The global stratotype section and point of the Silurian-Devonian boundary

Czech Academy of Sciences Publication Activity Database

Chlupáč, I.; Hladil, Jindřich

2000-01-01

Roč. 225, - (2000), s. 1-6+1 Pl. ISSN 0341-4116 Institutional research plan: CEZ:AV0Z3013912 Keywords : Silurian-Devonian * global stratotype section and point (GSSP) * stratigraphy Subject RIV: DB - Geology ; Mineralogy

Silurian deltaic progradation, Tassili n'Ajjer plateau, south-eastern Algeria: Sedimentology, ichnology and sequence stratigraphy

Science.gov (United States)

Djouder, Hocine; Lüning, Sebastian; Da Silva, Anne-Christine; Abdallah, Hussein; Boulvain, Frédéric

2018-06-01

The economic potential for unconventional shale oil and gas production in the Silurian of the Berkine - Ghadames and Illizi basins (BGI) in south-eastern Algeria has been recently confirmed through exploration drilling. The aim of the present paper attempts a better understanding of the Intra-Tassilian depression within the entire Silurian of the Tassili n'Ajjer plateau. The continuous deposits of the Silurian are exposed at the southern margin of the prolific BGI basins, in the Tassili n'Ajjer plateau, offering the chance to understand the sedimentology, ichnology, and to present a detailed sequence stratigraphy framework for the region. The 410 m-thick clastic Silurian sedimentary strata are subdivided into three formations in the context of sequence stratigraphy, namely: (i) the Oued Imihrou Fm. (Llandoverian) overlain by (ii) the Atafaïtafa Fm. (late Llandoverian to Wenlockian), and (iii) the Oued Tifernine Fm. (late Wenlockian to Pridolian). These can be also distinguished across the entire investigated area and laterally traceable over kilometers. Clear cyclic stacking patterns are identified within the four studied sections showing progressively a general trend of thickening- and coarsening-upward, over a complete 2nd-order megasequence (SIL-1 MS). This transgressive-regressive succession suggests deltaic progradation, shallowing and basin infilling as evidenced by numerous diagnostic sedimentary features and trace fossils, largely from eastern-to western-Tassili plateau. Indeed, the wealth of outcrop data in the Silurian siliciclastic succession enables us to distinct thirteen facies (facies A-M), ranging from shallow-to marginal-marine facies, and in turn, grouped into six facies associations (FA1-FA6). The lowermost part of the succession, which is the most prolific sources of hydrocarbons in North Africa, consists of thick organic-rich graptolite-yielding black 'hot' shales and 'lean' shales with sparse bioturbation with small Thalassinoides belonging

Evidences of Silurian dextral transpression in the Scandinavian Caledonides

Science.gov (United States)

Torgersen, Espen; Viola, Giulio

2017-04-01

The Scandinavian Caledonides are classically interpreted as a fold and thrust belt resulting from the collision between Laurentia and Baltica during the Silurian, which involved the up-to-400 km ESE-wards translation of nappes onto the Baltoscandian platform. It has been suggested that the Caledonian fold and thrust belt formed through several distinct orogenic episodes, from early shortening in the Late Ordovician to orogenic collapse in the Devonian. The classic Caledonian, orogen-perpendicular ESE-ward nappe transport is constrained by abundant and consistently oriented stretching lineations across the entire orogen and unambiguous kinematic indicators. However, there is also a large number of NW-SE-trending and roughly orogen-parallel lineations, particularly in the upper ophiolite- and eclogite-bearing nappes, which are more challenging to interpret with the traditional orogeny evolution model. The analysis of the areal extent, spatial distribution and geometrical relationships of the Caledonian nappes in southern and central Norway, however, offers new insights and allows for new constraints on the bulk kinematic framework of the shortening history of the belt. Here we present new, first-order geological observations that demonstrate a two-fold compressional history and associated strain partitioning during Caledonian convergence. More specifically, we propose that Late Ordovician NNW-SSE shortening caused early compression, followed by WNW-ESE Early Silurian shortening, which resulted in strain partitioning along the planar fabrics and discontinuities from the earlier event. In detail, orogen-parallel dextral wrench tectonics caused significant lateral displacement along at least three, orogen-scale NE-SW striking corridors, wherein the nappes appear to be consistently displaced in a dextral fashion. We propose that the Møre-Trøndelag Fault Complex, which accommodated significant sinistral displacements during the later Devonian orogenic collapse

Paleomagnetic results from the upper silurian of the Shan-Thai-Malay Block, southwest Yunnan, China

Science.gov (United States)

Chen, Haihong; Zhong, Dalai; Heller, Friedrich; Dobson, Jon P.

77 paleomagnetic samples from the Upper Silurian reddish limestone and marlstone of the Shan-Thai-Malay block near Baoshan ( 99.1°E, 24.8°N ), western Yunnan, China, reveal a pre-folding remnant magnetization, with a mean direction of D=49.6°, I= -3.2°, k=9.7, a95=5.5°, corresponding a paleopole at 207.0°E, 36.8°N. These results, unlike the upper Paleozoic data with steeper inclinations published earlier, suggest that the block was located at equatorial latitude during late Silurian time, probably adjacent to the northern margin of Gondwanaland.

Preliminary investigation on the sedimentary facies of the middle silurian uraniferous rock formations in western Qinling Region

International Nuclear Information System (INIS)

Mao Yunian; Min Yongming.

1987-01-01

The Middle Silurian stratabound uranium deposits in Western Qinling were formed due to hydrothermal modification of ground water and reconcentration of uranium from the sedimentary source rocks. The Silurian system consists of the sediments deposited in the marginal sea of the passive continent, to the south of which is the Ruoergai palaeocontinent. The Middle Silurian is divided into three formations. The lower members of each formation are composed of fine-grained clastic rocks with bay-lagoon facies, while the upper members of each formation are uraniferous rock formations consisted of carbonaceous-siliceous-limestone-argillaceous rocks. During the Middle Silurian period there occurred an island chain barrier which is roughly parallel to the palaeocoast and was formed by undersea uplifts. The uraniferous rock formations belong to the assemblage of lagoon-reef-back tidal flat-reef beach facies. Nearshore shallow water environment, abundant terrestrial fine detritus, local reduction facies and zones are three cardinal conditions for the formation of uranium-rich sediments. Uranium deposition mainly took place in the environments of the inner part of reef beach and reef-back tidal flat, which are characterized by having medium to slightly lower energy, the terrestrial fine detritus involved, and local reduction field resulting from the decomposition of organism after their massive death. Furing the process of relative slow deposition, UO 2 2+ in the sea water was formed by means of infiltration, diffusion and alternative absorption of water at the bottom into organic matter and clay

Reservoir diagenesis research of Silurian Longmaxi Formation in Sichuan Basin, China

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Lingming Kong

2016-06-01

Full Text Available The reservoir diagenesis of Silurian Longmaxi Formation in Sichuan Basin was studied based on a large number of thin section identification, scanning electron microscopy analysis, X-ray diffraction tests, and some other experiments. Seven diagenetic processes were identified, including compaction, cementation, clay mineral transformation, replacement, dissolution, organic matter thermal maturation, and tectonic disruption. Three kinds of cements (quartz, carbonate and sulfide were recognized, while the source material of quartz cements and the main factor of forming abundant carbonate cements were summed up. According to the single well analysis of the Well N3, it shows that the best, the suboptimal and the none shale reservoir sections were subjected to different diagenetic transformations. As to best shale reservoir, except for compaction, all the main inorganic diagenesis were significantly related to organic matter maturation. Through comprehensive analysis of diagenetic indicators, it is observed that the reservoir has already been in period B of middle diagenetic stage to late diagenetic stage. The inorganic diagenesis has a significant impact on shale reservoir, because it not only controls the conservation, development, and evolution of porosity, but also the mechanical property and the adsorption capacity of rocks. The organic diagenesis is the source material of shale gas, and it generates a large number of nanoporosity in organic matter, which increases the total porosity and the adsorption capacity of the reservoir.

Graptolite and conodont biostratigraphy of the upper Telychian-lower Sheinwoodian (Llandovery-Wenlock) strata, Jabalon River section, Corral de Calatrava, central Spain

Czech Academy of Sciences Publication Activity Database

Loydell, D. K.; Sarmiento, G. N.; Štorch, Petr; Gutiérrez-Marco, J. C.

2009-01-01

Roč. 146, č. 2 (2009), s. 187-198 ISSN 0016-7568 R&D Projects: GA AV ČR KSK6005114 Institutional research plan: CEZ:AV0Z30130516 Keywords : graptolites * Conodonta * Silurian * biostratigraphy * Central Iberian Zone (Spain) Subject RIV: DB - Geology ; Mineralogy Impact factor: 2.059, year: 2009

Platystrophia (Orthida and new related Ordovician and Early Silurian brachiopod genera

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Harper, David A. T.

2007-03-01

Full Text Available More than 150 Ordovician and Early Silurian brachiopod species have been assigned to the genus Platystrophia King, 1850 mainly on the basis of their Spirifer-like shell exteriors. King’s concept of the genus was based on Platystrophia biforata King, which is not conspecific with Terebratulites biforatus Schlotheim, traditionally regarded as the type species of Platystrophia. Porambonites costatus Pander, 1830 is formally proposed as the type species of the genus to replace P. biforata; the latter is considered to be a nomen dubium. In our revised diagnosis, Platystrophia is restricted to a group of Arenig to upper Caradoc species from Baltica and Avalonia, whereas the Ashgill and lower Silurian taxa of these regions, hitherto assigned to Platystrophia, are placed in the new genus Neoplatystrophia. Platystrophia ponderosa Foerste, 1909 from the Upper Ordovician of North America is proposed as the type species of a new genus Vinlandostrophia. Two new species, Platystrophia baltica and Platystrophia pogrebovi from the Llanvirn–Caradoc of the East Baltic are also described.

Wenlock-Ludlow boundary interval revisited: new insights from the offshore facies of the Prague Synform, Czech Republic

Czech Academy of Sciences Publication Activity Database

Štorch, Petr; Manda, Š.; Slavík, Ladislav; Tasáryová, Z.

2016-01-01

Roč. 53, č. 7 (2016), s. 666-673 ISSN 0008-4077. [Annual Meeting of the International-Geoscience-Programme (IGCP) Project 591 held jointly /5./ with the International Symposium on the Silurian System /5./. Quebec, 08.07.2016-11.07.2016] R&D Projects: GA ČR(CZ) GA14-16124S Institutional support: RVO:67985831 Keywords : graptolite * conodont * event * evolution * Bohemia * A-stable * bioturbation * boundary intervals * deep water * high resolution * organic-rich shales * stratigraphic intervals Subject RIV: DB - Geology ; Mineralogy Impact factor: 0.923, year: 2016

Post-Lau Event (late Ludfordian, Silurian) recovery of conodont faunas of Bohemia

Czech Academy of Sciences Publication Activity Database

Slavík, Ladislav; Carls, P.

2012-01-01

Roč. 87, č. 4 (2012), s. 815-832 ISSN 1214-1119 R&D Projects: GA ČR GA205/09/0703 Institutional research plan: CEZ:AV0Z30130516 Institutional support: RVO:67985831 Keywords : late Silurian * Ludfordian * post-Lau Event, * conodont recovery * Lau Event, Prague Subject RIV: DB - Geology ; Mineralogy Impact factor: 1.141, year: 2012

Stratigraphy of the Silurian outcrop belt on the east side of the Cincinnati Arch in Kentucky, with revisions in the nomenclature

Science.gov (United States)

McDowell, Robert C.

1983-01-01

Silurian rocks form a narrow arcuate outcrop belt about 100 mi long on the east side of the Cincinnati Arch in Kentucky. They range from as much as 300 ft thick in the north to a pinchout edge in the south. The nomenclature of this sequence is revised to reflect mappability and lithologic uniformity on the basis of detailed mapping at a scale of 1:24,000 by the U.S. Geological Survey in cooperation with the Kentucky Geological Survey. The Silurian rocks are divided into two parts: the Crab Orchard Group, raised in rank from Crab Orchard Formation and redefined, in the lower part of the Silurian section, and Bisher Dolomite in the upper part of the section. The Crab Orchard Group is subdivided into the Drowning Creek Formation (new name) at the base of the Silurian, overlain by the Alger Shale (adopted herein) south of Fleming County and by the Estill Shale (elevated to formational rank) north of Bath County. The Brassfield Member (reduced in rank from Brassfield Dolomite or Formation) and the Plum Creek Shale and Oldham Members of the former Crab Orchard Formation are included as members of the Drowning Creek; the Lulbegrud Shale, Waco, and Estill Shale Members of the former Crab Orchard Formation are now included in the Alger. The Drowning Creek Formation, 20 to 50 ft thick, is composed mainly of gray fine to coarse-grained dolomite with shale interbeds. The dolomite beds average several inches thick, with bedding surfaces that are locally smooth but generally irregular and are fossiliferous in many places; fossils include brachiopods, crinoid columnals, horn corals, colonial corals, trilobites, pelecypods, and bryozoans. The shale interbeds average several inches thick, except for its Plum Creek Shale Member which is entirely shale and as much as 12 ft thick, and are most abundant in the upper half of the formation. The members of the Drowning Creek intergrade and are indistinguishable in the northern part of the area. The Alger Shale, as much as 170 feet thick

Sporophytes of polysporangiate land plants from the early Silurian period may have been photosynthetically autonomous

Czech Academy of Sciences Publication Activity Database

Libertín, M.; Kvaček, J.; Bek, Jiří; Žárský, V.; Štorch, Petr

2018-01-01

Roč. 4, 30 April 2018 (2018), s. 269-271 ISSN 2055-026X Institutional support: RVO:67985831 Keywords : earliest vascular plant s * in situ spores * Silurian * polysporangiate plant s Subject RIV: DB - Geology ; Mineralogy OBOR OECD: Paleontology Impact factor: 10.300, year: 2016

Thallophytic algal flora from a new Silurian Lagerstätte

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Tinn, Oive

2009-03-01

Full Text Available Algae have always been the most diverse and numerous eukaryotic autotrophs in marine ecosystems. Both fossil andmolecular data point to an early Proterozoic origin for algae. Although known for their long evolutionary history, the fossil recordof algae is sparse and mainly remains of taxa with heavily calcified thalli are preserved. However, fossils of noncalcareous algae,known as extremely sporadic and occasional finds from different parts of the world, provide important insights into thepalaeobiology of algal flora in the Earth's past. Here we describe highly diverse flora of noncalcareous thallophytic algae from aSilurian age deposit.

Hydraulic Testing of Silurian and Ordovician Strata at the Bruce Site

Science.gov (United States)

Beauheim, R. L.; Avis, J. D.; Chace, D. A.; Roberts, R. M.; Toll, N. J.

2009-05-01

Ontario Power Generation is proposing a Deep Geologic Repository (DGR) for the long-term management of its Low and Intermediate Level Radioactive Waste (L&ILW) within a Paleozoic-age sedimentary sequence beneath the Bruce Site near Tiverton, Ontario, Canada. The concept envisions that the DGR would be excavated at a depth of approximately 680 m within the Ordovician Cobourg Formation, a massive, dense, argillaceous limestone. A key attribute of the Bruce site is the extremely low permeabilities associated with the thick Ordovician carbonate and argillaceous bedrock formations that will host and enclose the DGR. Such rock mass permeabilities are thought sufficiently low to contribute toward or govern a diffusion-dominated transport regime. To support this concept, hydraulic testing was performed in 2008 and 2009 in two deep boreholes at the proposed repository site, DGR-3 and DGR-4. The hydraulic testing was performed using a straddle-packer tool with a 30.74-m test interval. Sequential tests were performed over the entire open lengths of the boreholes from the F Unit of the Silurian Salina Formation into the Ordovician Gull River Formation, a distance of approximately 635 m. The tests consisted primarily of pressure-pulse tests, with a few slug tests performed in several of the higher permeability Silurian units. The tests are analyzed using the nSIGHTS code, which allows the entire pressure history a test interval has experienced since it was penetrated by the drill bit to be included in the test simulation. nSIGHTS also allows the model fit to the test data to be optimized over an n-dimensional parameter space to ensure that the final solution represents a true global minimum rather than simply a local minimum. The test results show that the Ordovician-age strata above the Coboconk Formation (70+ m below the Cobourg) have average horizontal hydraulic conductivities of 1E-13 m/s or less. Coboconk and Gull River hydraulic conductivities are as high as 1E-11 m

The Early Ludfordian leintwardinensis graptolite Event and the Gorstian-Ludfordian boundary in Bohemia (Silurian, Czech Republic)

Czech Academy of Sciences Publication Activity Database

Štorch, Petr; Manda, Š.; Loydell, D. K.

2014-01-01

Roč. 57, č. 5 (2014), s. 1003-1043 ISSN 0031-0239 R&D Projects: GA ČR GA205/09/0703 Institutional support: RVO:67985831 Keywords : biostratigraphy * extinction * Gorstian-Ludfordian boundary * graptolites * leintwardinensis Event * Silurian Subject RIV: DB - Geology ; Mineralogy Impact factor: 2.240, year: 2014

Origin and Evolution of The Early- Silurian Land Vascular Plants: Evidence From Biomarkers

Science.gov (United States)

Jin, R.

2016-12-01

Origin and early evolution of land vascular plants, is one of the most intriguing hotspots in the life science research. During the 1970s and 1980s,Pinnatiramosus qianensis was found in early-Silurian strata in guizhou of south China.43 years have passed. But so far, the biological characteristics and belonging of the age of this unique plant have been debated again and again, up in the air.Biomarkers have a good stability in the process of organic evolution, no more or less changed, so they have a special `function of mark'. While biomarkers can provide information about organic matter of hydrocarbon source rock (the source), the period of deposition and burial (diagenesis) environmental conditions, and many other aspects of information.This paper obtained the sedimentary environment, source of organic matter input and other relevant information, through extracting and analyzing biomarkers of the 26 samples in the late Ordovician to early Silurian strata in NorthGuizhou areas. According to the results, Pr/Ph of late Ordovician Meitan Fm-early Silurian Hanjiadian Fm is high.It manifests more pristane, characterized by reductive environment. At the bottom of the Hanjiadian Fm, Pr/Ph has a volatility.Some huge environmental changes may have taken place in the corresponding period. N-alkanes do not have parity advantage or has even carbon advantage slightly.The peak carbon is mainly in low carbon number.(C21 + C22)/(C28 + C29) is high.Aquatic organisms is a major source of organic matter during this period,C21-/C22+ is low.This may be caused by the relatively serious loss of light hydrocarbon during the separation of components. In the Hanjiadian Fm,information of C29/C27 sterane ratios and oleanane index showed a trend of rising at the same time, indicating that during this period, there was a gradual increase input in the number of higher plants.The stable carbon isotope of saturated hydrocarbon and aromatic hydrocarbon in the Hanjiadian Fm also gradually become

Effect of the properties of Silurian shales from the Barrandian Basin on their methane sorption potential

Czech Academy of Sciences Publication Activity Database

Weishauptová, Zuzana; Přibyl, Oldřich; Sýkorová, Ivana; René, Miloš

2017-01-01

Roč. 203, SEP 1 (2017), s. 68-81 ISSN 0016-2361 Grant - others:OPPK(XE) CZ.2.16/3.1.00/21538 Program:OPPK Institutional support: RVO:67985891 Keywords : methane sorption capacity * Silurian shales * Barrandian Basin * thermal maturity * TOC * clays * porous structure Subject RIV: CF - Physical ; Theoretical Chemistry OBOR OECD: Geology Impact factor: 4.601, year: 2016

Middle Telychian (upper Llandovery, Silurian) graptolites from boreholes of northwestern Libya: Their biostratigraphic significance and palaeogeographical implication

Czech Academy of Sciences Publication Activity Database

Štorch, Petr; Massa, D.

2007-01-01

Roč. 40, č. 4 (2007), s. 535-540 ISSN 0016-6995 R&D Projects: GA ČR GA205/99/1322 Institutional research plan: CEZ:AV0Z3013912 Keywords : Libya * Ghadamis Basin * Graptolites * biostratigraphy * palaeobiogeography * Silurian * Middle Telychian Subject RIV: EG - Zoology Impact factor: 0.658, year: 2007

Aphanitic buildup from the onset of the Mulde Event (Homerian, middle Silurian at Whitman's Hill, Herefordshire, UK: ultrastructural insights into proposed microbial fabrics

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Jan-Filip Päßler

2014-12-01

Full Text Available A microbial origin has been proposed for matrix-supported, low-diversity buildups reported from different palaeocontinents during the onset of the Mulde positive carbon isotope excursion. We have investigated a small aphanitic buildup from the Lower Quarried Limestone Member of the Much Wenlock Limestone Formation, exposed at Whitman's Hill (Herefordshire, corresponding to the central part of the Midland Platform (UK. Up to 50% of the rock volume in this buildup consists of mottled micrite. The SEM studies revealed that the micrite is largely detrital and does not show features characteristic of calcareous cyanobacteria or leiolites. The aphanitic character of the buildup is suggested to be controlled by the depositional rate, and the widespread occurrence of matrix-supported reefs in this interval to be driven by a mid-Homerian rapid eustatic transgression.

Gorstian palaeoposition and geotectonic setting of Suchomasty Volcanic Centre (Silurian, Prague Basin, Teplá-Barrandian Unit, Bohemian Massif)

Czech Academy of Sciences Publication Activity Database

Tasáryová, Z.; Schnabl, Petr; Čížková, Kristýna; Pruner, Petr; Janoušek, V.; Rapprich, V.; Štorch, Petr; Manda, Š.; Frýda, J.; Trubač, J.

2014-01-01

Roč. 136, č. 1 (2014), s. 262-265 ISSN 1103-5897 R&D Projects: GA ČR GAP210/10/2351 Institutional support: RVO:67985831 Keywords : basalt geochemistry * Gorstian * palaeolatitude * Prague Basin * Silurian * Suchomasty Volcanic Centre Subject RIV: DE - Earth Magnetism, Geodesy, Geography Impact factor: 1.309, year: 2014

Diversity dynamics of silurian-early carboniferous land plants in South china.

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Conghui Xiong

Full Text Available New megafossil and microfossil data indicate four episodes in the diversification of Silurian-Early Carboniferous land plants of South China, a relatively continuous regional record. Plant diversity increased throughout, but the rising curve was punctuated by three major falls. There were peaks of origination in the Ludlow-Pragian, Givetian, late Famennian and Visean and peaks of extinction in the Pragian-Emsian, Givetian and early Tournaisian. Speciation and extinction rates were highest in the Lochkovian-Pragian and became progressively lower in subsequent stages. High correlation coefficients indicate that these events are associated with the availability of land habitat contingent on eustatic variations and increasing numbers of cosmopolitan genera. Meanwhile, proportions of endemic genera declined gradually. Due to less endemism and more migrations, both speciation and species extinction rates reduced. The changes of diversity and the timing of the three extinctions of land plants in South China are similar to those known already from Laurussia. However, the largest events in the Lochkovian-Pragian and subsequent smaller ones have not been seen in the global pattern of plant evolution. These land plant events do not correspond well temporally with those affecting land vertebrates or marine invertebrates. In South China, the diversity curve of land plants is generally opposite to that of marine faunas, showing a strong effect of eustatic variations. The increasing diversity of both land vertebrates and plants was punctuated above the Devonian-Carboniferous boundary, known as Romer's Gap, implying common underlying constraints on macroevolution of land animals and plants.

Late Silurian fish microfossils from an East Baltic-derived erratic from Oosterhaule, with a description of new acanthodian taxa

NARCIS (Netherlands)

Vergoossen, JMJ

1999-01-01

Fish microfossils were extracted from an erratic. The taxa from the rich microvertebrate fauna of late Pridolian (latest Silurian) age ( P. punctatus Zone) are listed. A full description is given of two new Gomphonchus taxa, G. mediocostatus and G. boekschoteni. On the basis of old and new material,

Petrogenesis of the Mairupt microgranite: A witness of an Uppermost Silurian magmatism in the Rocroi Inlier, Ardenne Allochton

Science.gov (United States)

Cobert, Corentin; Baele, Jean-Marc; Boulvais, Philippe; Poujol, Marc; Decrée, Sophie

2018-03-01

Magmatism in the Rocroi inlier (Ardenne Allochton, southeastern Avalonia during eo-Hercynian times) consists of a swarm of bimodal dykes (diabase and/or microgranite) emplaced in Middle to Upper Cambrian siliciclastics (Revin Group). Felsic volcanites interbedded within the Upper Silurian/Lower Devonian transgressive strata on the eastern edge of the inlier were interpreted as belonging to the same magmatic event. This was subsequently invalidated by zircon U-Pb dating of the Mairupt and Grande Commune magmatic rocks, which yielded an Upper Devonian age. Here we report a reevaluation of the age of the Mairupt microgranite based on LA-ICP-MS in situ U-Pb zircon geochronology, which yields a concordant age of 420.5 ± 2.9 Ma (Late Silurian/Early Devonian). This new dating restores the consistency between the different magmatic occurrences in the Rocroi inlier. The geochemical and petrographical data furthermore indicate a major crustal contribution, which fits well within the context of crust thinning of the Ardenne margin (southeastern Avalonia) in the transtensional Rheno-Hercynian back-arc basin.

Polygenetic Karsted Hardground Omission Surfaces in Lower Silurian Neritic Limestones: a Signature of Early Paleozoic Calcite Seas

Science.gov (United States)

James, Noel P.; Desrochers, André; Kyser, Kurt T.

2015-04-01

Exquisitely preserved and well-exposed rocky paleoshoreline omission surfaces in Lower Silurian Chicotte Formation limestones on Anticosti Island, Quebec, are interpreted to be the product of combined marine and meteoric diagenesis. The different omission features include; 1) planar erosional bedding tops, 2) scalloped erosional surfaces, 3) knobs, ridges, and swales at bedding contacts, and 4) paleoscarps. An interpretation is proposed that relates specific omission surface styles to different diagenetic-depositional processes that took place in separate terrestrial-peritidal-shallow neritic zones. Such processes were linked to fluctuations in relative sea level with specific zones of diagenesis such as; 1) karst corrosion, 2) peritidal erosion, 3) subtidal seawater flushing and cementation, and 4) shallow subtidal deposition. Most surfaces are interpreted to have been the result of initial extensive shallow-water synsedimentary lithification that were, as sea level fell, altered by exposure and subaerial corrosion, only to be buried by sediments as sea level rose again. This succession was repeated several times resulting in a suite of recurring polyphase omission surfaces through many meters of stratigraphic section. Synsedimentary cloudy marine cements are well preserved and are thus interpreted to have been calcitic originally. Aragonite components are rare and thought to have to have been dissolved just below the Silurian seafloor. Large molluscs that survived such seafloor removal were nonetheless leached and the resultant megamoulds were filled with synsedimentary calcite cement. These Silurian inner neritic-strandline omission surfaces are temporally unique. They are part of a suite of marine omission surfaces that are mostly found in early Paleozoic neritic carbonate sedimentary rocks. These karsted hardgrounds formed during a calcite-sea time of elevated marine carbonate saturation and extensive marine cement precipitation. The contemporaneous greenhouse

Silurian and Devonian source rocks and crude oils from the western part of Libya: Organic geochemistry, palynology and carbon stratigraphy

NARCIS (Netherlands)

Elkelani, Mohamed M.A.

2015-01-01

The Early Silurian “hot” shales and Late Devonian black shales are major regional oil and gas source rocks in North Africa. Their deposition probably played a major role in global carbon cycling in general because of the large areas of the ocean affected. Comparing the Libyan δ13C record with

PALEOMAGNETISM OF SILURIAN AND DEVONIAN VOLCANICS FROM THE CHINGIZ ISLAND ARC, KAZAKHSTAN, AND ITS BEARING ON TECTONIC EVOLUTION OF THE URAL-MONGOL BELT

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Natalia M. Levashova

2011-01-01

Full Text Available The tectonic and paleogeographic evolution of the Ural-Mongol belt between the cratons of Baltica, Siberia, and Tarim is the key to the formation of the Eurasian supercontinent during Paleozoic time, but the views on this complicated process remain very disparate and sometimes controversial. Three volcanic formations of the Middle Silurian, LowertoMiddle Devonian and Middle Devonian age from the southwestern boundary of the Chingiz Range (NE Kazakhstan yields what are interpreted as primary paleomagnetic directions that help clarify the evolution of the belt. A singlepolarity characteristic component in midSilurian andesites yields a positive intraformational conglomerate test, whereas dualpolarity prefolding components are isolated from the two Devonian collections. These new data were evaluated together with previously published paleomagnetic results from Paleozoic rocks in the Chingiz Range, and allow us to establish with confidence the hemisphere in which the area was located at a given time. We conclude that NE Kazakhstan was steadily moving northward crossing the equator in Silurian time. These new paleomagnetic data from the Chingiz range also agree with and reinforce the hypothesis that the strongly curved volcanic belts of Kazakhstan underwent oroclinal bending between Middle Devonian and Late Carboniferous time. A comparison of the Chingiz paleolatitudes with those of Siberia shows similarities between the northward motion and rotational history of the Chingiz unit and those of Siberia, which imposes important constraints on the evolving paleogeography of the Ural-Mongol belt.

The graptolite, conodont and sedimentary record through the late Ludlow Kozlowskii Event (Silurian) in the shale-dominated succession of Bohemia

Czech Academy of Sciences Publication Activity Database

Manda, Š.; Štorch, Petr; Slavík, Ladislav; Frýda, J.; Kříž, J.; Tasáryová, Z.

2012-01-01

Roč. 149, č. 3 (2012), s. 507-531 ISSN 0016-7568 R&D Projects: GA ČR GA205/09/0703; GA ČR GAP210/10/2351 Institutional research plan: CEZ:AV0Z30130516 Keywords : graptolites * conodonts * Silurian * biostratigraphy * Kozlowskii Event * extinction * peri-Gondwana Subject RIV: DB - Geology ; Mineralogy Impact factor: 2.270, year: 2012

New evidence of an early Pridoli barrier reef in the southern part of the Baltic Silurian basin based on three-dimensional seismic survey, Lithuania

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Donatas Kaminskas

2015-02-01

Full Text Available Reefs and a barrier reef have been newly identified and mapped by three-dimensional (3D seismic survey in Lithuania. Seismic data analysis has allowed the size and geometry of these reefs to be determined. The largest reefs occur at Pavasaris and South Bliudziai. They have a similar shape and are about 1.5 km long and 1 km wide. A circle-shaped smaller patch reef at North Bliudziai is 1 km in diameter. The overall heights of the studied structures do not exceed 30–40 m. The reefs consist of coarse-grained bioclastic stromatoporoid limestone. A barrier reef rising structurally from SW to NE was established in the west of the mapped area. The stratigraphic position (early Minija Regional Stage and lateral distribution of the barrier reef suggest it started to form earlier than the group of patch reefs. The development of patch reefs was related to the transgression of the Silurian Baltic basin.

Depositional environment and organic matter accumulation of Upper Ordovician–Lower Silurian marine shale in the Upper Yangtze Platform, South China

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Li, Yangfang; Zhang, Tongwei; Ellis, Geoffrey S.; Shao, Deyong

2017-01-01

The main controlling factors of organic matter accumulation in the Upper Ordovician Wufeng–Lower Silurian Longmaxi Formations are complex and remain highly controversial. This study investigates the vertical variation of total organic carbon (TOC) content as well as major and trace element concentrations of four Ordovician–Silurian transition sections from the Upper Yangtze Platform of South China to reconstruct the paleoenvironment of these deposits and to improve our understanding of those factors that have influenced organic matter accumulation in these deposits.The residual TOC content of the Wufeng Formation averages 3.2% and ranges from 0.12 to 6.0%. The overlying lower Longmaxi Formation displays higher TOC content (avg. 4.4%), followed upsection by consistent and lower values that average 1.6% in the upper Longmaxi Formation. The concentration and covariation of redox-sensitive trace elements (Mo, U and V) suggest that organic-rich intervals of the Wufeng Formation accumulated under predominantly anoxic conditions. Organic-rich horizons of the lower Longmaxi Formation were deposited under strongly anoxic to euxinic conditions, whereas organic-poor intervals of the upper Longmaxi Formation accumulated under suboxic conditions. Positive correlations between redox proxies and TOC contents suggest that organic matter accumulation was predominantly controlled by preservation. Barium excess (Baxs) values indicate high paleoproductivity throughout the entire depositional sequence, with an increase in the lower Longmaxi Formation. Increased productivity may have been induced by enhanced P recycling, as evidenced by elevated Corg/Ptot ratios. Mo–U covariation and Mo/TOC values reveal that the Wufeng Formation was deposited under extremely restricted conditions, whereas the Longmaxi Formation accumulated under moderately restricted conditions. During the Late Ordovician, the extremely restricted nature of ocean circulation on the Upper Yangtze Platform in

Geochronology, stratigraphy and geochemistry of Cambro-Ordovician, Silurian and Devonian volcanic rocks of the Saxothuringian Zone in NE Bavaria (Germany)—new constraints for Gondwana break up and ocean-island magmatism

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Höhn, Stefan; Koglin, Nikola; Klopf, Lisa; Schüssler, Ulrich; Tragelehn, Harald; Frimmel, Hartwig E.; Zeh, Armin; Brätz, Helene

2018-01-01

Stratigraphically well-defined volcanic rocks in Palaeozoic volcano-sedimentary units of the Frankenwald area (Saxothuringian Zone, Variscan Orogen) were sampled for geochemical characterisation and U-Pb zircon dating. The oldest rock suite comprises quartz keratophyre, brecciated keratophyre, quartz keratophyre tuff and basalt, formed in Upper Cambrian to Tremadocian time (c. 497-478 Ma). Basaltic volcanism continued until the Silurian. Quartz keratophyre shows post-collisional calc-alkaline signature, the Ordovician-Silurian basalt has alkaline signature typical of continental rift environments. The combined datasets provide evidence of Cambro-Ordovician bimodal volcanism and successive rifting until the Silurian. This evolution very likely resulted from break-up of the northern Gondwana margin, as recorded in many terranes throughout Europe. The position at the northern Gondwana margin is supported by detrital zircon grains in some tuffs, with typical Gondwana-derived age spectra mostly recording ages of 550-750 Ma and minor age populations of 950-1100 and 1700-2700 Ma. The absence of N-MORB basalt in the Frankenwald area points to a retarded break-off of the Saxothuringian terrane along a continental rift system from Uppermost Cambrian to Middle Silurian time. Geochemical data for a second suite of Upper Devonian basalt provide evidence of emplacement in a hot spot-related ocean-island setting south of the Rheic Ocean. Our results also require partial revision of the lithostratigraphy of the Frankenwald area. The basal volcanic unit of the Randschiefer Formation yielded a Tremadocian age and, therefore, should be attributed to the Vogtendorf Formation. Keratophyre of the Vogtendorf Formation, previously assigned to the Tremadoc, is most likely of Upper Devonian age.

More about the Ordovician–Silurian transition beds at Mirny Creek, Omulev Mountains, NE Russia: carbon isotopes and conodonts

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Dimitri Kaljo

2012-11-01

Full Text Available Profound environmental and biodiversity changes take place in the Ordovician–Silurian boundary interval. The Mirny Creek and Neznakomka River bank sections discussed in this paper expose the upper Katian–lower Rhuddanian part of the boundary beds. The succession consists of carbonate rocks, partly with bioherms, alternating with argillaceous and siltstone packages that are well dated by graptolites. Microfossils are rare, especially in the Hirnantian, but conodonts provide some useful markers just below and above the Hirnantian stage boundaries. The Hirnantian δ13C trend in the Mirny Creek section is the stratigraphically longest described so far and it has a highly specific shape. The trend commenced at the first appearance datum of Normalograptus extraordinarius or slightly below this level. The main peak occurs near the middle of the N. persculptus Biozone. Samples from the Neznakomka River suggest a somewhat wider peak interval than at Mirny Creek. Detailed comparison of the Mirny and Stirnas (Latvia δ13C curves shows a general similarity despite great specific features of both trends. Correlation of the δ13C trends from China, Baltica and North America with that at Mirny Creek reveals a great variety of shapes of the carbon isotope curve. However, its rising limb commenced, if represented, everywhere close to the beginning of the N. extraordinarius Biozone or in terms of the Baltic succession, at the bottom of the Porkuni Regional Stage. Most likely a general shape of the HICE trend is pyramidal, which is peaking in the early N. persculptus Biochrone. Differences in the values and shape of an actual curve at different localities depend on local environmental conditions, sometimes modifying the global signal rather strongly.

Silurian extension in the Upper Connecticut Valley, United States and the origin of middle Paleozoic basins in the Québec embayment

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Rankin, D.W.; Coish, R.A.; Tucker, R.D.; Peng, Z.X.; Wilson, S.A.; Rouff, A.A.

2007-01-01

Pre-Silurian strata of the Bronson Hill arch (BHA) in the Upper Connecticut Valley, NH-VT are host to the latest Ludlow Comerford Intrusive Suite consisting, east to west, of a mafic dike swarm with sheeted dikes, and an intrusive complex. The rocks are mostly mafic but with compositions ranging from gabbro to leucocratic tonalite. The suite is truncated on the west by the Monroe fault, a late Acadian thrust that carries rocks of the BHA westward over Silurian-Devonian strata of the Connecticut Valley-Gaspe?? trough (CVGT). Dikes intrude folded strata with a pre-intrusion metamorphic fabric (Taconian?) but they experienced Acadian deformation. Twenty fractions of zircon and baddeleyite from three sample sites of gabbrodiorite spanning nearly 40 km yield a weighted 207Pb/206Pb age of 419 ?? 1 Ma. Greenschist-facies dikes, sampled over a strike distance of 35 km, were tholeiitic basalts formed by partial melting of asthenospheric mantle, with little or no influence from mantle or crustal lithosphere. The dike chemistry is similar to mid-ocean ridge, within-plate, and back-arc basin basalts. Parent magmas originated in the asthenosphere and were erupted through severely thinned lithosphere adjacent to the CVGT. Extensive middle Paleozoic basins in the internides of the Appalachian orogen are restricted to the Que??bec embayment of the Laurentian rifted margin, and include the CVGT and the Central Maine trough (CMT), separated from the BHA by a Silurian tectonic hinge. The NE-trending Comerford intrusions parallel the CVGT, CMT, and the tectonic hinge, and indicate NW-SE extension. During post-Taconian convergence, the irregular margins of composite Laurentia and Avalon permitted continued collision in Newfoundland (St. Lawrence promontory) and coeval extension in the Que??bec embayment. Extension may be related to hinge retreat of the northwest directed Brunswick subduction complex and rise of the asthenosphere following slab break-off. An alternative hypothesis is

Ichnology applied to sequence stratigraphic analysis of Siluro-Devonian mud-dominated shelf deposits, Paraná Basin, Brazil

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Sedorko, Daniel; Netto, Renata G.; Savrda, Charles E.

2018-04-01

Previous studies of the Paraná Supersequence (Furnas and Ponta Grossa formations) of the Paraná Basin in southern Brazil have yielded disparate sequence stratigraphic interpretations. An integrated sedimentological, paleontological, and ichnological model was created to establish a refined sequence stratigraphic framework for this succession, focusing on the Ponta Grossa Formation. Twenty-nine ichnotaxa are recognized in the Ponta Grossa Formation, recurring assemblages of which define five trace fossil suites that represent various expressions of the Skolithos, Glossifungites and Cruziana ichnofacies. Physical sedimentologic characteristics and associated softground ichnofacies provide the basis for recognizing seven facies that reflect a passive relationship to bathymetric gradients from shallow marine (shoreface) to offshore deposition. The vertical distribution of facies provides the basis for dividing the Ponta Grossa Formation into three major (3rd-order) depositional sequences- Siluro-Devonian and Devonian I and II-each containing a record of three to seven higher-order relative sea-level cycles. Major sequence boundaries, commonly coinciding with hiatuses recognized from previously published biostratigraphic data, are locally marked by firmground Glossifungites Ichnofacies associated with submarine erosion. Maximum transgressive horizons are prominently marked by unbioturbated or weakly bioturbated black shales. By integrating observations of the Ponta Grossa Formation with those recently made on the underlying marginal- to shallow-marine Furnas Formation, the entire Paraná Supersequence can be divided into four disconformity-bound sequences: a Lower Silurian (Llandovery-Wenlock) sequence, corresponding to lower and middle units of the Furnas; a Siluro-Devonian sequence (?Pridoli-Early Emsian), and Devonian sequences I (Late Emsian-Late Eifelian) and II (Late Eifelian-Early Givetian). Stratigraphic positions of sequence boundaries generally coincide with

The Llandovery (Silurian conodont species diversity on the Upper Yangtze Platform, South China

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Zhongyang Chen

2014-12-01

Full Text Available Conodonts are one of the stratigraphically most important fossil groups in the Silurian Period. We examine the regional diversity dynamics of the Llandovery condonts on the Upper Yangtze Platform. The data set of 41 species from seven sections is compiled from the Geobiodiversity Database. Four measures of taxonomic richness based on zonal counting are used to demonstrate the conodont diversity change. The CONOP (Constrained optimization program is used to build up a more precise composite sequence, which provides the data for comparative analysis of diversity change. Conodont richness keeps growing from the Ozarkodina aff. hassi Zone through the Ozarkodina obesa Zone to the Ozarkodina guizhouensis Zone and reaches a peak at the fourth zone, the Pterospathodus eopennatus Zone. This significant growth was followed by a rapid decrease, which probably represents an extinction in the mid-Telychian. This extinction event can also be observed in other fossil groups such as graptolites and chitinozoans based on recent studies.

The Silurian Hoedongri Formation in the Taebaeksan Basin of Korea Revisited: its Significance in the Tectonic Reconstruction of East Asia

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Chae, S.; Hong, J.; Jung, S.; Ree, J.

2011-12-01

The Silurian Hoedongri Formation of the Taebaeksan Basin of South Korea has been used as a key unit to the correlation of tectonic provinces of East Asia since the South China craton (or Yangtz block) contains Silurian-Devonian sequences as well as Cambrian-Ordovician ones in the Paleozoic basins while the North China craton (or Sino-Korea block) is devoid of Silurian-Devonian sequences. In the Biryongdong area near the type locality of the Hoedongri Formation, it has been reported that the gray limestone of the Hoedongri Formation unconformably overlies brownish gray limestone of the Ordovician Haengmae Formation. However, our detailed examination on the Biryongdong section reveals that both of the brownish gray and gray limestones are mylonitic marbles with the boundary between the two units being a healed fault breccia zone (~ 12 m thick). The main difference of the two units is that repeated cycles of plastic deformation and fracturing occurred in the underlying brownish gray marble ('Haengmae') while the gray marble ('Hoedongri') deformed mainly by intracrystalline plasticity. The mylonitic foliation strikes NW with a low to moderate dip angle (20-60°) to NE. The ridge-in-groove type lineation on foliation surface trends NNW. The shape-preferred foliation of elongated calcite grains are oblique to the mylonitic foliation defined by layers with a grain-size variation, indicating a top-to-the-SSE shear sense. The mylonitic marble consists of elongated remnant grains (80-120 μm) with deformation twins and dynamically recrystallized matrix grains (10-40 μm). Grain boundaries and twin boundaries are lobate or wavy, indicating dynamic boundary migration. Some layers of the gray mylonitic marble are composed entirely of larger (80-120 μm) elongated calcite grains. In the brownish gray mylonitic marble unit, layers of brittle fracturing overprinting mylonitic foliation occur. In some of these layers, fragments (several cm - tens of cm) of the mylonitic marble are

Geochemical and palaeontological evidence for the definition of the Silurian/Devonian boundary in the Changwantang Section, Guangxi Province, China

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Wen-jin Zhao

2015-02-01

Full Text Available Southern Guangxi Province is one of the important areas for the study of the Silurian/Devonian boundary (SDB in South China. Despite attempts to define the exact level of the SDB in the Yulin (Guangxi Province area using biostratigraphy, no consensus has been reached as the indicator fossils (e.g. graptolite Monograptus uniformis uniformis, conodont Icriodus woschmidti woschmidti and trilobite Warburgella rugulosa rugosa are not coexistent in South China. Since Mann et al. (2001: Dynamics of the Silurian/Devonian boundary sequence: sedimentary cycles vs. organic matter variation. Terra Nostra, 2001, 44–48 reported the first isotope curve based on organic carbon for the SDB at Klonk in the Czech Republic (GSSP, some comparable variation curves of δ13Corg across the SDB have been obtained at several locations including sections in Turkey and China. This distinct variation curve of the isotopic composition of organic carbon across the SDB provides a chemostratigraphic reference for a worldwide correlation of the SDB. In this study, organic geochemistry together with graptolite biostratigraphy is applied as a tool for identifying the SDB at the Changwantang Section in Yulin (Guangxi Province. The results suggest that the variations in some indexes of organic geochemistry can be correlated to the representative curve of the SDB in the Klonk and Esenyali sections. The exact level of the SDB in the Changwantang Section is positioned within the upper part of the Fangcheng Formation, which is consistent with the available palaeontological data from graptolites (e.g. Colonograptus colonus, Plectograptus sp., Monograptus uniformis, M. cf. M. praehercynicus and M. aequabilis.

Biogeography of late Silurian and devonian rugose corals

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Oliver, W.A.

1977-01-01

Three marine benthic faunal realms can be recognized in the Early and Middle Devonian. The Eastern Americas Realm consisted of most of the eastern half of North America and South America north of the Amazon. This realm extended in a southwest direction from the Devonian equator to approximately 35??S and was an isolated epicontinental sea during much of its history. The Eastern Americas Realm was bounded on the west by the Transcontinental Arch, on the north by the Canadian Shield and on the east and southeast by a peninsular extension of the Old Red Continent. These barriers were emergent during much, but not all, of Devonian time. Seaways beyond these barriers belonged to the Old World Realm. The Malvinokaffric Realm that was farther south was apparently temperate to arctic in climate and latitudinal position and contained few corals. Rugose corals in the Eastern Americas Realm show increasing generic-level endemism from the Late Silurian through the Early Devonian; during the late Early Devonian, 92% of the rugosan genera are not known anywhere else in the world. Endemism decreased through the Middle Devonian to zero in the early Late Devonian. The Early Devonian increase in endemism paralleled, and was probably related to, the development of the Old Red Continent as a barrier between America and Africa-Europe. The waning of endemism in the Middle Devonian reflects the breaching of the land barriers. This permitted some migration in and out of the realm in early Middle Devonian time but greatest movements were in late Middle Devonian time. Principal migration directions were from western or Arctic North America into the Michigan-Hudson Bay area and from the southern Appalachian area into Africa. ?? 1977.

Chemostratigraphical Characterisation of the Lower Silurian Formigoso Formation: A Case Study from Aralla (Cantabrian Mountains, Province Leon, NW Spain)

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Ferriday, T.; Montenari, M.

2012-04-01

The Silurian black shale deposits of the peri-Gondwanan region are one of the most important Palaeozoic source rocks for hydrocarbons world-wide. Despite intensive research, questions regarding the genesis and the palaeoenvironmental and palaeogeographic factors controlling the deposition of these shales are a matter of ongoing debate. The area investigated lies within the Cantabria-Asturias Arc of Northern Spain in the autonomous region of Castilla y León. The Cantabrian Arc formed as a result of the collision between Gondwana and Laurussia during the formation of the supercontinent Pangea and has been divided into five major tectonostratigraphic units. The 'Folds and Nappes' unit is of particular interest, especially the contained Somiedo-Corecillas thrust system, as here the best preserved Formigoso-sections and exposures can be found. This study focuses on the deposition of the L-Silurian black shales of the Formigoso Formation (Fm) within the Somiedo-Corecillas thrust system at Aralla, approximately 10km east-southeast of San Emiliano. A high resolution geochemical analysis of major and trace elements has been utilised on a 25cm scale throughout the section. A total of 241 samples were prepared and analysed using a NITON XL3t X-ray fluorescence instrument. The data obtained have provided new insights into the sedimentation patterns and the prevailing environmental conditions during deposition of the Formigoso Fm. Initial results show prominent regular cycles within the concentrations of red/ox-sensitive chemical elements, starting from the very onset of the anoxic black shales; these repetitions become less apparent towards to top of the formation. Eight cyclic pulses are clearly evident in the concentrations of the elements Uranium (U), Thorium (Th), Vanadium (V) and Chromium (Cr) and apparent in Rubidium (Rb), Zinc (Zn), Copper (Cu), Nickel (Ni), Titanium (Ti), Sulphur (S) and Barium (Ba). The cyclic behaviour of U4+ between 'Anoxia'-U enriched (18ppm)- and

Cryptic Disc Structures Resembling Ediacaran Discoidal Fossils from the Lower Silurian Hellefjord Schist, Arctic Norway.

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Christopher L Kirkland

Full Text Available The Hellefjord Schist, a volcaniclastic psammite-pelite formation in the Caledonides of Arctic Norway contains discoidal impressions and apparent tube casts that share morphological and taphonomic similarities to Neoproterozoic stem-holdfast forms. U-Pb zircon geochronology on the host metasediment indicates it was deposited between 437 ± 2 and 439 ± 3 Ma, but also indicates that an inferred basal conglomerate to this formation must be part of an older stratigraphic element, as it is cross-cut by a 546 ± 4 Ma pegmatite. These results confirm that the Hellefjord Schist is separated from underlying older Proterozoic rocks by a thrust. It has previously been argued that the Cambrian Substrate Revolution destroyed the ecological niches that the Neoproterozoic frond-holdfasts organisms occupied. However, the discovery of these fossils in Silurian rocks demonstrates that the environment and substrate must have been similar enough to Neoproterozoic settings that frond-holdfast bodyplans were still ecologically viable some hundred million years later.

Age and kinematics of ductile deformation in the Cerro Durazno area, NW Argentina: Significance for orogenic processes operating at the western margin of Gondwana during Ordovician-Silurian times

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M. I. Wegmann; U. Riller; F. D. Hongn; Johannes Glodny; Onno Oncken

2008-01-01

The Cerro Durazno Pluton belongs to a suite of Paleozoic granitoid intrusions in NWArgentina, that are central for understanding the tectonic setting of the western margin of Gondwana in Ordovician and Silurian times. The pluton and its host rocks were tectonically overprinted by metamorphic mineral shape fabrics formed under middle greenschist-facies metamorphic conditions and associated with the nearby Agua Rosada Shear Zone. Kinematic analysis of the shear zone based on the geometric relat...

Rare earth and trace elements of fossil vertebrate bioapatite as palaeoenvironmental and sedimentological proxies

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Žigaitė, Živilė; Fadel, Alexandre; Pérez-Huerta, Alberto; Jeffries, Teresa

2015-04-01

Rare earth (REE) and trace element compositions of fossil vertebrate dental microremains have been studied in Silurian and Devonian vertebrate dental scales and spines in-situ, using laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS). Samples were selected from the well-known Silurian bone beds of Vesiku and Ohesaare in Saaremaa island of Estonia, and a number of Lower Devonian localities from Spitsbergen (Svalbard), Andrée Land group. Biomineral preservation was assessed using spot semi-quantitative elemental chemistry (SEM-EDS) and electron back-scatter difractometry (EBSD) for cristallinity imaging. The obtained PAAS shale-normalised REE concentrations were evaluated using basic geochemical calculations and quantifications. The REE patterns from the Lower Devonian vertebrate apatite from Andrée Land, Spitsbergen (Wood Bay and Grey Hœk formations) did not show any recognisable taxon-specific behavior, but had rather well expressed differences of REE compositions related to biomineral structure and sedimentary settings, suggesting REE instead to reflect burial environments and sedimentological history. The Eu anomaly recorded in two of the studied localities but not in the other indicate different taphonomic conditions and palaeoenvironment, while La/Sm, La/Yb ratios sugeest considerable influence of terrestrial freshwater during the early diagenesis. The La/Yb and La/Sm plots also agree with the average REE concentrations, reflecting domination of the adsoption over substitution as principal REE uptake mechanism in the fossils which had significantly lower overall REE concentrations, and vice versa. Vesiku (Homerian, Wenlock) microremains yielded very uniform REE patterns with slightly lower overall REE concentrations in enameloid than in dentine, with strong enrichment in middle REE and depletion in heavy REE. Negative Europium (Eu) anomaly was pronounced in all the profiles, but Cerium (Ce) anomalies were not detected suggesting possible

Off-platform Silurian sequences in the Ambler River quadrangle: A section in Geologic studies in Alaska by the U.S. Geological Survey during 1987

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Dumoulin, Julie A.; Harris, Anita G.

1988-01-01

Lithofacies changes in coeval upper Paleozoic rocks have been used to unravel the tectonic history of northern Alaska (for example, Mayfield and others, 1983). Conodont biostratigraphy and detailed petrologic studies are now revealing facies differences in lower Paleozoic rocks that can also be used to constrain their tectono-sedimentary framework (Dumoulin and Harris, 1987). A basic element of basin analysis is the discrimination of shallow-water shelf and platform sequences from deeper water slope and basinal deposits. This report documents several new localities of deeper water, off-platform Silurian deposits in the Ambler River quadrangle and briefly outlines some of their paleogeographic implications.

Ordovician and Silurian Phi Kappa and Trail Creek formations, Pioneer Mountains, central Idaho; stratigraphic and structural revisions, and new data on graptolite faunas

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Dover, James H.; Berry, William B.N.; Ross, Reuben James

1980-01-01

Recent geologic mapping in the northern Pioneer Mountains combined with the identification of graptolites from 116 new collections indicate that the Ordovician and Silurian Phi Kappa and Trail Creek Formations occur in a series of thrust-bounded slices within a broad zone of imbricate thrust faulting. Though confirming a deformational style first reported in a 1963 study by Michael Churkin, our data suggest that the complexity and regional extent of the thrust zone were not previously recognized. Most previously published sections of the Phi Kappa and Trail Creek Formations were measured across unrecognized thrust faults and therefore include not only structural repetitions of graptolitic Ordovician and Silurian rocks but also other tectonically juxtaposed lithostratigraphic units of diverse ages as well. Because of this discovery, the need to reconsider the stratigraphic validity of these formations and their lithology, nomenclature, structural distribution, facies relations, and graptolite faunas has arisen. The Phi Kappa Formation in most thrust slices has internal stratigraphic continuity despite the intensity of deformation to which it was subjected. As revised herein, the Phi Kappa Formation is restricted to a structurally repeated succession of predominantly black, carbonaceous, graptolitic argillite and shale. Some limy, light-gray-weathering shale occurs in the middle part of the section, and fine-grained locally pebbly quartzite is present at the base. The basal quartzite is here named the Basin Gulch Quartzite Member of the Phi Kappa. The Phi Kappa redefined on a lithologic basis represents the span of Ordovician time from W. B. N. Berry's graptolite zones 2-4 through 15 and also includes approximately 17 m of lithologically identical shale of Early and Middle Silurian age at the top. The lower contact of the formation as revised is tectonic. The Phi Kappa is gradationally overlain by the Trail Creek Formation as restricted herein. Most of the coarser

Correlation of upper Llandovery–lower Wenlock bentonites in the När (Gotland, Sweden and Ventspils (Latvia drill cores: role of volcanic ash clouds and shelf sea currents in determining areal distribution of bentonite

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Tarmo Kiipli

2012-11-01

Full Text Available Study of volcanic ash beds using biostratigraphy, sanidine composition and immobile elements within bentonites has manifested several well-established and some provisional correlations between Gotland and East Baltic sections. Energy dispersive X-ray fluorescence microanalysis of phenocrysts has revealed bentonites containing Mg-rich or Fe-rich biotite. Sanidine phenocrysts contain, in addition to a major Na and K component, often a few per cent of Ca and Ba. On the basis of new correlations the mapping of the distribution areas of bentonites has been extended from the East Baltic to Gotland. The bentonite distribution can be separated into two parts in North Latvia–South Estonia, indicating the existence of shelf sea currents in the Baltic Silurian Basin.

Hyperextension in the Caledonian margin of Baltica and its bearing on the structural and metamorphic evolution of Scandinavian Caledonides (Invited)

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Andersen, T. B.

2013-12-01

The Scandinavian segment (~2000 km) of the Caledonian-Appalachian orogen formed by a head-on collision of Baltica and Laurentia. The collision followed rapid (>10 cm/yr) convergence, subduction and closure of the Iapetus Ocean in the Ordovician to the Middle Silurian. The collision culminated in a Himalayan type continental collision at 430 Ma, after which the continental subduction/convergence continued for 20 Myr. The terminal stage was characterized by syn- and post-orogenic extension and exhumation, which produced a template used in opening of the present-day Norwegian Sea. The Scandian collision produced a 'layer-cake' tectono-stratigraphy, but correlation of individual nappe units along strike is not trivial. The vestiges of the Iapetus can, however, be traced along the entire Scandinavian Peninsula and constitute the Iapetus suture. Rocks of assumed Laurentian origin structurally overlie the suture. The outboard units underwent several orogenic events that pre-date the Scandian collision and which took place outboard of Baltica. These will not be discussed further here. The Caledonian passive margin of Baltica was very wide, consisting of non-volcanic hyperextended segments as well as passive volcanic margin domains. Basement-cover pairs, in places with mafic dyke-swarms constitute most of these units. The Baltican and assumed Baltican units below the suture have evidence of diachronous and relatively locally developed pre-Scandian deformation and metamorphic events. In S. Norway large basement-cover units are separated by a melange with numerous solitary mantle peridotites and a number of detrital serpentinites. The melange can be traced along strike across S. Norway. Locally, an island-type ';Celtic' fauna is preserved in detrital serpentinite. Some mantle rocks were structurally emplaced, exhumed, eroded and juxtaposed with continental clastics and crust before the Early Ordovician. The melange was recently interpreted to represent an oceanic to

Nature, origin, and production characteristics of the Lower Silurian regional oil and gas accumulation, central Appalachian basin, United States

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Ryder, R.; Zagorski, W.A.

2003-01-01

Low-permeability sandstones of the Lower Silurian regional oil and gas accumulation cover about 45,000 mi2 (117,000 km2) of the Appalachian basin and may contain as much as 30 tcf of recoverable gas resources. Major reservoirs consist of the "Clinton" sandstone and Medina Group sandstones. The stratigraphically equivalent Tuscarora Sandstone increases the area of the Lower Silurian regional accumulation (LSRA) by another 30,000 mi2 (78,000 km2). Approximately 8.7 tcf of gas and 400 million bbl of oil have been produced from the Clinton/Medina reservoirs since 1880. The eastern predominantly gas-bearing part of the LSRA is a basin-center gas accumulation, whereas the western part is a conventional oil and gas accumulation with hybrid features of a basin-center accumulation. The basin-center accumulations have pervasive gas saturation, water near irreducible saturation, and generally low fluid pressures. In contrast, the hybrid-conventional accumulations have less-pervasive oil and gas saturation, higher mobile-water saturation, and both normal and abnormally low fluid pressures. High mobile-water saturation in the hybrid-conventional reservoirs form the updip trap for the basin-center gas creating a broad transition zone, tens of miles wide, that has characteristics of both end-member accumulation types. Although the Tuscarora Sandstone part of the basin-center gas accumulation is pervasively saturated with gas, most of its constituent sandstone beds have low porosity and permeability. Commercial gas fields in the Tuscarora Sandstone are trapped in naturally fractured, faulted anticlines. The origin of the LSRA includes (1) generation of oil and gas from Ordovician black shales, (2) vertical migration through an overlying 1000-ft (305-m)-thick Ordovician shale; (3) abnormally high fluid pressure created by oil-to-gas transformation; (4) updip displacement of mobile pore water by overpressured gas; (5) entrapment of pervasive gas in the basin center; (6) postorogenic

Evolution of an intra-oceanic island arc during the late Silurian to late Devonian, New England fold belt

International Nuclear Information System (INIS)

Offler, R.; Gamble, J.

2002-01-01

Geochemical studies of volcanic rocks in the Gamilaroi terrane and Calliope Volcanic Assemblage, New England Fold Belt, eastern Australia, indicate that the setting in which these rocks formed changed in both space and time. The Upper Silurian to Middle Devonian basalts of the Gamilaroi terrane show flat to slightly light rare-earth element (LREE) depleted chondrite normalised patterns, depletion of high field strength elements (HFSE) relative to N-MORB, low Ti/V and high Ti/Zr ratios, high Ni, Cr and large-ion lithophile element (LILE) contents, features characteristic of intra-oceanic island arc basaltic magmas. They are associated with low-K, less mafic volcanics, showing moderate LREE enrichment, low Nb and Y contents and Rb/Zr ratios. The depletion of HFSE in the basalts indicates that the magmas were derived from a refractory source in a supra-subduction zone setting. The presence of such a zone implies that the arc was associated with a backarc basin, the location of which was to the west where a wide backarc region existed from the Middle Silurian. This polarity of arc and backarc basin suggests that the subduction zone dipped to the west. In contrast to their older counterparts, Middle to Upper Devonian basalts of the Gamilaroi terrane have MORB-like chondrite normalised patterns and higher Ti and lower LILE contents. Moreover, they have low Ti/Zr ratios and MORB-like Ti/V ratios and HFSE contents, features typical of backarc basins. Dolerites of the Gamilaroi terrane also have predominantly backarc basin signatures. These features suggest that both the basalts and dolerites have been emplaced in an extensional environment produced during the rifting of the intra-oceanic island arc lithosphere. A progressive increase in Ti/V ratios, and TiO 2 and Fe 2 O 3 contents at constant MgO, of stratigraphically equivalent basalts, towards the north-northwest part of the belt, is consistent with either greater extension to the north or melting of a more fertile magma

Composition of natural gas and crude oil produced from 14 wells in the Lower Silurian "Clinton" Sandstone and Medina Group Sandstones, northeastern Ohio and northwestern Pennsylvania: Chapter G.6 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

Science.gov (United States)

Burruss, Robert A.; Ryder, Robert T.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

The geochemical processes that control the distribution of hydrocarbons in the regional accumulation of natural gas and crude oil in reservoirs of Early Silurian age in the central Appalachian basin are not well understood. Gas and oil samples from 14 wells along a down-dip transect through the accumulation in northeastern Ohio and northwestern Pennsylvania were analyzed for molecular and stable isotopic compositions to look for evidence of hydrocarbon source, thermal maturation, migration, and alteration parameters. The correlation of carbon and hydrogen stable isotopic composition of methane with thermal maturation indicates that the deepest gases are more thermally mature than independent estimates of thermal maturity of the reservoir horizon based on the conodont alteration index. This correlation indicates that the natural gas charge in the deepest parts of the regional accumulation sampled in this study originated in deeper parts of the Appalachian basin and migrated into place. Other processes, including mixing and late-stage alteration of hydrocarbons, may also impact the observed compositions of natural gases and crude oils.

Oldest near-complete acanthodian: the first vertebrate from the Silurian Bertie Formation Konservat-Lagerstätte, Ontario.

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Carole J Burrow

Full Text Available The relationships between early jawed vertebrates have been much debated, with cladistic analyses yielding little consensus on the position (or positions of acanthodians with respect to other groups. Whereas one recent analysis showed various acanthodians (classically known as 'spiny sharks' as stem osteichthyans (bony fishes and others as stem chondrichthyans, another shows the acanthodians as a paraphyletic group of stem chondrichthyans, and the latest analysis shows acanthodians as the monophyletic sister group of the Chondrichthyes.A small specimen of the ischnacanthiform acanthodian Nerepisacanthus denisoni is the first vertebrate fossil collected from the Late Silurian Bertie Formation Konservat-Lagerstätte of southern Ontario, Canada, a deposit well-known for its spectacular eurypterid fossils. The fish is the only near complete acanthodian from pre-Devonian strata worldwide, and confirms that Nerepisacanthus has dentigerous jaw bones, body scales with superposed crown growth zones formed of ondontocytic mesodentine, and a patch of chondrichthyan-like scales posterior to the jaw joint.The combination of features found in Nerepisacanthus supports the hypothesis that acanthodians could be a group, or even a clade, on the chondrichthyan stem. Cladistic analyses of early jawed vertebrates incorporating Nerepisacanthus, and updated data on other acanthodians based on publications in press, should help clarify their relationships.

Quantitative prediction of fractures using the finite element method: A case study of the lower Silurian Longmaxi Formation in northern Guizhou, South China

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Liu, Jingshou; Ding, Wenlong; Yang, Haimeng; Jiu, Kai; Wang, Zhe; Li, Ang

2018-04-01

Natural fractures have long been considered important factors in the production of gas from shale reservoirs because they can connect pore spaces and enlarge transport channels, thereby influencing the migration, accumulation and preservation of shale gas. Industrial-level shale gas production has been initiated in the lower Silurian Longmaxi Formation in northern Guizhou, South China. However, it is important to quantitatively predict the distribution of natural fractures in the lower Silurian shale reservoirs to locate additional 'sweet spots' in northern Guizhou. In this study, data obtained from outcrops, cores, thin sections, field-emission scanning electron microscope (FE-SEM) images and X-ray diffraction (XRD) were used to determine the developmental characteristics and controlling factors of these fractures. Correlation analysis indicated that the mechanical parameters of the Longmaxi shale are mainly related to the total organic carbon (TOC), quartz, clay, calcite and dolomite contents. The spatial variations in the mechanical parameters of the Longmaxi shale were determined based on the spatial variations in the TOC and mineral contents. Then, a heterogeneous geomechanical model of the study area was established based on interpretations of the fault systems derived from seismic data and acoustic emission (AE) experiments performed on samples of the relevant rocks. The paleotectonic stress fields during the Yanshanian period were obtained using the finite element method (FEM). Finally, a fracture density calculation model was established to analyze the quantitative development of fractures, and the effects of faults and mechanical parameters on the development of fractures were determined. The results suggest that the main developmental period of tectonic fractures in the Longmaxi Formation was the Early Yanshanian period. During this time, the horizontal principal stress conditions were dominated by a SE-NW-trending (135-315°) compressional stress field

δ13C chemostratigraphy of the Middle and Upper Ordovician succession in the Tartu-453 drillcore, southern Estonia, and the significance of the HICE

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Heikki Bauert

2014-12-01

Full Text Available The δ13C isotope data from the Tartu-453 core section in southern Estonia enabled creation of a continuous Ordovician carbon isotope record, ranging from the Floian to the end of the Hirnantian. Five positive δ13C excursions and one negative δ13C excursion were recognized. Most of the positive excursions correspond to those defined on the Baltoscandian carbon isotope chemostratigraphic scheme, except for the Paroveja and Rakvere ICEs which are not well expressed in the Tartu-453 curve. Besides the positive δ13C excursions, a distinctive negative δ13C excursion, the Lower Sandbian NICE, was recorded in the Tartu-453 succession. The well-expressed HICE extends about 10 m higher than the traditional Ordovician–Silurian boundary (between the Porkuni and Juuru regional stages into the Juuru Regional Stage, suggesting that the Ordovician–Silurian boundary is positioned significally higher than traditionally suggested for the East Baltic area.

Early Silurian to Early Carboniferous ridge subduction in NW Junggar: Evidence from geochronological, geochemical, and Sr-Nd-Hf isotopic data on alkali granites and adakites

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Zhang, Chen; Santosh, M.; Liu, Luofu; Luo, Qun; Zhang, Xin; Liu, Dongdong

2018-02-01

The Central Asian Orogenic Belt (CAOB) evolved through a long-lived orogeny involving multiple episodes of subduction and accretion marking a major phase of continental growth during the Paleozoic. The northern part of the Western Junggar region (NW Junggar) offers a window into these processes, particularly to constrain the timing of closure of the Paleo-Asian Ocean. Here we report geochemical, geochronological, and isotopic data from K-feldspar granites and adakitic rocks from the NW Junggar region. Zircon U-Pb ages suggest that the granites were emplaced during Early Silurian to the Early Carboniferous (434-328 Ma). The granites show geochemical characteristics similar to those of A-type granites, with high SiO2 (71.13-76.72 wt%), Na2O + K2O (8.00-9.59 wt%), and Al2O3 (12.28-14.08 wt%), but depleted Sr, Nb, Ta and Eu. They display moderate to high positive εNd(t) and εHf(t) values (4.26-8.21 and 7.69-14.60, respectively) and young Nd and Hf model ages (T2DM-Nd = 489-740 Ma and T2DM-Hf = 471-845 Ma), suggesting magma derivation through partial melting of lower crust in the Boshchekul-Chingiz and Zharma-Saur arcs. The adakites are characterized by high Sr content (406.5-751.6 ppm), and low Y (13.8-16.4 ppm) and Yb (1.5-1.8 ppm) content, yielding relatively high Sr/Y ratios (25.38-49.41) similar to those of modern adakites. They have high positive εNd(t) and εHf(t) values (7.85-8.25 and 13.23-15.97, respectively) and young Nd and Hf model ages (T2DM-Nd = 429-535 Ma and T2DM-Hf = 355-550 Ma), indicating that their source magmas were likely derived from partial melting of the oceanic crust beneath the Boshchekul-Chingiz arc. The petrogenesis and distribution of the A-type granites and adakites, as well as the tectonic architecture of the region, suggest that a ridge subduction event might have occurred during the Early Silurian to Early Carboniferous. In combination with previous studies in the Chinese Altai, we suggest a two-sided ridge subduction model for the

The silurian and devonian vertebrates of Bolivia

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1986-01-01

formas de amplia repartición (Rhenanidos, algunos Acanthodios, Actinopterygios de tipo Moythomasia, formas con afinidades transpacíficas (Acanthodios próximos de Sinacanthus y formas tal vez endémicas (Pucapampella, Zamponiopteron. Silurian and Devonian vertebrate remains are described from various localities in Bolivia. Most of the material occurs in concretions in the marine Devonian of the Altiplano and Subandean area, and some isolated specimens have been found in sandstones and lutites. The jawless vertebrates are known only from isolated thelodont scales which occur in the Uppermost Silurian or Lower Devonian of Seripona, Chuquisaca. All the other vertebrate remains belong to gnathosthomes, in particular to the acanthodians, placoderms, chondrichthyans and actinopterygians. The acanthodians are represented by some ischnacanthid dentigerous jaw bones and climatiid spines and shoulder girdles. They are fairly abundant and show no marked differences from acanthodian remains known elsewhere in the Siluro-Devonian of Europe and North America. However, some isolated spines are suggestive of the genus Sinacanthus, known from the Lower Devonian of China The placoderms are represented only by the rhenanid Bolivosteus chacomensis Goujet et al, known from two well preserved braincases. This genus closely resembles Gemuendina (Lower Devonian of Germany with respect to the overall shape of the braincase, but its shoulder girdle differs substantially. The chondrichthyans are the most abundant vertebrates in the Devonian of Bolivia They are represented by isolated spines and endoskeletal elements lined with prismatic calcified cartilage Among them, some peculiar occipital regions of braincases are referred here to Pucapampella rodrigae n.g , n sp. These brain-cases differ from all other known Devonian chondrichthyan braincases in showing a ventrally continuous occipital fissure which completely separates the occiput from the rest of the brain-case. The strongly vaulted

Geology of the Cupsuptic quadrangle, Maine

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Harwood, David S.

1966-01-01

Ordovician in age. The quartz monzonite is considered to be Late Devonian. Five tectonic events are inferred from the structural features in the area. The earliest was a period of folding producing tightly-appressed, northeast-trending folds in the rocks of pre-Silurian age. In the second stage the folded pre-Silurian rocks were uplifted, eroded, and truncated to produce a major unconformity between the Middle Ordovician and Lower Silurian rocks. These events constitute the Taconic orogeny. The third tectonic event was a period of folding, probably of Middle Devonian age, that warped the unconformity and overlying rocks into open, gently-plunging, east-trending folds. This period of folding undoubtedly changed the attitude of the early folds in the pre-Silurian units but it did not produce any recognizable, cross-cutting planar features in the older rocks. The fourth tectonic event was a period of igneous intrusion that locally deformed the northeast-trending folds in the pre-Silurian rocks into a macroscopic drag fold plunging at 80 degrees in a direction S.10?w. A north-trending, subvertical slip cleavage was produced locally during this period of Late Devonian (?) deformation. A period of faulting, possibly of Triassic age, dislocated some of the earlier features. The rocks are in the chlorite zone of regional metamorphism, but have been contact metamorphosed to sillimanite-bearing hornfels adjacent to the quartz monzonite stocks. The chemical changes in chlorite, biotite, garnet, cordierite, and muscovite in the chlorite, biotite, andalusite, and sillimanite zones have been-studied by optical and x-ray methods and by partial chemical analyses. The progressive changes in mineral assemblages have been graphically portrayed on quaternary diagrams and ternary projections.

The stratigraphic imprint of a mid-Telychian (Llandovery, Early Silurian glaciation on far-field shallow-water carbonates, Anticosti Island, Eastern Canada

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François Clayer

2014-12-01

Full Text Available The near-field stratigraphic record of the Early Silurian glaciations is well documented in the literature. Data from far-field areas are, however, sparse. One of the best far-field stratigraphic records of these Llandovery glaciations is exposed on Anticosti Island in eastern Canada. Eight shallow-water paleotropical facies are present close to the mid-Telychian Jupiter–Chicotte formational boundary along the south-central coast of Anticosti Island. These can be grouped into three facies associations that include, from bottom to top: a carbonate facies association (FA-1, a mixed siliciclastic and carbonate facies association (FA-2 and an encrinitic facies association (FA-3. These mid- to outer-ramp strata represent deposition mostly from episodic, high-energy storm events as evidenced by their sharp bases, hummocky cross-stratification, large wave ripples, gutter casts and wave-enhanced sediment gravity flow deposits. Superimposed on a long-term regressive trend, one main transgressive–regressive (TR sequence and four meter-scale TR cycles are evident, indicating a multi-order stratigraphic framework developed under the influence of glacio-eustasy. The Jupiter–Chicotte formational boundary, a regional discontinuity surface caused by a forced regression, corresponds to the onset of a far-field mid-Telychian glaciation.

Weekly Versus Fortnightly Cryotherapy For Warts On Extremities - A Pilot Study

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Eapen Annamma

1997-01-01

Full Text Available Forty two patients with verruca vulgaris on the extremities who attended the Government Wenlock Hospital and KMC, Attavar, were subjected to weekly and fortnightly cryotherapy. At the end of 8 weeks, it was found that of the 37 patients who were followed up, 94% in weekly group and 84% in fortnightly group responded to treatment.

Stratigraphic sequence and sedimentary characteristics of Lower Silurian Longmaxi Formation in Sichuan Basin and its peripheral areas

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Yuman Wang

2015-03-01

Full Text Available A high-precision sedimentary environment study of the Lower Silurian Longmaxi Formation is an important subject for shale gas exploration and development in Sichuan Basin and its surrounding areas. On the basis of outcrops and drilling data, its isochronous stratigraphic framework was built according to a particular graptolite zone and an important marker bed, and lithofacies, paleontology, calcareous content, well logging, geochemistry and other geologic information were combined to describe the sedimentary microfacies of Longmaxi Formation and its stratigraphic sequence, sedimentary evolution process and high quality shale distribution features as follows: ① with regional diachronism of the top and the bottom, the Longmaxi Formation is divided into two third-order sequences (SQ1 and SQ2, of which SQ1 is mainly an abyssal sedimentary assemblage deposited in the marine transgression period, and SQ2 is a bathyal to shallow sea sedimentary assemblage deposited in the marine regression period; ② there are eight microfacies such as deep calcareous shelf and deep argillaceous shelf in this formation and the organic-rich shale was mainly deposited in the deep water area of SQ1; and ③ from SQ1 to SQ2, the depocenter moved from the depression area in southern-eastern to northern Sichuan Basin, but the central Sichuan uplift remained an underwater one. It is concluded from this study that: ① shale gas production layers were mainly deposited in SQ1, the southern-eastern depression area was the depocenter in SQ1 and a shale gas enrichment area; and ② black shale in northern Sichuan was deposited in late SQ2, with limited distribution and relatively insufficient exploration potential, but the potential of shale gas exploration in western Hubei area is between southern-eastern and northern Sichuan Basin.

Main factors controlling the sedimentation of high-quality shale in the Wufeng–Longmaxi Fm, Upper Yangtze region

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Yuman Wang

2017-09-01

Full Text Available In this paper, the shale of Upper Ordovician Wufeng Fm–Lower Silurian Longmaxi Fm was taken as an example to reveal the distribution patterns and the main sedimentation controlling factors of high-quality shale in the Upper Yangtze region. This study was made from the aspects of plate movement, fluctuation of sea level, palaeo-productivity, deposition rate and paleogeographic environment, based on the field outcrop sections and drilling data of the southern Sichuan Basin, together with geochemical element testing and biostratigraphical analysis results. The following findings were obtained. First, the collision and joint of Yangtze Plate and its periphery plates and the intra-plate deformation were gentle in the early stage, strong in the late stage, gentle in northwest and strong in southeast, so the sedimentation center in the Upper Yangtze region migrated to the northwest and the closure of sea area in the southern Sichuan Basin changed from weak in early stages to strong in late stages. Second, at the turning period from Ordovician to Silurian, sea levels presented the cycle change of deep–shallow–deep–shallow. Due to the combination of high sea levels and a stable ocean basin in early stages, an extensive anoxic tectonic sedimentary space favorable for organic matters preservation was formed in the sea floor. Third, due to the effect of tectonic movements and sea closure, palaeo-productivity of sea areas in the southern Sichuan Basin presented a trend of being high in the early stage and low in the late stage, and the deposition rate was also low in the early stage and high in the late stage. And fourth, extensive deposition and distribution of shale rich in organic matters and silica was mainly controlled by a stable sea basin with a low subsidence rate, a relatively high sea level, semi-closed waters and low deposition rates. To sum up, the high-quality shale in the Upper Yangtze region is characterized by multiphase

The geology of Burnsville Cove, Bath and Highland Counties, Virginia

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Swezey, Christopher; Haynes, John T.; Lambert, Richard A.; White, William B.; Lucas, Philip C.; Garrity, Christopher P.

2015-01-01

Burnsville Cove is a karst region in Bath and Highland Counties of Virginia. A new geologic map of the area reveals various units of limestone, sandstone, and siliciclastic mudstone (shale) of Silurian through Devonian age, as well as structural features such as northeast-trending anticlines and synclines, minor thrust faults, and prominent joints. Quaternary features include erosional (strath) terraces and accumulations of mud, sand, and gravel. The caves of Burnsville Cove are located within predominantly carbonate strata above the Silurian Williamsport Sandstone and below the Devonian Oriskany Sandstone. Most of the caves are located within the Silurian Tonoloway Limestone, rather than the Silurian-Devonian Keyser Limestone as reported previously.

Tectonic context of the penetrative fracture system origin in the Early Paleozoic shale complex (Baltic Basin, Poland/Sweden).

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Jarosiński, Marek; Gluszynski, Andrzej; Bobek, Kinga; Dyrka, Ireneusz

2017-04-01

Characterization of natural fracture and fault pattern play significant role for reservoir stimulation design and evaluation of its results. Having structural observations limited to immediate borehole surrounding it is a common need to build up a fracture model of reservoir in a range of stimulation reservoir volume or even beyond. To do this we need both a 3D seismic model and a consistent concept of the regional tectonic evolution. We present the result of integrated tectonic study in several deep boreholes target the Lower Paleozoic shale complex of Baltic Basin (BB), combined with analysis of 3D seismic survey and outcrop screening in Scania (Swedish part of the BB). During deposition of shale complex in the Ordovician and Silurian the research area was located 200-300 km away from the continental margin of Baltica involved in the Caledonian collision with the Eastern Avalonia. This distance allowed the shale complex to avoid significant tectonic deformation. Regional seismic cross section reveals the general pattern of the BB infill characteristic for the foreland basin underwent post-collisional isostatic rebound. Due to stress changes in collisional context the shale complex was cross-cut by steep, mostly inverse faults trending NW-SE and NE-SW. The fault zones oriented NW-SE are associated with an array of en echelon faults characteristic for strike-slip displacement. In our interpretation, these faults of Silurian (Wenlock) age create pattern of the regional pop-up structure, which is simultaneously involved in the plate flexure extension. Seismic attributes (e.g. curvature or ant tracking) highlight lineaments which mostly mimic the faults orientation. However, attributes show also some artefacts that come from regular array of seismic sources and receivers, which mimic the orthogonal joint system. Structural observations on borehole core lead us to conclusion that regular, orthogonal fracture system developed after maximum burial of the complex

Hydrologic environment of the Silurian salt deposits in parts of Michigan, Ohio, and New York

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Norris, Stanley E.

1978-01-01

The aggregate thickness of evaporites (salt, gypsum, and anhydrite) in the Silurian Salina sequence in Michigan exceeds 1200 feet in areas near the periphery of the Michigan basin, where the salt beds are less than 3000 feet below land surface. In northeast Ohio the aggregate thickness of salt beds is as much as 200 feet in places, and in western New York it is more than 500 feet, where th beds are less than 3000 feet deep. The salt-bearing rocks dip regionally on the order of 50 feet per mile; those in Michigan dip toward the center of the Michigan basin, and those in Ohio and New York, in the Appalachian basin, dip generally southward. The rocks in both basins thicken downdip. Minor folds and faults occur in the salt-bearing rocks in all three states. Some of this defrmation has been attenuated or absorbed bo the salt beds. Occuring near the middle of thick sedimentary sequences, the salt beds are bounded aboe and below by beds containing water having dissolved-solids concentrations several times that seawter. The brines occur commonly in discrete zones of high permeability at specific places in the stratigraphic sequence. In northeast Ohio two prominent brine zones are recognized by the driller, the Devonian Oriskany Sandstone, or 'first water' zone, above the Salina Formation, and the Newburg or 'second water' zone below the Salina. In each aquifer there is a vertical component of hydraulic head, but little brine probably moves through the salt beds because their permeability is extremely low. Also, ther is little evidence of dissolution of the salt in areas distant from the outcrop, suggesting that if brine does move through the salt, movement is at a slow enough rate so that, in combination with the saturated or near-saturated condition of the water, it precludes significant dissolution. Principal brine movement is probably in the permeable zones in the direction of the hydraulic gradient. Two areas in Michigan and one area each in Ohio and New York appear

Hydrogeology and groundwater quality at monitoring wells installed for the Tunnel and Reservoir Plan System and nearby water-supply wells, Cook County, Illinois, 1995–2013

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Kay, Robert T.

2016-04-04

Groundwater-quality data collected from 1995 through 2013 from 106 monitoring wells open to the base of the Silurian aquifer surrounding the Tunnel and Reservoir Plan (TARP) System in Cook County, Illinois, were analyzed by the U.S. Geological Survey, in cooperation with the Metropolitan Water Reclamation District of Greater Chicago, to assess the efficacy of the monitoring network and the effects of water movement from the tunnel system to the surrounding aquifer. Groundwater from the Silurian aquifer typically drains to the tunnel system so that analyte concentrations in most of the samples from most of the monitoring wells primarily reflect the concentration of the analyte in the nearby Silurian aquifer. Water quality in the Silurian aquifer is spatially variable because of a variety of natural and non-TARP anthropogenic processes. Therefore, the trends in analyte values at a given well from 1995 through 2013 are primarily a reflection of the spatial variation in the value of the analyte in groundwater within that part of the Silurian aquifer draining to the tunnels. Intermittent drainage of combined sewer flow from the tunnel system to the Silurian aquifer when flow in the tunnel systemis greater than 80 million gallons per day may affect water quality in some nearby monitoring wells. Intermittent drainage of combined sewer flow from the tunnel system to the Silurian aquifer appears to affect the values of electrical conductivity, hardness, sulfate, chloride, dissolved organic carbon, ammonia, and fecal coliform in samples from many wells but typically during less than 5 percent of the sampling events. Drainage of combined sewer flow into the aquifer is most prevalent in the downstream parts of the tunnel systems because of the hydraulic pressures elevated above background values and long residence time of combined sewer flow in those areas. Elevated values of the analytes emplaced during intermittent migration of combined sewer flow into the Silurian aquifer

Formation and destruction mechanism as well as major controlling factors of the Silurian shale gas overpressure in the Sichuan Basin, China

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Shuangjian Li

2016-08-01

Full Text Available Taking the Well JY1 and Well PY1 in the Eastern Sichuan Basin as examples, the formation mechanism of shale gas overpressure was studied by using the cross plot of acoustic versus density logging data. During the processes of hydrocarbon generation and the uplifting, the pressure evolution of fluids in shale gas layers was reconstructed by fluid inclusions and PVTSIM software. The major factors controlling the evolution of shale gas overpressure were established according to the study of fracture, the timing of the uplifting, and episodes of tectonic deformation. Our results showed that the main mechanism of overpressure in the Silurian shale gas reservoirs in the Sichuan Basin was the fluid expansion, which was caused by hydrocarbon generation. Since the Yanshanian, the strata were uplifted and fluid pressure generally showed a decreasing trend. However, due to the low compression rebound ratio of shale gas reservoir rocks, poor connectivity of reservoir rocks, and low content of formation water and so on, such factors made fluid pressure decrease, but these would not be enough to make up the effects of strata erosion resulting in a further increase in fluid pressure in shale gas reservoirs during the whole uplifting processes. Since the Yanshanian, the Well PY1 zone had been reconstructed by at least three episodes of tectonic movement. The initial timing of the uplifting is 130 Ma. Compared to the former, the Well JY1 zone was firstly uplifted at 90 Ma, which was weakly reconstructed. As a result, low-angle fractures and few high resistance fractures developed in the Well JY1, while high-angle fractures and many high resistance fractures developed in the Well PY1. In totality, the factors controlling the overpressure preservation in shale gas reservoirs during the late periods include timing of late uplifting, superposition and reconstruction of stress fields, and development of high-angle fractures.

Stratigraphie et structure de Trás-os-Montes oriental (Portugal)

NARCIS (Netherlands)

Ribeiro, Antonio; Almeida Rebelo, Jose

1967-01-01

Rocks in the eastern part of the province of Trás-os-Montes, N. Portugal belong to five units: 1: a complex of pre-Ordovician schists and greywackes; 2: Ordovician and Silurian sediments; 3: a low-grade metamorphic scries of Silurian age; 4: two complexes of probably Precambrian, predominantly meso-

Composition of natural gas and crude oil produced from 10 wells in the Lower Silurian "Clinton" Sandstone, Trumbull County, Ohio: Chapter G.7 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

Science.gov (United States)

Burruss, Robert A.; Ryder, Robert T.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Natural gases and associated crude oils in the “Clinton” sandstone, Medina Group sandstones, and equivalent Tuscarora Sandstone in the northern Appalachian basin are part of a regional, continuous-type or basin-centered accumulation. The origin of the hydrocarbon charge to regional continuoustype accumulations is poorly understood. We have analyzed the molecular and stable isotopic composition of gases and oils produced from 10 wells in the “Clinton” sandstone in Trumbull County, Ohio, in an initial attempt to identify the characteristics of the accumulated fluids. The analyses show that the fluids have remarkably uniform compositions that are similar to previously published analyses of oils (Cole and others, 1987) and gases (Laughrey and Baldasarre, 1998) in Early Silurian reservoirs elsewhere in Ohio; however, geochemical parameters in the oils and gases suggest that the fluids have experienced higher levels of thermal stress than the present-day burial conditions of the reservoir rocks. The crude oils have an unusual geochemical characteristic: they do not contain detectable levels of sterane and triterpane biomarkers. The origin of these absences is unknown.

Are stage IV vestibular schwannomas preoperatively different from other stages?

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Tringali, Stéphane; Dubreuil, Christian; Zaouche, Sandra; Ferber-Viart, Chantal

2008-01-01

The aim of this study was to focus on the clinical and paraclinical symptoms of patients suffering from Stage IV vestibular schwannomas (VSs). In this prospective study, we included 734 patients who have VS and candidates for operation. Patients were classified as having Stage I, II, III, or IV tumors according to Tos criteria as evaluated by magnetic resonance imaging. PREOPERATIVE CLINICAL EVALUATION: We recorded the occurrence of complaints (%) and duration (yr) of hearing loss, tinnitus, and balance disorder. Preoperative paraclinical evaluation included pure-tone (PTA) and speech audiometry, auditory brainstem response (ABR) patterns, and vestibular deficit at videonystamography (VNG). Continuous variables were compared between Stage IV and other stages using analysis of variance. Qualitative variables expressed as a percentage of presence were compared between Stage IV and other stages using percentage comparison. Quantitative Parameters. Patients with Stage IV VS were significantly younger as compared with patients with other stages. Stage IV hearing loss was greater compared with other stages at 250 and 500 Hz but smaller at 2,000 and 8,000 Hz. We found no difference in the loss of PTA between Stage IV and the other stages. Speech discriminancy score was smaller in Stage IV. The durations of hearing loss, tinnitus, and balance disorders were similar whatever the tumor stage. Auditory brainstem response patterns showed no difference in Wave III latency between Stage IV VS and other stages, whereas Wave V latency and V-I interval were higher in Stage IV. Both ABR threshold and VNG caloric deficit were higher in Stage IV VS compared with other stages. Qualitative Parameters. The percentage of patients with Stage IV was lower than that with Stages II and III. The percentage of men and women was similar in all stages. The occurrence of hearing loss was similar in all stages, whereas that of tinnitus was lower in Stage IV compared with Stages I and II. In

Age and kinematics of ductile deformation in the Cerro Durazno area, NW Argentina: Significance for orogenic processes operating at the western margin of Gondwana during Ordovician - Silurian times

Science.gov (United States)

Wegmann, Maja I.; Riller, Ulrich; Hongn, Fernando D.; Glodny, Johannes; Oncken, Onno

2008-07-01

The Cerro Durazno Pluton belongs to a suite of Paleozoic granitoid intrusions in NW-Argentina, that are central for understanding the tectonic setting of the western margin of Gondwana in Ordovician and Silurian times. The pluton and its host rocks were tectonically overprinted by metamorphic mineral shape fabrics formed under middle greenschist-facies metamorphic conditions and associated with the nearby Agua Rosada Shear Zone. Kinematic analysis of the shear zone based on the geometric relationship between individual segments of the shear plane and principal axes of mineral fabric ellipsoids indicates reverse-sense of shear with a minor component of left-lateral displacement. This is compatible with the kinematics of other ductile deformation zones in this area, collectively forming a network, which accomplished orogen-parallel extension in addition to vertical thickening. Using the Rb-Sr isotopic system, an undeformed pegmatite dike of the Cerro Durazno Pluton was dated at 455.8 ± 3.6 Ma and mineral fabrics of the Agua Rosada Shear Zone formed at middle greenschist-facies metamorphism gave deformation ages of 437.0 ± 3.8 Ma and ⩽428.4 ± 4.5 Ma. Thus, tectonic overprint at low metamorphic grade occurred about 20-30 Ma after terminal magmatism in the Cerro Durazno area. Our data from the Cerro Durazno area and regional considerations suggest that the western margin of Gondwana was characterized by orogen-parallel extension in addition to crustal thickening as well as episodes of magmatism and ductile deformation that varied greatly in time and space.

Hydrology, water quality, and effects of drought in Monroe County, Michigan

Science.gov (United States)

Nicholas, J.R.; Rowe, Gary L.; Brannen, J.R.

1996-01-01

Monroe County relies heavily on its aquifers and streams for drinking water, irrigation, and other ~ses; however, increased water use, high concentrations of certain constituents in ground water, and droughts may limit the availability of water resources. Although the most densely populated parts of the county use water from the Great Lakes, large amounts of ground water are withdrawn for quarry dewatering, domestic supply, and irrigation.Unconsolidated deposits and bedrock of Silurian and Devonian age underlie Mon_roe County. The unconsolidated deposits are mostly clayey and less than 50 feet thick. Usable amounts of ground water generally are obtained from thin, discontinuous surficial sand deposits or, in the northwestern part of the county, from deep glaciofluvial deposits. In most of the county, however, ground water in unconsolidated deposits is highly susceptible to effects of droughts and to contamination.The bedrock is mostly carbonate rock, and usable quantities of ground water can be obtained from fractures and other secondary openings throughout the county. Transmissivities of the Silurian-Devonian aquifer range from 10 to 6,600 feet squared per day. Aquifer tests and historical informati.on indicate that the Silurian-Devonian aquifer is confmed throughout most of the county. The major recharge area for the Silurian-Devonian aquifer in Monroe County is in the southwest, and groundwater flow is mostly southeastward toward Lake Erie. In the northeastern and southeastern parts of the county, the potentiometric surface of the SilurianDevonian aquifers has been lowered by pumpage to below the elevation of Lake Erie.Streams and artificial drains in Monroe County are tributary to Lake Erie. Most streams are perennial because of sustained discharge from the sand aquifer and the Silurian-Devonian aquifer; however, the lower reaches of River Raisin and Plum Creek lost water to the Silurian-Devonian aquifer in July 1990.The quality of ground water and of

Chemotherapy Toxicity On Quality of Life in Older Patients With Stage I, Stage II, Stage III, or Stage IV Ovarian Epithelial, Primary Peritoneal Cavity, or Fallopian Tube Cancer

Science.gov (United States)

2017-05-03

Stage I Ovarian Cancer; Stage IA Fallopian Tube Cancer; Stage IB Fallopian Tube Cancer; Stage IC Fallopian Tube Cancer; Stage II Ovarian Cancer; Stage IIA Fallopian Tube Cancer; Stage IIB Fallopian Tube Cancer; Stage IIC Fallopian Tube Cancer; Stage III Ovarian Cancer; Stage III Primary Peritoneal Cancer; Stage IIIA Fallopian Tube Cancer; Stage IIIB Fallopian Tube Cancer; Stage IIIC Fallopian Tube Cancer; Stage IV Fallopian Tube Cancer; Stage IV Ovarian Cancer; Stage IV Primary Peritoneal Cancer

Survival Advantage Associated with Decrease in Stage at Detection from Stage IIIC to Stage IIIA Epithelial Ovarian Cancer

Science.gov (United States)

Lefringhouse, Jason; Pavlik, Edward; Miller, Rachel; DeSimone, Christopher; Ueland, Frederick; Kryscio, Richard; van Nagell, J. R.

2014-01-01

Objective. The aim of this study was to document the survival advantage of lowering stage at detection from Stage IIIC to Stage IIIA epithelial ovarian cancer. Methods. Treatment outcomes and survival were evaluated in patients with Stage IIIA and Stage IIIC epithelial ovarian cancer treated from 2000 to 2009 at the University of Kentucky Markey Cancer Center (UKMCC) and SEER institutions. Results. Cytoreduction to no visible disease (P < 0.0001) and complete response to platinum-based chemotherapy (P < 0.025) occurred more frequently in Stage IIIA than in Stage IIIC cases. Time to progression was shorter in patients with Stage IIIC ovarian cancer (17 ± 1 months) than in those with Stage II1A disease (36 ± 8 months). Five-year overall survival (OS) improved from 41% in Stage IIIC patients to 60% in Stage IIIA patients treated at UKMCC and from 37% to 56% in patients treated at SEER institutions for a survival advantage of 19% in both data sets. 53% of Stage IIIA and 14% of Stage IIIC patients had NED at last followup. Conclusions. Decreasing stage at detection from Stage IIIC to stage IIIA epithelial ovarian cancer is associated with a 5-year survival advantage of nearly 20% in patients treated by surgical tumor cytoreduction and platinum-based chemotherapy. PMID:25254047

One-stage and two-stage penile buccal mucosa urethroplasty

Directory of Open Access Journals (Sweden)

G. Barbagli

2016-03-01

Full Text Available The paper provides the reader with the detailed description of current techniques of one-stage and two-stage penile buccal mucosa urethroplasty. The paper provides the reader with the preoperative patient evaluation paying attention to the use of diagnostic tools. The one-stage penile urethroplasty using buccal mucosa graft with the application of glue is preliminary showed and discussed. Two-stage penile urethroplasty is then reported. A detailed description of first-stage urethroplasty according Johanson technique is reported. A second-stage urethroplasty using buccal mucosa graft and glue is presented. Finally postoperative course and follow-up are addressed.

Novel clinical staging for patients with end-stage gastrointestinal carcinoma.

Science.gov (United States)

Yasuda, Naokuni; Nakashima, Osamu; Ohnaka, Toru; Kamisaka, Koji; Tsunoda, Akira; Kusano, Mitsuo

2006-01-01

We created a new clinical staging system for end-stage gastrointestinal (GI) carcinoma to clarify the therapeutic goals for these patients. Data were obtained from a retrospective review of medical charts. Based on daily clinical observation of 144 patients with end-stage GI carcinoma, we classified the terminal stages as A, B, C, and D. The mean durations of terminal stages A, B, C, and D were 19, 16.6, 6.6, and 1.8 days, respectively, in patients with end-stage gastric cancer and 28.5, 9.1, 5.4, and 1.9 days, respectively, in patients with colorectal cancer. Moreover, 88.0% of patients with gastric carcinoma and 82.6% of patients with colorectal carcinoma passed through terminal stages A, B, C, and D sequentially. The patients in terminal stage B experienced temporary relief of symptoms, but those in terminal stage C did not (P terminal stages can easily be judged by clinical observation and may be an effective new tool with which to manage patients with end-stage GI carcinoma and their families.

A stage is a stage is a stage: a direct comparison of two scoring systems.

Science.gov (United States)

Dawson, Theo L

2003-09-01

L. Kohlberg (1969) argued that his moral stages captured a developmental sequence specific to the moral domain. To explore that contention, the author compared stage assignments obtained with the Standard Issue Scoring System (A. Colby & L. Kohlberg, 1987a, 1987b) and those obtained with a generalized content-independent stage-scoring system called the Hierarchical Complexity Scoring System (T. L. Dawson, 2002a), on 637 moral judgment interviews (participants' ages ranged from 5 to 86 years). The correlation between stage scores produced with the 2 systems was .88. Although standard issue scoring and hierarchical complexity scoring often awarded different scores up to Kohlberg's Moral Stage 2/3, from his Moral Stage 3 onward, scores awarded with the two systems predominantly agreed. The author explores the implications for developmental research.

Stage design

International Nuclear Information System (INIS)

Shacter, J.

1975-01-01

A method is described of cycling gases through a plurality of diffusion stages comprising the steps of admitting the diffused gases from a first diffusion stage into an axial compressor, simultaneously admitting the undiffused gases from a second diffusion stage into an intermediate pressure zone of said compressor corresponding in pressure to the pressure of said undiffused gases, and then admitting the resulting compressed mixture of diffused and undiffused gases into a third diffusion stage

Staging Mobilities

DEFF Research Database (Denmark)

Jensen, Ole B.

and lived as people are “staging themselves” (from below). Staging mobilities is a dynamic process between “being staged” (for example, being stopped at traffic lights) and the “mobile staging” of interacting individuals (negotiating a passage on the pavement). Staging Mobilities is about the fact...

Trading stages

DEFF Research Database (Denmark)

Steiner, Uli; Tuljapurkar, Shripad; Coulson, Tim

2012-01-01

Interest in stage-and age structured models has recently increased because they can describe quantitative traits such as size that are left out of age-only demography. Available methods for the analysis of effects of vital rates on lifespan in stage-structured models have not been widely applied ...... examples. Much of our approach relies on trading of time and mortality risk in one stage for time and risk in others. Our approach contributes to the new framework of the study of age- and stage-structured biodemography....

Comparisons of single-stage and two-stage approaches to genomic selection.

Science.gov (United States)

Schulz-Streeck, Torben; Ogutu, Joseph O; Piepho, Hans-Peter

2013-01-01

Genomic selection (GS) is a method for predicting breeding values of plants or animals using many molecular markers that is commonly implemented in two stages. In plant breeding the first stage usually involves computation of adjusted means for genotypes which are then used to predict genomic breeding values in the second stage. We compared two classical stage-wise approaches, which either ignore or approximate correlations among the means by a diagonal matrix, and a new method, to a single-stage analysis for GS using ridge regression best linear unbiased prediction (RR-BLUP). The new stage-wise method rotates (orthogonalizes) the adjusted means from the first stage before submitting them to the second stage. This makes the errors approximately independently and identically normally distributed, which is a prerequisite for many procedures that are potentially useful for GS such as machine learning methods (e.g. boosting) and regularized regression methods (e.g. lasso). This is illustrated in this paper using componentwise boosting. The componentwise boosting method minimizes squared error loss using least squares and iteratively and automatically selects markers that are most predictive of genomic breeding values. Results are compared with those of RR-BLUP using fivefold cross-validation. The new stage-wise approach with rotated means was slightly more similar to the single-stage analysis than the classical two-stage approaches based on non-rotated means for two unbalanced datasets. This suggests that rotation is a worthwhile pre-processing step in GS for the two-stage approaches for unbalanced datasets. Moreover, the predictive accuracy of stage-wise RR-BLUP was higher (5.0-6.1%) than that of componentwise boosting.

MR staging accuracy for endometrial cancer based on the new FIGO stage

International Nuclear Information System (INIS)

Shin, Kyung Eun; Park, Byung Kwan; Kim, Chan Kyo; Bae, Duk Soo; Song, Sang Yong; Kim, Bohyun

2011-01-01

Background: Magnetic resonance imaging (MRI) has been frequently used to determine a preoperative treatment plan for gynecologic cancers. However, the MR accuracy for staging an endometrial cancer is not satisfactory based on the old FIGO staging system. Purpose: To evaluate MR accuracy for staging endometrial cancer using the new FIGO staging system. Material and Methods: Between January 2005 and May 2009, 199 women underwent surgery due to endometrial cancer. In each patient, an endometrial cancer was staged using MR findings based on the old FIGO staging system and then repeated according to the new FIGO staging system for comparison. Histopathologic findings were used as a standard of reference. Results: The accuracy of MRI in the staging of endometrial carcinoma stage I, II, III, and IV using the old FIGO staging system were 80% (159/199), 89% (178/199), 90% (179/199), and 99% (198/199), respectively, compared to 87% (174/199), 97% (193/199), 90% (179/199), and 99% (198/199), respectively, when using the new FIGO staging criteria. The overall MR accuracy of the old and new staging systems were 51% (101/199) and 81% (161/199), respectively. Conclusion: MRI has become a more useful tool in the preoperative staging of endometrial cancers using the new FIGO staging system compared to the old one with increased accuracy

Linking the southern West Junggar terrane to the Yili Block: Insights from the oldest accretionary complexes in West Junggar, NW China

Science.gov (United States)

Ren, Rong; Han, Bao-Fu; Guan, Shu-Wei; Liu, Bo; Wang, Zeng-Zhen

2018-06-01

West Junggar is known to tectonically correlate with East Kazakhstan; however, the tectonic link of the southern West Junggar terrane to adjacent regions still remains uncertain. Here, we examined the oldest accretionary complexes, thus constraining its tectonic evolution and link during the Early-Middle Paleozoic. They have contrasting lithologic, geochemical, and geochronological features and thus, provenances and tectonic settings. The Laba Unit was derived from the Late Ordovician-Early Devonian continental arc system (peaking at 450-420 Ma) with Precambrian substrate, which formed as early as the Early Devonian and metamorphosed during the Permian; however, the Kekeshayi Unit was accumulated in an intra-oceanic arc setting, and includes the pre-Late Silurian and Late Silurian subunits with or without Precambrian sources. Integrated with the regional data, the southern West Junggar terrane revealed a tectonic link to the northern Yili Block during the Late Silurian to Early Devonian, as suggested by the comparable Precambrian zircon age spectra between the southern West Junggar terrane and the micro-continents in the southern Kazakhstan Orocline, the proximal accumulation of the Laba Unit in the continental arc atop the Yili Block, and the sudden appearance of Precambrian zircons in the Kekeshayi Unit during the Late Silurian. This link rejects the proposals of the southern West Junggar terrane as an extension of the northern Kazakhstan Orocline and the Middle Paleozoic amalgamation of West Junggar. A new linking model is thus proposed, in which the southern West Junggar terrane first evolved individually, and then collided with the Yili Block to constitute the Kazakhstan continent during the Late Silurian. The independent and contrasting intra-oceanic and continental arcs also support the Paleozoic archipelago-type evolution of the Central Asian Orogenic Belt.

Sleep Stage Transition Dynamics Reveal Specific Stage 2 Vulnerability in Insomnia.

Science.gov (United States)

Wei, Yishul; Colombo, Michele A; Ramautar, Jennifer R; Blanken, Tessa F; van der Werf, Ysbrand D; Spiegelhalder, Kai; Feige, Bernd; Riemann, Dieter; Van Someren, Eus J W

2017-09-01

Objective sleep impairments in insomnia disorder (ID) are insufficiently understood. The present study evaluated whether whole-night sleep stage dynamics derived from polysomnography (PSG) differ between people with ID and matched controls and whether sleep stage dynamic features discriminate them better than conventional sleep parameters. Eighty-eight participants aged 21-70 years, including 46 with ID and 42 age- and sex-matched controls without sleep complaints, were recruited through www.sleepregistry.nl and completed two nights of laboratory PSG. Data of 100 people with ID and 100 age- and sex-matched controls from a previously reported study were used to validate the generalizability of findings. The second night was used to obtain, in addition to conventional sleep parameters, probabilities of transitions between stages and bout duration distributions of each stage. Group differences were evaluated with nonparametric tests. People with ID showed higher empirical probabilities to transition from stage N2 to the lighter sleep stage N1 or wakefulness and a faster decaying stage N2 bout survival function. The increased transition probability from stage N2 to stage N1 discriminated people with ID better than any of their deviations in conventional sleep parameters, including less total sleep time, less sleep efficiency, more stage N1, and more wake after sleep onset. Moreover, adding this transition probability significantly improved the discriminating power of a multiple logistic regression model based on conventional sleep parameters. Quantification of sleep stage dynamics revealed a particular vulnerability of stage N2 in insomnia. The feature characterizes insomnia better than-and independently of-any conventional sleep parameter. © Sleep Research Society 2017. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.

Second stage gasifier in staged gasification and integrated process

Science.gov (United States)

Liu, Guohai; Vimalchand, Pannalal; Peng, Wan Wang

2015-10-06

A second stage gasification unit in a staged gasification integrated process flow scheme and operating methods are disclosed to gasify a wide range of low reactivity fuels. The inclusion of second stage gasification unit operating at high temperatures closer to ash fusion temperatures in the bed provides sufficient flexibility in unit configurations, operating conditions and methods to achieve an overall carbon conversion of over 95% for low reactivity materials such as bituminous and anthracite coals, petroleum residues and coke. The second stage gasification unit includes a stationary fluidized bed gasifier operating with a sufficiently turbulent bed of predefined inert bed material with lean char carbon content. The second stage gasifier fluidized bed is operated at relatively high temperatures up to 1400.degree. C. Steam and oxidant mixture can be injected to further increase the freeboard region operating temperature in the range of approximately from 50 to 100.degree. C. above the bed temperature.

Prostate cancer staging

Science.gov (United States)

... this page: //medlineplus.gov/ency/patientinstructions/000397.htm Prostate cancer staging To use the sharing features on this ... trials you may be able to join How Prostate Cancer Staging is Done Initial staging is based on ...

Comparative effectiveness of one-stage versus two-stage basilic vein transposition arteriovenous fistulas.

Science.gov (United States)

Ghaffarian, Amir A; Griffin, Claire L; Kraiss, Larry W; Sarfati, Mark R; Brooke, Benjamin S

2018-02-01

Basilic vein transposition (BVT) fistulas may be performed as either a one-stage or two-stage operation, although there is debate as to which technique is superior. This study was designed to evaluate the comparative clinical efficacy and cost-effectiveness of one-stage vs two-stage BVT. We identified all patients at a single large academic hospital who had undergone creation of either a one-stage or two-stage BVT between January 2007 and January 2015. Data evaluated included patient demographics, comorbidities, medication use, reasons for abandonment, and interventions performed to maintain patency. Costs were derived from the literature, and effectiveness was expressed in quality-adjusted life-years (QALYs). We analyzed primary and secondary functional patency outcomes as well as survival during follow-up between one-stage and two-stage BVT procedures using multivariate Cox proportional hazards models and Kaplan-Meier analysis with log-rank tests. The incremental cost-effectiveness ratio was used to determine cost savings. We identified 131 patients in whom 57 (44%) one-stage BVT and 74 (56%) two-stage BVT fistulas were created among 8 different vascular surgeons during the study period that each performed both procedures. There was no significant difference in the mean age, male gender, white race, diabetes, coronary disease, or medication profile among patients undergoing one- vs two-stage BVT. After fistula transposition, the median follow-up time was 8.3 months (interquartile range, 3-21 months). Primary patency rates of one-stage BVT were 56% at 12-month follow-up, whereas primary patency rates of two-stage BVT were 72% at 12-month follow-up. Patients undergoing two-stage BVT also had significantly higher rates of secondary functional patency at 12 months (57% for one-stage BVT vs 80% for two-stage BVT) and 24 months (44% for one-stage BVT vs 73% for two-stage BVT) of follow-up (P < .001 using log-rank test). However, there was no significant difference

The influence of magnetic field strength in ionization stage on ion transport between two stages of a double stage Hall thruster

International Nuclear Information System (INIS)

Yu Daren; Song Maojiang; Li Hong; Liu Hui; Han Ke

2012-01-01

It is futile for a double stage Hall thruster to design a special ionization stage if the ionized ions cannot enter the acceleration stage. Based on this viewpoint, the ion transport under different magnetic field strengths in the ionization stage is investigated, and the physical mechanisms affecting the ion transport are analyzed in this paper. With a combined experimental and particle-in-cell simulation study, it is found that the ion transport between two stages is chiefly affected by the potential well, the potential barrier, and the potential drop at the bottom of potential well. With the increase of magnetic field strength in the ionization stage, there is larger plasma density caused by larger potential well. Furthermore, the potential barrier near the intermediate electrode declines first and then rises up while the potential drop at the bottom of potential well rises up first and then declines as the magnetic field strength increases in the ionization stage. Consequently, both the ion current entering the acceleration stage and the total ion current ejected from the thruster rise up first and then decline as the magnetic field strength increases in the ionization stage. Therefore, there is an optimal magnetic field strength in the ionization stage to guide the ion transport between two stages.

Optics of two-stage photovoltaic concentrators with dielectric second stages

Science.gov (United States)

Ning, Xiaohui; O'Gallagher, Joseph; Winston, Roland

1987-04-01

Two-stage photovoltaic concentrators with Fresnel lenses as primaries and dielectric totally internally reflecting nonimaging concentrators as secondaries are discussed. The general design principles of such two-stage systems are given. Their optical properties are studied and analyzed in detail using computer ray trace procedures. It is found that the two-stage concentrator offers not only a higher concentration or increased acceptance angle, but also a more uniform flux distribution on the photovoltaic cell than the point focusing Fresnel lens alone. Experimental measurements with a two-stage prototype module are presented and compared to the analytical predictions.

Optics of two-stage photovoltaic concentrators with dielectric second stages.

Science.gov (United States)

Ning, X; O'Gallagher, J; Winston, R

1987-04-01

Two-stage photovoltaic concentrators with Fresnel lenses as primaries and dielectric totally internally reflecting nonimaging concentrators as secondaries are discussed. The general design principles of such two-stage systems are given. Their optical properties are studied and analyzed in detail using computer ray trace procedures. It is found that the two-stage concentrator offers not only a higher concentration or increased acceptance angle, but also a more uniform flux distribution on the photovoltaic cell than the point focusing Fresnel lens alone. Experimental measurements with a two-stage prototype module are presented and compared to the analytical predictions.

Multiple stage railgun

International Nuclear Information System (INIS)

Aaland, K.; Hawke, R.S.; Scudder, J.K.

1982-01-01

A multiple stage magnetic railgun accelerator for accelerating a projectile by movement of a plasma arc along the rails. The railgun is divided into a plurality of successive rail stages which are sequentially energized by separate energy sources as the projectile moves through the bore of the railgun. Propagation of energy from an energized rail stage back towards the breech end of the railgun can be prevented by connection of the energy sources to the rails through isolation diodes. Propagation of energy from an energized rail stage back towards the breech end of the railgun can also be prevented by dividing the rails into electrically isolated rail sections. In such case means are used to extinguish the arc at the end of each energized stage and a fuse or laser device is used to initiate a new plasma arc in the next energized rail stage

The protection motivation theory within the stages of the transtheoretical model - stage-specific interplay of variables and prediction of exercise stage transitions.

Science.gov (United States)

Lippke, Sonia; Plotnikoff, Ronald C

2009-05-01

Two different theories of health behaviour have been chosen with the aim of theory integration: a continuous theory (protection motivation theory, PMT) and a stage model (transtheoretical model, TTM). This is the first study to test whether the stages of the TTM moderate the interrelation of PMT-variables and the mediation of motivation, as well as PMT-variables' interactions in predicting stage transitions. Hypotheses were tested regarding (1) mean patterns, stage pair-comparisons and nonlinear trends using ANOVAs; (2) prediction-patterns for the different stage groups employing multi-group structural equation modelling (MSEM) and nested model analyses; and (3) stage transitions using binary logistic regression analyses. Adults (N=1,602) were assessed over a 6 month period on their physical activity stages, PMT-variables and subsequent behaviour. (1) Particular mean differences and nonlinear trends in all test variables were found. (2) The PMT adequately fitted the five stage groups. The MSEM revealed that covariances within threat appraisal and coping appraisal were invariant and all other constrains were stage-specific, i.e. stage was a moderator. Except for self-efficacy, motivation fully mediated the relationship between the social-cognitive variables and behaviour. (3) Predicting stage transitions with the PMT-variables underscored the importance of self-efficacy. Only when threat appraisal and coping appraisal were high, stage movement was more likely in the preparation stage. Results emphasize stage-specific differences of the PMT mechanisms, and hence, support the stage construct. The findings may guide further theory building and research integrating different theoretical approaches.

Design considerations for single-stage and two-stage pneumatic pellet injectors

International Nuclear Information System (INIS)

Gouge, M.J.; Combs, S.K.; Fisher, P.W.; Milora, S.L.

1988-09-01

Performance of single-stage pneumatic pellet injectors is compared with several models for one-dimensional, compressible fluid flow. Agreement is quite good for models that reflect actual breech chamber geometry and incorporate nonideal effects such as gas friction. Several methods of improving the performance of single-stage pneumatic pellet injectors in the near term are outlined. The design and performance of two-stage pneumatic pellet injectors are discussed, and initial data from the two-stage pneumatic pellet injector test facility at Oak Ridge National Laboratory are presented. Finally, a concept for a repeating two-stage pneumatic pellet injector is described. 27 refs., 8 figs., 3 tabs

Did the amalgamation of continents drive the end Ordovician mass extinctions?

DEFF Research Database (Denmark)

Mac Ørum Rasmussen, Christian; Harper, David Alexander Taylor

2011-01-01

not uniformly distributed, nor was the succeeding recovery. Here we argue that changing plate tectonic configurations during the Ordovician–Silurian interval may have exerted a primary control on biotic extinction and recovery. In particular the proximity and ultimate loss of microcontinents and associated...... smaller terranes around Laurentia may have restricted shelf and slope habitats during the latest Ordovician but, nevertheless, in a contracted Iapetus Ocean, provided migration routes to help drive a diachronous early Silurian recovery. The conclusion that plate tectonics was a primary factor controlling...

Turbine stage model

International Nuclear Information System (INIS)

Kazantsev, A.A.

2009-01-01

A model of turbine stage for calculations of NPP turbine department dynamics in real time was developed. The simulation results were compared with manufacturer calculations for NPP low-speed and fast turbines. The comparison results have shown that the model is valid for real time simulation of all modes of turbines operation. The model allows calculating turbine stage parameters with 1% accuracy. It was shown that the developed turbine stage model meets the accuracy requirements if the data of turbine blades setting angles for all turbine stages are available [ru

A simplified staging system based on the radiological findings in different stages of ochronotic spondyloarthropathy

International Nuclear Information System (INIS)

Jebaraj, Isaac; Chacko, Binita Riya; Chiramel, George Koshy; Matthai, Thomas; Parameswaran, Apurve

2013-01-01

This study describes a group of 26 patients with ochronotic spondyloarthropathy who were on regular treatment and follow-up at a tertiary level hospital and proposes a simplified staging system for ochronotic spondyloarthropathy based on radiographic findings seen in the thoracolumbar spine. This proposed classification makes it easy to identify the stage of the disease and start the appropriate management at an early stage. Four progressive stages are described: an inflammatory stage (stage 1), the stage of early discal calcification (stage 2), the stage of fibrous ankylosis (stage 3), and the stage of bony ankylosis (stage 4). To our knowledge, this is the largest reported series of radiological description of spinal ochronosis, and emphasizes the contribution of the spine radiograph in the diagnosis and staging of the disease

A simplified staging system based on the radiological findings in different stages of ochronotic spondyloarthropathy

Directory of Open Access Journals (Sweden)

Isaac Jebaraj

2013-01-01

Full Text Available This study describes a group of 26 patients with ochronotic spondyloarthropathy who were on regular treatment and follow-up at a tertiary level hospital and proposes a simplified staging system for ochronotic spondyloarthropathy based on radiographic findings seen in the thoracolumbar spine. This proposed classification makes it easy to identify the stage of the disease and start the appropriate management at an early stage. Four progressive stages are described: an inflammatory stage (stage 1, the stage of early discal calcification (stage 2, the stage of fibrous ankylosis (stage 3, and the stage of bony ankylosis (stage 4. To our knowledge, this is the largest reported series of radiological description of spinal ochronosis, and emphasizes the contribution of the spine radiograph in the diagnosis and staging of the disease.

Summary Stage 2018 - SEER

Science.gov (United States)

Access this manual of codes and coding instructions for the summary stage field for cases diagnosed January 1, 2018 and forward. 2018 version applies to every site and/or histology combination, including lymphomas and leukemias. Historically, also called General Staging, California Staging, and SEER Staging.

Between Stage and Screen

NARCIS (Netherlands)

Tornqvist, Egil

1996-01-01

Ingmar Bergman is worldwide known as a film and stage director. Yet no-one has attempted to compare his stage and screen activities. In Between stage and screen Egil Tornqvist examines formal and thematical correspondences and differences between a number of Bergman's stage, screen, and radio

PET/CT staging of T1-stage non-small cell lung cancer

International Nuclear Information System (INIS)

Salman, K. A.; Steinmann, C. H.; Von Schulthess, G. K.; Steinert, H. C.; Sukumar, V. P.

2009-01-01

Full text:Purpose: To evaluate the value of PET/CT in detecting occult metastases in patients with T 1 -stage non-small cell lung cancer (NSCLC). Method: Patients with proven NSCLC and T 1 -stage ( c m) were retrospectively analyzed. In all patients a whole-body 18 F-FDG PET/CT scan for initial staging was performed. The PET/CT findings were compared with all available clinical information, intra-operative findings and the histopathological results. Results: 95 patients (39 men, 56 women; age range, 19-85 years) were analyzed in our study. PET/CT in 68-95 patients correctly excluded mediastinal and distant metastases. In 17/95 patients (18%) mediastinal lymph-node metastases were proven (N 2 n=15; N 3 n=2). PET/CT correctly detected in 10/17 patients (58.8%) mediastinal nodal disease. The smallest mediastinal lymph-node metastasis detected by PET/CT had a size of 0.7 c m. In 7 patients PET/CT missed N 2 -stage. In three of these patients the SUVmax of the primary was c m. Only in one missed N 2 -stage metastasis was sized > 1.0 c m. The tumor histology (adenocarcinoma, squamous cell carcinoma) and location of the primary (central, periphery) did not influence the missed N 2 -stage by PET/CT. PET/CT diagnosed correctly N 3 -stage in 2 patients. 10/95 patients (10.5%) had distant metastases. PET/CT detected unknown M 1 -stage in 4/10 patients. In one patient a metastasis of the parietal pleura was missed by PET/CT. Conclusion: In our study, 28% patients with T 1 -stage NSCLC showed mediastinal or distant metastases. PET/CT was efficient in the detection of occult metastases. However, the sensitivity of PET/CT in mediastinal staging was only 64%.

Comparison of single-stage and temperature-phased two-stage anaerobic digestion of oily food waste

International Nuclear Information System (INIS)

Wu, Li-Jie; Kobayashi, Takuro; Li, Yu-You; Xu, Kai-Qin

2015-01-01

Highlights: • A single-stage and two two-stage anaerobic systems were synchronously operated. • Similar methane production 0.44 L/g VS_a_d_d_e_d from oily food waste was achieved. • The first stage of the two-stage process became inefficient due to serious pH drop. • Recycle favored the hythan production in the two-stage digestion. • The conversion of unsaturated fatty acids was enhanced by recycle introduction. - Abstract: Anaerobic digestion is an effective technology to recover energy from oily food waste. A single-stage system and temperature-phased two-stage systems with and without recycle for anaerobic digestion of oily food waste were constructed to compare the operation performances. The synchronous operation indicated the similar ability to produce methane in the three systems, with a methane yield of 0.44 L/g VS_a_d_d_e_d. The pH drop to less than 4.0 in the first stage of two-stage system without recycle resulted in poor hydrolysis, and methane or hydrogen was not produced in this stage. Alkalinity supplement from the second stage of two-stage system with recycle improved pH in the first stage to 5.4. Consequently, 35.3% of the particulate COD in the influent was reduced in the first stage of two-stage system with recycle according to a COD mass balance, and hydrogen was produced with a percentage of 31.7%, accordingly. Similar solids and organic matter were removed in the single-stage system and two-stage system without recycle. More lipid degradation and the conversion of long-chain fatty acids were achieved in the single-stage system. Recycling was proved to be effective in promoting the conversion of unsaturated long-chain fatty acids into saturated fatty acids in the two-stage system.

Locally advanced breast cancer (stage III and stage IV)

International Nuclear Information System (INIS)

Baracat, F.F.; Grabert, H.; Lima, G.R. de; Pontes, M.; Ferraro, O.; Santana, A.; Brook, E.S.

1987-01-01

The results concerning to the treatment of 193 patients with locally advanced breast cancer-stage III and stage IV are analysed. All the patients were treated with radical radiotherapy plus total mastectomy about 6 weeks later; 53 pacients received also chemotherapy (CMF - 12 courses) and 52 were oophorectomized. (M.A.C) [pt

Bedrock Geologic Map of the Old Lyme Quadrangle, New London and Middlesex Counties, Connecticut

Science.gov (United States)

Walsh, Gregory J.; Scott, Robert B.; Aleinikoff, John N.; Armstrong, Thomas R.

2009-01-01

The bedrock geology of the Old Lyme quadrangle consists of Neoproterozoic and Permian gneisses and granites of the Gander and Avalon terranes, Silurian metasedimentary rocks of the Merrimack terrane, and Silurian to Devonian metasedimentary rocks of uncertain origin. The Avalon terrane rocks crop out within the Selden Neck block, and the Gander terrane rocks crop out within the Lyme dome. The Silurian to Devonian rocks crop out between these two massifs. Previous mapping in the Old Lyme quadrangle includes the work by Lawrence Lundgren, Jr. Lundgren's work provides an excellent resource for rock descriptions and detailed modal analyses of rock units that will not be duplicated in this current report. New research that was not covered in detail by Lundgren is the focus of this report and includes (1) evaluation of the rocks in the core of the Lyme dome in an effort to subdivide units in this area; (2) structural analysis of foliations and folds in and around the Lyme dome; (3) geochronology of selected units within the Lyme dome; and (4) analysis of joints and the fracture properties of the rocks.

Cervical Cancer Stage IA

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... historical Searches are case-insensitive Cervical Cancer Stage IA Add to My Pictures View /Download : Small: 720x576 ... Large: 3000x2400 View Download Title: Cervical Cancer Stage IA Description: Stage IA1 and IA2 cervical cancer; drawing ...

Cervical Cancer Stage IIIA

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... hyphen, e.g. -historical Searches are case-insensitive Cervical Cancer Stage IIIA Add to My Pictures View /Download : ... 1275x1275 View Download Large: 2550x2550 View Download Title: Cervical Cancer Stage IIIA Description: Stage IIIA cervical cancer; drawing ...

Cervical Cancer Stage IVA

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... hyphen, e.g. -historical Searches are case-insensitive Cervical Cancer Stage IVA Add to My Pictures View /Download : ... 1575x1200 View Download Large: 3150x2400 View Download Title: Cervical Cancer Stage IVA Description: Stage IVA cervical cancer; drawing ...

Cervical Cancer Stage IVB

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... hyphen, e.g. -historical Searches are case-insensitive Cervical Cancer Stage IVB Add to My Pictures View /Download : ... 1200x1305 View Download Large: 2400x2610 View Download Title: Cervical Cancer Stage IVB Description: Stage IVB cervical cancer; drawing ...

Late-Stage Caregiving

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... Caregiving Middle-Stage Caregiving Late-Stage Caregiving Behaviors Aggression & Anger Anxiety & Agitation Depression Hallucinations Memory Loss & Confusion Repetition Sleep Issues & Sundowning Suspicion & Delusions Wandering Abuse Start Here What You Need to Know Online ...

Stages and Behaviors

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... Caregiving Middle-Stage Caregiving Late-Stage Caregiving Behaviors Aggression & Anger Anxiety & Agitation Depression Hallucinations Memory Loss & Confusion Repetition Sleep Issues & Sundowning Suspicion & Delusions Wandering Abuse Start Here What You Need to Know Online ...

Early-Stage Caregiving

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... Caregiving Middle-Stage Caregiving Late-Stage Caregiving Behaviors Aggression & Anger Anxiety & Agitation Depression Hallucinations Memory Loss & Confusion Repetition Sleep Issues & Sundowning Suspicion & Delusions Wandering Abuse Start Here What You Need to Know Online ...

Staging of Lung Cancer

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... LUNG CANCER MINI-SERIES #2 Staging of Lung Cancer Once your lung cancer is diagnosed, staging tells you and your health care provider about ... at it under a microscope. The stages of lung cancer are listed as I, II, III, and IV ...

Cervical Cancer Stage IB

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... hyphen, e.g. -historical Searches are case-insensitive Cervical Cancer Stage IB Add to My Pictures View /Download : ... 1613x1200 View Download Large: 3225x2400 View Download Title: Cervical Cancer Stage IB Description: Stage IB1 and IB2 cervical ...

Meta-analysis of Gaussian individual patient data: Two-stage or not two-stage?

Science.gov (United States)

Morris, Tim P; Fisher, David J; Kenward, Michael G; Carpenter, James R

2018-04-30

Quantitative evidence synthesis through meta-analysis is central to evidence-based medicine. For well-documented reasons, the meta-analysis of individual patient data is held in higher regard than aggregate data. With access to individual patient data, the analysis is not restricted to a "two-stage" approach (combining estimates and standard errors) but can estimate parameters of interest by fitting a single model to all of the data, a so-called "one-stage" analysis. There has been debate about the merits of one- and two-stage analysis. Arguments for one-stage analysis have typically noted that a wider range of models can be fitted and overall estimates may be more precise. The two-stage side has emphasised that the models that can be fitted in two stages are sufficient to answer the relevant questions, with less scope for mistakes because there are fewer modelling choices to be made in the two-stage approach. For Gaussian data, we consider the statistical arguments for flexibility and precision in small-sample settings. Regarding flexibility, several of the models that can be fitted only in one stage may not be of serious interest to most meta-analysis practitioners. Regarding precision, we consider fixed- and random-effects meta-analysis and see that, for a model making certain assumptions, the number of stages used to fit this model is irrelevant; the precision will be approximately equal. Meta-analysts should choose modelling assumptions carefully. Sometimes relevant models can only be fitted in one stage. Otherwise, meta-analysts are free to use whichever procedure is most convenient to fit the identified model. © 2018 The Authors. Statistics in Medicine Published by John Wiley & Sons Ltd.

Accuracy of the One-Stage and Two-Stage Impression Techniques: A Comparative Analysis.

Science.gov (United States)

Jamshidy, Ladan; Mozaffari, Hamid Reza; Faraji, Payam; Sharifi, Roohollah

2016-01-01

Introduction . One of the main steps of impression is the selection and preparation of an appropriate tray. Hence, the present study aimed to analyze and compare the accuracy of one- and two-stage impression techniques. Materials and Methods . A resin laboratory-made model, as the first molar, was prepared by standard method for full crowns with processed preparation finish line of 1 mm depth and convergence angle of 3-4°. Impression was made 20 times with one-stage technique and 20 times with two-stage technique using an appropriate tray. To measure the marginal gap, the distance between the restoration margin and preparation finish line of plaster dies was vertically determined in mid mesial, distal, buccal, and lingual (MDBL) regions by a stereomicroscope using a standard method. Results . The results of independent test showed that the mean value of the marginal gap obtained by one-stage impression technique was higher than that of two-stage impression technique. Further, there was no significant difference between one- and two-stage impression techniques in mid buccal region, but a significant difference was reported between the two impression techniques in MDL regions and in general. Conclusion . The findings of the present study indicated higher accuracy for two-stage impression technique than for the one-stage impression technique.

Ovarian Cancer Stage IIIC

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... Stage IIIC Description: Drawing of stage IIIC shows cancer inside both ovaries that has spread to the omentum. The cancer ... lymph nodes behind the peritoneum. In stage IIIC, cancer is found in one or both ovaries or fallopian tubes and has spread to the ...

Breast cancer staging

Science.gov (United States)

... this page: //medlineplus.gov/ency/patientinstructions/000911.htm Breast cancer staging To use the sharing features on this ... Once your health care team knows you have breast cancer , they will do more tests to stage it. ...

An Analysis of Kohlberg's "Stage 4 1/2" within an Enhanced Framework of Moral Stages.

Science.gov (United States)

Minnameier, Gerhard

This paper discusses a well-known problem of stage categorization within Kohlberg's theory of moral stages (L. Kohlberg, 1973), that of "Stage 4 1/2." Some subjects previously scored at stage 4 in Kohlberg's framework took on some characteristics of stage 2 reasoning, which suggested the possibility of regression. To reconcile this…

Dental Age Estimation (DAE): Data management for tooth development stages including the third molar. Appropriate censoring of Stage H, the final stage of tooth development.

Science.gov (United States)

Roberts, Graham J; McDonald, Fraser; Andiappan, Manoharan; Lucas, Victoria S

2015-11-01

The final stage of dental development of third molars is usually helpful to indicate whether or not a subject is aged over 18 years. A complexity is that the final stage of development is unlimited in its upper border. Investigators usually select an inappropriate upper age limit or censor point for this tooth development stage. The literature was searched for appropriate data sets for dental age estimation and those that provided the count (n), the mean (x¯), and the standard deviation (sd) for each of the tooth development stages. The Demirjian G and Demirjian H were used for this study. Upper and lower limits of the Stage G and Stage H data were calculated limiting the data to plus or minus three standard deviations from the mean. The upper border of Stage H was limited by appropriate censoring at the maximum value for Stage G. The maximum age at attainment from published data, for Stage H, ranged from 22.60 years to 34.50 years. These data were explored to demonstrate how censoring provides an estimate for the correct maximum age for the final stage of Stage H as 21.64 years for UK Caucasians. This study shows that confining the data array of individual tooth developments stages to ± 3sd provides a reliable and logical way of censoring the data for tooth development stages with a Normal distribution of data. For Stage H this is inappropriate as it is unbounded in its upper limit. The use of a censored data array for Stage H using Percentile values is appropriate. This increases the reliability of using third molar Stage H alone to determine whether or not an individual is over 18 years old. For Stage H, individual ancestral groups should be censored using the same technique. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Staging for vulvar cancer.

Science.gov (United States)

Hacker, Neville F; Barlow, Ellen L

2015-08-01

Vulvar cancer has been staged by the International Federation of Gynaecology and Obstetrics (FIGO) since 1969, and the original staging system was based on clinical findings only. This system provided a very good spread of prognostic groupings. Because vulvar cancer is virtually always treated surgically, the status of the lymph nodes is the most important prognostic factor and this can only be determined with certainty by histological examination of resected lymph nodes, FIGO introduced a surgical staging system in 1988. This was modified in 1994 to include a category of microinvasive vulvar cancer (stage IA), because such patients have virtually no risk of lymph node metastases. This system did not give a reasonably even spread of prognostic groupings. In addition, patients with stage III disease were shown to be a heterogeneous group prognostically, and the number of positive nodes and the morphology of those nodes were not taken into account. A new surgical staging system for vulvar cancer was introduced by FIGO in 2009. Initial retrospective analyses have suggested that this new staging system has overcome the major deficiencies in the 1994 system. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

Carbonate rocks of the Seward Peninsula, Alaska: Their correlation and paleogeographic significance

Science.gov (United States)

Dumoulin, Julie A.; Harris, Alta; Repetski, John E.

2014-01-01

associated calcareous metaturbidites of Ordovician age as well as shallow-water Silurian dolostones. Scattered metacarbonate rocks are chiefly Cambrian, Ordovician, Silurian, and Devonian dolostones that formed in shallow, warm-water settings with locally restricted circulation and marbles of less constrained Paleozoic age. Carbonate metaturbidites occur on the northeast and southeast coasts and yield mainly Silurian and lesser Ordovician and Devonian conodonts; the northern succession also includes debris flows with meter-scale clasts and an argillite interval with Late Ordovician graptolites and lenses of radiolarian chert. Mafic igneous rocks at least partly of Early Devonian age are common in the southern succession. Carbonate rocks on Seward Peninsula experienced a range of deformational and thermal histories equivalent to those documented in the Brooks Range. Conodont color alteration indices (CAIs) from Seward Peninsula, like those from the Brooks Range, define distinct thermal provinces that likely reflect structural burial. Penetratively deformed high-pressure metamorphic rocks of the Nome Complex (CAIs ≥5) correspond to rocks of the Schist belt in the southern Brooks Range; both record subduction during early stages of the Jurassic–Cretaceous Brooks Range orogeny. Weakly metamorphosed to unmetamorphosed strata of the York terrane (CAIs mainly 2–5), like Brooks Range rocks in the Central belt and structural allochthons to the north, experienced moderate to shallow burial during the main phase of the Brooks Range orogeny. The nature of the contact between the York terrane and the Nome Complex is uncertain; it may be a thrust fault, an extensional surface, or a thrust fault later reactivated as an extensional fault. Lithofacies and biofacies data indicate that, in spite of their divergent Mesozoic histories, rocks of the York terrane and protoliths of the Nome Complex formed as part of the same lower Paleozoic carbonate platform. Stratigraphies in both

Stage-by-Stage and Parallel Flow Path Compressor Modeling for a Variable Cycle Engine

Science.gov (United States)

Kopasakis, George; Connolly, Joseph W.; Cheng, Larry

2015-01-01

This paper covers the development of stage-by-stage and parallel flow path compressor modeling approaches for a Variable Cycle Engine. The stage-by-stage compressor modeling approach is an extension of a technique for lumped volume dynamics and performance characteristic modeling. It was developed to improve the accuracy of axial compressor dynamics over lumped volume dynamics modeling. The stage-by-stage compressor model presented here is formulated into a parallel flow path model that includes both axial and rotational dynamics. This is done to enable the study of compressor and propulsion system dynamic performance under flow distortion conditions. The approaches utilized here are generic and should be applicable for the modeling of any axial flow compressor design.

[Comparison research on two-stage sequencing batch MBR and one-stage MBR].

Science.gov (United States)

Yuan, Xin-Yan; Shen, Heng-Gen; Sun, Lei; Wang, Lin; Li, Shi-Feng

2011-01-01

Aiming at resolving problems in MBR operation, like low nitrogen and phosphorous removal efficiency, severe membrane fouling and etc, comparison research on two-stage sequencing batch MBR (TSBMBR) and one-stage aerobic MBR has been done in this paper. The results indicated that TSBMBR owned advantages of SBR in removing nitrogen and phosphorous, which could make up the deficiency of traditional one-stage aerobic MBR in nitrogen and phosphorous removal. During steady operation period, effluent average NH4(+) -N, TN and TP concentration is 2.83, 12.20, 0.42 mg/L, which could reach domestic scenic environment use. From membrane fouling control point of view, TSBMBR has lower SMP in supernatant, specific trans-membrane flux deduction rate, membrane fouling resistant than one-stage aerobic MBR. The sedimentation and gel layer resistant of TSBMBR was only 6.5% and 33.12% of one-stage aerobic MBR. Besides high efficiency in removing nitrogen and phosphorous, TSBMBR could effectively reduce sedimentation and gel layer pollution on membrane surface. Comparing with one-stage MBR, TSBMBR could operate with higher trans-membrane flux, lower membrane fouling rate and better pollutants removal effects.

Accuracy of the One-Stage and Two-Stage Impression Techniques: A Comparative Analysis

Directory of Open Access Journals (Sweden)

Ladan Jamshidy

2016-01-01

Full Text Available Introduction. One of the main steps of impression is the selection and preparation of an appropriate tray. Hence, the present study aimed to analyze and compare the accuracy of one- and two-stage impression techniques. Materials and Methods. A resin laboratory-made model, as the first molar, was prepared by standard method for full crowns with processed preparation finish line of 1 mm depth and convergence angle of 3-4°. Impression was made 20 times with one-stage technique and 20 times with two-stage technique using an appropriate tray. To measure the marginal gap, the distance between the restoration margin and preparation finish line of plaster dies was vertically determined in mid mesial, distal, buccal, and lingual (MDBL regions by a stereomicroscope using a standard method. Results. The results of independent test showed that the mean value of the marginal gap obtained by one-stage impression technique was higher than that of two-stage impression technique. Further, there was no significant difference between one- and two-stage impression techniques in mid buccal region, but a significant difference was reported between the two impression techniques in MDL regions and in general. Conclusion. The findings of the present study indicated higher accuracy for two-stage impression technique than for the one-stage impression technique.

Tools for Reactive Distillation Column Design: Graphical and Stage-to-Stage Computation Methods

DEFF Research Database (Denmark)

Sanchez Daza, O.; Cisneros, Eduardo Salvador P.; Hostrup, Martin

2001-01-01

Based on the element mass balance concept, a graphical design method and a stage-to-stage multicomponent design method for reactive distillation columns have been developed. For distillation columns comprising reactive and non-reactive stages, a simple design strategy based on reactive and non......-reactive bubble point calculations is proposed. This strategy tracks the conversion and temperature between the feed and the end stages of the column. An illustrative example highlights the verification of the design strategy through rigorous simulation....

Summary Staging Manual 2000 - SEER

Science.gov (United States)

Access this manual of codes and coding instructions for the summary stage field for cases diagnosed 2001-2017. 2000 version applies to every anatomic site. It uses all information in the medical record. Also called General Staging, California Staging, and SEER Staging.

Two-stage dental implants inserted in a one-stage procedure : a prospective comparative clinical study

NARCIS (Netherlands)

Heijdenrijk, Kees

2002-01-01

The results of this study indicate that dental implants designed for a submerged implantation procedure can be used in a single-stage procedure and may be as predictable as one-stage implants. Although one-stage implant systems and two-stage.

Evaluation of lymph node numbers for adequate staging of Stage II and III colon cancer

Directory of Open Access Journals (Sweden)

Bumpers Harvey L

2011-05-01

Full Text Available Abstract Background Although evaluation of at least 12 lymph nodes (LNs is recommended as the minimum number of nodes required for accurate staging of colon cancer patients, there is disagreement on what constitutes an adequate identification of such LNs. Methods To evaluate the minimum number of LNs for adequate staging of Stage II and III colon cancer, 490 patients were categorized into groups based on 1-6, 7-11, 12-19, and ≥ 20 LNs collected. Results For patients with Stage II or III disease, examination of 12 LNs was not significantly associated with recurrence or mortality. For Stage II (HR = 0.33; 95% CI, 0.12-0.91, but not for Stage III patients (HR = 1.59; 95% CI, 0.54-4.64, examination of ≥20 LNs was associated with a reduced risk of recurrence within 2 years. However, examination of ≥20 LNs had a 55% (Stage II, HR = 0.45; 95% CI, 0.23-0.87 and a 31% (Stage III, HR = 0.69; 95% CI, 0.38-1.26 decreased risk of mortality, respectively. For each six additional LNs examined from Stage III patients, there was a 19% increased probability of finding a positive LN (parameter estimate = 0.18510, p Conclusions Thus, the 12 LN cut-off point cannot be supported as requisite in determining adequate staging of colon cancer based on current data. However, a minimum of 6 LNs should be examined for adequate staging of Stage II and III colon cancer patients.

CT staging of renal pelvis tumor

International Nuclear Information System (INIS)

Yoon, Soo Woong; Cho, Kyoung Sik; Lee, Jong Hwa; Ham, Su Yeon; Won, Yeong Cheol; Ji, Eun Kyung; Choi, Seong Hun; Shin, Byung Suck

1999-01-01

To assess the value of computed tomography (CT) in the preoperative staging of transitional cell carcinoma (TCC) of the renal pelvis. We retrospectively evaluated the CT TNM staging of 38 patients with TCC of the renal pelvis who had undergone preoperative abdominal CT examination between January 1990 and January 1998. In CT staging for differentiation between early-stage (T0-2) and advanced-stage disease (T3-T4), three criteria were used, namely the presence or obliteration of the renal sinus fat layer, the smoothness or irregularity of margin between the tumor and renal parenchyma, and the presence or absence of hydronephrosis proximal to the tumor. CT staging was performed by two genitourinary radiologists blinded to the pathologic results, and was compared with pathologic staging. Pathologic results revealed 19 cases of early stage disease (T0=8, T1=9, T2=2) and 19 of advanced stage (T3=12, T4=7). Overall CT staging accuracy was 82%(31/38) ; four cases were overstaged and three were understaged. In early-stage disease, sensitivity and specificity were 79%, and 84%, and in advanced stage disease were 83% and 80%. Three of four overstaged cases showed hydronephrosis proximal to the tumor. In the second CT staging, using proximal hydronephrosis of the tumor as a criterion for early-stage disease, the sensitivity and specificity of early-stage disease were 95% and 75%, respectively, and the specificity of advanced-stage disease was 95%. When hydronephrosis proximal to a tumor was considered to be a sign of early stage disease, the CT staging of renal pelvic TCC was highly accurate

Upper Silurian reef mounds on a shallowing carbonate ramp, Devon Island, Arctic Canada

Energy Technology Data Exchange (ETDEWEB)

Dixon, O A [Ottawa Univ., ON (Canada); Graf, G C [Chevron Canada Resources, Calgary, AB (Canada)

1992-03-01

Near Gascoyne Inlet, the topmost Douro and lowermost Barlow Inlet formations record overall upward shallowing from ramp to shallow shelf conditions. This transitional sequence contains bioherms of various sizes, from small isolated reef mounds 1-2 m across to larger, compound reef mounds over 50 m thick and 60 m across, as well as distictive inter- and pre-reef mound facies. The larger reef mounds show stages intermediate in character between those in sponge-dominated reef mounds of the Douro Formation and in larger stromatoporoid-crinoid dominated reefs in the Barlow Inlet Formation. Three principal reef mounds developed in turn. An initial partly lithified lime mudstone, containing scattered corals and apparently relict sponge-cryptomicrobial fabrics, developed on sheets of oncolitic storm debris in mainly low energy conditions between storm and fairweather wave bases. With gradual shallowing and progressively higher energy conditions above fairweather wave base, a middle facies of coral- and crinoid-rich mudstone developed. An abrupt deepening restored conditions of low energy, and the ensuing upper facies of the reef mounds is more varied, comprising sparsely fossiliferous and locally fenestral lime mudstones, patchy coral bafflestone and bindstone, coarse encrinites and substantially culminating stromatoporoid bindstone. 36 refs., 14 figs., 5 tabs.

Changes of endocrine and ultrasound markers as ovarian aging in modifying the Stages of Reproductive Aging Workshop (STRAW) staging system with subclassification of mid reproductive age stage.

Science.gov (United States)

Ding, Ting; Luo, Aiyue; Jiang, Jingjing; Du, Xiaofang; Yang, Shuhong; Lai, Zhiwen; Shen, Wei; Lu, Yunping; Ma, Ding; Wang, Shixuan

2013-01-01

To demonstrate the changes of ovarian aging markers across the Stages of Reproductive Aging Workshop (STRAW) stages and modify it with subclassification of mid reproductive age stage (MR). Healthy females were classified according to the STRAW system. Serum basal FSH, LH, E2, and anti-Müllerian hormone (AMH) were detected, FSH/LH ratio calculated, and antral follicle counts (AFCs) determined in follicular phase. Progression through the whole STRAW stages under MR stage subdivided is associated with elevations in FSH, LH, FSH/LH ratio and decreases in E2, AMH and AFCs (p age in MR stage. 0.982 ng/ml AMH and 3 antral follicles (low level of MR 25-30 years) were set as cutoffs to distinguish MR stage into early mid reproductive age (EMR) and late mid reproductive age (LMR) stages. The women in EMR stage compared with LMR could retrieve more oocytes in IVF treatment (p stage, demonstrating disparate reproductive aging period with reduced ovarian reserve in young age across the STRAW stages.

Thermal evidence of Caledonide foreland, molasse sedimentation in Fennoscandia

Energy Technology Data Exchange (ETDEWEB)

Tullborg, E L; Larsson, S Aa; Bjoerklund, L; Stigh, J [Goeteborg Univ. (Sweden). Dept. of Geology, Earth Sciences Centre; Samuelsson, L [Geological Survey of Sweden, Goeteborg (Sweden). Earth Sciences Centre

1995-11-01

The Phanerozoic rocks present on the Fennoscandian Shield are dominantly of Cambrian to Silurian age. They represent a relatively thin sedimentary cover. The question is: why do we not see any remnants of younger sedimentary rocks? Did they ever exist, have they been eroded, transported and redeposited elsewhere? {delta}{sup 18}O and {delta}{sup 13}C analyses of Ordovician limestones from different places in Sweden and from the Oslo region in Norway show modification of their original marine signature according to the {delta}{sup 18}O concentrations, while the {delta}{sup 13}C concentrations generally are typical for marine limestones. In some cases the modifications can be explained by intrusions of dykes or by metamorphic events, but in most areas the redistribution of the oxygen isotopes indicates burial diagenesis. From a number of published investigations, raised temperatures at the present surface during the late Palaeozoic, are indicated by different temperature indicators. We suggest that these increased temperatures were due to a sedimentary cover of mainly Devonian sediments deposited on top of the Cambrian-Silurian sequence. This palaeo-cover caused raised temperatures at the present rock surface. In the Proterozoic basement, annealing of fission tracks in apatite and mobility of radiogenic lead also give evidence of increased temperatures. A model where the thickness of the Upper Paleozoic cover of the Caledonian foreland is 2-4 kilometers thick is suggested. This cover mainly consisted of late Silurian-Devonian erosion products from the Caledonides, the latter formed during a Silurian continent-continent collision. A major Permian to Triassic uplift and erosion reduced the cover significantly. 94 refs, 9 figs.

Stages of Change or Changes of Stage? Predicting Transitions in Transtheoretical Model Stages in Relation to Healthy Food Choice

Science.gov (United States)

Armitage, Christopher J.; Sheeran, Paschal; Conner, Mark; Arden, Madelynne A.

2004-01-01

Relatively little research has examined factors that account for transitions between transtheoretical model (TTM) stages of change. The present study (N=787) used sociodemographic, TTM, and theory of planned behavior (TPB) variables, as well as theory-driven interventions to predict changes in stage. Longitudinal analyses revealed that…

On the possibility of occurrence of uranium mineralization in some sedimentary formations of the Sudety Mts

International Nuclear Information System (INIS)

Miecznik, J.B.; Strzelecki, R.

1979-01-01

The Sudety Mts represent a part of the Bohemian Massif which is one of the richest uranium-bearing regions in Europe. The possibilities of occurrence of uranium in most interesting sedimentary formations of the Sudety Mts are analysed. The sedimentary formations which originated during the platform stage of evolution of these Mountains, after formation of Variscan endogenic mineralization, were recognized as perspective here. Sandstone-type uranium deposits and uraniferous black shales were assumed to be the most important in that area. Sandstone-type uranium deposits are related to continental uppermost Carboniferous (Glinik Beds - Westphalian C-D and, possibly, lowermost Stephanian) of the Central Sudety (Intra-Sudetic Depression). They closely resemble uranium deposits known from continental clastic Permo-Carboniferous sections of several parts of Europe. Westphalian D and Stephanian rocks developed in similar lithofacies in the western Sudety Mts (North-Sudetic Depression) may be also characterized by increased content of uranium. Attention is also paid to the possibilities of occurrence of uranium mineralization in shallow-marine sandstones and continental deposits of the Cenomanian as uranium deposits are known from similarly developed Cenomanian in the North Czech Upper Cretaceous Table area, i.e. in the direct neighbourhood of the Sudety Mts. Traces of uranium mineralization were found in black shales of the Lower Silurian section in the Kaczawa Mts (western Sudety Mts) and Bardo Mts (Central Sudety). The recorded concentrations (up to several hundred ppm) may be compared with uranium occurrences known from Lower Silurian sections of the Barrandian (CSSR) and Thuringia (GDR). (author)

Assessment of Growth Using Mandibular Canine Calcification Stages and Its Correlation with Modified MP3 Stages.

Science.gov (United States)

Nayak, Reshma; Nayak, Us Krishna; Hegde, Gautam

2010-01-01

Orthodontic diagnosis and treatment planning for growing children must involve growth prediction, especially in the treatment of skeletal problems. Studies have shown that a strong association exists between skeletal maturity and dental calcification stages. The present study was therefore taken up to provide a simple and practical method for assessing skeletal maturity using a dental periapical film and standard dental X-ray machine, to compare the developmental stages of the mandibular canine with that of developmental stages of modified MP3 and to find out if any correlation exists, to determine if the developmental stages of the mandibular canine alone can be used as a reliable indicator for assessment of skeletal maturity. A total of 160 periapical radiographs (80 males and 80 females), of the mandibular right canine and the MP3 region was taken and assessed according to the Dermirjian's stages of dental calcification and the modified MP3 stages. The correlation between the developmental stages of MP3 and the mandibular right canine in male and female groups, is of high statistical significance (p = 0.001). The correlation coefficient between MP3 stages and developmental stages of mandibular canine and chronological age in male and females was found to be not significant. The correlation between the mandibular canine calcification stages and MP3 stages was found to be significant. The developmental stages of the mandibular canine could be used very reliably as a sole indicator for assessment of skeletal maturity.

One-stage versus two-stage exchange arthroplasty for infected total knee arthroplasty: a systematic review.

Science.gov (United States)

Nagra, Navraj S; Hamilton, Thomas W; Ganatra, Sameer; Murray, David W; Pandit, Hemant

2016-10-01

Infection complicating total knee arthroplasty (TKA) has serious implications. Traditionally the debate on whether one- or two-stage exchange arthroplasty is the optimum management of infected TKA has favoured two-stage procedures; however, a paradigm shift in opinion is emerging. This study aimed to establish whether current evidence supports one-stage revision for managing infected TKA based on reinfection rates and functional outcomes post-surgery. MEDLINE/PubMed and CENTRAL databases were reviewed for studies that compared one- and two-stage exchange arthroplasty TKA in more than ten patients with a minimum 2-year follow-up. From an initial sample of 796, five cohort studies with a total of 231 patients (46 single-stage/185 two-stage; median patient age 66 years, range 61-71 years) met inclusion criteria. Overall, there were no significant differences in risk of reinfection following one- or two-stage exchange arthroplasty (OR -0.06, 95 % confidence interval -0.13, 0.01). Subgroup analysis revealed that in studies published since 2000, one-stage procedures have a significantly lower reinfection rate. One study investigated functional outcomes and reported that one-stage surgery was associated with superior functional outcomes. Scarcity of data, inconsistent study designs, surgical technique and antibiotic regime disparities limit recommendations that can be made. Recent studies suggest one-stage exchange arthroplasty may provide superior outcomes, including lower reinfection rates and superior function, in select patients. Clinically, for some patients, one-stage exchange arthroplasty may represent optimum treatment; however, patient selection criteria and key components of surgical and post-operative anti-microbial management remain to be defined. III.

Two-stage revision of septic knee prosthesis with articulating knee spacers yields better infection eradication rate than one-stage or two-stage revision with static spacers.

Science.gov (United States)

Romanò, C L; Gala, L; Logoluso, N; Romanò, D; Drago, L

2012-12-01

The best method for treating chronic periprosthetic knee infection remains controversial. Randomized, comparative studies on treatment modalities are lacking. This systematic review of the literature compares the infection eradication rate after two-stage versus one-stage revision and static versus articulating spacers in two-stage procedures. We reviewed full-text papers and those with an abstract in English published from 1966 through 2011 that reported the success rate of infection eradication after one-stage or two-stage revision with two different types of spacers. In all, 6 original articles reporting the results after one-stage knee exchange arthoplasty (n = 204) and 38 papers reporting on two-stage revision (n = 1,421) were reviewed. The average success rate in the eradication of infection was 89.8% after a two-stage revision and 81.9% after a one-stage procedure at a mean follow-up of 44.7 and 40.7 months, respectively. The average infection eradication rate after a two-stage procedure was slightly, although significantly, higher when an articulating spacer rather than a static spacer was used (91.2 versus 87%). The methodological limitations of this study and the heterogeneous material in the studies reviewed notwithstanding, this systematic review shows that, on average, a two-stage procedure is associated with a higher rate of eradication of infection than one-stage revision for septic knee prosthesis and that articulating spacers are associated with a lower recurrence of infection than static spacers at a comparable mean duration of follow-up. IV.

COOLING STAGES OF CRYOGENIC SYSTEMS

OpenAIRE

Троценко, А. В.

2011-01-01

The formalized definition for cooling stage of low temperature system is done. Based on existing information about the known cryogenic unit cycles the possible types of cooling stages are single out. From analyses of these stages their classification by various characteristics is suggested. The results of thermodynamic optimization of final throttle stage of cooling, which are used as working fluids helium, hydrogen and nitrogen, are shown.

Staging of laser-plasma accelerators

Energy Technology Data Exchange (ETDEWEB)

Steinke, S., E-mail: ssteinke@lbl.gov; Tilborg, J. van; Benedetti, C.; Geddes, C. G. R.; Gonsalves, A. J.; Nakamura, K.; Schroeder, C. B.; Esarey, E. [Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); Daniels, J. [Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); Eindhoven University of Technology, PO Box 513, 5600MB Eindhoven (Netherlands); Swanson, K. K.; Shaw, B. H.; Leemans, W. P. [Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); University of California, Berkeley, California 94720 (United States)

2016-05-15

We present results of an experiment where two laser-plasma-accelerator stages are coupled at a short distance by a plasma mirror. Stable electron beams from the first stage were used to longitudinally probe the dark-current-free, quasi-linear wakefield excited by the laser of the second stage. Changing the arrival time of the electron beam with respect to the second stage laser pulse allowed reconstruction of the temporal wakefield structure, determination of the plasma density, and inference of the length of the electron beam. The first stage electron beam could be focused by an active plasma lens to a spot size smaller than the transverse wake size at the entrance of the second stage. This permitted electron beam trapping, verified by a 100 MeV energy gain.

Cervical Cancer Stage IIIB

Science.gov (United States)

... by the cancer. This blockage can cause the kidney to enlarge or stop working. Stage IIIB cervical cancer. Topics/Categories: Anatomy -- Gynecologic Cancer Types -- Cervical Cancer Staging Type: Color, ...

Interconnected Levels of Multi-Stage Marketing

DEFF Research Database (Denmark)

Vedel, Mette; Geersbro, Jens; Ritter, Thomas

2012-01-01

different levels of multi-stage marketing and illustrates these stages with a case study. In addition, a triadic perspective is introduced as an analytical tool for multi-stage marketing research. The results from the case study indicate that multi-stage marketing exists on different levels. Thus, managers...... must not only decide in general on the merits of multi-stage marketing for their firm, but must also decide on which level they will engage in multi-stage marketing. The triadic perspective enables a rich and multi-dimensional understanding of how different business relationships influence each other...... in a multi-stage marketing context. This understanding assists managers in assessing and balancing different aspects of multi- stage marketing. The triadic perspective also offers avenues for further research....

Staged membrane oxidation reactor system

Science.gov (United States)

Repasky, John Michael; Carolan, Michael Francis; Stein, VanEric Edward; Chen, Christopher Ming-Poh

2012-09-11

Ion transport membrane oxidation system comprising (a) two or more membrane oxidation stages, each stage comprising a reactant zone, an oxidant zone, one or more ion transport membranes separating the reactant zone from the oxidant zone, a reactant gas inlet region, a reactant gas outlet region, an oxidant gas inlet region, and an oxidant gas outlet region; (b) an interstage reactant gas flow path disposed between each pair of membrane oxidation stages and adapted to place the reactant gas outlet region of a first stage of the pair in flow communication with the reactant gas inlet region of a second stage of the pair; and (c) one or more reactant interstage feed gas lines, each line being in flow communication with any interstage reactant gas flow path or with the reactant zone of any membrane oxidation stage receiving interstage reactant gas.

Dilemmas in Lung Cancer Staging.

Science.gov (United States)

Vlahos, Ioannis

2018-05-01

The advent of the 8th edition of the lung cancer staging system reflects a further meticulous evidence-based advance in the stratification of the survival of patients with lung cancer. Although addressing many limitations of earlier staging systems, several limitations in staging remain. This article reviews from a radiological perspective the limitations of the current staging system, highlighting the process of TNM restructuring, the residual issues with regards to the assignment of T, N, M descriptors, and their associated stage groupings and how these dilemmas impact guidance of multidisciplinary teams taking care of patients with lung cancer. Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.

Accuracy of preoperative CT T staging of renal cell carcinoma: which features predict advanced stage?

International Nuclear Information System (INIS)

Bradley, A.J.; MacDonald, L.; Whiteside, S.; Johnson, R.J.; Ramani, V.A.C.

2015-01-01

Aims: To characterise CT findings in renal cell carcinoma (RCC), and establish which features are associated with higher clinical T stage disease, and to evaluate patterns of discrepancy between radiological and pathological staging of RCC. Materials and methods: Preoperative CT studies of 92 patients with 94 pathologically proven RCCs were retrospectively reviewed. CT stage was compared with pathological stage using the American Joint Committee on Cancer (AJCC), 7 th edition (2010). The presence or absence of tumour necrosis, perinephric fat standing, thickening of Gerota's fascia, collateral vessels were noted, and correlated with pT stage. The sensitivity, specificity, and positive (PPV) and negative predictive values (NPV) for predicting pT stage ≥pT3a were derived separately for different predictors using cross-tabulations. Results: Twenty-four lesions were pathological stage T1a, 21 were T1b, seven were T2a, 25 were T3a, 11 were T3b, four were T3c, and two were T4. There were no stage T2b. Sixty-three (67%) patients had necrosis, 27 (29%) thickening of Gerota's fascia (1 T1a), 25 had collateral vessels (0 T1a), 28 (30%) had fat stranding of <2 mm, 20 (21%) of 2–5mm and one (1%) of >5 mm. For pT stage ≥pT3a, the presence of perinephric fat stranding had a sensitivity, specificity, PPV and NPV of 74%, 65%, 63%, and 76%, respectively. Presence of tumour necrosis had a sensitivity, specificity, PPV, and NPV of 81%, 44%, 54%, and 72%, respectively. Thickening of Gerota's fascia had a sensitivity, specificity, PPV, and NPV of 52%, 90%, 81% and 70%, respectively; and enlarged collateral vessels had a sensitivity, specificity, PPV, and NPV value of 52%, 94%, 88%, and 71% respectively. Conclusion: The presence of perinephric stranding and tumour necrosis were not reliable signs for pT stage >T3a. Thickening of Gerota's fascia and the presence of collateral vessels in the peri- or paranephric fat had 90% and 94% specificity, with 82% and 88

Staging of gastric adenocarcinoma using two-phase spiral CT: correlation with pathologic staging

International Nuclear Information System (INIS)

Seo, Tae Seok; Lee, Dong Ho; Ko, Young Tae; Lim, Joo Won

1998-01-01

To correlate the preoperative staging of gastric adenocarcinoma using two-phase spiral CT with pathologic staging. One hundred and eighty patients with gastric cancers confirmed during surgery underwent two-phase spiral CT, and were evaluated retrospectively. CT scans were obtained in the prone position after ingestion of water. Scans were performed 35 and 80 seconds after the start of infusion of 120mL of non-ionic contrast material with the speed of 3mL/sec. Five mm collimation, 7mm/sec table feed and 5mm reconstruction interval were used. T-and N-stage were determined using spiral CT images, without knowledge of the pathologic results. Pathologic staging was later compared with CT staging. Pathologic T-stage was T1 in 70 cases(38.9%), T2 in 33(18.3%), T3 in 73(40.6%), and T4 in 4(2.2%). Type-I or IIa elevated lesions accouted for 10 of 70 T1 cases(14.3%) and flat or depressed lesions(type IIb, IIc, or III) for 60(85.7%). Pathologic N-stage was NO in 85 cases(47.2%), N1 in 42(23.3%), N2 in 31(17.2%), and N3 in 22(12,2%). The detection rate of early gastric cancer using two-phase spiral CT was 100.0%(10 of 10 cases) among elevated lesions and 78.3%(47 of 60 cases) among flat or depressed lesions. With regard to T-stage, there was good correlation between CT image and pathology in 86 of 180 cases(47.8%). Overstaging occurred in 23.3%(42 of 180 cases) and understaging in 28.9%(52 of 180 cases). With regard to N-stage, good correlation between CT image and pathology was noted in 94 of 180 cases(52.2%). The rate of understaging(31.7%, 57 of 180 cases) was higher than that of overstaging(16.1%, 29 of 180 cases)(p<0.001). The detection rate of early gastric cancer using two-phase spiral CT was 81.4%, and there was no significant difference in detectability between elevated and depressed lesions. Two-phase spiral CT for determing the T-and N-stage of gastric cancer was not effective;it was accurate in abont 50% of cases understaging tended to occur.=20

Early-stage mantle cell lymphoma

DEFF Research Database (Denmark)

Dabaja, B S; Zelenetz, A D; Ng, A K

2017-01-01

Background: Mantle cell lymphoma (MCL) rarely presents as early-stage disease, but clinical observations suggest that patients who present with early-stage disease may have better outcomes than those with advanced-stage disease. Patients and methods: In this 13-institution study, we examined...

Stage measurement at gaging stations

Science.gov (United States)

Sauer, Vernon B.; Turnipseed, D. Phil

2010-01-01

Stream and reservoir stage are critical parameters in the computation of stream discharge and reservoir volume, respectively. In addition, a record of stream stage is useful in the design of structures that may be affected by stream elevation, as well as for the planning for various uses of flood plains. This report describes equipment and methodology for the observation, sensing, and recording of stage in streams and reservoirs. Although the U.S. Geological Survey (USGS) still uses the traditional, basic stilling-well float system as a predominant gaging station, modern electronic stage sensors and water-level recorders are now commonly used. Bubble gages coupled with nonsubmersible pressure transducers eliminate the need for stilling wells. Submersible pressure transducers have become common in use for the measurement of stage in both rivers and lakes. Furthermore, noncontact methods, such as radar, acoustic, and laser methods of sensing water levels, are being developed and tested, and in the case of radar, are commonly used for the measurement of stage. This report describes commonly used gaging-station structures, as well as the design and operation of gaging stations. Almost all of the equipment and instruments described in this report will meet the accuracy standard set by the USGS Office of Surface Water (OSW) for the measurement of stage for most applications, which is ±0.01 foot (ft) or 0.2 percent of the effective stage. Several telemetry systems are used to transmit stage data from the gaging station to the office, although satellite telemetry has become the standard. These telemetry systems provide near real-time stage data, as well as other information that alerts the hydrographer to extreme or abnormal events, and instrument malfunctions.

End-stage kidney disease

Science.gov (United States)

... stage; Kidney failure - end stage; ESRD; ESKD Images Kidney anatomy References Fogarty DG, Taal MW. A stepped care approach to the management of chronic kidney disease. In: Skorecki K, Chertow GM, Marsden PA, ...

Second stage of Saturn V being assembled with the first stage.

Science.gov (United States)

1965-01-01

The hydrogen-powered second stage is being lowered into place during the final phase of fabrication of the Saturn V moon rocket at North American's Seal Beach, California facility. The towering 363-foot Saturn V was a multi-stage, multi-engine launch vehicle standing taller than the Statue of Liberty. Altogether, the Saturn V engines produced as much power as 85 Hoover Dams.

Comparison of outcomes in patients with stage III versus limited stage IV non-small cell lung cancer

International Nuclear Information System (INIS)

Cheruvu, Praveena; Metcalfe, Su K; Metcalfe, Justin; Chen, Yuhchyau; Okunieff, Paul; Milano, Michael T

2011-01-01

Standard therapy for metastatic non small cell lung cancer (NSCLC) includes palliative systemic chemotherapy and/or radiotherapy. Recent studies of patients with limited metastases treated with curative-intent stereotactic body radiation therapy (SBRT) have shown encouraging survival. We hypothesized that patients treated with SBRT for limited metastases have comparable outcomes with those treated with curative-intent radiation for Stage III NSCLC. We retrospectively reviewed the records of NSCLC patients treated with curative-intent radiotherapy at the University of Rochester from 2000-2008. We identified 3 groups of patients with NSCLC: stage III, stage IV, and recurrent stage IV (initial stage I-II). All stage IV NSCLC patients treated with SBRT had ≤ 8 lesions. Of 146 patients, 88% had KPS ≥ 80%, 30% had > 5% weight loss, and 95% were smokers. The 5-year OS from date of NSCLC diagnosis for stage III, initial stage IV and recurrent stage IV was 7%, 14%, and 27% respectively. The 5-year OS from date of metastatic diagnosis was significantly (p < 0.00001) superior among those with limited metastases (≤ 8 lesions) versus stage III patients who developed extensive metastases not amenable to SBRT (14% vs. 0%). Stage IV NSCLC is a heterogeneous patient population, with a selected cohort apparently faring better than Stage III patients. Though patients with limited metastases are favorably selected by virtue of more indolent disease and/or less bulky disease burden, perhaps staging these patients differently is appropriate for prognostic and treatment characterization. Aggressive local therapy may be indicated in these patients, though prospective clinical studies are needed

Comparison of Oone-Stage Free Gracilis Muscle Flap With Two-Stage Method in Chronic Facial Palsy

Directory of Open Access Journals (Sweden)

J Ghaffari

2007-08-01

Full Text Available Background:Rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. The traditional method for treatment of patients with facial palsy is the two-stage free gracilis flap which has a long latency period of between the two stages of surgery.Methods: In this paper, we prospectively compared the results of the one-stage gracilis flap method with the two -stage technique.Results:Out of 41 patients with facial palsy refered to Hazrat-e-Fatemeh Hospital 31 were selected from whom 22 underwent two- stage and 9 one-stage method treatment. The two groups were identical according to age,sex,intensity of illness, duration, and chronicity of illness. Mean duration of follow up was 37 months. There was no significant relation between the two groups regarding the symmetry of face in repose, smiling, whistling and nasolabial folds. Frequency of complications was equal in both groups. The postoperative surgeons and patients' satisfaction were equal in both groups. There was no significant difference between the mean excursion of muscle flap in one-stage (9.8 mm and two-stage groups (8.9 mm. The ratio of contraction of the affected side compared to the normal side was similar in both groups. The mean time of the initial contraction of the muscle flap in the one-stage group (5.5 months had a significant difference (P=0.001 with the two-stage one (6.5 months.The study revealed a highly significant difference (P=0.0001 between the mean waiting period from the first operation to the beginning of muscle contraction in one-stage(5.5 monthsand two-stage groups(17.1 months.Conclusion:It seems that the results and complication of the two methods are the same,but the one-stage method requires less time for facial reanimation,and is costeffective because it saves time and decreases hospitalization costs.

Effect of ammoniacal nitrogen on one-stage and two-stage anaerobic digestion of food waste

International Nuclear Information System (INIS)

Ariunbaatar, Javkhlan; Scotto Di Perta, Ester; Panico, Antonio; Frunzo, Luigi; Esposito, Giovanni; Lens, Piet N.L.; Pirozzi, Francesco

2015-01-01

Highlights: • Almost 100% of the biomethane potential of food waste was recovered during AD in a two-stage CSTR. • Recirculation of the liquid fraction of the digestate provided the necessary buffer in the AD reactors. • A higher OLR (0.9 gVS/L·d) led to higher accumulation of TAN, which caused more toxicity. • A two-stage reactor is more sensitive to elevated concentrations of ammonia. • The IC 50 of TAN for the AD of food waste amounts to 3.8 g/L. - Abstract: This research compares the operation of one-stage and two-stage anaerobic continuously stirred tank reactor (CSTR) systems fed semi-continuously with food waste. The main purpose was to investigate the effects of ammoniacal nitrogen on the anaerobic digestion process. The two-stage system gave more reliable operation compared to one-stage due to: (i) a better pH self-adjusting capacity; (ii) a higher resistance to organic loading shocks; and (iii) a higher conversion rate of organic substrate to biomethane. Also a small amount of biohydrogen was detected from the first stage of the two-stage reactor making this system attractive for biohythane production. As the digestate contains ammoniacal nitrogen, re-circulating it provided the necessary alkalinity in the systems, thus preventing an eventual failure by volatile fatty acids (VFA) accumulation. However, re-circulation also resulted in an ammonium accumulation, yielding a lower biomethane production. Based on the batch experimental results the 50% inhibitory concentration of total ammoniacal nitrogen on the methanogenic activities was calculated as 3.8 g/L, corresponding to 146 mg/L free ammonia for the inoculum used for this research. The two-stage system was affected by the inhibition more than the one-stage system, as it requires less alkalinity and the physically separated methanogens are more sensitive to inhibitory factors, such as ammonium and propionic acid

Seven Stages of Alzheimer's

Science.gov (United States)

... Disease > Stages Overview What Is Dementia? What Is Alzheimer's? Younger/Early Onset Facts and Figures Know the 10 Signs Stages Inside the Brain: An Interactive Tour Risk Factors Diagnosis Treatments Myths Clinical Studies Research Brain Donation ...

A rare case of persistent metopic suture in an elderly individual: Incidental autopsy finding with clinical implications

Directory of Open Access Journals (Sweden)

S Vikram

2014-01-01

Full Text Available Metopic suture is a dense fibrous joint extending from the nasion to the bregma. Normally, closure of this suture takes place between 1-8 years of age. Failure of this closure beyond 8 years leads to persistent metopic suture. A rare case of persistent metopic suture in a 60-year-old male is documented, who committed suicide by alleged consumption of organophosphorous compound at District Govt. Wenlock Hospital, Mangalore, Karnataka, India. Metopic suture may mimic skull fracture and may mislead an inexperienced forensic expert. Neurosurgeon should also be aware of this anatomical variation while performing frontal craniotomy, as the persistent metopic suture may mimic vertical fracture of the skull. Hence, in this case report, the clinical and medico-legal implications of the persistent metopic sutures have been discussed.

Two-Stage Centrifugal Fan

Science.gov (United States)

Converse, David

2011-01-01

Fan designs are often constrained by envelope, rotational speed, weight, and power. Aerodynamic performance and motor electrical performance are heavily influenced by rotational speed. The fan used in this work is at a practical limit for rotational speed due to motor performance characteristics, and there is no more space available in the packaging for a larger fan. The pressure rise requirements keep growing. The way to ordinarily accommodate a higher DP is to spin faster or grow the fan rotor diameter. The invention is to put two radially oriented stages on a single disk. Flow enters the first stage from the center; energy is imparted to the flow in the first stage blades, the flow is redirected some amount opposite to the direction of rotation in the fixed stators, and more energy is imparted to the flow in the second- stage blades. Without increasing either rotational speed or disk diameter, it is believed that as much as 50 percent more DP can be achieved with this design than with an ordinary, single-stage centrifugal design. This invention is useful primarily for fans having relatively low flow rates with relatively high pressure rise requirements.

Two-Stage Series-Resonant Inverter

Science.gov (United States)

Stuart, Thomas A.

1994-01-01

Two-stage inverter includes variable-frequency, voltage-regulating first stage and fixed-frequency second stage. Lightweight circuit provides regulated power and is invulnerable to output short circuits. Does not require large capacitor across ac bus, like parallel resonant designs. Particularly suitable for use in ac-power-distribution system of aircraft.

A six-degree-of-freedom magnetic levitation fine stage for a high-precision and high-acceleration dual-servo stage

International Nuclear Information System (INIS)

Kim, MyeongHyeon; Jeong, Jae-heon; Gweon, DaeGab; Kim, HyoYoung

2015-01-01

This paper presents a novel six-degree-of-freedom magnetic levitation fine stage for a dual-servo stage. The proposed fine stage is levitated and actuated, using a voice coil motor actuator with a Halbach magnet array. For a dual-servo stage, fine stage performance is deeply intertwined with coarse stage performance. Because the fine stage is installed over the coarse stage, the overall size of the fine stage can be limited by the moving plate of the coarse stage. Therefore, magnetic flux modeling and optimization are performed to manufacture optimal fine stages. To control the fine stage, actuator kinetics and sensor kinematics are proposed. Homing control is implemented by using linear variable differential transformers, whereas fine control is implemented by capacitance sensors and laser interferometers. Finally, experimental results of in-position stability, moving range, and repeatability are presented. (paper)

Phylogenetic and biogeographic analysis of sphaerexochine trilobites.

Directory of Open Access Journals (Sweden)

Curtis R Congreve

Full Text Available BACKGROUND: Sphaerexochinae is a speciose and widely distributed group of cheirurid trilobites. Their temporal range extends from the earliest Ordovician through the Silurian, and they survived the end Ordovician mass extinction event (the second largest mass extinction in Earth history. Prior to this study, the individual evolutionary relationships within the group had yet to be determined utilizing rigorous phylogenetic methods. Understanding these evolutionary relationships is important for producing a stable classification of the group, and will be useful in elucidating the effects the end Ordovician mass extinction had on the evolutionary and biogeographic history of the group. METHODOLOGY/PRINCIPAL FINDINGS: Cladistic parsimony analysis of cheirurid trilobites assigned to the subfamily Sphaerexochinae was conducted to evaluate phylogenetic patterns and produce a hypothesis of relationship for the group. This study utilized the program TNT, and the analysis included thirty-one taxa and thirty-nine characters. The results of this analysis were then used in a Lieberman-modified Brooks Parsimony Analysis to analyze biogeographic patterns during the Ordovician-Silurian. CONCLUSIONS/SIGNIFICANCE: The genus Sphaerexochus was found to be monophyletic, consisting of two smaller clades (one composed entirely of Ordovician species and another composed of Silurian and Ordovician species. By contrast, the genus Kawina was found to be paraphyletic. It is a basal grade that also contains taxa formerly assigned to Cydonocephalus. Phylogenetic patterns suggest Sphaerexochinae is a relatively distinctive trilobite clade because it appears to have been largely unaffected by the end Ordovician mass extinction. Finally, the biogeographic analysis yields two major conclusions about Sphaerexochus biogeography: Bohemia and Avalonia were close enough during the Silurian to exchange taxa; and during the Ordovician there was dispersal between Eastern Laurentia and

Ovarian Cancer Stage II

Science.gov (United States)

... peritoneal cancer; the first panel (stage IIA) shows cancer inside both ovaries that has spread to the uterus and fallopian tube. The second panel (stage IIB) shows cancer inside both ovaries that has spread to the colon. The third ...

Experiments for Multi-Stage Processes

DEFF Research Database (Denmark)

Tyssedal, John; Kulahci, Murat

2015-01-01

Multi-stage processes are very common in both process and manufacturing industries. In this article we present a methodology for designing experiments for multi-stage processes. Typically in these situations the design is expected to involve many factors from different stages. To minimize...... the required number of experimental runs, we suggest using mirror image pairs of experiments at each stage following the first. As the design criterion, we consider their projectivity and mainly focus on projectivity 3 designs. We provide the methodology for generating these designs for processes with any...

A Systems Approach to Identifying Exploration and Development Opportunities in the Illinois Basin: Digital Portifolio of Plays in Underexplored Lower Paleozoic Rocks [Part 1 of 2

Energy Technology Data Exchange (ETDEWEB)

Seyler, Beverly; Harris, David; Keith, Brian; Huff, Bryan; Lasemi, Yaghoob

2008-06-30

This study examined petroleum occurrence in Ordovician, Silurian and Devonian reservoirs in the Illinois Basin. Results from this project show that there is excellent potential for additional discovery of petroleum reservoirs in these formations. Numerous exploration targets and exploration strategies were identified that can be used to increase production from these underexplored strata. Some of the challenges to exploration of deeper strata include the lack of subsurface data, lack of understanding of regional facies changes, lack of understanding the role of diagenetic alteration in developing reservoir porosity and permeability, the shifting of structural closures with depth, overlooking potential producing horizons, and under utilization of 3D seismic techniques. This study has shown many areas are prospective for additional discoveries in lower Paleozoic strata in the Illinois Basin. This project implemented a systematic basin analysis approach that is expected to encourage exploration for petroleum in lower Paleozoic rocks of the Illinois Basin. The study has compiled and presented a broad base of information and knowledge needed by independent oil companies to pursue the development of exploration prospects in overlooked, deeper play horizons in the Illinois Basin. Available geologic data relevant for the exploration and development of petroleum reservoirs in the Illinois Basin was analyzed and assimilated into a coherent, easily accessible digital play portfolio. The primary focus of this project was on case studies of existing reservoirs in Devonian, Silurian, and Ordovician strata and the application of knowledge gained to future exploration and development in these underexplored strata of the Illinois Basin. In addition, a review of published reports and exploration in the New Albany Shale Group, a Devonian black shale source rock, in Illinois was completed due to the recent increased interest in Devonian black shales across the United States. The New

The IASLC Lung Cancer Staging Project

DEFF Research Database (Denmark)

Chansky, Kari; Detterbeck, Frank C; Nicholson, Andrew G

2017-01-01

INTRODUCTION: Revisions to the TNM stage classifications for lung cancer, informed by the international database (N = 94,708) of the International Association for the Study of Lung Cancer (IASLC) Staging and Prognostic Factors Committee, need external validation. The objective was to externally...... demonstrated consistent ability to discriminate TNM categories and stage groups for clinical and pathologic stage. CONCLUSIONS: The IASLC revisions made for the eighth edition of lung cancer staging are validated by this analysis of the NCDB database by the ordering, statistical differences, and homogeneity...... validate the revisions by using the National Cancer Data Base (NCDB) of the American College of Surgeons. METHODS: Cases presenting from 2000 through 2012 were drawn from the NCDB and reclassified according to the eighth edition stage classification. Clinically and pathologically staged subsets of NSCLC...

Social Development Training Project. Stage I and Stage II. [The Granville Project].

Science.gov (United States)

Riches, Vivienne C., Ed.

The book presents a training program developed at the Granville Work Preparation Centre in Australia, to teach mildly retarded adolescents basic social skills and competencies. The program is divided into two stages, with a total of 17 different skill areas. Stage 1 covers self-awareness, social/interpersonal skills, relaxation and behavioral self…

Bladder cancer staging in CT urography: effect of stage labels on statistical modeling of a decision support system

Science.gov (United States)

Gandikota, Dhanuj; Hadjiiski, Lubomir; Cha, Kenny H.; Chan, Heang-Ping; Caoili, Elaine M.; Cohan, Richard H.; Weizer, Alon; Alva, Ajjai; Paramagul, Chintana; Wei, Jun; Zhou, Chuan

2018-02-01

In bladder cancer, stage T2 is an important threshold in the decision of administering neoadjuvant chemotherapy. Our long-term goal is to develop a quantitative computerized decision support system (CDSS-S) to aid clinicians in accurate staging. In this study, we examined the effect of stage labels of the training samples on modeling such a system. We used a data set of 84 bladder cancers imaged with CT Urography (CTU). At clinical staging prior to treatment, 43 lesions were staged as below stage T2 and 41 were stage T2 or above. After cystectomy and pathological staging that is considered the gold standard, 10 of the lesions were upstaged to stage T2 or above. After correcting the stage labels, 33 lesions were below stage T2, and 51 were stage T2 or above. For the CDSS-S, the lesions were segmented using our AI-CALS method and radiomic features were extracted. We trained a linear discriminant analysis (LDA) classifier with leave-one-case-out cross validation to distinguish between bladder lesions of stage T2 or above and those below stage T2. The CDSS-S was trained and tested with the corrected post-cystectomy labels, and as a comparison, CDSS-S was also trained with understaged pre-treatment labels and tested on lesions with corrected labels. The test AUC for the CDSS-S trained with corrected labels was 0.89 +/- 0.04. For the CDSS-S trained with understaged pre-treatment labels and tested on the lesions with corrected labels, the test AUC was 0.86 +/- 0.04. The likelihood of stage T2 or above for 9 out of the 10 understaged lesions was correctly increased for the CDSS-S trained with corrected labels. The CDSS-S is sensitive to the accuracy of stage labeling. The CDSS-S trained with correct labels shows promise in prediction of the bladder cancer stage.

Methodology of theory of stage-by-stage long-term preparation of sportsmen in single combats

Directory of Open Access Journals (Sweden)

Arziutov G.

2010-04-01

Full Text Available Results over of researches are brought on methodology of theory of stage-by-stage preparation of sportsmen in single combats. The structuralness of theory lies in possibility simple verifications of its substantive provisions, principles and laws. Development of methodology enables to begin creation of map of trainer on the stages of long-term preparation. Laws, conformities to law, principles and rules, must be collected in a map. A map enables the trainers of reserve sport to use its content during all stages of preparation of sportsman.

Effect of ammoniacal nitrogen on one-stage and two-stage anaerobic digestion of food waste

Energy Technology Data Exchange (ETDEWEB)

Ariunbaatar, Javkhlan, E-mail: jaka@unicas.it [Department of Civil and Mechanical Engineering, University of Cassino and Southern Lazio, Via Di Biasio 43, 03043 Cassino, FR (Italy); UNESCO-IHE Institute for Water Education, Westvest 7, 2611 AX Delft (Netherlands); Scotto Di Perta, Ester [Department of Civil, Architectural and Environmental Engineering, University of Naples Federico II, Via Claudio 21, 80125 Naples (Italy); Panico, Antonio [Telematic University PEGASO, Piazza Trieste e Trento, 48, 80132 Naples (Italy); Frunzo, Luigi [Department of Mathematics and Applications Renato Caccioppoli, University of Naples Federico II, Via Claudio, 21, 80125 Naples (Italy); Esposito, Giovanni [Department of Civil and Mechanical Engineering, University of Cassino and Southern Lazio, Via Di Biasio 43, 03043 Cassino, FR (Italy); Lens, Piet N.L. [UNESCO-IHE Institute for Water Education, Westvest 7, 2611 AX Delft (Netherlands); Pirozzi, Francesco [Department of Civil, Architectural and Environmental Engineering, University of Naples Federico II, Via Claudio 21, 80125 Naples (Italy)

2015-04-15

Highlights: • Almost 100% of the biomethane potential of food waste was recovered during AD in a two-stage CSTR. • Recirculation of the liquid fraction of the digestate provided the necessary buffer in the AD reactors. • A higher OLR (0.9 gVS/L·d) led to higher accumulation of TAN, which caused more toxicity. • A two-stage reactor is more sensitive to elevated concentrations of ammonia. • The IC{sub 50} of TAN for the AD of food waste amounts to 3.8 g/L. - Abstract: This research compares the operation of one-stage and two-stage anaerobic continuously stirred tank reactor (CSTR) systems fed semi-continuously with food waste. The main purpose was to investigate the effects of ammoniacal nitrogen on the anaerobic digestion process. The two-stage system gave more reliable operation compared to one-stage due to: (i) a better pH self-adjusting capacity; (ii) a higher resistance to organic loading shocks; and (iii) a higher conversion rate of organic substrate to biomethane. Also a small amount of biohydrogen was detected from the first stage of the two-stage reactor making this system attractive for biohythane production. As the digestate contains ammoniacal nitrogen, re-circulating it provided the necessary alkalinity in the systems, thus preventing an eventual failure by volatile fatty acids (VFA) accumulation. However, re-circulation also resulted in an ammonium accumulation, yielding a lower biomethane production. Based on the batch experimental results the 50% inhibitory concentration of total ammoniacal nitrogen on the methanogenic activities was calculated as 3.8 g/L, corresponding to 146 mg/L free ammonia for the inoculum used for this research. The two-stage system was affected by the inhibition more than the one-stage system, as it requires less alkalinity and the physically separated methanogens are more sensitive to inhibitory factors, such as ammonium and propionic acid.

Operation of staged membrane oxidation reactor systems

Science.gov (United States)

Repasky, John Michael

2012-10-16

A method of operating a multi-stage ion transport membrane oxidation system. The method comprises providing a multi-stage ion transport membrane oxidation system with at least a first membrane oxidation stage and a second membrane oxidation stage, operating the ion transport membrane oxidation system at operating conditions including a characteristic temperature of the first membrane oxidation stage and a characteristic temperature of the second membrane oxidation stage; and controlling the production capacity and/or the product quality by changing the characteristic temperature of the first membrane oxidation stage and/or changing the characteristic temperature of the second membrane oxidation stage.

Mechanisms of stage-transcending protection following immunization of mice with late liver stage-arresting genetically attenuated malaria parasites.

Directory of Open Access Journals (Sweden)

Brandon K Sack

2015-05-01

Full Text Available Malaria, caused by Plasmodium parasite infection, continues to be one of the leading causes of worldwide morbidity and mortality. Development of an effective vaccine has been encumbered by the complex life cycle of the parasite that has distinct pre-erythrocytic and erythrocytic stages of infection in the mammalian host. Historically, malaria vaccine development efforts have targeted each stage in isolation. An ideal vaccine, however, would target multiple life cycle stages with multiple arms of the immune system and be capable of eliminating initial infection in the liver, the subsequent blood stage infection, and would prevent further parasite transmission. We have previously shown that immunization of mice with Plasmodium yoelii genetically attenuated parasites (GAP that arrest late in liver stage development elicits stage-transcending protection against both a sporozoite challenge and a direct blood stage challenge. Here, we show that this immunization strategy engenders both T- and B-cell responses that are essential for stage-transcending protection, but the relative importance of each is determined by the host genetic background. Furthermore, potent anti-blood stage antibodies elicited after GAP immunization rely heavily on FC-mediated functions including complement fixation and FC receptor binding. These protective antibodies recognize the merozoite surface but do not appear to recognize the immunodominant merozoite surface protein-1. The antigen(s targeted by stage-transcending immunity are present in both the late liver stages and blood stage parasites. The data clearly show that GAP-engendered protective immune responses can target shared antigens of pre-erythrocytic and erythrocytic parasite life cycle stages. As such, this model constitutes a powerful tool to identify novel, protective and stage-transcending T and B cell targets for incorporation into a multi-stage subunit vaccine.

Stages of Penile Cancer

Science.gov (United States)

... under a microscope . Stage II In stage II , cancer has spread: to connective tissue just under the skin of the penis . Also, ... spread to one lymph node in the groin . Cancer has also spread: to connective tissue just under the skin of the penis . Also, ...

Staged bilateral carotid endarterectomy

DEFF Research Database (Denmark)

Schroeder, T; Sillesen, H; Engell, Hans Christian

1986-01-01

In a series of 56 staged bilateral carotid endarterectomies, new neurologic symptoms developed in 5% and 20% following the first and second procedure, respectively. All complications were transient or minor. The incidence of postendarterectomy hypertension was significantly higher following...... the second procedure, when operations were staged less than 3 weeks apart. A correlation between these hypertensive episodes and the occurrence of new neurologic symptoms could not be shown. However, as this correlation has been proved in several other reports, bilateral carotid endarterectomy is advised...... to be staged at least 3 weeks apart. In addition, a conservative attitude towards contralateral asymptomatic lesions is proposed....

Diagnosis and staging of testicular cancer; Diagnostik und Staging von malignen Hodentumoren

Energy Technology Data Exchange (ETDEWEB)

Eiers, Michael; Bender, Karen; Hallscheidt, Peter J. [Universitaetsklinikum Heidelberg (Germany). Abt. Diagnostische und Interventionelle Radiologie

2010-03-15

With an incidence of just 2 % of all maligne tumour diseases testicular cancer is a relative rare tumour disease. In comparison to other tumours, orchiectomy is performed as a first step therapy straight after primary staging which is performed by palpation, ultrasonography and evaluation of the tumour markers. In a second diagnostic step initial staging will be done by re-evaluation of the tumour markers, X-ray of the thorax in some cases also by CT, CT of the abdomen/pelvis or MRI of the abdomen, in progressive disease additional MRI of the head. Follow-up after curative therapy will be performed according to the histological type (seminoma - non-seminoma) and tumour staging. (orig.)

Comparative assessment of single-stage and two-stage anaerobic digestion for the treatment of thin stillage.

Science.gov (United States)

Nasr, Noha; Elbeshbishy, Elsayed; Hafez, Hisham; Nakhla, George; El Naggar, M Hesham

2012-05-01

A comparative evaluation of single-stage and two-stage anaerobic digestion processes for biomethane and biohydrogen production using thin stillage was performed to assess the impact of separating the acidogenic and methanogenic stages on anaerobic digestion. Thin stillage, the main by-product from ethanol production, was characterized by high total chemical oxygen demand (TCOD) of 122 g/L and total volatile fatty acids (TVFAs) of 12 g/L. A maximum methane yield of 0.33 L CH(4)/gCOD(added) (STP) was achieved in the two-stage process while a single-stage process achieved a maximum yield of only 0.26 L CH(4)/gCOD(added) (STP). The separation of acidification stage increased the TVFAs to TCOD ratio from 10% in the raw thin stillage to 54% due to the conversion of carbohydrates into hydrogen and VFAs. Comparison of the two processes based on energy outcome revealed that an increase of 18.5% in the total energy yield was achieved using two-stage anaerobic digestion. Copyright © 2012 Elsevier Ltd. All rights reserved.

40 CFR 264.554 - Staging piles.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Staging piles. 264.554 Section 264.554... for Cleanup § 264.554 Staging piles. This section is written in a special format to make it easier to... staging pile? A staging pile is an accumulation of solid, non-flowing remediation waste (as defined in...

Unusual Deep Water sponge assemblage in South China—Witness of the end-Ordovician mass extinction

Science.gov (United States)

Li, Lixia; Feng, Hongzhen; Janussen, Dorte; Reitner, Joachim

2015-11-01

There are few sponges known from the end-Ordovician to early-Silurian strata all over the world, and no records of sponge fossils have been found yet in China during this interval. Here we report a unique sponge assemblage spanning the interval of the end-Ordovician mass extinction from the Kaochiapien Formation (Upper Ordovician-Lower Silurian) in South China. This assemblage contains a variety of well-preserved siliceous sponges, including both Burgess Shale-type and modern type taxa. It is clear that this assemblage developed in deep water, low energy ecosystem with less competitors and more vacant niches. Its explosion may be related to the euxinic and anoxic condition as well as the noticeable transgression during the end-Ordovician mass extinction. The excellent preservation of this assemblage is probably due to the rapid burial by mud turbidites. This unusual sponge assemblage provides a link between the Burgess Shale-type deep water sponges and the modern forms. It gives an excellent insight into the deep sea palaeoecology and the macroevolution of Phanerozoic sponges, and opens a new window to investigate the marine ecosystem before and after the end-Ordovician mass extinction. It also offers potential to search for exceptional fossil biota across the Ordovician-Silurian boundary interval in China.

Unusual Deep Water sponge assemblage in South China-Witness of the end-Ordovician mass extinction.

Science.gov (United States)

Li, Lixia; Feng, Hongzhen; Janussen, Dorte; Reitner, Joachim

2015-11-05

There are few sponges known from the end-Ordovician to early-Silurian strata all over the world, and no records of sponge fossils have been found yet in China during this interval. Here we report a unique sponge assemblage spanning the interval of the end-Ordovician mass extinction from the Kaochiapien Formation (Upper Ordovician-Lower Silurian) in South China. This assemblage contains a variety of well-preserved siliceous sponges, including both Burgess Shale-type and modern type taxa. It is clear that this assemblage developed in deep water, low energy ecosystem with less competitors and more vacant niches. Its explosion may be related to the euxinic and anoxic condition as well as the noticeable transgression during the end-Ordovician mass extinction. The excellent preservation of this assemblage is probably due to the rapid burial by mud turbidites. This unusual sponge assemblage provides a link between the Burgess Shale-type deep water sponges and the modern forms. It gives an excellent insight into the deep sea palaeoecology and the macroevolution of Phanerozoic sponges, and opens a new window to investigate the marine ecosystem before and after the end-Ordovician mass extinction. It also offers potential to search for exceptional fossil biota across the Ordovician-Silurian boundary interval in China.

Thermodynamic analysis of single-stage and multi-stage adsorption refrigeration cycles with activated carbon–ammonia working pair

International Nuclear Information System (INIS)

Xu, S.Z.; Wang, L.W.; Wang, R.Z.

2016-01-01

Highlights: • Activated carbon–ammonia multi-stage adsorption refrigerator was analyzed. • COP, exergetic efficiency and entropy production of cycles were calculated. • Single-stage cycle usually has the advantages of simple structure and high COP. • Multi-stage cycles adapt to critical conditions better than single-stage cycle. • Boundary conditions for choosing optimal cycle were summarized as tables. - Abstract: Activated carbon–ammonia multi-stage adsorption refrigeration cycle was analyzed in this article, which realized deep-freezing for evaporating temperature under −18 °C with heating source temperature much lower than 100 °C. Cycle mathematical models for single, two and three-stage cycles were established on the basis of thorough thermodynamic analysis. According to simulation results of thermodynamic evaluation indicators such as COP (coefficient of performance), exergetic efficiency and cycle entropy production, multi-stage cycle adapts to high condensing temperature, low evaporating temperature and low heating source temperature well. Proposed cycle with selected working pair can theoretically work under very severe conditions, such as −25 °C evaporating temperature, 40 °C condensing temperature, and 70 °C heating source temperature, but under these working conditions it has the drawback of low cycle adsorption quantity. It was found that both COP and exergetic efficiency are of great reference value in the choice of cycle, whereas entropy production is not so useful for cycle stage selection. Finally, the application boundary conditions of single-stage, two-stage, and three-stage cycles were summarized as tables according to the simulation results, which provides reference for choosing optimal cycle under different conditions.

The cost of unresectable stage III or stage IV melanoma in Italy

Directory of Open Access Journals (Sweden)

Maio Michele

2012-11-01

Full Text Available Abstract Background In recent decades, melanoma incidence has been increasing in European countries; in 2006, there were approximately 60,000 cases leading to 13,000 deaths. Within Europe there is some geographical variation in the incidence of melanoma, with the highest rates reported in Scandinavia (15 cases per 100,000 inhabitants per year and the lowest in the Mediterranean countries (5 to 7 cases per 100,000 inhabitants per year. Methods The present article is based on the information collected in the MELODY study (MELanoma treatment patterns and Outcomes among patients with unresectable stage III or stage IV Disease: a retrospective longitudinal survey. In that study, the medical charts of patients were reviewed to document current treatment patterns and to analyse information on patients, disease characteristics and healthcare resource utilization related to the treatment of advanced melanoma regarding patients who presented with a diagnosis of malignant melanoma (stage I to IV at participating sites between 01 July, 2005 and 30 June, 2006. Results Summarizing, though the length of the follow-up period varies among sample patients, an amount of the yearly cost per patient can be estimated, dividing the average per patient total cost (€ 5.040 by the average follow-up duration (17.5 months and reporting to one year; on these grounds, unresectable stage III or stage IV melanoma in Italy would cost € 3,456 per patient per year.

Is knowledge translation adequate? A quality assurance study of staging investigations in early stage breast cancer patients.

Science.gov (United States)

Han, Dolly; Hogeveen, Sophie; Sweet Goldstein, Miriam; George, Ralph; Brezden-Masley, Christine; Hoch, Jeffrey; Haq, Rashida; Simmons, Christine E

2012-02-01

After primary surgery, patients diagnosed with early stage breast cancer undergo radiological investigations based on pathologic stage of disease to rule out distant metastases. Published guidelines can aid clinicians in determining which tests are appropriate based on stage of disease. We wished to assess the consistency of radiological staging in an academic community oncology setting with standard guidelines and to determine the overall impact of non-adherence to these guidelines. A retrospective cohort study was conducted for new breast cancer patients seen at a single institution between January 2009 and April 2010. Patients were included if initial diagnosis and primary surgery was at this institution. Pathologic stage and radiological tests completed were recorded. A literature review was performed and the results were compared with those from this study to determine overall adherence rates. Subsequently, a cost analysis was performed to determine the financial impact at this centre. 231 patients met eligibility criteria for inclusion in this study. A large proportion of patients were over-staged with 129 patients (55%) undergoing unnecessary investigations according to guidelines. Specifically, 59% of stage I patients and 58% of stage II patients were over-investigated. Distant metastases at the time of diagnosis were found in three patients, all of whom had stage III disease (1.3%). The literature reviewed revealed similar non-adherence rates in other centres. The estimated cost of such non-adherence is in the range of $78 (CDN) per new early stage breast cancer patient seen at this centre. This oncology centre has a low adherence to practice guidelines for staging investigations in breast cancer patients, with 55% of patients undergoing unnecessary tests. Very few patients had metastases at diagnosis, and all had pathological stage III disease. Efforts may need to focus on improving knowledge translation across clinical oncology settings to increase

Radiotherapy in early stage dupuytren's contracture

International Nuclear Information System (INIS)

Adamietz, B.; Sauer, R.; Gruenert, J.

2001-01-01

Purpose: In early stage Dupuytren's contracture radiotherapy was applied to prevent disease progression. Long-term results and late toxicity of this treatment were evaluated in a retrospective analysis. Patients and Methods: Between 1982 and 1994, 99 patients (176 hands) received orthovoltage radiotherapy, which consisted of two courses with 5 x 3 Gy (total dose: 30 Gy, daily fractionated; 120 kV, 4 mm Al), separated by a 6 to 8-week pause. The Dupuytren's contracture was staged according to the classification of Tubiana et al. The long-term outcome was analyzed at last follow-up between July and November 1999. The median follow-up was 10 years (range 7-18 years). Late toxicity was assessed using the LENT-SOMA criteria. Results: In Stage N 84% and Stage N/I 67% of cases remained stable. 65% of the cases in Stage I and 83% in Stage II showed progressive nodules and cords. In case of progression we saw no complications after a second radiotherapy or salvage operation. Conclusion: Radiotherapy effectively prevents disease progression for early stage Dupuytren's contracture (Stage N, N/I). Moreover, in case of disease progression despite radiotherapy salvage surgery is still feasible. (orig.) [de

Staging of lung cancer.

Science.gov (United States)

de Groot, Patricia M; Carter, Brett W; Betancourt Cuellar, Sonia L; Erasmus, Jeremy J

2015-06-01

Primary lung cancer is the leading cause of cancer mortality in the world. Thorough clinical staging of patients with lung cancer is important, because therapeutic options and management are to a considerable degree dependent on stage at presentation. Radiologic imaging is an essential component of clinical staging, including chest radiography in some cases, computed tomography, MRI, and PET. Multiplanar imaging modalities allow assessment of features that are important for surgical, oncologic, and radiation therapy planning, including size of the primary tumor, location and relationship to normal anatomic structures in the thorax, and existence of nodal and/or metastatic disease. Copyright © 2015 Elsevier Inc. All rights reserved.

Lernpunkt Deutsch--Stage 1.

Science.gov (United States)

Theil, Elvira

1997-01-01

Evaluates the first stage of "Lernpunkt Deutsch," a new three-stage German course designed for upper elementary and early secondary school. Describes the publisher's package of materials and the appropriateness of the course, utility of the different package elements, format of the materials, and assesses whether the course provides pedagogically…

Staging of intestinal- and diffuse-type gastric cancers with the OLGA and OLGIM staging systems.

Science.gov (United States)

Cho, S-J; Choi, I J; Kook, M-C; Nam, B-H; Kim, C G; Lee, J Y; Ryu, K W; Kim, Y-W

2013-11-01

Operative link on gastritis assessment (OLGA) and Operative link on gastric intestinal metaplasia assessment (OLGIM) staging systems have been proposed for gastric cancer (GC) risk estimation. To validate the OLGA and OLGIM staging systems in a region with high risk of GC. This retrospective study included 474 GC patients and age- and sex-matched health screening control persons in a cancer centre hospital. We classified gastritis patterns according to the OLGA and OLGIM systems using the histological database that a pathologist prospectively evaluated using the updated Sydney system. GC risk according to the OLGA and OLGIM stages was evaluated using logistic regression analysis. More GC patients had OLGA stages III-IV (46.2%) than controls (26.6%, P diffuse-type GCs (30.9%). OLGA stages III and IV were significantly associated with increased risk of GC [odds ratios (ORs), 2.09; P = 0.008 and 2.04; P = 0.014 respectively] in multivariate analysis. The association was more significant for intestinal-type (ORs, 4.76; P = 0.001 and 4.19; P = 0.002 respectively), but not diffuse-type GC. OLGIM stages from I to IV were significantly associated with increased risk of both intestinal-type (ORs, 3.64, 5.15, 7.89 and 13.20 respectively) and diffuse-type GC (ORs, 1.84, 2.59, 5.08 and 6.32 respectively) with a significantly increasing trend. As high OLGA and OLGIM stages are independent risk factors for gastric cancer, the staging systems may be useful for risk assessment in high-risk regions, especially for intestinal-type gastric cancer. © 2013 John Wiley & Sons Ltd.

A comparison of tumor motion characteristics between early stage and locally advanced stage lung cancers

International Nuclear Information System (INIS)

Yu, Z. Henry; Lin, Steven H.; Balter, Peter; Zhang Lifei; Dong Lei

2012-01-01

Purpose: With the increasing use of conformal radiation therapy methods for non-small cell lung cancer (NSCLC), it is necessary to accurately determine respiratory-induced tumor motion. The purpose of this study is to analyze and compare the motion characteristics of early and locally advanced stage NSCLC tumors in a large population and correlate tumor motion with position, volume, and diaphragm motion. Methods and materials: A total of 191 (94 early stage, 97 locally advanced) non-small cell lung tumors were analyzed for this study. Each patient received a four-dimensional CT scan prior to receiving radiation treatment. A soft-tissue-based rigid registration algorithm was used to track the tumor motion. Tumor volumes were determined based on the gross tumor volume delineated by physicians in the end of expiration phase. Tumor motion characteristics were correlated with their standardized tumor locations, lobe location, and clinical staging. Diaphragm motion was calculated by subtracting the diaphragm location between the expiration and the inspiration phases. Results: Median, max, and 95th percentile of tumor motion for early stage tumors were 5.9 mm, 31.0 mm, and 20.0 mm, which were 1.2 mm, 12 mm, and 7 mm more than those in locally advanced NSCLC, respectively. The range of motion at 95th percentile is more than 50% larger in early stage lung cancer group than in the locally advanced lung cancer group. Early stage tumors in the lower lobe showed the largest motion with a median motion of 9.2 mm, while upper/mid-lobe tumors exhibited a median motion of 3.3 mm. Tumor volumes were not correlated with motion. Conclusion: The range of tumor motion differs depending on tumor location and staging of NSCLC. Early stage tumors are more mobile than locally advanced stage NSCLC. These factors should be considered for general motion management strategies when 4D simulation is not performed on individual basis.

Meta‐analysis using individual participant data: one‐stage and two‐stage approaches, and why they may differ

Science.gov (United States)

Ensor, Joie; Riley, Richard D.

2016-01-01

Meta‐analysis using individual participant data (IPD) obtains and synthesises the raw, participant‐level data from a set of relevant studies. The IPD approach is becoming an increasingly popular tool as an alternative to traditional aggregate data meta‐analysis, especially as it avoids reliance on published results and provides an opportunity to investigate individual‐level interactions, such as treatment‐effect modifiers. There are two statistical approaches for conducting an IPD meta‐analysis: one‐stage and two‐stage. The one‐stage approach analyses the IPD from all studies simultaneously, for example, in a hierarchical regression model with random effects. The two‐stage approach derives aggregate data (such as effect estimates) in each study separately and then combines these in a traditional meta‐analysis model. There have been numerous comparisons of the one‐stage and two‐stage approaches via theoretical consideration, simulation and empirical examples, yet there remains confusion regarding when each approach should be adopted, and indeed why they may differ. In this tutorial paper, we outline the key statistical methods for one‐stage and two‐stage IPD meta‐analyses, and provide 10 key reasons why they may produce different summary results. We explain that most differences arise because of different modelling assumptions, rather than the choice of one‐stage or two‐stage itself. We illustrate the concepts with recently published IPD meta‐analyses, summarise key statistical software and provide recommendations for future IPD meta‐analyses. © 2016 The Authors. Statistics in Medicine published by John Wiley & Sons Ltd. PMID:27747915

Situational variation in moral judgment: In a stage or on a stage?

Science.gov (United States)

Carpendale, J I; Krebs, D L

1992-04-01

Two issues were examined in this study-the consistency of moral judgment across different types of dilemma and different social contexts, and the relationship between the structure (stage) of moral judgment and the content of moral decisions. Forty subjects were given two hypothetical dilemmas about business decisions and two standard Kohlberg dilemmas. Half the subjects directed their responses to a business audience, half to a philosophical audience. Responses to the moral dilemmas were scored in accordance with the Colby and Kohlberg (1987) scoring manual. Stage of moral reasoning was found to be significantly higher on the Kohlberg dilemmas than on the business dilemmas. A significant interaction between type of dilemma and audience was attributed to the tendency of subjects directing their responses to a business audience to interpret one of the business dilemmas in terms of the moral order of business, but for subjects directing their responses to a philosophy audience to treat it as a philosophical dilemma. The other business dilemma evoked uniformly low-level moral judgments. The amount of selfishness intrinsic in subjects' moral choices on the business dilemmas was significantly negatively correlated with moral maturity on the business dilemmas, but not with their moral maturity on Kohlberg's test. These results are interpreted as more consistent with models of moral development such as those advanced by C. G. Levine ([1979] "Stage Acquisition and Stage Use: An Appraisal of Stage Displacement Explanations of Variation in Moral Reasoning, " Human Development, Vol. 22, pp. 145-164), J. Rest ([1983] "Morality," in: P. H. Mussen [ed.], J. H. Flavell and E. Markman [Vol. eds.], Handbook of Child Psychology [Vol. 3, 4th ed.], John Wiley & Sons, New York), and R. Harré ([1984]) Personal Being: A Theory for Individual Psychology, Harvard University Press, Cambridge, Massachusetts), which posit a relatively wide range of within-person stage use and emphasize the

Early Silurian (Llandoverian) Leask Point and Charlton Bay bioherms, Manitoulin Island, Ontario, Canada

Energy Technology Data Exchange (ETDEWEB)

Mielczarek, W.; Copper, P.

1986-08-01

About 300 bioherms are known in the Llandoverian Manitoulin Formation of eastern Manitoulin Island. In the South Bay area, the large Leask Piont bioherm and Charlton Bay patch-reef complex lack a distinct skeletal growth framework. Bioherms consist of mudstone and wackestone, with isolated lenses of bafflestone, boundstone, floatstone. Fossils are scarce, but crinozoans and bryozoans comprise about 90% of the bioclasts. Other fauna include stromatoporoids, corals, brachiopods, gastropods, trilobites, and probable algae (algae are difficult to identify and may have played a significant role). Faunal ratios remained relatively constant during mound growth. Soft substrates with sedimentation rates of a few millimeters per year are suggested by bedding type and morphologic dominance of lamellar and tabular corals and stromatoporoids. An increased sedimentation rate, resulting from shoaling, is indicated by more overturned, broadly conical corals in the upper parts of the mounds. Shoaling may be responsible for cessation of mound growth. Lithoclasts are more common in the upper parts of the mounds. They formed when semiconsolidated muds were disturbed and redeposited during storms. Megarippled interreef surface areas, largely devoid of coral growth, indicate mud instability at Charlton Bay. Lack of suitable stable substrates may have hampered coral development. Dolomitization was postdepositional. The diagenetic sequence occurred in three stages: 1)selective pyritization and silicification, formation of an early muddy dolomite replacing the mud fraction of the dolostone, lithification and formation of rare calcite cement and neomorphic syntaxial rims; 2)clear, coarse dolomite replacing pore-filling calcite cement, syntaxial rims, and unaltered macrofossils, stylolitization, grain-to-grain dissolution; and 3)a late dolomite found mainly as fine rhombs in stylolites, solution seams, and intraskeletal pore space.

Stage III nasopharyngeal angiofibroma: Improving results with endoscopic-assisted midfacial degloving and modification to the Fisch staging system.

Science.gov (United States)

Shah, Saurin R; Keshri, Amit; Patadia, Simple; Sahu, Rabi Narayan; Srivastava, Arun Kumar; Behari, Sanjay

2015-10-01

To study outcomes with endoscopic-assisted midfacial degloving for Fisch stage III nasopharyngeal angiofibroma and propose a new staging system. Retrospective study of patients with Fisch stage III juvenile nasopharyngeal angiofibroma (JNA) including preoperative angiography, intraoperative blood loss and residue/recurrence following surgery. Tertiary care superspecialty referral center. Fifteen consecutive patients with Fisch stage III JNA undergoing operations over a period of 18 months. Preoperative angiography details, intraoperative blood loss, residue/recurrence, complications of surgery. Transarterial embolization with particulate agents followed by endoscopic-assisted midfacial degloving provides excellent outcomes with Fisch stage III JNAs. The modified Fisch staging system proposed would allow better preoperative evaluation and comparison of outcomes with different treatment options for stage III JNAs. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Recent understanding of the Svalbard basement in the light of new radiometric age determinations

International Nuclear Information System (INIS)

Ohta, Y.

1992-01-01

Several tectonothermal events in the pre-Carboniferous basement of Svalbard during Caledonian and Proterozoic times have been dated recently by radiometric age determinations. Three or four stages have been recognized in the Caledonian period; a post-orogentic graben formation during the Devonian, a late Caledonian event in the Middle Silurian, an earely Caledonian event in the Middle Ordovician and possibly an earliest event in the Middle to Late Cambrian. The Grenvillian event, 950-1270 Ma, has been well established by both radiometric ages and unconformities in Nordaustlandet and southwestern Spitsbergen. Sveco-Karelian ages, 1670-1750 Ma, also have been obtained from Ny Friesland, northerneastern Spitsbergen. Two even older ages (zircon U-Pb) upper intercept ages), 2.1 and 3.2 Ga, may suggest the presence of still older crust in Svalbard and adjacent areas. 40 refs., 2 figs

Numerical simulation of stage separation of a multi-stage flying object with brake jets

International Nuclear Information System (INIS)

Mirzaei, M.; Shadaram, A.; Nia, B.N.

2005-01-01

In this paper, separation maneuver of a two-stage supersonic flying object is numerically simulated and the influences of supersonic brake jets on separation process are discussed. The finite volume approach is used for solution of unsteady three-dimensional full Navier-Stokes equations on a moving boundary domain. In this simulation, air has considered as a calorically perfect gas and since the flow field is turbulent, two equations κ-ε model has been adopted for turbulence modeling. Shocks, expansions and their reflections have major role on flow pattern between two stages during the separation process and the maneuver is dominantly affected by the main flow and braking jets. The separation process has an unsteady nature and the separation of stages at high Mach numbers induces some aerodynamic problems that may lead to fail the next stage flight. The purpose of this research is to compute the aerodynamic loads on separated stage and, consequently, the relative distance of body components with a good accuracy. The simulation of moving boundary problem is based on moving grid strategy using remeshing method. To validate the simulation, some of the results are compared with experimental data. (author)

Stages of tuberculous meningitis: a clinicoradiologic analysis

International Nuclear Information System (INIS)

Sher, K.; Firdaus, A.; Bullo, N.; Kumar, S.; Abbasi, A.

2013-01-01

Objective: To determine the frequencies and percentages of various clinicoradiologic variables of tuberculosis meningitis (TBM) with reference to British Medical Research Council (BMRC) staging of the disease. Study Design: A case series. Place and Duration of Study: Department of Neurology, Jinnah Postgraduate Medical Centre, Karachi, from October 2010 to September 2011. Methodology: The study included 93 adult patients with the diagnosis of tuberculous meningitis (TBM) at the study place. Patients were divided in three groups according to British Medical Research Council (BMRC) staging of TBM. Different clinical and radiological findings were analyzed at different stages of the disease. Data was analyzed using SPSS (Statistical Package of Social Sciences) version 11.0. Results: A majority of patients were found to be in stage-II disease at the time of admission. History of illness at the time of admission was more than 2 weeks in 50% of stage-I patients but around 80% in stage-II and stage-III patients. Neck stiffness was the most commonly reported finding in all stages. Cranial nerve palsies were higher in stage-III (75%) than in stage-II (43%) and in stage-I (24%) patients. Hydrocephalus and basal enhancement was the most frequently reported radiographic abnormalities. Conclusion: Duration of illness and cranial nerve palsies are important variables in the diagnosis of TBM stages and if TBM is suspected, empiric treatment should be started immediately without bacteriologic proof to prevent morbidity and mortality. (author)

Colorectal cancer stages transcriptome analysis.

Directory of Open Access Journals (Sweden)

Tianyao Huo

Full Text Available Colorectal cancer (CRC is the third most common cancer and the second leading cause of cancer-related deaths in the United States. The purpose of this study was to evaluate the gene expression differences in different stages of CRC. Gene expression data on 433 CRC patient samples were obtained from The Cancer Genome Atlas (TCGA. Gene expression differences were evaluated across CRC stages using linear regression. Genes with p≤0.001 in expression differences were evaluated further in principal component analysis and genes with p≤0.0001 were evaluated further in gene set enrichment analysis. A total of 377 patients with gene expression data in 20,532 genes were included in the final analysis. The numbers of patients in stage I through IV were 59, 147, 116 and 55, respectively. NEK4 gene, which encodes for NIMA related kinase 4, was differentially expressed across the four stages of CRC. The stage I patients had the highest expression of NEK4 genes, while the stage IV patients had the lowest expressions (p = 9*10-6. Ten other genes (RNF34, HIST3H2BB, NUDT6, LRCh4, GLB1L, HIST2H4A, TMEM79, AMIGO2, C20orf135 and SPSB3 had p value of 0.0001 in the differential expression analysis. Principal component analysis indicated that the patients from the 4 clinical stages do not appear to have distinct gene expression pattern. Network-based and pathway-based gene set enrichment analyses showed that these 11 genes map to multiple pathways such as meiotic synapsis and packaging of telomere ends, etc. Ten of these 11 genes were linked to Gene Ontology terms such as nucleosome, DNA packaging complex and protein-DNA interactions. The protein complex-based gene set analysis showed that four genes were involved in H2AX complex II. This study identified a small number of genes that might be associated with clinical stages of CRC. Our analysis was not able to find a molecular basis for the current clinical staging for CRC based on the gene expression patterns.

Early stages of technology intensive companies

OpenAIRE

Muhos, M. (Matti)

2011-01-01

Abstract This study aims to clarify the early development stages of technology intensive companies. The current literature does not offer an extensive review of stage perspectives for company growth – the overall picture of the field is somewhat vague. The evolution of this field remains unclear as well as the current state. Further, recent empirical stage models focusing on technology intensive companies have not been delineated. As companies move through their early stages, they face ev...

Juvenile nasopharyngeal angiofibroma staging: An overview.

Science.gov (United States)

Alshaikh, Nada Ali; Eleftheriadou, Anna

2015-06-01

Staging of tumors is very important in treatment and surgical decision making, as well as in predicting disease recurrence and prognosis. This review focuses on the different available classifications of juvenile nasopharyngeal angiofibroma (JNA) and their impact on the evaluation, management, and prognosis of JNA. The literature was reviewed, and publications on JNA staging were examined. Our MEDLINE search of the entire English-language literature found no review article on the current available staging systems for JNA. In this article, we review the common JNA classification systems that have been published, and we discuss some of their advantages and disadvantages. The most commonly used staging systems for JNA are the Radkowski and the Andrews-Fisch staging systems. However, some newer staging systems that are based on advances in technology and surgical approaches-the Onerci, INCan, and UPMC systems-have shown promising utility, and they will probably gain popularity in the future.

Breast cancer staging with MR imaging

International Nuclear Information System (INIS)

Smathers, R.L.; D'Amelio, F.; Stockdale, F.

1989-01-01

Forty-three patients with biopsy-proved breast cancer underwent MR staging of the cervicothoracic spine, lumbosacral spine, liver, and thorax. In all cases, these findings have been compared with the results of clinical staging, laboratory tests, chest radiography, and radionuclide bone scanning. MR imaging was a valuable staging tool for patients with more than minimal breast cancer and indications for radionuclide bone scanning. MR imaging had the greatest clinical importance when it identified thoracic soft-tissue abnormalities, including axillary., lateral thoracic, supraclavicular, and mediastinal lymphadenopathy. The coronal and sagittal views were very valuable for detection of chest wall invasion, sternal involvement, and internal mammary adenopathy. Negative MR staging clinically reassured patients that aggressive local therapy bad curative potential. Positive MR staging avoided inappropriate aggressive local therapy and mastectomy. MR imaging can be recommended for improved breast cancer staging in patients with newly diagnosed breast cancer who have more than minimal disease

A new system for assessment of growth using mandibular canine calcification stages and its correlation with modified MP3 stages.

Science.gov (United States)

Hegde, Gautham; Hegde, Nanditha; Kumar, Anil; Keshavaraj

2014-07-01

Orthodontic diagnosis and treatment planning for growing children must involve growth prediction, especially in the treatment of skeletal problems. Studies have shown that a strong association exists between skeletal maturity and dental calcification stages. The present study was therefore taken up to provide a simple and practical method for assessing skeletal maturity using a dental periapical film and standard dental X-ray machine, to compare the developmental stages of the mandibular canine with that of developmental stages of modified MP3 and to find out if any correlation exists, to determine if the developmental stages of the mandibular canine alone can be used as a reliable indicator for assessment of skeletal maturity. A total of 160 periapical radiographs, of the mandibular right canine and the MP3 region was taken and assessed according to the Dermirjian's stages of dental calcification and the modified MP3 stages. The correlation coefficient between MP3 stages and developmental stages of mandibular canine was found to be significant in both male and female groups. When the canine calcification stages were compared with the MP3 stages it was found that with the exception of the D stage of canine calcification the remaining stages showed a very high correlation with the modified MP3 stages. The correlation between the mandibular canine calcification stages, and the MP3 stages was found to be significant. The canine calcification could be used as a sole indicator for assessment of skeletal maturity.

Stage-discharge relationship in tidal channels

Science.gov (United States)

Kearney, W. S.; Mariotti, G.; Deegan, L.; Fagherazzi, S.

2016-12-01

Long-term records of the flow of water through tidal channels are essential to constrain the budgets of sediments and biogeochemical compounds in salt marshes. Statistical models which relate discharge to water level allow the estimation of such records from more easily obtained records of water stage in the channel. While there is clearly structure in the stage-discharge relationship, nonlinearity and nonstationarity of the relationship complicates the construction of statistical stage-discharge models with adequate performance for discharge estimation and uncertainty quantification. Here we compare four different types of stage-discharge models, each of which is designed to capture different characteristics of the stage-discharge relationship. We estimate and validate each of these models on a two-month long time series of stage and discharge obtained with an Acoustic Doppler Current Profiler in a salt marsh channel. We find that the best performance is obtained by models which account for the nonlinear and time-varying nature of the stage-discharge relationship. Good performance can also be obtained from a simplified version of these models which approximates the fully nonlinear and time-varying models with a piecewise linear formulation.

Hodgkin's disease part 1: pathology, staging, and management of early stage disease

International Nuclear Information System (INIS)

Mauch, Peter; Yahalom, Joachim

1995-01-01

Over the past 25 years there have been dramatic improvements in our understanding of the epidemiology, biology, natural history, and treatment of Hodgkins disease. Hodgkin's disease is one of the few cancers where both chemotherapy and radiation therapy have provided dramatic improvements in cure of this once uniformly fatal disease. Part 1 of the refresher course on Hodgkin's disease will include a review of: 1) New Findings in epidemiology, immunohistochemistry and molecular biology of the Reed-Sternberg cell including association with Epstein-Barr virus; 2) Review of pathology including discussions of NS 1 vs NS2, and nodular LP subclassifications; 3) Recommendations for staging including the role of staging laparotomy in Hodgkin's disease; 4) Standard techniques for commonly used radiation therapy fields for Hodgkin's disease and 5) Treatment of early stage Hodgkin's disease including an overview on recent and current clinical trials

Stage- vs. Channel-strip Metaphor

DEFF Research Database (Denmark)

Gelineck, Steven; Korsgaard, Dannie Michael; Büchert, Morten

2015-01-01

This study compares the stage metaphor and the channel strip metaphor in terms of performance. Traditionally, music mixing consoles employ a channels strip control metaphor for adjusting parameters such as volume and panning of each track. An alternative control metaphor, the so-called stage meta...... is surprisingly similar and thus we are not able to detect any significant difference in performance between the two interfaces. Qualitative data however, suggests that the stage metaphor is largely favoured for its intuitive interaction - confirming earlier studies....

A new system for assessment of growth using mandibular canine calcification stages and its correlation with modified MP3 stages

Directory of Open Access Journals (Sweden)

Gautham Hegde

2014-01-01

Full Text Available Objective: Orthodontic diagnosis and treatment planning for growing children must involve growth prediction, especially in the treatment of skeletal problems. Studies have shown that a strong association exists between skeletal maturity and dental calcification stages. The present study was therefore taken up to provide a simple and practical method for assessing skeletal maturity using a dental periapical film and standard dental X-ray machine, to compare the developmental stages of the mandibular canine with that of developmental stages of modified MP3 and to find out if any correlation exists, to determine if the developmental stages of the mandibular canine alone can be used as a reliable indicator for assessment of skeletal maturity. Materials and Methods: A total of 160 periapical radiographs, of the mandibular right canine and the MP3 region was taken and assessed according to the Dermirjian′s stages of dental calcification and the modified MP3 stages. Results and Discussion: The correlation coefficient between MP3 stages and developmental stages of mandibular canine was found to be significant in both male and female groups. When the canine calcification stages were compared with the MP3 stages it was found that with the exception of the D stage of canine calcification the remaining stages showed a very high correlation with the modified MP3 stages. Conclusion: The correlation between the mandibular canine calcification stages, and the MP3 stages was found to be significant. The canine calcification could be used as a sole indicator for assessment of skeletal maturity.

Imatinib Mesylate in Treating Patients With Progressive, Refractory, or Recurrent Stage II or Stage III Testicular or Ovarian Cancer

Science.gov (United States)

2013-01-15

Ovarian Dysgerminoma; Recurrent Malignant Testicular Germ Cell Tumor; Recurrent Ovarian Germ Cell Tumor; Stage II Malignant Testicular Germ Cell Tumor; Stage II Ovarian Germ Cell Tumor; Stage III Malignant Testicular Germ Cell Tumor; Stage III Ovarian Germ Cell Tumor; Testicular Seminoma

The microorganisms in chronically infected end-stage and non-end-stage cystic fibrosis patients

DEFF Research Database (Denmark)

Rudkjøbing, Vibeke B; Thomsen, Trine R; Alhede, Morten

2011-01-01

Patients suffering from cystic fibrosis (CF) develop chronic lung infections because of highly viscous mucus, where bacteria can form biofilms. In this study, we investigated the microorganisms present in the lungs of end-stage and non-end-stage patients using standard culturing techniques and mo...

Staging atmospheres

DEFF Research Database (Denmark)

Bille, Mikkel; Bjerregaard, Peter; Sørensen, Tim Flohr

2015-01-01

The article introduces the special issue on staging atmospheres by surveying the philosophical, political and anthropological literature on atmosphere, and explores the relationship between atmosphere, material culture, subjectivity and affect. Atmosphere seems to occupy one of the classic...

Composers on stage

DEFF Research Database (Denmark)

Groth, Sanne Krogh

A trend on the scene of contemporary music is composers going on stage, performing their pieces themselves. Within a discourse of popular music, this is more the rule than exception, but when it comes to the context of contemporary scored music, the historical and aesthetic context differs......, and something quite different is undergoing. This paper intends to discuss three examples of performances in which the composer’s appearance on stage was an important part of the piece, - both when it came to the role as a performer and as an individual person – as representer and presenter. The paper intends...

Stages of ores formation

International Nuclear Information System (INIS)

Khasanov, A.Kh.

1988-01-01

Deposit formation (especially endogenous) is the complicated, multi-stage and long process. Establishment of deposit formation succession, age-specific correlations of minerals and aggregates have a high importance at solving genetic questions. Studying of minerals correlations and mineral aggregates, succession of their crystallization and other observations let restore the history of deposit formation, pick up in it different on duration and physical and chemical conditions stages

Single-stage-to-orbit versus two-stage-two-orbit: A cost perspective

Science.gov (United States)

Hamaker, Joseph W.

1996-03-01

This paper considers the possible life-cycle costs of single-stage-to-orbit (SSTO) and two-stage-to-orbit (TSTO) reusable launch vehicles (RLV's). The analysis parametrically addresses the issue such that the preferred economic choice comes down to the relative complexity of the TSTO compared to the SSTO. The analysis defines the boundary complexity conditions at which the two configurations have equal life-cycle costs, and finally, makes a case for the economic preference of SSTO over TSTO.

Single-stage Acetabular Revision During Two-stage THA Revision for Infection is Effective in Selected Patients.

Science.gov (United States)

Fink, Bernd; Schlumberger, Michael; Oremek, Damian

2017-08-01

The treatment of periprosthetic infections of hip arthroplasties typically involves use of either a single- or two-stage (with implantation of a temporary spacer) revision surgery. In patients with severe acetabular bone deficiencies, either already present or after component removal, spacers cannot be safely implanted. In such hips where it is impossible to use spacers and yet a two-stage revision of the prosthetic stem is recommended, we have combined a two-stage revision of the stem with a single revision of the cup. To our knowledge, this approach has not been reported before. (1) What proportion of patients treated with single-stage acetabular reconstruction as part of a two-stage revision for an infected THA remain free from infection at 2 or more years? (2) What are the Harris hip scores after the first stage and at 2 years or more after the definitive reimplantation? Between June 2009 and June 2014, we treated all patients undergoing surgical treatment for an infected THA using a single-stage acetabular revision as part of a two-stage THA exchange if the acetabular defect classification was Paprosky Types 2B, 2C, 3A, 3B, or pelvic discontinuity and a two-stage procedure was preferred for the femur. The procedure included removal of all components, joint débridement, definitive acetabular reconstruction (with a cage to bridge the defect, and a cemented socket), and a temporary cemented femoral component at the first stage; the second stage consisted of repeat joint and femoral débridement and exchange of the femoral component to a cementless device. During the period noted, 35 patients met those definitions and were treated with this approach. No patients were lost to followup before 2 years; mean followup was 42 months (range, 24-84 months). The clinical evaluation was performed with the Harris hip scores and resolution of infection was assessed by the absence of clinical signs of infection and a C-reactive protein level less than 10 mg/L. All

Registrar Staging Assistant (SEER*RSA) - SEER

Science.gov (United States)

Use this site for cases diagnosed 2018 and forward to code Extent of Disease 2018, Summary Stage 2018, Site-Specific Data Items, and Grade. Use it for 2016 and 2017 cases to determine UICC TNM 7th edition stage, Collaborative Stage v.02.05.50, and Site-Specific predictive and prognostic factors.

A review of the stages of work hardening

Energy Technology Data Exchange (ETDEWEB)

Rollett, A.D.; Kocks, U.F.

1993-07-01

Stages of work hardening are reviewed with emphasis on links between each stage. Simple quantitative descriptions are given for each stage. Similarities between stage I, easy glide, and stage IV, large strain hardening, are pointed out both in terms of magnitude of the hardening rate and of the underlying mechanism of dislocation debris accumulation. Stage II is described as an athermal hardening stage that occurs when statistical variations in the dislocation ``forest`` lead to geometrical storage of dislocations. The steadily decreasing hardening rate observed in stage III is characterized by the increasing rate of loss of dislocation density due to dynamic recovery. Stage III appears to have an asymptote to a saturation stress which is determined by the characteristics of the dislocation tangles, or cell walls. The imperfect nature of the dynamic recovery process, however, leads to the accumulation of dislocation debris and this, by analogy with stage 1, causes the apparent saturation stress to rise, thus causing stage IV.

Timing and Stages of Puberty

Science.gov (United States)

... and stages of puberty Timing and stages of puberty Adolescence and puberty can be so confusing! Here’s some info on what to expect and when: Puberty in girls usually starts between the ages of ...

A Silurian-early Devonian slab window in the southern Central Asian Orogenic Belt: Evidence from high-Mg diorites, adakites and granitoids in the western Central Beishan region, NW China

Science.gov (United States)

Zheng, Rongguo; Xiao, Wenjiao; Li, Jinyi; Wu, Tairan; Zhang, Wen

2018-03-01

hybridized by the mantle peridotite. On the basis of our data and combined with previous data, we conclude that a Silurian-early Devonian slab window model accounts for all geological records in the western segment of the Central Beishan. We further propose that magmatic events associated with a slab window played an important role in crustal growth of the Central Asian Orogenic Belt.

Method and system for dual resolution translation stage

Science.gov (United States)

Halpin, John Michael

2014-04-22

A dual resolution translation stage includes a stage assembly operable to receive an optical element and a low resolution adjustment device mechanically coupled to the stage assembly. The dual resolution stage also includes an adjustable pivot block mechanically coupled to the stage assembly. The adjustable pivot block includes a pivot shaft. The dual resolution stage further includes a lever arm mechanically coupled to the adjustable pivot block. The lever arm is operable to pivot about the pivot shaft. The dual resolution stage additionally includes a high resolution adjustment device mechanically coupled to the lever arm and the stage assembly.

Sensitivity Analysis in Two-Stage DEA

Directory of Open Access Journals (Sweden)

Athena Forghani

2015-07-01

Full Text Available Data envelopment analysis (DEA is a method for measuring the efficiency of peer decision making units (DMUs which uses a set of inputs to produce a set of outputs. In some cases, DMUs have a two-stage structure, in which the first stage utilizes inputs to produce outputs used as the inputs of the second stage to produce final outputs. One important issue in two-stage DEA is the sensitivity of the results of an analysis to perturbations in the data. The current paper looks into combined model for two-stage DEA and applies the sensitivity analysis to DMUs on the entire frontier. In fact, necessary and sufficient conditions for preserving a DMU's efficiency classiffication are developed when various data changes are applied to all DMUs.

Sensitivity Analysis in Two-Stage DEA

Directory of Open Access Journals (Sweden)

Athena Forghani

2015-12-01

Full Text Available Data envelopment analysis (DEA is a method for measuring the efficiency of peer decision making units (DMUs which uses a set of inputs to produce a set of outputs. In some cases, DMUs have a two-stage structure, in which the first stage utilizes inputs to produce outputs used as the inputs of the second stage to produce final outputs. One important issue in two-stage DEA is the sensitivity of the results of an analysis to perturbations in the data. The current paper looks into combined model for two-stage DEA and applies the sensitivity analysis to DMUs on the entire frontier. In fact, necessary and sufficient conditions for preserving a DMU's efficiency classiffication are developed when various data changes are applied to all DMUs.

Stage-specific predictive models for breast cancer survivability.

Science.gov (United States)

Kate, Rohit J; Nadig, Ramya

2017-01-01

Survivability rates vary widely among various stages of breast cancer. Although machine learning models built in past to predict breast cancer survivability were given stage as one of the features, they were not trained or evaluated separately for each stage. To investigate whether there are differences in performance of machine learning models trained and evaluated across different stages for predicting breast cancer survivability. Using three different machine learning methods we built models to predict breast cancer survivability separately for each stage and compared them with the traditional joint models built for all the stages. We also evaluated the models separately for each stage and together for all the stages. Our results show that the most suitable model to predict survivability for a specific stage is the model trained for that particular stage. In our experiments, using additional examples of other stages during training did not help, in fact, it made it worse in some cases. The most important features for predicting survivability were also found to be different for different stages. By evaluating the models separately on different stages we found that the performance widely varied across them. We also demonstrate that evaluating predictive models for survivability on all the stages together, as was done in the past, is misleading because it overestimates performance. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Hudson River: STAGING (Staging Site Points)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains human-use resource data for staging sites along the Hudson River. Vector points in this data set represent locations of possible staging areas...

Evaluation of the 8th AJCC staging system for pathologically versus clinically staged pancreatic adenocarcinoma: A time to revisit a dogma?

Science.gov (United States)

Abdel-Rahman, Omar

2018-02-01

The 8th edition of the American Joint Committee on Cancer (AJCC) staging system for pancreatic exocrine adenocarcinoma has been released. The current study seeks to assess the 7th and 8th editions among patients registered within the surveillance, epidemiology and end results (SEER) database. SEER database (2010-2013) has been accessed through SEER*Stat program and AJCC 8th edition stages were reconstructed utilizing the collaborative stage descriptions. Kaplan-Meier analysis of overall survival and pancreatic cancer-specific survival analyses (according to both 7th and 8th editions and according to whether pathological or clinical staging were conducted) has been performed. Multivariate analysis of factors affecting pancreatic cancer-specific survival was also conducted through a Cox proportional hazard model. A total of 18  948 patients with pancreatic adenocarcinoma were identified in the period from 2010-2013. Pancreatic cancer-specific survival among pathologically staged patients and according to the 8th edition showed significant differences for all pair wise comparisons among different stages (P < 0.0001) except for the comparison between stage IA and stage IB (P = 0.307) and the comparison between stage IB and stage IIA (P = 0.116). Moreover, P value for stage IA vs IIA was 0.014; while pancreatic cancer-specific survival according to the 7th edition among pathologically staged patients showed significant differences for all pair wise comparisons among different stages (P < 0.0001) except for the comparison between IA and IB (P = 0.072), the comparison between stage IIA and stage IIB (P = 0.065), the comparison between stage IIA and stage III (P = 0.059) and the comparison between IIB and III (P = 0.595). Among clinically staged patients (i.e. those who did not undergo initial radical surgery), the prognostic performance of both 7th and 8th stages for both overall survival and pancreatic cancer-specific survival was

Posterior tibial tendon insufficiency results at different stages.

Science.gov (United States)

Deland, Jonathan T; Page, Alexandra; Sung, Il-Hoon; O'Malley, Martin J; Inda, David; Choung, Steven

2006-09-01

The results of surgical treatment of posterior tibial tendon insufficiency (PTTI) may be different at different stages of the disease. No single study has compared the results at different stages. This comparison can be helpful to the patient and physician if the patient asks "What if I wait and the disease progresses, how will my results be different?" A preliminary study comparing results for stage IIa, stage IIb (advanced stage II), and stage III was performed followed by a larger study comparing IIa and IIb with 26 and 22 patients, respectively. American Orthopaedic Foot and Ankle Society (AOFAS) outcome scores as well as radiographs and functional questions were used. Nearly all patients, regardless of stage, felt they were helped by surgical treatment. However, the lowest AOFAS score was in stage III, the most advanced stage investigated in this study. In comparing stage IIa and IIb patients, stage IIb patients had a statistically higher incidence of lateral discomfort. Although statistically significant differences were not found in all comparisons, this study suggests that the results of surgical treatment for PTTI declines with increasing stage or severity of disease.

Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.

Science.gov (United States)

Edsberg, Laura E; Black, Joyce M; Goldberg, Margaret; McNichol, Laurie; Moore, Lynn; Sieggreen, Mary

Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury. An NPUAP-appointed Task Force reviewed the literature and created drafts of definitions, which were then reviewed by stakeholders and the public, including clinicians, educators, and researchers around the world. Using a consensus-building methodology, these revised definitions were the focus of a multidisciplinary consensus conference held in April 2016. As a result of stakeholder and public input, along with the consensus conference, important changes were made and incorporated into the new staging definitions. The revised staging system uses the term injury instead of ulcer and denotes stages using Arabic numerals rather than Roman numerals. The revised definition of a pressure injury now describes the injuries as usually occurring over a bony prominence or under a medical or other device. The revised definition of a Stage 2 pressure injury seeks to clarify the difference between moisture-associated skin damage and injury caused by pressure and/or shear. The term suspected has been removed from the Deep Tissue Pressure Injury diagnostic label. Each definition now describes the extent of tissue loss present and the anatomical features that may or may not be present in the stage of injury. These important revisions reflect the methodical and collaborative approach used to examine the available evidence and incorporate current interdisciplinary clinical expertise into better defining the important phenomenon of pressure injury etiology and development.

Two-stage anaerobic digestion of cheese whey

Energy Technology Data Exchange (ETDEWEB)

Lo, K V; Liao, P H

1986-01-01

A two-stage digestion of cheese whey was studied using two anaerobic rotating biological contact reactors. The second-stage reactor receiving partially treated effluent from the first-stage reactor could be operated at a hydraulic retention time of one day. The results indicated that two-stage digestion is a feasible alternative for treating whey. 6 references.

A Novel Inflammation-Based Stage (I Stage in Patients with Resectable Esophageal Squamous Cell Carcinoma

Directory of Open Access Journals (Sweden)

Peng-Cheng Chen

2016-01-01

Full Text Available Background. Inflammation plays a key role in cancer. In the current study, we proposed a novel inflammation-based stage, named I stage, for patients with resectable esophageal squamous cell carcinoma (ESCC. Methods. Three hundred and twenty-three patients with resectable ESCC were enrolled in the current study. The I stage was calculated as follows: patients with high levels of C-reactive protein (CRP (>10 mg/L, neutrophil-to-lymphocyte ratio (NLR (>3.5, and platelet-count-to-lymphocyte ratio (PLR (>150 were defined as I3. Patients with two, one, or no abnormal value were defined as I2, I1, or I0, respectively. The prognostic factors were evaluated by univariate and multivariate analyses. Results. There were 112 patients for I0, 97 patients for I1, 66 patients for I2, and 48 patients for I3, respectively. The 5-year cancer-specific survival (CSS in patients with I0, I1, I2, and I3 was 50.0%, 30.9%, 18.2%, and 8.3%, respectively (I0 versus I1, P=0.002; I1 versus I2, P=0.012; I2 versus I3, P=0.020. Multivariate analyses revealed that I stage was an independent prognostic factor in patients with resectable ESCC (P<0.001. Conclusion. The inflammation-based stage (I stage is a novel and useful predictive factor for CSS in patients with resectable ESCC.

Enhancement MRI evaluation of neuroblastoma staging in children

International Nuclear Information System (INIS)

Li Xin; Wang Chunxiang; Zhao Bin; Liu Peifang

2002-01-01

Objective: To evaluate the value and limitation of Gd-DTPA enhanced MRI for neuroblastoma staging in children. Methods: Twelve cases of neuroblastoma proved by operation or bone marrow aspiration were examined by gadolinium-enhanced MRI. The age ranged from seven months to five years, mean 3.7 years. Eight tumors originated from adrenal, and four from posterior mediastinum. Conventional sequences, double dose gadolinium-enhanced MRI, and 3D CEMRA were used in all patients. Six cases were examined by CT in same time. Imaging staging on surgic-histopathological-based International Neuroblastoma Staging System (INSS) was performed. Results: Six patients were staged by CT, including stage I-II in 2 cases, stage III in 4 cases, and stage IV in none. Twelve patients were staged by conventional MRI, including stage I-II in 2 cases, stage III in 9 cases, and stage IV in 1 case. Twelve patients were staged by double dose gadolinium-enhanced MRI, including stage I-II in 1 case, stage III in 1 case, and stage IV in 10 cases. Conclusion: Gadolinium-enhanced MRI was a single best imaging modality for neuroblastoma, most useful for distal to diaphragm metastasis, dumbbell tumor intraspinal extension, and bone marrow metastasis that was not detected by aspirate examination. Enhancement MRI was important in evaluating the therapy and was also helpful in assessing the therapeutic efficacy and relapse. 3D CEMRA helps demonstrate large vascular encasement and tumor erosion into important organs, and it is useful in assessing the respectability. Long examination time and lack in showing the characteristic calcium were the limitations

Uranium project GEO 2 attachment: cronostratigraphy aplied to Uranium research; Proyecto Uranio anexo GEO 2: cronoestratigrafia aplicada a la investigacion de Uranio

Energy Technology Data Exchange (ETDEWEB)

NONE

1983-07-01

In the article, different sources of information about Uranium stratigraphy from Uruguay have been reviewed. Some results have been presented in Upper Cambrian period and Precambrian era, specially Devonian, Carboniferous and Silurian period.

Uranium project GEO 2 attachment: cronostratigraphy aplied to Uranium research

International Nuclear Information System (INIS)

1983-01-01

In the article, different sources of information about Uranium stratigraphy from Uruguay have been reviewed. Some results have been presented in Upper Cambrian period and Precambrian era, specially Devonian, Carboniferous and Silurian period

The newly proposed clinical and post-neoadjuvant treatment staging classifications for gastric adenocarcinoma for the American Joint Committee on Cancer (AJCC) staging.

Science.gov (United States)

In, Haejin; Ravetch, Ethan; Langdon-Embry, Marisa; Palis, Bryan; Ajani, Jaffer A; Hofstetter, Wayne L; Kelsen, David P; Sano, Takeshi

2018-01-01

New stage grouping classifications for clinical (cStage) and post-neoadjuvant treatment (ypStage) stage for gastric adenocarcinoma have been proposed for the eighth edition of the AJCC manual. This article summarizes the analysis for these stages. Gastric adenocarcinoma patients diagnosed in 2004-2009 were identified from the National Cancer Database (NCDB). The cStage cohort included both surgical and nonsurgical cases, and the ypStage cohort included only patients who had chemotherapy or radiation therapy before surgery. Survival differences between the stage groups were determined by the log-rank test and prognostic accuracy was assessed by concordance index. Analysis was performed using SAS 9.4 (SAS, Cary, NC, USA). Five strata for cStage and four strata for ypStage were developed. The 5-year survival rates for cStages were 56.77%, 47.39%, 33.1%, 25.9%, and 5.0% for stages I, IIa, IIb, III, and IV, respectively, and the rates for ypStage were 74.2%, 46.3%, 19.2%, and 11.6% for stages I, II, III, and IV, respectively. The log-rank test showed that survival differences were well stratified and stage groupings were ordered and distinct (p < 0.0001). The proposed cStage and ypStage classification was sensitive and specific and had high prognostic accuracy (cStage: c index = 0.81, 95% CI, 0.79-0.83; ypStage: c index = 0.80, 95% CI, 0.73-0.87). The proposed eighth edition establishes two new staging schemata that provide essential prognostic data for patients before treatment and for patients who have undergone surgery following neoadjuvant therapy. These additions are a significant advance to the AJCC staging manual and will provide critical guidance to clinicians in making informed decisions throughout the treatment course.

Staged regenerative sorption heat pump

Science.gov (United States)

Jones, Jack A. (Inventor)

1995-01-01

A regenerative adsorbent heat pump process and system for cooling and heating a space. A sorbent is confined in a plurality of compressors of which at least four are first stage and at least four are second stage. The first stage operates over a first pressure region and the second stage over a second pressure region which is higher than the first. Sorbate from the first stage enters the second stage. The sorbate loop includes a condenser, expansion valve, evaporator and the compressors. A single sorbate loop can be employed for single-temperature-control such as air conditioning and heating. Two sorbate loops can be used for two-temperature-control as in a refrigerator and freezer. The evaporator temperatures control the freezer and refrigerator temperatures. Alternatively the refrigerator temperature can be cooled by the freezer with one sorbate loop. A heat transfer fluid is circulated in a closed loop which includes a radiator and the compressors. Low temperature heat is exhausted by the radiator. High temperature heat is added to the heat transfer fluid entering the compressors which are desorbing vapor. Heat is transferred from compressors which are sorbing vapor to the heat transfer fluid, and from the heat transfer fluid to the compressors which are desorbing vapor. Each compressor is subjected to the following phases, heating to its highest temperature, cooling down from its highest temperature, cooling to its lowest temperature, and warming up from its lowest temperature. The phases are repeated to complete a cycle and regenerate heat.

First Stage Acceptance Test

Science.gov (United States)

1960-01-01

This photograph shows the intense smoke and fire created by the five F-1 engines from a test firing of the Saturn V first stage (S-1C) in the S-1C test stand at the Marshall Space Flight Center. The towering 363-foot Saturn V was a multi-stage, multi-engine launch vehicle standing taller than the Statue of Liberty. Altogether, the Saturn V engines produced as much power as 85 Hoover Dams.

Current Treatments for Surgically Resectable, Limited-Stage, and Extensive-Stage Small Cell Lung Cancer.

Science.gov (United States)

Stinchcombe, Thomas E

2017-12-01

The prevalence of small cell lung cancer (SCLC) has declined in the U.S. as the prevalence of tobacco use has declined. However, a significant number of people in the U.S. are current or former smokers and are at risk of developing SCLC. Routine histological or cytological evaluation can reliably make the diagnosis of SCLC, and immunohistochemistry stains (thyroid transcription factor-1, chromogranin, synaptophysin, and CD56) can be used if there is uncertainty about the diagnosis. Rarely do patients present with SCLC amendable to surgical resection, and evaluation requires a meticulous workup for extra-thoracic metastases and invasive staging of the mediastinum. Resected patients require adjuvant chemotherapy and/or thoracic radiation therapy (TRT), and prophylactic cranial radiation (PCI) should be considered depending on the stage. For limited-stage disease, concurrent platinum-etoposide and TRT followed by PCI is the standard. Thoracic radiation therapy should be started early in treatment, and can be given twice daily to 45 Gy or once daily to 60-70 Gy. For extensive-stage disease, platinum-etoposide remains the standard first-line therapy, and the standard second-line therapy is topotecan. Preliminary studies have demonstrated the activity of immunotherapy, and the response rate is approximately 10-30% with some durable responses observed. Rovalpituzumab tesirine, an antibody drug conjugate, has shown promising activity in patients with high delta-like protein 3 tumor expression (approximately 70% of patients with SCLC). The emergence of these and other promising agents has rekindled interest in drug development in SCLC. Several ongoing trials are investigating novel agents in the first-line, maintenance, and second-line settings. This review will provide an update on the standard therapies for surgically resected limited-stage small cell lung cancer and extensive-stage small cell lung cancer that have been investigated in recent clinical trials. © Alpha

Analysis of spectra from portable handheld gamma-ray spectrometry for terrain comparative assessment

International Nuclear Information System (INIS)

Dias, Flávio; Lima, Marco; Sanjurjo-Sánchez, Jorge; Alves, Carlos

2016-01-01

Geological characteristics can have impacts on societal development by, e.g., geotechnical issues and radiological hazard levels. Due to urban sprawl, there is an increasing need for detailed geological assessment. In this work are analysed data from portable handheld gamma-ray spectra (K, eU and eTh) obtained in granitic and Silurian metaclastic outcrops as well as in an profile, roughly N–S, on soil covered terrains transecting a mapped contact between these rock types (the profile's northern extremity is at locations mapped as granite). Estimations from gamma-ray spectra were studied by univariate and multivariate analyses. K, eU and eTh values were higher on granite in relation to Silurian metaclastic rocks. The northern extremity of the profile showed clearly higher contents of eTh and this contrast was supported by univariate statistical tools (normality plot and Wilk–Shapiro test; boxplots). A ternary plot with the contribution of the elements to gamma-ray absorbed dose showed the separation of granite from Silurian metaclastic rocks with the former being nearer the eTh vertex. The points in the northern extremity of the profile are nearer the eTh vertex than the other points on the profile. These visual suggestions were supported by hierarchical cluster analysis, which was able to differentiate between granite and metaclastic outcrops and separate portions of the profile located on different terrains. Portable gamma-ray spectrometry showed, hence, the potential to distinguish granite and metaclastic terrains at a scale useful for engineering works. These results can also be useful for a first comparative zoning of radiological hazards (which are higher for granite). - Highlights: • Contents of K, eU and eTh were estimated by portable gamma-ray spectra. • Spectra were acquired on a profile across a soil covered granite/metaclastic contact. • Spectra were also collected on granite and Silurian metaclastic outcrops. • Obtained estimations were

A Novel Inflammation-Based Stage (I Stage Predicts Overall Survival of Patients with Nasopharyngeal Carcinoma

Directory of Open Access Journals (Sweden)

Jian-Pei Li

2016-11-01

Full Text Available Recent studies have indicated that inflammation-based prognostic scores, such as the Glasgow Prognostic Score (GPS, modified GPS (mGPS and C-reactive protein/Albumin (CRP/Alb ratio, platelet–lymphocyte ratio (PLR, and neutrophil–lymphocyte ratio (NLR, have been reported to have prognostic value in patients with many types of cancer, including nasopharyngeal carcinoma (NPC. In this study, we proposed a novel inflammation-based stage, named I stage, for patients with NPC. A retrospective study of 409 newly-diagnosed cases of NPC was conducted. The prognostic factors (GPS, mGPS, CRP/Alb ratios, PLR, and NLR were evaluated using univariate and multivariate analyses. Then, according to the results of the multivariate analyses, we proposed a I stage combination of independent risk factors (CRP/Alb ratio and PLR. The I stage was calculated as follows: patients with high levels of CRP/Alb ratio (>0.03 and PLR (>146.2 were defined as I2; patients with one or no abnormal values were defined as I1 or I0, respectively. The relationships between the I stage and clinicopathological variables and overall survival (OS were evaluated. In addition, the discriminatory ability of the I stage with other inflammation-based prognostic scores was assessed using the AUCs (areas under the curves analyzed by receiver operating characteristics (ROC curves. The p value of <0.05 was considered to be significant. A total of 409 patients with NPC were enrolled in this study. Multivariate analyses revealed that only the CRP/Alb ratio (Hazard ratio (HR = 2.093; 95% Confidence interval (CI: 1.222–3.587; p = 0.007 and PLR (HR: 2.003; 95% CI: 1.177–3.410; p = 0.010 were independent prognostic factors in patients with NPC. The five-year overall survival rates for patients with I0, I1, and I2 were 92.1% ± 2.9%, 83.3% ± 2.6%, and 63.1% ± 4.6%, respectively (p < 0.001. The I stage had a higher area under the curve value (0.670 compared with other systemic inflammation

Stages of neuronal network formation

International Nuclear Information System (INIS)

Woiterski, Lydia; Käs, Josef A; Claudepierre, Thomas; Luxenhofer, Robert; Jordan, Rainer

2013-01-01

Graph theoretical approaches have become a powerful tool for investigating the architecture and dynamics of complex networks. The topology of network graphs revealed small-world properties for very different real systems among these neuronal networks. In this study, we observed the early development of mouse retinal ganglion cell (RGC) networks in vitro using time-lapse video microscopy. By means of a time-resolved graph theoretical analysis of the connectivity, shortest path length and the edge length, we were able to discover the different stages during the network formation. Starting from single cells, at the first stage neurons connected to each other ending up in a network with maximum complexity. In the further course, we observed a simplification of the network which manifested in a change of relevant network parameters such as the minimization of the path length. Moreover, we found that RGC networks self-organized as small-world networks at both stages; however, the optimization occurred only in the second stage. (paper)

Separate-stage fermentation of biomass to methane

Energy Technology Data Exchange (ETDEWEB)

Clausen, E C; Gaddy, J L

1978-01-01

The production of CH/sub 4/ from orchard grass by anaerobic fermentation was separated into three stages and the kinetics and economics of the process were evaluated. The first stage was acid hydrolysis of the grass polysaccharides, the second stage was acid and alcohol formation from the sugars with a mixed sewage culture, and the third was CH/sub 4/ formation, also with enriched sewage cultures, from the effluent from the second stage reactor. Separating the steps showed a significant increase in CH/sub 4/ production per g of grass, but was less economical than a single-stage process.

Numerical simulation of radial compressor stage

Science.gov (United States)

Syka, T.; Luňáček, O.

2013-04-01

Article describes numerical simulations of air flow in radial compressor stage in NUMECA CFD software. In simulations geometry variants with and without seals are used. During tasks evaluating was observed seals influence on flow field and performance parameters of compressor stage. Also is described CFDresults comparison with results from design software based on experimental measurements and monitoring of influence of seals construction on compressor stage efficiency.

Numerical simulation of radial compressor stage

OpenAIRE

Luňáček O.; Syka T.

2013-01-01

Article describes numerical simulations of air flow in radial compressor stage in NUMECA CFD software. In simulations geometry variants with and without seals are used. During tasks evaluating was observed seals influence on flow field and performance parameters of compressor stage. Also is described CFDresults comparison with results from design software based on experimental measurements and monitoring of influence of seals construction on compressor stage efficiency.

Trading Stages: Life Expectancies in Structured Populations

Science.gov (United States)

Tuljapurkar, Shripad; Coulson, Tim; Horvitz, Carol

2012-01-01

Interest in stage-and age structured models has recently increased because they can describe quantitative traits such as size that are left out of age-only demography. Available methods for the analysis of effects of vital rates on lifespan in stage-structured models have not been widely applied because they are hard to use and interpret, and tools for age and stage structured populations are missing. We present easily interpretable expressions for the sensitivities and elasticities of life expectancy to vital rates in age-stage models, and illustrate their application with two biological examples. Much of our approach relies on trading of time and mortality risk in one stage for time and risk in others. Our approach contributes to the new framework of the study of age- and stage-structured biodemography. PMID:22664576

Portable audio magnetotellurics - experimental measurements and joint inversion with radiomagnetotelluric data from Gotland, Sweden

Science.gov (United States)

Shan, Chunling; Kalscheuer, Thomas; Pedersen, Laust B.; Erlström, Mikael; Persson, Lena

2017-08-01

Field setup of an audio magnetotelluric (AMT) station is a very time consuming and heavy work load. In contrast, radio magnetotelluric (RMT) equipment is more portable and faster to deploy but has shallower investigation depth owing to its higher signal frequencies. To increase the efficiency in the acquisition of AMT data from 10 to 300 Hz, we introduce a modification of the AMT method, called portable audio magnetotellurics (PAMT), that uses a lighter AMT field system and (owing to the disregard of signals at frequencies of less than 10 Hz) shortened data acquisition time. PAMT uses three magnetometers pre-mounted on a rigid frame to measure magnetic fields and steel electrodes to measure electric fields. Field tests proved that the system is stable enough to measure AMT fields in the given frequency range. A PAMT test measurement was carried out on Gotland, Sweden along a 3.5 km profile to study the ground conductivity and to map shallow Silurian marlstone and limestone formations, deeper Silurian, Ordovician and Cambrian sedimentary structures and crystalline basement. RMT data collected along a coincident profile and regional airborne very low frequency (VLF) data support the interpretation of our PAMT data. While only the RMT and VLF data constrain a shallow ( 20-50 m deep) transition between Silurian conductive ( 1000 Ωm resistivity) limestone, the single-method inversion models of both the PAMT and the RMT data show a transition into a conductive layer of 3 to 30 Ωm resistivity at 80 m depth suggesting the compatibility of the two data sets. This conductive layer is interpreted as saltwater saturated succession of Silurian, Ordovician and Cambrian sedimentary units. Towards the lower boundary of this succession (at 600 m depth according to boreholes), only the PAMT data constrain the structure. As supported by modelling tests and sensitivity analysis, the PAMT data only contain a vague indication of the underlying crystalline basement. A PAMT and RMT

Circulating Tumor DNA in Predicting Outcomes in Patients With Stage IV Head and Neck Cancer or Stage III-IV Non-small Cell Lung Cancer

Science.gov (United States)

2018-01-12

Metastatic Squamous Neck Cancer With Occult Primary Squamous Cell Carcinoma; Salivary Gland Squamous Cell Carcinoma; Stage IIIA Non-small Cell Lung Cancer; Stage IIIB Non-small Cell Lung Cancer; Stage IV Non-small Cell Lung Cancer; Stage IV Squamous Cell Carcinoma of the Hypopharynx; Stage IV Squamous Cell Carcinoma of the Nasopharynx; Stage IVA Salivary Gland Cancer; Stage IVA Squamous Cell Carcinoma of the Larynx; Stage IVA Squamous Cell Carcinoma of the Lip and Oral Cavity; Stage IVA Squamous Cell Carcinoma of the Oropharynx; Stage IVA Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity; Stage IVA Verrucous Carcinoma of the Larynx; Stage IVA Verrucous Carcinoma of the Oral Cavity; Stage IVB Salivary Gland Cancer; Stage IVB Squamous Cell Carcinoma of the Larynx; Stage IVB Squamous Cell Carcinoma of the Lip and Oral Cavity; Stage IVB Squamous Cell Carcinoma of the Oropharynx; Stage IVB Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity; Stage IVB Verrucous Carcinoma of the Larynx; Stage IVB Verrucous Carcinoma of the Oral Cavity; Stage IVC Salivary Gland Cancer; Stage IVC Squamous Cell Carcinoma of the Larynx; Stage IVC Squamous Cell Carcinoma of the Lip and Oral Cavity; Stage IVC Squamous Cell Carcinoma of the Oropharynx; Stage IVC Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity; Stage IVC Verrucous Carcinoma of the Larynx; Stage IVC Verrucous Carcinoma of the Oral Cavity; Tongue Cancer; Untreated Metastatic Squamous Neck Cancer With Occult Primary

Normalization: A Preprocessing Stage

OpenAIRE

Patro, S. Gopal Krishna; Sahu, Kishore Kumar

2015-01-01

As we know that the normalization is a pre-processing stage of any type problem statement. Especially normalization takes important role in the field of soft computing, cloud computing etc. for manipulation of data like scale down or scale up the range of data before it becomes used for further stage. There are so many normalization techniques are there namely Min-Max normalization, Z-score normalization and Decimal scaling normalization. So by referring these normalization techniques we are ...

Staging with spatial filters

International Nuclear Information System (INIS)

Glaze, J.

1974-01-01

It is known that small scale beam instabilities limit the focusable energy that can be achieved from a terawatt laser chain. Spatial filters are currently being used on CYCLOPS to ameliorate this problem. Realizing the full advantage of such a filter, however, may require certain staging modifications. A staging methodology is discussed that should be applicable to the CYCLOPS, 381, and SHIVA systems. Experiments are in progress on CYCLOPS that will address directly the utility of the proposed approach

Late Permian to Triassic intraplate orogeny of the southern Tianshan and adjacent regions, NW China

Directory of Open Access Journals (Sweden)

Wei Ju

2014-01-01

Based on previous studies and recent geochronogical data, we suggest that the final collision between the Tarim Craton and the North Asian continent occurred during the late Carboniferous. Therefore, the Permian was a period of intracontinental environment in the southern Tianshan and adjacent regions. We propose that an earlier, small-scale intraplate orogenic stage occurred in late Permian to Triassic time, which was the first intraplate process in the South Tianshan Orogen and adjacent regions. The later large-scale and well-known Neogene to Quaternary intraplate orogeny was induced by the collision between the India subcontinent and the Eurasian plate. The paper presents a new evolutionary model for the South Tianshan Orogen and adjacent regions, which includes seven stages: (I late Ordovician–early Silurian opening of the South Tianshan Ocean; (II middle Silurian–middle Devonian subduction of the South Tianshan Ocean beneath an active margin of the North Asian continent; (III late Devonian–late Carboniferous closure of the South Tianshan Ocean and collision between the Kazakhstan-Yili and Tarim continental blocks; (IV early Permian post-collisional magmatism and rifting; (V late Permian–Triassic the first intraplate orogeny; (VI Jurassic–Palaeogene tectonic stagnation and (VII Neocene–Quaternary intraplate orogeny.

Teaching basic life support with an automated external defibrillator using the two-stage or the four-stage teaching technique.

Science.gov (United States)

Bjørnshave, Katrine; Krogh, Lise Q; Hansen, Svend B; Nebsbjerg, Mette A; Thim, Troels; Løfgren, Bo

2018-02-01

Laypersons often hesitate to perform basic life support (BLS) and use an automated external defibrillator (AED) because of self-perceived lack of knowledge and skills. Training may reduce the barrier to intervene. Reduced training time and costs may allow training of more laypersons. The aim of this study was to compare BLS/AED skills' acquisition and self-evaluated BLS/AED skills after instructor-led training with a two-stage versus a four-stage teaching technique. Laypersons were randomized to either two-stage or four-stage teaching technique courses. Immediately after training, the participants were tested in a simulated cardiac arrest scenario to assess their BLS/AED skills. Skills were assessed using the European Resuscitation Council BLS/AED assessment form. The primary endpoint was passing the test (17 of 17 skills adequately performed). A prespecified noninferiority margin of 20% was used. The two-stage teaching technique (n=72, pass rate 57%) was noninferior to the four-stage technique (n=70, pass rate 59%), with a difference in pass rates of -2%; 95% confidence interval: -18 to 15%. Neither were there significant differences between the two-stage and four-stage groups in the chest compression rate (114±12 vs. 115±14/min), chest compression depth (47±9 vs. 48±9 mm) and number of sufficient rescue breaths between compression cycles (1.7±0.5 vs. 1.6±0.7). In both groups, all participants believed that their training had improved their skills. Teaching laypersons BLS/AED using the two-stage teaching technique was noninferior to the four-stage teaching technique, although the pass rate was -2% (95% confidence interval: -18 to 15%) lower with the two-stage teaching technique.

Reevaluation of the Piermont-Frontenac allochthon in the Upper Connecticut Valley: Restoration of a coherent Boundary Mountains–Bronson Hill stratigraphic sequence

Science.gov (United States)

Rankin, Douglas W.; Tucker, Robert D.; Amelin, Yuri

2013-01-01

The regional extent and mode and time of emplacement of the Piermont-Frontenac allochthon in the Boundary Mountains–Bronson Hill anticlinorium of the Upper Connecticut Valley, New Hampshire–Vermont, are controversial. Moench and coworkers beginning in the 1980s proposed that much of the autochthonous pre–Middle Ordovician section of the anticlinorium was a large allochthon of Silurian to Early Devonian rocks correlated to those near Rangeley, Maine. This ∼200-km-long allochthon was postulated to have been transported westward in the latest Silurian to Early Devonian as a soft-sediment gravity slide on a hypothesized Foster Hill fault. New mapping and U-Pb geochronology do not support this interpretation. The undisputed Rangeley sequence in the Bean Brook slice is different from the disputed sequence in the proposed larger Piermont-Frontenac allochthon, and field evidence for the Foster Hill fault is lacking. At the type locality on Foster Hill, the postulated “fault” is a stratigraphic contact within the Ordovician Ammonoosuc Volcanics. The proposed Foster Hill fault would place the Piermont-Frontenac allochthon over the inverted limb of the Cornish(?) nappe, which includes the Emsian Littleton Formation, thus limiting the alleged submarine slide to post-Emsian time. Mafic dikes of the 419 Ma Comerford Intrusive Complex intrude previously folded strata attributed to the larger Piermont-Frontenac allochthon as well as the autochthonous Albee Formation and Ammonoosuc Volcanics. The Lost Nation pluton intruded and produced hornfels in previously deformed Albee strata. Zircons from an apophysis of the pluton in the hornfels have a thermal ionization mass spectrometry 207Pb/206Pb age of 444.1 ± 2.1 Ma. Tonalite near Bath, New Hampshire, has a zircon sensitive high-resolution ion microprobe 206Pb/238U age of 492.5 ± 7.8 Ma. The tonalite intrudes the Albee Formation, formerly interpreted as the Silurian Perry Mountain Formation of the proposed allochthon

Numerical simulation of radial compressor stage

Directory of Open Access Journals (Sweden)

Luňáček O.

2013-04-01

Full Text Available Article describes numerical simulations of air flow in radial compressor stage in NUMECA CFD software. In simulations geometry variants with and without seals are used. During tasks evaluating was observed seals influence on flow field and performance parameters of compressor stage. Also is described CFDresults comparison with results from design software based on experimental measurements and monitoring of influence of seals construction on compressor stage efficiency.

Provenance, tectonics and palaeoclimate of Proterozoic Chandarpur ...

Indian Academy of Sciences (India)

the analysis of time- or environment-related changes, a major emphasis of .... The environments of deposition for different units ...... Hill, and Keefer Formations, Lower and Middle Silurian ... architecture of the Proterozoic succession in the east-.

Sleep staging with movement-related signals.

Science.gov (United States)

Jansen, B H; Shankar, K

1993-05-01

Body movement related signals (i.e., activity due to postural changes and the ballistocardiac effort) were recorded from six normal volunteers using the static-charge-sensitive bed (SCSB). Visual sleep staging was performed on the basis of simultaneously recorded EEG, EMG and EOG signals. A statistical classification technique was used to determine if reliable sleep staging could be performed using only the SCSB signal. A classification rate of between 52% and 75% was obtained for sleep staging in the five conventional sleep stages and the awake state. These rates improved from 78% to 89% for classification between awake, REM and non-REM sleep and from 86% to 98% for awake versus asleep classification.

Preoperative staging of rectal cancer; Praeoperatives Staging des Rektumkarzinoms

Energy Technology Data Exchange (ETDEWEB)

Schaefer, A.O.; Baumann, T.; Pache, G.; Langer, M. [Abt. Roentgendiagnostik, Radiologische Universitaetsklinik Freiburg, Freiburg im Breisgau (Germany); Wiech, T. [Inst. fuer Pathologie, Universitaetsklinik Freiburg, Freiburg (Germany)

2007-07-15

Accurate preoperative staging of rectal cancer is crucial for therapeutic decision making, as local tumor extent, nodal status, and patterns of metastatic spread are directly associated with different treatment strategies. Recently, treatment approaches have been widely standardized according to large studies and consensus guidelines. Introduced by Heald, total mesorectal excision (TME) is widely accepted as the surgical procedure of choice to remove the rectum together with its enveloping tissues and the mesorectal fascia. Neoadjuvant radiochemotherapy also plays a key role in the treatment of locally advanced stages, while the use of new drugs will lead to a further improvement in oncological outcome. Visualization of the circumferential resection margin is the hallmark of any preoperative imaging and a prerequisite for high-quality TME surgery. The aim of this article is to present an overview on current cross-sectional imaging with emphasis on magnetic resonance imaging. Future perspectives in rectal cancer imaging are addressed. (orig.)

On the robustness of two-stage estimators

KAUST Repository

Zhelonkin, Mikhail

2012-04-01

The aim of this note is to provide a general framework for the analysis of the robustness properties of a broad class of two-stage models. We derive the influence function, the change-of-variance function, and the asymptotic variance of a general two-stage M-estimator, and provide their interpretations. We illustrate our results in the case of the two-stage maximum likelihood estimator and the two-stage least squares estimator. © 2011.

Efficacy of single-stage and two-stage Fowler–Stephens laparoscopic orchidopexy in the treatment of intraabdominal high testis

Directory of Open Access Journals (Sweden)

Chang-Yuan Wang

2017-11-01

Conclusion: In the case of testis with good collateral circulation, single-stage F-S laparoscopic orchidopexy had the same safety and efficacy as the two-stage F-S procedure. Surgical options should be based on comprehensive consideration of intraoperative testicular location, testicular ischemia test, and collateral circumstances surrounding the testes. Under the appropriate conditions, we propose single-stage F-S laparoscopic orchidopexy be preferred. It may be appropriate to avoid unnecessary application of the two-stage procedure that has a higher cost and causes more pain for patients.

Carcinoma of the uterine cervix stage IB and early stage II. Prognostic value of the histological tumor regression after initial brachytherapy

International Nuclear Information System (INIS)

Calais, G.; Le Floch, O.; Chauvet, B.; Reynaud-Bougnoux, A.; Bougnoux, P.

1989-01-01

In our center limited centro pelvic invasive carcinomas of the uterine cervix (less than 4 cm) are treated with brachytherapy and surgery. With these therapeutic modalities no residual carcinoma was observed for 80% of the patients. The purpose of this study was to evaluate our results with this treatment, and to evaluate the prognostic value of the pathological status of the cervix. From 1976 to 1987 we have treated 115 patients with these modalities. Staging system used was the FIGO classification modified for Stage II (divided in early Stage II and late Stage II). Patients were Stage IB (70 cases) and early Stage II (45 cases); 60 Gy were delivered with utero vaginal brachytherapy before any treatment. Six weeks later a radical hysterectomy with pelvic lymphadenectomy was performed. Twenty-one patients with positive nodes received a pelvic radiotherapy (45 to 55 Gy). Local control rate was 97% (100% for Stage IB and 93% for early Stage II). Uncorrected 10-year actuarial survival rate was 96% for Stage IB and 80% for early Stage II patients. No treatment failure was observed for Stage IB patients. Ninety-two patients (80%) had no residual carcinoma in the cervix (group 1) and 23 patients (20%) had a residual tumor (group 2). The sterilization rate of the cervix was 87% for Stage IB tumors versus 69% for early Stage II, and was 82% for N- patients versus 68% for N+ patients. Ten year actuarial survival rate was 92% for group 1 and 78% for group 2 (p = 0, 1). Grade 3 complications rate was 6%. We conclude that brachytherapy + surgery is a safe treatment for limited centro pelvic carcinomas of the uterine cervix (especially Stage IB) and that pathological status of the cervix after brachytherapy is not a prognostic factor

Disturbance estimation and compensation for planar motors on the long-stroke stage of a wafer stage

Directory of Open Access Journals (Sweden)

Bizhong Xia

2015-04-01

Full Text Available This article presents a data-based method to estimate and compensate low-frequency disturbance in planar motors on the long-stroke stage of a wafer stage, which is a typical multiple-input multiple-output system. First, a data-based method is introduced to decouple the multiple-input multiple-output system into multi-single-input single-output system, which is crucial for the design of controller and the correction of disturbance estimation in the scanning direction. Second, dominant low-frequency disturbances in the long-stroke stage are analyzed. Third, estimation and compensation method under moving condition is proposed. The compensation method is based on three feedforward tables, and the tables are indexed by trajectory parameters, including velocity and position instead of time in the iterative learning control method. Finally, experiments are performed on the long-stroke stage of a wafer stage to verify the proposed method. Experimental results show that the proposed method can effectively improve the servo performance by reducing the tracking errors by nearly 1/2 in the forward direction and 1/3 in the backward direction and lowering error difference between the forward and backward directions from 5.1 to 1.2 µm.

When science takes centre stage

CERN Multimedia

2005-01-01

The teachers at 'Science on stage' are not emotionally attached to their chalk. Neither are they are weary old men who sport tweed jackets with elbow-patches and enter into conversation with their blackboards. Actually, 'Science on stage' teachers are far from the cliché of the boring physics teacher who can only inspire yawns from his pupils. Some present the basic principles of mechanics using a bicycle, others explain chemistry with examples from everyday life. The most audacious of them go so far as to explain the Doppler effect by means of a play in which Einstein dreams about jumping cows... These are but a few of the activities and plays that will be shown during the EIROforum1 Science on Stage Festival (organised by 7 European scientific organisations including CERN), to be held from 21 to 25 November at CERN, Geneva. This festival is dedicated to the teaching science in order to make it more attractive. After the first edition 'Physics on Stage' which was held in 2000 at CERN, the laboratory agai...

Early stage fuel cell funding

International Nuclear Information System (INIS)

Bergeron, C.

2004-01-01

'Full text:' Early stage venture funding requires an in depth understanding of both current and future markets as well as the key technical hurdles that need to be overcome for new technology to commercialize into successful products for mass markets. As the leading fuel cell and hydrogen investor, Chrysalix continuously reviews global trends and new technologies, evaluates them with industry leaders worldwide and tries to match them up with the best possible management teams when selecting its early stage investments. Chrysalix Energy Limited Partnership is an early-stage venture capital firm focusing on fuel cell and related fueling technology companies and is a private equity joint venture between Ballard Power Systems, BASF Venture Capital, The BOC Group, The Boeing Company, Duke Energy, Mitsubishi Corporation and Shell Hydrogen. Operating independently, Chrysalix offers a unique value proposition to its clients throughout the business planning, start-up and operations phases of development. Chrysalix provides early-stage funding to new companies as well as management assistance, technological knowledge, organized networking with industry players and experience in the management of intellectual property. (author)

One-stage or multi-stage creep fatigue behaviour of heat-resistant steels

International Nuclear Information System (INIS)

Kloos, K.H.; Granacher, J.; Scholz, A.

1994-01-01

For one stage realistic long term alternating strain tests on two forged steels with the duration of tests up to an order of magnitude of 45,000 hours, the generalised damage accumulation rule, using an optimised evaluation process dealing with pre-stress effects leads to a relative creep fatigue service life of one. A replacement description by the modified service life share rule is indicated for the long term area. First results from realistic three step tests are classified in the scatter band of single stage stress, where there are only slight differences from different cycle counting processes. (orig.) [de

Radical surgery for early stage cervical cancer

NARCIS (Netherlands)

Derks, M.

2017-01-01

Cervical cancer is one of the most common malignancies in women worldwide. Due to an effective screening programme, in the Netherlands cervical cancer is often detected in early stages of disease. For early stage (International Federation of Gynaecology and Obstetrics (FIGO) stage IB/IIA) cervical

One-stage vs two-stage cartilage repair: a current review

Directory of Open Access Journals (Sweden)

Daniel Meyerkort

2010-10-01

Full Text Available Daniel Meyerkort, David Wood, Ming-Hao ZhengCenter for Orthopaedic Research, School of Surgery and Pathology, University of Western Australia, Perth, AustraliaIntroduction: Articular cartilage has a poor capacity for regeneration if damaged. Various methods have been used to restore the articular surface, improve pain, function, and slow progression to osteoarthritis.Method: A PubMed review was performed on 18 March, 2010. Search terms included “autologous chondrocyte implantation (ACI” and “microfracture” or “mosaicplasty”. The aim of this review was to determine if 1-stage or 2-stage procedures for cartilage repair produced different functional outcomes.Results: The main procedures currently used are ACI and microfracture. Both first-generation ACI and microfracture result in clinical and functional improvement with no significant differences. A significant increase in functional outcome has been observed in second-generation procedures such as Hyalograft C, matrix-induced ACI, and ChondroCelect compared with microfracture. ACI results in a higher percentage of patients with clinical improvement than mosaicplasty; however, these results may take longer to achieve.Conclusion: Clinical and functional improvements have been demonstrated with ACI, microfracture, mosaicplasty, and synthetic cartilage constructs. Heterogeneous products and lack of good-quality randomized-control trials make product comparison difficult. Future developments involve scaffolds, gene therapy, growth factors, and stem cells to create a single-stage procedure that results in hyaline articular cartilage.Keywords: autologous chondrocyte implantation, microfracture, cartilage repair

Stage-to-stage progression of chronic kidney disease in renal transplantation with chronic allograft dysfunction

Directory of Open Access Journals (Sweden)

Khalkhali H

2009-11-01

Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Although the short-term results of kidney transplantation have improved greatly during the past decades, the long-term results have not improved according. Graft loss due to chronic allograft dysfunction (CAD is a major concern in renal transplant recipients (RTRs. There is little data about disease progression in this patient population. In this paper, we investigated history of kidney function as the pattern, waiting time and rate of pass from intermediate stages in RTR with CAD."n"nMethods: In a single-center retrospective study, 214 RTRs with CAD investigated at the Urmia University Hospital urmia, Iran from 1997 to 2005. Kidney function at each visit assessed with GFR. We apply NKF and K/DOQI classification of chronic kidney disease (CKD staging system to determine pattern of disease progression per stage in this group of patients. "n"nResults: The pure death-censored graft loss was 26% with mean waiting time 81.7 months. 100% of RTRs passed from stage I to II in mean waiting time 26.3 months. The probability of prognostic factors transition from stage II to III was 88.9% with mean waiting time 25.5 months, transition from III to IV was 55.7% with mean waiting time of 24.9 months and transition for

Rapid Two-stage Versus One-stage Surgical Repair of Interrupted Aortic Arch with Ventricular Septal Defect in Neonates

Directory of Open Access Journals (Sweden)

Meng-Lin Lee

2008-11-01

Conclusion: The outcome of rapid two-stage repair is comparable to that of one-stage repair. Rapid two-stage repair has the advantages of significantly shorter cardiopulmonary bypass duration and AXC time, and avoids deep hypothermic circulatory arrest. LVOTO remains an unresolved issue, and postoperative aortic arch restenosis can be dilated effectively by percutaneous balloon angioplasty.

Multiple Stages 2

DEFF Research Database (Denmark)

Andreasen, John

Multiple stages 2: theatrical futures, set design, community plays, cultural capitals, democracy & drama, WWII dramas, performance on adoption, promenade about emigration, qualities in political theatre, performance analysis, dramaturgical education, Toulmin Variations...

A mid-term follow-up of Koutsogiannis’ osteotomy in adult-acquired flatfoot stage II and “early stage III”

Directory of Open Access Journals (Sweden)

Arvinius Camilla

2017-01-01

Full Text Available Introduction: Koutsogiannis’ osteotomy has been widely described to treat adult-acquired flatfoot. However, few articles describe its midterm follow-up. Our aim was to study clinical and radiological outcomes at least one year after surgery and to analyze whether a combined procedure on the medial soft tissue affected these outcomes. Methods: We performed a retrospective study of 30 feet of patients who underwent a Koutsogiannis’ osteotomy due to adult-acquired flatfoot stage II and “early stage III”: a stage III acquired flatfoot without any important structural deformities. The parameters studied were additional medial soft tissue procedures, clinical outcome through the American Orthopaedic Foot and Ankle Society (AOFAS ankle and midfoot score as well as complications and radiological measurements. Results: Sixteen cases were “early stage III” and 14 stage II. Thirteen patients underwent an associated posterior tibial tendon (PTT revision: in three cases an end-to-end suture was possible, seven cases needed a FDL transposition, and three underwent synovectomy. Statistically significant improvement was found in the AOFAS score although no significant changes were seen radiologically. No additional benefit was found with the revision of the posterior tibial tendon. As to clinical and radiological results, no differences were found between stage II and “early stage III”. Five cases presented a mild dysesthesia but only one patient needed neurolysis. Conclusions: We consider the Koutsogiannis’ osteotomy to be a safe and effective procedure to reduce pain in patients with stage II and “early stage III” adult-acquired flatfoot.

CT volumetry for gastric carcinoma: association with TNM stage

Energy Technology Data Exchange (ETDEWEB)

Hallinan, James T.P.D.; Peter, Luke; Makmur, Andrew [National University Health System (NUHS), Diagnostic Radiology, Singapore (Singapore); Venkatesh, Sudhakar K. [Mayo Clinic, Department of Radiology, Rochester, MN (United States); Yong, Wei Peng [NUHS, Hematology and Oncology, Singapore (Singapore); So, Jimmy B.Y. [NUHS, Surgery, Singapore (Singapore)

2014-12-15

We evaluated the feasibility of performing CT volumetry of gastric carcinoma (GC) and its correlation with TNM stage. This institutional review board-approved retrospective study was performed on 153 patients who underwent a staging CT study for histologically confirmed GC. CT volumetry was performed by drawing regions of interest including abnormal thickening of the stomach wall. Reproducibility of tumour volume (Tvol) between two readers was assessed. Correlation between Tvol and TNM/peritoneal staging derived from histology/surgical findings was evaluated using ROC analysis and compared with CT evaluation of TNM/peritoneal staging. Tvol was successfully performed in all patients. Reproducibility among readers was excellent (r = 0.97; P = 0.0001). The median Tvol of GC showed an incremental trend with T-stage (T1 = 27 ml; T2 = 32 ml; T3 = 53 ml and T4 = 121 ml, P < 0.01). Tvol predicted with good accuracy T-stage (≥T2:0.95; ≥T3:0.89 and T4:0.83, P = 0.0001), M-stage (0.87, P = 0.0001), peritoneal metastases (0.87, P = 0.0001) and final stage (≥stage 2:0.89; ≥stage 3:0.86 and stage 4:0.87, P = 0.0001), with moderate accuracy for N-stage (≥N1:0.75; ≥N2:0.74 and N3:0.75, P = 0.0001). Tvol was significantly (P < 0.05) more accurate than standard CT staging for prediction of T-stage, N3-stage, M-stage and peritoneal metastases. CT volumetry may provide useful adjunct information for preoperative staging of GC. (orig.)

CT volumetry for gastric carcinoma: association with TNM stage

International Nuclear Information System (INIS)

Hallinan, James T.P.D.; Peter, Luke; Makmur, Andrew; Venkatesh, Sudhakar K.; Yong, Wei Peng; So, Jimmy B.Y.

2014-01-01

We evaluated the feasibility of performing CT volumetry of gastric carcinoma (GC) and its correlation with TNM stage. This institutional review board-approved retrospective study was performed on 153 patients who underwent a staging CT study for histologically confirmed GC. CT volumetry was performed by drawing regions of interest including abnormal thickening of the stomach wall. Reproducibility of tumour volume (Tvol) between two readers was assessed. Correlation between Tvol and TNM/peritoneal staging derived from histology/surgical findings was evaluated using ROC analysis and compared with CT evaluation of TNM/peritoneal staging. Tvol was successfully performed in all patients. Reproducibility among readers was excellent (r = 0.97; P = 0.0001). The median Tvol of GC showed an incremental trend with T-stage (T1 = 27 ml; T2 = 32 ml; T3 = 53 ml and T4 = 121 ml, P < 0.01). Tvol predicted with good accuracy T-stage (≥T2:0.95; ≥T3:0.89 and T4:0.83, P = 0.0001), M-stage (0.87, P = 0.0001), peritoneal metastases (0.87, P = 0.0001) and final stage (≥stage 2:0.89; ≥stage 3:0.86 and stage 4:0.87, P = 0.0001), with moderate accuracy for N-stage (≥N1:0.75; ≥N2:0.74 and N3:0.75, P = 0.0001). Tvol was significantly (P < 0.05) more accurate than standard CT staging for prediction of T-stage, N3-stage, M-stage and peritoneal metastases. CT volumetry may provide useful adjunct information for preoperative staging of GC. (orig.)

Extended Cancer Education for Longer-Term Survivors in Primary Care for Patients With Stage I-II Breast or Prostate Cancer or Stage I-III Colorectal Cancer

Science.gov (United States)

2017-11-15

Stage I Breast Cancer; Stage I Colorectal Cancer AJCC v6 and v7; Stage I Prostate Cancer; Stage IA Breast Cancer; Stage IB Breast Cancer; Stage II Breast Cancer; Stage II Colorectal Cancer AJCC v7; Stage II Prostate Cancer; Stage IIA Breast Cancer; Stage IIA Colorectal Cancer AJCC v7; Stage IIA Prostate Cancer; Stage IIB Breast Cancer; Stage IIB Colorectal Cancer AJCC v7; Stage IIB Prostate Cancer; Stage IIC Colorectal Cancer AJCC v7; Stage III Colorectal Cancer AJCC v7; Stage IIIA Colorectal Cancer AJCC v7; Stage IIIB Colorectal Cancer AJCC v7; Stage IIIC Colorectal Cancer AJCC v7

A new graptolite species of .i.Cyrtograptus./i. from the uppermost Llandovery of Ziyang, Shaanxi Province, China

Czech Academy of Sciences Publication Activity Database

Wang, J.; Štorch, Petr; Wang, X.; Zhang, J.

2015-01-01

Roč. 24, 1/2 (2015), s. 215-220 ISSN 1871-174X Institutional support: RVO:67985831 Keywords : Silurian * Llandovery * Cyrtograptus fui n. sp. * Ziyang * Graptolites Subject RIV: DB - Geology ; Mineralogy Impact factor: 0.939, year: 2015

Origin, sequence stratigraphy and depositional environment of an Upper Ordovician (Hirnantian) deglacial black shale, Jordan-Discussion

Czech Academy of Sciences Publication Activity Database

Lüning, S.; Loydell, D. K.; Štorch, Petr; Shahin, Y.; Craig, J.

2006-01-01

Roč. 230, 3-4 (2006), s. 352-355 ISSN 0031-0182 Institutional research plan: CEZ:AV0Z30130516 Keywords : Silurian * black shale * sequence stratigraphy Subject RIV: DB - Geology ; Mineralogy Impact factor: 1.822, year: 2006

Multiple stage miniature stepping motor

International Nuclear Information System (INIS)

Niven, W.A.; Shikany, S.D.; Shira, M.L.

1981-01-01

A stepping motor comprising a plurality of stages which may be selectively activated to effect stepping movement of the motor, and which are mounted along a common rotor shaft to achieve considerable reduction in motor size and minimum diameter, whereby sequential activation of the stages results in successive rotor steps with direction being determined by the particular activating sequence followed

Stages of Retinoblastoma

Science.gov (United States)

... of the ultrasound monitor . The picture can be printed to be looked at later. MRI (magnetic resonance ... procedures may be used in the staging process: Bone scan : A procedure to check if there are ...

Ash related behaviour in staged and non-staged combustion of biomass fuels and fuel mixtures

International Nuclear Information System (INIS)

Becidan, Michaël; Todorovic, Dusan; Skreiberg, Øyvind; Khalil, Roger A.; Backman, Rainer; Goile, Franziska; Skreiberg, Alexandra; Jovovic, Aleksandar; Sørum, Lars

2012-01-01

The fate of selected elements (with focus on the important players in corrosion i.e. Na, K, Pb, Zn, Cl and S) are investigated for three biomasses (wood, demolition wood and coffee waste) and six mixtures of these as pellets both with and without air staging in a laboratory reactor. In order to get a complete overview of the combustion products, both online and offline analytical methods are used. Information is collected about: flue gas composition, particle (fly ash) size distribution and composition, bottom ash composition and melting properties. The main findings are: (1) complex interactions are taking place between the mixed fuels during combustion; (2) the mode of occurrence of an element as well as the overall structure of the fuel are important for speciation; (3) the pelletisation process, by bringing chemical elements into intimate contact, may affect partitioning and speciation; (4) staging and mixing might simultaneously have positive and negative effects on operation; (5) staging affects the governing mechanisms of fly ash (aerosols) formation. -- Highlights: ► Complex interactions are taking place between the mixed fuels during combustion. ► The mode of occurrence of an element as well as the overall structure of the fuel are important for speciation. ► The pelletisation process, by bringing chemical elements into intimate contact, may affect partitioning and speciation. ► Staging and mixing might simultaneously have positive and negative effects on operation. ► Staging affects the governing mechanisms of fly ash (aerosols) formation.

MR imaging for staging of cervical carcinoma: Update

Energy Technology Data Exchange (ETDEWEB)

Yoon, Seong Kuk; Kim, Dong Won [Dong A University Hospital, Busan(Korea, Republic of)

2017-08-15

Uterine cervical cancer is globally the third most common cancer among women, and shows high mortality with invasive cervical carcinoma. Early detection of the disease, its correct staging, and treatment are therefore of great importance. The staging system updated in 2009 by the International Federation of Gynecology and Obstetrics (FIGO), is commonly used for planning the treatment. However, there are significant inaccuracies in the FIGO staging system. Accurate tumor staging is very important to decide the treatment strategy. Although not included in the staging system, magnetic resonance (MR) imaging is a valuable tool for local staging of the disease, and is useful in assessing the spread of the tumor and metastatic lymph nodes, thereby becoming a more accurate substitute for clinical staging of cervical carcinoma. In addition, it is capable of assessing the disease response to surgery or chemoradiation. This review briefly describes the role of MR imaging and the basic MR scanning protocol in evaluating cervical carcinoma. The MR findings with staging, and MR evaluation of treatment response, are further addressed.

How orchestra members influence stage acoustic parameters on five different concert hall stages and orchestra pits

NARCIS (Netherlands)

Wenmaekers, R.H.C.; Hak, C.C.J.M.; Hornikx, M.C.J.

2016-01-01

Stage acoustic parameters aim to quantify the amount of sound energy reflected by the stage and hall boundaries and the energy decay over time. In this research, the effect of orchestra presence on parameter values is investigated. The orchestra is simulated by dressed mannequins, which have been

High cost of stage IV pressure ulcers.

Science.gov (United States)

Brem, Harold; Maggi, Jason; Nierman, David; Rolnitzky, Linda; Bell, David; Rennert, Robert; Golinko, Michael; Yan, Alan; Lyder, Courtney; Vladeck, Bruce

2010-10-01

The aim of this study was to calculate and analyze the cost of treatment for stage IV pressure ulcers. A retrospective chart analysis of patients with stage IV pressure ulcers was conducted. Hospital records and treatment outcomes of these patients were followed up for a maximum of 29 months and analyzed. Costs directly related to the treatment of pressure ulcers and their associated complications were calculated. Nineteen patients with stage IV pressure ulcers (11 hospital-acquired and 8 community-acquired) were identified and their charts were reviewed. The average hospital treatment cost associated with stage IV pressure ulcers and related complications was $129,248 for hospital-acquired ulcers during 1 admission, and $124,327 for community-acquired ulcers over an average of 4 admissions. The costs incurred from stage IV pressure ulcers are much greater than previously estimated. Halting the progression of early stage pressure ulcers has the potential to eradicate enormous pain and suffering, save thousands of lives, and reduce health care expenditures by millions of dollars. Copyright © 2010 Elsevier Inc. All rights reserved.

One-stage and two-stage penile buccal mucosa urethroplasty

African Journals Online (AJOL)

G. Barbagli

2015-12-02

Dec 2, 2015 ... there also seems to be a trend of decreasing urethritis and an increase of instrumentation and catheter related strictures in these countries as well [4–6]. The repair of penile urethral strictures may require one- or two- stage urethroplasty [7–10]. Certainly, sexual function can be placed at risk by any surgery ...

The Staging of the Turk

DEFF Research Database (Denmark)

Holm, Bent

2013-01-01

An analytical and contextualized presentation of the figure of the Turk on the Danish stage in the 18. century with a specific focus on the interaction between the actual commercial and military circumstances on the one hand and the performative representations on the other hand. How far did the ...... the staged image reflect the actual circumstances and how far was it an internal self-reflection?...

Some Silurian (Llandovery) monograptids from Saudi Arabia

NARCIS (Netherlands)

El-Khayal, A.A.

1985-01-01

Three species of Monograptus are recognized from Qusayba, Al-Qasim Province, Saudi Arabia. The Qusayba Shales Member of the Tabuk Formation in central Saudi Arabia contains M. decipiens decipiens, M. ex gr. barrandei and M. elongatus, associated with other graptolites. This assemblage is indicative

Uterine cervical cancer. Preoperative staging with magnetic resonance imaging; Zervixkarzinom. Praeoperatives Staging mittels Magnetresonanztomographie

Energy Technology Data Exchange (ETDEWEB)

Collettini, F.; Hamm, B. [Charite-Universitaetsmedizin Berlin, Campus Charite Mitte, Klinik fuer Radiologie, Berlin (Germany)

2011-07-15

The treatment of uterine cervical carcinoma is largely dependent on the tumor stage. Despite significant inaccuracies in the clinical examination, uterine cervical cancer remains the only gynecological form of cancer still largely staged according to clinical findings. Although imaging is still not included in the staging the recently published revised FIGO (Federation International de Gynecologie et d'Obstetrique) system encourages the use of modern cross-sectional imaging (magnetic resonance imaging MRI and computed tomography CT). Due to its high soft tissue contrast MRI allows excellent non-invasive assessment of the cervix with direct tumor delineation as well as assessment of the prognosis based on morphological factors. Studies in the literature report an accuracy of 93% for MRI in the preoperative assessment of tumor size and in the differentiation of operable from advanced cervical cancer. Therefore MRI is considered to be the optimal modality for diagnostic evaluation starting from FIGO stage IB1, for radiation therapy planning, and for exclusion of recurrence in follow-up. In this paper we give an overview of the role of magnetic resonance imaging in preoperative staging of uterine cervical cancer. (orig.) [German] Die Therapieplanung beim Zervixkarzinom ist weitgehend von der Stadieneinteilung nach FIGO (Federation International de Gynecologie et d'Obstetrique) abhaengig, die trotz erheblicher Ungenauigkeiten bei der klinischen Stadieneinteilung weiterhin aufgrund klinischer Untersuchungsbefunde erfolgt. Obwohl bildgebende Verfahren nach wie vor fuer die Stadieneinteilung nicht vorgesehen sind, wird im kuerzlich erschienen revidierten Stagingsystem der FIGO zum ersten Mal die Verwendung moderner Schnittbilddiagnostik (MRT und CT) befuerwortet. Die MRT ermoeglicht dank ihres hohen Weichteilkontrasts ein ausgezeichnetes nichtinvasives Staging des Zervixkarzinoms mit direkter Tumordarstellung sowie einer Prognoseabschaetzung anhand

Transesophageal Ultrasonography for Lung Cancer Staging

DEFF Research Database (Denmark)

Konge, Lars; Annema, Jouke; Vilmann, Peter

2013-01-01

Accurate mediastinal nodal staging is essential for patients with resectable non-small-cell lung cancer and is achieved by combined endobronchial ultrasound and transesophageal endoscopic ultrasound (EUS). Training requirements for EUS-guided fine-needle aspiration (FNA) for lung cancer staging...

Adolescent thinking ála Piaget: The formal stage.

Science.gov (United States)

Dulit, E

1972-12-01

Two of the formal-stage experiments of Piaget and Inhelder, selected largely for their closeness to the concepts defining the stage, were replicated with groups of average and gifted adolescents. This report describes the relevant Piagetian concepts (formal stage, concrete stage) in context, gives the methods and findings of this study, and concludes with a section discussing implications and making some reformulations which generally support but significantly qualify some of the central themes of the Piaget-Inhelder work. Fully developed formal-stage thinking emerges as far from commonplace among normal or average adolescents (by marked contrast with the impression created by the Piaget-Inhelder text, which chooses to report no middle or older adolescents who function at less than fully formal levels). In this respect, the formal stage differs appreciably from the earlier Piagetian stages, and early adolescence emerges as the age for which a "single path" model of cognitive development becomes seriously inadequate and a more complex model becomes essential. Formal-stage thinking seems best conceptualized, like most other aspects of psychological maturity, as a potentiality only partially attained by most and fully attained only by some.

Improved clinical staging of esophageal cancer with FDG-PET

International Nuclear Information System (INIS)

Kim, Young Hwan; Choi, Joon Young; Lee, Kyung Soo; Choi, Yong Soo; Lee, Eun Jeong; Chung, Hyun Woo; Lee, Su Jin; Lee, Kyung Han; Shim, Young Mog; Kim, Byung Tae

2004-01-01

Since preoperative staging in esophageal cancer is important in both therapy and prognosis, there had been many efforts to improve its accuracy. Recent studies indicate that whole body FDG-PET has high sensitivity in detection of metastasis in esophageal cancer. Therefore, we added FDG-PET to other conventional methods in staging esophageal cancer to evaluate the usefulness of this method. Subjects were 142 esophageal cancer patients (average 62.3±8.3 yrs) who received CT and PET just before operation. First, we compared N stage and M stage of the CT or PET with those of the post-operative results. Then we compared the stage according to the EUS (T stage) and CT (N and M stage) or EUS (T stage) and CT and PET (N and M stage) to that according to the post-operative results. Among 142 patients, surgical staging of 69 were N0 and 73 were N1. In M staging, 128 were M0 and 14 were M1. Sensitivity, specificity, and accuracy of N staging were 35.6%, 89.9%, 62.0% with CT and 58.9%, 71.0%, 64.7% with PET, respectively. In M staging, 14.3%, 96.9%, 88.7% with CT and 50.0%, 94.5%, 90.1% with PET, respectively. The concordances of [EUS+CT] and [EUS+CT+PET] with post-operative results were 41.2% and 54.6%, respectively and there was significant improvement of staging with additional PET scan (p<0.005). The concordance of [EUS+CT+PET] with post-operative result was significantly increased compared to that of [EUS+CT]. Thus, the addition of FDG-PET with other conventional methods may enable more accurate preoperative staging

Two stages of economic development

OpenAIRE

Gong, Gang

2016-01-01

This study suggests that the development process of a less-developed country can be divided into two stages, which demonstrate significantly different properties in areas such as structural endowments, production modes, income distribution, and the forces that drive economic growth. The two stages of economic development have been indicated in the growth theory of macroeconomics and in the various "turning point" theories in development economics, including Lewis's dual economy theory, Kuznet...

Stages as models of scene geometry.

Science.gov (United States)

Nedović, Vladimir; Smeulders, Arnold W M; Redert, André; Geusebroek, Jan-Mark

2010-09-01

Reconstruction of 3D scene geometry is an important element for scene understanding, autonomous vehicle and robot navigation, image retrieval, and 3D television. We propose accounting for the inherent structure of the visual world when trying to solve the scene reconstruction problem. Consequently, we identify geometric scene categorization as the first step toward robust and efficient depth estimation from single images. We introduce 15 typical 3D scene geometries called stages, each with a unique depth profile, which roughly correspond to a large majority of broadcast video frames. Stage information serves as a first approximation of global depth, narrowing down the search space in depth estimation and object localization. We propose different sets of low-level features for depth estimation, and perform stage classification on two diverse data sets of television broadcasts. Classification results demonstrate that stages can often be efficiently learned from low-dimensional image representations.

Implications of inaccurate clinical nodal staging in pancreatic adenocarcinoma.

Science.gov (United States)

Swords, Douglas S; Firpo, Matthew A; Johnson, Kirsten M; Boucher, Kenneth M; Scaife, Courtney L; Mulvihill, Sean J

2017-07-01

Many patients with stage I-II pancreatic adenocarcinoma do not undergo resection. We hypothesized that (1) clinical staging underestimates nodal involvement, causing stage IIB to have a greater percent of resected patients and (2) this stage-shift causes discrepancies in observed survival. The Surveillance, Epidemiology, and End Results (SEER) research database was used to evaluate cause-specific survival in patients with pancreatic adenocarcinoma from 2004-2012. Survival was compared using the log-rank test. Single-center data on 105 patients who underwent resection of pancreatic adenocarcinoma without neoadjuvant treatment were used to compare clinical and pathologic nodal staging. In SEER data, medium-term survival in stage IIB was superior to IB and IIA, with median cause-specific survival of 14, 9, and 11 months, respectively (P < .001). Seventy-two percent of stage IIB patients underwent resection vs 28% in IB and 36% in IIA (P < .001). In our institutional data, 12.4% of patients had clinical evidence of nodal involvement vs 69.5% by pathologic staging (P < .001). Among clinical stage IA-IIA patients, 71.6% had nodal involvement by pathologic staging. Both SEER and institutional data support substantial underestimation of nodal involvement by clinical staging. This finding has implications in decisions regarding neoadjuvant therapy and analysis of outcomes in the absence of pathologic staging. Copyright © 2017 Elsevier Inc. All rights reserved.

Postshield stage transitional volcanism on Mahukona Volcano, Hawaii

Science.gov (United States)

Clague, D.A.; Calvert, A.T.

2009-01-01

Age spectra from 40Ar/39Ar incremental heating experiments yield ages of 298??25 ka and 310??31 ka for transitional composition lavas from two cones on submarine Mahukona Volcano, Hawaii. These ages are younger than the inferred end of the tholeiitic shield stage and indicate that the volcano had entered the postshield alkalic stage before going extinct. Previously reported elevated helium isotopic ratios of lavas from one of these cones were incorrectly interpreted to indicate eruption during a preshield alkalic stage. Consequently, high helium isotopic ratios are a poor indicator of eruptive stage, as they occur in preshield, shield, and postshield stage lavas. Loihi Seamount and Kilauea are the only known Hawaiian volcanoes where the volume of preshield alkalic stage lavas can be estimated. ?? Springer-Verlag 2008.

Market-stage analysis enhances strategic planning.

Science.gov (United States)

McDonald, R B

1998-07-01

Changing market conditions are challenging healthcare organizations to determine how to allocate resources and make operational planning decisions to prepare for future changes. A vital part of meeting these challenges is understanding the impact of market stages, and using that knowledge to build effective business strategies. Financial modeling that includes market-stage information provides insight into market opportunities and presents a clearer picture of the organizational changes that will need to be implemented at each stage. Effective strategic action should take into account critical success factors in market responsiveness, organizational responsiveness, operational effectiveness, and financial strength.

Two stage-type railgun accelerator

International Nuclear Information System (INIS)

Ogino, Mutsuo; Azuma, Kingo.

1995-01-01

The present invention provides a two stage-type railgun accelerator capable of spiking a flying body (ice pellet) formed by solidifying a gaseous hydrogen isotope as a fuel to a thermonuclear reactor at a higher speed into a central portion of plasmas. Namely, the two stage-type railgun accelerator accelerates the flying body spiked from a initial stage accelerator to a portion between rails by Lorentz force generated when electric current is supplied to the two rails by way of a plasma armature. In this case, two sets of solenoids are disposed for compressing the plasma armature in the longitudinal direction of the rails. The first and the second sets of solenoid coils are previously supplied with electric current. After passing of the flying body, the armature formed into plasmas by a gas laser disposed at the back of the flying body is compressed in the longitudinal direction of the rails by a magnetic force of the first and the second sets of solenoid coils to increase the plasma density. A current density is also increased simultaneously. Then, the first solenoid coil current is turned OFF to accelerate the flying body in two stages by the compressed plasma armature. (I.S.)

Preoperative PET/CT in early-stage breast cancer

DEFF Research Database (Denmark)

Bernsdorf, M; Berthelsen, A K; Timmermans-Wielenga, Vera

2012-01-01

The aim of this study was to assess the diagnostic and therapeutic impact of preoperative positron emission tomography and computed tomography (PET/CT) in the initial staging of patients with early-stage breast cancer.......The aim of this study was to assess the diagnostic and therapeutic impact of preoperative positron emission tomography and computed tomography (PET/CT) in the initial staging of patients with early-stage breast cancer....

Two-stage implant systems.

Science.gov (United States)

Fritz, M E

1999-06-01

Since the advent of osseointegration approximately 20 years ago, there has been a great deal of scientific data developed on two-stage integrated implant systems. Although these implants were originally designed primarily for fixed prostheses in the mandibular arch, they have been used in partially dentate patients, in patients needing overdentures, and in single-tooth restorations. In addition, this implant system has been placed in extraction sites, in bone-grafted areas, and in maxillary sinus elevations. Often, the documentation of these procedures has lagged. In addition, most of the reports use survival criteria to describe results, often providing overly optimistic data. It can be said that the literature describes a true adhesion of the epithelium to the implant similar to adhesion to teeth, that two-stage implants appear to have direct contact somewhere between 50% and 70% of the implant surface, that the microbial flora of the two-stage implant system closely resembles that of the natural tooth, and that the microbiology of periodontitis appears to be closely related to peri-implantitis. In evaluations of the data from implant placement in all of the above-noted situations by means of meta-analysis, it appears that there is a strong case that two-stage dental implants are successful, usually showing a confidence interval of over 90%. It also appears that the mandibular implants are more successful than maxillary implants. Studies also show that overdenture therapy is valid, and that single-tooth implants and implants placed in partially dentate mouths have a success rate that is quite good, although not quite as high as in the fully edentulous dentition. It would also appear that the potential causes of failure in the two-stage dental implant systems are peri-implantitis, placement of implants in poor-quality bone, and improper loading of implants. There are now data addressing modifications of the implant surface to alter the percentage of

Calibration of Nanopositioning Stages

Directory of Open Access Journals (Sweden)

Ning Tan

2015-12-01

Full Text Available Accuracy is one of the most important criteria for the performance evaluation of micro- and nanorobots or systems. Nanopositioning stages are used to achieve the high positioning resolution and accuracy for a wide and growing scope of applications. However, their positioning accuracy and repeatability are not well known and difficult to guarantee, which induces many drawbacks for many applications. For example, in the mechanical characterisation of biological samples, it is difficult to perform several cycles in a repeatable way so as not to induce negative influences on the study. It also prevents one from controlling accurately a tool with respect to a sample without adding additional sensors for closed loop control. This paper aims at quantifying the positioning repeatability and accuracy based on the ISO 9283:1998 standard, and analyzing factors influencing positioning accuracy onto a case study of 1-DoF (Degree-of-Freedom nanopositioning stage. The influence of thermal drift is notably quantified. Performances improvement of the nanopositioning stage are then investigated through robot calibration (i.e., open-loop approach. Two models (static and adaptive models are proposed to compensate for both geometric errors and thermal drift. Validation experiments are conducted over a long period (several days showing that the accuracy of the stage is improved from typical micrometer range to 400 nm using the static model and even down to 100 nm using the adaptive model. In addition, we extend the 1-DoF calibration to multi-DoF with a case study of a 2-DoF nanopositioning robot. Results demonstrate that the model efficiently improved the 2D accuracy from 1400 nm to 200 nm.

Parenchymal neurocysticercosis: follow-up and staging by MRI

International Nuclear Information System (INIS)

Dumas, J.L.; Visy, J.M.; Belin, C.; Gaston, A.; Goldlust, D.; Dumas, M.

1997-01-01

We describe the evolution of parenchymal cerebral cysticerci on MRI, to assess signs of early cyst degeneration. We studied 15 lesions in four treated and one untreated patient. MRI was performed before therapy and repeated in the 1st month after each course of anticysticercus drugs, every 4 months during the 1st year and then annually; the follow-up period was 8-48 months. Lesions were classified according to changes in four features: cyst content and capsule signal, gadolinium enhancement and oedema signal. We were able to recognise each of the pathological phases; five MRI stages were identified. Stage 1 showed oedema and/or nodular gadolinium enhancement in the tissue invasion phase; stage 2 was cerebrospinal fluid-like signal within a cyst in the vesicular phase; stage 3 showed a thick capsule with an impure liquid content signal and surrounding oedema, in the cystic phase; stage 4 showed the disappearance of the cyst fluid content signal in the degenerative phase; stage 5 showed a calcified lesion in the residual phase. Stage 1 lesions disappeared after therapy; the other progressed from one stage to another. Stage 4 indicated the end of viability of the parasite and determined the point after which treatment was useless. On T2-weighted images changes in the cyst content differed according to the history of the lesion; nodular low intensity followed the natural degeneration of the parasite and a mixed fluid signal with punctate low signal seemed to represent the specific result of therapy. MRI staging can help in the evaluation of indications for treatment and facilitate clinical therapeutic trials. (orig.). With 4 figs., 1 tab

Appendectomy in the surgical staging of ovarian carcinoma.

Science.gov (United States)

Beşe, T; Kösebay, D; Kaleli, S; Oz, A U; Demirkiran, F; Gezer, A

1996-06-01

Extensive debulking is accepted as the primary method of operative management for carcinoma of the ovary. However, there is no consensus regarding the role of appendectomy in primary surgical treatment. The aim of this study was to assess the role of appendectomy in the surgical staging and cytoreduction of ovarian carcinoma. The study was a retrospective review of 90 primary malignant ovarian carcinoma patients who had an appendectomy in addition to primary cytoreductive surgery. Out of 90 patients, 10 (11.1%) had metastasis to the appendix. The rate of metastasis to the appendix was 11.5% (9/78) in malignant epithelial ovarian carcinomas and 8.3% (1/12) in non-epithelial ovarian tumors. Of the patients with metastasis in the appendix, malignant epithelial ovarian tumors were identified in 90% (serous: 70%; clear cell: 20%), and non-epithelial malignant ovarian tumor were disclosed in 10% (granulosa cell carcinoma). There were no metastases to the appendix in the other histological types. Although metastasis to the appendix was not observed in early stage ovarian carcinomas, it was detected in 21.4% (9/42) of stage III and 50% (1/2) of stage IV. Macroscopic tumor metastasis in the abdomen was noted in all patients with metastasis to the appendix. Appendectomy for stage I and II patients was not beneficial and did not affect final staging. As a result, for the proper staging of ovarian carcinoma there is no advantage to the addition of routine appendectomy to primary cytoreductive surgery in early stage (stage I and II) malignant epithelial ovarian tumors. Appendectomy would contribute to the cytoreduction of advanced stage disease if it is macroscopically involved.

Parenchymal neurocysticercosis: follow-up and staging by MRI

Energy Technology Data Exchange (ETDEWEB)

Dumas, J.L. [Dept. of Radiology, Hopital Avicenne, Bobigny (France)]|[Inst. of Tropical Neurology, Faculty of Medicine, Limoges (France); Visy, J.M. [Dept. of Neurology, Hopital Lariboisiere, Paris (France); Belin, C. [Dept. of Neurology, Hopital Avicenne, Bobigny (France); Gaston, A. [Dept. of Neuroradiology, Hopital Henri-Mondor, Creteil (France); Goldlust, D. [Dept. of Radiology, Hopital Avicenne, Bobigny (France); Dumas, M. [Inst. of Tropical Neurology, Faculty of Medicine, Limoges (France)

1997-01-01

We describe the evolution of parenchymal cerebral cysticerci on MRI, to assess signs of early cyst degeneration. We studied 15 lesions in four treated and one untreated patient. MRI was performed before therapy and repeated in the 1st month after each course of anticysticercus drugs, every 4 months during the 1st year and then annually; the follow-up period was 8-48 months. Lesions were classified according to changes in four features: cyst content and capsule signal, gadolinium enhancement and oedema signal. We were able to recognise each of the pathological phases; five MRI stages were identified. Stage 1 showed oedema and/or nodular gadolinium enhancement in the tissue invasion phase; stage 2 was cerebrospinal fluid-like signal within a cyst in the vesicular phase; stage 3 showed a thick capsule with an impure liquid content signal and surrounding oedema, in the cystic phase; stage 4 showed the disappearance of the cyst fluid content signal in the degenerative phase; stage 5 showed a calcified lesion in the residual phase. Stage 1 lesions disappeared after therapy; the other progressed from one stage to another. Stage 4 indicated the end of viability of the parasite and determined the point after which treatment was useless. On T2-weighted images changes in the cyst content differed according to the history of the lesion; nodular low intensity followed the natural degeneration of the parasite and a mixed fluid signal with punctate low signal seemed to represent the specific result of therapy. MRI staging can help in the evaluation of indications for treatment and facilitate clinical therapeutic trials. (orig.). With 4 figs., 1 tab.

Experimental Results of the First Two Stages of an Advanced Transonic Core Compressor Under Isolated and Multi-Stage Conditions

Science.gov (United States)

Prahst, Patricia S.; Kulkarni, Sameer; Sohn, Ki H.

2015-01-01

NASA's Environmentally Responsible Aviation (ERA) Program calls for investigation of the technology barriers associated with improved fuel efficiency of large gas turbine engines. Under ERA the task for a High Pressure Ratio Core Technology program calls for a higher overall pressure ratio of 60 to 70. This mean that the HPC would have to almost double in pressure ratio and keep its high level of efficiency. The challenge is how to match the corrected mass flow rate of the front two supersonic high reaction and high corrected tip speed stages with a total pressure ratio of 3.5. NASA and GE teamed to address this challenge by using the initial geometry of an advanced GE compressor design to meet the requirements of the first 2 stages of the very high pressure ratio core compressor. The rig was configured to run as a 2 stage machine, with Strut and IGV, Rotor 1 and Stator 1 run as independent tests which were then followed by adding the second stage. The goal is to fully understand the stage performances under isolated and multi-stage conditions and fully understand any differences and provide a detailed aerodynamic data set for CFD validation. Full use was made of steady and unsteady measurement methods to isolate fluid dynamics loss source mechanisms due to interaction and endwalls. The paper will present the description of the compressor test article, its predicted performance and operability, and the experimental results for both the single stage and two stage configurations. We focus the detailed measurements on 97 and 100 of design speed at 3 vane setting angles.

Chronic infections in hip arthroplasties: comparing risk of reinfection following one-stage and two-stage revision: a systematic review and meta-analysis

Directory of Open Access Journals (Sweden)

Lange J

2012-03-01

Full Text Available Jeppe Lange1,2, Anders Troelsen3, Reimar W Thomsen4, Kjeld Søballe1,51Lundbeck Foundation Centre for Fast-Track Hip and Knee Surgery, Aarhus C, 2Center for Planned Surgery, Silkeborg Regional Hospital, Silkeborg, 3Department of Orthopaedics, Hvidovre Hospital, Hvidovre, 4Department of Clinical Epidemiology, Aarhus University Hospital, Aalborg, 5Department of Orthopaedics, Aarhus University Hospital, Aarhus C, DenmarkBackground: Two-stage revision is regarded by many as the best treatment of chronic infection in hip arthroplasties. Some international reports, however, have advocated one-stage revision. No systematic review or meta-analysis has ever compared the risk of reinfection following one-stage and two-stage revisions for chronic infection in hip arthroplasties.Methods: The review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Relevant studies were identified using PubMed and Embase. We assessed studies that included patients with a chronic infection of a hip arthroplasty treated with either one-stage or two-stage revision and with available data on occurrence of reinfections. We performed a meta-analysis estimating absolute risk of reinfection using a random-effects model.Results: We identified 36 studies eligible for inclusion. None were randomized controlled trials or comparative studies. The patients in these studies had received either one-stage revision (n = 375 or two-stage revision (n = 929. Reinfection occurred with an estimated absolute risk of 13.1% (95% confidence interval: 10.0%–17.1% in the one-stage cohort and 10.4% (95% confidence interval: 8.5%–12.7% in the two-stage cohort. The methodological quality of most included studies was considered low, with insufficient data to evaluate confounding factors.Conclusions: Our results may indicate three additional reinfections per 100 reimplanted patients when performing a one-stage versus two-stage revision. However, the

Staging and treatment of ovarian carcinoma

International Nuclear Information System (INIS)

De Palo, G.; Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan

1989-01-01

The staging and treatment of ovarian cancer is reviewed with special attention to developments during the last decade. Pathways of spread, presurgical and surgical staging are described and discussed, as are the biologic characters of the different histologic subtypes. Principles of surgery, endoperitoneal and external radiotherapy, single-drug and multiple-drug systemic chemotherapy (therapeutic and adjuvant), intraperitoneal chemotherapy, second-line chemotherapy, hormone therapy and the use of biologic response modifiers are reported and discussed with background of recent clinical trials. It is concluded that considerable progress has been made concerning diagnosis, staging and treatment of ovarian cancer. The proportion of cases in advanced stages has thus decreased and the survival rate increased. However, it is also obvious that the long-term prognosis for patients with advanced disease has not significantly improved over the last 10 years, despite introduction of multiple-drug regimens with high initial response rates. Ovarian cancer remains the most important gynecologic cause of death in the Western countries. (orig.)

Scour around bridge piers in the stage hydrograph

Energy Technology Data Exchange (ETDEWEB)

Ahn, Sang Jin; Kim, Ung Yong [Chungbuk National University, Chongju (Korea, Republic of); Yon, Kee Seuk; Kim, Jong Sub [Taejon University of Technology, Taejon (Korea, Republic of)

1997-08-31

This study aims at examining closely the scour around a pier due to irregular water stage changes during flood. At the Sangye bridge is located lowermost downstream of the Bocheong stream in the Kum River, the IHP experimental watershed. For this purpose, we have analyzed the change of scour depths due to stage hydrographs of experimental basin by a simulation. To examine the scour phenomenon around a pier due to irregular stage change in flood, we have analyzed the change of scour depth corresponding to stage hydrograph of field watershed after verification of model channel. From this study, the following conclusions are made: First, in case of predicting the maximum scour depth around a pier with stage hydrograph in the state of steady flow, we should choose the highest stage. Second, after increasing the stage, the equilibrium scour depth became smaller than the maximum scour depth. therefore, in case of estimating the maximum scour depth in rivers, it is recommended that we should consider additional scour depth which is reduced by infilling the sediments. (author). 25 refs., 6 tabs., 11 figs.

stage/page/play

DEFF Research Database (Denmark)

context. Contributors: Per Brask, Dario Fo, Jette Barnholdt Hansen, Pil Hansen, Sven Åke Heed, Ulla Kallenbach, Sofie Kluge, Annelis Kuhlmann, Kela Kvam, Anna Lawaetz, Bent Flemming Nielsen, Franco Perrelli, Magnus Tessing Schneider, Antonio Scuderi. stage/page/play is published as a festschrift...

Assessing Behavioral Stages From Social Media Data.

Science.gov (United States)

Liu, Jason; Weitzman, Elissa R; Chunara, Rumi

2017-01-01

Important work rooted in psychological theory posits that health behavior change occurs through a series of discrete stages. Our work builds on the field of social computing by identifying how social media data can be used to resolve behavior stages at high resolution (e.g. hourly/daily) for key population subgroups and times. In essence this approach opens new opportunities to advance psychological theories and better understand how our health is shaped based on the real, dynamic, and rapid actions we make every day. To do so, we bring together domain knowledge and machine learning methods to form a hierarchical classification of Twitter data that resolves different stages of behavior. We identify and examine temporal patterns of the identified stages, with alcohol as a use case (planning or looking to drink, currently drinking, and reflecting on drinking). Known seasonal trends are compared with findings from our methods. We discuss the potential health policy implications of detecting high frequency behavior stages.

Two-stage precipitation of neptunium (IV) oxalate

International Nuclear Information System (INIS)

Luerkens, D.W.

1983-07-01

Neptunium (IV) oxalate was precipitated using a two-stage precipitation system. A series of precipitation experiments was used to identify the significant process variables affecting precipitate characteristics. Process variables tested were input concentrations, solubility conditions in the first stage precipitator, precipitation temperatures, and residence time in the first stage precipitator. A procedure has been demonstrated that produces neptunium (IV) oxalate particles that filter well and readily calcine to the oxide

Computed tomography in staging of bladder carcinoma (Prospective study)

International Nuclear Information System (INIS)

Lee, Kyung Soo; Choi, Byung Ihn; Han, Man Chung

1985-01-01

Staging of carcinoma of the urinary bladder is important for the choice of therapy and also has prognostic implications. Hitherto the staging has been based upon cystoscopy with biopsy, transurethral resection, and palpation with complementary radiographic examinations such as cystography, urography, lymphangiography, ultrasound and angiography. However, with all these methods, the staging of bladder carcinomas still uncertain and inferior to CT. Authors analyzed CT staging of bladder cancers and compared with pathologic staging of laparotomy results. The results are as following: 1. Overall accuracy of CT staging in bladder carcinoma was 72 percent. 2. Overstaging was 20 percent (5/25) and understaging was 8 percent (2/25). 3. All of CT stage B cancers were proven to be stage B, pathologically. 4. In 6 cases of CT static cancers, only one was correct, 3 were overstaged and 2 were understaged. 5. In 7 cases of CT stage D cancers, 5 were correct and 2 were overstaged. 6. CT detected only 2 cases of pelvic lymph node involvement in 4 of pathologically proven lymphadenopathy

Combining evidence from multiple electronic health care databases: performances of one-stage and two-stage meta-analysis in matched case-control studies.

Science.gov (United States)

La Gamba, Fabiola; Corrao, Giovanni; Romio, Silvana; Sturkenboom, Miriam; Trifirò, Gianluca; Schink, Tania; de Ridder, Maria

2017-10-01

Clustering of patients in databases is usually ignored in one-stage meta-analysis of multi-database studies using matched case-control data. The aim of this study was to compare bias and efficiency of such a one-stage meta-analysis with a two-stage meta-analysis. First, we compared the approaches by generating matched case-control data under 5 simulated scenarios, built by varying: (1) the exposure-outcome association; (2) its variability among databases; (3) the confounding strength of one covariate on this association; (4) its variability; and (5) the (heterogeneous) confounding strength of two covariates. Second, we made the same comparison using empirical data from the ARITMO project, a multiple database study investigating the risk of ventricular arrhythmia following the use of medications with arrhythmogenic potential. In our study, we specifically investigated the effect of current use of promethazine. Bias increased for one-stage meta-analysis with increasing (1) between-database variance of exposure effect and (2) heterogeneous confounding generated by two covariates. The efficiency of one-stage meta-analysis was slightly lower than that of two-stage meta-analysis for the majority of investigated scenarios. Based on ARITMO data, there were no evident differences between one-stage (OR = 1.50, CI = [1.08; 2.08]) and two-stage (OR = 1.55, CI = [1.12; 2.16]) approaches. When the effect of interest is heterogeneous, a one-stage meta-analysis ignoring clustering gives biased estimates. Two-stage meta-analysis generates estimates at least as accurate and precise as one-stage meta-analysis. However, in a study using small databases and rare exposures and/or outcomes, a correct one-stage meta-analysis becomes essential. Copyright © 2017 John Wiley & Sons, Ltd.

Applying artificial intelligence to disease staging: Deep learning for improved staging of diabetic retinopathy.

Science.gov (United States)

Takahashi, Hidenori; Tampo, Hironobu; Arai, Yusuke; Inoue, Yuji; Kawashima, Hidetoshi

2017-01-01

Disease staging involves the assessment of disease severity or progression and is used for treatment selection. In diabetic retinopathy, disease staging using a wide area is more desirable than that using a limited area. We investigated if deep learning artificial intelligence (AI) could be used to grade diabetic retinopathy and determine treatment and prognosis. The retrospective study analyzed 9,939 posterior pole photographs of 2,740 patients with diabetes. Nonmydriatic 45° field color fundus photographs were taken of four fields in each eye annually at Jichi Medical University between May 2011 and June 2015. A modified fully randomly initialized GoogLeNet deep learning neural network was trained on 95% of the photographs using manual modified Davis grading of three additional adjacent photographs. We graded 4,709 of the 9,939 posterior pole fundus photographs using real prognoses. In addition, 95% of the photographs were learned by the modified GoogLeNet. Main outcome measures were prevalence and bias-adjusted Fleiss' kappa (PABAK) of AI staging of the remaining 5% of the photographs. The PABAK to modified Davis grading was 0.64 (accuracy, 81%; correct answer in 402 of 496 photographs). The PABAK to real prognosis grading was 0.37 (accuracy, 96%). We propose a novel AI disease-staging system for grading diabetic retinopathy that involves a retinal area not typically visualized on fundoscopy and another AI that directly suggests treatments and determines prognoses.

Performance prediction method for a multi-stage Knudsen pump

Science.gov (United States)

Kugimoto, K.; Hirota, Y.; Kizaki, Y.; Yamaguchi, H.; Niimi, T.

2017-12-01

In this study, the novel method to predict the performance of a multi-stage Knudsen pump is proposed. The performance prediction method is carried out in two steps numerically with the assistance of a simple experimental result. In the first step, the performance of a single-stage Knudsen pump was measured experimentally under various pressure conditions, and the relationship of the mass flow rate was obtained with respect to the average pressure between the inlet and outlet of the pump and the pressure difference between them. In the second step, the performance of a multi-stage pump was analyzed by a one-dimensional model derived from the mass conservation law. The performances predicted by the 1D-model of 1-stage, 2-stage, 3-stage, and 4-stage pumps were validated by the experimental results for the corresponding number of stages. It was concluded that the proposed prediction method works properly.

Interconnected levels of multi-stage marketing: A triadic approach

OpenAIRE

Vedel, Mette; Geersbro, Jens; Ritter, Thomas

2012-01-01

Multi-stage marketing gains increasing attention as knowledge of and influence on the customer's customer become more critical for the firm's success. Despite this increasing managerial relevance, systematic approaches for analyzing multi-stage marketing are still missing. This paper conceptualizes different levels of multi-stage marketing and illustrates these stages with a case study. In addition, a triadic perspective is introduced as an analytical tool for multi-stage marketing research. ...

Stages in the Formation of the Romanian Mental Space

Directory of Open Access Journals (Sweden)

POMPEI COCEAN

2008-01-01

Full Text Available In the evolution of the Romanian mental space, four distinct stages can be emphasized, each of them bringing its specific contribution to its defining and structuring. These stages are the following: the forerunning, Dacian stage, the 2nd century B.C. - 106 A.D.; the incipient, Dacian-Roman stage, 105 – 275 A.D.; the structuring, proto-Romanian stage, 275 – the 6th and 7th centuries; the Romanian stage of completion and affirmation, the 8th century – nowadays. Each stage is characterized by different forms, in continuous affirmation and improvement, of interrelations between the human communities and the site, of spiritually sublimation of the physical-geographical substratum features, of the territory inhabited by them.

Assessment of skeletal maturation using mandibular second molar maturation stages.

Science.gov (United States)

Goyal, S; Goyal, S; Gugnani, N

2014-01-01

To investigate the relationship between cervical vertebrae maturation and mandibular second molar calcification stages. The study was designed as a retrospective, descriptive and crosssectional research project. Pre-treatment lateral cephalograms and panoramic radiographs of 99 males and 110 females in the age range of 7 to 18 years 7 months were evaluated with Demirjian Index (DI) and cervical vertebrae maturation indicators (CVMI) of Hassel and Farman. A null hypothesis was proposed that there is no relation between CVMI and DI. A highly significant association (Pearson's contingency coefficient 0.713 for males and 0.863 for females) was found between DI and CVMI. In males, the DI stage E corresponded to stage 2 of CVMI (pre-peak of pubertal growth spurt) and DI stages F and G corresponded to stages 3 and 4 of CVMI (peak of pubertal growth spurt). DI stage H was associated with stages 5 and 6 of CVMI (end of pubertal growth spurt). In females, the DI stages C, D corresponded to CVMI stages 1, 2; DI stages E, F with CVMI stages 3, 4; DI stages G, H with CVMI stages 5, 6. Mandibular second molar calcification stages can be used as indicators for assessment of skeletal maturity.

Teacher Concerns and Teacher Life Stages

Science.gov (United States)

Mok, Yan Fung

2005-01-01

This article examines teaching concerns at successive life stages among teachers with up to twenty years' or more teaching experience. Three concern stages are discerned. Nine common concern factors were found from factor-analysing thirty-three concern items. Results show that student discipline, relations with students, and students' learning and…

Stages of Adult Soft Tissue Sarcoma

Science.gov (United States)

... deep (in the muscle and may be in connective or subcutaneous tissue). In stage IB , the tumor is low-grade (likely to grow and spread ... deep (in the muscle and may be in connective or subcutaneous tissue). In stage IIB , the tumor is mid-grade (somewhat likely to grow and ...

Automatic staging of bladder cancer on CT urography

Science.gov (United States)

Garapati, Sankeerth S.; Hadjiiski, Lubomir M.; Cha, Kenny H.; Chan, Heang-Ping; Caoili, Elaine M.; Cohan, Richard H.; Weizer, Alon; Alva, Ajjai; Paramagul, Chintana; Wei, Jun; Zhou, Chuan

2016-03-01

Correct staging of bladder cancer is crucial for the decision of neoadjuvant chemotherapy treatment and minimizing the risk of under- or over-treatment. Subjectivity and variability of clinicians in utilizing available diagnostic information may lead to inaccuracy in staging bladder cancer. An objective decision support system that merges the information in a predictive model based on statistical outcomes of previous cases and machine learning may assist clinicians in making more accurate and consistent staging assessments. In this study, we developed a preliminary method to stage bladder cancer. With IRB approval, 42 bladder cancer cases with CTU scans were collected from patient files. The cases were classified into two classes based on pathological stage T2, which is the decision threshold for neoadjuvant chemotherapy treatment (i.e. for stage >=T2) clinically. There were 21 cancers below stage T2 and 21 cancers at stage T2 or above. All 42 lesions were automatically segmented using our auto-initialized cascaded level sets (AI-CALS) method. Morphological features were extracted, which were selected and merged by linear discriminant analysis (LDA) classifier. A leave-one-case-out resampling scheme was used to train and test the classifier using the 42 lesions. The classification accuracy was quantified using the area under the ROC curve (Az). The average training Az was 0.97 and the test Az was 0.85. The classifier consistently selected the lesion volume, a gray level feature and a contrast feature. This predictive model shows promise for assisting in assessing the bladder cancer stage.

Forensic age estimation based on magnetic resonance imaging of third molars: converting 2D staging into 3D staging.

Science.gov (United States)

De Tobel, Jannick; Hillewig, Elke; Verstraete, Koenraad

2017-03-01

Established methods to stage development of third molars for forensic age estimation are based on the evaluation of radiographs, which show a 2D projection. It has not been investigated whether these methods require any adjustments in order to apply them to stage third molars on magnetic resonance imaging (MRI), which shows 3D information. To prospectively study root stage assessment of third molars in age estimation using 3 Tesla MRI and to compare this with panoramic radiographs, in order to provide considerations for converting 2D staging into 3D staging and to determine the decisive root. All third molars were evaluated in 52 healthy participants aged 14-26 years using MRI in three planes. Three staging methods were investigated by two observers. In sixteen of the participants, MRI findings were compared with findings on panoramic radiographs. Decisive roots were palatal in upper third molars and distal in lower third molars. Fifty-seven per cent of upper third molars were not assessable on the radiograph, while 96.9% were on MRI. Upper third molars were more difficult to evaluate on radiographs than on MRI (p third molars were equally assessable on both imaging techniques (93.8% MRI, 98.4% radiograph), with no difference in level of difficulty (p = .375). Inter- and intra-observer agreement for evaluation was higher in MRI than in radiographs. In both imaging techniques lower third molars showed greater inter- and intra-observer agreement compared to upper third molars. MR images in the sagittal plane proved to be essential for staging. In age estimation, 3T MRI of third molars could be valuable. Some considerations are, however, necessary to transfer known staging methods to this 3D technique.

Multi-stage continuous alcohol fermentation with cane molasses

Energy Technology Data Exchange (ETDEWEB)

Chu, C J; Chiou, C J; Ng, A K; Lin, T C; Hwang, E C; Rao, C H

1970-01-01

It was reported that 6 to 7% ethanol was produced by single-stage continuous 12-hour cycle fermentation of molasses containing 12% sugar using a new strain, Saccharomyces formensensis, isolated from a stock culture. A higher yield of ethanol was obtained from 2-stage and 3-stage continuous fermentation of molasses containing more sugar at 24- and 36-hour cycles, respectively. In the 2-stage 24-hour cycle continuous fermentation of molasses containing 15% sugar with an agitation speed 300 rpm, 9.2% ethanol resulted. Only 3% sugar remained unconsumed. In the 3-stage 36-hour cycle continuous fermentation of molasses containing 15% sugar with 300 rpm agitation, 12.5% ethanol resulted.

Optimal dynamic performance for high-precision actuators/stages

International Nuclear Information System (INIS)

Preissner, C.; Lee, S.-H.; Royston, T. J.; Shu, D.

2002-01-01

System dynamic performance of actuator/stage groups, such as those found in optical instrument positioning systems and other high-precision applications, is dependent upon both individual component behavior and the system configuration. Experimental modal analysis techniques were implemented to determine the six degree of freedom stiffnesses and damping for individual actuator components. These experimental data were then used in a multibody dynamic computer model to investigate the effect of stage group configuration. Running the computer model through the possible stage configurations and observing the predicted vibratory response determined the optimal stage group configuration. Configuration optimization can be performed for any group of stages, provided there is stiffness and damping data available for the constituent pieces

Radiotherapy for stage IV oropharyngeal cancer

International Nuclear Information System (INIS)

Nakamura, Kaori; Akimoto, Tetsuo; Motegi, Atsushi

2008-01-01

Fifty-seven patients with stage IVA-B oropharyngeal cancer treated by definitive radiotherapy in our facility from January 1993 to August 2005 were retrospectively analyzed. The age of the patients was 34-84 (median 62) years old. Thirty-four were male and 14 were female. Subsite of the tumor was anterior: 16, lateral: 39, posterior: 1, and superior: 1. Forty-nine patients were treated with chemotherapy. Induction chemotherapy (ICT) was done in 25 patients, ICT+concurrent chemoradiotherapy (CCRT) in 15 patients, and CCRT in 9 patients. A dose of 60-82 Gy (median 72 Gy) by hyperfractionated radiotherapy, at 1.2 Gy/fraction twice a day, was delivered in 37 patients, and 60-72 Gy (median 66 Gy) with a conventional daily fractionation in 20 patients. Salvage surgery was performed in 5 patients as a part of primary treatment after radiotherapy. The 5-year cause-specific survival rate and disease-free survival rate were 52.9% and 51.4%, respectively. By univariate analysis, the impact of age, sex, T-stage, N-stage, histological differentiation, chemotherapy and fractionation of radiation therapy on survivals were evaluated. T-stage, N-stage and histological differentiation were significantly covariate correlated with survival. The treatment results were not satisfactory. Further investigation of the treatment strategy to improve the treatment outcome of advanced oropharyngeal cancer is desired. (author)

Tumor angiogenesis in advanced stage ovarian carcinoma.

Science.gov (United States)

Hollingsworth, H C; Kohn, E C; Steinberg, S M; Rothenberg, M L; Merino, M J

1995-07-01

Tumor angiogenesis has been found to have prognostic significance in many tumor types for predicting an increased risk of metastasis. We assessed tumor vascularity in 43 cases of advanced stage (International Federation of Gynecologists and Obstetricians stages III and IV) ovarian cancer by using the highly specific endothelial cell marker CD34. Microvessel counts and stage were associated with disease-free survival and with overall survival by Kaplan-Meier analysis. The plots show that higher stage, higher average vessel count at 200x (200x avg) and 400x (400x avg) magnification and highest vessel count at 400x (400x high) magnification confer a worse prognosis for disease-free survival. Average vessel count of less than 16 (400x avg, P2 = 0.01) and less than 45 (200x avg, P2 = 0.026) suggested a better survival. Similarly, a high vessel count of less than 20 (400x high, P2 = 0.019) conferred a better survival as well. The plots suggest that higher stage, higher average vessel count at 200x and 400x, and highest vessel count at 200x and 400x show a trend to worse overall survival as well. With the Cox proportional hazards model, stage was the best predictor of overall survival, however, the average microvessel count at 400x was found to be the best predictor of disease-free survival. These results suggest that analysis of neovascularization in advanced stage ovarian cancer may be a useful prognostic factor.

Autoimmune gastritis: histology phenotype and OLGA staging.

Science.gov (United States)

Rugge, M; Fassan, M; Pizzi, M; Zorzetto, V; Maddalo, G; Realdon, S; De Bernard, M; Betterle, C; Cappellesso, R; Pennelli, G; de Boni, M; Farinati, F

2012-06-01

Among Western populations, the declining incidence of Helicobacter pylori infection coincides with a growing clinical impact of autoimmune gastritis. To describe the histological phenotype of autoimmune gastritis, also to test the prognostic impact of OLGA staging in the autoimmune setting. A single-institutional series (spanning the years 2003-2011) of 562 consecutive patients (M:F ratio: 1:3.7; mean age = 57.6 ± 14.4 years) with serologically confirmed autoimmune gastritis underwent histology review and OLGA staging. Helicobacter pylori infection was ascertained histologically in 44/562 cases (7.8%). Forty six biopsy sets (8.2%) featured OLGA stages III-IV; they included all four cases of incidental epithelial neoplasia (three intraepithelial and one invasive; three of these four cases had concomitant H. pylori infection). There were 230 (40.9%) and 139 (24.7%) cases, respectively, of linear and micro-nodular enterochromaffin-like cell hyperplasia; 19 (3.4%) type I carcinoids were detected. The series included 116 patients who underwent repeated endoscopy/biopsy sampling (mean time elapsing between the two procedures = 54 months; range 24-108). Paired histology showed a significant (P = 0.009) trend towards a stage progression [the stage increased in 25/116 cases (22%); it remained unchanged in 87/116 cases (75%)]. In autoimmune gastritis, the cancer risk is restricted to high-risk gastritis stages (III-IV), and is associated mainly with concomitant H. pylori infection. OLGA staging consistently depicts the time-dependent organic progression of the autoimmune disease and provides key information for secondary gastric cancer prevention strategies. © 2012 Blackwell Publishing Ltd.

Gastric cancer : staging, treatment, and surgical quality assurance

NARCIS (Netherlands)

Dikken, Johannes Leen

2012-01-01

Research described in this thesis focuses on several aspects of gastric cancer care: staging and prognostication, multimodality treatment, and surgical quality assurance. PART I - STAGING AND PROGNOSTICATION Cancer staging is one of the fundamental activities in oncology.6,7 For over 50 years, the

The use of first stage bone augmentation screws to stabilize the surgical template in the second stage.

NARCIS (Netherlands)

Verhamme, L.M.; Meijer, G.J.; Berge, S.J.; Maal, T.J.J.

2015-01-01

A new method is presented in which the osteosynthesis screws from a first stage bone augmentation of the maxilla are used to stabilize the surgical template during implant placement in the second stage. This method was evaluated in one patient and the results compared to those of previous studies.

The use of first stage bone augmentation screws to stabilize the surgical template in the second stage

NARCIS (Netherlands)

Verhamme, L. M.; Meijer, G. J.; Bergé, S. J.; Maal, T. J J

2015-01-01

A new method is presented in which the osteosynthesis screws from a first stage bone augmentation of the maxilla are used to stabilize the surgical template during implant placement in the second stage. This method was evaluated in one patient and the results compared to those of previous studies.

A new computerized moving stage for optical microscopes

Science.gov (United States)

Hatiboglu, Can Ulas; Akin, Serhat

2004-06-01

Measurements of microscope stage movements in the x and y directions are of importance for some stereological methods. Traditionally, the length of stage movements is measured with differing precision and accuracy using a suitable motorized stage, a microscope and software. Such equipment is generally expensive and not readily available in many laboratories. One other challenging problem is the adaptability to available microscope systems which weakens the possibility of the equipment to be used with any kind of light microscope. This paper describes a simple and cheap programmable moving stage that can be used with the available microscopes in the market. The movements of the stage are controlled by two servo-motors and a controller chip via a Java-based image processing software. With the developed motorized stage and a microscope equipped with a CCD camera, the software allows complete coverage of the specimens with minimum overlap, eliminating the optical strain associated with counting hundreds of images through an eyepiece, in a quick and precise fashion. The uses and the accuracy of the developed stage are demonstrated using thin sections obtained from a limestone core plug.

Staging of prostate cancer: an update

International Nuclear Information System (INIS)

Vallejos, J.; Alvarez, C.; Mariluis, C.; Paganini, L.; González, C.; De Luca, S.; Dieguez, A.; Villaronga, A.

2013-01-01

In our country prostate cancer is the most common malignancy in older men. An accurate staging is very important to establish treatment strategies.This article presents the 7th edition TNM staging system for prostate cancer, effective January 1, 2010. This has undergone major changes over the 6th edition. (authors) [es

Stage at diagnosis and ovarian cancer survival

DEFF Research Database (Denmark)

Maringe, Camille; Walters, Sarah; Butler, John

2012-01-01

We investigate what role stage at diagnosis bears in international differences in ovarian cancer survival.......We investigate what role stage at diagnosis bears in international differences in ovarian cancer survival....

Interrogation of distributional data for the End Ordovician crisis interval

DEFF Research Database (Denmark)

Mac Ørum Rasmussen, Christian; Harper, David Alexander Taylor

2011-01-01

The uppermost Ordovician–lowermost Silurian (Upper Katian–Rhuddanian) is surveyed with respect to the a- and ß-diversity of rhynchonelliformean brachiopods. The survey is based on new collections as well as existing literature, compiled in a large, georeferenced database. The brachiopod faunas ar...

A reworked Lake Zone margin: Chronological and geochemical constraints from the Ordovician arc-related basement of the Hovd Zone (western Mongolia)

Czech Academy of Sciences Publication Activity Database

Soejono, I.; Buriánek, D.; Janoušek, V.; Svojtka, Martin; Čáp, P.; Erban, V.; Ganpurev, D.

294/295, December (2017), s. 112-132 ISSN 0024-4937 Institutional support: RVO:67985831 Keywords : Ordovician magmatic arc * Mid-Silurian intra-plate magmatism * Hovd Zone * Reworked Lake Zone Subject RIV: DB - Geology ; Mineralogy OBOR OECD: Geology Impact factor: 3.677, year: 2016

Devonian sand injections and volcanism in the Murzuq Basin (south-west Libya)

DEFF Research Database (Denmark)

Moreau, Julien; Ghienne, Jean-Francois

system is original by its interaction with volcanism and its situation in an epicontinental intracratonic basin. The sand injections form a seal-bypass system between the Ordovician-Cambrian reservoirs and the Lower Devonian sandstones, breaching through the Silurian shale seal (and source rock...

Multi-Stage System for Automatic Target Recognition

Science.gov (United States)

Chao, Tien-Hsin; Lu, Thomas T.; Ye, David; Edens, Weston; Johnson, Oliver

2010-01-01

A multi-stage automated target recognition (ATR) system has been designed to perform computer vision tasks with adequate proficiency in mimicking human vision. The system is able to detect, identify, and track targets of interest. Potential regions of interest (ROIs) are first identified by the detection stage using an Optimum Trade-off Maximum Average Correlation Height (OT-MACH) filter combined with a wavelet transform. False positives are then eliminated by the verification stage using feature extraction methods in conjunction with neural networks. Feature extraction transforms the ROIs using filtering and binning algorithms to create feature vectors. A feedforward back-propagation neural network (NN) is then trained to classify each feature vector and to remove false positives. The system parameter optimizations process has been developed to adapt to various targets and datasets. The objective was to design an efficient computer vision system that can learn to detect multiple targets in large images with unknown backgrounds. Because the target size is small relative to the image size in this problem, there are many regions of the image that could potentially contain the target. A cursory analysis of every region can be computationally efficient, but may yield too many false positives. On the other hand, a detailed analysis of every region can yield better results, but may be computationally inefficient. The multi-stage ATR system was designed to achieve an optimal balance between accuracy and computational efficiency by incorporating both models. The detection stage first identifies potential ROIs where the target may be present by performing a fast Fourier domain OT-MACH filter-based correlation. Because threshold for this stage is chosen with the goal of detecting all true positives, a number of false positives are also detected as ROIs. The verification stage then transforms the regions of interest into feature space, and eliminates false positives using an

Apparatus and methods for controlling electron microscope stages

Science.gov (United States)

Duden, Thomas

2015-08-11

Methods and apparatus for generating an image of a specimen with a microscope (e.g., TEM) are disclosed. In one aspect, the microscope may generally include a beam generator, a stage, a detector, and an image generator. A plurality of crystal parameters, which describe a plurality of properties of a crystal sample, are received. In a display associated with the microscope, an interactive control sphere based at least in part on the received crystal parameters and that is rotatable by a user to different sphere orientations is presented. The sphere includes a plurality of stage coordinates that correspond to a plurality of positions of the stage and a plurality of crystallographic pole coordinates that correspond to a plurality of polar orientations of the crystal sample. Movement of the sphere causes movement of the stage, wherein the stage coordinates move in conjunction with the crystallographic coordinates represented by pole positions so as to show a relationship between stage positions and the pole positions.

Design of nonimaging concentrators as second stages in tandem with image-forming first-stage concentrators

Science.gov (United States)

Winston, R.; Welford, W. T.

1980-02-01

The paper discusses the paraboloidal mirror as a tracking solar concentrator, fitting a nonimaging second stage to the paraboloidal mirror, other image-forming systems as first stages, and tracking systems in two-dimensional geometry. Because of inherent aberrations, the paraboloidal mirror cannot achieve the thermodynamic limit. It is shown how paraboloidal mirrors of short focal ratio and similar systems can have their flux concentration enhanced to near the thermodynamic limit by the addition of nonimaging compound elliptical concentrators.

Design of nonimaging concentrators as second stages in tandem with image-forming first-stage concentrators

Science.gov (United States)

Winston, R.; Welford, W. T.

1980-01-01

The paper discusses the paraboloidal mirror as a tracking solar concentrator, fitting a nonimaging second stage to the paraboloidal mirror, other image-forming systems as first stages, and tracking systems in two-dimensional geometry. Because of inherent aberrations, the paraboloidal mirror cannot achieve the thermodynamic limit. It is shown how paraboloidal mirrors of short focal ratio and similar systems can have their flux concentration enhanced to near the thermodynamic limit by the addition of nonimaging compound elliptical concentrators.

CT staging of renal cell carcinoma using the revised 1997 TNM staging criteria: in comparison with the previous one

International Nuclear Information System (INIS)

Sung, Deuk Jae; Kim, Yun Hwan; Chung, Hwan Hoon; Chung, Kyoo Byung; Suh, Won Hyuck

2001-01-01

To assess the accuracy of preoperative CT staging of RCC and to compare the relationship between T stage and the incidence of metastasis on the basis of the old (1992) and the new (1997) UICC and AJCC tumor classification system. In 112 cases of surgically resected RCC, the stagings of preoperative CT scans were determined retrospectively by two radiologists and were compared with the results of pathologic examinations. In 70 cases which had been followed up over three years after surgery, the incidence of metastasis at initial diagnosis and during the follow-up period was assessed. All cases were reconsidered, and using the old and the new TNM classification, the incidence of metastasis was compared. According to the old TNM classification, 5 cases (4%) were staged at T1, 73(65%) at T2, 21(19%) at T3a, 9(8%) at T3b, 0 at T3c, and 4(4%) at T4. Using the new TNM classification, we also staged 54 cases (48%) at T1 and 24(21%) at T2. Overall, using this new classification, CT correctly staged 79% of patients (88/112) overstaged 15%(17/112) and understaged 6%(7/112). CT had a sensitivity of 84% and specificity of 91% in new T1 tumors, 71% and 95%, respectively, in new T2 tumors, 69% and 88% in T3a tumors, 78% and 98% in T3b tumors, and 75% and 99% in T4 tumors. CT had a sensitivity of 44% and a specificity of 99% in old T1 tumors, and 82% and 71%, respectively, in old T2 tumors. The incidence of metastasis in CT-staged (cT) tumors was 0% (0/4) in old cT1, 8% (3/39) in new cT1, 29% (4/14) in new cT2, 67% (6/9) in cT3a, and 75% (6/8) in cT3b. In the staging of T1 tumors, CT is more sensitive when the new TNM classification is used. Even though the cut off point between T1 and T2 tumors had been in creased from 2.5 to 7.0 cm, T1 tumors staged according to the new system did not show a significantly higher incidence of metastasis than those staged according to the old

Developmental Stages in School Computer Use: Neither Marx Nor Piaget.

Science.gov (United States)

Lengel, James G.

Karl Marx's theory of stages can be applied to computer use in the schools. The first stage, the P Stage, comprises the entry of the computer into the school. Computer use at this stage is personal and tends to center around one personality. Social studies teachers are seldom among this select few. The second stage of computer use, the D Stage, is…

Life cycle analysis in preliminary design stages

OpenAIRE

Agudelo , Lina-Maria; Mejía-Gutiérrez , Ricardo; Nadeau , Jean-Pierre; PAILHES , Jérôme

2014-01-01

International audience; In a design process the product is decomposed into systems along the disciplinary lines. Each stage has its own goals and constraints that must be satisfied and has control over a subset of design variables that describe the overall system. When using different tools to initiate a product life cycle, including the environment and impacts, its noticeable that there is a gap in tools that linked the stages of preliminary design and the stages of materialization. Differen...

The Distribution of Surgical-Pathologic Risk Factors in Relation to Stage in Patients with Early Stage Cervical Carcinoma

Directory of Open Access Journals (Sweden)

Süha Özer

2008-04-01

CONCLUSION: Stage did not clearly predict surgical pathologic risk factors, a result of uncertainty of clinical staging. Without surgery, it is impossible to determine the actual limits of the disease with the tests available at this time.

Comparison of T stage, N stage, multifocality, and bilaterality in papillary thyroid carcinoma patients according to the presence of coexisting lymphocytic thyroiditis.

Science.gov (United States)

Park, Jin Young; Kim, Dong Wook; Park, Ha Kyung; Ha, Tae Kwun; Jung, Soo Jin; Kim, Do Hun; Bae, Sang Kyun

2015-01-01

This study aimed to assess the relationship between coexisting lymphocytic thyroiditis and T-N stages of papillary thyroid carcinoma (PTC) by histopathological analysis. The study included 653 patients who underwent thyroid surgery for PTC at our hospital. Each case was classified as either Hashimoto's thyroiditis (HT), non-Hashimoto type of lymphocytic thyroiditis (NHLT), or normal according to the histopathology of thyroid parenchyma. Patient age, gender, surgical modality, location, T stage, N stage, multifocality and bilaterality were compared according to the histopathology. The prevalence of coexisting lymphocytic thyroiditis was 25.8% (169/653); HT (7.5%, 49/653) and NHLT (18.3%, 120/653). There were no significant differences in T stage, N stage, multifocality and bilaterality with regard to coexisting lymphocytic thyroiditis, regardless of whether HT and NHLT were considered collectively or discretely. Primary tumor size (p thyroiditis did not differ from those with normal parenchyma in terms of T stage, N stage, multifocality and bilaterality.

Multi-stage combustion using nitrogen-enriched air

Science.gov (United States)

Fischer, Larry E.; Anderson, Brian L.

2004-09-14

Multi-stage combustion technology combined with nitrogen-enriched air technology for controlling the combustion temperature and products to extend the maintenance and lifetime cycles of materials in contact with combustion products and to reduce pollutants while maintaining relatively high combustion and thermal cycle efficiencies. The first stage of combustion operates fuel rich where most of the heat of combustion is released by burning it with nitrogen-enriched air. Part of the energy in the combustion gases is used to perform work or to provide heat. The cooled combustion gases are reheated by additional stages of combustion until the last stage is at or near stoichiometric conditions. Additional energy is extracted from each stage to result in relatively high thermal cycle efficiency. The air is enriched with nitrogen using air separation technologies such as diffusion, permeable membrane, absorption, and cryogenics. The combustion method is applicable to many types of combustion equipment, including: boilers, burners, turbines, internal combustion engines, and many types of fuel including hydrogen and carbon-based fuels including methane and coal.

Diagnostic imaging in the staging of gynecologic cancers

International Nuclear Information System (INIS)

Forstner, R.; Graf, A.

1999-01-01

The prognosis in patients with gynecologic cancers depends not only on the stage but also on a wide spectrum of other findings. Cross-sectional imaging modalities, including sonography, CT and MRI, have increasingly been used for optimal treatment planning in gynecologic cancers. Their staging criteria are based on the well-established FIGO staging system. CT and MRI compete with sonography, which plays a pivotal role in the valuation of the female pelvis. This paper reviews the role of sonography, CT and MRI in the staging of gynecologic malignancies. It puts the emphasis on MRI, which has been established as imaging modality of choice in the preoperative evaluation of cervical and endometrial cancer, and which seems slightly superior to CT in the staging of ovarian cancer. (orig.) [de

Problem solving stages in the five square problem.

Science.gov (United States)

Fedor, Anna; Szathmáry, Eörs; Öllinger, Michael

2015-01-01

According to the restructuring hypothesis, insight problem solving typically progresses through consecutive stages of search, impasse, insight, and search again for someone, who solves the task. The order of these stages was determined through self-reports of problem solvers and has never been verified behaviorally. We asked whether individual analysis of problem solving attempts of participants revealed the same order of problem solving stages as defined by the theory and whether their subjective feelings corresponded to the problem solving stages they were in. Our participants tried to solve the Five-Square problem in an online task, while we recorded the time and trajectory of their stick movements. After the task they were asked about their feelings related to insight and some of them also had the possibility of reporting impasse while working on the task. We found that the majority of participants did not follow the classic four-stage model of insight, but had more complex sequences of problem solving stages, with search and impasse recurring several times. This means that the classic four-stage model is not sufficient to describe variability on the individual level. We revised the classic model and we provide a new model that can generate all sequences found. Solvers reported insight more often than non-solvers and non-solvers reported impasse more often than solvers, as expected; but participants did not report impasse more often during behaviorally defined impasse stages than during other stages. This shows that impasse reports might be unreliable indicators of impasse. Our study highlights the importance of individual analysis of problem solving behavior to verify insight theory.

Problem solving stages in the five square problem

Directory of Open Access Journals (Sweden)

Anna eFedor

2015-08-01

Full Text Available According to the restructuring hypothesis, insight problem solving typically progresses through consecutive stages of search, impasse, insight and search again for someone, who solves the task. The order of these stages was determined through self-reports of problem solvers and has never been verified behaviourally. We asked whether individual analysis of problem solving attempts of participants revealed the same order of problem solving stages as defined by the theory and whether their subjective feelings corresponded to the problem solving stages they were in. 101 participants tried to solve the Five-Square problem in an online task, while we recorded the time and trajectory of their stick movements. After the task they were asked about their feelings related to insight and 67 of them also had the possibility of reporting impasse while working on the task. We have found that 49% (19 out of 39 of the solvers and 13% (8 out of 62 of the non-solvers followed the classic four-stage model of insight. The rest of the participants had more complex sequences of problem solving stages, with search and impasse recurring several times. This means that the classic four-stage model must be extended to explain variability on the individual level. We provide a model that can generate all sequences found. Solvers reported insight more often than non-solvers and non-solvers reported impasse more often than solvers, as expected; but participants did not report impasse more often during behaviourally defined impasse stages than during other stages. This shows that impasse reports might be unreliable indicators of impasse. Our study highlights the importance of individual analysis of problem solving behaviour to verify insight theory.

Extending Vulnerability Assessment to Include Life Stages Considerations.

Science.gov (United States)

Hodgson, Emma E; Essington, Timothy E; Kaplan, Isaac C

2016-01-01

Species are experiencing a suite of novel stressors from anthropogenic activities that have impacts at multiple scales. Vulnerability assessment is one tool to evaluate the likely impacts that these stressors pose to species so that high-vulnerability cases can be identified and prioritized for monitoring, protection, or mitigation. Commonly used semi-quantitative methods lack a framework to explicitly account for differences in exposure to stressors and organism responses across life stages. Here we propose a modification to commonly used spatial vulnerability assessment methods that includes such an approach, using ocean acidification in the California Current as an illustrative case study. Life stage considerations were included by assessing vulnerability of each life stage to ocean acidification and were used to estimate population vulnerability in two ways. We set population vulnerability equal to: (1) the maximum stage vulnerability and (2) a weighted mean across all stages, with weights calculated using Lefkovitch matrix models. Vulnerability was found to vary across life stages for the six species explored in this case study: two krill-Euphausia pacifica and Thysanoessa spinifera, pteropod-Limacina helicina, pink shrimp-Pandalus jordani, Dungeness crab-Metacarcinus magister and Pacific hake-Merluccius productus. The maximum vulnerability estimates ranged from larval to subadult and adult stages with no consistent stage having maximum vulnerability across species. Similarly, integrated vulnerability metrics varied greatly across species. A comparison showed that some species had vulnerabilities that were similar between the two metrics, while other species' vulnerabilities varied substantially between the two metrics. These differences primarily resulted from cases where the most vulnerable stage had a low relative weight. We compare these methods and explore circumstances where each method may be appropriate.

Images of gastric cancer stages

International Nuclear Information System (INIS)

Castro Aragon, I.M.

1999-01-01

The present work has the objective to review the importance of the images in the preoperating stage of the gastric cancer. It has been emphasized in the modalities of transabdominal ultrasound as much as endoscopic and TAC since they are most valuable in the stage. Certainly the importance of conventional radiology (gastroduodenal series) is also valuable in the stage of the tumor, specially in considering the depth of the same one. In order to make this overhaul, the recent bibliography was consulted but, specially the published one by Japaneses since they follow a classification and methodology different from the used one in most of the countries that belong to the World-wide Organization of the Health. They made an overhaul of approximately 200 cases of patients who have been diagnosed and treated in the Center of Detection of Gastric Cancer of Cartago. In each case review the file, radiological, sonographic and pathological studies, and the cases were chosen that better illustrated the exposed subjects. (Author) [es

MR staging of endometrial carcinoma

International Nuclear Information System (INIS)

Innocenti, P.; Agostini, S.; Erroi, C.; Ambrogetti, D.; Cellerini, A.; Nori, J.

1991-01-01

Biopsy is the technique of choice for the definitive diagnosis of endometrial carcinoma. Since lymphatic tumor spread has been demonstrated to depend on the degree of myometrial involvement, the definition of the latter with imaging techniques may significantly affect both pfognosis and therapy. We investigated, by means of MR imaging at 0.5 T, 14 patients with endometrial carcinoma, to assess both tumor stage and myometrial involvement. FIGO staging system was employed, and M parameter evaluated (M0= no myometrial involvement; M1involvement confined to the inner third; M2= Involvement confined to the middle third; M3= involvement of the whole myometrium). Another parameter was the characteristic high signal of the tumor on PD and T2W images. The patients were then operated and MR information was correlated with surgical findings. Overall diagnostic accuracy of MR imaging was 85.7% in tumor staging, and 92.2% in defining M parameter. Tumor spread into adnexa and into cervical canal was poorly demonstrated by MR imaging

Article mounting and position adjustment stage

Science.gov (United States)

Cutburth, Ronald W.; Silva, Leonard L.

1988-01-01

An improved adjustment and mounting stage of the type used for the detection of laser beams is disclosed. A ring sensor holder has locating pins on a first side thereof which are positioned within a linear keyway in a surrounding housing for permitting reciprocal movement of the ring along the keyway. A rotatable ring gear is positioned within the housing on the other side of the ring from the linear keyway and includes an oval keyway which drives the ring along the linear keyway upon rotation of the gear. Motor-driven single-stage and dual (x, y) stage adjustment systems are disclosed which are of compact construction and include a large laser transmission hole.

Evaluation of an Internet, Stage-Based Physical Activity Intervention.

Science.gov (United States)

Hager, Ronald L.; Hardy, Aaron; Aldana, Steven G.; George, James D.

2002-01-01

Evaluated the impact of online, stage-based materials on exercise behavior and stage of readiness to change. College faculty participated in stage-based, action-message, or control groups. Occupational and leisure activity, 7-day physical activity, exercise self-efficacy, and stage of readiness to change were assessed at baseline and 6 weeks.…

Managing uncertainty - a qualitative study of surgeons' decision-making for one-stage and two-stage revision surgery for prosthetic hip joint infection.

Science.gov (United States)

Moore, Andrew J; Blom, Ashley W; Whitehouse, Michael R; Gooberman-Hill, Rachael

2017-04-12

Approximately 88,000 primary hip replacements are performed in England and Wales each year. Around 1% go on to develop deep prosthetic joint infection. Between one-stage and two-stage revision arthroplasty best treatment options remain unclear. Our aims were to characterise consultant orthopaedic surgeons' decisions about performing either one-stage or two-stage revision surgery for patients with deep prosthetic infection (PJI) after hip arthroplasty, and to identify whether a randomised trial comparing one-stage with two-stage revision would be feasible. Semi-structured interviews were conducted with 12 consultant surgeons who perform revision surgery for PJI after hip arthroplasty at 5 high-volume National Health Service (NHS) orthopaedic departments in England and Wales. Surgeons were interviewed before the development of a multicentre randomised controlled trial. Data were analysed using a thematic approach. There is no single standardised surgical intervention for the treatment of PJI. Surgeons balance multiple factors when choosing a surgical strategy which include multiple patient-related factors, their own knowledge and expertise, available infrastructure and the infecting organism. Surgeons questioned whether it was appropriate that the two-stage revision remained the best treatment, and some surgeons' willingness to consider more one-stage revisions had increased over recent years and were influenced by growing evidence showing equivalence between surgical techniques, and local observations of successful one-stage revisions. Custom-made articulating spacers was a practice that enabled uncertainty to be managed in the absence of definitive evidence about the superiority of one surgical technique over the other. Surgeons highlighted the need for research evidence to inform practice and thought that a randomised trial to compare treatments was needed. Most surgeons thought that patients who they treated would be eligible for trial participation in instances

Third Stage (S-IVB) At KSC

Science.gov (United States)

1960-01-01

A NASA technician is dwarfed by the gigantic Third Stage (S-IVB) as it rests on supports in a facility at KSC. The towering 363-foot Saturn V was a multi-stage, multi-engine launch vehicle standing taller than the Statue of Liberty. Altogether, the Saturn V engines produced as much power as 85 Hoover Dams.

Distribution of the order Proetida (Trilobita in Baltoscandian Ordovician strata

Directory of Open Access Journals (Sweden)

Pärnaste, Helje

2009-03-01

Full Text Available The trilobite order Proetida forms a minor but important faunal element within the Ordovician strata of Baltoscandia. This review follows the current systematic, taxonomic, and stratigraphical usage and discusses the distribution of these trilobites within the context of the Confacies Belt model. A database of species-level information was derived from numerous publications relating to the Scandinavian and Baltic states and relevant neighbouring regions. Important additional information on stratigraphical occurrences of genera has been derived from glacial erratic boulders (geschiebe from northern Germany and adjacent areas. The representatives from Baltoscandia of three superfamilies, Bathyuroidea, Aulacopleuroidea, and Proetoidea, are listed. The genus level was chosen as the most practicable to plot on the maps, one showing the time interval for the Kukruse Regional Stage (or Global Stage Slice Sa1, the other that for the Pirgu and Porkuni stages (or stage slices Ka4 and Hi1–Hi2. These intervals each show a diversity peak within the ranges of about 30 genera of Proetida and over 70 species from the Ordovician successions of Baltoscandia. Out of these a total of nine genera cross the Ordovician–Silurian boundary.The regional comparisons from within Baltoscandia show differences in facies dependency of certain genera, with possibly also a latitudinal component. During the late Ordovician the faunal resemblance appears to be closest to the neighbouring palaeocontinent Avalonia, suggesting a faunal exchange between or pathways to both continents from elsewhere. Besides climatic and geographical proximity of palaeocontinents, sea-level changes also have to be considered in explaining the distribution of Proetida in Baltoscandia.

Bladder cancer: Evaluation of staging accuracy using dynamic MRI

International Nuclear Information System (INIS)

Rajesh, A.; Sokhi, H.K.; Fung, R.; Mulcahy, K.A.; Bankart, M.J.G.

2011-01-01

Aim: To assess the accuracy of magnetic resonance imaging (MRI) in staging bladder cancer and to assess whether dynamic gadolinium-enhanced sequences have any added benefit in staging. Materials and methods: Over a 22 month period, the MRI findings of 100 consecutive patients with histologically proven transitional cell carcinoma (TCC) of the bladder were reviewed. The T stage was assessed independently on T2-weighted imaging alone and in combination with gadolinium-enhanced MRI. The final histological diagnosis was considered the reference standard. Statistical analysis was performed to ascertain stage-by-stage accuracy. Accuracy of MRI in differentiating superficial (≤T1) from invasive (≥T2) and in differentiating organ-confined (≤T2) from non-organ-confined (≥T3) disease was assessed. Results: On a stage-by-stage basis, tumours were correctly staged using MRI in 63% of patients (observed agreement = 0.63, weighted kappa = 0.57). The sensitivity and specificity of MRI to differentiate between superficial (≤T1) from invasive (≥T2) disease was 78.2 and 93.3%. The observed agreement for this group was 85% (kappa = 70%; p < 0.0001). The sensitivity and specificity of MRI to differentiate between organ-confined (≤T2) from non-organ confined (≥T3) disease was 90.5 and 60%. The observed agreement for this group was 89% (kappa = 30%; p < 0.01). Gadolinium-enhanced images improved staging in only three patients. Conclusion: In the present study MRI was found to be a moderately accurate tool in assessing the T stage. Agreement on a stage-by-stage basis was good. Agreement for differentiating between non-invasive versus muscle-invasive disease was good and that for organ-confined versus non-organ-confined disease was fair. Routine use of gadolinium-enhanced images is not routinely required.

Bladder cancer: Evaluation of staging accuracy using dynamic MRI

Energy Technology Data Exchange (ETDEWEB)

Rajesh, A., E-mail: arajesh27@hotmail.com [Department of Radiology, University Hospitals of Leicester NHS Trust, Leicester General Hospital (United Kingdom); Sokhi, H.K.; Fung, R.; Mulcahy, K.A. [Department of Radiology, University Hospitals of Leicester NHS Trust, Leicester General Hospital (United Kingdom); Bankart, M.J.G. [Department of Health Sciences, University of Leicester, Leicester (United Kingdom)

2011-12-15

Aim: To assess the accuracy of magnetic resonance imaging (MRI) in staging bladder cancer and to assess whether dynamic gadolinium-enhanced sequences have any added benefit in staging. Materials and methods: Over a 22 month period, the MRI findings of 100 consecutive patients with histologically proven transitional cell carcinoma (TCC) of the bladder were reviewed. The T stage was assessed independently on T2-weighted imaging alone and in combination with gadolinium-enhanced MRI. The final histological diagnosis was considered the reference standard. Statistical analysis was performed to ascertain stage-by-stage accuracy. Accuracy of MRI in differentiating superficial ({<=}T1) from invasive ({>=}T2) and in differentiating organ-confined ({<=}T2) from non-organ-confined ({>=}T3) disease was assessed. Results: On a stage-by-stage basis, tumours were correctly staged using MRI in 63% of patients (observed agreement = 0.63, weighted kappa = 0.57). The sensitivity and specificity of MRI to differentiate between superficial ({<=}T1) from invasive ({>=}T2) disease was 78.2 and 93.3%. The observed agreement for this group was 85% (kappa = 70%; p < 0.0001). The sensitivity and specificity of MRI to differentiate between organ-confined ({<=}T2) from non-organ confined ({>=}T3) disease was 90.5 and 60%. The observed agreement for this group was 89% (kappa = 30%; p < 0.01). Gadolinium-enhanced images improved staging in only three patients. Conclusion: In the present study MRI was found to be a moderately accurate tool in assessing the T stage. Agreement on a stage-by-stage basis was good. Agreement for differentiating between non-invasive versus muscle-invasive disease was good and that for organ-confined versus non-organ-confined disease was fair. Routine use of gadolinium-enhanced images is not routinely required.

Studi Variasi Beban Pendinginan Di Evaporator Low Stage Sistem Refrigerasi Cascade Menggunakan Heat Exchanger Tipe Concentric Tube Dengan Fluida Kerja Refrigeran Musicool-22 Di High Stage Dan R-404a Di Low Stage

Directory of Open Access Journals (Sweden)

Arrad Ghani Safitra

2013-03-01

Full Text Available Salah satu aplikasi dalam refrigerasi makanan adalah pembekuan daging dalam cold storage. Dimana temperaturnya dijaga konstan dalam standar tertentu untuk mempertahankan kesegaran, memperpanjang masa simpan dan memberikan tekstur daging yang lebih baik. Penggunaan refrigeran Musicool-22 dan R-404A dengan compact heat exchanger pada sistem refrigerasi cascade masih kurang bagus. Sebagai solusi maka akan digunakan sistem refrigerasi cascade dengan refrigeran yang sama dan menggunakan concentric tube sebagai heat exchanger. Penelitian dilakukan dengan merancang alat sistem refrigerasi cascade dengan refrigeran Musicool-22 di High Stage dan R-404A di Low Stage. Kemudian dilakukan eksperimen pada sistem tersebut dengan variasi beban pendinginan di evaporator Low Stage menggunakan electric heater. Variasi mulai dari 0 (tanpa beban, 11, 35, 70, 95, 140, 210, dan 300 Watt. Hasil dari studi eksperimen ini menunjukkan nilai-nilai optimum untuk proses pembekuan daging yaitu pada pembebanan 35 Watt dengan Qevap = 0,327 kW, COPcas = 0,935 dan temperatur di dalam cooling box sebesar -26,2°C. Pada beban 300 Wat diperoleh kapasitas pendinginan maksimum pada sistem Low Stage sebesar 0,622 kW. Kerja maksimum kompresor pada sistem High Stage 0,148 kW dan Low Stage 0,461 kW, nilai COP cascade maksimum 1,020, efek refrigerasi maksimum pada Low Stage 135,865 kJ/kg, HRR maksimum pada Low Stage 1,742 Kemudian diperoleh nilai effectiveness cascade heat exchanger tertinggi 0,93 dan terendah 0,89 serta nilai NTU tertinggi 7,06 dan terendah 4,76 pada saat beban 300Watt.

Placoderms (Armored Fish): Dominant Vertebrates of the Devonian Period

Science.gov (United States)

Young, Gavin C.

2010-05-01

Placoderms, the most diverse group of Devonian fishes, were globally distributed in all habitable freshwater and marine environments, like teleost fishes in the modern fauna. Their known evolutionary history (Early Silurian-Late Devonian) spanned at least 70 million years. Known diversity (335 genera) will increase when diverse assemblages from new areas are described. Placoderms first occur in the Early Silurian of China, but their diversity remained low until their main evolutionary radiation in the Early Devonian, after which they became the dominant vertebrates of Devonian seas. Most current placoderm data are derived from the second half of the group's evolutionary history, and recent claims that they form a paraphyletic group are based on highly derived Late Devonian forms; 16 shared derived characters are proposed here to support placoderm monophyly. Interrelationships of seven placoderm orders are unresolved because Silurian forms from China are still poorly known. The relationship of placoderms to the two major extant groups of jawed fishes—osteichthyans (bony fishes) and chondrichthyans (cartilaginous sharks, rays, and chimaeras)—remains uncertain, but the detailed preservation of placoderm internal braincase structures provides insights into the ancestral gnathostome (jawed vertebrate) condition. Placoderms provide the most complex morphological and biogeographic data set for the Middle Paleozoic; marked discrepancies in stratigraphic occurrence between different continental regions indicate strongly endemic faunas that were probably constrained by marine barriers until changes in paleogeography permitted range enlargement into new areas. Placoderm distributions in time and space indicate major faunal interchange between Gondwana and Laurussia near the Frasnian-Famennian boundary; closure of the Devonian equatorial ocean is a possible explanation.

Resilient data staging through MxN distributed transactions.

Energy Technology Data Exchange (ETDEWEB)

Schwan, Karsten (Georgia Institute of Technology, Atlanta, GA); Oldfield, Ron A.; Lofstead, Gerald Fredrick, II; Dayal, Jai (Georgia Institute of Technology, Atlanta, GA)

2011-11-01

Scientific computing-driven discoveries are frequently driven from workflows that use persistent storage as a staging area for data between operations. With the bad and progressively worse bandwidth vs. data size issues as we continue towards exascale, eliminating persistent storage through techniques like data staging will both enable these workflows to continue online, but also enable more interactive workflows reducing the time to scientific discoveries. Data staging has shown to be an effective way for applications running on high-end computing platforms to offload expensive I/O operations and to manage the tremendous amounts of data they produce. This data staging approach, however, lacks the ACID style guarantees traditional straight-to-disk methods provide. Distributed transactions are a proven way to add ACID properties to data movements, however distributed transactions follow 1xN data movement semantics, where our highly parallel HPC environments employ MxN data movement semantics. In this paper we present a novel protocol that extends distributed transaction terminology to include MxN semantics which allows our data staging areas to benefit from ACID properties. We show that with our protocol we can provide resilient data staging with a limited performance penalty over current data staging implementations.

Post orchiectomy management in stage II testicular seminoma

International Nuclear Information System (INIS)

Singhal, S.; Dixit, S.; Ramana Murthy, R.; Neema, J.P.; Vyas, R.K.; Baboo, H.A.

1994-01-01

Twenty eight patients with stage II A and twenty patients with stage II B testicular seminoma were treated at this institute between January 1982 and December 1988. The three year crude survival observed in this retrospective analysis was 82% and 75% respectively. Post orchiectomy infradiaphragmatic radiotherapy was the mainstay of the treatment. In stage II A, 4 patients were administered adjuvant chemotherapy as well. Prophylactic mediastinal irradiation (PMI) was not employed as a routine in this subgroup. Eight patients (28%) relapsed (mediastinal nodes - 4, pulmonary - 3, scrotal - 1). In stage II B, twelve patients were treated with primary abdominal radiotherapy and of them 4 were delivered PMI as well. Induction chemotherapy was administered in remaining 8 patients. Seven patients (35%) relapsed (pulmonary-4, mediastinal nodes-3). Mediastinal recurrence was noted only in those who were treated with abdominal radiotherapy alone. Though salvage chemotherapy proved successful in 5 of the seven patients (70%) with nodal relapse, none of the patients with extranodal relapse responded to subsequent chemotherapy. For stage II A abdominal radiotherapy alone is recommended and for stage II B induction chemotherapy is advised keeping radiotherapy reserved for residual mass. PMI as a routine in stage II testicular seminoma is not advocated as no survival benefit is observed. (author) 15 refs., 6 tabs

Research Productivity by Career Stage among Korean Academics

Science.gov (United States)

Jung, Jisun

2014-01-01

This study explores Korean academics' changes in research productivity by career stage. Career stage in this study is defined as a specific cohort based on one's length of job experience, with those in the same stage sharing similar interests, values, needs, and tasks; it is categorized into fledglings, maturing academics, established academics,…

A Dual-Stage Two-Phase Model of Selective Attention

Science.gov (United States)

Hubner, Ronald; Steinhauser, Marco; Lehle, Carola

2010-01-01

The dual-stage two-phase (DSTP) model is introduced as a formal and general model of selective attention that includes both an early and a late stage of stimulus selection. Whereas at the early stage information is selected by perceptual filters whose selectivity is relatively limited, at the late stage stimuli are selected more efficiently on a…

"Stage 40" Handbook.

Science.gov (United States)

Mill River Union High School, North Clarendon, VT.

The policies, purposes, and guidelines of "Stage 40," an educational repertory company for students, are presented in this paper, which also explains how the company functions. The paper discusses the company's history, the relationship between the company and academics, and the responsibilities of a company member. Letters by the board…

World Stage Design

Index Scriptorium Estoniae

2005-01-01

12-19. III Torontos rahvusvaheline lavakujunduse, kostüümi ning valgus- ja helikujunduse näitus, mis toimub samaaegselt OISTATi (International Organization of Scenographers, Theatre Architects and Technicians) maailmakongressiga ja USITT (United States Institute for Theatre Technology) üritustega (konverents, Stage Expo). Eestit esindab lavakujunduse kategoorias Lilja Blumenfeld-Luhse

Single-stage versus two-stage anaerobic fluidized bed bioreactors in treating municipal wastewater: Performance, foulant characteristics, and microbial community.

Science.gov (United States)

Wu, Bing; Li, Yifei; Lim, Weikang; Lee, Shi Lin; Guo, Qiming; Fane, Anthony G; Liu, Yu

2017-03-01

This study examined the receptive performance, membrane foulant characteristics, and microbial community in the single-stage and two-stage anaerobic fluidized membrane bioreactor (AFMBR) treating settled raw municipal wastewater with the aims to explore fouling mechanisms and microbial community structure in both systems. Both AFMBRs exhibited comparable organic removal efficiency and membrane performances. In the single-stage AFMBR, less soluble organic substances were removed through biosorption by GAC and biodegradation than those in the two-stage AFMBR. Compared to the two-stage AFMBR, the formation of cake layer was the main cause of the observed membrane fouling in the single-stage AFMBR at the same employed flux. The accumulation rate of the biopolymers was linearly correlated with the membrane fouling rate. In the chemical-cleaned foulants, humic acid-like substances and silicon were identified as the predominant organic and inorganic fouants respectively. As such, the fluidized GAC particles might not be effective in removing these substances from the membrane surfaces. High-throughout pyrosequencing analysis further revealed that beta-Proteobacteria were predominant members in both AFMBRs, which contributed to the development of biofilms on the fluidized GAC and membrane surfaces. However, it was also noted that the abundance of the identified dominant in the membrane surface-associated biofilm seemed to be related to the permeate flux and reactor configuration. Copyright © 2016 Elsevier Ltd. All rights reserved.

Comparing a single-stage geocoding method to a multi-stage geocoding method: how much and where do they disagree?

Directory of Open Access Journals (Sweden)

Rice Kenneth

2007-03-01

Full Text Available Abstract Background Geocoding methods vary among spatial epidemiology studies. Errors in the geocoding process and differential match rates may reduce study validity. We compared two geocoding methods using 8,157 Washington State addresses. The multi-stage geocoding method implemented by the state health department used a sequence of local and national reference files. The single-stage method used a single national reference file. For each address geocoded by both methods, we measured the distance between the locations assigned by each method. Area-level characteristics were collected from census data, and modeled as predictors of the discordance between geocoded address coordinates. Results The multi-stage method had a higher match rate than the single-stage method: 99% versus 95%. Of 7,686 addresses were geocoded by both methods, 96% were geocoded to the same census tract by both methods and 98% were geocoded to locations within 1 km of each other by the two methods. The distance between geocoded coordinates for the same address was higher in sparsely populated and low poverty areas, and counties with local reference files. Conclusion The multi-stage geocoding method had a higher match rate than the single-stage method. An examination of differences in the location assigned to the same address suggested that study results may be most sensitive to the choice of geocoding method in sparsely populated or low-poverty areas.

A novel three-stage distance-based consensus ranking method

Science.gov (United States)

Aghayi, Nazila; Tavana, Madjid

2018-05-01

In this study, we propose a three-stage weighted sum method for identifying the group ranks of alternatives. In the first stage, a rank matrix, similar to the cross-efficiency matrix, is obtained by computing the individual rank position of each alternative based on importance weights. In the second stage, a secondary goal is defined to limit the vector of weights since the vector of weights obtained in the first stage is not unique. Finally, in the third stage, the group rank position of alternatives is obtained based on a distance of individual rank positions. The third stage determines a consensus solution for the group so that the ranks obtained have a minimum distance from the ranks acquired by each alternative in the previous stage. A numerical example is presented to demonstrate the applicability and exhibit the efficacy of the proposed method and algorithms.

Future Perspectives for Management of Stage A Heart Failure.

Science.gov (United States)

Tanaka, Hidekazu

2018-05-07

Patients with Stage A heart failure (HF) show no HF symptoms but have related comorbid diseases with a high risk of progressing to HF. Screening for comorbid diseases warrants closer attention because of the growing interest in addressing Stage A HF as the best means of preventing eventual progression to overt HF such as Stages C and D. The identification of individuals of Stage A HF is potentially useful for the implementation of HF-prevention strategies; however, not all Stage A HF patients develop left ventricular (LV) structural heart disease or symptomatic HF, which lead to advanced HF stages. Therefore, Stage A HF requires management with the long-term goal of avoiding HF development; likewise, Stage B HF patients are ideal targets for HF prevention. Although the early detection of subclinical LV dysfunction is, thus, essential for delaying the progression to HF, the assessment of subclinical LV dysfunction can be challenging. Global longitudinal strain (GLS) as assessed by speckle-tracking echocardiography has recently been reported to be a sensitive marker of early subtle LV myocardial abnormalities, helpful for the prediction of the outcomes for various cardiac diseases, and superior to conventional echocardiographic indices. GLS reflects LV longitudinal myocardial systolic function, and can be assessed usually by means of two-dimensional speckle-tracking. This article reviews the importance of the assessment of subclinical LV dysfunction in Stage A HF patients by means of GLS, and its current potential to prevent progression to later stage HF.

Impact of chronic kidney disease stage on lower-extremity arthroplasty.

Science.gov (United States)

Deegan, Brian F; Richard, Raveesh D; Bowen, Thomas R; Perkins, Robert M; Graham, Jove H; Foltzer, Michael A

2014-07-01

End-stage renal disease and dialysis is commonly associated with poor outcomes after joint replacement surgery. The goal of this study was to evaluate postoperative complications in patients with less advanced chronic kidney disease undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA). Patients who underwent THA or TKA between 2004 and 2011 with stage 1, 2, or 3 chronic kidney disease were retrospectively reviewed via an electronic medical record. The authors compared 377 patients who had stage 1 to 2 chronic kidney disease with 402 patients who had stage 3 chronic kidney disease. No significant differences in 90-day readmission or revision rates were found between the stage 1 to 2 and stage 3 patient groups. For patients with stage 3 chronic kidney disease, the overall mortality rate was greater than that in patients with stage 1 to 2 chronic kidney disease. However, when adjusted for comorbid disease, no significant increases were seen in joint infection, readmission, or early revision between patients with stage 1 to 2 chronic kidney disease vs patients with stage 3 chronic kidney disease. The overall incidence of infection was high (3.5%) but far less than reported for patients with end-stage renal disease, dialysis, and kidney transplant. In conclusion, patients with stage 1, 2, or 3 chronic kidney disease may have a higher than expected rate of prosthetic joint infection (3.5%) after total joint arthroplasty. Patients with stage 3 chronic kidney disease are at higher risk for postoperative mortality compared with those with lesser stages of kidney disease. Copyright 2014, SLACK Incorporated.

Updated baseline for a staged Compact Linear Collider

CERN Document Server

Boland, M J; Giansiracusa, P J; Lucas, T G; Rassool, R P; Balazs, C; Charles, T K; Afanaciev, K; Emeliantchik, I; Ignatenko, A; Makarenko, V; Shumeiko, N; Patapenka, A; Zhuk, I; Abusleme Hoffman, A C; Diaz Gutierrez, M A; Gonzalez, M Vogel; Chi, Y; He, X; Pei, G; Pei, S; Shu, G; Wang, X; Zhang, J; Zhao, F; Zhou, Z; Chen, H; Gao, Y; Huang, W; Kuang, Y P; Li, B; Li, Y; Shao, J; Shi, J; Tang, C; Wu, X; Ma, L; Han, Y; Fang, W; Gu, Q; Huang, D; Huang, X; Tan, J; Wang, Z; Zhao, Z; Laštovička, T; Uggerhoj, U; Wistisen, T N; Aabloo, A; Eimre, K; Kuppart, K; Vigonski, S; Zadin, V; Aicheler, M; Baibuz, E; Brücken, E; Djurabekova, F; Eerola, P; Garcia, F; Haeggström, E; Huitu, K; Jansson, V; Karimaki, V; Kassamakov, I; Kyritsakis, A; Lehti, S; Meriläinen, A; Montonen, R; Niinikoski, T; Nordlund, K; Österberg, K; Parekh, M; Törnqvist, N A; Väinölä, J; Veske, M; Farabolini, W; Mollard, A; Napoly, O; Peauger, F; Plouin, J; Bambade, P; Chaikovska, I; Chehab, R; Davier, M; Kaabi, W; Kou, E; LeDiberder, F; Pöschl, R; Zerwas, D; Aimard, B; Balik, G; Baud, J-P; Blaising, J-J; Brunetti, L; Chefdeville, M; Drancourt, C; Geoffroy, N; Jacquemier, J; Jeremie, A; Karyotakis, Y; Nappa, J M; Vilalte, S; Vouters, G; Bernard, A; Peric, I; Gabriel, M; Simon, F; Szalay, M; van der Kolk, N; Alexopoulos, T; Gazis, E N; Gazis, N; Ikarios, E; Kostopoulos, V; Kourkoulis, S; Gupta, P D; Shrivastava, P; Arfaei, H; Dayyani, M K; Ghasem, H; Hajari, S S; Shaker, H; Ashkenazy, Y; Abramowicz, H; Benhammou, Y; Borysov, O; Kananov, S; Levy, A; Levy, I; Rosenblat, O; D'Auria, G; Di Mitri, S; Abe, T; Aryshev, A; Higo, T; Makida, Y; Matsumoto, S; Shidara, T; Takatomi, T; Takubo, Y; Tauchi, T; Toge, N; Ueno, K; Urakawa, J; Yamamoto, A; Yamanaka, M; Raboanary, R; Hart, R; van der Graaf, H; Eigen, G; Zalieckas, J; Adli, E; Lillestøl, R; Malina, L; Pfingstner, J; Sjobak, K N; Ahmed, W; Asghar, M I; Hoorani, H; Bugiel, S; Dasgupta, R; Firlej, M; Fiutowski, T A; Idzik, M; Kopec, M; Kuczynska, M; Moron, J; Swientek, K P; Daniluk, W; Krupa, B; Kucharczyk, M; Lesiak, T; Moszczynski, A; Pawlik, B; Sopicki, P; Wojtoń, T; Zawiejski, L; Kalinowski, J; Krawczyk, M; Żarnecki, A F; Firu, E; Ghenescu, V; Neagu, A T; Preda, T; Zgura, I-S; Aloev, A; Azaryan, N; Budagov, J; Chizhov, M; Filippova, M; Glagolev, V; Gongadze, A; Grigoryan, S; Gudkov, D; Karjavine, V; Lyablin, M; Olyunin, A; Samochkine, A; Sapronov, A; Shirkov, G; Soldatov, V; Solodko, A; Solodko, E; Trubnikov, G; Tyapkin, I; Uzhinsky, V; Vorozhtov, A; Levichev, E; Mezentsev, N; Piminov, P; Shatilov, D; Vobly, P; Zolotarev, K; Bozovic-Jelisavcic, I; Kacarevic, G; Lukic, S; Milutinovic-Dumbelovic, G; Pandurovic, M; Iriso, U; Perez, F; Pont, M; Trenado, J; Aguilar-Benitez, M; Calero, J; Garcia-Tabares, L; Gavela, D; Gutierrez, J L; Lopez, D; Toral, F; Moya, D; Ruiz-Jimeno, A; Vila, I; Argyropoulos, T; Blanch Gutierrez, C; Boronat, M; Esperante, D; Faus-Golfe, A; Fuster, J; Fuster Martinez, N; Galindo Muñoz, N; García, I; Giner Navarro, J; Ros, E; Vos, M; Brenner, R; Ekelöf, T; Jacewicz, M; Ögren, J; Olvegård, M; Ruber, R; Ziemann, V; Aguglia, D; Alipour Tehrani, N; Aloev, A; Andersson, A; Andrianala, F; Antoniou, F; Artoos, K; Atieh, S; Ballabriga Sune, R; Barnes, M J; Barranco Garcia, J; Bartosik, H; Belver-Aguilar, C; Benot Morell, A; Bett, D R; Bettoni, S; Blanchot, G; Blanco Garcia, O; Bonnin, X A; Brunner, O; Burkhardt, H; Calatroni, S; Campbell, M; Catalan Lasheras, N; Cerqueira Bastos, M; Cherif, A; Chevallay, E; Constance, B; Corsini, R; Cure, B; Curt, S; Dalena, B; Dannheim, D; De Michele, G; De Oliveira, L; Deelen, N; Delahaye, J P; Dobers, T; Doebert, S; Draper, M; Duarte Ramos, F; Dubrovskiy, A; Elsener, K; Esberg, J; Esposito, M; Fedosseev, V; Ferracin, P; Fiergolski, A; Foraz, K; Fowler, A; Friebel, F; Fuchs, J-F; Fuentes Rojas, C A; Gaddi, A; Garcia Fajardo, L; Garcia Morales, H; Garion, C; Gatignon, L; Gayde, J-C; Gerwig, H; Goldblatt, A N; Grefe, C; Grudiev, A; Guillot-Vignot, F G; Gutt-Mostowy, M L; Hauschild, M; Hessler, C; Holma, J K; Holzer, E; Hourican, M; Hynds, D; Inntjore Levinsen, Y; Jeanneret, B; Jensen, E; Jonker, M; Kastriotou, M; Kemppinen, J M K; Kieffer, R B; Klempt, W; Kononenko, O; Korsback, A; Koukovini Platia, E; Kovermann, J W; Kozsar, C-I; Kremastiotis, I; Kulis, S; Latina, A; Leaux, F; Lebrun, P; Lefevre, T; Linssen, L; Llopart Cudie, X; Maier, A A; Mainaud Durand, H; Manosperti, E; Marelli, C; Marin Lacoma, E; Martin, R; Mazzoni, S; Mcmonagle, G; Mete, O; Mether, L M; Modena, M; Münker, R M; Muranaka, T; Nebot Del Busto, E; Nikiforou, N; Nisbet, D; Nonglaton, J-M; Nuiry, F X; Nürnberg, A; Olvegard, M; Osborne, J; Papadopoulou, S; Papaphilippou, Y; Passarelli, A; Patecki, M; Pazdera, L; Pellegrini, D; Pepitone, K; Perez, F; Perez Codina, E; Perez Fontenla, A; Persson, T H B; Petrič, M; Pitters, F; Pittet, S; Plassard, F; Rajamak, R; Redford, S; Renier, Y; Rey, S F; Riddone, G; Rinolfi, L; Rodriguez Castro, E; Roloff, P; Rossi, C; Rude, V; Rumolo, G; Sailer, A; Santin, E; Schlatter, D; Schmickler, H; Schulte, D; Shipman, N; Sicking, E; Simoniello, R; Skowronski, P K; Sobrino Mompean, P; Soby, L; Sosin, M P; Sroka, S; Stapnes, S; Sterbini, G; Ström, R; Syratchev, I; Tecker, F; Thonet, P A; Timeo, L; Timko, H; Tomas Garcia, R; Valerio, P; Vamvakas, A L; Vivoli, A; Weber, M A; Wegner, R; Wendt, M; Woolley, B; Wuensch, W; Uythoven, J; Zha, H; Zisopoulos, P; Benoit, M; Vicente Barreto Pinto, M; Bopp, M; Braun, H H; Csatari Divall, M; Dehler, M; Garvey, T; Raguin, J Y; Rivkin, L; Zennaro, R; Aksoy, A; Nergiz, Z; Pilicer, E; Tapan, I; Yavas, O; Baturin, V; Kholodov, R; Lebedynskyi, S; Miroshnichenko, V; Mordyk, S; Profatilova, I; Storizhko, V; Watson, N; Winter, A; Goldstein, J; Green, S; Marshall, J S; Thomson, M A; Xu, B; Gillespie, W A; Pan, R; Tyrk, M A; Protopopescu, D; Robson, A; Apsimon, R; Bailey, I; Burt, G; Constable, D; Dexter, A; Karimian, S; Lingwood, C; Buckland, M D; Casse, G; Vossebeld, J; Bosco, A; Karataev, P; Kruchinin, K; Lekomtsev, K; Nevay, L; Snuverink, J; Yamakawa, E; Boisvert, V; Boogert, S; Boorman, G; Gibson, S; Lyapin, A; Shields, W; Teixeira-Dias, P; West, S; Jones, R; Joshi, N; Bodenstein, R; Burrows, P N; Christian, G B; Gamba, D; Perry, C; Roberts, J; Clarke, J A; Collomb, N A; Jamison, S P; Shepherd, B J A; Walsh, D; Demarteau, M; Repond, J; Weerts, H; Xia, L; Wells, J D; Adolphsen, C; Barklow, T; Breidenbach, M; Graf, N; Hewett, J; Markiewicz, T; McCormick, D; Moffeit, K; Nosochkov, Y; Oriunno, M; Phinney, N; Rizzo, T; Tantawi, S; Wang, F; Wang, J; White, G; Woodley, M

2016-01-01

The Compact Linear Collider (CLIC) is a multi-TeV high-luminosity linear e+e- collider under development. For an optimal exploitation of its physics potential, CLIC is foreseen to be built and operated in a staged approach with three centre-of-mass energy stages ranging from a few hundred GeV up to 3 TeV. The first stage will focus on precision Standard Model physics, in particular Higgs and top-quark measurements. Subsequent stages will focus on measurements of rare Higgs processes, as well as searches for new physics processes and precision measurements of new states, e.g. states previously discovered at LHC or at CLIC itself. In the 2012 CLIC Conceptual Design Report, a fully optimised 3 TeV collider was presented, while the proposed lower energy stages were not studied to the same level of detail. This report presents an updated baseline staging scenario for CLIC. The scenario is the result of a comprehensive study addressing the performance, cost and power of the CLIC accelerator complex as a function of...

Preoperative staging of lung cancer with combined PET-CT

DEFF Research Database (Denmark)

Fischer, Barbara; Lassen, Ulrik; Mortensen, Jann

2009-01-01

BACKGROUND: Fast and accurate staging is essential for choosing treatment for non-small-cell lung cancer (NSCLC). The purpose of this randomized study was to evaluate the clinical effect of combined positron-emission tomography and computed tomography (PET-CT) on preoperative staging of NSCLC...... one of the following: a thoracotomy with the finding of pathologically confirmed mediastinal lymph-node involvement (stage IIIA [N2]), stage IIIB or stage IV disease, or a benign lung lesion; an exploratory thoracotomy; or a thoracotomy in a patient who had recurrent disease or death from any cause...

On A Two-Stage Supply Chain Model In The Manufacturing Industry ...

African Journals Online (AJOL)

We model a two-stage supply chain where the upstream stage (stage 2) always meet demand from the downstream stage (stage 1).Demand is stochastic hence shortages will occasionally occur at stage 2. Stage 2 must fill these shortages by expediting using overtime production and/or backordering. We derive optimal ...

Baseline characteristics of patients with chronic kidney disease stage 3 and stage 4 in spain: the MERENA observational cohort study

Directory of Open Access Journals (Sweden)

Montes Rafael

2011-10-01

Full Text Available Abstract Background To obtain information on cardiovascular morbidity, hypertension control, anemia and mineral metabolism based on the analysis of the baseline characteristics of a large cohort of Spanish patients enrolled in an ongoing prospective, observational, multicenter study of patients with stages 3 and 4 chronic kidney diseases (CKD. Methods Multicenter study from Spanish government hospital-based Nephrology outpatient clinics involving 1129 patients with CKD stages 3 (n = 434 and 4 (n = 695 defined by GFR calculated by the MDRD formula. Additional analysis was performed with GFR calculated using the CKD-EPI and Cockcroft-Gault formula. Results In the cohort as a whole, median age 70.9 years, morbidity from all cardiovascular disease (CVD was very high (39.1%. In CKD stage 4, CVD prevalence was higher than in stage 3 (42.2 vs 35.6% p 300 mg/day was present in more than 60% of patients and there was no significant differences between stages 3 and 4 CKD (1.2 ± 1.8 and 1.3 ± 1.8 g/day, respectively. A majority of the patients had hemoglobin levels greater than 11 g/dL (91.1 and 85.5% in stages 3 and 4 CKD respectively p Conclusion This study provides an overview of key clinical parameters in patients with CKD Stages 3 and 4 where delivery or care was largely by nephrologists working in a network of hospital-based clinics of the Spanish National Healthcare System.

A novel genetic technique in Plasmodium berghei allows liver stage analysis of genes required for mosquito stage development and demonstrates that de novo heme synthesis is essential for liver stage development in the malaria parasite.

Directory of Open Access Journals (Sweden)

Upeksha L Rathnapala

2017-06-01

Full Text Available The combination of drug resistance, lack of an effective vaccine, and ongoing conflict and poverty means that malaria remains a major global health crisis. Understanding metabolic pathways at all parasite life stages is important in prioritising and targeting novel anti-parasitic compounds. The unusual heme synthesis pathway of the rodent malaria parasite, Plasmodium berghei, requires eight enzymes distributed across the mitochondrion, apicoplast and cytoplasm. Deletion of the ferrochelatase (FC gene, the final enzyme in the pathway, confirms that heme synthesis is not essential in the red blood cell stages of the life cycle but is required to complete oocyst development in mosquitoes. The lethality of FC deletions in the mosquito stage makes it difficult to study the impact of these mutations in the subsequent liver stage. To overcome this, we combined locus-specific fluorophore expression with a genetic complementation approach to generate viable, heterozygous oocysts able to produce a mix of FC expressing and FC deficient sporozoites. These sporozoites show normal motility and can invade liver cells, where FC deficient parasites can be distinguished by fluorescence and phenotyped. Parasites lacking FC exhibit a severe growth defect within liver cells, with development failure detectable in the early to mid stages of liver development in vitro. FC deficient parasites could not complete liver stage development in vitro nor infect naïve mice, confirming liver stage arrest. These results validate the heme pathway as a potential target for prophylactic drugs targeting liver stage parasites. In addition, we demonstrate that our simple genetic approach can extend the phenotyping window beyond the insect stages, opening considerable scope for straightforward reverse genetic analysis of genes that are dispensable in blood stages but essential for completing mosquito development.

A novel genetic technique in Plasmodium berghei allows liver stage analysis of genes required for mosquito stage development and demonstrates that de novo heme synthesis is essential for liver stage development in the malaria parasite.

Science.gov (United States)

Rathnapala, Upeksha L; Goodman, Christopher D; McFadden, Geoffrey I

2017-06-01

The combination of drug resistance, lack of an effective vaccine, and ongoing conflict and poverty means that malaria remains a major global health crisis. Understanding metabolic pathways at all parasite life stages is important in prioritising and targeting novel anti-parasitic compounds. The unusual heme synthesis pathway of the rodent malaria parasite, Plasmodium berghei, requires eight enzymes distributed across the mitochondrion, apicoplast and cytoplasm. Deletion of the ferrochelatase (FC) gene, the final enzyme in the pathway, confirms that heme synthesis is not essential in the red blood cell stages of the life cycle but is required to complete oocyst development in mosquitoes. The lethality of FC deletions in the mosquito stage makes it difficult to study the impact of these mutations in the subsequent liver stage. To overcome this, we combined locus-specific fluorophore expression with a genetic complementation approach to generate viable, heterozygous oocysts able to produce a mix of FC expressing and FC deficient sporozoites. These sporozoites show normal motility and can invade liver cells, where FC deficient parasites can be distinguished by fluorescence and phenotyped. Parasites lacking FC exhibit a severe growth defect within liver cells, with development failure detectable in the early to mid stages of liver development in vitro. FC deficient parasites could not complete liver stage development in vitro nor infect naïve mice, confirming liver stage arrest. These results validate the heme pathway as a potential target for prophylactic drugs targeting liver stage parasites. In addition, we demonstrate that our simple genetic approach can extend the phenotyping window beyond the insect stages, opening considerable scope for straightforward reverse genetic analysis of genes that are dispensable in blood stages but essential for completing mosquito development.

Updated guidelines on the preoperative staging of thyroid cancer

Energy Technology Data Exchange (ETDEWEB)

Kim, Hye Jung [Dept. of Radiology, Kyungpook National University Medical Center, Daegu (Korea, Republic of)

2017-10-15

Recent studies have provided prognostic information and recommendations for staging thyroid cancers that have changed the staging and management guidelines for the disease. Consequently, minimal extrathyroidal extension (ETE) was removed from the T3 stage classification in the eighth edition of the TNM staging system by the American Joint Committee on Cancer. New T categories have been subsequently added, including T3a, defined as a tumor >4 cm in its greatest dimension, limited to the thyroid gland, and T3b, defined as a tumor of any size with gross ETE invading only the strap muscles. In this article, the author reviews the changes in the TNM staging system for thyroid cancer, with an emphasis on ultrasonography in preoperative staging.

Recommendations for neoadjuvant pathologic staging (ypTNM) of cancer of the esophagus and esophagogastric junction for the 8th edition AJCC/UICC staging manuals.

Science.gov (United States)

Rice, Thomas W; Ishwaran, Hemant; Kelsen, David P; Hofstetter, Wayne L; Apperson-Hansen, Carolyn; Blackstone, Eugene H

2016-11-01

We report analytic and consensus processes that produced recommendations for neoadjuvant pathologic stage groups (ypTNM) of esophageal and esophagogastric junction cancer for the AJCC/UICC cancer staging manuals, 8th edition. The Worldwide Esophageal Cancer Collaboration provided data for 22,654 patients with epithelial esophageal cancers; 7,773 had pathologic assessment after neoadjuvant therapy. Risk-adjusted survival for each patient was developed. Random forest analysis identified data-driven neoadjuvant pathologic stage groups wherein survival decreased monotonically with increasing group, was distinctive between groups, and homogeneous within groups. An additional analysis produced data-driven anatomic neoadjuvant pathologic stage groups based only on ypT, ypN, and ypM categories. The AJCC Upper GI Task Force, by smoothing, simplifying, expanding, and assessing clinical applicability, produced consensus neoadjuvant pathologic stage groups. Grade and location were much less discriminating for stage grouping ypTNM than pTNM. Data-driven stage grouping without grade and location produced nearly identical groups for squamous cell carcinoma and adenocarcinoma. However, ypTNM groups and their associated survival differed from pTNM. The need for consensus process was minimal. The consensus groups, identical for both cell types were as follows: ypStage I comprised ypT0-2N0M0; ypStage II ypT3N0M0; ypStage IIIA ypT0-2N1M0; ypStage IIIB ypT3N1M0, ypT0-3N2, and ypT4aN0M0; ypStage IVA ypT4aN1-2, ypT4bN0-2, and ypTanyN3M0; and ypStage IVB ypTanyNanyM1. Absence of equivalent pathologic (pTNM) categories for the peculiar neoadjuvant pathologic categories ypTisN0-3M0 and ypT0N0-3M0, dissimilar stage group compositions, and markedly different early- and intermediate-stage survival necessitated a unified, unique set of stage grouping for patients of either cell type who receive neoadjuvant therapy. © 2016 International Society for Diseases of the Esophagus.

Staged fluidized-bed combustion and filter system

International Nuclear Information System (INIS)

Mei, J.S.; Halow, J.S.

1994-01-01

A staged fluidized-bed combustion and filter system are described for substantially reducing the quantity of waste through the complete combustion into ash-type solids and gaseous products. The device has two fluidized-bed portions, the first primarily as a combustor/pyrolyzer bed, and the second as a combustor/filter bed. The two portions each have internal baffles to define stages so that material moving therein as fluidized beds travel in an extended route through those stages. Fluidization and movement is achieved by the introduction of gases into each stage through a directional nozzle. Gases produced in the combustor/pyrolyzer bed are permitted to travel into corresponding stages of the combustor/filter bed through screen filters that permit gas flow but inhibit solids flow. Any catalyst used in the combustor/filter bed is recycled. The two beds share a common wall to minimize total volume of the system. A slightly modified embodiment can be used for hot gas desulfurization and sorbent regeneration. Either side-by-side rectangular beds or concentric beds can be used. The system is particularly suited to the processing of radioactive and chemically hazardous waste. 10 figures

A dual-stage sodium thermal electrochemical converter (Na-TEC)

Science.gov (United States)

Limia, Alexander; Ha, Jong Min; Kottke, Peter; Gunawan, Andrey; Fedorov, Andrei G.; Lee, Seung Woo; Yee, Shannon K.

2017-12-01

The sodium thermal electrochemical converter (Na-TEC) is a heat engine that generates electricity through the isothermal expansion of sodium ions. The Na-TEC is a closed system that can theoretically achieve conversion efficiencies above 45% when operating between thermal reservoirs at 1150 K and 550 K. However, thermal designs have confined previous single-stage devices to thermal efficiencies below 20%. To mitigate some of these limitations, we consider dividing the isothermal expansion into two stages; one at the evaporator temperature (1150 K) and another at an intermediate temperature (650 K-1050 K). This dual-stage Na-TEC takes advantage of regeneration and reheating, and could be amenable to better thermal management. Herein, we demonstrate how the dual-stage device can improve the efficiency by up to 8% points over the best performing single-stage device. We also establish an application regime map for the single- and dual-stage Na-TEC in terms of the power density and the total thermal parasitic loss. Generally, a single-stage Na-TEC should be used for applications requiring high power densities, whereas a dual-stage Na-TEC should be used for applications requiring high efficiency.

A Novel Dual-Stage Hydrothermal Flow Reactor

DEFF Research Database (Denmark)

Hellstern, Henrik Christian; Becker, Jacob; Hald, Peter

2015-01-01

The dual-stage reactor is a novel continuous flow reactor with two reactors connected in series. It is designed for hydrothermal flow synthesis of nanocomposites, in which a single particle consists of multiple materials. The secondary material may protect the core nanoparticle from oxidation....... The dual-stage reactor combines the ability to produce advanced materials with an upscaled capacity in excess of 10 g/hour (dry mass). TiO2 was synthesized in the primary reactor and reproduced previous results. The dual-stage capability was succesfully demonstrated with a series of nanocomposites incl. Ti...

Two-stage thermal/nonthermal waste treatment process

International Nuclear Information System (INIS)

Rosocha, L.A.; Anderson, G.K.; Coogan, J.J.; Kang, M.; Tennant, R.A.; Wantuck, P.J.

1993-01-01

An innovative waste treatment technology is being developed in Los Alamos to address the destruction of hazardous organic wastes. The technology described in this report uses two stages: a packed bed reactor (PBR) in the first stage to volatilize and/or combust liquid organics and a silent discharge plasma (SDP) reactor to remove entrained hazardous compounds in the off-gas to even lower levels. We have constructed pre-pilot-scale PBR-SDP apparatus and tested the two stages separately and in combined modes. These tests are described in the report

Colorectal carcinoma: preoperative staging with water enema spiral CT

International Nuclear Information System (INIS)

Guan Sheng; Gao Jianbo; Li Yintai; Chen Xuejun; Yang Xuehua; Yang Xiaopeng; Cheng Jingliang

2001-01-01

Objective: To determine the value and limitation of water enema spiral CT (WESCT) in staging of colorectal carcinoma. Methods: Forty-eight patients with histologically proven rectum or colon carcinoma were included in this study. All of them were examined by SCT, and the preoperative staging of TNM and Duke were used based on the findings of SCT. The results of WESCT were compared with those of surgical and pathological examination in all cases. Results: All lesions in the 47 cases were demonstrated clearly by WESCT and the sensitivity was 97.9%; 39 cases of 48 patients were correctly staged with TNM and 42 cases with Duke, the accuracy was 81.3% and 87.5% respectively, which were higher than the overall 50 % accuracy reported by references; (3) The accuracy of WESCT was 89.6% (43/48) in T stage and 81.3% (39/48) in N stage. Three cases in M stage were all diagnosed correctly; Conclusion: WESCT scan is a better method of depicting the colorectal carcinoma. It allows for accurate depiction and staging of colorectal carcinoma, especially detecting the invasion of adjacent tissues and distant metastasis. It is the best imaging method for staging the colorectal carcinoma . However the value of WESCT for early T staging in colorectal carcinoma and minute metastasis of lymph nodes or liver is limited

Two-stage free electron laser research

Science.gov (United States)

Segall, S. B.

1984-10-01

KMS Fusion, Inc. began studying the feasibility of two-stage free electron lasers for the Office of Naval Research in June, 1980. At that time, the two-stage FEL was only a concept that had been proposed by Luis Elias. The range of parameters over which such a laser could be successfully operated, attainable power output, and constraints on laser operation were not known. The primary reason for supporting this research at that time was that it had the potential for producing short-wavelength radiation using a relatively low voltage electron beam. One advantage of a low-voltage two-stage FEL would be that shielding requirements would be greatly reduced compared with single-stage short-wavelength FEL's. If the electron energy were kept below about 10 MeV, X-rays, generated by electrons striking the beam line wall, would not excite neutron resonance in atomic nuclei. These resonances cause the emission of neutrons with subsequent induced radioactivity. Therefore, above about 10 MeV, a meter or more of concrete shielding is required for the system, whereas below 10 MeV, a few millimeters of lead would be adequate.

The theatrical stage as accident site in professional dance.

Science.gov (United States)

Wanke, Eileen M; Arendt, Michael; Mill, Helmgard; Koch, Franziska; Davenport, Jacqueline; Fischer, Axel; Groneberg, David A

2014-03-01

Reducing work-related health hazards at the different theatre workplaces is one aspect of preventive options in professional dance. This also applies to hazards on the highly variable theatrical stage areas. However, detailed information on these stages and their risks is not available. The aim of this study was to analyze and evaluate work-related traumatic injuries in the stage area. The basis for the evaluation was accident reports, from the German National Statutory Insurance, of work-related traumatic injuries occurring on stage in professional dancers (n=790: 407 males, 383 females) over a 17-year period (1995-2011). Most (79.4%) of the accidents on stage occurred during an ongoing performance (frequency: 10.1/100 performances), with only 19.7% occurring during rehearsals on stage (p<0.001). Due to the sustained injury, 30.2% of the dancers sustained a time-loss injury. Most (57.7%) of the injured dancers were older than 25 years. Of the accidents, 59.3% were initiated by a definably extrinsic cause, with 40.7% caused by intrinsic factors (p<0.001). Injuries were most commonly caused by the "partner" (21.7%) or "floor" (21.0%). The lower extremity was the most commonly affected body region (63.6%) (p<0.001). Stage performances seem to carry an increased injury risk compared to rehearsals. The "risk" of on-stage work is spread across various factors that seem to be stage-specific. There is a need for further qualitative and quantitative research to be able to classify the stage as workplace more precisely.

Interconnected levels of Multi-Stage Marketing – A Triadic approach

DEFF Research Database (Denmark)

Vedel, Mette; Geersbro, Jens; Ritter, Thomas

2012-01-01

must not only decide in general on the merits of multi-stage marketing for their firm, but must also decide on which level they will engage in multi-stage marketing. The triadic perspective enables a rich and multi-dimensional understanding of how different business relationships influence each other......Multi-stage marketing gains increasing attention as knowledge of and influence on the customer's customer become more critical for the firm's success. Despite this increasing managerial relevance, systematic approaches for analyzing multi-stage marketing are still missing. This paper conceptualizes...... different levels of multi-stage marketing and illustrates these stages with a case study. In addition, a triadic perspective is introduced as an analytical tool for multi-stage marketing research. The results from the case study indicate that multi-stage marketing exists on different levels. Thus, managers...

Gene expression profiles in stages II and III colon cancers

DEFF Research Database (Denmark)

Thorsteinsson, Morten; Kirkeby, Lene T; Hansen, Raino

2012-01-01

PURPOSE: A 128-gene signature has been proposed to predict outcome in patients with stages II and III colorectal cancers. In the present study, we aimed to reproduce and validate the 128-gene signature in external and independent material. METHODS: Gene expression data from the original material...... were retrieved from the Gene Expression Omnibus (GEO) (n¿=¿111) in addition to a Danish data set (n¿=¿37). All patients had stages II and III colon cancers. A Prediction Analysis of Microarray classifier, based on the 128-gene signature and the original training set of stage I (n¿=¿65) and stage IV (n...... correctly predicted as stage IV-like, and the remaining patients were predicted as stage I-like and unclassifiable, respectively. Stage II patients could not be stratified. CONCLUSIONS: The 128-gene signature showed reproducibility in stage III colon cancer, but could not predict recurrence in stage II...

Genetic and cytokine changes associated with symptomatic stages of CLL.

Science.gov (United States)

Agarwal, Amit; Cooke, Lawrence; Riley, Christopher; Qi, Wenqing; Mount, David; Mahadevan, Daruka

2014-09-01

The pathogenesis and drug resistance of symptomatic CLL patients involves genetic changes associated with the CLL clone as well as changes within the microenvironment. To further understand these processes, we compared early stage CLL to symptomatic late stage using gene expression and serum cytokine profiling to gain insight of the genetic and microenvironment changes associated with the most severe form of the disease. Patients were classified into low stage (Rai stage 0/I/II) and high stage (Rai stage III/IV). Gene expression profiles were obtained on pretreatment samples using the HG-U133A 2.0 Affymetrix platform. A comparison of low versus high stage CLL revealed a set of 21 genes differentially expressed genes. 15 genes were up regulated in the high stage compared to low stage while 6 genes were down regulated. Analysis of GO molecular function revealed 9 of 21 genes were involved in transcription factor activity. Serum cytokine profiles showed six cytokines to be significantly different in high stage patients. Two chemokines, SDF-1/CXCL12 and uPAR known to be involved in stem cell mobilization and homing were increased in serum of high stage patients. This study has identified therapeutic targets for symptomatic CLL patients. Copyright © 2014 Elsevier Ltd. All rights reserved.

Stage I carcinoma of the endometrium: Some prognostic factors

International Nuclear Information System (INIS)

Perry, H.; Lefkofsky, M.M.; Chang, H.S.; Mantel, J.

1987-01-01

A total of 446 patients with FIGO stage I adenocarcinoma of the endometrium were treated from 1953 to 1980. The overall actuarial survival was 80.77% at 5 years and 72.16% at 10 years. The 5- and 10-year actuarial survivals for various stages are as follows: stage IA: 82.33% and 73.12%; stage IB: 79.80% and 71.55% (P = .4045); stage IB, grade I: 87l.34% and 79.29%; grade II, 83.11% and 75.52%; grade III, 53.62% and 48.53% (P = .0000); stage IC: for patients receiving preoperative radiation therapy with residual carcinoma in the operative specimen, 86.26% and 79.76%; for specimens containing residual tumor, 76.41% and 68.31% (P = .0802). Patient selection appeared to influence survival

[Complications of surgical stage of treatment in patients with cancer of cervix uteri stage IIB].

Science.gov (United States)

Kryzhanivs'ka, A Ie

2013-11-01

The results of treatment of 127 patients, suffering cervix uteri cancer stage IIB in period of 1998 - 2012 yrs, were analyzed. Complications of surgical stage of the combined treatment have had occurred in 40.9% patients, including 40.5% patients, to whom neoadjuvant chemotherapy was conducted and in 41.5%--radiation therapy (RTH). The main postoperative complications--retroperitoneal lymphatic cysts--were revealed in 35.4% patients. The factors, raising the risk of postoperative complications occurrence, are following: the primary tumor spreading, metastatic affection of lymphatic nodes of pelvic cavity, preoperative conduction of RTH or chemotherapy.

Results of Radiation Therapy in Stage III Uterine Cervical Cancer

Energy Technology Data Exchange (ETDEWEB)

Moon, Chang Woo; Shin, Byung Chul; Yum, Ha Yong; Jeung, Tae Sig; Yoo, Myung Jin [Kosin University College of Medicine, Seoul (Korea, Republic of)

1995-09-15

Purpose : The aim of this study is to analyze the survival rate, treatment failure and complication of radiation therapy alone in stage III uterine cervical cancer. Materials and Methods : From January 1980 through December 1985, 227 patients with stage II uterine cervical cancer treated with radiation therapy at Kosin Medical Center were retrospectively studied. Among 227 patients, 72 patients(31.7%) were stage IIIa, and 155 patients(68.3%) were stage IIIb according to FIGO classification. Age distribution was 32-71 years(median: 62 years). Sixty nine patients(95.8%) in stage IIIa and 150 patients(96.8%) in stage IIIb were squamous cell carcinoma. Pelvic lymph node metastasis at initial diagnosis was 8 patients (11.1%) in stage IIIa and 29 patients(18.7%) in stage IIIb. Among 72 patients with stage IIIa, 36 patients(50%) were treated with external radiation therapy alone by conventional technique (180-200 cGy/fr). And 36 patients(50%) were treated with external radiation therapy with intracavitary radiotherapy(ICR) with Cs137 sources, and among 155 patients with stage IIIb, 80 patients(51.6%) were treated with external radiation therapy alone and 75 patients(48.4%) were treated with external radiation therapy with ICR. Total radiation doses of stage IIIa and IIIb were 65-105 Gy(median : 78.5 Gy) and 65-125.5 Gy (median :83.5 Gy). Survival rate was calculated by life-table method. Results : Complete response rates were 58.3% (42 patients) in state IIIa and 56.1%(87 patients) in stage Iiib. Overall 5 year survival rates were 57% in stage IIIa and 40% in stage IIIb. Five year survival rates by radiation technique in stage IIIa and IIIb were 64%, 40% in group treated in combination of external radiation and ICR, and 50%, 40% in the group of external radiation therapy alone(P=NS). Five year survival rates by response of radiation therapy in stage IIIa and IIIb were 90%, 66% in responder group, and 10%, 7% in non-responder group (P<0.01). There were statistically no

Results of Radiation Therapy in Stage III Uterine Cervical Cancer

International Nuclear Information System (INIS)

Moon, Chang Woo; Shin, Byung Chul; Yum, Ha Yong; Jeung, Tae Sig; Yoo, Myung Jin

1995-01-01

Purpose : The aim of this study is to analyze the survival rate, treatment failure and complication of radiation therapy alone in stage III uterine cervical cancer. Materials and Methods : From January 1980 through December 1985, 227 patients with stage II uterine cervical cancer treated with radiation therapy at Kosin Medical Center were retrospectively studied. Among 227 patients, 72 patients(31.7%) were stage IIIa, and 155 patients(68.3%) were stage IIIb according to FIGO classification. Age distribution was 32-71 years(median: 62 years). Sixty nine patients(95.8%) in stage IIIa and 150 patients(96.8%) in stage IIIb were squamous cell carcinoma. Pelvic lymph node metastasis at initial diagnosis was 8 patients (11.1%) in stage IIIa and 29 patients(18.7%) in stage IIIb. Among 72 patients with stage IIIa, 36 patients(50%) were treated with external radiation therapy alone by conventional technique (180-200 cGy/fr). And 36 patients(50%) were treated with external radiation therapy with intracavitary radiotherapy(ICR) with Cs137 sources, and among 155 patients with stage IIIb, 80 patients(51.6%) were treated with external radiation therapy alone and 75 patients(48.4%) were treated with external radiation therapy with ICR. Total radiation doses of stage IIIa and IIIb were 65-105 Gy(median : 78.5 Gy) and 65-125.5 Gy (median :83.5 Gy). Survival rate was calculated by life-table method. Results : Complete response rates were 58.3% (42 patients) in state IIIa and 56.1%(87 patients) in stage Iiib. Overall 5 year survival rates were 57% in stage IIIa and 40% in stage IIIb. Five year survival rates by radiation technique in stage IIIa and IIIb were 64%, 40% in group treated in combination of external radiation and ICR, and 50%, 40% in the group of external radiation therapy alone(P=NS). Five year survival rates by response of radiation therapy in stage IIIa and IIIb were 90%, 66% in responder group, and 10%, 7% in non-responder group (P<0.01). There were statistically no

Evaluation of the I. Stage of decommissioning and implementation of the II. Stage of decommissioning of NPP V1

International Nuclear Information System (INIS)

Hrasnova, E.

2015-01-01

In this paper author deals with following aspects: 1. Introduction of company Nuclear and Decommissioning Company, plc; 2. Evaluation of the I. stage of decommissioning and implementation of the II. Stage of decommissioning of NPP V1; (author)

CT staging of colon cancer

International Nuclear Information System (INIS)

Dighe, S.; Swift, I.; Brown, G.

2008-01-01

Computer tomography (CT) has been the principal investigation in the staging of colon cancers. The information obtained with routine CT has been limited to identifying the site of the tumour, size of the tumour, infiltration into surrounding structures and metastatic spread. The Foxtrot trial National Cancer Research Institute (NCRI) has been specifically designed to evaluate the efficacy of neoadjuvant treatment in colon cancers by using preoperative chemotherapy with or without an anti-Epidermal Growth Factor Receptor (EGFR) monoclonal antibody to improve outcome in high-risk operable colon cancer. Patients are selected based on their staging CT examination. The criteria for poor prognosis are T4 and T3 tumours with more than 5 mm extramural depth. Thus the success of the trial would depend upon the confidence of the radiologist to identify the patients that would receive the neoadjuvant treatment. The aim of this review is to explain the process of identifying high-risk features seen on the staging CT images. This will help to identify a cohort of patients that could truly benefit from neoadjuvant strategies

CT staging of colon cancer

Energy Technology Data Exchange (ETDEWEB)

Dighe, S. [Department of Radiology, Royal Marsden Hospital, Sutton SM5 2TT (United Kingdom); Swift, I. [Department of Surgery, Mayday University Hospital, Croydon CR7 7YE (United Kingdom); Brown, G. [Department of Radiology, Royal Marsden Hospital, Sutton SM5 2TT (United Kingdom)], E-mail: gina.brown@rmh.nhs.uk

2008-12-15

Computer tomography (CT) has been the principal investigation in the staging of colon cancers. The information obtained with routine CT has been limited to identifying the site of the tumour, size of the tumour, infiltration into surrounding structures and metastatic spread. The Foxtrot trial National Cancer Research Institute (NCRI) has been specifically designed to evaluate the efficacy of neoadjuvant treatment in colon cancers by using preoperative chemotherapy with or without an anti-Epidermal Growth Factor Receptor (EGFR) monoclonal antibody to improve outcome in high-risk operable colon cancer. Patients are selected based on their staging CT examination. The criteria for poor prognosis are T4 and T3 tumours with more than 5 mm extramural depth. Thus the success of the trial would depend upon the confidence of the radiologist to identify the patients that would receive the neoadjuvant treatment. The aim of this review is to explain the process of identifying high-risk features seen on the staging CT images. This will help to identify a cohort of patients that could truly benefit from neoadjuvant strategies.

Low Noise Research Fan Stage Design

Science.gov (United States)

Hobbs, David E.; Neubert, Robert J.; Malmborg, Eric W.; Philbrick, Daniel H.; Spear, David A.

1995-01-01

This report describes the design of a Low Noise ADP Research Fan stage. The fan is a variable pitch design which is designed at the cruise pitch condition. Relative to the cruise setting, the blade is closed at takeoff and opened for reverse thrust operation. The fan stage is a split flow design with fan exit guide vanes and core stators. This fan stage design was combined with a nacelle and engine core duct to form a powered fan/nacelle, subscale model. This model is intended for use in aerodynamic performance, acoustic and structural testing in a wind tunnel. The model has a 22-inch outer fan diameter and a hub-to-top ratio of 0.426 which permits the use of existing NASA fan and cowl force balance designs and rig drive system. The design parameters were selected to permit valid acoustic and aerodynamic comparisons with the PW 17-inch rig previously tested under NASA contract. The fan stage design is described in detail. The results of the design axisymmetric analysis at aerodynamic design condition are included. The structural analysis of the fan rotor and attachment is described including the material selections and stress analysis. The blade and attachment are predicted to have adequate low cycle fatigue life, and an acceptable operating range without resonant stress or flutter. The stage was acoustically designed with airfoil counts in the fan exit guide vane and core stator to minimize noise. A fan-FEGV tone analysis developed separately under NASA contract was used to determine these airfoil counts. The fan stage design was matched to a nacelle design to form a fan/nacelle model for wind tunnel testing. The nacelle design was developed under a separate NASA contract. The nacelle was designed with an axisymmetric inlet, cowl and nozzle for convenience in testing and fabrication. Aerodynamic analysis of the nacelle confirmed the required performance at various aircraft operating conditions.

Computed tomography in the staging of esophageal carcinoma

International Nuclear Information System (INIS)

Han, Kyung Min; Lee, Jong Tae; Yoo, Hyung Sik

1986-01-01

Computed Tomography (CT) was found to be highly accurate in predicting tumor size and assessing invasion of the surrounding structures and distant metastasis. Also CT played an important role for determination of operability of esophageal carcinoma. The CT findings with barium esophagogram in 21 patients with histologically proven esophageal carcinoma were reviewed from Feb. 1985 to Feb. 1986 at the department of Radiology, Yonsei University, College of Medicine. The results were as follows: 1. Number of patients in each stages were: 2 in stage 1, 6 in stage 2, 4 in stage 3, and 9 in stage 4. 2. Paek age distribution was in tis 6th decades as 9 patients (42.9%). Overall mean age was 60.8 years. Number of male patients were 19 and 2 of female. 3. Histologic types of esophageal carcinoma were 19 cases of epidermoid (90.5%) and 2 cases of adenocarcinoma (9.5%). 4. The tumor location was 1 case in upper, 14 cases (66.7%) in middle and 6 cases in lower one-third. 5. Various types of esophageal carcinoma were as follows: 3 cases of fungating, 4 cases of infiltrating, 5 cases of ulcerofungating, and 9 cases of ulceroinfiltrating type. 6. Average length of involvement in each stages were 4 cm in stage 1, 5.5 cm in stage 2, 8.8 cm stage 3, and 8.3 cm in stage 4. The involved length was longer in advanced cases. In 11 cases (52.4%), the involved length was between 4 and 8 cm. 7. Angle of periaortic fat plane obliteration of the aortic circumference were as follows: Below 45 (7 cases 33.3%), 45-90 (3 cases 14.3%), over 90 (11 cases, 52.4%). 8. Method of treatment of esophageal carcinoma were as follows: Only radiotherapy in 11 cases (52.4%), radiotherapy with operation in 5 cases, only operation on 1 case, and no treatment in 4 cases. 9. Distant metastatic sites were: brain in 1, pericardium in 5, liver in 5, trachea in 2, bronchus in 9, and distant lymph node in 5 cases.

Performance Analysis of Multi Stage Safety Injection Tank

International Nuclear Information System (INIS)

Shin, Soo Jai; Kim, Young In; Bae, Youngmin; Kang, Han-Ok; Kim, Keung Koo

2015-01-01

In general the integral reactor has such characteristics, the integral reactor requires a high flow rate of coolant safety injection at the initial stage of the accident in which the core level is relatively fast decreased, A medium flow rate of coolant safety injection at the early and middle stages of the accident in which the coolant discharge flow rate is relatively large due to a high internal pressure of the reactor vessel, and a low flow rate of coolant safety injection is required at the middle and late stages of the accident in which the coolant discharge flow rate is greatly reduced due to a decreased pressure of the reactor vessel. It is noted that a high flow rate of the integral reactor is quite smaller compared to a flow rate required in the commercial loop type reactor. However, a nitrogen pressurized safety injection tank has been typically designed to quickly inject a high flow rate of coolant when the internal pressure of the reactor vessel is rapidly decreased, and a core makeup tank has been designed to safely inject at a single mode flow rate due to a gravitational head of water subsequent to making a pressure balance between the reactor vessel and core makeup tank. As a result, in order to compensate such a disadvantage, various type systems are used in a complicated manner in a reactor according to the required characteristic of safety injection during an accident. In the present study, we have investigated numerically the performance of the multi stage safety injection tank. A parameter study has performed to understand the characteristics of the multi stage safety injection tank. The performance of the multi stage safety injection tank has been investigated numerically. When an accident occurs, the coolant in the multi stage safety injection tank is injected into a reactor vessel by a gravitational head of water subsequent to making a pressure balance between the reactor and tank. At the early stages of the accident, the high flow rate of

Performance Analysis of Multi Stage Safety Injection Tank

Energy Technology Data Exchange (ETDEWEB)

Shin, Soo Jai; Kim, Young In; Bae, Youngmin; Kang, Han-Ok; Kim, Keung Koo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-10-15

In general the integral reactor has such characteristics, the integral reactor requires a high flow rate of coolant safety injection at the initial stage of the accident in which the core level is relatively fast decreased, A medium flow rate of coolant safety injection at the early and middle stages of the accident in which the coolant discharge flow rate is relatively large due to a high internal pressure of the reactor vessel, and a low flow rate of coolant safety injection is required at the middle and late stages of the accident in which the coolant discharge flow rate is greatly reduced due to a decreased pressure of the reactor vessel. It is noted that a high flow rate of the integral reactor is quite smaller compared to a flow rate required in the commercial loop type reactor. However, a nitrogen pressurized safety injection tank has been typically designed to quickly inject a high flow rate of coolant when the internal pressure of the reactor vessel is rapidly decreased, and a core makeup tank has been designed to safely inject at a single mode flow rate due to a gravitational head of water subsequent to making a pressure balance between the reactor vessel and core makeup tank. As a result, in order to compensate such a disadvantage, various type systems are used in a complicated manner in a reactor according to the required characteristic of safety injection during an accident. In the present study, we have investigated numerically the performance of the multi stage safety injection tank. A parameter study has performed to understand the characteristics of the multi stage safety injection tank. The performance of the multi stage safety injection tank has been investigated numerically. When an accident occurs, the coolant in the multi stage safety injection tank is injected into a reactor vessel by a gravitational head of water subsequent to making a pressure balance between the reactor and tank. At the early stages of the accident, the high flow rate of

Optimization of multi-stage dynamic treatment regimes utilizing accumulated data.

Science.gov (United States)

Huang, Xuelin; Choi, Sangbum; Wang, Lu; Thall, Peter F

2015-11-20

In medical therapies involving multiple stages, a physician's choice of a subject's treatment at each stage depends on the subject's history of previous treatments and outcomes. The sequence of decisions is known as a dynamic treatment regime or treatment policy. We consider dynamic treatment regimes in settings where each subject's final outcome can be defined as the sum of longitudinally observed values, each corresponding to a stage of the regime. Q-learning, which is a backward induction method, is used to first optimize the last stage treatment then sequentially optimize each previous stage treatment until the first stage treatment is optimized. During this process, model-based expectations of outcomes of late stages are used in the optimization of earlier stages. When the outcome models are misspecified, bias can accumulate from stage to stage and become severe, especially when the number of treatment stages is large. We demonstrate that a modification of standard Q-learning can help reduce the accumulated bias. We provide a computational algorithm, estimators, and closed-form variance formulas. Simulation studies show that the modified Q-learning method has a higher probability of identifying the optimal treatment regime even in settings with misspecified models for outcomes. It is applied to identify optimal treatment regimes in a study for advanced prostate cancer and to estimate and compare the final mean rewards of all the possible discrete two-stage treatment sequences. Copyright © 2015 John Wiley & Sons, Ltd.

Staging laparoscopy improves treatment decision-making for advanced gastric cancer.

Science.gov (United States)

Hu, Yan-Feng; Deng, Zhen-Wei; Liu, Hao; Mou, Ting-Yu; Chen, Tao; Lu, Xin; Wang, Da; Yu, Jiang; Li, Guo-Xin

2016-02-07

To evaluate the clinical value of staging laparoscopy in treatment decision-making for advanced gastric cancer (GC). Clinical data of 582 patients with advanced GC were retrospectively analyzed. All patients underwent staging laparoscopy. The strength of agreement between computed tomography (CT) stage, endoscopic ultrasound (EUS) stage, laparoscopic stage, and final stage were determined by weighted Kappa statistic (Kw). The number of patients with treatment decision-changes was counted. A χ(2) test was used to analyze the correlation between peritoneal metastasis or positive cytology and clinical characteristics. Among the 582 patients, the distributions of pathological T classifications were T2/3 (153, 26.3%), T4a (262, 45.0%), and T4b (167, 28.7%). Treatment plans for 211 (36.3%) patients were changed after staging laparoscopy was performed. Two (10.5%) of 19 patients in M1 regained the opportunity for potential radical resection by staging laparoscopy. Unnecessary laparotomy was avoided in 71 (12.2%) patients. The strength of agreement between preoperative T stage and final T stage was in almost perfect agreement (Kw = 0.838; 95% confidence interval (CI): 0.803-0.872; P advanced GC and decrease unnecessary exploratory laparotomy.

Possibilities Of Opening Up the Stage-Gate Model

Directory of Open Access Journals (Sweden)

Biljana Stošić

2014-12-01

Full Text Available The paper presents basic elements of the Stage-Gate and Open innovation models, and possible connection of these two, resulting in what is frequently called an “Open Stage-Gate” model. This connection is based on opening up the new product development process and integration of the open innovation principles with the Stage-Gate concept, facilitating the import and export of information and technologies. Having in mind that the Stage Gate has originally been classified as the third generation model of innovation, the paper is dealing with the capabilities for applying the sixth generation Open innovation principles in today’s improved and much more flexible phases and gates of the Stage Gate. Lots of innovative companies are actually using both models in their NPD practice, looking for the most appropriate means of opening up the well-known closed innovation, especially in the domain of ideation through co-creation.

Recommendations for clinical staging (cTNM) of cancer of the esophagus and esophagogastric junction for the 8th edition AJCC/UICC staging manuals

Science.gov (United States)

Rice, Thomas W.; Ishwaran, Hemant; Blackstone, Eugene H.; Hofstetter, Wayne L.; Kelsen, David P.; Apperson-Hansen, Carolyn

2017-01-01

SUMMARY We report analytic and consensus processes that produced recommendations for clinical stage groups (cTNM) of esophageal and esophagogastric junction cancer for the AJCC/UICC cancer staging manuals, 8th edition. The Worldwide Esophageal Cancer Collaboration (WECC) provided data on 22,123 clinically staged patients with epithelial esophageal cancers. Risk-adjusted survival for each patient was developed using random survival forest analysis from which (1) data-driven clinical stage groups were identified wherein survival decreased monotonically and was distinctive between and homogeneous within groups and (2) data-driven anatomic clinical stage groups based only on cTNM. The AJCC Upper GI Task Force, by smoothing, simplifying, expanding, and assessing clinical applicability, produced (3) consensus clinical stage groups. Compared with pTNM, cTNM survival was “pinched,” with poorer survival for early cStage groups and better survival for advanced ones. Histologic grade was distinctive for data-driven grouping of cT2N0M0 squamous cell carcinoma (SCC) and cT1-2N0M0 adenocarcinoma, but consensus removed it. Grouping was different by histopathologic cell type. For SCC, cN0-1 was distinctive for cT3 but not cT1-2, and consensus removed cT4 subclassification and added subgroups 0, IVA, and IVB. For adenocarcinoma, N0-1 was distinctive for cT1-2 but not cT3-4a, cStage II subgrouping was necessary (T1N1M0 [IIA] and T2N0M0 [IIB]), advanced cancers cT3-4aN0-1M0 plus cT2N1M0 comprised cStage III, and consensus added subgroups 0, IVA, and IVB. Treatment decisions require accurate cStage, which differs from pStage. Understaging and overstaging are problematic, and additional factors, such as grade, may facilitate treatment decisions and prognostication until clinical staging techniques are uniformly applied and improved. PMID:27905171

Recommendations for clinical staging (cTNM) of cancer of the esophagus and esophagogastric junction for the 8th edition AJCC/UICC staging manuals.

Science.gov (United States)

Rice, Thomas W; Ishwaran, Hemant; Blackstone, Eugene H; Hofstetter, Wayne L; Kelsen, David P; Apperson-Hansen, Carolyn

2016-11-01

We report analytic and consensus processes that produced recommendations for clinical stage groups (cTNM) of esophageal and esophagogastric junction cancer for the AJCC/UICC cancer staging manuals, 8th edition. The Worldwide Esophageal Cancer Collaboration (WECC) provided data on 22,123 clinically staged patients with epithelial esophageal cancers. Risk-adjusted survival for each patient was developed using random survival forest analysis from which (1) data-driven clinical stage groups were identified wherein survival decreased monotonically and was distinctive between and homogeneous within groups and (2) data-driven anatomic clinical stage groups based only on cTNM. The AJCC Upper GI Task Force, by smoothing, simplifying, expanding, and assessing clinical applicability, produced (3) consensus clinical stage groups. Compared with pTNM, cTNM survival was "pinched," with poorer survival for early cStage groups and better survival for advanced ones. Histologic grade was distinctive for data-driven grouping of cT2N0M0 squamous cell carcinoma (SCC) and cT1-2N0M0 adenocarcinoma, but consensus removed it. Grouping was different by histopathologic cell type. For SCC, cN0-1 was distinctive for cT3 but not cT1-2, and consensus removed cT4 subclassification and added subgroups 0, IVA, and IVB. For adenocarcinoma, N0-1 was distinctive for cT1-2 but not cT3-4a, cStage II subgrouping was necessary (T1N1M0 [IIA] and T2N0M0 [IIB]), advanced cancers cT3-4aN0-1M0 plus cT2N1M0 comprised cStage III, and consensus added subgroups 0, IVA, and IVB. Treatment decisions require accurate cStage, which differs from pStage. Understaging and overstaging are problematic, and additional factors, such as grade, may facilitate treatment decisions and prognostication until clinical staging techniques are uniformly applied and improved. © 2016 International Society for Diseases of the Esophagus.

Multi-stage decoding of multi-level modulation codes

Science.gov (United States)

Lin, Shu; Kasami, Tadao; Costello, Daniel J., Jr.

1991-01-01

Various types of multi-stage decoding for multi-level modulation codes are investigated. It is shown that if the component codes of a multi-level modulation code and types of decoding at various stages are chosen properly, high spectral efficiency and large coding gain can be achieved with reduced decoding complexity. Particularly, it is shown that the difference in performance between the suboptimum multi-stage soft-decision maximum likelihood decoding of a modulation code and the single-stage optimum soft-decision decoding of the code is very small, only a fraction of dB loss in signal to noise ratio at a bit error rate (BER) of 10(exp -6).

Breast cancer cell behaviors on staged tumorigenesis-mimicking matrices derived from tumor cells at various malignant stages

International Nuclear Information System (INIS)

Hoshiba, Takashi; Tanaka, Masaru

2013-01-01

Highlights: •Models mimicking ECM in tumor with different malignancy were prepared. •Cancer cell proliferation was suppressed on benign tumor ECM. •Benign tumor cell proliferation was suppressed on cancerous ECM. •Chemoresistance of cancer cell was enhanced on cancerous ECM. -- Abstract: Extracellular matrix (ECM) has been focused to understand tumor progression in addition to the genetic mutation of cancer cells. Here, we prepared “staged tumorigenesis-mimicking matrices” which mimic in vivo ECM in tumor tissue at each malignant stage to understand the roles of ECM in tumor progression. Breast tumor cells, MDA-MB-231 (invasive), MCF-7 (non-invasive), and MCF-10A (benign) cells, were cultured to form their own ECM beneath the cells and formed ECM was prepared as staged tumorigenesis-mimicking matrices by decellularization treatment. Cells showed weak attachment on the matrices derived from MDA-MB-231 cancer cells. The proliferations of MDA-MB-231 and MCF-7 was promoted on the matrices derived from MDA-MB-231 cancer cells whereas MCF-10A cell proliferation was not promoted. MCF-10A cell proliferation was promoted on the matrices derived from MCF-10A cells. Chemoresistance of MDA-MB-231 cells against 5-fluorouracil increased on only matrices derived from MDA-MB-231 cells. Our results showed that the cells showed different behaviors on staged tumorigenesis-mimicking matrices according to the malignancy of cell sources for ECM preparation. Therefore, staged tumorigenesis-mimicking matrices might be a useful in vitro ECM models to investigate the roles of ECM in tumor progression

Breast cancer cell behaviors on staged tumorigenesis-mimicking matrices derived from tumor cells at various malignant stages

Energy Technology Data Exchange (ETDEWEB)

Hoshiba, Takashi [Graduate School of Science and Engineering, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata 992-8510 (Japan); International Center for Materials Nanoarchitectonics (MANA), National Institute for Materials Science, 1-1 Namiki, Tsukuba, Ibaraki 305-0044 (Japan); Tanaka, Masaru, E-mail: tanaka@yz.yamagata-u.ac.jp [Graduate School of Science and Engineering, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata 992-8510 (Japan)

2013-09-20

Highlights: •Models mimicking ECM in tumor with different malignancy were prepared. •Cancer cell proliferation was suppressed on benign tumor ECM. •Benign tumor cell proliferation was suppressed on cancerous ECM. •Chemoresistance of cancer cell was enhanced on cancerous ECM. -- Abstract: Extracellular matrix (ECM) has been focused to understand tumor progression in addition to the genetic mutation of cancer cells. Here, we prepared “staged tumorigenesis-mimicking matrices” which mimic in vivo ECM in tumor tissue at each malignant stage to understand the roles of ECM in tumor progression. Breast tumor cells, MDA-MB-231 (invasive), MCF-7 (non-invasive), and MCF-10A (benign) cells, were cultured to form their own ECM beneath the cells and formed ECM was prepared as staged tumorigenesis-mimicking matrices by decellularization treatment. Cells showed weak attachment on the matrices derived from MDA-MB-231 cancer cells. The proliferations of MDA-MB-231 and MCF-7 was promoted on the matrices derived from MDA-MB-231 cancer cells whereas MCF-10A cell proliferation was not promoted. MCF-10A cell proliferation was promoted on the matrices derived from MCF-10A cells. Chemoresistance of MDA-MB-231 cells against 5-fluorouracil increased on only matrices derived from MDA-MB-231 cells. Our results showed that the cells showed different behaviors on staged tumorigenesis-mimicking matrices according to the malignancy of cell sources for ECM preparation. Therefore, staged tumorigenesis-mimicking matrices might be a useful in vitro ECM models to investigate the roles of ECM in tumor progression.

Staging N0 oral cancer

DEFF Research Database (Denmark)

Thomsen, Jørn Bo; Sørensen, Jens Ahm; Grupe, Peter

2005-01-01

PURPOSE: To compare sentinel lymph node biopsy, magnetic resonance imaging (MRI), Doppler ultrasonography, and palpation as staging tools in patients with T1/T2 N0 cancer of the oral cavity. MATERIAL AND METHODS: Forty consecutive patients were enrolled (17 F and 23 M, aged 32-90 years), 24 T1......%, but the sensitivity of MRI 36% was low. The specificities were 100%, 85%, and 93%, respectively. By combined sentinel lymph node biopsy and ultrasonography the overall sensitivity could have been 100%. CONCLUSION: Sentinel lymph node biopsy improved staging of patients with small N0 oral cancers. Combined sentinel...

Changes of hypnagogic imagery and EEG stages

OpenAIRE

Hayashi, Mitsuo; Katoh, Kohichi; Hori, Tadao

1998-01-01

The aim of this study is to investigate the relationships between hypnagogic imagery and EEG stages. According to Hori, et al. (1994), the hypnagogic EEGs was classified into 9 stages, those were 1) alpha wave train, 2) alpha wave intermittent (>50%), 3) alpha wave intermittent (

Gene expression in early stage cervical cancer

NARCIS (Netherlands)

Biewenga, Petra; Buist, Marrije R.; Moerland, Perry D.; van Thernaat, Emiel Ver Loren; van Kampen, Antoine H. C.; ten Kate, Fiebo J. W.; Baas, Frank

2008-01-01

Objective. Pelvic lymph node metastases are the main prognostic factor for survival in early stage cervical cancer, yet accurate detection methods before surgery are lacking. In this study, we examined whether gene expression profiling can predict the presence of lymph node metastasis in early stage

Theory of Economic Development (Secondary Stage)

OpenAIRE

Mashkoor, Aasim; Ahmed, Ovais

2015-01-01

This is a secondary stage of theory of economic development. This research study is covering the secondary phase of development which rules the tactical plans of the main strategy. In this stage, the social and economical demands varies from country to country and we have developed the theory according to the Pakistani economic conditions. It requires great a lot of technical and strategic analysis to chose the accurate plans accordingly.

Multi-stage internal gear/turbine fuel pump

Energy Technology Data Exchange (ETDEWEB)

Maier, Eugen; Raney, Michael Raymond

2004-07-06

A multi-stage internal gear/turbine fuel pump for a vehicle includes a housing having an inlet and an outlet and a motor disposed in the housing. The multi-stage internal gear/turbine fuel pump also includes a shaft extending axially and disposed in the housing. The multi-stage internal gear/turbine fuel pump further includes a plurality of pumping modules disposed axially along the shaft. One of the pumping modules is a turbine pumping module and another of the pumping modules is a gerotor pumping module for rotation by the motor to pump fuel from the inlet to the outlet.

Dual stage active magnetic regenerator and method

Science.gov (United States)

Pecharsky, Vitalij K.; Gschneidner, Jr., Karl A.

1999-03-30

A dual stage active magnetic regenerator refrigerator as well as method using the Joule-Brayton thermodynamic cycle includes a high temperature stage refrigerant comprising DyAl.sub.2 or (Dy.sub.1-x Er.sub.x)Al.sub.2 where x is selected to be greater than 0 and less than about 0.3 in combination with a low temperature stage comprising (Dy.sub.1-x Er.sub.x)Al.sub.2 where x is selected to be greater than about 0.5 and less than 1 to provide significantly improved refrigeration efficiency in the liquefaction of gaseous hydrogen.

Skeletal maturity assessment using mandibular canine calcification stages

Directory of Open Access Journals (Sweden)

Vildana Džemidžić

2016-11-01

Full Text Available Objective. The aims of this study were: to investigate the relationship between mandibular canine calcification stages and skeletal maturity; and to evaluate whether the mandibular canine calcification stages may be used as a reliable diagnostic tool for skeletal maturity assessment. Materials and methods. This study included 151 subjects: 81 females and 70 males, with ages ranging from 9 to 16 years (mean age: 12.29±1.86 years. The inclusion criteria for subjects were as follows: age between 9 and 16 years; good general health without any hormonal, nutritional, growth or dental development problems. Subjects who were undergoing or had previously received orthodontic treatment were not included in this study. The calcification stages of the left permanent mandibular canine were assessed according to the method of Demirjian, on panoramic radiographs. Assessment of skeletal maturity was carried out using the cervical vertebral maturation index (CVMI, as proposed by the Hassel-Farman method, on lateral cephalograms. The correlation between the calcification stages of mandibular canine and skeletal maturity was estimated separately for male and female subjects. Results. Correlation coefficients between calcification stages of mandibular canine and skeletal maturity were 0.895 for male and 0.701 for female subjects. Conclusions. A significant correlation was found between the calcification stages of the mandibular canine and skeletal maturity. The calcification stages of the mandibular canine show a satisfactory diagnostic performance only for assessment of pre-pubertal growth phase.

Renal cell carcinoma: incidental detection and pathological staging.

Science.gov (United States)

Siow, W Y; Yip, S K; Ng, L G; Tan, P H; Cheng, W S; Foo, K T

2000-10-01

In developed countries, there has been increased incidental detection of renal cell carcinoma (RCC). The incidence, pathological stage and survival of incidentally detected carcinoma in a developing country in Asia where, from 1990 to 1998, 165 renal cell carcinomas were identified. The clinical presentation, diagnostic-imaging modality employed, pathological staging and patient survival was reviewed. Incidental renal cancers included those that were diagnosed through health screening or detected incidentally through imaging studies for other conditions. The survival between these incidentally detected lesions and their symptomatic counterparts (suspected group) was compared. Sixty-four patients (39%) had their tumours detected incidentally, including 39 who were entirely asymptomatic and 25 who presented with non-specific symptoms, not initially suggestive of RCC. For the entire group, computed tomography provided the definitive diagnosis in 81% of cases. The incidental detection group had significantly smaller size of tumour (5.9 cm c.f. 7.6 cm), lower stage and lower histological grading. In particular, 78% of patients with incidental RCC had stage I or II diseases (TNM stage classification), compared with 57% of patients with suspected tumour (p c.f. 66% at last follow up; p < 0.05; log-rank test) over a mean follow up period of 33 months (range 1-91). Regression analysis showed that stage of disease was the only independent variable predictive of clinical outcome. In conclusion, that significant numbers of RCC were detected incidentally. These tumours were of a lower clinical pathological stage and had a better prognosis.

Functioning in early and late stages of schizophrenia

Directory of Open Access Journals (Sweden)

Leonardo Gazzi Costa

2014-12-01

Full Text Available INTRODUCTION: Schizophrenia is frequently associated with a debilitating course and prominent impairment in social and occupational functioning. Although the criteria for classification into stages have not been defined in the literature, illness duration and functioning seem to be good candidates.OBJECTIVE:To compare functioning of patients with schizophrenia at different stages of the disease (early vs. late and healthy sex- and age-matched controls.METHODS: This double-blinded, case-controlled study included 79 individuals: 23 patients with schizophrenia diagnosed up to 5 years earlier; 19 patients with schizophrenia diagnosed at least 20 years earlier; and healthy matched controls. Diagnoses were established using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV Axis I Disorder. Functioning was assessed using the Functioning Assessment Short Test (FAST.RESULTS: Patients in the early stage had significantly higher scores than healthy controls in total FAST and in autonomy, occupational functioning, cognitive functioning and interpersonal relationships. Individuals in the late stage had significantly poorer functioning than controls in all domains. The comparison of functioning between the two groups of patients revealed no significant differences, except in occupational functioning, in which late stage patients had a poorer performance.CONCLUSION: Functioning impairment in schizophrenia tends to remain stable despite illness duration. Therefore, functioning should be effectively assessed at an early stage, as illness duration alone may not be the most reliable criterion to stage patients with schizophrenia.

Metamorphic history of the Central Pyrenees Part II, Valle de Arán, Sheet 4

NARCIS (Netherlands)

Zwart, H.J.

1963-01-01

The structural geology and metamorphic petrology of the Bosost area in the Valle de Arán (Central Pyrenees) is discussed. The rocks exposed in this area consist of Cambro-Ordovician mica-schists with numerous granite and pegmatite bodies, phyllites and limestones; Silurian slates and schists and

Surgical approach to end-stage heart failure.

Science.gov (United States)

Klotz, Stefan; Scheld, Hans H

2011-02-01

End-stage heart failure is a challenging disease with growing incidence. With decreasing heart transplant rates worldwide organ preserving therapies become, again, of interest. The purpose of the present review is to examine the potential challenges of surgical therapies in patients with end-stage heart failure. The gold-standard for end-stage heart failure is and will be cardiac transplantation. However, due to organ shortage this therapy is limited to a few patients. Therefore implantation of ventricular assist devices (VADs) or long-term minimal-invasive partial support devices will increase. Improvements in device design with smaller devices, easier implantation techniques, and modified anticoagulation outcome and long-term success will likely improve. In addition, good quality of life as destination therapy is almost available. Organ conservation surgery (coronary artery bypass grafting and surgical ventricular restoration or surgical repair of mitral valve regurgitation) in end-stage heart failure patients could not prove the expected results. Transcatheter or minimal-invasive approaches of these therapies might become routine in the near future. Due to the overwhelming outcome rates, cardiac transplantation is the most established surgical therapy for end-stage heart failure. VAD therapy is increasing and minimized VADs might further open the market for destination therapy/permanent support.

New procedures. Comprehensive staging of lung cancer by MRI; Neue Verfahren. Umfassendes Staging des Lungenkarzinoms mit der MRT

Energy Technology Data Exchange (ETDEWEB)

Hintze, C. [Universitaetsklinikum Schleswig-Holstein, Campus Kiel, Klinik fuer Diagnostische Radiologie, Kiel (Germany); Deutsches Krebsforschungszentrum (DKFZ) Heidelberg, Abteilung Radiologie (E010), Heidelberg (Germany); Dinkel, J. [Deutsches Krebsforschungszentrum (DKFZ) Heidelberg, Abteilung Radiologie (E010), Heidelberg (Germany); Biederer, J. [Universitaetsklinikum Schleswig-Holstein, Campus Kiel, Klinik fuer Diagnostische Radiologie, Kiel (Germany); Heussel, C.P. [Thoraxklinik Heidelberg, Abteilung Diagnostische und Interventionelle Radiologie, Heidelberg (Germany); Puderbach, M. [Deutsches Krebsforschungszentrum (DKFZ) Heidelberg, Abteilung Radiologie (E010), Heidelberg (Germany); Thoraxklinik Heidelberg, Abteilung Diagnostische und Interventionelle Radiologie, Heidelberg (Germany)

2010-08-15

Lung cancer staging according to the TNM system is based on morphological assessment of the primary cancer, lymph nodes and metastases. All aspects of this important oncological classification are measurable with MRI. Pulmonary nodules can be detected at the clinically relevant size of 4-5 mm in diameter. The extent of mediastinal, hilar and supraclavicular lymph node affection can be assessed at the same time. The predominant metastatic spread to the adrenal glands and spine can be detected in coronal orientation during dedicated MRI of the lungs. Search focused whole body MRI completes the staging. Various additional MR imaging techniques provide further functional and clinically relevant information during a single examination. In the oncological context the most important techniques are imaging of perfusion and tumor motion. Functional MRI of the lungs complements the pure staging and improves surgical approaches and radiotherapy planning. (orig.) [German] Das Staging des Lungenkarzinoms nach dem TNM-System basiert auf der morphologischen Einschaetzung des Primarius, der Lymphknoten und Metastasen. Alle Aspekte dieser onkologisch wichtigen Beurteilung lassen sich mit der MRT erfassen. Pulmonale Rundherde sind ab der klinisch relevanten Groesse von 4-5 mm Durchmesser sicher erkennbar. Die Groesse der mediastinalen, hilaeren und supraklavikulaeren Lymphknoten kann in einem Untersuchungsgang bestimmt werden. In der koronaren Schichtfuehrung der dedizierten MRT der Lunge werden die Bereiche der bevorzugten Metastasierung in Nebennieren und weite Teile der Wirbelsaeule miterfasst. Durch eine gezielte Ganzkoerper-MRT als Suchmethode wird der letzte Teil des Stagings erfuellt. Die MRT bietet vielfaeltige Moeglichkeiten, zusaetzliche funktionelle, klinisch relevante Informationen innerhalb einer Untersuchung zu erheben. Im onkologischen Kontext sind die Perfusionsbildgebung der Lunge und die Bewegungsabschaetzung der Tumoren am bedeutendsten. Die funktionelle MRT der

The Developmental Stages of a Community–University Partnership

Science.gov (United States)

Allen, Michele L.; Svetaz, María Veronica; Hurtado, G. Ali; Linares, Roxana; Garcia-Huidobro, Diego; Hurtado, Monica

2013-01-01

Background: Strong and sustained community–university partnerships are necessary for community-based participatory translational research. Little attention has been paid to understanding the trajectory of research partnerships from a developmental perspective. Objective: To propose a framework describing partnership development and maturation based on Erikson’s eight stages of psychosocial development and describe how our collaboration is moving through those stages. Methods: Collaborators engaged in three rounds of iterative reflection regarding characteristics and contributors to the maturation of the Padres Informados/Jovenes Preparados (Informed Parents/Prepared Youth [PI/JP]) partnership. Lessons Learned: Each stage is characterized by broad developmental partnership tasks. Conflict or tension within the partnership is often a part of achieving the associated tasks. The strengths developed at each stage prepare the partnership for challenges associated with subsequent stages. Conclusions: This framework could provide a means for partnerships to reflect on their strengths and challenges at a given time point, and to help understand why some partnerships fail whereas others achieve maturity. PMID:24056509

Ovarian chocolate cysts. Staging with relaxation time in MR imaging

Energy Technology Data Exchange (ETDEWEB)

Sugimura, Kazuro; Ishida, Tetsuya; Takemori, Masayuki; Kitagaki, Hajime; Tanaka, Yutaka; Yamasaki, Katsuhito; Shimizu, Tadafumi; Kono, Michio

1988-10-01

Accurate preoperative staging of ovarian chocolate cysts is very important because recent hormonal therapy has been effective in low stage patients. However, it has been difficult to assess the preoperative stage of ovarian chocolate cysts. We evaluated the diagnostic potential of MRI in preoperative staging of 15 overian chocolate cysts. It was well known that the older the ovarian chocolate cyst was the more iron content it had. We examined the iron contents effect on T1 and T2 relaxation times in surgically confirmed chocolate cysts (stage II: 3 cases, stage III: 3 cases and stage IV: 9 cases by AFS classification, 1985) employing the 0.15-T MR system and 200 MHz spectrometer. There was a positive linear relation between T1 of the lesion using the MR system (T1) and T1 of the resected contents using the spectrometer (sp-T1); r = 0.93. The same relation was revealed between T2 and sp-T2; r = 0.87. It was indicated that T1 and T2 using the MR system was accurate. There was a negative linear relation between T1 and the iron contents ( r = -0.81) but no relation between T2 and the iron contents. T1 was 412 +- 91 msec for stage II, 356 +- 126 msec for stage III and 208 +- 30 msec for stage IV. T1 for stage IV was shorter than that for stage II and III, statistically significant differences were noted (p < 0.05). Thus, T1 was useful in differentiating a fresh from an old ovarian chocolate cyst. We concluded that T1 relaxation time using the MR system was useful for the staging of an ovarian chocolate cyst without surgery.

Energy demand in Portuguese manufacturing: a two-stage model

International Nuclear Information System (INIS)

Borges, A.M.; Pereira, A.M.

1992-01-01

We use a two-stage model of factor demand to estimate the parameters determining energy demand in Portuguese manufacturing. In the first stage, a capital-labor-energy-materials framework is used to analyze the substitutability between energy as a whole and other factors of production. In the second stage, total energy demand is decomposed into oil, coal and electricity demands. The two stages are fully integrated since the energy composite used in the first stage and its price are obtained from the second stage energy sub-model. The estimates obtained indicate that energy demand in manufacturing responds significantly to price changes. In addition, estimation results suggest that there are important substitution possibilities among energy forms and between energy and other factors of production. The role of price changes in energy-demand forecasting, as well as in energy policy in general, is clearly established. (author)

A low-voltage Op Amp with rail-to-rail constant-gm input stage and a class AB rail-to-rail output stage

NARCIS (Netherlands)

Botma, J.H.; Wassenaar, R.F.; Wiegerink, Remco J.

1993-01-01

In this paper a low-voltage two-stage Op Amp is presented. The Op Amp features rail-to-rail operation and has an @put stage with a constant transconductance (%) over the entire common-mode input range. The input stage consists of an n- and a PMOS differential pair connected in parallel. The constant

Three-stage linear, split-Stirling cryocooler for 1 to 2K magnetic cold stage

International Nuclear Information System (INIS)

Longsworth, R.C.

1993-08-01

A long-life, linear, high efficiency 8K split Stirling cycle cryocooler was designed, built, and tested. The refrigerator is designed for cooling a 50 mW, 1.5K magnetic cold stage. Dual opposed piston compressors are driven by moving-coil linear motors. The three stage expander, although not completed, is also driven by a linear motor and is designed to produce 1 SW at 60K, 4W at 16K, and 1.2W at 8K. The cold regenerator employs a parallel gap construction for high efficiency. The key technology areas addressed include warm and cold flexible suspension bearings and a new cold regenerator geometry for high efficiency at 8K

Two-stage liquefaction of a Spanish subbituminous coal

Energy Technology Data Exchange (ETDEWEB)

Martinez, M.T.; Fernandez, I.; Benito, A.M.; Cebolla, V.; Miranda, J.L.; Oelert, H.H. (Instituto de Carboquimica, Zaragoza (Spain))

1993-05-01

A Spanish subbituminous coal has been processed in two-stage liquefaction in a non-integrated process. The first-stage coal liquefaction has been carried out in a continuous pilot plant in Germany at Clausthal Technical University at 400[degree]C, 20 MPa hydrogen pressure and anthracene oil as solvent. The second-stage coal liquefaction has been performed in continuous operation in a hydroprocessing unit at the Instituto de Carboquimica at 450[degree]C and 10 MPa hydrogen pressure, with two commercial catalysts: Harshaw HT-400E (Co-Mo/Al[sub 2]O[sub 3]) and HT-500E (Ni-Mo/Al[sub 2]O[sub 3]). The total conversion for the first-stage coal liquefaction was 75.41 wt% (coal d.a.f.), being 3.79 wt% gases, 2.58 wt% primary condensate and 69.04 wt% heavy liquids. The heteroatoms removal for the second-stage liquefaction was 97-99 wt% of S, 85-87 wt% of N and 93-100 wt% of O. The hydroprocessed liquids have about 70% of compounds with boiling point below 350[degree]C, and meet the sulphur and nitrogen specifications for refinery feedstocks. Liquids from two-stage coal liquefaction have been distilled, and the naphtha, kerosene and diesel fractions obtained have been characterized. 39 refs., 3 figs., 8 tabs.

INNOVATION DIFFUSION THEORY MAIN DEVELOPMENT STAGES

Directory of Open Access Journals (Sweden)

S. V. Lisafiev

2011-01-01

Full Text Available Abstract: Main innovation diffusion development theory stages are: Rogers model of moving new products to the market including characteristics of its segments; mathematic substantiation of this model by Bass; Moor model taking into account gaps between adjacent market segments; Goldenberg model making it possible to predict sales drops at new product life cycle initial stages. It is reasonable to use this theory while moving innovative products to the market.

Two-Stage Fuzzy Portfolio Selection Problem with Transaction Costs

Directory of Open Access Journals (Sweden)

Yanju Chen

2015-01-01

Full Text Available This paper studies a two-period portfolio selection problem. The problem is formulated as a two-stage fuzzy portfolio selection model with transaction costs, in which the future returns of risky security are characterized by possibility distributions. The objective of the proposed model is to achieve the maximum utility in terms of the expected value and variance of the final wealth. Given the first-stage decision vector and a realization of fuzzy return, the optimal value expression of the second-stage programming problem is derived. As a result, the proposed two-stage model is equivalent to a single-stage model, and the analytical optimal solution of the two-stage model is obtained, which helps us to discuss the properties of the optimal solution. Finally, some numerical experiments are performed to demonstrate the new modeling idea and the effectiveness. The computational results provided by the proposed model show that the more risk-averse investor will invest more wealth in the risk-free security. They also show that the optimal invested amount in risky security increases as the risk-free return decreases and the optimal utility increases as the risk-free return increases, whereas the optimal utility increases as the transaction costs decrease. In most instances the utilities provided by the proposed two-stage model are larger than those provided by the single-stage model.

Wide-bandwidth bilateral control using two-stage actuator system

International Nuclear Information System (INIS)

Kokuryu, Saori; Izutsu, Masaki; Kamamichi, Norihiro; Ishikawa, Jun

2015-01-01

This paper proposes a two-stage actuator system that consists of a coarse actuator driven by a ball screw with an AC motor (the first stage) and a fine actuator driven by a voice coil motor (the second stage). The proposed two-stage actuator system is applied to make a wide-bandwidth bilateral control system without needing expensive high-performance actuators. In the proposed system, the first stage has a wide moving range with a narrow control bandwidth, and the second stage has a narrow moving range with a wide control bandwidth. By consolidating these two inexpensive actuators with different control bandwidths in a complementary manner, a wide bandwidth bilateral control system can be constructed based on a mechanical impedance control. To show the validity of the proposed method, a prototype of the two-stage actuator system has been developed and basic performance was evaluated by experiment. The experimental results showed that a light mechanical impedance with a mass of 10 g and a damping coefficient of 2.5 N/(m/s) that is an important factor to establish good transparency in bilateral control has been successfully achieved and also showed that a better force and position responses between a master and slave is achieved by using the proposed two-stage actuator system compared with a narrow bandwidth case using a single ball screw system. (author)

Preoperative chemoradiotherapy for stage 2 or 3 esophageal squamous cell carcinoma

International Nuclear Information System (INIS)

Kawai, Takaharu; Kochi, Mitsugu; Fujii, Masashi

2016-01-01

The goal of this retrospective study was to investigate the efficacy and safety of preoperative chemoradiotherapy (NACR) in patients with Stage 2 or Stage 3 esophageal squamous cell carcinoma (SCC). Between 2004 and 2014, a total of 86 patients underwent surgical resection in conjunction with NACR for esophageal SCC at our institute. Thirty-one patients (36.0%) had Stage 2 disease and 55 patients (64.0%) had Stage 3 disease. The median age was 64 (43-81) years. A total of 78 patients received the full NACR regimen. The most common major Grade 3 hematologic toxic effects of NACR were leukopenia and neutropenia (48 cases), while the most common major Grade 3 non-hematologic toxic effect was anorexia (12 cases). One patient died in the hospital and no patients died within 30 days after surgery. A pathological complete response was achieved in 23 cases. Pathological staging (number of cases) was Stage 0 (23), Stage 1 (8), Stage 2 (28), Stage 3 (25), and Stage 4 (2). The 5-year overall survival rate (OS) was 51.0%, and was 83.2% in Stage 2 patients and 29.9% in Stage 3 patients. Preoperative NACR is safe and may improve OS and down-staging rates in patients with esophageal SCC. (author)

Second-stage primary Caesarean deliveries: Are maternal ...

African Journals Online (AJOL)

variables were nonsignificant. None of the women or their babies needed readmission to hospital or transfer to an intensive care unit. Table I: Demographic data of mother and neonate following Caesarean delivery in the first and second stages of labour. Demographics. Caesarean delivery 2nd stage (n = 53). Caesarean.

A two stage data envelopment analysis model with undesirable output

Science.gov (United States)

Shariff Adli Aminuddin, Adam; Izzati Jaini, Nur; Mat Kasim, Maznah; Nawawi, Mohd Kamal Mohd

2017-09-01

The dependent relationship among the decision making units (DMU) is usually assumed to be non-existent in the development of Data Envelopment Analysis (DEA) model. The dependency can be represented by the multi-stage DEA model, where the outputs from the precedent stage will be the inputs for the latter stage. The multi-stage DEA model evaluate both the efficiency score for each stages and the overall efficiency of the whole process. The existing multi stage DEA models do not focus on the integration with the undesirable output, in which the higher input will generate lower output unlike the normal desirable output. This research attempts to address the inclusion of such undesirable output and investigate the theoretical implication and potential application towards the development of multi-stage DEA model.

Identification of multiple magnetizations of the Ediacaran strata in South China

Science.gov (United States)

Jing, Xianqing; Yang, Zhenyu; Tong, Yabo; Wang, Heng; Xu, Yingchao

2018-01-01

A suspected Silurian remagnetization of the Ediacaran strata of South China was proposed decades ago by many researchers, but, there has been no systematic study of its causes and mechanisms. In this study, we investigate the multiphase remagnetization processes that affected the Ediacaran strata and the possible mechanisms of these remagnetization events. We conducted detailed palaeomagnetic, rock magnetic and scanning electron microscope (SEM) studies of samples from the Ediacaran strata in the Jiulongwan (JLWE, JLWS), Qinglinkou (QLK) and Sanxiarenjia (SXRJ) sections in the Three Gorges Area, South China. After removal of a recent viscous remanent magnetization below 150 °C, an intermediate temperature component (ITC; Dg = 27.6°, Ig = 45.3°, N = 12 sites, kg = 184.3, α95 = 3.2° for JLWE; Dg = 22°, Ig = 45.3°, N = 11 sites, kg = 789.2, α95 = 1.6° for JLWS; and Dg = 25.5°, Ig = 52.5°, N = 6 sites, kg = 533.4, α95 = 2.9° for SXRJ) was removed below 300 °C which coincides with the Jurassic results from South China, suggesting a pervasive Jurassic remagnetization. In addition, a high temperature component (HTC; Ds = 84.8°, Is = 19.2°, N = 9 sites, ks = 35.5, α95 = 8.8° for JLWE; Ds = 74.1°, Is = 49.4°, N = 7 sites, ks = 218.9, α95 = 4.1° for JLWS; and Ds = 89.5°, Is = 30.7°, N = 8 sites, ks = 129.2, α95 = 4.9° for SXRJ) was isolated between 300 and 480-540 °C. Rock magnetic and SEM studies suggest that the ITC and HTC are carried by pyrrhotite and magnetite, respectively. SEM observations also demonstrate the occurrence of massive authigenic magnetite in cavities or cracks, mineralogical changes from pyrite to Fe oxides, and the reaction between gypsum and Fe oxides. Based on similarities to the Silurian poles of South China, together with the SEM observations, we suggest that the HTC from the JLWE and SXRJ sections is a Silurian age remagnetization. The oxidation of iron sulphides and thermochemical sulphate reduction induced by the

Collaboration with Pharma Will Introduce Nanotechnologies in Early Stage Drug Development | FNLCR Staging

Science.gov (United States)

The Frederick National Lab has begun to assist several major pharmaceutical companies in adopting nanotechnologies in early stage drug development, when the approach is most efficient and cost-effective. For some time, the national lab’s Nanotechno

Classification, staging and radiotherapy of bronchial carcinoma

International Nuclear Information System (INIS)

Noordijk, E.M.

1983-01-01

This thesis reports a study performed to evaluate the stage classification of bronchial carcinoma published by Thomas in 1963. The study was done in the radiotherapy department of a teaching hospital, and had three parts: a comparative analysis of the classifications and stage divisions described in the literature on bronchial carcinoma; an evaluation of the theoretical basis of the classification system introduced by Thomas as well as of the practical applicability of the division into stages, with respect to the assessment of the prognosis and the choice of therapy; and an analysis of various aspects of irradiation as well as of a number of prognostic factors in bronchial carcinoma. (Auth.)

Four stages of a scientific discipline; four types of scientist.

Science.gov (United States)

Shneider, Alexander M

2009-05-01

In this article I propose the classification of the evolutionary stages that a scientific discipline evolves through and the type of scientists that are the most productive at each stage. I believe that each scientific discipline evolves sequentially through four stages. Scientists at stage one introduce new objects and phenomena as subject matter for a new scientific discipline. To do this they have to introduce a new language adequately describing the subject matter. At stage two, scientists develop a toolbox of methods and techniques for the new discipline. Owing to this advancement in methodology, the spectrum of objects and phenomena that fall into the realm of the new science are further understood at this stage. Most of the specific knowledge is generated at the third stage, at which the highest number of original research publications is generated. The majority of third-stage investigation is based on the initial application of new research methods to objects and/or phenomena. The purpose of the fourth stage is to maintain and pass on scientific knowledge generated during the first three stages. Groundbreaking new discoveries are not made at this stage. However, new ways to present scientific information are generated, and crucial revisions are often made of the role of the discipline within the constantly evolving scientific environment. The very nature of each stage determines the optimal psychological type and modus operandi of the scientist operating within it. Thus, it is not only the talent and devotion of scientists that determines whether they are capable of contributing substantially but, rather, whether they have the 'right type' of talent for the chosen scientific discipline at that time. Understanding the four different evolutionary stages of a scientific discipline might be instrumental for many scientists in optimizing their career path, in addition to being useful in assembling scientific teams, precluding conflicts and maximizing

Preoperative CT prediction for Masaoka staging of thymic epithelial tumor

International Nuclear Information System (INIS)

Feng Zhan; Huang Zhen; Zhang Liang

2013-01-01

Objective: To discuss the value of CT prognosis on the Masaoka staging system of thymic epithelial tumors (TET) before surgical resection. Methods: The CT images of 102 patients with TET proved by surgery and pathology were reviewed retrospectively. The TET were reclassified according to Masaoka stage system. The size, homogeneity, sharp, contour, infiltration of surrounding tissue, and metastasis on CT were analyzed with Logistic analysis. The diagnostic value was also evaluated with a ROC curve. Results: Masaoka pathologic stages were stage Ⅰ for 36 (35.3 %), stage Ⅱ for 27 (26.5 %), stage Ⅲ for 30 (29.4 %), and stage Ⅳ for 9 (8.8 %). A multivariable Logistic regression model showed that TET with larger size of tumor (20/35, P = 0.0371, OR = 4.539), irregular or lobulated tumor contour (26/42, P = 0.0230, OR = 4.870), heterogeneous (21/33, P = 0.0154, OR = 6.020), infiltration of surrounding fat (25/32, P = 0.0019, OR = 14.005), and pleural seeding (11/11, P = 0.0032, OR = 36.153) were more likely to have stage Ⅲ or Ⅳ disease. The area under ROC curve was 0.940. Conclusions: The tumor CT imaging features can differentiate between stage Ⅰ, Ⅱ and stage Ⅲ, Ⅳ disease. This helps identified patients more likely to benefit from neoadjuvant therapy. (authors)

CT staging of renal cell carcinoma

International Nuclear Information System (INIS)

Spina, Juan C.; Garcia, Adriana T.; Rogondino, Jose; Spina, Juan C. h; Vidales, Valeria; Troiani, Guillermo; Iotti, Alejandro; Venditti, Julio

2002-01-01

Objective: To assess the usefulness of computerized tomography (CT) in the characterization of renal masses, in order to stage them, determine their prognosis and their appropriate clinical and/or surgical management. Material and Methods: Between 1988 and 2001, we selected 63 patients with renal tumors that had been examined by pathology. Patient's ages ranged from 16 to 88 years (25 women, 38 men). The studies were performed with a sequential helical CT, using 5 mm thickness sections every 5mm evaluating the cortico medullar and nephrographic phases. Renal tumors were characterized and staged without any knowledge about the pathological findings; subsequently the tomographic characteristics were compared to such findings. The following characteristics were evaluated: 1) mixed solid-cystic nature; 2) size; 3) borders; 4) enhancement; 5) necrosis; 6) hemorrhage; 7) central scar; 8) presence of fat; 9) collecting system; 10) capsular invasion; 11) perirenal fat invasion; 12) vessels; 13) Gerota's fascia; 14) lymph nodes; and 15) local and/or distant metastases. Results: Of the 63 tumors, 2 were complicated cysts; of the 61 remaining tumors, 10 were angiomyolipomas, 1 was a renal lymphoma, 1 was a focal xantogranulomatose pyelonephritis, 1 was a metanephric adenoma, 3 papillary renal cell carcinoma (RCC), 4 transitional cell tumors, 4 oncocytomas, 37 clear cell renal carcinoma. The CT could correctly characterize the 2 cystic tumors as such, as well as the 9 angiomyolipomas and the 4 transitional cell tumors. The 48 other tumors (1 angiomyolipoma, 1 lymphoma, 1 focal xantogranulomatose pyelonephritis, 1 metanephric adenoma, 3 papillary RCC, 4 oncocytomas, and 37 cell renal carcinomas) remaining were characterized as renal adenocarcinomas and CT staged. Conclusion: CT is a useful method to characterize renal masses since it determines their solid-cystic or fatty structure; aiding in many cases to define a surgical treatment. For the CT staging of renal tumors, the

CHARACTERIZATION OF RIPENING STAGES OF MYRTLE FRUIT

Directory of Open Access Journals (Sweden)

DYALLA RIBEIRO DE ARAUJO

2016-01-01

Full Text Available ABSTRACT The myrtle (Eugenia gracillima Kiaersk. is a native fruit species in the Chapada of Araripe, state of Pernambuco, Brazil. The fruits are collected from the wild and are consumed fresh or processed as pulp, juice, jelly, liquor or desserts. Myrtle fruit production is of significant socioeconomic value for the region and, therefore, the description of myrtle fruit ripening stages may contribute to the development of its production chain. As a result, the objective of the present study was to evaluate the physical, quality and ripening changes of myrtle fruits at different developmental stages. The fruits were picked at five distinctive stages and evaluated for longitudinal and transverse diameters; fresh, dry and water mass; water contents; soluble solids (SS; titratable acidity (TA; pH; SS/TA ratio; carbohydrates (starch, total, reducing and nonreducing sugars; ascorbic acid; total pectin, soluble pectins and percentage of pectin solubilization; polymeric, oligomeric and dimeric phenolics; total anthocyanins, carotenoids and chlorophyll; and yellow flavonoids. Along fruit ripening processes increases in SS, anthocyanins and carotenoids, in the SS/TA ratio and of percentages of pectin solubilization were determined. On the other hand, decreases in TA and total chlorophyll were observed. The ripening stage at which peel color is completely dark red (ripening stage 4 is most appropriate to harvest myrtle fruits for human consumption.

Breast-Conserving Surgery Followed by Radiation Therapy With MRI-Detected Stage I or Stage II Breast Cancer

Science.gov (United States)

2011-12-07

Ductal Breast Carcinoma in Situ; Estrogen Receptor-negative Breast Cancer; Estrogen Receptor-positive Breast Cancer; HER2-negative Breast Cancer; HER2-positive Breast Cancer; Invasive Ductal Breast Carcinoma; Invasive Lobular Breast Carcinoma; Male Breast Cancer; Medullary Ductal Breast Carcinoma With Lymphocytic Infiltrate; Mucinous Ductal Breast Carcinoma; Papillary Ductal Breast Carcinoma; Progesterone Receptor-negative Breast Cancer; Progesterone Receptor-positive Breast Cancer; Stage I Breast Cancer; Stage II Breast Cancer; Tubular Ductal Breast Carcinoma

Proposal for the construction of the staged Scyllac prototype

International Nuclear Information System (INIS)

Nunnally, W.C.; McDonald, T.E.

1975-07-01

After the completion of the present feedback experiment on Scyllac, the machine will be reconfigured into a toroidal staged theta pinch. A 0.9-m prototype of the Staged Scyllac experiment is proposed which will be used to test the components required for the implosion-heating and staging circuits in a system environment. In addition, various systems of the Staged Scyllac, such as the trigger system and the gap-monitoring system, can be developed on the prototype before installation on the full experiment. (auth)

The Late Ordovician deglaciation sequence of the SW Murzuq Basin (Libya)

DEFF Research Database (Denmark)

Moreau, Julien

2011-01-01

Rocks of Late Ordovician to Silurian age are well exposed on the western rim of theMurzuq Basin (Ghat-Tikiumit area,Libya)where seismic-scale exposures allow spectacular insights into the growth and decay of the LateOrdovician (Hirnantian) ice sheet.The ¢nal deglaciation left a complex topography...

Petrology, isotopic and fluid inclusion studies of eclogites from Sujiahe, NW Dabie Shan (China), July 1 2002

NARCIS (Netherlands)

Fu, B.; Zheng, Y.-F.; Touret, J.L.R.

2002-01-01

In addition to the Triassic Hong'an low-T-high-P eclogite and the Xinxian coesite-bearing kyanite-glaucophane eclogite, Silurian coesite-free amphibole eclogites occur in the Sujiahe region, NW Dabie Shan of central China. A comprehensive study of petrology, Nd-Sr, O-H isotopes and fluid inclusions

Benchmarking the energy use of energy-intensive industries in industrialized and in developing countries

NARCIS (Netherlands)

Saygin, D.|info:eu-repo/dai/nl/314118101; Worrell, E.|info:eu-repo/dai/nl/106856715; Patel, M.K.|info:eu-repo/dai/nl/18988097X; Gielen, D.J.

2011-01-01

The Lower Silurian Longmaxi Formation is an organic-rich (black) mudrock that is widely considered to be a potential shale gas reservoir in the southern Sichuan Basin (the Yangtze plate) in Southwest China. A case study is presented to characterise the shale gas reservoir using a workflow to

Risk Factors for Complications Differ Between Stages of Tissue-Expander Breast Reconstruction.

Science.gov (United States)

Lovecchio, Francis; Jordan, Sumanas W; Lim, Seokchun; Fine, Neil A; Kim, John Y S

2015-09-01

Tissue-expander (TE) placement followed by implant exchange is currently the most popular method of breast reconstruction. There is a relative paucity of data demonstrating patient factors that predict complications specifically by stage of surgery. The present study attempts to determine what complications are most likely to occur at each stage and how the risk factors for complications vary by stage of reconstruction. A retrospective chart review was performed on all 1275 patients who had TEs placed by the 2 senior authors between 2004 and 2013. Complication rates were determined at each stage of reconstruction, and these rates were further compared between patients who had pre-stage I radiation, post-stage I radiation, and no radiation exposure. Multivariate logistic regression was used to identify independent predictors of complications at each stage of reconstruction. A total of 1639 consecutive TEs were placed by the senior authors during the study period. The overall rate for experiencing a complication at any stage of surgery was 17%. Complications occurred at uniformly higher rates during stage I for all complications (92% stage I vs 7% stage II vs 1% stage III, P higher intraoperative percent fill (OR, 3.3; 95% CI, 1.7-6.3). Post-stage I radiation was the only independent risk factor for a stage II complication (OR, 4.5; 95% CI, 1.4-15.2). Complications occur at higher rates after stage I than after stage II, and as expected, stage III complications are exceedingly rare. Risk factors for stage I complications are different from risk factors for stage II complications. Body mass index and smoking are associated with complications at stage I, but do not predict complications at stage II surgery. The stratification of risk factors by stage of surgery will help surgeons and patients better manage both risk and expectations.

Temelin 1000 MW Units active testing stage - commissioning experience

International Nuclear Information System (INIS)

Ubra, O.; Riha, V.

2003-01-01

There were three basic stages of the NPP Temelin Units active testing stage- The zero and low power testing, The power ascension testing and Plant Performance Test. The main objective of the start- up process stages and the testing procedures including some operational experience are described in the paper. (author)

Staging in bipolar disorder: from theoretical framework to clinical utility.

Science.gov (United States)

Berk, Michael; Post, Robert; Ratheesh, Aswin; Gliddon, Emma; Singh, Ajeet; Vieta, Eduard; Carvalho, Andre F; Ashton, Melanie M; Berk, Lesley; Cotton, Susan M; McGorry, Patrick D; Fernandes, Brisa S; Yatham, Lakshmi N; Dodd, Seetal

2017-10-01

Illness staging is widely utilized in several medical disciplines to help predict course or prognosis, and optimize treatment. Staging models in psychiatry in general, and bipolar disorder in particular, depend on the premise that psychopathology moves along a predictable path: an at-risk or latency stage, a prodrome progressing to a first clinical threshold episode, and one or more recurrences with the potential to revert or progress to late or end-stage manifestations. The utility and validity of a staging model for bipolar disorder depend on its linking to clinical outcome, treatment response and neurobiological measures. These include progressive biochemical, neuroimaging and cognitive changes, and potentially stage-specific differences in response to pharmacological and psychosocial treatments. Mechanistically, staging models imply the presence of an active disease process that, if not remediated, can lead to neuroprogression, a more malignant disease course and functional deterioration. Biological elements thought to be operative in bipolar disorder include a genetic diathesis, physical and psychic trauma, epigenetic changes, altered neurogenesis and apoptosis, mitochondrial dysfunction, inflammation, and oxidative stress. Many available agents, such as lithium, have effects on these targets. Staging models also suggest the utility of stage-specific treatment approaches that may not only target symptom reduction, but also impede illness neuroprogression. These treatment approaches range from prevention for at-risk individuals, to early intervention strategies for prodromal and newly diagnosed individuals, complex combination therapy for rapidly recurrent illness, and palliative-type approaches for those at chronic, late stages of illness. There is hope that prompt initiation of potentially disease modifying therapies may preclude or attenuate the cognitive and structural changes seen in the later stages of bipolar disorder. The aims of this paper are to: a

One-Stage and Two-Stage Schemes of High Performance Synchronous PWM with Smooth Pulses-Ratio Changing

DEFF Research Database (Denmark)

Oleschuk, V.; Blaabjerg, Frede

2002-01-01

This paper presents detailed description of one-stage and two-stage schemes of a novel method of synchronous, pulsewidth modulation (PWM) for voltage source inverters for ac drive application. The proposed control functions provide accurate realization of different versions of voltage space vector...... modulation with synchronization of the voltage waveform of the inverter and with smooth pulse-ratio changing. Voltage spectra do not contain even harmonic and sub-harmonics (combined harmonics) during the whole control range including the zone of overmodulation. Examples of determination of the basic control...

76 FR 76907 - Small Business Investment Companies-Early Stage SBICs

Science.gov (United States)

2011-12-09

... dollars went to early stage or start-up businesses. Of the financings that went to early stage and start... went to early stage and start-up businesses not in those three states. SBA will seek to expand access...% decline from 2007. Less than a third of these financing dollars went to early stage or start-up businesses...

Computerized tomography for diagnosis and staging of renal pelvic tumor

International Nuclear Information System (INIS)

Fukuoka, Hiroshi; Goto, Akihiko; Kitamura, Hajime

1985-01-01

Although we have no definite criteria available yet for clinical staging of renal pelvic tumor, the preoperative staging of this disease is nevertheless important in view of the current tendency that the necessity for renal conservative operation is considered. CT is now a routine work also for diagnosing renal pelvic tumor. The present study was performed in order to validate its usefulness for diagnosing and staging the disease. Our series consisted of 8 patients with renal pelvic tumor, in 6 of whom a definite diagnosis was established after demonstrating filling defect on pyelogram, but in the remaining two with extensive infiltration, and squamous cell carcinoma associated with staghorn calculus respectively, CT failed to provide a definite diagnosis. CT findings of an extension of the mass in the renal pelvis or renal calyces into adipose tissue of the renal sinus or renal parenchyma were judged to indicate an invasive type (Stage III), while a non-invasive type (Stage I or II) was defined on the basis of otherwise CT findings. Consistency with pathological stages was noted in 7 of the 8 cases (87.5 %). It was difficult to differentiate Stage I and Stage II on CT findings. CT was considered to be extremely useful tool for preoperative staging of renal pelvic tumor. (author)

[Helicobacter pylori gastritis: assessment of OLGA and OLGIM staging systems].

Science.gov (United States)

Ben Slama, Sana; Ben Ghachem, Dorra; Dhaoui, Amen; Jomni, Mohamed Taieb; Dougui, Mohamed Hédi; Bellil, Khadija

2016-01-01

Helicobacter pylori (H pylori) gastritis presents a risk of cancer related to atrophy and intestinal metaplasia. Two recent classifications OLGA (Operative Link on Gastritis Assessment) and OLGIM (Operative Link on Gastritic Intestinal Metaplasia assessment) have been proposed to identify high-risk forms (stages III and IV). The aim of this study is to evaluate the OLGA and OLGIM staging systems in H pylori gastritis. A descriptive study of 100 cases of chronic H pylori gastritis was performed. The revaluation of Sydney System parameters of atrophy and intestinal metaplasia, of gastric antrum and corpus, allowed identifying respectively the stages of OLGA and OLGIM systems. The progressive risk of our H pylori gastritis was 6% according to OLGA staging and 7% according to OLGIM staging. Significant correlation was revealed between age and OLGA staging. High-risk gastritis according to OLGIM staging was significantly associated with moderate to severe atrophy. High-risk forms according to OLGA staging were associated in 80% of the cases to intestinal metaplasia. OLGA and OLGIM systems showed a highly significant positive correlation between them with a mismatch at 5% for H pylori gastritis. The OLGA and OLGIM staging systems in addition to Sydney System, allow selection of high risk forms of chronic gastritis requiring accurate observation.

An essential malaria protein defines the architecture of blood-stage and transmission-stage parasites.

Science.gov (United States)

Absalon, Sabrina; Robbins, Jonathan A; Dvorin, Jeffrey D

2016-04-28

Blood-stage replication of the human malaria parasite Plasmodium falciparum occurs via schizogony, wherein daughter parasites are formed by a specialized cytokinesis known as segmentation. Here we identify a parasite protein, which we name P. falciparum Merozoite Organizing Protein (PfMOP), as essential for cytokinesis of blood-stage parasites. We show that, following PfMOP knockdown, parasites undergo incomplete segmentation resulting in a residual agglomerate of partially divided cells. While organelles develop normally, the structural scaffold of daughter parasites, the inner membrane complex (IMC), fails to form in this agglomerate causing flawed segmentation. In PfMOP-deficient gametocytes, the IMC formation defect causes maturation arrest with aberrant morphology and death. Our results provide insight into the mechanisms of replication and maturation of malaria parasites.

Value of Surgery for Stage IIIa Non-small Cell Lung Cancer

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Huihui LIU

2013-12-01

Full Text Available Background and objective Nowadays, comprehensive treatment, including surgery, chemotherapy and radiotherapy is advocated for stage III non-small cell lung cancer (NSCLC. However, many researchers have questioned the effectiveness of surgery. The aim of this study is to evaluate the effect of surgery for stage III NSCLC. Methods Between March 2002 and October 2012, 310 cases that have completed followed-up data with stage III NSCLC were received in the Peking Union Medical College Hospital. They were divided into surgical and non-surgical groups according to whether received surgery when diagnosed. In TNM staging, stage III NSCLC includes stage IIIa and IIIb, and stage IIIa NSCLC can be grouped into stage T4N0/T3-4N1M0 and T1-3N2M0 according to different N stages. Analyzed the enumeration data by Chi-Square test. Kaplan-Meier survival method was used to calculate the overall survival (OS and progression-free survival (PFS, and to draw the survival curves. A P value less than 0.05 was evaluated as statistically significant. Results Three hundred and ten stage III NSCLC patients include surgical group 189 cases and non-surgical group 121 cases. One hundred and eighty-eight stage IIIa NSCLC patients include surgical group 152 cases and non-surgical group 36 cases. In stage IIIa, stage T4N0/T3-4N1M0 had 57 patients with 44 surgical and 13 non-surgical patients, and stage T1-3N2M0 had 131 patients with 108 surgical and 23 non-surgical patients. Thirty-seven out of 121 stage IIIb NSCLC patients received surgery. They had 22 stage T4N2M0 cases and 15 stage T1-4N3M0 cases. The patient whose performance status was 0 and staging was stage IIIa was more inclined to undergo surgery. For stage IIIa NSCLC patients, the median OS of surgical and non-surgical groups were 38.9 and 21.8 months, and the median PFS of them were 19.2 and 11.9 months respectively. The difference of OS between the two groups was significant (P=0.041, but the PFS of them had no