicts a transition toward re-carbonization, where a world without climate policy inevitably leads to an energy supply with increasing carbon intensity. This orientation runs counter to the experienced ‘dynamics as usual’ of gradual decarbonization, suggesting climate change targets outlined in the Paris Accord are more readily achievable than projected to date.

  14. Manifestations or seven acts and one folly

    Directory of Open Access Journals (Sweden)

    Frederico Guilherme Bandeira de Araújo

    2014-08-01

    Full Text Available The theme that inspired the writing of this article was the set of street manifestations that took place in Brazil in July 2013. The manifestations were initially articulated by the problems of urban mobility, but later will acquire immense complexity. The plurality of voices and crossings and the impossibility of a single language to give existence to the complexity of the manifestations is what constitutes the raw material of this text, which causes thinking about generalizations and constraints that are imposed by existing languages to talk space. The text was produced collectively or brokered by members of the Grupo de Pesquisa Modernidade e Cultura of the Instituto de Pesquisa e Planejamento Urbano e Regional, of the Universidade Federal do Rio de Janeiro and was presented as a performance in the panel discussion “In the borders of the major Geography: imagination, strangeness and performance, in the III Colóquio Internacional “A Educação pelas imagens e suas geografias”.

  15. Low degree Earth's gravity coefficients determined from different space geodetic observations and climate models

    Science.gov (United States)

    Wińska, Małgorzata; Nastula, Jolanta

    2017-04-01

    Large scale mass redistribution and its transport within the Earth system causes changes in the Earth's rotation in space, gravity field and Earth's ellipsoid shape. These changes are observed in the ΔC21, ΔS21, and ΔC20 spherical harmonics gravity coefficients, which are proportional to the mass load-induced Earth rotational excitations. In this study, linear trend, decadal, inter-annual, and seasonal variations of low degree spherical harmonics coefficients of Earth's gravity field, determined from different space geodetic techniques, Gravity Recovery and Climate Experiment (GRACE), satellite laser ranging (SLR), Global Navigation Satellite System (GNSS), Earth rotation, and climate models, are examined. In this way, the contribution of each measurement technique to interpreting the low degree surface mass density of the Earth is shown. Especially, we evaluate an usefulness of several climate models from the Coupled Model Intercomparison Project phase 5 (CMIP5) to determine the low degree Earth's gravity coefficients using GRACE satellite observations. To do that, Terrestrial Water Storage (TWS) changes from several CMIP5 climate models are determined and then these simulated data are compared with the GRACE observations. Spherical harmonics ΔC21, ΔS21, and ΔC20 changes are calculated as the sum of atmosphere and ocean mass effect (GAC values) taken from GRACE and a land surface hydrological estimate from the selected CMIP5 climate models. Low degree Stokes coefficients of the surface mass density determined from GRACE, SLR, GNSS, Earth rotation measurements and climate models are compared to each other in order to assess their consistency. The comparison is done by using different types of statistical and signal processing methods.

  16. Odontogenic versus nonodontogenic deep neck space infections: CT manifestations

    International Nuclear Information System (INIS)

    Kim, Hyung Jin; Park, Eui Dong; Kim, Jung Hee; Kim, Jae Hyoung; Hwang, Eui Gee; Chung, Sung Hoon

    1995-01-01

    The purpose of this study was to evaluate computed tomographic (CT) findings of deep neck space infection (DNSI) with particular attention to the differences in the spaces involved and in complications between odontogenic and nonodontogenic groups. Forty-four patients (21 odontogenic and 23 nonodontogenic) were included in this study. Among odontogenic DNSIs, 15 had the dental infection in the second or third mandibular molar. We compared the CT features between odontogenic and nonodontogenic DNSIs with special emphasis on the differences in the spaces involved and in the rate and type of complications. In all patients, CT clearly differentiated abscess from cellulitis. The most common spaces involved in 21 patients with odontogenic DNSI were the parapharyngeal (n = 18), the submandibular (n = 18), the anterior visceral (n = 13), the masticator (n = 9), and the sublingual (n 7) spaces. In contrast, in 23 patients with nonodontogenic DNSI, the anterior visceral space (n = 14) was most frequently involved. The parapharyngeal, the submandibular, and the masticator spaces were statistically more frequently involved in odontogenic than in nonodontogenic DNSI (ρ < .05). Twenty-two patients had one or more complications shown by CT, of which airway compromise was more frequent and severe in odontogenic than in nonodontogenic DNSI. We conclude that the parapharyngeal, the submandibular, and the masticator spaces are more significantly vulnerable in odontogenic DNSI than in nonodontogenic DNSI. The predilection for certain spaces of the neck in odontogenic DNSI seems to originate from the intimate relationship of the mandibular molars to the adjacent deep neck spaces

  17. Pattern of cutaneous manifestations in diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Goyal Abhishek

    2010-01-01

    Full Text Available Background: Diabetes mellitus affects individuals of all ages and socioeconomic status. Skin is affected by the acute metabolic derangements as well as by chronic degenerative complications of diabetes. Aims: To evaluate the prevalence of skin manifestations in patients with diabetes mellitus. To analyze the prevalence and pattern of skin disorders among diabetic patients from this region of Western Himalayas. Materials and Methods: One hundred consecutive patients with the diagnosis of diabetes mellitus and having skin lesions, either attending the diabetic clinic or admitted in medical wards were included in this study. Results: The common skin disorders were: x0 erosis (44%, diabetic dermopathy (36%, skin tags (32%, cutaneous infections (31%, and seborrheic keratosis (30%. Conclusion: Skin is involved in diabetes quite often and the manifestations are numerous. High prevalence of xerosis in our diabetic population is perhaps due to cold and dry climatic conditions in the region for most of the time in the year.

  18. Topex/Poseidon: A United States/France mission. Oceanography from space: The oceans and climate

    Science.gov (United States)

    1992-01-01

    The TOPEX/POSEIDON space mission, sponsored by NASA and France's space agency, the Centre National d'Etudes Spatiales (CNES), will give new observations of the Earth from space to gain a quantitative understanding of the role of ocean currents in climate change. Rising atmospheric concentrations of carbon dioxide and other 'greenhouse gases' produced as a result of human activities could generate a global warming, followed by an associated rise in sea level. The satellite will use radar altimetry to measure sea-surface height and will be tracked by three independent systems to yield accurate topographic maps over the dimensions of entire ocean basins. The satellite data, together with the Tropical Ocean and Global Atmosphere (TOGA) program and the World Ocean Circulation Experiment (WOCE) measurements, will be analyzed by an international scientific team. By merging the satellite observations with TOGA and WOCE findings, the scientists will establish the extensive data base needed for the quantitative description and computer modeling of ocean circulation. The ocean models will eventually be coupled with atmospheric models to lay the foundation for predictions of global climate change.

  19. Climate change: against despair

    OpenAIRE

    McKinnon, Catriona

    2014-01-01

    In the face of accelerating climate change and the parlous state of its politics, despair is tempting. This paper analyses two manifestations of despair about climate change related to (1) the inefficacy of personal emissions reductions, and (2) the inability to make a difference to climate change through personal emissions reductions. On the back of an analysis of despair as a loss of hope, the paper argues that the judgements grounding each form of despair are unsound. The paper concludes w...

  20. Climate Change Education Today in K-12: What's Happening in the Earth and Space Science Classroom?

    Science.gov (United States)

    Holzer, M. A.; National Earth Science Teachers Association

    2011-12-01

    Climate change is a highly interdisciplinary topic, involving not only multiple fields of science, but also social science and the humanities. There are many aspects of climate change science that make it particularly well-suited for exploration in the K-12 setting, including opportunities to explore the unifying processes of science such as complex systems, models, observations, change and evolution. Furthermore, this field of science offers the opportunity to observe the nature of science in action - including how scientists develop and improve their understanding through research and debate. Finally, climate change is inherently highly relevant to students - indeed, students today will need to deal with the consequences of the climate change. The science of climate change is clearly present in current science education standards, both at the National level as well as in the majority of states. Nonetheless, a significant number of teachers across the country report difficulties addressing climate change in the classroom. The National Earth Science Teachers Association has conducted several surveys of Earth and space science educators across the country over the past several years on a number of issues, including their needs and concerns, including their experience of external influences on what they teach. While the number of teachers that report external pressures to not teach climate change science are in the minority (and less than the pressure to not teach evolution and related topics), our results suggest that this pressure against climate change science in the K-12 classroom has grown over the past several years. Some teachers report being threatened by parents, being encouraged by administrators to not teach the subject, and a belief that the "two sides" of climate change should be taught. Survey results indicate that teachers in religious or politically-conservative districts are more likely to report difficulties in teaching about climate change than in

  1. Space Weather Influence on the Earth wheat markets: past, present, and future.

    Science.gov (United States)

    Pustil'Nik, Lev

    We consider problem of a possible influence of unfavorable states of the space weather on agriculture market through chain of connections: "space weather"-"earth weather"-"agriculture crops"-"price reaction". We show that new manifestations of "space weather"-"earth weather" relations discovered in the last time allow to revise wide field of expected solar-terrestrial connections. In the previous works we proposed possible mechanisms of wheat market reaction in the form of price bursts on the specific unfavorable states of space weather. We show that implementation of considered "price reaction scenarios" is possible only for condition of simultaneous realization of several necessary conditions: high sensitivity of local earth weather in selected region to space weather; state of "high risk agriculture" in selected agriculture zone; high sensitivity of agricultural market to possible deficit of supply. Results of previous works (I, II) included application of this approach to wheat market in Medieval England and to modern USA durum market showed that real connection between wheat price bursts and space weather state is observed with high confidence level. The aim of present work is answer on the question, why wheat markets in one region are sensitive to space weather factor, while another regional wheat markets demonstrate absolute indifferent reaction on this factor. For this aim we consider distribution of sensitivity of wheat markets in Europe to space weather as function of localization in different climatic zones. We analyze giant database of 95 European wheat markets from 14 countries during about 600-year period (1260-1912). We show that observed sensitivity of wheat market to space weather effects controlled, first of all, by type of predominant climate in different zones of agriculture. Wheat markets in the North and part of Central Europe (England, Iceland, Holland) shows reliable sensitivity to space weather in minimum states of solar activity with low

  2. Using Remotely Sensed Data for Climate Change Mitigation and Adaptation: A Collaborative Effort Between the Climate Change Adaptation Science Investigators Workgroup (CASI), NASA Johnson Space Center, and Jacobs Technology

    Science.gov (United States)

    Jagge, Amy

    2016-01-01

    With ever changing landscapes and environmental conditions due to human induced climate change, adaptability is imperative for the long-term success of facilities and Federal agency missions. To mitigate the effects of climate change, indicators such as above-ground biomass change must be identified to establish a comprehensive monitoring effort. Researching the varying effects of climate change on ecosystems can provide a scientific framework that will help produce informative, strategic and tactical policies for environmental adaptation. As a proactive approach to climate change mitigation, NASA tasked the Climate Change Adaptation Science Investigators Workgroup (CASI) to provide climate change expertise and data to Center facility managers and planners in order to ensure sustainability based on predictive models and current research. Generation of historical datasets that will be used in an agency-wide effort to establish strategies for climate change mitigation and adaptation at NASA facilities is part of the CASI strategy. Using time series of historical remotely sensed data is well-established means of measuring change over time. CASI investigators have acquired multispectral and hyperspectral optical and LiDAR remotely sensed datasets from NASA Earth Observation Satellites (including the International Space Station), airborne sensors, and astronaut photography using hand held digital cameras to create a historical dataset for the Johnson Space Center, as well as the Houston and Galveston area. The raster imagery within each dataset has been georectified, and the multispectral and hyperspectral imagery has been atmospherically corrected. Using ArcGIS for Server, the CASI-Regional Remote Sensing data has been published as an image service, and can be visualized through a basic web mapping application. Future work will include a customized web mapping application created using a JavaScript Application Programming Interface (API), and inclusion of the CASI data

  3. The Climate Adaptation Frontier

    Energy Technology Data Exchange (ETDEWEB)

    Preston, Benjamin L [ORNL

    2013-01-01

    Climate adaptation has emerged as a mainstream risk management strategy for assisting in maintaining socio-ecological systems within the boundaries of a safe operating space. Yet, there are limits to the ability of systems to adapt. Here, we introduce the concept of an adaptation frontier , which is defined as a socio-ecological system s transitional adaptive operating space between safe and unsafe domains. A number of driving forces are responsible for determining the sustainability of systems on the frontier. These include path dependence, adaptation/development deficits, values conflicts and discounting of future loss and damage. The cumulative implications of these driving forces are highly uncertain. Nevertheless, the fact that a broad range of systems already persist at the edge of their frontiers suggests a high likelihood that some limits will eventually be exceeded. The resulting system transformation is likely to manifest as anticipatory modification of management objectives or loss and damage. These outcomes vary significantly with respect to their ethical implications. Successful navigation of the adaptation frontier will necessitate new paradigms of risk governance to elicit knowledge that encourages reflexive reevaluation of societal values that enable or constrain sustainability.

  4. e-Manifest

    Science.gov (United States)

    This is the primary hub for those seeking information about the e-Manifest system, its advisory board, and its development. Once the system is complete this area will serve as the portal into the e-Manifest system from EPA webpages.

  5. Climate change vulnerability assessment in Georgia

    Science.gov (United States)

    Binita KC; J. Marshall Shepherd; Cassandra Johnson Gaither

    2015-01-01

    Climate change is occurring in the Southeastern United States, and one manifestation is changes in frequency and intensity of extreme events. A vulnerability assessment is performed in the state of Georgia (United States) at the county level from 1975 to 2012 in decadal increments. Climate change vulnerability is typically measured as a function of exposure to physical...

  6. Self(ie-esteem? – A manifestation of adolescent self-creating endeavours in the virtual space of Facebook

    Directory of Open Access Journals (Sweden)

    Lili Fejes-Vékássy

    2017-09-01

    Full Text Available In the centre of our interest stand the manifestations of adolescent self-creating endeavours in the virtual space of the social media portal called Facebook. Frequent self-photography (selfie making, as a pronounced cultural feature of contemporary youth, and regular activity on Facebook handled as tightly connected factors; we propose that youngsters, bearing these attributes, have a different self-esteem than those adolescents who rarely or never take any photographs of themselves. In the first, quantitative part of our research the participants (N=80 filled in the Rosenberg Self-Esteem Scale and a questionnaire containing questions in connection with Facebook-usage (compiled by us. In the qualitative part of the research the participants took part in a half-structured interview, containing questions in connection with selfie­-making (also compiled by us. Our hypothesis was not proven by the statistical analysis, no connection could be testified between frequent selfie-making and low self-esteem.

  7. Development assistance and climate finance

    OpenAIRE

    Arndt, Channing

    2015-01-01

    The distinction between development assistance and climate finance is driven by an optic of compensation largely derived from the 'polluter pays' principle. For practical as well as conceptual reasons, this principle provides a weak basis for climate finance. The distinction also cuts against the need to holistically consider developmental, adaptation, and mitigation policies and naturally focuses on government-to-government flows despite the manifest need to catalyse non-official sources of ...

  8. Manifest and Subtle Cyclic Behavior in Nonequilibrium Steady States

    International Nuclear Information System (INIS)

    Zia, R K P; Weiss, Jeffrey B; Mandal, Dibyendu; Fox-Kemper, Baylor

    2016-01-01

    Many interesting phenomena in nature are described by stochastic processes with irreversible dynamics. To model these phenomena, we focus on a master equation or a Fokker-Planck equation with rates which violate detailed balance. When the system settles in a stationary state, it will be a nonequilibrium steady state (NESS), with time independent probability distribution as well as persistent probability current loops. The observable consequences of the latter are explored. In particular, cyclic behavior of some form must be present: some are prominent and manifest, while others are more obscure and subtle. We present a theoretical framework to analyze such properties, introducing the notion of “probability angular momentum” and its distribution. Using several examples, we illustrate the manifest and subtle categories and how best to distinguish between them. These techniques can be applied to reveal the NESS nature of a wide range of systems in a large variety of areas. We illustrate with one application: variability of ocean heat content in our climate system. (paper)

  9. Learn about the Hazardous Waste Electronic Manifest System (e-Manifest)

    Science.gov (United States)

    This webpage provides information on EPA's work toward developing a hazardous waste electronic manifest system. Information on the Hazardous Waste Electronic Manifest Establishment Act, progress on the project and frequent questions are available.

  10. Metabolic and hormonal signatures in pre-manifest and manifest Huntington’s disease patients

    Directory of Open Access Journals (Sweden)

    Rui eWang

    2014-06-01

    Full Text Available Huntington's disease (HD is an inherited neurodegenerative disorder typified by involuntary body movements, and psychiatric and cognitive abnormalities. Many HD patients also exhibit metabolic changes including progressive weight loss and appetite dysfunction. Here we have investigated metabolic function in pre-manifest and manifest HD subjects to establish an HD subject metabolic hormonal plasma signature. Individuals at risk for HD who have had predictive genetic testing showing the cytosine-adenine-guanine (CAG expansion causative of HD, but who do not yet present signs and symptoms sufficient for the diagnosis of manifest HD are said to be pre-manifest. Pre-manifest and manifest HD patients, as well as both familial and non-familial controls, were evaluated for multiple peripheral metabolism signals including circulating levels of hormones, growth factors, lipids and cytokines. Both pre-manifest and manifest HD subjects exhibited significantly reduced levels of circulating growth factors, including growth hormone and prolactin. HD-related changes in the levels of metabolic hormones such as ghrelin, glucagon and amylin were also observed. Total cholesterol, HDL-C and LDL-C were significantly decreased in HD subjects. C-reactive protein was significantly elevated in pre-manifest HD subjects. The observation of metabolic alterations, even in subjects considered to be in the pre-manifest stage of HD, suggests that in addition, and prior, to overt neuronal damage, HD affects metabolic hormone secretion and energy regulation, which may shed light on pathogenesis, and provide opportunities for biomarker development.

  11. 3D Reconfigurable NoC Multiprocessor Imaging Interferometer for Space Climate

    Science.gov (United States)

    Dekoulis, George

    2016-07-01

    This paper describes the development of an imaging interferometer for long-term observations of solar activity related events. Heliospheric physics phenomena are responsible for causing irregularities to the ionospheric-magnetospheric plasmasphere. Distinct signatures of these events are captured and studied over long periods of time deducting crucial conclusions about the short-term Space Weather and in the long run about Space Climate. The new prototype features an eight-channel implementation. The available hardware resources permit a 256- channel configuration for accurate beam scanning of the Earth's plasmasphere. A dual-polarization scheme has been implemented for obtaining accurate measurements. The system is based on state-of-the-art three-dimensional reconfigurable logic and exhibits a performance increase in the range of 70% compared to similar instruments in operation. Special circuits allow measurements of the most intense heliospheric physics events to be fully captured and analyzed.

  12. Exploring Earth and the Solar System: Educational Outreach Through NASA's Space Place, SciJinks, and Climate Kids Websites

    Science.gov (United States)

    Meneses, Joseph Chistopher

    2012-01-01

    NASA's Space Place team publishes engaging content and creates an effective environment to inspire a young audience to dare mighty things. NASA uses the Space Place, Climate Kids, and SciJinks websites to cultivate interest among elementary-school-aged children in both science and technology. During my summer internship at Jet Propulsion Laboratory I used Adobe Flash and ActionScript 3 to develop content for the Space Place, Climate Kids, and SciJinks sites. In addition, I was involved in the development process for ongoing and new projects during my internship. My involvement allowed me to follow a project from concept to design, implementation, and release. I personally worked on three projects this summer, two of which are currently in deployment. The first is a scrambled letter-tile guessing game titled Solar System Scramble. The second, Butterfrog Mix-Up, is a rotating-tile puzzle game. The third project is a unfinished prototype for a maze game.

  13. National Security and the Accelerating Risks of Climate Change

    Science.gov (United States)

    2014-05-01

    there would be too much. Over the coming decades, projected climate change likely will cause Australia, portions of India , and much of inland China...significant potential water , food, and energy insecurity; political instability; extreme weather events; and other manifestations of climate change ...production, and human sustenance. In light of projected climate change , stresses on the water -food-energy nexus are a mounting security concern

  14. Software Analysis of New Space Gravity Data for Geophysics and Climate Research

    Science.gov (United States)

    Deese, Rupert; Ivins, Erik R.; Fielding, Eric J.

    2012-01-01

    Both the Gravity Recovery and Climate Experiment (GRACE) and Gravity field and steady-state Ocean Circulation Explorer (GOCE) satellites are returning rich data for the study of the solid earth, the oceans, and the climate. Current software analysis tools do not provide researchers with the ease and flexibility required to make full use of this data. We evaluate the capabilities and shortcomings of existing software tools including Mathematica, the GOCE User Toolbox, the ICGEM's (International Center for Global Earth Models) web server, and Tesseroids. Using existing tools as necessary, we design and implement software with the capability to produce gridded data and publication quality renderings from raw gravity data. The straight forward software interface marks an improvement over previously existing tools and makes new space gravity data more useful to researchers. Using the software we calculate Bouguer anomalies of the gravity tensor's vertical component in the Gulf of Mexico, Antarctica, and the 2010 Maule earthquake region. These maps identify promising areas of future research.

  15. Reply to the Discussion of Space-Time Modelling with Long-Memory Dependence: Assessing Ireland’s Wind Resource

    Science.gov (United States)

    1988-10-01

    meteorologists’ rule-of-thumb that climatic drift manifests itself in periods greater than 30 years. For a fractionally-differenced model with our...estimates in a univariate ARIMA (p, d, q) with I d I< 0.5 has been derived by Li and McLrjd (1986). The model used by I-Iaslett an Raftery can be viewed as...Reply to the Discussion of "Space-time Modelling with Long-mnmory cDependence: Assessing Ireland’s Wind Resource" cJohn Haslett Department of

  16. A Space-Time Study of Hemorrhagic Fever with Renal Syndrome (HFRS and Its Climatic Associations in Heilongjiang Province, China

    Directory of Open Access Journals (Sweden)

    Junyu He

    2017-08-01

    Full Text Available Background: Hemorrhagic fever with renal syndrome (HFRS is highly endemic in China, especially in Heilongjiang province (90% of all reported HFRS cases worldwide occur in China. The dynamic identification of high HFRS incidence spatiotemporal regions and the quantitative assessment of HFRS associations with climate change in Heilongjiang province can provide valuable guidance for HFRS monitoring, preventing and control. Yet, so far there exist very few and of limited scope quantitative studies of the spatiotemporal HFRS spread and its climatic associations in Heilongjiang province. Making up for this lack of quantitative studies is the reason for the development of the present work.Method: To address this need, the well-known Bayesian maximum entropy (BME method of space-time modeling and mapping together with its recently proposed variant, the projected BME (P-BME method, were employed in this work to perform a composite space-time analysis and mapping of HFRS incidence in Heilongjiang province during the years 2005–2013. Also, using multivariate El Niño-Southern Oscillation index as a proxy, we proposed a combination of Hilbert-Huang transform and wavelet analysis to study the “HFRS incidence-climate change” associations.Results: The main results of this work were two-fold: (1 three core areas were identified with high HFRS incidences that were spatially distributed and exhibited distinct biomodal temporal patterns in the eastern, western, and southern parts of Heilongjiang province; and (2 there exists a considerable association between HFRS incidence and climate change, particularly, an ~6 months period coherency was clearly detected.Conclusions: The combination of modern space-time modeling and mapping techniques (P-BME theory, Hilbert-Huang spectrum analysis, and wavelet analysis used in this work led to valuable quantitative findings concerning the spatiotemporal spread of HFRS incidence in Heilongjiang province and its association

  17. Climate indices for vulnerability assessments

    Energy Technology Data Exchange (ETDEWEB)

    Persson, Gunn; Baerring, Lars; Kjellstroem, Erik; Strandberg, Gustav; Rummuk ainen, Markku

    2007-08-15

    The demand is growing for practical information on climate projections and the impacts expected in different geographical regions and different sectors. It is a challenge to transform the vast amount of data produced in climate models into relevant information for climate change impact studies. Climate indices based on climate model data can be used as means to communicate climate change impact relations. In this report a vast amount of results is presented from a multitude of indices based on different regional climate scenarios. The regional climate scenarios described in this report show many similarities with previous scenarios in terms of general evolution and amplitude of future European climate change. The broad features are manifested in increases in warm and decreases in cold indices. Likewise are presented increases in wet indices in the north and dry indices in the south. Despite the extensive nature of the material presented, it does not cover the full range of possible climate change. We foresee a continued interactive process with stakeholders as well as continued efforts and updates of the results presented in the report.

  18. Handling Interdependencies in Climate Change Risk Assessment

    OpenAIRE

    Dawson, Richard

    2015-01-01

    Typically, a climate change risk assessment focuses on individual sectors or hazards. However, interdependencies between climate risks manifest themselves via functional, physical, geographical, economic, policy and social mechanisms. These can occur over a range of spatial or temporal scales and with different strengths of coupling. Three case studies are used to demonstrate how interdependencies can significantly alter the nature and magnitude of risk, and, consequently, investment prioriti...

  19. Space-time dependence between energy sources and climate related energy production

    Science.gov (United States)

    Engeland, Kolbjorn; Borga, Marco; Creutin, Jean-Dominique; Ramos, Maria-Helena; Tøfte, Lena; Warland, Geir

    2014-05-01

    The European Renewable Energy Directive adopted in 2009 focuses on achieving a 20% share of renewable energy in the EU overall energy mix by 2020. A major part of renewable energy production is related to climate, called "climate related energy" (CRE) production. CRE production systems (wind, solar, and hydropower) are characterized by a large degree of intermittency and variability on both short and long time scales due to the natural variability of climate variables. The main strategies to handle the variability of CRE production include energy-storage, -transport, -diversity and -information (smart grids). The three first strategies aim to smooth out the intermittency and variability of CRE production in time and space whereas the last strategy aims to provide a more optimal interaction between energy production and demand, i.e. to smooth out the residual load (the difference between demand and production). In order to increase the CRE share in the electricity system, it is essential to understand the space-time co-variability between the weather variables and CRE production under both current and future climates. This study presents a review of the literature that searches to tackle these problems. It reveals that the majority of studies deals with either a single CRE source or with the combination of two CREs, mostly wind and solar. This may be due to the fact that the most advanced countries in terms of wind equipment have also very little hydropower potential (Denmark, Ireland or UK, for instance). Hydropower is characterized by both a large storage capacity and flexibility in electricity production, and has therefore a large potential for both balancing and storing energy from wind- and solar-power. Several studies look at how to better connect regions with large share of hydropower (e.g., Scandinavia and the Alps) to regions with high shares of wind- and solar-power (e.g., green battery North-Sea net). Considering time scales, various studies consider wind

  20. TRACKING CLIMATE MODELS

    Data.gov (United States)

    National Aeronautics and Space Administration — CLAIRE MONTELEONI*, GAVIN SCHMIDT, AND SHAILESH SAROHA* Climate models are complex mathematical models designed by meteorologists, geophysicists, and climate...

  1. The ESA climate change initiative: Satellite data records for essential climate variables

    DEFF Research Database (Denmark)

    Hollmann, R.; Merchant, C.J.; Saunders, R.

    2013-01-01

    The European Space Agency (ESA) has launched the Climate Change Initiative (CCI) to provide satellite-based climate data records (CDRs) that meet the challenging requirements of the climate community. The aim is to realize the full potential of the long-term Earth observation (EO) archives...... that both ESA and third parties have established. This includes aspects of producing a CDR, which involve data acquisition, calibration, algorithm development, validation, maintenance, and provision of the data to the climate research community. The CCI is consistent with several international efforts...... targeting the generation of satellite derived climate data records. One focus of the CCI is to provide products for climate modelers who increasingly use satellite data to initialize, constrain, and validate models on a wide range of space and time scales....

  2. The economic impact of global climate change on Mediterranean rangeland ecosystems. A Space-for-Time approach

    International Nuclear Information System (INIS)

    Fleischer, Aliza; Sternberg, Marcelo

    2006-01-01

    Global Climate Change (GCC) can bring about changes in ecosystems and consequently in their services value. Here we show that the urban population in Israel values the green landscape of rangelands in the mesic Mediterranean climate region and is willing to pay for preserving it in light of the expected increasing aridity conditions in this region. Their valuation of the landscape is higher than that of the grazing services these rangelands provide for livestock growers. These results stem from a Time-for-Space approach with which we were able to measure changes in biomass production and rainfall at four experimental sites along an aridity gradient. (author)

  3. Sclerodermatomyositis, ocular manifestations.

    Science.gov (United States)

    Pedroza-Seres, M; Serna-Ojeda, J C; Flores-Suárez, L F

    2017-07-01

    Sclerodermatomyositis is an overlap syndrome of myositis and scleroderma, with dermatological, muscular and joint involvement, but may also present with ocular manifestations. A 57 year-old woman presented with ophthalmological manifestations, including scleral thinning 360°, and the presence of cells in the anterior and posterior chamber. Oriented physical examination and laboratory studies led to the diagnosis, with the need for systemic treatment. Sclerodermatomyositis is a rare disease. Its diagnosis needs thorough clinical and laboratory studies, and its management should be multidisciplinary when inflammatory ocular manifestations may be present. Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. Oral and periodontal manifestations associated with systemic sclerosis: A case series and review.

    Science.gov (United States)

    Jagadish, Rekha; Mehta, Dhoom Singh; Jagadish, P

    2012-04-01

    Systemic sclerosis is a rare connective tissue disorder with a wide range of oral manifestations. This case series reports significant oral and periodontal changes and also makes an attempt to correlate oral and systemic findings in these patients which enable the clinician for a better diagnosis and evolve a comprehensive treatment plan. Six patients with a known diagnosis of systemic sclerosis were included. After obtaining the patient's informed consent, relevant medical history, oral manifestations including periodontal findings and oral hygiene index simplified index were recorded. In these patients, oral changes included restricted mouth opening and, resorption of the mandible. The periodontal changes observed were gingival recession, absence or minimal gingival bleeding on probing, and widened periodontal ligament space, radiographically. Patients with systemic sclerosis often show wide range of oral manifestations, which is of major concern for the dentist.

  5. Oral and periodontal manifestations associated with systemic sclerosis: A case series and review

    Directory of Open Access Journals (Sweden)

    Rekha Jagadish

    2012-01-01

    Full Text Available Systemic sclerosis is a rare connective tissue disorder with a wide range of oral manifestations. This case series reports significant oral and periodontal changes and also makes an attempt to correlate oral and systemic findings in these patients which enable the clinician for a better diagnosis and evolve a comprehensive treatment plan. Six patients with a known diagnosis of systemic sclerosis were included. After obtaining the patient′s informed consent, relevant medical history, oral manifestations including periodontal findings and oral hygiene index simplified index were recorded. In these patients, oral changes included restricted mouth opening and, resorption of the mandible. The periodontal changes observed were gingival recession, absence or minimal gingival bleeding on probing, and widened periodontal ligament space, radiographically. Patients with systemic sclerosis often show wide range of oral manifestations, which is of major concern for the dentist.

  6. Green spaces are not all the same for the provision of air purification and climate regulation services: The case of urban parks.

    Science.gov (United States)

    Vieira, Joana; Matos, Paula; Mexia, Teresa; Silva, Patrícia; Lopes, Nuno; Freitas, Catarina; Correia, Otília; Santos-Reis, Margarida; Branquinho, Cristina; Pinho, Pedro

    2018-01-01

    The growing human population concentrated in urban areas lead to the increase of road traffic and artificial areas, consequently enhancing air pollution and urban heat island effects, among others. These environmental changes affect citizen's health, causing a high number of premature deaths, with considerable social and economic costs. Nature-based solutions are essential to ameliorate those impacts in urban areas. While the mere presence of urban green spaces is pointed as an overarching solution, the relative importance of specific vegetation structure, composition and management to improve the ecosystem services of air purification and climate regulation are overlooked. This avoids the establishment of optimized planning and management procedures for urban green spaces with high spatial resolution and detail. Our aim was to understand the relative contribution of vegetation structure, composition and management for the provision of ecosystem services of air purification and climate regulation in urban green spaces, in particular the case of urban parks. This work was done in a large urban park with different types of vegetation surrounded by urban areas. As indicators of microclimatic effects and of air pollution levels we selected different metrics: lichen diversity and pollutants accumulation in lichens. Among lichen diversity, functional traits related to nutrient and water requirements were used as surrogates of the capacity of vegetation to filter air pollution and to regulate climate, and provide air purification and climate regulation ecosystem services, respectively. This was also obtained with very high spatial resolution which allows detailed spatial planning for optimization of ecosystem services. We found that vegetation type characterized by a more complex structure (trees, shrubs and herbaceous layers) and by the absence of management (pruning, irrigation and fertilization) had a higher capacity to provide the ecosystems services of air

  7. Developing and Teaching a Two-Credit Data Management Course for Graduate Students in Climate and Space Sciences

    Science.gov (United States)

    Thielen, Joanna; Samuel, Sara M.; Carlson, Jake; Moldwin, Mark

    2017-01-01

    Engineering researchers face increasing pressure to manage, share, and preserve their data, but these subjects are not typically a part of the curricula of engineering graduate programs. To address this situation, librarians at the University of Michigan, in partnership with the Climate and Space Sciences and Engineering Department, developed a…

  8. Early Mission Maneuver Operations for the Deep Space Climate Observatory Sun-Earth L1 Libration Point Mission

    Science.gov (United States)

    Roberts, Craig; Case, Sara; Reagoso, John; Webster, Cassandra

    2015-01-01

    The Deep Space Climate Observatory mission launched on February 11, 2015, and inserted onto a transfer trajectory toward a Lissajous orbit around the Sun-Earth L1 libration point. This paper presents an overview of the baseline transfer orbit and early mission maneuver operations leading up to the start of nominal science orbit operations. In particular, the analysis and performance of the spacecraft insertion, mid-course correction maneuvers, and the deep-space Lissajous orbit insertion maneuvers are discussed, com-paring the baseline orbit with actual mission results and highlighting mission and operations constraints..

  9. Natural curvature for manifest T-duality

    International Nuclear Information System (INIS)

    Poláček, Martin; Siegel, Warren

    2014-01-01

    We reformulate the manifestly T-dual description of the massless sector of the closed bosonic string, directly from the geometry associated with the (left and right) affine Lie algebra of the coset space Poincaré/Lorentz. This construction initially doubles not only the (spacetime) coordinates for translations but also those for Lorentz transformations (and their “dual”). As a result, the Lorentz connection couples directly to the string (as does the vielbein), rather than being introduced ad hoc to the covariant derivative as previously. This not only reproduces the old definition of T-dual torsion, but automatically gives a general, covariant definition of T-dual curvature (but still with some undetermined connections)

  10. Energy budgets and a climate space diagram for the turtle, Chrysemys scripta

    Energy Technology Data Exchange (ETDEWEB)

    Foley, R. E.

    1976-01-01

    Heat energy budgets were computed and a steady state climate space was generated for a 1000 g red-eared turtle (Chrysemys scripta). Evaporative water loss (EWL) was measured from C. scripta at three wind speeds (10-400 cm sec/sup -1/) and at four air temperatures (5 to 35/sup 0/C) in a wind tunnel. EWL increased as air temperature and wind speed increased. Smaller turtles dehydrated at a faster rate than large turtles. Heat transfer by convection was measured from aluminum castings of C. scripta at three temperature differences between casting and air (..delta..T 15/sup 0/, 10/sup 0/ and 5/sup 0/C) for three windspeeds (10 to 400 cm sec/sup -1/). Convective heat transfer coefficients increased as wind speed and ..delta..T increased. Wind speed has a large effect on the shape of the climate space. At high wind speeds, heat loss by evaporation and convection are greatly increased. In still air (10 cm sec/sup -1/), a turtle cannot remain exposed to full sunlight when air temperatures exceed 19/sup 0/C. When wind speed increases to 400 cm sec/sup -1/, the turtle can bask for long periods of time at temperatures as high as 32/sup 0/C. Basking patterns of C. scripta probably shift from a unimodal pattern in the spring to a bimodal pattern in summer and return to a unimodal pattern in fall. Terrestrial activity may be extensive in the spring and fall but is limited during the hot summer months to periods of rainfall. Nesting activities cannot occur around solar noon because increased metabolic heat loading and high solar radiation intensity could cause death.

  11. Solar origins of space weather and space climate

    CERN Document Server

    Komm, Rudolf; Pevtsov, Alexei; Leibacher, John

    2014-01-01

    This topical issue is based on the presentations given at the 26th National Solar Observatory (NSO) Summer Workshop held at the National Solar Observatory/Sacramento Peak, New Mexico, USA from 30 April to 4 May 2012. This unique forum brought together experts in different areas of solar and space physics to help in developing a full picture of the origin of solar phenomena that affect Earth’s technological systems.  The articles include theory, model, and observation research on the origin of the solar activity and its cycle, as well as a discussion on how to incorporate the research into space-weather forecasting tools.  This volume is aimed at graduate students and researchers active in solar physics and space science.  Previously published in Solar Physics, Vol. 289/2, 2014.

  12. Ocular Manifestations of Acquired Immunodeficiency Syndrome.

    Science.gov (United States)

    Kim, Young Shin; Sun, Hae Jung; Kim, Tae Hyong; Kang, Kui Dong; Lee, Sung Jin

    2015-08-01

    To investigate the patterns and risk factors of the ocular manifestations of acquired immunodeficiency syndrome (AIDS) and their correlation with CD4+ count in the era of highly active antiretroviral therapy (HAART). This retrospective study examined 127 AIDS patients who presented to Soonchunhyang University Hospital. Data were collected from patient interviews, clinical examinations, and laboratory investigations. Ophthalmologic examinations included the best-corrected visual acuity, intraocular pressure, anterior segment and adnexal examination, and dilated fundus examination. Of the 127 patients with AIDS, 118 were on HAART and 9 were not. The mean CD4+ count was 266.7 ± 209.1 cells/µL. There were ocular manifestations in 61 patients (48.0%). The incidence of anterior segment manifestations was higher than posterior segment manifestations at 28.3% and 19.7%, respectively. The mean CD4+ count was significantly (p AIDS. In this study, anterior segment and external ocular manifestations occurred more frequently than posterior segment manifestations. Also, the mean CD4+ count was significantly lower in patients with posterior segment ocular manifestations versus anterior segment ocular manifestations. We found that CD4+ count and age >35 years were independent risk factors for developing ocular manifestations.

  13. Contradictions in climate concern: Performances of home and away

    OpenAIRE

    Cohen, SA; Higham, JES

    2012-01-01

    There is a burgeoning body of academic literature (e.g. Becken, 2007; Gössling et al, 2006; Hares et al, 2010) that examines if and how consumer concern about climate change manifests itself in tourist behavioural practices. These works build on a wealth of previous studies that consider how consumer concern over issues of sustainable development may also affect tourist behaviour. Indeed, whilst tourism’s climate impacts have lately been a hot topic, there is no doubt that issues of climate c...

  14. Diverse perspectives on governance on the very long term. Biodiversity, climatic change, CO2 storage, radioactive wastes, space wastes

    International Nuclear Information System (INIS)

    Boeuf, Gilles; Gouyon, Pierre Henry; Rollinger, Francois; Besnus, Francois; Heriard Dubreuil, Gilles; Dahan, Amy; Alby, Fernand; Arnould, Jacques; Fabriol, Hubert; Hoummady, Moussa; Demarcq, Francois; Farret, Regis; Hubert, Philippe; Weber, Jacques; Charton, Patrick; Boissier, Fabrice; Lopez, Mirelle; Devisse, Jean-Jacques; Mathy, Sandrine; Hourcade, Jean-Charles; Le Roux, Xavier; Bourcier, Danielle; Roure, Francoise; Henry, Claude; Bartet, Jean Hughes; Calame, Mathieu; Biteau, Benoit; Kastler, Guy; Ducret, Pierre; Berest, Pierre; Charron, Sylvie; Clin, Francois; Gadbois, Serge; Gueritte, Michel; Heriard-Dubreuil, Bertrand; Laville, Bettina; Marie, Michel; Marignac, Yves; Ollagnon, Henry; Pelegrin, Flora; Roure, Francoise; Rouyer, Michel; Schellenberger, Thomas; Toussaint, Jean-Francois

    2013-03-01

    This bibliographical note contains the program of a workshop and a presentation of a book based on the contributions to this workshop proposed by experts, representatives of institutional bodies and associations, or local representatives. This workshop addressed the issue of the governance on the very long term with respect to the management of resources such as climate, geology, biodiversity or space. How to make a possible usage of these resources while ensuring their protection and durability? What are the solutions or new challenges are raising these usages on the very long term? The first part addresses the main challenges and ethical issues for governance on the very long term for each of the examined topics: biodiversity, climatic change, CO 2 storage, radioactive waste storage, and space debris). The next parts propose contributions from different origins and disciplines, present relevant data, and report evidences

  15. Haematological manifestations of lupus

    Science.gov (United States)

    Fayyaz, Anum; Igoe, Ann; Kurien, Biji T; Danda, Debashish; James, Judith A; Stafford, Haraldine A; Scofield, R Hal

    2015-01-01

    Our purpose was to compile information on the haematological manifestations of systemic lupus erythematosus (SLE), namely leucopenia, lymphopenia, thrombocytopenia, autoimmune haemolytic anaemia (AIHA), thrombotic thrombocytopenic purpura (TTP) and myelofibrosis. During our search of the English-language MEDLINE sources, we did not place a date-of-publication constraint. Hence, we have reviewed previous as well as most recent studies with the subject heading SLE in combination with each manifestation. Neutropenia can lead to morbidity and mortality from increased susceptibility to infection. Severe neutropenia can be successfully treated with granulocyte colony-stimulating factor. While related to disease activity, there is no specific therapy for lymphopenia. Severe lymphopenia may require the use of prophylactic therapy to prevent select opportunistic infections. Isolated idiopathic thrombocytopenic purpura maybe the first manifestation of SLE by months or even years. Some manifestations of lupus occur more frequently in association with low platelet count in these patients, for example, neuropsychiatric manifestation, haemolytic anaemia, the antiphospholipid syndrome and renal disease. Thrombocytopenia can be regarded as an important prognostic indicator of survival in patients with SLE. Medical, surgical and biological treatment modalities are reviewed for this manifestation. First-line therapy remains glucocorticoids. Through our review, we conclude glucocorticoids do produce a response in majority of patients initially, but sustained response to therapy is unlikely. Glucocorticoids are used as first-line therapy in patients with SLE with AIHA, but there is no conclusive evidence to guide second-line therapy. Rituximab is promising in refractory and non-responding AIHA. TTP is not recognised as a criteria for classification of SLE, but there is a considerable overlap between the presenting features of TTP and SLE, and a few patients with SLE have concurrent

  16. Neuropsychiatric manifestations of scrub typhus

    Directory of Open Access Journals (Sweden)

    Sanjay K Mahajan

    2017-01-01

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

  17. Climatic history - answers on the variability of weather and climate?

    International Nuclear Information System (INIS)

    Glaser, R.; Hagedorn, H.

    1994-01-01

    The paper is concerned with various aspects of climatic history. Emphasis is on the spectrum of data and methods used in historical climatology. The following section is devoted to an outline of the short- and long-range climatic changes since 1500 A.D. that show how much the climate has varied in space and time. It is pointed out that climatic extremes have been an ever-recurrent phenomenon throughout history. (orig.) [de

  18. National Programme Adaptation of Space and Climate

    International Nuclear Information System (INIS)

    2006-11-01

    Several Ministries in the Netherlands initiated the title programme with the purpose to realize a climate durable spatial planning of the Netherlands. The main questions to be answered concern the current and to be expected effects of climatic change in different sectors, what will be the problems for the spatial planning, how can they be solved and what are the technical, economical, social and administrative dilemmas in solving those problems [nl

  19. Climate Change Adaptation Challenges and EO Business Opportunities

    Science.gov (United States)

    Lopez-Baeza, Ernesto; Mathieu, Pierre-Philippe; Bansal, Rahul; Del Rey, Maria; Mohamed, Ebrahim; Ruiz, Paz; Signes, Marcos

    Climate change is one of the defining challenges of the 21st century, but is no longer a matter of just scientific concern. It encompasses economics, sociology, global politics as well as national and local politics, law, health and environmental security, etc. The challenge of facing the impacts of climate change is often framed in terms of two potential paths that civilization might take: mitigation and adaptation. On the one hand, mitigation involves reducing the magnitude of climate change itself and is composed of emissions reductions and geoengineering. On the other hand and by contrast, adaptation involves efforts to limit our vulnerability to climate change impacts through various measures. It refers to our ability to adjust ourselves to climate change -including climate variability and extremes, to moderate potential damage, to take advantage of opportunities, or to cope with the consequences. Therefore, we are now faced with a double challenge: next to deep cuts in greenhouse gas emissions, we also need to adapt to the changing climate conditions. The use of satellites to monitor processes and trends at the global scale is essential in the context of climate change. Earth Observation has the potential to improve our predictive vision and to advance climate models. Space sciences and technologies constitute a significant issue in Education and Public Awareness of Science. Space missions face the probably largest scientific and industrial challenges of humanity. It is thus a fact that space drives innovation in the major breakthrough and cutting edge technological advances of mankind (techniques, processes, new products, … as well as in markets and business models). Technology and innovation is the basis of all space activities. Space agencies offer an entire range of space-related activities - from space science and environmental monitoring to industrial competitiveness and end-user services. More specifically, Earth Observation satellites have a unique

  20. Climate Change and Civil Violence

    Science.gov (United States)

    van der Vink, G.; Plancherel, Y.; Hennet, C.; Jones, K. D.; Abdullah, A.; Bradshaw, J.; Dee, S.; Deprez, A.; Pasenello, M.; Plaza-Jennings, E.; Roseman, D.; Sopher, P.; Sung, E.

    2009-05-01

    The manifestations of climate change can result in humanitarian impacts that reverse progress in poverty- reduction, create shortages of food and resources, lead to migration, and ultimately result in civil violence and conflict. Within the continent of Africa, we have found that environmentally-related variables are either the cause or the confounding factor for over 80% of the civil violence events during the last 10 years. Using predictive climate models and land-use data, we are able to identify populations in Africa that are likely to experience the most severe climate-related shocks. Through geospatial analysis, we are able to overlay these areas of high risk with assessments of both the local population's resiliency and the region's capacity to respond to climate shocks should they occur. The net result of the analysis is the identification of locations that are becoming particularly vulnerable to future civil violence events (vulnerability hotspots) as a result of the manifestations of climate change. For each population group, over 600 social, economic, political, and environmental indicators are integrated statistically to measures the vulnerability of African populations to environmental change. The indicator time-series are filtered for data availability and redundancy, broadly ordered into four categories (social, political, economic and environmental), standardized and normalized. Within each category, the dominant modes of variability are isolated by principal component analysis and the loadings of each component for each variable are used to devise composite index scores. Comparisons of past vulnerability with known environmentally-related conflicts demonstrates the role that such vulnerability hotspot maps can play in evaluating both the potential for, and the significance of, environmentally-related civil violence events. Furthermore, the analysis reveals the major variables that are responsible for the population's vulnerability and therefore

  1. Climate change, values, and the cultural cognition thesis

    OpenAIRE

    Persson, Johannes; Sahlin, Nils-Eric; Wallin, Annika

    2015-01-01

    Recently the importance of addressing values in discussions of risk perception and adaptation to climate change has become manifest. Values-based approaches to climate change adaptation and the cultural cognition thesis both illustrate this trend. We argue that in the wake of this development it is necessary to take the dynamic relationship between values and beliefs seriously, to acknowledge the possibility of bi-directional relationships between values and beliefs, and to address the variet...

  2. Delayed traumatic hematomas of the brain: the early manifestations of CT

    International Nuclear Information System (INIS)

    Liu Shuyan; Tang Guangjian; Fu Jiazhen; Xu Bing; Yin Yanyu

    2002-01-01

    Objective: To study the CT manifestations of delayed traumatic hematomas of the brain and evaluate their diagnostic significance in predicting the delayed traumatic brain hematoma. Methods: The manifestations of initial CT studies and follow-up CT examinations of 31 delayed traumatic brain hematomas were analyzed. Another 50 CT studies of head trauma without delayed brain hematomas were included randomly as control. Results: The abnormal findings of CT studies of the 31 delayed traumatic brain hematomas included: (1) Decreased density of the local brain parenchyma and disappeared difference between gray and white matter of the same area in 18 cases; (2) Local subarachnoid space hemorrhage in 24 cases; (3) Slight mass effect of local brain parenchyma in 16 cases. (4) Subdural hematoma in 9 cases. The locations of the abnormalities were roughly the same with the delayed hematoma except one local subarachnoid space hemorrhage, which was in the opposite of the delayed hematoma. The appearing rate of those abnormal findings in the control group was low and the difference was statistically significant. Conclusion: The decrease of density of local brain parenchyma, the disappeared difference between the gray and white matter, local subarachnoid space hemorrhage, and local swollen of brain presented in the initial CT study of the patient with heat trauma should be taken as indicators of delayed hemorrhage of the same area of brain, and it is necessary to do follow-up CT studies to exclude it

  3. CT manifestation of hepatic toxoplasmosis

    International Nuclear Information System (INIS)

    Mao Qing; Yang Yaying; Bao Yanming; He Bo; Wang Kechao; Song Guangyi; Lu Lin; Wang Xiaoli

    2005-01-01

    Objective: To study the CT manifestation of hepatic toxoplasmosis, and to provide image basis for its clinical diagnosis. Methods: Three patients with hepatic toxoplasmosis were examined by abdomen MSCT (pre- and post-contrast), and were confirmed by laboratory exams. The images were analyzed with information of clinical manifestation. Results: The positive appearances included the enlargement of liver, patches of multiple scattered low densities. Post-contrast lesions appearances: (1) No significant enhancement. (2) No significant occupying effection, and normal vessels inserting lesion occasionally. Conclusion: CT manifestation of hepar toxoplasmosis are some characteristic. But the diagnosis was made by a combination both clinical manifestation and laboratory exams. (authors)

  4. Surgical manifestations of filariasis

    Directory of Open Access Journals (Sweden)

    Subrahmanyam M

    1978-01-01

    Full Text Available Surgical manifestations of filariasis as seen in 150 cases over a period of three years in the department of Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha are reviewed. The genital manifestations are more common than the elephantiasis in this endemic zone.

  5. What is the Climate?

    Science.gov (United States)

    Lovejoy, S.; Schertzer, D.

    2009-04-01

    Although meteorology and climatology are increasingly considered to be distinct sciences, the actual boundary between "climate scales" and "meteorological scales" is not clear and there are no universally accepted definitions. It is still hard to improve upon the old adage "the climate is what you expect, the weather is what you get". For example [Committee on Radiative Forcing Effects on Climate, 2005], the National Academy of Science essentially accepts this ("Climate is conventionally defined as the long-term statistics of the weather") proposing only to expand the definition of climate to encompass the oceanic and terrestrial spheres as well as chemical components of the atmosphere. However the weather itself has nontrivial statistics so that the key weather/climate distinction depend on apparently subjective distinction between long-term and short-term statistics. In this talk, we give an objective basis to the weather/climate distinction with the help of an anisotropic space-time turbulence theory and both lidar satellite radiances, in situ spectra and numerical models of the atmosphere and reanalyses. We show that the latter accurately follow the predictions of multiplicative cascade models up to about 7-10 days. This marks the beginning of a weather/climate transition region which extends up to the cascade outer scale of about 20-30 days (depending somewhat on the atmospheric field), after which the climate regime begins. We bolster this interpretation by empirically constructing space-time (Stommel) diagrammes; we obtain near linear relations between time and (horizontal) space and theoretically predicted power law relations between the vertical and time up until the end of the weather regime (~10000 km in the horizontal, ~10 km in the vertical, ~10 days in time). We discuss the implications for weather, climate and climate trends.

  6. Climate change is catchy – but when will it really hurt? | Sweijd ...

    African Journals Online (AJOL)

    Concern and general awareness about the impacts of climate change in all sectors of the social- ecological-economic system is growing as a result of improved climate science products and information, as well as increased media coverage of the apparent manifestations of the phenomenon in our society. However, scales ...

  7. The Space-Time Variation of Global Crop Yields, Detecting Simultaneous Outliers and Identifying the Teleconnections with Climatic Patterns

    Science.gov (United States)

    Najafi, E.; Devineni, N.; Pal, I.; Khanbilvardi, R.

    2017-12-01

    An understanding of the climate factors that influence the space-time variability of crop yields is important for food security purposes and can help us predict global food availability. In this study, we address how the crop yield trends of countries globally were related to each other during the last several decades and the main climatic variables that triggered high/low crop yields simultaneously across the world. Robust Principal Component Analysis (rPCA) is used to identify the primary modes of variation in wheat, maize, sorghum, rice, soybeans, and barley yields. Relations between these modes of variability and important climatic variables, especially anomalous sea surface temperature (SSTa), are examined from 1964 to 2010. rPCA is also used to identify simultaneous outliers in each year, i.e. systematic high/low crop yields across the globe. The results demonstrated spatiotemporal patterns of these crop yields and the climate-related events that caused them as well as the connection of outliers with weather extremes. We find that among climatic variables, SST has had the most impact on creating simultaneous crop yields variability and yield outliers in many countries. An understanding of this phenomenon can benefit global crop trade networks.

  8. Solar Flare Five-Day Predictions from Quantum Detectors of Dynamical Space Fractal Flow Turbulence: Gravitational Wave Diminution and Earth Climate Cooling

    Directory of Open Access Journals (Sweden)

    Cahill R. T.

    2014-10-01

    Full Text Available Space speed fluctuations, which have a 1 / f spectrum, are shown to be the cause of solar flares. The direction and magnitude of the space flow has been detected from numer- ous different experimental techniques, and is close to the normal to the plane of the ecliptic. Zener diode data shows that the fluctuations in the space speed closely match the Sun Solar Cycle 23 flare count, and reveal that major solar flares follow major space speed fluctuations by some 6 days. This implies that a warning period of some 5 days in predicting major solar flares is possible using such detectors. This has significant conse- quences in being able to protect various spacecraft and Earth located electrical systems from the subsequent arrival of ejected plasma from a solar flare. These space speed fluctuations are the actual gravitational waves, and have a significant magnitude. This discovery is a significant application of the dynamical space phenomenon and theory. We also show that space flow turbulence impacts on the Earth’s climate, as such tur- bulence can input energy into systems, which is the basis of the Zener Diode Quantum Detector. Large scale space fluctuations impact on both the sun and the Earth, and as well explain temperature correlations with solar activity, but that the Earth temperatures are not caused by such solar activity. This implies that the Earth climate debate has been missing a key physical process. Observed diminishing gravitational waves imply a cooling epoch for the Earth for the next 30 years.

  9. Adaptation by Stealth: Understanding climate information use across scales and decision spaces in water management in the United States

    Science.gov (United States)

    Kirchhoff, C.; Vang Rasmussen, L.; Lemos, M. C.

    2016-12-01

    While there has been considerable focus on understanding how factors related to the creation of climate knowledge affect its uptake and use, less attention has been paid to the actors, decisions, and processes through which climate information supports, or fails to support, action. This is particularly the case concerning how different scales of decision-making influence information uptake. In this study, we seek to understand how water and resource managers' decision space influences climate information use in two Great Lakes watersheds. We find that despite the availability of tailored climate information, actual use of information in decision making remains low. Reasons include: a) lack of willingness to place climate on agendas because local managers perceive climate change as politically risky and a difficult and intangible problem; b) lack of formal mandate or authority at the city and county scale to translate climate information into on-the-ground action, c) problems with the information itself, and d) perceived lack of demand for climate information by those managers who have the mandate and authority (e.g. at the state level) to use (or help others use) climate information. Our findings suggest that 1) climate scientists and information brokers should produce information that meets a range of decision needs and reserve intensive tailoring efforts for decision makers who have authority and willingness to employ climate information, 2) without support from higher levels of decision-making (e.g. state) it is unlikely that climate information use for adaptation decisions will accelerate significantly in the next few years, and 3) the trend towards adopting more sustainability and resilience practices over climate-specific actions should be supported as an important component of the climate adaptation repertoire.

  10. Extreme climatic events constrain space use and survival of a ground-nesting bird.

    Science.gov (United States)

    Tanner, Evan P; Elmore, R Dwayne; Fuhlendorf, Samuel D; Davis, Craig A; Dahlgren, David K; Orange, Jeremy P

    2017-05-01

    Two fundamental issues in ecology are understanding what influences the distribution and abundance of organisms through space and time. While it is well established that broad-scale patterns of abiotic and biotic conditions affect organisms' distributions and population fluctuations, discrete events may be important drivers of space use, survival, and persistence. These discrete extreme climatic events can constrain populations and space use at fine scales beyond that which is typically measured in ecological studies. Recently, a growing body of literature has identified thermal stress as a potential mechanism in determining space use and survival. We sought to determine how ambient temperature at fine temporal scales affected survival and space use for a ground-nesting quail species (Colinus virginianus; northern bobwhite). We modeled space use across an ambient temperature gradient (ranging from -20 to 38 °C) through a maxent algorithm. We also used Andersen-Gill proportional hazard models to assess the influence of ambient temperature-related variables on survival through time. Estimated available useable space ranged from 18.6% to 57.1% of the landscape depending on ambient temperature. The lowest and highest ambient temperature categories (35 °C, respectively) were associated with the least amount of estimated useable space (18.6% and 24.6%, respectively). Range overlap analysis indicated dissimilarity in areas where Colinus virginianus were restricted during times of thermal extremes (range overlap = 0.38). This suggests that habitat under a given condition is not necessarily a habitat under alternative conditions. Further, we found survival was most influenced by weekly minimum ambient temperatures. Our results demonstrate that ecological constraints can occur along a thermal gradient and that understanding the effects of these discrete events and how they change over time may be more important to conservation of organisms than are average and broad

  11. Land tenure insecurity, vulnerability to climate-induced disaster and opportunities for redress in southern Africa

    Directory of Open Access Journals (Sweden)

    Tigere Chagutah

    2013-02-01

    Full Text Available Land tenure is an important variable impacting on vulnerability to climate-related disaster. Land tenure insecurity is widespread in southern Africa and manifests itself in a number of ways that accentuate vulnerability to climate change impacts. Insecure tenure is seen to heighten vulnerability against growing demand for land for residential purposes and working space in urban areas while in the rural areas insecure tenure militates against diversified livelihoods and hinders investment in appropriate technologies and uptake of sound environmental management practices. Using the focused synthesis method, this article (1 maps the intersections between land tenure insecurity and vulnerability to climate-induced disaster in southern Africa; and (2 identifies the opportunities tenure reforms hold for vulnerability reduction in a region predicted to suffer widespread impacts from climate change. The paper contends that land tenure is a critical component of the milieu of factors – economic, social, cultural, institutional, political and even psychological – that are known to shape vulnerability and determine the environment that people live in. The study finds that land tenure reforms can help to reduce vulnerability and enhance community resilience to climate change. In this regard, the article outlines how tenure reforms can help build diverse household livelihoods, improve environmental management, particularly in the rural areas, and encourage investment in robust housing and safe neighbourhoods among the urban poor – all of which are integral to the region’s response to climate change.

  12. Implications of climate change on human comfort in buildings: evidence from Nkontompo community of Sekondi-Takoradi, Ghana

    Energy Technology Data Exchange (ETDEWEB)

    Amos-Abanyie, S. [Kwame Nkrumah Univ. of Science and Technology, Kumasi (GH)

    2006-07-01

    Climate change has become the most talked about issue in recent times. The impact of climate change is likely to become more evident in the coming decades. Currently, atmospheric conditions, especially in the dry season, are getting hotter and drier with increased heat waves. Increased demand for air conditioning for space cooling as a result of internal discomfort in buildings is already manifesting. This could put an additional stress on the already over-burdened energy capactiy of the nation. The study on implications of climate change on human comfort in buidlings was conducted in Nkontompo community, a suburb of Sekondi-Takoradi Metropolitan area of the Shama-Ahanta District of the Western Region of Ghana. The objectives of this study are to assemble and disseminate information about some of the possible impacts of climate change on the built environment. This is to set the platform for building professionals to identify possible adaptive measures to serve as basis for development of standards to maintain and enhance the quality of life in buildings. The results showed that there were significant changes in temperature, precipitation, and relative humidity. A rise in temperature and humidity levels constitutes a potential hazard to health and human comfort and accelerates many degradation processes and material damage. Subsequently, the amount of energy needed to maintain the condition of air in spaces at comfort levels keeps increasing. It is therefore imperative that landlords and other property owners should be effectively guided by qualified professionals within the framework of policy guidelines based on sound research.

  13. Mapping vulnerability to climate change and its repercussions on human health in Pakistan.

    Science.gov (United States)

    Malik, Sadia Mariam; Awan, Haroon; Khan, Niazullah

    2012-09-03

    Pakistan is highly vulnerable to climate change due to its geographic location, high dependence on agriculture and water resources, low adaptive capacity of its people, and weak system of emergency preparedness. This paper is the first ever attempt to rank the agro-ecological zones in Pakistan according to their vulnerability to climate change and to identify the potential health repercussions of each manifestation of climate change in the context of Pakistan. A climate change vulnerability index is constructed as an un-weighted average of three sub-indices measuring (a) the ecological exposure of each region to climate change, (b) sensitivity of the population to climate change and (c) the adaptive capacity of the population inhabiting a particular region. The regions are ranked according to the value of this index and its components. Since health is one of the most important dimensions of human wellbeing, this paper also identifies the potential health repercussions of each manifestations of climate change and links it with the key manifestations of climate change in the context of Pakistan. The results indicate that Balochistan is the most vulnerable region with high sensitivity and low adaptive capacity followed by low-intensity Punjab (mostly consisting of South Punjab) and Cotton/Wheat Sindh. The health risks that each of these regions face depend upon the type of threat that they face from climate change. Greater incidence of flooding, which may occur due to climate variability, poses the risk of diarrhoea and gastroenteritis; skin and eye Infections; acute respiratory infections; and malaria. Exposure to drought poses the potential health risks in the form of food insecurity and malnutrition; anaemia; night blindness; and scurvy. Increases in temperature pose health risks of heat stroke; malaria; dengue; respiratory diseases; and cardiovascular diseases. The study concludes that geographical zones that are more exposed to climate change in ecological and

  14. Extrathoracic manifestations of tuberculosis

    International Nuclear Information System (INIS)

    Kienzl-Palma, D.; Prosch, H.

    2016-01-01

    Besides the lungs, tuberculosis (TB) can affect any organ system. In most cases, extrathoracic TB occurs in immunosuppressed patients as part of a severe illness via hematogenous spread. Extrathoracic involvement most commonly involves abdominal organs, especially the urogenital tract and less commonly the central nervous system (CNS) and the musculoskeletal system. Most frequently, computed tomography (CT) is used for detecting extrathoracic TB manifestations, except for CNS and musculoskeletal manifestations, where contrast-enhanced magnetic resonance imaging (MRI) is the gold standard. Extrathoracic manifestations of TB may be indistinguishable from inflammatory or malignant causes. Due to unspecific symptoms the diagnosis is often delayed. This article summarizes and discusses the various radiological manifestations of extrathoracic manifestation of TB. Radiological modalities for screening extrathoracic TB are CT and MRI. Conventional X-radiographs do not play a role in the diagnosis of extrathoracic TB. The possibility of extrathoracic TB should be considered particularly in immunosuppressed patients, such as the homeless, alcoholics or drug addicts or in patients with an immigrant background from the endemic areas of TB. The most likely site of extrathoracic TB is the abdomen; however, infections of the CNS or musculoskeletal systems and multisystem infections can also occur. In patients with suspected extrathoracic TB, radiological modalities for screening are CT, especially for abdominal infections and lymphadenopathy and MRI with contrast media for the musculoskeletal system and the CNS. (orig.) [de

  15. Skin Manifestations of Endocrine Diseases.

    Science.gov (United States)

    Demirkesen, Cuyan

    2015-01-01

    Endocrine diseases may result in changes in cutaneous function and morphology, which cause various skin manifestations, including nonspecific or pathognomonic signs. Some of these manifestations are already known dermatologic diseases with only increased frequency in this patient group. As a result the skin may the play role of a screen displaying endocrine disorders, either due to hormone excess or deficiency. Awareness of the skin manifestations may permit prompt and adequate approach to the patients, and therefore facilitate the early diagnosis of the endocrine disease and even be life saving. Some of these manifestations may be recognized clinically, but sometimes they need to be confirmed histopathologically. In this article, many endocrine diseases and their associated skin lesions will be reviewed briefly.

  16. Neurological Manifestations In Inflammatory Bowel Disease

    Directory of Open Access Journals (Sweden)

    youssef HNACH

    2015-06-01

    Full Text Available IntroductionThe purpose of this retrospective study was to report neurological manifestations noted in patients who were monitored for inflammatory bowel disease, in order to document the pathophysiological, clinical, progressive, and therapeutic characteristics of this entity.Material and methodsWe conducted a retrospective study on patients monitored -in the gastroenterology service in Ibn Sina Hospital in Rabat, Morocco- for inflammatory bowel disease from 1992 till 2013 and who developed neurological manifestations during its course. Patients with iatrogenic complications were excluded, as well as patients with cerebrovascular risk factors.ResultsThere were 6 patients, 4 of whom have developed peripheral manifestations. Electromyography enabled the diagnosis to be made and the outcome was favorable with disappearance of clinical manifestations and normalization of the electromyography.The other 2 patients, monitored for Crohn’s disease, developed ischemic stroke. Cerebral computed tomography angiography provided positive and topographic diagnosis. Two patients were admitted to specialized facilities.ConclusionNeurological manifestations in inflammatory bowel disease are rarely reported.  Peripheral neuropathies and stroke remain the most common manifestations. The mechanisms of these manifestations are not clearly defined yet. Currently, we hypothesize the interaction of immune mediators.

  17. Thoracic manifestation of tuberculosis; Thorakale Manifestation der Tuberkulose

    Energy Technology Data Exchange (ETDEWEB)

    Kienzl-Palma, D.; Prosch, H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Universitaetsklinik fuer Radiologie und Nuklearmedizin, Wien (Austria)

    2016-10-15

    Tuberculosis (TB) is a granulomatous disease caused by Mycobacterium tuberculosis and transmission is via an airborne route by droplet infection. In the majority of cases patients have thoracic TB, which most frequently presents with hilar lymphadenopathy and pulmonary manifestation. Due to the rise in incidence of TB in central Europe to be expected over the coming years, it is essential to be acquainted with the radiological manifestations of pulmonary TB, particularly to be able to discriminate active from inactive TB. Due to the use of molecular techniques entailing DNA fingerprinting, the traditional classification of TB in primary and postprimary TB is being challenged. These genetic studies have revealed that variations in the clinical and radiographic appearance of TB are mainly affected by the immune status of the patients. Due to the low prevalence of TB in central Europe and the wide variation of radiological presentations, the diagnosis and therapy of TB is often delayed. In this article, the radiographic manifestations of thoracic TB are summarized and discussed. Together with the medical history and bacteriological tests, chest X-ray imaging and computed tomography (CT) play a major role not only in the detection of TB but also in the follow-up during and after therapy. Chest X-radiographs should be the primary diagnostic method in patients with suspected TB in screening as well as for diagnosis and therapy monitoring. The use of CT is more sensitive than chest radiographs and is frequently performed after chest radiographs to obtain detailed information about subtle parenchymal changes or lymph node manifestation. When active TB is suspected CT should be performed. Tree in bud, lobular consolidations, centrilobular nodules, cavities and ground-glass opacification are typical changes in active TB. (orig.) [German] Tuberkulose (Tbc) ist eine durch Troepfchen uebertragene granulomatoese Infektionserkrankung, die durch das Mycobacterium tuberculosis

  18. Climate limits across space and time on European forest structure

    Science.gov (United States)

    Moreno, A. L. S.; Neumann, M.; Hasenauer, H.

    2017-12-01

    The impact climate has on forests has been extensively studied. However, the large scale effect climate has on forest structures, such as average diameters, heights and basal area are understudied in a spatially explicit manner. The limits, tipping points and thresholds that climate places on forest structures dictate the services a forest may provide, the vulnerability of a forest to mortality and the potential value of the timber there within. The majority of current research either investigates climate impacts on forest pools and fluxes, on a tree physiological scale or on case studies that are used to extrapolate results and potential impacts. A spatially explicit study on how climate affects forest structure over a large region would give valuable information to stakeholders who are more concerned with ecosystem services that cannot be described by pools and fluxes but require spatially explicit information - such as biodiversity, habitat suitability, and market values. In this study, we quantified the limits that climate (maximum, minimum temperature and precipitation) places on 3 forest structures, diameter at breast height, height, and basal area throughout Europe. Our results show clear climatic zones of high and low upper limits for each forest structure variable studied. We also spatially analyzed how climate restricts the potential bio-physical upper limits and creates tipping points of each forest structure variable and which climate factors are most limiting. Further, we demonstrated how the climate change has affected 8 individual forests across Europe and then the continent as a whole. We find that diameter, height and basal area are limited by climate in different ways and that areas may have high upper limits in one structure and low upper limits in another limitted by different climate variables. We also found that even though individual forests may have increased their potential upper limit forest structure values, European forests as a whole

  19. Gastrointestinal Manifestations of Cystic Fibrosis

    Science.gov (United States)

    2016-01-01

    Cystic fibrosis has historically been considered a pulmonary disease, but with the increasing life expectancy of these patients, gastrointestinal manifestations are becoming more important. Furthermore, nutritional status is closely linked to pulmonary function and, thus, overall mortality. This article discusses gastrointestinal manifestations (which involve nutritional, pancreatic, hepatobiliary, and, in particular, gastrointestinal tract issues) of cystic fibrosis as well as management of the disease. In addition, the article discusses studies that have been critical to our understanding of gastrointestinal manifestations of cystic fibrosis. PMID:27330503

  20. Targeting climate diversity in conservation planning to build resilience to climate change

    Science.gov (United States)

    Heller, Nicole E.; Kreitler, Jason R.; Ackerly, David; Weiss, Stuart; Recinos, Amanda; Branciforte, Ryan; Flint, Lorraine E.; Flint, Alan L.; Micheli, Elisabeth

    2015-01-01

    Climate change is raising challenging concerns for systematic conservation planning. Are methods based on the current spatial patterns of biodiversity effective given long-term climate change? Some conservation scientists argue that planning should focus on protecting the abiotic diversity in the landscape, which drives patterns of biological diversity, rather than focusing on the distribution of focal species, which shift in response to climate change. Climate is one important abiotic driver of biodiversity patterns, as different climates host different biological communities and genetic pools. We propose conservation networks that capture the full range of climatic diversity in a region will improve the resilience of biotic communities to climate change compared to networks that do not. In this study we used historical and future hydro-climate projections from the high resolution Basin Characterization Model to explore the utility of directly targeting climatic diversity in planning. Using the spatial planning tool, Marxan, we designed conservation networks to capture the diversity of climate types, at the regional and sub-regional scale, and compared them to networks we designed to capture the diversity of vegetation types. By focusing on the Conservation Lands Network (CLN) of the San Francisco Bay Area as a real-world case study, we compared the potential resilience of networks by examining two factors: the range of climate space captured, and climatic stability to 18 future climates, reflecting different emission scenarios and global climate models. We found that the climate-based network planned at the sub-regional scale captured a greater range of climate space and showed higher climatic stability than the vegetation and regional based-networks. At the same time, differences among network scenarios are small relative to the variance in climate stability across global climate models. Across different projected futures, topographically heterogeneous areas

  1. Clinical manifestations of scrub typhus.

    Science.gov (United States)

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

    2017-02-01

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

  2. Deconstructing the climate change response of the Northern Hemisphere wintertime storm tracks

    OpenAIRE

    Harvey, B. J.; Shaffrey, L. C.; Woollings, T. J.

    2015-01-01

    There are large uncertainties in the circulation response of the atmosphere to climate change. One manifestation of this is the substantial spread in projections for the extratropical storm tracks made by different state-of-the-art climate models. In this study we perform a series of sensitivity experiments, with the atmosphere component of a single climate model, in order to identify the causes of the differences between storm track responses in different models. In particular, the Northern ...

  3. Emerging infectious diseases with cutaneous manifestations: Fungal, helminthic, protozoan and ectoparasitic infections.

    Science.gov (United States)

    Kollipara, Ramya; Peranteau, Andrew J; Nawas, Zeena Y; Tong, Yun; Woc-Colburn, Laila; Yan, Albert C; Lupi, Omar; Tyring, Stephen K

    2016-07-01

    Given increased international travel, immigration, changing climate conditions, and the increased incidence of iatrogenic immunosuppression, fungal, protozoan, helminthic, and ectoparasitic infections that were once uncommon are being seeing more frequently in the Western hemisphere. However, the diagnosis and management of these infections is fraught with a lack of consistency because there is a dearth of dermatology literature on the cutaneous manifestations of these infections. In addition, delays in the diagnosis and treatment of these diseases can lead to significant patient morbidity and mortality. We review the epidemiology, cutaneous manifestations, diagnostic modalities, and treatment options for emerging fungal, protozoan, helminthic, and ectoparasitic infections. It should be noted, however, that throughout this review we cite statistics documenting their increased incidence to back-up these infections as emerging, and although some of the diagnoses are clinical, others rely on newer laboratory tests, and the possibility exists that the increased incidence could be caused by better detection methods. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  4. [Lyme disease--clinical manifestations and treatment].

    Science.gov (United States)

    Stock, Ingo

    2016-05-01

    Lyme disease (Lyme borreliosis) is a systemic infectious disease that can present in a variety of clinical manifestations. The disease is caused by a group of spirochaetes--Borrelia burgdorferi sensu lato or Lyme borrelia--that are transmitted to humans by the bite of Ixodes ticks. Lyme disease is the most common arthropode-borne infectious disease in many European countries including Germany. Early localized infection is typically manifested by an erythema migrans skin lesion, in rarer cases as a borrelial lymphocytoma. The most common early disseminated manifestation is (early) neuroborreliosis. In adults, neuroborreliosis appears typically as meningoradiculoneuritis. Neuroborreliosis in children, however, is typically manifested by meningitis. In addition, multiple erythema migrans lesions and Lyme carditis occur relatively frequently. The most common manifestation oflate Lyme disease is Lyme arthritis. Early manifestations (and usually also late manifestations) of Lyme disease can be treated successfully by application of suitable antibacterial agents. For the treatment of Lyme disease, doxycycline, certain penicillins such as amoxicillin and some cephalosporins (ceftriaxone, cefotaxime, cefuroxime axetil) are recommended in current guidelines. A major challenge is the treatment of chronic, non-specific disorders, i. e., posttreatment Lyme disease syndrome and "chronic Lyme disease". Prevention of Lyme disease is mainly accomplished by protecting against tick bites. Prophylactic administration of doxycycline after tick bites is generally not recommended in Germany. There is no vaccine available for human beings.

  5. Task Force on Catastrophic Antiphospholipid Syndrome (APS) and Non-criteria APS Manifestations (II): thrombocytopenia and skin manifestations.

    Science.gov (United States)

    Cervera, R; Tektonidou, M G; Espinosa, G; Cabral, A R; González, E B; Erkan, D; Vadya, S; Adrogué, H E; Solomon, M; Zandman-Goddard, G; Shoenfeld, Y

    2011-02-01

    The objectives of the 'Task Force on Catastrophic Antiphospholipid Syndrome (APS) and Non-criteria APS Manifestations' were to assess the clinical utility of the international consensus statement on classification criteria and treatment guidelines for the catastrophic APS, to identify and grade the studies that analyze the relationship between the antiphospholipid antibodies and the non-criteria APS manifestations, and to present the current evidence regarding the accuracy of these non-criteria APS manifestations for the detection of patients with APS. This article summarizes the studies analyzed on thrombocytopenia and skin manifestations, and presents the recommendations elaborated by the Task Force after this analysis.

  6. Climate change matters.

    Science.gov (United States)

    Macpherson, Cheryl Cox

    2014-04-01

    One manifestation of climate change is the increasingly severe extreme weather that causes injury, illness and death through heat stress, air pollution, infectious disease and other means. Leading health organisations around the world are responding to the related water and food shortages and volatility of energy and agriculture prices that threaten health and health economics. Environmental and climate ethics highlight the associated challenges to human rights and distributive justice but rarely address health or encompass bioethical methods or analyses. Public health ethics and its broader umbrella, bioethics, remain relatively silent on climate change. Meanwhile global population growth creates more people who aspire to Western lifestyles and unrestrained socioeconomic growth. Fulfilling these aspirations generates more emissions; worsens climate change; and undermines virtues and values that engender appreciation of, and protections for, natural resources. Greater understanding of how virtues and values are evolving in different contexts, and the associated consequences, might nudge the individual and collective priorities that inform public policy toward embracing stewardship and responsibility for environmental resources necessary to health. Instead of neglecting climate change and related policy, public health ethics and bioethics should explore these issues; bring transparency to the tradeoffs that permit emissions to continue at current rates; and offer deeper understanding about what is at stake and what it means to live a good life in today's world.

  7. CT features of invasion of sublingual space by malignant oropharyngeal tumors

    International Nuclear Information System (INIS)

    Wei Yi; Xiao Jiahe; Zhou Xiangping; Deng Kaihong

    2003-01-01

    Objective: To investigate the CT features of the invasion of sublingual space by malignant oropharyngeal tumors in order to provide more accurate information for clinical treatment. Methods: Fifty-eight cases of pathologically proven malignant oropharyngeal tumors were collected and retrospectively analyzed. Results: Among all the cases, invasion of sublingual space by malignant oropharyngeal tumors could be seen in 14 cases, of which, 7 cases got access to sublingual space through tongue base, 3 cases through parapharyngeal space, 2 cases through pterygomandibular raphe, 2 cases through uncertain routes. Invasion of sublingual space manifested on CT scan as obliteration of fat plane in sublingual space and involvement of the sublingual vessels in the space. Conclusion: Malignant oropharyngeal tumors can invade the adjacent sublingual space via tongue base, pterygomandibular raphe, and parapharyngeal space. The invasion of sublingual space by malignant oropharyngeal tumors manifests in CT as effacement of sublingual fat plane and envelopment of hyoid artery

  8. Reducing residential solid fuel combustion through electrified space heating leads to substantial air quality, health and climate benefits in China's Beijing-Tianjin-Hebei region

    Science.gov (United States)

    Yang, J.; Mauzerall, D. L.

    2017-12-01

    During periods of high pollution in winter, household space heating can contribute more than half of PM2.5 concentrations in China's Beijing-Tianjin-Hebei (BTH) region. The majority of rural households and some urban households in the region still heat with small stoves and solid fuels such as raw coal, coal briquettes and biomass. Thus, reducing emissions from residential space heating has become a top priority of the Chinese government's air pollution mitigation plan. Electrified space heating is a promising alternative to solid fuel. However, there is little analysis of the air quality and climate implications of choosing various electrified heating devices and utilizing different electricity sources. Here we conduct an integrated assessment of the air quality, human health and climate implications of various electrified heating scenarios in the BTH region using the Weather Research and Forecasting model with Chemistry. We use the Multi-resolution Emission Inventory for China for the year 2012 as our base case and design two electrification scenarios in which either direct resistance heaters or air source heat pumps are installed to replace all household heating stoves. We initially assume all electrified heating devices use electricity from supercritical coal-fired power plants. We find that installing air source heat pumps reduces CO2 emissions and premature deaths due to PM2.5 pollution more than resistance heaters, relative to the base case. The increased health and climate benefits of heat pumps occur because they have a higher heat conversion efficiency and thus require less electricity for space heating than resistance heaters. We also find that with the same heat pump installation, a hybrid electricity source (40% of the electricity generated from renewable sources and the rest from coal) further reduces both CO2 emissions and premature deaths than using electricity only from coal. Our study demonstrates the air pollution and CO2 mitigation potential and

  9. Climate Change Adaptation Activities at the NASA John F. Kennedy Space Center, FL., USA

    Science.gov (United States)

    Hall, Carlton; Phillips, Lynne

    2016-01-01

    In 2010, the Office of Strategic Infrastructure and Earth Sciences established the Climate Adaptation Science Investigators (CASI) program to integrate climate change forecasts and knowledge into sustainable management of infrastructure and operations needed for the NASA mission. NASA operates 10 field centers valued at $32 billion dollars, occupies 191,000 acres and employs 58,000 people. CASI climate change and sea-level rise forecasts focus on the 2050 and 2080 time periods. At the 140,000 acre Kennedy Space Center (KSC) data are used to simulate impacts on infrastructure, operations, and unique natural resources. KSC launch and processing facilities represent a valued national asset located in an area with high biodiversity including 33 species of special management concern. Numerical and advanced Bayesian and Monte Carlo statistical modeling is being conducted using LiDAR digital elevation models coupled with relevant GIS layers to assess potential future conditions. Results are provided to the Environmental Management Branch, Master Planning, Construction of Facilities, Engineering Construction Innovation Committee and our regional partners to support Spaceport development, management, and adaptation planning and design. Potential impacts to natural resources include conversion of 50% of the Center to open water, elevation of the surficial aquifer, alterations of rainfall and evapotranspiration patterns, conversion of salt marsh to mangrove forest, reductions in distribution and extent of upland habitats, overwash of the barrier island dune system, increases in heat stress days, and releases of chemicals from legacy contamination sites. CASI has proven successful in bringing climate change planning to KSC including recognition of the need to increase resiliency and development of a green managed shoreline retreat approach to maintain coastal ecosystem services while maximizing life expectancy of Center launch and payload processing resources.

  10. Climate Change Adaptation Activities at the NASA John F. Kennedy Space Center, Fl., USA

    Science.gov (United States)

    Hall, C. R.; Phillips, L. V.; Foster, T.; Stolen, E.; Duncan, B.; Hunt, D.; Schaub, R.

    2016-12-01

    In 2010, the Office of Strategic Infrastructure and Earth Sciences established the Climate Adaptation Science Investigators (CASI) program to integrate climate change forecasts and knowledge into sustainable management of infrastructure and operations needed for the NASA mission. NASA operates 10 field centers valued at $32 billion dollars, occupies 191,000 acres and employs 58,000 people. CASI climate change and sea-level rise forecasts focus on the 2050 and 2080 time periods. At the 140,000 acre Kennedy Space Center (KSC) data are used to simulate impacts on infrastructure, operations, and unique natural resources. KSC launch and processing facilities represent a valued national asset located in an area with high biodiversity including 33 species of special management concern. Numerical and advanced Bayesian and Monte Carlo statistical modeling is being conducted using LiDAR digital elevation models coupled with relevant GIS layers to assess potential future conditions. Results are provided to the Environmental Management Branch, Master Planning, Construction of Facilities, Engineering Construction Innovation Committee and our regional partners to support Spaceport development, management, and adaptation planning and design. Potential impacts to natural resources include conversion of 50% of the Center to open water, elevation of the surficial aquifer, alterations of rainfall and evapotranspiration patterns, conversion of salt marsh to mangrove forest, reductions in distribution and extent of upland habitats, overwash of the barrier island dune system, increases in heat stress days, and releases of chemicals from legacy contamination sites. CASI has proven successful in bringing climate change planning to KSC including recognition of the need to increase resiliency and development of a green managed shoreline retreat approach to maintain coastal ecosystem services while maximizing life expectancy of Center launch and payload processing resources.

  11. Mucocutaneous manifestations in patients with chronic kidney disease: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Rattan S Rashpa

    2018-01-01

    Full Text Available Background: Chronic kidney disease (CKD-associated mucocutaneous manifestations significantly impair the quality of life but often remain understudied. They may also vary across regions, socioeconomic and nutritional status, and racial differences. Objectives: To study the patterns of mucocutaneous disorders and their prevalence in CKD patients irrespective of clinical stage or dialysis status. Materials and Methods: 122 (M:F = 77:45 patients aged 21‒85 (Mean ± SD = 57.5 ± 14.0 years having CKD for 3 month to 5 years were studied for mucocutaneous manifestations. Fifty (41% patients were on hemodialysis for 1‒42 months. Detailed medical history, clinical and mucocutaneous examination, and lab investigations were performed. KOH mounts, skin biopsy, Gram's and Giemsa staining, bacterial or fungal cultures were performed as required. Results: Xerosis in 93 (76.2%, skin pallor in 61 (50%, pruritus in 57 (46.7%, pigmentation in 47 (38.5%, and purpura in 18 (14.8% patients were the major dermatoses. Bullous lesions and perforating folliculitis occurred in 3 (2.5% patients each. Major nail abnormalities were pallor (in 35.2%, absent lunula (in 23.8%, nail discoloration (in 18%, and “half-and-half nails” in 16.4% patients, respectively. Hair abnormalities included sparse scalp and body hairs (in 35.2% and 13.1%, respectively and lusterless hair in 12.3% patients. Coated tongue (in 14.8%, xerostomia (in 12.3%, and macroglossia with teeth indention (in 7.4% patients were the mucosal manifestations. Conclusions: Xerosis, pruritus, skin pallor/pigmentary changes, nail pallor, absent lunula, nail discoloration, sparse hairs, coated tongue, xerostomia, macroglossia, and infections were the most common mucocutaneous manifestations in the studied patients irrespective of hemodialysis status. Cold and dry climates might be additional aggravators for xerosis/pruritus. Lifelong follow-up may be needed to reduce the morbidity associated with CKD

  12. Building Space Management | Climate Neutral Research Campuses | NREL

    Science.gov (United States)

    , repurposing underused space and through the use of electronic media. Several space management principles can Building Space Management Building Space Management Building space represents one of the largest recruiting and successful acquisition of research funding. Learn more about how space management is necessary

  13. Handling Interdependencies in Climate Change Risk Assessment

    Directory of Open Access Journals (Sweden)

    Richard J. Dawson

    2015-12-01

    Full Text Available Typically, a climate change risk assessment focuses on individual sectors or hazards. However, interdependencies between climate risks manifest themselves via functional, physical, geographical, economic, policy and social mechanisms. These can occur over a range of spatial or temporal scales and with different strengths of coupling. Three case studies are used to demonstrate how interdependencies can significantly alter the nature and magnitude of risk, and, consequently, investment priorities for adaptation. The three examples explore interdependencies that arise from (1 climate loading dependence; (2 mediation of two climate impacts by physical processes operating over large spatial extents; and, (3 multiple risks that are influenced by shared climatic and socio-economic drivers. Drawing upon learning from these case studies, and other work, a framework for the analysis and consideration of interdependencies in climate change risk assessment has been developed. This is an iterative learning loop that involves defining the system, scoping interaction mechanisms, applying appropriate modelling tools, identifying vulnerabilities and opportunities, and assessing the performance of adaptation interventions.

  14. Radiographic manifestations of hypochondroplasia

    Energy Technology Data Exchange (ETDEWEB)

    Heselson, N G; Cremin, B J [Groote Schuur Hospital, Cape Town (South Africa); Beighton, P

    1979-01-01

    Hypochrondroplasia is an inherited skeletal dysplasia that resembles achondroplasia in mild degree. Radiographic manifestations encountered in 12 affected individuals in South Africa include slight shortening of all segments of the tubular bones, moderate caudal diminution of the lumbar interpedicular distances, increased lumbar lordosis with cacral tilt and distal prolongation of the fibular. Hypochondroplasia can be distinguished from other osteochondrodystrophies such as achondroplasia, pseudo-achondroplasia and metaphyseal chondroplasia by the recognition of it clinical and radiographic manifestations.

  15. MANIFESTATIONS OF CYBERBULLYING GENDER AMONG HIGH SCHOOL STUDENTS

    Directory of Open Access Journals (Sweden)

    Tania Morales-Reynoso

    2014-07-01

    Full Text Available This article’s main purpose is to study more deeply cyberbullying, considering three main aspects: the role of the actors involved; the absence of time and space, and the difficulty for recognition of victims and victimizers. For this, a qualitative study was conducted through the art of storytelling with a sample of 300 students in higher average level of the Autonomous University of the State of Mexico, was used as an analytical category manifestations of cyber bullying Willard (2006. We sought to identify the role of perpetrators, victims and witnesses, and their relationship to gender. This will allow a deeper approach cyberbullying than simple quantitative data of the phenomenon.

  16. Forms of Manifestation regarding Tax Evasion: New Approaches

    Directory of Open Access Journals (Sweden)

    Alia Gabriela DUŢĂ

    2015-09-01

    Full Text Available Tax evasion has existed, exists and will exist as long as the state and the tax will continue to exist, but the forms and ways of achievement are perfectly in time. In terms of how can be committed, the ratio that exists between this phenomenon and the current legislation, tax evasion, there are two manifestations: the lawful tax avoidance (performed at the shelter law; unlawful tax evasion (fraudulent or fraud. In terms of space can be identified: tax evasion and tax avoidance at national and international level. In recent years circumvention actions are transferred, increasingly more inside from national tax systems across state borders, action driven by trends economic globalization, political and social.

  17. Intrathoracic manifestations of Rosai-Dorfman disease.

    Science.gov (United States)

    Cartin-Ceba, Rodrigo; Golbin, Jason M; Yi, Eunhee S; Prakash, Udaya B S; Vassallo, Robert

    2010-09-01

    Rosai-Dorfman Disease (RDD), also known as Sinus Histiocytosis with Massive Lymphadenopathy (SHML), is a rare monocyte/macrophage proliferative disorder of varied biological behavior. Although cutaneous and lymph node involvement are relatively well-described, intrathoracic manifestations of RDD have only occasionally been reported. We conducted a retrospective computer-assisted search of the Mayo Clinic record from 1976 to 2005 for patients with histopathologic evidence of RDD on organ biopsy. Clinical characteristics were abstracted from charts and thoracic manifestations recorded. Survival was estimated using the national social security database. A total of 21 patients were diagnosed with RDD over a period of 30 years; 9 had intrathoracic manifestations (43%). Main pulmonary symptoms included dyspnea and cough. Age at the time of diagnosis, gender, race, smoking history, mortality and time of survival after diagnosis were no different between RDD patients with and without intrathoracic manifestations. The most common radiographic thoracic manifestation was mediastinal lymphadenopathy (6 patients). Cystic change, interstitial lung disease, and airway disease were radiographically evident in 4 patients. Seven patients were treated at some point in the course of their disease, most commonly with oral corticosteroids. At the time of last follow-up 87% were alive, with a median (IQR) time interval since diagnosis of 8 years (4-9.7). Intrathoracic manifestations of RDD are relatively common and include mediastinal lymphadenopathy, airway disease, pleural effusion, cystic and interstitial lung disease. Although limited in size, this series suggests the prognosis of patients with RDD and intrathoracic manifestations is relatively good.

  18. Adaptation of Australia’s Marine Ecosystems to Climate Change: Using Science to Inform Conservation Management

    OpenAIRE

    Johnson, Johanna E.; Holbrook, Neil J.

    2014-01-01

    The challenges that climate change poses for marine ecosystems are already manifesting in impacts at the species, population, and community levels in Australia, particularly in Tasmania and tropical northern Australia. Many species and habitats are already under threat as a result of human activities, and the additional pressure from climate change significantly increases the challenge for marine conservation and management. Climate change impacts are expected to magnify as sea surface temper...

  19. Environmental spaces

    DEFF Research Database (Denmark)

    Larsen, Henrik Gutzon

    Using the development of intergovernmental environmental cooperation in the Baltic Sea area as a concrete example, the aim of this study is to explore how the 'environment' in situations of environmental interdependence is identified and institutionalised as political-geographical objects....... 'Environmental interdependence' is to this end conceptualised as a tension between 'political spaces' of discrete state territories and 'environmental spaces' of spatially nested ecosystems. This tension between geographies of political separateness and environmental wholeness is the implicit or explicit basis...... for a large and varied literature. But in both its critical and problemsolving manifestations, this literature tends to naturalise the spatiality of environmental concerns: environmental spaces are generally taken for granted. On the suggestion that there is a subtle politics to the specification...

  20. Global and Arctic climate engineering: numerical model studies.

    Science.gov (United States)

    Caldeira, Ken; Wood, Lowell

    2008-11-13

    We perform numerical simulations of the atmosphere, sea ice and upper ocean to examine possible effects of diminishing incoming solar radiation, insolation, on the climate system. We simulate both global and Arctic climate engineering in idealized scenarios in which insolation is diminished above the top of the atmosphere. We consider the Arctic scenarios because climate change is manifesting most strongly there. Our results indicate that, while such simple insolation modulation is unlikely to perfectly reverse the effects of greenhouse gas warming, over a broad range of measures considering both temperature and water, an engineered high CO2 climate can be made much more similar to the low CO2 climate than would be a high CO2 climate in the absence of such engineering. At high latitudes, there is less sunlight deflected per unit albedo change but climate system feedbacks operate more powerfully there. These two effects largely cancel each other, making the global mean temperature response per unit top-of-atmosphere albedo change relatively insensitive to latitude. Implementing insolation modulation appears to be feasible.

  1. Unusual manifestations of ectodermal dysplasia-syndactyly syndrome type I in two Yemeni siblings.

    Science.gov (United States)

    Mohammad, Alshami

    2015-01-15

    Ectodermal dysplasias (EDs) are a group of genodermatoses characterized by malformations of tissues derived from the ectoderm, including the skin, its appendages (hair, nails, sweat glands), teeth, and the breasts. Ectodermal dysplasia syndactyly syndrome (EDSS) is a rare, newly described type of ED involving syndactyly. We report 2 Yemeni siblings with typical EDSS manifestations, including bilateral, partial cutaneous syndactyly of the fingers and toes; sparse, coarse, brittle scalp hair, eyebrows, and eyelashes; and conical, widely spaced teeth with enamel notches. In addition, the siblings presented with other features hitherto not described for this syndrome, such as adermatoglyphia, onychogryphosis, hypoplastic widely spaced nipples, hypoplastic thumbs, and red scalp hair.

  2. Predicting space climate change

    Science.gov (United States)

    Balcerak, Ernie

    2011-10-01

    Galactic cosmic rays and solar energetic particles can be hazardous to humans in space, damage spacecraft and satellites, pose threats to aircraft electronics, and expose aircrew and passengers to radiation. A new study shows that these threats are likely to increase in coming years as the Sun approaches the end of the period of high solar activity known as “grand solar maximum,” which has persisted through the past several decades. High solar activity can help protect the Earth by repelling incoming galactic cosmic rays. Understanding the past record can help scientists predict future conditions. Barnard et al. analyzed a 9300-year record of galactic cosmic ray and solar activity based on cosmogenic isotopes in ice cores as well as on neutron monitor data. They used this to predict future variations in galactic cosmic ray flux, near-Earth interplanetary magnetic field, sunspot number, and probability of large solar energetic particle events. The researchers found that the risk of space weather radiation events will likely increase noticeably over the next century compared with recent decades and that lower solar activity will lead to increased galactic cosmic ray levels. (Geophysical Research Letters, doi:10.1029/2011GL048489, 2011)

  3. Musculoskeletal manifestations in sickle cell anemia

    Directory of Open Access Journals (Sweden)

    Reddy Ravikanth

    2017-01-01

    Full Text Available Sickle cell anemia is an inherited hemoglobin disorder characterized by substitution of glutamic acid by valine at the sixth position of the beta globin chain. The sequence of events leads to pain crisis. Ischemia of the tissues resulting from decreased blood flow is believed to occur in pain crisis. Repeated or prolonged sickling causes red cell death in the form of hemolytic anemia. The majority of hospital admissions are due to painful crisis. These patients are at increased risk for both osteomyelitis and infarction of the long bones. Magnetic resonance imaging has been shown to be helpful in the diagnosis of early osteomyelitis and its differentiation from infarction in sickle cell disease patients with acute bone crisis. Others findings include dactylitis, medullary infarcts, diploic space widening, fish mouth vertebrae, and avascular necrosis. We present a case series on the various musculoskeletal manifestations of sickle cell disease.

  4. Cutaneous manifestations of primary immunodeficiency

    Directory of Open Access Journals (Sweden)

    Safa Abdelhakim

    2017-01-01

    Full Text Available Primary immunodeficiency diseases (PIDs are a group of rare, chronic disorders with deficient or malfunctioning immune system. It commonly affects the hematopoietic system, with skin the second most affected organ. Skin involvement is observed in half of pediatric PID cases and often precedes the final diagnosis. Skin infections and eczemas are the two most common manifestations in PID.[1] Skin manifestations associated with PIDs can be of infectious and noninfectious causes. Common noninfectious causes are eczema, erythroderma, cutaneous granulomas, dysplasia, vasculitis, and telangiectasia. It is important to be aware of skin manifestations in pediatric patients as early detection of PID may aid in the management of serious immunologic conditions and prevent associated morbidity and mortality.

  5. Architecture of (impossibilities: Robert Smithson's expositive spaces

    Directory of Open Access Journals (Sweden)

    Bráulio Romeiro

    2012-06-01

    Full Text Available This work investigates the North American artist Robert Smithson’s considerations on traditional expositive spaces: the museum and art gallery, as well as unusual and unexplored spaces by art up to that time. Looking through his texts we notice some enhanced perspectives and reset others, increasing limitation set on White Cube’s abstract and neutral quality and the substantiation on ideologies behind of these spaces manifestation.

  6. Adaptation to climate change in urban areas: climate-greening London, Rotterdam, and Toronto

    NARCIS (Netherlands)

    Mees, H.L.P.; Driessen, P.P.J.

    2011-01-01

    This article aims to gain insight into the governance capacity of cities to adapt to climate change through urban green planning, which we will refer to as climate-greening. The use of green space is considered a no-regrets adaptation strategy, since it not only absorbs rainfall and

  7. Pulmonary manifestations of leptospirosis

    Directory of Open Access Journals (Sweden)

    Sameer Gulati

    2012-01-01

    Full Text Available Leptospirosis has a spectrum of presentation which ranges from mild disease to a severe form comprising of jaundice and renal failure. Involvement of the lung can vary from subtle clinical features to deadly pulmonary hemorrhage and acute respiratory distress syndrome. Of late, it has been identified that leptospirosis can present atypically with predominant pulmonary manifestations. This can delay diagnosis making and hence optimum treatment. The purpose of this review is to bring together all the reported pulmonary manifestations of leptospirosis and the recent trends in the management.

  8. Thermodynamics in 'Manifest Reality'

    International Nuclear Information System (INIS)

    Hankey, Alex

    2010-01-01

    D'Espagnat's proof that the universe is not a 'strongly objective reality' demands that all physical processes are reconsidered in that light. D'Espagnat suggests a 'Veiled Reality' as a suitable alternative. The most economical way to achieve that is to demand that 'information production' at a quantum level creates the basis for self-consistent perception of a world of macroscopic, 'manifest' entities, as opposed to self-existent objects. Such a 'manifest reality' fulfils both Wheeler's attempt at an 'IT-from-BIT' programme, and Zeilinger's suggestion that 'information is primary'.

  9. How Did Climate and Humans Respond to Past Volcanic Eruptions?

    Science.gov (United States)

    Toohey, Matthew; Ludlow, Francis; Legrande, Allegra N.

    2016-01-01

    To predict and prepare for future climate change, scientists are striving to understand how global-scale climatic change manifests itself on regional scales and also how societies adapt or don't to sometimes subtle and complex climatic changes. In this regard, the strongest volcanic eruptions of the past are powerful test cases, showcasing how the broad climate system responds to sudden changes in radiative forcing and how societies have responded to the resulting climatic shocks. These issues were at the heart of the inaugural workshop of the Volcanic Impacts on Climate and Society (VICS) Working Group, convened in June 2016 at the Lamont-Doherty Earth Observatory of Columbia University in Palisades, N.Y. The 3-day meeting gathered approximately 50 researchers, who presented work intertwining the history of volcanic eruptions and the physical processes that connect eruptions with human and natural systems on a global scale.

  10. Musculoskeletal manifestations of the antiphospholipid syndrome.

    Science.gov (United States)

    Noureldine, M H A; Khamashta, M A; Merashli, M; Sabbouh, T; Hughes, G R V; Uthman, I

    2016-04-01

    The scope of clinical and laboratory manifestations of the antiphospholipid syndrome (APS) has increased dramatically since its discovery in 1983, where any organ system can be involved. Musculoskeletal complications are consistently reported in APS patients, not only causing morbidity and mortality, but also affecting their quality of life. We reviewed all English papers on APS involvement in the musculoskeletal system using Google Scholar and Pubmed; all reports are summarized in a table in this review. The spectrum of manifestations includes arthralgia/arthritis, avascular necrosis of bone, bone marrow necrosis, complex regional pain syndrome type-1, muscle infarction, non-traumatic fractures, and osteoporosis. Some of these manifestations were reported in good quality studies, some of which showed an association between aPL-positivity and the occurrence of these manifestations, while others were merely described in case reports. © The Author(s) 2016.

  11. The Paradox of Climate Change Mitigation and Adaptation in Danish Housing

    DEFF Research Database (Denmark)

    Marsh, Rob

    2012-01-01

    that reducing space heating with high levels of thermal insulation and passive solar energy results in overheating and a growing demand for cooling. Climate change is expected to reduce space heating and increase cooling de-mand in housing. An analysis of new build housing using passive solar energy......Climate change means that buildings must greatly reduce their energy consumption. It is however paradoxical that climate mitigation in Denmark has created negative energy and indoor climate problems in housing that may be made worse by climate change. A literature review has been carried out...... of housing schemes where climate mitigation was sought through reduced space heating demand, and it is shown that extensive problems with overheating exist. A theoretical study of regulative and design strategies for climate mitigation in new build housing has therefore been carried out, and it is shown...

  12. Ocular manifestations of leptospirosis

    Directory of Open Access Journals (Sweden)

    Rathinam S

    2005-01-01

    Full Text Available Leptospiral uveitis is a common entity in tropical countries. Ocular manifestations are noted in the second phase of illness, but these remain under-diagnosed mainly because of the prolonged symptom-free period that separates the systemic manifestations from detection of ocular manifestations.Varying ophthalmic presentations and the intrinsic nature of different types of uveitis to mimic one another also challenge the accuracy of the diagnosis. Of the individual ocular signs, the combination of acute, non-granulomatous, panuveitis, hypopyon, vasculitis, optic disc edema, membranous vitreous opacities and absence of choroiditis or retinitis have high predictive value for the clinical diagnosis of leptospiral uveitis. Geographic location of the patient, occupation, socio-economic status, risk factors related to exposure, past history of fever or jaundice also aid in diagnosis.Steroids are the mainstay of treatment for leptospiral uveitis. Depending upon the severity and anatomical location of inflammatory lesion, topical, peri-ocular and/or systemic steroids are given. The prognosis is generally good, even when the inflammation is severe.

  13. Connectivity planning to address climate change

    Science.gov (United States)

    Tristan A. Nuñez; Joshua J. Lawler; Brad H. McRae; D. John Pierce; Meade B. Krosby; Darren M. Kavanagh; Peter H. Singleton; Joshua J. Tewksbury

    2013-01-01

    As the climate changes, human land use may impede species from tracking areas with suitable climates. Maintaining connectivity between areas of different temperatures could allow organisms to move along temperature gradients and allow species to continue to occupy the same temperature space as the climate warms. We used a coarse-filter approach to identify broad...

  14. Direct and Indirect Effects of Climate Change on Amphibian Populations

    Directory of Open Access Journals (Sweden)

    Stephanie S. Gervasi

    2010-02-01

    Full Text Available As part of an overall decline in biodiversity, populations of many organisms are declining and species are being lost at unprecedented rates around the world. This includes many populations and species of amphibians. Although numerous factors are affecting amphibian populations, we show potential direct and indirect effects of climate change on amphibians at the individual, population and community level. Shifts in amphibian ranges are predicted. Changes in climate may affect survival, growth, reproduction and dispersal capabilities. Moreover, climate change can alter amphibian habitats including vegetation, soil, and hydrology. Climate change can influence food availability, predator-prey relationships and competitive interactions which can alter community structure. Climate change can also alter pathogen-host dynamics and greatly influence how diseases are manifested. Changes in climate can interact with other stressors such as UV-B radiation and contaminants. The interactions among all these factors are complex and are probably driving some amphibian population declines and extinctions.

  15. Metadata Access Tool for Climate and Health

    Science.gov (United States)

    Trtanji, J.

    2012-12-01

    The need for health information resources to support climate change adaptation and mitigation decisions is growing, both in the United States and around the world, as the manifestations of climate change become more evident and widespread. In many instances, these information resources are not specific to a changing climate, but have either been developed or are highly relevant for addressing health issues related to existing climate variability and weather extremes. To help address the need for more integrated data, the Interagency Cross-Cutting Group on Climate Change and Human Health, a working group of the U.S. Global Change Research Program, has developed the Metadata Access Tool for Climate and Health (MATCH). MATCH is a gateway to relevant information that can be used to solve problems at the nexus of climate science and public health by facilitating research, enabling scientific collaborations in a One Health approach, and promoting data stewardship that will enhance the quality and application of climate and health research. MATCH is a searchable clearinghouse of publicly available Federal metadata including monitoring and surveillance data sets, early warning systems, and tools for characterizing the health impacts of global climate change. Examples of relevant databases include the Centers for Disease Control and Prevention's Environmental Public Health Tracking System and NOAA's National Climate Data Center's national and state temperature and precipitation data. This presentation will introduce the audience to this new web-based geoportal and demonstrate its features and potential applications.

  16. Climate change adaptation of the built environment – an examination

    DEFF Research Database (Denmark)

    Majgaard Krarup, Jonna

    2014-01-01

    phenomena. This is why the term 'environmental changes' might be more accurate than climate change. ‘Environmental changes’ suggests that climate changes ought to be understood as extensive environmental changes, with an impact on the built environment. Following this, it is no longer sufficient only...... to assess for example a building, and anthropogenic impacts on the environment, also the impact of the environment on installations, and on the human activities must be included in the analysis and assessments. Based on observations and investigations into climate change adaptation in DK and abroad......In a Danish context, climate changes are primarily manifested in an interaction between modified wind and precipitation patterns, increasing temperature and a rising sea level. The individual factors often act together and are reinforced in interaction with already known natural and cultural...

  17. Concerning the notions of space and territory

    International Nuclear Information System (INIS)

    Tomadoni, Claudia

    2008-01-01

    This article intends to manifest some conceptual and methodological questions around spacetime, space and territory, sustainability, social agent, territoriality. It is necessary to overcome the dichotomy space without time and time without space and to un think the world of the social, leaving out the analysis of problems that overcome the fields of the disciplines. The most appropriate approach would be to recognize the existence of a spacetime dimension, or if one wants, time space and to define the geography as a social science that considers the territory like a social construction through the spacetime

  18. Unusual Cutaneous Manifestation of Tuberous Sclerosis

    Directory of Open Access Journals (Sweden)

    K C Shah

    1980-01-01

    Full Text Available Cutaneous manifestations are found in 60 to 70% cases of tuberous sclerosis and consist of adenoma sebaceum, periungual fibromatas, cafe au lait spots, shagreen patches and white macules. Our patient showed unusual skin manifestations like spotty pigmentation on the chest, back and abdomen and hyperkeratosis palmaris et plantaris.

  19. Moving toward Collective Impact in Climate Change Literacy: The Climate Literacy and Energy Awareness Network (CLEAN)

    Science.gov (United States)

    Ledley, Tamara Shapiro; Gold, Anne U.; Niepold, Frank; McCaffrey, Mark

    2014-01-01

    In recent years, various climate change education efforts have been launched, including federally (National Oceanic and Atmospheric Administration, National Aeronautics and Space Administration, National Science Foundation, etc.) and privately funded projects. In addition, climate literacy and energy literacy frameworks have been developed and…

  20. 40 CFR 265.71 - Use of manifest system.

    Science.gov (United States)

    2010-07-01

    ... the manifest; (iv) Within 30 days of delivery, send a copy of the manifest to the generator; and (v... Pennsylvania Avenue, NW., Washington, DC 20460. (b) If a facility receives, from a rail or water (bulk shipment... on the manifest (excluding the EPA identification numbers, generator's certification, and signatures...

  1. Meningeal carcinomatosis as first manifestation of gastric carcinoma

    International Nuclear Information System (INIS)

    Romero R, Alfredo E; Mantilla H, Julio C; Melo U, Mario A; Barajas S, Paula A; Chinchilla O Sandra

    2009-01-01

    Meningeal carcinomatosis is defined as the malignant and widespread infiltration of the meninges due to the planting and growth of cancer cells within the leptomeningeal space. It occurs more frequently in patients with disseminated neoplastic disease, but it may occur after a disease free interval and may even be the first manifestation of cancer. The most common primary tumors in adults are breast (30-50%), lung (15-25%), melanoma (11%) and gastric cancer (0.16-0.69%); in marked contrast with pediatric cases in which lymphocytic leukemia is the most common. The following article describes an autopsy case of a patient with psychiatric symptoms, with no antecedents of importance, with progressive and fatal neurological impairment, whose pathological studies show meningeal carcinomatosis attributable to advanced gastric adenocarcinoma discovered de novo post mortem.

  2. The radiographic manifestations of hypochondroplasia

    International Nuclear Information System (INIS)

    Heselson, N.G.; Cremin, B.J.; Beighton, P.

    1979-01-01

    Hypochrondroplasia is an inherited skeletal dysplasia that resembles achondroplasia in mild degree. Radiographic manifestations encountered in 12 affected individuals in South Africa include slight shortening of all segments of the tubular bones, moderate caudal diminution of the lumbar interpedicular distances, increased lumbar lordosis with cacral tilt and distal prolongation of the fibular. Hypochondroplasia can be distinguished from other osteochondrodystrophies such as achondroplasia, pseudo-achondroplasia and metaphyseal chondroplasia by the recognition of it clinical and radiographic manifestations. (author)

  3. 21 CFR 11.50 - Signature manifestations.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Signature manifestations. 11.50 Section 11.50 Food... RECORDS; ELECTRONIC SIGNATURES Electronic Records § 11.50 Signature manifestations. (a) Signed electronic...: (1) The printed name of the signer; (2) The date and time when the signature was executed; and (3...

  4. Hydrologic refugia, plants, and climate change.

    Science.gov (United States)

    McLaughlin, Blair C; Ackerly, David D; Klos, P Zion; Natali, Jennifer; Dawson, Todd E; Thompson, Sally E

    2017-08-01

    Climate, physical landscapes, and biota interact to generate heterogeneous hydrologic conditions in space and over time, which are reflected in spatial patterns of species distributions. As these species distributions respond to rapid climate change, microrefugia may support local species persistence in the face of deteriorating climatic suitability. Recent focus on temperature as a determinant of microrefugia insufficiently accounts for the importance of hydrologic processes and changing water availability with changing climate. Where water scarcity is a major limitation now or under future climates, hydrologic microrefugia are likely to prove essential for species persistence, particularly for sessile species and plants. Zones of high relative water availability - mesic microenvironments - are generated by a wide array of hydrologic processes, and may be loosely coupled to climatic processes and therefore buffered from climate change. Here, we review the mechanisms that generate mesic microenvironments and their likely robustness in the face of climate change. We argue that mesic microenvironments will act as species-specific refugia only if the nature and space/time variability in water availability are compatible with the ecological requirements of a target species. We illustrate this argument with case studies drawn from California oak woodland ecosystems. We posit that identification of hydrologic refugia could form a cornerstone of climate-cognizant conservation strategies, but that this would require improved understanding of climate change effects on key hydrologic processes, including frequently cryptic processes such as groundwater flow. © 2017 John Wiley & Sons Ltd.

  5. A twistor-like D=10 superparticle action with manifest N=8 world-line supersymmetry

    International Nuclear Information System (INIS)

    Galperin, A.; Sokatchev, E.

    1992-03-01

    We propose a new formulation of the D = 10 Brink-Schwarz superparticle which is manifestly invariant under both the target-space super-Poincare group and the world-line local N = 8 superconformal group. This twistor-like construction naturally involves the sphere S 8 as a coset space of the D = 10 Lorentz group. The action contains only a finite set of auxiliary fields, but they appear in unusual trilinear combinations. The origin of the on-shell D = 10 fermionic Κ symmetry of the standard Brink-Schwarz formulation is explained. The coupling to a D = 10 super-Maxwell background requires a new mechanism, in which the electric charge appears only on shell as an integration constant. (orig.)

  6. Immunologic manifestations of autophagy

    DEFF Research Database (Denmark)

    Deretic, Vojo; Kimura, Tomonori; Timmins, Graham

    2015-01-01

    The broad immunologic roles of autophagy span innate and adaptive immunity and are often manifested in inflammatory diseases. The immune effects of autophagy partially overlap with its roles in metabolism and cytoplasmic quality control but typically expand further afield to encompass unique...... immunologic adaptations. One of the best-appreciated manifestations of autophagy is protection against microbial invasion, but this is by no means limited to direct elimination of intracellular pathogens and includes a stratified array of nearly all principal immunologic processes. This Review summarizes...... the broad immunologic roles of autophagy. Furthermore, it uses the autophagic control of Mycobacterium tuberculosis as a paradigm to illustrate the breadth and complexity of the immune effects of autophagy....

  7. Quantum manifestations of Nekhoroshev stability

    Energy Technology Data Exchange (ETDEWEB)

    Fontanari, Daniele, E-mail: fontanari@purple.univ-littoral.fr [Département de physique, Université du Littoral – Côte d' Opale, 59140 Dunkerque (France); Fassò, Francesco, E-mail: fasso@math.unipd.it [Università di Padova, Dipartimento di Matematica, Via Trieste 63, Padova 35121 (Italy); Sadovskií, Dmitrií A., E-mail: sadovski@univ-littoral.fr [Département de physique, Université du Littoral – Côte d' Opale, 59140 Dunkerque (France)

    2016-09-16

    We uncover quantum manifestations of classical Nekhoroshev theory of resonant dynamics using a simple quantum system of two coupled angular momenta with conserved equal magnitudes which corresponds to a perturbed classical integrable anisochronous Hamiltonian system. - Highlights: • Basic quantum manifestations of classical Nekhoroshev theory are studied. • A simple anisochronous convex system with two degrees of freedom is proposed. • Zones are uncovered in the joint expectation value spectrum of quantized actions. • The width of the zones is given by the Nekhoroshev resonant normal forms.

  8. Detecting anthropogenic climate change with an optimal fingerprint method

    International Nuclear Information System (INIS)

    Hegerl, G.C.; Storch, H. von; Hasselmann, K.; Santer, B.D.; Jones, P.D.

    1994-01-01

    We propose a general fingerprint strategy to detect anthropogenic climate change and present application to near surface temperature trends. An expected time-space-variable pattern of anthropogenic climate change (the 'signal') is identified through application of an appropriate optimally matched space-time filter (the 'fingerprint') to the observations. The signal and the fingerprint are represented in a space with sufficient observed and simulated data. The signal pattern is derived from a model-generated prediction of anthropogenic climate change. Application of the fingerprint filter to the data yields a scalar detection variable. The statistically optimal fingerprint is obtained by weighting the model-predicted pattern towards low-noise directions. A combination of model output and observations is used to estimate the noise characteristics of the detection variable, arising from the natural variability of climate in the absence of external forcing. We test then the null hypothesis that the observed climate change is part of natural climate variability. We conclude that a statistically significant externally induced warming has been observed, with the caveat of a possibly inadequate estimate of the internal climate variability. In order to attribute this warming uniquely to anthropogenic greenhouse gas forcing, more information on the climate's response to other forcing mechanisms (e.g. changes in solar radiation, volcanic or anthropogenic aerosols) and their interaction is needed. (orig./KW)

  9. Articular manifestations in patients with Lyme disease.

    Science.gov (United States)

    Vázquez-López, María Esther; Díez-Morrondo, Carolina; Sánchez-Andrade, Amalia; Pego-Reigosa, Robustiano; Díaz, Pablo; Castro-Gago, Manuel

    To determine the percentage of Lyme patients with articular manifestations in NW Spain and to know their evolution and response to treatment. A retrospective study (2006-2013) was performed using medical histories of confirmed cases of Lyme disease showing articular manifestations. Clinical and laboratory characteristics, together with the treatment and evolution of the patients, were analysed. Seventeen out of 108 LD confirmed patients (15.7%) showed articular manifestations. Regarding those 17 patients, 64.7%, 29.4% and 5.9% presented arthritis, arthralgia and bursitis, respectively. The knee was the most affected joint. Articular manifestations were often associated to neurological, dermatological and cardiac pathologies. Otherwise, most patients were in Stage III. The 11.8% of the cases progressed to a recurrent chronic arthritis despite the administration of an appropriate treatment. Lyme disease patients showing articular manifestations should be included in the diagnosis of articular affections in areas of high risk of hard tick bite, in order to establish a suitable and early treatment and to avoid sequels. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  10. Can We Consume Our Way Out of Climate Change? A Call for Analysis

    OpenAIRE

    Grant, Lyle K

    2011-01-01

    The problem of climate change is analyzed as a manifestation of economic growth, and the steady-state economy of ecological economics is proposed as a system-wide solution. Four classes of more specific solutions are described. In the absence of analysis, cultural inertia will bias solutions in favor of green consumption as a generalized solution strategy. By itself, green consumption is a flawed solution to climate change because it perpetuates or even accelerates economic growth that is inc...

  11. VEMAP 2: U.S. Daily Climate Change Scenarios

    Data.gov (United States)

    National Aeronautics and Space Administration — VEMAP Phase 2 has developed a number of transient climate change scenarios based on coupled atmosphere-ocean general circulation model (AOGCM) transient climate...

  12. Cardio-pulmonary manifestations of rheumatoid arthritis among ...

    African Journals Online (AJOL)

    Background: Rheumatoid arthritis is a chronic systemic inflammatory disease, characterized by polyarthritis and extraarticular manifestations. The cardiopulmonary manifestations of rheumatoid arthritis were studied retrospectively in a cohort of rheumatoid arthritis patients. Methods: This was a retrospective study of all ...

  13. The gentilionic theory for quarks: Manifestly confining for quarks and manifestly non-coalescent for hadrons

    International Nuclear Information System (INIS)

    Cattani, M.S.D.

    1987-01-01

    It's shown that the gentilionic theory for quarks is manifestly confining for quarks and manifestly non-coalescent for hadrons, and that these properties are rigorously deduced only from first principles. To prove them no arguments involving the intrinsic nature of gentileons or dynamical hypothesis are necessary to be adopted. It's also shown that, in the context of the quantum field theory, gentileous can be taken approximately as fermions and that the usual quantum chromodynamics can be used to calculate the properties of gentilionic hadrons. (Author) [pt

  14. Eucalypts face increasing climate stress.

    Science.gov (United States)

    Butt, Nathalie; Pollock, Laura J; McAlpine, Clive A

    2013-12-01

    Global climate change is already impacting species and ecosystems across the planet. Trees, although long-lived, are sensitive to changes in climate, including climate extremes. Shifts in tree species' distributions will influence biodiversity and ecosystem function at scales ranging from local to landscape; dry and hot regions will be especially vulnerable. The Australian continent has been especially susceptible to climate change with extreme heat waves, droughts, and flooding in recent years, and this climate trajectory is expected to continue. We sought to understand how climate change may impact Australian ecosystems by modeling distributional changes in eucalypt species, which dominate or codominate most forested ecosystems across Australia. We modeled a representative sample of Eucalyptus and Corymbia species (n = 108, or 14% of all species) using newly available Representative Concentration Pathway (RCP) scenarios developed for the 5th Assessment Report of the IPCC, and bioclimatic and substrate predictor variables. We compared current, 2025, 2055, and 2085 distributions. Overall, Eucalyptus and Corymbia species in the central desert and open woodland regions will be the most affected, losing 20% of their climate space under the mid-range climate scenario and twice that under the extreme scenario. The least affected species, in eastern Australia, are likely to lose 10% of their climate space under the mid-range climate scenario and twice that under the extreme scenario. Range shifts will be lateral as well as polewards, and these east-west transitions will be more significant, reflecting the strong influence of precipitation rather than temperature changes in subtropical and midlatitudes. These net losses, and the direction of shifts and contractions in range, suggest that many species in the eastern and southern seaboards will be pushed toward the continental limit and that large tracts of currently treed landscapes, especially in the continental interior

  15. OCULAR MANIFESTATIONS OF HEAD INJURIES

    Directory of Open Access Journals (Sweden)

    Kanukollu Venkata Madusudana Rao

    2016-12-01

    Full Text Available BACKGROUND This prospective study aimed to evaluate the incidence of ocular manifestations in head injury and their correlation with the intracranial lesions. MATERIALS AND METHODS A total of 108 consecutive cases of closed head injury admitted in the neurosurgical ward of a tertiary teaching hospital underwent a thorough ophthalmic assessment. Clinical examination, radiological imaging and Glasgow Coma Scale (GCS were applied to grade the severity of injury. RESULTS Total number of 108 patients of head injury were examined of which 38 patients had ocular manifestations (35.18%. Of these, 85.18% were males, 84% of injuries were due to road traffic accidents and 16% were due to fall from a height. The ocular manifestations were as follows- Orbital complications were seen in 6 patients (15.8%. Anterior segment manifestations included black eyes seen in 10 patients (26.3%, subconjunctival haemorrhage in 10.5% of patients (4 patients, corneal involvement in 21% of patients (8 patients and pupillary involvement in 50% of patients (19 patients. Posterior segment manifestations were seen in 26.3% of patients (10 patients and were as follows- Purtscher’s retinopathy in 2 patients and optic atrophy in 5 patients. Cranial nerve palsies were seen in 15 patients (39.47% and supranuclear movement disorders were seen in 3 patients (8%. CONCLUSION Even though, neurosurgeons perform comprehensive clinical examination including eye examination, the main purpose is limited to aid topical diagnosis of neurological lesions. This study emphasises the importance of a detailed eye examination by an ophthalmologist to prevent irreversible visual loss in addition to aiding in the neurological diagnosis. Pupillary involvement, papilloedema and ocular motor paresis pointed to a more severe head injury. This observational prospective study helped us to correlate the severity of head injuries in association with ocular findings in patients admitted in neurosurgical ward

  16. The value of space

    DEFF Research Database (Denmark)

    Panduro, Toke Emil

    The thesis consists of four papers which address the potential and challenges of the hedonic house price method. The aim of the thesis has been to estimate consistent and efficient parameter estimates of spatial varying regressors in the hedonic house price model. In particular, the articles are ...... and provide reliable estimates of the value of different types of green space....... are concerned with the value of different types of green space and how these values can be applied in urban planning policies related to climate adaption. The results presented in this thesis, ensure a “level playing field” in the assessment of the cost and benefits of different climate adaptation strategies...

  17. Quantum manifestations of chaos

    International Nuclear Information System (INIS)

    Borondo, F.; Benito, R.M.

    1998-01-01

    The correspondence between classical and quantum mechanics is considered both in the regular and chaotic regimes, and the main results regarding the quantum manifestations of chaos are reviewed. (Author) 16 refs

  18. A Clinico- Epidemiological Study Of Filarial Related Orthopaedic Manifestations

    Directory of Open Access Journals (Sweden)

    Patond K.R

    1992-01-01

    Full Text Available An epidemiological study was undertaken to study the incidence and distribution of orthopaedic manifestations of filariasis in an endemic area. A total of 207 cases were clinically examined and investigated. Patients were divided into three groups , viz., Group A: Orthopaedic manifestations with no history of filariasis . Group B: Orthopaedic manifestations with history of filariasis such as microfilaraemia or filarial fevers etc., Group C: Orthopaedic manifestations with chronic manifestations such as elephantiasis, hydrocele etc. To confirm filarial etiology, all the cases were examined for the presence of filarial antibody by indirect ELISA using wuchereda bancrofti microfilarial excretory- secretary antigen (wd Mf ESAg . A total of 61 of 102 patients of Group A, 14 of 21 patients of group B, and 73 of 84 patients of Group C were positive for filarial antibody. This study showed the prevalence of filarial antibody in about 71.4% of various orthopaedic manifestations.

  19. Genetic alterations in syndromes with oral manifestations

    Directory of Open Access Journals (Sweden)

    Krishnamurthy Anuthama

    2013-01-01

    Full Text Available Ever since Gregor Johan Mendel proposed the law of inheritance, genetics has transcended the field of health and has entered all walks of life in its application. Thus, the gene is the pivoting factor for all happenings revolving around it. Knowledge of gene mapping in various diseases would be a valuable tool in prenatally diagnosing the condition and averting the future disability and stigma for the posterity. This article includes an array of genetically determined conditions in patients seen at our college out-patient department with complete manifestation, partial manifestation and array of manifestations not fitting into a particular syndrome.

  20. Orofacial manifestations of hematological disorders: Anemia and hemostatic disorders

    Directory of Open Access Journals (Sweden)

    Titilope A Adeyemo

    2011-01-01

    Full Text Available The aim of this paper is to review the literature and identify orofacial manifestations of hematological diseases, with particular reference to anemias and disorders of hemostasis. A computerized literature search using MEDLINE was conducted for published articles on orofacial manifestations of hematological diseases, with emphasis on anemia. Mesh phrases used in the search were: oral diseases AND anaemia; orofacial diseases AND anaemia; orofacial lesions AND anaemia; orofacial manifestations AND disorders of haemostasis. The Boolean operator "AND" was used to combine and narrow the searches. Anemic disorders associated with orofacial signs and symptoms include iron deficiency anemia, Plummer-Vinson syndrome, megaloblastic anemia, sickle cell anemia, thalassaemia and aplastic anemia. The manifestations include conjunctiva and facial pallor, atrophic glossitis, angular stomatitis, dysphagia, magenta tongue, midfacial overgrowth, osteoclerosis, osteomyelitis and paraesthesia/anesthesia of the mental nerve. Orofacial petechiae, conjunctivae hemorrhage, nose-bleeding, spontaneous and post-traumatic gingival hemorrhage and prolonged post-extraction bleeding are common orofacial manifestations of inherited hemostatic disorders such as von Willebrand′s disease and hemophilia. A wide array of anemic and hemostatic disorders encountered in internal medicine has manifestations in the oral cavity and the facial region. Most of these manifestations are non-specific, but should alert the hematologist and the dental surgeon to the possibilities of a concurrent disease of hemopoiesis or hemostasis or a latent one that may subsequently manifest itself.

  1. The changing seasonal climate in the Arctic.

    Science.gov (United States)

    Bintanja, R; van der Linden, E C

    2013-01-01

    Ongoing and projected greenhouse warming clearly manifests itself in the Arctic regions, which warm faster than any other part of the world. One of the key features of amplified Arctic warming concerns Arctic winter warming (AWW), which exceeds summer warming by at least a factor of 4. Here we use observation-driven reanalyses and state-of-the-art climate models in a variety of standardised climate change simulations to show that AWW is strongly linked to winter sea ice retreat through the associated release of surplus ocean heat gained in summer through the ice-albedo feedback (~25%), and to infrared radiation feedbacks (~75%). Arctic summer warming is surprisingly modest, even after summer sea ice has completely disappeared. Quantifying the seasonally varying changes in Arctic temperature and sea ice and the associated feedbacks helps to more accurately quantify the likelihood of Arctic's climate changes, and to assess their impact on local ecosystems and socio-economic activities.

  2. Extraintestinal manifestations of inflammatory bowel disease: epidemiology, diagnosis, and management

    DEFF Research Database (Denmark)

    Larsen, Signe; Bendtzen, Klaus; Nielsen, Ole Haagen

    2010-01-01

    ', 'bronchiectasis', 'bronchitis', 'cutaneous manifestations', 'erythema nodosum', 'extraintestinal manifestations', 'hyperhomocysteinemia', 'infliximab', 'iridocyclitis', 'lung disease', 'ocular manifestations', 'osteomalacia', 'pancreatitis', 'primary sclerosing cholangitis', 'renal stones', 'sulfasalazine...

  3. Are the cutaneous manifestations in patients with primary antiphospholipid syndrome a marker for predicting lung manifestations?

    Science.gov (United States)

    Kontic, Milica; Stojanovich, Ljudmila; Mijailović-Ivković, Milena; Velinović, Mladen; Srnka, Jasminka; Zdravkovic, Marija

    2018-01-01

    The aim of this study was to investigate association between pulmonary and skin manifestations in a large group of patients with primary antiphospholipid syndrome (PAPS) as well as their connection with antiphospholipid antibodies. Our prospective study comprises of 390 patients with primary APS. Antiphospholipid antibody (aPL) analysis included detection of aCL (IgG/IgM), ß2GPI (IgG/IgM) and LA. Distinct pulmonary and skin associations were determined, as well as their associations with aPL. In PAPS patients the presence of LA was more common in PTE (p=0.005) and in pulmonary microthrombosis (p=0.003). We revealed statistical significance considering the presence of aCL IgM and pulmonary microthrombosis (p=0.05). Skin ulcerations correlated with positive titres aCL IgM and ß2 GPI IgM (p=0.03 and 0.04, respectively), while pseudovasculitis correlated with positive titres ß2 GPI IgM (p=0.02). PAPS patients were more more likely to develop pulmonary thromboembolisam if they had livedo reticularis (p=0.005), skin ulcerations (p=0.007), pseudovasculitic lesions (p=0.01), superficial cutaneous necrosis (p=0.005), and digital gangrene (p=0.02). Patients were also more prone to pulmonary microthrombosis if they already had livedo reticularis (p=0.03), skin ulcerations (p=0.007), pseudovasculitic lesions (p=0.05), superficial cutaneous necrosis (p=0.006), and digital gangrene (p=0.02). There is strong link between some pulmonary and skin manifestations in PAPS patients, suggesting complexity and evolutionary nature of APS. The presence of skin manifestations may be a high risk factor for several types of serious pulmonary manifestations in PAPS. Certain aPL types are associated with distinct pulmonary and skin manifestation, suggesting their predictive role.

  4. Climate Model Diagnostic Analyzer

    Data.gov (United States)

    National Aeronautics and Space Administration — Both the National Research Council (NRC) Decadal Survey and the latest Intergovernmental Panel on Climate Change (IPCC) Assessment Report stressed the need for the...

  5. IPCC Fourth Assessment Report (AR4) Observed Climate Change Impacts Database

    Data.gov (United States)

    National Aeronautics and Space Administration — The Intergovernmental Panel on Climate Change (IPCC) Fourth Assessement Report (AR4) Observed Climate Change Impacts Database contains observed responses to climate...

  6. The joint space-time statistics of macroweather precipitation, space-time statistical factorization and macroweather models

    International Nuclear Information System (INIS)

    Lovejoy, S.; Lima, M. I. P. de

    2015-01-01

    Over the range of time scales from about 10 days to 30–100 years, in addition to the familiar weather and climate regimes, there is an intermediate “macroweather” regime characterized by negative temporal fluctuation exponents: implying that fluctuations tend to cancel each other out so that averages tend to converge. We show theoretically and numerically that macroweather precipitation can be modeled by a stochastic weather-climate model (the Climate Extended Fractionally Integrated Flux, model, CEFIF) first proposed for macroweather temperatures and we show numerically that a four parameter space-time CEFIF model can approximately reproduce eight or so empirical space-time exponents. In spite of this success, CEFIF is theoretically and numerically difficult to manage. We therefore propose a simplified stochastic model in which the temporal behavior is modeled as a fractional Gaussian noise but the spatial behaviour as a multifractal (climate) cascade: a spatial extension of the recently introduced ScaLIng Macroweather Model, SLIMM. Both the CEFIF and this spatial SLIMM model have a property often implicitly assumed by climatologists that climate statistics can be “homogenized” by normalizing them with the standard deviation of the anomalies. Physically, it means that the spatial macroweather variability corresponds to different climate zones that multiplicatively modulate the local, temporal statistics. This simplified macroweather model provides a framework for macroweather forecasting that exploits the system's long range memory and spatial correlations; for it, the forecasting problem has been solved. We test this factorization property and the model with the help of three centennial, global scale precipitation products that we analyze jointly in space and in time

  7. Planting spacing and NK fertilizing on physiological indexes and fruit production of papaya under semiarid climate

    Directory of Open Access Journals (Sweden)

    Eduardo Monteiro Santos

    2015-01-01

    Full Text Available ABSTRACT The nutritional requirements of papaya (Carica papaya L. increase continuously throughout the crop cycle, especially for potassium and nitrogen, which are the most required nutrients and act on plant vital functions such as photosynthetic activity, respiration, transpiration and stomatal regulation. An experiment was conducted from November 2010 to December 2012 to evaluate physiological indexes and fruit production of papaya cv. Caliman-01 as a function of planting spacing and NK fertilizing. The experimental design consisted of randomized blocks, with treatments distributed in a factorial arrangement (2 × 4 × 4, using 2 planting spacing [simple rows (3.8 × 2.0 m and double rows (3.8 × 2.0 × 1.8 m], 4 nitrogen doses (320, 400, 480 and 560 g of N per plant-1 and 4 potassium doses (380, 475, 570 and 665 g of K2O per plant-1 with 4 replications of 3 plants each. The following variables were evaluated: leaf area index (LAI, leaf chlorophyll index (a, b and total index, intercepted photosynthetically active radiation (Int.PAR, in µmol∙m-2∙s-1, efficiency use of photosynthetically active radiation (Ef.PAR and fruit yield. The fruit production and physiological characteristics of papaya cv. Caliman-01 depend on planting spacing. Under the soil, climate and plant conditions of this study, 665 g of K2O and 320 g of N per plant under double spacing could be recommended for the production of papaya cv. Caliman-01.

  8. Designing ecological climate change impact assessments to reflect key climatic drivers.

    Science.gov (United States)

    Sofaer, Helen R; Barsugli, Joseph J; Jarnevich, Catherine S; Abatzoglou, John T; Talbert, Marian K; Miller, Brian W; Morisette, Jeffrey T

    2017-07-01

    Identifying the climatic drivers of an ecological system is a key step in assessing its vulnerability to climate change. The climatic dimensions to which a species or system is most sensitive - such as means or extremes - can guide methodological decisions for projections of ecological impacts and vulnerabilities. However, scientific workflows for combining climate projections with ecological models have received little explicit attention. We review Global Climate Model (GCM) performance along different dimensions of change and compare frameworks for integrating GCM output into ecological models. In systems sensitive to climatological means, it is straightforward to base ecological impact assessments on mean projected changes from several GCMs. Ecological systems sensitive to climatic extremes may benefit from what we term the 'model space' approach: a comparison of ecological projections based on simulated climate from historical and future time periods. This approach leverages the experimental framework used in climate modeling, in which historical climate simulations serve as controls for future projections. Moreover, it can capture projected changes in the intensity and frequency of climatic extremes, rather than assuming that future means will determine future extremes. Given the recent emphasis on the ecological impacts of climatic extremes, the strategies we describe will be applicable across species and systems. We also highlight practical considerations for the selection of climate models and data products, emphasizing that the spatial resolution of the climate change signal is generally coarser than the grid cell size of downscaled climate model output. Our review illustrates how an understanding of how climate model outputs are derived and downscaled can improve the selection and application of climatic data used in ecological modeling. © 2017 John Wiley & Sons Ltd.

  9. CT manifestations of pulmonary Langerhans cell histiocytosis

    International Nuclear Information System (INIS)

    Qiang Jun; Yu Wei; Gao Wanqin; Song Haiqiao; Ma Yingjian

    2010-01-01

    Objective: To analyzes the CT manifestations of pulmonary Langerhans cell histiocytosis (PLCH). Methods: CT features of 11 patients with PLCH proved pathologically were analyzed retrospectively. Results: The main findings in 11 PLCHs were cysts and nodules. Two cases only had cysts, and 1 only had nodules, which most had cavitations. The other 8 cases showed cysts and nodules with 4 cases mainly manifested with cysts and nine mainly manifested with nodules. Two cases had pulmonary interstitial changes. One case only had cysts in the left upper lung field and 10 cases had lesions not only in the upper and middle but in the lower lung field, which 2 cases had more lesions in the lower and costo-phrenic angle field and 8 cases had less lesions in the costo-phrenic angle field. Three of these 8 cases had more lesions in the superior lobe and apical segment of lower lobe. Conclusion: CT manifestations of PLCH are helpful for the early diagnosis. (authors)

  10. Hydrological Climate Classification: Can We Improve on Köppen-Geiger?

    Science.gov (United States)

    Knoben, W.; Woods, R. A.; Freer, J. E.

    2017-12-01

    Classification is essential in the study of complex natural systems, yet hydrology so far has no formal way to structure the climate forcing which underlies hydrologic response. Various climate classification systems can be borrowed from other disciplines but these are based on different organizing principles than a hydrological classification might use. From gridded global data we calculate a gridded aridity index, an aridity seasonality index and a rain-vs-snow index, which we use to cluster global locations into climate groups. We then define the membership degree of nearly 1100 catchments to each of our climate groups based on each catchment's climate and investigate the extent to which streamflow responses within each climate group are similar. We compare this climate classification approach with the often-used Köppen-Geiger classification, using statistical tests based on streamflow signature values. We find that three climate indices are sufficient to distinguish 18 different climate types world-wide. Climates tend to change gradually in space and catchments can thus belong to multiple climate groups, albeit with different degrees of membership. Streamflow responses within a climate group tend to be similar, regardless of the catchments' geographical proximity. A Wilcoxon two-sample test based on streamflow signature values for each climate group shows that the new classification can distinguish different flow regimes using this classification scheme. The Köppen-Geiger approach uses 29 climate classes but is less able to differentiate streamflow regimes. Climate forcing exerts a strong control on typical hydrologic response and both change gradually in space. This makes arbitrary hard boundaries in any classification scheme difficult to defend. Any hydrological classification should thus acknowledge these gradual changes in forcing. Catchment characteristics (soil or vegetation type, land use, etc) can vary more quickly in space than climate does, which

  11. Geopolitics of climate change: A review

    OpenAIRE

    Bošnjaković Branko

    2012-01-01

    The paper reviews the geopolitical elements of the emerging discourse on how to control, and cope with climate change. Two complementary approaches may be distinguished: the actor-related approach analyses the positioning of states and interest groups, which develop strategies on coping with climate change; the other approach addresses processes and problem areas (physical, economic, demographic…) emerging in the geographic space as a consequence of, or linked to climate change. With fa...

  12. Neuropsychiatric Manifestations of Parkinson`s Disease

    Directory of Open Access Journals (Sweden)

    Ana Peixinho

    2014-10-01

    Full Text Available Parkinson’s disease affects about 1% of the world population older than 65 years. It’s most frequently considered a movement disorder, but the neuropsychiatric manifestations associated with the disease and/or its treatment may be of equal or greater significance in some patients. We will discuss briefly the epidemiology, physiopathology and diagnosis of Parkinson’s disease, highlighting the neuropsychiatric manifestations: depression, anxiety, psychosis, dementia, sleep disorders, dopamine dysregulation syndrome.

  13. Creating a safe operating space for wetlands in a changing climate

    NARCIS (Netherlands)

    Green, Andy J; Alcorlo, Paloma; Peeters, Edwin THM; Morris, Edward P; Espinar, José L; Bravo-Utrera, Miguel Angel; Bustamante, Javier; Díaz-Delgado, Ricardo; Koelmans, Albert A; Mateo, Rafael; Mooij, Wolf M; Rodríguez-Rodríguez, Miguel; van Nes, Egbert H; Scheffer, Marten

    2017-01-01

    Many of the world's wetlands may be profoundly affected by climate change over the coming decades. Although wetland managers may have little control over the causes of climate change, they can help to counteract its effects through local measures. This is because direct anthropogenic impacts, such

  14. Can dentists detect multiple myeloma through oral manifestations?

    Directory of Open Access Journals (Sweden)

    Thaís Miranda Xavier de Almeida

    2018-01-01

    Full Text Available Objective: To review published data on oral manifestations of multiple myeloma. Methods: An electronic database search was performed of articles published from 1971 to November 2016 in order to identify studies that reported oral manifestations of patients with multiple myeloma. Case reports and case series with oral manifestations of multiple myeloma in English were included in the study. An additional search was performed of the references of the selected articles. Results: Thirty-seven articles that reported 81 patients with oral manifestations of multiple myeloma were selected: 30 case reports (82% and seven case series (18%. The most common clinical features in the dental cavity were swelling (65.4%, bone pain (33.3%, paresthesia (27.1% and amyloidosis lesions (11.1%. Osteolytic lesions detected on imaging exams were reported in the majority of the patients (90.1% as plasmacytomas or ‘punched-out’ lesions. Conclusions: Swelling and osteolytic lesions represent the most common clinical and radiographic signs of the jaws relating to multiple myeloma, respectively. Keywords: Multiple Myeloma, Oral Manifestations, Mouth, Jaws

  15. Neurocysticercosis, unusual manifestations

    Directory of Open Access Journals (Sweden)

    David López-Valencia

    2016-07-01

    The case of a patient with an atypical location of the parasite at the medulla oblongata, between parenchymal and spinal areas, is presented. The initial symptoms were common but its subsequent manifestations were similar to those of Bruns syndrome. Furthermore, the epidemiological profile of neurocysticercosis in Colombia, its control measures and prevention strategies were reviewed in this study.

  16. Sensitivity of Earth Wheat Markets to Space Weather: Comparative Analysis based on data from Medieval European Markets

    Science.gov (United States)

    Pustil'Nik, Lev

    We consider a problem of the possible influence of unfavorable states of the space weather on agriculture markets through the chain of connections: "space weather"-"earth weather"- "agriculture crops"-"price reaction". We show that new manifestations of "space weather"- "earth weather" relations discovered in the recent time allow revising a wide range of the expected solar-terrestrial connections. In the previous works we proposed possible mechanisms of wheat market reaction on the specific unfavorable states of space weather in the form of price bursts and price asymmetry. We point out that implementation of considered "price reaction scenarios" is possible only for the case of simultaneous realization of several necessary conditions: high sensitivity of local earth weather in the selected region to space weather; the state of "high risk agriculture" in the selected agriculture zone; high sensitivity of agricultural market to a possible deficit of yield. Results of our previous works (I, II), including application of this approach to the Medieval England wheat market (1250-1700) and to the modern USA durum market (1910-1992), showed that connection between wheat price bursts and space weather state in these cases was absolutely real. The aim of the present work is to answer the question why wheat markets in one selected region may be sensitive to a space weather factor, while in other regions wheat markets demonstrate absolutely indifferent reaction on the space weather. For this aim, we consider dependence of sensitivity of wheat markets to space weather as a function of their location in different climatic zones of Europe. We analyze a database of 95 European wheat markets from 14 countries for the 600-year period (1260-1912). We show that the observed sensitivity of wheat markets to space weather effects is controlled, first of all, by a type of predominant climate in different zones of agricultural production. Wheat markets in the Northern and, partly, in

  17. Towards a More Biologically-meaningful Climate Characterization: Variability in Space and Time at Multiple Scales

    Science.gov (United States)

    Christianson, D. S.; Kaufman, C. G.; Kueppers, L. M.; Harte, J.

    2013-12-01

    fine-spatial scales (sub-meter to 10-meter) shows greater temperature variability with warmer mean temperatures. This is inconsistent with the inherent assumption made in current species distribution models that fine-scale variability is static, implying that current projections of future species ranges may be biased -- the direction and magnitude requiring further study. While we focus our findings on the cross-scaling characteristics of temporal and spatial variability, we also compare the mean-variance relationship between 1) experimental climate manipulations and observed conditions and 2) temporal versus spatial variance, i.e., variability in a time-series at one location vs. variability across a landscape at a single time. The former informs the rich debate concerning the ability to experimentally mimic a warmer future. The latter informs space-for-time study design and analyses, as well as species persistence via a combined spatiotemporal probability of suitable future habitat.

  18. Extrahepatic manifestations of cholestasis

    NARCIS (Netherlands)

    Glasova, Helena; Beuers, Ulrich

    2002-01-01

    Pruritus, fatigue and metabolic bone disease represent three major extrahepatic manifestations of chronic cholestatic liver disease that considerably affect the patient's quality of life. The present article reviews pathogenetic aspects of and current therapeutic approaches to extrahepatic

  19. Neurological manifestations of excessive alcohol consumption.

    Science.gov (United States)

    Planas-Ballvé, Anna; Grau-López, Laia; Morillas, Rosa María; Planas, Ramón

    2017-12-01

    This article reviews the different acute and chronic neurological manifestations of excessive alcohol consumption that affect the central or peripheral nervous system. Several mechanisms can be implicated depending on the disorder, ranging from nutritional factors, alcohol-related toxicity, metabolic changes and immune-mediated mechanisms. Recognition and early treatment of these manifestations is essential given their association with high morbidity and significantly increased mortality. Copyright © 2017 Elsevier España, S.L.U., AEEH y AEG. All rights reserved.

  20. Imaging the Abdominal Manifestations of Cystic Fibrosis

    Directory of Open Access Journals (Sweden)

    C. D. Gillespie

    2017-01-01

    Full Text Available Cystic fibrosis (CF is a multisystem disease with a range of abdominal manifestations including those involving the liver, pancreas, and kidneys. Recent advances in management of the respiratory complications of the disease has led to a greater life expectancy in patients with CF. Subsequently, there is increasing focus on the impact of abdominal disease on quality of life and survival. Liver cirrhosis is the most important extrapulmonary cause of death in CF, yet significant challenges remain in the diagnosis of CF related liver disease. The capacity to predict those patients at risk of developing cirrhosis remains a significant challenge. We review representative abdominal imaging findings in patients with CF selected from the records of two academic health centres, with a view to increasing familiarity with the abdominal manifestations of the disease. We review their presentation and expected imaging findings, with a focus on the challenges facing diagnosis of the hepatic manifestations of the disease. An increased familiarity with these abdominal manifestations will facilitate timely diagnosis and management, which is paramount to further improving outcomes for patients with cystic fibrosis.

  1. Smarandache Spaces as a New Extension of the Basic Space-Time of General Relativity

    Directory of Open Access Journals (Sweden)

    Rabounski D.

    2010-04-01

    Full Text Available This short letter manifests how Smarandache geometries can be employed in order to extend the “classical” basis of the General Theory of Relativity (Riemannian geometry through joining the properties of two or more (different geometries in the same single space. Perspectives in this way seem much profitable: the basic space-time of General Relativity can be extended to not only metric geometries, but even to non-metric ones (where no distances can be measured, or to spaces of the mixed kind which possess the properties of both metric and non-metric spaces (the latter should be referred to as “semi-metric spaces”. If both metric and non-metric properties possessed at the same (at least one point of a space, it is one of Smarandache geometries, and should be re- ferred to as “Smarandache semi-metric space”. Such spaces can be introduced accord- ing to the mathematical apparatus of physically observable quantities (chronometric invariants, if we consider a breaking of the observable space metric in the continuous background of the fundamental metric tensor.

  2. A Gaussian graphical model approach to climate networks

    International Nuclear Information System (INIS)

    Zerenner, Tanja; Friederichs, Petra; Hense, Andreas; Lehnertz, Klaus

    2014-01-01

    Distinguishing between direct and indirect connections is essential when interpreting network structures in terms of dynamical interactions and stability. When constructing networks from climate data the nodes are usually defined on a spatial grid. The edges are usually derived from a bivariate dependency measure, such as Pearson correlation coefficients or mutual information. Thus, the edges indistinguishably represent direct and indirect dependencies. Interpreting climate data fields as realizations of Gaussian Random Fields (GRFs), we have constructed networks according to the Gaussian Graphical Model (GGM) approach. In contrast to the widely used method, the edges of GGM networks are based on partial correlations denoting direct dependencies. Furthermore, GRFs can be represented not only on points in space, but also by expansion coefficients of orthogonal basis functions, such as spherical harmonics. This leads to a modified definition of network nodes and edges in spectral space, which is motivated from an atmospheric dynamics perspective. We construct and analyze networks from climate data in grid point space as well as in spectral space, and derive the edges from both Pearson and partial correlations. Network characteristics, such as mean degree, average shortest path length, and clustering coefficient, reveal that the networks posses an ordered and strongly locally interconnected structure rather than small-world properties. Despite this, the network structures differ strongly depending on the construction method. Straightforward approaches to infer networks from climate data while not regarding any physical processes may contain too strong simplifications to describe the dynamics of the climate system appropriately

  3. A Gaussian graphical model approach to climate networks

    Energy Technology Data Exchange (ETDEWEB)

    Zerenner, Tanja, E-mail: tanjaz@uni-bonn.de [Meteorological Institute, University of Bonn, Auf dem Hügel 20, 53121 Bonn (Germany); Friederichs, Petra; Hense, Andreas [Meteorological Institute, University of Bonn, Auf dem Hügel 20, 53121 Bonn (Germany); Interdisciplinary Center for Complex Systems, University of Bonn, Brühler Straße 7, 53119 Bonn (Germany); Lehnertz, Klaus [Department of Epileptology, University of Bonn, Sigmund-Freud-Straße 25, 53105 Bonn (Germany); Helmholtz Institute for Radiation and Nuclear Physics, University of Bonn, Nussallee 14-16, 53115 Bonn (Germany); Interdisciplinary Center for Complex Systems, University of Bonn, Brühler Straße 7, 53119 Bonn (Germany)

    2014-06-15

    Distinguishing between direct and indirect connections is essential when interpreting network structures in terms of dynamical interactions and stability. When constructing networks from climate data the nodes are usually defined on a spatial grid. The edges are usually derived from a bivariate dependency measure, such as Pearson correlation coefficients or mutual information. Thus, the edges indistinguishably represent direct and indirect dependencies. Interpreting climate data fields as realizations of Gaussian Random Fields (GRFs), we have constructed networks according to the Gaussian Graphical Model (GGM) approach. In contrast to the widely used method, the edges of GGM networks are based on partial correlations denoting direct dependencies. Furthermore, GRFs can be represented not only on points in space, but also by expansion coefficients of orthogonal basis functions, such as spherical harmonics. This leads to a modified definition of network nodes and edges in spectral space, which is motivated from an atmospheric dynamics perspective. We construct and analyze networks from climate data in grid point space as well as in spectral space, and derive the edges from both Pearson and partial correlations. Network characteristics, such as mean degree, average shortest path length, and clustering coefficient, reveal that the networks posses an ordered and strongly locally interconnected structure rather than small-world properties. Despite this, the network structures differ strongly depending on the construction method. Straightforward approaches to infer networks from climate data while not regarding any physical processes may contain too strong simplifications to describe the dynamics of the climate system appropriately.

  4. Ancient Climatic Architectural Design Approach

    Directory of Open Access Journals (Sweden)

    Nasibeh Faghih

    2013-01-01

    Full Text Available Ancient climatic architecture had found out a series of appropriate responses for the best compatibility with the critical climate condition for instance, designing ‘earth sheltered houses’ and ‘courtyard houses’. They could provide human climatic comfort without excessive usage of fossil fuel resources. Owing to the normal thermal conditions in the ground depth, earth sheltered houses can be slightly affected by thermal fluctuations due to being within the earth. In depth further than 6.1 meters, temperature alternation is minute during the year, equaling to average annual temperature of outside. More to the point, courtyard buildings as another traditional design approach, have prepared controlled climatic space based on creating the maximum shade in the summer and maximum solar heat absorption in the winter. The courtyard houses served the multiple functions of lighting to the rooms, acting as a heat absorber in the summer and a radiator in the winter, as well as providing an open space inside for community activities. It must be noted that they divided into summer and winter zones located in south and north of the central courtyard where residents were replaced into them according to changing the seasons. Therefore, Ancient climatic buildings provided better human thermal comfort in comparison with the use contemporary buildings of recent years, except with the air conditioning

  5. Manifestation of Particle Morphology on the Mechanical Response of a Granular Ensemble

    Science.gov (United States)

    Murthy, Tejas; Kandasami, Ramesh

    We present the effect of particle morphology (grain shape) on the mechanical response of granular materials at an ensemble level. We chose two model systems with extreme differences in morphology, i.e. spherical glass ballotini and angular sand in our experimental programme. We conducted a series of continuum elemental tests under these model materials reconstituted to the same packing. We arrive at the failure locus on the octahedral plane experimentally for these two systems. The ballotini shows increased dilation at the outset of the test, however, at large strains, the particle rearrangement in the angular sand and the increased interlocking leads to higher strength. The effect of individual particle morphology is manifested in both the increased friction angle and a larger sized failure locus in stress space with increase in angularity. The stresses developed in these two model materials are also accompanied by intriguing volume change behaviour. The glass ballotini despite a lower strength presents a predominantly dilative response while the angular sand shows showing a contractive response. Such an ensemble manifestation of individual particle morphology is useful in interpreting the extensive DEM simulations that are available in literature.

  6. Pulmonary manifestations of malaria

    International Nuclear Information System (INIS)

    Rauber, K.; Enkerlin, H.L.; Riemann, H.; Schoeppe, W.; Frankfurt Univ.

    1987-01-01

    We report on the two different types of pulmonary manifestations in acute plasmodium falciparum malaria. The more severe variant shows long standing interstitial pulmonary infiltrates, whereas in the more benign courses only short-term pulmonary edemas are visible. (orig.) [de

  7. Clinical Manifestations and Diagnosis of Acromegaly

    OpenAIRE

    Lugo, Gloria; Pena, Lara; Cordido, Fernando

    2012-01-01

    Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Ac...

  8. Topologies of climate change

    DEFF Research Database (Denmark)

    Blok, Anders

    2010-01-01

    Climate change is quickly becoming a ubiquitous socionatural reality, mediating extremes of sociospatial scale from the bodily to the planetary. Although environmentalism invites us to ‘think globally and act locally', the meaning of these scalar designations remains ambiguous. This paper explores...... the topological presuppositions of social theory in the context of global climate change, asking how carbon emissions ‘translate' into various sociomaterial forms. Staging a meeting between Tim Ingold's phenomenology of globes and spheres and the social topologies of actor-network theory (ANT), the paper advances...... a ‘relational-scalar' analytics of spatial practices, technoscience, and power. As technoscience gradually constructs a networked global climate, this ‘grey box' comes to circulate within fluid social spaces, taking on new shades as it hybridizes knowledges, symbols, and practices. Global climates thus come...

  9. Achieving Climate Change Absolute Accuracy in Orbit

    Science.gov (United States)

    Wielicki, Bruce A.; Young, D. F.; Mlynczak, M. G.; Thome, K. J; Leroy, S.; Corliss, J.; Anderson, J. G.; Ao, C. O.; Bantges, R.; Best, F.; hide

    2013-01-01

    The Climate Absolute Radiance and Refractivity Observatory (CLARREO) mission will provide a calibration laboratory in orbit for the purpose of accurately measuring and attributing climate change. CLARREO measurements establish new climate change benchmarks with high absolute radiometric accuracy and high statistical confidence across a wide range of essential climate variables. CLARREO's inherently high absolute accuracy will be verified and traceable on orbit to Système Internationale (SI) units. The benchmarks established by CLARREO will be critical for assessing changes in the Earth system and climate model predictive capabilities for decades into the future as society works to meet the challenge of optimizing strategies for mitigating and adapting to climate change. The CLARREO benchmarks are derived from measurements of the Earth's thermal infrared spectrum (5-50 micron), the spectrum of solar radiation reflected by the Earth and its atmosphere (320-2300 nm), and radio occultation refractivity from which accurate temperature profiles are derived. The mission has the ability to provide new spectral fingerprints of climate change, as well as to provide the first orbiting radiometer with accuracy sufficient to serve as the reference transfer standard for other space sensors, in essence serving as a "NIST [National Institute of Standards and Technology] in orbit." CLARREO will greatly improve the accuracy and relevance of a wide range of space-borne instruments for decadal climate change. Finally, CLARREO has developed new metrics and methods for determining the accuracy requirements of climate observations for a wide range of climate variables and uncertainty sources. These methods should be useful for improving our understanding of observing requirements for most climate change observations.

  10. Prevalence of cutaneous manifestations of diabetes mellitus

    International Nuclear Information System (INIS)

    Ahmed, K.; Muhammad, Z.; Qayum, I.

    2009-01-01

    Diabetes mellitus (DM) is a clinical syndrome characterized by hyperglycaemia due to absolute or relative insulin deficiency. The aim of this study was to evaluate the frequency of skin manifestations in patients with diabetes mellitus of this area. This descriptive study was conducted in medical out patient door of District Headquarter Hospital Battgram from January 2008 to July 2008. A total of 350 diabetic (types 1 and 2) patients over 15 years of age attending the medical OPD of DHQ Hospital were examined in detail for skin manifestations of the disease. Three hundred and fifty diabetic (type-1 and type-2) patients (193 females and 157 males) enrolled in this study. Mean age of the patients was 54+-8.53 years. Duration of diabetes was between 1-12 years; 320 patients had type-2 and 30 patients had type-1 diabetes mellitus. Patients with uncontrolled disease were 327 and 23 patients showed adequate glycaemic control. Seventy-six percent of patients had cutaneous manifestations. The skin manifestations observed were: skin infections 30.9%, foot gangrene and ulcers 12.9%, pruritus 7.1%, vitiligo 5.7%, yellow skin 4.2%, diabetic dermopathy 4.2%, skin tags 3.7%, acanthosis nigricans 2.9%, eruptive xanthomas 2.6%, necrobiosis lipoidica diabeticorum 1.4%, diabetic bullae 0.6%, and pigmented purpuras in 0.3% patients. Cutaneous manifestations were quite Common in the diabetics of this area. (author)

  11. Joubert syndrome: Clinical manifestations and magnetic resonance imaging

    International Nuclear Information System (INIS)

    Kim, Seung Cheol; Kim, In One; Yoon, Yong Kyu; Yeon, Kyung Mo; Kim, Woo Sun; Song, Jong Gi; Hwang, Yong Seung

    1994-01-01

    Joubert syndrome presents neonatal respiratory abnormalities and other clinical manifestations. Pathologically the patients show hypoplasia or agenesis of cerebellar vermis and other intracranial anomalies. Our purpose is to evaluate the clinical manifestations and MR findings of Joubert syndrome. Among the patient presenting with clinical stigmata of Joubert syndrome and agenesis of vermis on MR imaging, eight patients who did not satisfied the criteria of Dandy-Walker malformation, tectocerebellar dysraphia and rhombencephalosynapsis were selected. MR findings and clinical manifestation were analyzed. On MR imaging, agenesis of the cerebellar vermis (all cases), hypoplasia of the cerebellar peduncle (6 cases), fourth ventricular contour deformity (6 cases), tentorial elevation (4 caes), deformity of the lateral ventricles (4 cases), dysgenesis of the straight sinus (3 cases) were demonstrated. Other findings were abnormalities of corpus callosum (3 cases), falx anomalies (3 case), occipital encephalomeningocele (2 cases) and fluid collection in posterior cranial fossa (2 cases). Clinical manifestations were developmental delay (5 cases), abnormal eyeball movement (3 cases), hypotonia (2 cases), neonatal respiratory abnormality (2 cases), etc. Joubert syndrome showed various clinical manifestations and intracranial anomalies. MR imaging is an useful modality in detection of the cerebellar vermian agenesis and other anomalies of the patients

  12. Ecological aspects of the space-rocket technology effect on the magnetosphere and the near space

    International Nuclear Information System (INIS)

    Shushkova, V.B.; Khanan'yan, A.A.

    1991-01-01

    A brief review of the main types of authropogenic contamination of near-Earth space, linked with destruction of space vehicles and propulsion system operation is given. It is mentioned, that fragments of artificial origin including radioactive ones, represent a real danger now, while global changes of the environment (ionosphere exhaustion, exosphere density increase, climatic changes, etc.) can take place under the further intensification of space activity

  13. Leukemic Oral Manifestations and their Management.

    Science.gov (United States)

    Francisconi, Carolina Favaro; Caldas, Rogerio Jardim; Oliveira Martins, Lazara Joyce; Fischer Rubira, Cassia Maria; da Silva Santos, Paulo Sergio

    2016-01-01

    Leukemia is the most common neoplastic disease of the white blood cells which is important as a pediatric malignancy. Oral manifestations occur frequently in leukemic patients and may present as initial evidence of the disease or its relapse. The symptoms include gingival enlargement and bleeding, oral ulceration, petechia, mucosal pallor, noma, trismus and oral infections. Oral lesions arise in both acute and chronic forms of all types of leukemia. These oral manifestations either may be the result of direct infiltration of leukemic cells (primary) or secondary to underlying thrombocytopenia, neutropenia, or impaired granulocyte function. Despite the fact that leukemia has long been known to be associated with oral lesions, the available literature on this topic consists mostly of case reports, without data summarizing the main oral changes for each type of leukemia. Therefore, the present review aimed at describing oral manifestations of all leukemia types and their dental management. This might be useful in early diagnosis, improving patient outcomes.

  14. Cutaneous Manifestations of Systemic Lupus Erythematosus

    Science.gov (United States)

    Uva, Luís; Miguel, Diana; Pinheiro, Catarina; Freitas, João Pedro; Marques Gomes, Manuel; Filipe, Paulo

    2012-01-01

    Systemic lupus erythematosus (SLE) is a multiorgan autoimmune disease of unknown etiology with many clinical manifestations. The skin is one of the target organs most variably affected by the disease. The American College of Rheumatology (ACR) established 11 criteria as a classificatory instrument to operationalise the definition of SLE in clinical trials. They were not intended to be used to diagnose individuals and do not do well in that capacity. Cutaneous lesions account for four of these 11 revised criteria of SLE. Skin lesions in patients with lupus may be specific or nonspecific. This paper covers the SLE-specific cutaneous changes: malar rash, discoid rash, photosensitivity, and oral mucosal lesions as well as SLE nonspecific skin manifestations, their pathophysiology, and management. A deeper thorough understanding of the cutaneous manifestations of SLE is essential for diagnosis, prognosis, and efficient management. Thus, dermatologists should cooperate with other specialties to provide optimal care of SLE patient. PMID:22888407

  15. Cardiac manifestation's history in the systemic lupus erythematosus

    International Nuclear Information System (INIS)

    Iglesias Gamarra, Antonio; Rondon, Federico; Restrepo, Jose Felix

    2001-01-01

    In this paper it is broadly and in depth reviewed the cardiac manifestation's history of systemic lupus erythematosus (SLE), since an historical analysis of clinical manifestations both in pre and post corticosteroids period. The way how the heart and the cardiovascular system's functions have been studied by clinical and semiological views are showed, through clinical manifestations such as myocarditis pericarditis, endocarditis, rhythm alterations, etc, and the evolution of laboratory methods used to its study as well as immunologic prognostic markers and risk factors for coronary disease in SLE

  16. Hazardous Waste Manifest System

    Science.gov (United States)

    EPA’s hazardous waste manifest system is designed to track hazardous waste from the time it leaves the generator facility where it was produced, until it reaches the off-site waste management facility that will store, treat, or dispose of the waste.

  17. Prevalence and characteristics of articular manifestations in human ...

    African Journals Online (AJOL)

    Prevalence and characteristics of articular manifestations in human immune virus infection. ... Objectives: To determine the prevalence, types and characteristics of articular manifestations in the anti-retroviral treatment naive HIV infected patients. Design: Cross sectional descriptive study. Setting: Comprehensive care clinic ...

  18. Skeletal manifestations of granulocytic sarcoma (chloroma)

    Energy Technology Data Exchange (ETDEWEB)

    Hermann, G.; Abdelwahab, I.F. (Mount Sinai Medical Center, New York, NY (United States). Dept. of Radiology); Feldman, F. (Columbia Presbyterian Medical Center, New York, NY (United States)); Klein, M.J. (Mount Sinai Medical Center, New York, NY (United States). Dept. of Pathology)

    1991-10-01

    Skeletal manifestations of chloroma were reviewed in five patients. In four cases, a chloroma was the initial manifestation of a systemic disease. In the fifth, an elderly patient developed a bone lesion during a blastic crisis while under treatment for chronic myelogeneous leukemia. Two patients presented with lytic lesions of the ribs, two with lytic lesions of the femur, and one with a predominantly sclerotic lesion of the scapula. The laboratory findings in two patients were within normal limits. All lesions were confirmed by bone biopsy. (orig.).

  19. The Lehmann--Symanzik--Zimmermann formalism for manifestly covariant quantum electrodynamics. [Gauge parameter

    Energy Technology Data Exchange (ETDEWEB)

    Nakanishi, N [Kyoto Univ. (Japan). Research Inst. for Mathematical Sciences

    1974-12-01

    The Lehmann--Symanzik--Zimmermann formalism is presented for manifestly covariant quantum electrodynamics involving a gauge parameter ..cap alpha... Contrary to Kaellen's assertion, it is shown that one can consistently formulate the asymptotic condition for the electromagnetic field and construct the Fock space of asymptotic states. Except for the case of Feynman gauge (..cap alpha..=1), the formalism is somewhat complicated because of the presence of dipole ghosts, but emphasis is laid on the very existence of a consistent formalism. The completeness relation for the asymptotic states is presented so that the generalized unitarity relation can be written down. Indefinite-metric theory of a massive vector field is briefly discussed.

  20. Space station operations task force. Panel 3 report: User development and integration

    Science.gov (United States)

    1987-01-01

    The User Development and Integration Panel of the Space Station Operations Task Force was chartered to develop concepts relating to the operations of the Space Station manned base and the platforms, user accommodation and integration activities. The needs of the user community are addressed in the context with the mature operations phase of the Space Station. Issues addressed include space station pricing options, marketing strategies, payload selection and resource allocation options, and manifesting techniques.

  1. Climate Adaptivity and Field Test of the Space Heating Used Air-Source Transcritical CO2 Heat Pump

    Science.gov (United States)

    Song, Yulong; Ye, Zuliang; Cao, Feng

    2017-08-01

    In this study, an innovation of air-sourced transcritical CO2 heat pump which was employed in the space heating application was presented and discussed in order to solve the problem that the heating performances of the transcritical CO2 heat pump water heater deteriorated sharply with the augment in water feed temperature. An R134a cycle was adopted as a subcooling device in the proposed system. The prototype of the presented system was installed and supplied hot water for three places in northern China in winter. The field test results showed that the acceptable return water temperature can be increased up to 55°C, while the supply water temperature was raised rapidly by the presented prototype to up to 70°C directly, which was obviously appropriate to the various conditions of heating radiator in space heating application. Additionally, though the heating capacity and power dissipation decreased with the decline in ambient temperature or the augment in water temperature, the presented heat pump system performed efficiently whatever the climate and water feed temperature were. The real time COP of the presented system was generally more than 1.8 in the whole heating season, while the seasonal performance coefficient (SPC) was also appreciable, which signified that the economic efficiency of the presented system was more excellent than other space heating approaches such as fuel, gas, coal or electric boiler. As a result, the novel system will be a promising project to solve the energy issues in future space heating application.

  2. Art and Architectural Space

    DEFF Research Database (Denmark)

    Unterrainer, Walter

    2014-01-01

    art and architectural space museums and other exhibition spaces or how artists learn to love architects Over the last two decades, innumerable new museums, art galleries and other exhibition spaces have been built and opened all over the globe. The most extreme growth happened in China, where...... purpose of ´uniqueness´ often fail to be a ´home´, a large scale ´picture frame´ or a productive space for communicating art and even do not fulfil basic technical aspects in terms of a consistent indoor climate, optimized lighting or safety. The lecture will focus on inspiring examples of spaces for art...

  3. The Synthesis of a Hardware Scheduler for Non-Manifest Loops

    NARCIS (Netherlands)

    Mansour, O.; Molenkamp, Egbert; Krol, Th.

    This paper addresses the hardware implementation of a dynamic scheduler for non-manifest data dependent periodic loops. Static scheduling techniques which are known to give near optimal scheduling-solutions for manifest loops, fail at scheduling non-manifest loops, since they lack the run time

  4. The extrahepatic manifestations of hepatitis B virus.

    Science.gov (United States)

    Baig, Saeeda; Alamgir, Mohiuddin

    2008-07-01

    Hepatitis B Virus (HBV) leads to a number of hepatic complications, from acute to chronic hepatitis, cirrhosis and hepatocellular carcinoma, is a well-established fact. Upcoming clinical research, over the years, associates numerous extrahepatic manifestations during the acute and chronic episodes of hepatitis B with significant morbidity and mortality. A causal relationship between HBV and serious autoimmune disorders has also been observed among certain susceptible vaccine recipients in a defined temporal period following immunization. The cause of these extrahepatic manifestations is generally believed to be immune mediated. The most commonly described include skin rash, arthritis, arthralgia, glomerulonephritis, polyarteritis nodosa, and papular acrodermatitis etc. The serum-sickness like "arthritis-dermatitis" prodrome has also been observed in approximately one-third of patients acquiring HBV infections. Skin manifestations of HBV infection typically present as palpable purpura reported to be caused by chronic HBV, although this association remains controversial. To consider the relationship between HBV and other clinically significant disorders as well as serious autoimmune disorders among certain vaccine recipients is the topic of this review. Variable factors that influence extrahepatic manifestation are discussed, including possible synergy between hepatitis B virus and the immune system.

  5. Ruang Terbuka Hijau Dalam Mitigasi Perubahan Iklim Green Open Space in Climate Change Mitigation

    OpenAIRE

    Dewi, Yusriani Sapta

    2010-01-01

    Climate change is any substantial change in Earth's climate that lasts for an extended period oftime. Global warming refers to climate change that causes an increase in the average temperature of thelower atmosphere. Global warming is the combined result of anthropogenic (human-caused) emissionsof greenhouse gases and changes in solar irradiance, while climate change refers to any change in thestate of the climate that can be identified by changes in the average and/or the variability of its ...

  6. Climate Change and employment. Impact on employment in the European Union-25 of climate change and CO2 emission reduction measures by 2030

    Energy Technology Data Exchange (ETDEWEB)

    Dupressoir, S.; Belen Sanchez, A.; Bobe, P.; Hoefele, V. (and others)

    2007-05-15

    This study was intended provide an analysis of the potential costs and benefits for employment of the policies and measures against climate change as well as of the manifestations of the consequences of climate change in Europe. This report comprises two divisions. The first, entitled 'Impact of climate change', attempts to determine the potential impact on employment in Europe of the consequences of climate change (Part 1). The second, entitled 'Impact of CO2 emission reduction measures', analyses the potential implications for employment of climate-change prevention policies in the EU with time-horizons of 2012 and 2030 (Parts 2 to 4). The conclusions and recommendations of the study appear in four parts : Part 1 analyses the potential consequences for employment of climatic warming in Europe; Part 2 presents the objectives, the hypotheses and the methodology of the 'impact of CO2 emission reduction measures' division; Part 3 analyses the foreseeable effects of CO2 emission reduction measures on employment in Europe; Part 4 offers general (or sector-wide) recommendations for measures and policies to promote positive effects and prevent negative effects. The concluding part discusses the uncertainties and identifies the questions deserving further investigation.

  7. The Architecture of Investment Climate Surveillance and the Space for Non- Orthodox Policy

    Directory of Open Access Journals (Sweden)

    Håvard Haarstad

    2012-03-01

    Full Text Available The purpose of this article is to take preliminary steps towards a critical theory of what is termed an ‘architecture of investment climate surveillance’. The paper outlines the contours of this architecture, which it suggests is made up of various private and publicagents that have authoritative positions in the market for evaluating investment opportunities and risks. By way of illustrating basic linkages and mechanisms, it examines the way in which these agents ‘read’ the implementation of a piece of non-orthodox policy: Bolivia’s nationalisation of gas. Though not unproblematic, Bolivia’s policy of nationalisation has significantly increased state revenue and allowed new social spending on poverty reduction. Yet despite these positive developmental effects, readings of this policy shift within the investment community have been highly critical, illustrating the investor-centred values on which these evaluations are based. The article concludes bysuggesting that scholars of globalisation must pay more attention to whether and how such discursive responses are able to delimit the space for non-orthodox policy in the global South.

  8. Heliophysics: Evolving Solar Activity and the Climates of Space and Earth

    Science.gov (United States)

    Schrijver, Carolus J.; Siscoe, George L.

    2012-01-01

    Preface; 1. Interconnectedness in heliophysics Carolus J. Schrijver and George L. Siscoe; 2. Long-term evolution of magnetic activity of Sun-like stars Carolus J. Schrijver; 3. Formation and early evolution of stars and proto-planetary disks Lee W. Hartmann; 4. Planetary habitability on astronomical time scales Donald E. Brownlee; 5. Solar internal flows and dynamo action Mark S. Miesch; 6. Modeling solar and stellar dynamos Paul Charbonneau; 7. Planetary fields and dynamos Ulrich R. Christensen; 8. The structure and evolution of the 3D solar wind John T. Gosling; 9. The heliosphere and cosmic rays J. Randy Jokipii; 10. Solar spectral irradiance: measurements and models Judith L. Lean and Thomas N. Woods; 11. Astrophysical influences on planetary climate systems Juerg Beer; 12. Evaluating the drivers of Earth's climate system Thomas J. Crowley; 13. Ionospheres of the terrestrial planets Stanley C. Solomon; 14. Long-term evolution of the geospace climate Jan J. Sojka; 15. Waves and transport processes in atmospheres and oceans Richard L. Walterscheid; 16. Solar variability, climate, and atmospheric photochemistry Guy P. Brasseur, Daniel Marsch and Hauke Schmidt; Appendix I. Authors and editors; List of illustrations; List of tables; Bibliography; Index.

  9. Global climate change and California's water resources

    International Nuclear Information System (INIS)

    Vaux, H.J. Jr.

    1991-01-01

    This chapter records the deliberations of a group of California water experts about answers to these and other questions related to the impact of global warming on California's water resources. For the most part, those participating in the deliberations believe that the current state of scientific knowledge about global warming and its impacts on water resources is insufficient to permit hard distinctions to be made between short- and long-term changes. consequently, the ideas discussed here are based on a number of assumptions about specific climatic manifestations of global warming in California, as described earlier in this volume. Ultimately, however, effective public responses to forestall the potentially costly impacts of global climate change will probably depend upon the credible validation of the prospects of global climate warming. This chapter contains several sections. First, the likely effects of global warming on California's water resources and water-supply systems are identified and analyzed. Second, possible responses to mitigate these effects are enumerated and discussed. Third, the major policy issues are identified. A final section lists recommendations for action and major needs for information

  10. Efficient climate policies under technology and climate uncertainty

    International Nuclear Information System (INIS)

    Held, Hermann; Kriegler, Elmar; Lessmann, Kai; Edenhofer, Ottmar

    2009-01-01

    This article explores efficient climate policies in terms of investment streams into fossil and renewable energy technologies. The investment decisions maximise social welfare while observing a probabilistic guardrail for global mean temperature rise under uncertain technology and climate parameters. Such a guardrail constitutes a chance constraint, and the resulting optimisation problem is an instance of chance constrained programming, not stochastic programming as often employed. Our analysis of a model of economic growth and endogenous technological change, MIND, suggests that stringent mitigation strategies cannot guarantee a very high probability of limiting warming to 2 o C since preindustrial time under current uncertainty about climate sensitivity and climate response time scale. Achieving the 2 o C temperature target with a probability P* of 75% requires drastic carbon dioxide emission cuts. This holds true even though we have assumed an aggressive mitigation policy on other greenhouse gases from, e.g., the agricultural sector. The emission cuts are deeper than estimated from a deterministic calculation with climate sensitivity fixed at the P* quantile of its marginal probability distribution (3.6 o C). We show that earlier and cumulatively larger investments into the renewable sector are triggered by including uncertainty in the technology and climate response time scale parameters. This comes at an additional GWP loss of 0.3%, resulting in a total loss of 0.8% GWP for observing the chance constraint. We obtained those results with a new numerical scheme to implement constrained welfare optimisation under uncertainty as a chance constrained programming problem in standard optimisation software such as GAMS. The scheme is able to incorporate multivariate non-factorial probability measures such as given by the joint distribution of climate sensitivity and response time. We demonstrate the scheme for the case of a four-dimensional parameter space capturing

  11. Space Geodesy: The Cross-Disciplinary Earth science (Vening Meinesz Medal Lecture)

    Science.gov (United States)

    Shum, C. K.

    2012-04-01

    Geodesy during the onset of the 21st Century is evolving into a transformative cross-disciplinary Earth science field. The pioneers before or after the discipline Geodesy was defined include Galileo, Descartes, Kepler, Newton, Euler, Bernoulli, Kant, Laplace, Airy, Kelvin, Jeffreys, Chandler, Meinesz, Kaula, and others. The complicated dynamic processes of the Earth system manifested by interactions between the solid Earth and its fluid layers, including ocean, atmosphere, cryosphere and hydrosphere, and their feedbacks are linked with scientific problems such as global sea-level rise resulting from natural and anthropogenic climate change. Advances in the precision and stability of geodetic and fundamental instrumentations, including clocks, satellite or quasar tracking sensors, altimetry and lidars, synthetic aperture radar interferometry (InSAR), InSAR altimetry, gravimetry and gradiometry, have enabled accentuate and transformative progress in cross-disciplinary Earth sciences. In particular, advances in the measurement of the gravity with modern free-fall methods have reached accuracies of 10-9 g (~1 μGal or 10 nm/s2) or better, allowing accurate measurements of height changes at ~3 mm relative to the Earth's center of mass, and mass transports within the Earth interior or its geophysical fluids, enabling global quantifications of climate-change signals. These contemporary space geodetic and in situ sensors include, but not limited to, satellite radar and laser altimetry/lidars, GNSS/SLR/VLBI/DORIS, InSAR, spaceborne gravimetry from GRACE (Gravity Recovery And Climate Experiment twin-satellite mission) and gradiometry from GOCE (Global Ocean Circulation Experiment), tide gauges, and hydrographic data (XBT/MBT/Argo). The 2007 Intergovernmental Panel for Climate Change (IPCC) study, the Fourth Assessment Report (AR4), substantially narrowed the discrepancy between observation and the known geophysical causes of sea-level rise, but significant uncertainties

  12. Diagnosing antiphospholipid syndrome: 'extra-criteria' manifestations and technical advances.

    Science.gov (United States)

    Sciascia, Savino; Amigo, Mary-Carmen; Roccatello, Dario; Khamashta, Munther

    2017-09-01

    First described in the early 1980s, antiphospholipid syndrome (APS) is a unique form of acquired autoimmune thrombophilia in which patients present with clinical features of recurrent thrombosis and pregnancy morbidity and persistently test positive for the presence of antiphospholipid antibodies (aPL). At least one clinical (vascular thrombosis or pregnancy morbidity) and one lab-based (positive test result for lupus anticoagulant, anticardiolipin antibodies and/or anti-β2-glycoprotein 1 antibodies) criterion have to be met for a patient to be classified as having APS. However, the clinical spectrum of APS encompasses additional manifestations that can affect many organs and cannot be explained exclusively by patients being in a prothrombotic state; clinical manifestations not listed in the classification criteria (known as extra-criteria manifestations) include neurologic manifestations (chorea, myelitis and migraine), haematologic manifestations (thrombocytopenia and haemolytic anaemia), livedo reticularis, nephropathy and valvular heart disease. Increasingly, research interest has focused on the development of novel assays that might be more specific for APS than the current aPL tests. This Review focuses on the current classification criteria for APS, presenting the role of extra-criteria manifestations and lab-based tests. Diagnostic approaches to difficult cases, including so-called seronegative APS, are also discussed.

  13. Population dynamics in the high Arctic: Climate variations in time and space

    DEFF Research Database (Denmark)

    Hendrichsen, Ditte Katrine

    Climatic factors profoundly influence the population dynamics, species interactions and demography of Arctic species. Analyses of the spatio-temporal dynamics within and across species are therefore necessary to understand and predict the responses of Arctic ecosystems to climatic variability...

  14. Radiological manifestations of melioidosis

    International Nuclear Information System (INIS)

    Lim, K.S.; Chong, V.H.

    2010-01-01

    Melioidosis is a serious infection that is associated with high mortality. It is due to a Gram-negative bacterium, Burkholderia pseudomallei which is an environmental saprophyte found in wet soils. Melioidosis is endemic to northern Australia and the Southeast Asia. However, there is now increasing number of reports of imported cases to regions where this infection has not been previously encountered. Almost any organ can be affected. Like many other conditions, radiological imaging is an integral part of the diagnostic workup of melioidosis. Awareness of the various radiological manifestations can help direct appropriate investigations to achieve early diagnosis and the initiation of appropriate treatment. Generally, there are no known characteristic features on imaging that can specifically differentiate melioidosis from other infections. However, the 'honeycomb' appearance has been described to be characteristic for large melioidosis liver abscesses. Simultaneous involvement of various organs is also characteristics. To date, there are few data available on the radiological manifestations of melioidosis. The present pictorial essay describes melioidosis affecting the various organs.

  15. Life politics, nature and the state: Giddens' sociological theory and The Politics of Climate Change.

    Science.gov (United States)

    Thorpe, Charles; Jacobson, Brynna

    2013-03-01

    Anthony Giddens' The Politics of Climate Change represents a significant shift in the way in which he addresses ecological politics. In this book, he rejects the relevance of environmentalism and demarcates climate-change policy from life politics. Giddens addresses climate change in the technocratic mode of simple rather than reflexive modernization. However, Giddens' earlier sociological theory provides the basis for a more reflexive understanding of climate change. Climate change instantiates how, in high modernity, the existential contradiction of the human relationship with nature returns in new form, expressed in life politics and entangled with the structural contradictions of the capitalist state. The interlinking of existential and structural contradiction is manifested in the tension between life politics and the capitalist nation-state. This tension is key for understanding the failures so far of policy responses to climate change. © London School of Economics and Political Science 2013.

  16. Space remote sensing systems an introduction

    CERN Document Server

    Chen, H S

    1985-01-01

    Space Remote Sensing Systems: An Introduction discusses the space remote sensing system, which is a modern high-technology field developed from earth sciences, engineering, and space systems technology for environmental protection, resource monitoring, climate prediction, weather forecasting, ocean measurement, and many other applications. This book consists of 10 chapters. Chapter 1 describes the science of the atmosphere and the earth's surface. Chapter 2 discusses spaceborne radiation collector systems, while Chapter 3 focuses on space detector and CCD systems. The passive space optical rad

  17. Determination of suitable climate space for Armillaria ostoyae in the Oregon East Cascades

    Science.gov (United States)

    John W. Hanna; Mee-Sook Kim; Ned B. Klopfenstein; Aaron L. Smith; Helen M. Maffei

    2008-01-01

    This is a preliminary, draft outline for organizing information on the relation of climate to western forest diseases. The question is how to assess the threat of these diseases under a regime of climate change. Although forest diseases are often important, assessment of disease-climate relations is a challenging problem due to the multiple values at risk and the...

  18. Unusual clinical manifestations of leptospirosis

    Directory of Open Access Journals (Sweden)

    Bal A

    2005-01-01

    Full Text Available Leptospirosis has protean clinical manifestations. The classical presentation of the disease is an acute biphasic febrile illness with or without jaundice. Unusual clinical manifestations may result from involvement of pulmonary, cardiovascular, neural, gastrointestinal, ocular and other systems. Immunological phenomena secondary to antigenic mimicry may also be an important component of many clinical features and may be responsible for reactive arthritis. Leptospirosis in early pregnancy may lead to fetal loss. There are a few reports of leptospirosis in HIV- infected individuals but no generalisation can be made due to paucity of data. It is important to bear in mind that leptospiral illness may be a significant component in cases of dual infections or in simultaneous infections with more than two pathogens.

  19. 40 CFR 264.71 - Use of manifest system.

    Science.gov (United States)

    2010-07-01

    ...) Within 30 days of delivery, send a copy of the manifest to the generator; and (v) Retain at the facility..., NW., Washington, DC 20460. (b) If a facility receives, from a rail or water (bulk shipment... on the manifest (excluding the EPA identification numbers, generator's certification, and signatures...

  20. 78 FR 11877 - Announcement of Requirements Gathering Meetings for the Electronic Manifest (e-Manifest) System

    Science.gov (United States)

    2013-02-20

    ... either electronically through www.regulations.gov or in hard copy at the Resource Conservation and... of proposed rulemaking that, among other things, proposed revisions to the Federal manifest program...

  1. Climate, the time for action

    International Nuclear Information System (INIS)

    Petit, Michel; Barlier, F.; Bauer, P.; Besancenot, J.P.; Boe, J.; Bonneville, A.; Boucher, O.; Boy, D.; Cazenave, A.; Combarnous, M.; Dandonneau, Y.; Decampsk, H.; Drobrinski, P.; Ducrocq, V.; Durand, B.; Fouquart, Y.; Gautier, C.; Geistdoerfer, P.; Grandjean, A.; Guillou, M.; Labeyrie, L.; Laval, K.; Le Cozannet, G.; Lefebvre, M.; Le Treut, H.; Masson-Delmotte, V.; Merle, J.; Ngo, C.; Pailleux, J.; Painter, J.; Pouyaud, B.; Salas y Melia, D.; Terray, L.; Vautard, R.; Voituriez, B.; Zaharia, R.; Tubiana, Laurence; Orsenna, Erik

    2015-01-01

    The objective of this collective book is to provide the public with elements of information showing that there is an actual risk that climate-related risk severely affects mankind during the next decades. A first part proposes a summary of the most recent works which place the problematic of climate change within its scientific context at different time and space scales. The second part describes the nature and properties of various greenhouse gases. The third part addresses the future evolution of some regional climates which are relevant for impact studies (possible evolutions during this century and beyond, associated uncertainties). The fourth part proposes a rather detailed presentation of possible consequences of local climate changes. The authors assess possible ecological consequences, analyse human and social risks and measures which could make these climate changes more bearable. The fifth part identifies actions to be performed to reduce carbon dioxide emissions in the atmosphere, and the possibility to correct modifications we have imposed to the planet climate. The last part analyses the evolution of world awareness of the climate issue

  2. Oral manifestations of lamellar ichthyosis: A rare case report

    Directory of Open Access Journals (Sweden)

    Keerthi K Nair

    2016-01-01

    Full Text Available The ichthyoses are a heterogeneous group of disorders with both inherited and acquired forms. Autosomal recessive congenital ichthyosis (ARCI is a heterogeneous group of disorders that present at birth with the generalized involvement of skin without other systemic manifestations. Lamellar itchthyosis (LI is a nonsyndromic itchthyosis, which comes under the umbrella of ARCI. Little is only known about the oral manifestations of this disorder. We report a case of LI with oral manifestations.

  3. National parks, ecological integrity and climatic change

    International Nuclear Information System (INIS)

    Lopoukhine, N.

    1990-01-01

    The potential impacts of climate change on the national parks of Canada are discussed. There is a requirement to protect and manage national parks to maintain a functioning ecosystem with all its parts and processes. An active management regime is necessary, with objectives of ecological diversity/integrity clearly stated. The national parks located in the Canadian Prairie provinces are on or near transitions from forest to tundra and grasslands, and are likely to exhibit the most dramatic changes. The change in vegetation of such parks and in others will not manifest itself simply as a shift of zones but will be accompanied by a flora with new dominants. The boreal forest within the Prairie provinces is fire dependent and has the potential of being transformed into remnant units should post-fire germination be hampered by climatic change. A rapid change in climate would render national parks unable to provide protection of representative elements of Canada's landscapes as presently known. A threefold increase in the area dedicated to protection is a basic component of the sustainable development prescription. All government and private lands dedicated to protection should be forged into a network, to provide core protection for immigrating and emigrating communities and individual species displaced by a changing climate. 20 refs., 2 figs

  4. Organising pneumonia - the first manifestation of rheumatoid arthritis.

    Science.gov (United States)

    Kalinova, Desislava; Kolarov, Zlatimir; Rashkov, Rasho

    2017-01-01

    Organising pneumonia (OP) is a distinct type of interstitial lung disease, because it can also be seen in association with several conditions such as infections, drugs, and connective tissue diseases. An association of OP with rheumatoid arthritis (RA) has also been described. Joint manifestations of RA usually precede lung involvements by several years; however, in less than 10% of cases of RA, interstitial lung disease may be the initial feature of RA. Organising pneumonia as the initial manifestation or developed simultaneously of RA is extremely rare, and its clinical features remain unknown. We present a 56-year-old woman with OP as the first manifestation of RA.

  5. Corneal manifestations of selected systemic diseases: A review

    Directory of Open Access Journals (Sweden)

    Wayne D.H. Gillan

    2015-08-01

    Full Text Available The corneal manifestations of several selected systemic diseases are reviewed. Metabolic, immunologic and inflammatory and infectious diseases are included. A brief overview of each disease and how it manifests in the cornea is discussed. The importance of conducting a slit-lamp examination on every patient is emphasised.

  6. 8 CFR 251.1 - Arrival manifests and lists.

    Science.gov (United States)

    2010-01-01

    ... List, in accordance with the instructions contained thereon. (2) Longshore work notations. The master... master, captain, or agent shall prepare as a part of the manifest, when one is required for presentation... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Arrival manifests and lists. 251.1 Section...

  7. Manifest dream content as a possible predictor of suicidality.

    Science.gov (United States)

    Glucksman, Myron L

    2014-12-01

    The prediction of suicidal intent remains a clinical problem. This presentation illustrates that a distinction may be made between the manifest dream reports of patients who are potentially or acutely suicidal and those who are not. A review of the literature reveals that the manifest dream reports of clinically depressed, non-suicidal individuals differ from those who are depressed and acutely suicidal. The former contain themes of loss, disappointment, rejection, helplessness, hopelessness, failure, and death. The latter contain themes of dying, death, destruction, and violence directed toward the dreamer or others, as well as hopelessness and helplessness. The author collected manifest dream reports from three clinically depressed, non-suicidal patients and three clinically depressed, potentially or acutely suicidal patients. There are apparent differences between the themes of manifest dream reports in the clinically depressed, non-suicidal patients and the clinically depressed, potentially or acutely suicidal patients. The former contain themes of death, loss, rejection, vulnerability, hopelessness, and helplessness. The latter contain themes of active harm or violence (specifically toward the dreamer), dying or being dead, aloneness, vulnerability, hopelessness, and helplessness. Clinical cases and corresponding manifest dream reports are presented. Although this is a preliminary study, it is possible that manifest dream content may be used as one of the predictors of suicidality, in conjunction with latent dream content, diagnosis, life circumstance, and clinical status.

  8. Bilingualism delays clinical manifestation of Alzheimer's disease

    OpenAIRE

    Woumans, Evy; Santens, Patrick; Sieben, Anne; Versijpt, Jan; Stevens, Michaël; Duyck, Wouter

    2015-01-01

    The current study investigated the effects of bilingualism on the clinical manifestation of Alzheimer's disease (AD) in a European sample of patients. We assessed all incoming AD patients in two university hospitals within a specified timeframe. Sixty-nine monolinguals and 65 bilinguals diagnosed with probable AD were compared for time of clinical AD manifestation and diagnosis. The influence of other potentially interacting variables was also examined. Results indicated a significant delay f...

  9. A Regional Climate Model Evaluation System

    Data.gov (United States)

    National Aeronautics and Space Administration — Develop a packaged data management infrastructure for the comparison of generated climate model output to existing observational datasets that includes capabilities...

  10. Projected impacts of climate change on a continent-wide protected area network

    DEFF Research Database (Denmark)

    Hole, David G; Willis, Stephen G; Pain, Deborah J

    2009-01-01

    Despite widespread concern, the continuing effectiveness of networks of protected areas under projected 21st century climate change is uncertain. Shifts in species' distributions could mean these resources will cease to afford protection to those species for which they were originally established...... species). Persistence of suitable climate space across the network as a whole, however, is notably high, with 88-92% of priority species retaining suitable climate space in >or= 1 IBA(s) in which they are currently found. Only 7-8 priority species lose climatic representation from the network. Hence......, despite the likelihood of significant community disruption, we demonstrate that rigorously defined networks of protected areas can play a key role in mitigating the worst impacts of climate change on biodiversity....

  11. Extrathoracic manifestations of tuberculosis; Extrathorakale Manifestationen der Tuberkulose

    Energy Technology Data Exchange (ETDEWEB)

    Kienzl-Palma, D.; Prosch, H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Universitaetsklinik fuer Radiologie und Nuklearmedizin, Wien (Austria)

    2016-10-15

    Besides the lungs, tuberculosis (TB) can affect any organ system. In most cases, extrathoracic TB occurs in immunosuppressed patients as part of a severe illness via hematogenous spread. Extrathoracic involvement most commonly involves abdominal organs, especially the urogenital tract and less commonly the central nervous system (CNS) and the musculoskeletal system. Most frequently, computed tomography (CT) is used for detecting extrathoracic TB manifestations, except for CNS and musculoskeletal manifestations, where contrast-enhanced magnetic resonance imaging (MRI) is the gold standard. Extrathoracic manifestations of TB may be indistinguishable from inflammatory or malignant causes. Due to unspecific symptoms the diagnosis is often delayed. This article summarizes and discusses the various radiological manifestations of extrathoracic manifestation of TB. Radiological modalities for screening extrathoracic TB are CT and MRI. Conventional X-radiographs do not play a role in the diagnosis of extrathoracic TB. The possibility of extrathoracic TB should be considered particularly in immunosuppressed patients, such as the homeless, alcoholics or drug addicts or in patients with an immigrant background from the endemic areas of TB. The most likely site of extrathoracic TB is the abdomen; however, infections of the CNS or musculoskeletal systems and multisystem infections can also occur. In patients with suspected extrathoracic TB, radiological modalities for screening are CT, especially for abdominal infections and lymphadenopathy and MRI with contrast media for the musculoskeletal system and the CNS. (orig.) [German] Die Tuberkulose (Tbc) kann neben der Lunge prinzipiell jedes Organsystem befallen. In den meisten Faellen tritt eine extrathorakale Tbc bei Immunsupprimierten im Rahmen eines schweren Krankheitsverlaufs durch haematogene Aussaat auf. Der haeufigste extrathorakale Befall betrifft das Abdomen und hier v. a. den Urogenitaltrakt. Daneben kann es zum Befall

  12. Climate mediates the effects of disturbance on ant assemblage structure

    Science.gov (United States)

    Gibb, Heloise; Sanders, Nathan J.; Dunn, Robert R.; Watson, Simon; Photakis, Manoli; Abril, Silvia; Andersen, Alan N.; Angulo, Elena; Armbrecht, Inge; Arnan, Xavier; Baccaro, Fabricio B.; Bishop, Tom R.; Boulay, Raphael; Castracani, Cristina; Del Toro, Israel; Delsinne, Thibaut; Diaz, Mireia; Donoso, David A.; Enríquez, Martha L.; Fayle, Tom M.; Feener, Donald H.; Fitzpatrick, Matthew C.; Gómez, Crisanto; Grasso, Donato A.; Groc, Sarah; Heterick, Brian; Hoffmann, Benjamin D.; Lach, Lori; Lattke, John; Leponce, Maurice; Lessard, Jean-Philippe; Longino, John; Lucky, Andrea; Majer, Jonathan; Menke, Sean B.; Mezger, Dirk; Mori, Alessandra; Munyai, Thinandavha C.; Paknia, Omid; Pearce-Duvet, Jessica; Pfeiffer, Martin; Philpott, Stacy M.; de Souza, Jorge L. P.; Tista, Melanie; Vasconcelos, Heraldo L.; Vonshak, Merav; Parr, Catherine L.

    2015-01-01

    Many studies have focused on the impacts of climate change on biological assemblages, yet little is known about how climate interacts with other major anthropogenic influences on biodiversity, such as habitat disturbance. Using a unique global database of 1128 local ant assemblages, we examined whether climate mediates the effects of habitat disturbance on assemblage structure at a global scale. Species richness and evenness were associated positively with temperature, and negatively with disturbance. However, the interaction among temperature, precipitation and disturbance shaped species richness and evenness. The effect was manifested through a failure of species richness to increase substantially with temperature in transformed habitats at low precipitation. At low precipitation levels, evenness increased with temperature in undisturbed sites, peaked at medium temperatures in disturbed sites and remained low in transformed sites. In warmer climates with lower rainfall, the effects of increasing disturbance on species richness and evenness were akin to decreases in temperature of up to 9°C. Anthropogenic disturbance and ongoing climate change may interact in complicated ways to shape the structure of assemblages, with hot, arid environments likely to be at greatest risk. PMID:25994675

  13. Manifestations of Gorlin-Goltz syndrome

    DEFF Research Database (Denmark)

    Larsen, Anne Kristine; Mikkelsen, Dorthe; Hertz, Jens Michael

    2014-01-01

    INTRODUCTION: Gorlin-Goltz syndrome is an uncommon hereditary condition caused by mutations in the PTCH1 gene causing a wide range of developmental abnormalities. Multiple basal cell carcinomas, palmoplantar pits and jaw cysts are cardinal features. Many clinicians are unfamiliar with the different...... manifestations and the fact that patients are especially sensitive to ionizing radiation. MATERIAL AND METHODS: This was a retrospective analysis of patients with Gorlin-Goltz syndrome seen at the Department of Dermatology and Allergy Centre or at Department of Plastic Surgery, Odense University Hospital...... families and none of these mutations had previously been described. CONCLUSION: The patient cohort illustrates classic and rare disease manifestations. It is necessary to remind clinicians that radiation therapy in Gorlin-Goltz syndrome is relatively contraindicated. Today, mutation analysis can be used...

  14. Breast manifestations of systemic diseases

    Directory of Open Access Journals (Sweden)

    Dilaveri CA

    2012-02-01

    Full Text Available Christina A Dilaveri, Maire Brid Mac Bride, Nicole P Sandhu, Lonzetta Neal, Karthik Ghosh, Dietlind L Wahner-RoedlerDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USAAbstract: Although much emphasis has been placed on the primary presentations of breast cancer, little focus has been placed on how systemic illnesses may affect the breast. In this article, we discuss systemic illnesses that can manifest in the breast. We summarize the clinical features, imaging, histopathology, and treatment recommendations for endocrine, vascular, systemic inflammatory, infectious, and hematologic diseases, as well as for the extramammary malignancies that can present in the breast. Despite the rarity of these manifestations of systemic disease, knowledge of these conditions is critical to the appropriate evaluation and treatment of patients presenting with breast symptoms.Keywords: breast, endocrine, hematologic, infectious, vascular

  15. The lattice spinor QED Hamiltonian critique of the continuous space approach

    International Nuclear Information System (INIS)

    Sidorov, A.V.; Zastavenko, L.G.

    1993-01-01

    We give the irreproachable, from the point of view of gauge invariance, derivation of the lattice spinor QED Hamiltonian. Our QED Hamiltonian is manifestly gauge invariant. We point out important defects of the continuous space formulation of the QED that make, in our opinion, the lattice QED obviously preferable to the continuous space QED. We state that it is impossible to give a continuous space QED formulation which is compatible with the condition of gauge invariance. 17 refs

  16. Farmer Decision-Making for Climate Adaptation

    Science.gov (United States)

    Lubell, M.; Niles, M.; Salerno, J.

    2015-12-01

    This talk will provide an overview of several studies of how farmers make decisions about climate change adaptation and mitigation. A particular focus will be the "limiting factors hypothesis", which argues that farmers will respond to the climate variables that usually have the largest impact on their crop productivity. For example, the most limiting factor in California is usually water so how climate change affects water will be the largest drive of climate adaptation decisions. This basic idea is drawn from the broader theory of "psychological distance", which argue that human decisions are more attuned to ideas that are psychologically closer in space, time, or other factors. Empirical examples come from California, New Zealand, and Africa.

  17. Climate Model Diagnostic Analyzer

    Science.gov (United States)

    Lee, Seungwon; Pan, Lei; Zhai, Chengxing; Tang, Benyang; Kubar, Terry; Zhang, Zia; Wang, Wei

    2015-01-01

    The comprehensive and innovative evaluation of climate models with newly available global observations is critically needed for the improvement of climate model current-state representation and future-state predictability. A climate model diagnostic evaluation process requires physics-based multi-variable analyses that typically involve large-volume and heterogeneous datasets, making them both computation- and data-intensive. With an exploratory nature of climate data analyses and an explosive growth of datasets and service tools, scientists are struggling to keep track of their datasets, tools, and execution/study history, let alone sharing them with others. In response, we have developed a cloud-enabled, provenance-supported, web-service system called Climate Model Diagnostic Analyzer (CMDA). CMDA enables the physics-based, multivariable model performance evaluations and diagnoses through the comprehensive and synergistic use of multiple observational data, reanalysis data, and model outputs. At the same time, CMDA provides a crowd-sourcing space where scientists can organize their work efficiently and share their work with others. CMDA is empowered by many current state-of-the-art software packages in web service, provenance, and semantic search.

  18. Prospective assessment of concomitant lumbar and chronic subdural hematoma: is migration from the intracranial space involved in their manifestation?

    Science.gov (United States)

    Kokubo, Rinko; Kim, Kyongsong; Mishina, Masahiro; Isu, Toyohiko; Kobayashi, Shiro; Yoshida, Daizo; Morita, Akio

    2014-02-01

    Spinal subdural hematomas (SDHs) are rare and some are concomitant with intracranial SDH. Their pathogenesis and etiology remain to be elucidated although their migration from the intracranial space has been suggested. The authors postulated that if migration plays a major role, patients with intracranial SDH may harbor asymptomatic lumbar SDH. The authors performed a prospective study on the incidence of spinal SDH in patients with intracranial SDH to determine whether migration is a key factor in their concomitance. The authors evaluated lumbar MR images obtained in 168 patients (125 males, 43 females, mean age 75.6 years) with intracranial chronic SDH to identify cases of concomitant lumbar SDH. In all cases, the lumbar MRI studies were performed within the 1st week after surgical irrigation of the intracranial SDH. Of the 168 patients, 2 (1.2%) harbored a concomitant lumbar SDH; both had a history of trauma to both the head and the hip and/or lumbar area. One was an 83-year-old man with prostate cancer and myelodysplastic syndrome who suffered trauma to his head and lumbar area in a fall from his bed. The other was a 70-year-old man who had hit his head and lumbar area in a fall. Neither patient manifested neurological deficits and their hematomas disappeared under observation. None of the patients with concomitant lumbar SDH had sustained head trauma only, indicating that trauma to the hip or lumbar region is significantly related to the concomitance of SDH (p < 0.05). As the incidence of concomitant lumbar and intracranial chronic SDH is rare and both patients in this study had sustained a direct impact to the head and hips, the authors suggest that the major mechanism underlying their concomitant SDH was double trauma. Another possible explanation is hemorrhagic diathesis and low CSF syndrome.

  19. [Otorhinolaryngological manifestations in patients with Behçet disease].

    Science.gov (United States)

    Morales-Angulo, Carmelo; Vergara Pastrana, Sandra; Obeso-Agüera, Sergio; Acle, Leticia; González-Gay, Miguel Ángel

    2014-01-01

    Behçet disease (BD) is a systemic immune-mediated vasculitis of unknown origin characterised by recurrent orogenital ulceration, ocular inflammation and skin lesions. The aim of our study was to identify ear, nose and throat (ENT) manifestations associated with BD. Retrospective review of the medical records of all patients diagnosed with BD who attended a tertiary public hospital in Cantabria (Spain) over a period of 22 years. Clinical manifestations, in particular those concerning ENT, were retrieved from medical records. A medical literature review of ENT manifestations was conducted. Thirty-three patients (age range: 17-64 years) were included in the study. Most of them presented oral ulcers (97%). Eight patients (24%) presented oropharyngeal ulcers and 5 patients (15%) experienced audiovestibular symptoms (high frequency sensorineural hearing loss, vertigo and bilateral vestibular hypofunction). One patient had symptoms compatible with vestibular neuronitis as the presentation manifestation of Neuro-Behçet. In 4 patients (12%) the presence of odynophagia secondary to the presence of oropharyngeal lesions, initially interpreted as acute or recurrent tonsillitis, was the first manifestation of the disease, alone or associated with cutaneous or ocular lesions. In addition to the characteristic oral ulcers present in most patients with BD, ulcers in the oropharynx, occasionally interpreted as acute pharyngitis, are also common in these patients. Audiovestibular manifestations frequently appear during the course of the disease and may be the first symptom of central nervous system involvement. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  20. Geopolitics of climate change: A review

    Directory of Open Access Journals (Sweden)

    Bošnjaković Branko

    2012-01-01

    Full Text Available The paper reviews the geopolitical elements of the emerging discourse on how to control, and cope with climate change. Two complementary approaches may be distinguished: the actor-related approach analyses the positioning of states and interest groups, which develop strategies on coping with climate change; the other approach addresses processes and problem areas (physical, economic, demographic… emerging in the geographic space as a consequence of, or linked to climate change. With failing mitigation policies and instruments, the urgency of adaptation to climate change is increasing. Assessment of regional consequences of climate change includes the perceptions and motivations of presumed losers or winners. New security implications related to climate change are emerging in the Arctic, South-East Asia, Africa and the Pacific. Energy supply security is a dominant factor in geopolitical considerations. The geopolitics of climate change is inextricably linked to many other issues of globalization. Significant shift of global power raises the discussion of ethical responsibility. Climate change is evolving as a testing ground for competitiveness and innovation potential of political and economic models in achieving sustainability.

  1. Risk prediction and risk reduction in patients with manifest arterial disease

    NARCIS (Netherlands)

    Goessens, B.M.B.; Goessens, B.M.B.

    2006-01-01

    Risicovoorspelling en risicoverlaging bij patienten met manifest vaatlijden Engelstalig abstract The number of patients with clinical manifest arterial disease is increasing because of the aging of the population. Patients with manifest arterial disease have an increased risk of a new vascular event

  2. Congenital rubella syndrome and delayed manifestations

    DEFF Research Database (Denmark)

    Dammeyer, Jesper Herup

    2010-01-01

    Objective: Several hypotheses of different medical and psychological delayed manifestations among people who have congenital rubella syndrome (CRS) have been discussed. This study tests some of these hypotheses of delayed manifestations. Methods: Gathering information about 35 individuals who hav...... which people with CRS face must primarily be understood in relation to congenital deafblindness and dual sensory and communicative deprivation....... CRS and who are congenitally deafblind. Results: None of the hypotheses could be confirmed when individuals with CRS were compared to a control group of individuals who were congenital deafblind with different aetiology than CRS. Conclusions: This study concludes that those health related problems...

  3. Mondialisation de l'innovation : manifestation, déterminants et ...

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

    Globalization of Innovation : Manifestation, Determinants and Implications for the Emerging Economies of China and India. China and India are now considered the favored locations for technology outsourcing. View moreGlobalization of Innovation : Manifestation, Determinants and Implications for the Emerging Economies ...

  4. Respiratory manifestations of eosinophilic granulomatosis with polyangiitis (Churg-Strauss)

    NARCIS (Netherlands)

    Cottin, Vincent; Bel, Elisabeth; Bottero, Paolo; Dalhoff, Klaus; Humbert, Marc; Lazor, Romain; Sinico, Renato A.; Sivasothy, Pasupathy; Wechsler, Michael E.; Groh, Matthieu; Marchand-Adam, Sylvain; Khouatra, Chahéra; Wallaert, Benoit; Taillé, Camille; Delaval, Philippe; Cadranel, Jacques; Bonniaud, Philippe; Prévot, Grégoire; Hirschi, Sandrine; Gondouin, Anne; Dunogué, Bertrand; Chatté, Gérard; Briault, Amandine; Jayne, David; Guillevin, Loïc; Cordier, Jean-François

    2016-01-01

    The respiratory manifestations of eosinophilic granulomatosis with polyangiitis (EGPA) have not been studied in detail.In this retrospective multicentre study, EGPA was defined by asthma, eosinophilia and at least one new onset extra-bronchopulmonary organ manifestation of disease.The study

  5. The International Symposium on Space Climate (2nd), Long-Term Changes in the Sun and their Effects in the Heliosphere and Plant Earth, held in Sinaia, Romania, on 13-16 September 2006

    National Research Council Canada - National Science Library

    2008-01-01

    This report summarizes the activities and statistics for the Second International Symposium of Space Climate organized by Astronomical Institute of the Romanian Academy in Sinaia, Romania, on 13-16...

  6. Developing green infrastructure design guidelines for urban climate adaptation

    NARCIS (Netherlands)

    Klemm, Wiebke; Lenzholzer, Sanda; Brink, van den Adri

    2017-01-01

    In the context of global warming and increasing urban climate problems, urban green spaces and elements have been recognized as a strategy for urban climate adaptation. Yet, despite increasing scientific evidence of the positive impacts that urban green infrastructure (UGI) is having on the urban

  7. Astronomy and the Climate Crisis

    CERN Document Server

    Cooke, Antony

    2012-01-01

    Climate change is one of the most hotly debated issues of today. Increasing global temperatures will impact all of us. There are more questions than answers, however, and sweeping statements on the subject made by public figures, often with little scientific understanding, only further confuses public opinion. Astronomical factors, apart from passing references to the Sun, are given short shrift in relation to climate change. However, they might be amongst the major determinants of it.  A presentation of those that have been studied that some scientists suspect might be involved are featured in this book. Included is an in-depth look at the physics of climate itself, the potential effects of the Sun, solar storms, sunspots, solar variability, the magnetosphere, solar cycles, influences of nearby planets, orbital factors, cosmic rays, possible galactic influences, monitoring from space, even climate change elsewhere in the solar system, and much more. The greatest challenge climate change scientists face is d...

  8. Researching on Hawking Effect in a Kerr Space Time via Open Quantum System Approach

    International Nuclear Information System (INIS)

    Liu, Wen-Biao; Liu, Xian-Ming

    2014-01-01

    It has been proposed that Hawking radiation from a Schwarzschild or a de Sitter spacetime can be understood as the manifestation of thermalization phenomena in the framework of an open quantum system. Through examining the time evolution of a detector interacting with vacuum massless scalar fields, it is found that the detector would spontaneously excite with a probability the same as the thermal radiation at Hawking temperature. Following the proposals, the Hawking effect in a Kerr space time is investigated in the framework of an open quantum systems. It is shown that Hawking effect of the Kerr space time can also be understood as the the manifestation of thermalization phenomena via open quantum system approach. Furthermore, it is found that near horizon local conformal symmetry plays the key role in the quantum effect of the Kerr space time

  9. Impact of leadership styles on the institutional climate of the Unidad María Auxiliadora High School in Riobamba

    OpenAIRE

    Luisa Lozado

    2013-01-01

    This article describes two variables that are key in any organization: leadership styles and institutional climate. I analyze different key factors that come into play: the influence that institutional climate and leadership has over members in an educational community. For this purpose, I examine various leadership theories by different authors that highlight the warmth and quality perceived by its members, theories that reflect people ́s behavior, manifested in a diversity of styles, which ...

  10. Achondroplasia: Craniofacial manifestations and considerations in dental management

    OpenAIRE

    Al-Saleem, Afnan; Al-Jobair, Asma

    2010-01-01

    Achondroplasia is the most common form of skeletal dysplasia dwarfism that manifests with stunted stature and disproportionate limb shortening. Achondroplasia is of dental interest because of its characteristic craniofacial features which include relative macrocephaly, depressed nasal bridge and maxillary hypoplasia. Presence of large head, implanted shunt, airway obstruction and difficulty in head control require special precautions during dental management. Craniofacial manifestations and c...

  11. Mandibular and Dental Manifestations of Gaucher Disease

    Science.gov (United States)

    Saranjam, Hamid R.; Sidransky, Ellen; Levine, William Z.; Zimran, Ari; Elstein, Deborah

    2012-01-01

    Gaucher disease is a systemic lysosomal storage disorder with a high prevalence among Ashkenazi Jews. It is caused by an inherited deficiency of the lysosomal enzyme glucocerebrosidase. Common signs and symptoms include hepatosplenomegaly, anemia, thrombocytopenia, and skeletal involvement. Oral and dental manifestations are less commonly seen. These manifestations are often asymptomatic, although they may be detected by routine dental x-rays. There are several case reports and a few larger series published describing patients with Gaucher disease who have mandibulo-maxillofacial involvement. This review aims to examine the oral manifestations observed in Gaucher disease and to suggest practical guidelines for dealing with these often worrisome signs. Among the critical issues are the benign nature of Gaucher cell infiltration of the mandible and the critical importance of being prepared for post-procedure bleeding and/or infections. Therefore, it is essential that dental practitioners be aware of the possible oral and dental complications of Gaucher disease, as well as the available treatment modalities. PMID:22251146

  12. Vertigo as a Predominant Manifestation of Neurosarcoidosis

    Directory of Open Access Journals (Sweden)

    Tasnim F. Imran

    2015-01-01

    Full Text Available Sarcoidosis is a granulomatous disease of unknown etiology that affects multiple organ systems. Neurological manifestations of sarcoidosis are less common and can include cranial neuropathies and intracranial lesions. We report the case of a 21-year-old man who presented with vertigo and uveitis. Extensive workup including brain imaging revealed enhancing focal lesions. A lacrimal gland biopsy confirmed the diagnosis of sarcoidosis. The patient was initially treated with prednisone, which did not adequately control his symptoms, and then was switched to methotrexate with moderate symptomatic improvement. Our patient had an atypical presentation with vertigo as the predominant manifestation of sarcoidosis. Patients with neurosarcoidosis typically present with systemic involvement of sarcoidosis followed by neurologic involvement. Vertigo is rarely reported as an initial manifestation. This case highlights the importance of consideration of neurosarcoidosis as an entity even in patients that may not have a typical presentation or systemic involvement of disease.

  13. Global assessment of experimental climate warming on tundra vegetation: heterogeneity over space and time

    Science.gov (United States)

    Sarah C. Elmendorf; Gregory H.R. Henry; Robert D. Hollister; Robert G. Björk; Anne D. Bjorkman; Terry V. Callaghan; [and others] NO-VALUE; William Gould; Joel Mercado

    2012-01-01

    Understanding the sensitivity of tundra vegetation to climate warming is critical to forecasting future biodiversity and vegetation feedbacks to climate. In situ warming experiments accelerate climate change on a small scale to forecast responses of local plant communities. Limitations of this approach include the apparent site-specificity of results and uncertainty...

  14. The Living With a Star Program Space Environment Testbed

    Science.gov (United States)

    Barth, Janet; Day, John H. (Technical Monitor)

    2001-01-01

    This viewgraph presentation describes the objective, approach, and scope of the Living With a Star (LWS) program at the Marshall Space Flight Center. Scientists involved in the project seek to refine the understanding of space weather and the role of solar variability in terrestrial climate change. Research and the development of improved analytic methods have led to increased predictive capabilities and the improvement of environment specification models. Specifically, the Space Environment Testbed (SET) project of LWS is responsible for the implementation of improved engineering approaches to observing solar effects on climate change. This responsibility includes technology development, ground test protocol development, and the development of a technology application model/engineering tool.

  15. Evaluation of seven European aerosol optical depth retrieval algorithms for climate analysis

    NARCIS (Netherlands)

    Leeuw, G. de; Holzer-Popp, T.; Bevan, S.; Davies, W.H.; Descloitres, J.; Grainger, R.G.; Griesfeller, J.; Heckel, A.; Kinne, S.; Klüser, L.; Kolmonen, P.; Litvinov, P.; Martynenko, D.; North, P.; Ovigneur, B.; Pascal, N.; Poulsen, C.; Ramon, D.; Schulz, M.; Siddans, R.; Sogacheva, L.; Tanré, D.; Thomas, G.E.; Virtanen, T.H.; von Hoyningen Huene, W.; Vountas, M.; Pinnock, S.

    2015-01-01

    Satellite data are increasingly used to provide observation-based estimates of the effects of aerosols on climate. The Aerosol-cci project, part of the European Space Agency's Climate Change Initiative (CCI), was designed to provide essential climate variables for aerosols from satellite data. Eight

  16. Case analysis of temporal bone lesions with facial paralysis as main manifestation and literature review.

    Science.gov (United States)

    Chen, Wen-Jing; Ye, Jing-Ying; Li, Xin; Xu, Jia; Yi, Hai-Jin

    2017-08-23

    This study aims to discuss clinical characteristics, image manifestation and treatment methods of temporal bone lesions with facial paralysis as the main manifestation for deepening the understanding of such type of lesions and reducing erroneous and missed diagnosis. The clinical data of 16 patients with temporal bone lesions and facial paralysis as main manifestation, who were diagnosed and treated from 2009 to 2016, were retrospectively analyzed. Among these patients, six patients had congenital petrous bone cholesteatoma (PBC), nine patients had facial nerve schwannoma, and one patient had facial nerve hemangioma. All the patients had an experience of long-term erroneous diagnosis. The lesions were completely excised by surgery. PBC and primary facial nerve tumors were pathologically confirmed. Facial-hypoglossal nerve anastomosis was performed on two patients. HB grade VI was recovered to HB grade V in one patient. The anastomosis failed due to severe facial nerve fibrosis in one patient. Hence, HB remained at grade VI. Postoperative recovery was good for all patients. No lesion recurrence was observed after 1-6 years of follow-up. For the patients with progressive or complete facial paralysis, imaging examination should be perfected in a timely manner. Furthermore, PBC, primary facial nerve tumors and other temporal bone space-occupying lesions should be eliminated. Lesions should be timely detected and proper intervention should be conducted, in order to reduce operation difficulty and complications, and increase the opportunity of facial nerve function reconstruction.

  17. Flood Realities, Perceptions and the Depth of Divisions on Climate

    Science.gov (United States)

    Hamilton, Lawrence C; Wake, Cameron P; Hartter, Joel; Safford, Thomas G; Puchlopek, Alli J

    2016-01-01

    Research has led to broad agreement among scientists that anthropogenic climate change is happening now and likely to worsen. In contrast to scientific agreement, US public views remain deeply divided, largely along ideological lines. Science communication has been neutralised in some arenas by intense counter-messaging, but as adverse climate impacts become manifest they might intervene more persuasively in local perceptions. We look for evidence of this occurring with regard to realities and perceptions of flooding in the northeastern US state of New Hampshire. Although precipitation and flood damage have increased, with ample news coverage, most residents do not see a trend. Nor do perceptions about past and future local flooding correlate with regional impacts or vulnerability. Instead, such perceptions follow ideological patterns resembling those of global climate change. That information about the physical world can be substantially filtered by ideology is a common finding from sociological environment/society research. PMID:27818533

  18. Sensitivity of marine systems to climate and fishing: Concepts, issues and management responses

    DEFF Research Database (Denmark)

    Perry, Ian; Cury, Philippe; Brander, Keith

    2010-01-01

    forcing. Fishing is unlikely to alter the sensitivities of individual finfish and invertebrates to climate forcing. It will remove individuals with specific characteristics from the gene pool, thereby affecting structure and function at higher levels of organisation. Fishing leads to a loss of older age......Modern fisheries research and management must understand and take account of the interactions between climate and fishing, rather than try to disentangle their effects and address each separately. These interactions are significant drivers of change in exploited marine systems and have...... but will be manifest as the accumulation of the interactions between fishing and climate variability — unless threshold limits are exceeded. Marine resource managers need to develop approaches which maintain the resilience of individuals, populations, communities and ecosystems to the combined and interacting effects...

  19. PSYCHOLOGICAL ANALYSIS OF PATRIOTISM MANIFESTATIONS IN HIGH SCHOOL STUDENTS

    Directory of Open Access Journals (Sweden)

    G A Shurukhina

    2015-12-01

    Full Text Available In modern society, patriotism is manifested in all spheres of human life and it is understood as a love for the motherland and its people, as a sense of duty and pride for the country, a sense of honor and personal dignity, personal responsibility for occurring events, devotion to the country and its people. Patriotism is a complex concept including patriotic feelings of an individual. In the article, the peculiarities of the manifestation of patriotic feelings in high school students are analyzed on the basis of the system-functional approach. The study involved a group of senior students of secondary comprehensive school, a group of the representatives of the Ministry of Emergency Situations and cadets of a Cadet Corps. Statistically significant differences in sixteen variables characterizing manifestation of patriotic feelings were obtained in the group of cadets, the differences were observed in degrees of manifestation of both harmonic and inharmonic variables. High values were obtained for the variables of the reflective-evaluative component. The personal difficulties have got higher values which indicates a serious and responsible approach of cadets to the manifestation of patriotic feelings. These results were used to formulate correction programs aimed at the harmonization and development of patriotism among representatives of different age groups

  20. Zero-point field in curved spaces

    International Nuclear Information System (INIS)

    Hacyan, S.; Sarmiento, A.; Cocho, G.; Soto, F.

    1985-01-01

    Boyer's conjecture that the thermal effects of acceleration are manifestations of the zero-point field is further investigated within the context of quantum field theory in curved spaces. The energy-momentum current for a spinless field is defined rigorously and used as the basis for investigating the energy density observed in a noninertial frame. The following examples are considered: (i) uniformly accelerated observers, (ii) two-dimensional Schwarzschild black holes, (iii) the Einstein universe. The energy spectra which have been previously calculated appear in the present formalism as an additional contribution to the energy of the zero-point field, but particle creation does not occur. It is suggested that the radiation produced by gravitational fields or by acceleration is a manifestation of the zero-point field and of the same nature (whether real or virtual)

  1. Climate: an issue of security or of strategic control?

    International Nuclear Information System (INIS)

    Mascre, D.

    2010-01-01

    For the United States, climate has become a national security issue. In September 2009 the CIA created a Centre for Climate Change to monitor space and the biosphere, and to verify the levels of pollution of every country worldwide. This initiative is more than just a new mission; it marks a change of policy which acknowledges the new security-related troika of climate, economy and strategic control. (author)

  2. Correlation of Serotype-Specific Dengue Virus Infection with Clinical Manifestations

    Science.gov (United States)

    Halsey, Eric S.; Marks, Morgan A.; Gotuzzo, Eduardo; Fiestas, Victor; Suarez, Luis; Vargas, Jorge; Aguayo, Nicolas; Madrid, Cesar; Vimos, Carlos; Kochel, Tadeusz J.; Laguna-Torres, V. Alberto

    2012-01-01

    Background Disease caused by the dengue virus (DENV) is a significant cause of morbidity throughout the world. Although prior research has focused on the association of specific DENV serotypes (DENV-1, DENV-2, DENV-3, and DENV-4) with the development of severe outcomes such as dengue hemorrhagic fever and dengue shock syndrome, relatively little work has correlated other clinical manifestations with a particular DENV serotype. The goal of this study was to estimate and compare the prevalence of non-hemorrhagic clinical manifestations of DENV infection by serotype. Methodology and Principal Findings Between the years 2005–2010, individuals with febrile disease from Peru, Bolivia, Ecuador, and Paraguay were enrolled in an outpatient passive surveillance study. Detailed information regarding clinical signs and symptoms, as well as demographic information, was collected. DENV infection was confirmed in patient sera with polyclonal antibodies in a culture-based immunofluorescence assay, and the infecting serotype was determined by serotype-specific monoclonal antibodies. Differences in the prevalence of individual and organ-system manifestations were compared across DENV serotypes. One thousand seven hundred and sixteen individuals were identified as being infected with DENV-1 (39.8%), DENV-2 (4.3%), DENV-3 (41.5%), or DENV-4 (14.4%). When all four DENV serotypes were compared with each other, individuals infected with DENV-3 had a higher prevalence of musculoskeletal and gastrointestinal manifestations, and individuals infected with DENV-4 had a higher prevalence of respiratory and cutaneous manifestations. Conclusions/Significance Specific clinical manifestations, as well as groups of clinical manifestations, are often overrepresented by an individual DENV serotype. PMID:22563516

  3. Correlation of serotype-specific dengue virus infection with clinical manifestations.

    Directory of Open Access Journals (Sweden)

    Eric S Halsey

    Full Text Available Disease caused by the dengue virus (DENV is a significant cause of morbidity throughout the world. Although prior research has focused on the association of specific DENV serotypes (DENV-1, DENV-2, DENV-3, and DENV-4 with the development of severe outcomes such as dengue hemorrhagic fever and dengue shock syndrome, relatively little work has correlated other clinical manifestations with a particular DENV serotype. The goal of this study was to estimate and compare the prevalence of non-hemorrhagic clinical manifestations of DENV infection by serotype.Between the years 2005-2010, individuals with febrile disease from Peru, Bolivia, Ecuador, and Paraguay were enrolled in an outpatient passive surveillance study. Detailed information regarding clinical signs and symptoms, as well as demographic information, was collected. DENV infection was confirmed in patient sera with polyclonal antibodies in a culture-based immunofluorescence assay, and the infecting serotype was determined by serotype-specific monoclonal antibodies. Differences in the prevalence of individual and organ-system manifestations were compared across DENV serotypes. One thousand seven hundred and sixteen individuals were identified as being infected with DENV-1 (39.8%, DENV-2 (4.3%, DENV-3 (41.5%, or DENV-4 (14.4%. When all four DENV serotypes were compared with each other, individuals infected with DENV-3 had a higher prevalence of musculoskeletal and gastrointestinal manifestations, and individuals infected with DENV-4 had a higher prevalence of respiratory and cutaneous manifestations.Specific clinical manifestations, as well as groups of clinical manifestations, are often overrepresented by an individual DENV serotype.

  4. Brucellar Chorea – A Rare Manifestation of Brucellosis

    Directory of Open Access Journals (Sweden)

    Smita S. Mangalgi

    2014-07-01

    Full Text Available Brucellar chorea is a rare and unusual presentation of brucellosis. We would hereby like to report a case of Brucellar chorea. The purpose of reporting this case is to create awareness about the neuropsychiatric manifestations of brucellosis. Neurobrucellosis should be considered as one of the differential diagnoses in patients having long-standing fever with neurological manifestations, especially in endemic zones like India.

  5. THE INDIVIDUAL SOVEREIGNTY: CONCEPTUALIZATION AND MANIFESTATION

    Directory of Open Access Journals (Sweden)

    Nikola Lj. Ilievski

    2015-09-01

    Full Text Available This paper is qualitative and theoretical research of the concept of sovereignty and the libertarian theory, particularly the concept of individual liberty. It represents a concept developing study, with a specific accent laid on the individual liberty, and the theoretically established concept of sovereignty. The research focus could be identified with the conceptualization and manifestation of the individual sovereignty, as a theoretical phenomenon that is not fully conceptualized and strictly defined. In the scope of this paper, content analysis method and comparative method are used. The analysis, comparison and synthesis refer to the theories of sovereignty and the theory of libertarianism, resulting in developing the concept of individual sovereignty and its socio-political manifestation.

  6. Celebrity Climate Contrarians: Understanding a keystone species in contemporary climate science-policy-public interactions

    Science.gov (United States)

    Boykoff, M. T.

    2012-12-01

    Since the 1980s, a keystone species called 'climate contrarians' has emerged and thrived. Through resistance to dominant interpretations of scientific evidence, and often outlier views on optimal responses to climate threats, contrarians have raised many meta-level questions: for instance, questions involve to what extent have their varied interventions been effective in terms of sparking a new and wise Copernican revolution; or do their amplified voices instead service entrenched carbon-based industry interests while they blend debates over 'climate change' with other culture wars? While the value of their influence has generated numerous debates, there is no doubt that climate contrarians have had significant influence on climate science, policy and public communities in ways that are larger than would be expected from their relative abundance in society. As such, a number of these actors have achieved 'celebrity status' in science-policy circles, and, at times, larger public spaces. This presentation focuses on how - particularly through amplified mass media attention to their movements - various outlier interventions have demonstrated themselves to be (often deliberately) detrimental to efforts that seek to enlarge rather than constrict the spectrum of possibility for mobilizing appropriate responses to ongoing climate challenges. Also, this work analyses the growth pathways of these charismatic megafauna through interview data and participant observations completed by the author at the 2011 Heartland Institute's Sixth International Conference on Climate Change. This provides detail on how outlier perspectives characterized as climate contrarians do work in these spaces under the guise of public intellectualism to achieve intended goals and objectives. The research undertaken and related in the presentation here seeks to better understand motivations that prop up these contrarian stances, such as possible ideological or evidentiary disagreement to the orthodox

  7. Evolution under changing climates: climatic niche stasis despite rapid evolution in a non-native plant.

    Science.gov (United States)

    Alexander, Jake M

    2013-09-22

    A topic of great current interest is the capacity of populations to adapt genetically to rapidly changing climates, for example by evolving the timing of life-history events, but this is challenging to address experimentally. I use a plant invasion as a model system to tackle this question by combining molecular markers, a common garden experiment and climatic niche modelling. This approach reveals that non-native Lactuca serriola originates primarily from Europe, a climatic subset of its native range, with low rates of admixture from Asia. It has rapidly refilled its climatic niche in the new range, associated with the evolution of flowering phenology to produce clines along climate gradients that mirror those across the native range. Consequently, some non-native plants have evolved development times and grow under climates more extreme than those found in Europe, but not among populations from the native range as a whole. This suggests that many plant populations can adapt rapidly to changed climatic conditions that are already within the climatic niche space occupied by the species elsewhere in its range, but that evolution to conditions outside of this range is more difficult. These findings can also help to explain the prevalence of niche conservatism among non-native species.

  8. Cutaneous manifestations of HIV/AIDS: Part I | Dlova | Southern ...

    African Journals Online (AJOL)

    Human immunodeficiency virus (HIV) infection can lead to a variety of clinical cutaneous manifestations. These cutaneous disorders occur universally during the course of HIV infection. Cutaneous manifestations of HIV are very diverse. The course and clinical presentation of HIV in individuals who have access to highly ...

  9. WARMER URBAN CLIMATES FOR DEVELOPMENT OF GREEN SPACES IN NORTHERN SIBERIAN CITIES

    Directory of Open Access Journals (Sweden)

    Igor Esau

    2016-01-01

    Full Text Available Modern human societies have accumulated considerable power to modify their environment and the earth’s system climate as the whole. The most significant environmental changes are found in the urbanized areas. This study considers coherent changes in vegetation productivity and land surface temperature (LST around four northern West Siberian cities, namely, Tazovsky, Nadym, Noyabrsk and Megion. These cities are located in tundra, forest-tundra, northern taiga and middle taiga bioclimatic zones correspondingly. Our analysis of 15 years (2000–2014 Moderate Resolution Imaging Spectroradiometer (MODIS data revealed significantly (1.3 °C to 5.2 °C warmer seasonally averaged LST within the urbanized territories than those of the surrounding landscapes. The magnitude of the urban LST anomaly corresponds to climates found 300–600 km to the South. In the climate change perspective, this magnitude corresponds to the expected regional warming by the middle or the end of the 21st century. Warmer urban climates, and specifically warmer upper soil layers, can support re-vegetation of the disturbed urban landscapes with more productive trees and tall shrubs. This afforestation is welcome by the migrant city population as it is more consistent with their traditional ecological knowledge. Survival of atypical, southern plant species encourages a number of initiatives and investment to introduce even broader spectrum of temperate blossoming trees and shrubs in urban landscapes. The unintended changes of the urban micro-climates in combination with knowledgeable urban planning could transform the Siberian pioneer settlements into places of belonging.

  10. Osteosarcoma of the mandible: A case report with an early radiographic manifestation

    Energy Technology Data Exchange (ETDEWEB)

    Samraj, Lavanya; Venkatapathy, Ramesh; Oza, Nirima [Dept. of Oral Pathology and Microbiology, Mahatma Gandhi Post Graduate Institute of Dental Sciences, Pondicherry (India); Kaliamoorthy, Sriram [Dept. of Oral and Maxillofacial Pathology, Chettinad Dental College and Research Institute, Tamilnadu (India)

    2014-03-15

    Osteosarcoma is a classical malignant bone-forming neoplasm which usually presents with an aggressive clinical course. The current case is presented with the radiographic feature of widening of the periodontal ligament space of the involved teeth, which is considered to be the earliest radiographic manifestation of osteosarcoma involving the jaw bone. The main aim of this case report was to focus on the importance of early diagnosis of this tumor based on clinical and radiographic examinations, and confirmation by histopathology. Considering the rarity of the disease type and particularly taking into account the fast progression and aggressiveness of this neoplasm, it is clear that the presentation of a clinical case represents a major contribution to better understanding of osteosarcomas involving the jaw bone.

  11. Otorhinolaryngologic manifestations of cystic fibrosis: literature review

    Directory of Open Access Journals (Sweden)

    Carvalho, Carolina Pimenta

    2008-12-01

    Full Text Available Introduction: Cystic Fibrosis is the most common recessive autosomic genetic disease among Caucasians. It's caused by mutations in the gene that decodes regulatory protein for transmembrane conductance, resulting in defective transport of chlorine. Objective: Review the literature about Cystic Fibrosis, with emphasis on otorhinolaryngologic manifestations. Method: The online Pub Med databases were researched and we applied the following search terms Fibrosis Cystic and Sinusitis, and Mucoviscidosis and Sinusitis. Conclusions: Although it is not the main cause of death, the otorhinolaryngologic manifestations of the Cystic Fibrosis bring important morbidity to these patients.

  12. Clinical manifestations and managements in jellyfish envenomation A systematic review

    Directory of Open Access Journals (Sweden)

    Negar Taheri

    2013-11-01

    Full Text Available Background: The phylum Cnidarians have over nine thousand species that approximately, one hundred species are dangerous for humans. Annually, a large number of deaths were reported due to jellyfish stings. The manifestations depend on their species and kind of venoms, and include the local and systemic manifestations. A number of methods and compounds were used and under investigation for management of injuries with jellyfishes. Due to the lack of an integrated systematic review, the current study was done. Materials and Methods: The PubMed data bank was searched for the term “Jellyfish”. A total of 1677 papers were found. These papers were divided into three categories: medical, biomedical and biotechnological fields. The medical category was further divided into three subcategories comprising systemic manifestations, cutaneous manifestations and treatments for the stings of jellyfishes. The biomedical category was further subdivided into genomics, proteomics, and biology of venoms, mechanisms of actions and products of biomedical significance. In this part of systematic review, the medical aspects of injuries with jellyfishes were evaluated. Results: The clinical manifestations in jellyfish envenomation depend on their species and the nature of venoms. The most common clinical manifestations of jellyfish stings are cutaneous presentations like urticasia, erythema, swelling, vesicles and severe dermonectoric manifestations. Systemic manifestations were seen in the stings of box jellyfishes, Portuguese man-of-war and in Irukandji syndrome. The most common recommendations for jellyfish envenomation managements include decreasing the local effects of venom, prevention of the venomous nematocysts release, and Controlling of systemic reactions. Application of commercial vinegar (4 - 6% acetic acid, hot water immersion (HWI (42 ° C for 20 minutes, ice packs, sea water rinsing for inactivating nematocysts, administration of topical and parenteral

  13. COMMUNICATING REDD+ ISSUES AT LOCAL LEVEL: CREATING LATENT AND MANIFEST CONFLICT

    Directory of Open Access Journals (Sweden)

    Lukas Rumboko Wibowo

    2013-10-01

    Full Text Available ”Carbon offsetting”in forestry-related projects is widely regarded as the ideal solution to the three challenges of   the  21st Century:  climate change, biodiversity conservation  andsocio-economic development. At the same time, there is scepticism about the Reducing Emissions from Deforestation and  Forest  Degradation (REDD  proposal  particularly because of   the  weak  governance and institutional capacities in many developing countries, which could jeopardize the delivery of benefits at the local level. One major problem is that most people have little knowledge on the causes and consequences of the climate change. This is partly because the information  is largely scattered among scientific journals, and obscured by jargon and sophisticated  mathematical  models. Consequently, REDD+ is beyond thereach of  manyof the people affected by REDD+. This  paper examines the efforts and the capacity of  the local governments and other development  agents in explaining the REDD + issues and its impacts on the local people, especially customary communities. The research shows that lack of  policy communication and promotion, as well as consultations with the affected groups arethe main contributing factors to latent and manifest conflicts. In turn, this conflicth as proven that NGOs,  district governments and scientists have not been successful intermediaries. Thus, in the future policy communication on REDD+ should beaimed at improved network formation (i.e. between farmer groups with business partners and NGOs  and other related actors, learning, negotiation and relationship building (i.e. between members of farmer groups,  not only withtheir leaders within the farmer groups but also with governmental and business sectors. Policy communication should also create a  new  configuration of   support  and  services in  form  of   advocacy, empowerment and management skills and technical skills for conserving their

  14. Observing terrestrial water storage and land-atmosphere dynamics from space: Implications for forecasting and climate projections

    Science.gov (United States)

    Seneviratne, S. I.; Humphrey, V.; Nicolai-Shaw, N.; Gudmundsson, L.; Guillod, B.; Hirschi, M.; Michel, D.; Orth, R.; Zscheischler, J.

    2016-12-01

    In recent years, several new satellite products have been derived which allow an unprecendented assessment of terrestrial water storage and land-atmosphere dynamics. This presentation will review some of these new developments, with a focus on drought dynamics, plant-water interactions, and soil moisture-atmosphere feedbacks. Results derived based on the Gravity Recovery and Climate Experiment (GRACE, Humphrey et al. 2016) and the European Space Agency Climate Change Initiative (ESA CCI) Soil Moisture dataset (Nicolai-Shaw et al. 2015, 2016; Hirschi et al. 2014) will be highlighted, as well as assessments using satellite-based estimates of evapotranspiration (Mueller and Seneviratne 2014, Michel et al. 2016), vegetation activity (Zscheischler et al. 2015), and combined soil moisture and precipitation analyses (Guillod et al. 2015). These findings provide new insights on the development of prediction capabilities for droughts, precipitation events, and heat waves, and the reduction of uncertainties in climate model projections. References: Guillod, B.P., B. Orlowsky, D.G. Miralles, A.J. Teuling, and S.I. Seneviratne, 2015. Nature Communications, 6:6443, DOI: 10.1038/ncomms7443 Hirschi, M., B. Mueller, W. Dorigo, and S.I. Seneviratne, 2014. Remote Sensing of Environment, 154, 246-252. Humphrey, V., L. Gudmundsson, and S.I. Seneviratne, 2016. Surv. Geophysics, 37, 357-395, DOI 10.1007/s10712-016-9367-1. Michel, D., et al. 2016. Hydrol. Earth Syst. Sci. 20, 803-822, doi:10.5194/hess-20-803-2016. Mueller, M., and S.I. Seneviratne, 2014. Geophys. Res. Lett., 41, 1-7, doi:10.1002/2013GL058055. Nicolai-Shaw, N., L. Gudmundsson, M. Hirschi, and S.I. Seneviratne, 2016. Geophys. Res. Lett., in review. Nicolai-Shaw, N., M. Hirschi, H. Mittelbach, and S.I. Seneviratne, 2015. Journal of Geophysical Research, 120, doi:10.1002/2015JD023305. Zscheischler, J., R. Orth, and S.I. Seneviratne, 2015. Geophys. Res. Lett., 42, 9816-9824, doi:10.1002/2015GL066563.

  15. Chaos theory for clinical manifestations in multiple sclerosis.

    Science.gov (United States)

    Akaishi, Tetsuya; Takahashi, Toshiyuki; Nakashima, Ichiro

    2018-06-01

    Multiple sclerosis (MS) is a demyelinating disease which characteristically shows repeated relapses and remissions irregularly in the central nervous system. At present, the pathological mechanism of MS is unknown and we do not have any theories or mathematical models to explain its disseminated patterns in time and space. In this paper, we present a new theoretical model from a viewpoint of complex system with chaos model to reproduce and explain the non-linear clinical and pathological manifestations in MS. First, we adopted a discrete logistic equation with non-linear dynamics to prepare a scalar quantity for the strength of pathogenic factor at a specific location of the central nervous system at a specific time to reflect the negative feedback in immunity. Then, we set distinct minimum thresholds in the above-mentioned scalar quantity for demyelination possibly causing clinical relapses and for cerebral atrophy. With this simple model, we could theoretically reproduce all the subtypes of relapsing-remitting MS, primary progressive MS, and secondary progressive MS. With the sensitivity to initial conditions and sensitivity to minute change in parameters of the chaos theory, we could also reproduce the spatial dissemination. Such chaotic behavior could be reproduced with other similar upward-convex functions with appropriate set of initial conditions and parameters. In conclusion, by applying chaos theory to the three-dimensional scalar field of the central nervous system, we can reproduce the non-linear outcome of the clinical course and explain the unsolved disseminations in time and space of the MS patients. Copyright © 2018 Elsevier Ltd. All rights reserved.

  16. America's Water in the 20th Century: Measures to address climate induced risk

    Science.gov (United States)

    Devineni, N.

    2017-12-01

    This work develops an understanding of water risk for USA considering linkages between water supply and competing demands. It explores how climate variability and changing water demands manifest as water deficits and how public-private management decisions determine regional water availability and drought resilience. We develop insights on regional water risks, infrastructure investments, sectoral allocation and policy modifications for America's future water sustainability. In this talk, I will focus on demonstrating how the variations in climate over the last century influenced changes in water use across the continent USA. A peak into our interactive modeling environment for future evolution of water use and supply will also be provided.

  17. Climate change impacts on coral reefs: synergies with local effects, possibilities for acclimation, and management implications.

    Science.gov (United States)

    Ateweberhan, Mebrahtu; Feary, David A; Keshavmurthy, Shashank; Chen, Allen; Schleyer, Michael H; Sheppard, Charles R C

    2013-09-30

    Most reviews concerning the impact of climate change on coral reefs discuss independent effects of warming or ocean acidification. However, the interactions between these, and between these and direct local stressors are less well addressed. This review underlines that coral bleaching, acidification, and diseases are expected to interact synergistically, and will negatively influence survival, growth, reproduction, larval development, settlement, and post-settlement development of corals. Interactions with local stress factors such as pollution, sedimentation, and overfishing are further expected to compound effects of climate change. Reduced coral cover and species composition following coral bleaching events affect coral reef fish community structure, with variable outcomes depending on their habitat dependence and trophic specialisation. Ocean acidification itself impacts fish mainly indirectly through disruption of predation- and habitat-associated behavior changes. Zooxanthellate octocorals on reefs are often overlooked but are substantial occupiers of space; these also are highly susceptible to bleaching but because they tend to be more heterotrophic, climate change impacts mainly manifest in terms of changes in species composition and population structure. Non-calcifying macroalgae are expected to respond positively to ocean acidification and promote microbe-induced coral mortality via the release of dissolved compounds, thus intensifying phase-shifts from coral to macroalgal domination. Adaptation of corals to these consequences of CO2 rise through increased tolerance of corals and successful mutualistic associations between corals and zooxanthellae is likely to be insufficient to match the rate and frequency of the projected changes. Impacts are interactive and magnified, and because there is a limited capacity for corals to adapt to climate change, global targets of carbon emission reductions are insufficient for coral reefs, so lower targets should be

  18. Nonlinearities, scale-dependence, and individualism of boreal forest trees to climate forcing

    Science.gov (United States)

    Wolken, J. M.; Mann, D. H.; Grant, T. A., III; Lloyd, A. H.; Hollingsworth, T. N.

    2013-12-01

    Our understanding of the climate-growth relationships of trees are complicated by the nonlinearity and variability of these responses through space and time. Furthermore, trees growing at the same site may exhibit opposing growth responses to climate, a phenomenon termed growth divergence. To date the majority of dendrochronological studies in Interior Alaska have involved white spruce growing at treeline, even though black spruce is the most abundant tree species. Although changing climate-growth relationships have been observed in black spruce, there is little known about the multivariate responses of individual trees to temperature and precipitation and whether or not black spruce exhibits growth divergences similar to those documented for white spruce. To evaluate the occurrence of growth divergences in black spruce, we collected cores from trees growing on a steep, north-facing toposequence having a gradient in environmental parameters. Our overall goal was to assess how the climate-growth relationships of black spruce change over space and time. Specifically, we evaluated how topography influences the climate-growth relationships of black spruce and if the growth responses to climate are homogeneous. At the site-level most trees responded negatively to temperature and positively to precipitation, while at the tree-level black spruce exhibited heterogenous growth responses to climate that varied in both space (i.e., between sites) and time (i.e., seasonally and annually). There was a dominant response-type at each site, but there was also considerable variability in the proportion of trees exhibiting each response-type combination. Even in a climatically extreme setting like Alaska's boreal forest, tree responses to climate variability are spatially and temporally complex, as well as highly nonlinear.

  19. Imaging findings and significance of deep neck space infection

    International Nuclear Information System (INIS)

    Zhuang Qixin; Gu Yifeng; Du Lianjun; Zhu Lili; Pan Yuping; Li Minghua; Yang Shixun; Shang Kezhong; Yin Shankai

    2004-01-01

    Objective: To study the imaging appearance of deep neck space cellulitis and abscess and to evaluate the diagnostic criteria of deep neck space infection. Methods: CT and MRI findings of 28 cases with deep neck space infection proved by clinical manifestation and pathology were analyzed, including 11 cases of retropharyngeal space, 5 cases of parapharyngeal space infection, 4 cases of masticator space infection, and 8 cases of multi-space infection. Results: CT and MRI could display the swelling of the soft tissues and displacement, reduction, or disappearance of lipoid space in the cellulitis. In inflammatory tissues, MRI imaging demonstrated hypointense or isointense signal on T 1 WI, and hyperintense signal changes on T 2 WI. In abscess, CT could display hypodensity in the center and boundary enhancement of the abscess. MRI could display obvious hyperintense signal on T 2 WI and boundary enhancement. Conclusion: CT and MRI could provide useful information for deep neck space cellulitis and abscess

  20. The chest radiological manifestation in psittacosis

    International Nuclear Information System (INIS)

    Zhang Jun; Fu Jiazhen; Wang Shulan; Zhang Shuxin; Sun Guochang; Tang Guangjian

    2005-01-01

    Objective: To summarize the clinical characteristics and imaging features of psittacosis. Methods: The clinical features and imaging appearances of 3 cases with acute psittacosis were retrospectively analyzed. The related literature was reviewed. Results: The clinical manifestation of psittacosis was high fever in the patients. Physical findings included pulse-temperature dissociation, localized lung crackles, hepatomegaly, and splenomegaly. Laboratory findings showed elevation of ESR in all cases, and liver dysfunction was present in 2 cases. The counts of white blood cells were normal, but the percent of neutrophils might be increased. The chest X-ray and CT scan showed air-space consolidation and ground-glass attenuation in the lung, and miliary, nodular, or consolidated shadows were found in pathological areas. Pleural effusions were also present in 2 cases. Psittacosis was diagnosed from the history of exposure to infected parrots and elevation of the IgG and IgM titer for Chlamydia psittaci. Erythromycin was effective in all 3 patients. Conclusion: Although the appearance of psittacosis on clinical findings and chest X-ray and CT scan is not characteristic, psittacosis can be diagnosed with the combination of the history of exposure to infected parrots and laboratory findings. CT scan can reveal the focus earlier and accurately, and catching the imaging features of psittacosis is helpful in differential diagnosis. (authors)

  1. Ocular manifestations of systematic lupus erythematosus in children

    International Nuclear Information System (INIS)

    Al-Mayouf, Sulaiman M.; Al-Hemidan, Amal I.

    2003-01-01

    To determine the prevalence and spectrum of ocular manifestations in children with systematic lupus erythematosus (SLE) and to examine the correlation of the ocular manifestations with disease activity , other organ involvement and the presence of circulating of autoantibodies. This study was performed at King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia from June 2002 to November 2002. It included detailed eye examination, measuring circulating autoantibodies (antinuclear,anti phospholipid antibodies) and circulation of SLE disease activity index (SLEDAI). 52 consecutive children (45 females) with SLE completed the evaluation .The mean age of the patients was 11.3 years and the mean SLEDAI was 9.5 Thirty patients (57.7%) had the disease for more than 1 year. 18 patients(34.6%) had ocular manifestations.7 patients had abnormal . Schirmer's test. 5 patients had ratinal vascular lesions. 1 patient had bilateral iridocyclitis. 3 patients had unilateral optic neuropathy and 11 patients had visual field defects.Fisher extract test revealed positive correlation between optic neuropathy and central nervous system(CNS) involvement. There was no correlation among other variables; probably due to sample size. Ocular manifestations including sight threatening complications are not rare in children with SLE.Optic neuropathy had a strong prediction for CNS lupus. (author)

  2. Thoracic manifestations of ovarian hyperstimulation syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Levin, M.F.; Hutton, L.C.; Kaplan, B.R. [University of Western Ontario, London, ON (Canada)

    1995-02-01

    In order to determine the thoracic manifestations of severe ovarian hyperstimulation syndrome, the medical records and available images of 771 patients who had received gonadotropins to induce superovulation, were reviewed. In 22 patients (3%) severe hyperstimulation syndrome was diagnosed clinically and confirmed with ultrasonography (US). Pleural effusion occurred in five of these (23%), one of whom required thoracentesis. Atelectasis and internal jugular vein thrombosis developed in one patient, and ventilation-perfusion mismatch occurred in another. The study concluded that respiratory distress in patients with ovarian hyperstimulation syndrome was most likely due to lung restriction. Pulmonary manifestations formed an important part of this syndrome, and radiologic input were considered necessary for assessment, monitoring and management. 10 refs., 2 figs., 1 tab.

  3. OPHTHALMIC MANIFESTATIONS OF TAKAYASU ARTERITIS IN SOUTH INDIAN POPULATION

    Directory of Open Access Journals (Sweden)

    Nandhini Arumugam

    2017-06-01

    Full Text Available BACKGROUND Takayasu arteritis is a chronic inflammatory vasculopathy mainly affecting the aorta and its main branches and rarely the pulmonary artery. It usually affects females of the childbearing age group and is more prevalent in the South East Asian countries. 1 Ocular manifestations are not uncommon in cases of Takayasu arteritis. They may be ischaemic ocular manifestations when aorta and its branches are involved and get stenosed or hypertensive retinopathy when renal or suprarenal aorta is involved. 2 Uyama and Asayama broadly classified the ocular manifestations into three types. 3 Type 1 comprised of the ischaemic ocular manifestations of Takayasu arteritis, termed as Takayasu Retinopathy which has been further classified into four stages. Stage one is characterised by the distention of veins, stage two consists of microaneurysm formation, occurrence of arteriovenous anastomoses indicates stage three and complications like retinal ischaemia, neovascularisation, rubeosis iridis and vitreous haemorrhage occurs in stage four. Type two ocular findings have features of mixed retinopathy and type three had retinal manifestations due to hypertension which occurs due to the involvement of the renal and abdominal aorta. Since this disease occurs predominantly in younger individuals it causes severe ocular morbidity in the young if not diagnosed and intervened at an early stage. The aim of this study was to evaluate the clinical spectrum of ocular findings in patients with Takayasu arteritis and to describe the Fundus Fluorescein angiographic characteristics of various retinal findings in patients with Takayasu arteritis. MATERIALS AND METHODS 63 patients who were diagnosed as Takayasu Arteritis who attended our tertiary eye care centre in the time period of November 2014 to march 2017 were included in our study. RESULTS This cross-sectional study consisted of 63 patients. The mean age of the presentation of the study population was 27.8 years

  4. Otolaryngic manifestations of Cushing disease.

    Science.gov (United States)

    Kuan, Edward C; Peng, Kevin A; Suh, Jeffrey D; Bergsneider, Marvin; Wang, Marilene B

    2017-08-01

    Cushing disease is a relatively rare cause of Cushing syndrome secondary to a hyperfunctioning pituitary adenoma. In addition to signs and symptoms of hypercortisolism, Cushing disease may present with diverse otolaryngic manifestations, which may guide diagnosis and management. We performed a retrospective chart review of patients who were found to have Cushing disease and who underwent transnasal transsphenoidal surgery for pituitary adenomas between January 1, 2007, and July 1, 2014, at a tertiary academic medical center. There were 37 consecutive patients in this series with Cushing disease caused by a pituitary adenoma. Fifteen (41%) patients complained of visual changes. Five (14%) patients suffered from obstructive sleep apnea. Four (11%) patients had thyroid disease. Other symptoms included hearing loss, vertigo, tinnitus, epistaxis, dysphagia, and salivary gland swelling. Although Cushing disease traditionally presents with classic "Cushingoid" systemic features, it also may present with various otolaryngic manifestations. A thorough workup by otolaryngologists is critical in the comprehensive management of these patients.

  5. Ion climate and radon concentration

    International Nuclear Information System (INIS)

    Busbarna, L.

    1981-01-01

    Characteristic values of radon concentration in natural ion climate and in open air were compared and the effect of artificially produced negative ion excess on the radon concentration of air was studied. The results show that the radon concentration measurable at the rise of negative ion excess is smaller than that in the case of natural equilibrium. This effect can be utilized lowering the background of the scintillation chambers, thus increasing their sensitivity. The negative ions of the artificial ion climate lower radon concentration in closed space. The question arises whether only the ion climate is responsible for the effects on the organism and on the nervous system or the radon concentration of the air also contributes to them. (author)

  6. A new climate dataset for systematic assessments of climate change impacts as a function of global warming

    Directory of Open Access Journals (Sweden)

    J. Heinke

    2013-10-01

    Full Text Available In the ongoing political debate on climate change, global mean temperature change (ΔTglob has become the yardstick by which mitigation costs, impacts from unavoided climate change, and adaptation requirements are discussed. For a scientifically informed discourse along these lines, systematic assessments of climate change impacts as a function of ΔTglob are required. The current availability of climate change scenarios constrains this type of assessment to a narrow range of temperature change and/or a reduced ensemble of climate models. Here, a newly composed dataset of climate change scenarios is presented that addresses the specific requirements for global assessments of climate change impacts as a function of ΔTglob. A pattern-scaling approach is applied to extract generalised patterns of spatially explicit change in temperature, precipitation and cloudiness from 19 Atmosphere–Ocean General Circulation Models (AOGCMs. The patterns are combined with scenarios of global mean temperature increase obtained from the reduced-complexity climate model MAGICC6 to create climate scenarios covering warming levels from 1.5 to 5 degrees above pre-industrial levels around the year 2100. The patterns are shown to sufficiently maintain the original AOGCMs' climate change properties, even though they, necessarily, utilise a simplified relationships between ΔTglob and changes in local climate properties. The dataset (made available online upon final publication of this paper facilitates systematic analyses of climate change impacts as it covers a wider and finer-spaced range of climate change scenarios than the original AOGCM simulations.

  7. Misconceptions Surrounding Climate Change: A Review of the Literature

    Science.gov (United States)

    Templeton, C. M.; McNeal, K. S.; Libarkin, J.

    2011-12-01

    Misconceptions about climate change abound in every corner of society. The result manifests itself ranging from apprehension to total disregard for climate change conditions. According to several sources, however, a large percentage of the U. S. population do, indeed indicate some concern over global warming and climate change in general. These climate change misconceptions are numerous and include, to name a few; confusion between weather and climate, how greenhouse gases are affecting the earth, the effects of ozone depletion, earth's natural cycles, volcanic activity, nuclear waste and a host of other anthropogenic influences. This paper is a review of the current research literature relating to climate change misconceptions. These errant views will be addressed, cataloged, enumerated, and ranked to get a grasp on where the general population, politicians, scientists, and educators as well as students stand on informed climate change information. The categories where misconceptions arise have been identified in this literature review study and include the following: Natural cycles of the earth, ecological which include deforestation, urban development and any human intervention on the environment, educational - including teacher strategies, student understanding and textbook updates, emotional, ozone layer and its interactions, polar ice, political regulations, mandates and laws, pollution from human sources as well as from nature, religious beliefs and dogma and social beliefs. We suggest appropriate solutions for addressing these misconceptions, especially in the classroom setting, and broadly include available funding sources for work in climate change education. Some solutions include need for compilation of appropriate education resources and materials for public use, need for the development of educational materials that appropriately address the variety of publics, and need for programs that are conducting climate change education research and EPO work to

  8. The vestibulocochlear bases for wartime posttraumatic stress disorder manifestations.

    Science.gov (United States)

    Tigno, T A; Armonda, R A; Bell, R S; Severson, M A

    2017-09-01

    Preliminary findings based on earlier retrospective studies of 229 wartime head injuries managed by the Walter Reed Army Medical Center (WRAMC)/National Naval Medical Center (NNMC) Neurosurgery Service during the period 2003-08 detected a threefold rise in Posttraumatic Stress Disorder (PTSD) manifestations (10.45%) among Traumatic Brain Injuries (TBI) having concomitant vestibulocochlear injuries compared to 3% for the TBI group without vestibulo-cochlear damage (VCD), prompting the authors to undertake a more focused study of the vestibulo-auditory pathway in explaining the development of posttraumatic stress disorder manifestations among the mostly Blast-exposed head-injured. The subsequent historical review of PTSD pathophysiology studies, the evidence for an expanded vestibular system and of a dominant vestibular system, the vascular vulnerability of the vestibular nerves in stress states as well as the period of cortical imprinting has led to the formation of a coherent hypotheses utilizing the vestibulocochlear pathway in understanding the development of PTSD manifestations. Neuroimaging and neurophysiologic tests to further validate the vestibulocochlear concept on the development of PTSD manifestations are proposed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Insulin secretion and sensitivity in space flight: diabetogenic effects

    Science.gov (United States)

    Tobin, Brian W.; Uchakin, Peter N.; Leeper-Woodford, Sandra K.

    2002-01-01

    Nearly three decades of space flight research have suggested that there are subclinical diabetogenic changes that occur in microgravity. Alterations in insulin secretion, insulin sensitivity, glucose tolerance, and metabolism of protein and amino acids support the hypothesis that insulin plays an essential role in the maintenance of muscle mass in extended-duration space flight. Experiments in flight and after flight and ground-based bedrest studies have associated microgravity and its experimental paradigms with manifestations similar to those of diabetes, physical inactivity, and aging. We propose that these manifestations are characterized best by an etiology that falls into the clinical category of "other" causes of diabetes, including, but not restricted to, genetic beta-cell defects, insulin action defects, diseases of the endocrine pancreas, endocrinopathies, drug or chemically induced diabetes, infections, immune-mediated metabolic alteration, and a host of genetic related diseases. We present data showing alterations in tumor necrosis factor-alpha production, insulin secretion, and amino acid metabolism in pancreatic islets of Langerhans cultured in a ground-based cell culture bioreactor that mimics some of the effects of microgravity. Taken together, space flight research, ground-based studies, and bioreactor studies of pancreatic islets of Langerhans support the hypothesis that the pancreas is unable to overcome peripheral insulin resistance and amino acid dysregulation during space flight. We propose that measures of insulin secretion and insulin action will be necessary to design effective countermeasures against muscle loss, and we advance the "disposition index" as an essential model to be used in the clinical management of space flight-induced muscle loss.

  10. Dual impacts of climate change: forest migration and turnover through life history

    Science.gov (United States)

    Kai Zhu; Christopher W. Woodall; Souparno Ghosh; Alan E. Gelfand; James S. Clark

    2014-01-01

    Tree species are predicted to track future climate by shifting their geographic distributions, but climate-mediated migrations are not apparent in a recent continental-scale analysis. To better understand the mechanisms of a possible migration lag, we analyzed relative recruitment patterns by comparing juvenile and adult tree abundances in climate space. One would...

  11. Matching species traits to projected threats and opportunities from climate change

    Science.gov (United States)

    Garcia, Raquel A; Araújo, Miguel B; Burgess, Neil D; Foden, Wendy B; Gutsche, Alexander; Rahbek, Carsten; Cabeza, Mar

    2014-01-01

    Aim Climate change can lead to decreased climatic suitability within species' distributions, increased fragmentation of climatically suitable space, and/or emergence of newly suitable areas outside present distributions. Each of these extrinsic threats and opportunities potentially interacts with specific intrinsic traits of species, yet this specificity is seldom considered in risk assessments. We present an analytical framework for examining projections of climate change-induced threats and opportunities with reference to traits that are likely to mediate species' responses, and illustrate the applicability of the framework. Location Sub-Saharan Africa. Methods We applied the framework to 195 sub-Saharan African amphibians with both available bioclimatic envelope model projections for the mid-21st century and trait data. Excluded were 500 narrow-ranging species mainly from montane areas. For each of projected losses, increased fragmentation and gains of climate space, we selected potential response-mediating traits and examined the spatial overlap with vulnerability due to these traits. We examined the overlap for all species, and individually for groups of species with different combinations of threats and opportunities. Results In the Congo Basin and arid Southern Africa, projected losses for wide-ranging amphibians were compounded by sensitivity to climatic variation, and expected gains were precluded by poor dispersal ability. The spatial overlap between exposure and vulnerability was more pronounced for species projected to have their climate space contracting in situ or shifting to distant geographical areas. Our results exclude the potential exposure of narrow-ranging species to shrinking climates in the African tropical mountains. Main conclusions We illustrate the application of a framework combining spatial projections of climate change exposure with traits that are likely to mediate species' responses. Although the proposed framework carries several

  12. Gastrointestinal manifestations in children with primary ...

    African Journals Online (AJOL)

    Ehab

    with autoimmune manifestations, and increased risk of malignancy in ... cell dysfunction as well as hepatic abscess in phagocytic defect. .... Pulmonary infections are the most common ... colony-stimulating factor may be indicated to treat.

  13. Pulmonary arterial hypertension as a manifestation of lupus erythematosus

    Energy Technology Data Exchange (ETDEWEB)

    Stark, P; Sargent, E N; Boylen, T; Jaramillo, D

    1987-08-01

    We present five patients with systemic lupus erythematosus (SLE) who developed pulmonary arterial hypertension and cor pulmonale in the course of their disease. The clinical features, as well as, the radiological manifestations of this rare manifestation of SLE are discussed. A vasculitic process is the most likely cause of this complication. Therapy is ineffective and the prognosis is poor.

  14. Skin manifestations and immunological parameters in childhood food allergy.

    Science.gov (United States)

    Oehling, A; Fernández, M; Córdoba, H; Sanz, M L

    1997-01-01

    According to Hansen's contact rule, the digestive system should be considered as the main shock organ, yet in food allergy, this is not the case. Very often specific food triggers clinical manifestations not involving the digestive system; that is, reactions are manifested either in the respiratory system, as asthma or rhinitis, or in the skin. In these cases the BALT (broncho-alveolar lymphoid tissue) and GALT (gastrointestinal lymphoid tissue) units play a basic role in the sensitizations. The purpose of this study was to determine the most frequent skin manifestations of food allergy among children, and the most frequently involved foods. We also thought it interesting to evaluate the diagnostic reliability of the different standard immunological parameters utilized by the study team in food allergy. All patients underwent intracutaneous tests with 12 groups of the most frequent food allergens, as well as serum IgE, antigen-specific IgE against foods, and antigen-specific histamine release tests. Antigen-specific IgG4 determination was performed in some cases. The results obtained confirmed previous studies, the most common manifestations being: angioedema (48%), followed by urticaria (31%) and atopic dermatitis (21%). Regarding the frequency of sensitization to different food allergens, in mono- or polisensitization, fish and egg stand out in our environment. Certain food allergens are more frequently responsible for specific skin manifestations. Thus, for fish sensitization, the most frequent skin manifestation is atopic dermatitis (50%); for egg sensitization, angioedema is the most frequent skin manifestation (50%); and for milk, urticaria (50%). Finally, and in agreement with previous works regarding the diagnostic reliability of in vitro techniques, we found that the histamine release test offered the highest percentage of diagnostic reliability. Only for sensitization to milk proteins did antigen-specific IgE demonstrate higher reliability. Once again, we

  15. Animating climate model data

    Science.gov (United States)

    DaPonte, John S.; Sadowski, Thomas; Thomas, Paul

    2006-05-01

    This paper describes a collaborative project conducted by the Computer Science Department at Southern Connecticut State University and NASA's Goddard Institute for Space Science (GISS). Animations of output from a climate simulation math model used at GISS to predict rainfall and circulation have been produced for West Africa from June to September 2002. These early results have assisted scientists at GISS in evaluating the accuracy of the RM3 climate model when compared to similar results obtained from satellite imagery. The results presented below will be refined to better meet the needs of GISS scientists and will be expanded to cover other geographic regions for a variety of time frames.

  16. Unraveling Metabolic Variation for Blueberry and Chokeberry Cultivars Harvested from Different Geo-Climatic Regions in Korea.

    Science.gov (United States)

    Sim, Inseon; Suh, Dong Ho; Singh, Digar; Do, Seon-Gil; Moon, Kwang Hyun; Lee, Jeong Ho; Ku, Kang-Mo; Lee, Choong Hwan

    2017-10-18

    Temporal geo-climatic variations are presumably vital determinants of phenotypic traits and quality characteristics of berries manifested through reconfigured metabolomes. We performed an untargeted mass spectrometry (MS)-based metabolomic analysis of blueberry (Vaccinium spp.) and chokeberry (Aronia melanocarpa) sample extracts harvested from different geo-climatic regions in Korea. The multivariate statistical analysis indicated distinct metabolite compositions of berry groups based on different species and regions. The amino acids levels were relatively more abundant in chokeberry than in blueberry, while the sugar contents were comparatively higher in blueberry. However, the metabolite compositions were also dependent on geo-climatic conditions, especially latitude. Notwithstanding the cultivar types, amino acids, and sucrose were relatively more abundant in berries harvested from 35°N and 36°N geo-climatic regions, respectively, characterized by distinct duration of sunshine and rainfall patterns. The present study showed the ability of a metabolomics approach for recapitulating the significance of geo-climatic parameters for quality characterization of commercial berry types.

  17. Engendering climate change-induced migration

    Science.gov (United States)

    Caretta, Martina Angela; Miletto, Michela

    2017-04-01

    Climate change leads to increased climate variability, which is manifest in extreme weather events such as floods and droughts. These put at stake agricultural productivity, forestry, inland fisheries, aquaculture, water supply and sanitation which in turn hamper poorest householdś self-sufficiency and capability to cope with risks. Due to the risk of losing or the actual loss of livelihood, farmers in the Global South must look for alternative strategies to diversify risk. Migration is one of those strategies, which that can be seen either as an adaptive measure or an indicator of limits to adaptation to environmental stress. 60% of young migrants live in the Global South (UN, 2013). Many internally displaced people in the world are under the age of 18, some move with their families, other, mostly in South Asia and West Africa, migrate alone. Youth, as all migrants, are seeking better economic opportunities to support themselves and their families. Migration is a gendered process which plays out differently in diverse societies depending on local cultural norms that do not only affect and are affected by gender roles, but also by age, class and ethnicity. Threats to water availability, access and water hazards have diverse impacts on men and women. The link gender and climate-induced migration is still under investigation and few studies provide concrete country specific examples of this phenomenon. Our paper will present a state of the art literature review around climate-induced migration in the Global South from a gender perspective showing how meńs and womeńs migratory decisions, patterns and outcomes differ at the stage pre-during post migration.

  18. Nephrogenic systemic fibrosis: late skin manifestations

    DEFF Research Database (Denmark)

    Bangsgaard, Nannie; Marckmann, Peter; Rossen, Kristian

    2009-01-01

    BACKGROUND: Nephrogenic systemic fibrosis (NSF) is a serious disease that occurs in patients with severe renal disease and is believed to be caused by gadolinium-containing contrast agents. A detailed description of the late skin manifestations of NSF is important to help dermatologists...... and nephrologists recognize the disease. OBSERVATIONS: We studied 17 patients with NSF late in the disease. All patients showed epidermal atrophy and hairlessness of the affected regions, primarily the lower legs. Affected areas were symmetrically distributed and hyperpigmented in most cases. Eleven patients showed......: This descriptive case series of patients with NSF gives a detailed clinical picture of the skin manifestations late in the disease. It demonstrates that the clinical picture in the late stage has a varied presentation and that NSF has a significant effect on the quality of life....

  19. Abdominal manifestations of cystic fibrosis in children

    International Nuclear Information System (INIS)

    Chaudry, Gulraiz; Navarro, Oscar M.; Levine, Daniel S.; Oudjhane, Kamaldine

    2006-01-01

    Pulmonary complications remain the main cause of mortality in cystic fibrosis, but the presenting symptoms in children are often related to gastrointestinal or pancreaticobiliary disease. Furthermore, abdominal manifestations are now seen throughout childhood, from infancy to adolescence. The child might present in the neonatal period with meconium ileus or its attendant complications. The older child might present with distal intestinal obstruction syndrome or colonic stricture secondary to high doses of pancreatic enzyme replacement. Less-common gastrointestinal manifestations include intussusception, duodenitis and fecal impaction of the appendix. Most children also show evidence of exocrine pancreatic deficiency. Radiologically, the combination of fat deposition and pancreatic fibrosis leads to varying CT and MR appearances. A higher than normal incidence of pancreatic cysts and calcification is also seen. Decreased transport of water and chloride also increases the viscosity of bile, with subsequent obstruction of the biliary ductules. If extensive, this can progress to obstructive cirrhosis, portal hypertension and esophageal varices. Diffuse fatty infiltration, hypersplenism and gallstones are also commonly seen in these patients. We present a pictorial review of the radiological appearance of these abdominal manifestations. The conditions are dealt with individually, together with typical appearances in various imaging modalities. (orig.)

  20. Abdominal manifestations of cystic fibrosis in children

    Energy Technology Data Exchange (ETDEWEB)

    Chaudry, Gulraiz; Navarro, Oscar M.; Levine, Daniel S.; Oudjhane, Kamaldine [University of Toronto, Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, ON (Canada)

    2006-03-15

    Pulmonary complications remain the main cause of mortality in cystic fibrosis, but the presenting symptoms in children are often related to gastrointestinal or pancreaticobiliary disease. Furthermore, abdominal manifestations are now seen throughout childhood, from infancy to adolescence. The child might present in the neonatal period with meconium ileus or its attendant complications. The older child might present with distal intestinal obstruction syndrome or colonic stricture secondary to high doses of pancreatic enzyme replacement. Less-common gastrointestinal manifestations include intussusception, duodenitis and fecal impaction of the appendix. Most children also show evidence of exocrine pancreatic deficiency. Radiologically, the combination of fat deposition and pancreatic fibrosis leads to varying CT and MR appearances. A higher than normal incidence of pancreatic cysts and calcification is also seen. Decreased transport of water and chloride also increases the viscosity of bile, with subsequent obstruction of the biliary ductules. If extensive, this can progress to obstructive cirrhosis, portal hypertension and esophageal varices. Diffuse fatty infiltration, hypersplenism and gallstones are also commonly seen in these patients. We present a pictorial review of the radiological appearance of these abdominal manifestations. The conditions are dealt with individually, together with typical appearances in various imaging modalities. (orig.)

  1. Cutaneous manifestations of polycystic ovary syndrome: A cross-sectional clinical study

    Directory of Open Access Journals (Sweden)

    Mohammad Abid Keen

    2017-01-01

    Full Text Available Background: Polycystic ovary syndrome (PCOS is one of the most common endocrine disorders in women, affecting 5–10% of reproductive-aged women. The dermatologic manifestations of hyperandrogenism, chiefly hirsutism, acne vulgaris, androgenic alopecia, and acanthosis nigricans, are among the cardinal manifestations of PCOS. Aim: To study the incidence and prevalence of various cutaneous manifestations in patients with PCOS and to correlate these skin manifestations with hormonal changes. Settings and Design: This study was conducted at a dermatology centre over a period of 1 year from November 2012 to 2013. Materials and Methods: The present study included 100 women diagnosed to have PCOS. Hormonal analysis as well as radiological assessment was done in all the cases. Cutaneous manifestations were ascertained and inferences were drawn. Statistical Analysis: Statistical analysis was carried out by the Chi-square test and independent samples t-test. Statistical significance was determined at a level of P < 0.05. Results: In our study, the prevalence of hirsutism, acne, female pattern hair loss, acanthosis nigricans, seborrhea, striae and acrochordons was 78%, 48%, 31%, 30%, 29%, 13%, and 9%, respectively. Conclusion: Dermatologic manifestations of PCOS play a significant role in making the diagnosis and constitute a substantial portion of the symptoms experienced by women with this syndrome.

  2. Solutions for ecosystem-level protection of ocean systems under climate change

    NARCIS (Netherlands)

    Queirós, Ana M.; Huebert, Klaus B.; Keyl, Friedemann; Fernandes, Jose A.; Stolte, Willem; Maar, Marie; Kay, Susan; Jones, Miranda C.; Hamon, Katell G.; Hendriksen, Gerrit; Vermard, Youen; Marchal, Paul; Teal, Lorna R.; Somerfield, Paul J.; Austen, Melanie C.; Barange, Manuel; Sell, Anne F.; Allen, Icarus; Peck, Myron A.

    2016-01-01

    The Paris Conference of Parties (COP21) agreement renewed momentum for action against climate change, creating the space for solutions for conservation of the ocean addressing two of its largest threats: climate change and ocean
    acidification (CCOA). Recent arguments that ocean policies

  3. Geoengineering by stratospheric SO2 injection: results from the Met Office HadGEM2 climate model and comparison with the Goddard Institute for Space Studies ModelE

    Directory of Open Access Journals (Sweden)

    B. Kravitz

    2010-07-01

    Full Text Available We examine the response of the Met Office Hadley Centre's HadGEM2-AO climate model to simulated geoengineering by continuous injection of SO2 into the lower stratosphere, and compare the results with those from the Goddard Institute for Space Studies ModelE. Despite the differences between the models, we find a broadly similar geographic distribution of the response to geoengineering in both models in terms of near-surface air temperature and mean June–August precipitation. The simulations also suggest that significant changes in regional climate would be experienced even if geoengineering was successful in maintaining global-mean temperature near current values, and both models indicate rapid warming if geoengineering is not sustained.

  4. Olmesartan-induced Enteropathy Manifesting as Wernicke-Korsakoff Syndrome.

    Science.gov (United States)

    Uehara, Takanori; Ikusaka, Masatomi; Ohira, Yoshiyuki; Noda, Kazutaka; Suzuki, Shingo; Shikino, Kiyoshi; Kondo, Takeshi; Kajiwara, Hideki; Ikegami, Akiko; Hirota, Yusuke

    Cases of sprue-like enteropathy associated with olmesartan have sporadically been encountered since it was first reported in 2012, and their most characteristic manifestation is severe diarrhea. We herein report the first case of sprue-like enteropathy manifesting as Wernicke-Korsakoff syndrome due to vitamin B1 malabsorption with only minimally increased bowel movements. When patients are receiving olmesartan and they complain of nonspecific chronic gastrointestinal symptoms, it is important to consider changing the drugs before any serious malabsorption syndrome develops.

  5. Pulmonary arterial hypertension as a manifestation of lupus erythematosus

    International Nuclear Information System (INIS)

    Stark, P.; Jaramillo, D.

    1987-01-01

    We present five patients with systemic lupus erythematosus (SLE) who developed pulmonary arterial hypertension and cor pulmonale in the course of their disease. The clinical features, as well as, the radiological manifestations of this rare manifestation of SLE are discussed. A vasculitic process is the most likely cause of this complication. Therapy is ineffective and the prognosis is poor. (orig.) [de

  6. Taiwan Space Programs

    Science.gov (United States)

    Liu, Jann-Yenq

    Taiwan space programs consist of FORMOSAT-1, -2, and -3, sounding rockets, and international cooperation. FORMOSAT-1, a low-earth-orbit (LEO) scientific experimental satellite, was launched on January 26, 1999. It circulates with an altitude of 600 km and 35 degree inclination around the Earth every 97 minutes, transmitting collected data to Taiwan's receiving stations approximately six times a day. The major mission of FORMOSAT-1 includes three scientific experiments for measuring the effects of ionospheric plasma and electrodynamics, taking the ocean color image and conducting Ka-band communication experiment. The FORMOSAT- 1 mission was ended by June 15, 2004. FORMOSAT-2, launched on May 21, 2004 onto the Sun-synchronous orbit located at 891 km above ground. The main mission of FORMOSAT-2 is to conduct remote sensing imaging over Taiwan and on terrestrial and oceanic regions of the entire earth. The images captured by FORMOSAT-2 during daytime can be used for land distribution, natural resources research, environmental protection, disaster prevention and rescue work etc. When the satellite travels to the eclipsed zone, it observes natural phenomena of lighting in the upper atmosphere. FORMOSAT-3 is an international collaboration project between Taiwan and the US to develop advanced technology for the real-time monitoring of the global climate. This project is also named Constellation Observing System for Meteorology, Ionosphere and Climate, or FORMOSAT-3/COSMIC for short. Six micro-satellites were launched on 15 April 2007 and eventually placed into six different orbits at 700 800 kilometer above the earth ground. These satellites orbit around the earth to form a LEO constellation that receives signals transmitted by the 24 US GPS satellites. The satellite observation covers the entire global atmosphere and ionosphere, providing over 2,500 global sounding data per day. These data distribute uniformly over the earth's atmosphere. The global climate information

  7. The Spectrum of Neurological Manifestations Associated with Gaucher Disease

    Directory of Open Access Journals (Sweden)

    Tamanna Roshan Lal

    2017-03-01

    Full Text Available Gaucher disease, the most common lysosomal storage disorder, is due to a deficiency in the enzyme glucocerebrosidase. This leads to the accumulation of its normal substrate, glucocerebroside, in tissue macrophages, affecting the hematological, visceral, bone and neurologic systems. Gaucher disease is classified into three broad phenotypes based upon the presence or absence of neurological involvement: type 1 (non-neuronopathic, type 2 (acute neuronopathic, and type 3 (subacute neuronopathic. Phenotypically, there is a wide spectrum of visceral and neurological manifestations. Enzyme replacement is effective in managing the visceral disease; however, treating the neurological manifestations has proved to be more challenging. This review discusses the various neurological manifestations encountered in Gaucher disease, and provides a brief overview regarding the treatment and ongoing research challenges.

  8. Idiopathic Pulmonary Fibrosis: Diagnosis and Clinical Manifestations

    Science.gov (United States)

    Nakamura, Yutaro; Suda, Takafumi

    2015-01-01

    Idiopathic pulmonary fibrosis (IPF) is a parenchymal lung disease characterized by progressive interstitial fibrosis. The clinical course of IPF can be unpredictable and may be punctuated by acute exacerbations. Although much progress is being made in unraveling the mechanisms underlying IPF, effective therapy for improving survival remains elusive. Longitudinal disease profiling, especially in terms of clinical manifestations in a large cohort of patients, should lead to proper management of the patients and development of new treatments for IPF. Appropriate multidisciplinary assessment in ongoing registries is required to achieve this. This review summarizes the current status of the diagnosis and clinical manifestations of IPF. PMID:27625576

  9. Psychometric assessment of the Spiritual Climate Scale Arabic version for nurses in Saudi Arabia.

    Science.gov (United States)

    Cruz, Jonas Preposi; Albaqawi, Hamdan Mohammad; Alharbi, Sami Melbes; Alicante, Jerico G; Vitorino, Luciano M; Abunab, Hamzeh Y

    2017-12-07

    To assess the psychometric properties of the Spiritual Climate Scale Arabic version for Saudi nurses. Evidence showed that a high level of spiritual climate in the workplace is associated with increased productivity and performance, enhanced emotional intelligence, organisational commitment and job satisfaction among nurses. A convenient sample of 165 Saudi nurses was surveyed in this descriptive, cross-sectional study. Cronbach's α and intraclass correlation coefficient of the 2 week test-retest scores were computed to establish reliability. Exploratory factor analysis was performed to support the validity of the Spiritual Climate Scale Arabic version. The Spiritual Climate Scale Arabic version manifested excellent content validity. Exploratory factor analysis supported a single factor with an explained variance of 73.2%. The Cronbach's α values of the scale ranged from .79 to .88, while the intraclass correlation coefficient value was .90. The perceived spiritual climate was associated with the respondents' hospital, gender, age and years of experience. Findings of this study support the sound psychometric properties of the Spiritual Climate Scale Arabic version. The Spiritual Climate Scale Arabic version can be used by nurse managers to assess the nurses' perception of the spiritual climate in any clinical area. This process can lead to spiritually centred interventions, thereby ensuring a clinical climate that accepts and respects different spiritual beliefs and practices. © 2017 John Wiley & Sons Ltd.

  10. The futures of climate engineering

    Science.gov (United States)

    Low, Sean

    2017-01-01

    This piece examines the need to interrogate the role of the conceptions of the future, as embedded in academic papers, policy documents, climate models, and other artifacts that serve as currencies of the science-society interface, in shaping scientific and policy agendas in climate engineering. Growing bodies of work on framings, metaphors, and models in the past decade serve as valuable starting points, but can benefit from integration with science and technology studies work on the sociology of expectations, imaginaries, and visions. Potentially valuable branches of work to come might be the anticipatory use of the future: the design of experimental spaces for exploring the future of an engineered climate in service of responsible research and innovation, and the integration of this work within the unfolding context of the Paris Agreement.

  11. The many facets of climate change - Conference proceedings

    International Nuclear Information System (INIS)

    2011-03-01

    This conference day on climate change was organized by the French meteorological society (SMF) at the Ecole Normale Superieure of Paris. This document brings together the available presentations given at the conference. Eight presentations (slides) are compiled in this document and deal with: 1 - Climate change today and tomorrow, the research stakes (Herve Le Treut, IPSL); 2 - Rise of sea levels: estimations and regional variability (Guy Woeppelmann, La Rochelle Univ.); 3 - Polar ice caps and continental cryo-sphere as seen from space (A. Kouraev, F. Remy, E. Berthier, LEGOS); 4 - Impacts of climate change on exploited marine populations: projections and uncertainties (Patrick Lehodey, CLS); 5 - Climate change stakes on agricultural and winery activities in France (Eric Duchene, INRA); 6 - Impacts of climate change on forest trees phenology and their consequences on trees life and survival (Francois Lebourgeois, ENGREF); 7 - Remote-epidemiology: a health-aid in a climate change context (Murielle Lafaye, CNES); 8 - Socio-economic aspects and adaptation: a climate history, for what? (Emmanuel Garnier, Caen Univ.)

  12. New Zealand Maritime Glaciation: Millennial-Scale Southern Climate Change Since 3.9 Ma

    Science.gov (United States)

    Carter, Robert M.; Gammon, Paul

    2004-06-01

    Ocean Drilling Program Site 1119 is ideally located to intercept discharges of sediment from the mid-latitude glaciers of the New Zealand Southern Alps. The natural gamma ray signal from the site's sediment core contains a history of the South Island mountain ice cap since 3.9 million years ago (Ma). The younger record, to 0.37 Ma, resembles the climatic history of Antarctica as manifested by the Vostok ice core. Beyond, and back to the late Pliocene, the record may serve as a proxy for both mid-latitude and Antarctic polar plateau air temperature. The gamma ray signal, which is atmospheric, also resembles the ocean climate history represented by oxygen isotope time series.

  13. Hygrothermal optimisation of museum storage spaces

    DEFF Research Database (Denmark)

    Janssen, Hans; Christensen, Jørgen Erik

    2013-01-01

    Despite the large economic and ecologic costs, museum storage spaces are often equipped with extensive air conditioning, to provide the desired stable interior climate. The new “passive conditioning” paradigm aims at resolving these costs: a high-hygrothermal-inertia building with a high-hygrothe......Despite the large economic and ecologic costs, museum storage spaces are often equipped with extensive air conditioning, to provide the desired stable interior climate. The new “passive conditioning” paradigm aims at resolving these costs: a high-hygrothermal-inertia building with a high...... and ecologic cost of conditioning, the paper finally assesses “concentrated dehumidification”: dehumidification during a part of the day only, while leaving the humidity free-running during the rest of the day. It is established that the hygric inertia of the interior air, building walls and stored objects...

  14. Atypical Manifestation of Vestibular Schwannoma

    Directory of Open Access Journals (Sweden)

    Webster, Guilherme

    2013-09-01

    Full Text Available Introduction: Vestibular schwannoma (also known as acoustic neuroma is a benign tumor whose cells are derived from Schwann sheaths, which commonly occurs from the vestibular portion of the eighth cranial nerve. Furthermore, vestibular schwannomas account for ∼8% of intracranial tumors in adults and 80 to 90% of tumors of the cerebellopontine angle. Its symptoms are varied, but what stands out most is a unilateral sensorineural hearing loss, with a low index of speech recognition. Objective: Describe an atypical manifestation of vestibular schwannoma. Case Report: The 46-year-old woman had vertigo and binaural hearing loss and fullness, with ear, nose, and throat examination suggestive of cochlear injury. After 6 months, the patient developed worsening of symptoms and onset of right unilateral tinnitus. In further exams the signs of cochlear damage remained, except for the vestibular test (hyporeflexia. Magnetic resonance imaging showed an expansive lesion in the right cerebellopontine angle. Discussion: This report warns about the atypical manifestations of vestibular schwannoma, which must always be remembered in investigating and diagnosing hearing loss.

  15. SimilarityExplorer: A visual inter-comparison tool for multifaceted climate data

    Science.gov (United States)

    J. Poco; A. Dasgupta; Y. Wei; W. Hargrove; C. Schwalm; R. Cook; E. Bertini; C. Silva

    2014-01-01

    Inter-comparison and similarity analysis to gauge consensus among multiple simulation models is a critical visualization problem for understanding climate change patterns. Climate models, specifically, Terrestrial Biosphere Models (TBM) represent time and space variable ecosystem processes, for example, simulations of photosynthesis and respiration, using algorithms...

  16. Characteristics of organizational culture and climate in knowledge-intensive organisations

    Directory of Open Access Journals (Sweden)

    Cristina Leovaridis

    2016-04-01

    Full Text Available The article focuses on organizational culture and climate in knowledge-intensive organizations, aiming to identify the specific values and features of climate for each sector.The sample of organizations included organizations from five sectors: higher education, banking and financial, research and development, IT and marketing-advertising. The qualitative design of research included near 80 in-depth interviews with employees and managers. The results showed that climate was based on various characteristics: human relations and friendship in small marketing-advertising agencies and IT companies, competition in large advertising companies. In the research development sector, the climate was based on achieving goals in the private area of the sector ( in higher education as well, while in the public areat of the sector it was based on freedom and creativity. The climate in the banking sector was very different, being based on discipline and obeying rules. From the point of view of the organizational culture, all the interviewed employees of the advertising, IT and banking sector experienced, inside the company, the presence of certain forms of organizational culture. Only half of the interviewees from the higher education sector admit to the presence of an organizational culture in their institution while in the public funded research-development sector, employees reportedly did not experience visible manifestations of any type of organizational culture.S

  17. Ocular manifestations of rheumatoid arthritis and their correlation with anti-cyclic citrullinated peptide antibodies

    Directory of Open Access Journals (Sweden)

    Vignesh AP

    2015-02-01

    Full Text Available Ammapati Paul Pandian Vignesh, Renuka Srinivasan Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India Purpose: To study the ocular manifestations of rheumatoid arthritis and to correlate the role of anti-cyclic citrullinated peptide antibody (anti-CCP antibody with the ocular manifestations.Methods: Three-hundred and ninety-two eyes of the 196 rheumatoid arthritis patients who attended the ophthalmology outpatient department underwent a detailed ocular examination using slit lamp biomicroscopy and ophthalmoscopy. The tear function of all the patients was assessed using Schirmer’s test, tear film break-up time and ocular surface staining. The anti-CCP antibody titers for all the rheumatoid arthritis patients were estimated using enzyme-linked immunosorbent assay tests.Results: Seventy-seven patients (135 eyes, 39% out of the 196 patients studied had ocular manifestations typical of rheumatoid arthritis. Dry eye was the most common manifestation (28%, 54 patients. Of the patients, 78% was females (60 patients. The mean duration of rheumatoid arthritis in patients with ocular manifestations was 5.4±2.7 years and without ocular manifestations was 2.1±1.6years. Three percent of the patients had episcleritis (six patients. Scleritis was present in 2% of the patients (four patients. Peripheral ulcerative keratitis and sclerosing keratitis was present in 1% of the population each (two patients each. Eighty-five percent (66 patients had bilateral manifestations 15% (eleven patients had unilateral manifestations. There was a strong association between the presence of anti-CCP antibodies and ocular manifestations of rheumatoid arthritis which was shown by the statistically significant P-value of <0.0001.Conclusion: Ocular manifestations are a significant part of the extra-articular manifestation of rheumatoid arthritis. Dry eye was the most common ocular manifestation. There was a

  18. Who speaks for the climate now? Exploring portrayals of climate change through new/social media

    Science.gov (United States)

    Boykoff, M. T.

    2011-12-01

    Mass media stitch together formal science and policy with everyday activities in the public sphere. Many dynamic, contested and complex factors, along with non-nation state actors (or 'debate shapers'), contribute to how media outlets portray various facets of climate change. Against this backdrop, new and social media have become increasingly influential. The Pew Center Project for Excellence in Journalism has found that topics involving global warming have earned a much greater share of the news hole in new and social media (Internet weblogs, Twitter) than in traditional outlets (television, newspapers, radio), relative to other stories in those same media. This may be due in part to the flexibility and potentially infinite nature of the 'news hole' in new and social media, but may also mark the trends of diminishing traditional news room capabilities. Overall, new and social media have increasingly been harnessed in a variety of ways for communications about climate change around the world. However, with these shifts and developments come numerous questions. Among them: does increased visibility of climate change in new/social media translate to improved communication, or just more noise? Do these spaces provide opportunities for new forms of deliberative community regarding questions of climate mitigation and adaptation? Or has the content of this increased coverage shifted to polemics and arguments over measured traditional media analysis? In this more open space of content production, do new/social media provide more space for contrarian views to circulate? And through its interactivity, does increased consumption of news through new/social media further fragment a public discourse on climate mitigation and adaptation, through information silos where members of the public can stick to sources that help support their already held views? As new and social media representations of climate change demonstrate, the boundaries between who constitute 'authorized

  19. Imaging of tuberculosis. Pt. 2. Abdominal manifestations in 112 patients

    Energy Technology Data Exchange (ETDEWEB)

    Lundstedt, C. [Dept. of Diagnostic Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia); Nyman, R. [Dept. of Diagnostic Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia); Brismar, J. [Dept. of Diagnostic Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia); Hugosson, C. [Dept. of Diagnostic Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia); Kagevi, I. [Dept. of Diagnostic Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia)

    1996-07-01

    Purpose: To describe the radiological findings of tuberculosis (TB) of the abdomen as reflected at our hospital. Material and Methods: The radiological files of 503 patients (referred to our institution mainly because of a clinical suspicion of malignancy, and found to have culture- or biopsy-proven TB) were reviewed in order to analyze the spectrum of the TB manifestations in this group of patients. Results: Abdominal manifestations were found in 112 patients, in 1/3 abdominal disease was the only evidence of TB. More than half of the patients also had chest TB. The most common abdominal TB manifestations were peritonitis and lymph node enlargement, each occurring in about 1/3 of the patients. Also 1/3 had genitourinary TB manifestations. About 1/5 had TB of the liver, spleen or pancreas or in the gastrointestinal tract, respectively. Multiple organ involvement was common. Conclusion: The need to consider TB in the differential diagnosis in patients with obscure abdominal symptoms, especially with multiple organ involvement, is stressed. (orig.).

  20. Imaging of tuberculosis. Pt. 2. Abdominal manifestations in 112 patients

    International Nuclear Information System (INIS)

    Lundstedt, C.; Nyman, R.; Brismar, J.; Hugosson, C.; Kagevi, I.

    1996-01-01

    Purpose: To describe the radiological findings of tuberculosis (TB) of the abdomen as reflected at our hospital. Material and Methods: The radiological files of 503 patients (referred to our institution mainly because of a clinical suspicion of malignancy, and found to have culture- or biopsy-proven TB) were reviewed in order to analyze the spectrum of the TB manifestations in this group of patients. Results: Abdominal manifestations were found in 112 patients, in 1/3 abdominal disease was the only evidence of TB. More than half of the patients also had chest TB. The most common abdominal TB manifestations were peritonitis and lymph node enlargement, each occurring in about 1/3 of the patients. Also 1/3 had genitourinary TB manifestations. About 1/5 had TB of the liver, spleen or pancreas or in the gastrointestinal tract, respectively. Multiple organ involvement was common. Conclusion: The need to consider TB in the differential diagnosis in patients with obscure abdominal symptoms, especially with multiple organ involvement, is stressed. (orig.)

  1. Tropical interannual variability in a global coupled GCM: Sensitivity to mean climate state

    Energy Technology Data Exchange (ETDEWEB)

    Moore, A.M. [Bureau of Meterology Research Centre, Melbourne, Victoria (Australia)

    1995-04-01

    A global coupled ocean-atmosphere-sea ice general circulation model is used to study interannual variability in the Tropics. Flux correction is used to control the mean climate of the coupled system, and in one configuration of the coupled model, interannual variability in the tropical Pacific is dominated by westward moving anomalies. Through a series of experiments in which the equatorial ocean wave speeds and ocean-atmosphere coupling strength are varied, it is demonstrated that these westward moving disturbances are probably some manifestation of what Neelin describes as an {open_quotes}SST mode.{close_quotes} By modifying the flux correction procedure, the mean climate of the coupled model can be changed. A fairly modest change in the mean climate is all that is required to excite eastward moving anomalies in place of the westward moving SST modes found previously. The apparent sensitivity of the nature of tropical interannual variability to the mean climate state in a coupled general circulation model such as that used here suggests that caution is advisable if we try to use such models to answer questions relating to changes in ENSO-like variability associated with global climate change. 41 refs., 23 figs., 1 tab.

  2. Classification, diagnostic criteria, and treatment recommendations for orofacial manifestations in HIV-infected pediatric patients. Collaborative Workgroup on Oral Manifestations of Pediatric HIV Infection.

    Science.gov (United States)

    Ramos-Gomez, F J; Flaitz, C; Catapano, P; Murray, P; Milnes, A R; Dorenbaum, A

    1999-01-01

    The criteria for diagnosis of HIV-related oral lesions in adults are well established, but corresponding criteria in the pediatric population are not as well defined. The Collaborative Workgroup on the Oral Manifestations of Pediatric HIV infection reached a consensus, based upon available data, as to the presumptive and definitive criteria to diagnose the oral manifestations of HIV infection in children. Presumptive criteria refer to the clinical features of the lesions, including signs and symptoms, whereas definitive criteria require specific laboratory tests. In general, it is recommended that definitive criteria be established whenever possible. Orofacial manifestations have been divided into three groups: 1) those commonly associated with pediatric HIV infection; 2) those less commonly associated with pediatric HIV infection; and 3) those strongly associated with HIV infection but rare in children. Orofacial lesions commonly associated with pediatric HIV infection include candidiasis, herpes simplex infection, linear gingival erythema, parotid enlargement, and recurrent aphthous stomatitis. In contrast, orofacial lesions strongly associated with HIV infection but rare in children include Kaposi's sarcoma, non-Hodgkin's lymphoma, and oral hairy leukoplakia. Treatment recommendations, specific for this age group, have been included for some of the more common HIV-related orofacial manifestations.

  3. Climate and productivity

    International Nuclear Information System (INIS)

    Singh, T.

    1991-01-01

    Agriculture and forestry, the major land-users in the Prairie provinces, will be greatly affected by shifts in site factors due to global climatic change. Forests are especially vulnerable to climate change because of the long-term nature of forest crops. According to the Goddard Institute for Space Studies (GISS) and General Fluid Dynamics Laboratory (GFDL) general circulation models (GCMs), greenhouse warming will push the southern limit for boreal forests northward by 470-920 km and 250-900 km, respectively. Forests in or near the transition zone will experience major impacts in productivity due to physiological stresses occurring in the ecotones. Enhanced degree day scenarios suggest that the climate will be suitable for grassland over much of the present boreal forest. Potential biomass productivity increases of up to 50% are possible, or could decrease from present levels if higher precipitation projected by the GCMs does not occur. Recommendations for mitigative action are presented for global warming, forests, water, wildlife and fisheries, national parks, and agriculture. Research on environmental impacts, and economic instruments for use in resource management are suggested. 15 refs

  4. Extra-Articular Manifestations of Seronegative and Seropositive Rheumatoid Arthritis

    Directory of Open Access Journals (Sweden)

    Vjollca Sahatçiu-Meka

    2010-02-01

    Full Text Available Although considered a “joint disease,” rheumatoid arthritis is associated with the involvement of extra-articular manifestations. The aim of the study is the investigation and comparison of frequency and type of extra-articular manifestations in a well defined community based cohort of patients with seropositive and seronegative rheumatoid arthritis. Using the ACR (1987 criteria for rheumatoid arthritis, patients have been classified into the 2nd and 3rd functional class (ARA. The studied group consisted of 125 seronegative patients with titters lower than 1:64 as defined by Rose-Waaler test, whereas the control group consisted of 125 seropositive patients with titters of 1:64 or higher. All patients were between 25-60 years of age (Xb=49,96, with disease duration between 1-27 years (Xb=6,41. In order to present the findings of the study, the structure, prevalence, arithmetic mean (Xb, standard deviation (SB, variation quotient (QV% and variation interval (Rmax-Rmin have been used. Probability level has been expressed by p<0,01 and p<0,05. Correlation between the number of extra-articular manifestations and duration of the disease has been calculated by means of Pearson linear correlation. Higher presence of diffuse lung fibrosis, central and peripheral nervous system damages have been confirmed in the seropositive group, and osteoporosis in the seronegative; however, no statistical difference has been found. In extra-articular manifestations, “rheumatoid core” in the seropositive subset (χ2=4,80, p<0,05 presented significant statistical difference. Rheumatoid nodules were more frequent in seropositive subset (12%:16%, in both sexes; however, they were not of significant statistical difference. Neuropathy and lung diseases were also frequently present in seropositive group, but no statistical difference has been found regarding the statistical difference. Longer duration of the disease resulted in an increase of the number of extra

  5. Extra-articular manifestations of seronegative and seropositive rheumatoid arthritis.

    Science.gov (United States)

    Sahatciu-Meka, Vjollca; Rexhepi, Sylejman; Manxhuka-Kerliu, Suzana; Rexhepi, Mjellma

    2010-02-01

    Although considered a "joint disease," rheumatoid arthritis is associated with the involvement of extra-articular manifestations. The aim of the study is the investigation and comparison of frequency and type of extra-articular manifestations in a well defined community based cohort of patients with seropositive and seronegative rheumatoid arthritis. Using the ACR (1987) criteria for rheumatoid arthritis, patients have been classified into the 2nd and 3rd functional class (ARA). The studied group consisted of 125 seronegative patients with titters lower than 1:64 as defined by Rose-Waaler test, whereas the control group consisted of 125 seropositive patients with titters of 1:64 or higher. All patients were between 25-60 years of age (Xb=49,96), with disease duration between 1-27 years (Xb=6,41). In order to present the findings of the study, the structure, prevalence, arithmetic mean (Xb), standard deviation (SB), variation quotient (QV%) and variation interval (Rmax-Rmin) have been used. Probability level has been expressed by p<0,01 and p<0,05. Correlation between the number of extra-articular manifestations and duration of the disease has been calculated by means of Pearson linear correlation. Higher presence of diffuse lung fibrosis, central and peripheral nervous system damages have been confirmed in the seropositive group, and osteoporosis in the seronegative; however, no statistical difference has been found. In extra-articular manifestations, "rheumatoid core" in the seropositive subset (chi2=4,80, p<0,05) presented significant statistical difference. Rheumatoid nodules were more frequent in seropositive subset (12%:16%), in both sexes; however, they were not of significant statistical difference. Neuropathy and lung diseases were also frequently present in seropositive group, but no statistical difference has been found regarding the statistical difference. Longer duration of the disease resulted in an increase of the number of extra

  6. Mucocutaneous manifestations of Cowden's syndrome

    Directory of Open Access Journals (Sweden)

    Kundoor Vinay Kumar Reddy

    2016-01-01

    Full Text Available Cowden's syndrome is an autosomal dominant genodermatosis with variable orofacial and systemic manifestations. Here we present one such classical case of Cowden's syndrome in a 45-year-old female patient with features such as multiple cutaneous papillomatosis, oral fibromas, and fibromas involving multiple organs such as gastrointestinal tract (multiple polyps, thyroid disorders, and breast cancer.

  7. Cardiac tamponade as an initial manifestation of systemic lupus erythematosus.

    Science.gov (United States)

    Carrion, Diego M; Carrion, Andres F

    2012-06-12

    Clinical manifestations of pericardial disease may precede other signs and symptoms associated with systemic lupus erythematosus. Although pericardial effusion is one of the most common cardiac problems in patients with systemic lupus erythematosus, haemodynamically significant effusions manifesting as cardiac tamponade are rare and require prompt diagnosis and treatment.

  8. VEMAP 2: U.S. Daily Climate Change Scenarios

    Data.gov (United States)

    National Aeronautics and Space Administration — ABSTRACT: VEMAP Phase 2 has developed a number of transient climate change scenarios based on coupled atmosphere-ocean general circulation model (AOGCM) transient...

  9. Tenaghi Philippon (Greece Revisited: Drilling a Continuous Lower-Latitude Terrestrial Climate Archive of the Last 250,000 Years

    Directory of Open Access Journals (Sweden)

    Kimon Christanis

    2007-09-01

    Full Text Available With the dramatically increasing manifestation of anthropogenic forcing on the Earth's climate, understanding the mechanisms and effects of abrupt climate change is crucial to extend the lead time for mitigation and adaptation. In this context, the climate variability during the Quaternary represents the closest analogy to present-day climate change. Unprecedented insights into both short-term (i.e., decadalto centennial-scale and long-term (i.e., orbital-scale climate variability over the last 740 kyr have been derived from ice cores from polar regions (Dansgaard et al., 1993; EPICA community members, 2004. These records show that the higher latitudes repeatedly witnessed temperature changes of more than 10°C within human time scales (Severinghaus et al., 1998. Considerably less information is available on the characteristics of abrupt climate change in the middle and lower latitudes and on their imprint on terrestrial environments. These regions are, however, home to the majority of the Earth’s population, and consequently they will witnessthe greatest impact of future climate change on people's lives.

  10. Weather and climate needs for Lidar observations from space and concepts for their realization. [wind, temperature, moisture, and pressure data needs

    Science.gov (United States)

    Atlas, D.; Korb, C. L.

    1980-01-01

    The spectrum of weather and climate needs for Lidar observations from space is discussed with emphasis on the requirements for wind, temperature, moisture, and pressure data. It is shown that winds are required to realistically depict all atmospheric scales in the tropics and the smaller scales at higher latitudes, where both temperature and wind profiles are necessary. The need for means to estimate air-sea exchanges of sensible and latent heat also is noted. A concept for achieving this through a combination of Lidar cloud top heights and IR cloud top temperatures of cloud streets formed during cold air outbreaks over the warmer ocean is outlined. Recent theoretical feasibility studies concerning the profiling of temperatures, pressure, and humidity by differential absorption Lidar (DIAL) from space and expected accuracies are reviewed. An alternative approach to Doppler Lidar wind measurements also is presented. The concept involves the measurement of the displacement of the aerosol backscatter pattern, at constant heights, between two successive scans of the same area, one ahead of the spacecraft and the other behind it a few minutes later. Finally, an integrated space Lidar system capable of measuring temperature, pressure, humidity, and winds which combines the DIAL methods with the aerosol pattern displacement concept is described.

  11. NASA's Space Launch System: Affordability for Sustainability

    Science.gov (United States)

    May, Todd A.; Creech, Stephen D.

    2012-01-01

    The National Aeronautics and Space Administration's (NASA) Space Launch System (SLS) Program, managed at the Marshall Space Flight Center, is charged with delivering a new capability for human exploration beyond Earth orbit in an austere economic climate. But the SLS value is clear and codified in United States (U.S.) budget law. The SLS Program knows that affordability is the key to sustainability and will provide an overview of initiatives designed to fit within the funding guidelines by using existing engine assets and hardware now in testing to meet a first launch by 2017 within the projected budget. It also has a long-range plan to keep the budget flat, yet evolve the 70-tonne (t) initial lift capability to 130-t lift capability after the first two flights. To achieve the evolved configuration, advanced technologies must offer appropriate return on investment to be selected through the competitive process. For context, the SLS will be larger than the Saturn V that took 12 men on 6 trips for a total of 11 days on the lunar surface some 40 years ago. Astronauts train for long-duration voyages on platforms such as the International Space Station, but have not had transportation to go beyond Earth orbit in modern times, until now. To arrive at the launch vehicle concept, the SLS Program conducted internal engineering and business studies that have been externally validated by industry and reviewed by independent assessment panels. In parallel with SLS concept studies, NASA is now refining its mission manifest, guided by U.S. space policy and the Global Exploration Roadmap, which reflects the mutual goals of a dozen member nations. This mission planning will converge with a flexible heavy-lift rocket that can carry international crews and the air, water, food, and equipment they need for extended trips to asteroids and Mars. In addition, the SLS capability will accommodate very large science instruments and other payloads, using a series of modular fairings and

  12. GENDERED SPACE IN WEST SUMBA TRADITIONAL HOUSES

    Directory of Open Access Journals (Sweden)

    Esti Asih NURDIAH

    2015-12-01

    Full Text Available Rendell stated that gender representation underlined the production of space in architecture both symbolically and functionally in certain cultures (Rendell et al. 2000. Thus, an exploration on the spatial functionality of traditional houses could show how cultural gender rules and roles generate the spatial arrangements. This empirical research explored the traditional houses in two kampongs: Tarung and Ratenggaro of West Sumba, Indonesia, which spaces are divided into two distinct spaces: male’s space and female’s space, each with its own entrance. This firm division leads to the questions on its relation with the traditional gender roles are represented inside the house. Interestingly, the spatial arrangement is not intended to create separation between men and women inside the house or to pose that the status and roles of men are higher than those of women. The research found that the space separation actually is a manifestation of the dynamic roles of male and female members of the house and the circular arrangement of the space around the fireplace at the centre of the house follows the dynamic of gender duality in Sumba culture.

  13. The chronic gastrointestinal manifestations of Chagas disease

    Directory of Open Access Journals (Sweden)

    Nilce Mitiko Matsuda

    2009-01-01

    Full Text Available Chagas disease is an infectious disease caused by the protozoan Trypanosoma cruzi. The disease mainly affects the nervous system, digestive system and heart. The objective of this review is to revise the literature and summarize the main chronic gastrointestinal manifestations of Chagas disease. The chronic gastrointestinal manifestations of Chagas disease are mainly a result of enteric nervous system impairment caused by T. cruzi infection. The anatomical locations most commonly described to be affected by Chagas disease are salivary glands, esophagus, lower esophageal sphincter, stomach, small intestine, colon, gallbladder and biliary tree. Chagas disease has also been studied in association with Helicobacter pylori infection, interstitial cells of Cajal and the incidence of gastrointestinal cancer.

  14. Extrahepatic Manifestations and Autoantibodies in Patients with Hepatitis C Virus Infection

    Directory of Open Access Journals (Sweden)

    Takashi Himoto

    2012-01-01

    Full Text Available Patients with chronic hepatitis C virus (HCV infection frequently have many extrahepatic manifestations, as persistent HCV infection often triggers lymphoproliferative disorders and metabolic abnormalities. These manifestations primarily include autoimmune disorders such as cryoglobulinemia, Sjögren’s syndrome, and autoimmune thyroid disorders. It has been well established that chronic HCV infection plays important roles in the production of non-organ-specific autoantibodies, including antinuclear antibodies and smooth muscle antibodies, and organ-specific autoantibodies such as thyroid autoantibodies. However, the clinical significance of autoantibodies associated with the extrahepatic manifestations caused by HCV infection has not been fully recognized. In this paper, we mainly focus on the relationship between extrahepatic manifestations and the emergence of autoantibodies in patients with HCV infection and discuss the clinical relevance of the autoantibodies in the extrahepatic disorders.

  15. An Integrative Approach to Improving an Introductory Weather & Climate Course and Developing an Allied NASA Earth & Space Science Certificate Program for Pre-service Secondary Teachers (Invited)

    Science.gov (United States)

    Morrow, C. A.; Martin-Hansen, L.; Diem, J.; Elliott, W.

    2009-12-01

    An Atlanta-based partnership made up of leaders in science, education, and Georgia’s state-wide STEM Education Initiative are creating an enduring legacy of climate science education for pre-service and in-service teachers in Georgia as well as for underrepresented high school students who participate in an "Early College" program with Georgia State University (GSU). The core elements of our NASA-funded program are to infuse NASA global climate change resources and best pedagogical practice into a popular 4-credit lecture/lab course called “Introduction to Weather & Climate” (GEOG 1112) at GSU, and to establish a sustainable academic program for pre-service teachers in the College of Education called the NASA Earth & Space Science (ESS) Teacher Certificate. The NASA ESS Certificate will require candidates to accomplish the following as part of (or in addition to) standard degree and licensure requirements: 1. successfully complete a graduate section of “Introduction to Weather and Climate” (GEOG 7112), which requires lesson planning related to course content and engagement with GSU's new CO2 monitoring station whose research-quality data will provide unique hands-on opportunities for Metro Atlanta students and teachers; 2) complete an additional advanced course in climate change (GEOG 6784) plus elective hours in physical science disciplines (e.g. astronomy and physics); 3) serve as a lab teaching assistant for GEOG 1112 and a coach for a cadre of Carver Early College students who are taking the course; 4) make at least one of two teaching practica at a Georgia-based NASA Explorer School; and 5) participate or co-present in a week-long, residential, field-based, Summer Institute in Earth & Space Science intended to increase the interest, knowledge, and ability of in-service secondary science educators to fulfill climate-related standards in Earth Science and Earth Systems Science. We will evaluate, document, and disseminate (to the University System of

  16. The master space of N = 1 gauge theories

    International Nuclear Information System (INIS)

    Forcella, Davide; Hanany, Amihay; He Yanghui; Zaffaroni, Alberto

    2008-01-01

    The full moduli space M of a class of N = 1 supersymmetric gauge theories is studied. For gauge theories living on a stack of D3-branes at Calabi-Yau singularities X, M is a combination of the mesonic and baryonic branches. In consonance with the mathematical literature, the single brane moduli space is called the master space F b . Illustrating with a host of explicit examples, we exhibit many algebro-geometric properties of the master space such as when F b is toric Calabi-Yau, behaviour of its Hilbert series, its irreducible components and its symmetries. In conjunction with the plethystic programme, we investigate the counting of BPS gauge invariants, baryonic and mesonic, using the geometry of F b and show how its refined Hilbert series not only engenders the generating functions for the counting but also beautifully encode 'hidden' global symmetries of the gauge theory which manifest themselves as symmetries of the complete moduli space M for N number of branes.

  17. Performance Based Evaluation of Concrete Strength under Various Curing Conditions to Investigate Climate Change Effects

    Directory of Open Access Journals (Sweden)

    Tae-Kyun Kim

    2015-07-01

    Full Text Available Recently, the manifestation of global warming-induced climate change has been observed through super typhoons, heavy snowfalls, torrential rains, and extended heat waves. These climate changes have been occurring all over the world and natural disasters have caused severe damage and deterioration of concrete structures and infrastructure. In an effort to deal with these problems due to extreme and abnormal climate changes, studies have been conducted to develop construction technologies and design guidelines. Nevertheless, study results applicable to construction sites continue to be ineffective and insufficient. Therefore, this study proposes ways to cope with climate change by considering the effect of concrete curing condition variations on concrete material performance. More specifically, the 3-, 7- and 28-day compressive and split tensile strength properties of concrete mix cured under various climatic factors including temperature, relative humidity, wind speed, and sunlight exposure time were evaluated to determine whether the concrete meets the current design requirements. Thereafter, a performance based evaluation (PBE was performed using satisfaction probabilities based on the test values to understand the problems associated with the current mix proportion design practice and to identify countermeasures to deal with climate change-induced curing conditions.

  18. Space Solar Patrol data and changes in weather and climate, including global warming

    International Nuclear Information System (INIS)

    Avakyan, S V; Leonov, N B; Voronin, N A; Baranova, L A; Savinov, E P

    2010-01-01

    In this paper, the results obtained during the execution of several ISTC projects are presented. The general aim of these projects has been the study of global changes in the environment, connected with solar activity. A brief description of the optical apparatus of the Space Solar Patrol (SSP) developed and built in the framework of the ISTC projects 385, 385.2, 1523 and 2500 is given. The SSP is intended for permanent monitoring of spectra and absolute fluxes of soft x-ray and extreme ultraviolet (x-ray/EUV) radiation from the full disk of the Sun which ionizes the upper atmosphere of the Earth. Permanent solar monitoring in the main part of the ionizing radiation spectra 0.8–115 (119) nm does not exist. The apparatus of the SSP was developed in the years 1996–2005 with multiyear experience of developing such apparatus in S I Vavilov State Optical Institute. The basis of this apparatus is the use of unique detectors of ionizing radiation—open secondary electron multipliers, which are 'solar blind' to near UV, visible and IR radiation from the Sun, and new methodology of these solar spectroradiometric absolute measurements. The prospects are discussed of using the SSP data for the investigation and forecast of the influence of solar variability on the weather and climate including global warming and also on the biosphere including human beings (proposal 3878)

  19. Oral manifestations of HIV/AIDS in Asia: Systematic review and future research guidelines.

    Science.gov (United States)

    Sharma, Gaurav; Oberoi, Sukhvinder-Singh; Vohra, Puneeta; Nagpal, Archna

    2015-07-01

    The authors have conducted a systematic review of oral manifestations of HIV from studies conducted in Asia to establish the characteristics and prevalence of individual oral manifestations in Asia, and to assess the direction of future research studies on oral manifestations of HIV in Asia. The electronic retrieval systems and databases searched for relevant articles were PubMed [MEDLINE], EBSCO, and EMBASE. The search was for limited articles published in English or with an English abstract and articles published during the period January 1995 to August 2014. The authors reached a final overall sample of 39 studies that were conducted in Asia. The median population size among all studies was 312.7 patients. Oral candidiasis [OC] was the most common oral manifestation [37.7%] in studies conducted in Asia. The overall prevalence of oral hairy leukoplakia and melanotic hyperpigmentation was computed to be 10.1% and 22.8% respectively. Thailand and India are primarily countries with maximum research on oral manifestations. The research on oral manifestations of HIV in Asia has to upgrade to more interventional and therapeutic studies rather than the contemporary cross- sectional epidemiological descriptive studies. The authors have given suggestions and future directions for the implementation of clinical research of oral manifestations in HIV patients. Key words:Oral manifestations, HIV/AIDS, Asia, Systematic review.

  20. Tuberous sclerosis complex: Recent advances in manifestations and therapy.

    Science.gov (United States)

    Wataya-Kaneda, Mari; Uemura, Motohide; Fujita, Kazutoshi; Hirata, Haruhiko; Osuga, Keigo; Kagitani-Shimono, Kuriko; Nonomura, Norio

    2017-09-01

    Tuberous sclerosis complex is an autosomal dominant inherited disorder characterized by generalized involvement and variable manifestations with a birth incidence of 1:6000. In a quarter of a century, significant progress in tuberous sclerosis complex has been made. Two responsible genes, TSC1 and TSC2, which encode hamartin and tuberin, respectively, were discovered in the 1990s, and their functions were elucidated in the 2000s. Hamartin-Tuberin complex is involved in the phosphoinositide 3-kinase-protein kinase B-mammalian target of rapamycin signal transduction pathway, and suppresses mammalian target of rapamycin complex 1 activity, which is a center for various functions. Constitutive activation of mammalian target of rapamycin complex 1 causes variable manifestations in tuberous sclerosis complex. Recently, genetic tests were launched to diagnose tuberous sclerosis complex, and mammalian target of rapamycin complex 1 inhibitors are being used to treat tuberous sclerosis complex patients. As a result of these advances, new diagnostic criteria have been established and an indispensable new treatment method; that is, "a cross-sectional medical examination system," a system to involve many experts for tuberous sclerosis complex diagnosis and treatments, was also created. Simultaneously, the frequency of genetic tests and advances in diagnostic technology have resulted in new views on symptoms. The numbers of tuberous sclerosis complex patients without neural symptoms are increasing, and for these patients, renal manifestations and pulmonary lymphangioleiomyomatosis have become important manifestations. New concepts of tuberous sclerosis complex-associated neuropsychiatric disorders or perivascular epithelioid cell tumors are being created. The present review contains a summary of recent advances, significant manifestations and therapy in tuberous sclerosis complex. © 2017 The Japanese Urological Association.

  1. The evolution of climatic niches in squamate reptiles.

    Science.gov (United States)

    Pie, Marcio R; Campos, Leonardo L F; Meyer, Andreas L S; Duran, Andressa

    2017-07-12

    Despite the remarkable diversity found in squamate reptiles, most of their species tend to be found in warm/dry environments, suggesting that climatic requirements played a crucial role in their diversification, yet little is known about the evolution of their climatic niches. In this study, we integrate climatic information associated with the geographical distribution of 1882 squamate species and their phylogenetic relationships to investigate the tempo and mode of climatic niche evolution in squamates, both over time and among lineages. We found that changes in climatic niche dynamics were pronounced over their recent squamate evolutionary history, and we identified extensive evidence for rate heterogeneity in squamate climatic niche evolution. Most rate shifts involved accelerations, particularly over the past 50 Myr. Most squamates occupy similar regions of the climatic niche space, with only a few lineages diversifying into colder and humid climatic conditions. The changes from arid to mesic conditions in some regions of the globe may have provided opportunities for climatic niche evolution, although most lineages tended to remain near their ancestral niche. Variation in rates of climatic niche evolution seems common, particularly in response to the availability of new climatic conditions over evolutionary time. © 2017 The Author(s).

  2. The Sun's Mysteries from Space - I

    Indian Academy of Sciences (India)

    climate. Historically, it was the motion of the planets around the. Sun that .... concentrations of magnetic field, the convection is suppressed ... near-Earth space environments. ... Some of these reach our eyes and can be detected during the rare.

  3. CUTANEOUS MANIFESTATIONS OF CHRONIC RENAL FAILURE AND RENAL TRANSPLANTATION

    OpenAIRE

    R. Suganya Gnanadeepam; S. Kayalvizhi Money

    2017-01-01

    BACKGROUND The kidney and the skin are the two large networks of the body with abundant blood supply associated with various cutaneous manifestations. This study aims to detect the various cutaneous manifestations and its incidence in patients with chronic renal failure and renal transplantation. MATERIALS AND METHODS This study was done for a period of 1 year from January 2016 to December 2016 at Nephrology OPD ward and Medicine wards, Government KAPV Medical College Hos...

  4. RHEUMATOID ARTHRITIS WITH SYSTEMIC MANIFESTATIONS: DIAGNOSIS, INDICATORS OF AN UNFAVORABLE COURSE

    Directory of Open Access Journals (Sweden)

    B D Nazarov

    2012-01-01

    Full Text Available The systemic manifestations of rheumatoid arthritis (RA are fairly diverse. They are associated with high disease activity and an increased risk for deaths, primarily from cardiovascular events. Objective: to study the frequency and spectrum of extra-articular manifestations of RA. Subjects and methods. The trial enrolled 119 patients, including 110 women and 19 men (mean age 47.4+4.3 years, with the reliable and valid diagnosis of RA (mean duration 9.4+3.3 years. The patients were divided into 2 groups: 1 78 patients with the extra-articular manifestations of RA (a study group; 2 44 patients without these signs (a comparison group. Clinical, laboratory, instrumental, and morphological studies were made using current diagnostic methods. Results. By and large, the extra-articular manifestations of RA are closely associated with its activity and joint lesion severity. The study group most commonly had anemia (71.4%, rheumatoid nodules (29.4%, generalized amyotrophy (26.9%, lymphadenopathy (26.1%, prolonged fever (24.4%, and rheumatoid vasculitis (18.5%. The development of extra-articular manifestations was associated with the activity and late diagnosis of RA and rheumatoid factor seropositivity.

  5. EARTH FROM SPACE

    Indian Academy of Sciences (India)

    Table of contents. EARTH FROM SPACE · Slide 2 · Earth System · Slide 4 · Global water cycle · Slide 6 · Slide 7 · Direct Observations of Recent Climate Change · Slide 9 · Slide 10 · Snow cover and Arctic sea ice are decreasing · Polar Melting & Global Heat Transport · Antarctica: Melting and Thickening · Slide 14 · Slide 15.

  6. Neurological and neurosurgical manifestations of human ...

    African Journals Online (AJOL)

    Neurological and neurosurgical manifestations of human immunodeficiency virus (HIV) infection in Mrica. Adelola Adeloye MS FRCS FRCP. Professor. Department of Surgery, College of Medicine. Blantyre, Malawi. Introduction. AIDS was first recognised in the United States of . America in the late 1970s among homosexual ...

  7. Hepatic angiosarcoma manifested as recurrent hemoperitoneum

    Science.gov (United States)

    Lee, Seung-Woo; Song, Chun-Young; Gi, Young-Hwa; Kang, Sang-Beom; Kim, Yon-Soo; Nam, Soon-Woo; Lee, Dong-Soo; Kim, Jong-Ok

    2008-01-01

    Angiosarcoma is a rare tumor that account for less than 1% of all sarcomas. Although hepatic angiosarcoma usually presents with unspecific symptoms, it rapidly progresses and has a high mortality. We report a rare case of primary hepatic angiosarcoma manifested as recurrent hemoperitoneum. PMID:18473427

  8. User participation in urban green spaces

    DEFF Research Database (Denmark)

    Fors, Hanna; Molin, Julie Frøik; Murphyc, Melissa Anna

    2015-01-01

    The provision and administration of high quality urban public green spaces intertwines issues of planning, design, management and maintenance with governance. The benefits of such spaces are often tied to social justice, public health and recreation, biodiversity and helping cities to deal...... with climate change. International policies and changes in public administration have encouraged user participation across multiple phases of green space development. Although sceptics towards participation are easily found supporting arguments sometimes stand without critique, not questioning how...... participation affects the physical quality of green spaces. This literature review surveyed empirical scientific studies seeking to answer the following research question: How does research to date reflect over user participation's contribution to public urban green space quality? The review includes 31...

  9. Space observations for global and regional studies of the biosphere

    Science.gov (United States)

    Cihlar, J.; Li, Z.; Chen, J.; Sellers, P.; Hall, F.

    1994-01-01

    The capability to make space-based measurements of Earth at high spatial and temporal resolutions, which would not otherwise be economically or practically feasible, became available just in time to contribute to scientific understanding of the interactive processes governing the total Earth system. Such understanding has now become essential in order to take practical steps which would counteract or mitigate the pervasive impact of the growing human population on the future habitability of the Earth. The paper reviews the rationale for using space observations for studies of climate and terrestrial ecosystems at global and regional scales, as well as the requirements for such observations for studies of climate and ecosystem dynamics. The present status of these developments is reported along with initiatives under way to advance the use of satellite observations for Earth system studies. The most important contribution of space observations is the provision of physical or biophysical parameters for models representing various components of the Earth system. Examples of such parameters are given for climatic and ecosystem studies.

  10. ScienceToGo.org: The Strengths and Weaknesses of Communicating Climate Change through Mass Transit Advertising Spaces

    Science.gov (United States)

    Lustick, D. S.; Lohmeier, J.; Chen, R. F.; Wilson, R.; Rabkin, D.; Thompson, S. R.

    2016-02-01

    Engaging urban populations with climate change science is a difficult challenge since cities can seem so removed from the `natural environment.' However, mass transit provides an inherent means of communicating environmental messages with a cross section of the urban population. The Out of Home Media (OHM) spaces found on platforms and inside train cars provide a potentially effective means of bringing informal science learning opportunities directly to an underserved STEM audience. Our team felt that any messaging curriculum for a coastal urban subway system must complement the scary reality of the impacts of a changing climate (i.e. rising sea levels) with current examples of how the city is preparing for a more sustainable future. Urban areas such as Boston must develop adaptation and mitigation strategies that will help them not only survive, but thrive in a changing environment. In 2013-14, ScienceToGo.org ran a series of 12 engaging posters and placards staring `Ozzie the Ostrich' on the Massachusetts Bay Transit Authority's Red and Orange subway lines targeting an audience of more than 400,000 riders per day. The 12 month curriculum was divided into three phases: reality, relevance, and hope. During the presentation, we will present the results of our quasi-experimental research which identifies, quantifies, and explains the observed impacts of the campaign on adult riders. The strengths and weaknesses of the communication strategy will be discussed. Finally, we will conclude with some recommendations for how this work could improve and inform other urban informal science learning initiatives.

  11. A contribution towards establishing more comfortable space weather to cope with increased human space passengers for ISS shuttles

    Science.gov (United States)

    Kalu, A.

    Space Weather is a specialized scienctific descipline in Meteorology which has recently emerged from man's continued research efforts to create a familiar spacecraft environment which is physiologically stable and life sustaining for astronauts and human passengers in distant space travels. As the population of human passengers in space shuttles rapidly increases, corresponding research on sustained micro-climate of spacecrafts is considered necessary and timely. This is because existing information is not meant for a large population in spacecrafts. The paper therefore discusses the role of meteorology (specifically micrometeorology) in relation to internal communication, spacecraft instrumentation and physiologic comfort of astronauts and space passengers (the later may not necessarily be trained astronauts, but merely business men or tourist space travellers for business transactions in the International Space Station (ISS)). It is recognized that me eorology which is a fundamental science amongt multidiscplinary sciences has been found to be vital in space travels and communication. Space weather therefore appears in slightly different format where temperature and humidity changes and variability within the spacecraft exert very significant influences on the efficiency of astronauts and the effectiveness of the various delicate instrument gadgets aimed at reducing the frequency of computer failures and malfunction of other instruments on which safety of the spacecraft depends. Apart from the engineering and technological problems which space scientists must have to overcome when human population in space shuttles increases as we now expect, based on evidence from successful missions to ISS, the maint enace of physiologic comfort state of astronauts, which, as far as scientifically possible, should be as near as possible to their Earth-Atmosphere condition. This is one of the most important and also most difficult conditions to attain. It demands a mor e

  12. Orbital manifestations in patients with acquired immunodeficiency syndrome.

    Science.gov (United States)

    Sodhi, Punita Kumari

    2014-01-01

    The orbital manifestations of acquired immunodeficiency syndrome(AIDS) are uncommon. To provide a review of orbital manifestations of AIDS, the predisposing factors, investigations, treatment and outcome. Meticulous and systematic literature search of Pubmed to identify manuscripts describing orbital manifestations of AIDS was done and the articles were reviewed.The keywords used in the search were “orbit and AIDS”, “HIV positive and orbit”,“orbit manifestations in AIDS”, “orbital disease and AIDS” and “orbital infections and AIDS”. The orbital involvement in AIDS may present with opportunistic infections from organisms like fungi, viruses, bacteria and protozoa or with malignancies like Kaposi’s sarcoma, squamous cell carcinoma, smooth muscle cell tumors and lymphoma.The predisposing factors for orbital involvement in AIDS are low CD4+ cell count and the immunosuppressive states like diabetes, diabetic ketoacidosis, intravenous drug abuse and neutropenia. A patient may present with fever, headache, nausea, vomiting,decreased vision, ocular pain, and, in cases of mass formation, there is periorbital swelling, axial proptosis, globe displacement and swollen optic disc. Radiologically,mass formation, orbital bony destruction, and spread of disease to contiguous structures including the central nervous system may be seen. The medical management includes therapy for infection and HIV-1 protease inhibitors (highly active antiretroviral therapy)to suppress HIV-1 replication. For tumors, radical surgery including debulking followed by postoperative radiotherapy is generally needed. Orbital involvements with AIDS in any form, infective or malignancy, causes significant morbidity and mortality and should be diagnosed and managed as early as possible.

  13. [Spanish adaptation of the Stress Manifestations Scale of the Student Stress Inventory (SSI-SM)].

    Science.gov (United States)

    Escobar Espejo, Milagros; Blanca, María J; Fernández-Baena, F Javier; Trianes Torres, María Victoria

    2011-08-01

    The aim of the present study was to translate into Spanish and to describe the psychometric properties of the Stress Manifestations Scale of the Student Stress Inventory (SSI-SM), developed by Fimian, Fastenau, Tashner and Cross to identify the main manifestations of stress in adolescents. The scale was applied to a sample of 1,002 pupils from years one and two of Secondary Education. The paper reports the factor structure, an item analysis, the internal consistency, differences by sex and academic year, external evidence of validity, and norms for scoring the scale. The results reveal a factor structure based on three first-order factors (emotional manifestations, physiological manifestations and behavioural manifestations) and one second-order factor (indicative of stress manifestations). In terms of external validity, there was a positive association with measures of perceived stress, aggressiveness, internalized/externalized symptoms, and a negative association with life satisfaction. The results show that the scale is an adequate tool for evaluating stress manifestations in adolescents.

  14. Energy use and overheating risk of Swedish multi-storey residential buildings under different climate scenarios

    International Nuclear Information System (INIS)

    Dodoo, Ambrose; Gustavsson, Leif

    2016-01-01

    In this study, the extent to which different climate scenarios influence overheating risk, energy use and peak loads for space conditioning of district heated multi-storey buildings in Sweden are explored. Furthermore, the effectiveness of different overheating control measures and the implications of different electricity supply options for space cooling and ventilation are investigated. The analysis is based on buildings with different architectural and energy efficiency configurations including a prefab concrete-frame, a massive timber-frame and a light timber-frame building. Thermal performance of the buildings under low and high Representative Concentration Pathway climate scenarios for 2050–2059 and 2090–2099 are analysed and compared to that under historical climate of 1961–1990 and recent climate of 1996–2005. The study is based on a bottom-up methodology and includes detailed hour-by-hour energy balance and systems analyses. The results show significant changes in the buildings’ thermal performance under the future climate scenarios, relative to the historical and recent climates. Heating demand decreased significantly while cooling demand and overheating risk increased considerably with the future climate scenarios, for all buildings. In contrast to the cooling demand, the relative changes in heating demand of the buildings under the future climate scenarios are somewhat similar. The changes in the space conditioning demands and overheating risk vary for the buildings. Overheating risk was found to be slightly higher for the massive-frame building and slightly lower for the light-frame building. - Highlights: • We analysed thermal performance of buildings under different climate scenarios. • Our analysis is based on historical, recent and projected future climate datasets. • The buildings' thermal performance changed notably under future climate scenarios. • The extent of the changes is influenced by the buildings' energy efficiency

  15. Clinical Manifestations of the Opiate Withdrawal Syndrome

    Directory of Open Access Journals (Sweden)

    Faniya Shigakova

    2015-09-01

    Full Text Available Currently, substance abuse is one of the most serious problems facing our society. The aim of this study was to investigate the clinical manifestations of the opiate withdrawal syndrome (OWS. The study included 112 patients (57 women and 55 men aged from 18 to 64 years with opium addiction according to the DSM-IV. To study the clinical manifestation of OWS, the special 25-score scale with four sections to assess severity of sleep disorders, pain syndrome, autonomic disorders, and affective symptoms was used. Given the diversity of the OWS symptoms, attention was focused on three clinical variants, affective, algic and mixed. The OWS affective variant was registered more frequently in women, while the mixed type of OWS was more typical of men.

  16. Methane monitoring from space

    Science.gov (United States)

    Stephan, C.; Alpers, M.; Millet, B.; Ehret, G.; Flamant, P.

    2017-11-01

    Methane is one of the strongest anthropogenic greenhouse gases. It contributes by its radiative forcing significantly to the global warming. For a better understanding of climate changes, it is necessary to apply precise space-based measurement techniques in order to obtain a global view on the complex processes that control the methane concentration in the atmosphere. The MERLIN mission is a joint French-German cooperation, on a micro satellite mission for space-based measurement of spatial and temporal gradients of atmospheric methane columns on a global scale. MERLIN will be the first Integrated Path Differential Absorption LIDAR for greenhouse gas monitoring from space. In contrast to passive methane missions, the LIDAR instrument allows measurements at alllatitudes, all-seasons and during night.

  17. Atypical Manifestations of Hyperthyroidism

    Science.gov (United States)

    Boxall, E. A.; Lauener, R. W.; McIntosh, H. W.

    1964-01-01

    Patients with hyperthyroidism usually present with symptoms of hypermetabolism with or without goitre and/or eye signs. Occasionally, however, the chief complaints are not immediately suggestive of hyperthyroidism. Patients with hyperthyroidism are described who presented with such atypical manifestations as periodic muscular paralysis, myasthenia, myopathy, encephalopathy, psychosis, angina pectoris, atrial fibrillation, heart failure without underlying heart disease, skeletal demineralization, pretibial myxedema, unilateral eye signs, and pitting edema of the ankles. ImagesFig. 2Fig. 3Fig. 5Fig. 7Fig. 8Fig. 9Fig. 10 PMID:14178405

  18. A Review of the Latent and Manifest Benefits (LAMB) Scale

    Science.gov (United States)

    Muller, Juanita; Waters, Lea

    2012-01-01

    The latent and manifest benefits (LAMB) scale (Muller, Creed, Waters & Machin, 2005) was designed to measure the latent and manifest benefits of employment and provide a single scale to test Jahoda's (1981) and Fryer's (1986) theories of unemployment. Since its publication in 2005 there have been 13 studies that have used the scale with 5692…

  19. COMPLEX NETWORKS IN CLIMATE SCIENCE: PROGRESS, OPPORTUNITIES AND CHALLENGES

    Data.gov (United States)

    National Aeronautics and Space Administration — COMPLEX NETWORKS IN CLIMATE SCIENCE: PROGRESS, OPPORTUNITIES AND CHALLENGES KARSTEN STEINHAEUSER, NITESH V. CHAWLA, AND AUROOP R. GANGULY Abstract. Networks have...

  20. Effects of Row Spacing and Plant Density on Yield and Yield Components of Sweet Corn in Climatic Conditions of Isfahan

    Directory of Open Access Journals (Sweden)

    N. Khodaeian

    2013-06-01

    Full Text Available To evaluate the effects of row spacing and plant density on yield and yield components of sweet corn, variety KSC403, an experiment was conducted in Research Farm of Isfahan University of Technology, Isfahan, Iran, in 2007, as randomized complete block design with a split-plot layout and three replications. The main plots were allocated to two row spacing (60 and 75 cm and the sub-plots accommodated four levels of plant density (50000, 70000, 90000 and 110000 plants per ha. There was significant increase in leaf area index, shoot dry weight, 100-grain fresh weight and grain fresh yield, as row width was decreased from 75 to 60 cm but the plant height was decreased. There was no significant effect of row spacing on number of rows per ear, number of grains per row and number of grains per ear. Plant height, leaf area index, shoot dry weight per m2 and number of ears per m2 were increased with an increase in plant density. The number of rows per ear, number of grains per row, number of grains per ear, 100-grain fresh weight and grain fresh yield were significantly higher under plant densities of 90000 and 110000 as compared to 50000 and 70000 plants per ha. There was significant interaction between row spacing and plant density for leaf area index, shoot dry weight, number of grains per ear, 100-grain fresh weight and grain fresh yield. Under all plant densities, the grain fresh yield was higher in 60-cm row width compared to 70-cm row width. However, the difference between these two row spacing was not significant in plant densities of 50000 and 110000 plants per ha. The highest grain fresh yield (33940 kg/ha was achieved under row spacing 60 cm and 70000 plants per ha and the least grain fresh yield (20750 kg/ha was obtained in under 75 cm row width and 110000 plants per ha. Considering the obtained results of this experiment, to have maximum grain fresh yield of sweet corn under Isfahan climate, the row spacing of 60 cm and plant density of

  1. Intrathoracic manifestations of collagen vascular diseases on high-resolution chest computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Silva, C. Isabela S. [University of British Columbia, Vancouver (Canada). Vancouver General Hospital]. E-mail: isabela.silva@vch.ca; Mueller, Nestor L. [University of British Columbia, Vancouver (Canada). Vancouver General Hospital. Dept. of Radiology

    2008-05-15

    Intrathoracic manifestations of collagen vascular diseases are very common. The frequency of intrathoracic manifestations and the patterns of abnormality are variable depending on the type of collagen vascular disease and may simultaneously involve one or more of the following: lung parenchyma, airways, pulmonary vessels, pericardium, and pleura. The most common pulmonary manifestations are diffuse interstitial pneumonia and pulmonary hypertension which together represent the main causes of morbidity and mortality of these patients. Pulmonary, airway and pleural involvement may also be secondary to the disease therapy, or result from bacterial pneumonia or opportunistic infection. In the present review, the authors summarize the main intrathoracic manifestations of collagen vascular diseases and the differential diagnosis on high-resolution chest computed tomography. (author)

  2. Burden Sharing with Climate Change Impacts

    Science.gov (United States)

    Tavoni, M.; van Vuuren, D.; De Cian, E.; Marangoni, G.; Hof, A.

    2014-12-01

    Efficiency and equity have been at the center of the climate change policy making since the very first international environmental agreements on climate change, though over time how to implement these principles has taken different forms. Studies based on Integrated Assessment Models have also shown that the economic effort of achieving a 2 degree target in a cost-effective way would differ widely across regions (Tavoni et al. 2013) because of diverse economic and energy structure, baseline emissions, energy and carbon intensity. Policy instruments, such as a fully-fledged, global emission trading schemes can be used to pursuing efficiency and equity at the same time but the literature has analyzed the compensations required to redistribute only mitigation costs. However, most of these studies have neglected the potential impacts of climate change. In this paper we use two integrated assessment models -FAIR and WITCH- to explore the 2°C policy space when accounting for climate change impacts. Impacts are represented via two different reduced forms equations, which despite their simplicity allows us exploring the key sensitivities- Our results show that in a 2 degree stabilization scenarios residual damages remain significant (see Figure 1) and that if you would like to compensate those as part of an equal effort scheme - this would lead to a different allocation than focusing on a mitigation based perspective only. The residual damages and adaptation costs are not equally distributed - and while we do not cover the full uncertainty space - with 2 different models and 2 sets of damage curves we are still able to show quite similar results in terms of vulnerable regions and the relative position of the different scenarios. Therefore, accounting for the residual damages and the associated adaptation costs on top of the mitigation burden increases and redistributes the full burden of total climate change.

  3. Particle acceleration in the interplanetary space

    International Nuclear Information System (INIS)

    Tverskoj, B.A.

    1983-01-01

    A review on the problem of particle acceleration in the interplanetary space is given. The main lationship attention is paid to the problem of the re/ between the impact- and turbulent acceleration when an undisturbed magnetic field forms not too small angle THETA > 10 deg with the shock wave front. The following conclusions are drawn. Particle acceleration at the shock wave front is manifested in the explicit form, if the shock wave propagates along a homogeneous (in the 11 cm range) solar wind. The criterion of such an acceleration is the exponential distribution function F approximately vsup(-ν) (v is the particle velocity and ν is the accelerated particle spectrum index) in the low energy range and the conservation of this function at considerable distances behind the front. The presence of an additional turbulent acceleration behind the front is manifested in decreasing ν down to approximately 3.5 in the low energy range and in the spectrum evolution behind the front

  4. Diverse Neurological Manifestations of Lead Encephalopathy ...

    African Journals Online (AJOL)

    Three patients with lead encephalopathy due to industrial poisoning are presented. They all showed a wide spectrum of neurological manifestations, which mimic other neurological presentations. It is emphasised that lead poisoning still occurs in industry, despite efforts at prevention. S. Afr. Med. J., 48, 1721 (1974) ...

  5. Abdominal manifestations of cystic fibrosis in adults: a review

    International Nuclear Information System (INIS)

    Constantine, S.; Au, V.W.K.; Slavotinek, J.P.

    2004-01-01

    Gastrointestinal manifestations of disease are present in most adults with cystic fibrosis. Radiologists are familiar with the classical imaging characteristics of end-stage pulmonary disease and the radiological findings of meconium ileus in neonates. As most patients now live into adulthood, recognition of the imaging appearances of abdominal disease is important to enable prompt diagnosis and treatment. Accordingly, this article presents typical imaging appearances of the adult gastrointestinal manifestations of cystic fibrosis. Copyright (2004) Blackwell Science Pty Ltd

  6. Respiratory manifestations in endocrine diseases

    OpenAIRE

    LENCU, CODRU?A; ALEXESCU, TEODORA; PETRULEA, MIRELA; LENCU, MONICA

    2016-01-01

    The control mechanisms of respiration as a vital function are complex: voluntary ? cortical, and involuntary ? metabolic, neural, emotional and endocrine. Hormones and hypothalamic neuropeptides (that act as neurotrasmitters and neuromodulators in the central nervous system) play a role in the regulation of respiration and in bronchopulmonary morphology. This article presents respiratory manifestations in adult endocrine diseases that evolve with hormone deficit or hypersecretion. In hyperthy...

  7. Clinical manifestations and diagnosis of acromegaly.

    Science.gov (United States)

    Lugo, Gloria; Pena, Lara; Cordido, Fernando

    2012-01-01

    Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Acromegaly is a disabling disease that is associated with increased morbidity and reduced life expectancy. The diagnosis is based primarily on clinical features and confirmed by measuring GH levels after oral glucose loading and the estimation of IGF-I. It has been suggested that the rate of mortality in patients with acromegaly is correlated with the degree of control of GH. Adequately treated, the relative mortality risk can be markedly reduced towards normal.

  8. ORAL MANIFESTATIONS AMONG ROMANIAN HIV PATIENTS

    Directory of Open Access Journals (Sweden)

    Manuela ARBUNE

    2013-03-01

    Full Text Available The objective of the study is to evaluate the oral health problems on HIV youth patients from Galati. Materials and method. A cross-sectional study assessed 102 patients with mean age 22. The most frequent oral manifestations on HIV infected youth under ART are erythema marginatum, periodontitis, candidosis and hypertrophia gingivalis. Results and discussion. Dental decay-missing-filled index on HIV patients is high. Viral HIV replication, long time pediatric exposure on HIV, male sex, smoking, and oral inflamation are related to dental poor condition. Exodontic therapy is comon among HIV youth. However, persistence of some associated oral infections is related to individual or behavioral risk factors, but also to some newly found mechanisms, such as disfunctional immune reconstruction. Seeing to antiretroviral treatment, the severity and frequency of oral manifestations decreased among HIV patients on antiretroviral treatment. Conclusions. Developing medical, social and educational programs is imperative for improving the oral health of HIV youth of Galati.

  9. Clinical Manifestations and Diagnosis of Acromegaly

    Directory of Open Access Journals (Sweden)

    Gloria Lugo

    2012-01-01

    Full Text Available Acromegaly and gigantism are due to excess GH production, usually as a result of a pituitary adenoma. The incidence of acromegaly is 5 cases per million per year and the prevalence is 60 cases per million. Clinical manifestations in each patient depend on the levels of GH and IGF-I, age, tumor size, and the delay in diagnosis. Manifestations of acromegaly are varied and include acral and soft tissue overgrowth, joint pain, diabetes mellitus, hypertension, and heart and respiratory failure. Acromegaly is a disabling disease that is associated with increased morbidity and reduced life expectancy. The diagnosis is based primarily on clinical features and confirmed by measuring GH levels after oral glucose loading and the estimation of IGF-I. It has been suggested that the rate of mortality in patients with acromegaly is correlated with the degree of control of GH. Adequately treated, the relative mortality risk can be markedly reduced towards normal.

  10. Clinical and radiological study of osteoarticular manifestations of systemic lupus erythematosus

    International Nuclear Information System (INIS)

    Kubota, E.S.; Rocha Correa Fernandes, A. da; Wichrowski, M.

    1990-01-01

    The ostearticular involvement in systemic lupus erythematosus (SLE) is the most frequent manifestation of this illness, which develops with activity and remission periods. In spite of the recurrence, it presents without clinic sequelae in great part of the cases. The objective of this study was to evaluate patients with prolonged osteoarticular involvement, remaining with or without sequelae. Within a total of 115 patients with SLE there have been studied 21 patients that presented clinic evidences of chronic synovitis, deforming arthropathy with the presence of cysts, erosions, narrowing of the articular space, periepiphyseal osteopenia, and 4 cases with deforming arthropathy alone. In just 2 cases of chronic synovitis with radiologic changes there have been association with deforming arthropathy. Asseptic necrosis occurred in 8 cases being multiple and symmetric in 7 cases. The association with previous corticosteroid use was found in all patients, as well as an important systemic activity of the illness in the precedent period of the asseptic necrosis diagnosis. (author) [pt

  11. Manifest toob klassika taas kinoekraanile / Andri Maimets

    Index Scriptorium Estoniae

    Maimets, Andri, 1979-

    2007-01-01

    2.-9. veebr. on kinos "Sõprus" ja 11.-15. veebr. Tartu Sadamateatris 5. kultusfilmide festival Manifest, seekord USA filmid ja teemaks sõnavabadus. Esilinastub ka Urmas E. Liivi dokumentaalfilm "Tervitusi Nõukogude Eestist!"

  12. Global Climate Models for the Classroom: The Educational Impact of Student Work with a Key Tool of Climate Scientists

    Science.gov (United States)

    Bush, D. F.; Sieber, R.; Seiler, G.; Chandler, M. A.; Chmura, G. L.

    2017-12-01

    Efforts to address climate change require public understanding of Earth and climate science. To meet this need, educators require instructional approaches and scientific technologies that overcome cultural barriers to impart conceptual understanding of the work of climate scientists. We compared student inquiry learning with now ubiquitous climate education toy models, data and tools against that which took place using a computational global climate model (GCM) from the National Aeronautics and Space Administration (NASA). Our study at McGill University and John Abbott College in Montreal, QC sheds light on how best to teach the research processes important to Earth and climate scientists studying atmospheric and Earth system processes but ill-understood by those outside the scientific community. We followed a pre/post, control/treatment experimental design that enabled detailed analysis and statistically significant results. Our research found more students succeed at understanding climate change when exposed to actual climate research processes and instruments. Inquiry-based education with a GCM resulted in significantly higher scores pre to post on diagnostic exams (quantitatively) and more complete conceptual understandings (qualitatively). We recognize the difficulty in planning and teaching inquiry with complex technology and we also found evidence that lectures support learning geared toward assessment exams.

  13. Heliodromus : Renewable energy from space

    NARCIS (Netherlands)

    Kuiper, J.M.

    2010-01-01

    Climate change and the related running out of fossil fuel reserves drive the development of renewable energy sources. To contribute to a solution of these problems, we present the results of a BSc student design synthesis exercise project on Space Based Solar Power (SBSP). A SBSP system generates

  14. Pulmonary manifestations of Sjögren's syndrome

    Directory of Open Access Journals (Sweden)

    Thomas Flament

    2016-06-01

    Full Text Available In 9–20% of cases, Sjögren's syndrome is associated with various respiratory symptoms. The most typical manifestations are chronic interstitial lung disease (ILD and tracheobronchial disease. The most common manifestation of ILD is nonspecific interstitial pneumonia in its fibrosing variant. Other types of ILD, such as organising pneumonia, usual interstitial pneumonia and lymphocytic interstitial pneumonitis, are rare. Their radiological presentation is less distinctive, and definitive diagnosis may require the use of transbronchial or surgical lung biopsy. Corticosteroid therapy is the mainstay of ILD treatment in Sjögren's syndrome, but the use of other immunosuppressive drugs needs to be determined. ILD is a significant cause of death in Sjögren's syndrome. Tracheobronchial disease is common in Sjögren's syndrome, characterised by diffuse lymphocytic infiltration of the airway. It is sometimes responsible for a crippling chronic cough. It can also present in the form of bronchial hyperresponsiveness, bronchiectasis, bronchiolitis or recurrent respiratory infections. The management of these manifestations may require treatment for dryness and/or inflammation of the airways. Airway disease has little effect on respiratory function and is rarely the cause of death in Sjögren's syndrome patients. Rare respiratory complications such as amyloidosis, lymphoma or pulmonary hypertension should not be disregarded in Sjögren's syndrome patients.

  15. Chronic polyarthritis as isolated manifestation of toxocariasis

    Directory of Open Access Journals (Sweden)

    Gabriela R. Viola

    2016-04-01

    Full Text Available ABSTRACT Human toxocariasis is a parasitic zoonosis mainly caused by Toxocara canis or Toxocara catiand is acquired by ingestion of the parasite’s embryonated eggs. Arthralgia and/or arthri-tis were reported in up to 17% of the cases, generally with acute duration (less than 6weeks. However, to our knowledge, chronic polyarthritis, as the isolated presentation ofToxocara infection, was not reported. One of the 5809 patients that was followed up at ourservice (0.017% had chronic polyarthritis as the single manifestation of toxocariasis and wasdescribed herein. A 3-year-old girl was referred to our service with severe painful chronicpolyarthritis for a period longer than 10 weeks and morning stiffness of 30 min. Dog contactexposure history in the recreational areas of neighborhood was reported. Her exams showedhigh levels of eosinophils in peripheral blood (29%, bone marrow aspirate revealed markedeosinophilia (32% and Toxocara enzyme-linked immunosorbent assay (Elisa was positive(1:1280. She was treated with paracetamol (40 mg/kg/day and thiabendazole (25 mg/kg/dayfor 10 days, and all manifestations reduced. After eight months of follow-up, she was onclinical and laboratorial remission. In conclusion, we described a case of chronic polyarthri-tis, as isolated manifestation of toxocariasis, mimicking juvenile idiopathic arthritis andleukemia. Importantly, this zoonosis should be considered in patients with arthritis andeosinophilia.

  16. Abrupt climate changes during Termination III in Southern Europe.

    Science.gov (United States)

    Pérez-Mejías, Carlos; Moreno, Ana; Sancho, Carlos; Bartolomé, Miguel; Stoll, Heather; Cacho, Isabel; Cheng, Hai; Edwards, R Lawrence

    2017-09-19

    The Late Quaternary glacial-interglacial transitions represent the highest amplitude climate changes over the last million years. Unraveling the sequence of events and feedbacks at Termination III (T-III), including potential abrupt climate reversals similar to those of the last Termination, has been particularly challenging due to the scarcity of well-dated records worldwide. Here, we present speleothem data from southern Europe covering the interval from 262.7 to 217.9 kyBP, including the transition from marine isotope stage (MIS) 8 to MIS 7e. High-resolution δ 13 C, δ 18 O, and Mg/Ca profiles reveal major millennial-scale changes in aridity manifested in changing water availability and vegetation productivity. uranium-thorium dates provide a solid chronology for two millennial-scale events (S8.1 and S8.2) which, compared with the last two terminations, has some common features with Heinrich 1 and Heinrich 2 in Termination I (T-I).

  17. Tourism and climate conditions in San Juan, Puerto Rico, 2000-2010

    Directory of Open Access Journals (Sweden)

    Pablo A. Méndez-Lázaro

    2014-06-01

    Full Text Available The general behavior of the tourism sector in Puerto Rico, with its marked seasonality, hints at a close relationship between tourism activities and climate conditions. Even if weather condition is only one of many variables considered by travelling tourists, climate conditions weigh heavily in the majority of the decisions. The effect of climate variability on the environment could be manifested in warmer temperature, heat waves, and changes in the frequency of extreme weather events, such as severe storms and hurricanes, floods, and sea level rise. These conditions affect different sectors of society, among them public health and the economy. Therefore, our research has two main objectives: to establish a tourism climate index (TCI for Puerto Rico and to analyze if occupancy rates in hotels correspond to local weather conditions. Even though there are many other variables that could have positive or negative effects on tourism activities, results showed a significant association between occupancy rate in Puerto Rico and climate indexes. According to both TCI and the mean historical climate for tourism indexes, the most favorable months for tourism in Puerto Rico were February and March (winter, whereas the worst season was the end of August and the beginning of September (summer-fall. Although winter represents dry conditions and lower temperatures in San Juan, it also represents the highest occupancy rate during the years examined. In summer and fall, data showed high occupancy rates, yet climate conditions were not suitable; these months also correspond to the hurricane season. During this season, high relative occupancy rates responded to internal and local tourism patterns. It can therefore be assumed that until the climate-tourism relationship is well characterized, there is little hope of fully understanding the potential economic effects, detrimental or beneficial, of global climate change, not only on tourism in Puerto Rico, but on

  18. Habitability and Performance Issues for Long Duration Space Flights

    Science.gov (United States)

    Whitmore, Mihriban; McQuilkin, Meredith L.; Woolford, Barbara J.

    1997-01-01

    Advancing technology, coupled with the desire to explore space has resulted in increasingly longer manned space missions. Although the Long Duration Space Flights (LDSF) have provided a considerable amount of scientific research on human ability to function in extreme environments, findings indicate long duration missions take a toll on the individual, both physiologically and psychologically. These physiological and psychological issues manifest themselves in performance decrements; and could lead to serious errors endangering the mission, spacecraft and crew. The purpose of this paper is to document existing knowledge of the effects of LDSF on performance, habitability, and workload and to identify and assess potential tools designed to address these decrements as well as propose an implementation plan to address the habitability, performance and workload issues.

  19. High-Resolution Reciprocal Space Mapping for Characterizing Deformation Structures

    DEFF Research Database (Denmark)

    Pantleon, Wolfgang; Wejdemann, Christian; Jakobsen, Bo

    2014-01-01

    With high-angular resolution three-dimensional X-ray diffraction (3DXRD), quantitative information is gained about dislocation structures in individual grains in the bulk of a macroscopic specimen by acquiring reciprocal space maps. In high-resolution 3D reciprocal space maps of tensile......-deformed copper, individual, almost dislocation-free subgrains are identified from high-intensity peaks and distinguished by their unique combination of orientation and elastic strain; dislocation walls manifest themselves as a smooth cloud of lower intensity. The elastic strain shows only minor variations within...... dynamics is followed in situ during varying loading conditions by reciprocal space mapping: during uninterrupted tensile deformation, formation of subgrains is observed concurrently with broadening of Bragg reflections shortly after the onset of plastic deformation. When the traction is terminated, stress...

  20. A CLINICAL STUDY OF OCULAR MANIFESTATIONS IN HIV PATIENTS

    Directory of Open Access Journals (Sweden)

    Ravinder

    2015-12-01

    Full Text Available BACKGROUND HIV/AIDS is a multi system disorder with ocular involvement is about 70-80% of HIV patient occupational exposure to HIV is a significant health hazard for the treating clinicians including Eye Surgeons. AIM To study and evaluation of ocular manifestation in HIV patients attending out patient. MATERIALS AND METHODS It is observational study of 104 HIV+ve cases for a period of 1 year those patients who attended ophthalmic out patient department. RESULTS 73 were males (70.19% and 31 were females (29.80%. Majority of the patients belongs to age group of 15-50 years. Out of 104 patients 83(79.80% were married and 21(20.20% were unmarried. HIV was predominantly seen in labourers 41(32.42%. The predominant mode of transmission of sexual (Hetero Sexual transmission. HIV infection was predominantly seen in uneducated patients 64(61.53%. Total No. of ocular findings in 51 cases out of 75 with anterior Uveitis, Conjunctival microvasculopathy, Herpes Simplex Keratitis and Conjunctivitis are the most common anterior segment manifestation. CMV retinitis, HIV Microvasculopathy are the most common posterior segment manifestation. CONCLUSIONS Ophthalmologists should be familiar with common and uncommon ocular manifestations of AIDS+ve cases and their diagnosis and treatment, as early and proper treatment can Salvage their vision and improve the quality of life.

  1. Ocular Manifestations of Biopsy-Proven Pulmonary Sarcoidosis in Korea

    Directory of Open Access Journals (Sweden)

    Seung Yong Choi

    2018-01-01

    Full Text Available Purpose. To investigate the clinical features and ocular manifestations of biopsy-proven pulmonary sarcoidosis in Korea. Methods. 55 patients diagnosed with pulmonary sarcoidosis by bronchoscopic or excisional biopsy were included. By retrospective clinical chart review, we investigated features of uveitis, ocular and systemic treatments, visual acuity, angiotensin-converting enzyme level, chest radiography, and pulmonary function tests. Clinical features were analyzed by presence of uveitis, site of biopsy, and first manifested sign of sarcoidosis. Results. The group with uveitis (n=39 presented with higher systemic (71.8% and immunosuppressive treatment rates (35.9% than the group without uveitis (31.3%, 0%, resp. (P=0.007, P=0.005, resp.. There were no significant differences in clinical features, including systemic treatment rate, by type of biopsy. Of 39 patients with uveitis, the group with ocular manifestation as a first sign of sarcoidosis showed higher systemic and immunosuppressive treatment rates (88.9%, 55.6% compared to the group with pulmonary manifestation as a first sign (57.1%, 19.0% (P=0.037, P=0.018, resp.. Conclusions. In patients with biopsy-proven pulmonary sarcoidosis, the presence of ocular involvement and uveitis as a first sign could be significant factors associated with higher systemic treatment rate, especially with immunosuppressive agents. Biopsy site determined by location and size had no influence on clinical features.

  2. How is climate change impacting precipitation?

    Science.gov (United States)

    Heidari, A.; Houser, P. R.

    2015-12-01

    Water is an integrating component of the climate, energy and geochemical cycles, regulating biological and ecological activities at all spatial and temporal scales. The most significant climate warming manifestation would be a change in the distribution of precipitation and evaporation, and the exacerbation of extreme hydrologic events. Due to this phenomenon and the fact that precipitation is the most important component of the water cycle, the assumption of its stationarity for water management and engineering design should be examined closely. The precipitation Annual Maximum Series (AMS) over some stations in Virginia based on in situ data were been used as a starting point to examine this important issue. We analyzed the AMS precipitation on NOAA data for the stations close to Fairfax VA, looked for trends in extreme values, and applied our new method of Generalized Extreme Value (GEV) theory based on quadratic forms to address changes in those extreme values and to quantify non-stationarities. It is very important to address the extreme values of precipitation based on several statistical tests to have better understanding of climate change impact on the extreme water cycle events. In our study we compared our results with the conclusion on NOAA atlas 14 Ap.3 which found no sign of precipitation non-stationarity. We then assessed the impact of this uncertainty in IDF curves on the flood map of Fairfax and compared the results with the classic IDF curves.

  3. The Information Infrastructures Design Space

    DEFF Research Database (Denmark)

    Henningsson, Stefan; Rapti, Charikleia; Jensen, Thomas

    2017-01-01

    This paper develops a framework for characterising the design space of Information Infrastructures (IIs). Existing research has generally sought to unravel the convergent characteristics and mechanisms uniting IIs across a wide range of manifestations. In this research, we explore this divergence...... within the II design space. We do so by reviewing the II literature, focusing on the two domains of design situation and design resolution. Design situation refers to the relevant dimensions of the context in which an II is employed. Design resolution covers the dimensions along which the socio......-technical constituents can be assembled to form an effective solution. The resulting framework allows for the comparing and contrasting of II initiatives, and contributes towards a cumulative knowledge process aimed at a more refined understanding of how an II can be configured to address the specific problem at hand....

  4. Situation-Based Contingencies Underlying Wisdom-Content Manifestations: Examining Intellectual Humility in Daily Life.

    Science.gov (United States)

    Zachry, Corinne E; Phan, Le Vy; Blackie, Laura E R; Jayawickreme, Eranda

    2018-02-21

    Existing assessments of intellectual humility (IH)-a key component of wisdom-do not examine its manifestation in daily life while sufficiently focusing on the core idea of the construct: owning up to one's intellectual shortcomings. The present research sought to examine situational contingencies underlying daily manifestations of IH-relevant characteristics. We developed a trait version of the State-Trait IH Scale in two studies and subsequently examined daily manifestations of IH-relevant characteristics utilizing a contextualized state version of the State-Trait IH Scale in a 21-day experience sampling study. Here we tested how specific situational contingencies (associated with the context and the personality of the individual with whom participants engaged) influenced the manifestation of IH-relevant qualities. We found strong evidence for the validity of both versions of the scale. Specifically, the state measure exhibited high within-person variability, and aggregated state assessments were strongly correlated with the trait measure. Additionally, morality positively predicted manifestation of IH, while disagreeableness negatively predicted manifestation of IH. These results offer new directions for research on the expression of wisdom-related characteristics in daily life.

  5. (Un)certainty in climate change impacts on global energy consumption

    Science.gov (United States)

    van Ruijven, B. J.; De Cian, E.; Sue Wing, I.

    2017-12-01

    Climate change is expected to have an influence on the energy sector, especially on energy demand. For many locations, this change in energy demand is a balance between increase of demand for space cooling and a decrease of space heating demand. We perform a large-scale uncertainty analysis to characterize climate change risk on energy consumption as driven by climate and socioeconomic uncertainty. We combine a dynamic econometric model1 with multiple realizations of temperature projections from all 21 CMIP5 models (from the NASA Earth Exchange Global Daily Downscaled Projections2) under moderate (RCP4.5) and vigorous (RCP8.5) warming. Global spatial population projections for five SSPs are combined with GDP projections to construct scenarios for future energy demand driven by socioeconomic change. Between the climate models, we find a median global increase in climate-related energy demand of around 24% by 2050 under RCP8.5 with an interquartile range of 18-38%. Most climate models agree on increases in energy demand of more than 25% or 50% in tropical regions, the Southern USA and Southern China (see Figure). With respect to socioeconomic scenarios, we find wide variations between the SSPs for the number of people in low-income countries who are exposed to increases in energy demand. Figure attached: Number of models that agree on total climate-related energy consumption to increase or decrease by more than 0, 10, 25 or 50% by 2050 under RCP8.5 and SSP5 as result of the CMIP5 ensemble of temperature projections. References1. De Cian, E. & Sue Wing, I. Global Energy Demand in a Warming Climate. (FEEM, 2016). 2. Thrasher, B., Maurer, E. P., McKellar, C. & Duffy, P. B. Technical Note: Bias correcting climate model simulated daily temperature extremes with quantile mapping. Hydrol Earth Syst Sci 16, 3309-3314 (2012).

  6. Otorhinolaryngology manifestations secondary to oral sex.

    Science.gov (United States)

    Fernández-López, Claudia; Morales-Angulo, Carmelo

    Over the last few years, oral and pharyngeal signs and symptoms due to oral sex have increased significantly. However, no review articles related to this subject have been found in the medical literature. The objective of our study was to identify otorhinolaryngological manifestations associated with orogenital/oroanal contact, both in adults and children, in the context of consensual sex or sexual abuse. We performed a review of the medical literature on otorhinolaryngological pathology associated with oral sex published in the last 20 years in the PubMed database. Otorhinolaryngological manifestations secondary to oral sex practice in adults can be infectious, tumoral or secondary to trauma. The more common signs and symptoms found in the literature were human papillomavirus infection (above all, condyloma acuminata and papilloma/condyloma), oral or pharyngeal syphilis, gonococcal pharyngitis, herpes simplex virus infection and pharyngitis from Chlamydia trachomatis. The incidence of human papillomavirus -induced oropharyngeal carcinoma has dramatically increased. In children past the neonatal period, the presence of condyloma acuminatus, syphilis, gonorrhoea or palatal ecchymosis (the last one, unless justified by other causes) should make us suspect sexual abuse. Sexual habits have changed in the last decades, resulting in the appearance of otorhinolaryngological pathology that was rarely seen previously. For this reason, it is important for primary care physicians to have knowledge about the subject to perform correct diagnosis and posterior treatment. Some sexual abuse cases in children may also be suspected based on the knowledge of the characteristic oropharyngeal manifestations secondary to them. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.

  7. SOq(N) covariant differential calculus on quantum space and quantum deformation of Schroedinger equation

    International Nuclear Information System (INIS)

    Carow-Watamura, U.; Schlieker, M.; Watamura, S.

    1991-01-01

    We construct a differential calculus on the N-dimensional non-commutative Euclidean space, i.e., the space on which the quantum group SO q (N) is acting. The differential calculus is required to be manifestly covariant under SO q (N) transformations. Using this calculus, we consider the Schroedinger equation corresponding to the harmonic oscillator in the limit of q→1. The solution of it is given by q-deformed functions. (orig.)

  8. Generalized Lagrangian Path Approach to Manifestly-Covariant Quantum Gravity Theory

    Directory of Open Access Journals (Sweden)

    Massimo Tessarotto

    2018-03-01

    Full Text Available A trajectory-based representation for the quantum theory of the gravitational field is formulated. This is achieved in terms of a covariant Generalized Lagrangian-Path (GLP approach which relies on a suitable statistical representation of Bohmian Lagrangian trajectories, referred to here as GLP-representation. The result is established in the framework of the manifestly-covariant quantum gravity theory (CQG-theory proposed recently and the related CQG-wave equation advancing in proper-time the quantum state associated with massive gravitons. Generally non-stationary analytical solutions for the CQG-wave equation with non-vanishing cosmological constant are determined in such a framework, which exhibit Gaussian-like probability densities that are non-dispersive in proper-time. As a remarkable outcome of the theory achieved by implementing these analytical solutions, the existence of an emergent gravity phenomenon is proven to hold. Accordingly, it is shown that a mean-field background space-time metric tensor can be expressed in terms of a suitable statistical average of stochastic fluctuations of the quantum gravitational field whose quantum-wave dynamics is described by GLP trajectories.

  9. Altered brain mechanisms of emotion processing in pre-manifest Huntington's disease.

    Science.gov (United States)

    Novak, Marianne J U; Warren, Jason D; Henley, Susie M D; Draganski, Bogdan; Frackowiak, Richard S; Tabrizi, Sarah J

    2012-04-01

    Huntington's disease is an inherited neurodegenerative disease that causes motor, cognitive and psychiatric impairment, including an early decline in ability to recognize emotional states in others. The pathophysiology underlying the earliest manifestations of the disease is not fully understood; the objective of our study was to clarify this. We used functional magnetic resonance imaging to investigate changes in brain mechanisms of emotion recognition in pre-manifest carriers of the abnormal Huntington's disease gene (subjects with pre-manifest Huntington's disease): 16 subjects with pre-manifest Huntington's disease and 14 control subjects underwent 1.5 tesla magnetic resonance scanning while viewing pictures of facial expressions from the Ekman and Friesen series. Disgust, anger and happiness were chosen as emotions of interest. Disgust is the emotion in which recognition deficits have most commonly been detected in Huntington's disease; anger is the emotion in which impaired recognition was detected in the largest behavioural study of emotion recognition in pre-manifest Huntington's disease to date; and happiness is a positive emotion to contrast with disgust and anger. Ekman facial expressions were also used to quantify emotion recognition accuracy outside the scanner and structural magnetic resonance imaging with voxel-based morphometry was used to assess the relationship between emotion recognition accuracy and regional grey matter volume. Emotion processing in pre-manifest Huntington's disease was associated with reduced neural activity for all three emotions in partially separable functional networks. Furthermore, the Huntington's disease-associated modulation of disgust and happiness processing was negatively correlated with genetic markers of pre-manifest disease progression in distributed, largely extrastriatal networks. The modulated disgust network included insulae, cingulate cortices, pre- and postcentral gyri, precunei, cunei, bilateral putamena

  10. Relative autonomy of manifestation of welt mutation in imaginal discs of Drosophila

    International Nuclear Information System (INIS)

    Vikulova, V.K.

    1988-01-01

    Autonomy of manifestation of the temperature-sensitive lethal welt mutation was investigated during transplantation of imaginal discs of mutant larvae into normal recipients and in large clones of cells homozygous for welt induced by γ-irradiation in a dose of 1000 rd in y; fj wt/M(2)S7 T(1;2)sc s 2 heterozygotes. Three temperature regimes were used: 17 degree C, at which the welt mutation is not manifested; 29 degree C, at which it is manifested better; and 25 degree C. It was established that the welt mutation operates autonomously, but in restricted regions of imaginal discs. The possibility is discussed of nonautonomous manifestation of the mutation with direct contact of wt/wt cells with heteroxygous wt/+ tissue

  11. Enterovirus infections in Singaporean children: an assessment of neurological manifestations and clinical outcomes.

    Science.gov (United States)

    Thong, Wen Yi; Han, Audrey; Wang, S J Furene; Lin, Jeremy; Isa, Mas Suhaila; Koay, Evelyn Siew Chuan; Tay, Stacey Kiat-Hong

    2017-04-01

    Enterovirus infections in childhood can be associated with significant neurological morbidity. This study aimed to describe the prevalence and range of neurological manifestations, determine the clinical characteristics and assess differences in clinical outcomes for Singaporean children diagnosed with enterovirus infections. In this single-centre, case-control study, clinical data was collected retrospectively from patients admitted to National University Hospital, Singapore, from August 2007 to October 2011 and diagnosed with enterovirus infection, based on the enterovirus polymerase chain reaction test, or cultures from throat and rectal swabs or cerebrospinal fluid samples. The occurrence of neurological manifestations was reviewed and clinical outcomes were assessed. A total of 48 patients (age range: six days-17.8 years) were included in the study. Neurological manifestations were seen in 75.0% of patients, 63.9% of whom presented with aseptic meningitis. Other neurological manifestations included encephalitis, acute cerebellitis, transverse myelitis and autonomic dysfunction. The incidence of neurological manifestations was significantly higher in patients aged > 1 year as compared to younger patients (p = 0.043). In patients without neurological manifestations, a significantly higher proportion presented with hand, foot and mouth disease and poor feeding. Long-term neurological sequelae were seen in 16.7% of patients with neurological manifestations. A wide spectrum of neurological manifestations resulting in a relatively low incidence of long-term neurological sequelae was observed in our study of Singaporean children with enterovirus infections. As some of these neurological morbidities were severe, careful evaluation of children with neurological involvement is therefore necessary. Copyright: © Singapore Medical Association

  12. Proceedings of the Space Shuttle Environmental Assessment Workshop on Stratospheric Effects

    Science.gov (United States)

    Potter, A. E. (Compiler)

    1977-01-01

    Various aspects of the potential environmental impact of space shuttle exhaust are explored. Topics include: (1) increased ultraviolet radiation levels in the biosphere due to destruction of atmospheric ozone; (2) climatic changes due to aerosol particles affecting the planetary albedo; (3) space shuttle propellants (including alternate formulations); and (4) measurement of space shuttle exhaust products.

  13. Violent and criminal manifestations in dementia patients.

    Science.gov (United States)

    Cipriani, Gabriele; Lucetti, Claudio; Danti, Sabrina; Carlesi, Cecilia; Nuti, Angelo

    2016-05-01

    Although the older adults have been studied as victims of violence, geriatric patients can display violent behavior. The purpose of the present review was to explore the phenomenon of criminal violations and violent acts in people with dementia. The authors used PubMed to search the MEDLINE database and other sources for original research and review articles on criminal and violent manifestation in demented patients combining the terms "criminal manifestation," "violence, aggressive behavior," "homicide," "suicide" and "homicide-suicide" together with "dementia". Possible biomarkers of violence are considered. The present review highlights the risk factors for violence in patients suffering from dementia, and reviews the literature about criminal violations and homicidal/suicidal behavior in this patient group. Geriatr Gerontol Int 2016; 16: 541-549. © 2015 Japan Geriatrics Society.

  14. Clinical manifestations and pathophysiology of lissencephaly

    International Nuclear Information System (INIS)

    Oi, Shizuo; Sasaki, Koji; Yamada, Hiroshi; Ando, Shoko; Tamura, Yasunori; Fukuda, Kuniaki; Furukawa, Seikyo; Matsumoto, Satoshi.

    1985-01-01

    Four cases of lissencephaly were analyzed in light of clinical manifestations, CT findings and the state of hydrocephalus. Lissencephaly had been diagnosed mainly by autopsy until CT scan was introduced in the early 1970's. Since then, diagnosis of lissencephaly early in life is possible. Presently the major interest in this congenital CNS anomaly, which is caused by a neuronal migration disorder in the relatively late stages of fetal development, is to learn the dynamic pathophysiological state and management. The purpose of this paper is to analyze those points of lissencephaly in diagnosis during life and possible treatment in the hydrocephalic state. The common findings in CT in all four cases are as follows: No. 1. smooth cortical surface (agyria--pachygyria), No. 2. wide sylvian fissure (complete or incomplete lack of opercularization, No. 3. ventricular dilatation (remarkable bilateral enlargement of lateral ventricle and third ventricle--colpocephaly), No. 4. wide subdural or subarachnoid space in supratentorial region, No. 5. periventricular low density, No. 6. midline cavum, No. 7. normal CT findings in posterior fossa structure. Three out of four patients demonstrated full or bulged and tense anterior fontanella. Because of this suggestion of increased intracranial pressure and enlarged ventricles with periventricular lucency in CT findings, one patient underwent CT cisternography for dynamic analysis of the CSF circulation and continuous ICP monitoring for dynamic evaluation of the ICP pattern. The results revealed very much delayed CSF circulation and intermittently increased. ICP, with pressure waves appearing in 35.7 % of all recordings. (J.P.N.)

  15. Variable effects of climate on forest growth in relation to climate extremes, disturbance, and forest dynamics.

    Science.gov (United States)

    Itter, Malcolm S; Finley, Andrew O; D'Amato, Anthony W; Foster, Jane R; Bradford, John B

    2017-06-01

    Changes in the frequency, duration, and severity of climate extremes are forecast to occur under global climate change. The impacts of climate extremes on forest productivity and health remain difficult to predict due to potential interactions with disturbance events and forest dynamics-changes in forest stand composition, density, size and age structure over time. Such interactions may lead to non-linear forest growth responses to climate involving thresholds and lag effects. Understanding how forest dynamics influence growth responses to climate is particularly important given stand structure and composition can be modified through management to increase forest resistance and resilience to climate change. To inform such adaptive management, we develop a hierarchical Bayesian state space model in which climate effects on tree growth are allowed to vary over time and in relation to past climate extremes, disturbance events, and forest dynamics. The model is an important step toward integrating disturbance and forest dynamics into predictions of forest growth responses to climate extremes. We apply the model to a dendrochronology data set from forest stands of varying composition, structure, and development stage in northeastern Minnesota that have experienced extreme climate years and forest tent caterpillar defoliation events. Mean forest growth was most sensitive to water balance variables representing climatic water deficit. Forest growth responses to water deficit were partitioned into responses driven by climatic threshold exceedances and interactions with insect defoliation. Forest growth was both resistant and resilient to climate extremes with the majority of forest growth responses occurring after multiple climatic threshold exceedances across seasons and years. Interactions between climate and disturbance were observed in a subset of years with insect defoliation increasing forest growth sensitivity to water availability. Forest growth was particularly

  16. Variable effects of climate on forest growth in relation to climate extremes, disturbance, and forest dynamics

    Science.gov (United States)

    Itter, Malcolm S.; Finley, Andrew O.; D'Amato, Anthony W.; Foster, Jane R.; Bradford, John B.

    2017-01-01

    Changes in the frequency, duration, and severity of climate extremes are forecast to occur under global climate change. The impacts of climate extremes on forest productivity and health remain difficult to predict due to potential interactions with disturbance events and forest dynamics—changes in forest stand composition, density, size and age structure over time. Such interactions may lead to non-linear forest growth responses to climate involving thresholds and lag effects. Understanding how forest dynamics influence growth responses to climate is particularly important given stand structure and composition can be modified through management to increase forest resistance and resilience to climate change. To inform such adaptive management, we develop a hierarchical Bayesian state space model in which climate effects on tree growth are allowed to vary over time and in relation to past climate extremes, disturbance events, and forest dynamics. The model is an important step toward integrating disturbance and forest dynamics into predictions of forest growth responses to climate extremes. We apply the model to a dendrochronology data set from forest stands of varying composition, structure, and development stage in northeastern Minnesota that have experienced extreme climate years and forest tent caterpillar defoliation events. Mean forest growth was most sensitive to water balance variables representing climatic water deficit. Forest growth responses to water deficit were partitioned into responses driven by climatic threshold exceedances and interactions with insect defoliation. Forest growth was both resistant and resilient to climate extremes with the majority of forest growth responses occurring after multiple climatic threshold exceedances across seasons and years. Interactions between climate and disturbance were observed in a subset of years with insect defoliation increasing forest growth sensitivity to water availability. Forest growth was particularly

  17. Norrie disease: extraocular clinical manifestations in 56 patients.

    Science.gov (United States)

    Smith, Sharon E; Mullen, Thomas E; Graham, Dionne; Sims, Katherine B; Rehm, Heidi L

    2012-08-01

    Norrie disease (ND) is an X-linked recessive disorder characterized by congenital blindness, progressive sensorineural hearing loss and cognitive impairment. The ocular phenotype has been well described, while the extraocular manifestations of the disorder are not well understood. We present the data from the Norrie Disease Registry, which consists of 56 patients with detailed clinical histories and genotype data. This study represents the largest, detailed investigation into the phenotypic spectrum of ND to date and more importantly expands knowledge of the extraocular clinical manifestations. We identify several novel aspects of the syndrome that will improve the management of these patients. In particular, we expand our understanding of the neurologic manifestations in ND and identify a chronic seizure disorder in approximately 10% of all patients. In addition, details of the hearing phenotype are described including the median age of onset (12 years of age) and how genotype affects onset. Moreover, we find vascular disease to be a significant component of ND; and vascular health should be, in the future, a component of patient clinical care. In summary, the results expand our understanding of the phenotypic variability and genotypic heterogeneity in ND patients. Copyright © 2012 Wiley Periodicals, Inc.

  18. Different manifestation of depressive disorder in the elderly.

    Science.gov (United States)

    Shahpesandy, Homayun

    2005-12-01

    To compare the clinical manifestation of depressive disorder in elderly, and younger adults. To compare the clinical manifestation of depressive disorder, we evaluate 46 elderly (33 female, and 13 male, mean age 71.1) and 60 younger adults (40 female, and 20 male, mean age 44.5 years). All patients suffering from depressive disorders according to ICD-10. For evaluation and comparison of depressive symptomatology we used the HAM-D-17. The results analysed by the SPSS. The clinical manifestation of depression is different in the elderly. Elderly depressed patients compared with their younger counterparts, scored significantly less in Depressed mood, but significantly higher in Work and activities, Retardation, Somatic symptoms-general, Hypochondriasis, Insomnia-middle, Insomnia-late, Anxiety-somatic, and Somatic symptoms-gastrointestinal. On the other hand, younger patients scored significantly higher in Feelings of guilt, and Genital symptoms. Clinical presentation of depressive disorder is different in the elderly, depressed mood is often absent or masked. Anxiety, somatization, and hypochondriasis are more often present in the elderly depressed patients than in younger patients. The elderly people are also more likely than their younger counterparts to complain of insomnia.

  19. Between information systems and physical structure of the city: New causes of climate changes

    Directory of Open Access Journals (Sweden)

    Mihajlov Vladimir

    2011-01-01

    Full Text Available Because of the frequent and significant spatial transformations, an increasing climate change regime in urban areas occurs. In this paper a comprehensive reflection on these changes is analyzed, concerning one of the major causes - the social transformation and the growing use of information, networks and technology, used by city dwellers in everyday life. Advanced communications and the Internet provide urban concentration and decentralization, creating new spatial and geographic network, with a new allocation of space, for manufacturing and services. The consequence may be recognized in increasing individualization and social habits of city dwellers, as well as in modified way of households use, changing neighbourhoods and public spaces, transport systems, as the final outcome is the climate change. In this paper, the interdependence between information networks is emphasized - between virtual and physical environment, as well as changes in the way of life of the city, which ultimately lead to a new trigger for climate change. Users have never been more mobile in the physical space (commuting and tourist travel, while in the virtual space they are associated with the fixed points - everybody can be located, by using email or social network. Unexpectedly, the cause of the problem which is considered in this paper, is increased mobility in the real space, while city dwellers remain in one place, by using their virtual electronic connections. Thus, the role of city dwellers in creating climate change depends upon their spatial distribution and relationship towards information's and network activity. As a result, the drivers in city development are recognized on network nodes. Current crises in the global environment (economic, climate and social indicate the need to develop multi-functional environment and a greater appreciation of natural factors. Therefore, as a decisive factor for the adaptation of urban structure on climate change is the

  20. Gas accumulation in the subarachnoid space resulting from blunt trauma to the occipital region of a horse

    International Nuclear Information System (INIS)

    Taylor, D.S.; Wisner, E.R.; Kuesis, B.S.; Smith, S.G.; O'Brien, T.R.

    1993-01-01

    A 2-year-old Arabian filly was presented for evaluation after falling backwards. The injury was manifest radiographically by the presence of air within the subarachnoid space of the calvarium and the cervical spinal canal. Radiographic findings resulted from communication of the sphenopalatine sinus with the subarachnoid space as a sequela to a fracture involving the presphenoid bone

  1. Millennial-scale climate variability during the Last Glacial period in the tropical Andes

    Science.gov (United States)

    Fritz, S. C.; Baker, P. A.; Ekdahl, E.; Seltzer, G. O.; Stevens, L. R.

    2010-04-01

    Millennial-scale climate variation during the Last Glacial period is evident in many locations worldwide, but it is unclear if such variation occurred in the interior of tropical South America, and, if so, how the low-latitude variation was related to its high-latitude counterpart. A high-resolution record, derived from the deep drilling of sediments on the floor of Lake Titicaca in the southern tropical Andes, is presented that shows clear evidence of millennial-scale climate variation between ˜60 and 20 ka BP. This variation is manifested by alternations of two interbedded sedimentary units. The two units have distinctive sedimentary, geochemical, and paleobiotic properties that are controlled by the relative abundance of terrigenous or nearshore components versus pelagic components. The sediments of more terrigenous or nearshore nature likely were deposited during regionally wetter climates when river transport of water and sediment was higher, whereas the sediments of more pelagic character were deposited during somewhat drier climates regionally. The majority of the wet periods inferred from the Lake Titicaca sediment record are correlated with the cold events in the Greenland ice cores and North Atlantic sediment cores, indicating that increased intensity of the South American summer monsoon was part of near-global scale climate excursions.

  2. Oral Manifestations in Pediatric Patients with Coeliac Disease - A Review Article.

    Science.gov (United States)

    Macho, Viviana Marisa Pereira; Coelho, Ana Sofia; Veloso E Silva, Diana Maria; de Andrade, David José Casimiro

    2017-01-01

    Coeliac disease is a chronic enteropathy that remains a challenge for the clinician, due to its atypical manifestations and etiopathogenic complexity. This article intends to describe the oral characteristics of Coeliac Disease in children in order to facilitate their management in the dental office. A review of the literature was performed electronically in PubMed (PubMed Central, and MEDLINE) for articles published in English from 2000 to April of 2017. The article is also based on the authors' clinical experience with children with coeliac disease. The searched keywords were "coeliac disease ","oral manifestations ", "dental enamel defects", "recurrent aphthous stomatitis" and "oral aphthous ulcers". There are some oral manifestations which are strictly related to coeliac disease: dental enamel defects, recurrent aphthous stomatitis, delayed tooth eruption, multiple caries, angular cheilitis, atrophic glossitis, dry mouth and burning tongue. The complete knowledge of the oral manifestations of coeliac disease can trigger an effective change in the quality of life of the patients with this disease.

  3. Hydrophysical manifestations of the Indian ocean tsunami

    Digital Repository Service at National Institute of Oceanography (India)

    Sadhuram, Y.; Murthy, T.V.R.; Rao, B.P.

    described in detail by several authors. This chapter summarises the results of our investigations on the hydrophysical manifestations (salinity and temperature, coastal currents, internal waves, etc.) of the tsunami on the coastal environments in India...

  4. Extra-cardiac manifestations of adult congenital heart disease.

    Science.gov (United States)

    Gaeta, Stephen A; Ward, Cary; Krasuski, Richard A

    2016-10-01

    Advancement in correction or palliation of congenital cardiac lesions has greatly improved the lifespan of congenital heart disease patients, resulting in a rapidly growing adult congenital heart disease (ACHD) population. As this group has increased in number and age, emerging science has highlighted the systemic nature of ACHD. Providers caring for these patients are tasked with long-term management of multiple neurologic, pulmonary, hepatic, renal, and endocrine manifestations that arise as syndromic associations with congenital heart defects or as sequelae of primary structural or hemodynamic abnormalities. In this review, we outline the current understanding and recent research into these extra-cardiac manifestations. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Team climate, intention to leave and turnover among hospital employees: prospective cohort study.

    Science.gov (United States)

    Kivimäki, Mika; Vanhala, Anna; Pentti, Jaana; Länsisalmi, Hannakaisa; Virtanen, Marianna; Elovainio, Marko; Vahtera, Jussi

    2007-10-23

    In hospitals, the costs of employee turnover are substantial and intentions to leave among staff may manifest as lowered performance. We examined whether team climate, as indicated by clear and shared goals, participation, task orientation and support for innovation, predicts intention to leave the job and actual turnover among hospital employees. Prospective study with baseline and follow-up surveys (2-4 years apart). The participants were 6,441 (785 men, 5,656 women) hospital employees under the age of 55 at the time of follow-up survey. Logistic regression with generalized estimating equations was used as an analysis method to include both individual and work unit level predictors in the models. Among stayers with no intention to leave at baseline, lower self-reported team climate predicted higher likelihood of having intentions to leave at follow-up (odds ratio per 1 standard deviation decrease in team climate was 1.6, 95% confidence interval 1.4-1.8). Lower co-worker assessed team climate at follow-up was also association with such intentions (odds ratio 1.8, 95% confidence interval 1.4-2.4). Among all participants, the likelihood of actually quitting the job was higher for those with poor self-reported team climate at baseline. This association disappeared after adjustment for intention to leave at baseline suggesting that such intentions may explain the greater turnover rate among employees with low team climate. Improving team climate may reduce intentions to leave and turnover among hospital employees.

  6. Prevalence of oral manifestations in soft tissues during early childhood in Brazilian children

    Directory of Open Access Journals (Sweden)

    Maria Cristina Ramos Lima PADOVANI

    2014-08-01

    Full Text Available This study aimed at assessing the prevalence of soft tissue oral manifestations in children during early childhood, according to age group, gender, and site in the oral cavity, and at correlating these oral manifestations with systemic alterations. A cross-sectional study was conducted involving 586 children from 0 to 3 years of age (12.4 ± 11.8 months, 316 (53.9% male and 270 (46.1% female, in the city of Mauá, SP, Brazil. Examination was performed by a single examiner (Kappa Index = 0.90 according to World Health Organization criteria (WHO, 1997.The prevalence of oral manifestations in the soft tissues of children during early childhood was 34.8%. The age group showing statistical significance was 0-1 months old (56.4%. Epstein’s pearls were significantly present (43.2% in 0-1-month-old babies, and gingivitis in 12-24-month-olds (15.9%. The palate was the most affected region (16.7%. Infectious alterations were the most prevalent systemic alteration (20%. An association was observed between the presence of systemic alterations and the occurrence of oral manifestations. The prevalence of oral manifestations was 34.8%, regardless of gender, and was manifested mostly in 0-1-month-old babies. The palate was the most prevalent region, and the majority of oral manifestations were associated with systemic alterations.

  7. CLIMCONG: A framework-tool for assessing CLIMate CONGruency

    Science.gov (United States)

    Buras, Allan; Kölling, Christian; Menzel, Annette

    2016-04-01

    It is widely accepted that the anticipated elevational and latitudinal shifting of climate forces living organisms (including humans) to track these changes in space over a certain time. Due to the complexity of climate change, prediction of consequent migrations is a difficult procedure afflicted with many uncertainties. To simplify climate complexity and ease respective attempts, various approaches aimed at classifying global climates. For instance, the frequently used Köppen-Geiger climate classification (Köppen, 1900) has been applied to predict the shift of climate zones throughout the 21st century (Rubel and Kottek, 2010). Another - more objective but also more complex - classification approach has recently been presented by Metzger et al. (2013). Though being comprehensive, classifications have certain drawbacks, as I) often focusing on few variables, II) having discrete borders at the margins of classes, and III) subjective selection of an arbitrary number of classes. Ecological theory suggests that when only considering temperature and precipitation (such as Köppen, 1900) particular climate features - e.g. radiation and plant water availability - may not be represented with sufficient precision. Furthermore, sharp boundaries among homogeneous classes do not reflect natural gradients. To overcome the aforementioned drawbacks, we here present CLIMCONG - a framework-tool for assessing climate congruency for quantitatively describing climate similarity through continua in space and time. CLIMCONG allows users to individually select variables for calculation of climate congruency. By this, particular foci can be specified, depending on actual research questions posed towards climate change. For instance, while ecologists focus on a multitude of parameters driving net ecosystem productivity, water managers may only be interested in variables related to drought extremes and water availability. Based on the chosen parameters CLIMCONG determines congruency of

  8. Tales from the Jungle: The Evolving Climate Services Ecosystem

    Science.gov (United States)

    Redmond, K. T.

    2015-12-01

    In 2001 the NRC Report "A Climate Services Vision: First Steps Toward the Future" examined the state and trends of climate services. That report included a definition of this term that has lost no relevance: "The timely production and delivery of useful climate data, information, and knowledge to decision makers." The original entities delivering such services, at the state level, are represented by the American Association of State Climatologists (AASC). In 1986 the NOAA Regional Climate Center program was initiated, followed in 1994 by the NOAA Regional Climate Sciences and Assessments. Since 2010 we have seen the establishment of the USDI Climate Science Centers and the Landscape Conservation Cooperatives, the NOAA Regional Climate Service Directors, and the USDA Regional Climate Hubs. The recent expansion of formal programs has essentially filled out the agency "niche space." Other non-governmental and private entities are also expanding into this space. The present profusion runs a risk of creating a perception of excessive duplication in some quarters, including those funding these enterprises. Collectively these activities form what can be thought of as an ecosystem of climate services. A certain amount of replication is desirable, healthy, and necessary, but beyond some point can be excessive unless the total capacity remains insufficient. Each component has come into existence for a different set of reasons. Since these components were invented by human beings, their subsequent evolution can in theory be guided by humans. The history and purpose of each component needs to be borne in mind, with capsule descriptions suitable for rapid delivery to the decision-makers who approve the support for the various components. Good communication among the components is therefore essential for a healthy and functional overall system. This in turn calls for the ability to adequately represent the role of each of those components, a purpose best informed through actual

  9. Chronic myeloproliferative disorders: A rarest case with oral manifestations and dental management

    Directory of Open Access Journals (Sweden)

    Pritesh B Ruparelia

    2012-01-01

    Full Text Available Chronic myeloproliferative disorders (CMPD are rarest hematological disorders (malignant myeloid neoplasms. The three most common chronic myeloproliferative disorders are polycythemia vera, essential thrombocythemia and chronic idiopathic myelofibrosis. Clinical manifestations (including oral manifestations of these disorders are overlapping with each other and with other hematologic disorders, which makes the diagnosis of CMPD a challenging task. In this article we report a rare to rarest case of CMPD at dental outpatient department, its oral manifestations and its management in dental clinics.

  10. Pulmonary lymphangioleiomyomatosis as a pulmonary manifestation of tuberous sclerosis - a case report-

    International Nuclear Information System (INIS)

    Lee, Young Rahn; Kang, Eun Young; Lee, Nam Joon; Suh, Won Hyuck

    1991-01-01

    Pulmonary lymphangioleiomyomatosis is a very rare disease mainly arising in reproductive-aged women. Pulmonary lymphangioleiomyomatosis as a pulmonary involvement of tuberous sclerosis is found in only 1 out of 100 patients. Pulmonary involvement in pulmonary lymphangioleiomyomatosis itself and that as a pulmonary manifestation of tuberous sclerosis has been considered very similar with regard to clinical, radiologic, and pathologic manifestations. We report 1 case of pulmonary lymphangioleiomyomatosis as a pulmonary manifestation of tuberous sclerosis in a 39-year-old Korean woman

  11. Identifying climate analogues for precipitation extremes for Denmark based on RCM simulations from the ENSEMBLES database

    DEFF Research Database (Denmark)

    Arnbjerg-Nielsen, Karsten; Funder, S. G.; Madsen, H.

    2015-01-01

    Climate analogues, also denoted Space-For-Time, may be used to identify regions where the present climatic conditions resemble conditions of a past or future state of another location or region based on robust climate variable statistics in combination with projections of how these statistics cha...

  12. Topological string in harmonic space and correlation functions in S3 stringy cosmology

    International Nuclear Information System (INIS)

    Saidi, El Hassan; Sedra, Moulay Brahim

    2006-01-01

    We develop the harmonic space method for conifold and use it to study local complex deformations of T*S 3 preserving manifestly SL(2,C) isometry. We derive the perturbative manifestly SL(2,C) invariant partition function Z top of topological string B model on locally deformed conifold. Generic n momentum and winding modes of 2D c=1 noncritical theory are described by highest υ (n,0) and lowest components υ (0,n) of SL(2,C) spin s=n2 multiplets (υ (n-k,k) ), 0= α + and V α - . We also derive a dictionary giving the passage from Laurent (Fourier) analysis on T*S 1 (S 1 ) to the harmonic method on T*S 3 (S 3 ). The manifestly SU(2,C) covariant correlation functions of the S 3 quantum cosmology model of Gukov-Saraikin-Vafa are also studied

  13. Imaging findings in systemic childhood diseases presenting with dermatologic manifestations.

    Science.gov (United States)

    Fink, Adam Z; Gittler, Julia K; Nakrani, Radhika N; Alis, Jonathan; Blumfield, Einat; Levin, Terry L

    Many childhood diseases often present with skin abnormalities with which radiologists are largely unfamiliar. Knowledge of associated dermatologic manifestations may aid the radiologist in confirming the diagnosis and recommending targeted imaging of affected organs. We review the imaging findings in childhood diseases associated with dermatologic manifestations. Diseases include dermatologic findings which herald underlying malignancy (Neuroblastoma, leukemia/lymphoma, Langerhans cell histiocytosis),are associated with risk of malignancy (Epidermolysis Bullosa, basal cell nevus syndrome, Cowden's syndrome, Tuberous Sclerosis),or indicate a systemic inflammatory/immune disorder (Kawasaki's disease, Henoch Schonlein Purpura, systemic lupus erythematosus, scleroderma, sarcoidosis, dermatomyositis and immune thrombocytopenic purpura). Familiarity with pertinent findings in childhood diseases presenting with dermatologic manifestations in childhood diseases aids the radiologist in confirming the diagnosis and guiding imaging workup. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Predicting phenology by integrating ecology, evolution and climate science

    Science.gov (United States)

    Pau, Stephanie; Wolkovich, Elizabeth M.; Cook, Benjamin I.; Davies, T. Jonathan; Kraft, Nathan J.B.; Bolmgren, Kjell; Betancourt, Julio L.; Cleland, Elsa E.

    2011-01-01

    Forecasting how species and ecosystems will respond to climate change has been a major aim of ecology in recent years. Much of this research has focused on phenology — the timing of life-history events. Phenology has well-demonstrated links to climate, from genetic to landscape scales; yet our ability to explain and predict variation in phenology across species, habitats and time remains poor. Here, we outline how merging approaches from ecology, climate science and evolutionary biology can advance research on phenological responses to climate variability. Using insight into seasonal and interannual climate variability combined with niche theory and community phylogenetics, we develop a predictive approach for species' reponses to changing climate. Our approach predicts that species occupying higher latitudes or the early growing season should be most sensitive to climate and have the most phylogenetically conserved phenologies. We further predict that temperate species will respond to climate change by shifting in time, while tropical species will respond by shifting space, or by evolving. Although we focus here on plant phenology, our approach is broadly applicable to ecological research of plant responses to climate variability.

  15. Adaptation of Australia’s Marine Ecosystems to Climate Change: Using Science to Inform Conservation Management

    Directory of Open Access Journals (Sweden)

    Johanna E. Johnson

    2014-01-01

    Full Text Available The challenges that climate change poses for marine ecosystems are already manifesting in impacts at the species, population, and community levels in Australia, particularly in Tasmania and tropical northern Australia. Many species and habitats are already under threat as a result of human activities, and the additional pressure from climate change significantly increases the challenge for marine conservation and management. Climate change impacts are expected to magnify as sea surface temperatures, ocean chemistry, ocean circulation, sea level, rainfall, and storm patterns continue to change this century. In particular, keystone species that form the foundation of marine habitats, such as coral reefs, kelp beds, and temperate rocky reefs, are projected to pass thresholds with subsequent implications for communities and ecosystems. This review synthesises recent science in this field: the observed impacts and responses of marine ecosystems to climate change, ecological thresholds of change, and strategies for marine conservation to promote adaptation. Increasing observations of climate-related impacts on Australia’s marine ecosystems—both temperate and tropical—are making adaptive management more important than ever before. Our increased understanding of the impacts and responses of marine ecosystems to climate change provides a focus for “no-regrets” adaptations that can be implemented now and refined as knowledge improves.

  16. Alcohol consumption and risk of recurrent cardiovascular events and mortality in patients with clinically manifest vascular disease and diabetes mellitus: The Second Manifestations of ARTerial (SMART) disease study

    NARCIS (Netherlands)

    Beulens, J.W.J.; Algra, A.; Soedamah-Muthu, S.S.; Visseren, F.L.J.; Grobbee, D.E.; Graaf, van der Y.

    2010-01-01

    OBJECTIVE: This study investigated the relation between alcohol consumption and specific vascular events and mortality in a high risk population of patients with clinical manifestations of vascular disease and diabetes. METHODS: Patients with clinically manifest vascular disease or diabetes (n=5447)

  17. An Agent-based Extensible Climate Control System for Sustainable Greenhouse Production

    DEFF Research Database (Denmark)

    Sørensen, Jan Corfixen; Jørgensen, Bo Nørregaard; Klein, Mark

    2011-01-01

    The slow adoption pace of new control strategies for sustainable greenhouse climate control by industrial growers is mainly due to the complexity of identifying and resolving potentially conflicting climate control requirements. In this paper, we present a multi-agent-based climate control system....... Negotiation is done using a novel multi-issue negotiation protocol that uses a generic algorithm to find an optimized solution within the search space. The Multi-Agent control system has been empirically evaluated in an ornamental floriculture research facility in Denmark. The evaluation showed...... that it is realistic to implement the climate control requirements as individual agents, thereby opening greenhouse climate control systems for integration of independently produced control strategies....

  18. Multiple aspects of climate change - Summary of presentations

    International Nuclear Information System (INIS)

    Andre, Jean-Claude; Bauer, Pierre; Le Treut, Herve; Woeppelmann, Guy; Kouraev, Alexei; Remy, Frederique; Berthier, Etienne; Lehodey, Patrick; Lebourgeois, Francois; Chuine, Isabelle; Vennetier, Michel; Duchene, Eric; Lafaye, Murielle

    2011-01-01

    The French Meteorological Society (SMF) organized its annual scientific day on March 23, 2011 on the topic of the multiple aspects of climate change. The aim was to take stock of the lessons learnt from the different meteorological markers in several domains (agriculture, forests, ecosystems, rise of sea level, changes in marine biodiversity, health, snow and ice caps..). This paper summarizes the seven presentations given at this meeting: 1 - climate change today and tomorrow (H. Le Treut); 2 - rise of oceans level: estimations and regional variability (G. Woeppelmann); 3 - polar caps and continental cryo-sphere as seen from space (A. Kouraev, F. Remy and E. Berthier); 4 - impact of climate change on exploited marine populations: projections and uncertainties (P. Lehodey); 5 - stakes of climate change on agricultural and winery activities in France (E. Duchene); 6 - impact of climate change on forest trees phenology and consequence on their survival and operation (F. Lebourgeois, I. Chuine and M. Vennetier); 7 - 'tele-epidemiology': a health-aid in a climate change context. (J.S.)

  19. TUNDRA IN A CHANGING CLIMATE

    Directory of Open Access Journals (Sweden)

    Terry Callaghan

    2011-01-01

    Full Text Available Both palaeogeographical reconstructions and general circulation models indicate that global warming is especially strongly manifested in high latitudes. Under a 2°C increase in mean global temperature, almost the entire modern tundra zone would become potentially suitable for tree growth. Nevertheless, palaeobotanic data cannot be applied directly to estimating vegetation response to the global warming expected in the 21st century, as they characterize a quasi-equilibrium state of ecosystems, which takes several centuries to be achieved. Low migration rates of trees, damage caused by fires and insects, processes of soil drying or paludification, and influence of herbivorous animals and human activities may slow down considerably forest spread in tundra. Climate warming will probably cause a decline in the populations of Arctic species and expansion of ranges of some southern animal species into the Arctic.

  20. Chronic polyarthritis as isolated manifestation of toxocariasis.

    Science.gov (United States)

    Viola, Gabriela R; Giacomin, Maria Fernanda A; França, Camila M P; Sallum, Adriana M E; Jacob, Cristina M A; Silva, Clovis A

    2016-01-01

    Human toxocariasis is a parasitic zoonosis mainly caused by Toxocara canis or Toxocara cati and is acquired by ingestion of the parasite's embryonated eggs. Arthralgia and/or arthritis were reported in up to 17% of the cases, generally with acute duration (less than 6 weeks). However, to our knowledge, chronic polyarthritis, as the isolated presentation of Toxocara infection, was not reported. One of the 5809 patients that was followed up at our service (0.017%) had chronic polyarthritis as the single manifestation of toxocariasis and was described herein. A 3-year-old girl was referred to our service with severe painful chronic polyarthritis for a period longer than 10 weeks and morning stiffness of 30min. Dog contact exposure history in the recreational areas of neighborhood was reported. Her exams showed high levels of eosinophils in peripheral blood (29%), bone marrow aspirate revealed marked eosinophilia (32%) and Toxocara enzyme-linked immunosorbent assay (Elisa) was positive (1:1280). She was treated with paracetamol (40mg/kg/day) and thiabendazole (25mg/kg/day) for 10 days, and all manifestations reduced. After eight months of follow-up, she was on clinical and laboratorial remission. In conclusion, we described a case of chronic polyarthritis, as isolated manifestation of toxocariasis, mimicking juvenile idiopathic arthritis and leukemia. Importantly, this zoonosis should be considered in patients with arthritis and eosinophilia. Copyright © 2014 Elsevier Editora Ltda. All rights reserved.

  1. Antiphospholipid antibody: laboratory, pathogenesis and clinical manifestations

    Directory of Open Access Journals (Sweden)

    T. Ziglioli

    2011-06-01

    Full Text Available Antiphospholipid antibodies (aPL represent a heterogeneous group of antibodies that recognize various antigenic targets including beta2 glycoprotein I (β2GPI, prothrombin (PT, activated protein C, tissue plasminogen activator, plasmin and annexin A2. The most commonly used tests to detect aPL are: lupus anticoagulant (LAC, a functional coagulation assay, anticardiolipin antibody (aCL and anti-β2GPI antibody (anti-β2GPI, which are enzyme-linked immunoassay (ELISA. Clinically aPL are associated with thrombosis and/or with pregnancy morbidity. Apparently aPL alone are unable to induce thrombotic manifestations, but they increase the risk of vascular events that can occur in the presence of another thrombophilic condition; on the other hand obstetrical manifestations were shown to be associated not only to thrombosis but mainly to a direct antibody effect on the trophoblast.

  2. Acute dacryocystitis: another clinical manifestation of sporotrichosis.

    Science.gov (United States)

    Freitas, Dayvison Francis Saraiva; Lima, Iluska Augusta Rocha; Curi, Carolina Lemos; Jordão, Livia; Zancopé-Oliveira, Rosely Maria; Valle, Antonio Carlos Francesconi do; Galhardo, Maria Clara Gutierrez; Curi, Andre Luiz Land

    2014-04-01

    Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.

  3. Radiographic manifestations of reperfusion edema after transplantation

    International Nuclear Information System (INIS)

    Park, Se Young; Kim, Tae Hoon; Ryu, Young Hoon; Moon, Sung Wook; Kim, Hyung Joong; Ahn, Chul Min; Paik, Hyo Chae; Lee, Doo Yun; Kim, Sang Jin

    2003-01-01

    To elucidate the sequential radiologic manifestations of reperfusion edema after lung transplantation. The study group comprised five consecutive lung transplant recipients (M:F=3:2;mean age; 47.5 years) who between July 1996 and April 2002 underwent lung transplantation procedures (four, unilateral; one, bilateral) at our institution. We retrospectively reviewed the serial postoperative radiographs obtained and characterized the lung infiltrates. Lung infiltrates compatible with reperfusion edema were present in all patients (5/5). Reperfusion edema appeared on day 1 in four, and by day 2 in the other. In all transplanted lungs, infiltrates were found in the perihilar and basilar regions, and were scored as maximal on day 1 in one, day 3 in two, day 4 in one and day 5 in the other. The recognition of sequential radiological manifestations helps identify recognition of reperfusion edema after lung transplantation

  4. Accurately measuring sea level change from space: an ESA climate change initiative for MSL closure budget studies

    Science.gov (United States)

    Legeais, JeanFrancois; Benveniste, Jérôme

    2016-07-01

    Sea level is a very sensitive index of climate change and variability. Sea level integrates the ocean warming, mountain glaciers and ice sheet melting. Understanding the sea level variability and changes implies an accurate monitoring of the sea level variable at climate scales, in addition to understanding the ocean variability and the exchanges between ocean, land, cryosphere, and atmosphere. That is why Sea Level is one of the Essential Climate Variables (ECV) selected in the frame of the ESA Climate Change Initiative (CCI) program. It aims at providing long-term monitoring of the sea level ECV with regular updates, as required for climate studies. The program is now in its second phase of 3 year (following phase I during 2011-2013). The objectives are firstly to involve the climate research community, to refine their needs and collect their feedbacks on product quality. And secondly to develop, test and select the best algorithms and standards to generate an updated climate time series and to produce and validate the Sea Level ECV product. This will better answer the climate user needs by improving the quality of the Sea Level products and maintain a sustain service for an up-to-date production. This has led to the production of a first version of the Sea Level ECV which has benefited from yearly extensions and now covers the period 1993-2014. Within phase II, new altimeter standards have been developed and tested in order to reprocess the dataset with the best standards for climate studies. The reprocessed ECV will be released in summer 2016. We will present the main achievements of the ESA CCI Sea Level Project. On the one hand, the major steps required to produce the 22 years climate time series are briefly described: collect and refine the user requirements, development of adapted algorithms for climate applications and specification of the production system. On the other hand, the product characteristics are described as well as the results from product

  5. Urological manifestations of Duchenne muscular dystrophy.

    Science.gov (United States)

    Askeland, Eric J; Arlen, Angela M; Erickson, Bradley A; Mathews, Katherine D; Cooper, Christopher S

    2013-10-01

    Duchenne muscular dystrophy is a dystrophinopathy affecting males that is associated with multiple organ system complications. To our knowledge urological complications of Duchenne muscular dystrophy have been described only anecdotally to date. We reviewed the medical charts of 135 patients with Duchenne or Duchenne-Becker muscular dystrophy for demographics and disease progression, urological diagnoses, intervention and followup. Of 135 patients 67 (50%) had at least 1 documented urological diagnosis and 38 (28%) had multiple manifestations. Lower urinary tract symptoms were the most common urological diagnosis (32% of patients). Survival analysis revealed a median age at onset of lower urinary tract symptoms of 23 years (95% CI 17.7-23.9). Intervention was required in 12 patients (9%), most commonly due to nephrolithiasis. Urological morbidity increased with Duchenne muscular dystrophy progression when stratified by clinical progression. Lower urinary tract symptoms were more common in nonambulatory patients (40.7% vs 19%, p = 0.007), those with a diagnosis of scoliosis (44% vs 19.7%, p = 0.003) and/or scoliosis spine surgery (60% vs 22%, p <0.001), and those on invasive respiratory support (53% vs 29%, p = 0.046). Likewise, nephrolithiasis was more common in nonambulatory patients (10% vs 0%, p = 0.017), those with scoliosis (12% vs 0%, p = 0.004) and/or scoliosis spine surgery (20% vs 1%, p <0.001), and those on invasive respiratory support (29% vs 3%, p <0.001). Only 28% of patients with a urological manifestation were referred to urology. As these patients transition into adolescence and adulthood, the increased prevalence of urological manifestations warrants increased awareness and referral to urologists. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  6. Examining Educational Climate Change Technology: How Group Inquiry Work with Realistic Scientific Technology Alters Classroom Learning

    Science.gov (United States)

    Bush, Drew; Sieber, Renee; Seiler, Gale; Chandler, Mark

    2018-01-01

    This study with 79 students in Montreal, Quebec, compared the educational use of a National Aeronautics and Space Administration (NASA) global climate model (GCM) to climate education technologies developed for classroom use that included simpler interfaces and processes. The goal was to show how differing climate education technologies succeed…

  7. Land use allocation model considering climate change impact

    Science.gov (United States)

    Lee, D. K.; Yoon, E. J.; Song, Y. I.

    2017-12-01

    In Korea, climate change adaptation plans are being developed for each administrative district based on impact assessments constructed in various fields. This climate change impact assessments are superimposed on the actual space, which causes problems in land use allocation because the spatial distribution of individual impacts may be different each other. This implies that trade-offs between climate change impacts can occur depending on the composition of land use. Moreover, the actual space is complexly intertwined with various factors such as required area, legal regulations, and socioeconomic values, so land use allocation in consideration of climate change can be very difficult problem to solve (Liu et al. 2012; Porta et al. 2013).Optimization techniques can generate a sufficiently good alternatives for land use allocation at the strategic level if only the fitness function of relationship between impact and land use composition are derived. It has also been noted that land use optimization model is more effective than the scenario-based prediction model in achieving the objectives for problem solving (Zhang et al. 2014). Therefore in this study, we developed a quantitative tool, MOGA (Multi Objective Genetic Algorithm), which can generate a comprehensive land use allocations considering various climate change impacts, and apply it to the Gangwon-do in Korea. Genetic Algorithms (GAs) are the most popular optimization technique to address multi-objective in land use allocation. Also, it allows for immediate feedback to stake holders because it can run a number of experiments with different parameter values. And it is expected that land use decision makers and planners can formulate a detailed spatial plan or perform additional analysis based on the result of optimization model. Acknowledgments: This work was supported by the Korea Ministry of Environment (MOE) as "Climate Change Correspondence Program (Project number: 2014001310006)"

  8. Two Scan Heads are Better Than One: Integration of a Second Scan Pedestal for Co-manifesting CoSMIR, CoSSIR, and/or HyMAS

    Data.gov (United States)

    National Aeronautics and Space Administration — Simultaneous observations of atmospheric water vapor, temperature and clouds are essential to improving climate and weather models. Measurements of cloud ice and...

  9. Climate Change and Vector Borne Diseases on NASA Langley Research Center

    Science.gov (United States)

    Cole, Stuart K.; DeYoung, Russell J.; Shepanek, Marc A.; Kamel, Ahmed

    2014-01-01

    Increasing global temperature, weather patterns with above average storm intensities, and higher sea levels have been identified as phenomena associated with global climate change. As a causal system, climate change could contribute to vector borne diseases in humans. Vectors of concern originate from the vicinity of Langley Research Center include mosquitos and ticks that transmit disease that originate regionally, nationwide, or from outside the US. Recognizing changing conditions, vector borne diseases propagate under climate change conditions, and understanding the conditions in which they may exist or propagate, presents opportunities for monitoring their progress and mitigating their potential impacts through communication, continued monitoring, and adaptation. Personnel comprise a direct and fundamental support to NASA mission success, continuous and improved understanding of climatic conditions, and the resulting consequence of disease from these conditions, helps to reduce risk in terrestrial space technologies, ground operations, and space research. This research addresses conditions which are attributed to climatic conditions which promote environmental conditions conducive to the increase of disease vectors. This investigation includes evaluation of local mosquito population count and rainfall data for statistical correlation and identification of planning recommendations unique to LaRC, other NASA Centers to assess adaptation approaches, Center-level planning strategies.

  10. Future climate and wildfire: ecosystem projections of area burned in the western US

    Science.gov (United States)

    Littell, J. S.; Duffy, P.; Battisti, D. S.; McKenzie, D.; Peterson, D. L.

    2010-12-01

    The area burned by fire in ecosystems of the western United States has been closely linked to climate in the paleoecological record and in the modern record. Statistical models of area burned show that the climatic controls on area burned vary with vegetation type (Littell et al. 2009). In more arid or systems (grasslands, shrublands, woodlands), antecedent climatic controls on fire were associated first with the production of fuels and secondarily with drought in the year of fire. These relationships typically manifested as wetter and sometimes cooler conditions in the seasons prior to the fire season. Area burned in forest ecosystems and some woodlands was primarily associated with drought conditions, specifically increased temperature and decreased precipitation in the year of fire and the seasons leading up to the fire season. These climatic controls indicate the role of climate in drying existing fuels. Statistical fire models trained on the late 20th century for ecoprovinces in the West would be useful for projecting area burned, at least until vegetation type conversion driven by climate and disturbance occurs. To that end, we used ~ 2.5 degree gridded future climate fields derived for a multi-GCM ensemble of 1C and 2C temperature increase forcing to develop future ecoprovince monthly and seasonal average temperature and associated precipitation and used these as predictors in statistical fire models of future projected area burned. We also conducted modeling scenarios with the ensemble temperature increase paired with historical precipitation. Most ecoprovinces had increases in area burned, with a range of ~ 67% to over 600% . Ecoprovinces that are primarily sensitive to precipitation changes exhibit smaller increases than those most sensitive to temperature (forest systems). We also developed exceedance probabilities. Some ecoprovinces show large increases in area burned but low exceedance probabilities, suggest that the area burned is concentrated more

  11. Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients

    International Nuclear Information System (INIS)

    Schuknecht, B.; Stergiou, G.; Graetz, K.

    2008-01-01

    Propagation of odontogenic masticator space abscesses is insufficiently understood. The purpose was to analyse pathways of spread in 30 patients with odontogenic masticator space abscess. The imaging findings in 30 patients (CT in 30, MR in 16 patients) were retrospectively analysed. CT and MR imaging depicted a masticator space abscess within: medial pterygoid muscle in 13 patients (43.3%), lateral masseter and/or pterygoid muscle in 14 (46.7%) and superficial temporal muscle in 3 patients (10%). In the lateral masticator space intra-spatial abscess extension occurred in 7 of 14 patients (50%). The sub-masseteric space provided a pathway in seven (70%). Extra-spatial extension involved the submandibular space only in 3 of 14 patients (21.4%). Medial masticator space abscesses exhibited extra-spatial spread only. Extension affected the parapharyngeal space and/or soft palate in 7 of 13 lesions (53.8%). MR imaging in comparison to CT increased the number of abscess locations from 18 to 23 (27.8%) and regions affected by a cellular infiltrate from 12 to 16 (33.3%). The sub-masseteric space served as a previously underestimated pathway for intra-spatial propagation of lateral masticator abscesses. Medial masticator space abscesses tend to display early extra-spatial parapharyngeal space and/or soft palate extension. (orig.)

  12. Cutaneous manifestations of non-Hodgkin's lymphoma.

    Science.gov (United States)

    Kumar, S S; Kuruvilla, M; Pai, G S; Dinesh, M

    2003-01-01

    Thirty-two confirmed cases of non -Hodgkin's lymphoma (NHL) were examined for cutaneous manifestations for a period of 2 years from November 1998 in KMC Hospital Attavar, Mangalore. Cutaneous manifestations in the study group were compared to a control group of 32 patients. Specific infiltrates were present in all (5/5) CTCL patients and one out of twenty-seven patients with low grade NHL. Morphologically they presented as papules, plaques, nodules and erythroderma. Infective conditions seen in the study group were superficial fungal (7/32) and viral infections (2/ 32). Non-infective conditions were acquired ichthyosis (10/32), generalised pruritus (5/32), insect bite reaction (1/32) and drug eruption (1/32). When compared to control patients only acquired ichthyosis and generalised pruritus were found to be statistically significant. The study group also showed changes due to chemotherapy like diffuse alopecia (24/29), bluish pigmentation of proximal part of nail (4/29), localised pigmentation of palms and soles (1 /29), diffuse pigmentation at injection site (1 /29), pigmentation at scar site (1 /29) and stomatitis (4/29).

  13. Vulnerability Assessment, Climate Change Impacts and Adaptation Measures in Slovenia

    Science.gov (United States)

    Cegnar, T.

    2010-09-01

    In relation to the priority tasks of the climate change measures, the Republic of Slovenia estimates that special attention needs to be devoted to the following sectors in general: - sectors that currently indicate a strong vulnerability for the current climate variability (for instance, agriculture), - sectors where the vulnerability for climate change is increased by current trends (for instance, urban development, use of space), - sectors where the adaptation time is the longest and the subsequent development changes are connected with the highest costs (for instance, use of space, infrastructural objects, forestry, urban development, building stock). Considering the views of Slovenia to the climate change problem in Europe and Slovenia, priority measures and emphasis on future adaptation to climate change, the Republic of Slovenia has especially exposed the following action areas: - sustainable and integrated management of water sources for water power production, prevention of floods, provision of water for the enrichment of low flow rates, and preservation of environmental function as well as provision of water for other needs; - sustainable management of forest ecosystems, adjusted to changes, for the provision of their environmental function as well as being a source of biomass, wood for products for the conservation of carbon, and carbon sinks; - spatial planning as one of the important preventive instruments for the adaptation to climate change through the processes of integral planning of spatial and urban development; - sustainable use and preservation of natural wealth and the preservation of biodiversity as well as ecosystem services with measures and policies that enable an enhanced resistance of ecosystems to climate change, and the role of biological diversity in integral adaptation measures; - informing and awareness on the consequences of climate change and adaptation possibilities. For years, the most endangered sectors have been agriculture and

  14. Climate Outreach Using Regional Coastal Ocean Observing System Portals

    Science.gov (United States)

    Anderson, D. M.; Hernandez, D. L.; Wakely, A.; Bochenek, R. J.; Bickel, A.

    2015-12-01

    Coastal oceans are dynamic, changing environments affected by processes ranging from seconds to millennia. On the east and west coast of the U.S., regional observing systems have deployed and sustained a remarkable diverse array of observing tools and sensors. Data portals visualize and provide access to real-time sensor networks. Portals have emerged as an interactive tool for educators to help students explore and understand climate. Bringing data portals to outreach events, into classrooms, and onto tablets and smartphones enables educators to address topics and phenomena happening right now. For example at the 2015 Charleston Science Technology Engineering and Math (STEM) Festival, visitors navigated the SECOORA (Southeast Coastal Ocean Observing regional Association) data portal to view the real-time marine meteorological conditions off South Carolina. Map-based entry points provide an intuitive interface for most students, an array of time series and other visualizations depict many of the essential principles of climate science manifest in the coastal zone, and data down-load/ extract options provide access to the data and documentation for further inquiry by advanced users. Beyond the exposition of climate principles, the portal experience reveals remarkable technologies in action and shows how the observing system is enabled by the activity of many different partners.

  15. Radiologic manifestations in the musculoskeletal system of miscellaneous endocrine disorders.

    Science.gov (United States)

    Chew, F S

    1991-01-01

    The manifestations of endocrine derangements in the musculoskeletal system in infancy and childhood are disturbances in growth and maturation and in adulthood are disturbances in maintenance and metabolism. Hypercortisolism during skeletal immaturity suppresses growth. In the adult, hypercortisolism leads to osteoporosis, osteonecrosis, and muscle wasting. Deficiency of growth hormone during skeletal development results in short stature. An excess of growth hormone in a skeletally immature individual results in gigantism, an excess in a skeletally mature individual results in acromegaly. Patients with gigantism have extreme height with normal body proportions. Musculoskeletal manifestations of acromegaly include soft-tissue thickening, vertebral body enlargement, characteristic hand and foot changes, and enthesal bony proliferation. Hyperthyroidism causes catabolism of protein and loss of connective tissue, which manifest as muscle wasting. Deficient levels of thyroid hormone cause defects in growth and development. Severe growth retardation from congenital hypothyroidism is rare because neonatal screening recognizes the disorder and leads to early treatment. The skeletal manifestation of hypergonadism in children is precocious growth and early skeletal maturation. Although the initial precocious growth spurt results in a tall child, early closure of the growth plates results in a short adult. Hypogonadism in the prepubertal child results in delayed adolescence and delayed skeletal maturation. Diabetes mellitus in childhood results in decreased growth, a phenomenon presumed to be secondary to nutritional abnormalities. Generalized osteoporosis and short stature are common. In the adult, generalized osteoporosis may accompany insulin-dependent diabetes mellitus if obesity is absent. Calcification of interdigital arteries of the foot is common in diabetics and uncommon in other conditions. Additional skeletal manifestations relate to complications of diabetes such as

  16. Cutaneous manifestations in patients with chronic renal failure on hemodialysis

    Directory of Open Access Journals (Sweden)

    Udayakumar P

    2006-01-01

    Full Text Available Background: Chronic renal failure (CRF presents with an array of cutaneous manifestations. Newer changes are being described since the advent of hemodialysis, which prolongs the life expectancy, giving time for these changes to manifest. Aim: The aim of this study was to evaluate the prevalence of dermatologic problems among patients with chronic renal failure (CRF undergoing hemodialysis. Methods: One hundred patients with CRF on hemodialysis were examined for cutaneous changes. Results: Eighty-two per cent patients complained of some skin problem. However, on examination, all patients had at least one skin lesion attributable to CRF. The most prevalent finding was xerosis (79%, followed by pallor (60%, pruritus (53% and cutaneous pigmentation (43%. Other cutaneous manifestations included Kyrle′s disease (21%; fungal (30%, bacterial (13% and viral (12% infections; uremic frost (3%; purpura (9%; gynecomastia (1%; and dermatitis (2%. The nail changes included half and half nail (21%, koilonychia (18%, onychomycosis (19%, subungual hyperkeratosis (12%, onycholysis (10%, splinter hemorrhages (5%, Mees′ lines (7%, Muehrcke′s lines (5% and Beau′s lines (2%. Hair changes included sparse body hair (30%, sparse scalp hair (11% and brittle and lusterless hair (16%. Oral changes included macroglossia with teeth markings (35%, xerostomia (31%, ulcerative stomatitis (29%, angular cheilitis (12% and uremic breath (8%. Some rare manifestations of CRF like uremic frost, gynecomastia and pseudo-Kaposi′s sarcoma were also observed. Conclusions: CRF is associated with a complex array of cutaneous manifestations caused either by the disease or by treatment. The commonest are xerosis and pruritus and the early recognition of cutaneous signs can relieve suffering and decrease morbidity.

  17. Musculoskeletal manifestations and autoantibodies in children and adolescents with leprosy

    Directory of Open Access Journals (Sweden)

    Luciana Neder

    2014-09-01

    Full Text Available Objective: To evaluate musculoskeletal involvement and autoantibodies in pediatric leprosy patients. Methods: 50 leprosy patients and 47 healthy children and adolescents were assessed according to musculoskeletal manifestations (arthralgia, arthritis, and myalgia, musculoskeletal pain syndromes (juvenile fibromyalgia, benign joint hypermobility syndrome, myofascial syndrome, and tendinitis, and a panel of autoantibodies and cryoglobulins. Health assessment scores and treatment were performed in leprosy patients. Results: At least one musculoskeletal manifestation was observed in 14% of leprosy patients and in none of the controls. Five leprosy patients had asymmetric polyarthritis of small hands joints. Nerve function impairment was observed in 22% of leprosy patients, type 1 leprosy reaction in 18%, and silent neuropathy in 16%. None of the patients and controls presented musculoskeletal pain syndromes, and the frequencies of all antibodies and cyoglobulins were similar in both groups (p > 0.05. Further analysis of leprosy patients demonstrated that the frequencies of nerve function impairment, type 1 leprosy reaction, and silent neuropathy were significantly observed in patients with versus without musculoskeletal manifestations (p = 0.0036, p = 0.0001, and p = 0.309, respectively, as well as multibacillary subtypes in leprosy (86% vs. 42%, p = 0.045. The median of physicians' visual analog scale (VAS, patients' VAS, pain VAS, and Childhood Health Assessment Questionnaire (CHAQ were significantly higher in leprosy patients with musculoskeletal manifestations (p = 0.0001, p = 0.002, p = 0002, and p = 0.001, respectively. Conclusions: This was the first study to identify musculoskeletal manifestations associated with nerve dysfunction in pediatric leprosy patients. Hansen's disease should be included in the differential diagnosis of asymmetric arthritis, especially in endemic regions.

  18. [Atypical manifestations in familial type 1 Waardenburg syndrome].

    Science.gov (United States)

    Sans, B; Calvas, P; Bazex, J

    1998-01-01

    Waardenburg syndrome is an uncommon genetic disorder. Four clinical types are recognized. Three responsible genes have been identified (PAX 3: for type I syndrome, MITF and EDN3 for types II and IV respectively). We report the case of a patient with Waardenburg type I morphotype who had atypical neurological manifestations. Decisive elements for diagnosis were the presence of Waardenburg syndrome in the family and, in affected kin, a mutation causing a shift in PAX 3 gene reading. This case confirms the variability of Waardenburg signs within one family. The association of unusual neurological manifestations in the proband suggested that Vogt Koyanagi Harada disease may have been associated and may show some relationship with familial Waardenburg syndrome.

  19. Empirically Derived and Simulated Sensitivity of Vegetation to Climate Across Global Gradients of Temperature and Precipitation

    Science.gov (United States)

    Quetin, G. R.; Swann, A. L. S.

    2017-12-01

    Successfully predicting the state of vegetation in a novel environment is dependent on our process level understanding of the ecosystem and its interactions with the environment. We derive a global empirical map of the sensitivity of vegetation to climate using the response of satellite-observed greenness and leaf area to interannual variations in temperature and precipitation. Our analysis provides observations of ecosystem functioning; the vegetation interactions with the physical environment, across a wide range of climates and provide a functional constraint for hypotheses engendered in process-based models. We infer mechanisms constraining ecosystem functioning by contrasting how the observed and simulated sensitivity of vegetation to climate varies across climate space. Our analysis yields empirical evidence for multiple physical and biological mediators of the sensitivity of vegetation to climate as a systematic change across climate space. Our comparison of remote sensing-based vegetation sensitivity with modeled estimates provides evidence for which physiological mechanisms - photosynthetic efficiency, respiration, water supply, atmospheric water demand, and sunlight availability - dominate the ecosystem functioning in places with different climates. Earth system models are generally successful in reproducing the broad sign and shape of ecosystem functioning across climate space. However, this general agreement breaks down in hot wet climates where models simulate less leaf area during a warmer year, while observations show a mixed response but overall more leaf area during warmer years. In addition, simulated ecosystem interaction with temperature is generally larger and changes more rapidly across a gradient of temperature than is observed. We hypothesize that the amplified interaction and change are both due to a lack of adaptation and acclimation in simulations. This discrepancy with observations suggests that simulated responses of vegetation to

  20. Recurrent episodic acute kidney injury as presenting manifestation of mitochondrial myopathy

    Directory of Open Access Journals (Sweden)

    T P Matthai

    2014-01-01

    Full Text Available Mitochondrial cytopathies (MC are a rare heterogenous group of disorders with frequent multisystem involvement including uncommon renal manifestations. Acute kidney injury (AKI as the primary manifestation of MC is extremely rare. Here, we report a case of recurrent episodic AKI in an adult male who was subsequently diagnosed to have mitochondrial disease.

  1. Neurological manifestations of snake bite in Sri Lanka.

    Directory of Open Access Journals (Sweden)

    Seneviratne U

    2002-10-01

    Full Text Available BACKGROUND AND AIMS: Snake bite is an important cause of mortality and morbidity in certain parts of Sri Lanka. This study was designed to determine the offending snakes, neurological manifestations, disease course, and outcome in neurotoxic envenomation. METHODS AND MATERIAL: Fifty six consecutive patients admitted with neurological manifestations following snake bite were studied prospectively. Data were obtained regarding the offending snakes, neurological symptoms, time taken for onset of symptoms, neurological signs, and time taken for recovery. RESULTS: The offending snake was Russell′s viper in 27(48.2%, common and Sri Lankan krait in 19(33.9%, cobra in 3(5.4%, and unidentified in 7(12.5%. Ptosis was the commonest neurological manifestation seen in 48(85.7% followed by ophthalmoplegia (75%, limb weakness (26.8%, respiratory failure (17.9%, palatal weakness (10.7%, neck muscle weakness (7.1%, and delayed sensory neuropathy (1.8%. Neurological symptoms were experienced usually within 6 hours after the bite. Following administration of antivenom, the signs of recovery became evident within a few hours to several days. The duration for complete recovery ranged from four hours to two weeks. CONCLUSIONS: Complete recovery of neuromuscular weakness was observed in all patients except for one who died with intracerebral haemorrhage shortly after admission.

  2. Respiratory manifestations of gastro-oesophageal reflux in children.

    Science.gov (United States)

    de Benedictis, Fernando Maria; Bush, Andrew

    2018-03-01

    Gastro-oesophageal reflux disease (GORD) is a complex problem in children. Suspected respiratory manifestations of GORD, such as asthma, chronic cough and laryngitis, are commonly encountered in the paediatric practice, but continue to be entities with more questions than answers. The accuracy of diagnostic tests (ie, pH or pH-impedance monitoring, laryngoscopy, endoscopy) for patients with suspected extraoesophageal manifestations of GORD is suboptimal and therefore whether there is a causal relationship between these conditions remains largely undetermined. An empiric trial of proton pump inhibitors can help individual children with undiagnosed respiratory symptoms and suspicion of GORD, but the response to therapy is unpredictable, and in any case what may be being observed is spontaneous improvement. Furthermore, the safety of these agents has been called into question. Poor response to antireflux therapy is an important trigger to search for non-gastro-oesophageal reflux causes for patients' symptoms. Evidence for the assessment of children with suspected extraoesophageal manifestations of GORD is scanty and longitudinal studies with long-term follow-up are urgently required. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  3. Building an Open Data Portal for the European Space Agency Climate Change Initiative based on an Iterative Development Methodology and Linked Data Technologies

    Science.gov (United States)

    Kershaw, P.; Bennett, V. L.; Stephens, A.; Wilson, A.; Waterfall, A. M.; Petrie, R.; Iwi, A.; Donegan, S.; Juckes, M. N.; Parton, G.

    2016-12-01

    The Climate Change Initiative (CCI) programme was initiated by the European Space Agency (ESA) in 2009 to address the GCOS Essential Climate Variable (ECV) requirements to provide stable, long-term, satellite-based data products to characterise the climate system and its changes. CEDA, working as part of a project consortium, were awarded the contract to build the Open Data Portal, consisting collectively of a central archive and single point of access for dissemination of the data to the international user community. Reflecting climate and earth observation community requirements, the system needed to support a range of access services in use by this domain and specifically, to integrate into existing infrastructure in the form of the Earth System Grid Federation (ESGF). This range of requirements together with the heterogeneity of the ECV datasets presented significant challenges. However, the use of Linked Data technologies and an iterative approach to data model development and data publishing have been instrumental in meeting the objectives and building a cohesive system. The portal supports data discovery based on the OGC CSW specification and on ESGF's powerful faceted search. These services provide complementary content at different levels of granularity and it therefore became clear that a common data model was needed. Key terms are defined in vocabularies serialised in SKOS and OWL and are accessible from a central vocabulary server to provide a single authoritative source for applications consuming metadata content. Exploiting the vocabulary service therefore, it has been possible to develop an innovative solution tagging ISO 19115 records for the CSW with the equivalent vocabulary terms used for the ESGF faceted search system. In this way it has been possible to create a rich user interface for the portal combining search results from both search services and the ability to dynamically populate facet selection and context-based help information from the

  4. Daily precipitation statistics in regional climate models

    DEFF Research Database (Denmark)

    Frei, Christoph; Christensen, Jens Hesselbjerg; Déqué, Michel

    2003-01-01

    An evaluation is undertaken of the statistics of daily precipitation as simulated by five regional climate models using comprehensive observations in the region of the European Alps. Four limited area models and one variable-resolution global model are considered, all with a grid spacing of 50 km...

  5. [Streptococcus suis infection--clinical manifestations].

    Science.gov (United States)

    Dragojlović, Julijana; Milosević, Branko; Sasić, Neda; Pelemis, Mijomir; Sasić, Milan

    2005-01-01

    Streptococcus suis is a bacterium causing a disease in pigs and rarely in humans. This zoonosis is mostly found as a sporadic disease in individuals that were in contact with the affected or infected pigs: farmers, veterinarians and workers engaged in fresh pork processing. It is assumed that the bacterium enters the body through a cut abrasion in the skin. Initially, the condition resembles a flu, followed by signs of bacteriemia and sepsis. The most frequent clinical manifestation of Streptococcus suis infection is meningitis, leading to hearing loss in over 75% of patients, and subsequent arthritis, endophtalmitis, endocarditis and pneumonia. Toxic shock syndrome with hemorhagic manifestations rarely develops. This study included five male patients aged 22 to 63 years treated in the Intensive Care Unit of the Institute of Infectious and Tropical Diseases in Belgrade, due to Streptococcus suis infection. The aim of this study was to point to the existence of this bacteria in our environment, to describe clinical manifestations of the disease and to point out the importance of its prevention. All patients had epidemiological evidence of being in contact with pork meat. There were no data about diseased pigs. The estimated incubation period was 4 to 8 days. All patients had meningeal signs. Clinical symptoms included shivering, fever, vomiting, headache, malaise, vertigo and tinitus. Three patients presented with alerterd level of awarrness. Four patients developed very severe bilateral hearing impairment, whereas one endophtalmtis and one developed endocarditis. The cerebrospinal fluid (CSF) was opalescent in four patients, and only one patient presented with clear CSF. CSF examination showed typical changes characteristic for bacterial meningitis. Streptoccocus suis was isolated in CSF in all patients, and in one patient the bacteria was isolated in blood as well. All patients underwent treatement with II and III generation cephalosporins and one with one

  6. The role of Canada's national parks in a changed climate

    International Nuclear Information System (INIS)

    Lopoukhine, N.

    1991-01-01

    There is a requirement to manage national parks for completeness or wholeness, to maintain a functional ecosystem with all its parts, including processes, and to maintain biological diversity. Climate change has the potential to affect vegetation distribution, and will not merely manifest itself as a change in zones, but will be characterized by a flora with new dominants. Canadian national parks within the Prairie provinces are on or near ecotones, the transition from forest to tundra and grasslands. Forest fire frequency and severity is likely to increase, with the potential of transforming the boreal forest into remnant units. A flexible national system of designating areas must be devised to provide protection for the ephemeral biological systems which will be transformed and moved in response to climatic change. The adoption of adaptive management is critical, and should include monitoring, communication, protection through networks, and park service leadership. Benign neglect management must be replaced with management for wilderness. 15 refs

  7. Resolving the Aerosol Piece of the Global Climate Picture

    Science.gov (United States)

    Kahn, R. A.

    2017-12-01

    Factors affecting our ability to calculate climate forcing and estimate model predictive skill include direct radiative effects of aerosols and their indirect effects on clouds. Several decades of Earth-observing satellite observations have produced a global aerosol column-amount (AOD) record, but an aerosol microphysical property record required for climate and many air quality applications is lacking. Surface-based photometers offer qualitative aerosol-type classification, and several space-based instruments map aerosol air-mass types under favorable conditions. However, aerosol hygroscopicity, mass extinction efficiency (MEE), and quantitative light absorption, must be obtained from in situ measurements. Completing the aerosol piece of the climate picture requires three elements: (1) continuing global AOD and qualitative type mapping from space-based, multi-angle imagers and aerosol vertical distribution from near-source stereo imaging and downwind lidar, (2) systematic, quantitative in situ observations of particle properties unobtainable from space, and (3) continuing transport modeling to connect observations to sources, and extrapolate limited sampling in space and time. At present, the biggest challenges to producing the needed aerosol data record are: filling gaps in particle property observations, maintaining global observing capabilities, and putting the pieces together. Obtaining the PDFs of key particle properties, adequately sampled, is now the leading observational deficiency. One simplifying factor is that, for a given aerosol source and season, aerosol amounts often vary, but particle properties tend to be repeatable. SAM-CAAM (Systematic Aircraft Measurements to Characterize Aerosol Air Masses), a modest aircraft payload deployed frequently could fill this gap, adding value to the entire satellite data record, improving aerosol property assumptions in retrieval algorithms, and providing MEEs to translate between remote-sensing optical constraints

  8. Neurofibromatosis 1 vasculopathy manifesting as a peripheral aneurysm in an adolescent

    Energy Technology Data Exchange (ETDEWEB)

    Farmakis, Shannon G.; Khanna, Geetika [Washington University School of Medicine, Mallinckrodt Institute of Radiology, St. Louis, MO (United States); Han, Min; White, Frances [Washington University School of Medicine, Department of Pathology and Immunology, St. Louis, MO (United States)

    2014-10-15

    Arterial vasculopathy is a well-recognized but uncommon manifestation of neurofibromatosis type 1 (NF-1). It can manifest as stenoses, aneurysms or arteriovenous malformations. NF-1 vasculopathy typically involves the aorta, visceral arteries or carotid-vertebral circulation. Aortic and visceral vasculopathy typically presents as stenotic lesions, while aneurysms have been reported primarily in the subclavian/vertebral arteries. Aneurysms of the peripheral/extremity arteries are an extremely rare complication of NF-1 that may present as a mass or spontaneous rupture. We present the case of a teenage boy with an arm mass secondary to an aneurysm. We hope this case will increase recognition of the variable clinical manifestations of NF-1 vasculopathy among radiologists. (orig.)

  9. Human Pathophysiological Adaptations to the Space Environment

    Directory of Open Access Journals (Sweden)

    Gian C. Demontis

    2017-08-01

    Full Text Available Space is an extreme environment for the human body, where during long-term missions microgravity and high radiation levels represent major threats to crew health. Intriguingly, space flight (SF imposes on the body of highly selected, well-trained, and healthy individuals (astronauts and cosmonauts pathophysiological adaptive changes akin to an accelerated aging process and to some diseases. Such effects, becoming manifest over a time span of weeks (i.e., cardiovascular deconditioning to months (i.e., loss of bone density and muscle atrophy of exposure to weightlessness, can be reduced through proper countermeasures during SF and in due time are mostly reversible after landing. Based on these considerations, it is increasingly accepted that SF might provide a mechanistic insight into certain pathophysiological processes, a concept of interest to pre-nosological medicine. In this article, we will review the main stress factors encountered in space and their impact on the human body and will also discuss the possible lessons learned with space exploration in reference to human health on Earth. In fact, this is a productive, cross-fertilized, endeavor in which studies performed on Earth yield countermeasures for protection of space crew health, and space research is translated into health measures for Earth-bound population.

  10. Development and nationwide scale-up of Climate Matters, a localized climate change education program delivered by TV weathercasters.

    Science.gov (United States)

    Cullen, H. M.; Maibach, E.

    2016-12-01

    Most Americans view climate change as a threat that is distant in space (i.e., not here), time (i.e., not now), and species (i.e., not us). TV weathercasters are ideally positioned to educate Americans about the current and projected impacts of climate change in their community: they have tremendous reach, are trusted sources of climate information, and are highly skilled science communicators. In 2009, we learned that many weathercasters were potentially interested in reporting on climate change, but few actually were, citing significant barriers including a lack of time to prepare and air stories, and lack of access to high quality content. To test the premise that TV weathercasters can be effective climate educators - if supported with high quality localized climate communication content - in 2010 George Mason University, Climate Central and WLTX-TV (Columbia, SC) developed and pilot-tested Climate Matters, a series of short on-air (and online) segments about the local impacts of climate change, delivered by the station's chief meteorologist. During the first year, more than a dozen stories aired. To formally evaluate Climate Matters, we conducted pre- and post-test surveys of local TV news viewers in Columbia. After one year, WLTX viewers had developed a more science-based understanding of climate change than viewers of other local news stations, confirming our premise that when TV weathercasters report on the local implications of climate change, their viewers learn. Through a series of expansions, including the addition of important new partners - AMS, NASA, NOAA & Yale University - Climate Matters has become a comprehensive nationwide climate communication resource program for American TV weathercasters. As of March 2016, a network of 313 local weathercasters nationwide (at 202 stations in 111 media markets) are participating in the program, receiving new content on a weekly basis. This presentation will review the theoretical basis of the program, detail

  11. Complementarity among climate related energy sources: Sensitivity study to climate characteristics across Europe

    Science.gov (United States)

    Francois, Baptiste; Hingray, Benoit; Creutin, Jean-Dominique; Raynaud, Damien; Borga, Marco; Vautard, Robert

    2015-04-01

    Climate related energy sources like solar-power, wind-power and hydro-power are important contributors to the transitions to a low-carbon economy. Past studies, mainly based on solar and wind powers, showed that the power from such energy sources fluctuates in time and space following their driving climatic variables. However, when combining different energy sources together, their intermittent feature is smoothed, resulting to lower time variability of the produced power and to lower storage capacity required for balancing. In this study, we consider solar, wind and hydro energy sources in a 100% renewable Europe using a set of 12 regions following two climate transects, the first one going from the Northern regions (Norway, Finland) to the Southern ones (Greece, Andalucía, Tunisia) and the second one going from the oceanic climate (West of France, Galicia) to the continental one (Romania, Belorussia). For each of those regions, we combine wind and solar irradiance data from the Weather Research and Forecasting Model (Vautard et al., 2014), temperature data from the European Climate Assessment & Dataset (Haylock et al., 2008) and runoff from the Global Runoff Data Center (GRDC, 1999) for estimating solar-power, wind-power, run-of-the-river hydro-power and the electricity demand over a time period of 30 years. The use of this set of 12 regions across Europe allows integrating knowledge about time and space variability for each different energy sources. We then assess the optimal share of each energy sources, aiming to decrease the time variability of the regional energy balance at different time scales as well as the energy storage required for balancing within each region. We also evaluate how energy transport among regions contributes for smoothing out both the energy balance and the storage requirement. The strengths of this study are i) to handle with run-of-the-river hydro power in addition to wind and solar energy sources and ii) to carry out this analysis

  12. Neurological manifestations in HIV positive patients in Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Minoo Mohraz

    2014-02-01

    Full Text Available Objective: To evaluate the neurological complications among Iranian HIV-positive patients. Methods: This cross-sectional study was conducted among 428 patients diagnosed with HIV infection between 2006 and 2009 at Imam Khomeini hospital, Tehran, Iran. Demographic and clinical variables as well as laboratory tests were extracted and analyzed. Also, another 100 patients refereed to Voluntary Counseling and Testing center of the hospital were visited and evaluated for neurological complications. Results: Among the patients, neurologic manifestations were observed in 34 (7.94% patients. Twenty three percent of the patients received antiretroviral therapy. Identified causes included brain toxoplasmosis (14.7%, progressive multi-focal leuko encephalopathy (5.9%, HIV encephalopathy (5.9%, TB meningitis (5% and unknown etiologies (11.8%. Also, among 100 patients who were admitted and visited at the Voluntary Counseling and Testing center, no one was diagnosed for any neurological manifestations. Conclusions: According to our results, toxoplasmosis is the most frequent cause of neurological conditions among Iranian HIV infected patients and should be considered in any HIV/AIDS patient with neurological manifestations.

  13. Climate Literacy: Progress in AMS Climate Studies Undergraduate Course in Meteorology Program at Jackson State University

    Science.gov (United States)

    Reddy, S. R.

    2013-12-01

    AMS Climate Studies is an introductory college-level course developed by the American Meteorological Society for implementation at undergraduate institutions nationwide and increasing involvement of under-represented groups The course places students in a dynamic and highly motivational educational environment where they investigate Earth's climate system using real-world environmental data. The AMS Climate Studies course package consists of a textbook, investigations manual, course website, and course management system-compatible files. Instructors can use these resources in combinations that make for an exciting learning experience for their students. The AMS Climate Studies Diversity Project Workshop participation is on a first-come, first-serve basis as determined by the date-of-receipt of the License Order Form. To grow AMS Diversity Programs to their fullest extent, institutions are encouraged to nominate course instructors who did not previously attend Diversity Project workshops. Until three months before the workshop, two-thirds of the workshop positions would be reserved for institutions new to AMS Diversity Projects. The AMS five day course implementation workshop was held in Washington, DC, during May 24-29, 2012. It covered essential course topics in climate science and global climate change, and strategies for course implementation. Talks would feature climate science and sustainability experts from Federal agencies and area research institutions, such as NASA, NOAA, University of Maryland, Howard University, George Mason University, and other Washington, DC, area institutions. The workshop would also include visits to NASA Goddard Space Flight Center and NOAA's Climate Prediction Center. JSU Meteorology Program will be offering AMS Climate Studies undergraduate course under MET 210: Climatology in spring 2014. AMS Climate Studies is offered as a 3 credit hour laboratory course with 2 lectures and 1 lab sessions per week. Although this course places

  14. Performativity Double Standards and the Sexual Orientation Climate at a Southern Liberal Arts University.

    Science.gov (United States)

    Byron, Reginald A; Lowe, Maria R; Billingsley, Brianna; Tuttle, Nathan

    2017-01-01

    This study employs quantitative and qualitative methods to examine how heterosexual, bisexual, and gay students rate and describe a Southern, religiously affiliated university's sexual orientation climate. Using qualitative data, queer theory, and the concept tyranny of sexualized spaces, we explain why non-heterosexual students have more negative perceptions of the university climate than heterosexual male students, in both bivariate and multivariate analyses. Although heterosexual students see few problems with the campus sexual orientation climate, bisexual men and women describe being challenged on the authenticity of their orientation, and lesbian and, to a greater extent, gay male students report harassment and exclusion in a number of settings. These distinct processes are influenced by broader heteronormative standards. We also shed much-needed light on how gendered sexual performativity double standards within an important campus microclimate (fraternity parties) contribute to creating a tyrannical sexualized space and negatively affect overall campus climate perceptions.

  15. The Portuguese Climate Portal

    Science.gov (United States)

    Gomes, Sandra; Deus, Ricardo; Nogueira, Miguel; Viterbo, Pedro; Miranda, Miguel; Antunes, Sílvia; Silva, Alvaro; Miranda, Pedro

    2016-04-01

    The Portuguese Local Warming Website (http://portaldoclima.pt) has been developed in order to support the society in Portugal in preparing for the adaptation to the ongoing and future effects of climate change. The climate portal provides systematic and easy access to authoritative scientific data ready to be used by a vast and diverse user community from different public and private sectors, key players and decision makers, but also to high school students, contributing to the increase in knowledge and awareness on climate change topics. A comprehensive set of regional climate variables and indicators are computed, explained and graphically presented. Variables and indicators were built in agreement with identified needs after consultation of the relevant social partners from different sectors, including agriculture, water resources, health, environment and energy and also in direct cooperation with the Portuguese National Strategy for Climate Change Adaptation (ENAAC) group. The visual interface allows the user to dynamically interact, explore, quickly analyze and compare, but also to download and import the data and graphics. The climate variables and indicators are computed from state-of-the-art regional climate model (RCM) simulations (e.g., CORDEX project), at high space-temporal detail, allowing to push the limits of the projections down to local administrative regions (NUTS3) and monthly or seasonal periods, promoting local adaptation strategies. The portal provides both historical data (observed and modelled for the 1971-2000 period) and future climate projections for different scenarios (modelled for the 2011-2100 period). A large effort was undertaken in order to quantify the impacts of the risk of extreme events, such as heavy rain and flooding, droughts, heat and cold waves, and fires. Furthermore the different climate scenarios and the ensemble of RCM models, with high temporal (daily) and spatial (~11km) detail, is taken advantage in order to

  16. NASA's Space Launch System: A Flagship for Exploration Beyond Earth's Orbit

    Science.gov (United States)

    May, Todd A.

    2012-01-01

    The National Aeronautics and Space Administration's (NASA) Space Launch System (SLS) Program, managed at the Marshall Space Flight Center, is making progress toward delivering a new capability for exploration beyond Earth orbit in an austere economic climate. This fact drives the SLS team to find innovative solutions to the challenges of designing, developing, fielding, and operating the largest rocket in history. To arrive at the current SLS plan, government and industry experts carefully analyzed hundreds of architecture options and arrived at the one clear solution to stringent requirements for safety, affordability, and sustainability over the decades that the rocket will be in operation. This paper will explore ways to fit this major development within the funding guidelines by using existing engine assets and hardware now in testing to meet a first launch by 2017. It will explain the SLS Program s long-range plan to keep the budget within bounds, yet evolve the 70 metric ton (t) initial lift capability to 130-t lift capability after the first two flights. To achieve the evolved configuration, advanced technologies must offer appropriate return on investment to be selected through a competitive process. For context, the SLS will be larger than the Saturn V that took 12 men on 6 trips for a total of 11 days on the lunar surface over 4 decades ago. Astronauts train for long-duration voyages on the International Space Station, but have not had transportation to go beyond Earth orbit in modern times, until now. NASA is refining its mission manifest, guided by U.S. Space Policy and the Global Exploration Roadmap. Launching the Orion Multi-Purpose Crew Vehicle s (MPCV s) first autonomous certification flight in 2017, followed by a crewed flight in 2021, the SLS will offer a robust way to transport international crews and the air, water, food, and equipment they need for extended trips to asteroids, Lagrange Points, and Mars. In addition, the SLS will accommodate

  17. Ecological risk assessment in the context of global climate change.

    Science.gov (United States)

    Landis, Wayne G; Durda, Judi L; Brooks, Marjorie L; Chapman, Peter M; Menzie, Charles A; Stahl, Ralph G; Stauber, Jennifer L

    2013-01-01

    Changes to sources, stressors, habitats, and geographic ranges; toxicological effects; end points; and uncertainty estimation require significant changes in the implementation of ecological risk assessment (ERA). Because of the lack of analog systems and circumstances in historically studied sites, there is a likelihood of type III error. As a first step, the authors propose a decision key to aid managers and risk assessors in determining when and to what extent climate change should be incorporated. Next, when global climate change is an important factor, the authors recommend seven critical changes to ERA. First, develop conceptual cause-effect diagrams that consider relevant management decisions as well as appropriate spatial and temporal scales to include both direct and indirect effects of climate change and the stressor of management interest. Second, develop assessment end points that are expressed as ecosystem services. Third, evaluate multiple stressors and nonlinear responses-include the chemicals and the stressors related to climate change. Fourth, estimate how climate change will affect or modify management options as the impacts become manifest. Fifth, consider the direction and rate of change relative to management objectives, recognizing that both positive and negative outcomes can occur. Sixth, determine the major drivers of uncertainty, estimating and bounding stochastic uncertainty spatially, temporally, and progressively. Seventh, plan for adaptive management to account for changing environmental conditions and consequent changes to ecosystem services. Good communication is essential for making risk-related information understandable and useful for managers and stakeholders to implement a successful risk-assessment and decision-making process. Copyright © 2012 SETAC.

  18. Projective loop quantum gravity. I. State space

    Science.gov (United States)

    Lanéry, Suzanne; Thiemann, Thomas

    2016-12-01

    Instead of formulating the state space of a quantum field theory over one big Hilbert space, it has been proposed by Kijowski to describe quantum states as projective families of density matrices over a collection of smaller, simpler Hilbert spaces. Beside the physical motivations for this approach, it could help designing a quantum state space holding the states we need. In a latter work by Okolów, the description of a theory of Abelian connections within this framework was developed, an important insight being to use building blocks labeled by combinations of edges and surfaces. The present work generalizes this construction to an arbitrary gauge group G (in particular, G is neither assumed to be Abelian nor compact). This involves refining the definition of the label set, as well as deriving explicit formulas to relate the Hilbert spaces attached to different labels. If the gauge group happens to be compact, we also have at our disposal the well-established Ashtekar-Lewandowski Hilbert space, which is defined as an inductive limit using building blocks labeled by edges only. We then show that the quantum state space presented here can be thought as a natural extension of the space of density matrices over this Hilbert space. In addition, it is manifest from the classical counterparts of both formalisms that the projective approach allows for a more balanced treatment of the holonomy and flux variables, so it might pave the way for the development of more satisfactory coherent states.

  19. Matching species traits to projected threats and opportunities from climate change

    DEFF Research Database (Denmark)

    Garcia, Raquel A.; Bastos, Miguel; Burgess, Neil David

    2014-01-01

    Aim Climate change can lead to decreased climatic suitability within species' distributions, increased fragmentation of climatically suitable space, and/or emergence of newly suitable areas outside present distributions. Each of these extrinsic threats and opportunities potentially interacts...... with specific intrinsic traits of species, yet this specificity is seldom considered in risk assessments. We present an analytical framework for examining projections of climate change-induced threats and opportunities with reference to traits that are likely to mediate species' responses, and illustrate...... of a framework combining spatial projections of climate change exposure with traits that are likely to mediate species' responses. Although the proposed framework carries several assumptions that require further scrutiny, its application adds a degree of realism to familiar assessments that consider all species...

  20. Efficacy of Radiative Transfer Model Across Space, Time and Hydro-climates

    Science.gov (United States)

    Mohanty, B.; Neelam, M.

    2017-12-01

    The efficiency of radiative transfer model for better soil moisture retrievals is not yet clearly understood over natural systems with great variability and heterogeneity with respect to soil, land cover, topography, precipitation etc. However, this knowledge is important to direct and strategize future research direction and field campaigns. In this work, we present global sensitivity analysis (GSA) technique to study the influence of heterogeneity and uncertainties on radiative transfer model (RTM) and to quantify climate-soil-vegetation interactions. A framework is proposed to understand soil moisture mechanisms underlying these interactions, and influence of these interactions on soil moisture retrieval accuracy. Soil moisture dynamics is observed to play a key role in variability of these interactions, i.e., it enhances both mean and variance of soil-vegetation coupling. The analysis is conducted for different support scales (Point Scale, 800 m, 1.6 km, 3.2 km, 6.4 km, 12.8 km, and 36 km), seasonality (time), hydro-climates, aggregation (scaling) methods and across Level I and Level II ecoregions of contiguous USA (CONUS). For undisturbed natural environments such as SGP'97 (Oklahoma, USA) and SMEX04 (Arizona, USA), the sensitivity of TB to land surface variables remain nearly uniform and are not influenced by extent, support scales or averaging method. On the contrary, for anthropogenically-manipulated environments such as SMEX02 (Iowa, USA) and SMAPVEX12 (Winnipeg, Canada), the sensitivity to variables are highly influenced by the distribution of land surface heterogeneity and upscaling methods. The climate-soil-vegetation interactions analyzed across all ecoregions are presented through a probability distribution function (PDF). The intensity of these interactions are categorized accordingly to yield "hotspots", where the RTM model fails to retrieve soil moisture. A ecoregion specific scaling function is proposed for these hotspots to rectify RTM for

  1. Climate Change Impacts and Responses: Societal Indicators for the National Climate Assessment

    Science.gov (United States)

    Kenney, Melissa A.; Chen, Robert S.; Maldonado, Julie; Quattrochi, Dale

    2011-01-01

    The Climate Change Impacts and Responses: Societal Indicators for the National Climate Assessment workshop, sponsored by the National Aeronautics and Space Administration (NASA) for the National Climate Assessment (NCA), was held on April 28-29, 2011 at The Madison Hotel in Washington, DC. A group of 56 experts (see list in Appendix B) convened to share their experiences. Participants brought to bear a wide range of disciplinary expertise in the social and natural sciences, sector experience, and knowledge about developing and implementing indicators for a range of purposes. Participants included representatives from federal and state government, non-governmental organizations, tribes, universities, and communities. The purpose of the workshop was to assist the NCA in developing a strategic framework for climate-related physical, ecological, and socioeconomic indicators that can be easily communicated with the U.S. population and that will support monitoring, assessment, prediction, evaluation, and decision-making. The NCA indicators are envisioned as a relatively small number of policy-relevant integrated indicators designed to provide a consistent, objective, and transparent overview of major variations in climate impacts, vulnerabilities, adaptation, and mitigation activities across sectors, regions, and timeframes. The workshop participants were asked to provide input on a number of topics, including: (1) categories of societal indicators for the NCA; (2) alternative approaches to constructing indicators and the better approaches for NCA to consider; (3) specific requirements and criteria for implementing the indicators; and (4) sources of data for and creators of such indicators. Socioeconomic indicators could include demographic, cultural, behavioral, economic, public health, and policy components relevant to impacts, vulnerabilities, and adaptation to climate change as well as both proactive and reactive responses to climate change. Participants provided

  2. Regional climate, local climate and ozone air pollution in Tours and Orleans cities

    International Nuclear Information System (INIS)

    Berthelot, M.

    2006-10-01

    invests these problems. However, the context of our study allows the introduction of a new weather parameter being able to influence the ozone concentration. The position of the influential anti-cyclone forms a new indicator which can contribute to the prevention of the peaks of pollution. The latitude of the anti-cyclone as well as the origin of generated flow bring new explanations on the ozone concentrations. The climate area, the urban heat island and the climatology of ozone are the elements allowing the analyses likely to bring answers to our problems. In the two agglomerations, the relation between the small island of heat and the night persistence of ozone are manifest with more or less important proportions according to the chemical and weather characters of the atmosphere. Although the relation between the two phenomena is established, the observations cause many interrogations on the explanation of this process. (author)

  3. Ultrasound manifestation of hepatocellular carcinoma

    International Nuclear Information System (INIS)

    Hwang, M. S.; Yoo, H. S.; Park, C. Y.; Choi, H. J.; Moon, Y. M.; Lee, S. I.

    1982-01-01

    With the advent of gray scale ultrasonographic equipment, the parenchymal disease of liver is more easily evaluated. Ultrasonography is a non-invasive technique, different from angiography, and performed without discomfort to patient. And also ultrasonography can be used in assessing the liver in cases showing equivocal scintigraphy and in differentiation of solid and cystic masses, first detected on scintigrams. Therefore, the complementary use of ultrasonography, Tc-99m-sulfur colloid scan and angiography provides better diagnostic accuracy for the detection of hepatocellular carcinoma, and moreover, sequential ultrasonographic studies in the same patient are valuable of following the course of hepatocellular carcinoma and monitoring the effectiveness of therapy for hepatocellular carcinoma. In thirty patients with histologically proven hepatocellular carcinoma, an analysis of ultrasound manifestation is made and the results are as follows; 1. Ultrasound manifestation of hepatocellular carcinoma by gray scale showed four different sonographic patterns including discrete echo free, discrete echogenic, ill defined echogenic and mixed patterns. 2. The size of hepatocellular carcinoma by ultrasonographic measurement was larger than 5 cm in diameter in 28 cases. 3. In 7 cases performed with angiography, all echogenicities of hepatocellualr carcinoma were correlated with the findings of vascularity of angiography. 4. In cases combined with liver cirrhosis, the sonographic pattern of hepatocellular carcinoma appeared to be discrete or ill defined echogenic patterns

  4. Ultrasound manifestation of hepatocellular carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, M S; Yoo, H S; Park, C Y; Choi, H J; Moon, Y M; Lee, S I [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1982-06-15

    With the advent of gray scale ultrasonographic equipment, the parenchymal disease of liver is more easily evaluated. Ultrasonography is a non-invasive technique, different from angiography, and performed without discomfort to patient. And also ultrasonography can be used in assessing the liver in cases showing equivocal scintigraphy and in differentiation of solid and cystic masses, first detected on scintigrams. Therefore, the complementary use of ultrasonography, Tc-99m-sulfur colloid scan and angiography provides better diagnostic accuracy for the detection of hepatocellular carcinoma, and moreover, sequential ultrasonographic studies in the same patient are valuable of following the course of hepatocellular carcinoma and monitoring the effectiveness of therapy for hepatocellular carcinoma. In thirty patients with histologically proven hepatocellular carcinoma, an analysis of ultrasound manifestation is made and the results are as follows; 1. Ultrasound manifestation of hepatocellular carcinoma by gray scale showed four different sonographic patterns including discrete echo free, discrete echogenic, ill defined echogenic and mixed patterns. 2. The size of hepatocellular carcinoma by ultrasonographic measurement was larger than 5 cm in diameter in 28 cases. 3. In 7 cases performed with angiography, all echogenicities of hepatocellualr carcinoma were correlated with the findings of vascularity of angiography. 4. In cases combined with liver cirrhosis, the sonographic pattern of hepatocellular carcinoma appeared to be discrete or ill defined echogenic patterns.

  5. Endogen endoftalmitis som første kliniske manifestation af aortaklapendokarditis

    DEFF Research Database (Denmark)

    Rudbæk, Torsten; Haastrup, Peter; Frydkjær-Olsen, Ulrik

    2012-01-01

    Infectious endocarditis is considered one of the most severe infections in the Western world. Complications include septic embolism, for example to the brain or the eye. Endogeneous endophthalmitis is a rare but severe eye disease. It is important to remember that clinical signs from the eye can...... be the first manifestation of systemic disease. We present a case report of an 81-year-old woman with endogenous endophthalmitis as the first clinical manifestation of infectious endocarditis....

  6. Psychological considerations in future space missions

    Science.gov (United States)

    Helmreich, R. L.; Wilhelm, J. A.; Runge, T. E.

    1980-01-01

    Issues affecting human psychological adjustments to long space missions are discussed. Noting that the Shuttle flight crewmembers will not have extensive flight qualification requirements, the effects of a more heterogeneous crew mixture than in early space flights is considered to create possibilities of social conflicts. Routine space flight will decrease the novelty of a formerly unique experience, and the necessity of providing personal space or other mechanisms for coping with crowded, permanently occupied space habitats is stressed. Women are noted to display more permeable personal space requirements. The desirability of planning leisure activities is reviewed, and psychological test results for female and male characteristics are cited to show that individuals with high scores in both traditionally male and female attributes are most capable of effective goal-oriented behavior and interpersonal relationships. Finally, it is shown that competitiveness is negatively correlated with the success of collaborative work and the social climate of an environment.

  7. VACCINATION IN CHILDREN WITH DIFFERENT MANIFESTATIONS OF TUBERCULOSIS INFECTION

    Directory of Open Access Journals (Sweden)

    T.S. Drozdenko

    2011-01-01

    Full Text Available The paper presents the experience of childhood immunization with the various manifestations of tuberculosis infection inanimate (ADC-M, Pneumo 23 and live vaccines (domestic divaccine «measles–parotitis», combined vaccine Priorix. The safety and efficacy of vaccination in this group of children with positive clinical and laboratory dynamics of tuberculosis on the background of a specific treatment have been demonstrated, as well as the vaccination tactics of children registered at the TB clinic based on the results of the study have been elaborated.Key words: various manifestations of tuberculosis infection, vaccination tactics, safety, efficiency, children.

  8. VEMAP 2: Monthly Historical and Future Climate Data, Alaska, USA

    Data.gov (United States)

    National Aeronautics and Space Administration — This data set provides the results of the development of The Vegetation/Ecosystem Modeling and Analysis Project (VEMAP) Phase 2 transient climate change scenarios...

  9. Pre-LBA Anglo-Brazilian Amazonian Climate Observation Study (ABRACOS) Data

    Data.gov (United States)

    National Aeronautics and Space Administration — The data set presents the principal data from the Anglo-BRazilian Amazonian Climate Observation Study (ABRACOS) (Gash et al. 1996) and provides quality controlled...

  10. Pre-LBA Anglo-Brazilian Amazonian Climate Observation Study (ABRACOS) Data

    Data.gov (United States)

    National Aeronautics and Space Administration — ABSTRACT: The data set presents the principal data from the Anglo-BRazilian Amazonian Climate Observation Study (ABRACOS) (Gash et al. 1996) and provides quality...

  11. Case report of Graves’ disease manifesting with odynophagia and heartburn

    Science.gov (United States)

    Evsyutina, Yulia; Trukhmanov, Alexander; Ivashkin, Vladimir; Storonova, Olga; Godjello, Elina

    2015-01-01

    Graves’ disease is an autoimmune disease, which can manifest with a variety of extrathyroidal clinical syndromes like ophthalmopathy, pretibial myxedema (dermopathy), acropathy, cardiomyopathy, and encephalopathy. Though quite rare, this disease can also manifest with gastrointestinal symptoms such as dysphagia, heartburn, nausea, vomiting and diarrhea. We report a clinical case of Graves’ disease manifesting with dysfunction of the esophagus and heartburn in a 61-year-old man. In the muscular layer of the esophagus we found dystrophic changes led to its atony, which was documented by endoscopy and high-resolution manometry. The pathology features of esophageal symptoms were: focal proliferation of the basal cells, vascular distension, and dystrophy of the epithelial cells. Antithyroid treatment led to decrease of all clinical symptoms after 5 d of Thiamazole administration. Complete restoration of peristalsis in the esophagus, according to manometry, was observed in 1 mo after initiation of treatment. PMID:26730171

  12. Case report of Graves' disease manifesting with odynophagia and heartburn.

    Science.gov (United States)

    Evsyutina, Yulia; Trukhmanov, Alexander; Ivashkin, Vladimir; Storonova, Olga; Godjello, Elina

    2015-12-28

    Graves' disease is an autoimmune disease, which can manifest with a variety of extrathyroidal clinical syndromes like ophthalmopathy, pretibial myxedema (dermopathy), acropathy, cardiomyopathy, and encephalopathy. Though quite rare, this disease can also manifest with gastrointestinal symptoms such as dysphagia, heartburn, nausea, vomiting and diarrhea. We report a clinical case of Graves' disease manifesting with dysfunction of the esophagus and heartburn in a 61-year-old man. In the muscular layer of the esophagus we found dystrophic changes led to its atony, which was documented by endoscopy and high-resolution manometry. The pathology features of esophageal symptoms were: focal proliferation of the basal cells, vascular distension, and dystrophy of the epithelial cells. Antithyroid treatment led to decrease of all clinical symptoms after 5 d of Thiamazole administration. Complete restoration of peristalsis in the esophagus, according to manometry, was observed in 1 mo after initiation of treatment.

  13. Extreme Heat Wave over European Russia in Summer 2010: Anomaly or a Manifestation of Climatic Trend?

    Science.gov (United States)

    Razuvaev, V.; Groisman, P. Y.; Bulygina, O.; Borzenkova, I.

    2010-12-01

    Extraordinary temperature anomalies over European Russia (ER) in summer 2010 raised a legitimate question in the title of this presentation. A 60-days-long hot anticyclonic weather system with daily temperature anomalies as high as +10K and no or negligible amount of rainfall first decimated crops in the forest-steppe zone of ER, gradually dried wetlands in the forest zone and, finally, caused numerous natural and anthropogenic fires that at the time of this abstract preparation have not yet been extinguished. The extreme heat, lack of precipitation, and forest fires have caused hundreds of deaths and multimillion dollars in property losses. Indirect losses of lives due to this weather anomaly, with the ensuing fires and related air pollution, as well as the absence of air conditioning in apartments has yet to be estimated. The center of European Russia was well covered by meteorological observations for the past 130 years. These data, historical weather records (yearbooks or "letopisi" , which were carried on in the major Russian monasteries), and finally, dendroclimatological information, all show that this summer temperature anomaly was well above all known extremes in the past 1000 years. Like ocean waves and ocean tides, weather and climate variability go together strengthening (or mitigating) each other. We shall show the precursors of the current outbreak using principally the most accurate meteorological records of the past century updated to 2009 (at the Session, the 2010 data will also be presented). While a careful analyses of these records and thoughtful analyses of recent similar temperature outbreaks in Western Europe could not prevent the occurrence of this disaster, the lessons learned from these analyses (a) would warn about its increasing probability and (b) mitigation and adaptation measures could well be made to reduce its negative consequences. Among our arguments are: (1)There is a century-long tendency of reduction of equator minus pole

  14. Imaging of systemic lupus erythematosus. Part II: Gastrointestinal, renal, and musculoskeletal manifestations

    International Nuclear Information System (INIS)

    Goh, Y.P.; Naidoo, P.; Ngian, G.-S.

    2013-01-01

    Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease that has a relapsing and remitting course. It has a wide range of presentations with various organ manifestations. In this review, we have compiled the radiological findings of gastrointestinal, renal, and musculoskeletal manifestations of SLE.

  15. Team climate, intention to leave and turnover among hospital employees: Prospective cohort study

    Directory of Open Access Journals (Sweden)

    Virtanen Marianna

    2007-10-01

    Full Text Available Abstract Background In hospitals, the costs of employee turnover are substantial and intentions to leave among staff may manifest as lowered performance. We examined whether team climate, as indicated by clear and shared goals, participation, task orientation and support for innovation, predicts intention to leave the job and actual turnover among hospital employees. Methods Prospective study with baseline and follow-up surveys (2–4 years apart. The participants were 6,441 (785 men, 5,656 women hospital employees under the age of 55 at the time of follow-up survey. Logistic regression with generalized estimating equations was used as an analysis method to include both individual and work unit level predictors in the models. Results Among stayers with no intention to leave at baseline, lower self-reported team climate predicted higher likelihood of having intentions to leave at follow-up (odds ratio per 1 standard deviation decrease in team climate was 1.6, 95% confidence interval 1.4–1.8. Lower co-worker assessed team climate at follow-up was also association with such intentions (odds ratio 1.8, 95% confidence interval 1.4–2.4. Among all participants, the likelihood of actually quitting the job was higher for those with poor self-reported team climate at baseline. This association disappeared after adjustment for intention to leave at baseline suggesting that such intentions may explain the greater turnover rate among employees with low team climate. Conclusion Improving team climate may reduce intentions to leave and turnover among hospital employees.

  16. Disabling pansclerotic morphea of childhood with extracutaneous manifestations

    Directory of Open Access Journals (Sweden)

    Mahendra M Kura

    2013-01-01

    Full Text Available Disabling pansclerotic morphea (DPM of childhood is a rare generalized type of localized scleroderma (LS that is known to follow an aggressive course with pansclerotic lesions leading to severe joint contractures and consequent immobility. Mortality is due to complications of the disease such as bronchopneumonia, sepsis, or gangrene. There is no specific laboratory finding. Treatment protocols are still evolving for this severe recalcitrant disorder. Extracutaneous manifestations are rarely reported in DPM. We present the case of a 7-year-old girl with DPM with severe extracutaneous manifestations in the form of gastrointestinal and vascular disease, whose disease progressed rapidly. In spite of treatment with methotrexate, corticosteroids, and PUVA therapy, she ultimately succumbed to her illness due to sepsis.

  17. 40 CFR 262.54 - Special manifest requirements.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Special manifest requirements. 262.54 Section 262.54 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE Exports of Hazardous Waste § 262.54 Special...

  18. International Space Science Institute Workshop on Shallow Clouds, Water Vapor, Circulation and Climate Sensitivity

    CERN Document Server

    Winker, David; Bony, Sandrine; Stevens, Bjorn

    2018-01-01

    This volume presents a series of overview articles arising from a workshop exploring the links among shallow clouds, water vapor, circulation, and climate sensitivity. It provides a state-of-the art synthesis of understanding about the coupling of clouds and water vapor to the large-scale circulation. The emphasis is on two phenomena, namely the self-aggregation of deep convection and interactions between low clouds and the large-scale environment, with direct links to the sensitivity of climate to radiative perturbations. Each subject is approached using simulations, observations, and synthesizing theory; particular attention is paid to opportunities offered by new remote-sensing technologies, some still prospective. The collection provides a thorough grounding in topics representing one of the World Climate Research Program’s Grand Challenges. Previously published in Surveys in Geophysics, Volume 38, Issue 6, 2017 The articles “Observing Convective Aggregation”, “An Observational View of Relationshi...

  19. Hand, foot and mouth disease: spatiotemporal transmission and climate.

    Science.gov (United States)

    Wang, Jin-feng; Guo, Yan-Sha; Christakos, George; Yang, Wei-Zhong; Liao, Yi-Lan; Li, Zhong-Jie; Li, Xiao-Zhou; Lai, Sheng-Jie; Chen, Hong-Yan

    2011-04-05

    The Hand-Foot-Mouth Disease (HFMD) is the most common infectious disease in China, its total incidence being around 500,000~1,000,000 cases per year. The composite space-time disease variation is the result of underlining attribute mechanisms that could provide clues about the physiologic and demographic determinants of disease transmission and also guide the appropriate allocation of medical resources to control the disease. HFMD cases were aggregated into 1456 counties and during a period of 11 months. Suspected climate attributes to HFMD were recorded monthly at 674 stations throughout the country and subsequently interpolated within 1456 × 11 cells across space-time (same as the number of HFMD cases) using the Bayesian Maximum Entropy (BME) method while taking into consideration the relevant uncertainty sources. The dimensionalities of the two datasets together with the integrated dataset combining the two previous ones are very high when the topologies of the space-time relationships between cells are taken into account. Using a self-organizing map (SOM) algorithm the dataset dimensionality was effectively reduced into 2 dimensions, while the spatiotemporal attribute structure was maintained. 16 types of spatiotemporal HFMD transmission were identified, and 3-4 high spatial incidence clusters of the HFMD types were found throughout China, which are basically within the scope of the monthly climate (precipitation) types. HFMD propagates in a composite space-time domain rather than showing a purely spatial and purely temporal variation. There is a clear relationship between HFMD occurrence and climate. HFMD cases are geographically clustered and closely linked to the monthly precipitation types of the region. The occurrence of the former depends on the later.

  20. What rheumatologists should know about orofacial manifestations of autoimmune rheumatic diseases.

    Science.gov (United States)

    Abrão, Aline Lauria Pires; Santana, Caroline Menezes; Bezerra, Ana Cristina Barreto; Amorim, Rivadávio Fernandes Batista de; Silva, Mariana Branco da; Mota, Licia Maria Henrique da; Falcão, Denise Pinheiro

    2016-02-11

    Orofacial manifestations occur frequently in rheumatic diseases and usually represent early signs of disease or of its activity that are still neglected in clinical practice. Among the autoimmune rheumatic diseases with potential for oral manifestations, rheumatoid arthritis (RA), inflammatory myopathies (IM), systemic sclerosis (SSc), systemic lupus erythematosus (SLE), relapsing polychondritis (RP) and Sjögren's syndrome (SS) can be cited. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, lesions of the oral mucosa, periodontal disease, dysphagia, and dysphonia may be the first expression of these rheumatic diseases. This article reviews the main orofacial manifestations of rheumatic diseases that may be of interest to the rheumatologist for diagnosis and monitoring of autoimmune rheumatic diseases. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.

  1. Space Solar Patrol data and changes in weather and climate, including global warming

    Science.gov (United States)

    Avakyan, S. V.; Baranova, L. A.; Leonov, N. B.; Savinov, E. P.; Voronin, N. A.

    2010-08-01

    In this paper, the results obtained during the execution of several ISTC projects are presented. The general aim of these projects has been the study of global changes in the environment, connected with solar activity. A brief description of the optical apparatus of the Space Solar Patrol (SSP) developed and built in the framework of the ISTC projects 385, 385.2, 1523 and 2500 is given. The SSP is intended for permanent monitoring of spectra and absolute fluxes of soft x-ray and extreme ultraviolet (x-ray/EUV) radiation from the full disk of the Sun which ionizes the upper atmosphere of the Earth. Permanent solar monitoring in the main part of the ionizing radiation spectra 0.8-115 (119) nm does not exist. The apparatus of the SSP was developed in the years 1996-2005 with multiyear experience of developing such apparatus in S I Vavilov State Optical Institute. The basis of this apparatus is the use of unique detectors of ionizing radiation—open secondary electron multipliers, which are 'solar blind' to near UV, visible and IR radiation from the Sun, and new methodology of these solar spectroradiometric absolute measurements. The prospects are discussed of using the SSP data for the investigation and forecast of the influence of solar variability on the weather and climate including global warming and also on the biosphere including human beings (proposal 3878). This article was originally submitted for inclusion with the papers from the 9th International Symposium on Measurement Science and Intelligent Instruments (ISMTII-2009), published in the May 2010 issue.

  2. Antiphospholipid antibodies and non-thrombotic manifestations of systemic lupus erythematosus.

    Science.gov (United States)

    İlgen, U; Yayla, M E; Ateş, A; Okatan, İ E; Yurteri, E U; Torgutalp, M; Keleşoğlu, A B D; Turgay, T M; Kınıklı, G

    2018-04-01

    Objectives The aim of this study was to investigate the association between antiphospholipid antibodies and non-thrombotic and non-gestational manifestations of systemic lupus erythematosus. Methods Systemic lupus erythematosus patients with persistently positive antiphospholipid antibodies or lupus anticoagulant were identified and grouped as systemic lupus erythematosus with antiphospholipid syndrome (SLE-APS), systemic lupus erythematosus with positive antiphospholipid antibodies/lupus anticoagulant without antiphospholipid syndrome (SLE-aPL), and systemic lupus erythematosus with negative aPLs (SLE-No aPL). Groups were compared in terms of non-thrombotic systemic lupus erythematosus manifestations and laboratory features retrospectively. Results A total of 150 systemic lupus erythematosus patients, 26 with SLE-APS, 25 with SLE-aPL, and 99 with SLE-No aPL, were identified. Livedo reticularis, neurologic involvement, and thrombocytopenia were more common in antiphospholipid antibody positive systemic lupus erythematosus cases. Malar rash, arthritis, and pleuritis were more common in the SLE-No aPL, SLE-APS, and SLE-aPL groups, respectively. Positivity rates and titers of specific antiphospholipid antibodies did not differ between the SLE-APS and SLE-aPL groups. Conclusions Presence of antiphospholipid syndrome or persistent antiphospholipid antibodies may be related to non-thrombotic and non-gestational systemic lupus erythematosus manifestations. Patients with systemic lupus erythematosus plus antiphospholipid syndrome and persistent antiphospholipid antibodies without antiphospholipid syndrome also differ in terms of systemic lupus erythematosus manifestations.

  3. Aging-related systemic manifestations in COPD patients and cigarette smokers.

    Directory of Open Access Journals (Sweden)

    Laurent Boyer

    Full Text Available Chronic obstructive pulmonary disease (COPD is often associated with age-related systemic abnormalities that adversely affect the prognosis. Whether these manifestations are linked to the lung alterations or are independent complications of smoking remains unclear.To look for aging-related systemic manifestations and telomere shortening in COPD patients and smokers with minor lung destruction responsible for a decline in the diffusing capacity for carbon monoxide (DLCO corrected for alveolar volume (KCO.Cross-sectional study in 301 individuals (100 with COPD, 100 smokers without COPD, and 101 nonsmokers without COPD.Compared to control smokers, patients with COPD had higher aortic pulse-wave velocity (PWV, lower bone mineral density (BMD and appendicular skeletal muscle mass index (ASMMI, and shorter telomere length (TL. Insulin resistance (HOMA-IR and glomerular filtration rate (GFR were similar between control smokers and COPD patients. Smokers did not differ from nonsmokers for any of these parameters. However, smokers with normal spirometry but low KCO had lower ASMMI values compared to those with normal KCO. Moreover, female smokers with low KCO, had lower BMD and shorter TL compared to those with normal KCO.Aging-related abnormalities in patients with COPD are also found in smokers with minor lung dysfunction manifesting as a KCO decrease. Decreased KCO might be useful, particularly among women, for identifying smokers at high risk for aging-related systemic manifestations and telomere shortening.

  4. CT and MR manifestations of acute methyl alcohol toxic encephalopathy

    International Nuclear Information System (INIS)

    Mao Xiaofen; Yang Bo; Ye Gengxin; Zhang Cheng

    2009-01-01

    Objective: To analyze the CT and MR manifestations of methyl alcohol toxic encephalopathy and to improve the diagnosing value of CT and MRI. Methods: 40 patients with methyl alcohol intoxication were collected in this study, in which CT scan was performed on 40 cases and MRI on 4 cases. All CT and MRI radiological data of brain were retrospectively studied. Results: 13 of 40 cases showed abnormal findings on brain CT and MRI. The most common manifestation (6/13, 46%)was hypodensity in frontal parietal white matter and external capsule-putamen on CT, which showed long or short T1 and long T2 on MR. Hemorrhage in right putamen was found only in 1 patient (1/13,7%). CT showed low density inbilateral external capsule in 4 cases (4/13,31%), in which MR showed long or short T1 and long T2. Low density lesions in subcortical white matter of bilateral frontal and parietal lobes, cingulate gyms and insular lobes were found in 2 patients (2/13,15%). The more severe clinic manifestation, the more obvious brain lesion CT and MRI showed. Conclusion: Brain CT and MR manifestations have great diagnostic value of acute methyl alcohol toxic encephalopathy. MRI was more sensitive and better than CT in finding early brain damage caused by methanol intoxication. (authors)

  5. Desirable microclimate in urban public space: a case study in Amanieh Ahvaz

    Energy Technology Data Exchange (ETDEWEB)

    Tahbaz, Mansoureh; Djanlilian, Shahrbanoo; Moosavi, Fatemeh [School of Architecture, Shahid Beheshti University (Iran, Islamic Republic of)], E-mail: shtahbaz@yahoo.com

    2011-07-01

    Here are the results of field study research on thermal sensation in outdoor public spaces in Ahvaz city, Amanieh region. Ahvaz, in south Khoozestan, is one of several Iranian cities with an unpleasantly hot and semi-humid climate. In urban spaces with low thermal quality, only urgent and necessary activities take place; then people leave as soon as their business is done. In contrast, where the weather is pleasant, not only do needful activities take place, many social activities do, too. Thermal sensation is one of the determinant criteria for space attraction. In cities with unpleasant weather conditions, arranging a tolerable microclimate in public urban spaces should have high priority. Architectural climatic strategies are needed to modify the heat of summer days to a lower thermal condition level (moderate or low heat stress). Four main design strategies are described and recommended in this study.

  6. Beyond the CRAB symptoms: a study of presenting clinical manifestations of multiple myeloma.

    Science.gov (United States)

    Talamo, Giampaolo; Farooq, Umar; Zangari, Maurizio; Liao, Jason; Dolloff, Nathan G; Loughran, Thomas P; Epner, Elliot

    2010-12-01

    Although the typical clinical manifestations of multiple myeloma (MM) are summarized by the CRAB symptoms (hypercalcemia, renal insufficiency, anemia, and bone lesions), a significant proportion of patients with MM present with a variety of other clinical manifestations. We conducted a study evaluating the presenting symptoms that led to the diagnosis of MM. We conducted a retrospective review of 170 consecutive patients with MM seen at the Penn State Hershey Cancer Institute. Among patients with symptomatic MM, 74% presented with CRAB symptoms, 20% presented with non-CRAB manifestations, and 6% had both clinical features. Ten categories of non-CRAB manifestations were found, in order of decreasing frequency: neuropathy (because of spinal cord compression, nerve root compression, or peripheral neuropathy), extramedullary involvement, hyperviscosity syndrome, concomitant amyloidosis (eg, nephrotic syndrome or cardiopathy), hemorrhage/coagulopathy, systemic symptoms (eg, fever or weight loss), primary plasma cell leukemia, infections, cryoglobulinemia, and secondary gout. Kaplan-Meier estimates of survival in patients with non-CRAB manifestations did not show a significant difference from the survival of patients presenting with CRAB symptoms. Presenting symptoms of MM may be grouped in a total of 14 categories, 4 for the CRAB and 10 for the less common non-CRAB features. Grouped together, non-CRAB manifestations do not appear to confer a negative effect on the prognosis of patients with MM.

  7. The spacing effect in intentional and incidental free recall by children and adults: Limits on the automaticity hypothesis.

    Science.gov (United States)

    Toppino, Thomas C; Fearnow-Kenney, Melodie D; Kiepert, Marissa H; Teremula, Amanda C

    2009-04-01

    Preschoolers, elementary school children, and college students exhibited a spacing effect in the free recall of pictures when learning was intentional. When learning was incidental and a shallow processing task requiring little semantic processing was used during list presentation, young adults still exhibited a spacing effect, but children consistently failed to do so. Children, however, did manifest a spacing effect in incidental learning when an elaborate semantic processing task was used. These results limit the hypothesis that the spacing effect in free recall occurs automatically and constrain theoretical accounts of why the spacing between repetitions affects recall performance.

  8. Accurately measuring sea level change from space: an ESA Climate Change Initiative for MSL closure budget studies

    DEFF Research Database (Denmark)

    Legeais, Jean-Francois; Cazenave, Anny; Larnicol, Gille

    Sea level is a very sensitive index of climate change and variability. Sea level integrates the ocean warming, mountain glaciers and ice sheet melting. Understanding the sea level variability and changes implies an accurate monitoring of the sea level variable at climate scales, in addition...... to understanding the ocean variability and the exchanges between ocean, land, cryosphere, and atmosphere. That is why Sea Level is one of the Essential Climate Variables (ECV) selected in the frame of the ESA Climate Change Initiative (CCI) program. It aims at providing long-term monitoring of the sea level ECV...... validation, performed by several groups of the ocean and climate modeling community. At last, the main improvements derived from the algorithms development dedicated to the 2016 full reprocessing of the dataset are described. Efforts have also focused on the improvement of the sea level estimation...

  9. Climatic change. What solutions?

    International Nuclear Information System (INIS)

    Vieillefosse, A.

    2009-01-01

    From 1990 to the present day, worldwide greenhouse gas emissions have increased by about 25%. Fighting climatic change has become an urgency: we only have 15 years in front of us to inflect the trajectory of worldwide emissions and to avoid a temperature rise of more than 2 deg. C during this century. Therefore, how is it possible to explain the shift between the need of an urgent action and the apparent inertia of some governing parties? How is it possible to implement a worldwide governance capable to answer the urgency of the fight against climatic change? These are the two questions that this pedagogical and concrete book tries to answer by analysing the different dimensions of climatic change and by making a first status of the building up of the international action, and in particular of the Kyoto protocol. For the post-2012 era, research and negotiations are in progress with the objective of reaching an agreement for the Copenhagen conference of December 2009. Several architectures are possible. This book shades light on the advantages and limitations of each of them with the possible compromises. It supplies a pluri-disciplinary approach of the international negotiations, often considered as complex by the general public. Content: 1 - understanding the climatic change stakes: climatic stakes, the main actors behind the figures, the technical-economical stakes; 2 - understanding the present day architecture of the fight against climatic change: strengths and weaknesses of the Kyoto protocol; encouraging research and technology spreading; the other action means in developing countries; 3 - what structure for a future international agreement?: the Bali negotiation process; the ideal vision: an improved Kyoto protocol; the pragmatic vision: individualized commitments; the negotiation space; preventing a planned fiasco. (J.S.)

  10. Neurological manifestations of Batch s disease

    International Nuclear Information System (INIS)

    Borhani-Haghighi, Afshin; Ashjazadeh, Nahid; Nikseresht, Alireza; Shariat, Abdolhamid; Yousefipour, Gholamali; Samangooie, Shahdokht; Safari, Anahid

    2006-01-01

    To determine the prevalence, clinical manifestations, and laboratory features of Neuro-Behcets disease. This prospective study was carried out in the Behcets Research Clinic in Shiraz (south-west Iran) and included the patients referred from 1990-1999. The patients' clinical records, images, CSF analyses, and electrodiagnostic studies were reviewed. Eighteen (15 males and 3 females) out of 690 Behcet s patients (2.6%, 95% CI = 1.4-3.8%) were found to have neurological involvement. The mean +/- standard deviation age of these patients was 34.7 +/- 8.6 years. All fulfilled the criteria of the International Study Group of Behcet s Disease. Central nervous system involvement was more common than peripheral nervous system manifestations. Headache, weakness, tingling, and numbness were the most common symptoms. Hyperreflexia, upward plantar reflex, and somatosensory findings were the most frequent signs. Hemispheral and brainstem stroke-like syndromes and cerebral venous thrombosis were the major neurologic presentations. There were also cases of myelitic, pure meningoencephalitic, amyotrophic lateral sclerosis-like, multiple sclerosis-like, and Guillain Barre syndromes. Neuro-Behcets disease must be considered in the differential diagnosis of stroke in young adults, chronic meningitis, intracranial hypertension, multiple sclerosis, myelopathies, and peripheral neuropathies. (author)

  11. Acute dacryocystitis: another clinical manifestation of sporotrichosis

    Directory of Open Access Journals (Sweden)

    Dayvison Francis Saraiva Freitas

    2014-04-01

    Full Text Available Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (< 13 years of age and one patient was an adult. Two patients reported contact with a cat that had sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.

  12. Oral Crohn′s disease without intestinal manifestations

    Directory of Open Access Journals (Sweden)

    Gingisetty Harikishan

    2012-01-01

    Full Text Available Crohn′s disease is a granulomatous inflammatory bowel disease and was described in 1932 as a chronic granulomatous disorder of the terminal ileum and is now considered a distinct member of the inflammatory bowel disease family. It may affect any part of the gastrointestinal tract. Oral Crohn′s disease has been reported frequently in the last three decades with or without intestinal manifestations. In the latter case, it is considered as one of the orofacial granulomatosis. There has been much doubt whether intestinal manifestations of Crohn′s disease will eventually develop in the orofacial granulomatosis. We present a female patient aged 22 years with prominent clinical findings such as persistent swelling of lower and upper lip with fissuring and angular cheilitis, granulomatous gingival enlargement, and cobblestone or corrugated appearance of labial mucosa, which are suggestive of Crohn′s disease, but with no evidence of other gastrointestinal involvement. The patient underwent surgical treatment with external gingivectomy procedure. A 6-month follow-up showed minimal recurrence.

  13. The bias and signal attenuation present in conventional pollen-based climate reconstructions as assessed by early climate data from Minnesota, USA.

    Science.gov (United States)

    St Jacques, Jeannine-Marie; Cumming, Brian F; Sauchyn, David J; Smol, John P

    2015-01-01

    The inference of past temperatures from a sedimentary pollen record depends upon the stationarity of the pollen-climate relationship. However, humans have altered vegetation independent of changes to climate, and consequently modern pollen deposition is a product of landscape disturbance and climate, which is different from the dominance of climate-derived processes in the past. This problem could cause serious signal distortion in pollen-based reconstructions. In the north-central United States, direct human impacts have strongly altered the modern vegetation and hence the pollen rain since Euro-American settlement in the mid-19th century. Using instrumental temperature data from the early 1800 s from Fort Snelling (Minnesota), we assessed the signal distortion and bias introduced by using the conventional method of inferring temperature from pollen assemblages in comparison to a calibration set from pre-settlement pollen assemblages and the earliest instrumental climate data. The early post-settlement calibration set provides more accurate reconstructions of the 19th century instrumental record, with less bias, than the modern set does. When both modern and pre-industrial calibration sets are used to reconstruct past temperatures since AD 1116 from pollen counts from a varve-dated record from Lake Mina, Minnesota, the conventional inference method produces significant low-frequency (centennial-scale) signal attenuation and positive bias of 0.8-1.7 °C, resulting in an overestimation of Little Ice Age temperature and likely an underestimation of the extent and rate of anthropogenic warming in this region. However, high-frequency (annual-scale) signal attenuation exists with both methods. Hence, we conclude that any past pollen spectra from before Euro-American settlement in this region should be interpreted using a pre-Euro-American settlement pollen set, paired to the earliest instrumental climate records. It remains to be explored how widespread this problem is

  14. The bias and signal attenuation present in conventional pollen-based climate reconstructions as assessed by early climate data from Minnesota, USA.

    Directory of Open Access Journals (Sweden)

    Jeannine-Marie St Jacques

    Full Text Available The inference of past temperatures from a sedimentary pollen record depends upon the stationarity of the pollen-climate relationship. However, humans have altered vegetation independent of changes to climate, and consequently modern pollen deposition is a product of landscape disturbance and climate, which is different from the dominance of climate-derived processes in the past. This problem could cause serious signal distortion in pollen-based reconstructions. In the north-central United States, direct human impacts have strongly altered the modern vegetation and hence the pollen rain since Euro-American settlement in the mid-19th century. Using instrumental temperature data from the early 1800 s from Fort Snelling (Minnesota, we assessed the signal distortion and bias introduced by using the conventional method of inferring temperature from pollen assemblages in comparison to a calibration set from pre-settlement pollen assemblages and the earliest instrumental climate data. The early post-settlement calibration set provides more accurate reconstructions of the 19th century instrumental record, with less bias, than the modern set does. When both modern and pre-industrial calibration sets are used to reconstruct past temperatures since AD 1116 from pollen counts from a varve-dated record from Lake Mina, Minnesota, the conventional inference method produces significant low-frequency (centennial-scale signal attenuation and positive bias of 0.8-1.7 °C, resulting in an overestimation of Little Ice Age temperature and likely an underestimation of the extent and rate of anthropogenic warming in this region. However, high-frequency (annual-scale signal attenuation exists with both methods. Hence, we conclude that any past pollen spectra from before Euro-American settlement in this region should be interpreted using a pre-Euro-American settlement pollen set, paired to the earliest instrumental climate records. It remains to be explored how widespread

  15. Oral manifestations of anemia in HIV/AIDS patients without ARV treatment

    Directory of Open Access Journals (Sweden)

    Wahyu Hidayat

    2017-03-01

    Full Text Available Abstract Introduction: Acquired immunodeficiency syndrome (AIDS is  a set of symptoms caused by decreases of the immune system that was infected by human immunodeficiency virus (HIV. Blood disorders often found in patient with HIV and associated with HIV infection. Mostly found disorders is anemia of chronic disease. The prevalence of anemia in HIV/AIDS patients reaches 70%. Oral manifestations of anemia are atrophy of the papillae on tongue, glossodynia, pallor, angular cheilitis, glossitis, aphthous ulcers/erosive lesions, candidiasis, and geographic tongue. There are many publications that uses anemia as indicator to determine the prognosis of HIV infection, thus the description of oral manifestation of anemia in the non-ARV HIV/AIDS patients is a necessity. The purpose of this study was to describe the oral manifestation of anemia in the non-ARV HIV/AIDS patients. Methods: The methods used were purposive random sampling. Samples were new HIV/AIDS patients who have not got antiretroviral (ARV treatment. The study included 40 patients in Teratai Clinic Hasan Sadikin Hospital Bandung. Results: Oral manifestations of anemia were found amongst non-ARV HIV/AIDS patients, which were candidiasis in  37 patients, glossodynia in 28 patients, glossitis in 10 patients, and angular cheilitis in 1 patient. Conclusion: From the study found that oral manifestations of anemia that found in non-ARV HIV/AIDS patients were candidiasis, glossodynia, glossitis and angular cheilitis. HIV/AIDS patients with anemia needed to treat more intensive for better prognosis and quality of life. Keywords: Anemia, HIV/AIDS, Candidiasis, Glossitis, Glossodynia

  16. 75 FR 60772 - Agency Information Collection Activities: Transportation Entry and Manifest of Goods Subject to...

    Science.gov (United States)

    2010-10-01

    ... Activities: Transportation Entry and Manifest of Goods Subject to CBP Inspection and Permit AGENCY: U.S... the Paperwork Reduction Act: Transportation Entry and Manifest of Goods Subject to CBP Inspection and... techniques or other forms of information. Title: Transportation Entry and Manifest of Goods Subject to CBP...

  17. Weather effects on avian breeding performance and implications of climate change

    Science.gov (United States)

    Skagen, Susan K.; Yackel Adams, Amy A.

    2012-01-01

    The influence of recent climate change on the world’s biota has manifested broadly, resulting in latitudinal range shifts, advancing dates of arrival of migrants and onset of breeding, and altered community relationships. Climate change elevates conservation concerns worldwide because it will likely exacerbate a broad range of identified threats to animal populations. In the past few decades, grassland birds have declined faster than other North American avifauna, largely due to habitat threats such as the intensification of agriculture. We examine the effects of local climatic variations on the breeding performance of a bird endemic to the shortgrass prairie, the Lark Bunting (Calamospiza melanocorys) and discuss the implications of our findings relative to future climate predictions. Clutch size, nest survival, and productivity all positively covaried with seasonal precipitation, yet relatively intense daily precipitation events temporarily depressed daily survival of nests. Nest survival was positively related to average temperatures during the breeding season. Declining summer precipitation may reduce the likelihood that Lark Buntings can maintain stable breeding populations in eastern Colorado although average temperature increases of up to 38C (within the range of this study) may ameliorate declines in survival expected with drier conditions. Historic climate variability in the Great Plains selects for a degree of vagility and opportunism rather than strong site fidelity and specific adaptation to local environments. These traits may lead to northerly shifts in distribution if climatic and habitat conditions become less favorable in the drying southern regions of the Great Plains. Distributional shifts in Lark Buntings could be constrained by future changes in land use, agricultural practices, or vegetative communities that result in further loss of shortgrass prairie habitats.

  18. Unusual Manifestation of Cutaneous Sarcoidosis: A Case Report of Morpheaform Sarcoidosis

    OpenAIRE

    Attiyeh Vasaghi; Amir Kalafi

    2012-01-01

    Sarcoidosis is multi organ disease with cutaneous manifestation in 20%-35% patients. Cutaneous sarcoidosis has variable manifestations that make it difficult to diagnose. So clinical, histopathologic and laboratory evaluation is needed for diagnosis. Most of cutaneous lesions presents as nodul, maculopapule and plaque. Morpheaform lesion is a rare presentation of cutaneous sarcoidosis. This case had multiple indurated scaly plaques resemble morphea with granulomatous pattern in histopathologi...

  19. The Regional Integrated Sciences and Assessments (RISA) Program, Climate Services, and Meeting the National Climate Change Adaptation Challenge

    Science.gov (United States)

    Overpeck, J. T.; Udall, B.; Miles, E.; Dow, K.; Anderson, C.; Cayan, D.; Dettinger, M.; Hartmann, H.; Jones, J.; Mote, P.; Ray, A.; Shafer, M.; White, D.

    2008-12-01

    The NOAA-led RISA Program has grown steadily to nine regions and a focus that includes both natural climate variability and human-driven climate change. The RISAs are, at their core, university-based and heavily invested in partnerships, particularly with stakeholders, NOAA, and other federal agencies. RISA research, assessment and partnerships have led to new operational climate services within NOAA and other agencies, and have become important foundations in the development of local, state and regional climate change adaptation initiatives. The RISA experience indicates that a national climate service is needed, and must include: (1) services prioritized based on stakeholder needs; (2) sustained, ongoing regional interactions with users, (3) a commitment to improve climate literacy; (4) support for assessment as an ongoing, iterative process; (5) full recognition that stakeholder decisions are seldom made using climate information alone; (6) strong interagency partnership; (7) national implementation and regional in focus; (8) capability spanning local, state, tribal, regional, national and international space scales, and weeks to millennia time scales; and (9) institutional design and scientific support flexible enough to assure the effort is nimble enough to respond to rapidly-changing stakeholder needs. The RISA experience also highlights the central role that universities must play in national climate change adaptation programs. Universities have a tradition of trusted regional stakeholder partnerships, as well as the interdisciplinary expertise - including social science, ecosystem science, law, and economics - required to meet stakeholder climate-related needs; project workforce can also shift rapidly in universities. Universities have a proven ability to build and sustain interagency partnerships. Universities excel in most forms of education and training. And universities often have proven entrepreneurship, technology transfer and private sector

  20. Accelerator mass spectrometry: An important tool for the geochronology of past climatic events

    International Nuclear Information System (INIS)

    Jull, A.J.T.; Burr, G.S.; Beck, J.W.; Donahue, D.J.

    2002-01-01

    The development of a good chronology is very important to the understanding of past climatic changes and their relationship to other events. The correlation of distinct climatic features requires a precise chronology. More important also is the need to be able to correlate phenomena which are dated independently. For example, several authors have tried to cross-correlate climatic events observed in Greenland ice cores with climatic events identified in other terrestrial and marine records. The improvement in the radiocarbon calibration curve over the last 25,000 yr and the ability to cross-correlate fluctuations in the 14 C curve directly with those in the ice-core records has improved the situation. This extension of the calibration curve uses tree rings to about 11,900 calibrated years and beyond, using corals and varved marine sediments. Other records take us back to the limits of radiocarbon dating, using lake sediments and speleothems. Another important problem in geochronology of past climate change is that events may be manifest differently in different parts of the world. For example, the uniformly 'cold' younger Dryas in northern Europe can be correlated with oscillatory cold and wet behavior in other parts of the world. Chinese loess deposits show an oscillatory pattern during this time period, and the deserts of the American southwest show a drought followed by a period of increased precipitation. Hence, we must identify local and regional variations as well as global events. Many megafuana became extinct close to the end of the late Pleistocene and the exact time of these extinctions, and whether they are cause by climate alone, or by other pressures such as the expansion of humans into previously unoccupied areas. The exact timing of climatic change is also of importance in understanding the expansion of early man in the New World. The exact time of arrival of early man in the western hemisphere is usually thought to be close to the end of the last