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. 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.

  4. 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.

  5. 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.

  6. 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.

  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. 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)

  9. 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

  10. 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...

  11. 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

  12. 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...

  13. 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

  14. 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.

  15. 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.)

  16. 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.

  17. 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.

  18. 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 ...

  19. 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

  20. Sporadic radio emission connected with a definite manifestation of solar activity in the near Earth space

    Science.gov (United States)

    Dudnic, A. V.; Zaljubovski, I. I.; Kartashev, V. M.; Shmatko, E. S.

    1985-01-01

    Sporadic radio emission of near Earth space at the frequency of 38 MHz is shown to appear in the event of a rapid development of instabilities in the ionospheric plasma. The instabilities are generated due to primary ionospheric disturbances occurring under the influence of solar chromospheric flares.

  1. 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.

  2. 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.

  3. 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)

  4. 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.

  5. 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.

  6. 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

  7. 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

  8. 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...

  9. 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.

  10. 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.

  11. Climate Trends in the Arctic as Observed from Space

    Science.gov (United States)

    Comiso, Josefino C.; Hall, Dorothy K.

    2014-01-01

    The Arctic is a region in transformation. Warming in the region has been amplified, as expected from ice-albedo feedback effects, with the rate of warming observed to be approx. 0.60+/-0.07 C/decade in the Arctic (>64degN) compared to approx. 0.17 C/decade globally during the last three decades. This increase in surface temperature is manifested in all components of the cryosphere. In particular, the sea ice extent has been declining at the rate of approx. 3.8%/decade, whereas the perennial ice (represented by summer ice minimum) is declining at a much greater rate of approx.11.5%/decade. Spring snow cover has also been observed to be declining by -2.12%/decade for the period 1967-2012. The Greenland ice sheet has been losing mass at the rate of approx. 34.0Gt/year (sea level equivalence of 0.09 mm/year) during the period from 1992 to 2011, but for the period 2002-2011, a higher rate of mass loss of approx. 215 Gt/year has been observed. Also, the mass of glaciers worldwide declined at the rate of 226 Gt/year from 1971 to 2009 and 275 Gt/year from 1993 to 2009. Increases in permafrost temperature have also been measured in many parts of the Northern Hemisphere while a thickening of the active layer that overlies permafrost and a thinning of seasonally frozen ground has also been reported. To gain insight into these changes, comparative analysis with trends in clouds, albedo, and the Arctic Oscillation is also presented.

  12. Climate trends in the Arctic as observed from space.

    Science.gov (United States)

    Comiso, Josefino C; Hall, Dorothy K

    2014-05-01

    The Arctic is a region in transformation. Warming in the region has been amplified, as expected from ice-albedo feedback effects, with the rate of warming observed to be ∼0.60 ± 0.07°C/decade in the Arctic (>64°N) compared to ∼0.17°C/decade globally during the last three decades. This increase in surface temperature is manifested in all components of the cryosphere. In particular, the sea ice extent has been declining at the rate of ∼3.8%/decade, whereas the perennial ice (represented by summer ice minimum) is declining at a much greater rate of ∼11.5%/decade. Spring snow cover has also been observed to be declining by -2.12%/decade for the period 1967-2012. The Greenland ice sheet has been losing mass at the rate of ∼34.0 Gt/year (sea level equivalence of 0.09 mm/year) during the period from 1992 to 2011, but for the period 2002-2011, a higher rate of mass loss of ∼215 Gt/year has been observed. Also, the mass of glaciers worldwide declined at the rate of 226 Gt/year from 1971 to 2009 and 275 Gt/year from 1993 to 2009. Increases in permafrost temperature have also been measured in many parts of the Northern Hemisphere while a thickening of the active layer that overlies permafrost and a thinning of seasonally frozen ground has also been reported. To gain insight into these changes, comparative analysis with trends in clouds, albedo, and the Arctic Oscillation is also presented. How to cite this article: WIREs Clim Change 2014, 5:389�409. doi: 10.1002/wcc.277.

  13. 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

  14. 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.

  15. 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.

  16. 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

  17. 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

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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

  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. 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.)

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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 ...

  17. 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…

  18. Climate

    International Nuclear Information System (INIS)

    Fellous, J.L.

    2005-02-01

    This book starts with a series of about 20 preconceived ideas about climate and climatic change and analyses each of them in the light of the present day knowledge. Using this approach, it makes a status of the reality of the climatic change, of its causes and of the measures to be implemented to limit its impacts and reduce its most harmful consequences. (J.S.)

  19. 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...

  20. 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.

  1. 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...

  2. 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...

  3. 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...

  4. 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

  5. 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

  6. 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.

  7. 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)

  8. 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.

  9. 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)

  10. 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

  11. 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

  12. 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

  13. 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..

  14. 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.

  15. 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.

  16. 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.

  17. 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'.

  18. 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.

  19. 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

  20. 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

  1. 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.

  2. 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.

  3. 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

  4. 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 ...

  5. 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....

  6. 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.

  7. 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...

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. How can urban green spaces be planned for climate adaptation in subtropical cities?

    DEFF Research Database (Denmark)

    Yu, Zhaowu; Guo, Xieying; Jørgensen, Gertrud

    2017-01-01

    of a focus in urban ecology studies. In this paper, we proposed and defined the urban cooling island (UCI) extent, intensity, and efficiency, as well as the threshold value of efficiency (TVoE) introduced from the “law of diminishing marginal utility” for the first time. The radiative transfer equation has......The cooling effect of greenspaces is an important ecosystem service, essential for mitigating the urban heat island (UHI) effect and thus increasing urban resilience to climate change. Techniques based on landscape planning to alleviate the increasing frequency of extreme climate are becoming more...... are within the 30–180 m limit, and the mean UCI extent and intensity are 104 m and 1.78 °C. (4) The greenspaces connected with waterbodies intensified the UCI effects, whereas the grassland-based greenspace shows the weakest UCI effects. The methodology and results of this study could help urban planners...

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

    Science.gov (United States)

    Elmendorf, Sarah C; Henry, Gregory H R; Hollister, Robert D; Björk, Robert G; Bjorkman, Anne D; Callaghan, Terry V; Collier, Laura Siegwart; Cooper, Elisabeth J; Cornelissen, Johannes H C; Day, Thomas A; Fosaa, Anna Maria; Gould, William A; Grétarsdóttir, Járngerður; Harte, John; Hermanutz, Luise; Hik, David S; Hofgaard, Annika; Jarrad, Frith; Jónsdóttir, Ingibjörg Svala; Keuper, Frida; Klanderud, Kari; Klein, Julia A; Koh, Saewan; Kudo, Gaku; Lang, Simone I; Loewen, Val; May, Jeremy L; Mercado, Joel; Michelsen, Anders; Molau, Ulf; Myers-Smith, Isla H; Oberbauer, Steven F; Pieper, Sara; Post, Eric; Rixen, Christian; Robinson, Clare H; Schmidt, Niels Martin; Shaver, Gaius R; Stenström, Anna; Tolvanen, Anne; Totland, Orjan; Troxler, Tiffany; Wahren, Carl-Henrik; Webber, Patrick J; Welker, Jeffery M; Wookey, Philip A

    2012-02-01

    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 about the power of short-term studies to anticipate longer term change. We address these issues with a synthesis of 61 experimental warming studies, of up to 20 years duration, in tundra sites worldwide. The response of plant groups to warming often differed with ambient summer temperature, soil moisture and experimental duration. Shrubs increased with warming only where ambient temperature was high, whereas graminoids increased primarily in the coldest study sites. Linear increases in effect size over time were frequently observed. There was little indication of saturating or accelerating effects, as would be predicted if negative or positive vegetation feedbacks were common. These results indicate that tundra vegetation exhibits strong regional variation in response to warming, and that in vulnerable regions, cumulative effects of long-term warming on tundra vegetation - and associated ecosystem consequences - have the potential to be much greater than we have observed to date. © 2011 Blackwell Publishing Ltd/CNRS.

  15. [Pulmonary Manifestations of Vasculitis].

    Science.gov (United States)

    von Vietinghoff, S

    2016-11-01

    The variable symptoms and signs of pulmonary vasculitis are a diagnostic and therapeutic challenge. Vasculitis should be considered in rapidly progressing, severe and unusual manifestations of pulmonary disease. Clinical examination of other organ systems typically affected by vasculitis such as skin and kidney and autoantibody measurements are complementary approaches to manage this situation. Pulmonary involvement is common in small vessel vasculitis including anti-GBM disease (Goodpasture syndrome) and the ANCA-associated vasculitides. Life threatening pulmonary hemorrhage and irreversible damage of other organs, frequently the kidney, are important complications necessitating rapid diagnosis of these conditions.Vasculitides are rare diseases of multiple organs and therapies including biologics are evolving rapidly, requiring cooperation of specialities and with specialized centres to achieve best patient care. All involved physicians should be aware of typical complications of immunosuppressive therapy. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Respiratory manifestations of hypothyroidism

    DEFF Research Database (Denmark)

    Sorensen, Jesper Roed; Winther, Kristian Hillert; Bonnema, Steen Joop

    2016-01-01

    BACKGROUND: Hypothyroidism has been associated with increased pulmonary morbidity and overall mortality. We conducted a systematic review to identify the prevalence and underlying mechanisms of respiratory problems among patients with thyroid insufficiency. METHODS: PubMed and EMBASE databases were...... searched for relevant literature from January 1950 through January 2015 with study eligibility criteria: English-language publications; Adult subclinical or overt hypothyroid patients; Intervention, observational or retrospective studies; and respiratory manifestations. We followed the PRISMA statement...... and used the Cochrane's risk of bias tool. RESULTS: A total of 1699 papers were screened by two independent authors for relevant titles. Of 109 relevant abstracts, 28 papers underwent full text analyses, of which 22 were included in the review. We identified possible mechanisms explaining respiratory...

  17. Cardiovascular manifestations of Alkaptonuria.

    Science.gov (United States)

    Pettit, Stephen J; Fisher, Michael; Gallagher, James A; Ranganath, Lakshminarayan R

    2011-12-01

    The cardiovascular manifestations of alkaptonuria relate to deposition of ochronotic pigment within heart valves, endocardium, aortic intima and coronary arteries. We assessed 16 individuals with alkaptonuria for cardiovascular disease, including full electrocardiographic and echocardiographic assessment. The self reported prevalence of valvular heart disease and coronary artery disease was low. There was a significant burden of previously undiagnosed aortic valve disease, reaching a prevalence of over 40% by the fifth decade of life. The aortic valve disease was found to increase in both prevalence and severity with advancing age. In contrast to previous reports, we did not find a significant burden of mitral valve disease or coronary artery disease. These findings are important for the clinical follow-up of patients with alkaptonuria and suggest a role for echocardiographic surveillance of patients above 40 years old.

  18. 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

  19. 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.

  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. Greenhouse gas observations from space: The GHG-CCI project of ESA's Climate Change Initiative

    Science.gov (United States)

    Buchwitz, Michael; Noël, Stefan; Bergamaschi, Peter; Boesch, Hartmut; Bovensmann, Heinrich; Notholt, Justus; Schneising, Oliver; Hasekamp, Otto; Reuter, Maximilian; Parker, Robert; Dils, Bart; Chevallier, Frederic; Zehner, Claus; Burrows, John

    2012-07-01

    The GHG-CCI project (http://www.esa-ghg-cci.org) is one of several projects of ESA's Climate Change Initiative (CCI), which will deliver various Essential Climate Variables (ECVs). The goal of GHG-CCI is to deliver global satellite-derived data sets of the two most important anthropogenic greenhouse gases (GHGs) carbon dioxide (CO2) and methane (CH4) suitable to obtain information on regional CO2 and CH4 surface sources and sinks as needed for better climate prediction. The GHG-CCI core ECV data products are column-averaged mole fractions of CO2 and CH4, XCO2 and XCH4, retrieved from SCIAMACHY on ENVISAT and TANSO on GOSAT. Other satellite instruments will be used to provide constraints in upper layers such as IASI, MIPAS, and ACE-FTS. Which of the advanced algorithms, which are under development, will be the best for a given data product still needs to be determined. For each of the 4 GHG-CCI core data products - XCO2 and XCH4 from SCIAMACHY and GOSAT - several algorithms are being further developed and the corresponding data products are inter-compared to identify which data product is the most appropriate. This includes comparisons with corresponding data products generated elsewhere, most notably with the operational data products of GOSAT generated at NIES and the NASA/ACOS GOSAT XCO2 product. This activity, the so-called "Round Robin exercise", will be performed in the first two years of this project. At the end of the 2 year Round Robin phase (end of August 2012) a decision will be made which of the algorithms performs best. The selected algorithms will be used to generate the first version of the ECV GHG. In the last six months of this 3 year project the resulting data products will be validated and made available to all interested users. In the presentation and overview about this project will be given focussing on the latest results.

  2. The mini climatic city a dedicated space for technological innovations devoted to Sustainable City

    Science.gov (United States)

    Derkx, François; Lebental, Bérengère; Merliot, Erick; Dumoulin, Jean; Bourquin, Frédéric

    2015-04-01

    Our cities, from megalopolis to rural commune, are systems of an extraordinary technological and human complexity. Their balance is threatened by the growing population and rarefaction of resources. Massive urbanization endanges the environment, while global climate change, through natural hazards generated (climatic, hydrological and geological), threats people and goods. Connect the city, that is to say, design and spread systems able to route, between multiple actors, a very large amount of heterogeneous information natures and analyzed for various purposes, is at the heart of the hopes to make our cities more sustainable: climate-resilient, energy efficient and actresses of the energy transition, attractive to individuals and companies, health and environment friendly. If multiple players are already aware of this need, progress is slow because, beyond the only connectivity, it is the urban intelligence that will create the sustainable city, through coordinated capabilities of Perception, Decision and Action: to measure phenomena; to analyze their impact on urban sustainability in order to define strategies for improvement; to effectively act on the cause of the phenomenon. In this very active context with a strong societal impact, the Sense-City project aims to accelerate research and innovation in the field of sustainable city, particularly in the field of micro and nanosensors. The project is centered around a "mini climatic City", a unique mobile environmental chamber in Europe of 400m² that can accommodate realistic models of city main components, namely buildings, infrastructures, distribution networks or basements. This R&D test place, available in draft form from January 2015 and in finalized version in 2016, will allow to validate, in realistic conditions, innovative technologies performances for the sustainable city, especially micro- and nano-sensors, at the end of their development laboratory and upstream of industrialization. R & D platform

  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. 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...

  5. 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

  6. Learning organisations: the challenge of finding a safe space in a climate of accountability.

    Science.gov (United States)

    McKee, Anne

    2017-03-01

    The effects of health policy reforms over a twenty-five year period have changed the NHS as a place in which to work and learn. Some of these changes have had unintentional consequences for learning in the workplace. A recent King's Fund contribution to quality improvement debates included an extensive review of NHS policies encouraging change 'from within' the NHS and renewed calls to develop learning organisations there. I draw upon an action research project designed to develop learning organisations in primary care to locate quality improvement debates amid the realities of practice. The project identified key challenges primary care practices encountered to protect time and space for this form of work based learning, even when they recognised the need for it and wanted to engage in it. Implications for policy makers, primary care practices and health professional educationalists are identified.

  7. To Boldly Go. America's Next Era in Space: New Frontiers in Climate Research

    Science.gov (United States)

    1995-01-01

    Dr. France Cordova, NASA's Chief Scientist, chaired this, the fourth seminar in the NASA Administrator's Seminar Series. She introduced NASA Administrator, Daniel S. Goldin, who greeted the attendees, and in his opening remarks said that human beings have a need to understand the what and why of the forces of nature and of people, and the stresses on the planet Earth. The first speaker, Dr. Ellen Mosley-Thompson of Ohio State University discussed the many things that scientists have learned from ice cores obtained in Peru and the Antarctic. The next speaker, Dr. Michael McElroy of Harvard University, is active in environmental research. He noted that insurance companies need to know more about the physics and chemistry of weather in order to avoid bankruptcy; that the greenhouse effect, which is good because it reflects heat, is being changed, and we don't know the rules. In the discussion that followed, Goldin asked if the present technology for measuring circulation of air and water and contents of the atmosphere is worth the cost. Drs. McElroy and Mosley-Thompson noted that the historic record in an ice core is endangered by ice melts; that in the last 10 years we've learned that tropics change; that the water vapor in the tropics is critical right now; that clouds absorb short-wave radiation; and that there is a need to improve measurements of atmospheric contents, the development of models, and the understanding of basic physics. We also need to understand parameters for detecting climate change, water, water temperature, and be able to provide fundamental information. Additional information is included in the original extended abstract.

  8. 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.

  9. 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.

  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. 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.

  12. 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

  13. Pleuropulmonary manifestation of paragonimiasis

    Energy Technology Data Exchange (ETDEWEB)

    Im, Jung Gi; Kim, Sang Joon; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1988-08-15

    Chest radiographic findings of 47 patients with pleuropulmonary paragonimiasis were analysed retrospectively. The diagnosis was based on the presence of Paragonimus Westermani (PW) ova from sputum, bronchial washing or needle aspirates (23 patients), PW specific antibody test by micro-ELISA (22 patients) and compliment fixation test (3 patients). 85% of the patients (40/47) showed pulmonary lesion such as focal air space consolidation (24), thin walled cysts (21), transient linear density in early active stage (18), nodular density (12) and burrow tracts (7). CT scans of 6 patients showed worm cysts and burrow tracts clearly and were also helpful in differentiating from lung cancer. 62% of the patients showed pleural lesion such as pleural effusion (17, bilateral in 4 patients), hydropneumothorax (8, bilateral in 6 patients) and pleural thickening (4). Thin walled cysts, migrating nature of the focal patchy pulmonary infiltration, transient linear shadow in the lung periphery, soap bubble appearenced cystic cavities, bilateral spontaneous pneumothoraces are the typical findings of pleuropulmonary paragonimiasis.

  14. 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.

  15. 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)

  16. 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”.

  17. Climate Trend Detection using Sea-Surface Temperature Data-sets from the (A)ATSR and AVHRR Space Sensors.

    Science.gov (United States)

    Llewellyn-Jones, D. T.; Corlett, G. K.; Remedios, J. J.; Noyes, E. J.; Good, S. A.

    2007-05-01

    Sea-Surface Temperature (SST) is an important indicator of global change, designated by GCOS as an essential Climate Variable (ECV). The detection of trends in Global SST requires rigorous measurements that are not only global, but also highly accurate and consistent. Space instruments can provide the means to achieve these required attributes in SST data. This paper presents an analysis of 15 years of SST data from two independent data sets, generated from the (A)ATSR and AVHRR series of sensors respectively. The analyses reveal trends of increasing global temperature between 0.13°C to 0.18 °C, per decade, closely matching that expected from some current predictions. A high level of consistency in the results from the two independent observing systems is seen, which gives increased confidence in data from both systems and also enables comparative analyses of the accuracy and stability of both data sets to be carried out. The conclusion is that these satellite SST data-sets provide important means to quantify and explore the processes of climate change. An analysis based upon singular value decomposition, allowing the removal of gross transitory disturbances, notably the El Niño, in order to examine regional areas of change other than the tropical Pacific, is also presented. Interestingly, although El Niño events clearly affect SST globally, they are found to have a non- significant (within error) effect on the calculated trends, which changed by only 0.01 K/decade when the pattern of El Niño and the associated variations was removed from the SST record. Although similar global trends were calculated for these two independent data sets, larger regional differences are noted. Evidence of decreased temperatures after the eruption of Mount Pinatubo in 1991 was also observed. The methodology demonstrated here can be applied to other data-sets, which cover long time-series observations of geophysical observations in order to characterise long-term change.

  18. 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.

  19. 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

  20. Cloud Height Retrieval with Oxygen A and B Bands for the Deep Space Climate Observatory (DSCOVR) Mission

    Science.gov (United States)

    Yang, Yuekui; Marshak, Alexander; Mao, Jianping; Lyapustin, Alexei; Herman, Jay

    2012-01-01

    Planned to fly in 2014, the Deep Space Climate Observatory (DSCOVR) would see the whole sunlit half of the Earth from the L 1 Lagrangian point and would provide simultaneous data on cloud and aerosol properties with its Earth Polychromatic Imaging Camera (EPIC). EPIC images the Earth on a 2Kx2K CCD array, which gives a horizontal resolution of about 10 km at nadir. A filter-wheel provides consecutive images in 10 spectral channels ranging from the UV to the near-IR, including the oxygen A and B bands. This paper presents a study of retrieving cloud height with EPIC's oxygen A and B bands. As the first step, we analyzed the effect of cloud optical and geometrical properties, sun-view geometry, and surface type on the cloud height determination. Second, we developed two cloud height retrieval algorithms that are based on the Mixed Lambertian-Equivalent Reflectivity (MLER) concept: one utilizes the absolute radiances at the Oxygen A and B bands and the other uses the radiance ratios between the absorption and reference channels of the two bands. Third, we applied the algorithms to the simulated EPIC data and to the data from SCanning Imaging Absorption SpectroMeter for Atmospheric CartograpHY (SCIAMACHY) observations. Results show that oxygen A and B bands complement each other: A band is better suited for retrievals over ocean, while B band is better over vegetated land due to a much darker surface. Improvements to the MLER model, including corrections to surface contribution and photon path inside clouds, will also be discussed.

  1. 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.

  2. 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.

  3. 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.

  4. Bringing indices of species vulnerability to climate change into geographic space: an assessment across the Coronado national forest

    Science.gov (United States)

    Jennifer E. Davison; Sharon Coe; Deborah Finch; Erika Rowland; Megan Friggens; Lisa J. Graumlich

    2012-01-01

    Indices that rate the vulnerability of species to climate change in a given area are increasingly used to inform conservation and climate change adaptation strategies. These species vulnerability indices (SVI) are not commonly associated with landscape features that may affect local-scale vulnerability. To do so would increase their utility by allowing managers to...

  5. 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...

  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. 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

  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. 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

  10. 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...

  11. An Observation-base investigation of nudging in WRF for downscaling surface climate information to 12-km Grid Spacing

    Science.gov (United States)

    Previous research has demonstrated the ability to use the Weather Research and Forecast (WRF) model and contemporary dynamical downscaling methods to refine global climate modeling results to a horizontal resolution of 36 km. Environmental managers and urban planners have expre...

  12. 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

  13. 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.

  14. 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.

  15. 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...

  16. 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...

  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. 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)

  19. 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.

  20. Zeolitization at uranium ore manifestation

    International Nuclear Information System (INIS)

    Petrosyan, R.V.; Buntikova, A.F.

    1981-01-01

    The process of zeolitization at uranium ore manifestation is studied. A specific type of low-temperature wall endogenous alteration of rocks due to the effect of primary acid solution with low content of carbonic acid is established. Leaching of calcium from enclosing rocks and its deposition in ore-accompanying calcium zeolites is a characteristic feature of wall-metasomatosis. Formation of desmin- calcite-laumontite and quartz-fluoroapatite of vein associations, including ore minerals (uranophane and metaotenite), is genetically connected with calcium metasomatosis. On the basis of the connection of ore minerals with endogeneous process of zeolitization a conclusion can be made on endogenous origin of uranophane and metaotenite [ru

  1. [Corneal manifestations in systemic diseases].

    Science.gov (United States)

    Zarranz Ventura, J; De Nova, E; Moreno-Montañés, J

    2008-01-01

    Systemic diseases affecting the cornea have a wide range of manifestations. The detailed study of all pathologies that cause corneal alteration is unapproachable, so we have centered our interest in the most prevalent or characteristic of them. In this paper we have divided these pathologies in sections to facilitate their study. Pulmonar and conective tissue (like colagen, rheumatologic and idiopathic inflamatory diseases), dermatologic, cardiovascular, hematologic, digestive and hepatopancreatic diseases with corneal alteration are described. Endocrine and metabolic diseases, malnutrition and carential states are also studied, as well as some otorhinolaryngologic and genetic diseases that affect the cornea. Finally, a brief report of ocular toxicity induced by drugs is referred.

  2. Liver manifestations of cystic fibrosis

    International Nuclear Information System (INIS)

    Akata, Deniz; Akhan, Okan

    2007-01-01

    Chronic liver disease is one of the major complications of cystic fibrosis (CF). Significant liver disease is seen in 13-25% of children with CF. Improved life expectancy and prolonged follow-up have favored better characterization of the hepatic manifestations of CF and allowed direct observation of an increasing number of liver-related events. Liver disease typically develops in the first decade of life, with the incidence dropping rapidly after the age of 10 years. The wide spectrum of liver disease ranging from asymptomatic gallbladder abnormalities to biliary cirrhosis will be reviewed in this article

  3. Neurological Manifestations of Dengue Infection

    Directory of Open Access Journals (Sweden)

    Guo-Hong Li

    2017-10-01

    Full Text Available Dengue counts among the most commonly encountered arboviral diseases, representing the fastest spreading tropical illness in the world. It is prevalent in 128 countries, and each year >2.5 billion people are at risk of dengue virus infection worldwide. Neurological signs of dengue infection are increasingly reported. In this review, the main neurological complications of dengue virus infection, such as central nervous system (CNS, peripheral nervous system, and ophthalmic complications were discussed according to clinical features, treatment and possible pathogenesis. In addition, neurological complications in children were assessed due to their atypical clinical features. Finally, dengue infection and Japanese encephalitis were compared for pathogenesis and main clinical manifestations.

  4. Neurological manifestation of colonic adenocarcinoma

    Directory of Open Access Journals (Sweden)

    Uzair Chaudhary

    2012-04-01

    Full Text Available Paraneoplastic neurologic disorders are extremely rare in cancer patients and are most commonly associated with certain tumors, such as ovarian cancer, small cell lung cancer, and breast cancer. We report here a paraneoplastic neurological syndrome in a 53-year-old man with colonic adenocarcinoma with a solitary liver metastasis. His paraneoplastic syndrome was successfully treated by methylprednisolone and primary oncologic therapies including neoadjuvant chemotherapy and definitive surgery. This is also the first documented case of simultaneous manifestation of a sensory neuropathy and limbic encephalitis with colon cancer.

  5. 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.

  6. 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

  7. 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.

  8. 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

  9. Musculoskeletal manifestations of diabetes mellitus.

    Science.gov (United States)

    Merashli, M; Chowdhury, T A; Jawad, A S M

    2015-11-01

    The prevalence of Type 1 and Type 2 diabetes are increasing significantly worldwide. Whilst vascular complications of diabetes are well recognized, and account for principle mortality and morbidity from the condition, musculoskeletal manifestations of diabetes are common and whilst not life threatening, are an important cause of morbidity, pain and disability. Joints affected by diabetes include peripheral joints and the axial skeleton. Charcot neuroarthropathy is an important cause of deformity and amputation associated with peripheral neuropathy. A number of fibrosing conditions of the hands and shoulder are recognized, including carpal tunnel syndrome, adhesive capsulitis, tenosynovitis and limited joint mobility. People with diabetes are more prone to gout and osteoporosis. Management of these conditions requires early recognition and close liaison between diabetes and rheumatology specialists. © The Author 2015. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Radiological manifestations of rheumatoid arthritis

    International Nuclear Information System (INIS)

    Kapp, H.J.

    1997-01-01

    Rheumatoid arthritis preferrably becomes manifest at the synovial joints of the limbs, especially at the small joints of the hands and feet, at bursae and synovial sheathes. The pathologic lesions are less frequently found at cartilaginous joints or entheses. The lesions very often are symmetrically distributed and are characterized by the following: 1. A periarticular, spindle-shaped opacity with a density similar to soft-tissue, induced by an inflammatory hypertrophy of the synovia, a serosynovitis, or an edematous impregnation of the periarticular tissue. 2. A juxta-articular osteoporosis, most probably caused by a neighbouring synovialitis accompanied by hyperemia. 3. A diffuse joint cavity narrowing due to a destruction of the articular cartilage by the pannus, a fibrovascular resorptive tissue. 4. Central as well as marginal erosions, caused by destruction of ossous material by the pannus. 5. Subchondral signal cysts, likewise unduced by the pannus. (Orig./AJ) [de

  11. Musculoskeletal manifestations of bacterial endocarditis

    Directory of Open Access Journals (Sweden)

    Érika Bevilaqua Rangel

    2000-09-01

    Full Text Available CONTEXT: The incidence of staphylococcal infection has been increasing during the last 20 years. OBJECTIVE: Report a case of staphylococcal endocarditis preceded by musculoskeletal manifestations, which is a rare form of clinical presentation. DESIGN: Case report. CASE REPORT: A 45-year-old-man, without addictions and without known previous cardiopathy, was diagnosed as having definitive acute bacterial endocarditis due to Staphylococcus aureus. Its etiology was community-acquired, arising from a non-apparent primary focus. In addition, the musculoskeletal symptoms preceded the infective endocarditis (IE by about 1 month, which occurred together with other symptoms, e.g. mycotic aneurysms and petechiae. Later, the patient showed perforation of the mitral valve and moderate mitral insufficiency with clinical control.

  12. Pulmonary manifestations from systemic vasculitides

    International Nuclear Information System (INIS)

    Reuter, M.; Both, M.; Schnabel, A.

    2007-01-01

    Pulmonary vasculitides predominantly involve the small arterioles, capillaries and venules and include Wegener's granulomatosis, microscopic polyangiitis and the Churg-Strauss syndrome. Takayasu's arteriitis is a large vessel disease and may affect the main pulmonary arteries causing stenoses and occlusions. Knowledge of the natural course of disease and of clinical manifestations of pulmonary disease is helpful for an understanding of imaging findings. For this reason this article gives an overview not only of radiologic findings in chest X-ray and high resolution CT of the lungs but as well of clinical aspects of pulmonary vasculitides. Next to determination of disease extension the determination of disease activity is in the foreground of diagnostic imaging in vasculitides. Within this context principals of immunosuppressive therapy will be recognized. (orig.)

  13. CT manifestations of liver abscess

    International Nuclear Information System (INIS)

    Yan Jianfeng; Peng Yongjun

    2006-01-01

    Objective: To study CT findings of hepatic abscess. Methods: CT findings and clinical materials of 38 patients with liver abscess verified by aspiration were retrospectively viewed. All patients were examined by non-enhanced and contrast enhanced CT. Results: In 25 cases, inhomogeneous hypodense lesions with unclear demarcation were found on non-enhanced CT. On contrast enhanced CT scan, target or cluster enhancement was found Additionally, air was found within some lesions. In the rest 13 cases with early stage liver abscess, no typical sign was found on non-enhanced CT, while rosette sign and continued enhancement sign were demonstrated after the contrast agent was given. Conclusion: Various CT findings are found in different stages of liver abscess. The diagnosis and differential diagnosis should be based on CT manifestations and clinical history as well. (authors)

  14. Atypical manifestations of early syphilis

    Directory of Open Access Journals (Sweden)

    R V Koranne

    1990-01-01

    Full Text Available A study of 36 untreated patients with early syphilis revealed atypical variations namely; long incubation period of 101 days in I patient, more than 3 chancres in 1, undermined margin of the chancre along with tenderness in 1 and moderate to severe tenderness of the ulcers in 2 cases. In 3 patients there was no indurations of the ulcers. Three patients with primary syphilis had unilateral lymphadenitis, and in I case the lymph nodes were not only tender but showed tendency towardsmatingawell. Insecondarysyphilis, 11 out of 16 patients having condylomata lata had no other muco-cutaneous lesions. Concomitant presence of other venereal disease to account for the atypical manifestations was discounted- by appropriate laboratory tests, response to therapeutic agents and follow up.

  15. Atypical Cutaneous Manifestations in Syphilis.

    Science.gov (United States)

    Ivars Lleó, M; Clavo Escribano, P; Menéndez Prieto, B

    2016-05-01

    Although the diversity of the clinical manifestations of syphilis is well-known, atypical presentations can also occur. Such atypical presentations are associated with a high risk of transmission as a result of diagnostic confusion and treatment delays owing to the disease's ability to mimic other common skin diseases, deviate from classic clinical presentations, and adopt unique forms. Cases of atypical syphilis have been described most frequently in patients with concomitant human immunodeficiency virus (HIV) infection. Because the incidence of syphilis has been growing over recent years -particularly in patients with HIV co-infection- dermatologists need to be familiar with the less well-known clinical presentations of this venereal disease. Copyright © 2015 AEDV. Published by Elsevier España, S.L.U. All rights reserved.

  16. CT manifestation of peritoneal metastasis

    International Nuclear Information System (INIS)

    Cha, Soon Joo; Kang, Eun Young; Suh, Won Hyuck

    1989-01-01

    Peritoneal metastasis is frequent mode of dissemination of intraabdominal malignancies. Radiologic diagnosis of peritoneal metastasis has relied on indirect evidence on a barium UGI series and small bowel examination. With the advent of CT scanning, CT is capable of direct imaging of peritoneum. The sensitivity of CT in detecting peritoneal metastasis and CT manifestation of peritoneal metastatic lesions had reported occasionally, but rarely in Korea. So, authors illustrated the CT manifestation of peritoneal metastatic lesions in 32 cases of macroscopically proven cases in laparoscopy or laparotomy in Korea University Hae Wha Hospital during recent 4 years. The results are as follows. 1. Of total 32 cases, 18 cases were male and 14 cases were female. Age incidence was the most common in 6th decade. 2. The most common type of malignancy that cause peritoneal metastasis was the stomach cancer and next common type of malignancies were pancreas cancer in men and ovarian cancer in women. 3. Of total 32 cases of peritoneal metastasis which was confirmed by laparoscopy or laparotomy macroscopically, 23 cases (72%) were detected peritoneal thickening and/or omental pathology by CT, and the remaining 9 cases (28%) were not detected by CT. 4. Ascites was present in 19 cases (59%). 5. Parietal peritoneal thickening was present in 16 cases (50%) by CT and sheetlike pattern was the most common findings. The patterns of peritoneal thickening was relatively nonspecific and was not correlated with primary tumor type. 6. Tumor involvement of greater omentum by CT was present in 19 cases (59%). There were 7 cases of smudged appearance pattern, 6 cases of nodular pattern, 6 cases of omental cake pattern and no cystic mass pattern. The patterns of omental pathology was relatively nonspecific and was nor correlated with primary tumor type

  17. 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.

  18. 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.

  19. 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

  20. Characterization of Atmospheric Aerosol Behavior and Climatic Effects by Analysis of SAGE 2 and Other Space, Air, and Ground Measurements

    Science.gov (United States)

    Livingston, John M.

    1999-01-01

    This report documents the research performed under NASA Ames Cooperative Agreement NCC 2-991, which covered the period 1 April 1997 through 31 March 1999. Previously, an interim technical report (Technical Report No. 1, 20 March 1998) summarized the work completed during the period 1 April 1997 through 31 March 1998. The objective of the proposed research was to advance our understanding of atmospheric aerosol behavior, aerosol-induced climatic effects, and the remote measurement and retrieval capabilities of spaceborne sensors such as SAGE II by combining and comparing data from these instruments and from airborne and ground-based instruments.

  1. 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.

  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. Radiological manifestations of intestinal tuberculosis

    International Nuclear Information System (INIS)

    Im, Jae Hoon

    1974-01-01

    Radiological findings of 87 cases of intestinal tuberculosis are analyzed and presented. The diagnosis was based on histopathology in 29 cases, and on clinical ground and radiological findings in 58 cases. The radio of male and female patients was 4:6, and peak incidence is between 10 and 30. Abdominal pain, diarrhea, weight loss, fever and general weakness are frequent symptoms, and tenderness of abdomen, ascites with abdominal distension, malnutrition and emaciation are frequent signs of the patients. Laboratory investigation reveal anemia, raised ESR, hypoalbuminaemia and positive occult blood reaction in the stool in most of the patients. Chest film show activity pulmonary tuberculosis in only 1/3 patients. There is no pathognomonic radiological findings in intestinal tuberculosis and their manifestations are protean, and differentiation from other inflammatory diseases and malignant tumors in gastrointestinal tract is very difficult on radiological ground alone. However, in patients with complaining vague abdominal symptoms and signs, the radiological diagnosis is most certain means in the decision of existence of organic lesion and suggestion of tuberculosis in the gastrointestinal tract and its extent as yet. Multiplicity of the lesion, involvement of adjacent organ such as peritoneum or mesenteric lymph nodes, typical nodularity or irregularity of mesenteric border and existence of active pulmonary tuberculosis are the suggestive findings of intestinal tuberculosis. In the diagnosis of inflammatory disease or malignant tumor of gastrointestinal tract, the possibility of tuberculosis should be borne in mind, and vice versa

  4. CT manifestations of pancreatic tuberculosis

    International Nuclear Information System (INIS)

    Yu Risheng; Zheng Ji'ai; Li Rongfen

    2001-01-01

    Objective: To assess the CT manifestations and diagnostic value in the pancreatic tuberculosis(PTB)with review of the literatures. Methods: All cases of PTB proved by surgery or biopsy were examined with plain and enhanced CT scans. Results: The CT findings in one case with multiple-nodular type of PTB were diffuse enlargement of the pancreas with multiple, nodular, and low-density lesions; The nodular lesions had peripheral enhancement. 7 cases of local type of PTB encroached on pancreatic head. 4 cases showed local soft tissue masses with multiple flecked calcifications in 2 cases and mild enhancement in one case; Cystic masses was found in 2 cases, with mural calcification in 1 case and multi-loculated cystic mass in 1 case, respectively; Massive pancreatic head calcification was demonstrated in one case. In these 8 cases of PTB, the lesion extended out of pancreas in 4 cases, including abdominal tuberculous lymph nodes, tuberculous peritonitis, and hepatosplenic tuberculosis. Conclusion: CT findings of PTB were various but had some characteristics. Pancreatic masses with multiple flecked calcification or mild enhancement could suggest the diagnosis. Abdominal tuberculosis accompanied with the pancreatic lesion, especially tuberculous lymph nodes, was highly suggestive of the diagnosis of PTB

  5. Radiological manifestations of intestinal tuberculosis

    Energy Technology Data Exchange (ETDEWEB)

    Im, Jae Hoon [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1974-10-15

    Radiological findings of 87 cases of intestinal tuberculosis are analyzed and presented. The diagnosis was based on histopathology in 29 cases, and on clinical ground and radiological findings in 58 cases. The radio of male and female patients was 4:6, and peak incidence is between 10 and 30. Abdominal pain, diarrhea, weight loss, fever and general weakness are frequent symptoms, and tenderness of abdomen, ascites with abdominal distension, malnutrition and emaciation are frequent signs of the patients. Laboratory investigation reveal anemia, raised ESR, hypoalbuminaemia and positive occult blood reaction in the stool in most of the patients. Chest film show activity pulmonary tuberculosis in only 1/3 patients. There is no pathognomonic radiological findings in intestinal tuberculosis and their manifestations are protean, and differentiation from other inflammatory diseases and malignant tumors in gastrointestinal tract is very difficult on radiological ground alone. However, in patients with complaining vague abdominal symptoms and signs, the radiological diagnosis is most certain means in the decision of existence of organic lesion and suggestion of tuberculosis in the gastrointestinal tract and its extent as yet. Multiplicity of the lesion, involvement of adjacent organ such as peritoneum or mesenteric lymph nodes, typical nodularity or irregularity of mesenteric border and existence of active pulmonary tuberculosis are the suggestive findings of intestinal tuberculosis. In the diagnosis of inflammatory disease or malignant tumor of gastrointestinal tract, the possibility of tuberculosis should be borne in mind, and vice versa.

  6. Cystic thymic diseases: CT manifestations

    International Nuclear Information System (INIS)

    Song, Soon Young; Choi, Yo Won; Jeon, Eui Yong; Jeon, Seok Chol; Seo, Heung Suk; Hahm, Chang Kok

    1995-01-01

    To describe CT findings and differential points of cystic thymic lesions. We evaluated retrospectively total 19 masses with well marginated cystic lesions at thymic area on CT scans. They were 10 teratomas, 3 congenital thymic cysts, 2 multilocular thymic cysts(associated with thymoma and myasthenia gravis in each), 2 cysts Assciated with thymic Hodgkin's lymphomas an ectopic parathyroid cyst, and an infected thymic cyst. The radiological abnormalities evaluated were thickness of the wall, presence or abscene of septa, mural nodule, solid component, calcification and fat component. All three cases of congenital thymic cysts and an ectopic parathyroid cyst appeared as thin-walled unilocular cyst with homogeneous internal density and without identifiable solid component. In multilocular thymic cyst, there were thick wall and solid components(n =2), thick internal septa and calcifications(n = 1). The cysts of teratomas manifested thick walls(n = 9), internal septa(n = 4), calcifications(n = 6), fat components(n = 4), and solid components(n = 4). Cysts in Hodgkin's diseases appeared as multilocular or unilocular and had thick wall and septa without calcification. Infected thymic cyst presented with multilocular cystic mass with identifiable wall and septa, calcification, and solid components. The thymic diseases with cystic lesion include teratomas, congenital thymic cysts, multilocular thymic cysts, parathyroid cyst, and Hodgkin's disease. Congenital thymic cyst and ectopic parathyroid cyst are thin-walled unilocular cystic lesions. Cystic lesions associated with teratoma, Hodgkin's disease, and multilocular thymic cyst are thick-walled cystic lesions with or without solid component

  7. Mucocutaneous manifestations of HIV infection

    Directory of Open Access Journals (Sweden)

    Shobhana A

    2004-03-01

    Full Text Available BACKGROUND AND AIMS: Human immunodeficiency virus (HIV is associated with various mucocutaneous features, which may be the first pointer towards the existence of HIV infection. This study was done to note the different mucocutaneous lesions present in the HIV population in eastern India. METHODS: Four hundred and ten HIV seropositive patients attending the outpatient and inpatient departments were included in the study. RESULTS: Out of 410 HIV positives, 40% had mucocutaneous involvement at presentation. The mean age of the study population was 29 years and male to female ratio was 2.5:1. The common mucocutaneous morbidities included oral candidiasis (36%, dermatophytosis and gingivitis (13% each, herpes zoster (6%, herpes simplex and scabies (5% each. A striking feature, noted in 36% males, was straightening of hairs. Genital herpes was the commonest genital ulcer disease. Lesions associated with declining immunity included oral candidiasis, oral hairy leukoplakia and herpes zoster with median CD4 counts of 98, 62 and 198/ L respectively. CONCLUSION: Early recognition of mucocutaneous manifestations and associated STDs help in better management of HIV/AIDS.

  8. Esophageal manifestations of celiac disease.

    Science.gov (United States)

    Lucendo, A J

    2011-09-01

    Celiac disease (CD) may often be associated with various motor disorders affecting the different segments of the digestive tract, including the esophagus. Although it has not been universally reported, some available evidences indicate that pediatric and adult celiac patients could manifest a higher frequency of esophagitis and gastroesophageal reflux disease-related symptoms compared to nonceliac patients. In addition, several published studies have consistently shown the efficacy of a gluten-free diet in rapidly controlling esophageal symptoms and in preventing their recurrence. Since the participation of gluten in the esophageal symptoms of CD seems clear, its intimate mechanisms have yet to be elucidated, and several hypothesis have been proposed, including the specific immune alterations characterizing CD, the reduction in nutrient absorption determining the arrival of intact gluten to distal gastrointestinal segments, and various dysregulations in the function of gastrointestinal hormones and peptides. Recent studies have suggested the existence of a possible relationship between CD and eosinophilic esophagitis, which should be more deeply investigated. © 2011 Copyright the Author. Journal compilation © 2011, Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.

  9. Venus: The Atmosphere, Climate, Surface, Interior and Near-Space Environment of an Earth-Like Planet

    Science.gov (United States)

    Taylor, Fredric W.; Svedhem, Håkan; Head, James W.

    2018-02-01

    This is a review of current knowledge about Earth's nearest planetary neighbour and near twin, Venus. Such knowledge has recently been extended by the European Venus Express and the Japanese Akatsuki spacecraft in orbit around the planet; these missions and their achievements are concisely described in the first part of the review, along with a summary of previous Venus observations. The scientific discussions which follow are divided into three main sections: on the surface and interior; the atmosphere and climate; and the thermosphere, exosphere and magnetosphere. These reports are intended to provide an overview for the general reader, and also an introduction to the more detailed topical surveys in the following articles in this issue, where full references to original material may be found.

  10. Space space space

    CERN Document Server

    Trembach, Vera

    2014-01-01

    Space is an introduction to the mysteries of the Universe. Included are Task Cards for independent learning, Journal Word Cards for creative writing, and Hands-On Activities for reinforcing skills in Math and Language Arts. Space is a perfect introduction to further research of the Solar System.

  11. Manifestations of classical phase space structures in quantum mechanics

    International Nuclear Information System (INIS)

    Bohigas, O.; Ullmo, D.; Tomsovic, S.; Paris-11 Univ., 91 - Orsay

    1992-11-01

    Using two coupled quartic oscillators for illustration, the quantum mechanics of simple systems whose classical analogues have varying degrees of non-integrability is investigated. By taking advantage of discrete symmetries and dynamical quasidegeneracies it is shown that Percival's semiclassical classification scheme, i.e. eigenstates may be separated into a regular or an irregular group, basically works. Some observations of intermediate status states are made. Generalized ensembles are constructed which apply equally well to both spectral and eigenstate properties. They typically show non-universal, but nevertheless characteristic level fluctuations. In addition, they predict 'semiclassical localization' of eigenfunctions and 'quantum suppression of chaos' which are quantitatively borne out in the quantum systems. (author) 101 refs.; 27 figs.; 6 tabs

  12. 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)

  13. 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.)

  14. 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.

  15. Endocrine manifestations of celiac disease

    Directory of Open Access Journals (Sweden)

    R Philip

    2012-01-01

    Full Text Available Background: Celiac disease can have extra gastrointestinal tract (GIT presentations, most of which are endocrine. The aim of this study was to present patients diagnosed to have celiac disease from an endocrine department and to study the prevalence of endocrinopathies in celiac disease. Materials and Methods: A total of 36 patients from the endocrinology department (LLRM Medical College, Meerut between January 2011 and July 2012 and who were diagnosed to have celiac disease were included in the study. Results: Short stature was the commonest presentation (25%, other presentations included short stature and delayed puberty (20%, delayed puberty (11%, screening for celiac disease in type-1 DM patients (17%, rickets (6%, anemia not responding to oral therapy (6%, type-1 DM with recurrent hypoglycaemia (6%, and osteomalacia (3%. The endocrine manifestations include (after complete evaluation short stature (58%, delayed puberty (31%, elevated alkaline phospahatase (67%, low calcium (22%, X-rays suggestive of osteomalacia or rickets (8%, capopedal spasm (6%, and night blindness (6%. Anti-TPO antibody positivity was found in 53%, hypothyroidism in 28%, subclinical hypothyroidism in 17%, and type-1 DM in 25% of the patients. A total of 14% patients had no GI symptoms. Conclusion: Celiac disease is an endocrine disrupter as well as the great masquerader having varied presentations including short stature, delayed puberty, and rickets. Some patients who have celiac disease may not have any GI symptoms, making the diagnosis all the more difficult. Also, there is significant incidence of celiac disease with hypothyroidism and type-1 DM, making screening for it important in these diseases.

  16. Electrocardiographic Manifestations of Benzodiazepine Toxicity

    Directory of Open Access Journals (Sweden)

    Nahid Kazemzadeh

    2014-11-01

    Full Text Available Background: The aim of this study was to evaluate and compare the clinical and electrocardiographic (ECG manifestations of benzodiazepines (BZs. Methods: In this retrospective study, all BZ-poisoned patients hospitalized at Loghman Hakim Hospital between September 2010 and March 2011 were evaluated. Patients’ information including age, sex, time elapsed between the ingestion and presentation, and type of the BZ used were extracted from the patients' charts and recorded. ECGs on presentation to the emergency department (ED were evaluated and parameters such as PR interval, QRS duration, corrected QT, amplitude of S wave in lead I, height of R wave and R/S ratio in the lead aVR were also measured and recorded. Results: Oxazepam, chlordiazepoxide, lorazepam, alprazolam, diazepam, and clonazepam were ingested by 9 (3%, 13 (4.4%, 29 (9.9%, 105 (35.8%, 65 (22.2%, and 72 (24.6% patients, respectively. Mean PR interval was reported to be 0.16 ± 0.03 sec and PR interval of greater than 200 msec was detected in 12 (4.5% patients. Mean QRS duration was 0.07 ± 0.01sec and QRS≥120 msec was observed in 7 (2.6% cases. Conclusion: Diazepam is the only BZ that does not cause QRS widening and oxazepam is the only one not causing PR prolongation. It can be concluded that if a patient refers with a decreased level of consciousness and accompanying signs of BZ toxicity, QRS widening in ECG rules out diazepam, whereas PR prolongation rules out oxazepam toxicity.

  17. Cystic thymic diseases: CT manifestations

    Energy Technology Data Exchange (ETDEWEB)

    Song, Soon Young; Choi, Yo Won; Jeon, Eui Yong; Jeon, Seok Chol; Seo, Heung Suk; Hahm, Chang Kok [School of Medicine, Hanyang University, Seoul (Korea, Republic of)

    1995-09-15

    To describe CT findings and differential points of cystic thymic lesions. We evaluated retrospectively total 19 masses with well marginated cystic lesions at thymic area on CT scans. They were 10 teratomas, 3 congenital thymic cysts, 2 multilocular thymic cysts(associated with thymoma and myasthenia gravis in each), 2 cysts Assciated with thymic Hodgkin's lymphomas an ectopic parathyroid cyst, and an infected thymic cyst. The radiological abnormalities evaluated were thickness of the wall, presence or abscene of septa, mural nodule, solid component, calcification and fat component. All three cases of congenital thymic cysts and an ectopic parathyroid cyst appeared as thin-walled unilocular cyst with homogeneous internal density and without identifiable solid component. In multilocular thymic cyst, there were thick wall and solid components(n =2), thick internal septa and calcifications(n = 1). The cysts of teratomas manifested thick walls(n = 9), internal septa(n = 4), calcifications(n = 6), fat components(n = 4), and solid components(n = 4). Cysts in Hodgkin's diseases appeared as multilocular or unilocular and had thick wall and septa without calcification. Infected thymic cyst presented with multilocular cystic mass with identifiable wall and septa, calcification, and solid components. The thymic diseases with cystic lesion include teratomas, congenital thymic cysts, multilocular thymic cysts, parathyroid cyst, and Hodgkin's disease. Congenital thymic cyst and ectopic parathyroid cyst are thin-walled unilocular cystic lesions. Cystic lesions associated with teratoma, Hodgkin's disease, and multilocular thymic cyst are thick-walled cystic lesions with or without solid component.

  18. A new method to detect transitory signatures and local time/space variability structures in the climate system: the scale-dependent correlation analysis

    Science.gov (United States)

    Rodó, Xavier; Rodríguez-Arias, Miquel-Àngel

    2006-10-01

    The study of transitory signals and local variability structures in both/either time and space and their role as sources of climatic memory, is an important but often neglected topic in climate research despite its obvious importance and extensive coverage in the literature. Transitory signals arise either from non-linearities, in the climate system, transitory atmosphere-ocean couplings, and other processes in the climate system evolving after a critical threshold is crossed. These temporary interactions that, though intense, may not last long, can be responsible for a large amount of unexplained variability but are normally considered of limited relevance and often, discarded. With most of the current techniques at hand these typology of signatures are difficult to isolate because the low signal-to-noise ratio in midlatitudes, the limited recurrence of the transitory signals during a customary interval of data considered. Also, there is often a serious problem arising from the smoothing of local or transitory processes if statistical techniques are applied, that consider all the length of data available, rather than taking into account the size of the specific variability structure under investigation. Scale-dependent correlation (SDC) analysis is a new statistical method capable of highlighting the presence of transitory processes, these former being understood as temporary significant lag-dependent autocovariance in a single series, or covariance structures between two series. This approach, therefore, complements other approaches such as those resulting from the families of wavelet analysis, singular-spectrum analysis and recurrence plots. A main feature of SDC is its high-performance for short time series, its ability to characterize phase-relationships and thresholds in the bivariate domain. Ultimately, SDC helps tracking short-lagged relationships among processes that locally or temporarily couple and uncouple. The use of SDC is illustrated in the present

  19. Solar Air Collectors for Space Heating and Ventilation Applications—Performance and Case Studies under Romanian Climatic Conditions

    Directory of Open Access Journals (Sweden)

    Sanda Budea

    2014-06-01

    Full Text Available Solar air collectors have various applications: on the one hand, they can be used for air heating in cold seasons; on the other hand they can be used in summer to evacuate the warm and polluted air from residential, offices, industrial, and commercial buildings. The paper presents experimental results of a solar collector air, under the climatic conditions of the Southeastern Europe. The relationships between the direct solar irradiation, the resulting heat flow, the air velocity at the outlet, the air flow rate, the nominal regime of the collector and the efficiency of conversion of solar energy into thermal energy are all highlighted. Thus, it was shown that after a maximum 50 min, solar air collectors, with baffles and double air passage can reach over 50% efficiency for solar irradiation of 900–1000 W/m2. The article also presents a mathematical model and the results of a computational program that allows sizing solar collectors for the transfer of air, with the purpose of improving the natural ventilation of buildings. The article is completed with case studies, sizing the area to be covered with solar collectors, to ensure ventilation of a house with two floors or for an office building. In addition, the ACH (air change per hour coefficient was calculated and compared.

  20. Abdominal manifestations of autoimmune disorders

    International Nuclear Information System (INIS)

    Triantopoulou, C.

    2015-01-01

    Full text: Immunoglobulin G4-related disease was recognized as a systemic disease since various extrapancreatic lesions were observed in patients with autoimmune pancreatitis (AIP). The real etiology and pathogenesis of IgG4-RD is still not clearly understood. Moreover the exact role of IgG4 or IgG4-positive plasma cells in this disease has not yet been elucidated. only some inconsistent biological features such as hypergammaglobulinemia or hypocomplementemia support the autoimmune nature of the disease process. various names have been ascribed to this clinicopathological entity including IgG4-related sclerosing disease, IgG4-related systemic sclerosing disease, IgG4-related disease, IgG4-related autoimmune disease, hyper-IgG4 disease and IgG4-related systemic disease. The extrapancreatic lesions of IgG4-RD also exhibit the same characteristic histologic features including dense lymphoplasmacytic infiltrate, massive storiform fibrosis, and obliterative phlebitis as seen in IgG4-related pancreatitis. Abdominal manifestations include the following organs/systems: Bile ducts: Sclerosing cholangitis; Gallbladder and liver: Acalculous sclerosis cholecytitis with diffuse wall thickening; hepatic inflammatory pseudotumorts; Kidneys: round or wedge-shaped renal cortical nodules, peripheral cortical; lesions, mass like lesions or renal pelvic involvement; Prostate, urethra, seminal vesicle, vas deferens, uterine cervix; Autoimmune prostatitis; Retroperitoneum: Retroperitoneal fibrosis. thin or mildly thick homogeneous soft tissue lesion surrounding the abdominal aorta and its branches but also bulky masses causing hydronephroureterosis; Mesentery: Sclerosing mesenteritis usually involving the root of the mesentery; Bowel: Inflammatory bowel diseases mimicking Crohn’s disease or ulcerative colitis. various types of sclerosing nodular lesions of the bowel wall; Stomach: Gastritis, gastric ulcers and focal masses mimicking submucosal tumor; omentum: Infiltration mimicking

  1. 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...

  2. 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.

  3. 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.

  4. NASA's Advancements in Space-Based Spectrometry Lead to Improvements in Weather Prediction and Understanding of Climate Processes

    Science.gov (United States)

    Susskind, Joel; Iredell, Lena

    2010-01-01

    AIRS (Atmospheric Infra-Red Sounder), was launched, in conjunction with AMSU-A (Advanced Microwave Sounding Unit-A) on the NASA polar orbiting research satellite EOS (Earth Observing System) Aqua satellite in May 2002 as a next generation atmospheric sounding system. Atmospheric sounders provide information primarily about the vertical distribution of atmospheric temperature and water vapor distribution. This is achieved by measuring outgoing radiation in discrete channels (spectral intervals) which are sensitive primarily to variations of these geophysical parameters. The primary objectives of AIRS/AMSU were to utilize such information in order to improve the skill of numerical weather prediction as well as to measure climate variability and trends. AIRS is a multi-detector array grating spectrometer with 2378 channels covering the spectral range 650/cm (15 microns) to 2660/cm (3.6 microns) with a resolving power (i/a i) of roughly 1200 where a i is the spectral channel bandpass. Atmospheric temperature profile can be determined from channel observations taken within the 15 micron (the long-wave CO2 absorption band) and within the 4.2 micron (the short-wave CO2 absorption band). Radiances in these (and all other) spectral intervals in the infrared are also sensitive to the presence of clouds in the instrument?s field of view (FOV), which are present about 95% of the time. AIRS was designed so as to allow for the ability to produce accurate Quality Controlled atmospheric soundings under most cloud conditions. This was achieved by having 1) extremely low channel noise values in the shortwave portion of the spectrum and 2) a very flat spatial response function within a channel?s FOV. IASI, the high spectral resolution IR interferometer flying on the European METOP satellite, does not contain either of these important characteristics. The AIRS instrument was also designed to be extremely stabile with regard to its spectral radiometric characteristics, which is

  5. The history of the UV radiation climate of the earth--theoretical and space-based observations.

    Science.gov (United States)

    Cockell, C S; Horneck, G

    2001-04-01

    In the Archean era (3.8-2.5 Ga ago) the Earth probably lacked a protective ozone column. Using data obtained in the Earth's orbit on the inactivation of Bacillus subtilis spores we quantitatively estimate the potential biological effects of such an environment. We combine this practical data with theoretical calculations to propose a history of the potential UV stress on the surface of the Earth over time. The data suggest that an effective ozone column was established at a pO2 of approximately 5 x 10(-3) present atmospheric level. The improvement in the UV environment on the early Proterozoic Earth might have been a much more rapid event than has previously been supposed, with DNA damage rates dropping by two orders of magnitude in the space of just a few tens of millions of years. We postulate that a coupling between reduced UV stress and increased pO2 production could have contributed toward a positive feedback in the production of ozone in the early Proterozoic atmosphere. This would contribute to the apparent rapidity of the oxidation event. The data provide an evolutionary perspective on present-day Antarctic ozone depletion.

  6. 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.

  7. 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.

  8. [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.

  9. 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.

  10. 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...

  11. 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.

  12. 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.

  13. 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!"

  14. Residential space heating with wood burning stoves. Energy efficiency and indoor climate; Boligopvarmning ved braendefyring. Energieffektivitet og indeklima

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, Ole Michael; Afshari, A.; Bergsoee, N.C.; Carvalho, R. [Miljoestyrelsen, Copenhagen (Denmark); Aalborg Univ.. Statens Byggeforskningsinstitut, Aalborg (Denmark))

    2012-11-01

    Two issues turn up concerning how to use wood-burning stoves in modern homes. The first is whether wood-burning stoves in future may still act as a genuine heat source, given that new and refurbished single-family houses retain the heat much better than older ones and therefore need less and less energy for space heating. The second issue is whether it will still be possible to use wood-burning stoves in modern houses where the air exchange is controlled by mechanical ventilation or possibly heat recovery. It is a question whether firing techniques can be developed that will work in airtight houses with mechanical ventilation and negative pressure, so that harmful particle emissions can be avoided. To illustrate the first issue, a field study was designed to look carefully at seven modern wood-burning stoves that were set up in six new houses and one older house and investigated, both in terms of firing and heat release. As a background for this part of the study, a heat balance calculation was made for each house. The question is, whether wood-burning stoves will also in the future have a role to play as a heating source. Modern houses grow ever tighter and only need to be supplied with a small quantity of heat. The new Danish Buildings Requirement, 2010 has resulted in a further reduction of 25 % of the energy demand, including the energy supply for heating. However, the new requirements imply that the heating season eventually become so short that a traditional central heating installation becomes superfluous. This means that by using the small amounts of wood cut in gardens and hedgerows of the neighbourhood, a wood-burning stove will, in principle, cover the heating demand. Therefore, the question is rather whether a wood-burning stove is manufactured that can successfully be adapted to new houses. As a consequence of this development, future stoves must be further scaled down in order to meet the heating demand of a modern low-energy house and the stoves must

  15. 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.

  16. 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...

  17. 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...

  18. 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.

  19. 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.

  20. 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.

  1. 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

  2. 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...

  3. 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)

  4. 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.

  5. 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

  6. 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.

  7. 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.

  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. 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.

  10. 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

  11. 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.).

  12. 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...

  13. 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...

  14. 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...

  15. 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) ...

  16. 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.

  17. 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.

  18. 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

  19. 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 ...

  20. Radiological pulmonary manifestations of acquired immunodeficiency syndrome

    International Nuclear Information System (INIS)

    Marchiori, Edson; Melo, Alessandro Severo Alves de; Ossa, Alfonso Jaramillo

    1999-01-01

    In this article are reviewed the principal radiologic manifestations of inflammatory and tumoral diseases the compromise the lungs of patients with acquired immunodeficiency syndrome. In the group of inflammatory diseases the radiologic aspects of pneumocystosis, cytomegalovirus disease, cryptococcosis, tuberculosis and bacterial pneumonias are emphasized. In the neoplasic diseases' group the aspects of lymphoma and Kaposi's sarcoma are specially presented. (author)

  1. Propylthiouracil induced leukocytoclastic vasculitis: A rare manifestation

    Directory of Open Access Journals (Sweden)

    Semra Ayturk

    2013-01-01

    Full Text Available Propylthiouracil (PTU is a common drug used in patients with hyperthyroidism. It may cause perinuclearantineutrophil cytoplasmic antibodies (p-ANCA in few patients with Graves′ disease. This antibody has been associated with different forms of vasculitis. We report a patient who presented with cutaneous manifestations of leukocytoclasticvasculitis with simultaneous development of p-ANCAs during PTU therapy for Graves′ disease.

  2. 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)

  3. Effects of Onchocerciasis Manifestations on Academic Performance ...

    African Journals Online (AJOL)

    ... in order to reduce the parasite reservoir in man, and also breaking the man-fly contact either by use of repellents or through proper covering of the body during outdoor activities. Key Words: Onchocerciasis, manifestation, academic performance, weighted average, visual impairment. Bio-Research Vol.1(2) 2003: 77-85 ...

  4. Mechanisms And Variegated Manifestations Of Inteference In ...

    African Journals Online (AJOL)

    Nigerian bilinguals' use of English as a second language is fraught with interference from L1 to L2, a phenomenon that is commonplace world-wide as a linguistic enterprise. But the extent of this trend in bilinguals varies from one language to another based on sociolinguistic and cultural variables. In Nigeria, manifestations ...

  5. 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 ...

  6. Bedrock displacements in Greenland manifest ice mass variations, climate cycles and climate change

    DEFF Research Database (Denmark)

    Bevis, Michael; Wahr, John; Khan, Shfaqat Abbas

    2012-01-01

    for by an annual oscillation superimposed on a sustained trend. The oscillation is driven by earth’s elastic response to seasonal variations in ice mass and air mass (i.e., atmospheric pressure). Observed vertical velocities are higher and often much higher than predicted rates of postglacial rebound (PGR......), implying that uplift is usually dominated by the solid earth’s instantaneous elastic response to contemporary losses in ice mass rather than PGR. Superimposed on longer-term trends, an anomalous ‘pulse’ of uplift accumulated at many GNET stations during an approximate six-month period in 2010...

  7. An Arctic predator-prey system in flux: climate change impacts on coastal space use by polar bears and ringed seals.

    Science.gov (United States)

    Hamilton, Charmain D; Kovacs, Kit M; Ims, Rolf A; Aars, Jon; Lydersen, Christian

    2017-09-01

    Climate change is impacting different species at different rates, leading to alterations in biological interactions with ramifications for wider ecosystem functioning. Understanding these alterations can help improve predictive capacity and inform management efforts designed to mitigate against negative impacts. We investigated how the movement and space use patterns of polar bears (Ursus maritimus) in coastal areas in Svalbard, Norway, have been altered by a sudden decline in sea ice that occurred in 2006. We also investigated whether the spatial overlap between polar bears and their traditionally most important prey, ringed seals (Pusa hispida), has been affected by the sea-ice decline, as polar bears are dependent on a sea-ice platform for hunting seals. We attached biotelemetry devices to ringed seals (n = 60, both sexes) and polar bears (n = 67, all females) before (2002-2004) and after (2010-2013) a sudden decline in sea ice in Svalbard. We used linear mixed-effects models to evaluate the association of these species to environmental features and an approach based on Time Spent in Area to investigate changes in spatial overlap between the two species. Following the sea-ice reduction, polar bears spent the same amount of time close to tidal glacier fronts in the spring but less time in these areas during the summer and autumn. However, ringed seals did not alter their association with glacier fronts during summer, leading to a major decrease in spatial overlap values between these species in Svalbard's coastal areas. Polar bears now move greater distances daily and spend more time close to ground-nesting bird colonies, where bear predation can have substantial local effects. Our results indicate that sea-ice declines have impacted the degree of spatial overlap and hence the strength of the predator-prey relationship between polar bears and ringed seals, with consequences for the wider Arctic marine and terrestrial ecosystems. Shifts in ecological

  8. A method of retrieving cloud top height and cloud geometrical thickness with oxygen A and B bands for the Deep Space Climate Observatory (DSCOVR) mission: Radiative transfer simulations

    International Nuclear Information System (INIS)

    Yang, Yuekui; Marshak, Alexander; Mao, Jianping; Lyapustin, Alexei; Herman, Jay

    2013-01-01

    The Earth Polychromatic Imaging Camera (EPIC) onboard the Deep Space Climate Observatory (DSCOVR) was designed to measure the atmosphere and surface properties over the whole sunlit half of the Earth from the L1 Lagrangian point. It has 10 spectral channels ranging from the UV to the near-IR, including two pairs of oxygen (O 2 ) A-band (779.5 and 764 nm) and B-band (680 and 687.75 nm) reference and absorption channels selected for the cloud height measurements. This paper presents the radiative transfer analysis pertinent to retrieving cloud top height and cloud geometrical thickness with EPIC A- and B-band observations. Due to photon cloud penetration, retrievals from either O 2 A- or B-band channels alone gives the corresponding cloud centroid height, which is lower than the cloud top. However, we show both the sum and the difference between the retrieved cloud centroid heights in the A and B bands are functions of cloud top height and cloud geometrical thickness. Based on this fact, the paper develops a new method to retrieve cloud top height and cloud geometrical thickness simultaneously for fully cloudy scenes over ocean surface. First, cloud centroid heights are calculated for both A and B bands using the ratios between the reflectances of the absorbing and reference channels; then the cloud top height and the cloud geometrical thickness are retrieved from the two dimensional look up tables that relate the sum and the difference between the retrieved centroid heights for A and B bands to the cloud top height and the cloud geometrical thickness. This method is applicable for clouds thicker than an optical depth of 5. -- Highlights: ► EPIC onboard DSCOVR is equipped with O 2 A and B band channels. ► Photon cloud penetration depths of A and B bands contain information of cloud thickness. ► A method is developed to retrieve cloud top height and cloud geometrical thickness with EPIC O 2 A- and B-band

  9. 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...

  10. 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...

  11. 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....

  12. 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.

  13. 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.

  14. 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.

  15. 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...

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  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. 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.

  5. The radiological manifestations of sickle cell disease

    International Nuclear Information System (INIS)

    Madani, G.; Papadopoulou, A.M.; Holloway, B.; Robins, A.; Davis, J.; Murray, D.

    2007-01-01

    Sickle cell disease (SCD) is an inherited abnormality of the ss-globin chain, which causes a spectrum of haemolytic anaemias. Clinical manifestations in SCD include anaemia, jaundice, recurrent vaso-occlusive crises, and infections (particularly by encapsulated bacteria) due to functional asplenia and cerebrovascular accidents. Radiological investigations play a critical role both in the diagnosis and in the primary prevention of the complications of SCD

  6. Unusual roentgenologic manifestations of Meckel's diverticulum

    International Nuclear Information System (INIS)

    Miller, K.B.; Naimark, A.; O'Connor, J.F.; Bouras, L.

    1981-01-01

    Five cases illustrating rare roentgenographic manifestations of Meckel's diverticulum are presented. Small bowel studies in 2 patients demonstrated a mucosal pattern identifiable as heterotopic gastric rugae, and in 2 other cases peptic ulcers were seen within the diverticulum. In 1 patient the diverticulum located in the right upper quadrant contained calcified enteroliths, and in another patient the diverticulum had fistulous communication with the appendix. (orig.)

  7. Musculoskeletal manifestations in type 2 diabetes mellitus

    OpenAIRE

    Deepti P. Deshmukh; Asmita G. Akarte

    2017-01-01

    Background: Musculoskeletal complications of diabetes have been generally ignored and poorly treated as compared to other complications. Hence we carried out this study to find the prevalence of musculoskeletal manifestations in type II diabetes mellitus and its correlation with age, BMI, duration of diabetes, and control of diabetes. Methods: 100 consecutive patients of type II diabetes were studied. Duration of diabetes, control of diabetes, and any musculoskeletal complaints were noted....

  8. Nasal manifestations in chromium industry workers.

    Science.gov (United States)

    Aiyer, R G; Kumar, Gaurav

    2003-04-01

    People working in mines, plating factories, cement industries are mainly exposed to chrome substances, IIexavalent chromium has been implicated for its toxic effect on the nasal mucosa. Hereby we present a rare study of 28 patients who attended out patient department of Otorhinolaryngology at SSG Hospital, Baroda from a nearby chromium industry. This study aims to present various nasal manifestations of toxic effects of prolonged chromium exposure.

  9. The radiological manifestations of sickle cell disease

    Energy Technology Data Exchange (ETDEWEB)

    Madani, G. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom)]. E-mail: gittamadani@yahoo.com; Papadopoulou, A.M. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Holloway, B. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Robins, A. [Department of Paediatrics, Whittington Hospital NHS Trust, London (United Kingdom); Davis, J. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom); Murray, D. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom)

    2007-06-15

    Sickle cell disease (SCD) is an inherited abnormality of the ss-globin chain, which causes a spectrum of haemolytic anaemias. Clinical manifestations in SCD include anaemia, jaundice, recurrent vaso-occlusive crises, and infections (particularly by encapsulated bacteria) due to functional asplenia and cerebrovascular accidents. Radiological investigations play a critical role both in the diagnosis and in the primary prevention of the complications of SCD.

  10. ORAL MANIFESTATIONS AMONG ROMANIAN HIV PATIENTS

    OpenAIRE

    Manuela ARBUNE; Oana-Mirela POTÂRNICHIE; Silvia MARTU

    2013-01-01

    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 exposu...

  11. Les manifestations cardiovasculaires chez les hemodialyses ...

    African Journals Online (AJOL)

    Le but de l'étude est d'analyser sur une période de 12 mois chez 75 patients en hémodialyse chronique, âgés de 38ans en moyenne, le les aspects cliniques, thérapeutiques et évolutifs des manifestations cardiovasculaires. La prévalence est de 87,20% chez les patients. Les signes fonctionnels les plus fréquents sont la ...

  12. Tardive Dystonia: Clinical Spectrum and Novel Manifestations

    Directory of Open Access Journals (Sweden)

    R. Jeffrey Davis

    1988-01-01

    Full Text Available Tardive dystonia was identified in 25 patients: involvement of the face and neck was most common; truncal and limb dystonia were also observed. There were 3 cases of laryngospasm and 2 of spasmodic dysphonia. The latter has not been previously reported as a manifestation of tardive dystonia. In all cases, movements typical of classic tardive dyskinesia could be demonstrated. This group illustrates the variety of dystonic disorders that may occur in conjunction with tardive dyskinesia.

  13. Palmse viinaköögi manifest

    Index Scriptorium Estoniae

    1996-01-01

    Manifest. Tõlkijate seminari puhul 17. mail 1996 Palmse viinaköögis Juta Bedia, Eric Dickens, Gyözö Fehérvári, Guntars Godinsh, Maima Grinberga, Irja Grönholm, Leif Hannibal, Cornelius Hasselblatt, Pirkko Huurto, Ivo Iliste, Nora Javorskaja, Gisbert Jänicke, Kaisu Lahikainen, Enel Melberg, Vera Ruber, Arnold Tamm, Leili Tamm, Jonatan Tomesh, Lilia Velic'kova, Marianne Vogel. Inglise k.: Estonian Literary Magazine, autumn 1996, nr. 3

  14. Cardiac manifestations of Familial Mediterranean fever

    OpenAIRE

    Alsarah, Ahmad; Alsara, Osama; Laird-Fick, Heather S.

    2017-01-01

    Familial Mediterranean fever (FMF) is autoinflammatory disorder characterized by sporadic attacks of fever, peritonitis, pleuritis, and arthritis. It is mainly seen in patients from Mediterranean origins, but it is now reported more frequently in Europe and North America due to immigration. To analyze the data on the cardiovascular manifestations in FMF patients, we searched PubMed using the terms “Familial Mediterranean Fever” or “FMF” in combination with other key words including “cardiovas...

  15. 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

  16. 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.

  17. 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.)

  18. 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.

  19. 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.)

  20. 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. The Manifestation of Corruption in Eastern Europe

    Directory of Open Access Journals (Sweden)

    Viacheslav Hladky

    2018-01-01

    Full Text Available The purpose of this article is to identify the main manifestations of corruption in the states of Eastern Europe, and, first of all, in Ukraine, which since 2014 has been actively carrying out multiple anti-corruption transformations, although the state is becoming increasingly corrupt every year. The author defines the main groups of manifestations of corruption and analyzes their constituent elements, in the light of which, delineates such categories as "gratitude", bribe, and corruption "gratitude". Particular attention is paid to the study of corruption intercession, which unites nepotism, cronyism and corruption lobbying. It is noted that to date nepotism is essentially supplanted by the rabble, which is the advantage of "privatization" of the state in the light of the clan capitalism. It is concluded that bribery and deviant intercession (corruption protection, as the main manifestations of corruption, the facts that corruption behavior is life-affirming security and protective actions of people, to which they resort, on the one hand, because of the insolvency of the state and society, but, on the other hand, to optimize the achievement of the good that is provided by the state and society, however, in an improper way. Meanwhile, if the discrepancy measures and methods of granting the benefits of state benefits (i.e., on average, the measure and method is applicable, then ignoring the state provision of certain goods as such (i.e., they can be provided only in the corruption plane - this phenomenon is completely objective. On this basis, it is argued that the policy of counteracting corrupt practices in the state should focus, first of all, on the solution of such problems and objective problems, the refusal to account, which will lead to further criminalization of the society, which is observed, in particular, in modern Ukraine.

  8. 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.

  9. Pulmonary manifestations of systemic lupus erythematosus

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Kee Hyuk; Choi, Yo Won; Jeon, Seok Chol; Park, Choong Ki; Joo, Kyung Bin; Hahm, Chang Kok; Lee, Seung Ro [College of Medicine, Hanyang Univ., Seoul (Korea, Republic of)

    2004-02-01

    Pulmonary involvement is more common in systemic lupus erythematosus (SLE) than in any other connective tissue disease, and more than half of patients with SLE suffer from respiratory dysfunction during the course of their illness. Although sepsis and renal disease are the most common causes of death in SLE, lung disease is the predominant manifestation and is an indicator of overall prognosis. Respiratory disease may be due to direct involvement of the lung or as a secondary consequence of the effect of the disease on other organ systems.

  10. Sarcoidosis: Oral and extra-oral manifestation

    Directory of Open Access Journals (Sweden)

    Sanjay Gupta

    2015-01-01

    Full Text Available Sarcoidosis is a multisystem granulomatous disease, which is usually associated with the formation of noncaseating granulomas in affected tissues and organs. It is mostly present with bilateral hilar lymphadenopathy, pulmonary infiltration, ocular, and cutaneous lesions. Oral manifestations of this disease are relatively rare. The present case report shows a 40-year-old male with lesions in the soft tissue of oral cavity (buccal mucosa, gingiva, and palate and a diagnosis of sarcoidosis was established following hematological, biochemical and pulmonary function tests, chest radiograph, and histopathological investigation.

  11. Research Misconduct—Definitions, Manifestations and Extent

    Directory of Open Access Journals (Sweden)

    Lutz Bornmann

    2013-10-01

    Full Text Available In recent years, the international scientific community has been rocked by a number of serious cases of research misconduct. In one of these, Woo Suk Hwang, a Korean stem cell researcher published two articles on research with ground-breaking results in Science in 2004 and 2005. Both articles were later revealed to be fakes. This paper provides an overview of what research misconduct is generally understood to be, its manifestations and the extent to which they are thought to exist.

  12. Cutaneous manifestations in patients with mastocytosis

    DEFF Research Database (Denmark)

    Hartmann, Karin; Escribano, Luis; Grattan, Clive

    2016-01-01

    with mastocytosis. To address this unmet need, an international task force involving experts from different organizations (including the European Competence Network on Mastocytosis; the American Academy of Allergy, Asthma & Immunology; and the European Academy of Allergology and Clinical Immunology) met several...... times between 2010 and 2014 to discuss the classification and criteria for diagnosis of cutaneous manifestations in patients with mastocytosis. This article provides the major outcomes of these meetings and a proposal for a revised definition and criteria. In particular, we recommend that the typical...

  13. Pulmonary manifestations of systemic lupus erythematosus

    International Nuclear Information System (INIS)

    Yang, Kee Hyuk; Choi, Yo Won; Jeon, Seok Chol; Park, Choong Ki; Joo, Kyung Bin; Hahm, Chang Kok; Lee, Seung Ro

    2004-01-01

    Pulmonary involvement is more common in systemic lupus erythematosus (SLE) than in any other connective tissue disease, and more than half of patients with SLE suffer from respiratory dysfunction during the course of their illness. Although sepsis and renal disease are the most common causes of death in SLE, lung disease is the predominant manifestation and is an indicator of overall prognosis. Respiratory disease may be due to direct involvement of the lung or as a secondary consequence of the effect of the disease on other organ systems

  14. Imaging manifestations of progressive multifocal leukoencephalopathy

    International Nuclear Information System (INIS)

    Shah, R.; Bag, A.K.; Chapman, P.R.; Cure, J.K.

    2010-01-01

    Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease caused by reactivation of JC virus in immunosuppressed patients. The diagnosis is usually suggested on imaging and confirmed by cerebrospinal fluid polymerase chain reaction (PCR) for JC virus DNA. In this article, we review the imaging manifestations of PML on computed tomography (CT), magnetic resonance imaging (MRI), diffusion-weighted imaging (DWI), diffusion tensor imaging (DTI), MR spectroscopy, single photon-emission computed tomography (SPECT) and positron-emission tomography (PET), and outline the role of imaging in follow-up and prognostication.

  15. Various musculoskeletal manifestations of chronic renal insufficiency

    International Nuclear Information System (INIS)

    Lim, C.Y.; Ong, K.O.

    2013-01-01

    Musculoskeletal manifestations in chronic renal insufficiency are caused by complex bone metabolism alterations, now described under the umbrella term of chronic kidney disease mineral- and bone-related disorder (CKD-MBD), as well as iatrogenic processes related to renal replacement treatment. Radiological imaging remains the mainstay of disease assessment. This review aims to illustrate the radiological features of CKD-MBD, such as secondary hyperparathyroidism, osteomalacia, adynamic bone disease, soft-tissue calcifications; as well as features associated with renal replacement therapy, such as aluminium toxicity, secondary amyloidosis, destructive spondyloarthropathy, haemodialysis-related erosive arthropathy, tendon rupture, osteonecrosis, and infection

  16. Effect of different plant spacing on the production of cauliflower (Brassica oleraceae var. Botrytis) under the agro-climatic conditions of D.I. Khan.

    Science.gov (United States)

    Mujeeb-ur-Rahman; Iqbal, Muhammad; Jilani, Muhammad Saleem; Waseem, Kashif

    2007-12-15

    A research project to evaluate the effect of different plant spacing on the production of cauliflower was conducted at Horticulture Research Area, Faculty of Agriculture, Gomal University, Dera Ismail Khan, NWFP, Pakistan. Six different plant spacing viz., 30, 35, 40, 45, 50 and 55 cm were used. The results revealed significant variations in all the parameters and amongst various plant spacing, 45 cm spacing showed the best response for all the parameters. Maximum plant height (49.33 cm), curd diameter (19.13 cm), maximum curd weight (1.23 kg plant(-1)) and yield (30.77 t ha(-1)) were recorded in the plots where the plants were spaced 45 cm apart.

  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. Neurotic manifestations in adolescents with thalassemia major.

    Science.gov (United States)

    Moorjani, J D; Issac, Chithira

    2006-07-01

    To study the neurotic manifestations in thalassemic adolescents as a consequence of long-term illness. From July 2003, thirty six thalassemic adolescents and forty normal adolescents were selected with age ranging from 13 to 18 and with same socio economic status and family background. Middlesex Hospital Questionnaire by Crown and Crisp [1966] was administered and Mann Whiteny 'U' test was employed to measure free-floating anxiety, phobia, somatic anxiety, obsession, depression, hysteria and total neuroticism score. An interview was conducted along with the questionnaire to detect the problems in depth. Parents of thalassemic adolescents were interviewed subsequently to realize the behavioral problems existing along with neuroticism. Thirty-six of thalassemic and all forty normal adolescents returned the questionnaires. The responses suggest a marked difference in total neuroticism score and all other variables except that of hysteria. The interview on parents of thalassemic adolescents exposed various behavioral problems in these adolescents. Thalassemic adolescents were having higher scores in neuroticism. Some behavioral problems are also found to exist along with neurotic manifestations. There remains a need to improve the management of thalassemia in terms of psychological aspects in order to improve the mental health of this group.

  19. Manifestations of Gorlin-Goltz syndrome.

    Science.gov (United States)

    Larsen, Anne Kristine; Mikkelsen, Dorthe Bisgaard; Hertz, Jens Michael; Bygum, Anette

    2014-05-01

    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. 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, Denmark, in the period from 1994 to 2013. A total of 17 patients from eight families fulfilled the diagnostic criteria. In all, 14 patients had basal cell carcinomas, 12 patients had jaw cysts and ten patients had calcification of the falx cerebri. Other clinical features were frontal bossing, kyphoscoliosis, rib anomalies, coalitio, cleft lip/palate, eye anomalies, milia and syndactyly. In one family, medulloblastoma and astrocytoma occurred. Traditional treatment principles of basal cell carcinomas were used including radiotherapy performed in six patients. PTCH1 mutations were identified in five families and none of these mutations had previously been described. 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 for confirmation of the diagnosis and for predictive genetic testing. Patients should be offered genetic counselling and life-long surveillance. not relevant. not relevant.

  20. Non-cardiac manifestations of Marfan syndrome

    Science.gov (United States)

    2017-01-01

    Because of the widespread distribution of fibrillin 1 in the body, Marfan syndrome (MFS) affects virtually every system. The expression of this single dominantly inherited gene is variable within a family, and between families. There is some genotype-phenotype correlation which is helpful in guiding long-term prognosis, and management. In general gene mutations have been reported in clusters, with those having mainly ocular manifestations occurring in exons 1 to 15 of this 65-exon gene; those causing cardiac problems often involving cysteine replacement in a calcium binding EGF-like sequence; the most severe mutations occurring in exons 25–32, causing neonatal MFS diagnosed at birth, and severe enough to cause death frequently before the age of 2. Other correlations will certainly be found in future. This condition is progressive, and the manifestations unfold according to age. For example, if the lens is going to dislocate this usually occurs by age 10; scoliosis usually presents itself between the ages of 8 and 15; height should be monitored carefully between the onset of puberty and cessation of growth approximately age 17 or 18. Holistic care should be offered by one doctor who oversees the patient’s welfare. This should be a paediatrician, paediatric cardiologist, or general practitioner in the case of an affected child. Thereafter, the physician in charge of the most seriously affected system should be aware that other systems need to be managed through a referral network. PMID:29270372

  1. 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).

  2. 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)

  3. [Buccal manifestations in patients submitted to chemotherapy].

    Science.gov (United States)

    Hespanhol, Fernando Luiz; Tinoco, Eduardo Muniz Barretto; Teixeira, Henrique Guilherme de Castro; Falabella, Márcio Eduardo Vieira; Assis, Neuza Maria de Souza Picorelli

    2010-06-01

    Several changes in the oral cavity due to chemotherapy can be observed and can lead to important systemic complications, increasing the time of the patient in hospital and the costs of the treatment as well as affect the quality of life of the patients. The aim of this study was to assess the oral manifestation in patients treated with chemotherapy according to sex, age and tumor type. Data was collected in an oncology hospital in Juiz de Fora, Minas Gerais State, from patients' records that were submitted to oncologic treatment. It was possible to verify that mucositis, associated or not to other type of lesions, was the most common lesion in both sex of all ages (15.5%). Xerostomia and other lesions, such as Candida infection and aphthous lesions, were also present. It is possible to improve the quality of life of the patient during and after anti-neoplastic therapies through a protocol of odontological assistance that includes changes of the oral environment previous to chemotherapy such as profilaxis, caries removal, treatment of periodontal and periapical lesions, oral hygiene instructions, diet orientation and laser therapy. It is very important the insertion of the dentist in the oncologic medical team for the early diagnosis of the oral manifestation and follow-up during treatment time.

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. 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...

  9. [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

  10. Physical Characters of Trees And Their Effects on Micro-Climate (Case Study at Urban Forest and Green Open Space at Semarang City

    Directory of Open Access Journals (Sweden)

    Endes N Dahlan

    2016-08-01

    Full Text Available Air temperature in cities are increasing which can cause reduce the human comfort and productivity. Urban forest can make the environment comfortable. The objectiveof the researc hwere: (1. To Determine the effects of urban forest on air temperature and relative humidity, (2. To analyze the effects of physical characters of trees ont he micro-climate amelioration and(3. To Determine species of trees which are very effective for micro-climate amelioration.The results of the research revealed that the average of daily air temperature in the urban forest was 30.2 C with arelative humidityof 74.0%, while the daily air temperature around the urban forest was 31.8 Karakter Fisik Pohon ... (Dahlan E o C with relative humidityof 71.1%. Tree composisitin of all study sites consist of192trees, 29 speciesand 13families. The TinjomoyoForest Tourism has the highest density of trees(406trees/ha, while the lowest in the Parks Minister Supeno (316trees/ha. Value of Key Performance Indicator (KPI of trees based on calculation of tall of trees, diameter of canopies, total leaves area and canopy forms noticed that very effective trees for micro-climate amelioration were: Angsana(Pterocarpus indicus, beringin(Ficus benjamina, flamboyan(Delonix regia , ketapang(Terminalia catappa, mahoni (Swietenia mahogany, andtrembesi (Albizia saman.

  11. Climate Change

    Science.gov (United States)

    Climate is the average weather in a place over a period of time. Climate change is major change in temperature, rainfall, snow, ... by natural factors or by human activities. Today climate changes are occurring at an increasingly rapid rate. ...

  12. Agriculture: Climate

    Science.gov (United States)

    Climate change affects agricultural producers because agriculture and fisheries depend on specific climate conditions. Temperature changes can cause crop planting dates to shift. Droughts and floods due to climate change may hinder farming practices.

  13. Ocular Manifestations of Mosquito-Transmitted Diseases.

    Science.gov (United States)

    Karesh, James W; Mazzoli, Robert A; Heintz, Shannon K

    2018-03-01

    Of the 3,548 known mosquito species, about 100 transmit human diseases. Mosquitoes are distributed globally throughout tropical and temperate regions where standing water sources are available for egg laying and the maturation of larva. Female mosquitoes require blood meals for egg production. This is the main pathway for disease transmission. Mosquitoes carry several pathogenic organisms responsible for significant ocular pathology and vision loss including West Nile, Rift Valley, chikungunya, dengue viruses, various encephalitis viruses, malarial parasites, Francisella tularensis, microfilarial parasites, including Dirofilaria, Wuchereria, and Brugia spp., and human botfly larvae. Health care providers may not be familiar with many of these mosquito-transmitted diseases or their associated ocular findings delaying diagnosis, treatment, and recovery of visual function. This article aims to provide an overview of the ocular manifestations associated with mosquito-transmitted diseases.

  14. Quantum manifestations of classical resonance zones

    International Nuclear Information System (INIS)

    De Leon, N.; Davis, M.J.; Heller, E.J.

    1984-01-01

    We examine the concept of nodal breakup of wave functions as a criterion for quantum mechanical ergodicity. We find that complex nodal structure of wave functions is not sufficient to determine quantum mechanical ergodicity. The influence of classical resonances [which manifest themselves as classical resonance zones (CRZ)] may also be responsible for the seeming complexity of nodal structure. We quantify this by reexamining one of the two systems studied by Stratt, Handy, and Miller [J. Chem. Phys. 71, 3311 (1974)] from both a quantum mechanical and classical point of view. We conclude that quasiperiodic classical motion can account for highly distorted quantum eigenstates. One should always keep this in mind when addressing questions regarding quantum mechanical ergodicity

  15. Skin manifestations of chronic kidney disease.

    Science.gov (United States)

    Robles-Mendez, J C; Vazquez-Martinez, O; Ocampo-Candiani, J

    2015-10-01

    Skin manifestations associated with chronic kidney disease are very common. Most of these conditions present in the end stages and may affect the patient's quality of life. Knowledge of these entities can contribute to establishing an accurate diagnosis and prognosis. Severe renal pruritus is associated with increased mortality and a poor prognosis. Nail exploration can provide clues about albumin and urea levels. Nephrogenic systemic fibrosis is a preventable disease associated with gadolinium contrast. Comorbidities, such as diabetes mellitus and secondary hyperparathyroidism, can lead to acquired perforating dermatosis and calciphylaxis, respectively. Effective and innovative treatments are available for all of these conditions. Copyright © 2015 Elsevier España, S.L.U. and AEDV. All rights reserved.

  16. Neurological manifestations of Chikungunya and Zika infections

    Directory of Open Access Journals (Sweden)

    Talys J. Pinheiro

    Full Text Available ABSTRACT The epidemics of Chikungunya virus (CHIKV and Zika virus (ZIKV infections have been considered the most important epidemiological occurrences in the Americas. The clinical picture of CHIKV infection is characterized by high fever, exanthema, myalgia, headaches, and arthralgia. Besides the typical clinical picture of CHIKV, atypical manifestations of neurological complications have been reported: meningo-encephalitis, meningoencephalo-myeloradiculitis, myeloradiculitis, myelitis, myeloneuropathy, Guillain-Barré syndrome and others. The diagnosis is based on clinical, epidemiological, and laboratory criteria. The most common symptoms of ZIKV infection are skin rash (mostly maculopapular, fever, arthralgia, myalgia, headache, and conjunctivitis. Some epidemics that have recently occurred in French Polynesia and Brazil, reported the most severe conditions, with involvement of the nervous system (Guillain-Barré syndrome, transverse myelitis, microcephaly and meningitis. The treatment for ZIKV and CHIKV infections are symptomatic and the management for neurological complications depends on the type of affliction. Intravenous immunoglobulin, plasmapheresis, and corticosteroid pulse therapy are options.

  17. Variable manifestations of dysplasia epiphysealis hemimelica

    Energy Technology Data Exchange (ETDEWEB)

    Azouz, E.M.; Slomic, A.M.; Marton, D.; Rigault, P.; Finidori, G.

    1985-01-01

    Dysplasia epiphysealis hemimelica (DEH) is an osteocartilaginous overgrowth involving one or multiple epiphyses or ossification centers, usually in a lower extremity on one side of the body. Characteristically the involvement is hemimelic, i.e., either the medial or lateral part of the ossification center is involved. The authors have studied 24 patients with DEH and are adding 15 new cases to the literature. Because of the variable manifestations of the dysplasia and its different degrees of involvement in the affected children, they have subdivided it into localized, classical and generalized. In the generalized form, there is involvement of a whole lower extremity from the pelvis to the foot, and some of these patients show megaepiphyses with enlargement of a whole epiphyseal center, not only its medial or lateral part. The authors have also described and illustrated other special features of the dysplasia especially the advanced bone age and the metaphyseal and growth plate involvement.

  18. Spiral CT manifestations of spherical pneumonia

    International Nuclear Information System (INIS)

    Li Xiaohong; Yang Hongwei; Xu Chunmin; Qin Xiu

    2008-01-01

    Objective: To explore the Spiral CT manifestations and differential diagnosis of spherical pneumonia. Methods: 18 cases of spherical pneumonia and 20 cases of peripheral pulmonary carcinoma were selected, both of them were confirmed by clinic and/or pathology. The SCT findings of both groups were compared retrospectively. Results: Main spiral CT findings of spherical pneumonia were showed as followings: square or triangular lesions adjacent to pleura; with irregular shape, blurry, slightly lobulated margin, sometimes with halo sign. Small inflammatory patches and intensified vascular markings around the lesions were seen. Lesions became smaller or vanished after short-term anti-inflammatory treatment. Conclusion: Spherical pneumonia showed some characteristics on Spiral CT scan, which are helpful in diagnosis and differential diagnosis of this disease. (authors)

  19. Renal manifestations in children with Alagille syndrome.

    Science.gov (United States)

    Di Pinto, Diana; Adragna, Marta

    2018-04-01

    Alagille syndrome (AS) is a cholestatic disease secondary to scarcity of interlobular bile ducts. It is associated with extrahepatic manifestations, and renal involvement is frequent. To describe the prevalence, type and outcome of renal pathology in children with AS. The presence and outcome of renal pathology was retrospectively studied in 21 children who met AS criteria. Renal pathology was observed in 18 patients (85.7%): (1) ultrasound variations in 7 patients (6 cases of bilateral renal dysplasia and 1 case of renal agenesis); (2) distal renal tubular acidosis in 2 patients; (3) a drop in glomerular filtration and/or proteinuria in 16 patients. The frequency of a drop in glomerular filtration was similar between patients with and without pathological kidney ultrasound findings. Our study confirms a high prevalence of renal involvement, which enhances the importance of diagnosis and renal function follow-up in children with AS. Sociedad Argentina de Pediatría.

  20. 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.

  1. 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.

  2. 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...

  3. 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...

  4. Gynecomastia as the initial manifestation of hyperthyroidism.

    Science.gov (United States)

    Gordon, D L; Brown, J L; Emanuele, N V; Hall, L

    1997-01-01

    To present two new cases of gynecomastia as the initial manifestation of hyperthyroidism. We describe detailed case reports of two men with breast enlargement who were found to have hyperthyroidism, and we review the related literature. Two men sought medical assistance because of unilateral tender gynecomastia. In one of these patients, thyroid, gonadal, and prostate examinations showed normal findings at the time of initial assessment, and symptoms of hyperthyroidism developed later. In our other patient with gynecomastia, other symptoms of hyperthyroidism--for example, nervousness, irritability, palpitations, and fatigue--had been present for a prolonged period but had been considered "normal" by the patient. In both patients, the hyperthyroidism was treated with radioiodine. Breast pain disappeared in both patients, and breast enlargement disappeared in one patient and was decreased in the other patient after euthyroidism was achieved. Review of the literature disclosed only two similar cases. Because of the rarity of gynecomastia as the initial symptom of hyperthyroidism, we believe that thyroid function tests are not indicated in the workup of patients whose major complaint is gynecomastia.

  5. Neuro-ophthalmic manifestations of prematurity

    Directory of Open Access Journals (Sweden)

    Preeti Patil Chhablani

    2014-01-01

    Full Text Available Increasing rates of preterm births coupled with better survival of these infants have resulted in higher prevalence of systemic and ocular complications associated with prematurity. In addition to retinopathy of prematurity, infants who are born preterm may suffer from severe visual impairment as a result of hypoxic ischemic encephalopathy, hypoglycemia, and other metabolic imbalances. The effect of these processes on the anterior visual pathway may result in optic atrophy, optic nerve hypoplasia or optic disc cupping and affection of the posterior visual pathway leads to cortical visual impairment (CVI. Other ocular associations include strabismus, nystagmus, and ocular motor abnormalities such as tonic down gaze and defective saccades and pursuits. Cortical and subcortical involvement also manifests as defects in functional vision and these have not yet been completely understood. Children with CVI may have visual field defects, photophobia, defective visual processing, and deficient color vision. Since most of these children also suffer from additional systemic disabilities, evaluation, and management remains a challenge. However, early diagnosis and initiation of rehabilitation therapy can prove to be of significant benefit in these children.

  6. Neuropsychiatric Manifestations in a Patient with Panhypopituitarism

    Directory of Open Access Journals (Sweden)

    Oluwole Jegede

    2017-01-01

    Full Text Available We present a case of an incidental diagnosis of panhypopituitarism in a 68-year-old African American man admitted to our psychiatric inpatient unit with symptoms suggestive of schizophrenia. The case was unusual as a first-episode psychosis given the patient’s age. In the course of his admission, the patient’s clinical condition deteriorated culminating in a sudden altered mental status which prompted a transfer to the medical floors and further investigations. A head CT scan and a pituitary MRI revealed a near total resection of the pituitary while laboratory investigations revealed hyponatremia and a grossly low hormone profile. The progression of these events casts doubts on our admitting diagnosis as the primary cause of the patient’s symptoms. The patient’s clinical condition improved only when his endocrinopathy was treated with hormone replacement, fluids, and electrolyte correction in addition to antipsychotics. An inability to verify the patient’s psychiatric history and a remote history of pituitary resection several decades earlier, unknown to the treating team, added to the diagnostic conundrum. We revised the diagnosis to neuropsychiatric manifestations secondary to an organic brain syndrome due to a partial pituitary resection. The patient was discharged with no symptoms of psychosis, good insight, judgment, and good reality testing.

  7. Neuropsychiatric Manifestations in a Patient with Panhypopituitarism.

    Science.gov (United States)

    Jegede, Oluwole; Jeyakumar, Ajouka; Balakumar, Thyarapan; Raghu, Alyssa; Chang, Katherine I; Soewono, Katarina; Gustave, Mario; Jolayemi, Ayodeji

    2017-01-01

    We present a case of an incidental diagnosis of panhypopituitarism in a 68-year-old African American man admitted to our psychiatric inpatient unit with symptoms suggestive of schizophrenia. The case was unusual as a first-episode psychosis given the patient's age. In the course of his admission, the patient's clinical condition deteriorated culminating in a sudden altered mental status which prompted a transfer to the medical floors and further investigations. A head CT scan and a pituitary MRI revealed a near total resection of the pituitary while laboratory investigations revealed hyponatremia and a grossly low hormone profile. The progression of these events casts doubts on our admitting diagnosis as the primary cause of the patient's symptoms. The patient's clinical condition improved only when his endocrinopathy was treated with hormone replacement, fluids, and electrolyte correction in addition to antipsychotics. An inability to verify the patient's psychiatric history and a remote history of pituitary resection several decades earlier, unknown to the treating team, added to the diagnostic conundrum. We revised the diagnosis to neuropsychiatric manifestations secondary to an organic brain syndrome due to a partial pituitary resection. The patient was discharged with no symptoms of psychosis, good insight, judgment, and good reality testing.

  8. Q fever: a new ocular manifestation

    Directory of Open Access Journals (Sweden)

    Udaondo P

    2011-09-01

    Full Text Available P Udaondo1,3, S Garcia-Delpech1,2, D Salom1,2, M Garcia-Pous1, M Diaz-Llopis1,21Department of Ophthalmology, Nuevo Hospital Universitario y Politecnico La Fe, Valencia, Spain; 2Faculty of Medicine, Universitat de València, Valencia, Spain; 3Universidad Cardenal Herrera CEU, Valencia, SpainAbstract: Q Fever is a zoonosis caused by Coxiella burnetii. Ocular manifestations are rare in this infection. We describe the case of a man complaining of an intense retro-orbital headache, fever, arthralgia, and bilateral loss of vision, who showed an anterior uveitis accompanied by exudative bilateral inferior retinal detachment and optic disk edema. At the beginning, a Vogt–Koyanagi–Harada (VKH syndrome was suspected, but the patient was diagnosed with Q fever and treatment with doxycycline was initiated, with complete resolution after 2 weeks. We wondered if Q fever could unleash VKH syndrome or simulate a VKH syndrome by a similar immunological process.Keywords: Q fever, Vogt–Koyanagi–Harada syndrome, panuveitis, exudative retinal detachment

  9. Cutaneous Manifestations of Diabetes Mellitus: A Review.

    Science.gov (United States)

    Lima, Ana Luiza; Illing, Tanja; Schliemann, Sibylle; Elsner, Peter

    2017-08-01

    Diabetes mellitus is a widespread endocrine disease with severe impact on health systems worldwide. Increased serum glucose causes damage to a wide range of cell types, including endothelial cells, neurons, and renal cells, but also keratinocytes and fibroblasts. Skin disorders can be found in about one third of all people with diabetes and frequently occur before the diagnosis, thus playing an important role in the initial recognition of underlying disease. Noninfectious as well as infectious diseases have been described as dermatologic manifestations of diabetes mellitus. Moreover, diabetic neuropathy and angiopathy may also affect the skin. Pruritus, necrobiosis lipoidica, scleredema adultorum of Buschke, and granuloma annulare are examples of frequent noninfectious skin diseases. Bacterial and fungal skin infections are more frequent in people with diabetes. Diabetic neuropathy and angiopathy are responsible for diabetic foot syndrome and diabetic dermopathy. Furthermore, antidiabetic therapies may provoke dermatologic adverse events. Treatment with insulin may evoke local reactions like lipohypertrophy, lipoatrophy and both instant and delayed type allergy. Erythema multiforme, leukocytoclastic vasculitis, drug eruptions, and photosensitivity have been described as adverse reactions to oral antidiabetics. The identification of lesions may be crucial for the first diagnosis and for proper therapy of diabetes.

  10. Hemoglobinopathies: clinical manifestations, diagnosis, and treatment.

    Science.gov (United States)

    Kohne, Elisabeth

    2011-08-01

    Hemoglobinopathies are among the most common inherited diseases around the world. They have become much more common recently in northern and central Europe, including Germany, due to immigration. Selective review of the literature with consideration of national guidelines. The hemoglobinopathies encompass all genetic diseases of hemoglobin. They fall into two main groups: thalassemia syndromes and structural hemoglobin variants (abnormal hemoglobins). α- and β-thalassemia are the main types of thalassemia; the main structural hemoglobin variants are HbS, HbE and HbC. There are many subtypes and combined types in each group. The highly variable clinical manifestations of the hemoglobinopathies range from mild hypochromic anemia to moderate hematological disease to severe, lifelong, transfusion-dependent anemia with multiorgan involvement. Stem-cell transplantation is the preferred treatment for the severe forms of thalassemia. Supportive, rather than curative, treatment consists of periodic blood transfusions for life, combined with iron chelation. Drugs to treat the symptoms of sickle-cell disease include analgesics, antibiotics, ACE inhibitors and hydroxyurea. Blood transfusions should be given only when strictly indicated. More than 90% of patients currently survive into adulthood. Optimally treated patients have a projected life span of 50 to 60 years. Hemoglobinopathies are a public health issue in today's multiethnic German population. Adequate care of the affected patients requires a wide variety of diagnostic and therapeutic measures.

  11. Clinical manifestations and management of Gaucher disease.

    Science.gov (United States)

    Linari, Silvia; Castaman, Giancarlo

    2015-01-01

    Gaucher disease is a rare multi-systemic metabolic disorder caused by the inherited deficiency of the lysosomal enzyme β-glucocerebrosidase, which leads to the accumulation of its normal substrate, glucocerebroside, in tissue macrophages with damage to haematological, visceral and bone systems. Anaemia, thrombocytopenia, enlargement of liver and/or spleen, skeletal abnormalities (osteopenia, lytic lesions, pathological fractures, chronic bone pain, bone crisis, bone infarcts, osteonecrosis and skeletal deformities) are typical manifestations of the most prevalent form of the disease, the so-called non-neuronopathic type 1. However, severity and coexistence of different symptoms are highly variable. The determination of deficient β-glucocerebrosidase activity in leukocytes or fibroblasts by enzymatic assay is the gold standard for the diagnosis of Gaucher disease. Comprehensive and reproducible evaluation and monitoring of all clinically relevant aspects are fundamental for the effective management of Gaucher disease patients. Enzyme replacement therapy has been shown to be effective in reducing glucocerebroside storage burden and diminishing the deleterious effects caused by its accumulation. Tailored treatment plan for each patient should be directed to symptom relief, general improvement of quality of life, and prevention of irreversible damage.

  12. Neurological manifestations of dengue viral infection

    Directory of Open Access Journals (Sweden)

    Carod-Artal FJ

    2014-10-01

    Full Text Available Francisco Javier Carod-Artal1,21Neurology Department, Raigmore hospital, Inverness, UK; 2Universitat Internacional de Catalunya (UIC, Barcelona, Spain Abstract: Dengue is the most common mosquito-borne viral infection worldwide. There is increased evidence for dengue virus neurotropism, and neurological manifestations could make part of the clinical picture of dengue virus infection in at least 0.5%–7.4% of symptomatic cases. Neurological complications have been classified into dengue virus encephalopathy, dengue virus encephalitis, immune-mediated syndromes (acute disseminated encephalomyelitis, myelitis, Guillain–Barré syndrome, neuritis brachialis, acute cerebellitis, and others, neuromuscular complications (hypokalemic paralysis, transient benign muscle dysfunction and myositis, and dengue-associated stroke. Common neuro-ophthalmic complications are maculopathy and retinal vasculopathy. Pathogenic mechanisms include systemic complications and metabolic disturbances resulting in encephalopathy, direct effect of the virus provoking encephalitis, and postinfectious immune mechanisms causing immune-mediated syndromes. Dengue viruses should be considered as a cause of neurological disorders in endemic regions. Standardized case definitions for specific neurological complications are still needed. Keywords: encephalitis, encephalopathy, dengue fever, neurological complications

  13. Form of the manifestly covariant Lagrangian

    Science.gov (United States)

    Johns, Oliver Davis

    1985-10-01

    The preferred form for the manifestly covariant Lagrangian function of a single, charged particle in a given electromagnetic field is the subject of some disagreement in the textbooks. Some authors use a ``homogeneous'' Lagrangian and others use a ``modified'' form in which the covariant Hamiltonian function is made to be nonzero. We argue in favor of the ``homogeneous'' form. We show that the covariant Lagrangian theories can be understood only if one is careful to distinguish quantities evaluated on the varied (in the sense of the calculus of variations) world lines from quantities evaluated on the unvaried world lines. By making this distinction, we are able to derive the Hamilton-Jacobi and Klein-Gordon equations from the ``homogeneous'' Lagrangian, even though the covariant Hamiltonian function is identically zero on all world lines. The derivation of the Klein-Gordon equation in particular gives Lagrangian theoretical support to the derivations found in standard quantum texts, and is also shown to be consistent with the Feynman path-integral method. We conclude that the ``homogeneous'' Lagrangian is a completely adequate basis for covariant Lagrangian theory both in classical and quantum mechanics. The article also explores the analogy with the Fermat theorem of optics, and illustrates a simple invariant notation for the Lagrangian and other four-vector equations.

  14. Biochemical Manifestation of HIV Lipodystrophy Syndrome.

    Science.gov (United States)

    Ihenetu, Kenneth; Mason, Darius

    2012-01-01

    Highly active anti-retroviral therapy (HAART), including protease inhibitors (PI) have led to dramatic improvements in the quality and quantity of life in patients with acquired immunodeficiency syndrome (AIDS). However, a significant number of AIDS patients on HAART develop characteristic changes in body fat redistribution referred to as lipodystrophy syndrome (LDS). Features of LDS include hypertrophy in the neck fat pad (buffalo hump), increased fat in the abdominal region (protease paunch), gynecomastia and loss of fat in the mid-face and extremities. The aim of this paper is to review the current knowledge regarding this syndrome. This article reviews the published investigations on biochemical manifestation of HIV lipodystrophy syndrome. It is estimated that approximately 64% of patients treated with PI will experience this syndrome. Biochemically, these patients have increased triglycerides (Trig), total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C) and extremely low high-density lipoprotein-cholesterol (HDL-C). It is hoped that awareness of this syndrome would aid in early diagnosis and better patient management, possibly leading to a lower incidence of cardiovascular complications among these patients.

  15. Oroal manifestations in patients with multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Grajales González Hilda María

    2014-07-01

    Full Text Available Multiple sclerosis is a chronic autoimmune inflammatory disease of the central nervous system, characterized by the presence of acute focal inflammatory demyelination, axonal loss and gliosis. It affects predominantly in young adults between 20 and 40 years of age; it is infrequent in the pediatric age. A observational, retrospective and descriptive cohort research was conducted between May 1999 and January 2012 to assess demographic characteristics, and pathological manifestations in the oral cav- ity of children with this condition. Records of 17 patients, under 18 years of age, of either sex were included, who had been evaluated in the Department of Stomatology. Data recorded were age, sex, State of origin, oral and facial pathological features, focal cavity infections and ceod index. There were no patients with trigeminal neuralgia or facial paralysis; a 5.7% ceod index was identified. Most of the patients were under immunopressive treatment. A protocol for stomatological follow-up in patients with multiple sclerosis does not exist. The medical profession must be sensibilized to establish strategies for an integral follow-up in patients with this condition.

  16. CT manifestation of schistosoma haematobium cystitis

    International Nuclear Information System (INIS)

    Wang Yujun; Hu Lirong; Cheng Yougen; Mao Guoqun; Yang Guangzhao; Modya Camara; Mohamed Traore

    2014-01-01

    Objective: To analyze CT manifestation of Schistosoma haematobium cystitis. Methods: Retrospective analysis 32 patients, who were tested for Schistosoma haematobium cystitis using the urine filtration method. CT scan was performed for each patient with contrast enhancement. Results: The vast majority of urinary tract schistomiasis lesions were in the urinary bladder. Calcification of the bladder wall was observed in all patients and mild enhancement in non calcified zone was found after intravenous contrast. Except for 5 patients of bladder cancer, the rest were no abnormality in size of bladder when bladder was filling or emptying. Ureteral wall annular calcification could also be identified in 25 patients. Twenty two patients were companied with ureteric hydronephrosis. Seminal vesicle calcification was seen in 4 patients among 11 male patients, while both uterine and ovarian in female and prostate in men had non calcification. Serious illness can be combined with bladder cancer. In 5 patients of patients with bladder cancer, bladder showed irregular soft tissue mass which was enhanced moderately after post-contrast scan, with vesical calcification in mass medially. Conclusion: Bladder calcification is the most prominent CT feature of Schistosoma haematobium cystitis, which is useful in diagnosis the disease. (authors)

  17. INNOVATION – CREATIVE MANIFESTATION WITH ECONOMIC IMPLICATIONS

    Directory of Open Access Journals (Sweden)

    VALENTINA MUNTEANU

    2013-05-01

    Full Text Available The present paper aims at a correct perception of innovation, regarded as a present phenomenon, for which it is necessary to resorts to a series of notions and definitions, as well as to multiple perspectives. Thus, the definition of this phenomenon - in all that it captures in it - suggests dynamism and ease of communication. The complexity of the phenomenon of innovation is the creative capacity, around which there revolve all other matters concerning innovation. The present paper also illustrates the relationship between technology and economy, meaning that technical progress makes the economic system that created it. This, in turn, provides a more consistent support for changing technology. Economic factors play a major role in the development of technology, because they are interested in reducing costs, increasing productivity, sales volume, as well as goals that can be achieved through innovation. Successful entrepreneurs in an increasingly more competitive environment try to assert through value creation rewardingly new and different outputs, a fact which represents a change from what was known at the beginning of the business. In general, innovation and to the same extent technical and technological innovation has always accompanied the development of human society. Innovation has manifesting itself throughout history with different levels of intensity. Technical-scientific revolution, present in all spheres of human activity through the accelerated mutations that produce them, fundamentally influence the way in which orientation and innovation evolve.

  18. Manifestations and management of lymphogranuloma venereum.

    Science.gov (United States)

    White, John A

    2009-02-01

    This review was prompted by a sustained outbreak of lymphogranuloma venereum that has been observed among men who have sex with men (MSM) worldwide since 2004. Recent developments in the epidemiology, diagnosis and management of the infection are summarized. Between the early 1980s and 2003, lymphogranuloma venereum was rarely seen in the developed world. In 2003, a cluster of cases was seen in the Netherlands occurring mostly in HIV-positive MSM with high levels of sexual risk. With the assistance of novel molecular diagnostic techniques, more than a thousand cases of Chlamydia trachomatis L2 serovar disease have now been reported in MSM worldwide. Almost all have presented with rectal infection, usually manifesting as severe proctitis, with ulcer adenopathy syndrome seldom seen. Oral doxycycline remains the recommended treatment and has proven effective in the recent outbreak. Conflicting data exist regarding the prevalence of asymptomatic infection, and our understanding of the exact modes of transmission remains incomplete. Lymphogranuloma venereum appears to have reestablished endemicity among MSM populations in many industrialized nations. In the relative absence of recent publications from its traditional endemic regions it can be assumed that these populations remain afflicted by the infection as well.

  19. Cutaneous Manifestations of Human and Murine Leishmaniasis

    Directory of Open Access Journals (Sweden)

    Breanna M. Scorza

    2017-06-01

    Full Text Available The leishmaniases are diseases caused by pathogenic protozoan parasites of the genus Leishmania. Infections are initiated when a sand fly vector inoculates Leishmania parasites into the skin of a mammalian host. Leishmania causes a spectrum of inflammatory cutaneous disease manifestations. The type of cutaneous pathology is determined in part by the infecting Leishmania species, but also by a combination of inflammatory and anti-inflammatory host immune response factors resulting in different clinical outcomes. This review discusses the distinct cutaneous syndromes described in humans, and current knowledge of the inflammatory responses associated with divergent cutaneous pathologic responses to different Leishmania species. The contribution of key hematopoietic cells in experimental cutaneous leishmaniasis in mouse models are also reviewed and compared with those observed during human infection. We hypothesize that local skin events influence the ensuing adaptive immune response to Leishmania spp. infections, and that the balance between inflammatory and regulatory factors induced by infection are critical for determining cutaneous pathology and outcome of infection.

  20. Periodontal and oral manifestations of marijuana use.

    Science.gov (United States)

    Rawal, Swati Y; Tatakis, Dimitris N; Tipton, David A

    2012-01-01

    Marijuana, prepared from the plant Cannabis sativa, is the most widely used illicit drug in the United States. Marijuana use has been associated with adverse psychosocial and health effects, including effects on oral tissues. Periodontal literature has limited references to the periodontal effects of cannabis use. In this report, we present two cases of marijuana-associated gingival enlargement and review the literature on oral complications of marijuana use. Two asymptomatic males, aged 23 and 42 years, presented independently for oral prophylaxis. Both had an unremarkable medical history and related a history of significant marijuana use of 2-16 years duration. Common findings following oral and periodontal examination were nicotinic stomatitis-like lesions, uvulitis and gingival enlargement. Marginal and papillary gingiva of the anterior dentition were the areas primarily affected by gingival enlargement, while some of these areas exhibited a nodular or "pebbly" appearance. Marijuana-associated gingival enlargement was diagnosed in the reported cases. A review of the literature revealed two other reports of marijuana-associated gingival enlargement, all in young adult males with chronic (2 or more years) cannabis use. These authors reported a resemblance to phenytoin-induced enlargement. Biochemical similarities between phenytoin and cannabis active compounds suggest possible common pathogenetic mechanisms. Uvulitis and nicotinic stomatitis appear to be the two most common of the several oral manifestations of marijuana use. Chronic marijuana use may result in gingival enlargement with clinical characteristics similar to phenytoin-induced enlargement.

  1. Oral manifestations of hepatitis C virus infection

    Science.gov (United States)

    Carrozzo, Marco; Scally, Kara

    2014-01-01

    Extrahepatic manifestations (EHMs) of hepatitis C virus (HCV) infection can affect a variety of organ systems with significant morbidity and mortality. Some of the most frequently reported EHM of HCV infection, involve the oral region predominantly or exclusively. Oral lichen planus (OLP) is a chronic inflammatory condition that is potentially malignant and represents cell-mediated reaction to a variety of extrinsic antigens, altered self-antigens, or super antigens. Robust epidemiological evidence support the link between OLP and HCV. As the virus may replicate in the oral mucosa and attract HCV-specific T lymphocytes, HCV may be implicated in OLP pathogenesis. Sjögren syndrome (SjS) is an autoimmune exocrinopathy, characterized by dryness of the mouth and eyes and a multitude of other systemic signs and symptoms. SjS patients have also an increased risk of non-Hodgkin lymphoma. Patients with chronic hepatitis C do frequently have histological signs of Sjögren-like sialadenitis with mild or even absent clinical symptoms. However, it is still unclear if HCV may cause a disease mimicking SjS or it is directly responsible for the development of SjS in a specific subset of patients. Oral squamous cell carcinoma is the most common oral malignant tumour and at least in some part of the world could be linked to HCV. PMID:24976694

  2. 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.

  3. 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.

  4. 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.

  5. The Leicester AATSR Global Analyser (LAGA) - Giving Young Students the Opportunity to Examine Space Observations of Global Climate-Related Processes

    Science.gov (United States)

    Llewellyn-Jones, David; Good, Simon; Corlett, Gary

    A pc-based analysis package has been developed, for the dual purposes of, firstly, providing ‘quick-look' capability to research workers inspecting long time-series of global satellite datasets of Sea-surface Temperature (SST); and, secondly, providing an introduction for students, either undergraduates, or advanced high-school students to the characteristics of commonly used analysis techniques for large geophysical data-sets from satellites. Students can also gain insight into the behaviour of some basic climate-related large-scale or global processes. The package gives students immediate access to up to 16 years of continuous global SST data, mainly from the Advanced Along-Track Scanning Radiometer, currently flying on ESA's Envisat satellite. The data are available and are presented in the form of monthly averages and spatial averaged to half-degree or one-sixth degree longitude-latitude grids. There are simple button-operated facilities for defining and calculating box-averages; producing time-series of such averages; defining and displaying transects and their evolution over time; and the examination anomalous behaviour by displaying the difference between observed values and values derived from climatological means. By using these facilities a student rapidly gains familiarity with such processes as annual variability, the El Nĩo effect, as well as major current systems n such as the Gulf Stream and other climatically important phenomena. In fact, the student is given immediate insights into the basic methods of examining geophysical data in a research context, without needing to acquire special analysis skills are go trough lengthy data retrieval and preparation procedures which are more generally required, as precursors to serious investigation, in the research laboratory. This software package, called the Leicester AAATSR Global Analyser (LAGA), is written in a well-known and widely used analysis language and the package can be run by using software

  6. 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

  7. 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.

  8. Computed tomography manifestations of peritoneal diseases

    International Nuclear Information System (INIS)

    Gordon, K.; Lee, W.K.; Hennessy, O.

    2005-01-01

    The peritoneal cavity is a potential space that is divided by the peritoneal reflections into various complex subspaces. It can be involved in many disease processes including developmental, inflammatory, neoplastic and traumatic conditions. Computed tomography is highly sensitive and consistent in detecting peritoneal pathology. This pictorial essay aims to emphasize and illustrate the CT features of the spectrum of peritoneal diseases. Copyright (2005) Blackwell Science Pty Ltd

  9. 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...

  10. Clinical manifestations and outcome of tuberculous sclerokeratitis.

    Science.gov (United States)

    Shoughy, Samir S; Jaroudi, Mahmoud O; Tabbara, Khalid F

    2016-09-01

    To study the clinical manifestations and outcome of patients with tuberculous sclerokeratitis treated with antituberculous therapy without concomitant use of systemic steroids. We reviewed retrospectively the medical records of eight consecutive patients with tuberculous sclerokeratitis. Patients were treated unsuccessfully with topical and/or systemic steroids. They underwent complete ophthalmic examination, systemic evaluation, laboratory investigations and imaging. Tuberculin skin test was done with purified protein derivative (PPD) on all patients. The diagnosis of tuberculous sclerokeratitis was made based on clinical findings of scleritis with adjacent peripheral corneal stromal keratitis, positive PPD test of 15 mm of induration or more, response to antituberculous treatment (ATT) within 4 weeks and exclusion of other causes of sclerokeratitis. Antituberculous drugs were given for a minimum of 6 months without concomitant use of corticosteroids. The outcome measure was resolution of the ocular surface inflammation of the sclera and cornea. Eight consecutive patients with a diagnosis of tuberculous sclerokeratitis were included. There were one male and seven female patients. The mean age was 29 years with an age range of 7-43 years. The involvement of the sclera was nodular in six patients and diffuse in two. The involvement of the cornea consisted of peripheral corneal stromal inflammation adjacent to the area of scleritis. Patients responded to antituberculous medications with complete resolution of the sclerokeratitis without topical or systemic anti-inflammatory agents. Antituberculous medications can lead to complete resolution of the sclerokeratitis without concomitant use of steroids, or other anti-inflammatory agents. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. Coprolalia as a manifestation of epileptic seizures.

    Science.gov (United States)

    Massot-Tarrús, Andreu; Mousavi, Seyed Reza; Dove, Carin; Hayman-Abello S, Susan; Hayman-Abello, Brent; Derry, Paul A; Diosy, David C; McLachlan, Richard S; Burneo, Jorge G; Steven, David A; Mirsattari, Seyed M

    2016-07-01

    The aim of this study was to investigate the lateralizing and localizing value of ictal coprolalia and brain areas involved in its production. A retrospective search for patients manifesting ictal coprolalia was conducted in our EMU database. Continuous video-EEG recordings were reviewed, and EEG activity before and during coprolalia was analyzed using independent component analysis (ICA) technique and was compared to the seizures without coprolalia among the same patients. Nine patients were evaluated (five women), eight with intracranial video-EEG recordings (icVEEG). Four had frontal or temporal lesions, and five had normal MRIs. Six patients showed impairment in the language functions and five in the frontal executive tasks. Two hundred six seizures were reviewed (60.7% from icVEEG). Ictal coprolalia occurred in 46.6% of them, always associated with limbic auras or automatisms. They arose from the nondominant hemisphere in five patients, dominant hemisphere in three, and independently from the right and left hippocampus-parahippocampus in one. Electroencephalographic activity always involved orbitofrontal and/or mesial temporal regions of the nondominant hemisphere when coprolalia occurred. Independent component analysis of 31 seizures in seven patients showed a higher number of independent components in the nondominant hippocampus-parahippocampus before and during coprolalia and in the dominant lateral temporal region in those seizures without coprolalia (p=0.009). Five patients underwent surgery, and all five had an ILAE class 1 outcome. Ictal coprolalia occurs in both males and females with temporal or orbitofrontal epilepsy and has a limited lateralizing value to the nondominant hemisphere but can be triggered by seizures from either hemisphere. It involves activation of the paralimbic temporal-orbitofrontal network. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Respiratory Manifestations of Hypothyroidism: A Systematic Review.

    Science.gov (United States)

    Sorensen, Jesper Roed; Winther, Kristian Hillert; Bonnema, Steen Joop; Godballe, Christian; Hegedüs, Laszlo

    2016-11-01

    Hypothyroidism has been associated with increased pulmonary morbidity and overall mortality. A systematic review was conducted to identify the prevalence and underlying mechanisms of respiratory problems among patients with thyroid insufficiency. PubMed and EMBASE databases were searched for relevant literature from January 1950 through January 2015 with the following study eligibility criteria: English-language publications; adult subclinical or overt hypothyroid patients; intervention, observational, or retrospective studies; and respiratory manifestations. The Preferred Reporting Items for Systematic reviews and Meta-Analyses statement was followed, and Cochrane's risk of bias tool was used. A total of 1699 papers were screened by two independent authors for relevant titles. Of 109 relevant abstracts, 28 papers underwent full-text analyses, of which 22 were included in the review. Possible mechanisms explaining respiratory problems at multiple physiological levels were identified, such as the ventilator control system, diaphragmatic muscle function, pulmonary gas exchange, goiter caused upper airway obstruction, decreased capacity for energy transduction, and reduced glycolytic activity. Obstructive sleep apnea syndrome was found among 30% of newly diagnosed patients with overt hypothyroidism, and demonstrated reversibility following treatment. The evidence for or against a direct effect on pulmonary function was ambiguous. However, each of the above-mentioned areas was only dealt with in a limited number of studies. Therefore, it is not possible to draw any strong conclusions on any of these themes. Moreover, most studies were hampered by considerable risk of bias due for example to small numbers of patients, lack of control groups, randomization and blinding, and differences in body mass index, sex, and age between subjects and controls. Mechanistic data linking hypothyroidism and respiratory function are at best limited. This area of research is therefore

  13. Crohn’s Disease Ocular Manifestations

    Directory of Open Access Journals (Sweden)

    Koev Kr.

    2014-12-01

    Full Text Available Crohn’s disease is an inflammatory bowel disease which causes inflammation of the digestive tract. Crohn’s disease most frequently affects the ileum and the colon. In the active stage of the disease signs and symptoms may include diarrhea, abdominal pain and cramping, blood in the stools, reduced appetite and weight loss. In patients with severe Crohn’s disease the following signs and symptoms may be observed: fever, fatigue, arthritis, eye inflammation, oral ulcers, skin disorders, inflammation of the liver or bile ducts or delayed growth. Heredity and dysfunctions of the immune system are considered to cause the development of Crohn’s disease. About 10% of people with inflammatory bowel disease have also ocular problems. The most common ocular manifestations of Crohn’s disease are uveitis, iritis, episcleritis, keratopathy, keratoconjunctivitis and retinal vasculitis. Untreated uveitis may cause glaucoma and vision loss. Uveitis and iritis are four times more common in women than in men. In patients in the active stage of the disease, episcleritis also flares. Symptoms of episcleritis include inflammation, bright red spots on the sclera and localized pain. Keratoconjunctivitis in Crohn’s disease is caused by decreased tear production or increased tear film evaporation. Dry eyes can cause itching, burning or infection. Keratopathy usually causes no pain or vision loss, therefore in most cases no treatment is needed. In retinal vasculitis tortuosity of retinal veins, retinal edema at the posterior pole and intraretinal blood near blood vessels are observed. Intravenous fluorescein angiography shows intraretinal neovascularisation and haemorrhage in the posterior pole.

  14. [Cutaneous manifestations of male breast cancer].

    Science.gov (United States)

    Hali, Fouzia; Khadir, Khadija; Idhammou, Wassima; Bensardi, Fatima-Zahra; Lefriyekh, Mohamed-Rachid; Benider, Abdelatif; Zamiati, Soumia; Benchikhi, Hakima

    2011-11-01

    The appearance of skin symptoms in male breast is the main reason for consultation in our context. The aim of this study is to describe the various cutaneous manifestations of male breast cancer through a series of cases collected in a dermatology department. A retrospective study was conducted in the dermatology department at the CHU Ibn Rochd January 1988 to December 2009. All cases of male breast cancer initially diagnosed in dermatology were included. The various epidemiological, clinical, histological and therapeutic data were collected from medical records. Twenty cases were collected. The mean age was 61.25 years. Skin invasion by tumor was found in all patients, and it was the reason for consultation. It was a cutaneous involvement at the nipple and areola (17 cases) and at the periareolar skin (three cases). The clinical appearance of skin involvement was vegetative type in 12 cases, infiltrating with nipple retraction in five cases and nodule with skin change in three cases. The average period of consultation was 25 months. The axillary lymph nodes were noted in 11 patients and distant metastases in eight patients. The cutaneous metastases outside breast were noted in six patients. The histological types were: infiltrating ductal carcinoma in 15 cases (75%), papillary carcinoma in two cases (10%) and non-specific carcinoma in three cases (15%). The treatment was surgery in 14 patients and consisted of radical mastectomy with complete axillary nodal dissection according to Patey. Complementary therapies, chemotherapy or radiotherapy, were indicated in 14 patients. Our single-center study with dermatological recruitment illustrates the frequency and variety of skin disease in male breast cancer and demonstrates that they are still the main reason for consultation in our context. Better information for public and practitioners would allow earlier diagnosis and a more favourable prognosis. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  15. Neuromuscular Manifestations of West Nile Virus Infection

    Directory of Open Access Journals (Sweden)

    A. Arturo eLeis

    2012-03-01

    Full Text Available The most common neuromuscular manifestation of West Nile virus (WNV infection is a poliomyelitis syndrome with asymmetric paralysis variably involving one (monoparesis to four limbs (quadriparesis, with or without brainstem involvement and respiratory failure. This syndrome of acute flaccid paralysis may occur without overt fever or meningoencephalitis. Although involvement of anterior horn cells in the spinal cord and motor neurons in the brainstem are the major sites of pathology responsible for neuromuscular signs, inflammation also may involve skeletal or cardiac muscle (myositis, myocarditis, motor axons (polyradiculitis, peripheral nerve (Guillain-Barré syndrome, brachial plexopathy. In addition, involvement of spinal sympathetic neurons and ganglia provides a plausible explanation for autonomic instability seen in some patients. Many patients also experience prolonged subjective generalized weakness and disabling fatigue. Despite recent evidence that WNV may persist long term in the central nervous system or periphery in animals, the evidence in humans is controversial. WNV persistence would be of great concern in immunosuppressed patients or in those with prolonged or recurrent symptoms. Support for the contention that WNV can lead to autoimmune disease arises from reports of patients presenting with various neuromuscular diseases that presumably involve autoimmune mechanisms (GBS, other demyelinating neu¬ropathies, myasthenia gravis, brachial plexopathies, stiff-person syndrome, and delayed or recurrent symptoms. Although there is no specific treatment or vaccine currently approved in humans, and the standard remains supportive care, drugs that can alter the cascade of immunobiochemical events leading to neuronal death may be potentially useful (high-dose corticosteroids, interferon preparations, and intravenous immune globulin containing WNV-specific antibodies. Human experience with these agents seems promising based on anecdotal

  16. Cutaneous Manifestations in HIV Infected Libyan Patients

    Directory of Open Access Journals (Sweden)

    Aljehawi Nabil A.

    2017-09-01

    Full Text Available Cutaneous manifestations of human immunodeficiency virus (HIV disease may result from HIV infection itself, or from opportunistic disorders secondary to the declined immunocompetence due to the disease. A total of 220 HIV positive patients, treated in the Benghazi Center of Infectious Diseases and Immunology over a period of 14 years (January 2003 to November 2016, were included in a retrospective study. The patients' age ranged from 7 to 46 years. The study was conducted by reviewing the patients' records using the management information system (MIS. Statistical analysis of the data was carried out by the t-test and Chi square test. Among the studied patients, 119 (54.1% were males and 101 (45.9% were females, and most of them (78.6% were 10 – 19 years of age. The predominant mode of transmission was parenteral transmission, in 95% of patients, and positive family history was observed in 12% of patients. Among the total number of visits to dermatologists, 93% of patients had a single disease. Of the total number of skin diseases diagnosed during the visits, parasitic infestations were seen in 92 patients (21.0%, eczematous and related disorders in 78 patients (17.8%, viral infections in 71 patients (16.2%, bacterial infections in 41 patients (9.3%, and fungal infections in 35 patients (7.9%. Dermatophyte infections were the most common fungal infections recorded in 19 patients (4.3%, followed by Candida infection in 11 patients (2.5%. Warts were found in 5.9% of viral infections, followed by herpes zoster (4.1%. HIV positive patients should be examined for skin disorders, because early diagnosis and management of such problems improves the quality of life in these patients.

  17. 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...

  18. 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.

  19. 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...

  20. 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 ...

  1. 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.

  2. 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.

  3. 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...

  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. 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...

  6. 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 ...

  7. 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...

  8. 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…

  9. 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.

  10. 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.

  11. 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 ...

  12. 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

  13. Climate Kids

    Science.gov (United States)

    ... What Is Permafrost? How Do We Predict Future Climate? Green Career: Earth Scientist 10 Things About Ecosystems ... study Earth? What can trees tell us about climate change? Why does NASA care about food? Games ...

  14. 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...

  15. Hygrothermal conditions in cold, north facing attic spaces under the eaves with vapour-open roofing underlay in a cool, temperate climate

    DEFF Research Database (Denmark)

    Bjarløv, Søren Peter; Johnston, C.J.; Hansen, M.H.

    2016-01-01

    compliance with the current Danish Building Regulations (BR10) for airtightness (moisture levels in attics with vapour-open roofing underlays. North facing cold attic spaces under the eaves constitute a worst case scenario. Following best...... to allow an influx of 3.3 l/s of conditioned indoor air 20 °C and 60% RH at a pressure difference of 50 Pa) and ventilation (singled-sided, passive ventilation) contained more moisture and had significantly higher levels of mould growth than the non-ventilated attics. Under the same physical conditions...... the ‘pressure equalized’ attic rooms were found to have moisture levels in between those observed in the ventilated and non-ventilated attic rooms. Likewise, the observed levels of mould growth were in between those observed in the cases of the ventilated and non-ventilated attic rooms. Attics with reduced...

  16. Understanding climate

    International Nuclear Information System (INIS)

    1995-01-01

    In this article the following question is answered. What is the climate? What factors do determine our climate? What is solar radiation? How does solar radiation relate to the earth's energy? What is greenhouse effect? What role does the greenhouse effect play in the global ecosystem? How does the water cycle affect climate? What is drought? What role do oceans play in influencing climate. (author)

  17. Radiographic manifestations of diffuse idiopathic skeletal hyperostosis

    International Nuclear Information System (INIS)

    Ono, Minoru; Kudo, Sho; Russell, W.J.

    1984-09-01

    A relatively high frequency of hyperostosis in various body sites was found in 240 subjects with ''diffuse idiopathic skeletal hyperostosis'' (DISH) in the thoracic spine over an average observation period of 11 years. The onset and initial appearance of DISH in the thoracic spine were identified in 69 cases. The age at onset ranged from 40 to 65 years, and the initial sites involved were usually T9-10 and T10-11. As criteria in differentiating DISH from spondylosis deformans the hyperostoses anterior to the vertebral body itself appeared to be more important than the ''bridges'' anterior to the intervertebral spaces. Although it was difficult to differentiate the early appearance of DISH from spondylosis deformans in some cases, these long-term observations suggest that they are different entities. (author)

  18. Radiotherapy for extramedullary leukaemic manifestation (Chloroma)

    Energy Technology Data Exchange (ETDEWEB)

    Oertel, Michael; Elsayad, Khaled; Haverkamp, Uwe; Eich, Hans Theodor [University Hospital of Muenster, Department of Radiation Oncology, Muenster (Germany); Stelljes, Matthias [University Hospital of Muenster, Department of Internal Medicine, Muenster (Germany)

    2018-02-15

    Extramedullary leukaemic disease (EMD, synonym chloroma) is a rare solid manifestation of myeloid leukaemia for which the value of radiotherapy (RT) as a treatment strategy remains controversial. The aim of this study is to analyse the effectiveness of various RT doses for EMD in the modern treatment era. Between January 2000 and June 2016, 20 patients with total of 45 lesions underwent RT for EMD at our institution. With a median radiation dose of 26 Gy (range 4-42 Gy), local remission could be achieved in 91% of patients (complete remission rate: 71%). The median duration of local control (DOLC) was 17 months (95% confidence interval [CI] 0.5-33) and the median overall survival (OS) after chloroma onset was 24 months (95% CI 11-38). No noticeable difference between high- and low-dose regimens has been observed (74% versus 68%; P = 0.5). In the multivariate analysis, only Eastern Cooperative Oncology Group (ECOG) score and bone marrow state during RT have proven to be determinant for durable local control and OS. Low-dose RT (≤26 Gy) achieves good local control compared to high-dose regimes. Bone marrow state during RT and ECOG score during RT may play a crucial role, influencing both DOLC and OS. (orig.) [German] Extramedullaere leukaemische Infiltrate (EMD) sind seltene Manifestationen myeloischer Leukaemien, in deren Behandlungskonzepten der Stellenwert der Radiotherapie (RT) unklar ist. Das Ziel der vorgelegten Studie ist es, die Wirksamkeit verschiedener Strahlentherapiedosen fuer EMD in der modernen Behandlungsaera zu untersuchen. Zwischen Januar 2000 und Juni 2016 durchliefen 20 Patienten mit insgesamt 45 Laesionen eine RT fuer EMD in unserer Klinik. Mit einer mittleren RT-Dosis von 26 Gy (Spanne 4-42 Gy) konnte eine lokale Remission bei 91 % der Patienten erzielt werden (komplette Remissionsrate, CRR: 71 %). Die mittlere Dauer der Lokalkontrolle (DOLC) betrug 17 Monate (95 %-KI 0,5-33) und das mediane Gesamtueberleben (OS) nach Chloromadiagnose war 24

  19. Climate change

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    In this paper, the authors discuss in brief the magnitude and rate of past changes in climate and examine the various factors influencing climate in order to place the potential warming due to increasing greenhouse gas concentrations in context. Feedback mechanisms that can amplify or lessen imposed climate changes are discussed next. The overall sensitivity of climate to changes in forcing is then considered, followed by a discussion of the time-dependent response of the Earth system. The focus is on global temperature as an indicator for the magnitude of climatic change

  20. Thermal Inertia Performance Evaluation of Light-Weighted Construction Space Envelopes Using Phase Change Materials in Mexico City’s Climate

    Directory of Open Access Journals (Sweden)

    Adriana Lira-Oliver

    2017-10-01

    Full Text Available The present study’s main objective was to determine the applicability of organic phase change materials (PCMs in a building’s envelope construction system for the passive provision of comfortable indoor thermal conditions over one year based on thermal inertia in Mexico City. Research on PCMs relate mainly to their use in building envelope construction systems to reduce energy consumption for mechanical indoor thermal conditioning—not in passive systems. Computer simulation results of mean indoor temperature variations are presented with the objective of evaluating these construction systems’ thermal inertia properties. In the present study, dynamic thermal simulations (DTS, using EnergyPlus software, of ten 1 m3 test units with envelope construction systems combining organic PCMs of different fusion temperatures with conventional materials were performed. Based on the results, it is concluded that the implementation of organic PCMs with a fusion temperature around 25 °C in combination with aerated concrete in a space envelope results in the highest number of hours the indoor temperatures remain within the comfort range throughout a typical year, due to the decrement of indoor temperature oscillations and, to a large extent, to thermal lag.

  1. 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

  2. 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.

  3. Vandalism is a manifestation of an aggressive behavior

    Directory of Open Access Journals (Sweden)

    Карина Анатоліївна Бочарова

    2016-01-01

    Full Text Available A lot of deviant behavior manifestations regarding cultural, historical, social and educational objects of property valuable for the population and state appeared on the territory of the modern urban areas. It should be taken into account that the demonstrations of aggression and a deviant behavior constitute a system of acts committed by an individual or by some destructive groups that deviate from the generally accepted rules. At the same time, every act of an individual is a conscious action, act of self- determination, where a person affirms himself/herself as a personality in relations to another person, to himself/herself, social groups or society. In recent years, violence and cruelty among the population and destructive behavior of young people and teenagers arose consequently the number of vandalism acts increased. This article defines the concept, the nature and types of vandalism as an aggressive illegal behavior. The necessity of differentiating vandalism as a separate object is caused by the fact that vandal’s acts acquire a special social meaning. Since the appearance of the first work on this topic the main task of social researchers was to determine vandalism motives. Our paper analyses two main types of classification vandalism depending on reasons and motives. As a rule all of them are motivated by hooligan, selfish, emotional, national, racial, religious and sexual grounds. Vandalism is one of the forms of the person’s destructive behavior that is expressed in deliberate breaking tangibles. So, while studying this phenomenon a special attention is paid to the fact how the peculiarities of space and design influence the possibility to perceive and control the behavior of persons committing vandal acts.

  4. Chemistry-Climate Interactions in the Goddard Institute for Space Studies General Circulation Model. 2; New Insights into Modeling the Pre-Industrial Atmosphere

    Science.gov (United States)

    Grenfell, J. Lee; Shindell, D. T.; Koch, D.; Rind, D.; Hansen, James E. (Technical Monitor)

    2002-01-01

    We investigate the chemical (hydroxyl and ozone) and dynamical response to changing from present day to pre-industrial conditions in the Goddard Institute for Space Studies General Circulation Model (GISS GMC). We identify three main improvements not included by many other works. Firstly, our model includes interactive cloud calculations. Secondly we reduce sulfate aerosol which impacts NOx partitioning hence Ox distributions. Thirdly we reduce sea surface temperatures and increase ocean ice coverage which impact water vapor and ground albedo respectively. Changing the ocean data (hence water vapor and ozone) produces a potentially important feedback between the Hadley circulation and convective cloud cover. Our present day run (run 1, control run) global mean OH value was 9.8 x 10(exp 5) molecules/cc. For our best estimate of pre-industrial conditions run (run 2) which featured modified chemical emissions, sulfate aerosol and sea surface temperatures/ocean ice, this value changed to 10.2 x 10(exp 5) molecules/cc. Reducing only the chemical emissions to pre-industrial levels in run 1 (run 3) resulted in this value increasing to 10.6 x 10(exp 5) molecules/cc. Reducing the sulfate in run 3 to pre-industrial levels (run 4) resulted in a small increase in global mean OH (10.7 x 10(exp 5) molecules/cc). Changing the ocean data in run 4 to pre-industrial levels (run 5) led to a reduction in this value to 10.3 x 10(exp 5) molecules/cc. Mean tropospheric ozone burdens were 262, 181, 180, 180, and 182 Tg for runs 1-5 respectively.

  5. KALMAR - "Kurile-Kamchatka and Aleutean Marginal Sea-Island Arc Systems: Geodynamic and Climate Interaction in Space and Time" - an integrated science approach between Russia and Germany

    Science.gov (United States)

    Dullo, Wolf-Christian; Baranov, Boris; van den Bogaard, Christel

    2010-05-01

    The exploration of the arctic seas require an integrated approach applying different infrastructures. In Fall 2009 German and Russian scientists performed a geo marine cruise off Kamchatka and in the western Bering Sea within the frame of the KALMAR-Project. Two main research subjects formed the scientific backbone of the cruise: The first objective focuses on the geodynamic and volcanological-magmatic development of the Kuril-Kamchatka island arc system and the Kamchatka Aleutean Islands Triple-Junction. Very little is known about the composition of the mantle and the oceanic crust as well as of the seamounts including their ages. The best studied site is the Volcanologist's Massif located between the Bering- and the Alpha Fracture Zone (Tsvetkov 1990, Volynets et al. 1992, Yogodzinsky et al. 1994), which structurally belongs to the Komandorsky Basin. The oldest rocks of the Volcanologist's Massif show very similar trace element and isotope signatures like those rocks cropping out in the volcanoes on Kamchatka in the prolongation of the Alpha Fracture Zone (Portnyagin et al. 2005a), indicating similar conditions of magma formation. The top of the Volcanologist's Massif is characterized by the young (Emperor-Seamount chain, having an age of probably > 85 Ma. The only existing basement rocks from this seamount were gained during DSDP Leg 19. These are basalts with MORB like trace element and isotope signatures (Keller et al. 2000, Regelous et al. 2003). These data indicate that the Hawaii-Hotspot was at a MOR in Cretaceous time and that large volumes of depleted mantle material played a role during the magma formation. The second objective focuses on paleo-oceanographic investigations concentrating on the sediments along the eastern continental slope of Kamchatka, in the Komandorsky Basin, and on the Shirshov Ridge in order to explore paleoclimate archives to better understand the subpolar water mass transfer and the oceanographic and climatic development in the

  6. 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

  7. 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.

  8. Manifest Spatialization: Militarizing Communication in Canada

    Directory of Open Access Journals (Sweden)

    Patricia Mazepa

    2015-06-01

    Full Text Available Focusing on the political economy of communication and the process of spatialization whereby control over space and time is extended through the use of information and communication technology (ICT, this paper provides an overview of the intersections that draw the Canadian federal government, its military, and the ICT, defence and security industries into relationships that reinforce and extend their control. By attending to historical and current examples, it highlights several sub-processes of spatialization, including corporate restructuring (through vertical and horizontal integration, as well as state restructuring (principally through internationalization and commercialization, which together underpin and support the militarization of communication. From the state’s concentration on conventional war and the “Cold War”, through to the current “War on Terror” and its protection of an integrated ICT infrastructure, communication is increasingly confined within a narrow militarized and corporatized framework. Within this framework, both capital and the military prioritize the development and administration of the “command and control” capabilities of ICT, such that the policies and practices of communication become more exclusive, restrictive and surveilled, and less open, accessible, and universal. The paper seeks to explain how this tripartite combination of “command, control, and communication” is indicative of the process of spatialization, and supports a militarized capitalism and the formation of a cross-border MICC poised to expand and defend it.

  9. Radiographic manifestations of arthritis in AIDS patients

    International Nuclear Information System (INIS)

    Rosenberg, Z.S.; Norman, A.; Solomon, G.

    1988-01-01

    The purpose of this study is to familiarize the radiologist with a newly discovered association between arthritis and acquired immunodeficiency syndrome (AIDS). The authors retrospectively reviewed the clinical and radiographic findings in 31 patients with human immunodeficiency virus (HIV) infection referred to their rheumatology clinic with musculoskeletal complaints. The patients carried a wide range of clinical diagnosis including Reiter syndrome, psoriatic arthritis, undifferentiated seronegative arthritis, isolated enthesopathies, rheumatoid arthritis and osteonecrosis. Radiographs were available in 24 of the 31 patients, and in 20 they showed radiographic features of arthritis, which included soft-tissue swelling periarticular osteoporosis, synovial effusions, sacroiliitis, periosteal reaction, joint space narrowing, marginal erosions, and osteonecrosis. Although the radiographic abnormalities were frequently mild, they were significant, given the short duration of disease in many of their patients (weeks to months) at the time radiographs were obtained. The range of radiographic findings in their series was varied and paralleled the wide range of clinical diagnoses. No findings were pathognomonic for HIV-associated arthritis. Nevertheless, HIV infection needs to be considered in any patient belonging to a recognized risk group who presents with musculoskeletal disease. This is particularly important since immunosupressive drugs used for the treatment of arthritis can be detrimental to patients with HIV infection

  10. Granular Corneal Dystrophy Manifesting after Radial Keratotomy

    Directory of Open Access Journals (Sweden)

    Sepehr Feizi

    2008-12-01

    Full Text Available

    PURPOSE: To report manifestation of granular corneal dystrophy after radial keratotomy (RK. CASE REPORT: A 32-year-old man presented with white radial lines in both corneas. He had undergone uncomplicated RK in both eyes 8 years ago. Preoperative refraction had been OD: -3.5 -0.75@180 and OS: -3.0 -0.5@175. Uncorrected visual acuity was OD: 8/10 and OS: 7/10; best corrected visual acuity was 9/10 in both eyes with OD: -0.5 -0.5@60 and OS: -0.75 -0.5@80. Slit lamp examination revealed discrete well-demarcated whitish lesions with clear intervening stroma in the central anterior cornea consistent with granular dystrophy. Similar opacities were present within the RK incisions. CONCLUSION: Granular dystrophy deposits may appear within RK incisions besides other previously reported locations.

  1. 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

  2. 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.

  3. 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

  4. 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...

  5. 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.

  6. 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.

  7. [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.

  8. Climatic risks

    International Nuclear Information System (INIS)

    Lamarre, D.; Favier, R.; Bourg, D.; Marchand, J.P.

    2005-04-01

    The climatic risks are analyzed in this book under the cross-vision of specialists of different domains: philosophy, sociology, economic history, law, geography, climatology and hydrology. The prevention of risks and the precautionary principle are presented first. Then, the relations between climatic risk and geography are analyzed using the notion of territoriality. The territory aspect is in the core of the present day debates about the geography of risks, in particular when the links between climate change and public health are considered. Then the main climatic risks are presented. Droughts and floods are the most damaging ones and the difficulties of prevention-indemnification coupling remain important. (J.S.)

  9. 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.

  10. 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.

  11. 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

  12. 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...

  13. Climate variability and climate change

    International Nuclear Information System (INIS)

    Rind, D.

    1990-01-01

    Changes of variability with climate change are likely to have a substantial impact on vegetation and society, rivaling the importance of changes in the mean values themselves. A variety of paleoclimate and future climate simulations performed with the GISS global climate model is used to assess how the variabilities of temperature and precipitation are altered as climate warms or cools. In general, as climate warms, temperature variability decreases due to reductions in the latitudinal temperature gradient and precipitation variability increases together with the intensity of the hydrologic cycle. If future climate projections are accurate, the reduction in temperature variability will be minimized by the rapid change in mean temperatures, but the hydrologic variability will be amplified by increased evapotranspiration. Greater hydrologic variability would appear to pose a potentially severe problem for the next century

  14. Climate variability and climate change

    International Nuclear Information System (INIS)

    Rind, D.

    1991-01-01

    Changes of variability with climate change are likely to have a substantial impact on vegetation and society, rivaling the importance of changes in the mean values themselves. A variety of paleoclimate and future climate simulations performed with the GISS global climate model is used to assess how the variabilities of temperature and precipitation are altered as climate warms or cools. In general, as climate warms, temperature variability decreases due to reductions in the latitudinal temperature gradient and precipitation variability increases together with the intensity of the hydrologic cycle. If future climate projections are accurate, the reduction in temperature variability will be minimized by the rapid change in mean temperatures, but the hydrologic variability will be amplified by increased evapotranspiration. Greater hydrologic variability would appear to pose a potentially severe problem for the next century. 19 refs.; 3 figs.; 2 tabs

  15. 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.

  16. Climate change

    NARCIS (Netherlands)

    Marchal, V.; Dellink, R.; Vuuren, D.P. van; Clapp, C.; Chateau, J.; Magné, B.; Lanzi, E.; Vliet, J. van

    2012-01-01

    This chapter analyses the policy implications of the climate change challenge. Are current emission reduction pledges made in Copenhagen/Cancun enough to stabilise the climate and limit global average temperature increase to 2 oC? If not, what will the consequences be? What alternative growth

  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. 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

  19. Climate change

    Science.gov (United States)

    Cronin, Thomas M.

    2016-01-01

    Climate change (including climate variability) refers to regional or global changes in mean climate state or in patterns of climate variability over decades to millions of years often identified using statistical methods and sometimes referred to as changes in long-term weather conditions (IPCC, 2012). Climate is influenced by changes in continent-ocean configurations due to plate tectonic processes, variations in Earth’s orbit, axial tilt and precession, atmospheric greenhouse gas (GHG) concentrations, solar variability, volcanism, internal variability resulting from interactions between the atmosphere, oceans and ice (glaciers, small ice caps, ice sheets, and sea ice), and anthropogenic activities such as greenhouse gas emissions and land use and their effects on carbon cycling.

  20. 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

  1. 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...

  2. Radiological manifestations of rheumatoid arthritis; Die radiologische Manifestation der rheumatoiden Arthritis

    Energy Technology Data Exchange (ETDEWEB)

    Kapp, H.J. [Zentrum fuer Rheumatologie, Schlangenbad (Germany). Abt. Radiologie

    1997-06-01

    Rheumatoid arthritis preferrably becomes manifest at the synovial joints of the limbs, especially at the small joints of the hands and feet, at bursae and synovial sheathes. The pathologic lesions are less frequently found at cartilaginous joints or entheses. The lesions very often are symmetrically distributed and are characterized by the following: 1. A periarticular, spindle-shaped opacity with a density similar to soft-tissue, induced by an inflammatory hypertrophy of the synovia, a serosynovitis, or an edematous impregnation of the periarticular tissue. 2. A juxta-articular osteoporosis, most probably caused by a neighbouring synovialitis accompanied by hyperemia. 3. A diffuse joint cavity narrowing due to a destruction of the articular cartilage by the pannus, a fibrovascular resorptive tissue. 4. Central as well as marginal erosions, caused by destruction of ossous material by the pannus. 5. Subchondral signal cysts, likewise unduced by the pannus. (Orig./AJ) [Deutsch] Die rheumatoide Arthritis manifestiert sich bevorzugt an den synovialen Gelenken der Extremitaeten, insbesondere an den kleinen Gelenken der Haende und Fuesse, an Bursae und an Sehnenscheiden. Seltener finden sich pathologische Veraenderungen an kartilaginaeren Gelenken und an Enthesen. Die Gelenkveraenderungen an Haenden und Fuessen sind oft symmetrisch verteilt und durch folgende Veraenderungen gepraegt: 1. Einer partikulaeren, spindelfoermigen weichteildichten Verschattung, hervorgerufen durch eine entsuendliche Hypertrophie der Synovia, einen Gelenkerguss und einer oedematoesen Durchtraenkung des perartikulaeren Gewebes. 2. Einer gelenknahen Osteoporose, deren Ursache die benachbarte Synovialitis mit Hyperaemie sein duerfte. 3. Einer diffusen Gelenkspaltverschmaelerung des Gelenkknorpels durch den Pannus, einem fibrovaskulaeren Resorptivgewebe. 4. Durch zentrale und marginale Erosionen, die als Folge einer Zerstoerung des Knochens durch den Pannus hervorgerufen werden. 5. Durch

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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.

  8. 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

  9. Climate change and climate policy

    International Nuclear Information System (INIS)

    Alfsen, Knut H.; Kolshus, Hans H.; Torvanger, Asbjoern

    2000-08-01

    The climate issue is a great political and scientific challenge for several reasons: (1) There are many uncertain aspects of the climate problem, such as future emission of climate gases, the response of the climate system upon these gases, and the effects of climate changes. (2) It is probable, however, that anthropogenic emission of climate gases, deforestation etc. will cause noticeable climate changes in the future. This might be observed as increased frequency of extreme weather situations. This appears to be a greater threat than a gradual increase of temperature and precipitation. (3) Since the climate system is large and react only relatively slowly on changes in for instance the emission of climate gases, the climate problem can only be solved by means of long-term measures. (4) The climate changes may be irreversible. A rational short-term strategy is to ensure maximum flexibility, which can be done by ''slowing down'' (curtailing emissions) and by avoiding irreversible actions as much as possible. The long-term challenge is to develop an economically responsible alternative to the present fossil-based energy system that permits carbon-efficient technologies to compete on price with coal and unconventional oil and gas. Norway is in a special position by being a large exporter of fossil fuel and at the same time wanting to appear responsible in environmental matters. This combination may incur considerable expenses upon Norway and it is therefore important that environmental commitments like the Kyoto agreement can be honoured to the lowest possible cost. The costs can be minimized by: (1) minimizing the measure costs in Norway, (2) working to make the international quota price as low as possible, and (3) reducing the loss of petroleum income as much as possible. This report describes the earth's climate history, the forces behind climatic changes and what the prospects for the future look like. It also reviews what is being done to curtail the emission of

  10. 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.)

  11. On the nature of rainfall in dry climate: Space-time patterns of convective rain cells over the Dead Sea region and their relations with synoptic state and flash flood generation

    Science.gov (United States)

    Belachsen, Idit; Marra, Francesco; Peleg, Nadav; Morin, Efrat

    2017-04-01

    Space-time patterns of rainfall are important climatic characteristics that influence runoff generation and flash flood magnitude. Their derivation requires high-resolution measurements to adequately represent the rainfall distribution, and is best provided by remote sensing tools. This need is further emphasized in dry climate regions, where rainfall is scarce and, often, local and highly variable. Our research is focused on understanding the nature of rainfall events in the dry Dead Sea region (Eastern Mediterranean) by identifying and characterizing the spatial structure and the dynamics of convective storm cores (known as rain cells). To do so, we take advantage of 25 years of corrected and gauge-adjusted weather radar data. A statistical analysis of convective rain-cells spatial and temporal characteristics was performed with respect to synoptic pattern, geographical location, and flash flood generation. Rain cells were extracted from radar data using a cell segmentation method and a tracking algorithm and were divided into rain events. A total of 10,500 rain cells, 2650 cell tracks and 424 rain events were elicited. Rain cell properties, such as mean areal and maximal rain intensity, area, life span, direction and speed, were derived. Rain events were clustered, according to several ERA-Interim atmospheric parameters, and associated with three main synoptic patterns: Cyprus Low, Low to the East of the study region and Active Red Sea Trough. The first two originate from the Mediterranean Sea, while the third is an extension of the African monsoon. On average, the convective rain cells in the region are 90 km2 in size, moving from West to East in 13 ms-1 and living 18 minutes. Several significant differences between rain cells of the various synoptic types were observed. In particular, Active Red Sea Trough rain cells are characterized by higher rain intensities and lower speeds, suggesting a higher flooding potential for small catchments. The north

  12. Features of Duration and Borders of the Bedding of Snow Cover in the Conditions of Climatic Changes in the Territory of Northern Kazakhstan According to Land and Space Monitoring

    Science.gov (United States)

    Salnikov, Vitaliy; Turulina, Galina; Polyakova, Svetlana; Muratova, Nadiya; Kauazov, Azamat; Abugalieva, Aigul; Tazhibayeva, Tamara

    2014-05-01

    Precipitation and air temperature datasets from 34 meteorological stations were analyzed to reveal the regional climate changes at the territory in North Kazakhstan over the last 58 years (i.e., 1950-2008). Peculiarities and conditions of snow cover formation and melting have been analyzed at territory of Northern Kazakhstan using surface and space monitoring data. Methods of both the geo-informational processing of remote probing data and statistical processing of databases on snow cover, air temperature and precipitations have been used. Analysis of snow cover observations data for territory of Northern Kazakhstan has shown that the stable snow cover might be observed since the middle of November till the beginning of April. In a few last decades the tendency is observed for longevity decrease of snow cover bedding that appears to be on the background air temperature increase and insignificant increase of cold period precipitations due to the later bedding of the snow cover and its earlier destruction. Peculiarities of atmospheric circulation in Atlantic-Eurasian sector of Northern Semi sphere and their influence of formation of snow cover at territory of Northern Kazakhstan. The higher longevity of the snow cover bedding is defined by the predominance of E form circulation and lower longevity - by the predominance of W+C circulation form. Analysis conducted of the highest height of snow cover bedding has shown that for period of 1936-2012 in the most cases the statistically reliable decreasing trends are observed with the linear trend coefficients of 0,50 - 0,60 cm/year. The method is offered for determination of probable characteristics of the snow cover decade height. Using data of space monitoring are allocated the frontiers of snow cover bedding for the period of snow melting 1982-2008 and the snow cover melting maps are developed. The results further confirm the proposition that snow cover availability is an important and limiting factor in the generation

  13. 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.

  14. 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

  15. 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.

  16. 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.

  17. Space climate implications from substorm frequency

    Science.gov (United States)

    Newell, P. T.; Gjerloev, J. W.; Mitchell, E. J.

    2013-10-01

    solar wind impacting the Earth varies over a wide range of time scales, driving a corresponding range of geomagnetic activity. Past work has strongly indicated that the rate of merging on the frontside magnetosphere is the most important predictor for magnetospheric activity, especially over a few hours. However, the magnetosphere exhibits variations on other time scales, including UT, seasonal, and solar cycle variations. Much of this geomagnetic variation cannot be reasonably attributed to changes in the solar wind driving—that is, it is not created by the original Russell-McPherron effect or any generalization thereof. In this paper we examine the solar cycle, seasonal, and diurnal effects based upon the frequency of substorm onsets, using a data set of 53,000 substorm onsets. These were identified through the SuperMAG collaboration and span three decades with continuous coverage. Solar cycle variations include a profound minimum in 2009 (448 substorms) and peak in 2003 (3727). The magnitude of this variation (a factor of 8.3) is not explained through variations in estimators of the frontside merging rate (such as dΦMP/dt), even when the more detailed probability distribution functions are examined. Instead, v, or better, n1/2v2 seems to be implicated in the dramatic difference between active and quiet years, even beyond the role of velocity in modulating merging. Moreover, we find that although most substorms are preceded by flux loading (78.5% are above the mean and 83.8% above median solar wind driving), a high solar wind v is almost as important (68.3% above mean, 74.8% above median). This and other evidence suggest that either v or n1/2v2 (but probably not p) plays a strong secondary role in substorm onset. As for the seasonal and diurnal effects, the elliptical nature of the Earth's orbit, which is closest to the Sun in January, leads to a larger solar wind driving (measured by Bs, vBs, or dΦMP/dt) in November, as is confirmed by 22 years of solar wind observations. However, substorms peak in October and March and have a UT dependence best explained by whether a conducting path established by solar illumination exists in at least one hemisphere in the region where substorm onsets typically occur.

  18. Space Exploration

    Science.gov (United States)

    Gallagher, Dennis

    2017-01-01

    New range Passage Tomb may be the first structure with known astronomical significance. It was built around 3,200 B.C. in Ireland. It's central passage allows light end-to-end for about 2 weeks around winter solstice. The Sun, Moon, Planets, and Stars held significance in early times due to the seasons, significance for food crops, and mythology. Citation: Corel Photography and Windows to the Universe The Greek may be among the first to pursue analytical interpretations of what they saw in the sky. In about 280 B.C. Aristarchus suggested Earth revolves around the Sun and estimated the distance between. Around 130 B.C. Hipparchus developed the first accurate star map. Today still seek to understand how the universe formed and how we came to be and are we alone. Understanding the causes and consequences of climate change using advanced space missions with major Earth science and applications research. center dotFire the public imagination and inspire students to pursue STEM fields. Train college and graduate students to create a U.S. technical workforce with employees that embody the values of competence, innovation, and service. center dotDrive the technical innovations that enable exploration and become the engine of National economic growth. center dotPartner domestically and internationally to leverage resources to extend the reach of research.

  19. Climate Sensitivity

    Energy Technology Data Exchange (ETDEWEB)

    Lindzen, Richard [M.I.T.

    2011-11-09

    Warming observed thus far is entirely consistent with low climate sensitivity. However, the result is ambiguous because the sources of climate change are numerous and poorly specified. Model predictions of substantial warming aredependent on positive feedbacks associated with upper level water vapor and clouds, but models are notably inadequate in dealing with clouds and the impacts of clouds and water vapor are intimately intertwined. Various approaches to measuring sensitivity based on the physics of the feedbacks will be described. The results thus far point to negative feedbacks. Problems with these approaches as well as problems with the concept of climate sensitivity will be described.

  20. Climatic change

    International Nuclear Information System (INIS)

    Perthuis, Ch. de; Delbosc, A.

    2009-01-01

    Received ideas about climatic change are a mixture of right and wrong information. The authors use these ideas as starting points to shade light on what we really know and what we believe to know. The book is divided in three main chapters: should we act in front of climatic change? How can we efficiently act? How can we equitably act? For each chapter a series of received ideas is analyzed in order to find those which can usefully contribute to mitigate the environmental, economical and social impacts of climatic change. (J.S.)

  1. Politicised climate

    International Nuclear Information System (INIS)

    Kaerner, Olavi

    1999-01-01

    Global warming is possible due to the increase of the greenhouse gases in the Earth's atmosphere. That circumstance, together with the general uncertainty about the exact definition of climate, enables politicians to give arbitrary interpretations of the time sequences collected on changes in temperatures, precipitations, etc., and thus, to intimidate people by predicting dire consequences. The paper explains some of the popular (mis)interpretations. The real effect on the contemporary climate caused by the increasing greenhouse gas reinforcement is still unknown owing to the complexity of the Earth's climatic system. Its modelling accuracy is still miserable. (author)

  2. 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...

  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. 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.

  5. 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.

  6. Weight loss and skin manifestations in obese patients with psoriasis

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium; Jensen, Peter; Kirchner Larsson, Lena

    Objective To examine if psoriatic patients can achieve a weight loss to the same extent as non-psoriatic patients To describe the effect of weight loss on the cutaneous manifestations. Conclusion Patients with psoriasis achieved a weight loss, similar to non-psoriatic patients, of 12...... % of their body weight following calorie restriction for 12 weeks. Taken together with recent literature the findings suggest that weight loss has a potential to reduce skin manifestations. Weight loss might also attenuate the increased cardiovascular and diabetes risks posed by obese psoriatric patients....

  7. 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.

  8. Climatic change

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1977-02-15

    In spite of man's remarkable advances in technology, ultimately he is still dependent on the Earth's climatic system for food and fresh water. The recent occurrences in certain regions of the world of climatic extremes such as excessive rain or droughts and unseasonably high or low temperatures have led to speculation that a major climatic change is occurring on a global scale. Some point to the recent drop in temperatures in the northern hemisphere as an indication that the Earth is entering a new ice age. Others see a global warming trend that may be due to a build-up of carbon dioxide in the atmosphere. An authoritative report on the subject has been prepared by a World Meteorological Organization Panel of Experts on Climatic Change. Excerpts from the report are given. (author)

  9. Climate Reconstructions

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Paleoclimatology Program archives reconstructions of past climatic conditions derived from paleoclimate proxies, in addition to the Program's large holdings...

  10. Climate catastrophes

    Science.gov (United States)

    Budyko, Mikhail

    1999-05-01

    Climate catastrophes, which many times occurred in the geological past, caused the extinction of large or small populations of animals and plants. Changes in the terrestrial and marine biota caused by the catastrophic climate changes undoubtedly resulted in considerable fluctuations in global carbon cycle and atmospheric gas composition. Primarily, carbon dioxide and other greenhouse gas contents were affected. The study of these catastrophes allows a conclusion that climate system is very sensitive to relatively small changes in climate-forcing factors (transparency of the atmosphere, changes in large glaciations, etc.). It is important to take this conclusion into account while estimating the possible consequences of now occurring anthropogenic warming caused by the increase in greenhouse gas concentration in the atmosphere.

  11. Climatic change

    International Nuclear Information System (INIS)

    1977-01-01

    In spite of man's remarkable advances in technology, ultimately he is still dependent on the Earth's climatic system for food and fresh water. The recent occurrences in certain regions of the world of climatic extremes such as excessive rain or droughts and unseasonably high or low temperatures have led to speculation that a major climatic change is occurring on a global scale. Some point to the recent drop in temperatures in the northern hemisphere as an indication that the Earth is entering a new ice age. Others see a global warming trend that may be due to a build-up of carbon dioxide in the atmosphere. An authoritative report on the subject has been prepared by a World Meteorological Organization Panel of Experts on Climatic Change. Excerpts from the report are given. (author)

  12. Climate Prediction Center - Outlooks

    Science.gov (United States)

    Weather Service NWS logo - Click to go to the NWS home page Climate Prediction Center Home Site Map News Web resources and services. HOME > Outreach > Publications > Climate Diagnostics Bulletin Climate Diagnostics Bulletin - Tropics Climate Diagnostics Bulletin - Forecast Climate Diagnostics

  13. 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.)

  14. 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...

  15. How Law Manifests Itself in Australian Aboriginal Art

    NARCIS (Netherlands)

    Schreiner, A.T.M.

    2013-01-01

    The article How Law Manifests Itself in Australian Aboriginal Art will discuss two events at the Aboriginal Art Museum Utrecht from the perspective of a meeting between two artistic and legal cultures. The first event, on the art and law of the Spinifex people, will prove to be of a private law

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

    Directory of Open Access Journals (Sweden)

    Tung-Hung Su

    2013-04-01

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

  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. Chediak-Higashi syndrome: brain MRI and MR spectroscopy manifestations

    Energy Technology Data Exchange (ETDEWEB)

    Lolli, Valentina; Soto Ares, Gustavo; Pruvo, Jean-Pierre [Roger Salengro Hospital, CHRU, Neuroradiology Department, Lille (France); Abou Chahla, Wadih [Jeanne de Flandre Hospital, Pediatric Hematology and Oncology Department, Lille (France); Jissendi-Tchofo, Patrice [University Hospital Saint-Pierre, Radiology Department - Pediatric Neuroradiology Section, Brussels (Belgium)

    2015-08-15

    Chediak-Higashi syndrome is a rare inherited metabolic disorder characterized by partial oculocutaneous albinism, immunodeficiency, and neurological dysfunction. We present the brain magnetic resonance imaging (MRI) and MR spectroscopy (MRS) findings obtained during the accelerated phase of the disorder in an 8-year-old. The brain MRI manifestations at recurrences 15 months and 24 months later are reported as well. (orig.)

  19. [Rapidly progressive compromise of cranial pairs as neurosyphilis manifestation].

    Science.gov (United States)

    Baccaro, Fernando; Moldes, Sofía; Novelli Poisson, Paola; Arduin, Julieta; Valerga, Mario

    2012-01-01

    Syphilis remains a common disease throughout the world, being neurosyphilis a relatively common manifestation. A case of a 34 years old male with HIV and neurosyphilis is presented, characterized by a clinical course evidenced by progressive palsy of cranial nerves. This case is unusual and a rare presentation of progressive cranial involvement with swallowing deficit, have found no similar data in the literature.

  20. Gestational Age and Manifest Cardiovascular Risk Factors in ...

    African Journals Online (AJOL)

    Thus manifestation of known CAD risk factors was evaluated in 75 human females, randomly assigned to 3 groups each of 25 subjects of different GA. Group1 served as Control (NO PREG), Groups 2 and 3 were PREG at GA of less than 20weeks (PREG<20wk) and of 20weeks or more (PREG ≥ 20wk) respectively.

  1. Ocular Adnexal and Anterior Segment Manifestations of HIV/AIDS ...

    African Journals Online (AJOL)

    Background: Benue State has the highest rate of sero-prevalence to human immuno virus (HIV) infections among the ten hyper-endemic states in Nigeria. This study evaluates the pattern of ocular adnexal and anterior segment manifestations in HIV/AIDS patients attending the HIV clinic at the NAF Hospital in Makurdi, ...

  2. 40 CFR 263.20 - The manifest system.

    Science.gov (United States)

    2010-07-01

    ... person if he knows the shipment does not conform to the EPA Acknowledgment of Consent; and unless, in... without a tracking document that includes all information required by 40 CFR 262.84. (3) Compliance Date... designated facility on either the manifest or the shipping paper; and (4) The person delivering the hazardous...

  3. Fluid lipid bilayers: Intermonolayer coupling and its thermodynamic manifestations

    DEFF Research Database (Denmark)

    Hansen, Per Lyngs; Miao, Ling; Ipsen, John Hjorth

    1998-01-01

    of a phenomenological model that describes the necessary types of degrees of freedom and their interplay, which reflects different modes of intermonolayer coupling. Furthermore, we investigate! based on the phenomenological model, the manifestations of the intermonolayer coupling both in the lateral ordering processes...

  4. 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.

  5. Rheumatic manifestations among HIV positive adults attending the ...

    African Journals Online (AJOL)

    Rheumatic manifestations among HIV positive adults attending the Infectious ... diseases seen depend on a number of factors such as, the CD4 count, HLA status ... population were commonest finding followed by HIV associated arthritis at 4.3%. ... affected with the knees (28.8%) and ankles (26.9%) contributing the highest.

  6. Kõige tähtsam kõigepealt. Manifest 2000

    Index Scriptorium Estoniae

    2000-01-01

    Manifest, mis pärast üheaegset ilmumist disainiajakirjades Blueprint, AIGA Journal, Item, Eye, Form ja Emigre on kogu maailmas elevust tekitanud. Kas disaineri ülim tegevusala on reklaam? Kas reklaamiinimene peaks tajuma ühiskonda ka väljaspool turundussõnumeid? Manifestile võib anda allkirju lisatud internetiaadressil

  7. Links between Early Attachment Experiences and Manifestations of Spirituality

    Science.gov (United States)

    Surr, John

    2011-01-01

    This essay reviews recent research about infant attachment, then discusses the implications of this research as they relate to the following specific manifestations of children's spirituality: faith, wonder, relational consciousness, flow (as in a sense of wholeness or unity), and compassion, in the light of other research on children's…

  8. Chediak-Higashi syndrome: brain MRI and MR spectroscopy manifestations

    International Nuclear Information System (INIS)

    Lolli, Valentina; Soto Ares, Gustavo; Pruvo, Jean-Pierre; Abou Chahla, Wadih; Jissendi-Tchofo, Patrice

    2015-01-01

    Chediak-Higashi syndrome is a rare inherited metabolic disorder characterized by partial oculocutaneous albinism, immunodeficiency, and neurological dysfunction. We present the brain magnetic resonance imaging (MRI) and MR spectroscopy (MRS) findings obtained during the accelerated phase of the disorder in an 8-year-old. The brain MRI manifestations at recurrences 15 months and 24 months later are reported as well. (orig.)

  9. COPD is a systemic disease – the ex trapulmonary manifestations ...

    African Journals Online (AJOL)

    COPD is a systemic disease – the ex trapulmonary manifestations. C Smith. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's ...

  10. 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.

  11. Computed tomographic findings in manifesting carriers of Duchenne muscular dystrophy

    NARCIS (Netherlands)

    de Visser, M.; Verbeeten, B.

    1985-01-01

    Clinical and computed tomographic (CT) findings in 3 manifesting carriers of Duchenne muscular dystrophy are reported. CT proved to be an important adjunct to the clinical examination: in all our 3 cases a decrease in density was found in various non-paretic muscles

  12. Testing manifest monotonicity using order-constrained statistical inference

    NARCIS (Netherlands)

    Tijmstra, J.; Hessen, D.J.; van der Heijden, P.G.M.; Sijtsma, K.

    2013-01-01

    Most dichotomous item response models share the assumption of latent monotonicity, which states that the probability of a positive response to an item is a nondecreasing function of a latent variable intended to be measured. Latent monotonicity cannot be evaluated directly, but it implies manifest

  13. Testing Manifest Monotonicity Using Order-Constrained Statistical Inference

    Science.gov (United States)

    Tijmstra, Jesper; Hessen, David J.; van der Heijden, Peter G. M.; Sijtsma, Klaas

    2013-01-01

    Most dichotomous item response models share the assumption of latent monotonicity, which states that the probability of a positive response to an item is a nondecreasing function of a latent variable intended to be measured. Latent monotonicity cannot be evaluated directly, but it implies manifest monotonicity across a variety of observed scores,…

  14. Personal autonomy and its manifestation in English lexis and phraseology

    Directory of Open Access Journals (Sweden)

    Дилбар G Ишанкулова

    2011-03-01

    Full Text Available The article is devoted to personal autonomy (privacy, which is viewed as one of the most cherished values of the Anglo-Saxon culture, and its manifestation in the lexis and phraseology of English. A lot of peculiarities of the English mentality and communication can be explained through it.

  15. Neurologic manifestations of human immunodeficiency virus infection in children

    NARCIS (Netherlands)

    Epstein, L. G.; Sharer, L. R.; Oleske, J. M.; Connor, E. M.; Goudsmit, J.; Bagdon, L.; Robert-Guroff, M.; Koenigsberger, M. R.

    1986-01-01

    This report describes the neurologic manifestations of 36 children with human immunodeficiency virus (HIV) infection. In this cohort, in 16 of 21 children with acquired immunodeficiency syndrome (AIDS), three of 12 children with AIDS-related complex, and one of three asymptomatic seropositive

  16. Very early disease manifestations of macular telangiectasia type 2

    NARCIS (Netherlands)

    Issa, P.C.; Heeren, T.F.C.; Kupitz, E.H.; Holz, F.G.; Berendschot, T.T.J.M.

    Background: To report very early morphologic and functional alterations in patients with macular telangiectasia type 2. Methods: Patients with asymmetric disease manifestations, in whom retinal alterations characteristic for macular telangiectasia type 2 were present in one but not in the apparently

  17. Hypothyroidism could be the only manifestation of mitochondrial ...

    African Journals Online (AJOL)

    Hoda Tomoum

    2012-11-24

    Nov 24, 2012 ... Hypothyroidism could be the only manifestation of mitochondrial T8993C mutation in Leigh syndrome. Hoda Tomoum a. , Solaf M. Elsayed b,. *, Elizabeth Berry-Kravis c a Department of Pediatrics, Ain Shams University, Cairo, Egypt b Genetics Unit, Department of Pediatrics, Ain Shams University, Cairo, ...

  18. Calendar of Selected Aeronautical & Space Meetings (Calendrier des Manifestations Aeronautiques et Spatiales (Selection)).

    Science.gov (United States)

    1986-07-01

    de l’Atmospbhre et Environnement terrestre 68 09 - Information, Documentation et Informatique 73 10 - Themes g~n~raux (pluridisciplinaires) et divers...76019 US VDE Verband Deutscher Elektrotechniker: Zentrastelle Tagungen, Stresemannallee 21, D-6000 Frankfurt-am-Main 70 GE VDI Verein Deutscher

  19. Pulmonary manifestations of rheumatoid arthritis: a review | Biomdo ...

    African Journals Online (AJOL)

    Rheumatoid arthritis can aff ect the lung parenchyma, airways and pleura. Pulmonary complications are directly responsible for 10-20% of all mortality in RA patients. Objective: To highlight the common and important manifestations of rheumatoid lung disease and discuss the recent studies on each.Data source: Articles on ...

  20. 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)

  1. 76 FR 36480 - Hazardous Waste Manifest Printing Specifications Correction Rule

    Science.gov (United States)

    2011-06-22

    ...: Proposed rule. SUMMARY: The Environmental Protection Agency (EPA) is proposing a minor change to the... preamble to the Direct Final rule. If we receive no adverse comment on this minor change we are publishing... number of small entities. This action proposes only a minor change to the manifest printing...

  2. Knowledge of diabetes and its associated ocular manifestations by ...

    African Journals Online (AJOL)

    Conclusion: Diabetic patients' knowledge on diabetes mellitus and its ocular manifestations, and the attitude of diabetic patients towards eye examination were poor. Intensive health education by diabetes care givers and leaders of the Ghana Diabetic Association for diabetic patient is therefore required to improve attitude ...

  3. Galvanic manifestation of spontaneous coherence in the negative glow

    International Nuclear Information System (INIS)

    Zhechev, D; Parvanova, N

    2002-01-01

    Both the magnetic depolarization of the spontaneous emission from self-aligned states and the discharge galvanic reaction are measured simultaneously in a magnetic field. The observed galvanic peak is ascribed to magnetic destruction of self-aligned ensembles of atoms. This presents galvanic manifestation of coherent conductivity. (letter to the editor)

  4. Extrahepatic manifestations of cholestatic liver diseases: pathogenesis and therapy

    NARCIS (Netherlands)

    Pusl, Thomas; Beuers, Ulrich

    2005-01-01

    Pruritus, fatigue, and metabolic bone disease are frequent complications of cholestatic liver diseases, which can be quite distressing for the patient and can considerably reduce the quality of life. The molecular pathogenesis of these extrahepatic manifestations of cholestasis is poorly understood,

  5. Clinical manifestations of canine distemper in Nigerian dogs ...

    African Journals Online (AJOL)

    Twenty dogs of local breeds found in Nigeria, experimentally infected with local isolate of canine distemper virus, manifested fever, conjunctivitis, photophobia salivation, anorexia, dermatitis, and diarrhoea. Apart from these clinical signs already described for the disease in other breeds of dogs,45% of the dogs showed ...

  6. Gastrointestinal manifestation's history in the systemic lupus erythematosus

    International Nuclear Information System (INIS)

    Iglesias Gamarra, Antonio; Chalem, Philippe; Restrepo Suarez, Jose Felix

    2000-01-01

    In this paper we reviewed the history of the gastrointestinal manifestations in systemic lupus erythematosus since century XIX to our days, making a review of every organ and system involved, with special emphasis in gastropathy, enteritis, ileitis, malabsorption syndrome vasculitis bowel vasculopathy, mesenteric thrombosis, pancreatitis, ascites, peritonitis autoimmune hepatitis and more

  7. How Law Manifests Itself in Australian Aboriginal Art

    NARCIS (Netherlands)

    A.T.M. Schreiner (Agnes)

    2013-01-01

    markdownabstract__Abstract__ The article How Law Manifests Itself in Australian Aboriginal Art will discuss two events at the Aboriginal Art Museum Utrecht from the perspective of a meeting between two artistic and legal cultures. The first event, on the art and law of the Spinifex people,

  8. 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.).

  9. 19 CFR 123.22 - In-transit manifest.

    Science.gov (United States)

    2010-04-01

    ... CUSTOMS RELATIONS WITH CANADA AND MEXICO Shipments in Transit Through Canada or Mexico § 123.22 In-transit... cars or other overland carriers transiting Mexico a manifest on Customs Form 7512-B or 7533-C shall be... enter and reenter Canada in a continuing movement en route to a final destination in the United States...

  10. dermatology cutaneous manifestations of hiv/aids: part i

    African Journals Online (AJOL)

    Enrique

    2004-11-01

    Nov 1, 2004 ... Human immunodeficiency virus (HIV) infection can lead to a variety of clinical cutaneous manifestations. These cutaneous disorders ... 1. Correlation between mean CD4 cell count and incidences of specific skin disorders in patients with HIV infection. Fig. 2. Morbilliform rash of acute seroconversion illness.

  11. Calendar of Selected Aeronautical and Space Meetings (Calendrier des Manifestations Aeronautiques et Spatiales (Selection)).

    Science.gov (United States)

    1983-01-01

    Processing 05-13 19-21 July Marseilli (FR) IFAC-AFCE" Nymposium sur la Theorie des Cybernetics IFAC Ensembles Flous et Intelligence Artificielle ...Analysis x 05-15 8-12 August Karlsruhe (GE) IJCAI International Con’erence on Artificial Cybernetics IJCAI Intelligence Automatic Control Pattern Recognition...17081, Tel-Aviv IL UJCAI International Joint Conferences on Artificial Intelligence : c/o SRI International, Menlo Park, CA 94025 US IMACS International

  12. Investigating design: A comparison of manifest and latent approaches

    DEFF Research Database (Denmark)

    Cash, Philip; Snider, Chris

    2014-01-01

    This paper contributes to the on-going focus on improving design research methods, by exploring and synthesising two key interrelated research approaches e manifest and latent. These approaches are widely used individually in design research, however, this paper represents the first work bringing...

  13. The bleaching syndrome: manifestation of a post-colonial pathology ...

    African Journals Online (AJOL)

    The post-colonial root of African problems is directly related to skin color. Under the cloak of personal preference, light skin among African women has replaced dark skin as the native ideal. The aftermath is manifestation of the Bleaching Syndrome. Social Work professionals have overlooked the Bleaching Syndrome as ...

  14. 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.

  15. Comparison of causes and manifestations of pain in Parkinson's ...

    African Journals Online (AJOL)

    Objective To assess the manifestations of pain in PD (Parkinson's disease ) patients versus healthy controls. Methods Data on pain was collected from 127 patients and an equivalent number of controls using two self-report questionnaires: the Brief Pain Inventory (BPI) and a custom-made questionnaire focusing on specific ...

  16. 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)

  17. Neurological manifestations in speech after snake bite: A rare case ...

    African Journals Online (AJOL)

    Neurological manifestations in speech after snake bite: A rare case. D Vir, D Gupta, M Modi, N Panda. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/pamj.v4i1.53597 · AJOL African Journals Online. HOW TO ...

  18. 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.)

  19. 77 FR 54863 - Polychlorinated Biphenyls (PCBs): Revisions to Manifesting Regulations

    Science.gov (United States)

    2012-09-06

    ... today's rule on small entities, small entity is defined as: (1) A small business that is primarily...). Today's changes are to match, as much as possible, the manifesting requirements for PCBs under TSCA to... to be Confidential Business Information (CBI) or other information whose disclosure is restricted by...

  20. 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

  1. 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

  2. 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

  3. 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...

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. Climate certificates

    International Nuclear Information System (INIS)

    1998-10-01

    Reduced emissions of climate gases at the lowest cost require international cooperation in order to ensure that the most cost-efficient measures are taken. A market for emission rights is one way of achieving this. However, creating the right conditions for such a market to operate requires an unambiguous definition of the product to be traded. In this PM, the Swedish Power Association sketches out how such a product could be defined, and how a market for the resulting unambiguously defined product could be operated internationally, in parallel with other markets for energy products. Trade in climate certificates could become a joint EU approach to achieving common results within the field of climate policy. The main features of the proposal are as follows: Electricity producers would be allowed to issue climate certificates for electricity produced without climate-affecting emissions, e.g. in wind power plants. 1 kWh of electricity produced without emissions would entitle the utility to issue a climate certificate for 1 kWh. Electricity from power stations having low emissions, e.g. modern natural gas-fired plants, would entitle the utility to issue certificates in proportion to how much lower their emissions were in comparison with those from conventional coal-fired power stations. The number of certificates would be reduced by an individual coefficient, related directly to the quantity of climate-affecting emissions from the plant concerned. They would be traded and noted on markets in the various member countries. The certificates would not be nationally restricted, but could be traded across borders. Exchanges would be authorised by national authorities, in accordance with overall EU directives. These authorised exchanges would act as certification bodies, checking that certificates had been properly issued in accordance with a corresponding volume of electricity production. Electricity and certificates could be purchased from different suppliers. The

  10. Climate adaptation

    Science.gov (United States)

    Kinzig, Ann P.

    2015-03-01

    This paper is intended as a brief introduction to climate adaptation in a conference devoted otherwise to the physics of sustainable energy. Whereas mitigation involves measures to reduce the probability of a potential event, such as climate change, adaptation refers to actions that lessen the impact of climate change. Mitigation and adaptation differ in other ways as well. Adaptation does not necessarily have to be implemented immediately to be effective; it only needs to be in place before the threat arrives. Also, adaptation does not necessarily require global, coordinated action; many effective adaptation actions can be local. Some urban communities, because of land-use change and the urban heat-island effect, currently face changes similar to some expected under climate change, such as changes in water availability, heat-related morbidity, or changes in disease patterns. Concern over those impacts might motivate the implementation of measures that would also help in climate adaptation, despite skepticism among some policy makers about anthropogenic global warming. Studies of ancient civilizations in the southwestern US lends some insight into factors that may or may not be important to successful adaptation.

  11. 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

  12. 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...

  13. 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

  14. 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

  15. 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.

  16. Climate change

    International Nuclear Information System (INIS)

    2006-01-01

    This paper presented indicators of climate change for British Columbia (BC) with an emphasis on the coastal region. An overview of global effects of climate change was presented, as well as details of BC's current climate change action plan. Indicators examined in the paper for the BC coastal region included long-term trends in air temperature; long-term trends in precipitation; coastal ocean temperatures; sea levels on the BC coast; and the sensitivity of the BC coast to sea level rise and erosion. Data suggested that average air temperatures have become higher in many areas, and that Springtime temperatures have become warmer over the whole province. Winters have become drier in many areas of the province. Sea surface temperature has risen over the entire coast, with the North Coast and central Strait of Georgia showing the largest increases. Deep-water temperatures have also increased in 5 inlets on the South Coast. Results suggested that the direction and spatial pattern of the climate changes reported for British Columbia are consistent with broader trends in North America and the type of changes predicted by climate models for the region. Climate change will likely result in reduced snow-pack in southern BC. An earlier spring freshet on many snow-dominated river systems is anticipated as well as glacial retreat and disappearance. Warmer temperatures in some lakes and rivers are expected, as well as the increased frequency and severity of natural disturbances such as the pine mountain beetle. Large-scale shifts in ecosystems and the loss of certain ecosystems may also occur. BC's current climate plan includes cost effective actions that address GHG emissions and support efficient infrastructure and opportunities for innovation. Management programs for forest and agricultural lands have been initiated, as well as programs to reduce emissions from government operations. Research is also being conducted to understand the impacts of climate change on water

  17. 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 ...

  18. 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

  19. Imaging Manifestations in Systemic Cat Scratch Disease: Case report

    International Nuclear Information System (INIS)

    Forero M, Julian F; Perez A, Maria C; Cerquera C, Fredy M

    2011-01-01

    Cat scratch disease is a zoonosis caused by Bartonella henselae, which is transmitted by scratches, bites or exposition to cats saliva (1). The disease typically manifests with local lymphadenitis after bacterial inoculation in the skin, however, there is an atypical systemic presentation in 5 to 10% of patients, which causes unspecific symptoms. There are several imaging findings that lead the radiologist to consider this diagnosis, in order to prevent an invasive procedure, especially if we consider that the majority of cases occur in the pediatric population (2,3). Although in the majority of cases the symptoms and imaging findings resolve spontaneously, there are specific indications like the systemic form of the disease,which requires antibiotic treatment. In the present article we are exposing a case report from Fundacion Cardioinfantil; we will review some epidemiologic aspects, clinical manifestations, diagnostic methods as well as imaging findings in Ultrasonography, Computed Tomography, Magnetic Resonance and Nuclear Medicine.

  20. Imaging Manifestations in Systemic Cat Scratch Disease: Case report

    International Nuclear Information System (INIS)

    Forero Melo, Julian Francisco; Perez Alvarado, Maria Carolina; Cerquera Cabrera, Fredy Martin

    2011-01-01

    Cat scratch disease is a zoonosis caused by Bartonella henselae, which is transmitted by scratches, bites or exposition to cats saliva (1). The disease typically manifests with local lymphadenitis after bacterial inoculation in the skin, however, there is an atypical systemic presentation in 5 to 10% of patients, which causes unspecific symptoms. There are several imaging findings that lead the radiologist to consider this diagnosis, in order to prevent an invasive procedure, especially if we consider that the majority of cases occur in the pediatric population (2,3). Although in the majority of cases the symptoms and imaging findings resolve spontaneously, there are specific indications like the systemic form of the disease, which requires antibiotic treatment. In the present article we are exposing a case report from Fundacion Cardio infantil; we will review some epidemiologic aspects, clinical manifestations, diagnostic methods as well as imaging findings in Ultrasonography, Computed Tomography, Magnetic Resonance and Nuclear Medicine.