WorldWideScience

Sample records for stress intensities service

  1. Stress intensity factors and constant stress terms for interface cracks

    International Nuclear Information System (INIS)

    Fett, T.; Rizzi, G.

    2004-01-01

    In bi-material joints cracks can propagate along the interface or kink into one of the two materials. Whereas the energy release rate can be applied for interface cracks in the same way as usual for homogeneous materials, the computation of stresses in the vicinity of the crack tip is significantly more complicated. In order to assess crack kinking, it is necessary to know the mixed-mode stress intensity factor contributions K I and K II as well as the constant stress terms in the two materials. Whereas the stress intensity factors are available for a large number of infinite and semi-infinite bodies, there is experimental interest in practically used test specimens. This especially holds for the constant x-stress terms. Finite element computations are performed for the special case of a disappearing second Dundurs parameter, i.e. β=0. The fracture mechanics parameters K I , K II , σ 0 for the interface crack are reported in the form of diagrams and approximate relations. (orig.)

  2. Stress intensities in flawed pressure vessels

    International Nuclear Information System (INIS)

    Smith, C.W.; Jolles, M.; Peters, W.H.

    1977-01-01

    A technique for determining the stess intensity factor (SIF) near pressure vessel flaws or cracks experimentally from photoelastic data for use in two-dimensional problems was developed in the 1950's. This technique was modified and extended to a variety of two-dimensional problems. The technique has been refined further and what has evolved may be regarded as a hybrid technique which affects a marriage between ''frozen stress'' photoelastic results and a simple least-squares digital computer program for estimating SIF values in three-dimensional problems. This technique, in its original modified form, has been shown to be applicable to a study of surface flaws and the applicability of the method to complex crack body geometries of current technological importance are discussed. The analytical foundations of the method are reviewed

  3. Filling Service Gaps: Providing Intensive Treatment Services for Offenders

    Science.gov (United States)

    Young, Douglas W.; Farrell, Jill L.; Henderson, Craig E.; Taxman, Faye S.

    2009-01-01

    Consistent with the few studies that have previously examined treatment prevalence and access in the adult and juvenile justice systems, the recent National Criminal Justice Treatment Practices (NCJTP) survey indicated that there is a particular need to expand intensive treatment modalities for offenders in both institutional and community corrections settings. Applying multilevel modeling techniques to NCJTP survey data, this study explores conditions and factors that may underlie the wide variation among states in the provision of intensive treatment for offenders. Results indicate that states' overall rates of substance abuse and dependence, funding resources, and the state governor's political party affiliation were significantly associated with intensive treatment provision. Numerous factors that have been implicated in recent studies of evidence-based practice adoption, including state agency executives' views regarding rehabilitation, agency culture and climate, and other state-level measures (e.g., household income, crime rates, expenditures on treatment for the general population) were not associated with treatment provision. Future research should examine further variations in offenders' service needs, the role of legislators' political affiliations, and how other factors may interact with administrator characteristics in the adoption and expansion of intensive treatment services for offenders. PMID:19261394

  4. Guideline for stress ulcer prophylaxis in the intensive care unit

    DEFF Research Database (Denmark)

    Madsen, Kristian Rørbaek; Lorentzen, Kristian; Clausen, Niels

    2014-01-01

    Stress ulcer prophylaxis (SUP) is commonly used in the intensive care unit (ICU), and is recommended in the Surviving Sepsis Campaign guidelines 2012. The present guideline from the Danish Society of Intensive Care Medicine and the Danish Society of Anesthesiology and Intensive Care Medicine sums...

  5. Extraversion and cardiovascular responses to recurrent social stress: Effect of stress intensity.

    Science.gov (United States)

    Lü, Wei; Xing, Wanying; Hughes, Brian M; Wang, Zhenhong

    2017-10-28

    The present study sought to establish whether the effects of extraversion on cardiovascular responses to recurrent social stress are contingent on stress intensity. A 2×5×1 mixed-factorial experiment was conducted, with social stress intensity as a between-subject variable, study phase as a within-subject variable, extraversion as a continuous independent variable, and cardiovascular parameter (HR, SBP, DBP, or RSA) as a dependent variable. Extraversion (NEO-FFI), subjective stress, and physiological stress were measured in 166 undergraduate students randomly assigned to undergo moderate (n=82) or high-intensity (n=84) social stress (a public speaking task with different levels of social evaluation). All participants underwent continuous physiological monitoring while facing two consecutive stress exposures distributed across five laboratory phases: baseline, stress exposure 1, post-stress 1, stress exposure 2, post-stress 2. Results indicated that under moderate-intensity social stress, participants higher on extraversion exhibited lesser HR reactivity to stress than participants lower on extraversion, while under high-intensity social stress, they exhibited greater HR, SBP, DBP and RSA reactivity. Under both moderate- and high-intensity social stress, participants higher on extraversion exhibited pronounced SBP and DBP response adaptation to repeated stress, and showed either better degree of HR recovery or greater amount of SBP and DBP recovery after stress. These findings suggest that individuals higher on extraversion exhibit physiological flexibility to cope with social challenges and benefit from adaptive cardiovascular responses. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Characteristics of Intrapreneurs in Scale-Intensive Service Firms

    Directory of Open Access Journals (Sweden)

    Katja Maria Hydle

    2014-01-01

    Full Text Available This empirical paper explores the work of employees in charge of service innovation when firms develop and launch new scale-intensive services by addressing two re- search questions: i How do employees responsible for service innovation work? and ii what are the related managerial implications when developing and launching new scale-intensive services? To this end, 21 qualitative, in-depth interviews were con- ducted with employees in five large scale-intensive service firms. The findings suggest that the involvement of internal professionals is an asset when new scale-intensive services are developed, and that internal professionals act as intrapreneurs when they are involved in the development of radically new scale-intensive services. This paper integrates understanding from the innovation management literature with knowledge of professionals from extant literature on professional service firms since we find that professionals in scale-intensive firms act as intrapreneurs. Thus, this pa- per extends the theory on determinants of innovation in scale-intensive service firms, blending insights from both findings and theory.

  7. Stress concentration factor and stress intensity factor on hard metals in connection with the wear characteristics

    International Nuclear Information System (INIS)

    Dawihl, W.; Altmeyer, G.

    1977-01-01

    Description of a method to determine stress intensity factors on hard metals by lapping in notches of different diameter. Dependence of the values of the stress intensity factors on the size of the notch base diameter. For tungsten carbide hard metals with 6% Co, determination of a final value of 250 Nmm -3 / 2 . Characterisation of the stress intensity factor governed by the surface roughness which is decisive for the assessment of the wear-resistant behaviour. (orig.) [de

  8. Use of frozen stress in extracting stress intensity factor distributions in three dimensional cracked body problems

    Science.gov (United States)

    Smith, C. W.

    1992-01-01

    The adaptation of the frozen stress photoelastic method to the determination of the distribution of stress intensity factors in three dimensional problems is briefly reviewed. The method is then applied to several engineering problems of practical significance.

  9. Numerical Determination of Crack Opening and Closure Stress Intensity Factors

    DEFF Research Database (Denmark)

    Ricardo, Luiz Carlos Hernandes

    2009-01-01

    The present work shows the numerical determination of fatigue crack opening and closure stress intensity factors of a C(T) specimen under variable amplitude loading using a finite element method. A half compact tension C(T) specimen, assuming plane stress constraint was used by finite element...

  10. New marketing mix stresses service.

    Science.gov (United States)

    Collier, D A

    1991-01-01

    The seven Ps of service management include some nontraditional ingredients to help formulate marketing strategy. Two examples illustrate how competitive advantage can be won or lost based on applying or ignoring the seven Ps.

  11. Estimation of stress intensity factors for circumferential cracked pipes under welding residual stress filed

    International Nuclear Information System (INIS)

    Oh, Chang Young; Kim, Yun Jae; Oh, Young Jin; Song, Tae Kwang; Kim, Yong Beum; Oh, Young Jin; Song, Tae Kwang; Kim, Yong Beum

    2012-01-01

    Recently, stress corrosion cracking(SCC) have been found in dissimilar metal welds of nozzles in some pressurized water reactors and on low carbon stainless steel piping systems of boiling water reactors. The important factor of SCC is the residual stress field caused by weld. For the evaluation of crack growth analysis due to SCC, stress intensity factor under a residual stress field should be estimated. Several solutions for stress intensity factor under residual stress field were recommended in flaw assessment codes such as the American Society of Mechanical Engineers (ASME) Section XI, R6, American Petroleum Institute (API579). Some relevant works have been studied. Dong et al. evaluated stress intensity factors in welded structures. Miyazaki et al. estimated stress intensity factors of surface crack in simple stress fields. This paper presents a simple method to estimate stress intensity factors in welding residual stress field. For general application, results of structure integrity assessment codes KI solutions were compared Finite element analyses of welding simulation and cracked pipes are described. Comparison results of KI solutions and proposed simplified solution are presented in the works

  12. Stress Concentration Factor and Stress Intensity Factor with U-notch and Crack in the Beam

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Bo Seong; Lee, Kwang Ho [Kyungpook National Univ., Daegu (Korea, Republic of)

    2016-05-15

    The stress concentration factors and stress intensity factors for a simple beam and a cantilever are analyzed by using finite element method and photoelasticity. Using the analyzed results, the estimated graphs on stress concentration factors and stress intensity factors are obtained. To analyze stress concentration factors of notch, the dimensionless notch length H(height of specimen)/h=1.1-2 and dimensionless gap space r(radius at the notch tip)/h=0.1~0.5 are used, where h=H-c and c is the notch length. As the notch gap length increases and the gap decreases, the stress concentration factors increase. Stress concentration factors of a simple beam are greater than those of a cantilever beam. However, actually, the maximum stress values under a load, a notch length and a gap occur more greatly in the cantilever beam than in the simple beam. To analyze stress intensity factors, the normalized crack length α(crack length)/H=0.2~0.5 is used. As the length of the crack increases, the normalized stress intensity factors increase. The stress intensity factors under a constant load and a crack length occur more greatly in the cantilever beam than in the simple beam.

  13. Data Intensive Computing on Amazon Web Services

    Energy Technology Data Exchange (ETDEWEB)

    Magana-Zook, S. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-04-21

    The Geophysical Monitoring Program (GMP) has spent the past few years building up the capability to perform data intensive computing using what have been referred to as “big data” tools. These big data tools would be used against massive archives of seismic signals (>300 TB) to conduct research not previously possible. Examples of such tools include Hadoop (HDFS, MapReduce), HBase, Hive, Storm, Spark, Solr, and many more by the day. These tools are useful for performing data analytics on datasets that exceed the resources of traditional analytic approaches. To this end, a research big data cluster (“Cluster A”) was set up as a collaboration between GMP and Livermore Computing (LC).

  14. Study on applicability of stress intensity factor solutions for flaw evaluation

    International Nuclear Information System (INIS)

    Miura, Naoki; Nagai, Masaki; Takahashi, Yukio

    2014-01-01

    Stress intensity factor is the quantity which characterizes the singularity of the stress field near a crack tip in the scheme of the linear elastic fracture mechanics, and is used for fatigue and/or SCC crack propagation evaluation. Stress intensity factor depends on the shape and the size of cracked structures, and is frequently prepared as the tabulated correction factors which are the functions of crack depth ratio, aspect ratio, etc. Some stress intensity factor solutions have been included in the JSME rules on fitness-for-service for nuclear power plants. Many of them have been significantly revised on the latest (2012) version of the rules, however, the validation of the revised solutions was not adequate so far. In this study, the implication of the revision was investigated together with its technical basis. A comprehensive comparison was made between available solutions including the 2008 and 2012 version of the rules. It was ascertained that the solutions in the 2012 version provided stress intensity factors consistent with the previous version and the referential stress intensity factors. (author)

  15. The maximum possible stress intensity factor for a crack in an unknown residual stress field

    International Nuclear Information System (INIS)

    Coules, H.E.; Smith, D.J.

    2015-01-01

    Residual and thermal stress fields in engineering components can act on cracks and structural flaws, promoting or inhibiting fracture. However, these stresses are limited in magnitude by the ability of materials to sustain them elastically. As a consequence, the stress intensity factor which can be applied to a given defect by a self-equilibrating stress field is also limited. We propose a simple weight function method for determining the maximum stress intensity factor which can occur for a given crack or defect in a one-dimensional self-equilibrating stress field, i.e. an upper bound for the residual stress contribution to K I . This can be used for analysing structures containing defects and subject to residual stress without any information about the actual stress field which exists in the structure being analysed. A number of examples are given, including long radial cracks and fully-circumferential cracks in thick-walled hollow cylinders containing self-equilibrating stresses. - Highlights: • An upper limit to the contribution of residual stress to stress intensity factor. • The maximum K I for self-equilibrating stresses in several geometries is calculated. • A weight function method can determine this maximum for 1-dimensional stress fields. • Simple MATLAB scripts for calculating maximum K I provided as supplementary material.

  16. Fathers' Stress in a Neonatal Intensive Care Unit

    DEFF Research Database (Denmark)

    Noergaard, Betty; Ammentorp, Jette; Garne, Ester

    2018-01-01

    BACKGROUND: Healthcare professionals in neonatal intensive care units (NICUs) tend to focus attention on the mothers and the newborn infants. Thus, fathers may find it difficult to establish an optimal father-child relationship and their stress may increase and persist during hospitalization...... and expect fathers to be involved, and support them to establish a father-child relationship, although they might become more stressed. IMPLICATIONS FOR RESEARCH: More adequate outcome measures are needed to determine the effect of interventions on paternal stress.This is an open-access article distributed....... PURPOSE: To investigate the impact of a more father-friendly NICU on paternal stress and their participation in childcare. METHODS: A quasiexperimental design was conducted on Danish-speaking fathers of newborn infants 28 or more weeks' gestational age. The Parental Stressor Scale: Neonatal Intensive Care...

  17. The effect of massage therapy on occupational stress of Intensive Care Unit nurses.

    Science.gov (United States)

    Nazari, Fateme; Mirzamohamadi, Mojtaba; Yousefi, Hojatollah

    2015-01-01

    One of the main causes of stress in the lives of people is their jobs. Occupational stress is causing a wide range of significant issues in health and community services. Nursing is the most stressful profession in the health services. Massage therapy is one way of coping with stress. This study was conducted to determine the effect of massage therapy on stress in nurses. This study was a clinical trial on 66 male and female nurses working in intensive care units (dialysis, ICU, and CCU) of Isfahan University of Medical Sciences, Iran, in 2013. Participants were selected according to the aims and inclusion criteria of the study. Then, they were randomly divided into experimental and control groups. The Occupational Stress Inventory (OSI) (Osipow and Spokane, 1987) was completed by participants of the two groups before, immediately after, and 2 weeks after the intervention. General Swedish massage was performed on participants of the experimental group for 25 min in each session, twice a week for 4 weeks. Data were analyzed by descriptive and inferential statistics [Chi-square, t-test, and repeated measures analysis of variance (ANOVA)] using SPSS software. Results showed that the difference in overall mean occupation stress scores between experimental and control groups 2 weeks after the intervention was significant (P < 0.001). According to the results, it is recommended that massage, as a valuable noninvasive method, be used for nurses in intensive care units to reduce their stress, promote mental health, and prevent the decrease in quality of nursing work life.

  18. Guideline for stress ulcer prophylaxis in the intensive care unit

    DEFF Research Database (Denmark)

    Madsen, Kristian Rørbaek; Lorentzen, Kristian; Clausen, Niels

    2014-01-01

    Stress ulcer prophylaxis (SUP) is commonly used in the intensive care unit (ICU), and is recommended in the Surviving Sepsis Campaign guidelines 2012. The present guideline from the Danish Society of Intensive Care Medicine and the Danish Society of Anesthesiology and Intensive Care Medicine sums...... critically ill patients in the ICU outside the context of randomized controlled trials (GRADE 1C). No robust evidence supports recommendations for subpopulations in the ICU such as septic, burn, trauma, cardiothoracic or enterally fed patients. However, if SUP is considered clinically indicated in individual...

  19. Evaluation of stress intensity factors due to welding residual stresses for circumferential cracked pipes

    International Nuclear Information System (INIS)

    Oh, Chang-Young; Kim, Yun-Jae; Oh, Young-Jin; Kim, Jong-Sung; Song, Tae-Kwang; Kim, Yong-Beum

    2013-01-01

    To investigate the applicability of existing methods to estimate stress intensity factors due to welding residual stresses, comparisons with finite element (FE) solutions are made for two types of generic welding residual stress profiles, generated by simulating repair welds. It is found that fitting residual stresses over the crack depth using third-order polynomials gives good estimates of stress intensity factors but fitting over the entire thickness can result in inaccurate estimates even with fourth-order polynomials. Noting that welding residual stresses are often determined from FE analyses, linearization of residual stresses to estimate stress intensity factors is proposed. Comparison with FE solutions shows good agreements. -- Highlights: ► Applicability of K estimation methods is investigated for welding residual stresses. ► Two types of generic residual stress profiles with repair welds are considered. ► Fitting residual stresses over the crack depth gives good estimates of K. ► A method to estimate K by linearising residual stress profiles is proposed

  20. Post-traumatic stress disorder in intensive care unit patients.

    Science.gov (United States)

    Caiuby, Andrea Vannini Santesso; Andreoli, Paola Bruno de Araújo; Andreoli, Sergio Baxter

    2010-03-01

    Post-traumatic stress disorder has been detected in patients after treatment in intensive care unit. The main goal of this study is to review the psychological aspects and therapeutic interventions on those patients after their treatment on intensive care unit. Thirty eight articles have been included. The prevalence of post-traumatic stress disorder has varied from 17% up to 30% and the incidence from 14% to 24%. The risk factors were: previous anxiety historic, depression or panic, having delusional traumatic memories (derived from psychic formations as dreams and delirium), belief effects, depressive behavior, stressing experiences and mechanical ventilation. High doses of opiates, symptoms caused by sedation or analgesia reduction and the use of lorazepam were related with the increase of delirium and delusional memory. The disorder sintomatology can be reduced with hydrocortisone administration, with daily sedation interruption. No other effectiveness psychological intervention study was found.

  1. Stressful life events and acute kidney injury in intensive and semi-intensive care unities.

    Science.gov (United States)

    Diniz, Denise Para; Marques, Daniella Aparecida; Blay, Sérgio Luis; Schor, Nestor

    2012-03-01

    Several studies point out that pathophysiological changes related to stress may influence renal function and are associated with disease onset and evolution. However, we have not found any studies about the influence of stress on renal function and acute kidney injury. To evaluate the association between stressful life events and acute kidney injury diagnosis, specifying the most stressful classes of events for these patients in the past 12 months. Case-control study. The study was carried out at Hospital São Paulo, in Universidade Federal de São Paulo and at Hospital dos Servidores do Estado de São Paulo, in Brazil. Patients with acute kidney injury and no chronic disease, admitted to the intensive or semi-intensive care units were included. Controls included patients in the same intensive care units with other acute diseases, except for the acute kidney injury, and also with no chronic disease. Out of the 579 patients initially identified, 475 answered to the Social Readjustment Rating Scale (SRRS) questionnaire and 398 were paired by age and gender (199 cases and 199 controls). The rate of stressful life events was statistically similar between cases and controls. The logistic regression analysis to detect associated effects of the independent variables to the stressful events showed that: increasing age and economic classes A and B in one of the hospitals (Hospital São Paulo - UNIFESP) increased the chance of a stressful life event (SLE). This study did not show association between the Acute Kidney Injury Group with a higher frequency of stressful life events, but that old age, higher income, and type of clinical center were associated.

  2. Modified stress intensity factor as a crack growth parameter applicable under large scale yielding conditions

    International Nuclear Information System (INIS)

    Yasuoka, Tetsuo; Mizutani, Yoshihiro; Todoroki, Akira

    2014-01-01

    High-temperature water stress corrosion cracking has high tensile stress sensitivity, and its growth rate has been evaluated using the stress intensity factor, which is a linear fracture mechanics parameter. Stress corrosion cracking mainly occurs and propagates around welded metals or heat-affected zones. These regions have complex residual stress distributions and yield strength distributions because of input heat effects. The authors previously reported that the stress intensity factor becomes inapplicable when steep residual stress distributions or yield strength distributions occur along the crack propagation path, because small-scale yielding conditions deviate around those distributions. Here, when the stress intensity factor is modified by considering these distributions, the modified stress intensity factor may be used for crack growth evaluation for large-scale yielding. The authors previously proposed a modified stress intensity factor incorporating the stress distribution or yield strength distribution in front of the crack using the rate of change of stress intensity factor and yield strength. However, the applicable range of modified stress intensity factor for large-scale yielding was not clarified. In this study, the range was analytically investigated by comparison with the J-integral solution. A three-point bending specimen with parallel surface crack was adopted as the analytical model and the stress intensity factor, modified stress intensity factor and equivalent stress intensity factor derived from the J-integral were calculated and compared under large-scale yielding conditions. The modified stress intensity was closer to the equivalent stress intensity factor when compared with the stress intensity factor. If deviation from the J-integral solution is acceptable up to 2%, the modified stress intensity factor is applicable up to 30% of the J-integral limit, while the stress intensity factor is applicable up to 10%. These results showed that

  3. Towards radical innovation in knowledge-intensive service firms

    NARCIS (Netherlands)

    A.B.M. van Poucke (Anna)

    2005-01-01

    textabstractWhat is happening in the field of knowledge-intensive work and professional services? Why do knowledge workers have to work harder to prove their added value and significance on the basis of the knowledge they hold? Due to globalization and explosive growth in the use of information

  4. Stress ulcer prophylaxis in the intensive care unit

    DEFF Research Database (Denmark)

    Krag, Morten Brøgger; Perner, A; Wetterslev, J

    2013-01-01

    Stress ulcer prophylaxis (SUP) is regarded as standard of care in the intensive care unit (ICU). However, recent randomized, clinical trials (RCTs) and meta-analyses have questioned the rationale and level of evidence for this recommendation. The aim of the present systematic review was to evaluate...... incidence of gastrointestinal (GI) bleeding varies considerably. Data on the incidence and severity of GI bleeding in general ICUs in the developed world as of today are lacking. The best intervention for SUP is yet to be settled by balancing efficacy and harm. In essence, it is unresolved if intensive care...... patients benefit overall from SUP. The following clinically research questions are unanswered: (1) What is the incidence of GI bleeding, and which interventions are used for SUP in general ICUs today?; (2) Which criteria are used to prescribe SUP?; (3) What is the best SUP intervention?; (4) Do intensive...

  5. Stress ulcer prophylaxis in the intensive care unit trial

    DEFF Research Database (Denmark)

    Krag, M; Perner, A; Wetterslev, J

    2017-01-01

    BACKGROUND: In this statistical analysis plan, we aim to provide details of the pre-defined statistical analyses of the Stress Ulcer Prophylaxis in the Intensive Care Unit (SUP-ICU) trial. The aim of the SUP-ICU trial is to assess benefits and harms of stress ulcer prophylaxis with a proton pump......-year mortality, and a health economic analysis. Two formal interim analyses will be performed. The statistical analyses will be conducted according to the outlined pre-defined statistical analysis plan. The primary analysis will be a logistic regression analysis adjusted for stratification variables...... comparing the two intervention groups in the intention-to-treat population. In a secondary analysis, we will additionally adjust the primary outcome for potential random differences in baseline characteristics. The conclusion will be based on the intention-to-treat population. CONCLUSION: Stress ulcer...

  6. Tourism Enterprises as Buyers of Knowledge-Intensive Business Services

    Directory of Open Access Journals (Sweden)

    Krzysztof Borodako

    2015-01-01

    Full Text Available This article is an attempt to assess the business relations between the tourism sector and suppliers of various types of business services. It focuses on knowledge-intensive business services (KIBS. The reasons why tourism businesses purchase outsourced services are also discussed. An Internet survey was conducted and the results were used to calculate and discuss a number of indices. Cross-tabulation statistics are used to assess the interrelation between types of tourist firms, their localization and size, and the types and number of services they use. The largest numbers of KIBS used by the Polish tourism sector are from the accounting, IT, and advertising sectors, whereas the smallest relate to research and experimental development in the social sciences and humanities. This article fills a gap in the knowledge about usage of KIBS services by the tourism sector at the national level.

  7. Computation of principal stresses and stress intensity of a nozzle on a spherical pressure vessel

    International Nuclear Information System (INIS)

    Sun, B.C.; Lyow, B.L.; Koplik, B.

    1993-01-01

    This paper presents a Stress Computation Table that systematically computes the local stresses at various locations of the sphere-nozzle intersection. The six components of external loading are: radial load, two overturning moments, two horizontal shear forces, and a torsional moment. The radial and overturning moments induce local membrane and bending stresses in both the circumferential and meridional directions of the sphere around the nozzle. The shear forces and torsional moment produce local shear stresses. In addition, the shear forces induce local membrane and bending stresses around the nozzle. The local stress factors from each external loading component are taken from recent publications by Lyow, Sun and Koplik who have studied this subject through the use of the finite element method. These factors are a function of the nozzle-sphere geometrical parameters, beta, β, (nozzle radius/sphere radius) and gamma, γ, (sphere radius/thickness), with the beta value ranging from 0.1 to 0.5, and the gamma value ranging from 10 to 100. The Stress Table summarizes all the normal and shear stresses at eight different locations around the nozzle, and finally the principal stresses and stress intensity are computed. The stress factor plots from previous publications are replotted in this paper to provide a handy reference as well as consistency. A numerical sample employing a FORTRAN program is also given. (author)

  8. Transient thermal stresses and stress intensity factors induced by thermal stratification in feedwater lines

    International Nuclear Information System (INIS)

    Sanchez Sarmiento, G.; Pardo, E.

    1985-01-01

    General analytical solutions for the thermal stresses and circumferential crack propagation in piping branches of nuclear power plants, that connect two circuits of the same fluid at different temperatures, are presented in this paper. Under certain conditions, two regions of the fluid possessing both temperatures with a separating layer of small thickness are formed ('flow stratification'). Dimensionless analytical expressions for the steady state temperature distribution in the pipe wall and the corresponding thermal stress are here derived, in terms of the basic geometrical and physical parameters. The position and thickness of the separating layer are considered as data of the model. Stress intensity ranges at any point of the tube wall are then determined. Finally, thermally induced stress intensity factors are calculated for hipothetically inside surface cracks. (orig.)

  9. Starting up stress thallium cardiac imaging services.

    Science.gov (United States)

    Owens, R G; Neubecker, J S

    1992-01-01

    This paper presents an evaluation of alternative methods for a hospital to establish stress thallium cardiac imaging services at a group of physicians' office. Volume-cost-profit analysis, break-even analysis and capital budgeting techniques were used to determine the most feasible method from a financial perspective without sacrificing quality of services. The main focus of this evaluation centers upon three alternative methods of procuring an imaging camera: (1) purchasing a new camera, (2) purchasing used equipment, or (3) leasing a new camera. Budgeted income statements were constructed using relevant revenue and cost information for each alternative. The payback period, net present value and the internal rate of return for each method of procuring a camera was computed. In addition, the break-even point was also determined for each alternative. After the analysis was completed, it was concluded that the method of choice, without sacrificing quality of service delivery, was that of purchasing a used camera.

  10. Posttraumatic stress in intensive care unit survivors - a prospective study

    DEFF Research Database (Denmark)

    Ratzer, Mette; Brink, Ole; Knudsen, Linda

    2014-01-01

    Aims: This study aimed to estimate the prevalence of severe Posttraumatic Stress Disorder (PTSD) symptoms and to identify factors associated with PTSD in survivors of intensive care unit (ICU) treatment following traumatic injury. Methods: Fifty-two patients who were admitted to an ICU through...... the emergency ward following traumatic injury were prospectively followed. Information on injury severity and ICU treatment were obtained through medical records. Demographic information and measures of acute stress symptoms, experienced social support, coping style, sense of coherence (SOC) and locus...... of control were assessed within one-month post-accident (T1). At the six months follow-up (T2), PTSD was assessed with the Harvard Trauma Questionnaire (HTQ). Results: In the six months follow-up, 10 respondents (19.2%) had HTQ total scores reaching a level suggestive of PTSD (N = 52), and 11 respondents (21...

  11. Noise, stress, and annoyance in a pediatric intensive care unit.

    Science.gov (United States)

    Morrison, Wynne E; Haas, Ellen C; Shaffner, Donald H; Garrett, Elizabeth S; Fackler, James C

    2003-01-01

    To measure and describe hospital noise and determine whether noise can be correlated with nursing stress measured by questionnaire, salivary amylase, and heart rate. Cohort observational study. Tertiary care center pediatric intensive care unit. Registered nurses working in the unit. None. Eleven nurse volunteers were recruited. An audiogram, questionnaire data, salivary amylase, and heart rate were collected in a quiet room. Each nurse was observed for a 3-hr period during patient care. Heart rate and sound level were recorded continuously; saliva samples and stress/annoyance ratings were collected every 30 mins. Variables assessed as potential confounders were years of nursing experience, caffeine intake, patients' Pediatric Risk of Mortality Score, shift assignment, and room assignment. Data were analyzed by random effects multiple linear regression using Stata 6.0. The average daytime sound level was 61 dB(A), nighttime 59 dB(A). Higher average sound levels significantly predicted higher heart rates (p =.014). Other significant predictors of tachycardia were higher caffeine intake, less nursing experience, and daytime shift. Ninety percent of the variability in heart rate was explained by the regression equation. Amylase measurements showed a large variability and were not significantly affected by noise levels. Higher average sound levels were also predictive of greater subjective stress (p =.021) and annoyance (p =.016). In this small study, noise was shown to correlate with several measures of stress including tachycardia and annoyance ratings. Further studies of interventions to reduce noise are essential.

  12. Determinants of stress for staff in a neonatal intensive care unit.

    OpenAIRE

    Astbury, J; Yu, V Y

    1982-01-01

    Components of stress for 22 paediatric consultants and 29 nursing sisters working in neonatal intensive care units were studied. Ten situations were rated for their intensity of stress and their frequency of occurrence. For intensity of stress, significantly more paediatric consultants rated the competing demands of personal life versus work as highly stressful, than did nursing sisters. For frequency of stress, significantly more paediatric consultants rated 4 situations as frequently occurr...

  13. 20 CFR 652.208 - How are core services and intensive services related to the methods of service delivery described...

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How are core services and intensive services related to the methods of service delivery described in § 652.207(b)(2)? 652.208 Section 652.208 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR ESTABLISHMENT AND...

  14. A plastic stress intensity factor approach to turbine disk structural integrity assessment

    Directory of Open Access Journals (Sweden)

    V. Shlyannikov

    2016-07-01

    Full Text Available This study based on a new fracture mechanics parameter is concerned with assessing the integrity of cracked steam turbine disk which operate under startup-shutdown cyclic loading conditions. Damage accumulation and growth in service have occurred on the inner surface of slot fillet of key. In order to determine elastic-plastic fracture mechanics parameters full-size stress-strain state analysis of turbine disk was performed for a quote-elliptical part-through cracks under considering loading conditions. As a result distributions of elastic and plastic stress intensity factors along crack front in slot fillet of key of turbine disk depending on surface crack form are defined. An engineering approach to the prediction of carrying capacity of cracked turbine disk which is sensitive to the loading history at maintenance is proposed. The predictions of the rate of crack growth and residual lifetime of steam turbine disk are compared for elastic and elastic-plastic solutions. It is shown that the previously proposed elastic crack growth models provide overestimate the lifetime with respect to the present one. An advantage to use the plastic stress intensity factor to characterize the fracture resistance as the self-dependent unified parameter for a variety of turbine disk configurations rather than the magnitude of the elastic stress intensity factors alone is discussed.

  15. Stress ulcer prophylaxis in the intensive care unit

    DEFF Research Database (Denmark)

    Krag, M; Perner, A; Wetterslev, J

    2015-01-01

    BACKGROUND: Stress ulcer prophylaxis (SUP) may decrease the incidence of gastrointestinal bleeding in patients in the intensive care unit (ICU), but the risk of infection may be increased. In this study, we aimed to describe SUP practices in adult ICUs. We hypothesised that patient selection...... for SUP varies both within and between countries. METHODS: Adult ICUs were invited to participate in the survey. We registered country, type of hospital, type and size of ICU, preferred SUP agent, presence of local guideline, reported indications for SUP, criteria for discontinuing SUP, and concerns about...... adverse effects. Fisher's exact test was used to assess differences between groups. RESULTS: Ninety-seven adult ICUs in 11 countries participated (eight European). All but one ICU used SUP, and 64% (62/97) reported having a guideline for the use of SUP. Proton pump inhibitors were the most common SUP...

  16. Human Service Employees Coping with Job Stress, Family Stress and Work-Family Conflict.

    Science.gov (United States)

    Carbone, Dominic J.

    The intersection of work and family life has always been a popular topic of discussion among family theorists. This study examined human service employees in direct service positions coping with work stress, family stress, and work-family conflict. The effects of work stress, family stress and work-family conflict on depression were examined.…

  17. Round Robin Analyses on Stress Intensity Factors of Inner Surface Cracks in Welded Stainless Steel Pipes

    Directory of Open Access Journals (Sweden)

    Chang-Gi Han

    2016-12-01

    Full Text Available Austenitic stainless steels (ASSs are widely used for nuclear pipes as they exhibit a good combination of mechanical properties and corrosion resistance. However, high tensile residual stresses may occur in ASS welds because postweld heat treatment is not generally conducted in order to avoid sensitization, which causes a stress corrosion crack. In this study, round robin analyses on stress intensity factors (SIFs were carried out to examine the appropriateness of structural integrity assessment methods for ASS pipe welds with two types of circumferential cracks. Typical stress profiles were generated from finite element analyses by considering residual stresses and normal operating conditions. Then, SIFs of cracked ASS pipes were determined by analytical equations represented in fitness-for-service assessment codes as well as reference finite element analyses. The discrepancies of estimated SIFs among round robin participants were confirmed due to different assessment procedures and relevant considerations, as well as the mistakes of participants. The effects of uncertainty factors on SIFs were deducted from sensitivity analyses and, based on the similarity and conservatism compared with detailed finite element analysis results, the R6 code, taking into account the applied internal pressure and combination of stress components, was recommended as the optimum procedure for SIF estimation.

  18. Round robin analysis on stress intensity factor of inner surface cracks in welded stainless steel pipes

    Energy Technology Data Exchange (ETDEWEB)

    Han, Chang Gi; Chang, Yoon Suk [Dept. of Nuclear Engineering, College of Engineering, Kyung Hee University, Yongin (Korea, Republic of); Kim, Jong Sung [Dept. of Mechanical Engineering, Sunchon National University, Sunchon (Korea, Republic of); Kim, Maan Won [Central Research Institute, Korea Hydro and Nuclear Power Company, Daejeon (Korea, Republic of)

    2016-12-15

    Austenitic stainless steels (ASSs) are widely used for nuclear pipes as they exhibit a good combination of mechanical properties and corrosion resistance. However, high tensile residual stresses may occur in ASS welds because postweld heat treatment is not generally conducted in order to avoid sensitization, which causes a stress corrosion crack. In this study, round robin analyses on stress intensity factors (SIFs) were carried out to examine the appropriateness of structural integrity assessment methods for ASS pipe welds with two types of circumferential cracks. Typical stress profiles were generated from finite element analyses by considering residual stresses and normal operating conditions. Then, SIFs of cracked ASS pipes were determined by analytical equations represented in fitness-for-service assessment codes as well as reference finite element analyses. The discrepancies of estimated SIFs among round robin participants were confirmed due to different assessment procedures and relevant considerations, as well as the mistakes of participants. The effects of uncertainty factors on SIFs were deducted from sensitivity analyses and, based on the similarity and conservatism compared with detailed finite element analysis results, the R6 code, taking into account the applied internal pressure and combination of stress components, was recommended as the optimum procedure for SIF estimation.

  19. Student-Life Stress in Education and Health Service Majors

    Science.gov (United States)

    Zascavage, Victoria; Winterman, Kathleen G.; Buot, Max; Wies, Jennifer R.; Lyzinski, Natalie

    2012-01-01

    In order to better understand the effects of student-life stress on Education and Health Service majors (n = 195) at a private, religious, Midwestern university in the USA, we assessed student perception of overall stress level and physical stress level using the Student-life Stress Inventory. The targeted sample consisted of students with…

  20. Do services reduce gender inequality in labor markets? The service sector, knnowledge-intensive services and the gender pay gap

    OpenAIRE

    Dueñas, Diego; Iglesias, Carlos; Llorente, Raquel

    2014-01-01

    The expansion of services and the dissemination of information technologies and communication are identified as important factors that can improve employment opportunities for women, reducing labor by gender differences. The objective of the study is to determine the extent to which services and especially those most closely linked with the knowledge and ICTs such as Knowledge Intensive Services (KIS) are changing some of the basics of labor gender differences. To do it: a), we first measure ...

  1. [Oxidative stress in station service workers].

    Science.gov (United States)

    Basso, A; Elia, G; Petrozzi, M T; Zefferino, R

    2004-01-01

    The aim of this study is to identify an oxidative stress in service station workers. Previous studies verified an increased incidence of leukemia and myeloma, however other authors haven't verified it. There are reports of nasal, pharyngeal, laryngeal, and lung cancer in service station workers. Our study wants to evaluate the oxidative balance in the fuel workers. We studied 44 subjects with gasoline exposure and 29 control subjects. We determined the blood concentrations of Glutathione reduced and oxidized, Protein sulfhydrylic (PSH) Vitamine E, Vitamine C, Malondialdehyde, Protein oxidized (OX-PROT) and beta carotene. The t test was performed to analyze the differences between the means, the Chi square was used to evaluate the statistical significance of associations between variable categorical (redox index). The Anova test excluded the confusing effect of age, smoke and alcohol habit. The mean age of the workers was 36.6 years, instead the control group was 38. In the workers Glutathione reduced, Vit. E and Beta carotene were lower than in the control subjects, this difference was statistically significant (p < 0.01). The Malondialdehyde concentration was higher in the workers higher than in the control group, but this difference wasn't statistically significant. Our data demonstrated Glutathione, Vit. E, and Beta carotene are useful to verify a reduction of the antioxidant activity. The only marker of the presence of oxidative injury that correlated to work exposure was the malondialdehyde. The redox index was surest marker. The limit of our study is the number of control group, it was little and lower than workers. Conclusively we believe it's useful to continue our studies and, if our results are going to be confirmed, we retain that stress oxidative determination would be verified in occupational medicine using these markers, especially to study exposure of the fuel workers who were investigated less and, in our opinion, would receive more attention.

  2. Intensity of anxiety is modified via complex integrative stress circuitries.

    Science.gov (United States)

    Smith, Justin P; Prince, Melissa A; Achua, Justin K; Robertson, James M; Anderson, Raymond T; Ronan, Patrick J; Summers, Cliff H

    2016-01-01

    Escalation of anxious behavior while environmentally and socially relevant contextual events amplify the intensity of emotional response produces a testable gradient of anxiety shaped by integrative circuitries. Apprehension of the Stress-Alternatives Model apparatus (SAM) oval open field (OF) is measured by the active latency to escape, and is delayed by unfamiliarity with the passageway. Familiar OF escape is the least anxious behavior along the continuum, which can be reduced by anxiolytics such as icv neuropeptide S (NPS). Social aggression increases anxiousness in the SAM, reducing the number of mice willing to escape by 50%. The apprehension accompanying escape during social aggression is diminished by anxiolytics, such as exercise and corticotropin releasing-factor receptor 1 (CRF1) antagonism, but exacerbated by anxiogenic treatment, like antagonism of α2-adrenoreceptors. What is more, the anxiolytic CRF1 and anxiogenic α2-adrenoreceptor antagonists also modify behavioral phenotypes, with CRF1 antagonism allowing escape by previously submissive animals, and α2-adrenoreceptor antagonism hindering escape in mice that previously engaged in it. Gene expression of NPS and brain-derived neurotrophic factor (BDNF) in the central amygdala (CeA), as well as corticosterone secretion, increased concomitantly with the escalating anxious content of the mouse-specific anxiety continuum. The general trend of CeA NPS and BDNF expression suggested that NPS production was promoted by increasing anxiousness, and that BDNF synthesis was associated with learning about ever-more anxious conditions. The intensity gradient for anxious behavior resulting from varying contextual conditions may yield an improved conceptualization of the complexity of mechanisms producing the natural continuum of human anxious conditions, and potential therapies that arise therefrom. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Oxidative stress and antioxidant responses to progressive resistance exercise intensity in trained and untrained males

    OpenAIRE

    H Çakır-Atabek; F Özdemir; R Çolak

    2015-01-01

    The relationship between oxidative stress and some exercise components of resistance exercise (e.g. intensity, exercise volume) has not been clearly defined. Additionally, the oxidative stress markers may respond differently in various conditions. This study aims to determine the effects of progressive intensity of resistance exercise (RE) on oxidative stress and antioxidants in trained and untrained men, and also to investigate the possible threshold intensity required to evoke oxidative str...

  4. The physical interpretation of the threshold-stress intensity range during fatigue loading

    International Nuclear Information System (INIS)

    Marci, G.; Bazant, E.

    1977-01-01

    Based on the experimental results, the threshold-stress intensity range is given the physical interpretation that it characterizes a range of effective tensile stresses which need to be exceeded during a loading cycle for stage II fatigue crack growth to occur. The threshold stress intensity range is independent from its relative position in the range of effective tensile stress, has always the same magnitude and, furthermore, is independent of the Ksub(Imax) which produced the active plastic zone. The experimental results available from previous threshold stress intensity determinations are in good agreement with the concept developed. (orig.) [de

  5. [Post-traumatic stress disorder-related to intensive care stay: influence of sedation practices].

    Science.gov (United States)

    Bauerheim, Nadège; Masseret, Elodie; Mercier, Emmanuelle; Dequin, Pierre-François; El-Hage, Wissam

    2013-03-01

    The stay in intensive care unit can be potentially traumatic at the origin of post-traumatic stress symptoms. The severity of post-traumatic stress symptoms is linked to the intensity and the type of traumatic memories of the intensive care stay. Sedatives and analgesics given to ventilated patients in intensive care influence the traumatic memory. The level, the duration and the type of sedation-analgesia protocol are risk factors of post-traumatic stress symptoms. Links between sedation, dissociative symptoms, delirium and post-traumatic stress symptoms are documented. Environmental and pharmacological measures are to be considered to reduce the traumatic potential risk of the intensive care. Intensive care caregivers, liaison-psychiatrist and general practitioner have each a specific role to play in the screening of the post-traumatic stress symptoms. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  6. Stress intensity factors and weight functions for cracks in front of notches

    International Nuclear Information System (INIS)

    Fett, T.

    1993-12-01

    The knowledge of stress intensity factors for cracks at notch roots is important for the fracture mechanical treatment of real components. Stress intensity factor solutions are available only for special notches and externally applied loads. For the treatment of more complex loadings as thermal stresses near the notch root the weight function is needed in addition. In the first part of this report weight functions for cracks in front of internal notches are derived from stress intensity factor solutions under external loading available in the literature. The second part deals with cracks in front of edge notches. Limit cases of stress intensity factors are derived which allow to estimate stress intensity factors for cracks in front of internal elliptical notches with arbitrary aspect ratio of the ellipse and for external notches. (orig.) [de

  7. Stress intensity factors of corner cracks in two nozzle-cylinder intersections

    International Nuclear Information System (INIS)

    Kobayashi, A.S.; Polvanich, N.; Emery, A.F.; Love, W.J.

    1977-01-01

    In a recent paper, the authors presented the stress-intensity-magnification factors of a quarter-elliptical surface crack in a quarter-infinite solid and a circular crack approaching a reentry corner in a three-quarter infinite solid. These stress-intensity-magnification factors were used together with a curvature-correction factor to estimate the stress-intensity factor of a corner crack at a nozzle-cylinder intersection. Through appropriate superposition of the above stress-intensity-magnification factors, stress-intensity factors for hypothetical corner cracks at a nozzle-cylinder intersection subjected to internal pressure and transient thermal-stress loadings can be obtained. A description of a computer code based on this procedure as well as its applications in analyzing two corner-crack problems at a nozzle-cylinder intersection are discussed in this paper

  8. Stress intensity factors of corner cracks in two nozzle-cylinder interactions

    International Nuclear Information System (INIS)

    Kobayashi, A.S.; Polvanich, N.; Emery, A.F.; Love, W.J.

    1977-01-01

    In a recent paper, the authors presented the stress-intensity-magnification factors of a quarter-elliptical surface crack in a quarter-infinite solid and a circular crack approaching a reentry corner in a three-quarter infinite solid. These stress-intensity-magnification factors were used together with a curvature-correction factor to estimate the stress-intensity factor of a corner crack at a nozzle-cylinder interaction. Through appropriate superposition of the above stress-intensity-magnification factors, stress-intensity factors for hypothetical corner cracks at a nozzle-cylinder intersection subjected to internal pressure and transient thermal-stress loadings can be obtained. A description of a computer code based on this procedure as well as its applications in analyzing two corner-crack probems at a nozzle-cylinder intersection are discussed in this paper. (Auth.)

  9. Effects of overload on the threshold stress intensity factor for SCC

    International Nuclear Information System (INIS)

    Takahashi, Koji; Ando, Kotoji; Miyazaki, Yuji; Hashikura, Yasuaki

    2009-01-01

    The effects of overload on the threshold stress intensity factor for stress corrosion crack (K ISCC ) of stainless steel were studied. Tensile overload was applied to a wedge opening loaded (WOL) specimen of SUS316. Then, SCC tests were carried out to determine the resultant K ISCC . As a result, the apparent value of K ISCC increases as increasing a stress intensity factor by tensile overload (K OV ). The effects of tensile overload on K ISCC and the threshold stress intensity factor range for fatigue (ΔK th ) were compared. It was found that the effects of tensile overload on K ISCC were larger than that on ΔK th . (author)

  10. Stress intensity factors of eccentric cracks in bi-materials plate under mode I loading

    Energy Technology Data Exchange (ETDEWEB)

    Ismail, A. E. [Faculty of Mechanical and Manufacturing Engineering, Universiti Tun Hussein Onn Malaysia, 86400 Batu Pahat, Johor (Malaysia)

    2015-05-15

    Bi-material plates were generally used to joint electronic devices or mechanical components requiring dissimilar materials to be attached. During services, mechanical failure can be occurred due to the formation of cracks at the interfacial joint or away from the centre. Generally, linear elastic fracture mechanics approach is used to characterize these cracks based on stress intensity factors (SIF). Based on the literature survey, the SIFs for the central cracks were easily available. However, the SIFs for eccentric cracks were difficult to obtain. Therefore, this paper presented the SIFs for eccentric cracks subjected to mode I tension loading. Three important parameters were used such as relative crack depth, a/L, relative offset distance, b/L and elastic mismatch, E{sub 1}/E{sub 2} or α. It was found that such parameters significantly affected the characteristic of SIFs and it was depend on the location of cracks.

  11. Transient Stress Intensity Factors of Functionally Graded Hollow Cylinders with Internal Circumferential Cracks

    Directory of Open Access Journals (Sweden)

    Iman Eshraghi

    Full Text Available Abstract In this paper, transient thermomechanical stress intensity factors for functionally graded cylinders with complete internal circumferential cracks are obtained using the weight function method. The finite difference method is used to calculate the time dependent temperature distribution and thermal stresses along the cylinder thickness. Furthermore, finite element analysis is performed to determine the weight function coefficients and to investigate the accuracy of the predicted stress intensity factors from the weight functions. Variation of the stress intensity factors with time and effects of the material gradation on the results are investigated, as well. It is shown that the proposed technique can be used to accurately predict transient thermomechanical stress intensity factors for functionally graded cylinders with arbitrary material gradation.

  12. Effect of Couple Stresses on the Stress Intensity Factors for Two Parallel Cracks in an Infinite Elastic Medium under Tension

    Directory of Open Access Journals (Sweden)

    Shouetsu Itou

    2012-01-01

    Full Text Available Stresses around two parallel cracks of equal length in an infinite elastic medium are evaluated based on the linearized couple-stress theory under uniform tension normal to the cracks. Fourier transformations are used to reduce the boundary conditions with respect to the upper crack to dual integral equations. In order to solve these equations, the differences in the displacements and in the rotation at the upper crack are expanded through a series of functions that are zero valued outside the crack. The unknown coefficients in each series are solved in order to satisfy the boundary conditions inside the crack using the Schmidt method. The stresses are expressed in terms of infinite integrals, and the stress intensity factors can be determined using the characteristics of the integrands for an infinite value of the variable of integration. Numerical calculations are carried out for selected crack configurations, and the effect of the couple stresses on the stress intensity factors is revealed.

  13. Behavioral Predictors of Acute Stress Symptoms During Intense Military Training

    Science.gov (United States)

    2009-06-01

    the Ways of Coping Scale ( Folkman & Lazarus , 1988). During survival training, the Clinician- Administered Dissociative States Scale (Bremner et al...Published on behalf of the International Society for Traumatic Stress Studies. Acute Stress Symptoms 217 Folkman , S., & Lazarus , R. (1988). Manual...and performance in sport (pp. 17–42). Chichester, UK: Wiley. Lazarus , R. S. (2000). Cognitive-motivational-relational theory of emotion. In Y . Hanin

  14. Stress intensity factor analyses of surface cracks in three-dimensional structures

    International Nuclear Information System (INIS)

    Miyazaki, Noriyuki; Shibata, Katsuyuki; Watanabe, Takayuki; Tagata, Kazunori.

    1983-11-01

    The stress intensity factor analyses of surface cracks in various three-dimensional structures were performed using the finite element computer program EPAS-J1. The results obtained by EPAS-J1 were compared with other finite element solutions or results obtained by the simplified estimation methods. Among the simplified estimation methods, the equations proposed by Newman and Raju give the distributions of the stress intensity factor along a crack front, which were compared with the result obtained by EPAS-J1. It was confirmed by comparing the results that EPAS-J1 gives reasonable stress intensity factors of surface cracks in three-dimensional structures. (author)

  15. Stress-intensity factor equations for cracks in three-dimensional finite bodies

    Science.gov (United States)

    Newman, J. C., Jr.; Raju, I. S.

    1981-01-01

    Empirical stress intensity factor equations are presented for embedded elliptical cracks, semi-elliptical surface cracks, quarter-elliptical corner cracks, semi-elliptical surface cracks at a hole, and quarter-elliptical corner cracks at a hole in finite plates. The plates were subjected to remote tensile loading. Equations give stress intensity factors as a function of parametric angle, crack depth, crack length, plate thickness, and where applicable, hole radius. The stress intensity factors used to develop the equations were obtained from three dimensional finite element analyses of these crack configurations.

  16. Numerical evaluation of stress intensity factor for vessel and pipe subjected to thermal shock

    International Nuclear Information System (INIS)

    Kim, Y.W.; Lee, H.Y.; Yoo, B.

    1994-01-01

    The thermal weight function method and the finite element method were employed in the numerical computation of the stress intensity factor for a cracked vessel and the cracked pipe subjected to thermal shock. A wall subjected to thermal shock was analyzed, and it has been shown that the effect of thermal shock on the stress intensity factor is dominant for the crack with small crack length to thickness ratio. Convection at the crack face had an influence on the stress intensity factor in the early stage of thermal shock. (Author)

  17. Calculation of mixed mode stress intensity factors using an alternating method

    International Nuclear Information System (INIS)

    Sakai, Takayuki

    1999-01-01

    In this study, mixed mode stress intensity factors (K I and K II ) of a square plate with a notch were calculated using a finite element alternating method. The obtained results were compared with the ones by a finite element method, and it was shown that the finite element alternating method can accurately estimate mixed mode stress intensity factors. Then, using this finite element alternating method, mixed mode stress intensity factors were calculated as changing the size and position of the notch, and its simplified equations were proposed. (author)

  18. Work-related stress and posttraumatic stress in emergency medical services.

    Science.gov (United States)

    Donnelly, Elizabeth

    2012-01-01

    Recent research efforts in emergency medical services (EMS) has identified variability in the ability of EMS personnel to recognize their level of stress-related impairment. Developing a better understanding of how workplace stress may affect EMS personnel is a key step in the process of increasing awareness of the impact of work-related stress and stress-related impairment. This paper demonstrates that for those in EMS, exposure to several types of workplace stressors is linked to stress reactions. Stress reactions such as posttraumatic stress symptomatology (PTSS) have the potential to negatively influence the health of EMS providers. This research demonstrates that two different types of work-related stress and alcohol use influence the development of PTSS. A probability sample of nationally registered emergency medical technician (EMT)-Basics and EMT-Paramedics (n = 1,633) completed an Internet-based survey. Respondents reported their levels of operational and organizational types of chronic stress, critical incident stress, alcohol use, and PTSS. Ordinary least squares regression illustrated that when demographic factors were controlled, organizational and operational forms of chronic stress, critical incident stress, and alcohol use were all significant predictors of PTSS (p stress and critical incident stress (p stress and alcohol use (p stress reaction. Higher levels of chronic stress, critical incident stress, and alcohol use significantly related to an increased level of PTSS. Further, for those reporting high levels of alcohol use or critical incident stress, interactions with high levels of chronic operational stress were associated with higher rates of PTSS. For those interested in the impact of work-related stress in EMS, these findings indicate that attention must be paid to levels of stress associated with both critical incident exposure as well as the chronic stress providers experience on a day-to-day basis.

  19. Stress ulcer prophylaxis in the intensive care unit

    DEFF Research Database (Denmark)

    Krag, Mette; Perner, Anders; Møller, Morten H

    2016-01-01

    PURPOSE OF REVIEW: Stress ulcer prophylaxis (SUP) is considered standard of care in the majority of critically ill patients in the ICU. In this review, we will present the current evidence for the use of SUP in ICU patients, including data on the prevalence of gastrointestinal bleeding and the ba......PURPOSE OF REVIEW: Stress ulcer prophylaxis (SUP) is considered standard of care in the majority of critically ill patients in the ICU. In this review, we will present the current evidence for the use of SUP in ICU patients, including data on the prevalence of gastrointestinal bleeding...

  20. Dynamic stress intensity factors for a longitudinal semi-elliptical ...

    African Journals Online (AJOL)

    elliptical crack in a thick-walled cylinder subjected to transient dynamic stresses. First, the problem of dynamic elasticity in a thick-walled cylinder is solved analytically using the finite Hankel transform. Transient pressure is assumed to act on ...

  1. Symptoms of Posttraumatic Stress after Intensive Care Delirium

    DEFF Research Database (Denmark)

    Svenningsen, Helle; Egerod, Ingrid; Christensen, Doris

    2015-01-01

    Introduction. Long-term psychological consequences of critical illness are receiving more attention in recent years. The aim of our study was to assess the correlation of ICU-delirium and symptoms of posttraumatic stress disorder (PTSD) anxiety and depression after ICU-discharge in a Danish cohort...

  2. Social stress induces high intensity sleep in rats

    NARCIS (Netherlands)

    Meerlo, P; Pragt, Bertrand J.; Daan, S

    1997-01-01

    We studied the effect of social stress on sleep electroencephalogram (EEG) in rats. Animals were subjected to a single social defeat by introducing them in the cage of an aggressive male conspecific for 1 h. The animals responded to the social conflict by a sharp increase in EEG slow-wave activity

  3. A comprehensive approach to quality management of intensive care services.

    Science.gov (United States)

    Hariharan, Seetharaman; Dey, Prasanta Kumar

    2010-01-01

    The purpose of this paper is to develop a comprehensive framework for improving intensive care unit performance. The study introduces a quality management framework by combining cause and effect diagram and logical framework. An intensive care unit was identified for the study on the basis of its performance. The reasons for not achieving the desired performance were identified using a cause and effect diagram with the stakeholder involvement. A logical framework was developed using information from the cause and effect diagram and a detailed project plan was developed. The improvement projects were implemented and evaluated. Stakeholders identified various intensive care unit issues. Managerial performance, organizational processes and insufficient staff were considered major issues. A logical framework was developed to plan an improvement project to resolve issues raised by clinicians and patients. Improved infrastructure, state-of-the-art equipment, well maintained facilities, IT-based communication, motivated doctors, nurses and support staff, improved patient care and improved drug availability were considered the main project outputs for improving performance. The proposed framework is currently being used as a continuous quality improvement tool, providing a planning, implementing, monitoring and evaluating framework for the quality improvement measures on a sustainable basis. The combined cause and effect diagram and logical framework analysis is a novel and effective approach to improving intensive care performance. Similar approaches could be adopted in any intensive care unit. The paper focuses on a uniform model that can be applied to most intensive care units.

  4. Weight functions for the determination of stress intensity factor and T-stress for edge-cracked plates with built-in ends

    International Nuclear Information System (INIS)

    Li, J.; Wang, X.; Tan, C.L.

    2004-01-01

    This paper presents the weight functions for the determination of the stress intensity factor and T-stress solutions for edge-cracked plates with built-in ends under complex stress distributions. First, a compliance analysis approach is used to calculate stress intensity factor and T-stress for edge cracks in finite width plates with built-in ends with uniform or linear stress distributions acting on the crack face. The results serve as the reference solutions for the next step in which the approaches of deriving weight functions from reference stress intensity factor and T-stress solutions developed for stress boundary conditions are extended to obtain the corresponding weight functions for edge-cracked plates with built-in ends. Finite element analysis is conducted to validate the derived solutions. The weight functions derived are suitable for obtaining stress intensity factors and T-stress solutions under any complex stress field

  5. Neonatal Intensive Care Unit Nurses Working in an Open Ward: Stress and Work Satisfaction.

    Science.gov (United States)

    Lavoie-Tremblay, Mélanie; Feeley, Nancy; Lavigne, Geneviève L; Genest, Christine; Robins, Stéphanie; Fréchette, Julie

    2016-01-01

    There is some research on the impact of open-ward unit design on the health of babies and the stress experienced by parents and nurses in neonatal intensive care units. However, few studies have explored the factors associated with nurse stress and work satisfaction among nurses practicing in open-ward neonatal intensive care units. The purpose of this study was to examine what factors are associated with nurse stress and work satisfaction among nurses practicing in an open-ward neonatal intensive care unit. A cross-sectional correlational design was used in this study. Participants were nurses employed in a 34-bed open-ward neonatal intensive care unit in a major university-affiliated hospital in Montréal, Quebec, Canada. A total of 94 nurses were eligible, and 86 completed questionnaires (91% response rate). Descriptive statistics were computed to describe the participants' characteristics. To identify factors associated with nurse stress and work satisfaction, correlational analysis and multiple regression analyses were performed with the Nurse Stress Scale and the Global Work Satisfaction scores as the dependent variables. Different factors predict neonatal intensive care unit nurses' stress and job satisfaction, including support, family-centered care, performance obstacles, work schedule, education, and employment status. In order to provide neonatal intensive care units nurses with a supportive environment, managers can provide direct social support to nurses and influence the culture around teamwork.

  6. Oxidative stress and antioxidant responses to progressive resistance exercise intensity in trained and untrained males

    Directory of Open Access Journals (Sweden)

    H Çakır-Atabek

    2015-11-01

    Full Text Available The relationship between oxidative stress and some exercise components of resistance exercise (e.g. intensity, exercise volume has not been clearly defined. Additionally, the oxidative stress markers may respond differently in various conditions. This study aims to determine the effects of progressive intensity of resistance exercise (RE on oxidative stress and antioxidants in trained and untrained men, and also to investigate the possible threshold intensity required to evoke oxidative stress. RE trained (N=8 and untrained (N=8 men performed the leg extension RE at progressive intensities standardized for total volume: 1x17 reps at 50% of one-repetition maximum (1RM; 1x14 reps at 60% of 1RM; 1x12 reps at 70% of 1RM; 2x5 reps at 80% of 1RM; and 3x3 reps at 90% of 1RM. Blood samples were drawn before (PRE and immediately after each intensity, and after 30 minutes, 60 minutes and 24 hours following the RE. Lipid-hydroperoxide (LHP significantly increased during the test and then decreased during the recovery in both groups (p0.05. Standardized volume of RE increased oxidative stress responses. Our study suggests that lower intensity (50% is enough to increase LHP, whereas higher intensity (more than 80% is required to evoke protein oxidation.

  7. Quantitative stress measurement of elastic deformation using mechanoluminescent sensor: An intensity ratio model

    Science.gov (United States)

    Cai, Tao; Guo, Songtao; Li, Yongzeng; Peng, Di; Zhao, Xiaofeng; Liu, Yingzheng

    2018-04-01

    The mechanoluminescent (ML) sensor is a newly developed non-invasive technique for stress/strain measurement. However, its application has been mostly restricted to qualitative measurement due to the lack of a well-defined relationship between ML intensity and stress. To achieve accurate stress measurement, an intensity ratio model was proposed in this study to establish a quantitative relationship between the stress condition and its ML intensity in elastic deformation. To verify the proposed model, experiments were carried out on a ML measurement system using resin samples mixed with the sensor material SrAl2O4:Eu2+, Dy3+. The ML intensity ratio was found to be dependent on the applied stress and strain rate, and the relationship acquired from the experimental results agreed well with the proposed model. The current study provided a physical explanation for the relationship between ML intensity and its stress condition. The proposed model was applicable in various SrAl2O4:Eu2+, Dy3+-based ML measurement in elastic deformation, and could provide a useful reference for quantitative stress measurement using the ML sensor in general.

  8. High intensity and reduced volume training attenuates stress and recovery levels in elite swimmers

    DEFF Research Database (Denmark)

    Elbe, Anne-Marie; Rasmussen, Camilla P; Nielsen, Glen

    2016-01-01

    This study investigated the effect of increased high-intensity interval training (HIT) at the expense of total training volume on the stress and recovery levels of elite swimmers. Forty-one elite swimmers participated in the study and were randomly assigned to either a HIT or a control group (CON....... The Recovery Stress Questionnaire - Sport was used to measure the swimmers' stress and recovery levels. After the 12 week intervention, the general stress level was 16.6% (2.6-30.7%; mean and 95% CI) lower and the general recovery level was 6.5% (0.7-12.4%) higher in HIT compared to the CON, after adjusting...... for baseline values. No significant effects could be observed in sports-specific stress or sports-specific recovery. The results indicate that increasing training intensity and reducing training volume for 12 weeks can reduce general stress and increase general recovery levels in competitive swimmers....

  9. Patient stress in intensive care: comparison between a coronary care unit and a general postoperative unit

    Science.gov (United States)

    Dias, Douglas de Sá; Resende, Mariane Vanessa; Diniz, Gisele do Carmo Leite Machado

    2015-01-01

    Objective To evaluate and compare stressors identified by patients of a coronary intensive care unit with those perceived by patients of a general postoperative intensive care unit. Methods This cross-sectional and descriptive study was conducted in the coronary intensive care and general postoperative intensive care units of a private hospital. In total, 60 patients participated in the study, 30 in each intensive care unit. The stressor scale was used in the intensive care units to identify the stressors. The mean score of each item of the scale was calculated followed by the total stress score. The differences between groups were considered significant when p < 0.05. Results The mean ages of patients were 55.63 ± 13.58 years in the coronary intensive care unit and 53.60 ± 17.47 years in the general postoperative intensive care unit. For patients in the coronary intensive care unit, the main stressors were “being in pain”, “being unable to fulfill family roles” and “being bored”. For patients in the general postoperative intensive care unit, the main stressors were “being in pain”, “being unable to fulfill family roles” and “not being able to communicate”. The mean total stress scores were 104.20 ± 30.95 in the coronary intensive care unit and 116.66 ± 23.72 (p = 0.085) in the general postoperative intensive care unit. When each stressor was compared separately, significant differences were noted only between three items. “Having nurses constantly doing things around your bed” was more stressful to the patients in the general postoperative intensive care unit than to those in the coronary intensive care unit (p = 0.013). Conversely, “hearing unfamiliar sounds and noises” and “hearing people talk about you” were the most stressful items for the patients in the coronary intensive care unit (p = 0.046 and 0.005, respectively). Conclusion The perception of major stressors and the total stress score were similar between patients

  10. The importance of physical activity and sleep for affect on stressful days: Two intensive longitudinal studies.

    Science.gov (United States)

    Flueckiger, Lavinia; Lieb, Roselind; Meyer, Andrea H; Witthauer, Cornelia; Mata, Jutta

    2016-06-01

    We investigated the potential stress-buffering effect of 3 health behaviors-physical activity, sleep quality, and snacking-on affect in the context of everyday life in young adults. In 2 intensive longitudinal studies with up to 65 assessment days over an entire academic year, students (Study 1, N = 292; Study 2, N = 304) reported stress intensity, sleep quality, physical activity, snacking, and positive and negative affect. Data were analyzed using multilevel regression analyses. Stress and positive affect were negatively associated; stress and negative affect were positively associated. The more physically active than usual a person was on a given day, the weaker the association between stress and positive affect (Study 1) and negative affect (Studies 1 and 2). The better than usual a person's sleep quality had been during the previous night, the weaker the association between stress and positive affect (Studies 1 and 2) and negative affect (Study 2). The association between daily stress and positive or negative affect did not differ as a function of daily snacking (Studies 1 and 2). On stressful days, increasing physical activity or ensuring high sleep quality may buffer adverse effects of stress on affect in young adults. These findings suggest potential targets for health-promotion and stress-prevention programs, which could help reduce the negative impact of stress in young adults. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  11. Global Budgets and Technology-Intensive Medical Services.

    Science.gov (United States)

    Song, Zirui; Fendrick, A Mark; Safran, Dana Gelb; Landon, Bruce; Chernew, Michael E

    2013-06-01

    In 2009-2010, Blue Cross Blue Shield of Massachusetts entered into global payment contracts (the Alternative Quality contract, AQC) with 11 provider organizations. We evaluated the impact of the AQC on spending and utilization of several categories of medical technologies, including one considered high value (colonoscopies) and three that include services that may be overused in some situations (cardiovascular, imaging, and orthopedic services). Approximately 420,000 unique enrollees in 2009 and 180,000 in 2010 were linked to primary care physicians whose organizations joined the AQC. Using three years of pre-intervention data and a large control group, we analyzed changes in utilization and spending associated with the AQC with a propensity-weighted difference-in-differences approach adjusting for enrollee demographics, health status, secular trends, and cost-sharing. In the 2009 AQC cohort, total volume of colonoscopies increased 5.2 percent (p=0.04) in the first two years of the contract relative to control. The contract was associated with varied changes in volume for cardiovascular and imaging services, but total spending on cardiovascular services in the first two years decreased by 7.4% (p=0.02) while total spending on imaging services decreased by 6.1% (pservices, these decreases were also attributable to shifting care to lower-priced providers. No effect was found in orthopedics. As one example of a large-scale global payment initiative, the AQC was associated with higher use of colonoscopies. Among several categories of services whose value may be controversial, the contract generally shifted volume to lower-priced facilities or services.

  12. Determination of Stress Intensity Factor K1 from Two Fringe Orders by Fringe Multiplication and Sharpening

    International Nuclear Information System (INIS)

    Chen, Lei; Baek, Tae Hyun

    2007-01-01

    Stress intensity factor is one of the most important parameters in fracture mechanics. Both the stress field distribution and the crack propagation are closely related to these parameters. Due to the complexity of actual engineering problems, it is difficult to calculate the stress intensity factor by theoretical formulation, so photoelasticity method is a good choice. In this paper, modified two parameter method is employed to calculate stress intensity factor for opening mode by using data from more than one photoelastic fringe loop. For getting accurate experiment results, the initial fringes are doubled and sharpened by digital image programs from the fringe patterns obtained by a CCD camera. Photoelastic results are compared with those obtained by the use of empirical equation and FEM. Good agreement shows that the methods utilized in experiments are considerably reliable. The photoelastic experiment can be used for bench mark in theoretical study and other experiments

  13. Staff Stress and Burnout in Intellectual Disability Services: Work Stress Theory and Its Application

    Science.gov (United States)

    Devereux, Jason; Hastings, Richard; Noone, Steve

    2009-01-01

    Background: Staff in intellectual disability services can be at risk of stress and burnout at work. Given that staff well-being has implications for the quality of life of the staff themselves and people with intellectual disabilities themselves, this is an important research and practical topic. In this paper, we review work stress theories that…

  14. Loss of parental role as a cause of stress in the neonatal intensive care unit.

    Science.gov (United States)

    Bouet, Kary M; Claudio, Norma; Ramirez, Verónica; García-Fragoso, Lourdes

    2012-01-01

    Having a baby in the Neonatal Intensive Care Unit (NICU) is a major source of stress for parents. The barriers to parenting and reactions to the environment may negatively influence the parent-infant relationship. To identify NICU-related parental stress and associated factors. Parents (N = 156) of newborns admitted to NICU completed the Parental Stressor Scale. Most of the parents (46%) rated the experience to be extremely stressful. The principal cause of stress was the alteration in parental role and being separated from their baby. Stress was not associated to education, marital status, infants' birth weight, gestational age, congenital anomalies or if the parents expected the baby to be in the NICU. Identification of areas associated to higher levels of stress in parents may help the NICU staff to establish strategies to help parents cope with the stress caused by being unable to start their parenting role immediately after their babies' birth.

  15. Pain sensitivity mediates the relationship between stress and headache intensity in chronic tension-type headache.

    Science.gov (United States)

    Cathcart, Stuart; Bhullar, Navjot; Immink, Maarten; Della Vedova, Chris; Hayball, John

    2012-01-01

    A central model for chronic tension-type headache (CTH) posits that stress contributes to headache, in part, by aggravating existing hyperalgesia in CTH sufferers. The prediction from this model that pain sensitivity mediates the relationship between stress and headache activity has not yet been examined. To determine whether pain sensitivity mediates the relationship between stress and prospective headache activity in CTH sufferers. Self-reported stress, pain sensitivity and prospective headache activity were measured in 53 CTH sufferers recruited from the general population. Pain sensitivity was modelled as a mediator between stress and headache activity, and tested using a nonparametric bootstrap analysis. Pain sensitivity significantly mediated the relationship between stress and headache intensity. The results of the present study support the central model for CTH, which posits that stress contributes to headache, in part, by aggravating existing hyperalgesia in CTH sufferers. Implications for the mechanisms and treatment of CTH are discussed.

  16. An evaluation of the range and availability of intensive smoking cessation services in Ireland.

    LENUS (Irish Health Repository)

    Currie, LM

    2009-06-27

    BACKGROUND: A review of smoking cessation (SC) services in Ireland is a necessary step in improving service planning and provision. AIMS: To assess the range and availability of intensive SC services in Ireland in 2006. METHODS: A survey of SC service providers in Ireland was conducted. Descriptive analysis and simple linear regression analysis was used. RESULTS: Response rate was 86.3% (63\\/73). All service providers surveyed are employing evidence-based interventions; the most common form of support is individual counselling with initial sessions averaging 40 min and weekly review sessions 20 min in duration. Reaching the recommended target of treating 5.0% of smokers does not seem feasible given the current distribution of resources and there appears to be regional differences in resource allocation. CONCLUSIONS: While intensive SC services are available in all four Health Service Executive Areas, it would appear that there is little uniformity or consistency countrywide in the scope and structure of these services.

  17. Measured residual stresses in overlay pipe weldments removed from service

    International Nuclear Information System (INIS)

    Shack, W.J.

    1985-02-01

    Surface and throughwall residual stresses were measured on an elbow-to-pipe weldment that had been removed from the Hatch-2 reactor about a year after the application of a weld overlay. The results were compared with experimental measurements on three mock-up weldments and with finite-element calculations. The comparison shows that there are significant differences in the form and magnitude of the residual stress distributions. However, even after more than a year of service, the residual stresses over most of the inner surface of the actual plant weldment with an overlay were strongly compressive. 3 refs., 7 figs

  18. Symptoms of Posttraumatic Stress after Intensive Care Delirium

    Directory of Open Access Journals (Sweden)

    Helle Svenningsen

    2015-01-01

    Full Text Available Introduction. Long-term psychological consequences of critical illness are receiving more attention in recent years. The aim of our study was to assess the correlation of ICU-delirium and symptoms of posttraumatic stress disorder (PTSD anxiety and depression after ICU-discharge in a Danish cohort. Methods. A prospective observational cohort study assessing the incidence of delirium in the ICU. Psychometrics were screened by validated tools in structured telephone interviews after 2 months (n=297 and 6 months (n=248 after ICU-discharge. Results. Delirium was detected in 54% of patients in the ICU and symptoms of PTSD in 8% (2 months and 6% (6 months after ICU-discharge. Recall of ICU stay was present in 93%. Associations between ICU-delirium and post-discharge PTSD-symptoms were weak and insignificant. Memories of delusions were significantly associated with anxiety after two months. Remaining associations between types of ICU-memories and prevalence of post-discharge symptoms of PTSD, anxiety, and depression were insignificant after adjusting for age. Incidence of ICU-delirium was unaffected by preadmission use of psychotropic drugs. Prevalence of PTSD-symptoms was unaffected by use of antipsychotics and sedation in the ICU. Conclusion. ICU-delirium did not increase the risk of PTSD-symptoms at 2 and 6 months after ICU discharge.

  19. Symptoms of Posttraumatic Stress after Intensive Care Delirium.

    Science.gov (United States)

    Svenningsen, Helle; Egerod, Ingrid; Christensen, Doris; Tønnesen, Else Kirstine; Frydenberg, Morten; Videbech, Poul

    2015-01-01

    Long-term psychological consequences of critical illness are receiving more attention in recent years. The aim of our study was to assess the correlation of ICU-delirium and symptoms of posttraumatic stress disorder (PTSD) anxiety and depression after ICU-discharge in a Danish cohort. A prospective observational cohort study assessing the incidence of delirium in the ICU. Psychometrics were screened by validated tools in structured telephone interviews after 2 months (n = 297) and 6 months (n = 248) after ICU-discharge. Delirium was detected in 54% of patients in the ICU and symptoms of PTSD in 8% (2 months) and 6% (6 months) after ICU-discharge. Recall of ICU stay was present in 93%. Associations between ICU-delirium and post-discharge PTSD-symptoms were weak and insignificant. Memories of delusions were significantly associated with anxiety after two months. Remaining associations between types of ICU-memories and prevalence of post-discharge symptoms of PTSD, anxiety, and depression were insignificant after adjusting for age. Incidence of ICU-delirium was unaffected by preadmission use of psychotropic drugs. Prevalence of PTSD-symptoms was unaffected by use of antipsychotics and sedation in the ICU. ICU-delirium did not increase the risk of PTSD-symptoms at 2 and 6 months after ICU discharge.

  20. Role stress in after-sales service management: a longitudinal assessment of its antecedents and consequences

    NARCIS (Netherlands)

    Wetzels, M.G.M.; Ruyter, de J.C.; Lemmink, J.G.A.M.

    1999-01-01

    The implementation of a superior service strategy strongly depends on the attitude and behavior of customer contact personnel in service organizations. However, conflicting demands of organizational constraints, service managers, service teams, and customers frequently lead to role stress of service

  1. Army Veterinary Service Role in Low-Intensity Conflict

    Science.gov (United States)

    1992-04-06

    water pollution rate of any region in the world. Less than 10 percent of the LA municipalities adequately treat their waste water before discharging... municipal services. Health Care Infrastructure The economic crisis of the eighties in Central and South America seriously impeded progress in health...Ibid., p. 178. 39. Id., p. 178. 40. Ibid., p 180. 41. Ibid., p. 182. 42. Ibid., p. 212. 43. LCDR Gary Pazzaglia, COL John Padgore, LTC William Mercado

  2. Gradually Increased Training Intensity Benefits Rehabilitation Outcome after Stroke by BDNF Upregulation and Stress Suppression

    Directory of Open Access Journals (Sweden)

    Jing Sun

    2014-01-01

    Full Text Available Physical training is necessary for effective rehabilitation in the early poststroke period. Animal studies commonly use fixed training intensity throughout rehabilitation and without adapting it to the animals' recovered motor ability. This study investigated the correlation between training intensity and rehabilitation efficacy by using a focal ischemic stroke rat model. Eighty male Sprague-Dawley rats were induced with middle cerebral artery occlusion/reperfusion surgery. Sixty rats with successful stroke were then randomly assigned into four groups: control (CG, n=15, low intensity (LG, n=15, gradually increased intensity (GIG, n=15, and high intensity (HG, n=15. Behavioral tests were conducted daily to evaluate motor function recovery. Stress level and neural recovery were evaluated via plasma corticosterone and brain-derived neurotrophic factor (BDNF concentration, respectively. GIG rats significantly (P<0.05 recovered motor function and produced higher hippocampal BDNF (112.87 ± 25.18 ng/g. GIG and LG rats exhibited similar stress levels (540.63 ± 117.40 nM/L and 508.07 ± 161.30 nM/L, resp., which were significantly lower (P<0.05 than that (716.90 ± 156.48 nM/L of HG rats. Training with gradually increased intensity achieved better recovery with lower stress. Our observations indicate that a training protocol that includes gradually increasing training intensity should be considered in both animal and clinical studies for better stroke recovery.

  3. Burnout, Stress and Direct Student Services among School Counselors

    Science.gov (United States)

    Mullen, Patrick R.; Gutierrez, Daniel

    2016-01-01

    The burnout and stress experienced by school counselors is likely to have a negative influence on the services they provide to students, but there is little research exploring the relationship among these variables. Therefore, we report findings from our study that examined the relationship between practicing school counselors' (N = 926) reported…

  4. Tackling Work Related Stress in a National Health Service Trust

    Science.gov (United States)

    Vick, Donna; Whyatt, Hilary

    2004-01-01

    The challenge of tackling the problem of coping with work related stress in a National Health Service (NHS) Trust was undertaken. Ideas were developed within the context of two different action learning sets and led to actions resulting in a large therapy Taster Session event and the establishment of a centre offering alternative therapies and…

  5. Analysis of stress intensity factors for a new mechanical corrosion specimen

    International Nuclear Information System (INIS)

    Rassineux, B.; Crouzet, D.; Le Hong, S.

    1996-03-01

    Electricite de France is conducting a research program to determine corrosion cracking rates in the steam generators Alloy 600 tubes of the primary system. The objective is to correlate the cracking rates with the specimen stress intensity factor K I . One of the samples selected for the purpose of this study is the longitudinal notched specimen TEL (TEL: ''Tubulaire a Entailles Longitudinales''). This paper presents the analysis of the stress intensity factor and its experimental validation. The stress intensity factor has been evaluated for different loads using 3D finite element calculations with the Hellen-Parks and G(θ) methods. Both crack initiation and propagation are considered. As an assessment of the method, the numerical simulations are in good agreement with the fatigue crack growth rates measured experimentally for TEL and compact tension (CT) specimens. (authors). 8 refs., 6 figs., 2 tabs

  6. Mid-thickness studies of the stress intensity factor in the bulk of bainitic steel

    Directory of Open Access Journals (Sweden)

    P. Lopez-Crespo

    2017-07-01

    Full Text Available The current work aims at estimating the stress intensity factor deep inside the bulk from elastic strain data measured by synchrotron X-ray diffraction. Key features affecting the evaluation of the stress intensity factor are the number of terms in the analytical model describing the crack tip field, the extension and position of the area of interest of the experimental data, the effect of the experimental data collected within the plastic zone and the number of elastic strain data points used. Here a parametric study of these features is presented in terms of their influence for the stress intensity factor determination. It was found that 3 or 4 terms in Williams’ expansion is often sufficient; the data should be collected from across the full range of angles around the crack tip; and the number of points/number of terms should be greater than 40.

  7. Challenges in participatory primary stress management interventions in knowledge intensive SMEs

    DEFF Research Database (Denmark)

    Gish, Liv; Ipsen, Christine

    2013-01-01

    relevant change processes. This paper presents the outline of our research and development project on participatory primary stress management interventions in knowledge intensive SMEs, as well as the preliminary results and related implications. The research and development project is conducted in order...... to develop an operational model which SMEs can use when they want to initiate participatory primary stress management interventions in their company. The development project builds on a process model for participatory primary interventions in larger knowledge intensive companies and the premises behind......While knowledge intensive SMEs have recognized the need for change with respect to productivity and wellbeing, and to some extend have access to tools and methods for enabling this, they still lack process competences and are uncertain about how to approach primary stress interventions and initiate...

  8. Stress intensity factors for complete internal and external cracks in spherical shells

    International Nuclear Information System (INIS)

    Chao, Y.J.; Chen, H.

    1989-01-01

    Cracks or flows found in the nuclear structure must be fully evaluated to assure the safety of the plant. The weight function method has been widely used in the determination of stress intensity factors for cracks under stress gradient e.g. for thermal shock loading. The unique features of the weight function method is that once the weight function for a particular cracked geometry is determined the stress intensity factors at the crack tip for any loading applied to the flawed structure can be calculated by a simple integration. In this paper the stress intensity factors of the complete, part-through internal and external cracks in a spherical shell are determined. The finite element method was used to develop the weight functions for the flawed geometry. The approximate crack surface profile was used to derive the weight functions. The stress intensity factors associated with the cracks in spherical shells under internal pressure are determined by both the weight functions and the direct finite element method

  9. Stress level among intensive care nurses in the municipality of Paraná (Brazil

    Directory of Open Access Journals (Sweden)

    Kelly Cristina Inoue

    2014-04-01

    Full Text Available Objective. To identify stress levels among intensive care nurses who work in the municipality of Western Paraná, Brazil. Methodology. This is a cross-sectional cohort study, carried out from May to July 2010, included 60 nurses from intensive care units (adult, pediatric, or neonatal of five hospitals. All participants completed the Bianchi Stress Scale. Results. The mean participant age was 31 years; 70% of the nurses were women, 33% had more than 15 years of experience, and 88% conducted care activities. The general level of stress was medium. Stress levels were low for relationships with other units and supervisors, activities related to adequate functioning of the unit and the coordination of activities of the unit. Levels were medium for the following domains: activities related to personnel management, labor conditions for the development of nursing activities, and delivery of care to patient; this last domain was related to the following stress factors: facing patient death, attending to emergencies in the unit, advising patients' family members, and conducting tasks in the minimal time available. Conclusion. Although the general stress level was medium, the identification of domains with a high score can be used to plan intervention strategies to preserve the health of intensive care nurses and, in turn, improve quality of care delivered to severely ill patients.

  10. Filling some black holes: modeling the connection between urbanization, infrastructure, and global service intensity

    OpenAIRE

    Van De Vijver, Elien; Derudder, Ben; Bassens, David; Witlox, Frank

    2014-01-01

    This empirical article combines insights from previous research on the level of knowledge-intensive service in metropolitan areas with the aim to develop an understanding of the spatial structure of the global service economy. We use a stepwise regression model with the Globalization and World Cities research network's measure of globalized service provisioning as the dependent variable and a range of variables focusing on population, infrastructure, urban primacy, and national regulation as ...

  11. The effect of Residual Stress on the Stress Intensity Factor of Nuclear Material

    International Nuclear Information System (INIS)

    Song, Taek Ho

    2008-01-01

    As NPP (Nuclear Power Plant) gets aged, the importance of the pressure boundary integrity increases very much to those who are trying to operate their plant beyond its design life. Not long ago, Boric acid crystal was found at the RPV outlet nozzle of V.C. Summer plant during the visual examination in 2000. After this finding, non-destructive examination was taken to find out what's taken place. As a result of this examination, circumferential and axial cracks were found. With Metallurgical structure examination, it was shown that crack had been developed at the mid-point between Inco-alloy buttering and weld metal. It was turned out that high welding residual stress was the main cause of the cracking. Because of the through wall crack, nozzle and welding parts were replaced. Many other nuclear power plants experienced similar pressure boundary stress corrosion cracks (SCCs). KEPRI (Korea Electric Power Research Institute) has carried out research projects for managing and preventing these kinds of cracks in nuclear power plants (NPPs). The titles of these research projects are 'Development of Stress Corrosion Cracking Management Technology and Aging Monitor for NPP Main Components' and 'Development of Analysis Technology for Crack Management of Dissimilar Metal Weld'. Through these projects, residual stress measurement techniques have been exercised at various points in mock-up test specimens to simulate nuclear power plant dissimilar base metal and weldment residual stress. X-ray test and hole drilling method have been reviewed to measure residual stresses of the dissimilar metal welds. This paper shows some point of view in residual stress measurement. Fracture mechanics analysis has been performed to explain the importance of residual stress measurement in association with nuclear power plant safety

  12. Personality, stress and coping in intensive care nurses: a descriptive exploratory study.

    Science.gov (United States)

    Burgess, Lorraine; Irvine, Fiona; Wallymahmed, Akhtar

    2010-01-01

    The aim of the study was to investigate the relationship between personality traits, perception of workplace stress and coping among intensive care unit (ICU) nurses. Research has indicated that ICUs are stressful environments. There is a tendency for research studies to investigate causes of stress and ways of coping, but few studies, particularly in recent years, have considered the personality traits of the staff who thrive in this challenging environment, the work stress they perceive and the coping strategies they use. A convenience sample of critical care nurses (n = 46) completed three standardised questionnaires during September 2007: the revised NEO personality inventory (NEO-PI-R); the nurses stress scale (NSI) and the Brief Coping Orientations to Problems Experienced (COPE) scale. ICU nurses did not perceive their workplaces to be stressful. Certain personality traits, openness, agreeableness and conscientiousness, were associated with problem-solving coping strategies such as active planning and reframing. Openness and extraversion were associated with less perceived stress from the 'patients and relatives' dimension of the NSI; there were also negative correlations between conscientiousness and the 'workload stress' and stress from lack of 'confidence and competence' dimensions of the NSI. Certain personality traits may have a buffering effect on workplace stress. Pre-employment screening to identify staff that exhibit personality and coping traits associated with low perceived stress may be considered as part of the recruitment strategy to address problems relating to stress, sickness and retention. The retention and recruitment of staff who have lower perceived workplace stress and who utilise problem-focused coping may result in less reported absences and fewer critical incidents and errors.

  13. Intensive care diaries reduce new onset post traumatic stress disorder following critical illness

    DEFF Research Database (Denmark)

    Jones, Christina; Bäckman, Carl; Capuzzo, Maurizia

    2010-01-01

    Patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient's intensive care unit (ICU) stay when used during convalescence following critical illness...

  14. Posttraumatic Stress Disorder's Frequency and Intensity Ratings Are Associated with Factor Structure Differences in Military Veterans

    Science.gov (United States)

    Elhai, Jon D.; Palmieri, Patrick A.; Biehn, Tracey L.; Frueh, B. Christopher; Magruder, Kathryn M.

    2010-01-01

    We examined possible differences in the factor structure of posttraumatic stress disorder (PTSD) on the basis of whether frequency or intensity symptom response formats were used to assess PTSD. Participants included 669 veterans recruited from an epidemiological study of four Veterans Affairs Medical Centers' primary care clinics in the…

  15. Review and synthesis of stress intensity factor solutions applicable to cracks in bolts

    International Nuclear Information System (INIS)

    James, L.A.; Mills, W.J.

    1988-01-01

    The available literature for stress intensity factor solutions for cracks in round bars, both threaded and unthreaded, subjected to either tension or bending, is reviewed. The results are synthesized into a form that is appropriate for the analysis of bolts and studs. (author)

  16. Evaluation of stress intensity factor for craks in surface of tubes with internal pressure

    International Nuclear Information System (INIS)

    Cesari, F.; Hellen, T.K.

    1977-01-01

    In this report the authors have examined the different methods for calculation of the stress intensity factor in tubes subject at internal pressure with surface cracks. The analysis includes cracks in 2-D axialsymmetric and 3-D. Moreover the authors have clarified the difference between the ASME Sec.11 and the procedure more rigorous

  17. Measurement and interpretation of threshold stress intensity factors for steels in high-pressure hydrogen gas.

    Energy Technology Data Exchange (ETDEWEB)

    Dadfarnia, Mohsen (University of Illinois at Urbana-Champaign, Urbana, IL); Nibur, Kevin A.; San Marchi, Christopher W.; Sofronis, Petros (University of Illinois at Urbana-Champaign, Urbana, IL); Somerday, Brian P.; Foulk, James W., III; Hayden, Gary A. (CP Industries, McKeesport, PA)

    2010-07-01

    Threshold stress intensity factors were measured in high-pressure hydrogen gas for a variety of low alloy ferritic steels using both constant crack opening displacement and rising crack opening displacement procedures. The sustained load cracking procedures are generally consistent with those in ASME Article KD-10 of Section VIII Division 3 of the Boiler and Pressure Vessel Code, which was recently published to guide design of high-pressure hydrogen vessels. Three definitions of threshold were established for the two test methods: K{sub THi}* is the maximum applied stress intensity factor for which no crack extension was observed under constant displacement; K{sub THa} is the stress intensity factor at the arrest position for a crack that extended under constant displacement; and K{sub JH} is the stress intensity factor at the onset of crack extension under rising displacement. The apparent crack initiation threshold under constant displacement, K{sub THi}*, and the crack arrest threshold, K{sub THa}, were both found to be non-conservative due to the hydrogen exposure and crack-tip deformation histories associated with typical procedures for sustained-load cracking tests under constant displacement. In contrast, K{sub JH}, which is measured under concurrent rising displacement and hydrogen gas exposure, provides a more conservative hydrogen-assisted fracture threshold that is relevant to structural components in which sub-critical crack extension is driven by internal hydrogen gas pressure.

  18. Suppression of Helicobacter pylori infection during intensive care stay: related to stress ulcer bleeding incidence?

    NARCIS (Netherlands)

    van der Voort, P. H.; van der Hulst, R. W.; Zandstra, D. F.; Geraedts, A. A.; van der Ende, A.; Tytgat, G. N.

    2001-01-01

    PURPOSE: To assess the prevalence of active Helicobacter pylori infection in patients admitted to the intensive care unit, to determine the effect of selective gut decontamination on the persistence of this organism, and to explore the possible relationship between H. pylori infection and stress

  19. Calculations of the stress intensity factor on a specimen for a four-point bend

    International Nuclear Information System (INIS)

    Lauerova, D.

    1995-02-01

    The stress intensity factor K I was calculated in dependence on the crack length in a sample for a (non-standard) four-point bend assuming elastic properties of the material. It is shown that the SYSTUS code gives the best results when calculating the K I value from the J-integral. 4 tabs., 12 figs., 4 refs

  20. Are Posttraumatic Stress Symptoms Related to Mental Health Service Use?

    DEFF Research Database (Denmark)

    Madsen, Trine; Andersen, Søren Bo; Karstoft, Karen-Inge

    2016-01-01

    BACKGROUND: Investigating the use of mental health services by combat veterans can help illuminate utilization and unmet needs of this population. The aims of this study were to estimate the use of mental health services and to examine how such use is associated with self-reported symptoms...... of posttraumatic stress disorder (PTSD) in soldiers before and after deployment to Afghanistan. METHODS: Prospectively, 703 Danish soldiers who deployed from January 2009 to August 2009 were followed up with 6 assessments from predeployment to 2.5 years postdeployment in 2012. At assessments, the soldiers...

  1. The association between pregame snacks and exercise intensity, stress, and fatigue in children.

    Science.gov (United States)

    Sacheck, Jennifer M; Rasmussen, Helen M; Hall, Meghan M; Kafka, Tamar; Blumberg, Jeffrey B; Economos, Christina D

    2014-05-01

    To investigate the association between pregame snacks varying in macronutrient content and exercise intensity, physiological stress, and fatigue in young soccer players. One hour before a 50-min soccer game, children (n = 79; 9.1 ± 0.8 y) were randomly assigned to consume a raisin-, peanut-butter-, or cereal-based snack. Body mass index, blood glucose, and salivary measures of stress (cortisol and immunoglobulin A-IgA) were measured pre- and post-game. Exercise intensity was measured by accelerometry. Self-administered questionnaires were used to assess diet quality and fatigue. Analysis of covariance was used to examine the relationship between pregame snacks and biochemical outcomes. Postgame glucose and cortisol increased [12.9 ± 21.3 mg/dL (p fatigue (p fatigue but not changes in blood sugar or stress biomarkers following a soccer game in children.

  2. Further studies on stress intensity factors of semi-elliptical cracks in pressurized cylinders

    International Nuclear Information System (INIS)

    Kobayashi, A.S.; Emery, A.F.; Love, W.J.; Jain, A.

    1979-01-01

    The authors have used, in the past, the three-dimensional stress intensity magnification factor, Msub(KS), for a semi-elliptical surface crack in a flat plate with a curvature correction factor, Msub(C), to estimate the stress intensity magnification factor, Msub(K) = Msub(C) x Msub(KS), for unpressurized and pressurized inner semi-elliptical cracks and unpressurized outer semi-elliptical cracks in pressurized and thermally shocked cylinders. Recent papers by Atluri/Kathiresan, Welliot/Labbens/Pellissier-Tanon and McGowan/Raymund, however, showed that while this plate analogy with curvature correction provided reasonable estimates of the stress intensity factors at the deepest crack penetration, it underestimated the stress intensity factors at the cylindrical surface. The source of this discrepancy was traced to the curvature correction factor Msub(C), which was re-evaluated for various crack configurations and cylindrical geometries studied. Using the updated Msub(C) together with the previously derived Msub(KS), stress intensity factor magnification factor, Msub(K), was rederived for: (1) Pressurized and unpressurized inner semi-elliptical cracks of two crack aspects ratios of b/a = 0.2 and 0.98 at crack depth of b/(Rsub(o)-Rsub(i)) = 0.4, 0.6, and 0.8 in pressurized cylinders with outside-to-inside radius ratios of Rsub(o)/Rsub(i) = 3/2, 5/4, 7/6, and 10/9. (2) Unpressurized outer semi-elliptical cracks of two crack aspect ratios of b/a = 0.2 and 0.98 at crack depths of b/(Rsub(o)-Rsub(i)) = 0.4, 0.6, and 0.8 in pressurized cylinders with outside-to-inside radius ratio of Rsub(o)/Rsub(i) = 3/2, 5/4, 7/6, and 10/9. (orig.)

  3. Experimental and numerical determination of critical stress intensity factor of aluminum curved thin sheets under tensile stress

    Energy Technology Data Exchange (ETDEWEB)

    Heidarvand, Majid; Soltani, Naser; Hajializadeh, Farshid [University of Tehran, Tehran (Iran, Islamic Republic of)

    2017-05-15

    We determined the fracture toughness of aluminum curved thin sheets using tensile stress tests and finite element method. We applied Linear elastic fracture mechanics (LEFM) and Feddersen procedure to evaluate stress intensity factor of the samples with central wire-cut cracks and fatigue cracks with different lengths to investigate the notch radius effect. Special fixture design was utilized to establish uniform stress distribution at the crack zone. Less than 9 % difference was found between the wire-cut and the fatigue cracked samples. Since generating central fatigue crack with different lengths required so much effort, wire-cut cracked samples were used to determine critical stress intensity factor. Finite element analysis was also performed on one-quarter of the specimen using both the singular Borsum elements and the regular isoparametric elements to further investigate fracture toughness of the samples. It was observed that the singular elements presented better results than the isoparametric ones. A slight difference was also found between the results obtained from finite element method using singular elements and the experimental results.

  4. [Stress in parents of hospitalized newborns in a neonatal intensive care unit].

    Science.gov (United States)

    Palma I, Elisa; Von Wussow K, Fernanda; Morales B, Ignacia; Cifuentes R, Javier; Ambiado T, Sergio

    2017-06-01

    The birth of a child that requires hospitalization in a Neonatal Intensive Care Unit (NICU) can be very stressful for parents. To determine the stress level of parents of newborns (NB) hospitalized in a level III NICU in Santiago, and its association with clinical and sociodemographic variables. Descriptive cross-sectional study. 373 admissions were evaluated. The sampling was non-probabilistic and included parents of RN admitted to the UPCN between 7 and 21 days of hospitalization. Only parents which have visited the RN at least three times were included. i) Questionnaire to obtain data which could not be obtained from the medical record; ii) Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU) which measures the perception of parents about stressors from the physical and psychological environment of the UPCN. 100 parents of 59 hospitalized NB participated in the study. The average parental stress was 2.87±0.69. The subscale scores got higher was “Relationship with the baby and parental role”. Complications in pregnancy, prenatal diagnosis or prenatal hospitalization, did not affect the stress level or the presence of prematurity, respiratory diseases, congenital malformations, genopathies or requirement of mechanical ventilation. Stress levels presented in parents are unrelated to gender and to the studied clinical variables.

  5. Communicating with parents in neonatal intensive care units: The impact on parental stress.

    Science.gov (United States)

    Enke, Christian; Oliva Y Hausmann, Andrés; Miedaner, Felix; Roth, Bernhard; Woopen, Christiane

    2017-04-01

    To analyse stress in parents whose infants with very low birth weight have just concluded high-level care in a Neonatal Intensive Care Unit (NICU). More specifically, we aimed 1) to identify groups of parents in the NICU who are particularly at risk of experiencing stress, and 2) to explore the effects of clinical staffś communication on parental stress. Our multi-center-study evaluated views from 1277 parents about care for 923 infants in 66 German NICUs. Answers were linked with separately evaluated medical outcomes of the infants. Separate generalised mixed models estimated the influence of personal, medical and communication-related characteristics on specific parental stress. Parents of a younger age and those of infants with severe prognoses were more likely to experience stress. While empathetic communication as one aspect of staffś communication was shown as appropriate in reducing parental stress, an initial introduction and the quantity of information were only slightly associated with lower levels of stress. Results provide evidence for the need to involve parents empathetically from the beginning of their child's stay in the NICU. Staff in the NICU should communicate empathetically and help to reduce stress in parents particularly at risk. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  6. Predictors of stress among parents in pediatric intensive care unit: a prospective observational study.

    Science.gov (United States)

    Aamir, Mohd; Mittal, Kundan; Kaushik, Jaya Shankar; Kashyap, Haripal; Kaur, Gurpreet

    2014-11-01

    To determine the sociodemographic and clinical factors leading to stress among parents whose children are admitted in pediatric intensive care unit (PICU). A prospective observational study was conducted in PICU of a tertiary care hospital of north India. Parents of children admitted to PICU for at least 48 h duration were eligible for participation. At the end of 48 h, parental stress was assessed using parental stress scale (PSS:PICU) questionnaire which was administered to the parents. Baseline demographic and clinical parameters of children admitted to PICU were recorded. The parental stress was compared with demographic and clinical characteristics of children using appropriate statistical methods. A total of 49 parents were finally eligible for participation. Mean (SD) parental stress scores was highest in domains of procedures [1.52 (0.66)] and behavior and emotional [1.32 (0.42)] subscales. Mean (SD) total parental stress score among intubated children [1.31 (0.25)] was significantly more than among non intubated children [0.97 (0.26)] (p parental stress score were comparable in terms of gender (p = 0.15) and socioeconomic status (p = 0.32). On subscale analysis, it was found that professional communication is a significant stressor in age groups 0-12 mo [0.61(0.41)] (p = 0.02). It was observed that parents of intubated children were significantly stressed by the physical appearance of their children (p parental role (p = 0.002). Total parental stress score had a positive correlation with PRISM score (r = 0.308). Indian parents are stressed maximally with environment of PICU. Factor leading to parental stress was intubation status of the child and was not affected by gender or socio demographic profile of the parents.

  7. Organizational Stressors and Related Stress Intensities in Tehran\\'s Comprehensive Rehabilitation Centers: From the Employees\\' Point of View

    Directory of Open Access Journals (Sweden)

    Nayyereh Tavafi

    2007-01-01

    Full Text Available Objective: Rehabilitation services employees are exposed to stressors at everyday work because they are in touch with people who disability and problems have associated with. Inappropriate policies and processes in work place aggravate stress and would adversely affect mental and physical health of this population which in turn would affect their quality of work. Materials & Methods: In order to determine the status of inappropriate organizational policies and processes as organizational stressors and related stress intensities in Tehran’s comprehensive rehabilitation centers, in a descriptive study all of the personnel were asked to fill a questionnaire which consisted of 32 questions. Content validity was approved by expertise people and reliability was 0.83. Results: Revealed that misevaluation of employees (%98 and using unclear and inappropriate criteria for evaluating personal (%95 were the most prevalent inappropriate organizational policy and process that personnel confronted with. Also we found that exposure to "inequality of payment for similar jobs" and "invalidity of criteria which were used for personnel evaluation", induced highest degree of stress on employees (2.64 from 4 & 1.71from 4 respectively. Conclusion: We conclude that as the most prevalent factor which induced stress in personnel is misevaluation, correction of personnel evaluation system should be over emphasized.

  8. Resolved shear stress intensity coefficient and fatigue crack growth in large crystals

    Science.gov (United States)

    Chen, QI; Liu, Hao-Wen

    1988-01-01

    Fatigue crack growth in large grain Al alloy was studied. Fatigue crack growth is caused primarily by shear decohesion due to dislocation motion in the crack tip region. The crack paths in the large crystals are very irregular and zigzag. The crack planes are often inclined to the loading axis both in the inplane direction and the thickness direction. The stress intensity factors of such inclined cracks are approximated from the two dimensional finite element calculations. The plastic deformation in a large crystal is highly anisotropic, and dislocation motion in such crystals are driven by the resolved shear stress. The resolved shear stress intensity coefficient in a crack solid, RSSIC, is defined, and the coefficients for the slip systems at a crack tip are evaluated from the calculated stress intensity factors. The orientations of the crack planes are closely related to the slip planes with the high RSSIC values. If a single slip system has a much higher RSSIC than all the others, the crack will follow the slip plane, and the slip plane becomes the crack plane. If two or more slip systems have a high RSSIC, the crack plane is the result of the decohesion processes on these active slip planes.

  9. Oxidative stress does not influence local sweat rate during high-intensity exercise.

    Science.gov (United States)

    Meade, Robert D; Fujii, Naoto; Poirier, Martin P; Boulay, Pierre; Sigal, Ronald J; Kenny, Glen P

    2018-02-01

    What is the central question of this study? We evaluated whether oxidative stress attenuates the contribution of nitric oxide to sweating during high-intensity exercise. What is the main finding and its importance? In contrast to our previous report of an oxidative stress-mediated reduction in nitric oxide-dependent cutaneous vasodilatation in this cohort during intense exercise, we demonstrated no influence of local ascorbate administration on the sweating response during moderate- (∼51% peak oxygen uptake) or high-intensity exercise (∼72% peak oxygen uptake). These new findings provide important mechanistic insight into how exercise-induced oxidative stress impacts sudomotor activity. Nitric oxide (NO)-dependent sweating is diminished during high- but not moderate-intensity exercise. We evaluated whether this impairment stems from increased oxidative stress during high-intensity exercise. On two separate days, 11 young (24 ± 4 years) men cycled in the heat (35°C) at a moderate [500 W; 52 ± 6% peak oxygen uptake (V̇O2 peak )] or high (700 W; 71 ± 5% V̇O2 peak ) rate of metabolic heat production. Each session included two 30 min exercise bouts separated by a 20 min recovery period. Local sweat rate was monitored at four forearm skin sites continuously perfused via intradermal microdialysis with the following: (i) lactated Ringer solution (Control); (ii) 10 mm ascorbate (Ascorbate; non-selective antioxidant); (iii) 10 mm N G -nitro-l-arginine methyl ester (l-NAME; NO synthase inhibitor); or (iv) 10 mm ascorbate plus 10 mm l-NAME (Ascorbate + l-NAME). During moderate exercise, sweat rate was attenuated at the l-NAME and Ascorbate + l-NAME sites (both ∼1.0 mg min -1  cm -2 ; all P < 0.05) but not at the Ascorbate site (∼1.1 mg min -1  cm -2 ; both P ≥ 0.28) in comparison to the Control site (∼1.1 mg min -1  cm -2 ). However, no differences were observed between treatment sites (∼1.4 mg min -1  cm -2 ; P = 0

  10. Functional Neuroimaging of Emotionally Intense Autobiographical Memories in Post-Traumatic Stress Disorder

    Science.gov (United States)

    St. Jacques, Peggy L.; Botzung, Anne; Miles, Amanda; Rubin, David C.

    2010-01-01

    Post-traumatic stress disorder (PTSD) affects regions that support autobiographical memory (AM) retrieval, such as the hippocampus, amygdala and ventral medial prefrontal cortex (PFC). However, it is not well understood how PTSD may impact the neural mechanisms of memory retrieval for the personal past. We used a generic cue method combined with parametric modulation analysis and functional MRI (fMRI) to investigate the neural mechanisms affected by PTSD symptoms during the retrieval of a large sample of emotionally intense AMs. There were three main results. First, the PTSD group showed greater recruitment of the amygdala/hippocampus during the construction of negative versus positive emotionally intense AMs, when compared to controls. Second, across both the construction and elaboration phases of retrieval the PTSD group showed greater recruitment of the ventral medial PFC for negatively intense memories, but less recruitment for positively intense memories. Third, the PTSD group showed greater functional coupling between the ventral medial PFC and the amygdala for negatively intense memories, but less coupling for positively intense memories. In sum, the fMRI data suggest that there was greater recruitment and coupling of emotional brain regions during the retrieval of negatively intense AMs in the PTSD group when compared to controls. PMID:21109253

  11. Thermal stress intensity factor for an axial crack in a clad cylinder

    International Nuclear Information System (INIS)

    Kuo, An Yu; Deardorf, A.F.; Riccardella, P.C.

    1993-01-01

    Many clad pressure vessels have been found to have cracks running through the inside surface cladding and into the base material. Although Young's moduli and Poisson's ratios of the clad and base materials are about the same for most of the industrial applications, coefficients of thermal expansion of the two dissimilar materials, clad and base materials, are usually quite different. For example, low alloy ferritic steel is a common base material for reactor pressure vessels (RPV) and the vessels are usually clad with austenitic stainless steel. Young's moduli for the low alloy steel and stainless steel at 350 F are 29,000 ksi and 28,000 ksi, respectively, while their coefficients of thermal expansion are 7.47x10 -6 in/in and 9.50x10 -6 in/in-degree F, respectively. The mismatch in coefficients of thermal expansion will cause high residual thermal stress even when the entire vessel is at a uniform temperature. This residual stress is one of the primary reasons why so many cracks have been found in the cladded components. In performing reactor pressure vessel integrity evaluation, such as computing probability of brittle fracture of the RPV, it is necessary to calculate stress intensity factors for cracks, which initiate from the clad material and run into the base metal. This paper presents a convenient method of calculating stress intensity factor for an axial crack emanating from the inside surface of a cladded cylinder under thermal loading. A J-integral like line integral was derived and used to calculate the stress intensity factors from finite element stress solutions of the problem

  12. Spatial Agglomeration, Technology and Outsourcing of Knowledge Intensive Business Services Empirical Insights from Italy

    OpenAIRE

    Antonietti, Roberto; Cainelli, Giulio

    2007-01-01

    Aim of this paper is to explore the main drivers of outsourcing of knowledge intensive business services by Italian manufacturing firms. While anecdotal and empirical evidence has emphasized labour cost and scale economies as behind firms’ choices to outsource production or service activities, here we focus on spatial agglomeration and technology as important factors. Using microeconomic data on a repeated cross-section of Italian manufacturing firms for the period 1998-2003, we develop a two...

  13. Stress intensities for nozzle cracks in reactor vessels. Reporting period, January 1, 1976--October 31, 1976

    International Nuclear Information System (INIS)

    Smith, C.W.; Jolles, M.; Peters, W.H.

    1976-11-01

    A series of six frozen stress photoelastic tests was conducted to investigate the distribution of stress intensity factor (SIF) along a crack which occurred at the juncture of a pipe (nozzle) with a cylindrical pressure vessel. Typical photoelastic fringe patterns are shown for slices which were taken mutually orthogonal to the flaw border and the flaw surface. A typical plot of normalized apparent SIF versus square root of normalized distance from the crack tip is presented. The variation in SIF along the flaw border is given for all six different crack geometries and also the variation of SIF with varying a/T is presented. 40 references

  14. Low intensity aerobic exercise and oxidative stress markers in older adults.

    Science.gov (United States)

    Bouzid, Mohamed A; Hammouda, Omar; Matran, Régis; Robin, Sophie; Fabre, Claudine

    2014-10-01

    This comparative study examined the effects of regular low intensity aerobic exercise on oxidative stress markers in older adults. The study was carried out on 15 sedentary subjects (age: 65.1 ± 3.5 years) versus 18 subjects performing fitness exercises (age: 65.8 ± 3.3 years). Before and after an incremental exercise test, oxidative stress markers were assessed. Superoxide dismutase was higher at rest and at the recovery for the physically active subjects compared with sedentary subjects (p aerobic exercise may be useful to prevent the decline of antioxidants linked with aging.

  15. Simulated Service and Stress Corrosion Cracking Testing for Friction Stir Welded Spun Formed Domes

    Science.gov (United States)

    Stewart, Thomas J.; Torres, Pablo D.; Caratus, Andrei A.; Curreri, Peter A.

    2010-01-01

    Simulated service testing (SST) development was required to help qualify a new 2195 aluminum lithium (Al-Li) alloy spin forming dome fabrication process for the National Aeronautics and Space Administration (NASA) Exploration Development Technology Program. The application for the technology is to produce high strength low weight tank components for NASA s next generation launch vehicles. Since plate material is not currently manufactured large enough to fabricate these domes, two plates are joined by means of friction stir welding. The plates are then pre-contour machined to near final thicknesses allowing for a thicker weld land and anticipating the level of stretch induced by the spin forming process. The welded plates are then placed in a spin forming tool and hot stretched using a trace method producing incremental contours. Finally the dome receives a room temperature contour stretch to final dimensions, heat treatment, quenching, and artificial aging to emulate a T-8 condition of temper. Stress corrosion cracking (SCC) tests were also performed by alternate immersion in a sodium chloride (NaCl) solution using the typical double beam assembly and with 4-point loaded specimens and use of bent-beam stress-corrosion test specimens under alternate immersion conditions. In addition, experiments were conducted to determine the threshold stress intensity factor for SCC (K(sub ISCC)) which to our knowledge has not been determined previously for Al-Li 2195 alloy. The successful simulated service and stress corrosion testing helped to provide confidence to continue to Ares 1 scale dome fabrication

  16. [The application of low-intensity electromagnetic radiation under immobilization stress conditions (an experimental study)].

    Science.gov (United States)

    Korolev, Iu N; Bobrovnitskiĭ, I P; Nikoulina, L A; Mikhaĭlik, L V; Geniatulina, M S; Bobkova, A S

    2014-01-01

    The experiments carried out on outbred male white rats with the use of optical, electron-microscopic, biochemical, and radioimmunological methods have demonstrated that the application of low-intensity electromagnetic radiation (LI-EMR) with a flow density of 1 mcW/cm2 and a frequency of around 1,000 MHz both in the primary prophylaxis regime and as the therapeuticpreventive modality arrested the development of post-stress disorders in the rat testicles, liver, and thymus; moreover, it promoted activation of the adaptive, preventive, and compensatory processes. The data obtained provide a rationale for the application of low-intensity electromagnetic radiation to protect the organism from negative effects of stressful factors.

  17. Analysis of stress intensity factors for surface cracks in pre/post penetration

    International Nuclear Information System (INIS)

    Miyoshi, Toshiro; Yoshida, Yuichiro

    1988-01-01

    It is important to evaluate the penetration of surface cracks in a Leak-Before-Break analysis. Because the stress intensity factors for surface cracks in pre/post penetration had not yet been analyzed, the authors carried three-dimensional boundary element analyses in order to obtain them. First, the authors developed the technique of nodal breakdown appropriate for cracks with short ligament length in a two-dimensional boundary element analysis. Next, analyses of stress intensity factor for surface cracks in pre/post penetration were carried out using the technique of nodal breakdown for cracks with short ligament length and the three-dimensional boundary element code BEM 3 D which was designed for a supercomputer. (author)

  18. Quantification of Protein Biomarker Using SERS Nano-Stress Sensing with Peak Intensity Ratiometry

    Science.gov (United States)

    Goh, Douglas; Kong, Kien Voon; Jayakumar, Perumal; Gong, Tianxun; Dinish, U. S.; Olivo, Malini

    We report a surface enhanced Raman spectroscopy (SERS) ratiometry method based on peak intensity coupled in a nano-stress sensing platform to detect and quantify biological molecules. Herein, we employed an antibody-conjugated p-aminothiophenol (ATP) functionalized on a bimetallic-film-over-nanosphere (BMFON) substrate as a sensitive SERS platform to detect human haptoglobin (Hp) protein, which is an acute phase protein and a biomarker for various cancers. Correlation between change in the ATP spectral characteristics and concentration of Hp protein was established by examining the peak intensity ratio at 1572cm-1 and 1592cm-1 that reflects the degree of stress experienced by the aromatic ring of ATP during Hp protein-antibody interaction. Development of this platform shows the potential in developing a low-cost and sensitive SERS sensor for the pre-screening of various biomarkers.

  19. Effects of Exercise Intensity on Postexercise Endothelial Function and Oxidative Stress

    Directory of Open Access Journals (Sweden)

    Conor McClean

    2015-01-01

    Full Text Available Purpose. To measure endothelial function and oxidative stress immediately, 90 minutes, and three hours after exercise of varying intensities. Methods. Sixteen apparently healthy men completed three exercise bouts of treadmill running for 30 minutes at 55% V˙O2max (mild; 20 minutes at 75% V˙O2max (moderate; or 5 minutes at 100% V˙O2max (maximal in random order. Brachial artery flow-mediated dilation (FMD was assessed with venous blood samples drawn for measurement of endothelin-1 (ET-1, lipid hydroperoxides (LOOHs, and lipid soluble antioxidants. Results. LOOH increased immediately following moderate exercise (P0.05. Conclusions. Acute exercise at different intensities elicits varied effects on oxidative stress, shear rate, and ET-1 that do not appear to mediate changes in endothelial function measured by FMD.

  20. Stress Intensity Factor for Interface Cracks in Bimaterials Using Complex Variable Meshless Manifold Method

    Directory of Open Access Journals (Sweden)

    Hongfen Gao

    2014-01-01

    Full Text Available This paper describes the application of the complex variable meshless manifold method (CVMMM to stress intensity factor analyses of structures containing interface cracks between dissimilar materials. A discontinuous function and the near-tip asymptotic displacement functions are added to the CVMMM approximation using the framework of complex variable moving least-squares (CVMLS approximation. This enables the domain to be modeled by CVMMM without explicitly meshing the crack surfaces. The enriched crack-tip functions are chosen as those that span the asymptotic displacement fields for an interfacial crack. The complex stress intensity factors for bimaterial interfacial cracks were numerically evaluated using the method. Good agreement between the numerical results and the reference solutions for benchmark interfacial crack problems is realized.

  1. Stress intensity magnification factors for fully circumferential cracks in valve bodies (thick cylinders)

    International Nuclear Information System (INIS)

    Toor, P.M.

    1998-01-01

    The stress intensity solutions presented herein were obtained using an energy method in conjunction with a two-dimensional finite element program in order to explicitly account for curvature effect for fully circumferential cracks. The magnification factors for a specific crack depth were calculated by successively loading the crack surface by a uniform, linear, quadratic, and a cubic loading distribution. The magnification factors can be used to calculate the stress intensity factors by superposition method. The functions for each load condition in terms of radius to thickness ratio (R/t) and a fractional distance in terms of crack depth to thickness ratio (a/t) were developed. The validity of these functions is R/t = 1.5 to 10.0 and for 0.0125 ≤ a/t ≤ 0.8125. The functions agree to within 1% of the finite elements solutions for most magnification factors

  2. A virtual crack-closure technique for calculating stress intensity factors for cracked three dimensional bodies

    Science.gov (United States)

    Shivakumar, K. N.; Tan, P. W.; Newman, J. C., Jr.

    1988-01-01

    A three-dimensional virtual crack-closure technique is presented which calculates the strain energy release rates and the stress intensity factors using only nodal forces and displacements from a standard finite element analysis. The technique is an extension of the Rybicki-Kanninen (1977) method, and it assumes that any continuous function can be approximated by a finite number of straight line segments. Results obtained by the method for surface cracked plates with and without notches agree favorably with previous results.

  3. Low intensity microwave radiation induced oxidative stress, inflammatory response and DNA damage in rat brain.

    Science.gov (United States)

    Megha, Kanu; Deshmukh, Pravin Suryakantrao; Banerjee, Basu Dev; Tripathi, Ashok Kumar; Ahmed, Rafat; Abegaonkar, Mahesh Pandurang

    2015-12-01

    Over the past decade people have been constantly exposed to microwave radiation mainly from wireless communication devices used in day to day life. Therefore, the concerns over potential adverse effects of microwave radiation on human health are increasing. Until now no study has been proposed to investigate the underlying causes of genotoxic effects induced by low intensity microwave exposure. Thus, the present study was undertaken to determine the influence of low intensity microwave radiation on oxidative stress, inflammatory response and DNA damage in rat brain. The study was carried out on 24 male Fischer 344 rats, randomly divided into four groups (n=6 in each group): group I consisted of sham exposed (control) rats, group II-IV consisted of rats exposed to microwave radiation at frequencies 900, 1800 and 2450 MHz, specific absorption rates (SARs) 0.59, 0.58 and 0.66 mW/kg, respectively in gigahertz transverse electromagnetic (GTEM) cell for 60 days (2h/day, 5 days/week). Rats were sacrificed and decapitated to isolate hippocampus at the end of the exposure duration. Low intensity microwave exposure resulted in a frequency dependent significant increase in oxidative stress markers viz. malondialdehyde (MDA), protein carbonyl (PCO) and catalase (CAT) in microwave exposed groups in comparison to sham exposed group (pmicrowave exposed groups (pmicrowave exposed animal (pmicrowave exposed groups as compared to their corresponding values in sham exposed group (pmicrowave radiation induces oxidative stress, inflammatory response and DNA damage in brain by exerting a frequency dependent effect. The study also indicates that increased oxidative stress and inflammatory response might be the factors involved in DNA damage following low intensity microwave exposure. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Causal relations between knowledge-intensive business services and regional employment growth

    NARCIS (Netherlands)

    Brenner, T.; Capasso, M.; Duschl, M.; Frenken, K.; Treibich, T.G.

    2015-01-01

    This paper studies the causal relations between regional employment growth in Knowledge-Intensive Business Services (KIBS) and overall regional employment growth using German labour-market data for the period 1999-2012. Adopting a recently developed technique, we are able to estimate a structural

  5. Pipe stress intensity factors and coupled depressurization and dynamic crack propagation. 1976 Annual report

    International Nuclear Information System (INIS)

    Emery, A.F.; Kobayashi, A.S.; Love, W.J.

    1978-04-01

    This report contains the description of predictive models for the initiation and propagation of cracks in pipes and the numerical results obtained. The initiation of the crack was studied by evaluating stress intensity factors under static conditions for a series of representative flaws. Three-dimensional static stress intensity factors were determined for quarter-elliptical cracks at the corner of a hole in an infinite plate and at the corner of a bore in a rotating disk. Semi-elliptical cracks for plates in bending and in pressurized and thermally stressed hollow cylinders were also evaluated. The stress fields, in the absence of a crack, were used in the ''alternating technique'' to compute the stress intensity factors along the crack front. Parametric studies were made to assess the effects of crack thickness, the ratio of the major and minor axes of the ellipse and the thickness of the cylinders or plates. These parametric results may be used to predict critical flaw sizes for the initiation of the running crack. The initiation and propagation of axial through cracks in pressurized pipes was studied by using an elastic-plastic finite different shell code coupled with a one-dimensional thermal-hydraulic code which computed the leakage through the crack opening and the depressurization of the fluid in the pipe. The effects of large deflections and different fluid pressure profiles were investigated. The results showed that the crack opening shape is dependent upon the fracture criterion used and upon the average pressure on the crack flaps, but not upon the specific pressure profile. The consideration of large deflections changed the opening size of the crack and through the coupling with the pipe pressures, strongly affected the crack tip speed. However, for equal crack lengths, there was little difference between calculations made for large and small deflection

  6. A study on the evaluation of dynamic stress intensity factor in repeated impact bending test

    International Nuclear Information System (INIS)

    Sim, Jae Ki; Cho, Gyu Jae; Han, Gill Young

    1988-01-01

    The purpose of the present paper was to establish the evaluation of the dynamic stress intensity factor in repeated impact three point bending test. Contact force between the impact bar and the cracked beam (simple supported beam) was analyzed by the using Hertz's contact law. In order to clarify the validity of theoretical analysis, experiments of dynamic stress intensity factir k I (t) are made on the cracked beam. The results obtained from this study are as follow: 1. In case of impact force analysis the theoretical result was obtained by the use of the Hertz's contact law. It's result was agreemant with the experimental result. Particularly, it was good agreement in the low impact velocity range. 2. The time variation of the dynamic stress intensity was determined by using the simple formula developed in this pqper. And the validity of it's result can be confirmed by experiment. Particlarly, this theoretical analysis was a good agreement to actual phenomena on from 0.3 msec to 0.65 msec. (Author)

  7. Calculation of stress intensity factors for circumferential semi-elliptical cracks with high aspect ratio in pipes

    International Nuclear Information System (INIS)

    Zareei, A.; Nabavi, S.M.

    2016-01-01

    In this paper, stress intensity factors are calculated at the deepest point of an internal circumferential semi-elliptical crack in a pipe subjected to any arbitrary load. Based on the three dimensional finite element analysis, a weight function is proposed for high aspect ratio semi-elliptical cracks in pipes. An effective expression is developed analytically to evaluate the stress intensity factor using the weight function method. For several crack face stress fields and welding residual stress distributions, the weight function is validated against finite element data and those in the literature. Based on the comparison results, it can be concluded that the solution proposed in this paper is effective in engineering applications. - Highlights: • Analysis of internal circumferential semi-elliptical cracks with high aspect ratio in pipes. • A weight function is proposed for the calculation of the stress intensity factors for the deepest point of the crack. • An effective closed form expression is proposed to evaluate the stress intensity factors. • Prediction of stress intensity factors for any applied stress gradients through the wall thickness without any limitations. • A three-dimensional finite element modeling employs to calculate the stress intensity factors for different geometries.

  8. Improved Formula for the Stress Intensity Factor of Semi-Elliptical Surface Cracks in Welded Joints under Bending Stress

    Science.gov (United States)

    Peng, Yang; Wu, Chao; Zheng, Yifu; Dong, Jun

    2017-01-01

    Welded joints are prone to fatigue cracking with the existence of welding defects and bending stress. Fracture mechanics is a useful approach in which the fatigue life of the welded joint can be predicted. The key challenge of such predictions using fracture mechanics is how to accurately calculate the stress intensity factor (SIF). An empirical formula for calculating the SIF of welded joints under bending stress was developed by Baik, Yamada and Ishikawa based on the hybrid method. However, when calculating the SIF of a semi-elliptical crack, this study found that the accuracy of the Baik-Yamada formula was poor when comparing the benchmark results, experimental data and numerical results. The reasons for the reduced accuracy of the Baik-Yamada formula were identified and discussed in this paper. Furthermore, a new correction factor was developed and added to the Baik-Yamada formula by using theoretical analysis and numerical regression. Finally, the predictions using the modified Baik-Yamada formula were compared with the benchmark results, experimental data and numerical results. It was found that the accuracy of the modified Baik-Yamada formula was greatly improved. Therefore, it is proposed that this modified formula is used to conveniently and accurately calculate the SIF of semi-elliptical cracks in welded joints under bending stress. PMID:28772527

  9. Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors.

    Science.gov (United States)

    Andolhe, Rafaela; Barbosa, Ricardo Luis; Oliveira, Elaine Machado de; Costa, Ana Lúcia Siqueira; Padilha, Katia Grillo

    2015-02-01

    Objective To investigate emotional stress, coping and burnout among nursing staff and their association with biosocial factors and characteristics of work in Intensive Care Units (ICU). Method This was a cross-sectional study, conducted in eight ICUs at a teaching hospital in the city of São Paulo, Brazil, in October 2012. Biosocial data and information about the professionals' work was gathered, and they were given the Scale of Occupational Stress, Scale of Occupational Coping, List of Signs and Symptoms of Stress and the Maslach Burnout Inventory. Results The study sample consisted of 287 subjects, predominately women, with partners and children. Most professionals presented moderate stress levels and control as a coping strategy (74.47% and 79.93%, respectively), and burnout was present among 12.54%. Factors associated with stress were related to working conditions. The most prevalent protective factors were having a partner, working in the clinical ICU and liking work, while adequate amount of sleep was a protective factor for burnout. Conclusion Control of the working environment and adequate sleep are decisive and protective factors in dealing with situations of occupational stress.

  10. Influence of acute exercise of varying intensity and duration on postprandial oxidative stress.

    Science.gov (United States)

    Canale, Robert E; Farney, Tyler M; McCarthy, Cameron G; Bloomer, Richard J

    2014-09-01

    Aerobic exercise can reduce postprandial lipemia, and possibly oxidative stress, when performed prior to a lipid-rich meal. To compare the impact of acute exercise on postprandial oxidative stress. We compared aerobic and anaerobic exercise bouts of different intensities and durations on postprandial blood triglycerides (TAG), oxidative stress biomarkers (malondialdehyde, hydrogen peroxide, advanced oxidation protein products), and antioxidant status (trolox equivalent antioxidant capacity, superoxide dismutase, catalase, glutathione peroxidase). Twelve trained men (21-35 years) underwent four conditions: (1) No exercise rest; (2) 60-min aerobic exercise at 70% heart rate reserve; (3) five 60-s sprints at 100% max capacity; and (4) ten 15-s sprints at 200% max capacity. All exercise bouts were performed on a cycle ergometer. A high-fat meal was consumed 1 h after exercise cessation. Blood samples were collected pre-meal and 2 and 4 h post-meal and analyzed for TAG, oxidative stress biomarkers, and antioxidant status. No significant interaction or condition effects were noted for any variable (p > 0.05), with acute exercise having little to no effect on the magnitude of postprandial oxidative stress. In a sample of healthy, well-trained men, neither aerobic nor anaerobic exercise attenuates postprandial oxidative stress in response to a high-fat meal.

  11. Specific features of peroxide stress in children permanently exposed to low-intensity radiation

    International Nuclear Information System (INIS)

    Durnov, L.A.; Bajkova, V.N.; Mayakova, S.A.; Polyakov, V.G.; Kolosov, E.A.; Dumbrajs, K.O.; Gracheva, I.V.; Zakharova, N.V.; Leonidova, Yu.A.; Romanova, L.F.

    2000-01-01

    To study the peculiarities of peroxide stress in children residing at the territories with chronic low-intensity radiation effects, the investigation was performed of tyrosine level, indices of the intensity of free radical lipid peroxidation and antioxidant system status in children and teenagers living in Sverdlovsk and Kolpnyansk districts of the Orel region contaminated due to the Chernobyl accident. Regions mentioned are characterized by low-intensity contamination with radionuclides (mainly 90 Sr, 131 I, 137 Cs), 25% an increase in tyrosine content, 1.8 times in malonic dial, 25-40 % in catalase and superoxide dismutase activity was revealed in blood plasma. Contents of A and E vitamins, glutathione and glutathione-depending enzymes are decreased. It is recommended to observe children health in regions contaminated as a result of the Chernobyl accident and correct failed redox processes using antioxidative vitamins [ru

  12. Impact of Knowledge Intensive Business Services on Economic Performance of Sectors and Regions

    Directory of Open Access Journals (Sweden)

    Laurenţiu Tăchiciu

    2016-02-01

    Full Text Available The role of knowledge intensive services in today's economy are among the topics most frequently addressed in recent years by researchers. The major interest is targeting in particular services provided to enterprises, known internationally as knowledge intensive business services or, by abbreviation, KIBS. As a sector of the economy, KIBS consists of enterprises specializing in providing to other businesses services that require intensive use of advanced knowledge, thus characterized by the fact that intellectual input has a decisive share in the value added. Usually are considered part of this sector undertakings which have as object of activity the provision of services in the fields of research and development, design and technical assistance in implementing of new technologies including information and communication, training, management consulting, marketing and advertising, quality assurance and certification, accounting and auditing, legal consulting and assistance, architecture and construction engineering. According to the statistical classification NACE rev2, much of KIBS can be found in divisions 62, 63, 69, 71-74.

  13. Critical Zone Services as a Measure for Evaluating the Trade-offs in Intensively Managed Landscapes

    Science.gov (United States)

    Richardson, M.; Kumar, P.

    2015-12-01

    The Critical Zone includes the range of biophysical processes occurring from the top of the vegetation canopy to the weathering zone below the groundwater table. These services (Field et al. 2015) provide a measure to value processes that support the goods and services from our landscapes. In intensively managed landscapes the provisioning and regulating services are being altered through anthropogenic energy inputs so as to derive more agricultural productivity from the landscapes. Land use change and other alterations to the environment result in positive and/or negative net Critical Zone services. Through studies in the Critical Zone Observatory for Intensively Managed Landscapes (IMLCZO), this research seeks to answer questions such as: Are perennial bioenergy crops or annual replaced crops better for the land and surrounding environment? How do we evaluate the products and services from the land for the energy and resources we put in? Before the economic valuation of Critical Zone services, these questions seemed abstract. However, with developments such as Critical Zone services and life cycle assessments, they are more concrete. To evaluate the trade-offs between positive and negative impacts, life cycle assessments are used to create an inventory of all the energy inputs and outputs in a landscape management system. Total energy is computed by summing the mechanical energy used to construct tile drains, fertilizer, and other processes involved in intensely managed landscapes and the chemical energy gained by the production of biofuels from bioenergy crops. A multi-layer canopy model (MLCan) computes soil, water, and nutrient outputs for each crop type, which can be translated into Critical Zone services. These values are then viewed alongside the energy inputs into the system to show the relationship between agricultural practices and their corresponding ecosystem and environmental impacts.

  14. Innovative public library services - staff-less or staff-intensive?

    DEFF Research Database (Denmark)

    Johannsen, Carl Gustav Viggo

    2014-01-01

    Purpose – Several recent library innovations seem to make professional and clerical staff superfluous such as automated loan and delivery equipment, staff-less libraries open in 80 hours a week, and virtual services, enabling users to search the library catalogue and make reservations of library...... materials from their home address. The purpose of this paper is to examine whether such developments will necessarily lead to a situation where public libraries become self-service institutions or to what extent self-service and innovative staff-intensive library services can develop and co......-exist. Furthermore, the paper will examine what challenges library leaders face and what they can do, and actually have done, to handle staff resistance and other related problems to the benefit of both the users, the local communities, and also, the staff, in particular, when introducing new and innovative services...

  15. Coping With Staff Burnout and Work-Related Posttraumatic Stress in Intensive Care.

    Science.gov (United States)

    Colville, Gillian A; Smith, Jared G; Brierley, Joe; Citron, Kim; Nguru, Noreen M; Shaunak, Priyanka D; Tam, Olivia; Perkins-Porras, Linda

    2017-07-01

    To examine the associations with symptoms of 1) burnout and 2) work-related posttraumatic stress, in adult and pediatric intensive care staff, focusing on the particular contributions of resilience and coping strategies. Point prevalence cross-sectional study. Three adult ICUs and four PICUs. Three hundred seventy-seven ICU staff. None. Brief Resilience Scale, abbreviated Maslach Burnout Inventory, Trauma Screening Questionnaire, and Hospital Anxiety and Depression Scale. Prevalence of burnout (defined as high emotional exhaustion or high depersonalization) was 37%. Prevalence of clinically significant posttraumatic stress symptoms was 13%. There was a degree of overlap between burnout and other measures of distress, most notably for anxiety (odds ratio, 10.56; 95% CI, 4.12-27.02; p work-related distress (burnout: odds ratio, 0.52; 95% CI, 0.36-0.74; p stress: odds ratio, 0.28; 95% CI, 0.16-0.46; p stress were less if staff used talking to seniors (odds ratio, 0.43; 95% CI, 0.20-0.92; p = 0.029) or hobbies (odds ratio, 0.46; 95% CI, 0.23-0.93; p = 0.030) to cope with stress at work. Venting emotion (odds ratio, 1.92; 95% CI, 1.12-3.31; p = 0.018) and using alcohol (odds ratio, 2.30; 95% CI, 1.26-4.20; p = 0.006) were associated with a doubling in risk of reporting burnout. The use of particular coping strategies was systematically associated with symptoms of burnout and work-related posttraumatic stress in this group of intensive care staff, even after controlling for resilience and other factors. More research on how best to promote adaptive coping is needed in these challenging settings.

  16. Perceived Stress and Professional Quality of Life in Neonatal Intensive Care Unit Nurses in Gujarat, India.

    Science.gov (United States)

    Amin, Amee A; Vankar, Jagdish R; Nimbalkar, Somashekhar M; Phatak, Ajay G

    2015-11-01

    To study the levels of perceived stress in Neonatal Intensive Care Unit (NICU) nurses and its association with professional quality of life domains viz. compassion satisfaction, burnout and secondary trauma. In this multicenter, cross sectional study, data was collected by surveying 129 nurses from nine NICUs across six cities of Gujarat, India using demographic questionnaire, Perceived Stress Scale (PSS14) and Professional Quality of Life Scale (ProQOL5) during July to September 2013. Descriptive statistics, correlation coefficient and multiple regression were used for analysis. The mean (SD) age of participants was 28.37 (8.20) y. Most were single, satisfied with salary benefits and reported 'good' to 'excellent' relationships at work. The mean (SD) duration of duty hours was 8.12 (0.76) h and 43.6% were attending to more than 4 patients/shift. The mean (SD) perceived stress level was 22.19 (7.17) [Range: 3 to 39]. High compassion satisfaction, high burnout, and high secondary traumatic stress were reported by 25 (19.4%), 30 (23.3%) and 30 (23.3%) nurses respectively. PSS14 was negatively correlated with compassion satisfaction (r = -0.28) and positively correlated with burnout (r = 0.43) and secondary traumatic stress (r = 0.24). Most of the nurses (91, 70.5%) were identified as perceiving moderate to high stress. Professional quality of life domains correlated with perceived stress. There is further need to study domains influencing NICU nurses' professional QOL. Identifying stress and QOL issues in NICU nurses can help formulate relevant policies.

  17. Iranian parent-staff communication and parental stress in the neonatal Intensive Care Unit.

    Science.gov (United States)

    Hasanpour, Marzieh; Alavi, Mousa; Azizi, Fatemeh; Als, Heidelise; Armanian, Amir Mohmmad

    2017-01-01

    The birth of an infant requiring hospitalization in the neonatal Intensive Care Unit (NICU) uniformly is reported to be stressful for parents and family members. This study aimed to determine parent-staff communication in the NICU and its relationship to parent stress. Two hundred and three Iranian parents with preterm infants hospitalized in the NICU participated in this descriptive-correlational study. The participants were selected by the quota sampling method. Data collected included a three-part: questionnaire, the first part covered demographic parent and infant information, the second was the Parent-Staff Communication Scale (the score of which ranged from 0 to 180), and the third was the Parental Stress Scale (the score of which ranged from 0 to 102). Descriptive and inferential statistics including the Pearson's correlation coefficient test were applied to the data, using SPSS software Version 16. This study revealed that fathers and mothers' stress and communication scores were almost comparable and both higher than expected. The total mean score of the two main variables, i.e., parent-staff communication and parental stress were, respectively, 100.72 ± 18.89 and 75.26 ± 17.6. A significant inverse correlation was found between parental stress and parent-staff communication scores ( r = -0.144, P = 0.041). Based on this study finding showed that better parent-staff communication is related to lower parent stress scores, it is recommended that nurses and physicians receive specific skill training for the establishment of effective parent-staff communication. It is anticipated that such improved staff skills will help decrease parent stress and therewith likely promote parent and infant health in the NICU.

  18. [Reimbursement of intensive care services in the German DRG system : Current problems and possible solutions].

    Science.gov (United States)

    Riessen, R; Hermes, C; Bodmann, K-F; Janssens, U; Markewitz, A

    2018-02-01

    The reimbursement of intensive care and nursing services in the German health system is based on the diagnosis-related groups (G-DRG) system. Due to the lack of a central hospital planning, the G‑DRG system has become the most important influence on the development of the German health system. Compared to other countries, intensive care in Germany is characterized by a high number of intensive care beds, a low nurse-to-patient ratio, no official definition of the level of care, and a minimal available data set from intensive care units (ICUs). Under the given circumstances, a shortage of qualified intensive care nurses and physicians is currently the largest threat for intensive care in Germany. To address these deficiencies, we suggest the following measures: (1) Integration of ICUs into the levels of care which are currently developed for emergency centers at hospitals. (2) Mandatory collection of structured data sets from all ICUs including quality criteria. (3) A reform of intensive care and nursing reimbursement under consideration of adequate staffing in the individual ICU. (4) Actions to improve ICU staffing and qualification.

  19. Clinical psychologists' views of intensive interaction as an intervention in learning disability services.

    Science.gov (United States)

    Berry, Ruth; Firth, Graham; Leeming, Catherine; Sharma, Vishal

    2014-01-01

    Intensive Interaction was initially developed in the 1980s as an educational approach for developing social communication and engagement with people with severe or profound intellectual disabilities and/or autism. Intensive Interaction has subsequently been adopted by a range of practitioners and professionals working in learning disability services and has a broad multi-disciplinary acceptance, being recommended in a number of UK governmental guidance documents. Despite this, there has been limited work on developing a deeper psychological understanding of the approach. This study utilises a qualitative description/thematic analysis approach to explore how clinical psychologists conceptualise the approach with regard to currently accepted psychological theories, as well as looking at other factors that influence their adoption and advocacy. The sample deliberately consisted of eight NHS (National Health Service) clinical psychologists known to be using or advocating the use of Intensive Interaction with people with a learning disability. The results of this study indicate that although the participants referred to some theories that might explain the beneficial outcomes of Intensive Interaction, these theories were rarely explicitly or clearly referenced, resulting in the authors having to attribute specific theoretical positions on the basis of inductive analysis of the participants' responses. Moreover, the participants provided varying views on how Intensive Interaction might be conceptualised, highlighting the lack of a generally accepted, psychologically framed definition of the approach. In conclusion, it was felt that further research is required to develop a specifically psychological understanding of Intensive Interaction alongside the formation of a Special Interest Group, which might have this task as one of its aims. There appeared to be a limited recognition amongst the participants of the specific psychological theories that can be seen to explain

  20. STRESS TESTS FOR VIDEOSTREAMING SERVICES BASED ON RTSP PROTOCOL

    Directory of Open Access Journals (Sweden)

    Gabriel Elías Chanchí Golondrino

    2015-11-01

    Full Text Available Video-streaming is a technology with major implications these days in such diverse contexts as education, health and the business sector; all of this regarding the ease it provides for remote access to live or recorded media content, allowing communication regardless of geographic location. One standard protocol that enables implementation of this technology is real time streaming protocol, or RTSP. However, since most application servers and Internet services are supported on HTTP requests, very little research has been done on generating tools for carrying out stress tests on streaming servers. This paper presents a stress measuring tool called Hermes, developed in Python, which allows calculation of response times for establishing RTSP connections to streaming servers, as well as obtaining RAM memory consumption and CPU usage rate data from these servers. Hermes was deployed in a video-streaming environment where stress testing was carried out on the LIVE555 server, using calls in the background to VLC and OpenRTSP open source clients. 

  1. Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan.

    Science.gov (United States)

    Lin, Tzu-Ching; Lin, Huey-Shyan; Cheng, Su-Fen; Wu, Li-Min; Ou-Yang, Mei-Chen

    2016-04-01

    This study aimed to examine the relationship between work stress and depression; and investigate the mediating effect of occupational burnout among nurses in paediatric intensive care units. The relationships among work stress, occupational burnout and depression level have been explored, neither regarding occupational burnout as the mediating role that causes work stress to induce depression nor considering the paediatric intensive care unit context. A cross-sectional correlational design was conducted. One hundred and forty-four female paediatric intensive care unit nurses from seven teaching hospitals in southern Taiwan were recruited as the participants. Data were collected by structured questionnaires including individual demographics, the Nurse Stress Checklist, the Occupational Burnout Inventory and the Taiwan Depression Questionnaire. The results indicated that after controlling for individual demographic variables, the correlations of work stress with occupational burnout, as well as work stress and occupational burnout with depression level were all positive. Furthermore, occupational burnout may exert a partial mediating effect on the relationship between work stress and depression level. This study provides information about work stress, occupational burnout and depression level, and their correlations, as well as the mediating role of occupational burnout among paediatric intensive care unit nurses. It suggests government departments and hospital administrators when formulating interventions to prevent work stress and occupational burnout. These interventions can subsequently prevent episodes of depression in paediatric intensive care unit nurses, thereby providing patients with a safe and high-quality nursing environment. © 2016 John Wiley & Sons Ltd.

  2. Neonatal Intensive Care and Child Psychiatry Inpatient Care: Do Different Working Conditions Influence Stress Levels?

    Directory of Open Access Journals (Sweden)

    Evalotte Mörelius

    2013-01-01

    Full Text Available Introduction. Nurses often experience work-related stress. High stress can negatively affect job satisfaction and lead to emotional exhaustion with risk of burnout. Aim. To analyse possible differences in biological stress markers, psychosocial working conditions, health, and well-being between nurses working in two different departments. Methods. Stress was evaluated in nurses working in a neonatal intensive care unit (NICU (n=33 and nurses working in a child and adolescent psychiatry inpatient ward (CAP (n=14 using salivary cortisol and HbA1c. Salivary cortisol was measured three times a day on two consecutive days during two one-week periods, seven weeks apart (= 12 samples/person. Psychosocial working conditions, health, and well-being were measured once. Results. NICU nurses had better social support and more self-determination. CAP nurses had a lower salivary cortisol quotient, poorer general health, and higher client-related burnout scores. Conclusion. When comparing these nurses with existing norm data for Sweden, as a group their scores reflect less work-related stress than Swedes overall. However, the comparison between NICU and CAP nurses indicates a less healthy work situation for CAP nurses. Relevance to Clinical Practice. Healthcare managers need to acknowledge the less healthy work situation CAP nurses experience in order to provide optimal support and promote good health.

  3. A plastic stress intensity factor approach to turbine disk structural integrity assessment

    OpenAIRE

    Shlyannikov, V.; Zakharov, A.; Yarullin, R.

    2016-01-01

    This study based on a new fracture mechanics parameter is concerned with assessing the integrity of cracked steam turbine disk which operate under startup-shutdown cyclic loading conditions. Damage accumulation and growth in service have occurred on the inner surface of slot fillet of key. In order to determine elastic-plastic fracture mechanics parameters full-size stress-strain state analysis of turbine disk was performed for a quote-elliptical part-through cracks under consider...

  4. The stress and stress intensity factors computation by BEM and FEM combination for nozzle junction under pressure and thermal loads

    International Nuclear Information System (INIS)

    Du, Q.; Cen, Z.; Zhu, H.

    1989-01-01

    This paper reports linear elastic fracture analysis based upon the stress intensity factor evaluation successfully applied to safety assessments of cracked structures. The nozzle junction are usually subjected to high pressure and thermal loads simultaneously. In validity of linear elastic fracture analysis, K can be decomposed into K P (caused by mechanic loads) and K τ (caused by thermal loads). Under thermal transient loading, explicit analysis (say by the FEM or BEM) of K tracing an entire history respectively for a range of crack depth may be much more time consuming. The techniques of weight function provide efficient means for transforming the problem into the stress computation of the uncracked structure and generation of influence function (for the given structure and size of crack). In this paper, a combination of BE-FEM has been used for the analysis of the cracked nozzle structure by techniques of weight function. The influence functions are obtained by coupled BE-FEM and the uncracked structure stress are computed by finite element methods

  5. Razlike med spoloma pri nekaterih simptomih stresa ter intenzivnost doživljanja stresnih simptomov = Gender Differences in Some Stress Symptoms and Intensity of Experiencing Stress Symptoms

    Directory of Open Access Journals (Sweden)

    Maja Meško

    2010-06-01

    Full Text Available The aim of this study was to identify the symptoms of stress and to establishgender differences in stress symptoms. We tried to find out ifthere are gender differences in the stress level at work, if there aregender differences in terms of stress symptoms frequency, and if thereare gender differences in terms of the intensity of experiencing stresssymptoms. In this study 85 randomly selected managers from Slovenecompanies participated. The results of the study have shown that thereare gender differences in terms of all the above mentioned factors,namely a statistically higher level of stress in women. In terms of stresssymptoms occurrence there are gender differences in some stress symptomsas well as in the intensity of experiencing stress symptoms.

  6. Response of coral assemblages to thermal stress: are bleaching intensity and spatial patterns consistent between events?

    Science.gov (United States)

    Penin, Lucie; Vidal-Dupiol, Jeremie; Adjeroud, Mehdi

    2013-06-01

    Mass bleaching events resulting in coral mortality are among the greatest threats to coral reefs, and are projected to increase in frequency and intensity with global warming. Achieving a better understanding of the consistency of the response of coral assemblages to thermal stress, both spatially and temporally, is essential to determine which reefs are more able to tolerate climate change. We compared variations in spatial and taxonomic patterns between two bleaching events at the scale of an island (Moorea Island, French Polynesia). Despite similar thermal stress and light conditions, bleaching intensity was significantly lower in 2007 (approximately 37 % of colonies showed signs of bleaching) than in 2002, when 55 % of the colonies bleached. Variations in the spatial patterns of bleaching intensity were consistent between the two events. Among nine sampling stations at three locations and three depths, the stations at which the bleaching response was lowest in 2002 were those that showed the lowest levels of bleaching in 2007. The taxonomic patterns of susceptibility to bleaching were also consistent between the two events. These findings have important implications for conservation because they indicate that corals are capable of acclimatization and/or adaptation and that, even at small spatial scales, some areas are consistently more susceptible to bleaching than others.

  7. A definition and evaluation procedure of generalized stress intensity factors at cracks and multi-material wedges

    International Nuclear Information System (INIS)

    Song Chongmin

    2010-01-01

    A definition of generalized stress intensity factors is proposed. It is based on a matrix function solution for singular stress fields obtained from the scaled boundary finite-element method. The dimensions of the matrix are equal to the number of singular terms. Not only real and complex power singularities but also power-logarithmic singularities are represented in a unified expression without explicitly determining the type of singularity. The generalized stress intensity factors are evaluated directly from the definition by following standard stress recovery procedures in the finite element method. Numerical examples are presented to valid the definition and evaluation procedure.

  8. Labour-Intensive Services and Changes in Value Added Tax Revenue

    Directory of Open Access Journals (Sweden)

    Krzikallova Katerina

    2016-03-01

    Full Text Available VAT rates have gradually become an important fiscal policy tool of of EU member states. This paper quantifies the influence on the VAT revenue of the potential transfer of selected labour intensive services from the standard to a reduced VAT rate in the Czech Republic. The data used for the analysis were obtained by a questionnaire, as well as through research performed at the General Financial Directorate and the Czech Statistical Office. To analyze the data, a comparison analysis and descriptive statistical methods were used. The change in VAT rate would cause a decrease in VAT revenue up to 1.6 billion CZK per year, but it would also bring positive effects, especially in the business development of the suppliers of labor intensive services. It could also prevent a price increase during the planned introduction of the e-sales system in restaurants.

  9. Clinical and financial impact of pharmacy services in the intensive care unit: pharmacist and prescriber perceptions.

    Science.gov (United States)

    MacLaren, Robert; Brett McQueen, R; Campbell, Jon

    2013-04-01

    To compare pharmacist and prescriber perceptions of the clinical and financial outcomes of pharmacy services in the intensive care unit (ICU). ICU pharmacists were invited to participate in the survey and were asked to invite two ICU prescriber colleagues to complete questionnaires. ICUs with clinical pharmacy services. The questionnaires were designed to solicit frequency, efficiency, and perceptions about the clinical and financial impact (on a 10-point scale) of pharmacy services including patient care (eight functions), education (three functions), administration (three functions), and scholarship (four functions). Basic services were defined as fundamental, and higher-level services were categorized as desirable or optimal. Respondents were asked to suggest possible sources of funding and reimbursement for ICU pharmacy services. Eighty packets containing one 26-item pharmacy questionnaire and two 16-item prescriber questionnaires were distributed to ICU pharmacists. Forty-one pharmacists (51%) and 46 prescribers (29%) returned questionnaires. Pharmacists had worked in the ICU for 8.3 ± 6.4 years and devoted 50.3 ± 18.7% of their efforts to clinical practice. Prescribers generally rated the impact of pharmacy services more favorably than pharmacists. Fundamental services were provided more frequently and were rated more positively than desirable or optimal services across both groups. The percent efficiencies of providing services without the pharmacist ranged between 40% and 65%. Both groups indicated that salary support for the pharmacist should come from hospital departments of pharmacy or critical care or colleges of pharmacy. Prescribers were more likely to consider other sources of funding for pharmacist salaries. Both groups supported reimbursement of clinical pharmacy services. Critical care pharmacy activities were associated with perceptions of beneficial clinical and financial outcomes. Prescribers valued most services more than pharmacists

  10. Preventing overtraining in athletes in high-intensity sports and stress/recovery monitoring.

    Science.gov (United States)

    Kellmann, M

    2010-10-01

    In sports, the importance of optimizing the recovery-stress state is critical. Effective recovery from intense training loads often faced by elite athletes can often determine sporting success or failure. In recent decades, athletes, coaches, and sport scientists have been keen to find creative, new methods for improving the quality and quantity of training for athletes. These efforts have consistently faced barriers, including overtraining, fatigue, injury, illness, and burnout. Physiological and psychological limits dictate a need for research that addresses the avoidance of overtraining, maximizes recovery, and successfully negotiates the fine line between high and excessive training loads. Monitoring instruments like the Recovery-Stress Questionnaire for Athletes can assist with this research by providing a tool to assess their perceived state of recovery. This article will highlight the importance of recovery for elite athletes and provide an overview of monitoring instruments. © 2010 John Wiley & Sons A/S.

  11. Burnout syndrome--assessment of a stressful job among intensive care staff.

    Science.gov (United States)

    Cubrilo-Turek, Mirjana; Urek, Roman; Turek, Stjepan

    2006-03-01

    The purpose of the study was to investigate the degree of burnout experienced by intensive care staff particularly, in Medical (MICU) and Surgical Intensive Care Units (SICU) General Hospital "Sveti Duh", Zagreb. A sample group of 41 emergency physicians and nurses from MICU and 30 from SICU was tested. The survey included demographic data and Maslach Burnout Inventory (MBI) scoring test identified by the three main components associated with burnout: emotional exhaustion (MBI-EE), depersonalization (MBI-DEP), and personal accomplishment (MBI-PA) were assessed using 22-item questionnaire. The degrees of burnout were stratified into low, moderate, and high range. Mean total MBI (X +/- SD) were high in both groups: higher for the MICU (65.5 +/- 6.7) than for SICU staff (55.7 +/- 3.8, p burnout represented in a moderate degree. The presence of burnout is a serious phenomenon, because it can lead to psychosomatic complaints, work-associated withdrawal behaviour, and a lower quality of care at intensive care units. Early recognition of burnout phenomenon as a result of prolonged stress and frustration among intensive care staff, contributes to better professional behavior, organizational structure changes in the work environment and better health care quality for critically ill patients.

  12. Stress-intensity factor equations for cracks in three-dimensional finite bodies subjected to tension and bending loads

    Science.gov (United States)

    Newman, J. C., Jr.; Raju, I. S.

    1984-01-01

    Stress intensity factor equations are presented for an embedded elliptical crack, a semielliptical surface crack, a quarter elliptical corner crack, a semielliptical surface crack along the bore of a circular hole, and a quarter elliptical corner crack at the edge of a circular hole in finite plates. The plates were subjected to either remote tension or bending loads. The stress intensity factors used to develop these equations were obtained from previous three dimensional finite element analyses of these crack configurations. The equations give stress intensity factors as a function of parametric angle, crack depth, crack length, plate thickness, and, where applicable, hole radius. The ratio of crack depth to plate thickness ranged from 0 to 1, the ratio of crack depth to crack length ranged from 0.2 to 2, and the ratio of hole radius to plate thickness ranged from 0.5 to 2. The effects of plate width on stress intensity variation along the crack front were also included.

  13. Impact of an intensive dynamic exercise program on oxidative stress and on the outcome in patients with fibromyalgia

    Directory of Open Access Journals (Sweden)

    Amal F Soliman

    2016-01-01

    Conclusion Twelve weeks of intensive dynamic exercise program should be recommended to patients with FM as it was effective in decreasing the oxidative stress parameters, increasing the antioxidant parameters, and improving the clinical outcome of this disease.

  14. Stress-intensity factors for cracks emanating from the loaded fastener hole

    Science.gov (United States)

    Shivakumar, V.; Hsu, Y. C.

    1977-01-01

    Using a series approach and the Muskhelishvili formulation in the two-dimensional theory of elasticity, stress-intensity factors K are derived for problems in which cracks emanate radially from the boundary of an arbitrarily loaded internal circular hole in an infinite plate. Numerical values are obtained for K(I) and K(II) for radial cracks from a hole containing a loose-fitted pin or rivet that is pulled perpendicular to the crack direction in the plane of the plate. The method is a general one for determining K for a set of symmetrically emanating radial cracks for a variety of concentrated or distributed tractions on the circular hole.

  15. Mode I Stress Intensity Factors for triangular corner crack nearby intersecting of cylindrical holes

    Directory of Open Access Journals (Sweden)

    E. Salvati

    2013-10-01

    Full Text Available In this paper triangular flaws has been taken into account at the intersection of two holes inside a specified specimen. Influence of bore hole D1/D2 and angle between their axes α are examined. Numerical analysis are performed to determine Stress Intensity factors (SIF in many geometric configurations. Afterwards, fitting weight function’s parameters with FEM results, new SIF analytics expression are shown. Finally, the accuracy of weight functions in SIF predictions for different inner pressure, has been checked as well as the comparison between the SIF of a triangular crack and that of an actual crack shape obtained through a fatigue test.

  16. What to Do about Being Overwhelmed: Graduate Students, Stress and University Services

    Science.gov (United States)

    Oswalt, Sara B.; Riddock, Christina C.

    2007-01-01

    Few studies have examined graduate students and stress. At a large, Southeastern university, 223 graduate students completed a survey about factors contributing their stress, current coping strategies and related university services. A majority felt stressed (48.9%) or very stressed (24.7%). There were significant differences in coping strategies…

  17. Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

    Directory of Open Access Journals (Sweden)

    Jitendra Sharma

    2017-01-01

    Full Text Available Background: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. Aims and Objective: To study and determine the prevalence and factors associated with stress hyperglycemia. Materials and Methods: A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category was collected. Hematological and other parameters based on profile of study population were also analyzed. Results: Out of 536 patients, 109 (20.33% had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23% patients had glycated hemoglobin (HbA1c <5.7% and 22 (4.10% patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS, 17.24% in chronic kidney disease (CKD, 12.64% in central nervous system (CNS infection, 8.05% in chronic liver disease (CLD, and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036. Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029, CKD patients (P = 0.0036, CLD (P = 0.0099, and MODS patients (P = 0.0328. Conclusions: The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion.

  18. Fear conditioning and shock intensity: the choice between minimizing the stress induced and reducing the number of animals used

    NARCIS (Netherlands)

    Pietersen, C.Y.; Bosker, F.J; Posterna, F.; Den Boer, J.A.

    2006-01-01

    Many fear conditioning studies use electric shock as the aversive stimulus. The intensity of shocks varies throughout the literature. In this study, shock intensities ranging from 0 to 1.5 mA were used, and the effects on the rats assessed by both behavioural and biochemical stress parameters.

  19. Fear conditioning and shock intensity : the choice between minimizing the stress induced and reducing the number of animals used

    NARCIS (Netherlands)

    Pietersen, CY; Bosker, FJ; Posterna, F; den Boer, JA

    Many fear conditioning studies use electric shock as the aversive stimulus. The intensity of shocks varies throughout the literature. In this study, shock intensities ranging from 0 to 1.5 mA were used, and the effects on the rats assessed by both behavioural and biochemical stress parameters.

  20. The physiological stress response to high-intensity sprint exercise following the ingestion of sodium bicarbonate.

    Science.gov (United States)

    Peart, Daniel J; Kirk, Richard J; Hillman, Angela R; Madden, Leigh A; Siegler, Jason C; Vince, Rebecca V

    2013-01-01

    The purpose of this study was to investigate the effects of pre-exercise alkalosis on the physiological stress response to high-intensity exercise. Seven physically active males (age 22 ± 3 years, height 1.82 ± 0.06 m, mass 81.3 ± 8.4 kg and peak power output 300 ± 22 W) performed a repeated sprint cycle exercise following a dose of 0.3 g kg(-1) body mass of sodium bicarbonate (NaHCO(3)) (BICARB), or a placebo of 0.045 g kg(-1) body mass of sodium chloride (PLAC). Monocyte-expressed heat shock protein 72 (HSP72) and plasma thiobarbituric acid reactive substances (TBARS) were significantly attenuated in BICARB compared to PLAC (p = 0.04 and p = 0.039, respectively), however total anti-oxidant capacity, the ratio of oxidised to total glutathione, cortisol, interleukin 6 and interleukin 8 were not significantly induced by the exercise. In conclusion, monocyte-expressed HSP72 is significantly increased following high-intensity anaerobic exercise, and its attenuation following such exercise with the ingestion of NaHCO(3) is unlikely to be due to a decreased oxidative stress.

  1. Photobiomodulation Leads to Reduced Oxidative Stress in Rats Submitted to High-Intensity Resistive Exercise

    Directory of Open Access Journals (Sweden)

    Helenita Antonia de Oliveira

    2018-01-01

    Full Text Available The aim of this study was to determine whether oxidative stress markers are influenced by low-intensity laser therapy (LLLT in rats subjected to a high-intensity resistive exercise session (RE. Female Wistar rats divided into three experimental groups (Ctr: control, 4J: LLLT, and RE and subdivided based on the sampling times (instantly or 24 h postexercise underwent irradiation with LLLT using three-point transcutaneous method on the hind legs, which was applied to the gastrocnemius muscle at the distal, medial, and proximal points. Laser (4J or placebo (device off were carried out 60 sec prior to RE that consisted of four climbs bearing the maximum load with a 2 min time interval between each climb. Lipoperoxidation levels and antioxidant capacity were obtained in muscle. Lipoperoxidation levels were increased (4-HNE and CL markers instantly post-RE. LLLT prior to RE avoided the increase of the lipid peroxidation levels. Similar results were also notified for oxidation protein assays. The GPx and FRAP activities did not reduce instantly or 24 h after RE. SOD increased 24 h after RE, while CAT activity did not change with RE or LLLT. In conclusion, LLLT prior to RE reduced the oxidative stress markers, as well as, avoided reduction, and still increased the antioxidant capacity.

  2. Effect of Schisandrae on stress system of soldiers undergone high-intensity military training

    Directory of Open Access Journals (Sweden)

    Nan XIA

    2014-03-01

    Full Text Available Objective To explore the changes in basic serum levels of hypothalamus-pituitrin-adrenal (HPA axis, hypothalamus-pituitrin-gonad (HPG axis and proinflammatory cytokines IL-1, IL-2 and IL-6 in repeated acute stress caused by one-week intensive training, and study the effects of oral administration of Schisandrae, salidroside and Schisandrae compound on the contents of those stress hormones and cytokines mentioned above. Methods One hundred and twenty healthy soldiers chosen from junior infantry combat troops who had never received long-term amphibious training were randomly divided into four groups (30 each: group A (Schisandrae compound group, group B (Schisandrae group, group C (salidroside group and group D (control group. Each and every soldier of all the groups underwent high-intensity composite military training, 8 hours per day, for a week. Venous blood sampling was collected at 7:00-8:00 a.m. before and after the training, respectively. Levels of cortisol (CORT, adrenocorticotropic hormone (ACTH, testosterone (T, IL-1, IL-2 and IL-6 in different groups were measured by radioimmunoassay (RIA. The changes in the levels of all the above mentioned hormones and cytokines in every group were observed and compared. Results In group D, as compared with the pre-stress levels, no marked difference was found in the levels of serum CORT and ACTH (P>0.05, but the levels of T and IL-6 significantly decreased (P0.05. In group C, the levels of T and IL-6 significantly decreased (P0.05. In group A, the serum levels of CORT, ACTH, T, IL-1 and IL-6 significantly decreased, while that of IL-2 significantly increased (P<0.01. As compared with group D, the level of ACTH in group A and group B, the level of IL-2 in group C significantly decreased (P<0.05. Conclusions  Schisandrae and Schisandrae compound have a marked and lasting inhibitory effect on the activation of HPA axis and the elevation of serum CORT levels induced by stress, while the similar

  3. Service dog training program for treatment of posttraumatic stress in service members.

    Science.gov (United States)

    Yount, Rick A; Olmert, Meg D; Lee, Mary R

    2012-01-01

    In July 2008, social worker and certified service dog trainer Rick Yount created the first Warrior dog-training program designed to be a safe, effective, nonpharmaceutical intervention to treat the symptoms of posttraumatic stress disorder (PTSD) and traumatic brain injury in Veterans and service members undergoing treatment at a large Veterans Administration residential treatment facility. In 2009, Yount was asked to establish the program at a prominent Department of Defense medical center. In October 2010, Yount was invited to create a service dog training program to support the research and treatment mission at the new National Intrepid Center of Excellence (NICoE), in Bethesda, Maryland. This program, now being offered through the nonprofit foundation Warrior Canine Connection, continues to produce anecdotal evidence that training service dogs reduces the PTSD symptoms of Warrior-trainers and that the presence of the dogs enhances the sense of wellness in the NICoE staff and the families of our Wounded Warriors. Under the research leadership of the NICoE, the Warrior Canine Connection research team plans to systematically investigate the physiological, psychological, and behavioral benefits of this program.

  4. Design and Lab Experiment of a Stress Detection Service based on Mouse Movements

    OpenAIRE

    Kowatsch, Tobias; Wahle, Fabian; Filler, Andreas

    2017-01-01

    Workplace stress can negatively affect the health condition of employees and with it, the performance of organizations. Although there exist approaches to measure work-related stress, two major limitations are the low resolution of stress data and its obtrusive measurement. The current work applies design science research with the goal to design, implement and evaluate a Stress Detection Service (SDS) that senses the degree of work-related stress solely based on mouse movements of knowledge w...

  5. The relation between intensity and complexity of coronary artery lesion and oxidative stress in patients with acute coronary syndrome.

    Science.gov (United States)

    Turan, Turhan; Menteşe, Ümit; Ağaç, Mustafa Tarık; Akyüz, Ali Rıza; Kul, Selim; Aykan, Ahmet Çağrı; Bektaş, Hüseyin; Korkmaz, Levent; Öztaş Menteşe, Seda; Dursun, İhsan; Çelik, Şükrü

    2015-10-01

    Oxidative stress plays a major role in the development of atherosclerosis. However, the relationship between oxidative stress and complexity and intensity of coronary artery disease is less clear. The aim of this study is to assess the relationship between oxidative stress markers and the complexity and intensity of coronary artery disease in patients with acute coronary syndrome (ACS). Sixty-seven consecutive patients with an early phase of ACS (=22). Likewise patients were divided into two CAD severity groups according to the median Gensini score of 64: less intensive CAD with Gensini score (=64. Blood samples were taken in 1 hour within administration in order to measure total oxidative status (TOS) and total antioxidant capacity (TAC) levels determined by Erel method. Oxidative stress index (OSI) was calculated by TOS /TAC. There was no significant difference between the two SYNTAX groups for oxidative stress markers. Median TOS and OSI values were significantly high in the intensive CAD group (p=0.005, p=0.04, respectively). The Gensini score was positively correlated with TOS and OSI (p=0.003, p=0.02, respectively). Oxidative stress markers may be considered supportive laboratory parameters related to CAD intensity but not complexity in ACS patients.

  6. Critical Zone services as environmental assessment criteria in intensively managed landscapes

    Science.gov (United States)

    Richardson, Meredith; Kumar, Praveen

    2017-06-01

    The Critical Zone (CZ) includes the biophysical processes occurring from the top of the vegetation canopy to the weathering zone below the groundwater table. CZ services provide a measure for the goods and benefits derived from CZ processes. In intensively managed landscapes, cropland is altered through anthropogenic energy inputs to derive more productivity, as agricultural products, than would be possible under natural conditions. However, the actual costs of alterations to CZ functions within landscape profiles are unknown. Through comparisons of corn feed and corn-based ethanol, we show that valuation of these CZ services in monetary terms provides a more concrete tool for characterizing seemingly abstract environmental damages from agricultural production systems. Multiple models are combined to simulate the movement of nutrients throughout the soil system, enabling the measurement of agricultural anthropogenic impacts to the CZ's regulating services. Results indicate water quality and atmospheric stabilizing services, measured by soil carbon storage, carbon respiration, and nitrate leaching, among others, can cost more than double that of emissions estimated in previous studies. Energy efficiency in addition to environmental impact is assessed to demonstrate how the inclusion of CZ services is necessary in accounting for the entire life cycle of agricultural production systems. These results conclude that feed production systems are more energy efficient and less environmentally costly than corn-based ethanol.

  7. Improving the seniors' transition from hospital to the community: a case for intensive geriatric service workers.

    Science.gov (United States)

    McAiney, Carrie A; Hillier, Loretta M; Paul, Janice; McKinnon Wilson, Jane; Tersigni Phelan, Anna; Wagner, Fred; O'Connor, Sheli

    2017-01-01

    Limited continuity of care, poor communication between healthcare providers, and ineffective self-management are barriers to recovery as seniors transition back to the community following an Emergency Department (ED) visit or hospitalization. The intensive geriatric service worker (IGSW) role is a new service developed in southern Ontario, Canada to address gaps for seniors transitioning home from acute care to prevent rehospitalization and premature institutionalization through the provision of intensive support and follow-up to ensure adherence to care plans, facilitate communication with care providers, and promote self-management. This study describes the IGSW role and provides preliminary evidence of its impact on clients, caregivers and the broader health system. This mixed methods evaluation included a chart audit of all clients served, tracking of the achievement of goals for IGSW involvement, and interviews with clients and caregivers and other key informants. During the study period, 632 clients were served. Rates of goal achievement ranged from 25%-87% and in cases where achieved, the extent of IGSW involvement mostly exceeded recommendations. IGSWs were credited with improving adherence with treatment recommendations, increasing awareness and use of community services, and improving self-management, which potentially reduced ED visits and hospitalizations and delayed institutionalization. The IGSW role has the potential to improve supports for seniors and facilitate more appropriate use of health system resources, and represents a promising mechanism for improving the integration and coordination of care across health sectors.

  8. Effect of ubiquinol supplementation on biochemical and oxidative stress indexes after intense exercise in young athletes.

    Science.gov (United States)

    Orlando, Patrick; Silvestri, Sonia; Galeazzi, Roberta; Antonicelli, Roberto; Marcheggiani, Fabio; Cirilli, Ilenia; Bacchetti, Tiziana; Tiano, Luca

    2018-12-01

    Physical exercise significantly impacts the biochemistry of the organism. Ubiquinone is a key component of the mitochondrial respiratory chain and ubiquinol, its reduced and active form, is an emerging molecule in sport nutrition. The aim of this study was to evaluate the effect of ubiquinol supplementation on biochemical and oxidative stress indexes after an intense bout of exercise. 21 male young athletes (26 + 5 years of age) were randomized in two groups according to a double blind cross-over study, either supplemented with ubiquinol (200 mg/day) or placebo for 1 month. Blood was withdrawn before and after a single bout of intense exercise (40 min run at 85% maxHR). Physical performance, hematochemical parameters, ubiquinone/ubiquinol plasma content, intracellular reactive oxygen species (ROS) level, mitochondrial membrane depolarization, paraoxonase activity and oxidative DNA damage were analyzed. A single bout of intense exercise produced a significant increase in most hematochemical indexes, in particular CK and Mb while, on the contrary, normalized coenzyme Q 10 plasma content decreased significantly in all subjects. Ubiquinol supplementation prevented exercise-induced CoQ deprivation and decrease in paraoxonase activity. Moreover at a cellular level, in peripheral blood mononuclear cells, ubiquinol supplementation was associated with a significant decrease in cytosolic ROS while mitochondrial membrane potential and oxidative DNA damage remained unchanged. Data highlights a very rapid dynamic of CoQ depletion following intense exercise underlying an increased demand by the organism. Ubiquinol supplementation minimized exercise-induced depletion and enhanced plasma and cellular antioxidant levels but it was not able to improve physical performance indexes or markers of muscular damage.

  9. Effects of distance from center of a weld to fixed end on residual stress and stress intensity factor of a piping weld. Evaluation of SCC growth under residual stress field. Report 1

    International Nuclear Information System (INIS)

    Miyazaki, Katsumasa; Numata, Masanori; Saito, Koichi; Mochizuki, Masahito

    2006-01-01

    The fixed conditions of butt welds between straight pipe and valve or pump in the actual piping system are different from those of straight pipes. However, the effect of fixed condition on the residual stress and the stress intensity factor for evaluation of structural integrity of cracked piping was not clear. In this study, the finite element analyses were conducted by considering the differences in the distance from the center of weld to the fixed end L to clarify the effect of fixed condition on the residual stress and the stress intensity factor. For the 600 A piping, the axial residual stress distribution was not affected by the distance L. Furthermore, the stress intensity factor of circumferential crack under the residual stress field with fixed condition could be estimated by using the existing simplified solution for piping. (author)

  10. Hybrid determination of mixed-mode stress intensity factors on discontinuous finite-width plate by finite element and photoelasticity

    International Nuclear Information System (INIS)

    Baek, Tae Hyun; Chen, Lei; Hong, Dong Pyo

    2011-01-01

    For isotropic material structure, the stress in the vicinity of crack tip is generally much higher than the stress far away from it. This phenomenon usually leads to stress concentration and fracture of structure. Previous researches and studies show that the stress intensity factor is one of most important parameter for crack growth and propagation. This paper provides a convenient numerical method, which is called hybrid photoelasticity method, to accurately determine the stress field distribution in the vicinity of crack tip and mixed-mode stress intensity factors. The model was simulated by finite element method and isochromatic data along straight lines far away from the crack tip were calculated. By using the isochromatic data obtained from finite element method and a conformal mapping procedure, stress components and photoelastic fringes in the hybrid region were calculated. To easily compare calculated photoelastic fringes with experiment results, the fringe patterns were reconstructed, doubled and sharpened. Good agreement shows that the method presented in this paper is reliable and convenient. This method can then directly be applied to obtain mixed mode stress intensity factors from the experimentally measured isochromatic data along the straight lines

  11. Posttraumatic stress disorder in children and their parents following admission to the pediatric intensive care unit: a review.

    Science.gov (United States)

    Nelson, Lara P; Gold, Jeffrey I

    2012-05-01

    To evaluate posttraumatic stress disorder in children who have been admitted to the pediatric intensive care unit and their families. Studies were identified through PubMed, MEDLINE, and Ovid. All descriptive, observational, and controlled studies with a focus on posttraumatic stress disorder and the pediatric intensive care unit were included. Posttraumatic stress disorder rates in children following admission to the pediatric intensive care unit were between 5% and 28%, while rates of posttraumatic stress disorder symptoms were significantly higher, 35% to 62%. There have been inconsistencies noted across risk factors. Objective and subjective measurements of disease severity were intermittently positively associated with development of posttraumatic stress disorder. There was a positive relationship identified between the child's symptoms of posttraumatic stress disorder and their parents' symptoms.The biological mechanisms associated with the development of posttraumatic stress disorder in children admitted to the pediatric intensive care unit have yet to be explored. Studies in children following burn or other unintentional injury demonstrate potential relationships between adrenergic hormone levels and a diagnosis of posttraumatic stress disorder. Likewise genetic studies suggest the importance of the adrenergic system in this pathway.The rates of posttraumatic stress disorder in parents following their child's admission to the pediatric intensive care unit ranged between 10.5% and 21%, with symptom rates approaching 84%. It has been suggested that mothers are at increased risk for the development of posttraumatic stress disorder compared to fathers. Objective and subjective measures of disease severity yielded mixed findings with regard to the development of posttraumatic stress disorder. Protective parental factors may include education or the opportunity to discuss the parents' feelings during the admission. Following admission to the pediatric intensive

  12. Stress intensity factors of three parallel edge cracks under bending moments

    International Nuclear Information System (INIS)

    Ismail, A E

    2013-01-01

    This paper reports the study of stress intensity factors (SIF) of three edge cracks in a finite plate under bending moments. The goal of this paper was to analyze the three edge crack interactions under such loading. Several studies can be found in literature discussing on mode I SIF. However, most of these studies obtained the SIFs using tensile force. Lack of SIF reported discussing on the SIFs obtained under bending moments. ANSYS finite element program was used to develop the finite element model where singular elements were used to model the cracks. Different crack geometries and parameters were utilized in order to characterize the SIFs. According to the present results, crack geometries played a significant role in determining the SIFs and consequently induced the crack interaction mechanisms

  13. Various methods of numerical estimation of generalized stress intensity factors of bi-material notches

    Directory of Open Access Journals (Sweden)

    Klusák J.

    2009-12-01

    Full Text Available The study of bi-material notches becomes a topical problem as they can model efficiently geometrical or material discontinuities. When assessing crack initiation conditions in the bi-material notches, the generalized stress intensity factors H have to be calculated. Contrary to the determination of the K-factor for a crack in an isotropic homogeneous medium, for the ascertainment of the H-factor there is no procedure incorporated in the calculation systems. The calculation of these fracture parameters requires experience. Direct methods of estimation of H-factors need choosing usually length parameter entering into calculation. On the other hand the method combining the application of the reciprocal theorem (Ψ-integral and FEM does not require entering any length parameter and is capable to extract the near-tip information directly from the far-field deformation.

  14. Low Intensity Physical Exercise Attenuates Cardiac Remodeling and Myocardial Oxidative Stress and Dysfunction in Diabetic Rats

    Directory of Open Access Journals (Sweden)

    C. Gimenes

    2015-01-01

    Full Text Available We evaluated the effects of a low intensity aerobic exercise protocol on cardiac remodeling and myocardial function in diabetic rats. Wistar rats were assigned into four groups: sedentary control (C-Sed, exercised control (C-Ex, sedentary diabetes (DM-Sed, and exercised diabetes (DM-Ex. Diabetes was induced by intraperitoneal injection of streptozotocin. Rats exercised for 9 weeks in treadmill at 11 m/min, 18 min/day. Myocardial function was evaluated in left ventricular (LV papillary muscles and oxidative stress in LV tissue. Statistical analysis was given by ANOVA or Kruskal-Wallis. Echocardiogram showed diabetic groups with higher LV diastolic diameter-to-body weight ratio and lower posterior wall shortening velocity than controls. Left atrium diameter was lower in DM-Ex than DM-Sed (C-Sed: 5.73±0.49; C-Ex: 5.67±0.53; DM-Sed: 6.41±0.54; DM-Ex: 5.81±0.50 mm; P<0.05 DM-Sed vs C-Sed and DM-Ex. Papillary muscle function was depressed in DM-Sed compared to C-Sed. Exercise attenuated this change in DM-Ex. Lipid hydroperoxide concentration was higher in DM-Sed than C-Sed and DM-Ex. Catalase and superoxide dismutase activities were lower in diabetics than controls and higher in DM-Ex than DM-Sed. Glutathione peroxidase activity was lower in DM-Sed than C-Sed and DM-Ex. Conclusion. Low intensity exercise attenuates left atrium dilation and myocardial oxidative stress and dysfunction in type 1 diabetic rats.

  15. Stress in parents of very low birth weight preterm infants hospitalized in neonatal intensive care units. A multicenter study.

    Science.gov (United States)

    Wormald, Francisca; Tapia, José L; Torres, Gabriela; Cánepa, Paula; González, María Aurelia; Rodríguez, Diana; Escobar, Marisol; Reyes, Bernardita; Capelli, Carola; Menéndez, Laura; Delgado, Patricia; Treuer, Sergio; Ramírez, Rodrigo; Borja, Norma; Domínguez, Angélica

    2015-08-01

    The birth of a premature baby is a stressful event for parents. The objective of this study was to determine early stress in parents of very low birth weight infants (VLBWIs) hospitalized in 12 neonatal intensive care units from a South American Neonatal Network, to identify associated factors, and to compare the level of parental stress in public versus private healthcare facilities. Cross-sectional study in mothers/fathers of VLBWIs (500 to 1500 g). Early parental stress was measured using the Parental Stressor Scale, with a score from 1 (low stress) to 5 (high stress). The sociodemographic characteristics of parents and newborn infants were collected and associated with levels of parental stress. The study included 273 fathers/mothers of a total of 218 VLBW preterm infants. The survey was administered at 5.9 ± 2.0 days of life. The average total parental stress was 3.1 ± 0.8, and the highest score was obtained for the parental role subscale (3.6). A lower education level, unemployment, not having held the newborn infant, and respiratory support requirement were associated with higher parental stress levels. Stress was higher among mothers than fathers, and at public facilities versus private ones. Among parents of VLBWIs, a moderate early parental stress was observed. Parental role alteration was the most relevant factor. Parental stress was higher among mothers and at public healthcare facilities. A greater sensitization, further research and interventions in this area are required.

  16. Structural relationships between work environment and service quality perceptions as a function of customer contact intensity: implications for human service strategy.

    Science.gov (United States)

    Scotti, Dennis J; Harmon, Joel; Behson, Scott J

    2009-01-01

    This study assesses the importance of customer-contact intensity at the service encounter level as a determinant of service quality assessments. Using data from the U.S. Department of Veterans Affairs, it shows that performance-driven human resources practices play an important role as determinants of employee customer orientation and service capability in both high-contact (outpatient healthcare) and low-contact (benefits claim processing) human service contexts. However, there existed significant differences across service delivery settings in the salience of customer orientation and the congruence between employee and customer perceptions of service quality, depending on the intensity of customer contact. In both contexts, managerial attention to high-performance work systems and customer-orientation has the potential to favorably impact perceptions of service quality, amplify consumer satisfaction, and enhance operational efficiency.

  17. High-intensity training reduces intermittent hypoxia-induced ER stress and myocardial infarct size.

    Science.gov (United States)

    Bourdier, Guillaume; Flore, Patrice; Sanchez, Hervé; Pepin, Jean-Louis; Belaidi, Elise; Arnaud, Claire

    2016-01-15

    Chronic intermittent hypoxia (IH) is described as the major detrimental factor leading to cardiovascular morbimortality in obstructive sleep apnea (OSA) patients. OSA patients exhibit increased infarct size after a myocardial event, and previous animal studies have shown that chronic IH could be the main mechanism. Endoplasmic reticulum (ER) stress plays a major role in the pathophysiology of cardiovascular disease. High-intensity training (HIT) exerts beneficial effects on the cardiovascular system. Thus, we hypothesized that HIT could prevent IH-induced ER stress and the increase in infarct size. Male Wistar rats were exposed to 21 days of IH (21-5% fraction of inspired O2, 60-s cycle, 8 h/day) or normoxia. After 1 wk of IH alone, rats were submitted daily to both IH and HIT (2 × 24 min, 15-30m/min). Rat hearts were either rapidly frozen to evaluate ER stress by Western blot analysis or submitted to an ischemia-reperfusion protocol ex vivo (30 min of global ischemia/120 min of reperfusion). IH induced cardiac proapoptotic ER stress, characterized by increased expression of glucose-regulated protein kinase 78, phosphorylated protein kinase-like ER kinase, activating transcription factor 4, and C/EBP homologous protein. IH-induced myocardial apoptosis was confirmed by increased expression of cleaved caspase-3. These IH-associated proapoptotic alterations were associated with a significant increase in infarct size (35.4 ± 3.2% vs. 22.7 ± 1.7% of ventricles in IH + sedenary and normoxia + sedentary groups, respectively, P < 0.05). HIT prevented both the IH-induced proapoptotic ER stress and increased myocardial infarct size (28.8 ± 3.9% and 21.0 ± 5.1% in IH + HIT and normoxia + HIT groups, respectively, P = 0.28). In conclusion, these findings suggest that HIT could represent a preventive strategy to limit IH-induced myocardial ischemia-reperfusion damages in OSA patients. Copyright © 2016 the American Physiological Society.

  18. Stress Intensity of Delamination in a Sintered-Silver Interconnection: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    DeVoto, D. J.; Paret, P. P.; Wereszczak, A. A.

    2014-08-01

    In automotive power electronics packages, conventional thermal interface materials such as greases, gels, and phase-change materials pose bottlenecks to heat removal and are also associated with reliability concerns. The industry trend is toward high thermal performance bonded interfaces for large-area attachments. However, because of coefficient of thermal expansion mismatches between materials/layers and resultant thermomechanical stresses, adhesive and cohesive fractures could occur, posing a reliability problem. These defects manifest themselves in increased thermal resistance. This research aims to investigate and improve the thermal performance and reliability of sintered-silver for power electronics packaging applications. This has been experimentally accomplished by the synthesis of large-area bonded interfaces between metalized substrates and copper base plates that have subsequently been subjected to thermal cycles. A finite element model of crack initiation and propagation in these bonded interfaces will allow for the interpretation of degradation rates by a crack-velocity (V)-stress intensity factor (K) analysis. A description of the experiment and the modeling approach are discussed.

  19. Effect of elastic anisotropy of crystal grain on stress intensity factor

    International Nuclear Information System (INIS)

    Kamaya, Masayuki

    2002-01-01

    The stress intensity factor (SIF) is used widely for evaluating integrity of cracked components. Usually, the SIF obtained under isotropic elastic conditions is used for the evaluations. Although, macroscopic elastic behaviors of polycrystal materials can be considered isotropic, each crystal has anisotropic elastic properties. This implies that if the crack size is small and the influence of anisotropic elastic properties on the stress around cracks is significant, the SIF evaluated under anisotropic elastic conditions may differ from the SIF obtained under isotropic elastic conditions. In the present study, the effect of anisotropic elasticity on the SIF was evaluated by using the finite element analysis (FEA). First, the SIF of semi-circular cracks located in a single crystal was evaluated. It was found that the SIF is affected crystal orientation. Secondly, FEA using a polycrystal model was performed. It was found that the change in the SIF was caused by crack tip crystal orientation as well as the deformation constraint from neighboring crystals. Finally, the statistical tendency of change in the SIF caused by the anisotropic elastic properties and the relationship with crack size were examined. The influence of the local SIF on crack growth behavior is also discussed. (author)

  20. Effect of elastic anisotropy of crystal grain on stress intensity factor

    Energy Technology Data Exchange (ETDEWEB)

    Kamaya, Masayuki [Inst. of Nuclear Safety System Inc., Mihama, Fukui (Japan)

    2002-09-01

    The stress intensity factor (SIF) is used widely for evaluating integrity of cracked components. Usually, the SIF obtained under isotropic elastic conditions is used for the evaluations. Although, macroscopic elastic behaviors of polycrystal materials can be considered isotropic, each crystal has anisotropic elastic properties. This implies that if the crack size is small and the influence of anisotropic elastic properties on the stress around cracks is significant, the SIF evaluated under anisotropic elastic conditions may differ from the SIF obtained under isotropic elastic conditions. In the present study, the effect of anisotropic elasticity on the SIF was evaluated by using the finite element analysis (FEA). First, the SIF of semi-circular cracks located in a single crystal was evaluated. It was found that the SIF is affected crystal orientation. Secondly, FEA using a polycrystal model was performed. It was found that the change in the SIF was caused by crack tip crystal orientation as well as the deformation constraint from neighboring crystals. Finally, the statistical tendency of change in the SIF caused by the anisotropic elastic properties and the relationship with crack size were examined. The influence of the local SIF on crack growth behavior is also discussed. (author)

  1. Redesigning an intensive insulin service for patients with type 1 diabetes: a patient consultation exercise

    Directory of Open Access Journals (Sweden)

    Ozcan S

    2013-06-01

    Full Text Available Seyda Ozcan,1–3 Helen Rogers,3 Pratik Choudhary,3 Stephanie A Amiel,3 Alison Cox,3 Angus Forbes2,3 1Department of Medical Nursing, Florence Nightingale Nursing Faculty, Istanbul University, Istanbul, Turkey; 2Department of Primary and Intermediate Care, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, United Kingdom; 3Department of Diabetes, King's College Hospital NHS Foundation Trust, London, United Kingdom Context: Providing effective support for patients in using insulin effectively is essential for good diabetes care. For that support to be effective it must reflect and attend to the needs of patients. Purpose: To explore the perspectives of adult type 1 diabetes patients on their current diabetes care in order to generate ideas for creating a new patient centered intensive insulin clinic. Methods: A multi-method approach was used, comprising: an observational exercise of current clinical care; three focus groups (n = 17; and a survey of service users (n = 419 to test the ideas generated from the observational exercise and focus groups (rating 1 to 5 in terms of importance. The ideas generated by the multi-method approach were organized thematically and mapped onto the Chronic Care Model (CCM. Results: The themes and preferences for service redesign in relation to CCM components were: health care organization, there was an interest in having enhanced systems for sharing clinical information; self-management support, patients would like more flexible and easy to access resources and more help with diabetes technology and psychosocial support; delivery system design and clinical information systems, the need for greater integration of care and better use of clinic time; productive relationships, participants would like more continuity; access to health professionals, patient involvement and care planning. The findings from the patient survey indicate high preferences for most of the areas for service

  2. [Stress level assessment of the nursing staff in the Intensive Care Unit of a university hospital].

    Science.gov (United States)

    Carrillo-García, C; Ríos-Rísquez, M I; Martínez-Hurtado, R; Noguera-Villaescusa, P

    2016-01-01

    The objective was to determine the work stress level among nursing staff in the Intensive Care Unit of a university hospital and to analyse its relationship with the various sociodemographic and working variables of the studied sample. A study was designed using a quantitative, descriptive and cross-sectional approach. The target population of the study was the nursing staff selected by non-random sampling. The instrument used was the Job Content Questionnaire. Data analysis was performed using SPSS 20. The mean, ranges and standard deviation for each of the variables were calculated. A bivariate analysis was also performed on the social and occupational variables of the sample. The participation rate was 80.90% (N=89). The mean of the Social support dimension was 3.13±0.397, for the Psychological demands at work dimension it was 3.10±0.384, with a mean of 2.96±0.436 being obtained for the Control over the work dimension. In the analysis of sociodemographic and work variables of the sample, only the professional category was significant, with nurses recording higher values in perception of job demands and control over their work compared to nursing assistants. In conclusion, there is a moderate perception of work stress in the analysed group of professionals. Among the sources of stress in the workplace was the low control in decision-making by practitioners, as well as the need to continually learn new things. On the other hand, the support received from colleagues is valued positively by the sample. Copyright © 2016 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

  3. Development of a screening measure of stress for parents of children hospitalised in a Paediatric Intensive Care Unit.

    Science.gov (United States)

    Rodríguez-Rey, Rocío; Alonso-Tapia, Jesús

    2016-08-01

    Having a child admitted to intensive care is a highly stressful experience for parents; however there is a lack of screening instruments of parental stress in that context, which would be useful for both, research and clinical purposes. (1) To validate a brief measure of parental stress based on the Parental Stressor Scale: Paediatric Intensive Care Unit (PSS:PICU), (2) to study which environmental factors of the PICU are more stressful in a sample of Spanish parents, and (3) to study which variables are related to higher levels of stress among this group. 196 Spanish parents completed the Abbreviated PSS: PICU (A-PSS:PICU) and a general stress scale (the Perceived Stress Scale) upon their child's discharge to test the convergent validity of the tool. Three months later, they were assessed anxiety and depression using the Hospital Anxiety and Depression Scale, and posttraumatic stress with the Davidson Trauma Scale in order to test the predictive validity of the A-PSS:PICU. Two factors emerged from Confirmatory Factor Analyses, (1) stress due to child's condition and (2) stress related to PICU's staff. The A-PSS:PICU showed adequate reliability and convergent and predictive validity. The most stressful aspects were the behaviours and emotional responses of their child and the loss of their parental role. Age, gender, child's condition, length of admission, spiritual beliefs, and mechanical ventilation were associated to parental stress scores. The A-PSS:PICU is a reliable and valid measure. Parental stress should be screened during a child's PICU admission to identify parents at risk of post-discharge distress. Copyright © 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  4. Laplace-SGBEM analysis of the dynamic stress intensity factors and the dynamic T-stress for the interaction between a crack and auxetic inclusions

    Science.gov (United States)

    Kwon, Kibum

    A dynamic analysis of the interaction between a crack and an auxetic (negative Poisson ratio)/non-auxetic inclusion is presented. The two most important fracture parameters, namely the stress intensity factors and the T-stress are analyzed by using the symmetric Galerkin boundary element method in the Laplace domain for three different models of crack-inclusion interaction. To investigate the effects of auxetic inclusions on the fracture behavior of composites reinforced by this new type of material, comparisons of the dynamic stress intensity factors and the dynamic T-stress are made between the use of auxetic inclusions as opposed to the use of traditional inclusions. Furthermore, the technique presented in this research can be employed to analyze for the interaction between a crack and a cluster of auxetic/non-auxetic inclusions. Results from the latter models can be employed in crack growth analysis in auxetic-fiber-reinforced composites.

  5. Post-stress recovery of pituitary-adrenal hormones and glucose, but not the response during exposure to the stressor, is a marker of stress intensity in highly stressful situations.

    Science.gov (United States)

    Márquez, Cristina; Belda, Xavier; Armario, Antonio

    2002-02-01

    Acute immobilization in male rats elicited the same ACTH, corticosterone and glucose response as foot shock when measured immediately after stress. However, post-stress recovery of plasma ACTH, corticosterone and glucose levels were delayed in immobilized versus shocked rats. Similarly, stress-induced anorexia was much greater in the former animals. All these data suggest that post-stress speed of recovery of some physiological variables is positively related to stressor intensity and could be used to evaluate it.

  6. Enabling Data Intensive Science through Service Oriented Science: Virtual Laboratories and Science Gateways

    Science.gov (United States)

    Lescinsky, D. T.; Wyborn, L. A.; Evans, B. J. K.; Allen, C.; Fraser, R.; Rankine, T.

    2014-12-01

    We present collaborative work on a generic, modular infrastructure for virtual laboratories (VLs, similar to science gateways) that combine online access to data, scientific code, and computing resources as services that support multiple data intensive scientific computing needs across a wide range of science disciplines. We are leveraging access to 10+ PB of earth science data on Lustre filesystems at Australia's National Computational Infrastructure (NCI) Research Data Storage Infrastructure (RDSI) node, co-located with NCI's 1.2 PFlop Raijin supercomputer and a 3000 CPU core research cloud. The development, maintenance and sustainability of VLs is best accomplished through modularisation and standardisation of interfaces between components. Our approach has been to break up tightly-coupled, specialised application packages into modules, with identified best techniques and algorithms repackaged either as data services or scientific tools that are accessible across domains. The data services can be used to manipulate, visualise and transform multiple data types whilst the scientific tools can be used in concert with multiple scientific codes. We are currently designing a scalable generic infrastructure that will handle scientific code as modularised services and thereby enable the rapid/easy deployment of new codes or versions of codes. The goal is to build open source libraries/collections of scientific tools, scripts and modelling codes that can be combined in specially designed deployments. Additional services in development include: provenance, publication of results, monitoring, workflow tools, etc. The generic VL infrastructure will be hosted at NCI, but can access alternative computing infrastructures (i.e., public/private cloud, HPC).The Virtual Geophysics Laboratory (VGL) was developed as a pilot project to demonstrate the underlying technology. This base is now being redesigned and generalised to develop a Virtual Hazards Impact and Risk Laboratory

  7. Intermittent fasting modulates IgA levels in the small intestine under intense stress: a mouse model.

    Science.gov (United States)

    Lara-Padilla, Eleazar; Godínez-Victoria, Marycarmen; Drago-Serrano, Maria Elisa; Reyna-Garfias, Humberto; Arciniega-Martínez, Ivonne Maciel; Abarca-Rojano, Edgar; Cruz-Hernández, Teresita Rocío; Campos-Rodríguez, Rafael

    2015-08-15

    Intermittent fasting prolongs the lifespan and unlike intense stress provides health benefits. Given the role of the immunoglobulin A (IgA) in the intestinal homeostasis, the aim of this study was to assess the impact of intermittent fasting plus intense stress on secretory IgA (SIgA) production and other mucosal parameters in the duodenum and ileum. Two groups of six mice, with intermittent fasting or fed ad libitum for 12weeks, were submitted to a session of intense stress by a bout of forced swimming. Unstressed ad libitum fed or intermittently fasted groups were included as controls. After sacrifice, we evaluated intestinal SIgA and plasma adrenal hormones, lamina propria IgA+ plasma-cells, mRNA expression of polymeric immunoglobulin receptor, α- and J-chains in the liver and intestinal mucosa, as well as pro- (tumor necrosis factor-α, interleukin-6 and Interferon-γ) and anti- (interleukin-2, -4, -10 and transforming growth factor-β) inflammatory cytokines in mucosal samples. Under intense stress, intermittent fasting down- or up-modulated the levels of most parameters in the duodenum and ileum, respectively while up-regulated corticosterone levels without affecting epinephrine. Our data suggest intermittent fasting plus intense stress elicited neuroendocrine pathways that differentially controlled IgA and pIgR expression in duodenum and ileum. These findings provide experimental foundations for a presumable impact of intermittent fasting under intense stress on the intestinal homeostasis or inflammation by triggering or reducing the IgA production in ileum or duodenum respectively. Copyright © 2015 Elsevier B.V. All rights reserved.

  8. Effect of Trailing Intensive Cooling on Residual Stress and Welding Distortion of Friction Stir Welded 2060 Al-Li Alloy

    Science.gov (United States)

    Ji, Shude; Yang, Zhanpeng; Wen, Quan; Yue, Yumei; Zhang, Liguo

    2018-04-01

    Trailing intensive cooling with liquid nitrogen has successfully applied to friction stir welding of 2 mm thick 2060 Al-Li alloy. Welding temperature, plastic strain, residual stress and distortion of 2060 Al-Li alloy butt-joint are compared and discussed between conventional cooling and trailing intensive cooling using experimental and numerical simulation methods. The results reveal that trailing intensive cooling is beneficial to shrink high temperature area, reduce peak temperature and decrease plastic strain during friction stir welding process. In addition, the reduction degree of plastic strain outside weld is smaller than that inside weld. Welding distortion presents an anti-saddle shape. Compared with conventional cooling, the reductions of welding distortion and longitudinal residual stresses of welding joint under intense cooling reach 47.7 % and 23.8 %, respectively.

  9. Effects of Light Intensity on Growth, Anti-Stress Ability and Immune Function in Yellow Feathered Broilers

    Directory of Open Access Journals (Sweden)

    YL Guo

    Full Text Available ABSTRACT An experiment was conducted to investigate the effects of light intensity on growth, anti-stress ability, and immune function of yellow feathered broilers. A total of 480 one-day-old male Lingnan yellow feathered broilers were randomly allocated to 4 treatments based on light intensity (1, 5, 20 and 80 lx with 8 replicates of 15 chicks each. The experiment lasted for 63 days. Compared with those under high light intensity, broilers exposed to low light intensity had higher (p<0.05 total antioxidant capacity (T-AOC, glutathione peroxidase (GSH-Px, a-Naphthylacetate esterase (ANAE+, antibody titer, but lower (p<0.05 malonaldehyde (MDA levels and heterophil/lymphocyte ratio (H/L. There was a linear effect for T-AOC(p=0.002, GSH-Px(p≤0.047, MDA (p=0.003, H/L(p≤0.014, ANAE+ (p≤0.044, and antibody titer (p≤0.021 with T-AOC, GSH-Px, ANAE+, and antibody titer increased significantly as light intensity decreased, whereas MDA and H/L were decreased with the decrease in light intensity. These results suggested that broilers under low light intensity could have similar performance, better anti-stress ability, stronger immune function, and more efficient in energy usage as compared with those exposed to high light intensity environment.

  10. Constraints for the design of variability-intensive service-oriented reference architectures - An industrial case study

    NARCIS (Netherlands)

    Galster, Matthias; Avgeriou, Paris; Tofan, Dan

    Context: Service-oriented architecture has become a widely used concept in software industry. However, we currently lack support for designing variability-intensive service-oriented systems. Such systems could be used in different environments, without the need to design them from scratch. To

  11. Stress-intensity factors for a thick-walled cylinder containing an annular imbedded or external or internal surface crack

    Science.gov (United States)

    Erdol, R.; Erdogan, F.

    1976-01-01

    The elastostatic axisymmetric problem for a long thick-walled cylinder containing a ring-shaped internal or edge crack is considered. Using the standard transform technique the problem is formulated in terms of an integral equation which has a simple Cauchy kernel for the internal crack and a generalized Cauchy kernel for the edge crack as the dominant part. As examples the uniform axial load and the steady-state thermal stress problems have been solved and the related stress intensity factors have been calculated. Among other findings the results show that in the cylinder under uniform axial stress containing an internal crack the stress intensity factor at the inner tip is always greater than that at the outer tip for equal net ligament thicknesses and in the cylinder with an edge crack which is under a state of thermal stress the stress intensity factor is a decreasing function of the crack depth, tending to zero as the crack depth approaches the wall thickness.

  12. Counterbalancing work-related stress? Work engagement among intensive care professionals.

    Science.gov (United States)

    van Mol, Margo M C; Nijkamp, Marjan D; Bakker, Jan; Schaufeli, Wilmar B; Kompanje, Erwin J O

    2018-07-01

    Working in an Intensive Care Unit (ICU) is increasingly complex and is also physically, cognitively and emotionally demanding. Although the negative emotions of work-related stress have been well studied, the opposite perspective of work engagement might also provide valuable insight into how these emotional demands may be countered. This study focused on the work engagement of ICU professionals and explored the complex relationship between work engagement, job demands and advantageous personal resources. This was a cross-sectional survey study among ICU professionals in a single-centre university hospital. Work engagement was measured by the Utrecht Work Engagement Scale, which included items about opinions related to the respondent's work environment. Additionally, 14 items based on the Jefferson Scale of Physician Empathy were included to measure empathic ability. A digital link to the questionnaire was sent in October 2015 to a population of 262 ICU nurses and 53 intensivists. The overall response rate was 61% (n=193). Work engagement was negatively related both to cognitive demands among intensivists and to emotional demands among ICU nurses. No significant relationship was found between work engagement and empathic ability; however, agreeableness, conscientiousness, and emotional stability were highly correlated with work engagement. Only the number of hours worked per week remained as a confounding factor, with a negative effect of workload on work engagement after controlling for the effect of weekly working hours. Work engagement counterbalances work-related stress reactions. The relatively high workload in ICUs, coupled with an especially heavy emotional burden, may be acknowledged as an integral part of ICU work. This workload does not affect the level of work engagement, which was high for both intensivists and nurses despite the known high job demands. Specific factors that contribute to a healthy and successful work life among ICU professionals need

  13. Validation of surface crack stress intensity factors of a tubular K-joint

    International Nuclear Information System (INIS)

    Lie, S.T.; Lee, C.K.; Chiew, S.P.; Shao, Y.B.

    2005-01-01

    Tubular K-joints are encountered widely in offshore structures, and the prediction of damaged joints depends very much on the accuracy of stress intensity factor solutions (SIFs). No parametric equations and very few results have been proposed and published in the literature for estimating the SIFs of any K-joints subjected to complex loading conditions. In this paper, a mesh generation method proposed previously for the Y-joint and T-joint has been extended to the K-joint. This method is realized by dividing the K-joint into several sub-zones with each zone consisting of different types of elements and mesh densities. This method has a distinct advantage of controlling the mesh quality, and most importantly the aspect ratio of the elements along the crack front. When the mesh of all the sub-zones has been generated automatically and completely, they are merged to form the complete model. The two most commonly used methods, namely the J-integral and displacement extrapolation, are used to evaluate the SIF values along the crack front of a typical K-joint. To validate the accuracy of these computed SIFs, a full-scale K-joint specimen was tested to failure under fatigue loading conditions. The standard alternating current potential drop (ACPD) technique was used to monitor the rate of crack propagation of the surface crack located at the hot spot stress region. Using the given material parameters C and m, the experimental SIFs were deduced, and they are found to be in good agreement with the computed SIFs obtained from the generated models. Hence, the proposed finite element models are both efficient and reliable

  14. The five-factor model of personality, work stress and professional quality of life in neonatal intensive care unit nurses.

    Science.gov (United States)

    Barr, Peter

    2018-06-01

    The study aim was to determine the direct and indirect relations of the five-factor model of personality traits and work stress with professional quality of life in neonatal nurses. Neonatal intensive care nursing has positive and negative effects on neonatal nurses' psychological well-being. Although individual and situational factors interact to influence professional quality of life, there have been few studies of these relationships in neonatal nurses. A cross-sectional study conducted in 2016. Self-report questionnaires were used to measure professional quality of life (burnout, secondary traumatic stress and compassion satisfaction), five-factor model of personality traits (neuroticism, agreeableness, extraversion, conscientiousness and openness) and work stress (role ambiguity, role conflict and role overload). One hundred and forty (34%) of 405 eligible neonatal nurses provided the data. After controlling for work stress, neuroticism and agreeableness were related to burnout, neuroticism was related to secondary traumatic stress, and extraversion was related to compassion satisfaction. Work stress controlled for personality traits was related to burnout and secondary traumatic stress, but not to compassion satisfaction. Neuroticism moderated the effect of work stress on secondary traumatic stress and agreeableness and openness moderated the effect of work stress on compassion satisfaction. Work stress mediated the effect of neuroticism and extraversion on burnout and the effects of extraversion and conscientiousness on compassion satisfaction. Strategies to reduce work stress may not lessen burnout and secondary traumatic stress or increase compassion satisfaction in neonatal nurses who are prone to high neuroticism, low agreeableness and low extraversion. © 2018 John Wiley & Sons Ltd.

  15. Posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment compared to children who survived a major fire disaster

    NARCIS (Netherlands)

    Bronner, M.B.; Knoester, H.; Bos, AP; Last, B.F.; Grootenhuis, M.A.

    2008-01-01

    Background: The goals were to determine the presence of posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment, to identify risk factors for PTSD, and to compare this data with data from a major fire disaster in the Netherlands. Methods: Children completed the

  16. [Oxidative stress in Masters swimmers following high-intensity (interval) training (HI(I)T)].

    Science.gov (United States)

    Braun, Janina; Masoud, Magd; Brixius, Klara; Brinkmann, Christian

    2016-05-01

    Increased oxidative stress (OS) can promote diseases in the long term, but it can also trigger cellular adaptations in the short term. The present study aims to analyze whether a 3-month high-intensity (interval) training (HI(I)T) affects OS in 24 Masters swimmers (22-67 years) before (= basal) and after an all-out performance (swimming step-test). Data were analyzed for the entire group and differentiated according to sex and age (under 50 years (U50) and over 50 years (O50)). Prior to the HI(I)T intervention, a significant increase in OS from the basal to the all-out value was observed among the entire group and in the O50-subjects (subgroup analysis). Furthermore, significant increases in basal OS were evident for the entire group post-HI(I)T, but OS was only significantly increased in men in the subgroup analysis. No significant results were observed for women and U50-subjects. The response by Masters swimmers to HI(I)T depends on age and sex.

  17. A New Displacement-based Approach to Calculate Stress Intensity Factors With the Boundary Element Method

    Directory of Open Access Journals (Sweden)

    Marco Gonzalez

    Full Text Available Abstract The analysis of cracked brittle mechanical components considering linear elastic fracture mechanics is usually reduced to the evaluation of stress intensity factors (SIFs. The SIF calculation can be carried out experimentally, theoretically or numerically. Each methodology has its own advantages but the use of numerical methods has become very popular. Several schemes for numerical SIF calculations have been developed, the J-integral method being one of the most widely used because of its energy-like formulation. Additionally, some variations of the J-integral method, such as displacement-based methods, are also becoming popular due to their simplicity. In this work, a simple displacement-based scheme is proposed to calculate SIFs, and its performance is compared with contour integrals. These schemes are all implemented with the Boundary Element Method (BEM in order to exploit its advantages in crack growth modelling. Some simple examples are solved with the BEM and the calculated SIF values are compared against available solutions, showing good agreement between the different schemes.

  18. Stress Intensity Factors of Slanted Cracks in Bi-Material Plates

    Science.gov (United States)

    Ismail, Al Emran; Azhar Kamarudin, Kamarul; Nor, Nik Hisyamudin Muhd

    2017-10-01

    In this study, the stress intensity factors (SIF) of slanted cracks in bi-material plates subjected to mode I loading is numerically solved. Based on the literature survey, tremendous amount of research works are available studying the normal cracks in both similar and dissimilar plates. However, lack of SIF behavior for slanted cracks especially when it is embedded in bi-material plates. The slanted cracks are then modelled numerically using ANSYS finite element program. Two plates of different in mechanical properties are firmly bonded obliquely and then slanted edge cracks are introduced at the lower inclined edge. Isoparametric singular element is used to model the crack tip and the SIF is determined which is based on the domain integral method. Three mechanical mismatched and four slanted angles are used to model the cracks. According to the present results, the effects of mechanical mismatch on the SIF for normal cracks are not significant. However, it is played an important role when slanted angles are introduced. It is suggested that higher SIF can be obtained when the cracks are inclined comparing with the normal cracks. Consequently, accelerating the crack growth at the interface between two distinct materials.

  19. Cellular Stress Response Gene Expression During Upper and Lower Body High Intensity Exercises.

    Science.gov (United States)

    Kochanowicz, Andrzej; Sawczyn, Stanisław; Niespodziński, Bartłomiej; Mieszkowski, Jan; Kochanowicz, Kazimierz; Żychowska, Małgorzata

    2017-01-01

    The aim was to compare the effect of upper and lower body high-intensity exercise on chosen genes expression in athletes and non-athletes. Fourteen elite male artistic gymnasts (EAG) aged 20.6 ± 3.3 years and 14 physically active men (PAM) aged 19.9 ± 1.0 years performed lower and upper body 30 s Wingate Tests. Blood samples were collected before, 5 and 30 minutes after each effort to assess gene expression via PCR. Significantly higher mechanical parameters after lower body exercise was observed in both groups, for relative power (8.7 ± 1.2 W/kg in gymnasts, 7.2 ± 1.2 W/kg in controls, p = 0.01) and mean power (6.7 ± 0.7 W/kg in gymnasts, 5.4 ± 0.8 W/kg in controls, p = 0.01). No differences in lower versus upper body gene expression were detected for all tested genes as well as between gymnasts and physical active man. For IL-6 m-RNA time-dependent effect was observed. Because of no significant differences in expression of genes associated with cellular stress response the similar adaptive effect to exercise may be obtained so by lower and upper body exercise.

  20. Evaluation of stress intensity factors for bi-material interface cracks using displacement jump methods

    Science.gov (United States)

    Nehar, K. C.; Hachi, B. E.; Cazes, F.; Haboussi, M.

    2017-12-01

    The aim of the present work is to investigate the numerical modeling of interfacial cracks that may appear at the interface between two isotropic elastic materials. The extended finite element method is employed to analyze brittle and bi-material interfacial fatigue crack growth by computing the mixed mode stress intensity factors (SIF). Three different approaches are introduced to compute the SIFs. In the first one, mixed mode SIF is deduced from the computation of the contour integral as per the classical J-integral method, whereas a displacement method is used to evaluate the SIF by using either one or two displacement jumps located along the crack path in the second and third approaches. The displacement jump method is rather classical for mono-materials, but has to our knowledge not been used up to now for a bi-material. Hence, use of displacement jump for characterizing bi-material cracks constitutes the main contribution of the present study. Several benchmark tests including parametric studies are performed to show the effectiveness of these computational methodologies for SIF considering static and fatigue problems of bi-material structures. It is found that results based on the displacement jump methods are in a very good agreement with those of exact solutions, such as for the J-integral method, but with a larger domain of applicability and a better numerical efficiency (less time consuming and less spurious boundary effect).

  1. New stress intensity factor solutions for an elliptical crack in a plate

    International Nuclear Information System (INIS)

    Delliou, P.L.; Barthelet, B.

    2005-01-01

    Crack assessment in engineering structures relies first on accurate evaluation of the stress intensity factors. In recent years, a large work has been conducted in France by the Atomic Energy Commission to develop influence coefficients for surface cracks in pipes. However, the problem of embedded cracks in plates (and pipes) which is also of practical importance has not received so much attention. Presently, solutions for elliptical cracks are available either in infinite solid with a polynomial distribution of normal loading or in plate, but restricted to constant or linearly varying tension. This paper presents the work conducted at EDF R and D to obtain influence coefficients for plates containing an elliptical crack with a wide range of the parameters : relative size (2a/t ratio), shape (a/c ratio) and free surface proximity (a/d ratio where d is the distance from the center of the ellipse to the closest free surface). These coefficients were developed through extensive 3D finite element calculations : 200 geometrical configurations were modeled, each containing from 18000 to 26000 nodes. The limiting case of the tunnel crack (a/c = 0) was also analyzed with 2D finite element calculation (50 geometrical configurations). The accuracy of the results was checked by comparison with analytical solutions for infinite solids and, when possible, with solutions for finite-thickness plates (generally loaded in constant tension). (authors)

  2. Usefulness of creep work-time relation for determining stress intensity limit of high-temperature components

    International Nuclear Information System (INIS)

    Kim, Woo Gon; Ryu, Woo Seog; Lee, Kyung Yong

    2003-01-01

    In order to determine creep stress intensity limit of high-temperature components, the usefulness of the creep work and time equation, defined as W c t p = B (where W c = σ ε is the total creep work done during creep, and p and B are constants), was investigated using the experimental data. For this purpose, the creep tests for generating 1.0% strain for commercial type 316 stainless steel were conducted with different stresses; 160 MPa, 150 MPa, 145 MPa, 140 MPa and 135 MPa at 593 .deg. C. The plots of log W c - log t showed a good linear relation up to 10 5 hr, and the results of the creep work-time relation for p, B and stress intensity values showed good agreement to those of Isochronous Stress-Strain Curves (ISSC) presented in ASME BPV NH. The relation can be simply obtained with only several short-term 1% strain data without ISSC which can be obtained by long-term creep data. Particularly, this relation is useful in estimating stress intensity limit for new and emerging class of high-temperature creeping materials

  3. Stress intensity factors for underclad and through clad defects in a reactor pressure vessel submitted to a pressurised thermal shock

    International Nuclear Information System (INIS)

    Marie, S.; Menager, Y.; Chapuliot, S.

    2005-01-01

    CEA has launched important work on the development of a Stress Intensity Factors compendium for cracks in a Reactor Pressure Vessel (RPV) taking into account the cladding. The work is performed by Finite Element analysis with a parametric mesh for two types of defects (under clad defect and through clad defect) and a wide range of geometrical and material parameters. In addition, an analytical stress solution for Pressurised Thermal Shock (PTS) on the RPV is proposed to allow a complete analytical estimation of the stress intensity factor K I for the PTS problem. The results are validated by comparison with a complete 3D finite element calculation performed on a complex and realistic case study

  4. Efficient computer program EPAS-J1 for calculating stress intensity factors of three-dimensional surface cracks

    International Nuclear Information System (INIS)

    Miyazaki, Noriyuki; Watanabe, Takayuki; Yagawa, Genki.

    1982-03-01

    A finite element computer program EPAS-J1 was developed to calculate the stress intensity factors of three-dimensional cracks. In the program, the stress intensity factor is determined by the virtual crack extension method together with the distorted elements allocated along the crack front. This program also includes the connection elements based on the Lagrange multiplier concept to connect such different kinds of elements as the solid and shell elements, or the shell and beam elements. For the structure including three-dimensional surface cracks, the solid elements are employed only at the neighborhood of a surface crack, while the remainder of the structure is modeled by the shell or beam elements due to the reason that the crack singularity is very local. Computer storage and computational time can be highly reduced with the application of the above modeling technique for the calculation of the stress intensity factors of the three-dimensional surface cracks, because the three-dimensional solid elements are required only around the crack front. Several numerical analyses were performed by the EPAS-J1 program. At first, the accuracies of the connection element and the virtual crack extension method were confirmed using the simple structures. Compared with other techniques of connecting different kinds of elements such as the tying method or the method using anisotropic plate element, the present connection element is found to provide better results than the others. It is also found that the virtual crack extension method provides the accurate stress intensity factor. Furthermore, the results are also presented for the stress intensity factor analyses of cylinders with longitudinal or circumferential surface cracks using the combination of the various kinds of elements together with the connection elements. (author)

  5. Determination of service stresses in pretensioned beams, final report, December 2009.

    Science.gov (United States)

    2009-12-01

    This report presents research on the evaluation of service flexural stresses and cracking moment in prestressed concrete members and on the minimum reinforcement requirements that are currently controlled by the flexural cracking moment. In prestress...

  6. High-Intensity Exercise Induced Oxidative Stress and Skeletal Muscle Damage in Postpubertal Boys and Girls: A Comparative Study.

    Science.gov (United States)

    Pal, Sangita; Chaki, Biswajit; Chattopadhyay, Sreya; Bandyopadhyay, Amit

    2018-04-01

    Pal, S, Chaki, B, Chattopadhyay, S, and Bandyopadhyay, A. High-intensity exercise induced oxidative stress and skeletal muscle damage in post-pubertal boys and girls: a comparative study. J Strength Cond Res 32(4): 1045-1052, 2018-The purpose of this study was to examine the sex variation in high-intensity exercise induced oxidative stress and muscle damage among 44 sedentary postpubertal boys and girls through estimation of postexercise release pattern of muscle damage markers like creatine kinase, lactate dehydrogenase (LDH), alanine aminotransferase (ALT), aspartate aminotransferase (AST) and oxidative stress markers like extent of lipid peroxidation (thiobarbituric acid-reactive substances) and catalase activity. Muscle damage markers like creatine kinase, LDH, ALT, and AST were measured before, immediately after, and 24 and 48 hours after high-intensity incremental treadmill running. Oxidative stress markers like thiobarbituric acid-reactive substances and catalase activity were estimated before and immediately after the exercise. Lipid peroxidation and serum catalase activity increased significantly in both groups after exercise (p exercise level at 24 and 48 hours after exercise in both the sexes, (p exercise, the pattern of postexercise release of these markers were found to be similar in both the groups. Accordingly, it has been concluded from the present investigation that high-intensity exercise induces significant oxidative stress and increases indices of skeletal muscle damage in both postpubertal girls and boys. However, postpubertal girls are relatively better protected from oxidative stress and muscle damage as compared to the boys of similar age and physical activity level. It is further evident that sex difference may not be apparent for all the biomarkers of muscle damage in this age group.

  7. The Effects of Aromatherapy on Intensive Care Unit Patients’ Stress and Sleep Quality: A Nonrandomised Controlled Trial

    Directory of Open Access Journals (Sweden)

    Eun Hee Cho

    2017-01-01

    Full Text Available Background. Stress has both physiological and psychological effects and can negatively impact patients’ treatment and recovery. We examined whether the aromatherapy alleviated patients’ stress and improved their sleep quality and provided data that can be utilized in clinical settings. Methods. This was a nonrandomised controlled experimental study. Participants included lucid adult patients who were admitted to the intensive care unit and had spent more than two nights there. The experimental treatment required participants to engage in deep breathing with essential oils as part of the aromatherapy. The control group was instructed to go to sleep without receiving the lavender aroma oil. Results. The experimental group and control group showed a significant difference in perceived stress (F=60.11, p<.001, objective stress index (F=25.65, p<.001, systolic blood pressure (F=9.09, p<.001, diastolic blood pressure (F=2.47, p=.046, heart rate (F=5.71, p<.001, and sleep quality (F=109.46, p<.001. Conclusions. The results revealed that aromatherapy alleviated stress and improved sleep quality in intensive care unit patients after 2 days of the experimental treatment. These results demonstrate that aromatherapy affects stress and sleep quality, thus indicating its value in nursing interventions. This trial is registered with KCT0002344.

  8. Simultaneous analysis of residual stress and stress intensity factor in a resist after UV-nanoimprint lithography based on electron moiré fringes

    International Nuclear Information System (INIS)

    Wang, Qinghua; Kishimoto, Satoshi

    2012-01-01

    In this study, the residual stress in a resist (PAK01) film and the stress intensity factor (SIF) of an induced crack are simultaneously estimated during ultraviolet nanoimprint lithography (UV-NIL) based on electron moiré fringes. A micro grid in a triangular arrangement on the resist film fabricated by UV-NIL is directly used as the model grid. Electron moiré fringes formed by the interference between the fabricated grid and the electron scan beam are used to measure the displacement distribution around the tip of a crack induced by the residual stress in the resist. The SIF of the crack is estimated using a displacement extrapolation method. The residual strain fields and the corresponding residual stress in the resist film far from the crack are determined and analyzed. This method is effective for evaluating the grid quality fabricated by the UV-NIL technique. (paper)

  9. Intensive skills week for military medical students increases technical proficiency, confidence, and skills to minimize negative stress.

    Science.gov (United States)

    Mueller, Genevieve; Hunt, Bonnie; Wall, Van; Rush, Robert; Molof, Alan; Schoeff, Jonathan; Wedmore, Ian; Schmid, James; Laporta, Anthony

    2012-01-01

    The effects of stress induced cortisol on learning and memory is well documented in the literature.1-3 Memory and learning are enhanced at low levels while high levels are detrimental. Repetitive training in stressful situations enables management of the stress response4 as demonstrated by the high intensity training military members undergo to prepare for tactical situations. Appropriate management of one?s stress response is critical in the medical field, as the negative effects of stress can potentially hinder life-saving procedures and treatments. This also applies to physicians-in-training as they learn and practice triage, emergency medicine, and surgical skills prior to graduation. Rocky Vista University?s Military Medicine Honor?s Track (MMHT) held a week long high-intensity emergency medicine and surgical Intensive Skills Week (ISW), facilitated by military and university physicians, to advance students? skills and maximize training using the Human Worn Partial Surgical Task Simulator (Cut Suit). The short-term goal of the ISW was to overcome negative stress responses to increase confidence, technical and non-technical knowledge, and skill in surgery and emergency medicine in an effort to improve performance as third-year medical students. The long-term goal was to enhance performance and proficiency in residency and future medical practice. The metrics for the short-term goals were the focus of this pilot study. Results show an increase in confidence and decrease in perceived stress as well as statistically significant improvements in technical and non-technical skills and surgical instrumentation knowledge throughout the week. There is a correlative benefit to physician and non-physician military personnel, especially Special Operations Forces (SOF) medical personnel, from developing and implementing similar training programs when live tissue or cadaver models are unavailable or unfeasible. 2012.

  10. The interplay of stress and mowing disturbance for the intensity and importance of plant interactions in dry calcareous grasslands.

    Science.gov (United States)

    Maalouf, Jean-Paul; Le Bagousse-Pinguet, Yoann; Marchand, Lilian; Touzard, Blaise; Michalet, Richard

    2012-09-01

    There is still debate regarding the direction and strength of plant interactions under intermediate to high levels of stress. Furthermore, little is known on how disturbance may interact with physical stress in unproductive environments, although recent theory and models have shown that this interplay may induce a collapse of plant interactions and diversity. The few studies assessing such questions have considered the intensity of biotic interactions but not their importance, although this latter concept has been shown to be very useful for understanding the role of interactions in plant communities. The objective of this study was to assess the interplay between stress and disturbance for plant interactions in dry calcareous grasslands. A field experiment was set up in the Dordogne, southern France, where the importance and intensity of biotic interactions undergone by four species were measured along a water stress gradient, and with and without mowing disturbance. The importance and intensity of interactions varied in a very similar way along treatments. Under undisturbed conditions, plant interactions switched from competition to neutral with increasing water stress for three of the four species, whereas the fourth species was not subject to any significant biotic interaction along the gradient. Responses to disturbance were more species-specific; for two species, competition disappeared with mowing in the wettest conditions, whereas for the two other species, competition switched to facilitation with mowing. Finally, there were no significant interactions for any species in the disturbed and driest conditions. At very high levels of stress, plant performances become too weak to allow either competition or facilitation and disturbance may accelerate the collapse of interactions in dry conditions. The results suggest that the importance and direction of interactions are more likely to be positively related in stressful environments.

  11. Time-course changes of oxidative stress response to high-intensity discontinuous training versus moderate-intensity continuous training in masters runners.

    Directory of Open Access Journals (Sweden)

    Alessandra Vezzoli

    Full Text Available Beneficial systemic effects of regular physical exercise have been demonstrated to reduce risks of a number of age-related disorders. Antioxidant capacity adaptations are amongst these fundamental changes in response to exercise training. However, it has been claimed that acute physical exercise performed at high intensity (>60% of maximal oxygen uptake may result in oxidative stress, due to reactive oxygen species being generated excessively by enhanced oxygen consumption. The aim of this study was to evaluate the effect of high-intensity discontinuous training (HIDT, characterized by repeated variations of intensity and changes of redox potential, on oxidative damage. Twenty long-distance masters runners (age 47.8 ± 7.8 yr on the basis of the individual values of gas exchange threshold were assigned to a different 8-weeks training program: continuous moderate-intensity training (MOD, n = 10 or HIDT (n = 10. In both groups before (PRE and after (POST training we examined the following oxidative damage markers: thiobarbituric acid reactive substances (TBARS as marker of lipid peroxidation; protein carbonyls (PC as marker of protein oxidation; 8-hydroxy-2-deoxy-guanosine (8-OH-dG as a biomarker of DNA base modifications; and total antioxidant capacity (TAC as indicator of the overall antioxidant system. Training induced a significant (p<0.05 decrease in resting plasma TBARS concentration in both MOD (7.53 ± 0.30 and 6.46 ± 0.27 µM, PRE and POST respectively and HIDT (7.21 ± 0.32 and 5.85 ± 0.46 µM, PRE and POST respectively. Resting urinary 8-OH-dG levels were significantly decreased in both MOD (5.50 ± 0.66 and 4.16 ± 0.40 ng mg(-1creatinine, PRE and POST respectively and HIDT (4.52 ± 0.50 and 3.18 ± 0.34 ng mg(-1creatinine, PRE and POST respectively. Training both in MOD and HIDT did not significantly modify plasma levels of PC. Resting plasma TAC was reduced in MOD while no significant changes were observed in HIDT. In conclusion

  12. The role of aerobic fitness and exercise intensity on endurance performance in uncompensable heat stress conditions.

    Science.gov (United States)

    Périard, Julien D; Caillaud, Corinne; Thompson, Martin W

    2012-06-01

    The aim of this study was to examine the influence of aerobic fitness and exercise intensity on the development of thermal and cardiovascular strain in uncompensable heat stress conditions. In three separate trials, eight aerobically trained and eight untrained subjects cycled to exhaustion at 60% (H60%) and 75% (H75%) of maximal oxygen uptake [Formula: see text] in 40°C conditions, and for 60 min at 60% [Formula: see text] in 18°C conditions (CON). Training status had no influence on time to exhaustion between trained (61 ± 10 and 31 ± 9 min) and untrained (58 ± 12 and 26 ± 10 min) subjects (H60% and H75%, respectively). Rectal temperature at exhaustion was also not significantly different between trained (39.8 ± 0.3, 39.3 ± 0.6 and 38.2 ± 0.3°C) and untrained (39.4 ± 0.5, 38.8 ± 0.5 and 38.2 ± 0.4°C) subjects, but was different between trials (H60%, H75% and CON, respectively; P exercise was terminated on reaching the ethics approved rectal temperature limit in four trained subjects in the H60% trial and two in the H75% trial, it is speculated that increased rectal temperature may have further occurred in this cohort. Nonetheless, exhaustion occurred >96% of maximum heart rate in both cohorts and was accompanied by significant declines in stroke volume (15-26%), cardiac output (5-10%) and mean arterial pressure (9-13%) (P aerobic exercise in the heat in both trained and untrained subjects.

  13. Pain Sensitivity Mediates The Relationship between Stress and Headache Intensity in Chronic Tension-Type Headache

    OpenAIRE

    Stuart Cathcart; Navjot Bhullar; Maarten Immink; Chris Della Vedova; John Hayball

    2012-01-01

    BACKGROUND: A central model for chronic tension-type headache (CTH) posits that stress contributes to headache, in part, by aggravating existing hyperalgesia in CTH sufferers. The prediction from this model that pain sensitivity mediates the relationship between stress and headache activity has not yet been examined.OBJECTIVE: To determine whether pain sensitivity mediates the relationship between stress and prospective headache activity in CTH sufferers.METHOD: Self-reported stress, pain sen...

  14. Short-term intense exercise training reduces stress markers and alters the transcriptional response to exercise in skeletal muscle.

    Science.gov (United States)

    Hinkley, J Matthew; Konopka, Adam R; Suer, Miranda K; Harber, Matthew P

    2017-03-01

    The purpose of this investigation was to examine the influence of short-term intense endurance training on cycling performance, along with the acute and chronic signaling responses of skeletal muscle stress and stability markers. Ten recreationally active subjects (25 ± 2 yr, 79 ± 3 kg, 47 ± 2 ml·kg -1 ·min -1 ) were studied before and after a 12-day cycling protocol to examine the effects of short-term intense (70-100% V̇o 2max ) exercise training on resting and exercise-induced regulation of molecular factors related to skeletal muscle cellular stress and protein stability. Skeletal muscle biopsies were taken at rest and 3 h following a 20-km cycle time trial on days 1 and 12 to measure mRNA expression and protein content. Training improved ( P stress. The maintenance in the myocellular environment may be due to synthesis of cytoprotective markers, along with enhanced degradation of damage proteins, as training tended ( P short-term intense training enhances protein stability, creating a cellular environment capable of resistance to exercise-induced stress, which may be favorable for adaptation. Copyright © 2017 the American Physiological Society.

  15. Negative Affect Intensity and Hostility in Individuals with Alcohol Use Disorder with or without Post-Traumatic Stress Disorder.

    Science.gov (United States)

    Gandelman, Erin; Petrakis, Ismene; Kachadourian, Lorig; Ralevski, Elizabeth

    2018-02-20

    Negative affect intensity and hostility have both been implicated in alcohol use disorders (AUD) and post-traumatic stress disorder (PTSD) when they occur separately, but have neither been compared nor explored among those with dual diagnosis AUD and PTSD. This study is a secondary analysis designed to compare levels of negative affect intensity and hostility among those with AUD to those with dual diagnosis AUD and PTSD. Participants (n = 113) were recruited from the placebo-controlled groups of two distinct 12-week clinical trials (NCT00342563 and NCT00744055). The Short Affect Intensity Scale and Buss-Durkee Hostility Inventory were administered at weeks 0, 4, 8 and 12 to all study participants to assess negative affect intensity and hostility levels, respectively. Dual diagnosis AUD and PTSD individuals showed significantly higher levels of negative affect intensity and hostility than individuals with single diagnosis AUD. These levels remained relatively stable over the course of the study in spite of all study participants showing clinically significant improvements in AUD severity and PTSD symptomology (for those with dual diagnosis). Our results indicate that individuals with dual diagnosis AUD and PTSD have higher levels of negative affect and higher levels of hostility compared to individuals with single diagnosis AUD. In addition, these heightened levels of negative affect intensity and hostility appear to function somewhat independently of diagnosis severity and symptomology improvement. To our knowledge, this is the first study to compare negative affect intensity and hostility levels between single diagnosis AUD and dual diagnosis AUD and PTSD individuals.

  16. The Effects of Aromatherapy on Intensive Care Unit Patients' Stress and Sleep Quality: A Nonrandomised Controlled Trial

    Science.gov (United States)

    Cho, Eun Hee; Lee, Mi-Young

    2017-01-01

    Background Stress has both physiological and psychological effects and can negatively impact patients' treatment and recovery. We examined whether the aromatherapy alleviated patients' stress and improved their sleep quality and provided data that can be utilized in clinical settings. Methods This was a nonrandomised controlled experimental study. Participants included lucid adult patients who were admitted to the intensive care unit and had spent more than two nights there. The experimental treatment required participants to engage in deep breathing with essential oils as part of the aromatherapy. The control group was instructed to go to sleep without receiving the lavender aroma oil. Results The experimental group and control group showed a significant difference in perceived stress (F = 60.11, p aromatherapy alleviated stress and improved sleep quality in intensive care unit patients after 2 days of the experimental treatment. These results demonstrate that aromatherapy affects stress and sleep quality, thus indicating its value in nursing interventions. This trial is registered with KCT0002344. PMID:29375641

  17. Stress and performance: do service orientation and emotional energy moderate the relationship?

    Science.gov (United States)

    Smith, Michael R; Rasmussen, Jennifer L; Mills, Maura J; Wefald, Andrew J; Downey, Ronald G

    2012-01-01

    The current study examines the moderating effect of customer service orientation and emotional energy on the stress-performance relationship for 681 U.S. casual dining restaurant employees. Customer service orientation was hypothesized to moderate the stress-performance relationship for Front-of-House (FOH) workers. Emotional energy was hypothesized to moderate stress-performance for Back-of-House (BOH) workers. Contrary to expectations, customer service orientation failed to moderate the effects of stress on performance for FOH employees, but the results supported that customer service orientation is likely a mediator of the relationship. However, the hypothesis was supported for BOH workers; emotional energy was found to moderate stress performance for these employees. This finding suggests that during times of high stress, meaningful, warm, and empathetic relationships are likely to impact BOH workers' ability to maintain performance. These findings have real-world implications in organizational practice, including highlighting the importance of developing positive and meaningful social interactions among workers and facilitating appropriate person-job fits. Doing so is likely to help in alleviating worker stress and is also likely to encourage worker performance.

  18. [Hardy personality, self-efficacy, and general health in nursing professionals of intensive and emergency services].

    Science.gov (United States)

    Ríos Rísquez, María Isabel; Sánchez Meca, Julio; Godoy Fernández, Carmen

    2010-11-01

    In this study, the predictive power of hardy personality and generalized self-efficacy on general health perception was investigated in a sample of nursing personnel working in emergency and intensive care services. A cross-sectional retrospective design was used, and the following measurement instruments were applied: a sociodemographic and work questionnaire, Goldberg's GHQ-28 Health Questionnaire, the Baessler and Schwarzer General Self-efficacy Questionnaire, and the Hardy Personality Subscale of Moreno's Nursing Burnout Questionnaire (CDPE). The results revealed a positive and statistically significant relationship between the individual variables of generalized self-efficacy and hardy personality. A canonical correlation analysis carried out on the psychological distress symptoms with self-efficacy and hardy personality as predictor variables, led us to emphasize the relevance of the construct total hardy personality as a predictor and, consequently, as a protective factor against the onset of psychological distress symptoms in the sample of professionals studied. Lastly, the implications of the results for clinical practice are discussed.

  19. Comparison of an intermittent high-intensity vs continuous low-intensity physiotherapy service over 12 months in community-dwelling people with stroke: a randomized trial.

    Science.gov (United States)

    Hesse, S; Welz, A; Werner, C; Quentin, B; Wissel, J

    2011-02-01

    This study compared two modes of physiotherapy service over 12 months in community-dwelling people with stroke, either following a train-wait train paradigm by providing bouts of intense physiotherapy, or a continuous less intense programme. Randomized trial. Community-dwelling people with stroke. Fifty patients, first-time stroke, discharged home, following inpatient rehabilitation, allocated to two groups, A and B. Over 12 months, Group A (n = 25) received three two-month blocks of therapy at home, each block contained four 30 to 45 minute sessions per week, totalling 96 sessions. Group B (n = 25) continuously received two 30 to 45 minute sessions per week, totalling 104 sessions. Primary Rivermead Mobility Index (0-15), secondary upper- and lower-limb motor functions, Activities of Daily Living competence, tone and number of falls. Both groups were comparable at onset, the mean age in Group A (B) was 62.4 (61.9) years. A and B patients equally improved functions over time, between group differences did not occur. The initial (terminal) Rivermead Mobility Index was 9.4 ± 2.8 (12.2 ± 2.1) in Group A, and 8.5 ± 3.5 (11.2 ± 2.7) in Group B. More Group B patients fell seriously (7 versus 1). The intermittent high-intensity and continuous low-intensity therapy protocols were equally effective, the sheer intensity seems more important than the time-mode of application. The relatively young patients functionally improved in the first year after stroke, the reduced risk of serious falls in the intermittent high-intensity group should be validated.

  20. Level and Intensity of Early Intervention Services for Infants and Toddlers with Disabilities: The Impact of Child, Family, System, and Community-Level Factors on Service Provision

    Science.gov (United States)

    Hallam, Rena A.; Rous, Beth; Grove, Jaime; LoBianco, Tony

    2009-01-01

    Data from a statewide billing and information system for early intervention are used to examine the influence of multiple factors on the level and intensity of services provided in a state early intervention system. Results indicate that child and family factors including entry age, gestational age, Medicaid eligibility, access to third party…

  1. Effect of stress hyperglycemia and intensive rehabilitation therapy in non-diabetic hemorrhagic stroke: Korean Stroke Cohort for Functioning and Rehabilitation.

    Science.gov (United States)

    Yoon, J A; Kim, D Y; Sohn, M K; Lee, J; Lee, S-G; Lee, Y-S; Han, E Y; Joo, M C; Oh, G-J; Han, J; Lee, S W; Park, M; Chang, W H; Shin, Y-I; Kim, Y-H

    2016-11-01

    We investigated the effect of stress hyperglycemia on the functional outcomes of non-diabetic hemorrhagic stroke. In addition, we investigated the usefulness of intensive rehabilitation for improving functional outcomes in patients with stress hyperglycemia. Non-diabetic hemorrhagic stroke patients were recruited and divided into two groups: intracerebral hemorrhage (ICH) (n = 165) and subarachnoid hemorrhage (SAH) (n = 156). Each group was divided into non-diabetics with or without stress hyperglycemia. Functional assessments were performed at 7 days and 3, 6 and 12 months after stroke onset. The non-diabetic with stress hyperglycemia groups were again divided into two groups who either received or did not receive intensive rehabilitation treatment. Serial functional outcome was compared between groups. For the ICH group, patients with stress hyperglycemia had worse modified Rankin Scale, National Institutes of Health Stroke Scale, Functional Ambulatory Category and Korean Mini-Mental State Examination scores than patients without stress hyperglycemia. For the SAH group, patients with stress hyperglycemia had worse scores on all functional assessments than patients without stress hyperglycemia at all time-points. After intensive rehabilitation treatment of patients with stress hyperglycemia, the ICH group had better scores on Functional Ambulatory Category and the SAH group had better scores on all functional assessments than patients without intensive rehabilitation treatment. Stress hyperglycemia affects the long-term prognosis of non-diabetic hemorrhagic stroke patients. Among stress hyperglycemia patients, intensive rehabilitation can enhance functional improvement after stroke. © 2016 EAN.

  2. Simulation Analysis of the Mutual Influence of the Stress Intensity Factor on the Multiple Blisters Caused by Hydrogen Induced Damage

    Science.gov (United States)

    Ji, Congwei; Zhang, Shaojie; Wang, Hehui

    2018-03-01

    Hydrogen blisters are taken as the research object by using the finite element software ABAQUS. The stress intensity factors of blister cracks are numerically calculated at varying depths and different edge distances for established three-dimensional finite element models of single-blister and double-blisters, respectively. The mutual influence of the stress intensity factors of the multiple blisters is obtained. It shows that the blister crack is easier to expand when the crack is closer to inner wall of the cylinder. What’s more, the crack growth rate increases firstly and then decreases as the increasing of the distance between two blisters cracks. The investigated result is of great reference value for predicting the trend of blister crack growth.

  3. The Contribution of Knowledge Intensive Business Services to Successful Innovation in Manufacturing Firms - The Importance of Geographical Proximity

    DEFF Research Database (Denmark)

    Drejer, Ina; Vinding, Anker Lund

    2003-01-01

    The present paper addresses the importance of geographical location of firms in relation to processes of transfer and creation of knowledge with respect to product development, or more specific in terms of firm access to external knowledge provided by knowledge intensive service providers. The an...

  4. Low intensity behavioral treatment supplementing preschool services for young children with autism spectrum disorders and severe to mild intellectual disability

    NARCIS (Netherlands)

    Peters-Scheffer, N.C.; Didden, H.C.M.; Mulders, M.; Korzilius, H.P.L.M.

    2010-01-01

    This study evaluated the effectiveness of low intensity behavioral treatment (on average 6.5 h per week) supplementing preschool services in 3-6-year-old children with autism spectrum disorder and severe to mild intellectual disability. Treatment was implemented in preschools (i.e., daycare centers)

  5. 20 CFR 669.380 - What is the objective assessment that is authorized as an intensive service?

    Science.gov (United States)

    2010-04-01

    ... training participant through the use of diagnostic testing and other assessment tools. The methods used by... authorized as an intensive service? 669.380 Section 669.380 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR NATIONAL FARMWORKER JOBS PROGRAM UNDER TITLE I OF THE WORKFORCE INVESTMENT...

  6. Calculation of stress intensity factors using the UNCLE finite element system and their application in fracture mechanics

    International Nuclear Information System (INIS)

    Pearce, J.H.B.

    1978-02-01

    The behaviour of crack-like defects in loaded structures is in many cases characterised by the stress intensity factor, K, which describes the spatial distribution around the crack tip. Analytical evaluation of K for generalised loading and geometry would be extremely complex. A finite element approach is described which utilises the existing UNCLE system of the UKAEA. The interpretation of the results for a fracture mechanics analysis is briefly reviewed. (author)

  7. [Occupational stress and early health effects in migrant workers in an electronics manufacturing service enterprise].

    Science.gov (United States)

    Liu, X M; Li, S; Zhang, Q Y; Wang, C; Ji, Y Q; Wang, J; Shi, J

    2016-10-20

    Objective: To investigate occupational stress in migrant workers in an electronics manufacturing service enterprise and the association between occupational stress and early health effects, such as job burnout, depressive tendency, and insomnia. Methods: In August 2015, stratified random cluster sampling was used to select 1 097 migrant workers in an electronics manufacturing service enterprise. The Job Demand-Autonomy Questionnaire and effort-reward imbalance questionnaire were used to investigate occupational stress with the types of high workload and effort-reward imbalance, and Burnout Inventory, depression scale, and self-management sleep questionnaire were used to investigate the early health effects of occupational stress. Results: In these migrant workers, the detection rates of occupational stress with the types of high workload and effort-reward imbalance were 69.8%(766/1 097) and 11.9%(131/1 097). The multivariate logistic regression analysis showed that the workers who had occupational stress with the types of high workload and effort-reward imbalance had significantly higher risks of job burnout and depressive tendencies than those who did not have these two types of occupational stress ( P workers who had occupational stress with the type of effort-reward imbalance had a significantly higher ability to predict the risks of job burnout and depressive tendencies than those who had occupational stress with the type of high workload ( P health effects, such as job burnout, depressive tendency, and insomnia, in the migrant workers in this electronics manufacturing service enterprise. The workers who have occupational stress with the type of effort-reward imbalance have higher risks of job burnout and depressive tendencies than those who have occupational stress with the type of high workload.

  8. [Depression and post-traumatic stress disorder among patients in intensive care units].

    Science.gov (United States)

    Asimakopoulou, E; Madianos, M

    2014-01-01

    Recent progress in medicine and technology has produced a significant increase in the survival rate of critically ill patients who have been treated in Intensive Care Units (ICU). Consequently, researchers have become increasingly interested in the relationship between critical illness and psychiatric consequences. The experience of critical illness has been often associated with Major Depression (MD) and Post-Traumatic Stress Disorder (PTSD). There has been no similar study in Greece. The aim of the present study was to investigate the prevalence of MD and PTSD among patients after discharge from ICU in comparison with patients who discharge from pathological or surgical department. The study was conducted on five major hospitals "ATTIKON", "THRIASSIO", "KAT", "GNA GENNIMATAS", "KORGIALENIO - BENAKIO". A standardized instrument was used especially for this study and is based on "ΜΙΝΙ: Mini International Neuropsychiatric Interview" and DSM-IV. The data collection was carried out through personal interviews with the patients. It is a cross-sectional study and also a case-control study. The sample of the research was composed of 198 patients, from whom 102 were in ICU (ICU group) and 96 were not (non-ICU group). The results of the statistical processing have shown that there is a positive and statistically significant correlation between MD-PTSD and hospitalization in ICU, and particular hospitalization in ICU increases the likelihood of developing MD by 1.94 times and PTSD by 3.48 times, compared to treatment in another part of the hospital. Furthermore, the ICU group was found to suffer more than the control group from MD (32.4% vs 19.8%) and PTSD (35,3% vs 13,5%). The investigation of sociodemographic characteristics showed that being a woman discharged from ICU is nearly five times more likely to develop MD and nearly twelve times more likely to develop PTSD compared with men. Old age in ICU acts as a protective factor from PTSD. Regarding the clinical

  9. Fatigue Crack Growth Rate and Stress-Intensity Factor Corrections for Out-of-Plane Crack Growth

    Science.gov (United States)

    Forth, Scott C.; Herman, Dave J.; James, Mark A.

    2003-01-01

    Fatigue crack growth rate testing is performed by automated data collection systems that assume straight crack growth in the plane of symmetry and use standard polynomial solutions to compute crack length and stress-intensity factors from compliance or potential drop measurements. Visual measurements used to correct the collected data typically include only the horizontal crack length, which for cracks that propagate out-of-plane, under-estimates the crack growth rates and over-estimates the stress-intensity factors. The authors have devised an approach for correcting both the crack growth rates and stress-intensity factors based on two-dimensional mixed mode-I/II finite element analysis (FEA). The approach is used to correct out-of-plane data for 7050-T7451 and 2025-T6 aluminum alloys. Results indicate the correction process works well for high DeltaK levels but fails to capture the mixed-mode effects at DeltaK levels approaching threshold (da/dN approximately 10(exp -10) meter/cycle).

  10. Pain-related stress in the Neonatal Intensive Care Unit and salivary cortisol reactivity to socio-emotional stress in 3-month-old very preterm infants.

    Science.gov (United States)

    Provenzi, Livio; Giusti, Lorenzo; Fumagalli, Monica; Tasca, Hilarj; Ciceri, Francesca; Menozzi, Giorgia; Mosca, Fabio; Morandi, Francesco; Borgatti, Renato; Montirosso, Rosario

    2016-10-01

    Very preterm (VPT) infants are hospitalized in the Neonatal Intensive Care Unit (NICU) and exposed to varying levels of skin-breaking procedures (pain-related stress), even in absence of severe clinical conditions. Repeated and prolonged pain exposure may alter hypothalamic-pituitary-adrenal (HPA) axis reactivity in VPT infants. During the post-discharge period, altered HPA axis reactivity has been documented in response to non-social stressors, using salivary cortisol as a biomarker. However, little is known about the effects of NICU pain-related stress on subsequent HPA axis reactivity to socio-emotional stress in infants. We examined the relationship between pain-related stress in NICU and HPA axis reactivity (i.e., salivary cortisol reactivity) to an age-appropriate socio-emotional condition in 37 healthy VPT infants compared to 53 full-term (FT) controls. The number of skin-breaking procedures was obtained across NICU stay for VPT infants. At 3 months (corrected age for prematurity), all infants participated in the maternal Face-to-Face Still-Face (FFSF) procedure, in order to assess HPA axis reactivity to socio-emotional stress (i.e., maternal unresponsiveness). VPT infants exhibited a blunted salivary cortisol reactivity, which was associated with the amount of skin-breaking procedures during NICU: greater pain-related stress predicted lower salivary cortisol reactivity, adjusting for neonatal confounders. These findings further advance our knowledge of how early exposure to pain-related stress in NICU contributes to the programming of an altered HPA axis reactivity to socio-emotional stress in 3-month-old VPT infants, even in the absence of major perinatal complications. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Service Life Of Main Piping Component Due To Low Thermal Stresses.Fatigue

    International Nuclear Information System (INIS)

    Miroshnik, R.; Jeager, A.; Ben Haim, H.

    1998-01-01

    The paper deals with estimating the service life of the power station Main piping component and describing the repair process for extending of its service life. After a long period of service, several circular fatigue cracks have been discovered at the bottom of the Main piping component chamber. Finite element analyses of transient thermal stresses, caused by power station startup, are carried out in the paper. The calculation results show good agreement between the theoretical locations of the maximum stresses and the actual locations of the cracks. There is a good agreement between theoretical evaluation and actual service life, as well. The possibility of machining out the cracks in order to prevent their growing is examined here. The machining enables us to extend the power station component's life service

  12. Internal Stress Monitoring of In-Service Structural Steel Members with Ultrasonic Method

    Science.gov (United States)

    Li, Zuohua; He, Jingbo; Teng, Jun; Wang, Ying

    2016-01-01

    Internal stress in structural steel members is an important parameter for steel structures in their design, construction, and service stages. However, it is hard to measure via traditional approaches. Among the existing non-destructive testing (NDT) methods, the ultrasonic method has received the most research attention. Longitudinal critically refracted (Lcr) waves, which propagate parallel to the surface of the material within an effective depth, have shown great potential as an effective stress measurement approach. This paper presents a systematic non-destructive evaluation method to determine the internal stress in in-service structural steel members using Lcr waves. Based on theory of acoustoelasticity, a stress evaluation formula is derived. Factor of stress to acoustic time difference is used to describe the relationship between stress and measurable acoustic results. A testing facility is developed and used to demonstrate the performance of the proposed method. Two steel members are measured by using the proposed method and the traditional strain gauge method for verification. Parametric studies are performed on three steel members and the aluminum plate to investigate the factors that influence the testing results. The results show that the proposed method is effective and accurate for determining stress in in-service structural steel members. PMID:28773347

  13. Internal Stress Monitoring of In-Service Structural Steel Members with Ultrasonic Method.

    Science.gov (United States)

    Li, Zuohua; He, Jingbo; Teng, Jun; Wang, Ying

    2016-03-23

    Internal stress in structural steel members is an important parameter for steel structures in their design, construction, and service stages. However, it is hard to measure via traditional approaches. Among the existing non-destructive testing (NDT) methods, the ultrasonic method has received the most research attention. Longitudinal critically refracted (Lcr) waves, which propagate parallel to the surface of the material within an effective depth, have shown great potential as an effective stress measurement approach. This paper presents a systematic non-destructive evaluation method to determine the internal stress in in-service structural steel members using Lcr waves. Based on theory of acoustoelasticity, a stress evaluation formula is derived. Factor of stress to acoustic time difference is used to describe the relationship between stress and measurable acoustic results. A testing facility is developed and used to demonstrate the performance of the proposed method. Two steel members are measured by using the proposed method and the traditional strain gauge method for verification. Parametric studies are performed on three steel members and the aluminum plate to investigate the factors that influence the testing results. The results show that the proposed method is effective and accurate for determining stress in in-service structural steel members.

  14. Delayed memory effects after intense stress in Special Forces candidates: exploring path processes between cortisol secretion and memory recall.

    Science.gov (United States)

    Taverniers, John; Taylor, Marcus K; Smeets, Tom

    2013-05-01

    The aim of this paper is twofold. First, it explores delayed effects of high endogenously evoked cortisol concentrations on visuo-spatial declarative memory. Subsequently, it applies multiple mediation (MM) analyses to reveal path processes between stress and cognitive performance in a sample of 24 male Special Forces (SF) candidates (mean age = 27.0 years, SD = 4.1). The SF candidates were randomly assigned to a control (n = 12) or an intense stress group (n = 12), and cortisol secretion for the intense stress condition was triggered by a brusque 60 min prisoner of war exercise. Stress exposure provoked robust increases in cortisol concentrations and a significant decline in immediate recall performance, measured with the Rey-Osterrieth Complex Figure (ROCF). The relative retrieval differences in regard to the ROCF persisted even after a recovery period of 24 h, as both groups showed similar levels of memory decline over 24 h. Next, the study applied a MM design that involved distribution-independent asymptotic and resampling strategies to extend traditional bivariate analyses. MM results showed that ROCF performance was mediated by increases in cortisol concentrations. Considering the studied variables, the current analysis was the first to provide statistical support for the generally accepted thesis that cortisol secretion in itself, rather than subjective strain or the experimental treatment, affects cognitive performance. The revelation of such path processes is important because it establishes process identification and may refine existing paradigms.

  15. Analysis of stress intensity factor for a Griffith crack opened under constant pressure in a plate with temperature dependent properties

    International Nuclear Information System (INIS)

    Hata, Toshiaki

    1982-01-01

    Recently, the research on the thermal stress of structural materials has become important with the progress of nuclear reactor technology. In the case of large temperature gradient, the change of the physical properties of materials must be taken into account. The thermal stress analysis for the things with cracks taking the temperature dependence of properties into account has scarcely been carried out. In this report, the general method of solution of three-dimensional problems using perturbation method and the extension of thermo-elastic displacement potential method is shown for the case in which Young's modulus changes according to the exponential function of temperature. Moreover, using this method, the effect of the temperature dependence of properties on the stress intensity factor of the cracks subjected to internal pressure in a strip exposed to linear thermal flow was clarified. In the analysis, Young's modulus, the coefficient of linear thermal expansion and thermal conductivity were assumed to be dependent on temperature. The method of solution, the analysis of stress intensity factor considering the change of properties due to temperature, and the numerical calculation for a square plate with a crack are explained. (Kako, I.)

  16. Rapid Deployment of International Tele-Intensive Care Unit Services in War-Torn Syria.

    Science.gov (United States)

    Moughrabieh, Anas; Weinert, Craig

    2016-02-01

    The conflict in Syria has created the largest humanitarian emergency of the twenty-first century. The 4-year Syrian conflict has destroyed hospitals and severely reduced the capacity of intensive care units (ICUs) and on-site intensivists. The crisis has triggered attempts from abroad to support the medical care of severely injured and acutely ill civilians inside Syria, including application of telemedicine. Within the United States, tele-ICU programs have been operating for more than a decade, albeit with high start-up costs and generally long development times. With the benefit of lessons drawn from those domestic models, the Syria Tele-ICU program was launched in December 2012 to manage the care of ICU patients in parts of Syria by using inexpensive, off-the-shelf video cameras, free social media applications, and a volunteer network of Arabic-speaking intensivists in North America and Europe. Within 1 year, 90 patients per month in three ICUs were receiving tele-ICU services. At the end of 2015, a network of approximately 20 participating intensivists was providing clinical decision support 24 hours per day to five civilian ICUs in Syria. The volunteer clinicians manage patients at a distance of more than 6,000 miles, separated by seven or eight time zones between North America and Syria. The program is implementing a cloud-based electronic medical record for physician documentation and a medication administration record for nurses. There are virtual chat rooms for patient rounds, radiology review, and trainee teaching. The early success of the program shows how a small number of committed physicians can use inexpensive equipment spawned by the Internet revolution to support from afar civilian health care delivery in a high-conflict country.

  17. Rapid Deployment of International Tele–Intensive Care Unit Services in War-Torn Syria

    Science.gov (United States)

    Moughrabieh, Anas

    2016-01-01

    The conflict in Syria has created the largest humanitarian emergency of the twenty-first century. The 4-year Syrian conflict has destroyed hospitals and severely reduced the capacity of intensive care units (ICUs) and on-site intensivists. The crisis has triggered attempts from abroad to support the medical care of severely injured and acutely ill civilians inside Syria, including application of telemedicine. Within the United States, tele-ICU programs have been operating for more than a decade, albeit with high start-up costs and generally long development times. With the benefit of lessons drawn from those domestic models, the Syria Tele-ICU program was launched in December 2012 to manage the care of ICU patients in parts of Syria by using inexpensive, off-the-shelf video cameras, free social media applications, and a volunteer network of Arabic-speaking intensivists in North America and Europe. Within 1 year, 90 patients per month in three ICUs were receiving tele-ICU services. At the end of 2015, a network of approximately 20 participating intensivists was providing clinical decision support 24 hours per day to five civilian ICUs in Syria. The volunteer clinicians manage patients at a distance of more than 6,000 miles, separated by seven or eight time zones between North America and Syria. The program is implementing a cloud-based electronic medical record for physician documentation and a medication administration record for nurses. There are virtual chat rooms for patient rounds, radiology review, and trainee teaching. The early success of the program shows how a small number of committed physicians can use inexpensive equipment spawned by the Internet revolution to support from afar civilian health care delivery in a high-conflict country. PMID:26788827

  18. [Structure, organization and capacity problems in emergency medical services, emergency admission and intensive care units].

    Science.gov (United States)

    Dick, W

    1994-01-01

    Emergency medicine is subjected worldwide to financial stringencies and organizational evaluations of cost-effectiveness. The various links in the chain of survival are affected differently. Bystander assistance or bystander CPR is available in only 30% of the emergencies, response intervals--if at all required by legislation--are observed to only a limited degree or are too extended for survival in cardiac arrest. A single emergency telephone number is lacking. Too many different phone numbers for emergency reporting result in confusion and delays. Organizational realities are not fully overcome and impair efficiency. The position of the emergency physician in the EMS System is inadequately defined, the qualification of too many emergency physicians are unsatisfactory. In spite of this, emergency physicians are frequently forced to answer out-of-hospital emergency calls. Conflicts between emergency physicians and EMTs may be overcome by providing both groups with comparable qualifications as well as by providing an explicit definition of emergency competence. A further source of conflict occurs at the juncture of prehospital and inhospital emergency care in the emergency department. Deficiencies on either side play a decisive role. At least in principle there are solutions to the deficiencies in the EMSS and in intensive care medicine. They are among others: Adequate financial compensation of emergency personnel, availability of sufficient numbers of highly qualified personnel, availability of a central receiving area with an adjacent emergency ward, constant information flow to the dispatch center on the number of available emergency beds, maintaining 5% of all beds as emergency beds, establishing intermediate care facilities. Efficiency of emergency physician activities can be demonstrated in polytraumatized patients or in patients with ventricular fibrillation or acute myocardial infarction, in patients with acute myocardial insufficiency and other emergency

  19. A new service model for the treatment of severe anorexia nervosa in the community: the Anorexia Nervosa Intensive Treatment Team

    Science.gov (United States)

    Munro, Calum; Thomson, Victoria; Corr, Jean; Randell, Louise; Davies, Jennie E.; Gittoes, Claire; Honeyman, Vicky; Freeman, Chris P.

    2014-01-01

    Aims and method A community intensive treatment service for severe anorexia nervosa is described. The service is multidisciplinary but driven by a focus on psychological formulation. Psychological and dietetic interventions are grounded in a process of active risk management. Evaluations of safety, cost and acceptability of the service are described. Results Patients are highly satisfied with their care. A relatively low mortality rate for such a high-risk population was observed. In-patient bed use and costs were substantially reduced. Clinical implications There is a case for greater use of intensive community care for patients with severe anorexia nervosa, as it can be acceptable to patients, relatively safe and cost less than admission. PMID:25285220

  20. Obesity promotes oxidative stress and exacerbates blood-brain barrier disruption after high-intensity exercise

    Directory of Open Access Journals (Sweden)

    Hee-Tae Roh

    2017-06-01

    Conclusion: Our study suggests that episodic vigorous exercise can increase oxidative stress and blood neurotrophic factor levels and induce disruption of the BBB. Moreover, high levels of neurotrophic factor in the blood after exercise in the obese group may be due to BBB disruption, and it is assumed that oxidative stress was the main cause of this BBB disruption.

  1. Effect of Short- and Long-Term Play Therapy Services on Teacher-Child Relationship Stress

    Science.gov (United States)

    Ray, Dee C.; Henson, Robin K.; Schottelkorb, April A.; Brown, April Garofano; Muro, Joel

    2008-01-01

    The purpose of the present study was to explore the effect of both short- and long term Child-Centered Play Therapy on teacher-student relationship stress. Teachers identified 58 students exhibiting emotional and behavioral difficulties who were randomly assigned to one of two treatment groups. Students in the short-term intensive play therapy…

  2. DIaaS: Data-Intensive workflows as a service - Enabling easy composition and deployment of data-intensive workflows on Virtual Research Environments

    Science.gov (United States)

    Filgueira, R.; Ferreira da Silva, R.; Deelman, E.; Atkinson, M.

    2016-12-01

    We present the Data-Intensive workflows as a Service (DIaaS) model for enabling easy data-intensive workflow composition and deployment on clouds using containers. DIaaS model backbone is Asterism, an integrated solution for running data-intensive stream-based applications on heterogeneous systems, which combines the benefits of dispel4py with Pegasus workflow systems. The stream-based executions of an Asterism workflow are managed by dispel4py, while the data movement between different e-Infrastructures, and the coordination of the application execution are automatically managed by Pegasus. DIaaS combines Asterism framework with Docker containers to provide an integrated, complete, easy-to-use, portable approach to run data-intensive workflows on distributed platforms. Three containers integrate the DIaaS model: a Pegasus node, and an MPI and an Apache Storm clusters. Container images are described as Dockerfiles (available online at http://github.com/dispel4py/pegasus_dispel4py), linked to Docker Hub for providing continuous integration (automated image builds), and image storing and sharing. In this model, all required software (workflow systems and execution engines) for running scientific applications are packed into the containers, which significantly reduces the effort (and possible human errors) required by scientists or VRE administrators to build such systems. The most common use of DIaaS will be to act as a backend of VREs or Scientific Gateways to run data-intensive applications, deploying cloud resources upon request. We have demonstrated the feasibility of DIaaS using the data-intensive seismic ambient noise cross-correlation application (Figure 1). The application preprocesses (Phase1) and cross-correlates (Phase2) traces from several seismic stations. The application is submitted via Pegasus (Container1), and Phase1 and Phase2 are executed in the MPI (Container2) and Storm (Container3) clusters respectively. Although both phases could be executed

  3. On residual stress prescriptions for fitness for service assessment of pipe girth welds

    International Nuclear Information System (INIS)

    Dong, Pingsha; Song, Shaopin; Zhang, Jinmiao; Kim, Myung H.

    2014-01-01

    This paper aims to provide a detailed assessment of some of the existing residual stress profiles stipulated in widely used fitness-for-service assessment codes and standards, such as BS 7910 Appendix Q and API 579 RP Annex E, by taking advantage of some comprehensive residual stress studies that have recently become available. After presenting a case study on which residual stress measurements are available for validating finite element based residual stress analysis procedure, residual stress profiles stipulated in BS 7910 for pipe girth welds are selected for detailed evaluation by comparing residual stress distribution characteristics shown in parametric finite element results. A shell theory based full-field residual stress profile estimation scheme is then presented to illustrate how an improved estimation of residual stress profiles can be achieved in light of some of the deficiencies in BS 7910 and API 579 identified in this study. - Highlights: • Critically assessed girth weld residual stress profiles in major FFS Codes and Standards. • Identified deficiencies in relating to pipe geometry, heat input, and axial distance from weld. • Presented a shell theory based scheme for prescribing full-field residual stress profiles

  4. Research data services in academic libraries: Data intensive roles for the future?

    Science.gov (United States)

    Tenopir, Carol; Hughes, Dane; Allard, Suzie; Frame, Mike; Birch, Ben; Sandusky, Robert; Langseth, Madison L.; Lundeen, Andrew

    2015-01-01

    Objectives: The primary objectives of this study are to gauge the various levels of Research Data Service academic libraries provide based on demographic factors, gauging RDS growth since 2011, and what obstacles may prevent expansion or growth of services.

  5. Growth, photosynthesis and stress indicators in young rosewood plants (Aniba rosaeodora Ducke) under different light intensities

    OpenAIRE

    Gonçalves, José Francisco de Carvalho; Barreto, Denize Caranhas de Sousa; Santos Junior, Ulysses Moreira dos; Fernandes, Andreia Varmes; Sampaio, Paulo de Tarso Barbosa; Buckeridge, Marcos Silveira

    2005-01-01

    Aniba rosaeodora is an Amazonian tree species that belongs to the family Lauraceae. Due to intense exploitation for extraction of essential oils (mainly linalol), A. rosaeodora is now considered an endangered species. On the other hand, there is little information about its ecophysiology which would be useful to support future forest planting programs. Hence, the effect of different light intensities on the growth and photosynthetic characteristics of young plants of A. rosaeodora was studied...

  6. Crack edge collocation for the direct computation of stress intensity factors using the displacement discontinuity method

    CSIR Research Space (South Africa)

    Napier, JAL

    2002-09-01

    Full Text Available The numerical solution of problems relating to crack fracture and failure can be accomplished using the displacement discontinuity boundary element method. This paper presents an extension to the normal formulation of this method to enable stress...

  7. A database to evaluate stress intensity factors of elbows with throughwall flaws under combined internal pressure and bending moment

    International Nuclear Information System (INIS)

    Chattopadhyay, J.; Dutta, B.K.; Kushwaha, H.S.; Mahajan, S.C.; Kakodkar, A.

    1993-01-01

    The advent of Leak-Before-Break (LBB) concept has replaced the traditional design basis event of Double Ended Guillotine Break (DEGB) in the design of primary heat transport (PHT) piping. The use of LBB concept requires postulation of largest credible cracks at highly stressed locations and demonstration of its stability under the maximum credible loading conditions. Stress analysis of PHT piping in nuclear power plants shows that the highly stressed piping components are normally elbows and branch tees. This necessitates detailed fracture mechanics evaluation of piping connections by computing Stress Intensity Factor (SIF) and/or J-integral. Simple analytical solutions for evaluation of SIF and J-integral for cracks in straight pipes are readily available in literature. However, the same type of solutions for elbows and tees are limited in open literature. In the present work, a database is generated to evaluate SIF for throughwall circumferential and longitudinal cracks under combined internal pressure and bending moment. Different parameters to characterise a cracked elbow are pipe factor (h), pipe bore radius to thickness ratio (r/t) and crack length. Another parameter (σ) is used to consider the relative magnitude of stresses due to internal pressure and remote bending moment. The database has been used to derive closed form expressions to evaluate SIF for elbow with cracks in terms of the aforementioned parameters. (author). 8 refs., 12 figs., 3 tabs

  8. Salivary Nerve Growth Factor Response to Intense Stress: Effect of Sex and Body Mass Index

    Science.gov (United States)

    2014-01-01

    collection and to avoid the following: brushing teeth prior to collection, using salivary stimulants (e.g., gum, lemon drops), and consuming acidic or high...individual differences in stress resilience with important prevention and therapeutic implications. A better understanding of how the stress response...existing studies of sNGF, involve mild to moderate challenges encountered in daily life. While these provide an important basis for specula- tion

  9. Effects of high-intensity interval versus continuous moderate-intensity aerobic exercise on apoptosis, oxidative stress and metabolism of the infarcted myocardium in a rat model.

    Science.gov (United States)

    Lu, Kai; Wang, Li; Wang, Changying; Yang, Yuan; Hu, Dayi; Ding, Rongjing

    2015-08-01

    The optimal aerobic exercise training (AET) protocol for patients following myocardial infarction (MI) has remained under debate. The present study therefore aimed to compare the effects of continuous moderate-intensity training (CMT) and high-intensity interval training (HIT) on cardiac functional recovery, and to investigate the potential associated mechanisms in a post-MI rat model. Female Sprague Dawley rats (8-10 weeks old) undergoing MI or sham surgery were subsequently submitted to CMT or HIT, or kept sedentary for eight weeks. Prior to and following AET, echocardiographic parameters and exercise capacity of the rats were measured. Western blotting was used to evaluate the levels of apoptosis and associated signaling pathway protein expression. The concentrations of biomarkers of oxidative stress were also determined by ELISA assay. Messenger (m)RNA levels and activity of the key enzymes for glycolysis and fatty acid oxidation, as well as the rate of adenosine triphosphate (ATP) synthesis, were also measured. Compared with the MI group, exercise capacity and cardiac function were significantly improved following AET, particularly following HIT. Left ventricular ejection fraction and fraction shortening were further improved in the MI-HIT group in comparison to that of the MI-CMT group. The two forms of AET almost equally attenuated apoptosis of the post-infarction myocardium. CMT and HIT also alleviated oxidative stress by decreasing the concentration of malondialdehyde and increasing the concentration of superoxide dismutase and glutathione peroxidase (GPx). In particular, HIT induced a greater increase in the concentration of GPx than that of CMT. AET, and HIT in particular, significantly increased the levels of mRNA and the maximal activity of phosphofructokinase-1 and carnitine palmitoyl transferase-1, as well as the maximal ratio of ATP synthesis. In addition, compared with the MI group, the expression of signaling proteins PI3K, Akt, p38mapk and AMPK

  10. Intensive case management for high-risk patients with first-episode psychosis: service model and outcomes.

    Science.gov (United States)

    Brewer, Warrick J; Lambert, Timothy J; Witt, Katrina; Dileo, John; Duff, Cameron; Crlenjak, Carol; McGorry, Patrick D; Murphy, Brendan P

    2015-01-01

    The first episode of psychosis is a crucial period when early intervention can alter the trajectory of the young person's ongoing mental health and general functioning. After an investigation into completed suicides in the Early Psychosis Prevention and Intervention Centre (EPPIC) programme, the intensive case management subprogramme was developed in 2003 to provide assertive outreach to young people having a first episode of psychosis who are at high risk owing to risk to self or others, disengagement, or suboptimal recovery. We report intensive case management model development, characterise the target cohort, and report on outcomes compared with EPPIC treatment as usual. Inclusion criteria, staff support, referral pathways, clinical review processes, models of engagement and care, and risk management protocols are described. We compared 120 consecutive referrals with 50 EPPIC treatment as usual patients (age 15-24 years) in a naturalistic stratified quasi-experimental real-world design. Key performance indicators of service use plus engagement and suicide attempts were compared between EPPIC treatment as usual and intensive case management, and psychosocial and clinical measures were compared between intensive case management referral and discharge. Referrals were predominately unemployed males with low levels of functioning and educational attainment. They were characterised by a family history of mental illness, migration and early separation, with substantial trauma, history of violence, and forensic attention. Intensive case management improved psychopathology and psychosocial outcomes in high-risk patients and reduced risk ratings, admissions, bed days, and crisis contacts. Characterisation of intensive case management patients validated the clinical research focus and identified a first episode of psychosis high-risk subgroup. In a real-world study, implementation of an intensive case management stream within a well-established first episode of psychosis

  11. Use of web services for computerized medical decision support, including infection control and antibiotic management, in the intensive care unit.

    Science.gov (United States)

    Steurbaut, Kristof; Van Hoecke, Sofie; Colpaert, Kirsten; Lamont, Kristof; Taveirne, Kristof; Depuydt, Pieter; Benoit, Dominique; Decruyenaere, Johan; De Turck, Filip

    2010-01-01

    The increasing complexity of procedures in the intensive care unit (ICU) requires complex software services, to reduce improper use of antibiotics and inappropriate therapies, and to offer earlier and more accurate detection of infections and antibiotic resistance. We investigated whether web-based software can facilitate the computerization of complex medical processes in the ICU. The COSARA application contains the following modules: Infection overview, Thorax, Microbiology, Antibiotic therapy overview, Admission cause with comorbidity and admission diagnosis, Infection linking and registration, and Feedback. After the implementation and test phase, the COSARA software was installed on a physician's office PC and then on the bedside PCs of the patients. Initial evaluation indicated that the services had been integrated easily into the daily clinical workflow of the medical staff. The use of a service oriented architecture with web service technology for the development of advanced decision support in the ICU offers several advantages over classical software design approaches.

  12. Plasma Hsp72 (HSPA1A) and Hsp27 (HSPB1) expression under heat stress: influence of exercise intensity.

    Science.gov (United States)

    Périard, Julien D; Ruell, Patricia; Caillaud, Corinne; Thompson, Martin W

    2012-05-01

    Extracellular heat-shock protein 72 (eHsp72) expression during exercise-heat stress is suggested to increase with the level of hyperthermia attained, independent of the rate of heat storage. This study examined the influence of exercise at various intensities to elucidate this relationship, and investigated the association between eHsp72 and eHsp27. Sixteen male subjects cycled to exhaustion at 60% and 75% of maximal oxygen uptake in hot conditions (40°C, 50% RH). Core temperature, heart rate, oxidative stress, and blood lactate and glucose levels were measured to determine the predictor variables associated with eHsp expression. At exhaustion, heart rate exceeded 96% of maximum in both conditions. Core temperature reached 39.7°C in the 60% trial (58.9 min) and 39.0°C in the 75% trial (27.2 min) (P exercise may relate to the duration (i.e., core temperature attained) and intensity (i.e., rate of increase in core temperature) of exercise. Thus, the immuno-inflammatory release of eHsp72 and eHsp27 in response to exercise in the heat may be duration and intensity dependent.

  13. Influence of Mild Traumatic Brain Injury (TBI) and Posttraumatic Stress Disorder (PTSD) on Pain Intensity Levels in OEF/OIF/OND Veterans.

    Science.gov (United States)

    Stojanovic, Milan P; Fonda, Jennifer; Fortier, Catherine Brawn; Higgins, Diana M; Rudolph, James L; Milberg, William P; McGlinchey, Regina E

    2016-11-01

    Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) are common among US veterans of Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND). We postulated that these injuries may modulate pain processing in these individuals and affect their subjective pain levels. Cross-sectional. 310 deployed service members of OEF/OIF/OND without a lifetime history of moderate or severe TBI were included in this study. All participants completed a comprehensive evaluation for Blast Exposure, mTBI, PTSD, and Pain Levels. The Boston Assessment of TBI-Lifetime Version (BAT-L) was used to assess blast exposure and potential brain injury during military service. The Clinician-Administered PTSD Scale (CAPS) characterized presence and severity of PTSD. The Visual Analog Scale (VAS) was used to assess pain intensity over the previous month before the interview, with higher scores indicative of worse pain. Statistical analysis was performed by ANOVA and results were adjusted for co-morbidities, clinical characteristics and demographic data. In comparison to control participants (veterans without mTBI or current PTSD), veterans with both current PTSD and mTBI reported the highest pain intensity levels, followed by veterans with PTSD only (P Pain levels in veterans with mTBI only were comparable to control participants. Comorbid PTSD and mTBI is associated with increased self-reported pain intensity. mTBI alone was not associated with increased pain. Published by Oxford University Press on behalf of the American Academy of Pain Medicine 2016. This work is written by US Government employees and is in the public domain in the US.

  14. Linkages between organization climate and work outcomes: perceptual differences among health service professionals as a function of customer contact intensity.

    Science.gov (United States)

    Scotti, Dennis J; Harmon, Joel

    2014-01-01

    The delivery of high-quality service, rendered by health service professionals who interact with customers (patients), increases the likelihood that customers will form positive evaluations of the quality of their service encounters as well as high levels of customer satisfaction. Using linkage theory to develop our conceptual framework, we identify four clusters of variables which contribute to a chain of sequential events that connect organization climate to personal and operational work outcomes. We then examine the perceptual differences of service professionals, grouped by intensity of customer contact, with respect to these variables. National data for this project were obtained from multiple sources made available by the Veterans Healthcare Administration (VHA). Cross-group differences were tested using a series of variance analyses. The results indicate that level of customer-contact intensity plays a significant role in explaining variation in perceptions of support staff, clinical practitioners, and nurses at the multivariate and univariate levels of analysis. Contact intensity appears to be a core determinant of the nature of work performed by health service professionals as well as their psychological responses to organizational and customer-related dynamics. Health service professionals are important resources because of their specialized knowledge, labor expense, and scarcity. Based on findings from our research, managers are advised to survey employees' perceptions of their organizational environment and design practices that respond to the unique viewpoints of each of the professional groups identified in this study. Such tailoring should help executives maximize the value of investments in human resources by underwriting patient satisfaction and financial sustainability.

  15. Stress-intensity factors for surface cracks in pipes: a computer code for evaluation by use of influence functions. Final report

    International Nuclear Information System (INIS)

    Dedhia, D.D.; Harris, D.O.

    1982-06-01

    A user-oriented computer program for the evaluation of stress intensity factors for cracks in pipes is presented. Stress intensity factors for semi-elliptical, complete circumferential and long longitudinal cracks can be obtained using this computer program. The code is based on the method of influence functions which makes it possible to treat arbitrary stresses on the plane of the crack. The stresses on the crack plane can be entered as a mathematical or tabulated function. A user's manual is included in this report. Background information is also included

  16. Impact of intensive insulin treatment on the development and consequences of oxidative stress in insulin-dependent diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Kocić Radivoj

    2007-01-01

    Full Text Available Background/Aim. The aim of this study, which included patients with insulin-dependent diabetes mellitus, was to determine the influence of the application of various treatment modalities (intensive or conventional on the total plasma antioxidative capacity and lipid peroxidation intensity expressed as malondialdehyde (MDA level, catalase and xanthine oxidase activity, erythrocyte glutatione reduced concentration (GSH RBC, erythrocyte MDA level (MDA RBC, as well as susceptibility of erythrocyte to H2O2-induced oxidative stress. Methods. This study included 42 patients with insulin-dependent diabetes mellitus. In 24 of the patients intensive insulin treatment was applied using the model of short-acting insulin in each meal and medium- acting insulin before going to bed, while in 18 of the patients conventional insulin treatment was applied in two (morning and evening doses. In the examined patients no presence of diabetes mellitus complications was recorded. The control group included 20 healthy adults out of a blood doner group. The plasma and erythrocytes taken from the blood samples were analyzed immediately. Results. This investigation proved that the application of intensive insulin treatment regime significantly improves total antioxidative plasma capacity as compared to the application of conventional therapy regime. The obtained results showed that the both plasma and lipoproteines apo B MDA increased significantly more in the patients on conventional therapy than in the patients on intensive insulin therapy, most probably due to intensified xanthine oxidase activity. The level of the MDA in fresh erythrocytes did not differ significantly between the groups on intensive and conventional therapy. The level of GSH and catalase activity, however, were significantly reduced in the patients on conventional therapy due to the increased susceptibility to H2O2-induced oxidative stress . Conclusion. The presented study confirmed positive effect of

  17. Influence of overelastic loading on the stress intensity factor under thermal fatigue conditions

    International Nuclear Information System (INIS)

    Stamm, H.; Munz, D.

    1983-10-01

    Thermal shock loading often creates high thermal stresses which may exceed yield strength of the material in a surface layer. In this report the application of the linear elastic ΔK-concept in the case of cyclic thermal loading within the shakedown region is discussed. To this K-factors for an edge crack in a linear elastic - perfectly plastic plate are calculated using the weight function method and are compared with results obtained with the Finite Element Method. It is shown, that rearrangement stresses during plastic flow in the first cycle must be taken into account developing conservative approximation procedures. (orig.) [de

  18. Effects of water stress and light intensity on chlorophyll fluorescence parameters and pigments of Aloe vera L.

    Science.gov (United States)

    Hazrati, Saeid; Tahmasebi-Sarvestani, Zeinolabedin; Modarres-Sanavy, Seyed Ali Mohammad; Mokhtassi-Bidgoli, Ali; Nicola, Silvana

    2016-09-01

    Aloe vera L. is one of the most important medicinal plants in the world. In order to determine the effects of light intensity and water deficit stress on chlorophyll (Chl) fluorescence and pigments of A. vera, a split-plot in time experiment was laid out in a randomized complete block design with four replications in a research greenhouse. The factorial combination of three light intensities (50, 75 and 100% of sunlight) and four irrigation regimes (irrigation after depleting 20, 40, 60 and 80% of soil water content) were considered as main factors. Sampling time was considered as sub factor. The first, second and third samplings were performed 90, 180 and 270 days after imposing the treatments, respectively. The results demonstrated that the highest light intensity and the severe water stress decreased maximum fluorescence (Fm), variable fluorescence (Fv)/Fm, quantum yield of PSII photochemistry (ФPSII), Chl and photochemical quenching (qP) but increased non-photochemical quenching (NPQ), minimum fluorescence (F0) and Anthocyanin (Anth). Additionally, the highest Fm, Fv/Fm, ФPSII and qP and the lowest NPQ and F0 were observed when 50% of sunlight was blocked and irrigation was done after 40% soil water depletion. Irradiance of full sunlight and water deficit stress let to the photoinhibition of photosynthesis, as indicated by a reduced quantum yield of PSII, ФPSII, and qP, as well as higher NPQ. Thus, chlorophyll florescence measurements provide valuable physiological data. Close to half of total solar radiation and irrigation after depleting 40% of soil water content were selected as the most efficient treatments. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  19. Is Less Noise, Light and Parental/Caregiver Stress in the Neonatal Intensive Care Unit Better for Neonates?

    Science.gov (United States)

    Venkataraman, Rohini; Kamaluddeen, Majeeda; Amin, Harish; Lodha, Abhay

    2018-01-15

    In utero sensory stimuli and interaction with the environment strongly influence early phases of fetal and infant development. Extremely premature infants are subjected to noxious procedures and routine monitoring, in addition to exposure to excessive light and noise, which disturb the natural sleep cycle and induce stress. Non-invasive ventilation, measures to prevent sepsis, and human milk feeding improve short-term and long-term neurodevelopmental outcomes in premature infants. To preserve brain function, and to improve quality of life and long-term neurodevelopmental outcomes, the focus now is on the neonatal intensive care unit (NICU) environment and its impact on the infant during hospital stay. The objectives of this write-up are to understand the effects of environmental factors, including lighting and noise in the NICU, on sensory development of the infant, the need to decrease parental and caregiver stress, and to review existing literature, local policies and recommendations.

  20. Stress markers in relation to job strain in human service organizations.

    Science.gov (United States)

    Ohlson, C G; Söderfeldt, M; Söderfeldt, B; Jones, I; Theorell, T

    2001-01-01

    Workers in human service organizations are often confronted with conflicting demands in providing care or education. The aim of this cross-sectional study was to relate levels of endocrine stress markers to perceived job strain in two human service organizations. Employees in two local units of the social insurance organization and two local units of the individual and family care sections of the social welfare in Sweden were selected and 103 employees participated (56% participation rate). The perceived job strain was assessed with a standardized questionnaire containing questions of the demand-control model. Questions specially designed to measure emotional demands were also included. The stress markers cortisol, prolactin, thyroid-stimulating hormone, testosterone and IgA and IgG were analysed in blood samples. The main finding was an association between high emotional strain and increased levels of prolactin. The levels of cortisol, but none of the other four stress markers, increased slightly with emotional strain. Emotional strain experienced in human service work may cause psychological stress. The increase in prolactin was modest but consistent with findings in other published studies on stress-related endocrine alterations. Copyright 2001 S. Karger AG, Basel.

  1. Intensity of heat stress in winter wheat—phenology compensates for the adverse effect of global warming

    International Nuclear Information System (INIS)

    Rezaei, Ehsan Eyshi; Siebert, Stefan; Ewert, Frank

    2015-01-01

    Higher temperatures during the growing season are likely to reduce crop yields with implications for crop production and food security. The negative impact of heat stress has also been predicted to increase even further for cereals such as wheat under climate change. Previous empirical modeling studies have focused on the magnitude and frequency of extreme events during the growth period but did not consider the effect of higher temperature on crop phenology. Based on an extensive set of climate and phenology observations for Germany and period 1951–2009, interpolated to 1 × 1 km resolution and provided as supplementary data to this article (available at stacks.iop.org/ERL/10/024012/mmedia), we demonstrate a strong relationship between the mean temperature in spring and the day of heading (DOH) of winter wheat. We show that the cooling effect due to the 14 days earlier DOH almost fully compensates for the adverse effect of global warming on frequency and magnitude of crop heat stress. Earlier heading caused by the warmer spring period can prevent exposure to extreme heat events around anthesis, which is the most sensitive growth stage to heat stress. Consequently, the intensity of heat stress around anthesis in winter crops cultivated in Germany may not increase under climate change even if the number and duration of extreme heat waves increase. However, this does not mean that global warning would not harm crop production because of other impacts, e.g. shortening of the grain filling period. Based on the trends for the last 34 years in Germany, heat stress (stress thermal time) around anthesis would be 59% higher in year 2009 if the effect of high temperatures on accelerating wheat phenology were ignored. We conclude that climate impact assessments need to consider both the effect of high temperature on grain set at anthesis but also on crop phenology. (letter)

  2. Intensity of heat stress in winter wheat—phenology compensates for the adverse effect of global warming

    Science.gov (United States)

    Eyshi Rezaei, Ehsan; Siebert, Stefan; Ewert, Frank

    2015-02-01

    Higher temperatures during the growing season are likely to reduce crop yields with implications for crop production and food security. The negative impact of heat stress has also been predicted to increase even further for cereals such as wheat under climate change. Previous empirical modeling studies have focused on the magnitude and frequency of extreme events during the growth period but did not consider the effect of higher temperature on crop phenology. Based on an extensive set of climate and phenology observations for Germany and period 1951-2009, interpolated to 1 × 1 km resolution and provided as supplementary data to this article (available at stacks.iop.org/ERL/10/024012/mmedia), we demonstrate a strong relationship between the mean temperature in spring and the day of heading (DOH) of winter wheat. We show that the cooling effect due to the 14 days earlier DOH almost fully compensates for the adverse effect of global warming on frequency and magnitude of crop heat stress. Earlier heading caused by the warmer spring period can prevent exposure to extreme heat events around anthesis, which is the most sensitive growth stage to heat stress. Consequently, the intensity of heat stress around anthesis in winter crops cultivated in Germany may not increase under climate change even if the number and duration of extreme heat waves increase. However, this does not mean that global warning would not harm crop production because of other impacts, e.g. shortening of the grain filling period. Based on the trends for the last 34 years in Germany, heat stress (stress thermal time) around anthesis would be 59% higher in year 2009 if the effect of high temperatures on accelerating wheat phenology were ignored. We conclude that climate impact assessments need to consider both the effect of high temperature on grain set at anthesis but also on crop phenology.

  3. Temporal variance reverses the impact of high mean intensity of stress in climate change experiments.

    Science.gov (United States)

    Benedetti-Cecchi, Lisandro; Bertocci, Iacopo; Vaselli, Stefano; Maggi, Elena

    2006-10-01

    Extreme climate events produce simultaneous changes to the mean and to the variance of climatic variables over ecological time scales. While several studies have investigated how ecological systems respond to changes in mean values of climate variables, the combined effects of mean and variance are poorly understood. We examined the response of low-shore assemblages of algae and invertebrates of rocky seashores in the northwest Mediterranean to factorial manipulations of mean intensity and temporal variance of aerial exposure, a type of disturbance whose intensity and temporal patterning of occurrence are predicted to change with changing climate conditions. Effects of variance were often in the opposite direction of those elicited by changes in the mean. Increasing aerial exposure at regular intervals had negative effects both on diversity of assemblages and on percent cover of filamentous and coarsely branched algae, but greater temporal variance drastically reduced these effects. The opposite was observed for the abundance of barnacles and encrusting coralline algae, where high temporal variance of aerial exposure either reversed a positive effect of mean intensity (barnacles) or caused a negative effect that did not occur under low temporal variance (encrusting algae). These results provide the first experimental evidence that changes in mean intensity and temporal variance of climatic variables affect natural assemblages of species interactively, suggesting that high temporal variance may mitigate the ecological impacts of ongoing and predicted climate changes.

  4. Understanding Parental Stress within the Scallywags Service for Children with Emotional and Behavioural Difficulties

    Science.gov (United States)

    Broadhead, Moira; Chilton, Roy; Crichton, Catriona

    2009-01-01

    The Scallywags service works specifically within home and school environments to promote parent, teacher and child competencies for children at risk of developing behavioural and/or emotional problems. The scheme has been successfully evaluated, demonstrating significant reductions in parental stress for parents involved in the scheme. This paper…

  5. Analytical Solution for Stress Field and Intensity Factor in CSTBD under Mixed Mode Conditions

    Directory of Open Access Journals (Sweden)

    Najaf Ali Ghavidel

    2014-06-01

    Full Text Available Considering the fact that rocks fail faster under tensile stress, rock tensile strength is of greatimportance in applications such as blasting, rock fragmentation, slope stability, hydraulic fracturing,caprock integrity, and geothermal energy extraction. There are two direct and indirect methods tomeasure tensile strength. Since direct methods always encompass difficulties in test setup, indirectmethods, specifically the Brazilian test, have often been employed for tensile strength measurement.Tensile failure is technically attributed to crack propagation in rock. Fracture mechanics hassignificant potential for the determination of crack behaviour as well as propagation pattern. To applyBrazilian tests, cracked disc geometry has been suggested by the International Society for RockMechanics ISRM. Accordingly, a comprehensive study is necessary to evaluate stress field and stressintensity factor (SIF around the crack in the centre of the specimen. In this paper, superpositionprinciple is employed to solve the problem of cracked straight-through Brazilian disc (CSTBD, usingtwo methods of dislocation and complex stress function. Stress field and SIF in the vicinity of thecrack tip are then calculated. With the proposed method, the magnitude of critical load for crackinitiation in structures can be predicted. This method is valid for any crack of any arbitrary length andangle. In addition, numerical modelling has been carried out for the Brazilian disc. Finally, theanalytical solution has been compared with numerical modelling results showing the same outcomefor both methods.

  6. Infants born preterm, stress, and neurodevelopment in the neonatal intensive care unit: might music have an impact?

    Science.gov (United States)

    Anderson, Dane E; Patel, Aniruddh D

    2018-03-01

    The neonatal intensive care unit (NICU) provides life-saving medical care for an increasing number of newborn infants each year. NICU care, while lifesaving, does have attendant consequences which can include repeated activation of the stress response and reduced maternal interaction, with possible negative long-term impacts on brain development. Here we present a neuroscientific framework for considering the impact of music on neurodevelopment in the NICU of infants born preterm and evaluate current literature on the use of music with this population to determine what is most reliably known of the physiological effects of music interventions. Using online academic databases we collected relevant, experimental studies aimed at determining effects of music listening in infants in the NICU. These articles were evaluated for methodological rigor, ranking the 10 most experimentally stringent as a representative sample. The selected literature seems to indicate that effects are present on the cardio-pulmonary system and behavior of neonates, although the relative effect size remains unclear. These findings indicate a need for more standardized longitudinal studies aimed at determining not only whether NICU music exposure has beneficial effects on the cardio-pulmonary system, but also on the hypothalamic-pituitary-adrenal axis, brain structures, and cognitive behavioral status of these children as well. Provides a neuroscience framework for considering how music might attenuate stress in neonatal intensive care unit (NICU) infants. Considers how repeated stress may cause negative neurodevelopmental impacts in infants born preterm. Posits epigenetics can serve as a mechanistic pathway for music moderating the stress response. © 2018 Mac Keith Press.

  7. Benefits and challenges of using service dogs for veterans with posttraumatic stress disorder.

    Science.gov (United States)

    Yarborough, Bobbi Jo H; Stumbo, Scott P; Yarborough, Micah T; Owen-Smith, Ashli; Green, Carla A

    2018-04-26

    Veterans with posttraumatic stress disorder (PTSD) are increasingly seeking service dogs to help them manage trauma-related symptoms, yet literature describing service dog use in this population is scant. The goal of this study was to document the benefits and challenges experienced by veterans with service dogs trained to assist with PTSD-related needs. Participants were veterans (N = 41) with service dogs, and their caregivers (n = 8), recruited through community-based service dog training agencies. We conducted in-depth interviews and observed training sessions as part of a larger study, and used thematic analysis to characterize data. Veterans reported that service dogs reduced hypervigilance by alerting and creating boundaries, and disrupted nightmares, improving sleep quality and duration. Dogs also helped veterans turn their attention away from invasive trauma-related thoughts. Additional reported benefits included improved emotional connections with others, increased community participation and physical activity, and reduced suicidal impulses and medication use. Demands of training, adjustment to life with a service dog, and delayed benefits were challenging for many veterans and caregivers. Veterans report that service dogs help reduce PTSD symptoms and facilitate recovery and realization of meaningful goals. Service dogs may be a reasonable option for veterans who are reluctant to pursue or persist with traditional evidence-based treatments. Additional rigorous research on the effectiveness of service dogs for this population is warranted. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  8. Involvement of Potassium Transport Systems in the Response of Synechocystis PCC 6803 Cyanobacteria to External pH Change, High-Intensity Light Stress and Heavy Metal Stress.

    Science.gov (United States)

    Checchetto, Vanessa; Segalla, Anna; Sato, Yuki; Bergantino, Elisabetta; Szabo, Ildiko; Uozumi, Nobuyuki

    2016-04-01

    The unicellular photosynthetic cyanobacterium, able to survive in varying environments, is the only prokaryote that directly converts solar energy and CO2 into organic material and is thus relevant for primary production in many ecosystems. To maintain the intracellular and intrathylakoid ion homeostasis upon different environmental challenges, the concentration of potassium as a major intracellular cation has to be optimized by various K(+)uptake-mediated transport systems. We reveal here the specific and concerted physiological function of three K(+)transporters of the plasma and thylakoid membranes, namely of SynK (K(+)channel), KtrB (Ktr/Trk/HKT) and KdpA (Kdp) in Synechocystis sp. strain PCC 6803, under specific stress conditions. The behavior of the wild type, single, double and triple mutants was compared, revealing that only Synk contributes to heavy metal-induced stress, while only Ktr/Kdp is involved in osmotic and salt stress adaptation. With regards to pH shifts in the external medium, the Kdp/Ktr uptake systems play an important role in the adaptation to acidic pH. Ktr, by affecting the CO2 concentration mechanism via its action on the bicarbonate transporter SbtA, might also be responsible for the observed effects concerning high-light stress and calcification. In the case of illumination with high-intensity light, a synergistic action of Kdr/Ktp and SynK is required in order to avoid oxidative stress and ensure cell viability. In summary, this study dissects, using growth tests, measurement of photosynthetic activity and analysis of ultrastructure, the physiological role of three K(+)transporters in adaptation of the cyanobacteria to various environmental changes. © The Author 2016. Published by Oxford University Press on behalf of Japanese Society of Plant Physiologists. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  9. Impact of Predisposing Factors on Academic Stress among Pre-Service Teachers

    Directory of Open Access Journals (Sweden)

    Pershaanbala Balakrishnan

    2017-10-01

    Full Text Available Background: Many studies have been done on stress among educators. Teachers, lecturers, and tutors all over the world has been brought into attention when it comes to stress related issues. Our purpose was to investigate the level of academic stress among pre-service teachers in a teaching education institution in Perak, Malaysia. Methods: In this study a cross-sectional comparative survey study was conducted on pre-service teachers from a teacher education institution. The variables that was tested and correlated throughout the study are age, gender, and marital status, and medical history, influence of medications, exercise and social lifestyle. Data was collected through questionnaires to find out the outcome. Descriptive data analysis was used to describe the socio-demographic data. Correlation analysis was used to determine the significant relation between the variables. P<0.05 was considered as significant of the study. Results: Majority of the students, 78.4% represent the severe category of distress according to the Kessler scale. The remaining 13.6% were recorded as being under mild and 7.6% (n=19 under moderate category of distress. Regrettably, less than 1% (n=1 of the pre-service teachers were from the well category. Exercise was found to be significantly associated with the prevalence of severe psychological distress. Simple logistic regressions showed that pre-service teachers who exercised had a significant 91% reduced risk for psychological distress (OR=0.09; 95% CI=0.02, 0.35 compared to those who doesn’t exercise. Conclusion: At the end of this study, a better understanding on the predisposing factors of academic stress among pre-service teachers was determined and therefore interventions on coping with stress can be made simple. Various physiotherapy interventions on preventive and corrective measures were suggested with reference to the results.

  10. Oxidative stress and antioxidant biomarker responses after a moderate-intensity soccer training session.

    Science.gov (United States)

    Mello, Rodrigo; Mello, Ricardo; Gomes, Diego; Paz, Gabriel Andrade; Nasser, Igor; Miranda, Humberto; Salerno, Verônica P

    2017-01-01

    The present study investigated the effects of a moderate-intensity soccer training session on the production of reactive oxygen species (ROS) and the antioxidant capacity in athletes along with the biomarkers creatine kinase and transaminases for lesions in muscle and liver cells. Twenty-two male soccer players participated in this study. Blood samples were collected 5 min before and after a moderate-intensity game simulation. The results showed a decrease in the concentration of reduced glutathione (GSH) from an elevation in the production of ROS that maintained the redox homeostasis. Although the session promoted an elevated energy demand, observed by an increase in lactate and glucose levels, damage to muscle and/or liver cells was only suggested by a significant elevation in the levels of alanine transaminase (ALT). Of the two biomarkers analysed, the results suggest that measurements of the ALT levels could be adopted as a method to monitor recovery in athletes.

  11. Adaptive force produced by stress-induced regulation of random variation intensity.

    Science.gov (United States)

    Shimansky, Yury P

    2010-08-01

    The Darwinian theory of life evolution is capable of explaining the majority of related phenomena. At the same time, the mechanisms of optimizing traits beneficial to a population as a whole but not directly to an individual remain largely unclear. There are also significant problems with explaining the phenomenon of punctuated equilibrium. From another perspective, multiple mechanisms for the regulation of the rate of genetic mutations according to the environmental stress have been discovered, but their precise functional role is not well understood yet. Here a novel mathematical paradigm called a Kinetic-Force Principle (KFP), which can serve as a general basis for biologically plausible optimization methods, is introduced and its rigorous derivation is provided. Based on this principle, it is shown that, if the rate of random changes in a biological system is proportional, even only roughly, to the amount of environmental stress, a virtual force is created, acting in the direction of stress relief. It is demonstrated that KFP can provide important insights into solving the above problems. Evidence is presented in support of a hypothesis that the nature employs KFP for accelerating adaptation in biological systems. A detailed comparison between KFP and the principle of variation and natural selection is presented and their complementarity is revealed. It is concluded that KFP is not a competing alternative, but a powerful addition to the principle of variation and natural selection. It is also shown KFP can be used in multiple ways for adaptation of individual biological organisms.

  12. [Association between sense of coherence and occupational stress of workers in modern service industry in Shanghai, China].

    Science.gov (United States)

    Lu, X Y; Dai, J M; Wu, N; Shu, C; Gao, J L; Fu, H

    2016-10-20

    Objective: To investigate understand the current status of the sense of coherence and occupational stress in modern service workers, and to analyze the association between occupational stress and the sense of coherence. Methods: From March to April, 2016, 834 modern service workers from 3 companies in Shanghai, China (in air transportation industry, marketing industry, and travel industry) were surveyed by non-ran-dom sampling. The self-completion questionnaires were filled out anonymously given the informed consent of the workers. The occupational stress questionnaire was used to evaluate occupational stress, and the Chinese version of the Sense of Coherence Scale (SOC-13) was used to assess the mental health. Results: The mean score for the sense of coherence of the respondents was 61.54±10.46, and 50.1% of them were self-rated as having occupational stress. There were significant differences in SOC score between groups with different ages, marital status, positions, lengths of service, family per capita monthly income, and weekly work hours ( P occupational stress score differed significantly across groups with different marital status, lengths of service, and weekly work hours ( P occupational stress differed significantly between groups with different SOC levels ( Poccupational stress. High SOC is a protective factor for occupational stress ( OR =0.39, 95% CI 0.26~ 0.59). Conclusion: Modern service workers in Shanghai have high SOC and moderate occupational stress. Therefore, improving SOC may reduce occupational stress.

  13. Global Metabolic Stress of Isoeffort Continuous and High Intensity Interval Aerobic Exercise: A Comparative 1H NMR Metabonomic Study.

    Science.gov (United States)

    Zafeiridis, Andreas; Chatziioannou, Anastasia Chrysovalantou; Sarivasiliou, Haralambos; Kyparos, Antonios; Nikolaidis, Michalis G; Vrabas, Ioannis S; Pechlivanis, Alexandros; Zoumpoulakis, Panagiotis; Baskakis, Constantinos; Dipla, Konstantina; Theodoridis, Georgios A

    2016-12-02

    The overall metabolic/energetic stress that occurs during an acute bout of exercise is proposed to be the main driving force for long-term training adaptations. Continuous and high-intensity interval exercise protocols (HIIE) are currently prescribed to acquire the muscular and metabolic benefits of aerobic training. We applied 1 H NMR-based metabonomics to compare the overall metabolic perturbation and activation of individual bioenergetic pathways of three popular aerobic exercises matched for effort/strain. Nine men performed continuous, long-interval (3 min), and short-interval (30 s) bouts of exercise under isoeffort conditions. Blood was collected before and after exercise. The multivariate PCA and OPLS-DA models showed a distinct separation of pre- and postexercise samples in three protocols. The two models did not discriminate the postexercise overall metabolic profiles of the three exercise types. Analysis focused on muscle bioenergetic pathways revealed an extensive upregulation of carbohydrate-lipid metabolism and the TCA cycle in all three protocols; there were only a few differences among protocols in the postexercise abundance of molecules when long-interval bouts were performed. In conclusion, continuous and HIIE exercise protocols, when performed with similar effort/strain, induce comparable global metabolic response/stress despite their marked differences in work-bout intensities. This study highlights the importance of NMR metabonomics in comprehensive monitoring of metabolic consequences of exercise training in the blood of athletes and exercising individuals.

  14. Development of residual stress analysis procedure for fitness-for-service assessment of welded structure

    International Nuclear Information System (INIS)

    Kim, Jong Sung; Jin, Tae Eun; Dong, P.; Prager, M.

    2003-01-01

    In this study, a state of art review of existing residual stress analysis techniques and representative solutions is presented in order to develop the residual stress analysis procedure for Fitness-For-Service(FFS) assessment of welded structure. Critical issues associated with existing residual stress solutions and their treatments in performing FFS are discussed. It should be recognized that detailed residual stress evolution is an extremely complicated phenomenon that typically involves material-specific thermomechanical/metallurgical response, welding process physics, and structural interactions within a component being welded. As a result, computational procedures can vary significantly from highly complicated numerical techniques intended only to elucidate a small part of the process physics to cost-effective procedures that are deemed adequate for capturing some of the important features in a final residual stress distribution. Residual stress analysis procedure for FFS purposes belongs to the latter category. With this in mind, both residual stress analysis techniques and their adequacy for FFS are assessed based on both literature data and analyses performed in this investigation

  15. Service Level Agreements as Vehicles for Managing Acquisition of Software-Intensive Systems

    National Research Council Canada - National Science Library

    Gaines, Leonard T; Michael, James B

    2005-01-01

    ... to support quality and process control throughout the entire lifecycle of a software-intensive system. This article defines SLAs, discusses software quality and describes how SLAS can be utilized to incorporate requirements pertaining to product, process, project, and deployment quality throughout the software lifecycle.

  16. Facilitating Data-Intensive Education and Research in Earth Science through Geospatial Web Services

    Science.gov (United States)

    Deng, Meixia

    2009-01-01

    The realm of Earth science (ES) is increasingly data-intensive. Geoinformatics research attempts to robustly smooth and accelerate the flow of data to information, information to knowledge, and knowledge to decisions and to supply necessary infrastructure and tools for advancing ES. Enabling easy access to and use of large volumes of ES data and…

  17. How Do Intensity and Duration of Rehabilitation Services Affect Outcomes from Severe Traumatic Brain Injury?

    DEFF Research Database (Denmark)

    Hart, Tessa; Whyte, John; Poulsen, Ingrid

    2016-01-01

    OBJECTIVE: Determine effects of inpatient and outpatient treatment intensity on functional and emotional well-being outcomes at 1 year post severe traumatic brain injury (TBI). DESIGN: Prospective, quasi-experimental study comparing outcomes in a US TBI treatment center with those in a Denmark (DK...

  18. Stress intensity factor analysis of friction sliding at discontinuity interfaces and junctions

    CSIR Research Space (South Africa)

    Phan, AV

    2003-12-01

    Full Text Available ]) and boundary element method (BEM) [2?5]. The key feature of the integral equation approach is that only the boundary of the domain is discretized and only boundary quantities are determined. As a result, for fracture analy- sis, the singular stress field ahead... collocation ap- proach enforces the BIE (1) and HBIE (2) at discrete source points whereas these equations are satisfied in an averaged sense with the Galerkin approximation. The additional boundary integration is the key to obtaining a symmetric coefficient...

  19. [Stress as an occupational risk factor among policemen of road patrol service].

    Science.gov (United States)

    Fedotova, I V; Chernikova, E F

    The hygienic evaluation of occupational factors which characterized working conditions of traffic policemen of road patrol service was performed. The authors found that along with high neuro-emotional occupational stress in traffic policemen, they exposed to unfavorable microclimate, higher level of noise, vibration and their work was classified as heavy. Also, traffic policemen presented subjective complaints about negative impact of polluted air of motorways on their health status. Prevalence of chronic diseases was analyzed in group of 431 traffic policemen. The authors revealed a leading role of the following diseases: musculoskeletal diseases, diseases of connective tissue, digestive diseases, diseases of the nerve system, circulation system; their portion in the morbidity structure was 86.0%. The association of these diseases with occupation was confirmed by the increasing of their incidence with increasing of length of duration of service. Calculation of indices of relative occupational risk showed (that especially important) the increase of the length of service led to the increase in the risk ofpathologies, in which stress played a significant role. In examined group, the authors revealed such diseases as hypertension, autonomous-vascular dystonia, gastric and duodenal ulcer. Risk of the development of these diseases in some age/length of service groups is classified as high and very high. Obtained results provide the evidence that measures aimed to the decrease of the exposure to occupational factors will promote prevention of stress-stipulated diseases among traffic policemen.

  20. High-intensity stress elicits robust cortisol increases, and impairs working memory and visuo-spatial declarative memory in Special Forces candidates: A field experiment.

    Science.gov (United States)

    Taverniers, John; Van Ruysseveldt, Joris; Smeets, Tom; von Grumbkow, Jasper

    2010-07-01

    While running a selection procedure, 27 male Belgian Special Forces candidates, with a mean age of 27.4 years (SD = 5.1), were randomly assigned to a no-stress control (n = 14) or a high-intensity stress group (n = 13). Participants in the latter group were exposed to an extremely strenuous mock prisoner of war (POW) exercise. Immediately after stress or control treatment, working memory and visuo-spatial declarative memory performances were measured by the digit span (DS) test and the Rey-Osterrieth complex figure (ROCF), respectively. Concurrently, stress levels were assessed by obtaining salivary cortisol measurements and subjectively by the NASA Task Load Index (TLX). As expected, exposure to high-intensity stress led to both robust cortisol increases and significant differences in TLX scores. Stress induction also significantly impaired DS and ROCF performances. Moreover, delta cortisol increases and ROCF performance in the POW stress group showed a significant negative correlation, while DS performances followed the same tendency. Summarizing, the current findings complement and extend previous work on hormonal stress effects, and the subsequent performance deterioration on two memory tests in a unique high-intensity stress environment.

  1. Massage therapy in cortisol circadian rhythm, pain intensity, perceived stress index and quality of life of fibromyalgia syndrome patients.

    Science.gov (United States)

    de Oliveira, Felipe Rodrigues; Visnardi Gonçalves, Laura Cristina; Borghi, Filipy; da Silva, Larissa Gabriela Rocha Ventura; Gomes, Anne Elise; Trevisan, Gustavo; Luiz de Souza, Aglécio; Grassi-Kassisse, Dora Maria; de Oliveira Crege, Danilo Roberto Xavier

    2018-02-01

    We investigate the effects of a massage therapy program (MTP) in cortisol concentration (CC), intensity of pain, quality of life and perceived stress index of fibromyalgia patients. Volunteers (n = 24, aged 26-55 years) were treated with MT, twice a week for three months. They answered the Fibromyalgia Impact Questionnaire (FIQ), Perceived Stress Questionnaire (PSQ) and McGill Pain Questionnaire (MPQ-Br), and collected saliva to evaluate CC before and after the end of each month. The MT had improvement in quality of life, according to the FIQ results, and promoted reduction in PSQ values after the second (PSQ2-0.62 ± 0.04vsPSQ0-0.71 ± 0.04) and third month (PSQ3-0.64 ± 0.04vsPSQ0-0.71 ± 0.04). The MTP also promoted reduction in pain after the third month (MQP-Br1-44.50 ± 2.15vsMQP-Br4-35.38 ± 3.71). Despite PSQ reduction, the CC were not affected by the program. This pilot suggests that this treatment improved quality of life, reduced perceived stress index and pain in these volunteers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Perceived stress and life satisfaction: social network service use as a moderator.

    Science.gov (United States)

    Niu, Qikun; Liu, Yihao; Sheng, Zitong; He, Yue; Shao, Xiaolin

    2011-01-01

    Social Network Service (SNS) has become a buzzword in recent media coverage with the development of the second generation of Web-based communities. In China, SNS has played an increasingly important role in its users' daily lives, especially among students. With a sample of 471 college students, we tested the direct relationship between perceived stress and life satisfaction using a regression analysis. Moreover, we found SNS use could buffer the negative effect of perceived stress. This study has practical implications on Internet users' SNS use.

  3. Mental Health Spending and Intensity of Service Use Among Individuals With Diagnoses of Eating Disorders Following Federal Parity.

    Science.gov (United States)

    Huskamp, Haiden A; Samples, Hillary; Hadland, Scott E; McGinty, Emma E; Gibson, Teresa B; Goldman, Howard H; Busch, Susan H; Stuart, Elizabeth A; Barry, Colleen L

    2018-02-01

    The Mental Health Parity and Addiction Equity Act (MHPAEA) was intended to eliminate differences in insurance coverage for mental health and substance use disorder services and medical-surgical care. No studies have examined mental health service use after federal parity implementation among individuals with diagnoses of eating disorders, for whom financial access to care has often been limited. This study examined whether MHPAEA implementation was associated with changes in use of mental health services and spending in this population. Using Truven Health MarketScan data from 2007 to 2012, this study examined trends in mental health spending and intensity of use of specific mental health services (inpatient days, total outpatient visits, psychotherapy visits, and medication management visits) among individuals ages 13-64 with a diagnosis of an eating disorder (N=27,594). MHPAEA implementation was associated with a small increase in total mental health spending ($1,271.92; p<.001) and no change in out-of-pocket spending ($112.99; p=.234) in the first year after enforcement of the parity law. The law's implementation was associated with an increased number of outpatient mental health visits among users, corresponding to an additional 5.8 visits on average during the first year (p<.001). This overall increase was driven by an increase in psychotherapy use of 2.9 additional visits annually among users (p<.001). MHPAEA implementation was associated with increased intensity of outpatient mental health service use among individuals with diagnoses of eating disorders but no increase in out-of-pocket expenditures, suggesting improvements in financial protection.

  4. Green's functions for stress-intensity-factors for through cracks emanating from holes

    International Nuclear Information System (INIS)

    Bhandari, S.; Dubeaux, P.

    1981-01-01

    We conducted a parametric study of cracks at various elliptical openings in plates. We used five values of ellipticity and ten values of crack lengths at the edge of these holes. The computer program used is based on the Boundary Integral Equation method which requires only the contour of the structure to be segmented. The results concerning the stress distribution in the uncracked structure were verified for the cases where analytical results were available. Moreover the values of the S.I.F. for certain cases were checked through the use of some of the methods available in the literature. The final aim of this parametric study is to come up with simple Green's functions for cracks at holes. This has been possible through: (a) The use of the stress distribution in the uncracked structure (b) The Green's function for a crack in an infinite medium and (c) The principles underlying the Schwarz alternating technique used in the potential theory to resolve problems of finite regions. Finally the procedure is applied to treat a practical case of cracks as fastner holes. (orig.)

  5. An Observational Study of Service Dogs for Veterans With Posttraumatic Stress Disorder.

    Science.gov (United States)

    Yarborough, Bobbi Jo H; Owen-Smith, Ashli A; Stumbo, Scott P; Yarborough, Micah T; Perrin, Nancy A; Green, Carla A

    2017-07-01

    This study examined needs related to posttraumatic stress disorder (PTSD), assistance by service dogs, and feasibility of data collection among veterans receiving service dogs. Questionnaires assessed PTSD-related needs and services performed or expected to be performed by service dogs among 78 veterans who had or were on a wait list for a service dog (average age, 42; women, 31%). Analyses compared pre-post characteristics among 22 veterans who received a service dog as part of the study (91% follow-up; average follow-up=3.37±2.57 months). Veterans reported that the most important services performed were licking or nudging veterans to help them "stay present," preventing panic, and putting space between veterans and strangers. High follow-up rates and improvements in outcomes with moderate to large effect sizes among recipients of study-provided dogs suggest further study is warranted. Service dogs may be feasible supports for veterans with PTSD; randomized clinical trials are needed to assess effectiveness.

  6. Data-Intensive Cloud Service Provision for Research Institutes: the Network Connectivity Problem

    CERN Document Server

    Cass, Tony; CERN. Geneva. IT Department

    2016-01-01

    Much effort (and money) has been invested in recent years to ensure that academic and research sites are well interconnected with high-capacity networks that, in most cases, span national and continental boundaries. However, these dedicated research and education networks, whether national (NRENs) or trans-continental (RENs), frequently have Acceptable Use Policies (AUPs) that restrict their use by commercial entities, notably Cloud Service Providers (CSPs). After a brief summary of the issues involved, we describe three approaches to removing the network connectivity barrier that threatens to limit the ability of academic and research institutions to profit effectively from services offered by CSPs.

  7. Risk-associated health disorders occuring in junior schoolchildren who attend schools with higher stress and intensity of educational process

    Directory of Open Access Journals (Sweden)

    N.V. Zaitseva

    2017-03-01

    Full Text Available We performed comparative sanitary-hygienic assessment of regime, stress and intensity of educational process in different educational establishments, a comprehensive secondary school and an innovative educational establishment - lyceum. We detected that studying regime tended to be tight, classes were longer and more intense than in an ordinary school, and educational process involved considerable intellectual, sensory and emotional loads for children; such loads reached "1st category intense" level. Schoolchildren attending lyceums are also busy with additional educational programs and it significantly increases length of total educational load on them. By the end of a school year 20% of lyceum pupils suffer from sympathoadrenal system overstress and it doesn't only determine emotional tonus level in children but also leads to disorders in concentration and decision-making speed, lower reading speed and articulation, slower motor reactions. 15% of lyceum pupils have higher activity of autonomous nervous system and lower adaptation of cardiovascular system to psycho emotional and physical loads. Lyceum pupils also run 2.5 times higher risk of chronic nervous system diseases evolvement than school children attending ordinary schools. Autonomous nervous system disorders, posture disorders and nutrition disorders are predominant nosologic pathology forms in lyceum pupils as they occur in them 1.6-2.9 times more frequent than in schoolchildren of the same age who attend an ordinary comprehensive school. We detected direct correlation between higher intellectual and emotional components of educational process, and total educational intensity as well, and frequency of autonomous system disorders and musculoskeletal system diseases in pupils.

  8. Low-Intensity Pulsed Ultrasound Prevents the Oxidative Stress Induced Endothelial-Mesenchymal Transition in Human Aortic Endothelial Cells

    Directory of Open Access Journals (Sweden)

    Jiamin Li

    2018-02-01

    Full Text Available Background/Aims: Endothelial-mesenchymal transition (EndMT has been shown to take part in the generation and progression of diverse diseases, involving a series of changes leading to a loss of their endothelial characteristics and an acquirement of properties typical of mesenchymal cells. Low-intensity pulsed ultrasound (LIPUS is a new therapeutic option that has been successfully used in fracture healing. However, whether LIPUS can inhibit oxidative stress-induced endothelial cell damages through inhibiting EndMT remained unknown. This study aimed to investigate the protective effects of LIPUS against oxidative stress-induced endothelial cell damages and the underlying mechanisms. Methods: EndMT was induced by H2O2 (100 µm for seven days. Human aortic endothelial cells (HAECs were exposed to H2O2 with or without LIPUS treatment for seven days. The expression of EndMT markers (CD31, VE-cadherin, FSP1 and α-SMA were analyzed. The levels of total and phosphorylated PI3K and AKT proteins were detected by Western Blot analysis. Cell chemotaxis was determined by wound healing and transwell assay. Results: LIPUS relieved EndMT by decreasing ROS accumulation and increasing activation of the PI3K signaling cascade. LIPUS alleviated the migration of EndMT-derived mesenchymal-like cells through reducing extracellular matrix (ECM deposition that is associated with matrix metallopeptidase (MMP proteolytic activity and collagen production. Conclusion: LIPUS produces cytoprotective effects against oxidative injuries to endothelial cells through suppressing the oxidative stress-induced EndMT, activating the PI3K/AKT pathway under oxidative stress, and limiting cell migration and excessive ECM deposition.

  9. Mesh construction and evaluation of the stress intensity factor for the semi-elliptical surface cracks

    International Nuclear Information System (INIS)

    Kim, Jong Wook; Lee, Gyu Mahn; Jeong, Kyeong Hoon; Kim, Tae Wan; Park, Keun Bae

    2001-01-01

    As actual cracks found in practical structures are mostly three-dimensional surface cracks, such cracks give rise to the important problem when the structural integrity is evaluated in a viewpoint of fracture mechanics. The case of a semi-elliptical surface crack is more complicated than that of the embedded elliptical crack since the crack front intersects the free surface. Therefore, the exact expression of stress field according to the boundary condition can be the prior process for the structural integrity evaluation . The commercial code, I-DEAS does not provide the family of strain singular element for the cracked-body analysis. This means that the user cannot make use of the pre-processing function of I-DEAS effectively. But I-DEAS has the capability to hold input data in common with computational fracture mechanics program like ABAQUS. Hence, user can construct the optimized analysis method for the generation of input data of program like ABAQUS using the I-DEAS. In the present study, a procedure for the generation of input data for the optimized 3-dimensional computational fracture mechanics is developed as a series of effort to establish the structural integriyt evaluation procedure of SMART reactor vessel assembly. Input data for the finite element analysis are made using the commercial code, I-DEAS program, The stress analysis is performed using the ABAQUS. To demonstrate the validation of the developed procedure in the present sutdy, semi-elliptic surface crack in a half space subjected to uniform tension are solved, and the effects of crack configuration ratio are discussed in detail. The numerical results are presented and compared to those presented by Raju and Newman. Also, we have established the structural integrity evaluation procedure through the 3-D crack modeling

  10. Service experience and stress corrosion of Inconel 600 bellows expansion joints in turbine steam environments

    International Nuclear Information System (INIS)

    Kramer, L.D.; Michael, S.T.; Pement, F.W.

    The purpose of this paper is to discuss the service history of Inconel 600 expansion bellows, to illustrate a typical case of failure, propose S.C.C. mechanisms, and to rationalize the most probable mechanism. Inconel 600 is fully resistant to high-purity power plant steam (720 deg F maximum) for on-going service lifetimes which greatly exceed the incubation periods which are reported or postulated in the literature for delayed stress corrosion cracking in high-purity water tests (630-660 deg F). The only observed stress corrosion environments which are sufficiently rapidly deleterious to be consistent with failure lifetimes are molten NaOH in superheated steam or a very concentrated aqueous caustic solution containing silica contamination. (author)

  11. Study on fracture and stress corrosion cracking behavior of casing sour service materials

    International Nuclear Information System (INIS)

    Sequera, C.; Gordon, H.

    2003-01-01

    Present work describes sulphide stress corrosion cracking and fracture toughness tests performed to high strength sour service materials of T-95, C-100 and C-110 oil well tubular grades. P-110 was considered as a reference case, since it is one of the high strength materials included in specification 5CT of American Petroleum Institute, API. Sulphide stress corrosion cracking, impact and fracture toughness values obtained in the tests show that there is a correspondence among them. A decreasing classification order was established, namely C-100, T-95, C-110 and P-110. Special grades steels studied demonstrated a better behavior in the evaluated properties than the reference case material grade: P-110. Results obtained indicate that a higher sulphide stress corrosion cracking resistance is related to a higher toughness. The fracture toughness results evidence the hydrogen influence on reducing the toughness values. (author)

  12. [Occupational stress in assembly line workers in electronics manufacturing service and related influencing factors].

    Science.gov (United States)

    Ji, Y Q; Li, S; Wang, C; Wang, J; Liu, X M

    2016-10-20

    Objective: To investigate occupational stress in assembly line workers in electronics manu-facturing service (EMS) and related influencing factors. Methods: From June to October, 2015, a cross-sectional survey was performed for 5 944 assembly line workers in EMS (observation group) and 6 270 workers from other posts (non-assembly line workers and management personnel; control group) using the self-made questionnaire for basic information, job demand-control (JDC) model questionnaire, and effort-reward imbalance (ERI) model questionnaire to collect respondents' basic information and occupational stress. Results: The observation group had significantly lower work autonomy, social support, and work reward scores than the control group (2.72 ± 0.63/3.64 ± 0.68/4.06 ± 0.80 vs 3.00 ± 0.67/3.83 ± 0.68/4.24 ± 0.75, t =23.53, 15.41, and 12.70, all P occupational stress determined by JDC and ERI models than the control group (64.5%/12.7% vs 52.6%/9.9%, χ 2 =182.26 and 23.41, both P 60 hours/week, and sleeping time occupational stress in JDC model; education background of Bachelor's degree or above, working time >60 hours/week, and sleeping timeoccupational stress in ERI model, while female sex and a high monthly income reduced the risk of occupational stress in ERI model. Conclusion: Assembly line workers in EMS are a relatively vulnerable group and have a high degree of occupational stress. Working time >60 hours/week and sleeping time occupational stress.

  13. The facilitation of adoption and use of text intensive mobile services by low-literate users

    CSIR Research Space (South Africa)

    Matyila, M

    2016-11-01

    Full Text Available ., Leinert, S., Fleck, M., & Liebrich, A. (2012). Mobile Tourism Services and Technology Acceptance in a Mature Domestie Tourism Market: The Case of Switzerland: na. Bagozzi, R. (2007). The legacy of the technology acceptance model and a proposal for a... and dissemination in the developing world (Donner & Gitau, 2009; infoDev, 2012) including South Africa (Mphidi, 2008). In fact mobile phones are in a new era by moving beyond being sources of information and communication to enabling knowledge sharing...

  14. Management consulting : structure and growth of a knowledge intensive business service market in Europe

    OpenAIRE

    Glückler, Johannes

    2005-01-01

    The globalisation of contemporary capitalism is bringing about at least two important implications for the emergence and significance of business services. First, the social division of labour steadily increases (ILLERIS 1996). Within the complex organisation of production and trade new intermediate actors emerge either from the externalisation of existing functions in the course of corporate restructuring policies or from the fragmentation of the production chain into newly defined functions...

  15. Influence of laboratory annealing on tensile properties and design stress intensity limits for Type 304 stainless steel

    International Nuclear Information System (INIS)

    Sikka, V.K.; Booker, M.K.

    1977-01-01

    The influence of reannealing (laboratory annealing) on yield and ultimate tensile strength values of 19 heats of type 304 stainless steel was determined. Most heats were reannealed at 1065 0 C for 0.5 hr. The reannealed properties were used to determine the influence of reannealing on time-independent design stress intensity limits (S/sub m/). The major findings are as follows: 1. Reannealing lowered the 0.2 percent yield strength versus temperature curve by approximately 42 MPa over the range from room temperature to 649 0 C. 2. The estimated S/sub m/ values for reannealed material were 24 to 28 MPa lower than the current code values. 3. Reannealing appears to influence the S/sub m/ value sufficiently to warrant the consideration of separate values of S/sub m/ in Sect. III of the Boiler and Pressure Vessel Code and Code Case 1592 for ''as-received'' and reannealed material

  16. Effect of Lower and Upper Body High Intensity Training on Genes Associated with Cellular Stress Response.

    Science.gov (United States)

    Żychowska, Małgorzata; Kochanowicz, Andrzej; Kochanowicz, Kazimierz; Mieszkowski, Jan; Niespodziński, Bartłomiej; Sawczyn, Stanisław

    2017-01-01

    This study aimed to compare the effect of upper and lower body high intensity exercise (HIE) on select gene expression in athletes. Fourteen elite male artistic gymnasts (age 20.9 ± 2.6 years; weight 68.6 ± 7.2 kg; fat free mass 63.6 ± 6.7 kg; height 1.70 ± 0.04 m) performed lower and upper body 30 s Wingate Tests (WAnTs) before and after eight weeks of specific HIIT. Two milliliters of blood was collected before and after (5, 30 min, resp.) lower and upper body WAnTs, and select gene expression was determined by PCR. Eight weeks of HIIT caused a significant increase in maximal power (722 to 751 Wat), relative peak power in the lower body WAnTs (10.1 to 11 W/kg), mean power (444 to 464 W), and relative mean power (6.5 to 6.8 W/kg). No significant differences in lower versus upper body gene expression were detected after HIIT, and a significant decrease in the IL6/IL10 ratio was observed after lower (-2 ∧ 0.57 p = 0.0019) and upper (-2 ∧ 0.5 p = 0.03) WAnTs following eight weeks of HIIT. It is hypothesized that a similar adaptive response to exercise may be obtained by lower and upper body exercise.

  17. Low-intensity laser irradiation at 660 nm stimulates cytochrome c oxidase in stressed fibroblast cells.

    Science.gov (United States)

    Houreld, Nicolette N; Masha, Roland T; Abrahamse, Heidi

    2012-07-01

    Low-intensity laser irradiation (LILI) has been used to modulate a variety of biological processes, including diabetic wound healing. The mechanism of action is thought to exist primarily with the mitochondria. This study aimed to determine the effect of irradiation on normal, diabetic, and ischemic mitochondrial electron transport chain (ETC) complexes. Normal, diabetic and ischemic human skin fibroblast mitochondria were irradiated in vitro at a wavelength of 660 nm and a fluence of either 5 or 15 J/cm(2). Non-irradiated mitochondria served as controls. Enzyme activities of mitochondrial complexes I, II, III, and IV were determined immediately post-irradiation. Normal, diabetic, and ischemic cells were irradiated and adenosine triphosphate (ATP) and active mitochondria were determined by luminescence and fluorescent microscopy, respectively. Irradiated diabetic mitochondria at a fluence of 15 J/cm(2) showed a significant decrease in complex III activity (P < 0.05). Normal (P < 0.01) and diabetic (P < 0.05) mitochondria irradiated at either 5 or 15 J/cm(2) showed a significant increase in complex IV activity. ATP results showed a significant increase in irradiated normal cells (5 J/cm(2); P < 0.05) and diabetic cells (15 J/cm(2); P < 0.01). There was a higher accumulation of active mitochondria in irradiated cells than non-irradiated cells. Irradiation at 660 nm has the ability to influence mitochondrial enzyme activity, in particular cytochrome c oxidase. This leads to increased mitochondrial activity and ATP synthesis. Copyright © 2012 Wiley Periodicals, Inc.

  18. Effect of Lower and Upper Body High Intensity Training on Genes Associated with Cellular Stress Response

    Directory of Open Access Journals (Sweden)

    Małgorzata Żychowska

    2017-01-01

    Full Text Available This study aimed to compare the effect of upper and lower body high intensity exercise (HIE on select gene expression in athletes. Fourteen elite male artistic gymnasts (age 20.9±2.6 years; weight 68.6±7.2 kg; fat free mass 63.6±6.7 kg; height 1.70±0.04 m performed lower and upper body 30 s Wingate Tests (WAnTs before and after eight weeks of specific HIIT. Two milliliters of blood was collected before and after (5, 30 min, resp. lower and upper body WAnTs, and select gene expression was determined by PCR. Eight weeks of HIIT caused a significant increase in maximal power (722 to 751 Wat, relative peak power in the lower body WAnTs (10.1 to 11 W/kg, mean power (444 to 464 W, and relative mean power (6.5 to 6.8 W/kg. No significant differences in lower versus upper body gene expression were detected after HIIT, and a significant decrease in the IL6/IL10 ratio was observed after lower (−2∧0.57 p=0.0019 and upper (−2∧0.5 p=0.03 WAnTs following eight weeks of HIIT. It is hypothesized that a similar adaptive response to exercise may be obtained by lower and upper body exercise.

  19. [Care quality in intensive care evaluated by the patients using a service quality scale (SERVQUAL)].

    Science.gov (United States)

    Regaira Martínez, E; Sola Iriarte, M; Goñi Viguria, R; Del Barrio Linares, M; Margall Coscojuela, M A; Asiain Erro, M C

    2010-01-01

    The evaluation made by the patients on the quality of service received is important to introduce improvement strategies in the care quality. 1. To evaluate the care quality through the analysis of the differences obtained between expectations and perceptions, that the patients have of the service received in the ICU. 2. To analyze if there is any relationship between care quality evaluated by the patients and the sociodemographic variables. A total of 86 patients who were conscious and oriented during their stay in the ICU were studied prospectively. At 24h of the discharge from the ICU, the SERVQUAL (Service Quality) scale, adapted for the hospital setting by Babakus and Mangold (1992), was applied. This scale measures the care quality based on the difference in scores obtained between expectations and perceptions of the patients. The positive scores indicate that the perceptions of the patients exceed their expectations. The scale has 5 dimensions: Tangibility, Reliability, Responsiveness, Assurances and Empathy. It includes 15 items for perceptions and the same for expectations, with 5 grades of response (1 totally disagree - 5 totally agree). The mean score of perceptions 66.92) exceeded that of the expectations (62.30). The mean score of the difference between perceptions and expectations for the total of the SERVQUAL scale was 4.62. It was also positive for each one of the dimensions: Tangibility=1.44, Reliability=0.53, Responsiveness=0.95, Assurances=0.99, Empathy=0.71. No statistically significant associations were found between care quality evaluated by the patients and the sociodemographic variables. The care quality perceived by the patients in the ICU exceeds their expectations, and had no relationship with the sociodemographic characteristics. Copyright 2009 Elsevier España, S.L. y SEEIUC. All rights reserved.

  20. Computation of stress intensity factors for nozzle corner cracks by various finite element procedures

    International Nuclear Information System (INIS)

    Broekhoven, M.J.G.

    1975-01-01

    The present study aims at deriving accurate K-factors for a series of 5 elliptical nozzle corner cracks of increasing size by various finite element procedures, using a three-level recursive substructuring scheme to perform the computations in an economic way on an intermediate size computer (IBM 360/65 system). A nozzle on a flat plate has been selected for subsequent experimental verification, this configuration being considered an adequate simulation of a nozzle on a shallow shell. The computations have been performed with the ASKA finite element system using mainly HEXEC-27 (incomplete quartic) elements. The geometry has been subdivided into 5 subnets with a total of 3515 nodal points and 6250 unknowns, two main nets and one hyper net. Each crack front is described by 11 nodal points and all crack front nodes are inserted in the hyper net, which allows for the realization of the successive crack geometries by changing only a relatively small hyper net (615 to 725 unknowns). Output data have been interpreted in terms of K-factors by the global energy method, the displacement method and the stress method. Besides, a stiffness derivative procedure, recently developed at Brown University, which takes full advantage of the finite element formulation to calculate local K-factors, has been applied. Finally it has been investigated whether sufficiently accurate results can be obtained by analyzing a considerably smaller part than one half of the geometry (as strictly required by symmetry considerations), using fixed boundary conditions derived from a far cheaper analysis of the uncracked structure

  1. Posttraumatic stress disorder (PTSD in children after paediatric intensive care treatment compared to children who survived a major fire disaster

    Directory of Open Access Journals (Sweden)

    Last Bob F

    2008-05-01

    Full Text Available Abstract Background The goals were to determine the presence of posttraumatic stress disorder (PTSD in children after paediatric intensive care treatment, to identify risk factors for PTSD, and to compare this data with data from a major fire disaster in the Netherlands. Methods Children completed the Dutch Children's Responses to Trauma Inventory at three and nine months after discharge from the paediatric intensive care unit (PICU. Comparison data were available from 355 children survivors who completed the same questionnaire 10 months after a major fire disaster. Results Thirty-six children aged eight to 17 years completed questionnaires at three month follow-up, nine month follow-up, or both. More than one third (34.5% of the children had subclinical PTSD, while 13.8% were likely to meet criteria for PTSD. Maternal PTSD was the strongest predictor for child PTSD. There were no significant differences in (subclinical PTSD symptoms either over time or compared to symptoms of survivors from the fire disaster. Conclusion This study shows that a considerable number of children have persistent PTSD after PICU treatment. Prevention of PTSD is important to minimize the profound adverse effects that PTSD can have on children's well-being and future development.

  2. Standard test method for determining a threshold stress intensity factor for environment-assisted cracking of metallic materials

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2003-01-01

    1.1 This test method covers the determination of the environment-assisted cracking threshold stress intensity factor parameters, KIEAC and KEAC, for metallic materials from constant-force testing of fatigue precracked beam or compact fracture specimens and from constant-displacement testing of fatigue precracked bolt-load compact fracture specimens. 1.2 This test method is applicable to environment-assisted cracking in aqueous or other aggressive environments. 1.3 Materials that can be tested by this test method are not limited by thickness or by strength as long as specimens are of sufficient thickness and planar size to meet the size requirements of this test method. 1.4 A range of specimen sizes with proportional planar dimensions is provided, but size may be variable and adjusted for yield strength and applied force. Specimen thickness is a variable independent of planar size. 1.5 Specimen configurations other than those contained in this test method may be used, provided that well-established stress ...

  3. Stress intensity factors for deep cracks emanating from the corner formed by a hole intersecting a plate surface

    Science.gov (United States)

    Mcgowan, J. J.; Smith, C. W.

    1976-01-01

    The stress intensity factors (SIFs) at the end points of flaws emanating from the corner formed by the intersection of a plate with a hole were determined using stress freezing photoelasticity and a numerical technique known as the Taylor series correction method to extract the SIF values from the photoelastic data. The geometries studied were crack depth to thickness ratios of about 0.2, 0.5, and 0.75; crack depth to crack length ratios of about 1.0 to 2.0; and crack length to hole radius ratios of about 0.5 to 2.0. The SIFs were determined at the intersection of the flaw border with the plate surface (KS) and with the edge of the hole (KH). It is shown that extension of a crack emanating from a corner of intersection of a hole with a plate under monotonically increasing load is not self-similar and that as the flaw depth increases, KH decreases and KS increases. Existing theories and design criteria significantly overestimate the SIF at both the hole and the surface except for shallow flaws at the hole and deep flaws at the surface.

  4. Montmorency Cherries Reduce the Oxidative Stress and Inflammatory Responses to Repeated Days High-Intensity Stochastic Cycling

    Directory of Open Access Journals (Sweden)

    Phillip G. Bell

    2014-02-01

    Full Text Available This investigation examined the impact of Montmorency tart cherry concentrate (MC on physiological indices of oxidative stress, inflammation and muscle damage across 3 days simulated road cycle racing. Trained cyclists (n = 16 were divided into equal groups and consumed 30 mL of MC or placebo (PLA, twice per day for seven consecutive days. A simulated, high-intensity, stochastic road cycling trial, lasting 109 min, was completed on days 5, 6 and 7. Oxidative stress and inflammation were measured from blood samples collected at baseline and immediately pre- and post-trial on days 5, 6 and 7. Analyses for lipid hydroperoxides (LOOH, interleukin-6 (IL-6, tumor necrosis factor-alpha (TNF-α, interleukin-8 (IL-8, interleukin-1-beta (IL-1-β, high-sensitivity C-reactive protein (hsCRP and creatine kinase (CK were conducted. LOOH (p < 0.01, IL-6 (p < 0.05 and hsCRP (p < 0.05 responses to trials were lower in the MC group versus PLA. No group or interaction effects were found for the other markers. The attenuated oxidative and inflammatory responses suggest MC may be efficacious in combating post-exercise oxidative and inflammatory cascades that can contribute to cellular disruption. Additionally, we demonstrate direct application for MC in repeated days cycling and conceivably other sporting scenario’s where back-to-back performances are required.

  5. Leaders' strategies for dealing with own and their subordinates' stress in public human service organisations.

    Science.gov (United States)

    Skagert, Katrin; Dellve, Lotta; Eklöf, Mats; Pousette, Anders; Ahlborg, Gunnar

    2008-11-01

    Despite the acknowledged key role of leaders for psychosocial work environment, few studies focus on how leaders can decrease work-related stress. To gain deeper knowledge of leaders' perceptions and strategies for dealing with their own and their subordinates' stress in public human service organisations (HSO), qualitative interviews were made with leaders from hospitals and regional social insurance offices (n=21), and analysed in line with grounded theory method. The leaders handled subordinates' stress and perceived leadership demands by acting as shock absorber (core category) and used strategies characterised as leading in continuous change whilst maintaining trustworthiness. To cope with their own stress from perceived leadership demands, they tried to sustain their own integrity (core category) by either identifying with or distancing themselves from the leader role. The strategies for dealing with leaders' own and subordinates' exposures to stressors was pervaded by perceived leadership demands and are probably influencing each other. Supportive structures and improved communication about everyday dilemmas seem to be needed in order, not just to prevent stress reactions, but to improve the basic conditions for practicing leadership in HSO.

  6. Case management for high-intensity service users: towards a relational approach to care co-ordination.

    Science.gov (United States)

    McEvoy, Phil; Escott, Diane; Bee, Penny

    2011-01-01

    This study is based on a formative evaluation of a case management service for high-intensity service users in Northern England. The evaluation had three main purposes: (i) to assess the quality of the organisational infrastructure; (ii) to obtain a better understanding of the key influences that played a role in shaping the development of the service; and (iii) to identify potential changes in practice that may help to improve the quality of service provision. The evaluation was informed by Gittell's relational co-ordination theory, which focuses upon cross-boundary working practices that facilitate task integration. The Assessment of Chronic Illness Care Survey was used to assess the organisational infrastructure and qualitative interviews with front line staff were conducted to explore the key influences that shaped the development of the service. A high level of strategic commitment and political support for integrated working was identified. However, the quality of care co-ordination was variable. The most prominent operational factor that appeared to influence the scope and quality of care co-ordination was the pattern of interaction between the case managers and their co-workers. The co-ordination of patient care was much more effective in integrated co-ordination networks. Key features included clearly defined, task focussed, relational workspaces with interactive forums where case managers could engage with co-workers in discussions about the management of interdependent care activities. In dispersed co-ordination networks with fewer relational workspaces, the case managers struggled to work as effectively. The evaluation concluded that the creation of flexible and efficient task focused relational workspaces that are systemically managed and adequately resourced could help to improve the quality of care co-ordination, particularly in dispersed networks. © 2010 Blackwell Publishing Ltd.

  7. Analysis of stress intensity factors for a new mechanical corrosion specimen; Analyse du facteur d`intensite de contrainte pour une nouvelle eprouvette de mecanique corrosion

    Energy Technology Data Exchange (ETDEWEB)

    Rassineux, B; Crouzet, D; Le Hong, S

    1996-03-01

    Electricite de France is conducting a research program to determine corrosion cracking rates in the steam generators Alloy 600 tubes of the primary system. The objective is to correlate the cracking rates with the specimen stress intensity factor K{sub I}. One of the samples selected for the purpose of this study is the longitudinal notched specimen TEL (TEL: ``Tubulaire a Entailles Longitudinales``). This paper presents the analysis of the stress intensity factor and its experimental validation. The stress intensity factor has been evaluated for different loads using 3D finite element calculations with the Hellen-Parks and G({theta}) methods. Both crack initiation and propagation are considered. As an assessment of the method, the numerical simulations are in good agreement with the fatigue crack growth rates measured experimentally for TEL and compact tension (CT) specimens. (authors). 8 refs., 6 figs., 2 tabs.

  8. A tailored relocation stress intervention programme for family caregivers of patients transferred from a surgical intensive care unit to a general ward.

    Science.gov (United States)

    Lee, Seul; Oh, HyunSoo; Suh, YeonOk; Seo, WhaSook

    2017-03-01

    To develop and examine a relocation stress intervention programme tailored for the family caregivers of patients scheduled for transfer from a surgical intensive care unit to a general ward. Family relocation stress syndrome has been reported to be similar to that exhibited by patients, and investigators have emphasised that nurses should make special efforts to relieve family relocation stress to maximise positive contributions to the well-being of patients by family caregivers. A nonequivalent control group, nonsynchronised pretest-post-test design was adopted. The study subjects were 60 family caregivers of patients with neurosurgical or general surgical conditions in the surgical intensive care unit of a university hospital located in Incheon, South Korea. Relocation stress and family burden were evaluated at three times, that is before intervention, immediately after transfer and four to five days after transfer. This relocation stress intervention programme was developed for the family caregivers based on disease characteristics and relocation-related needs. In the experimental group, relocation stress levels significantly and continuously decreased after intervention, whereas in the control group, a slight nonsignificant trend was observed. Family burden levels in the control group increased significantly after transfer, whereas burden levels in the experimental group increased only marginally and nonsignificantly. No significant between-group differences in relocation stress or family burden levels were observed after intervention. Relocation stress levels of family caregivers were significantly decreased after intervention in the experimental group, which indicates that the devised family relocation stress intervention programme effectively alleviated family relocation stress. The devised intervention programme, which was tailored to disease characteristics and relocation-related needs, may enhance the practicality and efficacy of relocation stress

  9. Psychosocial safety climate: a multilevel theory of work stress in the health and community service sector.

    Science.gov (United States)

    Dollard, M F; McTernan, W

    2011-12-01

    Work stress is widely thought to be a significant problem in the health and community services sector. We reviewed evidence from a range of different data sources that confirms this belief. High levels of psychosocial risk factors, psychological health problems and workers compensation claims for stress are found in the sector. We propose a multilevel theoretical model of work stress to account for the results. Psychosocial safety climate (PSC) refers to a climate for psychological health and safety. It reflects the balance of concern by management about psychological health v. productivity. By extending the health erosion and motivational paths of the Job Demands-Resources model we propose that PSC within work organisations predicts work conditions and in turn psychological health and engagement. Over and above this, however, we expect that the external environment of the sector particularly government policies, driven by economic rationalist ideology, is increasing work pressure and exhaustion. These conditions are likely to lead to a reduced quality of service, errors and mistakes.

  10. Risk factors for the development of post-traumatic stress disorder and coping strategies in mothers and fathers following infant hospitalisation in the neonatal intensive care unit.

    Science.gov (United States)

    Aftyka, Anna; Rybojad, Beata; Rosa, Wojciech; Wróbel, Aleksandra; Karakuła-Juchnowicz, Hanna

    2017-12-01

    The aim of this study was to identify the potential risk factors for the development of post-traumatic stress disorder in mothers and fathers following infant hospitalisation in the neonatal intensive care unit. The development of neonatal intensive care units has increased the survival rate of infants. However, one of the major parental problems is post-traumatic stress disorder. An observational study covered 125 parents (72 mothers and 53 fathers) of infants aged 3-12 months who were hospitalised in the neonatal intensive care unit during the neonatal period. Third-referral neonatal intensive care unit. Several standardised and self-reported research tools were used to estimate the level of post-traumatic stress symptoms (Impact Event Scale-Revised), perceived stress (Perceived Stress Scale) and coping strategies (COPE Inventory). The respondents also completed a Parent and Infant Characteristic Questionnaire. The mothers and fathers did not differ in their parental and infant characteristics. Post-traumatic stress disorder was present in 60% of the mothers and 47% of the fathers. Compared to the fathers, the mothers felt greater stress (p = .020) and presented a higher severity of post-traumatic stress disorder (p stress disorder in the mothers. In the fathers, an Apgar test at 1 min after birth (p = .030) and a partner's post-traumatic stress disorder (p = .038) were related to post-traumatic stress disorder. The mothers compared to the fathers were more likely to use strategies such as: positive reinterpretation and growth, focusing on and venting of emotions, instrumental social support, religious coping and acceptance. In the fathers, the predictors included an Apgar score at 1 min after birth, a lack of congenital anomalies in the child and mental disengagement. Risk factors for post-traumatic stress disorder, as well as coping strategies, differ in women compare to men. Knowledge of risk factors for post-traumatic stress disorder, specific to

  11. Women's stress in compulsory army service in Israel: A gendered perspective.

    Science.gov (United States)

    Huss, Ephrat; Cwikel, Julie

    2015-01-01

    A growing number of women are serving in the military in a variety of roles, yet information on their experience of stressors not associated with either combat or sexual harassment is not commonly reported. To present phenomenological data on stressors experienced in military service, together with the use of coping strategies as a way to focus on women's mental needs following deployment from service. Twenty women who had recently completed their compulsory army service in Israel drew a picture expressing stressors they experienced in the army. They analyzed their own pictures on three levels: the content, context, and the composition as expressing stress and the resources they used in coping with stress. Six themes were raised: proximity to war situations, coping with accidents in training soldiers under their command, a conflict between political values and military orders, witnessing the injury of another female soldier, responsibility for accidental injury of a civilian, and distress over the army placement. Coping resources were relational, primarily family and friend support, rather than from the army framework. This reliance on relational sources of support was both a resource and a source of vulnerability and is viewed as distinct from men's style of coping.

  12. Secondary Traumatic Stress and Burnout of North Korean Refugees Service Providers.

    Science.gov (United States)

    Kim, Yeunhee Joyce

    2017-03-01

    The current study investigated the burnout and secondary traumatic stress of service providers for North Korean (NK) refugees based on the conceptual framework of theJob Demands-Resources (JD-R) model of workplace burnout. A cross-sectional self-administered survey was conducted with a national sample consisting of all 63 organizations in direct services to North Korean refugees. Of the estimated total number of 230 service providers comprising of social workers, psychotherapists, job counselors and paraprofessional counselors, 179 completed the survey, a 77.8% return rate. While job resources such as personal commitment to work and organizational support indicated inverse relations to burnout, job demands such as workload, work environment and secondary traumatic stress (STS) showed a positive relationship to worker burnout. The STS were present in more than half of the respondents (51.3%), of which 20.7% of them indicating a severe level of STS. The STS proved to be the most significant risk to worker burnout as it showed strong relations to all three dimensions of burnout. Structural issues of chronic work overload and poor work environment need to be addressed to reduce staff burnout. STS is a serious occupational hazard in working with North Korean refugees.

  13. Medical students' subjective ratings of stress levels and awareness of student support services about mental health.

    Science.gov (United States)

    Walter, Garry; Soh, Nerissa Li-Wey; Norgren Jaconelli, Sanna; Lampe, Lisa; Malhi, Gin S; Hunt, Glenn

    2013-06-01

    To descriptively assess medical students' concerns for their mental and emotional state, perceived need to conceal mental problems, perceived level of support at university, knowledge and use of student support services, and experience of stresses of daily life. From March to September 2011, medical students at an Australian university were invited to complete an anonymous online survey. 475 responses were received. Students rated study and examinations (48.9%), financial concerns (38.1%), isolation (19.4%) and relationship concerns (19.2%) as very or extremely stressful issues. Knowledge of available support services was high, with 90.8% indicating they were aware of the university's medical centre. Treatment rates were modest (31.7%). Students' concerns about their mental state were generally low, but one in five strongly felt they needed to conceal their emotional problems. Despite widespread awareness of appropriate support services, a large proportion of students felt they needed to conceal mental and emotional problems. Overall treatment rates for students who were greatly concerned about their mental and emotional state appeared modest, and, although comparable with those of similarly aged community populations, may reflect undertreatment. It would be appropriate for universities to address stressors identified by students. Strategies for encouraging distressed students to obtain appropriate assessment and treatment should also be explored. Those students who do seek healthcare are most likely to see a primary care physician, suggesting an important screening role for these health professionals.

  14. Effect of Exercise Intensity on Neurotrophic Factors and Blood-Brain Barrier Permeability Induced by Oxidative-Nitrosative Stress in Male College Students.

    Science.gov (United States)

    Roh, Hee-Tae; Cho, Su-Youn; Yoon, Hyung-Gi; So, Wi-Young

    2017-06-01

    We investigated the effects of aerobic exercise intensity on oxidative-nitrosative stress, neurotrophic factor expression, and blood-brain barrier (BBB) permeability. Fifteen healthy men performed treadmill running under low-intensity (LI), moderate-intensity (MI), and high-intensity (HI) conditions. Blood samples were collected immediately before exercise (IBE), immediately after exercise (IAE), and 60 min after exercise (60MAE) to examine oxidative-nitrosative stress (reactive oxygen species [ROS]; nitric oxide [NO]), neurotrophic factors (brain-derived neurotrophic factor [BDNF]; nerve growth factor [NGF]), and blood-brain barrier (BBB) permeability (S-100β; neuron-specific enolase). ROS concentration significantly increased IAE and following HI (4.9 ± 1.7 mM) compared with that after LI (2.8 ± 1.4 mM) exercise (p exercise (p exercise (p exercise (p exercise (p .05). Moderate- and/or high-intensity exercise may induce higher oxidative-nitrosative stress than may low-intensity exercise, which can increase peripheral neurotrophic factor levels by increasing BBB permeability.

  15. Filling some black holes: modeling the connection between urbanization, infrastructure, and global service intensity in 112 metropolitan regions across the world

    OpenAIRE

    Van De Vijver, Elien; Derudder, Ben; Bassens, David; Witlox, Frank

    2012-01-01

    This empirical article combines insights from previous research on the level of knowledge-intensive service in metropolitan areas with the aim to develop an understanding of the spatial structure of the global service economy. We use a stepwise regression model with GaWC’s measure of globalized service provisioning as the dependent variable and a range of variables focusing on population, infrastructure, urban primacy, and national regulation as independent variables. The discussion of the re...

  16. Open Innovation or Innovation in the Open? An Exploration of the Strategy–Innovation Link in Five Scale-Intensive Services

    OpenAIRE

    Breunig, Karl Joachim; Aas, Tor Helge; Hydle, Katja Maria

    2016-01-01

    This chapter explores the strategy–innovation link in open service innovations. The increased attention to the role of the firm's external environment on innovation has important implications for strategy. However, our literature review reveals that the strategy–innovation link is ambiguously treated in extant theory, especially with respect to open- and service-innovations. Therefore, we inductively explore innovation practices in five large scale-intensive service firms to establish the lin...

  17. Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression and health.

    Science.gov (United States)

    Vandevala, Tushna; Pavey, Louisa; Chelidoni, Olga; Chang, Nai-Feng; Creagh-Brown, Ben; Cox, Anna

    2017-01-01

    The work demands of critical care can be a major cause of stress in intensive care unit (ICU) professionals and lead to poor health outcomes. In the process of recovery from work, psychological rumination is considered to be an important mediating variable in the relationship between work demands and health outcomes. This study aimed to extend our knowledge of the process by which ICU stressors and differing rumination styles are associated with burnout, depression and risk of psychiatric morbidity among ICU professionals. Ninety-six healthcare professionals (58 doctors and 38 nurses) who work in ICUs in the UK completed a questionnaire on ICU-related stressors, burnout, work-related rumination, depression and risk of psychiatric morbidity. Significant associations between ICU stressors, affective rumination, burnout, depression and risk of psychiatric morbidity were found. Longer working hours were also related to increased ICU stressors. Affective rumination (but not problem-solving pondering or distraction detachment) mediated the relationship between ICU stressors, burnout, depression and risk of psychiatric morbidity, such that increased ICU stressors, and greater affective rumination, were associated with greater burnout, depression and risk of psychiatric morbidity. No moderating effects were observed. Longer working hours were associated with increased ICU stressors, and increased ICU stressors conferred greater burnout, depression and risk of psychiatric morbidity via increased affective rumination. The importance of screening healthcare practitioners within intensive care for depression, burnout and psychiatric morbidity has been highlighted. Future research should evaluate psychological interventions which target rumination style and could be made available to those at highest risk. The efficacy and cost effectiveness of delivering these interventions should also be considered.

  18. Becoming a client of the Danish social service system increases stress in parents of disabled infants

    DEFF Research Database (Denmark)

    Graungaard, Anette Hauskov; Skov, Lotte; Andersen, John Sahl

    2011-01-01

    parents of a severely disabled young child during the first two years after the diagnosis of the child's disabilities. Data were analysed using grounded theory. RESULTS: We found that the encounter with the social services increased stress in the families. Parental expectations were not met, especially......INTRODUCTION: Parents of a young child with severe disabilities are facing a large range of new challenges; furthermore, most of these families have extended social needs regarding information, financial support, day care facilities, disability aids, etc. Many parents with disabled children have...

  19. Less Intense Postacute Care, Better Outcomes For Enrollees In Medicare Advantage Than Those In Fee-For-Service.

    Science.gov (United States)

    Huckfeldt, Peter J; Escarce, José J; Rabideau, Brendan; Karaca-Mandic, Pinar; Sood, Neeraj

    2017-01-01

    Traditional fee-for-service (FFS) Medicare's prospective payment systems for postacute care provide little incentive to coordinate care or control costs. In contrast, Medicare Advantage plans pay for postacute care out of monthly capitated payments and thus have stronger incentives to use it efficiently. We compared the use of postacute care in skilled nursing and inpatient rehabilitation facilities by enrollees in Medicare Advantage and FFS Medicare after hospital discharge for three high-volume conditions: lower extremity joint replacement, stroke, and heart failure. After accounting for differences in patient characteristics at discharge, we found lower intensity of postacute care for Medicare Advantage patients compared to FFS Medicare patients discharged from the same hospital, across all three conditions. Medicare Advantage patients also exhibited better outcomes than their FFS Medicare counterparts, including lower rates of hospital readmission and higher rates of return to the community. These findings suggest that payment reforms such as bundling in FFS Medicare may reduce the intensity of postacute care without adversely affecting patient health. Project HOPE—The People-to-People Health Foundation, Inc.

  20. Stress

    Science.gov (United States)

    ... can be life-saving. But chronic stress can cause both physical and mental harm. There are at least three different types of stress: Routine stress related to the pressures of work, family, and other daily responsibilities Stress brought about ...

  1. Energy intensity and greenhouse gas emission of a purchase in the retail park service sector: An integrative approach

    International Nuclear Information System (INIS)

    Farreny, Ramon; Gabarrell, Xavier; Rieradevall, Joan

    2008-01-01

    The aim of this paper is to describe the energetic metabolism of a retail park service system under an integrative approach. Energy flow accounting was applied to a case study retail park in Spain, representative of the sector across Europe, after redefining the functional unit to account for both direct energy use (buildings, gardens and outdoor lighting) and indirect energy use (employee and customer transportation). A life cycle assessment (LCA) was then undertaken to determine energy global warming potential (GWP) and some energy intensity and greenhouse gases (GHG) emission indicators were defined and applied. The results emphasise the importance of service systems in global warming policies, as a potential emission of 9.26 kg CO 2 /purchase was obtained for the case study, relating to a consumption of 1.64 KOE of energy, of which 21.9% was spent on buildings and 57.9% on customer transportation. Some strategies to reduce these emissions were considered: increased supply, energy efficiency, changes in distribution of modes of transport, changes in location and changes in the mix of land uses. A combination of all of these elements in a new retail park could reduce GHG emissions by more than 50%, as it is planning strategies, which seem to be the most effective. (author)

  2. Application of the virtual crack closure technique to calculate stress intensity factors for through cracks with an oblique elliptical crack front

    NARCIS (Netherlands)

    Fawaz, S.

    1998-01-01

    Fractographic observations on fatigue tested 2024 T3 clad aluminium riveted lap-splice joints indicate oblique fronts after the initial surface or corner crack at a rivet hole has penetrated through the sheet thichness. No stress intensity factor solutions are available for this geometry subjected

  3. Becoming a client of the Danish social service system increases stress in parents of disabled infants.

    Science.gov (United States)

    Graungaard, Anette Hauskov; Skov, Liselotte; Andersen, John Sahl

    2011-06-01

    Parents of a young child with severe disabilities are facing a large range of new challenges; furthermore, most of these families have extended social needs regarding information, financial support, day care facilities, disability aids, etc. Many parents with disabled children have been found to be dissatisfied with social services. This study explores parents' experiences with Danish social services during their transition to a new daily life after the birth of a severely disabled child. Repeated qualitative interviews were performed individually with 16 parents of a severely disabled young child during the first two years after the diagnosis of the child's disabilities. Data were analysed using grounded theory. We found that the encounter with the social services increased stress in the families. Parental expectations were not met, especially regarding information; parents felt clientized, and obtaining social support was very resource consuming. Parents' needs regarding practical support and empathic case-working were not met and they spent much time and effort due to lacking continuity between sectors. Parents have specific needs when becoming clients in the social service system whose organisation of social services needs improvement. Health care professionals are advised to identify problems and support cooperation between the parents and the social service system, as well as to report the health-related consequences of prolonged and inefficient case-working for the child and its parents. was received from Socialministeriet, Landsforeningen LEV, Ronald McDonalds Børnefond, Susie og Peter Robinsohns fond, Rosalie Petersens fond, PLU-fonden, Ville Heises fond, Sygesikringens forskningsfond, Helsefonden, Elsass fonden. not relevant.

  4. Threshold stress intensity factor for delayed hydride cracking of a recrystallized N18 alloy plate along the rolling direction

    Energy Technology Data Exchange (ETDEWEB)

    Sun Chao, E-mail: sunchaonpic@yahoo.com.c [National Key Laboratory for Nuclear Fuel and Materials, Nuclear Power Institute of China, P.O. Box 436, Chengdu 610041 (China); Tan Jun; Ying Shihao; Peng Qian [National Key Laboratory for Nuclear Fuel and Materials, Nuclear Power Institute of China, P.O. Box 436, Chengdu 610041 (China); Li Cong [Department of R and D, State Nuclear Power Technology Corporation Limited, Beijing (China)

    2010-11-15

    The objective of this study is to obtain the threshold stress intensity factor, K{sub IH}, for an initiation of delayed hydride cracking in a recrystallized N18 (Zr-Sn-Nb-Fe-Cr) alloy plate which was manufactured in China, gaseously charged with 60 ppm of hydrogen by weight. By using both the load increasing method and load drop method, the K{sub IH}'s along the rolling direction were investigated over a temperature range of 150-255 {sup o}C. The results showed that K{sub IH} along the rolling direction was found to be higher in the load increasing method than that in the load drop method. In the load increasing method, K{sub IH}'s of the N18 alloy plate appeared to be in the range of 31-32.5MPa{radical}(m), and K{sub IH} in the load drop method appeared to be in the range of 27.5-28.6MPa{radical}(m). This means that the N18 alloy plate has high tolerance for DHC initiation along the rolling direction. The texture of a N18 alloy plate was investigated using an X-ray diffraction and the K{sub IH} was discussed based on texture and analytically as a function of the tilting angle of hydride habit planes to the cracking plane.

  5. Threshold stress intensity factor for delayed hydride cracking of a recrystallized N18 alloy plate along the rolling direction

    International Nuclear Information System (INIS)

    Sun Chao; Tan Jun; Ying Shihao; Peng Qian; Li Cong

    2010-01-01

    The objective of this study is to obtain the threshold stress intensity factor, K IH , for an initiation of delayed hydride cracking in a recrystallized N18 (Zr-Sn-Nb-Fe-Cr) alloy plate which was manufactured in China, gaseously charged with 60 ppm of hydrogen by weight. By using both the load increasing method and load drop method, the K IH 's along the rolling direction were investigated over a temperature range of 150-255 o C. The results showed that K IH along the rolling direction was found to be higher in the load increasing method than that in the load drop method. In the load increasing method, K IH 's of the N18 alloy plate appeared to be in the range of 31-32.5MPa√(m), and K IH in the load drop method appeared to be in the range of 27.5-28.6MPa√(m). This means that the N18 alloy plate has high tolerance for DHC initiation along the rolling direction. The texture of a N18 alloy plate was investigated using an X-ray diffraction and the K IH was discussed based on texture and analytically as a function of the tilting angle of hydride habit planes to the cracking plane.

  6. Investigation of the Stress Intensity Limits of ASME Section III Div.5 for Structure Design Criteria of SFR Fuel Assembly

    International Nuclear Information System (INIS)

    Choo, Jin-Yup; Kim, Hyung-Kyu; Cheon, Jin-Sik

    2017-01-01

    In this paper, the stress intensity limits, Sm and St of HT-9 were built for the structural criteria of an SFR fuel assembly. Sm is obtained from the ultimate strength. As for St, it is more complicated because of its dependency of time duration in addition to temperature. Following the definition of Smt, the method in the ASME Sec. III Div. 1, Subsec. NH was consulted. We found that the Sm is adopted as Smt under the temperature about 470 .deg. C which is relatively low temperature range and over 470 .deg. C with relatively short time duration as 1000 hours. And the St is adopted as Smt at over 470 .deg. C and long time duration over 34800 hours, and over 520 .deg. C and 104 hours too. And at over 570 .deg. C and 1000 hours, and at over 630 .deg. C and 100 hours, St is also adopted for Smt. To use the present result as design criteria, a stringent examination needs to be carried out, because those are calculated from the formulae of HT-9 without an experimental validation. Therefore, an experimental work on the mechanical properties of HT-9 will be necessary.

  7. Tests with Inconel 600 to obtain quantitative stress-corrosion cracking data for evaluating service performance

    International Nuclear Information System (INIS)

    Bandy, R.; van Rooyen, D.

    1982-09-01

    Inconel 600 tubes in pressurized water reactor (PWR) steam generators form a pressure boundary between radioactive primary water and secondary water which is converted to steam and used for generating electricity. Under operating conditions the performance of alloy 600 has been good, but with some occasional small leaks resulting from stress corrosion cracking (SCC), related to the presence of unusually high residual or operating stresses. The suspected high stresses can result from either the deformation of tubes during manufacture, or distortion during abnormal conditions such as denting. The present experimental program addresses two specific conditions, i.e., (1) where deformation occurs but is no longer active, such as when denting is stopped and (2) where plastic deformation of the metal continues, as would occur during denting. Laboratory media consist of pure water as well as solutions to simulate environments that would apply in service; tubing from actual production is used in carrying out these tests. The environments include both normal and off chemistries for primary and secondary water. The results reported here were obtained in several different tests. The main ones are (1) split tube reverse U-bends, (2) constant extension rate tests (CERT), and (3) constant load. The temperature range covered is 290 to 365 0 C

  8. Occupational stress and mental health among nurses in a medical intensive care unit of a general hospital in Bandar Abbas in 2013.

    Science.gov (United States)

    Tajvar, Abdolhamid; Saraji, Gebraeil Nasl; Ghanbarnejad, Amin; Omidi, Leila; Hosseini, Seyed Sodabeh Seyed; Abadi, Ali Salehi Sahl

    2015-07-01

    Many nurses have reported experiencing high levels of occupational stress in their work environment. Stress, as an outcome of stressful workplaces and tasks, affects nursing behavior in hospital wards. The objectives of this research were to determine the prevalence of occupational stress and mental health problems in nurses in the intensive care unit (ICU) at Shahid Mohammadi Hospital in Bandar Abbas in 2013 and to determine the relationship between occupational stress and mental health. This cross-sectional study was conducted in 2013 on all of the nurses working in ICU at Shahid Mohammadi Hospital located in Bandar Abbas, Iran. Seventy-two nurses were selected as the population for this study, and all of them were female. Two questionnaires were used in this study, i.e., General Health Questionnaire-28 (GHQ-28) for assessing mental health and an occupational stress test for assessing job stress. Furthermore, the relationship between occupational stress and mental health was examined. One-way analysis of variance (ANOVA), independent samples t-test, and Pearson's product-moment correlation test were used to analyze the data. High and moderate levels of occupational stress were experienced by 83.9% and 10.7% of ICU nurses, respectively. The prevalence of mental disorders, somatic symptoms, anxiety, social dysfunction, and depression were 58.9, 60.7, 62.5, 71.4, and 10.7%, respectively. The findings of the independent samples t-test showed that somatic symptoms had significant relationships with age and working experience (p = 0.01). According to the independent samples t-test, there were no significant differences between somatic symptoms and working different shifts (p > 0.05). There was a high prevalence of occupational stress among ICU nurses. There was a significant relationship between occupational stress and mental health. Future interventions are needed to codify a comprehensive health program in this field to reduce occupational stress and enhance nurses

  9. Lipid peroxidation, occupational stress and aging in workers of a prehospital emergency service.

    Science.gov (United States)

    Casado, Angela; De Lucas, Nieves; López-Fernández, Encarnación; Sánchez, Alberto; Jimenez, José-Antonio

    2006-06-01

    Stressful conditions lead to formation of excessive free radicals, and lipid peroxidation is one of the major outcomes of free radical-mediated injury that directly damages membranes and generates a number of secondary products. To determine the levels of malondialdehyde, an end product of lipid peroxidation, according to demographic and occupational variables in workers of a prehospital emergency service and to analyse the relationship between malondialdehyde levels and burnout. One hundred and eleven healthy workers of a prehospital emergency service and eighty aged-matched healthy individuals of both sexes as a control group were surveyed. Malondialdehyde levels were measured by the Bull and Marnett method. To measure burnout, the Maslach Burnout Inventory was used. Professional category is associated with lipid peroxidation and burnout levels (Malondialdehyde levels were: physicians 338.10+/-14.47, nurses 329.17+/-12.62 and technicians 296.74+/-14.28; burnout levels were: physicians 41.29+/-3.59, nurses 37.38+/-6.05 and technicians 35.33+/-5.87). Working at night and in the evening increased malondialdehyde and burnout levels. Malondialdehyde levels increase with age. No significant variations with respect to sex were detected. Significant variations in malondialdehyde levels were detected between singles (303.13+/-12.74) and married people (344.43+/-13.43) but not with respect to divorcees (326.44+/-11.74). Significant differences were detected in erythrocyte malondialdehyde levels between smokers (341.37+/-17.09) and nonsmokers (302.21+/-12.38), but not for alcohol consumption. These findings suggest a positive correlation between malondialdehyde, a biomarker of lipid peroxidation and occupational stress, as estimated by elements of the Maslach Burnout Inventory, and oxidative stress.

  10. Exploring resilience and mindfulness as preventative factors for psychological distress burnout and secondary traumatic stress among human service professionals.

    Science.gov (United States)

    Harker, Rachel; Pidgeon, Aileen M; Klaassen, Frances; King, Steven

    2016-06-08

    Human service professionals are concerned with the intervention and empowerment of vulnerable social populations. The human service industry is laden with employment-related stressors and emotionally demanding interactions, which can lead to deleterious effects, such as burnout and secondary traumatic stress. Little attention has been given to developing knowledge of what might enable human service workers to persist and thrive. Cultivating and sustaining resilience can buffer the impact of occupational stressors on human service professionals. One of the psychological factors associated with cultivating resilience is mindfulness. The aim of this current research is to improve our understanding of the relationship between resilience, mindfulness, burnout, secondary traumatic stress, and psychological distress among human service professionals. The current study surveyed 133 human service professionals working in the fields of psychology, social work, counseling, youth and foster care work to explore the predictive relationship between resilience, mindfulness, and psychological distress. The results showed that higher levels of resilience were a significant predictor of lower levels of psychological distress, burnout and secondary traumatic stress. In addition, higher levels of mindfulness were a significant predictor of lower levels of psychological distress and burnout. The findings suggest that cultivating resilience and mindfulness in human service professionals may assist in preventing psychological distress burnout and secondary traumatic stress. Limitations of this study are discussed together with implications for future research.

  11. Design prediction for long term stress rupture service of composite pressure vessels

    Science.gov (United States)

    Robinson, Ernest Y.

    1992-01-01

    Extensive stress rupture studies on glass composites and Kevlar composites were conducted by the Lawrence Radiation Laboratory beginning in the late 1960's and extending to about 8 years in some cases. Some of the data from these studies published over the years were incomplete or were tainted by spurious failures, such as grip slippage. Updated data sets were defined for both fiberglass and Kevlar composite stand test specimens. These updated data are analyzed in this report by a convenient form of the bivariate Weibull distribution, to establish a consistent set of design prediction charts that may be used as a conservative basis for predicting the stress rupture life of composite pressure vessels. The updated glass composite data exhibit an invariant Weibull modulus with lifetime. The data are analyzed in terms of homologous service load (referenced to the observed median strength). The equations relating life, homologous load, and probability are given, and corresponding design prediction charts are presented. A similar approach is taken for Kevlar composites, where the updated stand data do show a turndown tendency at long life accompanied by a corresponding change (increase) of the Weibull modulus. The turndown characteristic is not present in stress rupture test data of Kevlar pressure vessels. A modification of the stress rupture equations is presented to incorporate a latent, but limited, strength drop, and design prediction charts are presented that incorporate such behavior. The methods presented utilize Cartesian plots of the probability distributions (which are a more natural display for the design engineer), based on median normalized data that are independent of statistical parameters and are readily defined for any set of test data.

  12. The Influence Of Tax Billing By Forced Letter Intensity Against Taxpayer Compliance In Tax Service Office €˜Pratama€™ Manado

    OpenAIRE

    Pangemanan, Sifrid; Kawulur, Cecilya Helmy

    2015-01-01

    Tax Billing by forced letter is the governments efforts to improve the welfare of the people and encourage people to be responsible and participate in economic development. This study aims to determine the influence of tax billing by forced letter intensity against taxpayer compliance in Tax Service Office €˜Pratama€™ Manado. The analysis method used in this research is associative research methods to describe the influence of tax billing by forced letter intensity against taxpayer compliance...

  13. Association between perceived stress, multimorbidity and primary care health services: a Danish population-based cohort study.

    Science.gov (United States)

    Prior, Anders; Vestergaard, Mogens; Larsen, Karen Kjær; Fenger-Grøn, Morten

    2018-02-24

    Mental stress is common in the general population. Mounting evidence suggests that mental stress is associated with multimorbidity, suboptimal care and increased mortality. Delivering healthcare in a biopsychosocial context is key for general practitioners (GPs), but it remains unclear how persons with high levels of perceived stress are managed in primary care. We aimed to describe the association between perceived stress and primary care services by focusing on mental health-related activities and markers of elective/acute care while accounting for mental-physical multimorbidity. Population-based cohort study. Primary healthcare in Denmark. 118 410 participants from the Danish National Health Survey 2010 followed for 1 year. Information on perceived stress and lifestyle was obtained from a survey questionnaire. Information on multimorbidity was obtained from health registers. General daytime consultations, out-of-hours services, mental health-related services and chronic care services in primary care obtained from health registers. Perceived stress levels were associated with primary care activity in a dose-response relation when adjusted for underlying conditions, lifestyle and socioeconomic factors. In the highest stress quintile, 6.8% attended GP talk therapy (highest vs lowest quintile, adjusted incidence rate ratios (IRR): 4.96, 95% CI 4.20 to 5.86), 3.3% consulted a psychologist (IRR: 6.49, 95% CI 4.90 to 8.58), 21.5% redeemed an antidepressant prescription (IRR: 4.62, 95% CI 4.03 to 5.31), 23.8% attended annual chronic care consultations (IRR: 1.22, 95% CI 1.16 to 1.29) and 26.1% used out-of-hours services (IRR: 1.47, 95% CI 1.51 to 1.68). For those with multimorbidity, stress was associated with more out-of-hours services, but not with more chronic care services. Persons with high stress levels generally had higher use of primary healthcare, 4-6 times higher use of mental health-related services (most often in the form of psychotropic drug

  14. Multicultural personality and posttraumatic stress in U.S. service members.

    Science.gov (United States)

    Herrera, Catherine J; Owens, Gina P

    2015-04-01

    Modern military missions place numerous demands on service members, including tactical, personal, and cultural challenges. The purpose of this study was to explore how domains of multicultural personality (cultural empathy, open-mindedness, social initiative, emotional stability, and flexibility) and combat exposure relate to posttraumatic stress disorder (PTSD) in service members. Participants (N = 163) completed the Multicultural Personality Questionnaire, Combat Exposure Scale, and PTSD Checklist-Military as part of an online survey. The majority of participants were Caucasian (87%), mean age was 33 years, and all were deployed at least once to Iraq or Afghanistan Regression results indicated that higher levels of combat exposure and open-mindedness and lower levels of flexibility and emotional stability were significant predictors of higher PTSD severity. The interactions between combat exposure and flexibility and combat exposure and openness were also significant. Higher levels of flexibility and emotional stability seem particularly important in their association with lower PTSD severity for service members. © 2014 Wiley Periodicals, Inc.

  15. Flood risk reduction and flow buffering as ecosystem services - Part 2: Land use and rainfall intensity effects in Southeast Asia

    Science.gov (United States)

    van Noordwijk, Meine; Tanika, Lisa; Lusiana, Betha

    2017-05-01

    Watersheds buffer the temporal pattern of river flow relative to the temporal pattern of rainfall. This ecosystem service is inherent to geology and climate, but buffering also responds to human use and misuse of the landscape. Buffering can be part of management feedback loops if salient, credible and legitimate indicators are used. The flow persistence parameter Fp in a parsimonious recursive model of river flow (Part 1, van Noordwijk et al., 2017) couples the transmission of extreme rainfall events (1 - Fp), to the annual base-flow fraction of a watershed (Fp). Here we compare Fp estimates from four meso-scale watersheds in Indonesia (Cidanau, Way Besai and Bialo) and Thailand (Mae Chaem), with varying climate, geology and land cover history, at a decadal timescale. The likely response in each of these four to variation in rainfall properties (including the maximum hourly rainfall intensity) and land cover (comparing scenarios with either more or less forest and tree cover than the current situation) was explored through a basic daily water-balance model, GenRiver. This model was calibrated for each site on existing data, before being used for alternative land cover and rainfall parameter settings. In both data and model runs, the wet-season (3-monthly) Fp values were consistently lower than dry-season values for all four sites. Across the four catchments Fp values decreased with increasing annual rainfall, but specific aspects of watersheds, such as the riparian swamp (peat soils) in Cidanau reduced effects of land use change in the upper watershed. Increasing the mean rainfall intensity (at constant monthly totals for rainfall) around the values considered typical for each landscape was predicted to cause a decrease in Fp values by between 0.047 (Bialo) and 0.261 (Mae Chaem). Sensitivity of Fp to changes in land use change plus changes in rainfall intensity depends on other characteristics of the watersheds, and generalisations made on the basis of one or two

  16. Incidence and Risk Factors for Intensive Care Unit–related Post-traumatic Stress Disorder in Veterans and Civilians

    Science.gov (United States)

    Jackson, James C.; Morandi, Alessandro; Girard, Timothy D.; Hughes, Christopher G.; Thompson, Jennifer L.; Kiehl, Amy L.; Elstad, Mark R.; Wasserstein, Mitzi L.; Goodman, Richard B.; Beckham, Jean C.; Chandrasekhar, Rameela; Dittus, Robert S.; Ely, E. Wesley; Pandharipande, Pratik P.

    2016-01-01

    Rationale: The incidence and risk factors of post-traumatic stress disorder (PTSD) related to the intensive care unit (ICU) experience have not been reported in a mixed veteran and civilian cohort. Objectives: To describe the incidence and risk factors for ICU-related PTSD in veterans and civilians. Methods: This is a prospective, observational, multicenter cohort enrolling adult survivors of critical illness after respiratory failure and/or shock from three Veterans Affairs and one civilian hospital. After classifying those with/without preexisting PTSD (i.e., PTSD before hospitalization), we then assessed all subjects for ICU-related PTSD at 3 and 12 months post hospitalization. Measurements and Main Results: Of 255 survivors, 181 and 160 subjects were assessed for ICU-related PTSD at 3- and 12-month follow-up, respectively. A high probability of ICU-related PTSD was found in up to 10% of patients at either follow-up time point, whether assessed by PTSD Checklist Event-Specific Version (score ≥ 50) or item mapping using the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). In the multivariable regression, preexisting PTSD was independently associated with ICU-related PTSD at both 3 and 12 months (P < 0.001), as was preexisting depression (P < 0.03), but veteran status was not a consistent independent risk factor for ICU-related PTSD (3-month P = 0.01, 12-month P = 0.48). Conclusions: This study found around 1 in 10 ICU survivors experienced ICU-related PTSD (i.e., PTSD anchored to their critical illness) in the year after hospitalization. Preexisting PTSD and depression were strongly associated with ICU-related PTSD. PMID:26735627

  17. A database for analysis of speech under physical stress: detection of exercise intensity while running and talking

    NARCIS (Netherlands)

    Truong, Khiet Phuong; Nieuwenhuys, Arne; Beek, Peter; Evers, Vanessa

    One of the ways to gauge your own exercise intensity while running, is to assess your capability of talking while running: if you can still speak comfortably, you are running within the recommended intensity guidelines. This subjective way of estimating one's exercise intensity by talking (i.e. the

  18. Effect of the low- versus high-intensity exercise training on endoplasmic reticulum stress and GLP-1 in adolescents with type 2 diabetes mellitus.

    Science.gov (United States)

    Lee, Sung Soo; Yoo, Jae Ho; So, Yong Seok

    2015-10-01

    [Purpose] The primary objective of this study was to investigate the effect of low-intensity exercise training compare with high-intensity exercise training on endoplasmic reticulum stress and glucagon-like peptide-1 in adolescents with type 2 diabetes mellitus. [Subjects and Methods] The low-intensity exercise training group performed aerobic exercise training at an intensity of ≤ 45% of the heart rate reserve. The high-intensity interval exercise training group performed interval exercise training at an intensity of ≥ 80% of the heart rate reserve. The exercise-related energy consumption was determined for both groups on a per-week basis (1,200 kcal/week). [Results] Both groups showed improvement in the glucose-regulated protein 78 and dipeptidyl peptidase-4, but the size of the between-group effect was not statistically significant. The high-intensity interval exercise training group showed a significant reduction in percentage body fat. The C-peptide level increased after the 12-weeks programs and was significantly different, between the groups. Fasting glucose, insulin resistance in the fasting state according to homeostasis model assessment, and leptin decreased after the 12-weeks exercise program and were significantly different between the groups, and glucagon-like peptide-1 increased after the 12-week exercise programs and was significantly different between the groups. [Conclusion] In conclusion high-intensity interval exercise training, as defined in this study, may lead to improvements in body composition, glycemic control, endoplasmic reticulum stress, and the glucagon-like peptide-1 in adolescents with type 2 diabetes mellitus.

  19. Mixed-mode stress intensity factors for kink cracks with finite kink length loaded in tension and bending: application to dentin and enamel.

    Science.gov (United States)

    Bechtle, Sabine; Fett, Theo; Rizzi, Gabriele; Habelitz, Stefan; Schneider, Gerold A

    2010-05-01

    Fracture toughness resistance curves describe a material's resistance against crack propagation. These curves are often used to characterize biomaterials like bone, nacre or dentin as these materials commonly exhibit a pronounced increase in fracture toughness with crack extension due to co-acting mechanisms such as crack bridging, crack deflection and microcracking. The knowledge of appropriate stress intensity factors which depend on the sample and crack geometry is essential for determining these curves. For the dental biomaterials enamel and dentin it was observed that, under bending and tensile loading, crack propagation occurs under certain constant angles to the initial notch direction during testing procedures used for fracture resistance curve determination. For this special crack geometry (a kink crack of finite length in a finite body) appropriate geometric function solutions are missing. Hence, we present in this study new mixed-mode stress intensity factors for kink cracks with finite kink length within samples of finite dimensions for two loading cases (tension and bending) which were derived from a combination of mixed-mode stress intensity factors of kink cracks with infinitely small kinks and of slant cracks. These results were further applied to determine the fracture resistance curves of enamel and dentin by testing single edge notched bending (SENB) specimens. It was found that kink cracks with finite kink length exhibit identical stress fields to slant cracks as soon as the kink length exceeds 0.15 times the initial straight crack or notch length. The use of stress intensity factor solutions for infinitely small kink cracks for the determination of dentin fracture resistance curves (as was done by other researchers) leads to an overestimation of dentin's fracture resistance of up to 30%. Copyright 2010 Elsevier Ltd. All rights reserved.

  20. What explains post-traumatic stress disorder (PTSD) in UK service personnel: deployment or something else?

    Science.gov (United States)

    Jones, M; Sundin, J; Goodwin, L; Hull, L; Fear, N T; Wessely, S; Rona, R J

    2013-08-01

    In previous studies an association between deployment to Iraq or Afghanistan and an overall increased risk for post-traumatic stress disorder (PTSD) in UK armed forces has not been found. The lack of a deployment effect might be explained by including, in the comparison group, personnel deployed on other operations or who have experienced traumatic stressors unrelated to deployment. The sample comprised 8261 regular UK armed forces personnel who deployed to Iraq, Afghanistan or other operational areas or were not deployed. Participants completed the PTSD CheckList-Civilian Version (PCL-C) and provided information about deployment history, demographic and service factors, serious accidents and childhood experiences. Deployment to Iraq or Afghanistan [odds ratio (OR) 1.2, 95% confidence interval (CI) 0.6-2.2] or elsewhere (OR 1.1, 95% CI 0.6-2.0) was unrelated to PTSD although holding a combat role was associated with PTSD if deployed to Iraq or Afghanistan (OR 2.7, 95% CI 1.9-3.9). Childhood adversity (OR 3.3, 95% CI 2.1-5.0), having left service (OR 2.7, 95% CI 1.9-4.0) and serious accident (OR 2.1, 95% CI 1.4-3.0) were associated with PTSD whereas higher rank was protective (OR 0.3, 95% CI 0.12-0.76). For the majority of UK armed forces personnel, deployment whether to Iraq, Afghanistan or elsewhere confers no greater risk for PTSD than service in the armed forces per se but holding a combat role in those deployed to Iraq or Afghanistan is associated with PTSD. Vulnerability factors such as lower rank, childhood adversity and leaving service, and having had a serious accident, may be at least as important as holding a combat role in predicting PTSD in UK armed forces personnel.

  1. Are trends in billing for high-intensity emergency care explained by changes in services provided in the emergency department? An observational study among US Medicare beneficiaries

    Science.gov (United States)

    Burke, Laura G; Wild, Robert C; Orav, E John; Hsia, Renee Y

    2018-01-01

    Objective There has been concern that an increase in billing for high-intensity emergency care is due to changes in coding practices facilitated by electronic health records. We sought to characterise the trends in billing for high-intensity emergency care among Medicare beneficiaries and to examine the degree to which trends in high-intensity billing are explained by changes in patient characteristics and services provided in the emergency department (ED). Design, setting and participants Observational study using traditional Medicare claims to identify ED visits at non-federal acute care hospitals for elderly beneficiaries in 2006, 2009 and 2012. Outcomes measures Billing intensity was defined by emergency physician evaluation and management (E&M) codes. We tested for overall trends in high-intensity billing (E&M codes 99285, 99291 and 99292) and in services provided over time using linear regression models, adjusting for patient characteristics. Additionally, we tested for time trends in rates of admission to the hospital and to the intensive care unit (ICU). Next, we classified outpatient visits into 39 diagnosis categories and analysed the change in proportion of high-intensity visits versus the change in number of services. Finally, we quantified the extent to which trends in high-intensity billing are explained by changes in patient demographics and services provided in the ED using multivariable modelling. Results High-intensity visits grew from 45.8% of 671 103 visits in 2006 to 57.8% of 629 010 visits in 2012 (2.0% absolute increase per year; 95% CI 1.97% to 2.03%) as did the mean number of services provided for admitted (1.28 to 1.41; +0.02 increase in procedures per year; 95% CI 0.018 to 0.021) and discharged ED patients (7.1 to 8.6; +0.25 increase in services per year; 95% CI 0.245 to 0.255). There was a reduction in hospital admission rate from 40.1% to 35.9% (−0.68% per year; 95% CI −0.71% to −0.65%; Pbilled as high intensity

  2. Project of integrity assessment of flawed components with structural discontinuity (IAF). Data book for estimation stress intensity factor. Surface crack on ICM housing for penetration in reactor vessel

    International Nuclear Information System (INIS)

    2012-12-01

    The project of Integrity Assessment of Flawed Components with Structural Discontinuity (IAF) was entrusted to Japan Power Engineering and Inspection Corporation (JAPEIC) from Nuclear and Industrial Safety Agency (NISA) and started from FY 2001. And then, it was taken over to Japan Nuclear Energy Safety Organization (JNES) which was established in October 2003 and carried out until FY 2007. In the IAF project, weld joints between nickel based alloys and low alloy steels around penetrations in reactor vessel, safe-end of nozzles and shroud supports were selected from among components and pipe arrangements in nuclear power plants, where high residual stresses were generated due to welding and complex structure. Residual stresses around of the weld joints were estimated by finite element analysis method (FEM) with a general modeling method, then the reasonability and the conservativeness was evaluated. In addition, for postulated surface crack of stress corrosion cracking (SCC), a simple calculation method of stress intensity factor (K) required to estimate the crack growth was proposed and the effectiveness was confirmed. JNES compiled results of the IAF project into Data Books of Residual Stress Analysis of Weld Joint, and Data Book of Simplified Stress Intensity Factor Calculation for Penetration of Reactor as typical Structure Discontinuity, respectively. Data Books of Residual Stress Analysis in Weld Joint. 1. Butt Weld Joint of Small Diameter Cylinder (4B Sch40) (JNES-RE-2012-0005), 2. Dissimilar Metal Weld Joint in Safe End (One-Side Groove Joint (JNES-RE-2012-0006), 3. Dissimilar Metal Weld Joint in Safe End (Large Diameter Both-Side Groove Joint) (JNES-RE-2012-0007), 4. Weld Joint around Penetrations in Reactor Vessel (Insert Joint) (JNES-RE-2012-0008), 5. Weld Joint in Shroud Support (H8, H9, H10 and H11 Welds) (JNES-RE-2012-0009), 6. Analysis Model of Dissimilar Metal Weld Joint Applied Post Weld Heat Treatment (PWHT) (JNES-RE-2012-0010). Data Book of

  3. Spatial variability in the coefficient of thermal expansion induces pre-service stresses in computer models of virgin Gilsocarbon bricks

    International Nuclear Information System (INIS)

    Arregui-Mena, José David; Margetts, Lee; Griffiths, D.V.; Lever, Louise; Hall, Graham; Mummery, Paul M.

    2015-01-01

    In this paper, the authors test the hypothesis that tiny spatial variations in material properties may lead to significant pre-service stresses in virgin graphite bricks. To do this, they have customised ParaFEM, an open source parallel finite element package, adding support for stochastic thermo-mechanical analysis using the Monte Carlo Simulation method. For an Advanced Gas-cooled Reactor brick, three heating cases have been examined: a uniform temperature change; a uniform temperature gradient applied through the thickness of the brick and a simulated temperature profile from an operating reactor. Results are compared for mean and stochastic properties. These show that, for the proof-of-concept analyses carried out, the pre-service von Mises stress is around twenty times higher when spatial variability of material properties is introduced. The paper demonstrates that thermal gradients coupled with material incompatibilities may be important in the generation of stress in nuclear graphite reactor bricks. Tiny spatial variations in coefficient of thermal expansion (CTE) and Young's modulus can lead to the presence of thermal stresses in bricks that are free to expand. - Highlights: • Open source software has been modified to include random variability in CTE and Young's modulus. • The new software closely agrees with analytical solutions and commercial software. • Spatial variations in CTE and Young's modulus produce stresses that do not occur with mean values. • Material variability may induce pre-service stress in virgin graphite.

  4. Spatial variability in the coefficient of thermal expansion induces pre-service stresses in computer models of virgin Gilsocarbon bricks

    Energy Technology Data Exchange (ETDEWEB)

    Arregui-Mena, José David, E-mail: jose.arreguimena@postgrad.manchester.ac.uk [School of Mechanical, Aerospace, and Civil Engineering, University of Manchester, Oxford Road, Manchester, M13 9PL (United Kingdom); Margetts, Lee, E-mail: lee.margetts@manchester.ac.uk [School of Mechanical, Aerospace, and Civil Engineering, University of Manchester, Oxford Road, Manchester, M13 9PL (United Kingdom); Griffiths, D.V., E-mail: d.v.griffiths@mines.edu [Colorado School of Mines, 1500 Illinois St, Golden, CO 80401 (United States); Lever, Louise, E-mail: louise.lever@manchester.ac.uk [Research Computing, University of Manchester, Oxford Road, Manchester, M13 9PL (United Kingdom); Hall, Graham, E-mail: graham.n.hall@manchester.ac.uk [School of Mechanical, Aerospace, and Civil Engineering, University of Manchester, Oxford Road, Manchester, M13 9PL (United Kingdom); Mummery, Paul M., E-mail: paul.m.mummery@manchester.ac.uk [School of Mechanical, Aerospace, and Civil Engineering, University of Manchester, Oxford Road, Manchester, M13 9PL (United Kingdom)

    2015-10-15

    In this paper, the authors test the hypothesis that tiny spatial variations in material properties may lead to significant pre-service stresses in virgin graphite bricks. To do this, they have customised ParaFEM, an open source parallel finite element package, adding support for stochastic thermo-mechanical analysis using the Monte Carlo Simulation method. For an Advanced Gas-cooled Reactor brick, three heating cases have been examined: a uniform temperature change; a uniform temperature gradient applied through the thickness of the brick and a simulated temperature profile from an operating reactor. Results are compared for mean and stochastic properties. These show that, for the proof-of-concept analyses carried out, the pre-service von Mises stress is around twenty times higher when spatial variability of material properties is introduced. The paper demonstrates that thermal gradients coupled with material incompatibilities may be important in the generation of stress in nuclear graphite reactor bricks. Tiny spatial variations in coefficient of thermal expansion (CTE) and Young's modulus can lead to the presence of thermal stresses in bricks that are free to expand. - Highlights: • Open source software has been modified to include random variability in CTE and Young's modulus. • The new software closely agrees with analytical solutions and commercial software. • Spatial variations in CTE and Young's modulus produce stresses that do not occur with mean values. • Material variability may induce pre-service stress in virgin graphite.

  5. Development of stress ulcers assessed by gastric electrical potential difference, pH of gastric juice, and endoscopy in patients in the intensive care unit

    DEFF Research Database (Denmark)

    Rubinstein, E; Gjørup, I; Schulze, S

    1992-01-01

    OBJECTIVE: To assess measurement of gastric electrical potential difference, pH of gastric mucosa, and endoscopic findings in patients in intensive care units who are at risk of developing stress ulcers. DESIGN: Open comparison with age- and sex-matched control subjects. SETTING: Herlev Hospital......, Denmark. SUBJECTS: Sixteen consecutive patients with no history of gastrointestinal haemorrhage, coagulopathy, or ulcer disease who had been admitted to the intensive care unit, and 16 age- and sex-matched outpatients with normal endoscopic findings. INTERVENTIONS: Upper gastrointestinal endoscopy, during...... which any lesions that were found were scored according to severity, the gastric potential difference, and the pH of gastric juice were measured. OUTCOME MEASURES: Correlation between the incidence of stress ulceration found at endoscopy, gastric potential difference, and gastric pH. RESULTS: Gastric...

  6. 20 CFR 669.400 - What are the elements of the Individual Employment Plan that is authorized as an intensive service?

    Science.gov (United States)

    2010-04-01

    ... customer-centered case management tool, an IEP is a personal record and must receive confidential treatment. ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false What are the elements of the Individual Employment Plan that is authorized as an intensive service? 669.400 Section 669.400 Employees' Benefits...

  7. Residual stress analysis in linear friction welded in-service Inconel 718 superalloy via neutron diffraction and contour method approaches

    Energy Technology Data Exchange (ETDEWEB)

    Smith, M. [University of British Columbia – Okanagan, School of Engineering, 3333 University Way, Kelowna, Canada V1V 1V7 (Canada); Levesque, J.-B. [Institut de recherche d' Hydro-Québec (IREQ), 1800 Lionel-Boulet Blvd., Varennes, Canada J3X 1S1 (Canada); Bichler, L., E-mail: lukas.bichler@ubc.ca [University of British Columbia – Okanagan, School of Engineering, 3333 University Way, Kelowna, Canada V1V 1V7 (Canada); Sediako, D. [Canadian Nuclear Laboratories, Building 459, Station 18, Chalk River, Canada K0J 1J0 (Canada); Gholipour, J.; Wanjara, P. [National Research Council of Canada, Aerospace 5145 Decelles Ave., Montreal, Canada H3T 2B2 (Canada)

    2017-04-13

    In this study, an analysis of elastic residual stress in Inconel{sup ®} 718 (IN 718) linear friction welds (LFWs) was carried out. In particular, the suitability of LFW for manufacturing and repair of aero engine components was emulated by joining virgin and in-service (extracted from a turbine disk) materials. The evolution in the residual strains and stresses in the heat-affected zone (HAZ), thermomechanically affected zone (TMAZ) and dynamically recrystallized zone (DRX) of the weld was characterized using the neutron diffraction and contour methods. The results provided insight into diverse challenges in quantitative analysis of residual stresses in welded IN 718 using diffraction techniques. Specifically, judicious selection of the beam width, height and stress-free lattice spacing were seen to be crucial to minimize measurement error and increase accuracy. Further, the contour method – a destructive technique relying on capturing the stress relaxation after electrical discharge machining – was used to characterize the residual stress distribution on two-dimensional plane sections of the welds. Both techniques suggested an increasing magnitude of residual stress originating from the base metal that reached a peak at the weld interface. Both methods indicated that the peak magnitude of residual stresses were below the yield stress of IN 718.

  8. Investigation of the Stress Intensity Limits of ASME Section III Div.5 for Structure Design Criteria of SFR Fuel Assembly

    Energy Technology Data Exchange (ETDEWEB)

    Choo, Jin-Yup; Kim, Hyung-Kyu; Cheon, Jin-Sik [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-10-15

    These affect the mechanical design of the fuel assembly components. And thus, appropriate structural design criteria should also be chosen to incorporate the specific design conditions of the SFR fuel assemblies. Among them, the temperature is one of the most crucial conditions to be concerned because the sodium coolant temperature is normally more than 500ºC which is much higher than that of the LWR (< 350ºC). This implies that a thermal creep should be significantly considered in the SFR fuel assembly mechanical design. In addition to the high temperature condition, an irradiation swelling is also an important behavior that the SFR fuel assembly material should accommodate. To incorporate the temperature and irradiation impacts, the material of the fuel assembly components is presently determined to be made of HT-9, the ferriticmartensitic steel. In this paper, the ASME Sec. III Div. 5 (referred to as ‘Div. 5’ hereinafter), which was developed for a ‘high temperature reactor’, is considered as one of the structural design criteria for the mechanical design of SFR fuel assemblies. In this paper, the stress intensity limits, S{sub m} and S{sub t} of HT-9 were built for the structural criteria of an SFR fuel assembly. S{sub m} is obtained from the ultimate strength. As for S{sub t}, it is more complicated because of its dependency of time duration in addition to temperature. Following the definition of S{sub mt}, the method in the ASME Sec. III Div. 1, Subsec. NH was consulted. We found that the Sm is adopted as S{sub mt} under the temperature about 470ºC which is relatively low temperature range and over 470ºC with relatively short time duration as 1000 hours. And the S{sub t} is adopted as Smt at over 470ºC and long time duration over 34800 hours, and over 520ºC and 10{sup 4} hours too. And at over 570ºC and 1000 hours, and at over 630ºC and 100 hours, S{sub t} is also adopted for S{sub mt}.

  9. Stress and quality of life among parents of children with congenital heart disease referred for psychological services.

    Science.gov (United States)

    Kaugars, Astrida; Shields, Clarissa; Brosig, Cheryl

    2018-01-01

    The study examined parent stress and health-related quality of life (HRQOL) among families of children with congenital heart disease (CHD) referred for psychological services. Parents of 54 children (85% boys) aged 3 to 13 (M age  = 7.48, SD = 2.38) completed measures to assess parenting stress (Parenting Stress Index - Short Form; Pediatric Inventory for Parents) and the PedsQL Family Impact Module. Medical information was retrieved from medical record review. Half of parents of children with single ventricle anatomy had clinically significant levels of parenting stress. Parents of children with single ventricle anatomy reported more frequent illness-related stress and more difficulty dealing with illness-related stress than parents of children with two ventricle anatomy. Younger gestational age at birth and referral for attention or behavior problems were associated with greater likelihood of parent at-risk psychosocial functioning. Among children referred for psychological services, many parents report significant stress and significant negative impact of the child's medical condition on the family. Results underscore the need to consider assessing parent psychosocial functioning and providing additional support for parents of children with CHD. © 2017 Wiley Periodicals, Inc.

  10. How Are Service Dogs for Adults with Post Traumatic Stress Disorder Integrated with Rehabilitation in Denmark? A Case Study

    OpenAIRE

    Glintborg, Chalotte; Hansen, Tia G. B.

    2017-01-01

    Simple Summary The use of service dogs for adults with mental illnesses has become generally accepted. With reference to a single case study of a client with Post Traumatic Stress (PTSD), this study illustrates some of the potential advantages, but also note an important concern that appears to have gone unnoticed. The provision of service animals/therapy animals for adults with mental illnesses must be sufficiently informed by relevant knowledge and integrated with concurrent rehabilitation ...

  11. Different utilization of intensive care services (ICSs) for patients dying of hemorrhagic and ischemic stroke, a hospital-based survey.

    Science.gov (United States)

    Wang, Vinchi; Hsieh, Chieh-Chao; Huang, Yen-Ling; Chen, Chia-Ping; Hsieh, Yi-Ting; Chao, Tzu-Hao

    2018-02-01

    The intensive care service (ICS) saves lives and rescues the neurological function of stroke patients. We wondered the different utilization of ICS for patients with ischemic and hemorrhagic stroke, especially those who died within 30 days after stroke.Sixty-seven patients died during 2011 to 2015 due to acute stroke (42 due to intracranial hemorrhage [ICH]; 25 due to cerebral infarct [CI]). The durations of hospital stay (hospital staying days [HSDs]) and ICS staying days (ISDs) and codes of the do-not-resuscitate (DNR) were surveyed among these medical records. Statistics included chi-square and descriptive analyses.In this study, CI patients had a longer HSD (mean 14.3 days), as compared with ICH patients (mean 8.3 days); however, the ICH patients had a higher percentage of early entry within the first 24 hours of admission into ICS than CI group (95.1% vs 60.0%, P = .003). A higher rate of CI patients died in holidays or weekends than those with ICH (44.0% vs 21.4%, P = .051). DNR, requested mainly from direct descendants (children or grandchildren), was coded in all 25 CI patients (100.0%) and 38 ICH patients (90.5%). More cases with early DNR coded within 24 hours after admission occurred in ICH group (47%, 12% in CI patients, P = .003). None of the stroke patient had living wills. Withhold of endotracheal intubation (ETI) occurred among CI patients, more than for ICH patients (76.0% vs 18.4%, P mortality within holidays or weekends, and higher ETI withhold; but less percentage of ICS utilization expressed by a lower ISD/HSD ratio. This ICS utilization is a key issue of medical quality for stroke care.

  12. High- but not low-intensity light leads to oxidative stress and quality loss of cold-stored baby leaf spinach.

    Science.gov (United States)

    Glowacz, Marcin; Mogren, Lars M; Reade, John P H; Cobb, Andrew H; Monaghan, James M

    2015-07-01

    Quality management in the fresh produce industry is an important issue. Spinach is exposed to various adverse conditions (temperature, light, etc.) within the supply chain. The present experiments were conducted to investigate the effect of light conditions (dark, low-intensity light (LL) and high-intensity light (HL)) and photoperiod (6 h HL and 18 h dark) on the quality changes of cold-stored spinach. HL exposure resulted in oxidative stress, causing tissue damage and quality loss as evidenced by increased membrane damage and water loss. The content of total ascorbic acid was reduced under HL conditions. On the other hand, storage of spinach under LL conditions gave promising results, as nutritional quality was not reduced, while texture maintenance was improved. No significant differences, with the exception of nutritional quality, were found between spinach leaves stored under continuous (24 h) low-intensity light (30-35 µmol m(-2) s(-1)) and their counterparts stored under the same light integral over 6 h (130-140 µmol m(-2) s(-1)). LL extended the shelf-life of spinach. The amount of light received by the leaves was the key factor affecting produce quality. Light intensity, however, has to be low enough not to cause excess oxidative stress and lead to accelerated senescence. © 2014 Society of Chemical Industry.

  13. Effect of Chinese traditional medicine anti-fatigue prescription on the concentration of the serum testosterone and cortisol in male rats under stress of maximum intensive training

    International Nuclear Information System (INIS)

    Dong Ling; Si Xulan

    2008-01-01

    Objective: To study the effect of chinese traditional medicine anti-fatigue prescription on the concentration of the serum testosterone (T) and cortisol (C) in male rats under the stress of maximum intensive training. Methods: Wistar male rat models of stress under maximum intensity training were established (n=40) and half of them were treated with Chinese traditional medicine anti-fatigue prescription twenty undisturbed rats served as controls. Testosterone and cortisol serum levels were determined with RIA at the end of the seven weeks' experiment. Results: Maximum intensive training would cause the level of the serum testosterone lowered, the concentration of the cortisol elevated and the ratio of T/C reduced. The serum T levels and T/C ratio were significantly lower and cortisol levels significantly higher in the untreated models than those in the treated models and controls (P<0.01). The levels of the two hormones were markedly corrected in the treated models with no significantly differences from those in the controls. However, the T/C ratio was still significantly lower than that in the controls (P <0.05) due to a relatively slightly greater degree of reduction of T levels. Conclusion: Anti-fatigue prescription can not only promote the recovery of fatigue after the maximum intensive training but also strengthen the anabolism of the rats. (authors)

  14. Correlations of the glycemic variability with oxidative stress and erythrocytes membrane stability in patients with type 1 diabetes under intensive treatment.

    Science.gov (United States)

    Rodrigues, Ricardo; Alves de Medeiros, Luciana; Moreira Cunha, Lucas; da Silva Garrote-Filho, Mario; Bernardino Neto, Morun; Tannus Jorge, Paulo; Santos Resende, Elmiro; Penha-Silva, Nilson

    2018-02-07

    This study aimed to evaluate the correlations of glycemic variability with erythrocyte membrane stability parameters and oxidative stress markers in patients with DM1 under intensive treatment. 90 patients with DM1 and under intensive treatment of the disease were evaluated in relation to anthropometric indices, records of glycemic averages and parameters of glycemic variability, biochemical dosages (glucose, uric acid, lipidogram, glycated hemoglobin, microalbuminuria, creatinine and iron) reticulocyte count, erythrocyte membrane stability parameters and oxidative stress markers (thiobarbituric acid reactive substances, TBARS, and glutathione reductase, GR). Indicators of glycemic variability in the short and long term showed correlations with parameters of membrane stability and markers of oxidative stress (GR). In addition, the comparison of these same parameters between the subgroups consisting of quartiles of GV or glycemic control also showed significant differences. In the DM1 patients studied here, glycemic variability showed correlations with oxidative stress and erythrocyte membrane stability variables. This corroborates the hypothesis that glycemic fluctuations interfere with lipid peroxidation and cell membrane behavior, emphasizing its participation in mechanisms related to the development of chronic complications of diabetes. Copyright © 2018 Elsevier B.V. All rights reserved.

  15. The Effects of a Korean Ginseng, GINST15, on Hypo-Pituitary-Adrenal and Oxidative Activity Induced by Intense Work Stress.

    Science.gov (United States)

    Flanagan, Shawn D; DuPont, William H; Caldwell, Lydia K; Hardesty, Vincent H; Barnhart, Emily C; Beeler, Matthew K; Post, Emily M; Volek, Jeff S; Kraemer, William J

    2018-01-01

    The effect of GINST15, an enzyme fermented ginseng supplement, on hormonal and inflammatory responses to physical stress in humans is unknown. The purpose of this investigation was to examine the constitutive and stress-induced effects of GINST15 supplement on hypo-pituitary-adrenal (HPA) and antioxidant activity in addition to muscle damage. Ten women (age: 38.7 ± 7.8 years; height: 163.81 ± 4.4 cm; body mass 76.0 ± 11.6 kg) and nine men (age: 41.2. ± 9.7 years; height: 177.4 ± 5.3 cm; body mass: 88.5 ± 5.0 kg) participated in a double-blinded, placebo-controlled, counterbalanced within-group study. Participants completed three 14-day treatment cycles with different doses (high: 960 mg; low: 160 mg; placebo: 0 mg) separated by a 1-week washout period. At the end of treatment, physical stress was imposed with intense resistance exercise work stress. Participants provided blood at rest and various time points after exercise (immediately [IP], 30 min [30], 60 min [60], 24 h [+24HR]). Cortisol (CORT), superoxide dismutase (SOD), total glutathione, nonspecific antioxidant activity, total antioxidant power (TAP), and creatine kinase were measured. GINST15 supplementation produced stress-inducible dose-dependent reductions in circulating cortisol and increased enzymatic and nonspecific antioxidant activity. Twenty-four hours after intense exercise, a high dose GINST15, a bioactive ginsenoside metabolite, significantly reduces muscle damage and HPA responses to physical stress in humans; these effects may result from increased antioxidant expression.

  16. Improvement of the calculation of the stress intensity factors for underclad and through-clad defects in a reactor pressure vessel subjected to a pressurised thermal shock

    International Nuclear Information System (INIS)

    Marie, S.; Chapuliot, S.

    2008-01-01

    The analysis of the stability of a defect in a cladded reactor pressure vessel (RPV) of a nuclear pressure water reactor (PWR) subjected to pressurised thermal shock (PTS) is one main elements of the general safety demonstration. Recently, CEA proposed several improved analytical tools for the analysis of the PTS. First, an analytical solution for the vessel through-thickness temperature variation has been developed to deal with any fluid temperature, taking into account the possible presence of a cladding, in the case of an internal PTS. The associated thermal stress expression has been simplified and a complete linearised solution is given for the thermal loading and also for internal pressure, depending on the main vessel material and on the cladding properties. Finally, a complete compendium is also given for the elastic stresses intensity factor calculation. This paper proposes several improvements of the proposed analytical method to deal with a PTS in a PWR cladded vessel. A variable heat transfer coefficient is now taken into account based on an equivalent fluid temperature variation determination, associated with a constant heat transfer coefficient, to keep the same thermal exchange between the fluid and the inner skin of the vessel obtained with the initial data. A more accurate expression for the linearised stresses due to the internal pressure is given, and a possible effect of residual stresses due to the difference between the operating temperature and the stress-free temperature is also taken into account. Finally, an extension of the domain of definition of the influence functions for the elastic stress intensity factor calculation is given

  17. Clinical validity of a relocation stress scale for the families of patients transferred from intensive care units.

    Science.gov (United States)

    Oh, HyunSoo; Lee, Seul; Kim, JiSun; Lee, EunJu; Min, HyoNam; Cho, OkJa; Seo, WhaSook

    2015-07-01

    This study was conducted to develop a family relocation stress scale by modifying the Son's Relocation Stress Syndrome Scale, to examine its clinical validity and reliability and to confirm its suitability for measuring family relocation stress. The transfer of ICU patients to general wards is a significant anxiety-producing event for family members. However, no relocation stress scale has been developed specifically for families. A nonexperimental, correlation design was adopted. The study subjects were 95 family members of 95 ICU patients at a university hospital located in Incheon, South Korea. Face and construct validities of the devised family relocation stress scale were examined. Construct validity was examined using factor analysis and by using a nomological validity test. Reliability was also examined. Face and content validity of the scale were verified by confirming that its items adequately measured family relocation stress. Factor analysis yielded four components, and the total variance explained by these four components was 63·0%, which is acceptable. Nomological validity was well supported by significant relationships between relocation stress and degree of preparation for relocation, patient self-care ability, family burden and satisfaction with the relocation process. The devised scale was also found to have good reliability. The family relocation stress scale devised in this study was found to have good validity and reliability, and thus, is believed to offer a means of assessing family relocation stress. The findings of this study provide a reliable and valid assessment tool when nurses prepare families for patient transfer from an ICU to a ward setting, and may also provide useful information to those developing an intervention programme for family relocation stress management. © 2015 John Wiley & Sons Ltd.

  18. Stress

    Science.gov (United States)

    ... taking care of an aging parent. With mental stress, the body pumps out hormones to no avail. Neither fighting ... with type 1 diabetes. This difference makes sense. Stress blocks the body from releasing insulin in people with type 2 ...

  19. Regular moderate or intense exercise prevents depression-like behavior without change of hippocampal tryptophan content in chronically tryptophan-deficient and stressed mice.

    Directory of Open Access Journals (Sweden)

    Hosung Lee

    Full Text Available Regular exercise has an antidepressant effect in human subjects. Studies using animals have suggested that the antidepressant effect of exercise is attributable to an increase of brain 5-hydroxytryptamine (5-HT; however, the precise mechanism underlying the antidepressant action via exercise is unclear. In contrast, the effect of 5-HT on antidepressant activity has not been clarified, in part because the therapeutic response to antidepressant drugs has a time lag in spite of the rapid increase of brain 5-HT upon administration of these drugs. This study was designed to investigate the contribution of brain 5-HT to the antidepressant effect of exercise. Mice were fed a tryptophan-deficient diet and stressed using chronic unpredictable stress (CUS for 4 weeks with or without the performance of either moderate or intense exercise on a treadmill 3 days per week. The findings demonstrated that the onset of depression-like behavior is attributable not to chronic reduction of 5-HT but to chronic stress. Regular exercise, whether moderate or intense, prevents depression-like behavior with an improvement of adult hippocampal cell proliferation and survival and without the recovery of 5-HT. Concomitantly, the mice that exercised showed increased hippocampal noradrenaline. Regular exercise prevents the impairment of not long-term memory but short-term memory in a 5-HT-reduced state. Together, these findings suggest that: (1 chronic reduction of brain 5-HT may not contribute to the onset of depression-like behavior; (2 regular exercise, whether moderate or intense, prevents the onset of chronic stress-induced depression-like behavior independent of brain 5-HT and dependent on brain adrenaline; and (3 regular exercise prevents chronic tryptophan reduction-induced impairment of not long-term but short-term memory.

  20. Predictors of posttraumatic stress and quality of life in family members of chronically critically ill patients after intensive care.

    Science.gov (United States)

    Wintermann, Gloria-Beatrice; Weidner, Kerstin; Strauß, Bernhard; Rosendahl, Jenny; Petrowski, Katja

    2016-12-01

    Prolonged mechanical ventilation for acute medical conditions increases the risk of chronic critical illness (CCI). Close family members are confronted with the life-threatening condition of the CCI patients and are prone to develop posttraumatic stress disorder affecting their health-related quality of life (HRQL). Main aim of the present study was to investigate patient- and family-related risk factors for posttraumatic stress and decreased HRQL in family members of CCI patients. In a cross-sectional design nested within a prospective longitudinal cohort study, posttraumatic stress symptoms and quality of life were assessed in family members of CCI patients (n = 83, aged between 18 and 72 years) up to 6 months after transfer from ICU at acute care hospital to post-acute rehabilitation. Patients admitted a large rehabilitation hospital for ventilator weaning. The Posttraumatic Stress Scale-10 and the Euro-Quality of life-5D-3L were applied in both patients and their family members via telephone interview. A significant proportion of CCI patients and their family members (14.5 and 15.7 %, respectively) showed clinically relevant scores of posttraumatic stress. Both CCI patients and family members reported poorer HRQL than a normative sample. Factors independently associated with posttraumatic stress in family members were the time following ICU discharge (β = .256, 95 % confidence interval .053-.470) and the patients' diagnosis of PTSD (β = .264, 95 % confidence interval .045-.453). Perceived satisfaction with the relationship turned out to be a protective factor for posttraumatic stress in family members of CCI patients (β = -.231, 95 % confidence interval -.423 to -.015). Regarding HRQL in family members, patients' acute posttraumatic stress at ICU (β = -.290, 95 % confidence interval -.360 to -.088) and their own posttraumatic stress 3 to 6 months post-transfer (β = -.622, 95 % confidence interval -.640 to -.358) turned out to be

  1. Hepatoprotective Effect of Quercetin on Endoplasmic Reticulum Stress and Inflammation after Intense Exercise in Mice through Phosphoinositide 3-Kinase and Nuclear Factor-Kappa B

    Directory of Open Access Journals (Sweden)

    Yuhan Tang

    2016-01-01

    Full Text Available The mechanisms underlying intense exercise-induced liver damage and its potential treatments remain unclear. We explored the hepatoprotection and mechanisms of quercetin, a naturally occurring flavonoid, in strenuous exercise-derived endoplasmic reticulum stress (ERS and inflammation. Intense exercise (28 m/min at a 5° slope for 90 min resulted in the leakage of aminotransferases in the BALB/C mice. The hepatic ultrastructural malformations and oxidative stress levels were attenuated by quercetin (100 mg/kg·bw. Intense exercise and thapsigargin- (Tg- induced ERS (glucose-regulated protein 78, GRP78 and inflammatory cytokines levels (IL-6 and TNF-α were decreased with quercetin. Furthermore, quercetin resulted in phosphoinositide 3-kinase (PI3K induction, Ca2+ restoration, and blockade of the activities of Jun N-terminal kinase (JNK, activating transcription factor 6 (ATF6 and especially NF-κB (p65 and p50 nuclear translocation. A PI3K inhibitor abrogated the protection of quercetin on ERS and inflammation of mouse hepatocytes. SP600125 (JNK inhibitor, AEBSF (ATF6 inhibitor, and especially PDTC (NF-κB inhibitor enhanced the quercetin-induced protection against Tg stimulation. Collectively, intense exercise-induced ERS and inflammation were attenuated by quercetin. PI3K/Akt activation and JNK, ATF6, and especially NF-κB suppression were involved in the protection. Our results highlight a novel preventive strategy for treating ERS and inflammation-mediated liver damage induced by intense exercise using natural phytochemicals.

  2. The Effects of Emotional Intelligence (EI Items Education on Job Related Stress in Physicians and Nurses who Work in Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Kh Nooryan

    2011-12-01

    Full Text Available Background & Aim: Intensive care units (ICUs are recognized as stressful environments. The objective of this study was to determine the effects of emotional intelligence education items on job related stress on physicians and nurses who work in intensive care units at hospitals of Yerevan, Armenia. Methods: A interventional study design was implemented with 106 registered hospital physicians and nurses, who were widely distributed all the way through. Case group was taught about 15 E.I items. For data collection, the 20-question Berger situational (overt anxiety questionnaire, the 20-item personality (covert anxiety questionnaire, and the Bar-on emotional intelligence questionnaire with 133 questions were used. Statistical descriptive methods, chi-square (X2 and t-tests were used to analyze data. Results: The research achievements revealed that the average score of the case group`s situational anxiety was 46.59 before intervention, which decreased to 39.95 after the training of the items of emotional intelligence. The average score of situational anxiety of control group was 44.32 before intervention which increased to 44.76 after examination. There was a meaningful statistical difference between case and control group after education of emotional intelligence`s items (p=0.001. Conclusion: Results of the current study showed that physicians and nurses experience high level of stress. The ability to effectively deal with emotion intelligence and emotional information in the workplace assists employees in coping with occupational stress and should be developed in stress managing trainings.

  3. Mental status of the elderly receiving home health services and the associated stress of home helpers.

    Science.gov (United States)

    Nagatomo, I; Takigawa, M

    1998-01-01

    One hundred and ninety elderly people receiving home health service were investigated. The intellectual levels, depressive state evaluated by the Cornell scale for depression in dementia (CSDD) scale, abnormal behaviors evaluated by the dementia behavior disturbance (DBD) scale, and activities of daily living (ADL) were examined. These assessments were performed by 72 skilled home helpers who also assessed the severity of their own level of stress using the Burnout scale. The intellectual level and mood-related signs, based on the CSDD scale, of the elderly living with families or with a spouse were diminished significantly as compared to the elderly living alone. The elderly living with families also performed worse on all ADL categories except for visual acuity as compared to the elderly living with a spouse or living alone. There was no significant correlation between the Burnout scale score and age or frequency of working as a home helper. These results suggest that elderly people living with families as compared to the elderly living with a spouse or living alone have greater mental health needs as well as more profound physical limitations.

  4. Geographic Disparities in Access to Nursing Home Services: Assessing Fiscal Stress and Quality of Care.

    Science.gov (United States)

    Park, Young Joo; Martin, Erika G

    2017-11-12

    We test whether nursing homes serving predominately low-income and racial minority residents (compositional explanation) or located in neighborhoods with higher concentrations of low-income and racial minority residents (contextual explanation) have worse financial outcomes and care quality. Healthcare Cost Report Information System, Nursing Home Compare, Online Survey Certification and Reporting Certification, and American Community Survey. A cross-sectional study design of nursing homes within U.S. metropolitan areas. Data were obtained from Centers for Medicare & Medicaid Services and U.S. Census Bureau. Medicaid-dependent nursing homes have a 3.5 percentage point lower operating ratio. Those serving primarily racial minorities have a 2.64-point lower quality rating. A 1 percent increase in the neighborhood population living in poverty is associated with a 1.20-point lower quality rating, on a scale from 10 to 50, and a 1 percent increase in the portion of neighborhood black residents is associated with a 0.8 percentage point lower operating ratio and a 0.37 lower quality rating. Medicaid dependency (compositional effect) and concentration of racial minority residents in neighborhoods (contextual effect) are associated with higher fiscal stress and lower quality of care, indicating that nursing homes' geographic location may exacerbate long-term care inequalities. © Health Research and Educational Trust.

  5. Fatigue threshold studies in Fe, Fe-Si, and HSLA steel: Part II. thermally activated behavior of the effective stress intensity at threshold

    Science.gov (United States)

    Yu, W.; Esaklul, K.; Gerberich, W. W.

    1984-05-01

    It is shown that closure mechanisms alone cannot fully explain increasing fatigue thresholds with decreasing test temperature for a sequence of Fe-Si binary alloys and an HSLA steel. Implications are that fatigue crack propagation near threshold is a thermally activated process. The effective threshold stress intensity, which was obtained by subtracting the closure portion from the fatigue threshold, was examined. This effective stress intensity was found to correlate very well to the thermal component of the flow stress. A detailed fractographic study of the fatigue surface was performed. Water vapor in the room air was found to promote the formation of oxide and intergranular crack growth. At lower temperature, a brittle-type cyclic cleavage fatigue surface was observed but the ductile process persisted even at 123 K. Arrest marks were found on all three modes of fatigue crack growth. The regular spacings between these lines and dislocation modeling suggested that fatigue crack growth was controlled by the subcell structure near threshold. A model based on the slip-off of dislocations was examined. From this, it is shown that the effective fatigue threshold may be related to the square root of (one plus the strain rate sensitivity).

  6. Local topology via the invariants of the velocity gradient tensor within vortex clusters and intense Reynolds stress structures in turbulent channel flow

    International Nuclear Information System (INIS)

    Buchner, Abel-John; Kitsios, Vassili; Atkinson, Callum; Soria, Julio; Lozano-Durán, Adrián

    2016-01-01

    Previous works have shown that momentum transfer in the wall–normal direction within turbulent wall–bounded flows occurs primarily within coherent structures defined by regions of intense Reynolds stress [1]. Such structures may be classified into wall–attached and wall–detached structures with the latter being typically weak, small–scale, and isotropically oriented, while the former are larger and carry most of the Reynolds stresses. The mean velocity fluctuation within each structure may also be used to separate structures by their dynamic properties. This study aims to extract information regarding the scales, kinematics and dynamics of these structures within the topological framework of the invariants of the velocity gradient tensor (VGT). The local topological characteristics of these intense Reynolds stress structures are compared to the topological characteristics of vortex clusters defined by the discriminant of the velocity gradient tensor. The alignment of vorticity with the principal strain directions within these structures is also determined, and the implications of these findings are discussed. (paper)

  7. Avaliação do Nível de Estresse da Equipe de Enfermagem em Terapia Intensiva/Evaluation of Stress Level Team Nursing in Intensive Care

    Directory of Open Access Journals (Sweden)

    Patrícia Costa dos Santos da Silva

    2012-12-01

    Full Text Available Objetivo: Avaliar o nível de estresse da equipe de enfermagem que atua em Terapia Intensiva, em um Hospital Universitário do Sul de Minas Gerais. Materiais e Métodos: Trata-se de um estudo descritivo, transversal, de abordagem quantitativa, aprovado pelo Comitê de Ética sob o Parecer nº 48/2011, desenvolvido em uma Unidade de Terapia Intensiva.A amostra constituiu-se de 20 profissionais de enfermagem. Para coleta de dados utilizou-se um questionário com questões semi-estruturadas e o Inventário de Sintomas de Stress para adultos de Lipp. Resultados: Verificou-se que a maioria dos sujeitos encontra-se na faixa etária de 20 a 30 anos (50%. Diante das situações de estresse, notou-se que 55% dos profissionais encontram-se na fase de resistência. A equipe considerou muito desgastante o relacionamento com outras unidades e supervisores (15%, a previsão e reposição de materiais (25%, assistência de enfermagem (10% e as condições de trabalho (10%. Conclusão: O estudo demonstra que a maioria dos profissionais de enfermagem atuante em terapia intensiva, apresenta sinais e sintomas de estresse, principalmente, na fase de resistência. Objective: To evaluate the stress level of the nursing team that works in the Intensive Care Unit in a School Hospital in southern Minas Gerais. Materials and Methods: This is a descriptive transversal study with a quantitative approach, approved by the Ethics Committee under the Opinion n. 48/2011, developed in an intensive care unit. The sample was consisted of 20 nurses. For data collection a questionnaire with semi-structured questions andthe Symptoms of Stress Inventory for adults Lipp was used . Results: It has beenfound that most subjects are aged 20 to 30 years (50%. In the face of stressful situations, it was noted that 55% of professionals are at the stage of resistance. The team considered to be very stressful the relationship with other units and supervisors (15%, forecasting and replenishment

  8. Evidence of Complex Posttraumatic Stress Disorder (CPTSD) across populations with prolonged trauma of varying intensity and ages of exposure

    DEFF Research Database (Denmark)

    Palic, Sabina; Zerach, G; Shevlin, Mark

    2016-01-01

    , with a "Dissociative PTSD-subtype" class. ICD-11's CPTSD was not exclusively associated with childhood abuse, but also with exposure to adulthood trauma of severe interpersonal intensity. Furthermore, all types of prolonged trauma were equally associated with the "Anxiety symptoms" class. Finally, of all the classes......The ICD-11 proposes different types of prolonged trauma as risk factors for complex PTSD (CPTSD). However, CPTSD's construct validity has only been examined in childhood abuse, and single trauma exposure samples. Thus, the extent to which CPTSD applies to other repeatedly traumatized populations...... is unknown. This study examined ICD-11's PTSD and CPTSD across populations with prolonged trauma of varying interpersonal intensity and ages of exposure, including: 1) childhood sexual abuse, 2) adulthood trauma of severe interpersonal intensity (refugees and ex-prisoners of war), and 3) adulthood trauma...

  9. Innovating mass-customized service : Application of a service perspective life cycle innovation management (SLIM) model in an ICT-intensive firm in a fast-changing environment

    NARCIS (Netherlands)

    R.O. Reitsma (Rob)

    2011-01-01

    markdownabstractAbstract Mass customization is a business approach aimed at the low-cost production of customized goods and services. It relies on ‘horizontalization’, platform thinking and modularity, but how can these concepts be applied in a fast-changing service environment in which both

  10. Intensive agriculture to semi-natural grassland: evaluating changes in ecosystem service provision to help determine costs and benefits of agri-environment schemes

    OpenAIRE

    Horrocks, Claire Alice

    2013-01-01

    Intensive agriculture has led to an increase in production; however this has often coincided with a decline in the provision of other Ecosystem Services (ES). ES affected include those regulated by soil chemical, physical and biological properties such as biodiversity provision and the regulation of nutrient cycling, water quality and rates of greenhouse gas emissions. A growing awareness of the value of nonproduction ES to human health and wellbeing has encouraged the funding ...

  11. Enhanced biofuel production potential with nutritional stress amelioration through optimization of carbon source and light intensity in Scenedesmus sp. CCNM 1077.

    Science.gov (United States)

    Pancha, Imran; Chokshi, Kaumeel; Mishra, Sandhya

    2015-03-01

    Microalgal mixotrophic cultivation is one of the most potential ways to enhance biomass and biofuel production. In the present study, first of all ability of microalgae Scenedesmus sp. CCNM 1077 to utilize various carbon sources under mixotrophic growth condition was evaluated followed by optimization of glucose concentration and light intensity to obtain higher biomass, lipid and carbohydrate contents. Under optimized condition i.e. 4 g/L glucose and 150 μmol m(-2) s(-1) light intensity, Scenedesmus sp. CCNM 1077 produced 1.2g/L dry cell weight containing 23.62% total lipid and 42.68% carbohydrate. Addition of glucose shown nutritional stress ameliorating effects and around 70% carbohydrate and 25% total lipid content was found with only 21% reduction in dry cell weight under nitrogen starved condition. This study shows potential application of mixotrophically grown Scenedesmus sp. CCNM 1077 for bioethanol and biodiesel production feed stock. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Study on the relationship between stress intensity factor and J integral for mixed mode crack with arbitrary inclination based on SBFEM

    International Nuclear Information System (INIS)

    Zhu, C L; Li, J B; Lin, G; Zhong, H

    2010-01-01

    The J integral and the stress intensity factor (SIF) K are both important research objects of fracture mechanics, and are often employed to establish criteria for crackpropagation. The relationship between them has always been a research hotspot. In this paper, the SIF can be obtained conveniently by the scaled boundary finite element method (SBFEM) due to the fact that analytical solution can be obtained along the radial direction for stress singularity problems. The J integral can be solved analytically using the formulae between J and K for mixed mode crack with arbitrary inclination in elastic materials. Moreover, the J integral values obtained by this method are more accurate and convenient than by its definition. Factors that affect the accuracy of SIF and J integral, such as the distance between the crack and outer boundary, size of the discretized elements and partition of the domain into super-elements, are examined.

  13. Stress intensity evaluation for surface crack with use of boundary element method and influence function method and the surface crack extension analysis

    International Nuclear Information System (INIS)

    Yuuki, R.; Ejima, K.

    1991-01-01

    In this study, three-dimensional boundary element elastostatic analysis is carried out on various surface crack problems. The present BEM uses a Mindlin's solution as well as a Kelvin's solution as a fundamental solution. So we can obtain accurate solutions for a surface crack just before or after a penetration. The obtained solutions for various shapes of surface cracks are stored as the data base, based on the influence function method. We develop the surface crack extension analysis system using the stress intensity factor data base and also the fatigue crack growth law. Our system seems to be useful especially for the analysis of the surface crack just before or after the penetration and also under the residual stresses

  14. Fatigue threshold studies in Fe, Fe-Si, and HSLA steel: Part II. Thermally activated behavior of the effective stress intensity at threshold

    International Nuclear Information System (INIS)

    Yu, W.; Esaklul, K.; Gerberich, W.W.

    1984-01-01

    It is shown that closure mechanisms alone cannot fully explain increasing fatigue thresholds with decreasing test temperature. Implications are that fatigue crack propagation near threshold is a thermally activated process. The effective threshold stress intensity correlate to the thermal component of the flow stress. A fractographic study of the fatigue surface was performed. Water vapor in room air promotes the formation of oxide and intergranular crack growth. At lower temperatures, a brittle-type cyclic cleavage fatigue surface was observed but the ductile process persisted even at 123 K. Arrest marks found on all three modes of fatigue crack growth suggest that fatigue crack growth controlled by the subcell structure near threshold. The effective fatigue threshold may be related to the square root of (one plus the strain rate sensitivity)

  15. A Brief Cognitive-Behavioral Psycho-Education (B-CBE Program for Managing Stress and Anxiety of Main Family Caregivers of Patients in the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Vico Chung Lim Chiang

    2016-09-01

    Full Text Available Having a loved one in the intensive care unit (ICU is a stressful event, which may cause a high level of anxiety to the family members. This could threaten their wellbeing and ability to support the patients in, or after discharge from, the ICU. To investigate the outcomes of a brief cognitive-behavioral psycho-education program (B-CBE to manage stress and anxiety of the main family caregivers (MFCs, a pragmatic quasi-experimental study involving 45 participants (treatment group: 24; control group: 21 was conducted in an ICU. The Depression and Anxiety Stress Scale and the Critical Care Family Need Inventory were used to evaluate the primary outcomes on stress and anxiety, and satisfaction with family needs. The treatment group reported significantly better improvement in the information satisfaction score compared to the control group (p < 0.05; η2 = 0.09. Overall main effects were observed on the stress (p < 0.01; η2 = 0.20, anxiety (p < 0.01; η2 = 0.18, depression (p < 0.05; η2 = 0.13, support satisfaction (p < 0.05; η2 = 0.13, and comfort satisfaction (p < 0.05; η2 = 0.11 scores. The experience of this study suggest that MFCs are in great need of additional support like B-CBE to manage their stress and anxiety. Given the brevity of B-CBE, it is practical for critical care nurses to deliver and MFCs to take within the industrious context of an ICU. More studies are needed to investigate these types of brief psychological interventions.

  16. Initial Validation Study for a Scale Used to Determine Service Intensity for Itinerant Teachers of Students with Visual Impairments

    Science.gov (United States)

    Pogrund, Rona L.; Darst, Shannon; Munro, Michael P.

    2015-01-01

    Introduction: The purpose of this study was to begin validation of a scale that will be used by teachers of students with visual impairments to determine appropriate recommended type and frequency of services for their students based on identified student need. Methods: Validity and reliability of the Visual Impairment Scale of Service Intensity…

  17. 24-Epibrassinoslide enhances plant tolerance to stress from low temperatures and poor light intensities in tomato (Lycopersicon esculentum Mill.).

    Science.gov (United States)

    Cui, Lirong; Zou, Zhirong; Zhang, Jing; Zhao, Yanyan; Yan, Fei

    2016-01-01

    Brassinosteroids (Brs) are a newly recognized group of active steroidal hormones that occur at low concentrations in all plant parts and one of the active and stable forms is 24-epibrassinolide (EBR). We investigated the effect of EBR on tomato (Lycopersicon esculentum Mill.) and its mechanism when seedlings were exposed to low temperature and poor light stress conditions. Leaves of stress-tolerant 'Zhongza9' and stress-sensitive 'Zhongshu4' cultivars were pre-treated with spray solutions containing either 0.1 μM EBR or no EBR (control). The plants were then transferred to chambers where they were exposed to low temperatures of 12 °C/6 °C (day/night) under a low light (LL) level of 80 μmol · m(-2) · s(-1). Exogenous application of EBR significantly increased the antioxidant activity of superoxide dismutase, catalase and peroxidase, and decreased the rate of O2 · (-) formation and H2O2 and malondialdehyde contents. Additionally, the ATP synthase β subunit content was increased by exogenous hormone application. Based on these results, we conclude that exogenous EBR can elicit synergism between the antioxidant enzyme systems and the ATP synthase β subunit so that scavenging of reactive oxygen species becomes more efficient. These activities enable plants to cope better under combined low temperature and poor light stresses.

  18. Effect of degradation intensity on grassland ecosystem services in the alpine region of Qinghai-Tibetan Plateau, China.

    Directory of Open Access Journals (Sweden)

    Lu Wen

    Full Text Available The deterioration of alpine grassland has great impact on ecosystem services in the alpine region of Qinghai-Tibetan Plateau. However, the effect of grassland degradation on ecosystem services and the consequence of grassland deterioration on economic loss still remains a mystery. So, in this study, we assessed four types of ecosystem services following the Millennium Ecosystem Assessment classification, along a degradation gradient. Five sites of alpine grassland at different levels of degradation were investigated in Guoluo Prefecture of Qinghai Province, China. The species composition, aboveground biomass, soil total organic carbon (TOC, and soil total nitrogen (TN were tested to evaluate major ecological services of the alpine grassland. We estimated the value of primary production, carbon storage, nitrogen recycling, and plant diversity. The results show the ecosystem services of alpine grassland varied along the degradation gradient. The ecosystem services of degraded grassland (moderate, heavy and severe were all significantly lower than non-degraded grassland. Interestingly, the lightly degraded grassland provided more economic benefit from carbon maintenance and nutrient sequestration compared to non-degraded. Due to the destruction of the alpine grassland, the economic loss associated with decrease of biomass in 2008 was $198/ha. Until 2008, the economic loss caused by carbon emissions and nitrogen loss on severely degraded grassland was up to $8 033/ha and $13 315/ha, respectively. Urgent actions are required to maintain or promote the ecosystem services of alpine grassland in the Qinghai-Tibetan Plateau.

  19. Effect of degradation intensity on grassland ecosystem services in the alpine region of Qinghai-Tibetan Plateau, China.

    Science.gov (United States)

    Wen, Lu; Dong, Shikui; Li, Yuanyuan; Li, Xiaoyan; Shi, Jianjun; Wang, Yanlong; Liu, Demei; Ma, Yushou

    2013-01-01

    The deterioration of alpine grassland has great impact on ecosystem services in the alpine region of Qinghai-Tibetan Plateau. However, the effect of grassland degradation on ecosystem services and the consequence of grassland deterioration on economic loss still remains a mystery. So, in this study, we assessed four types of ecosystem services following the Millennium Ecosystem Assessment classification, along a degradation gradient. Five sites of alpine grassland at different levels of degradation were investigated in Guoluo Prefecture of Qinghai Province, China. The species composition, aboveground biomass, soil total organic carbon (TOC), and soil total nitrogen (TN) were tested to evaluate major ecological services of the alpine grassland. We estimated the value of primary production, carbon storage, nitrogen recycling, and plant diversity. The results show the ecosystem services of alpine grassland varied along the degradation gradient. The ecosystem services of degraded grassland (moderate, heavy and severe) were all significantly lower than non-degraded grassland. Interestingly, the lightly degraded grassland provided more economic benefit from carbon maintenance and nutrient sequestration compared to non-degraded. Due to the destruction of the alpine grassland, the economic loss associated with decrease of biomass in 2008 was $198/ha. Until 2008, the economic loss caused by carbon emissions and nitrogen loss on severely degraded grassland was up to $8 033/ha and $13 315/ha, respectively. Urgent actions are required to maintain or promote the ecosystem services of alpine grassland in the Qinghai-Tibetan Plateau.

  20. Comparative analysis of salt stress, duration and intensity, on the chloroplast ultrastructure and photosynthetic apparatus in Thellungiella salsuginea.

    Science.gov (United States)

    Goussi, Rahma; Manaa, Arafet; Derbali, Walid; Cantamessa, Simone; Abdelly, Chedly; Barbato, Roberto

    2018-06-01

    Salinity is one of the most important abiotic stress affecting plant growth and productivity worldwide. Photosynthesis, together with cell growth, is among the primary process affected by salinity. Here, we report the effects of salt stress on photosynthesis in the model halophyte Thellungiella salsuginea. Plants were grown in hydroponic system and then treated for 2 weeks with different NaCl concentrations (0, 100, 200 and 400 mM). Leaf analysis using both photonic and transmission electron microscopes showed some changes in mesophyll cell organization, including shape and dimension. Under high NaCl concentration (400 mM) a swelling of thylakoids and starch accumulation was also observed. The obtained results also showed a change in the photosynthetic efficiency of both photosystems (PSI and PSII), depending on both NaCl concentrations and duration of the stress treatment. Under moderate salinity (100 and 200 mM NaCl) no significant variation was observed in PSI and PSII yield parameters. Chlorophyll a fluorescence transient showed some variations in OJ, JI and IP phases under salt stress depending also on NaCl levels and the duration of stress. Under high salinity PSII donor side was affected as well as quantum yield of PSI which also showed a donor side limitation. A significant decrease on quantum yields Y(I) and Y(II) under high salt treatment (400 mM NaCl) for prolonged period of time (15 days) was observed. The decrease of these parameters was quantitatively compensated by a corresponding increase of energy thermal dissipation Y(NPQ) in photosystem II and a increase in the Y(ND) in PSI. Analysis of derived parameters from the OJIP transient curve revealed that ABS/RC decreased under NaCl treatment by reason of the increase in size of antenna of active reaction centers. An increase in the performance index PI (ABS) , a slight decrease in the rate of DI O /RC, TR O /RC and the level of electron transport per PSII RC (ET O /RC) were observed during

  1. Influence of the crack propagation rate in the obtaining opening and closing stress intensity factor by finite element method

    OpenAIRE

    Luiz Carlos H. Ricardo; Carlos Alexandre J. Miranda

    2016-01-01

    Crack propagation simulation began with the development of the finite element method; the analyses were conducted to obtain a basic understanding of the crack growth. Today structural and materials engineers develop structures and materials properties using this technique as criterion design. The aim of this paper is to verify the effect of different crack propagation rates in determination of crack opening and closing stress of an ASTM specimen under a standard suspension spectrum loading fr...

  2. Stress-induced brain histone H3 phosphorylation: contribution of the intensity of stressors and length of exposure.

    Science.gov (United States)

    Rotllant, David; Pastor-Ciurana, Jordi; Armario, Antonio

    2013-05-01

    Expression of c-fos is used for the characterization of brain areas activated by stressors. Recently, some epigenetic markers associated with enhanced transcription have been identified that may be also useful to detect neuronal populations important for the processing of stressors: phosphorylation of histone H3 in serine 10 or 28 (pH3S₁₀ or pH3S₂₈). Then, we compared in rats the response to stress of c-fos and these epigenetic changes. More specifically, we studied the influence of the type of stressor (novel environment vs. immobilization, IMO) and the dynamics of the response to IMO. Stress increased pH3S₁₀ positive neurons, with a more restricted pattern than that of c-fos, both in terms of brain areas activated and number of positive neurons. Changes in pH3S₁₀ showed a maximum at 30 min, then progressively declining in most areas in spite of the persistence of IMO. Moreover, the decline was in general more sensitive than c-fos to the termination of IMO. The pattern of pH3S₂₈ was even more restricted that of pH3S₁₀, but they showed co-localization. The present data demonstrate a more selective pattern of stress-induced histone H3 phosphorylation than c-fos. The factors determining such a selectivity and its biological meaning remain to be studied. © 2013 International Society for Neurochemistry.

  3. Effect of autogenic training on cardiac autonomic nervous activity in high-risk fire service workers for posttraumatic stress disorder.

    Science.gov (United States)

    Mitani, Satoko; Fujita, Masatoshi; Sakamoto, Satoko; Shirakawa, Taro

    2006-05-01

    We investigated the effect of autogenic training (AT) on cardiac autonomic nervous activity in fire services workers with the use of the questionnaire of the Japanese-language version of Impact of Event Scale-Revised (IES-R-J) and indexes of heart rate variability. We studied 22 male fire services workers who were divided into posttraumatic stress disorder (PTSD)-related stress group (n=10) and control group (n=12). They underwent AT twice or three times a week for 2 months. Posttraumatic stress disorder-related stress group showed a significantly higher cardiac sympathetic nervous activity and a significantly lower cardiac parasympathetic nervous activity than control group at baseline. Autogenic training significantly decreased cardiac sympathetic nervous activity and significantly increased cardiac parasympathetic nervous activity in both groups. These changes were accompanied by a significant decrease in the total points of IES-R-J. Autogenic training is effective for ameliorating the disturbance of cardiac autonomic nervous activity and psychological issues secondary to PTSD.

  4. [The combined action of drinking mineral water and low-intensity electromagnetic radiation under the immobilization stress conditions (an experimental study)].

    Science.gov (United States)

    Korolev, Yu N; Bobrovnitsky, I P; Geniatulina, M S; Mikhailik, L V; Nikulina, L A; Bobkova, A S; Yakovlev, M Yu

    2015-01-01

    The present study carried out on white male rats in experiments with the use of biochemical, radioimmunological, and electron- microscopic methods. It was shown that the combined treatment with potable mineral water (MV) and low-intensity electromagnetic radiation (LIEMR) of ultrahigh frequency (power density less than 1 pW/cm2, the frequency about 1000 MHz) facilitated the activation of metabolic and intracellular regenerative processes in the liver and testes. One of the advantages of the combined application of MV and LIEMR over the single-factor treatment manifested itself as the weakening of stress reactions, the increase in the frequency of the plastic processes, and the more harmonious development of different forms of intracellular regeneration. The results of the study provide a deeper insight ino the mechanisms underlying the combined actions of drinking mineral water and low-intensity electromagnetic radiation; also, they justify the application of these factors for the protection of the reproductive system and the entire body from stress-induced disorders.

  5. Application of A Physiological Strain Index in Evaluating Responses to Exercise Stress – A Comparison Between Endurance and High Intensity Intermittent Trained Athletes

    Directory of Open Access Journals (Sweden)

    Pokora Ilona

    2016-04-01

    Full Text Available The study evaluated differences in response to exercise stress between endurance and high-intensity intermittent trained athletes in a thermoneutral environment using a physiological strain index (PSI. Thirty-two subjects participated in a running exercise under normal (23°C, 50% RH conditions. The group included nine endurance trained athletes (middle-distance runners - MD, twelve high-intensity intermittent trained athletes (soccer players - HIIT and eleven students who constituted a control group. The exercise started at a speed of 4 km·h–1 which was increased every 3 min by 2 km·h–1 to volitional exhaustion. The heart rate was recorded with a heart rate monitor and aural canal temperature was measured using an aural canal temperature probe. The physiological strain index (PSI and the contribution of the circulatory and thermal components to the overall physiological strain were calculated from the heart rate and aural canal temperature. The physiological strain index differed between the study and control participants, but not between the MD and HIIT groups. The physiological strain in response to exercise stress in a thermoneutral environment was mainly determined based on the circulatory strain (MD group - 73%, HIIT group – 70%. The contribution of the circulatory and thermal components to the physiological strain did not differ significantly between the trained groups (MD and HIIT despite important differences in morphological characteristics and training-induced systemic cardiovascular and thermoregulatory adaptations.

  6. Increased objectively assessed vigorous-intensity exercise is associated with reduced stress, increased mental health and good objective and subjective sleep in young adults.

    Science.gov (United States)

    Gerber, Markus; Brand, Serge; Herrmann, Christian; Colledge, Flora; Holsboer-Trachsler, Edith; Pühse, Uwe

    2014-08-01

    The role of physical activity as a factor that protects against stress-related mental disorders is well documented. Nevertheless, there is still a dearth of research using objective measures of physical activity. The present study examines whether objectively assessed vigorous physical activity (VPA) is associated with mental health benefits beyond moderate physical activity (MPA). Particularly, this study examines whether young adults who accomplish the American College of Sports Medicine's (ACSM) vigorous-intensity exercise recommendations differ from peers below these standards with regard to their level of perceived stress, depressive symptoms, perceived pain, and subjective and objective sleep. A total of 42 undergraduate students (22 women, 20 men; M=21.24years, SD=2.20) volunteered to take part in the study. Stress, pain, depressive symptoms, and subjective sleep were assessed via questionnaire, objective sleep via sleep-EEG assessment, and VPA via actigraphy. Meeting VPA recommendations had mental health benefits beyond MPA. VPA was associated with less stress, pain, subjective sleep complaints and depressive symptoms. Moreover, vigorous exercisers had more favorable objective sleep pattern. Especially, they had increased total sleep time, more stage 4 and REM sleep, more slow wave sleep and a lower percentage of light sleep. Vigorous exercisers also reported fewer mental health problems if exposed to high stress. This study provides evidence that meeting the VPA standards of the ACSM is associated with improved mental health and more successful coping among young people, even compared to those who are meeting or exceeding the requirements for MPA. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Communication and well-being outcomes of a hybrid service delivery model of intensive impairment-based treatment for aphasia in the hospital setting: a pilot study.

    Science.gov (United States)

    Wenke, Rachel; Cardell, Elizabeth; Lawrie, Melissa; Gunning, Dana

    2018-06-01

    This pilot study aimed to evaluate the effects of an intensive hybrid service delivery model (i.e., combining face-to-face individual, computer and group therapy) on communication and well-being for people with aphasia (PWA) in the hospital setting. The study explored two different intensities of the hybrid model, 4 h/week (Hybrid-4) and 8 h/week (Hybrid-8) both for 8 weeks. Participants ranging from 1 month to 5 years post-onset were allocated using matched-pair randomisation to receive either Hybrid-4 (n = 5) or Hybrid-8 (n = 4) and assessed using a comprehensive language battery by a blinded assessor, as well as selected activity, participation and well-being measures before, immediately after and 4-week post-treatment. All participants in Hybrid-4 and three out of four participants in Hybrid-8 demonstrated clinically significant improvement to measures of language impairment immediately post-treatment, with the majority also demonstrating maintenance effects 4-week post-treatment. Clinically significant improvements to activity, participation and well-being measures were also observed across participants in both groups. Findings support the potential benefit of employing an intensive hybrid service model and suggest that both 4 and 8 h per week of impairment-based treatment for 8 weeks may result in improvements in communication and well-being for some PWA across different stages of recovery. Implications for rehabilitation The present findings help bridge the gap between what evidence suggests is effective intensity of rehabilitation for aphasia and what can be practically delivered in real-world hospital settings. Findings support the potential clinical value of employing a hybrid service model (using computer, group and individual therapy) to deliver intensive rehabilitation to people with aphasia in the hospital setting, and suggest that clinically significant improvements to communication and well-being can result when the model is

  8. Stress

    DEFF Research Database (Denmark)

    Keller, Hanne Dauer

    2015-01-01

    Kapitlet handler om stress som følelse, og det trækker primært på de få kvalitative undersøgelser, der er lavet af stressforløb.......Kapitlet handler om stress som følelse, og det trækker primært på de få kvalitative undersøgelser, der er lavet af stressforløb....

  9. Stress !!!

    OpenAIRE

    Fledderus, M.

    2012-01-01

    Twee op de vijf UT-studenten hebben last van ernstige studiestress, zo erg zelfs dat het ze in hun privéleven belemmert. Die cijfers komen overeen met het landelijk beeld van stress onder studenten. Samen met 14 andere universiteits- en hogeschoolbladen enquêteerde UT Nieuws bijna 5500 studenten. Opvallend is dat mannelijke studenten uit Twente zich veel minder druk lijken te maken over hun studie. Onder vrouwen ligt de stress juist erg hoog ten opzichte van het landelijk gemiddelde.

  10. Stress, Anxiety, and Social Emotional Learning in Education: Perceptions of Undergraduate, Pre Service, and Practicing Teachers

    Science.gov (United States)

    Stasiak, Lynne W.

    2017-01-01

    Stress and anxiety are pervasive in education and society. Schools are initiating policy and programs aimed at addressing resiliency and wellbeing of students; yet, research and practice are lagging. This phenomenological study sought to explore social emotional teaching and learning with a specific focus on the potential impact on stress and…

  11. Effects of High-Intensity Swimming on Lung Inflammation and Oxidative Stress in a Murine Model of DEP-Induced Injury.

    Science.gov (United States)

    Ávila, Leonardo C M; Bruggemann, Thayse R; Bobinski, Franciane; da Silva, Morgana Duarte; Oliveira, Regiane Carvalho; Martins, Daniel Fernandes; Mazzardo-Martins, Leidiane; Duarte, Marta Maria Medeiros Frescura; de Souza, Luiz Felipe; Dafre, Alcir; Vieira, Rodolfo de Paula; Santos, Adair Roberto Soares; Bonorino, Kelly Cattelan; Hizume Kunzler, Deborah de C

    2015-01-01

    Studies have reported that exposure to diesel exhaust particles (DEPs) induces lung inflammation and increases oxidative stress, and both effects are susceptible to changes via regular aerobic exercise in rehabilitation programs. However, the effects of exercise on lungs exposed to DEP after the cessation of exercise are not clear. Therefore, the aim of this study was to evaluate the effects of high-intensity swimming on lung inflammation and oxidative stress in mice exposed to DEP concomitantly and after exercise cessation. Male Swiss mice were divided into 4 groups: Control (n = 12), Swimming (30 min/day) (n = 8), DEP (3 mg/mL-10 μL/mouse) (n = 9) and DEP+Swimming (n = 8). The high-intensity swimming was characterized by an increase in blood lactate levels greater than 1 mmoL/L between 10th and 30th minutes of exercise. Twenty-four hours after the final exposure to DEP, the anesthetized mice were euthanized, and we counted the number of total and differential inflammatory cells in the bronchoalveolar fluid (BALF), measured the lung homogenate levels of IL-1β, TNF-α, IL-6, INF-ϫ, IL-10, and IL-1ra using ELISA, and measured the levels of glutathione, non-protein thiols (GSH-t and NPSH) and the antioxidant enzymes catalase and glutathione peroxidase (GPx) in the lung. Swimming sessions decreased the number of total cells (pswimming groups compared with the control groups, as did the CAT lung levels (p = 0.0001). Simultaneously, swimming resulted in an increase in the GSH-t and NPSH lung levels in the DEP group (p = 0.0001 and pswimming sessions decreased the lung inflammation and oxidative stress status during DEP-induced lung inflammation in mice.

  12. Stress intensity factor at the tip of cladding incipient crack in RIA-simulating experiments for high-burnup PWR fuels

    International Nuclear Information System (INIS)

    Udagawa, Yutaka; Suzuki, Motoe; Sugiyama, Tomoyuki; Fuketa, Toyoshi

    2009-01-01

    RIA-simulating experiments for high-burnup PWR fuels have been performed in the NSRR, and the stress intensity factor K 1 at the tip of cladding incipient crack has been evaluated in order to investigate its validity as a PCMI failure threshold under RIA conditions. An incipient crack depth was determined by observation of metallographs. The maximum hydride-rim thickness in the cladding of the test fuel rod was regarded as the incipient crack depth in each test case. Hoop stress in the cladding periphery during the pulse power transient was calculated by the RANNS code. K 1 was calculated based on crack depth and hoop stress. According to the RANNS calculation, PCMI failure cases can be divided into two groups: failure in the elastic phase and failure in the plastic phase. In the former case, elastic deformation was predominant around the incipient crack at failure time. K 1 is available only in this case. In the latter, plastic deformation was predominant around the incipient crack at failure time. Failure in the elastic phase never occurred when K 1 was less than 17 MPa m 1/2 . For failure in the plastic phase, the plastic hoop strain of the cladding periphery at failure time clearly showed a tendency to decrease with incipient crack depth. The combination of K 1 , for failure in the elastic phase, and plastic hoop strain at failure, for failure in the plastic phase, can be an effective index of PCMI failure under RIA conditions. (author)

  13. Early intra-intensive care unit psychological intervention promotes recovery from post traumatic stress disorders, anxiety and depression symptoms in critically ill patients.

    Science.gov (United States)

    Peris, Adriano; Bonizzoli, Manuela; Iozzelli, Dario; Migliaccio, Maria Luisa; Zagli, Giovanni; Bacchereti, Alberto; Debolini, Marta; Vannini, Elisetta; Solaro, Massimo; Balzi, Ilaria; Bendoni, Elisa; Bacchi, Ilaria; Trevisan, Monica; Giovannini, Valtere; Belloni, Laura

    2011-01-01

    Critically ill patients who require intensive care unit (ICU) treatment may experience psychological distress with increasing development of psychological disorders and related morbidity. Our aim was to determine whether intra-ICU clinical psychologist interventions decrease the prevalence of anxiety, depression and posttraumatic stress disorder (PTSD) after 12 months from ICU discharge. Our observational study included critical patients admitted before clinical psychologist intervention (control group) and patients who were involved in a clinical psychologist program (intervention group). The Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale-Revised questionnaires were used to assess the level of posttraumatic stress, anxiety and depression symptoms. The control and intervention groups showed similar demographic and clinical characteristics. Patients in the intervention group showed lower rates of anxiety (8.9% vs. 17.4%) and depression (6.5% vs. 12.8%) than the control group on the basis of HADS scores, even if the differences were not statistically significant. High risk for PTSD was significantly lower in patients receiving early clinical psychologist support than in the control group (21.1% vs. 57%; P < 0.0001). The percentage of patients who needed psychiatric medications at 12 months was significantly higher in the control group than in the patient group (41.7% vs. 8.1%; P < 0.0001). Our results suggest that that early intra-ICU clinical psychologist intervention may help critically ill trauma patients recover from this stressful experience.

  14. Demographic and occupational predictors of stress and fatigue in French intensive-care registered nurses and nurses' aides: a cross-sectional study.

    Science.gov (United States)

    Jones, Gabrielle; Hocine, Mounia; Salomon, Jérôme; Dab, William; Temime, Laura

    2015-01-01

    Healthcare workers (HCWs) working in intensive-care units (ICUs) are exposed to high physical and mental demands potentially affecting their health or having repercussions on patient care. Although several studies have explored the links between some aspects of working conditions in hospitals and HCW health, the complex dynamics at play are not fully understood. This study aimed to explore the impact of a wide array of demographic, employment and organizational factors related to fatigue and stress of French ICU HCWs. A cross-sectional study was conducted in ICUs of Paris-area hospitals between January 18, 2013 and April 2, 2013. All types of adult ICUs were included (medical, surgical and polyvalent). Included in the study were HCWs with patient contact (doctors, residents, registered nurses, nurse's aides and physical therapists). Participation was proposed to all eligible HCWs present during on-site visits. Temporary staff not typically assigned to the given ICU was excluded. Data were collected using an individual questionnaire administered in interviews during day and night shifts (N=682). Stress and fatigue outcomes included the 10-item Perceived Stress Scale (PSS10), the Nottingham Health Profile sleep and energy level rubrics and the current fatigue state at the interview. Multivariate analysis was restricted to nurse and nurse's aide data (n=536). Doctors and residents reported fewer sleep difficulties but were more likely to report a tired current state. Female gender was associated with higher stress levels and greater fatigue for all outcomes, while greater social support of supervisor or colleagues decreased stress and fatigue. At the organizational level, longer shifts (12 h vs. 8 h) were associated with tired current state and greater sleep difficulties. Personnel on rotating shifts had lower stress and a better current state, while those on night shifts had greater sleep and energy level difficulties. Even when controlling for demographic factors

  15. Stress Hormone and Reproductive System in Response to Honey Supplementation Combined with Different Jumping Exercise Intensities in Female Rats

    Directory of Open Access Journals (Sweden)

    Maryam Mosavat

    2014-01-01

    Full Text Available This study was performed to determine the effects of 8-week honey supplementation combined with different jumping exercise intensities on serum cortisol, progesterone, estradiol, and reproductive organs. Eighty-four 9-week-old female rats were divided into 7 groups: baseline controls (C0, sedentary group (C, 20 and 80 jumps per day (Ex20J, Ex80J, honey (H, and combined honey with 20 and 80 jumps per day (HEx20J, HEx80J groups. Jumping exercise was performed at 5 days/week and honey was given at a dosage of 1 g/kg body weight/day for 7 days/week. The level of serum cortisol was higher in Ex20J and Ex80J compared to C. There was significantly lower value of serum cortisol in HEx20J compared to Ex80J. Serum progesterone levels were significantly lower in Ex20J and Ex80J compared to C. However, serum progesterone levels were significantly higher in HEx20J and HEx80J compared to Ex20J and Ex80J. Relative uterine weights were significantly greater in HEx20J compared to C and HEx80J, respectively. There was no significant difference in estradiol level and relative ovarian weights among all the groups. Therefore, honey elicited beneficial effects in reducing the increase of cortisol and in increasing the reduce of progesterone levels induced by different intensities jumping exercise in female rats.

  16. Implementing a multifaceted intervention to decrease central line-associated bloodstream infections in SEHA (Abu Dhabi Health Services Company) intensive care units: the Abu Dhabi experience.

    Science.gov (United States)

    Latif, Asad; Kelly, Bernadette; Edrees, Hanan; Kent, Paula S; Weaver, Sallie J; Jovanovic, Branislava; Attallah, Hadeel; de Grouchy, Kristin K; Al-Obaidli, Ali; Goeschel, Christine A; Berenholtz, Sean M

    2015-07-01

    OBJECTIVE To determine whether implementation of a multifaceted intervention would significantly reduce the incidence of central line-associated bloodstream infections. DESIGN Prospective cohort collaborative. SETTING AND PARTICIPANTS Intensive care units of the Abu Dhabi Health Services Company hospitals in the Emirate of Abu Dhabi. INTERVENTIONS A bundled intervention consisting of 3 components was implemented as part of the program. It consisted of a multifaceted approach that targeted clinician use of evidence-based infection prevention recommendations, tools that supported the identification of local barriers to these practices, and implementation ideas to help ensure patients received the practices. Comprehensive unit-based safety teams were created to improve safety culture and teamwork. Finally, the measurement and feedback of monthly infection rate data to safety teams, senior leaders, and staff in participating intensive care units was encouraged. The main outcome measure was the quarterly rate of central line-associated bloodstream infections. RESULTS Eighteen intensive care units from 7 hospitals in Abu Dhabi implemented the program and achieved an overall 38% reduction in their central line-associated bloodstream infection rate, adjusted at the hospital and unit level. The number of units with a quarterly central line-associated bloodstream infection rate of less than 1 infection per 1,000 catheter-days increased by almost 40% between the baseline and postintervention periods. CONCLUSION A significant reduction in the global morbidity and mortality associated with central line-associated bloodstream infections is possible across intensive care units in disparate settings using a multifaceted intervention.

  17. Anxiety and styles of coping with occupational stress resulting from work with 'dangerous' prisoners in prison service officers.

    Science.gov (United States)

    Tsirigotis, Konstantinos; Gruszczyński, Wojciech; Pęczkowski, Sebastian

    2015-10-01

    Prisoners categorised as 'dangerous' are a category of prisoners that require and/or force into using special measures of caution, protection and security. The aim of the study was to examine the intensity of anxiety (as a state and as a trait) experienced by officers working with 'dangerous' prisoners and styles of coping with stress they adopt. A total of 40 officers working with 'dangerous' prisoners (the study group, SG) and 60 officers of the security department not working with 'dangerous' prisoners (the reference group, RG) were studied. The intensity of anxiety was assessed applying the Polish version of 'State-Trait Anxiety Inventory' (STAI); styles of coping with stress were explored employing the Polish version of 'Coping Inventory for Stressful Situations' (CISS) and the author's own questionnaire. Data were analysed using the mean, standard deviation, difference testing (the Mann-Whitney U test), correlation-regression procedure (Kendall's tau, τ correlation coefficient and forward stepwise multiple regression). Officers in the SG faced verbal and physical aggression; nevertheless, scores of officers in both the groups were within the interval of mean scores for all the studied STAI and CISS variables. Officers in the SG achieved significantly higher scores on the state-anxiety scale and the Emotion-Oriented Style (EOS), and lower scores on the Task-Oriented Style (TOS) and Social Diversion (SD). The correlation-regression procedure indicated that there were relationships between anxiety and styles of coping with stress but they differed slightly between the groups. Officers in the SG feel state anxiety stronger and display a stronger preference for the EOS than officers in the RG. Officers in the RG more strongly prefer the TOS and SD. State anxiety is a variable negatively explaining the TOS in the SG, whereas anxiety as a trait is a variable explaining the EOS in both the groups. The coping styles of warders dealing with dangerous prisoners are

  18. Intensive care survivors' experiences of ward-based care: Meleis' theory of nursing transitions and role development among critical care outreach services.

    Science.gov (United States)

    Ramsay, Pam; Huby, Guro; Thompson, Andrew; Walsh, Tim

    2014-03-01

    To explore the psychosocial needs of patients discharged from intensive care, the extent to which they are captured using existing theory on transitions in care and the potential role development of critical care outreach, follow-up and liaison services. Intensive care patients are at an increased risk of adverse events, deterioration or death following ward transfer. Nurse-led critical care outreach, follow-up or liaison services have been adopted internationally to prevent these potentially avoidable sequelae. The need to provide patients with psychosocial support during the transition to ward-based care has also been identified, but the evidence base for role development is currently limited. Twenty participants were invited to discuss their experiences of ward-based care as part of a broader study on recovery following prolonged critical illness. Psychosocial distress was a prominent feature of their accounts, prompting secondary data analysis using Meleis et al.'s mid-range theory on experiencing transitions. Participants described a sense of disconnection in relation to profound debilitation and dependency and were often distressed by a perceived lack of understanding, indifference or insensitivity among ward staff to their basic care needs. Negotiating the transition between dependence and independence was identified as a significant source of distress following ward transfer. Participants varied in the extent to which they were able to express their needs and negotiate recovery within professionally mediated boundaries. These data provide new insights into the putative origins of the psychosocial distress that patients experience following ward transfer. Meleis et al.'s work has resonance in terms of explicating intensive care patients' experiences of psychosocial distress throughout the transition to general ward-based care, such that the future role development of critical care outreach, follow-up and liaison services may be more theoretically informed

  19. Influence of the crack propagation rate in the obtaining opening and closing stress intensity factor by finite element method

    Directory of Open Access Journals (Sweden)

    Luiz Carlos H. Ricardo

    2016-03-01

    Full Text Available Crack propagation simulation began with the development of the finite element method; the analyses were conducted to obtain a basic understanding of the crack growth. Today structural and materials engineers develop structures and materials properties using this technique as criterion design. The aim of this paper is to verify the effect of different crack propagation rates in determination of crack opening and closing stress of an ASTM specimen under a standard suspension spectrum loading from FD&E SAE Keyhole Specimen Test Load Histories by finite element analysis. The crack propagation simulation was based on release nodes at the minimum loads to minimize convergence problems. To understand the crack propagation processes under variable amplitude loading, retardation effects are discussed.

  20. Effects of High-Intensity Swimming on Lung Inflammation and Oxidative Stress in a Murine Model of DEP-Induced Injury.

    Directory of Open Access Journals (Sweden)

    Leonardo C M Ávila

    Full Text Available Studies have reported that exposure to diesel exhaust particles (DEPs induces lung inflammation and increases oxidative stress, and both effects are susceptible to changes via regular aerobic exercise in rehabilitation programs. However, the effects of exercise on lungs exposed to DEP after the cessation of exercise are not clear. Therefore, the aim of this study was to evaluate the effects of high-intensity swimming on lung inflammation and oxidative stress in mice exposed to DEP concomitantly and after exercise cessation. Male Swiss mice were divided into 4 groups: Control (n = 12, Swimming (30 min/day (n = 8, DEP (3 mg/mL-10 μL/mouse (n = 9 and DEP+Swimming (n = 8. The high-intensity swimming was characterized by an increase in blood lactate levels greater than 1 mmoL/L between 10th and 30th minutes of exercise. Twenty-four hours after the final exposure to DEP, the anesthetized mice were euthanized, and we counted the number of total and differential inflammatory cells in the bronchoalveolar fluid (BALF, measured the lung homogenate levels of IL-1β, TNF-α, IL-6, INF-ϫ, IL-10, and IL-1ra using ELISA, and measured the levels of glutathione, non-protein thiols (GSH-t and NPSH and the antioxidant enzymes catalase and glutathione peroxidase (GPx in the lung. Swimming sessions decreased the number of total cells (p<0.001, neutrophils and lymphocytes (p<0.001; p<0.05 in the BALF, as well as lung levels of IL-1β (p = 0.002, TNF-α (p = 0.003, IL-6 (p = 0.0001 and IFN-ϫ (p = 0.0001. However, the levels of IL-10 (p = 0.01 and IL-1ra (p = 0.0002 increased in the swimming groups compared with the control groups, as did the CAT lung levels (p = 0.0001. Simultaneously, swimming resulted in an increase in the GSH-t and NPSH lung levels in the DEP group (p = 0.0001 and p<0.002. We concluded that in this experimental model, the high-intensity swimming sessions decreased the lung inflammation and oxidative stress status during DEP-induced lung

  1. Effects of cold working ratio and stress intensity factor on intergranular stress corrosion cracking susceptibility of non-sensitized austenitic stainless steels in simulated BWR and PWR primary water

    International Nuclear Information System (INIS)

    Yaguchi, Seiji; Yonezawa, Toshio

    2012-01-01

    To evaluate the effects of cold working ratio, stress intensity factor and water chemistry on an IGSCC susceptibility of non-sensitized austenitic stainless steel, constant displacement DCB specimens were applied to SCC tests in simulated BWR and PWR primary water for the three types of austenitic stainless steels, Types 316L, 347 and 321. IGSCC was observed on the test specimens in simulated BWR and PWR primary water. The observed IGSCC was categorized into the following two types. The one is that the IGSCC observed on the same plane of the pre-fatigue crack plane, and the other is that the IGSCC observed on a plane perpendicular to the pre-fatigue crack plane. The later IGSCC fractured plane is parallel to the rolling plane of a cold rolled material. Two types of IGSCC fractured planes were changed according to the combination of the testing conditions (cold working ratio, stress intensity factor and simulated water). It seems to suggest that the most susceptible plane due to fabrication process of materials might play a significant role of IGSCC for non-sensitized cold worked austenitic stainless steels, especially, in simulated PWR primary water. Based upon evaluating on the reference crack growth rate (R-CGR) of the test specimens, the R-CGR seems to be mainly affected by cold working ratio. In case of simulated PWR primary water, it seems that the effect of metallurgical aspects dominates IGSCC susceptibility. (author)

  2. Service employee adaptiveness : exploring the impact of role-stress and managerial control approaches

    OpenAIRE

    Sahadev, S; Purani, K; Panda, T

    2017-01-01

    The research aims to explore the relationships between managerial control strategies, role stress and employee adaptiveness among call center employees.\\ud Based on a conceptual model, a questionnaire based survey methodology is adopted. Data was collected from call center employees in India and the data was analysed through PLS methodology.\\ud The study finds that Outcome control and activity control increase role stress while capability control does not have a significant impact. The intera...

  3. Stress !!!

    NARCIS (Netherlands)

    Fledderus, M.

    2012-01-01

    Twee op de vijf UT-studenten hebben last van ernstige studiestress, zo erg zelfs dat het ze in hun privéleven belemmert. Die cijfers komen overeen met het landelijk beeld van stress onder studenten. Samen met 14 andere universiteits- en hogeschoolbladen enquêteerde UT Nieuws bijna 5500 studenten.

  4. Parenting stress and salivary cortisol in parents of children with autism spectrum disorder: Longitudinal variations in the context of a service dog's presence in the family.

    Science.gov (United States)

    Fecteau, Stéphanie-M; Boivin, Louise; Trudel, Marcel; Corbett, Blythe A; Harrell, Frank E; Viau, Robert; Champagne, Noël; Picard, Frédéric

    2017-02-01

    A significant portion of parents of children with autism spectrum disorder report high levels of stress related to parenting responsibilities, which have been linked to abnormal cortisol patterns. This study seeks to better understand the parents' adaptation to caregiving demands and use of a service dog, by taking into account longitudinal variations in salivary cortisol and perception of parental stress. Salivary cortisol was collected one day per week for 15 weeks by 98 primary caregivers of children with ASD. Overall, parents perceived high levels of stress at baseline. Mean morning cortisol increase was below expected levels for healthy adults, and perception of stress predicted morning cortisol activity. Hypocorticolism related to chronic stress may be present in parents of children with ASD. Longitudinal analysis revealed that the presence of a service dog in the family had an effect on parenting stress, wakening and morning cortisol levels. Copyright © 2016 Elsevier B.V. All rights reserved.

  5. Current state of low-cycle fatigue research based on multiaxial stress intensity and its challenges. Part 1. Focusing on low-cycle fatigue strength evaluation method of elbow piping subjected to in-plane cyclic bending displacement load

    International Nuclear Information System (INIS)

    Urabe, Yoshio

    2017-01-01

    The R and D of fatigue strength at multiaxial stress intensity is recognized to become extremely important in the future in terms of the elaboration of low-cycle fatigue evaluation of various structures including piping systems and reflection on those standards. This paper focuses on the evaluation method developed by the author, namely cumulative damage rule in consideration of multiaxial stress intensity, and explains the concept and the results of verification and evaluation. It also discusses the engineering problems of the current low cycle fatigue assessment technology that were clarified in the process of developing low-cycle fatigue assessment method based on multiaxial stress intensity. The conservative lifespan and somewhat more conservative actual lifetime of elbow piping can be estimated by the conventional 'revised universal slope method' and 'advanced revised universal slope method.' However, these are empirical rules, and the theoretical basis is not clear. From 'cumulative damage rule in consideration of multiaxial stress intensity,' the author calculated furthermore 'low cycle fatigue evaluation formula based on cumulative damage rule in consideration of multi-axial stress intensity,' and examined it. As a result, an evaluation formula that can reasonably assume the equivalent thermoplastic strain range could be obtained at half of the repeat count as targeted. Furthermore, at the stage where future high precision FEM analysis can be used, direct low-cycle fatigue life curve can be established. (A.O.)

  6. A new plastic correction for the stress intensity factor of an under-clad defect in a PWR vessel subjected to a pressurised thermal shock

    International Nuclear Information System (INIS)

    Marie, S.; Nedelec, M.

    2007-01-01

    For the assessment of an under-clad defect in a vessel subjected to a cold pressurised thermal shock, plasticity is considered through the amplification β of the elastic stress intensity factor K I in the ferritic part of the vessel. An important effort has been made recently by CEA to improve the analytical tools in the frame of R and D activities funded by IRSN. The current solution in the French RSE-M code has been developed from fitted F.E. calculation results. A more physical solution is proposed in this paper. This takes into account two phenomena: the amplification of the elastic K I due to plasticity in the cladding and a plastic zone size correction in the ferritic part. The first correction has been established by representing the cladding plasticity by an imposed displacement on the crack faces at the interface between the cladding and the ferritic vessel. The corresponding elastic stress intensity factor is determined from the elastic plane strain asymptotic solution for the opening displacement. Plasticity in the ferritic steel is considered through a classical plastic zone size correction. The application of the solution to axisymmetric defects is first checked. The case of semi-elliptical defects is also investigated. For the correction determined at the interface between the cladding and the ferritic vessel, an amplification of the correction proposed for the deepest point is determined from a fitting of the 3D F.E. calculation results. It is also shown that the proposition of RSE-M, which consists in applying the same β correction at the deepest point and the interface point is not suitable. The applicability to a thermal shock, eventually combined with an internal pressure has been verified. For the deepest point, the proposed correction leads to similar results to the RSE-M method, but presents an extended domain of validity (no limits on the crack length are imposed)

  7. How Are Service Dogs for Adults with Post Traumatic Stress Disorder Integrated with Rehabilitation in Denmark? A Case Study.

    Science.gov (United States)

    Glintborg, Chalotte; Hansen, Tia G B

    2017-04-25

    A severe mental illness like Post Traumatic Stress Disorder (PTSD) is known to have psychosocial consequences that can lead to a decreased quality of life. Research in Animal-Assisted Therapy (AAT) has revealed that the presence of a dog can have a positive effect on health, e.g., increase quality of life and lessen depression and anxiety. However, canine companionship is not a catch-all solution. Previous research has revealed methodological limitations that prohibit any clear conclusions, as well as a sparsity of critical reflection in anecdotal reports and case studies, which means that more research is needed to contextualize the findings. There has been an increasing interest in animal-assisted intervention in Denmark in recent years. Previously, authorities could only grant service dogs to adults with physical disabilities, but now this has been extended to adults with mental illnesses. Therefore, it has become important to explore how these service dogs are incorporated into rehabilitation practices in mental health, and how rehabilitation professionals react to the use of service dogs. This paper is a case study of a person who suffers from PTSD. This study examines how the person describes the significance of having a dog during her rehabilitation process, and how this is integrated with existing rehabilitation. The case study has been developed based on a semi-structured interview. A Thematic Content analysis was used to reveal dominant patterns and categories. This study revealed a lack of communication and collaboration between public administration (social service), service dog providers, health rehabilitation services, and providers of psychological treatment. It also revealed limited access for the dog to public services, limited success in incorporating the dog into goal-directed treatment and rehabilitation procedures, a strongly felt emotional support from the dog, and a perceived stigma by having the dog wearing a vest with he words "mentally ill

  8. Value Retention, Service Life, Use Intensity and Long-Term Productivity of Wood Chippers as Obtained from Contractor Records

    Directory of Open Access Journals (Sweden)

    Raffaele Spinelli

    2017-12-01

    Full Text Available Acknowledging the absence of up-to-date empirical data on the value retention, service life and annual use of chipping machinery, in 2017 the authors surveyed the records kept by 50 contractors offering biomass chipping services. The machine fleet and operations in this survey could be taken as representative for most of Europe, where the biomass sector is well established and is facing further expansion. Data collection included the whole chipping unit, comprised of chipper, carrier and loader. Manually-fed units were excluded from the survey. The data pointed at a service life up to and exceeding 10,000 h and 10 years, which relieved any concerns about poor durability. Value retention was good, and may exceed that of other mainstream forestry equipment. Engine power was the main explanatory variable in any models to predict purchase price and productivity. The effect of this variable could explain most of the variability (>80% in the purchase price and productivity data. Results also pointed at the essential equivalence in price and productivity between PTO-driven (i.e., tractor powered and independent-engine chippers, once differences in engine power are accounted for. However, the distribution of purchase price between different components of the chipping unit was different between the two unit types, with the chipper accounting for a larger proportion of the total investment in independent-engine units. Machine power was also different, with most PTO-driven units being significantly smaller than independent-engine units, due to the limitations of existing tractors. Furthermore, half of the carriers assigned to a PTO-driven unit were subject to flexible use, i.e., they were not solely used for chipping work.

  9. Alcohol consumption and use of health care services in people with severe mental illness and stressful childhood experiences.

    Science.gov (United States)

    Schneeberger, Andres R; Huber, Christian G; Seixas, Azizi; Muenzenmaier, Kristina H; Lang, Undine E; Castille, Dorothy; Larkin, Stefan; Link, Bruce G

    2017-01-01

    People who suffer from severe mental illness often present with histories of abuse during childhood. Alcohol use disorders is a common co-morbidity of survivors of childhood abuse and neglect. This study analyzes the effects of stressful childhood experiences, a proxy for trauma, on the frequency of alcohol consumption and the utilization of health care services in a population of people with severe mental illness. There were 111 men (mean age: 35 years) and 72 women (mean age: 40.0 years) with severe mental illness that were recruited from psychiatric outpatient clinics in New York City. The analysis focused on lifetime prevalence of stressful childhood experiences, alcohol consumption, and utilization of health care services over time. The longitudinal data were analyzed over 12 months with a level-2 model (multilevel modeling). Out of the participants, 41.5% reported a history of more than four types of abusive experiences. There were 33.3% that had a DSM-IV diagnosis of alcohol abuse and 27.3% qualified for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of alcohol dependence throughout their lives. Stressful childhood experiences predicted an increased frequency of alcohol consumption over time. People with histories of childhood abuse had more often been to outpatient clinics and 12-step programs, but at the same time showed lower frequency rates of psychiatrist visits and visits to outpatient clinics. Childhood abuse is prevalent in people with severe mental illness and is related to an increased alcohol consumption. Despite an increased need of health care services, affected persons might encounter more barriers to access them.

  10. Factors associated with intensiveness of use of child preventive health services in Taiwan: a comparative study between cross-cultural immigrant families and native-born families.

    Science.gov (United States)

    Chien, Su-Chen; Yeh, Yen-Po; Wu, Jyun-Yi; Lin, Chun-Hsiu; Chang, Pei-Chi; Fang, Chiung-Hui; Yang, Hao-Jan

    2013-01-01

    To compare intensiveness of use of child preventive health services (CPHS) between cross-cultural immigrant families and native-born families in Taiwan and to explore factors associated with differences in intensiveness of CPHS use. Cross-cultural immigrant families were defined as families where the mother was an immigrant from another southeast Asian country. In native-born families, both parents were Taiwanese-born. Data were collected from 318 immigrant mothers and 340 native-born mothers of children aged 7 years or younger in a cross-sectional survey in central Taiwan. A social determinants framework of health inequities was constructed, and ordinal logistic regression models were used to examine the effect of four domains of intermediary determinants on the relationship between family type and underuse of CPHS: CPHS-related factors, medical-related factors, maternal acculturation factors, and sociodemographic/socioeconomic characteristics. Cross-cultural immigrant families were less likely to intensively use CPHS than native-born families. This difference appeared to be mediated by the greater likelihood of having an older child or a lower educated father in cross-cultural families. Findings of this study highlight the importance of promoting health behaviors and combating health inequities and social inequalities for cross-cultural immigrant families in Taiwan from a sociodemographic/socioeconomic and political context.

  11. Correlates of improvement in substance abuse among dually diagnosed veterans with post-traumatic stress disorder in specialized intensive VA treatment.

    Science.gov (United States)

    Coker, Kendell L; Stefanovics, Elina; Rosenheck, Robert

    2016-01-01

    Substantial rates of substance use comorbidity have been observed among veterans with Post-Traumatic Stress Disorder (PTSD), highlighting the need to identify patient and program characteristics associated with improved outcomes for substance abuse. Data were drawn from 12,270 dually diagnosed veterans who sought treatment from specialized intensive Veterans Health Administration PTSD programs between 1993 and 2011. The magnitude of the improvement in Addiction Severity Index (ASI) alcohol and drug use composite scores from baseline was moderate, with effect sizes (ES) of -.269 and -.287, respectively. Multivariate analyses revealed that treatment in longer-term programs, being prescribed psychiatric medication, and planned participation in reunions were all associated with slightly improved outcomes. Reductions in substance use measures were associated with robust improvements in PTSD symptoms and violent behavior. These findings suggest not only synergistic treatment effects linking improvement in PTSD symptoms with substance use disorders among dually diagnosed veterans with PTSD, but also to reductions in violent behavior. Furthermore, the findings indicate that proper discharge planning in addition to intensity and duration of treatment for dually diagnosed veterans with severe PTSD may result in better outcomes. Further dissemination of evidence-based substance abuse treatment may benefit this population. (c) 2016 APA, all rights reserved).

  12. Low intensity shear stress increases endothelial ELR+ CXC chemokine production via a focal adhesion kinase-p38{beta} MAPK-NF-{kappa}B pathway.

    Science.gov (United States)

    Shaik, Sadiq S; Soltau, Thomas D; Chaturvedi, Gaurav; Totapally, Balagangadhar; Hagood, James S; Andrews, William W; Athar, Mohammad; Voitenok, Nikolai N; Killingsworth, Cheryl R; Patel, Rakesh P; Fallon, Michael B; Maheshwari, Akhil

    2009-02-27

    CXC chemokines with a glutamate-leucine-arginine (ELR) tripeptide motif (ELR(+) CXC chemokines) play an important role in leukocyte trafficking into the tissues. For reasons that are not well elucidated, circulating leukocytes are recruited into the tissues mainly in small vessels such as capillaries and venules. Because ELR(+) CXC chemokines are important mediators of endothelial-leukocyte interaction, we compared chemokine expression by microvascular and aortic endothelium to investigate whether differences in chemokine expression by various endothelial types could, at least partially, explain the microvascular localization of endothelial-leukocyte interaction. Both in vitro and in vivo models indicate that ELR(+) CXC chemokine expression is higher in microvascular endothelium than in aortic endothelial cells. These differences can be explained on the basis of the preferential activation of endothelial chemokine production by low intensity shear stress. Low shear activated endothelial ELR(+) CXC chemokine production via cell surface heparan sulfates, beta(3)-integrins, focal adhesion kinase, the mitogen-activated protein kinase p38beta, mitogen- and stress-associated protein kinase-1, and the transcription factor.

  13. The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal-Infant Attachment, and Maternal Stress.

    Science.gov (United States)

    Cho, Eun-Sook; Kim, Shin-Jeong; Kwon, Myung Soon; Cho, Haeryun; Kim, Eun Hye; Jun, Eun Mi; Lee, Sunhee

    2016-01-01

    This study was conducted to identify the effects of kangaroo care on the physiological functions of preterm infants, maternal-infant attachment, and maternal stress. For this study, a quasi-experiment design was used with a nonequivalent control group, and a pre- and post-test. Data were collected from preterm infants with corrected gestational ages of ≥33weeks who were hospitalized between May and October 2011. Twenty infants were assigned to the experimental group and 20 to the control group. As an intervention, kangaroo care was provided in 30-min sessions conducted thrice a week for a total of 10 times. The collected data were analyzed by using the t test, repeated-measures ANOVA, and the ANCOVA test. After kangaroo care, the respiration rate significantly differed between the two groups (F=5.701, p=.020). The experimental group had higher maternal-infant attachment scores (F=25.881, pinfant physiological functions such as respiration rate, increasing maternal-infant attachment, and reducing maternal stress. This study suggests that kangaroo care can be used to promote emotional bonding and support between mothers and their babies, and to stabilize the physiological functions of premature babies. Kangaroo care may be one of the most effective nursing interventions in the neonatal intensive care unit for the care of preterm infants and their mothers. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Acute effects of resistance exercise and intermittent intense aerobic exercise on blood cell count and oxidative stress in trained middle-aged women.

    Science.gov (United States)

    Cardoso, A M; Bagatini, M D; Roth, M A; Martins, C C; Rezer, J F P; Mello, F F; Lopes, L F D; Morsch, V M; Schetinger, M R C

    2012-12-01

    The aim of this study was to compare the effect of an intermittent intense aerobic exercise session and a resistance exercise session on blood cell counts and oxidative stress parameters in middle-aged women. Thirty-four women were selected and divided into three groups: RE group (performing 60 min of resistance exercises, N = 12), spinning group (performing 60 min of spinning, N = 12), and control group (not exercising regularly, N = 10). In both exercise groups, lymphocytes and monocytes decreased after 1-h recuperation (post-exercise) compared to immediately after exercise (P exercise, in both exercised groups, a significant increase in TBARS (from 16.5 ± 2 to 25 ± 2 for the spinning group and from 18.6 ± 1 to 28.2 ± 3 nmol MDA/mL serum for the RE group) and protein carbonyl (from 1.0 ± 0.3 to 1.6 ± 0.2 for the spinning group and from 0.9 ± 0.2 to 1.5 ± 0.2 nmol/mg protein for the RE group) was observed (P exercise induces immune suppression and increases the production of reactive oxygen species, causing oxidative stress in middle-aged and trained women. Furthermore, we demonstrated that trained women show improved antioxidant capacity and lower oxidative damage than sedentary ones, demonstrating the benefits of chronic regular physical activity.

  15. Mental health and functional impairment outcomes following a 6-week intensive treatment programme for UK military veterans with post-traumatic stress disorder (PTSD): a naturalistic study to explore dropout and health outcomes at follow-up.

    Science.gov (United States)

    Murphy, Dominic; Hodgman, Georgina; Carson, Carron; Spencer-Harper, Lucy; Hinton, Mark; Wessely, Simon; Busuttil, Walter

    2015-03-20

    Combat Stress, a UK national charity for veterans with mental health problems, has been funded by the National Health Service (NHS) to provide a national specialist service to deliver treatment for post-traumatic stress disorder (PTSD). This paper reports the efficacy of a PTSD treatment programme for UK veterans at 6 months follow-up. A within subject design. UK veterans with a diagnosis of PTSD who accessed Combat Stress. 246 veterans who received treatment between late 2012 and early 2014. An intensive 6-week residential treatment programme, consisting of a mixture of individual and group sessions. Participants were offered a minimum of 15 individual trauma-focused cognitive behavioural therapy sessions. In addition, participants were offered 55 group sessions focusing on psychoeducational material and emotional regulation. Clinicians completed measures of PTSD and functional impairment and participants completed measures of PTSD, depression, anger and functional impairment. We observed significant reductions in PTSD scores following treatment on both clinician completed measures (PSS-I: -13.0, 95% CI -14.5 to -11.5) and self-reported measures (Revised Impact of Events Scale (IES-R): -16.5, 95% CI -19.0 to -14.0). Significant improvements in functional impairment were also observed (eg, Health of the Nation Outcome Scales (HONOS): -6.85, 95% CI -7.98 to -5.72). There were no differences in baseline outcomes between those who completed and those who did not complete the programme, or post-treatment outcomes between those we were able to follow-up at 6 months and those lost to follow-up. In a naturalistic study we observed a significant reduction in PTSD scores and functional impairment following treatment. These improvements were maintained at 6 month follow-up. Our findings suggest it may be helpful to take a closer look at combining individual trauma-focused cognitive behaviour therapy and group sessions when treating veterans with PTSD. This is the first

  16. High-intensity interval training beneficial effects on body mass, blood pressure, and oxidative stress in diet-induced obesity in ovariectomized mice.

    Science.gov (United States)

    Pimenta, Marcel; Bringhenti, Isabele; Souza-Mello, Vanessa; Dos Santos Mendes, Iara Karise; Aguila, Marcia B; Mandarim-de-Lacerda, Carlos A

    2015-10-15

    To investigate the possible beneficial effect of high-intensity interval training (HIIT) on skeletal muscle oxidative stress, body mass (BM) and systolic blood pressure (SBP) in ovariectomized mice fed or not fed a high-fat diet. Three-month-old female C57BL/6 mice were bilaterally ovariectomized (OVX group) or submitted to surgical stress without ovariectomy (SHAM group) and separated into standard chow (SHAM-SC; OVX-SC) and high-fat diet (SHAM-HF; OVX-HF) groups. After 13 weeks, an HIIT program (swimming) was carried out for 8 weeks in non-trained (NT) and trained (T) groups. The significant reduction of uterine mass and the cytological examination of vaginal smears in the OVX group confirmed that ovariectomy was successful. Before the HIIT protocol, the ovariectomized groups showed a greater BM than the SHAM group, irrespective of the diet they received. The HIIT minimized BM gain in animals fed an HF diet and/or ovariectomized. SBP and total cholesterol were increased in the OVX and HF animals compared to their counterparts, and the HIIT efficiently reduced these factors. In the HF and OVX mice, the muscular superoxide dismutase and catalase levels were low while their glutathione peroxidase and glutathione reductase levels were high and the HIIT normalized these parameters. Diet-induced obesity maximizes the deleterious effects of an ovariectomy. The HIIT protocol significantly reduced BM, SBP and oxidative stress in the skeletal muscle indicating that HIIT diminishes the cardiovascular and metabolic risk that is inherent to obesity and menopause. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Transtorno de estresse pós-traumático em pacientes de unidade de terapia intensiva Post-traumatic stress disorder in intensive care unit patients

    Directory of Open Access Journals (Sweden)

    Andrea Vannini Santesso Caiuby

    2010-03-01

    Full Text Available O transtorno de estresse pós-traumático tem sido descrito em pacientes após tratamento em unidade de terapia intensiva. O objetivo foi revisar estudos sobre os aspectos psicológicos e as intervenções terapêuticas destes pacientes após internação em unidade de terapia intensiva. Trinta e oito artigos foram incluídos. A prevalência de transtorno de estresse pós-traumático variou de 17% a 30% e a incidência de 14% a 24%. Os fatores de risco foram: história prévia de ansiedade, depressão ou pânico, ter memórias traumáticas ilusórias (memórias derivadas de formações psíquicas como sonho e delirium, tempo de ventilação mecânica, experiências estressantes, crenças e comportamentos de característica depressiva. Doses altas de opióides, sintomas na retirada da sedação ou analgesia e o uso de lorazepam foram relacionados ao aumento de delirium e de memória ilusória. A sintomatologia do transtorno pode ser reduzida com a administração de hidrocortisona, com a interrupção diária da sedação e não foram encontrados estudos de efetividade de intervenção psicológica.Post-traumatic stress disorder has been detected in patients after treatment in intensive care unit. The main goal of this study is to review the psychological aspects and therapeutic interventions on those patients after their treatment on intensive care unit. Thirty eight articles have been included. The prevalence of post-traumatic stress disorder has varied from 17% up to 30% and the incidence from 14% to 24%. The risk factors were: previous anxiety historic, depression or panic, having delusional traumatic memories (derived from psychic formations as dreams and delirium, belief effects, depressive behavior, stressing experiences and mechanical ventilation. High doses of opiates, symptoms caused by sedation or analgesia reduction and the use of lorazepam were related with the increase of delirium and delusional memory. The disorder sintomatology

  18. Birth-Related Posttraumatic Stress Disorder: Implications for Early Intervention Services

    Science.gov (United States)

    Pizur-Barnekow, Kris; Doering, Jennifer J.; Willett, Marjorie; Ruminski, Christine; Spring, Molly

    2014-01-01

    The positive impact of healthy relationships on child development is widely accepted. A healthy relationship between mother and child is at risk when a mother experiences symptoms of birth-related posttraumatic stress disorder (PTSD). Mothers of children with special needs are at high risk for this disorder and early intervention (EI)…

  19. Posttraumatic Stress Disorder, Traumatic Brain Injury, and Suicide Attempt History among Veterans Receiving Mental Health Services

    Science.gov (United States)

    Brenner, Lisa A.; Betthauser, Lisa M.; Homaifar, Beeta Y.; Villarreal, Edgar; Harwood, Jeri E. F.; Staves, Pamela J.; Huggins, Joseph A.

    2011-01-01

    History of posttraumatic stress disorder (PTSD) or traumatic brain injury (TBI) has been found to increase risk of suicidal behavior. The association between suicide attempt history among veterans with PTSD and/or TBI was explored. Cases (N = 81) and 2:1 matched controls (N = 160) were randomly selected from a Veterans Affairs Medical Center…

  20. Stress, Burnout and Culture Shock: An Experiential, Pre-service Approach.

    Science.gov (United States)

    Mungo, Samuel J.

    A carefully-monitored off-campus program for preservice teacher education students can be used as a preventive approach to teacher stress, burnout, and culture shock often experienced by practicing and beginning teachers. Anxiety, caused by a variety of reactions including low self image, threat to security, and fear, is a common element in stress…

  1. Outcomes from eye movement desensitization and reprocessing in active-duty service members with posttraumatic stress disorder.

    Science.gov (United States)

    McLay, Robert N; Webb-Murphy, Jennifer A; Fesperman, Susan F; Delaney, Eileen M; Gerard, Steven K; Roesch, Scott C; Nebeker, Bonnie J; Pandzic, Ines; Vishnyak, Elizabeth A; Johnston, Scott L

    2016-11-01

    Eye movement desensitization and reprocessing (EMDR) is one of the therapy interventions recommended by the Veterans Affairs and Department of Defense Clinical Practice Guidelines. However, the literature concerning the effectiveness of this treatment modality in military service members is sparse. This study investigated the efficacy of EMDR in active-duty service members. We conducted an effectiveness study with a record review from active-duty military mental health clinics where clinical outcomes had been monitored over a 10-week period using self-report measures of posttraumatic stress and disability. Symptom scores were examined over time in 331 service members who met presumptive criteria for the disorder on the PTSD Checklist-Military Version (PCL-M), who were in psychotherapy, and who received (n = 46) or didn't receive (n = 285) EMDR. Results indicated that patients receiving EMDR had significantly fewer therapy sessions over 10 weeks but had significantly greater gains in their PCL-M scores than did individuals not receiving EMDR. Randomized, controlled trials are still needed, but these findings provide further support for the use of EMDR in service members with PTSD. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  2. The Compliance Rates of Hand Hygiene in Intensive Care Unit and Surgical Services at a State Hospital in Turkey

    Directory of Open Access Journals (Sweden)

    Serap Süzük

    2015-12-01

    Full Text Available Objective: The most efficient and most cost effective method for preventing health care associated infections is hand hygiene. Although hand hygiene is the most effective and simple method, compliance rates are very low among health care workers. It was aimed to evaluate the rates of compliance of healthcare workers in a state hospital. Material and Method: In this study, totally 112 healthcare workers (31 doctors and 81 nurses were evaluated with the 5-indication observation method in a period between January and July 2013. Results: A total of 754 (65.9% out of 1.144 cases were resulted in accurate hand washing and hand-rubbing. When the intensive care unit and surgical clinics were evaluated together, it was found that hand hygiene compliance rates were 51.26% in 199 cases and 66.85% in 591 cases for doctors and nurses, respectively. Conclusion: Consequently, we think that pre-informed observations are important training instruments for hand hygiene compliance.

  3. Stress.

    Science.gov (United States)

    Chambers, David W

    2008-01-01

    We all experience stress as a regular, and sometimes damaging and sometimes useful, part of our daily lives. In our normal ups and downs, we have our share of exhaustion, despondency, and outrage--matched with their corresponding positive moods. But burnout and workaholism are different. They are chronic, dysfunctional, self-reinforcing, life-shortening habits. Dentists, nurses, teachers, ministers, social workers, and entertainers are especially susceptible to burnout; not because they are hard-working professionals (they tend to be), but because they are caring perfectionists who share control for the success of what they do with others and perform under the scrutiny of their colleagues (they tend to). Workaholics are also trapped in self-sealing cycles, but the elements are ever-receding visions of control and using constant activity as a barrier against facing reality. This essay explores the symptoms, mechanisms, causes, and successful coping strategies for burnout and workaholism. It also takes a look at the general stress response on the physiological level and at some of the damage American society inflicts on itself.

  4. Parenting stress, coping strategies and risk assessment in mothers from at-risk families assisted by Child and Family Protection Services

    Directory of Open Access Journals (Sweden)

    Javier Pérez Padilla

    2014-03-01

    Full Text Available In this study parenting stress and coping strategies in a sample of 109 mothers from at-risk families were analyzed. Results obtained show over half of these women experienced clinical levels of parenting stress, and problem focused coping strategies were the most commonly used. Moreover, the main characteristics of these families and their trajectories in Child and Family Protection Services were correlated with parenting stress and coping strategies. The global valuation of family risk informed by professionals was significantly related to parenting stress.

  5. Adaptação cultural e validação para a língua portuguesa da Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU Adaptación cultural y validación al idioma português del Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU Cultural adaptation and validation for the portuguese language of the Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU

    Directory of Open Access Journals (Sweden)

    Sandra Regina de Souza

    2012-01-01

    Full Text Available OBJETIVO: Traduzir, realizar a adaptação cultural e validar a escala Parental Stress Scale:Neonatal Intensive Care Unit (PSS:NICU para a língua portuguesa. MÉTODOS: Utilizou-se o método descritivo de validação de instrumentos de medida, baseado nas etapas propostas por Guillemin et al. A análise da confiabilidade foi realizada por meio dos testes e retestes e da consistência interna. Na validação clínica, participaram 163 pais de recém-nascidos internados em Unidade de Terapia Intensiva Neonatal (UTIN. RESULTADOS: Os coeficientes de correlação intraclasse ficaram em torno de 0,70 mostrando boa estabilidade entre as duas avaliações. A análise fatorial pelo método de componentes principais utilizou os mesmos critérios da escala original, com rotação Varimax, com grau de variância adequado de 57,9%. Os maiores níveis de estresse dos pais foram obtidos na subescala "alteração do papel de pais". CONCLUSÃO: A PSS:NICU na versão em português é uma ferramenta válida e confiável para avaliação do estresse de pais com filho internado na UTIN.OBJETIVO: Traducir, realizar la adaptación cultural y validar la escala Parental Stress Scale:Neonatal Intensive Care Unit (PSS:NICU al idioma portugués. MÉTODOS: Se utilizó el método descriptivo de validación de instrumentos de medida, basado en las etapas propuestas por Guillemin et al. El análisis de la confiabilidad fue realizado por medio de los tests y retests y de la consistencia interna. En la validación clínica, participaron 163 padres de recién nacidos internados en una Unidad de Cuidados Intensivos Neonatal (UCIN. RESULTADOS: Los coeficientes de correlación intraclase quedaron alrededor de 0,70 mostrando buena estabilidad entre las dos evaluaciones El análisis factorial por el método de componentes principales utilizó los mismos criterios de la escala original, con rotación Varimax, con grado de varianza adecuado de 57,9%. Los mayores niveles de estrés de

  6. Services

    International Nuclear Information System (INIS)

    Hardeman, F.

    1998-01-01

    The objectives of the services section is (1) to offer complete services in health-physics measurements according to international quality standards, (2) to improve continuously these measurement techniques and to follow up international recommendations and legislation concerning the surveillance of workers, (3) to support and advise nuclear and non-nuclear industry on problems of radioactive contamination. Achievements related to gamma spectrometry, whole-body counting, beta and alpha spectrometry, dosimetry, radon measurements, calibration, instrumentation, and neutron activation analysis are described

  7. Preliminary efficacy of service dogs as a complementary treatment for posttraumatic stress disorder in military members and veterans.

    Science.gov (United States)

    O'Haire, Marguerite E; Rodriguez, Kerri E

    2018-02-01

    Psychiatric service dogs are an emerging complementary treatment for military members and veterans with posttraumatic stress disorder (PTSD). Yet despite anecdotal accounts of their value, there is a lack of empirical research on their efficacy. The current proof-of-concept study assessed the effects of this practice. A nonrandomized efficacy trial was conducted with 141 post-9/11 military members and veterans with PTSD to compare usual care alone (n = 66) with usual care plus a trained service dog (n = 75). The primary outcome was longitudinal change on The PTSD Checklist (PCL; Weathers, Litz, Herman, Huska, & Keane, 1993), including data points from a cross-sectional assessment and a longitudinal record review. Secondary outcomes included cross-sectional differences in depression, quality of life, and social and work functioning. Mixed-model analyses revealed clinically significant reductions in PTSD symptoms from baseline following the receipt of a service dog, but not while receiving usual care alone. Though clinically meaningful, average reductions were not below the diagnostic cutoff on the PCL. Regression analyses revealed significant differences with medium to large effect sizes among those with service dogs compared with those on the waitlist, including lower depression, higher quality of life, and higher social functioning. There were no differences in employment status, but there was lower absenteeism because of health among those who were employed. The addition of trained service dogs to usual care may confer clinically meaningful improvements in PTSD symptomology for military members and veterans with PTSD, though it does not appear to be associated with a loss of diagnosis. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  8. Acute effects of resistance exercise and intermittent intense aerobic exercise on blood cell count and oxidative stress in trained middle-aged women

    Energy Technology Data Exchange (ETDEWEB)

    Cardoso, A.M. [Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Bagatini, M.D. [Curso de Enfermagem, Campus Chapecó, Universidade Federal da Fronteira Sul, Chapecó, SC (Brazil); Roth, M.A. [Departamento de Desportos Individuais, Centro de Educação Física e Desportos, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Martins, C.C.; Rezer, J.F.P. [Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Mello, F.F. [Departamento de Desportos Individuais, Centro de Educação Física e Desportos, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Lopes, L.F.D. [Departamento de Administração, Centro de Ciências Sociais e Humanas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Morsch, V.M.; Schetinger, M.R.C. [Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil)

    2012-10-26

    The aim of this study was to compare the effect of an intermittent intense aerobic exercise session and a resistance exercise session on blood cell counts and oxidative stress parameters in middle-aged women. Thirty-four women were selected and divided into three groups: RE group (performing 60 min of resistance exercises, N = 12), spinning group (performing 60 min of spinning, N = 12), and control group (not exercising regularly, N = 10). In both exercise groups, lymphocytes and monocytes decreased after 1-h recuperation (post-exercise) compared to immediately after exercise (P < 0.05). Immediately after exercise, in both exercised groups, a significant increase in TBARS (from 16.5 ± 2 to 25 ± 2 for the spinning group and from 18.6 ± 1 to 28.2 ± 3 nmol MDA/mL serum for the RE group) and protein carbonyl (from 1.0 ± 0.3 to 1.6 ± 0.2 for the spinning group and from 0.9 ± 0.2 to 1.5 ± 0.2 nmol/mg protein for the RE group) was observed (P < 0.05). A decrease in antioxidant activities (non-protein sulfhydryl, superoxide dismutase, catalase) was also demonstrated with a negative correlation between damage markers and antioxidant body defenses (P < 0.05). These results indicate that an acute bout of intermittent or anaerobic exercise induces immune suppression and increases the production of reactive oxygen species, causing oxidative stress in middle-aged and trained women. Furthermore, we demonstrated that trained women show improved antioxidant capacity and lower oxidative damage than sedentary ones, demonstrating the benefits of chronic regular physical activity.

  9. Acute effects of resistance exercise and intermittent intense aerobic exercise on blood cell count and oxidative stress in trained middle-aged women

    Directory of Open Access Journals (Sweden)

    A.M. Cardoso

    2012-12-01

    Full Text Available The aim of this study was to compare the effect of an intermittent intense aerobic exercise session and a resistance exercise session on blood cell counts and oxidative stress parameters in middle-aged women. Thirty-four women were selected and divided into three groups: RE group (performing 60 min of resistance exercises, N = 12, spinning group (performing 60 min of spinning, N = 12, and control group (not exercising regularly, N = 10. In both exercise groups, lymphocytes and monocytes decreased after 1-h recuperation (post-exercise compared to immediately after exercise (P < 0.05. Immediately after exercise, in both exercised groups, a significant increase in TBARS (from 16.5 ± 2 to 25 ± 2 for the spinning group and from 18.6 ± 1 to 28.2 ± 3 nmol MDA/mL serum for the RE group and protein carbonyl (from 1.0 ± 0.3 to 1.6 ± 0.2 for the spinning group and from 0.9 ± 0.2 to 1.5 ± 0.2 nmol/mg protein for the RE group was observed (P < 0.05. A decrease in antioxidant activities (non-protein sulfhydryl, superoxide dismutase, catalase was also demonstrated with a negative correlation between damage markers and antioxidant body defenses (P < 0.05. These results indicate that an acute bout of intermittent or anaerobic exercise induces immune suppression and increases the production of reactive oxygen species, causing oxidative stress in middle-aged and trained women. Furthermore, we demonstrated that trained women show improved antioxidant capacity and lower oxidative damage than sedentary ones, demonstrating the benefits of chronic regular physical activity.

  10. Acute effects of resistance exercise and intermittent intense aerobic exercise on blood cell count and oxidative stress in trained middle-aged women

    International Nuclear Information System (INIS)

    Cardoso, A.M.; Bagatini, M.D.; Roth, M.A.; Martins, C.C.; Rezer, J.F.P.; Mello, F.F.; Lopes, L.F.D.; Morsch, V.M.; Schetinger, M.R.C.

    2012-01-01

    The aim of this study was to compare the effect of an intermittent intense aerobic exercise session and a resistance exercise session on blood cell counts and oxidative stress parameters in middle-aged women. Thirty-four women were selected and divided into three groups: RE group (performing 60 min of resistance exercises, N = 12), spinning group (performing 60 min of spinning, N = 12), and control group (not exercising regularly, N = 10). In both exercise groups, lymphocytes and monocytes decreased after 1-h recuperation (post-exercise) compared to immediately after exercise (P < 0.05). Immediately after exercise, in both exercised groups, a significant increase in TBARS (from 16.5 ± 2 to 25 ± 2 for the spinning group and from 18.6 ± 1 to 28.2 ± 3 nmol MDA/mL serum for the RE group) and protein carbonyl (from 1.0 ± 0.3 to 1.6 ± 0.2 for the spinning group and from 0.9 ± 0.2 to 1.5 ± 0.2 nmol/mg protein for the RE group) was observed (P < 0.05). A decrease in antioxidant activities (non-protein sulfhydryl, superoxide dismutase, catalase) was also demonstrated with a negative correlation between damage markers and antioxidant body defenses (P < 0.05). These results indicate that an acute bout of intermittent or anaerobic exercise induces immune suppression and increases the production of reactive oxygen species, causing oxidative stress in middle-aged and trained women. Furthermore, we demonstrated that trained women show improved antioxidant capacity and lower oxidative damage than sedentary ones, demonstrating the benefits of chronic regular physical activity

  11. Occurrence of ventilator-associated pneumonia in mechanically ventilated pediatric intensive care patients during stress ulcer prophylaxis with sucralfate, ranitidine, and omeprazole.

    Science.gov (United States)

    Yildizdas, Dincer; Yapicioglu, Hacer; Yilmaz, Hayri Levent

    2002-12-01

    The purpose of the study was to evaluate the effects of sucralfate, ranitidine, and omeprazole use on incidence of ventilatory-associated pneumonia (VAP) and mortality in ventilated pediatric critical care patients. This prospective study was conducted at the pediatric intensive care unit (PICU) between August 2000 and February 2002. A total of 160 patients who needed mechanical ventilation were randomized into 4 groups according to the computer-generated random number table: group (S), (n = 38) received sucralfate suspension 60 mg/kg/d in 4 doses via the nasogastric tube that was flushed with 10 mL of sterile water; group (R), (n = 42) received ranitidine 2 mg/kg/d intravenously in 4 doses; group (O), (n = 38) received omeprazole 1 mg/kg/d intravenously in 2 doses; and group (P), (n = 42) did not receive any medication for stress ulcer prophylaxis. Treatment was begun within 6 hours of PICU admission. Seventy patients (44%) developed VAP. VAP rate was 42% (16 of 38) in the sucralfate group, 48% (20 of 42) in the ranitidine group, 45% (17 of 38) in the omeprazole group, and 41% (17 of 42) in the nontreated group. Overall mortality rate was 22% (35 of 160); it was 21% (8 of 38) in the sucralfate group, 23% (10 of 42) in the ranitidine group, 21% (8 of 38) in the omeprazole group, and 21% (9 of 42) in the nontreated group. Our results did not show any difference in the incidence of VAP and mortality in mechanically ventilated PICU patients treated with ranitidine, omeprazole, or sucralfate, or nontreated subjects (P =.963, confidence interval [CI] = 0.958-0.968; P =.988, CI = 0.985-0.991, respectively). Nine patients (5.6%) had macroscopic bleeding. There was no statistically significant difference in macroscopic bleeding between groups. Our results did not show any difference in the incidence of VAP, macroscopic stress ulcer bleeding, and mortality in the mechanically ventilated PICU patients treated with ranitidine, omeprazole, or sucralfate, or nontreated subjects

  12. The Cost of Health Service Waste Management of (HSWM: A Case Study of Intensive Care Unit of Infectious Diseases at a Public Hospital in São Paulo.

    Directory of Open Access Journals (Sweden)

    Chennyfer Dobbins Paes da Rosa

    2015-08-01

    Full Text Available The Health Service Waste Management is a set of technical and legal procedures for waste management in any type of health facilities. It is known about the limited resources, so reducing environmental costs can contribute to the management of hospital costs. The objective was to estimate the cost of the phases of HSWM to the Intensive Care Unit for public service. Data collecting was done through a script of questions and observations on site at the Emilio Ribas Infectious Diseases Institute in Sao Paulo. The ABC costing method was used. The most costly step was wrapping (40.68%, followed by segregation (40.17%, which is justified by both being associated with health workers’ salaries. The daily cost of the management of health care waste from segregation to final disposal in the ICU was R$ 4,288.81 a day, being R$ 314.80/bed-patient/day. To know the cost of an activity allows for the analysis of strategies for price negotiation. Health care waste is little remembered when pricing a daily ICU, many managers believe this value to be irrelevant; but< if not measured, it may bring losses to the institution.

  13. Effect of short- and long-term heat stress on the conception risk of dairy cows under natural service and artificial insemination breeding programs.

    Science.gov (United States)

    Schüller, L-K; Burfeind, O; Heuwieser, W

    2016-04-01

    The objectives of this retrospective study were to examine the effect of heat stress on natural service and artificial insemination (AI) breeding methods. We investigated the influence of short- and long-term heat stress on the conception risk (CR) of dairy cows bred by natural service or by AI with frozen-thawed or fresh semen. In addition, the relationship between breeding method and parity was determined. Cows bred by AI with frozen-thawed semen exposed to long-term heat stress (mean temperature-humidity index ≥73 in the period 21d before breeding) were 63% less likely to get pregnant compared with cows not exposed to heat stress. Cows bred by AI with fresh semen were 80% less likely to get pregnant during periods of short-term heat stress than during periods without heat stress. Furthermore, multiparous cows bred by AI with frozen-thawed or fresh semen were 22 and 67% less likely to get pregnant, respectively, than primiparous cows. No influence of heat stress or parity was noted on the CR of cows bred by natural service. The present study indicates that the likelihood of dairy cows becoming pregnant is reduced by short- and long-term heat stress depending on the type of semen employed. In particular, CR of cows inseminated with fresh semen is negatively affected by short-term heat stress and CR of cows inseminated with frozen-thawed semen is negatively affected by long-term heat stress. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  14. A pilot study on peritraumatic dissociation and coping styles as risk factors for posttraumatic stress, anxiety and depression in parents after their child's unexpected admission to a Pediatric Intensive Care Unit

    NARCIS (Netherlands)

    Bronner, Madelon B.; Kayser, Anne-Marie; Knoester, Hendrika; Bos, Albert P.; Last, Bob F.; Grootenhuis, Martha A.

    2009-01-01

    ABSTRACT: Aim: To study the prevalence of posttraumatic stress, anxiety and depression in parents three months after pediatric intensive care treatment of their child and examine if peritraumatic dissocation and coping styles are related to these mental health problems. METHODS: This is a

  15. On the effect of temperature on the threshold stress intensity factor of delayed hydride cracking in light water reactor fuel cladding

    Energy Technology Data Exchange (ETDEWEB)

    Holston, Anna-MariaAlvarez; Stjarnsater, Johan [Studsvik Nuclear AB, Nykoping (Sweden)

    2017-06-15

    Delayed hydride cracking (DHC) was first observed in pressure tubes in Canadian CANDU reactors. In light water reactors, DHC was not observed until the late 1990s in high-burnup boiling water reactor (BWR) fuel cladding. In recent years, the focus on DHC has resurfaced in light of the increased interest in the cladding integrity during interim conditions. In principle, all spent fuel in the wet pools has sufficient hydrogen content for DHC to operate below 300°C. It is therefore of importance to establish the critical parameters for DHC to operate. This work studies the threshold stress intensity factor (K{sub IH}) to initiate DHC as a function of temperature in Zry-4 for temperatures between 227°C and 315°C. The experimental technique used in this study was the pin-loading testing technique. To determine the K{sub IH}, an unloading method was used where the load was successively reduced in a stepwise manner until no cracking was observed during 24 hours. The results showed that there was moderate temperature behavior at lower temperatures. Around 300°C, there was a sharp increase in K{sub IH} indicating the upper temperature limit for DHC. The value for K{sub IH} at 227°C was determined to be 2.6 ± 0.3 MPa √m.

  16. On the effect of temperature on the threshold stress intensity factor of delayed hydride cracking in light water reactor fuel cladding

    Directory of Open Access Journals (Sweden)

    Anna-Maria Alvarez Holston

    2017-06-01

    Full Text Available Delayed hydride cracking (DHC was first observed in pressure tubes in Canadian CANDU reactors. In light water reactors, DHC was not observed until the late 1990s in high-burnup boiling water reactor (BWR fuel cladding. In recent years, the focus on DHC has resurfaced in light of the increased interest in the cladding integrity during interim conditions. In principle, all spent fuel in the wet pools has sufficient hydrogen content for DHC to operate below 300°C. It is therefore of importance to establish the critical parameters for DHC to operate. This work studies the threshold stress intensity factor (KIH to initiate DHC as a function of temperature in Zry-4 for temperatures between 227°C and 315°C. The experimental technique used in this study was the pin-loading testing technique. To determine the KIH, an unloading method was used where the load was successively reduced in a stepwise manner until no cracking was observed during 24 hours. The results showed that there was moderate temperature behavior at lower temperatures. Around 300°C, there was a sharp increase in KIH indicating the upper temperature limit for DHC. The value for KIH at 227°C was determined to be 2.6 ± 0.3 MPa √m.

  17. c-Fos expression in the supraoptic nucleus is the most intense during different durations of restraint water-immersion stress in the rat.

    Science.gov (United States)

    Zhang, Yu-Yu; Zhu, Wen-Xing; Cao, Guo-Hong; Cui, Xi-Yun; Ai, Hong-Bin

    2009-09-01

    Restraint water-immersion stress (RWIS) can induce anxiety, hypothermia, and severe vagally-mediated gastric dysfunction. The present work explored the effects of different durations of RWIS on neuronal activities of the forebrain by c-Fos expression in conscious rats exposed to RWIS for 0, 30, 60, 120, or 180 min. The peak of c-Fos induction was distinct for different forebrain regions. The most intense c-Fos induction was always observed in the supraoptic nucleus (SON), and then in the hypothalamic paraventricular nucleus (PVN), posterior cortical amygdaloid nucleus (PCoA), central amygdaloid nucleus (CeA), and medial prefrontal cortex (mPFC). Moreover, body temperature was reduced to the lowest degree after 60 min of RWIS, and the gastric lesions tended to gradually worsen with the prolonging of RWIS duration. These data strongly suggest that these nuclei participate in the organismal response to RWIS to different degrees, and may be involved in the hypothermia and gastric lesions induced by RWIS.

  18. The Effectiveness of Mindfulness-Based Stress Reduction on Perceived Pain Intensity and Quality of Life in Patients With Chronic Headache.

    Science.gov (United States)

    Bakhshani, Nour Mohammad; Amirani, Ahmadreza; Amirifard, Hamed; Shahrakipoor, Mahnaz

    2015-08-06

    The aim of this study was to determine the effectiveness of Mindfulness-Based Stress reduction (MBSR) on perceived pain intensity and quality of life in patients with chronic headache. Thus, forty patients based on the diagnosis of a neurologist and diagnostic criteria of the International Headache Society (IHS) for migraine and chronic tension-type headache were selected and randomly assigned to the intervention group and control group, respectively. The participants completed the Pain and quality of life (SF-36) questionnaire. The intervention group enrolled in an eight-week MBSR program that incorporated meditation and daily home practice, per week, session of 90-minutes. Results of covariance analysis with the elimination of the pre-test showed significantly improvement of pain and quality of life in the intervention group compared with the control group. The findings from this study revealed that MBSR can be used non-pharmacological intervention for improvement the quality of life and development of strategies to cope with pain in patients with chronic headache. And can be used in combination with other therapies such as pharmacotherapy.

  19. Financial services employees' experience of peer-led and clinician-led critical incident stress debriefing following armed robberies.

    Science.gov (United States)

    Simms-Ellis, R; Madill, A

    2001-01-01

    This study investigates financial services employees' experience of critical incident stress debriefing (CISD) and their views about peers and clinicians as facilitators. Semi-structured interview accounts of four participants who had experienced both peer-led and clinician-led CISD were analyzed using grounded theory. A core category, ambivalence, permeated each interview and divided into two poles: pathologizing and normalizing. The most frequently occurring sub-category was a dislike of professionalism. Participants preferred the peer debriefer who was perceived to have more personal involvement and with whom they felt more empowered and understood. The findings suggest that the status of the debriefer as 'peer' or 'clinician' may be a crucial variable in the effectiveness of CISD and should be considered when reviewing the outcome literature.

  20. Standard Test Method for Testing Polymeric Seal Materials for Geothermal and/or High Temperature Service Under Sealing Stress

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1985-01-01

    1.1 This test method covers the initial evaluation of (screening) polymeric materials for seals under static sealing stress and at elevated temperatures. 1.2 This test method applies to geothermal service only if used in conjunction with Test Method E 1068. 1.3 The test fluid is distilled water. 1.4 The values stated in SI units are to be regarded as the standard. The values in parentheses are for information only. 1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

  1. [Study on the occupational stress norm and it's application for the marketing group, public service/safety group and production laborer group].

    Science.gov (United States)

    Yang, Xin-Wei; Wang, Zhi-Ming; Jin, Tai-Yi; Lan, Ya-Jia

    2006-09-01

    A study of the occupational stress norm and it's application for the marketing group, public service/safety group and production laborer group. In this study, cross-sectional study method is used, and a synthetic way of sorting and randomized sampling is adopted to deal with research targets (36 marketing group, 331 public service/safety group, 903 production laborer group). Descriptive statistics for OSI-R scale scores for the marketing group, public service/safety group and production laborer group were modulated. Scale raw score to T-score conversion tables derived from the OSI-R normative sample for marketing group public service/safety group and production laborer group were established. OSI-R profile from for marketing group, public service/safety group and production laborer group were established. For the ORQ and PSQ scales, scores at or above 70 indicate a strong levels of maladaptive stress and strain. Score in the range of 60 to 69 suggest middle levels of maladaptive stress and strain. Score in the range of 40 to 59 indicate normal levels of stress and strain. Score below 40 indicate a relative absence of occupational stress and strain. For the PRQ scales, score below 30 indicate a significant lack of coping resources. Score in the range of 30 to 39 suggest middle deficits in coping resources. Score in the range of 40 to 59 indicate average coping resources. Scores at or above 60 indicate a strong levels of coping resources. The authors combined subjective and objective environment match model of occupational stress. Different intervention measure should be take to reduce the occupational stress so as to improve the work ability.

  2. Stress amongst nurses working in a healthcare telephone-advice service: relationship with job satisfaction, intention to leave, sickness absence, and performance.

    Science.gov (United States)

    Farquharson, Barbara; Allan, Julia; Johnston, Derek; Johnston, Marie; Choudhary, Carolyn; Jones, Martyn

    2012-07-01

    This paper is a report of a study, which assessed levels of stress amongst nurses working in a healthcare telephone-advice service. We explored whether stress related to performance, sickness absence, and intention to leave. Nurses report high levels of stress, as do call-centre workers. The emergence of telephone health advice services means many nurses now work in call-centres, doing work that differs markedly from traditional nursing roles. Stress associated with these roles could have implications for nurses, patients, and service provision. This paper reports cross-sectional survey results. The design of the overall study included longitudinal elements. A comprehensive study of stress was conducted amongst nurses working for a telephone-advice service in Scotland (2008-2010). All nurse-advisors were approached by letter and invited to participate. A total of 152 participants (33%) completed a questionnaire including General Health Questionnaire-12, Work Family Conflict Questionnaire, Job Satisfaction Scale and a measure of intention to leave the telephone-advice service and rated the perceived stress of 2 working shifts. Nurses' employers provided data on sickness absence and performance. Overall levels of psychological distress were similar to those found amongst Scottish women generally. In multiple regression, work-family conflict was identified as a significant predictor of job satisfaction and intention to leave, and significantly related to sickness absence. There were significant correlations between General Health Questionnaire scores and perceived stress of shifts and some performance measures. Work-family conflict is a significant predictor of job satisfaction, intention to leave, and sickness absence amongst telephone helpline nurses. Minimizing the impact of nurses' work on their home lives might reduce turnover and sickness absence. © 2012 Blackwell Publishing Ltd.

  3. The Effects of Adult Day Services on Family Caregivers’ Daily Stress, Affect, and Health: Outcomes From the Daily Stress and Health (DaSH) Study

    Science.gov (United States)

    Zarit, Steven H.; Kim, Kyungmin; Femia, Elia E.; Almeida, David M.; Klein, Laura C.

    2014-01-01

    Purpose: We examine the effects of use of adult day service (ADS) by caregivers of individuals with dementia (IWD) on daily stressors, affect, and health symptoms. Participants were interviewed for 8 consecutive days. On some days, the IWD attended an ADS program and on the other days caregivers provide most or all of the care at home. Methods: Participants were 173 family caregivers of IWDs using an ADS program. Daily telephone interviews assessed care-related stressors, noncare stressors, positive events, affect, and health symptoms. Multilevel models with data nested within persons were used to examine effects of ADS use on daily stressor exposure, affect, and health symptoms. Results: Caregivers had lower exposure to care-related stressors on ADS days, more positive experiences, and more noncare stressors. ADS use lowered anger and reduced the impact of noncare stressors on depressive symptoms. Implications: The findings demonstrate that stressors on caregivers are partly lowered, and affect is improved on ADS days, which may provide protection against the effects of chronic stress associated with caregiving. PMID:23690056

  4. Blood lead level studies by the Public Health Service in an industrial stress area

    Energy Technology Data Exchange (ETDEWEB)

    Jantzen, G.

    1981-12-01

    The general directions of the European Community concerning lead resulted to be useful for analysing the biologic impact on the population living in an industrial immission area and for differentiating within this locality affected and non-affected residential districts. Consequently the social-hygienic and regional-hygienic measures are limited and justified territorially. The environmental parameters, their relation to the distance at which an industrial plant is situated and the blood lead values are indicated. Recommendations are given, which concern the protection of health and even the reconstruction of the residential area by immission-reducing measures. It was found that the lead impact on children is higher than that on grown-ups. Tables illustrate the symptomatology of lead impacts, its relation to blood lead concentration, the degree of impact measured in children and grown-ups and the corresponding necessary measures as auxiliary methods for the Public Health Service and the physicians.

  5. The impact of employee level and work stress on mental health and GP service use: an analysis of a sample of Australian government employees

    Directory of Open Access Journals (Sweden)

    Strazdins Lyndall

    2004-09-01

    Full Text Available Abstract Background This study sought to identify the extent to which employee level and work stressors were associated with mental health problems experienced by Australian government employees, and with their use of primary care services. Methods 806 government employees aged between 40 and 44 years were surveyed as part of an epidemiological study conducted in Australia. Data collected from participants included sociodemographic attributes, physical health, psychological measures and work stressors relating to job control, job demands, job security and skills discretion at work. For 88% of these participants, information on visits made to general practitioners (GPs for the six months before and after their survey interview was obtained from health insurance records. Results When work stress and personal factors were taken into account, men at more junior levels reported better mental health, more positive affect and used fewer GP services. Women at middle-management levels obtained less GP care than their more senior counterparts. Both men and women who reported higher levels of work stress were found to have poorer mental health and well-being. The impact of such stressors on GP service use, however, differed for men and women. Conclusion Measures of work stress and not employee level affect the mental health and well-being of government employees. For governments with responsibility for funding health care services, reducing work stress experienced by their own employees offers potential benefits by improving the health of their workforce and reducing outlays for such services.

  6. The impact of employee level and work stress on mental health and GP service use: an analysis of a sample of Australian government employees.

    Science.gov (United States)

    Parslow, Ruth A; Jorm, Anthony F; Christensen, Helen; Broom, Dorothy H; Strazdins, Lyndall; D' Souza, Rennie M

    2004-09-30

    This study sought to identify the extent to which employee level and work stressors were associated with mental health problems experienced by Australian government employees, and with their use of primary care services. 806 government employees aged between 40 and 44 years were surveyed as part of an epidemiological study conducted in Australia. Data collected from participants included sociodemographic attributes, physical health, psychological measures and work stressors relating to job control, job demands, job security and skills discretion at work. For 88% of these participants, information on visits made to general practitioners (GPs) for the six months before and after their survey interview was obtained from health insurance records. When work stress and personal factors were taken into account, men at more junior levels reported better mental health, more positive affect and used fewer GP services. Women at middle-management levels obtained less GP care than their more senior counterparts. Both men and women who reported higher levels of work stress were found to have poorer mental health and well-being. The impact of such stressors on GP service use, however, differed for men and women. Measures of work stress and not employee level affect the mental health and well-being of government employees. For governments with responsibility for funding health care services, reducing work stress experienced by their own employees offers potential benefits by improving the health of their workforce and reducing outlays for such services.

  7. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensive Care Unit: A Pilot Project.

    Science.gov (United States)

    Sowan, Azizeh Khaled; Gomez, Tiffany Michelle; Tarriela, Albert Fajardo; Reed, Charles Calhoun; Paper, Bruce Michael

    2016-01-11

    Clinical alarm systems safety is a national concern, specifically in intensive care units (ICUs) where alarm rates are known to be the highest. Interventional projects that examined the effect of changing default alarm settings on overall alarm rate and on clinicians' attitudes and practices toward clinical alarms and alarm fatigue are scarce. To examine if (1) a change in default alarm settings of the cardiac monitors and (2) in-service nursing education on cardiac monitor use in an ICU would result in reducing alarm rate and in improving nurses' attitudes and practices toward clinical alarms. This quality improvement project took place in a 20-bed transplant/cardiac ICU with a total of 39 nurses. We implemented a unit-wide change of default alarm settings involving 17 parameters of the cardiac monitors. All nurses received an in-service education on monitor use. Alarm data were collected from the audit log of the cardiac monitors 10 weeks before and 10 weeks after the change in monitors' parameters. Nurses' attitudes and practices toward clinical alarms were measured using the Healthcare Technology Foundation National Clinical Alarms Survey, pre- and postintervention. Alarm rate was 87.86 alarms/patient day (a total of 64,500 alarms) at the preintervention period compared to 59.18 alarms/patient day (49,319 alarms) postintervention (P=.01). At baseline, Arterial Blood Pressure (ABP), Pair Premature Ventricular Contractions (PVCs), and Peripheral Capillary Oxygen Saturation (SpO2) alarms were the highest. ABP and SpO2 alarms remained among the top three at the postproject period. Out of the 39 ICU nurses, 24 (62%) provided complete pre- and postproject survey questionnaires. Compared to the preintervention survey, no remarkable changes in the postproject period were reported in nurses' attitudes. Themes in the narrative data were related to poor usability of cardiac monitors and the frequent alarms. The data showed great variation among nurses in terms of changing

  8. Association of post-traumatic stress disorder and work performance: A survey from an emergency medical service, Karachi, Pakistan.

    Science.gov (United States)

    Kerai, Salima; Pasha, Omrana; Khan, Uzma; Islam, Muhammad; Asad, Nargis; Razzak, Junaid

    2017-01-01

    The purpose of the study was to explore the association between post-traumatic stress disorder (PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan. Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised (IES-R). Work performance was assessed on the basis of five variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction scores. Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work ( RR adj 0.99; 0.98-1.00), days absent ( RR adj 0.98; 0.96-0.99), days sick ( RR adj 0.99; 0.98-1.00), adherence to protocol ( OR adj 1.01; 0.99-1.04) and patient satisfaction ( β 0.001%-0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or depression. No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.

  9. VA Health Care: VA Spends Millions on Post-Traumatic Stress Disorder Research and Incorporates Research Outcomes into Guidelines and Policy for Post-Traumatic Stress Disorder Services

    Science.gov (United States)

    2011-01-01

    post - traumatic stress disorder ( PTSD ) and...Veterans Affairs (VA) Intramural Post - Traumatic Stress Disorder ( PTSD ) Research Funding and VA’s Medical and Prosthetic Research Appropriation...Table 6: Department of Veterans Affairs (VA) Research Centers and Programs That Conduct or Support Post - Traumatic Stress Disorder ( PTSD ) Research

  10. The effects of aerobic exercise training at two different intensities in obesity and type 2 diabetes: implications for oxidative stress, low-grade inflammation and nitric oxide production.

    Science.gov (United States)

    Krause, Mauricio; Rodrigues-Krause, Josianne; O'Hagan, Ciara; Medlow, Paul; Davison, Gareth; Susta, Davide; Boreham, Colin; Newsholme, Philip; O'Donnell, Mark; Murphy, Colin; De Vito, Giuseppe

    2014-02-01

    To investigate the effect of 16 weeks of aerobic training performed at two different intensities on nitric oxide (tNOx) availability and iNOS/nNOS expression, oxidative stress (OS) and inflammation in obese humans with or without type 2 diabetes mellitus (T2DM). Twenty-five sedentary, obese (BMI > 30 kg/m2) males (52.8 ± 7.2 years); 12 controls versus 13 T2DM were randomly allocated to four groups that exercised for 30 min, three times per week either at low (Fat-Max; 30-40% VO(2max)) or moderate (T(vent); 55-65 % VO(2max)) intensity. Before and after training, blood and muscle samples (v. lateralis) were collected. Baseline erythrocyte glutathione was lower (21.8 ± 2.8 vs. 32.7 ± 4.4 nmol/ml) and plasma protein oxidative damage and IL-6 were higher in T2DM (141.7 ± 52.1 vs. 75.5 ± 41.6 nmol/ml). Plasma catalase increased in T2DM after T(vent) training (from 0.98 ± 0.22 to 1.96 ± 0.3 nmol/min/ml). T2DM groups demonstrated evidence of oxidative damage in response to training (elevated protein carbonyls). Baseline serum tNOx were higher in controls than T2DM (18.68 ± 2.78 vs. 12.34 ± 3.56 μmol/l). Training at T(vent) increased muscle nNOS and tNOx in the control group only. Pre-training muscle nNOS was higher in controls than in T2DMs, while the opposite was found for iNOS. No differences were found after training for plasma inflammatory markers. Exercise training did not change body composition or aerobic fitness, but improved OS markers, especially when performed at T(vent). Non-diabetics responded to T(vent) training by increasing muscle nNOS expression and tNOx levels in skeletal muscle while these parameters did not change in T2DM, perhaps due to higher insulin resistance (unchanged after intervention).

  11. Operational Stress Control and Readiness (OSCAR): The United States Marine Corps Initiative to Deliver Mental Health Services to Operating Forces

    National Research Council Canada - National Science Library

    Nash, William P

    2006-01-01

    Combat/operational stress control, defined as programs and policies to prevent, identify, and manage adverse combat/operational stress reactions, is the primary responsibility of military commanders...

  12. The Pursuit of K: Reflections on the Current State-of-the-Art in Stress Intensity Factor Solutions for Practical Aerospace Applications

    Science.gov (United States)

    CraigMcClung, R.; Lee, Yi-Der; Cardinal, Joseph W.; Guo, Yajun

    2012-01-01

    The elastic stress intensity factor (SIF, commonly denoted as K) is the foundation of practical fracture mechanics (FM) analysis for aircraft structures. This single parameter describes the first-order effects of stress magnitude and distribution as well as the geometry of both structure/component and crack. Hence, the calculation of K is often the most significant step in fatigue analysis based on FM. This presentation will provide several reflections on the current state-of-the-art in SIF solution methods used for practical aerospace applications, including a brief historical perspective, descriptions of some recent and ongoing advances, and comments on some remaining challenges. Newman and Raju made significant early contributions to practical structural analysis by developing closed-form SIF equations for surface and corner cracks in simplified geometries, often based on empirical fits of finite element (FE) solutions. Those solutions (and others like them) were sometimes revised as new analyses were conducted or limitations discovered. The foundational solutions have exhibited striking longevity, despite the relatively "coarse" FE models employed many decades ago. However, in recent years, the accumulation of different generations of solutions for the same nominal geometry has led to some confusion (which solution is correct?), and steady increases in computational capabilities have facilitated the discovery of inaccuracies in some (not all!) of the legacy solutions. Some examples of problems and solutions are presented and discussed, including the challenge of maintaining consistency with legacy design applications. As computational power has increased, the prospect of calculating large numbers of SIF solutions for specific complex geometries with advanced numerical methods has grown more attractive. Fawaz and Andersson, for example, have been generating literally millions of new SIF solutions for different combinations of multiple cracks under simplified

  13. Comparing Service Delivery Models for Children with Developmental Delays in Canada: Adaptive and Maladaptive Behaviours, Parental Perceptions of Stress and of Care

    Science.gov (United States)

    Sladeczek, Ingrid E.; Fontil, Laura; Miodrag, Nancy; Karagiannakis, Anastasia; Amar, Daniel; Amos, Janet

    2017-01-01

    This study compares two service delivery models (community-based and centre-based), examining them in light of children's adaptive and maladaptive behaviours, and parental perceptions of stress and of care. More specifically, parents of 96 children with developmental delays assessed their children's adaptive and maladaptive behaviours and rated…

  14. Examining the Effects of Self-Reported Posttraumatic Stress Disorder Symptoms and Positive Relations with Others on Self-Regulated Learning for Student Service Members/Veterans

    Science.gov (United States)

    Ness, Bryan M.; Middleton, Michael J.; Hildebrandt, Michael J.

    2015-01-01

    Objectives: To examine the relationships between self-reported posttraumatic stress disorder (PTSD) symptoms, perceived positive relations with others, self-regulation strategy use, and academic motivation among student service members/veterans (SSM/V) enrolled in postsecondary education. Participants: SSM/V (N = 214), defined as veterans, active…

  15. When the clinic becomes a home. Successful VCT and ART services in a stressful environment

    Directory of Open Access Journals (Sweden)

    Jonathan Mensah Dapaah

    2016-01-01

    Full Text Available With the upscaling of antiretroviral therapy (ART in resource-poor countries, many HIV-positive persons in Ghana have been accessing treatment in hospitals. Prevalence is relatively low compared to other African countries, 1.30%. HIV/AIDS remains heavily stigmatised in Ghana, which influences the provision and use of ART. This article investigates how HIV-positive persons accessing care and treatment go about their everyday lives in the ART clinic and how they have eventually come to see the clinic as a safe place that they call ‘home’. The study took place in two Ghanaian hospitals in the Ashanti Region which in 2013 had the country’s highest HIV prevalence rate of 1.30% [Ghana Health Service [GHS]/National AIDS Control Programme [NACP] (2013. 2013 HIV Sentinel Survey Report, Accra, Ghana]. It was conducted through ethnographic research, with data gathered in the two facilities through participant observation, conversations and in-depth interviews. It took place over a period of 15 months, between 2007 and 2010. In all, 24 health workers and 22 clients were interviewed in depth, while informal conversations were held with many others. The findings show that clients have adopted the clinic as a second home and used it to carry out various activities in order to avoid identification and stigmatisation as People Living with AIDS (PLWA. The most dramatic outcome was that, contrary to Ghanaian norms and values, people turned to non-kin for assistance. Accordingly, fellow clients and health personnel, rather than relatives, have become their ‘therapy management group’ [Janzen, J. M. (1987. Therapy Management: Concept, Reality, Process. Medical Anthropology Quarterly, 1(1, 68–84]. The clients have thus created a fictive family within the clinic – made up of health workers (as ‘parents’, the clients themselves (as ‘children’ and the peer educators (as ‘aunts’ and ‘uncles’. In the face of persistent stigma associated with

  16. When the clinic becomes a home. Successful VCT and ART services in a stressful environment.

    Science.gov (United States)

    Dapaah, Jonathan Mensah; Spronk, Rachel

    2016-12-01

    With the upscaling of antiretroviral therapy (ART) in resource-poor countries, many HIV-positive persons in Ghana have been accessing treatment in hospitals. Prevalence is relatively low compared to other African countries, 1.30%. HIV/AIDS remains heavily stigmatised in Ghana, which influences the provision and use of ART. This article investigates how HIV-positive persons accessing care and treatment go about their everyday lives in the ART clinic and how they have eventually come to see the clinic as a safe place that they call 'home'. The study took place in two Ghanaian hospitals in the Ashanti Region which in 2013 had the country's highest HIV prevalence rate of 1.30% [Ghana Health Service [GHS]/National AIDS Control Programme [NACP] (2013). 2013 HIV Sentinel Survey Report, Accra, Ghana]. It was conducted through ethnographic research, with data gathered in the two facilities through participant observation, conversations and in-depth interviews. It took place over a period of 15 months, between 2007 and 2010. In all, 24 health workers and 22 clients were interviewed in depth, while informal conversations were held with many others. The findings show that clients have adopted the clinic as a second home and used it to carry out various activities in order to avoid identification and stigmatisation as People Living with AIDS (PLWA). The most dramatic outcome was that, contrary to Ghanaian norms and values, people turned to non-kin for assistance. Accordingly, fellow clients and health personnel, rather than relatives, have become their 'therapy management group' [Janzen, J. M. (1987). Therapy Management: Concept, Reality, Process. Medical Anthropology Quarterly, 1(1), 68-84]. The clients have thus created a fictive family within the clinic - made up of health workers (as 'parents'), the clients themselves (as 'children') and the peer educators (as 'aunts' and 'uncles'). In the face of persistent stigma associated with HIV infection in Ghana, the use of the

  17. Measurements of emission rates of hydrocarbons from sunflower as a function of temperature, light intensity and stress (ozone levels); Bestimmung von Emissionsraten pflanzlicher Kohlenwasserstoffe bei Sonnenblumen in Abhaengigkeit von Temperatur, Lichtintensitaet und Stress, insbesondere von der Belastung mit Ozon

    Energy Technology Data Exchange (ETDEWEB)

    Schuh, G.; Wildt, J.; Kley, D.

    1996-08-01

    The emission rates of isoprene, mono- and sesquiterpenes from sunflower (Helianthus annuus L. cv. giganteus) were determined in an environmental chamber, a continuously stirred tank reactor. {alpha}-pinene, {beta}-caryophyllene and two oxygenated compounds were emitted. The emission rates of all terpenes increased exponentially with temperature. Substance specific differences of the rate of increase of the emission rates were observed. For all substances the dependence of their emission rates on temperature increased with increasing light intensity. Increasing lightflux resulted in an increase of the emission rates for all substances. The raise of emission rates with lightflux was dependent on temperature and increased with increasing temperature. During periods without plant stress the emission rates exhibited a good correlation with the rate of transpiration as well as with the rate of net photosynthesis. Sunflowers emitted higher amounts of terpenes when they were stressed by mechanical, wounding and ozone treatment as well as nutrient- or water deficiency. The emission rates increased by a factor of 5-300. Exposure with ozone had an effect on hydrocarbon emission rates with a delay-time. 3-4 h after exposure with 25-120 ppb ozone the emission rates increased by factor of 5-100. This increase was only observed on the first day of exposure. Nutrient deficiency resulted in an increase of emission rates by a factor of 10-300. In situations of mechanical, wounding and ozone stress, substance specific changes in the emission spectrum were observed. A model was developed to explain the observed phenomena. The main pathway of ozone loss in the chamber is caused by the uptake through the stomata of the plants. However, up to 50% of the ozone loss must be explained by other processes indirectly caused by the plants. (orig./MG) [Deutsch] In Laborversuchen wurden Emissionsraten biogener Kohlenwasserstoffe von Sonnenblumen gemessen. Die groessten Emissionsraten wiesen die

  18. The optimal exercise intensity for the unbiased comparison of thermoregulatory responses between groups unmatched for body size during uncompensable heat stress.

    Science.gov (United States)

    Ravanelli, Nicholas; Cramer, Matthew; Imbeault, Pascal; Jay, Ollie

    2017-03-01

    We sought to identify the appropriate exercise intensity for unbiased comparisons of changes in rectal temperature (ΔT re ) and local sweat rates (LSR) between groups unmatched for body size during uncompensable heat stress. Sixteen males vastly different in body morphology were separated into two equal groups [small (SM): 65.8 ± 6.2 kg, 1.8 ± 0.1 m 2 ; large (LG): 100.0 ± 13.1 kg, 2.3 ± 0.1 m 2 ], but matched for sudomotor thermosensitivity (SM: 1.3 ± 0.6; LG: 1.1 ± 0.4 mg·cm -2 ·min -1 ·°C -1 ). The maximum potential for evaporation (E max ) for each participant was assessed using an incremental humidity protocol. On separate occasions, participants then completed 60 min of cycling in a 35°C and 70% RH environment at (1) 50% of VO 2max , (2) a heat production (H prod ) of 520 W, (3) H prod relative to mass (6 W·kg -1 ), and (4) H prod relative to mass above E max (3 W·kg -1 >E max ). E max was similar between LG (347 ± 39 W, 154 ± 15 W·m -2 ) and SM (313 ± 63 W, 176 ± 34 W·m -2 , P  >   0.12). ΔT re was greater in SM compared to LG at 520 W (SM: 1.5 ± 0.5; LG 0.8 ± 0.3°C, P  E max (SM: 1.4 ± 0.5; LG 1.3 ± 0.4°C, P  =   0.99). LSR was similar between LG and SM irrespective of condition, suggesting maximum LSR was attained (SM: 1.10 ± 0.23; LG: 1.07 ± 0.35 mg·cm -2 ·min -1 , P  =   0.50). In conclusion, systematic differences in ΔT re and LSR between groups unmatched for body size during uncompensable heat stress can be avoided by a fixed H prod in W·kg -1 or W·kg -1 >E max . © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

  19. Bleeding and pneumonia in intensive care patients given ranitidine and sucralfate for prevention of stress ulcer: meta-analysis of randomised controlled trials

    Science.gov (United States)

    Messori, A; Trippoli, S; Vaiani, M; Gorini, M; Corrado, A

    2000-01-01

    Objectives To determine the effectiveness of ranitidine and sucralfate in the prevention of stress ulcer in critical patients and to assess if these treatments affect the risk of nosocomial pneumonia. Design Published studies retrieved through Medline and other databases. Five meta-analyses evaluated effectiveness in terms of bleeding rates (A: ranitidine v placebo; B: sucralfate v placebo) and infectious complications in terms of incidence of nosocomial pneumonia (C: ranitidine v placebo; D: sucralfate v placebo; E: ranitidine v sucralfate). Trial quality was determined with an empirical ad hoc procedure. Main outcome measures Rates of clinically important gastrointestinal bleeding and nosocomial pneumonia (compared between the two study arms and expressed with odds ratios specific for individual studies and meta-analytic summary odds ratios). Results Meta-analysis A (five studies) comprised 398 patients; meta-analysis C (three studies) comprised 311 patients; meta-analysis D (two studies) comprised 226 patients: and meta-analysis E (eight studies) comprised 1825 patients. Meta-analysis B was not carried out as the literature search selected only one clinical trial. In meta-analysis A ranitidine was found to have the same effectiveness as placebo (odds ratio of bleeding 0.72, 95% confidence interval 0.30 to 1.70, P=0.46). In placebo controlled studies (meta-analyses C and D) ranitidine and sucralfate had no influence on the incidence of nosocomial pneumonia. In comparison with sucralfate, ranitidine significantly increased the incidence of nosocomial pneumonia (meta-analysis E: 1.35, 1.07 to 1.70, P=0.012). The mean quality score in the four analyses (on a 0 to 10 scale) ranged from 5.6 in meta-analysis E to 6.6 in meta-analysis A. Conclusions Ranitidine is ineffective in the prevention of gastrointestinal bleeding in patients in intensive care and might increase the risk of pneumonia. Studies on sucralfate do not provide conclusive results. These findings are

  20. Post-traumatic stress disorder and its predictors in emergency medical service personnel: a cross-sectional study from Karachi, Pakistan.

    Science.gov (United States)

    Kerai, Salima Mansoor; Khan, Uzma Rahim; Islam, Muhammad; Asad, Nargis; Razzak, Junaid; Pasha, Omrana

    2017-08-29

    Emergency medical service (EMS) personnel who work to provide emergency medical care at the scene and during transportation are exposed to various kinds of stressors and are particularly susceptible to developing stress-reactions. This study assesses symptoms of post-traumatic stress disorder and its predictors among the personnel of a selected EMS in Karachi, Pakistan. Data were gathered from 518 personnel working in an EMS setting from February to May 2014. Participants were screened for post-traumatic stress symptoms using the Impact of Event Scale-Revised (IES-R). Demographic and work-related characteristics, coping styles and the social support systems of the participants were assessed. Linear regression was used on the IES-R to identify predictors of post-traumatic stress symptoms. The mean score of the IES-R was 23.9 ± 12.1. EMS personnel with a dysfunctional coping style (β = 0.67 CI 0.39 - 0.95), anxiety, and depression (β = 0.64 CI 0.52 - 0.75) were more likely to have increased severity of post-traumatic stress symptoms. Age was found to have an inverse relationship with stress symptoms (β = -0.17 CI 0.33 - -0.023), indicating the susceptibility of younger EMS personnel to stress. The EMS personnel in this setting were found to have a moderate level of post-traumatic stress symptoms. The significant predictors of post-traumatic stress symptoms in this EMS population were age, coping style, and levels of anxiety and depression. These predicting factors can be a potential avenue for interventions to improve the mental health of these frontline workers.

  1. Associations between sedation, delirium and post-traumatic stress disorder and their impact on quality of life and memories following discharge from an intensive care unit.

    Science.gov (United States)

    Svenningsen, Helle

    2013-04-01

    In the intensive care units (ICUs) sedation strategies have changed in the past decade towards less sedation and daily wake-up calls. Recent studies indicate that no sedation (after intubation) is most beneficial for patients. A smaller number of these patients have been assessed for post-traumatic stress disorder (PTSD) after ICU discharge, but none of them were assessed for delirium while in the ICU. In other studies, delirium in the ICU is described as distressing for the patients and increasing morbidity, i.e. dementia after discharge and mortality. The associations between sedation, delirium, and PTSD have not previous been described. The aim of this PhD study was to investigate: 1) how sedation is associated with delirium in the ICU, 2) the consequences of delirium in relation to PTSD, anxiety, and depression, 3) the consequences of delirium for the patients' memories from ICU and the health-related quality of life after discharge. In a prospective observation study with patients admitted a minimum of 48 hours to the ICUs in Aarhus or Hillerød, we included all patients aged > 17 years. Non-Danish-speaking, patients transferred from other ICUs and patients with brain injury that made delirium-assessment impossible were excluded. Patients were interviewed face-to-face after 1 week, and at 2 months and 6 months by telephone using six different questionnaires. Among 3,066 patients admitted to the ICUs, 942 fulfilled the inclusion criteria. Primarily due to the inability to test for delirium, 302 patients were later excluded. Of the remaining 640 patients, 65% were delirious on 1 or more days. Fluctuations in sedation levels increased the risk of delirium statistically significantly with or without adjustments for age, gender, severity of illness, surgical/medical patient, or ICU site. After 2 months vs. 6 months, 297 patients vs. 248 patients were interviewed. PTSD was found in 7% vs. 5%, anxiety in 6% vs. 4%, and depression in 10% at both interviews. Delirium

  2. A comparison of families of children with autism spectrum disorders in family daily routines, service usage, and stress levels by regionality.

    Science.gov (United States)

    McAuliffe, Tomomi; Vaz, Sharmila; Falkmer, Torbjörn; Cordier, Reinie

    2017-11-01

    To explore whether family routines, service usage, and stress levels in families of children with autism spectrum disorder differ as a function of regionality. Secondary analysis of data was undertaken from 535 surveys. Univariate and multivariate analyses were performed to investigate differences between families living in densely populated (DP) areas and less densely populated (LDP) areas. Families living in LDP areas were found to: (1) have reduced employment hours (a two-parent household: Exp (B) = 3.48, p single-parent household: Exp (B) = 3.32, p = .011); (2) travel greater distance to access medical facilities (Exp (B) = 1.27, p = .006); and (3) report less severe stress levels (Exp (B) = 0.22, p = .014). There were no differences in family routines; however, flexible employment opportunities and travel distance to medical services need to be considered in families living in LDP areas.

  3. The Effect of Dexamethasone on Symptoms of Posttraumatic Stress Disorder and Depression After Cardiac Surgery and Intensive Care Admission: Longitudinal Follow-Up of a Randomized Controlled Trial.

    Science.gov (United States)

    Kok, Lotte; Hillegers, Manon H; Veldhuijzen, Dieuwke S; Cornelisse, Sandra; Nierich, Arno P; van der Maaten, Joost M; Rosseel, Peter M; Hofland, Jan; Sep, Milou S; Dieleman, Jan M; Vinkers, Christiaan H; Peelen, Linda M; Joëls, Marian; van Dijk, Diederik

    2016-03-01

    Cardiac surgery and postoperative admission to the ICU may lead to posttraumatic stress disorder and depression. Perioperatively administered corticosteroids potentially alter the risk of development of these psychiatric conditions, by affecting the hypothalamic-pituitary-adrenal axis. However, findings of previous studies are inconsistent. We aimed to assess the effect of a single dose of dexamethasone compared with placebo on symptoms of posttraumatic stress disorder and depression and health-related quality of life after cardiac surgery and ICU admission. Follow-up study of a randomized clinical trial. Five Dutch heart centers. Cardiac surgery patients (n = 1,244) who participated in the Dexamethasone for Cardiac Surgery trial. A single intraoperative IV dose of dexamethasone or placebo was administered in a randomized, double-blind way. Symptoms of posttraumatic stress disorder, depression, and health-related quality of life were assessed with validated questionnaires 1.5 years after randomization. Data were available for 1,125 patients (90.4%); of which 561 patients received dexamethasone and 564 patients received placebo. Overall, the prevalence of psychopathology was not influenced by dexamethasone. Posttraumatic stress disorder and depression were present in, respectively, 52 patients (9.3%) and 69 patients (12.3%) who received dexamethasone and in 66 patients (11.7%) and 78 patients (13.8%) who received placebo (posttraumatic stress disorder: odds ratio, 0.82; 95% CI, 0.55-1.20; p = 0.30; depression: odds ratio, 0.92; 95% CI, 0.64-1.31; p = 0.63). Subgroup analysis revealed a lower prevalence of posttraumatic stress disorder (odds ratio, 0.23; 95% CI, 0.07-0.72; p stress disorder and depression. However, in female patients, beneficial effects on the occurrence of posttraumatic stress disorder and depression may be present.

  4. Examining the Effects of a Service-Trained Facility Dog on Stress in Children Undergoing Forensic Interview for Allegations of Child Sexual Abuse.

    Science.gov (United States)

    Krause-Parello, Cheryl A; Thames, Michele; Ray, Colleen M; Kolassa, John

    2018-04-01

    Disclosure of child sexual abuse can be a stressful experience for the child. Gaining a better understanding of how best to serve the child, while preserving the quality of their disclosure, is an ever-evolving process. The data to answer this question come from 51 children aged 4-16 (M = 9.1, SD = 3.5), who were referred to a child advocacy center in Virginia for a forensic interview (FI) following allegations of sexual abuse. A repeated measures design was conducted to examine how the presence of a service-trained facility dog (e.g. animal-assisted intervention (AAI) may serve as a mode of lowering stress levels in children during their FIs. Children were randomized to one of the two FI conditions: experimental condition (service-trained facility dog present-AAI) or control condition (service-trained facility dog not present- standard forensic interview). Stress biomarkers salivary cortisol, alpha-amylase, immunoglobulin A (IgA), heart rate, and blood pressure, and Immunoglobulin A were collected before and after the FI. Self-report data were also collected. Results supported a significant decrease in heart rate for those in the experimental condition (p = .0086) vs the control condition (p = .4986). Regression models revealed a significant decrease in systolic and diastolic blood pressure in the experimental condition (p = .03285) and (p = .04381), respectively. Statistically significant changes in alpha-amylase and IgA were also found in relation to disclosure and type of offense. The results of this study support the stress reducing effects of a service-trained facility dog for children undergoing FI for allegations of child sexual abuse.

  5. High Temperature Performance Evaluation of As-serviced 25Cr35Ni Type Heat-resistant Steel Based on Stress Relaxation Tests

    Directory of Open Access Journals (Sweden)

    XU Jun

    2017-08-01

    Full Text Available Based on an as-serviced 25Cr35Ni type steel, the high temperature property evaluation using stress relaxation test(SRT method and residual life prediction were studied. The results show that creep rupture property decreases because of the formation of network carbides along grain boundaries and coarsening of secondary carbides in the austenitic matrix. Based on the relationship of stress relaxation strain rate curves obtained at different temperatures, and the extrapolation equation of stress relaxation rate-rupture time, it is capable to perform residual life evaluation by combining SRT data and a small amount of creep rupture test(CRT. Good agreement is observed for predicting results performed by current method and traditional method.

  6. Impact of an In-Service Training in Neurocognitive Insights on Teacher Stress, Teacher Professionalism and Teacher Student Relationships

    Science.gov (United States)

    Sneyers, Elien; Jacobs, Karen; Struyf, Elke

    2016-01-01

    The stressful nature of the teaching profession is recognised worldwide. Consistent with the recent international attention regarding the connection between neurocognition and education, the study "Learn2be@school" introduced a training for teachers about the occurrence of stress and the relationship between human behaviour and the…

  7. A Conceptual Framework to Address Stress-Associated Human Health Effects of Ecosystem Services Degraded by Disasters

    Science.gov (United States)

    Chronic stress leads to a variety of mental and physiological disorders, and stress effects are the primary concern after traumatic injury and exposure to infectious diseases or toxic agents from disaster events. We developed a conceptual model to address the question of whether...

  8. Value that cann't be copied. Assessing customer value in service creation at a large R&D intensive company

    NARCIS (Netherlands)

    Haar, van der J.W.; Kemp, R.G.M.; Omta, S.W.F.

    2001-01-01

    One of the greatest challenges for the industrial marketing manager is to incorporate the "voice of the customer" into the design of new products and services. In this paper, we suggest a three-step approach to fine-tune the product and service offerings of the company. We illustrate how to use a

  9. Parent Inclusion in Early Intensive Behavioral Intervention: The Influence of Parental Stress, Parent Treatment Fidelity and Parent-Mediated Generalization of Behavior Targets on Child Outcomes

    Science.gov (United States)

    Strauss, Kristin; Vicari, Stefano; Valeri, Giovanni; D'Elia, Lidia; Arima, Serena; Fava, Leonardo

    2012-01-01

    Although early intensive behavior interventions have been efficient in producing positive behavior outcome in young children with Autism Spectrum Disorder, there is a considerable variety in the children's progress. Research has suggested that parental and treatment factors are likely to affect children's response to treatment. The purpose of the…

  10. Water stress from high-volume hydraulic fracturing potentially threatens aquatic biodiversity and ecosystem services in Arkansas, United States

    Science.gov (United States)

    Entrekin, Sally; Trainor, Anne; Saiers, James; Patterson, Lauren; Maloney, Kelly O.; Fargione, Joseph; Kiesecker, Joseph M.; Baruch-Mordo, Sharon; Konschnik, Katherine E.; Wiseman, Hannah; Nicot, Jean-Philippe; Ryan, Joseph N.

    2018-01-01

    Demand for high-volume, short duration water withdrawals could create water stress to aquatic organisms in Fayetteville Shale streams sourced for hydraulic fracturing fluids. We estimated potential water stress using permitted water withdrawal volumes and actual water withdrawals compared to monthly median, low, and high streamflows. Risk for biological stress was considered at 20% of long-term median and 10% of high- and low-flow thresholds. Future well build-out projections estimated potential for continued stress. Most water was permitted from small, free-flowing streams and “frack” ponds (dammed streams). Permitted 12-h pumping volumes exceeded median streamflow at 50% of withdrawal sites in June, when flows were low. Daily water usage, from operator disclosures, compared to median streamflow showed possible water stress in 7–51% of catchments from June–November, respectively. If 100% of produced water was recycled, per-well water use declined by 25%, reducing threshold exceedance by 10%. Future water stress was predicted to occur in fewer catchments important for drinking water and species of conservation concern due to the decline in new well installations and increased use of recycled water. Accessible and precise withdrawal and streamflow data are critical moving forward to assess and mitigate water stress in streams that experience high-volume withdrawals.

  11. Water Stress from High-Volume Hydraulic Fracturing Potentially Threatens Aquatic Biodiversity and Ecosystem Services in Arkansas, United States.

    Science.gov (United States)

    Entrekin, Sally; Trainor, Anne; Saiers, James; Patterson, Lauren; Maloney, Kelly; Fargione, Joseph; Kiesecker, Joseph; Baruch-Mordo, Sharon; Konschnik, Katherine; Wiseman, Hannah; Nicot, Jean-Philippe; Ryan, Joseph N

    2018-02-20

    Demand for high-volume, short duration water withdrawals could create water stress to aquatic organisms in Fayetteville Shale streams sourced for hydraulic fracturing fluids. We estimated potential water stress using permitted water withdrawal volumes and actual water withdrawals compared to monthly median, low, and high streamflows. Risk for biological stress was considered at 20% of long-term median and 10% of high- and low-flow thresholds. Future well build-out projections estimated potential for continued stress. Most water was permitted from small, free-flowing streams and "frack" ponds (dammed streams). Permitted 12-h pumping volumes exceeded median streamflow at 50% of withdrawal sites in June, when flows were low. Daily water usage, from operator disclosures, compared to median streamflow showed possible water stress in 7-51% of catchments from June-November, respectively. If 100% of produced water was recycled, per-well water use declined by 25%, reducing threshold exceedance by 10%. Future water stress was predicted to occur in fewer catchments important for drinking water and species of conservation concern due to the decline in new well installations and increased use of recycled water. Accessible and precise withdrawal and streamflow data are critical moving forward to assess and mitigate water stress in streams that experience high-volume withdrawals.

  12. Residual and working stresses in pipe joints in heterogeneous metals, due to common action of welding and service loads

    International Nuclear Information System (INIS)

    Kiselev, S.N.; Voronin, N.N.; Roshchin, V.V.

    1978-01-01

    The stresses in the welded joints of cylindrical shells are studied, which are caused by the total effect of the thermal deformation welding cycles, by the preheats connected with the thermal treatment or operation, and by power loads. Studied were the shell joints made of the steels Kh18N10T and St.3, as well as the joints of three shells made of different metals, St.3+18N1aT steel+copper. The schematic diagram showing the residual stresses set up under effect of different factors are presented. The following has been shown by the study: the preheating of the welded joints of the shells made of diverse metals up to the operational temperatures does not result in obviating the residual stresses. If the welded shells are loaded by the internal pressure up to the stresses of (0.8-O.9) sigmasub(T), in certain cases an essential (up to 60-70%) reduction in the residual welding stresses may be obtained. The effectiveness of a variation in the residual stresses is reduced in the joints that have been thermally treated after welding. The working stresses set up in the welded joints of the shells made of different metals under the operational loading may be essentially reduced through initial preheating with the application of a pressure or without it. The preheating temperature and the pressures applied may be chosen so that to create the residual strains and the stresses of inverse sign as compared with the working stresses

  13. Recruiting intensity

    OpenAIRE

    R. Jason Faberman

    2014-01-01

    To hire new workers, employers use a variety of recruiting methods in addition to posting a vacancy announcement. The intensity with which employers use these alternative methods can vary widely with a firm’s performance and with the business cycle. In fact, persistently low recruiting intensity helps to explain the sluggish pace of US job growth following the Great Recession.

  14. Culture of innovation and business competitiveness in knowledge intensive services.The mediating role of co-creative culture; Cultura innovadora y competitividad en las empresas de servicios intensivos en conocimiento. El papel mediador de la cultura co-creadora

    Energy Technology Data Exchange (ETDEWEB)

    Santos Vijande, M. L.; Gonzalez Mieres, C.; Lopez Sanchez, J. A.

    2012-07-01

    This research investigates the relationship between innovative culture and performance among knowledge-intensive business services (KIBS). Performance indicators include customer-related outcomes and market and financial results relative to competition. To provide insight into how inattentiveness contributes to sustaining a KIBS' competitiveness, the mediating role of the predisposition to involve customers and front-line employees in new service development is also considered. In accordance with the objectives of the research, and from an extensive review of the literature, the conceptual model proposed is tested on a sample of 154 Spanish KIBS using structural equation modelling. Results show that KIBS appraisal of customers and front-line employees participation in new service co-creation is strongly determined by the firm's innovative culture. (Author)

  15. Operational Stress Control and Readiness (OSCAR): The United States Marine Corps Initiative to Deliver Mental Health Services to Operating Forces

    National Research Council Canada - National Science Library

    Nash, William P

    2006-01-01

    .... The role of military mental health professionals in combat/operational stress control is to adapt scientific tools for prevention, identification, and treatment for use by military leaders at all levels...

  16. Perceived job stress and health complaints at a bank call center: comparison between inbound and outbound services.

    Science.gov (United States)

    Lin, Yen-Hui; Chen, Chih-Yong; Hong, Wei-Hsien; Lin, Yu-Chao

    2010-01-01

    This study investigated how perceived job stress and health status differ, as well as the relationships to inbound (incoming calls) versus outbound (outgoing calls) calling activities, for call center workers in a bank in Taiwan. The sample bank employed 289 call center workers at the time of the survey, ranging in age from 19 to 54 yr old. Data were obtained on individual factors, health complaints, perceived level job stress, and major job stressors. Overall, 33.5% of outbound operators and 27.1% of inbound operators reported frequently or always experiencing high stress at work, however, the differences between inbound and outbound operators were insignificant. "Having to deal with difficult customers" was the most frequent job stressor for all workers. Musculoskeletal discomfort, eye strain, and hoarse or sore throat were the most prevalent complaints among call center workers. The relationship between perceived job stress and health complaints indicated that workers who perceived higher job stress had significantly increased risk of multiple health problems, including eye strain, tinnitus, hoarse or sore throat, chronic cough with phlegm, chest tightness, irritable stomach or peptic ulcers, and musculoskeletal discomfort (with odds ratios ranging from 2.13 to 8.24). These analytical results suggest that perceived job stress in the call center profoundly affected worker health. This study identified main types of job stressors requiring further investigation.

  17. Intensive Care Unit

    Science.gov (United States)

    ... and job burnout. Possible Solutions Educate employees and management about job stress. Address work-related stressors, such as inadequate ... workload is in line with workers' capabilities and resources. Design ... Department of Health and Human Services (DHHS) National Institute for Occupational Safety and ...

  18. The physical and mental health of Australian Vietnam veterans 3 decades after the war and its relation to military service, combat, and post-traumatic stress disorder.

    Science.gov (United States)

    O'Toole, Brian I; Catts, Stanley V; Outram, Sue; Pierse, Katherine R; Cockburn, Jill

    2009-08-01

    The long-term health consequences of war service remain unclear, despite burgeoning scientific interest. A longitudinal cohort study of a random sample of Australian Vietnam veterans was designed to assess veterans' postwar physical and mental health 36 years after the war (2005-2006) and to examine its relation to Army service, combat, and post-traumatic stress disorder (PTSD) assessed 14 years previously (1990-1993). Prevalences in veterans (n = 450) were compared with those in the Australian general population. Veterans' Army service and data from the first assessments were evaluated using multivariate logistic regression prediction modeling. Veterans' general health and some health risk factors were poorer and medical consultation rates were higher than Australian population expectations. Of 67 long-term conditions, the prevalences of 47 were higher and the prevalences of 4 were lower when compared with population expectations. Half of all veterans took some form of medication for mental well-being. The prevalence of psychiatric diagnoses exceeded Australian population expectations. Military and war service characteristics and age were the most frequent predictors of physical health endpoints, while PTSD was most strongly associated with psychiatric diagnoses. Draftees had better physical health than regular enlistees but no better mental health. Army service and war-related PTSD are associated with risk of illness in later life among Australian Vietnam veterans.

  19. Seismic Intensity Map Triggered by Observed Strong Motion Records Considering Site Amplification and its service based on Geo-spatial International Standard

    International Nuclear Information System (INIS)

    Matsuoka, Masashi

    2014-01-01

    Instrumental seismic intensity measurement is carried out at approximately 4,200 points in Japan, but the correct values at points without seismometers cannot always be provided because seismic motion depends on geologic and geomorphologic features. Quick provision of accurate information on seismic intensity distribution over wide areas is required for disaster mitigation. To estimate seismic intensity at specific points, it is important to prepare ground amplification characteristics for local areas beforehand and use an interpolation algorithm. The QuiQuake system (quick estimation system for earthquake maps triggered by using observation records from K-NET and KiK-net that have been released by the National Research Institute for Earth Science and Disaster Prevention), which uses these, was developed; it can be started up automatically using seismograms and can immediately display a seismic intensity distribution map. The calculation results are sent to IAEA and JNES in the form of strong motion evaluation maps with a mesh size of 250 x 250 m. These maps are also sent to the general public via social networking web sites. (author)

  20. Experts stress both wellness and amenity aspects of food and nutrition services in assisted living facilities for older adults

    Science.gov (United States)

    There has been no consensus on best practices in food and nutrition services in assisted living facilities (ALFs) for older adults. We documented experts’ views on optimal food and nutrition services emphases in ALFs, and factors affecting their views. One hundred thirty-five national experts speci...

  1. Experts stress both wellness and amenity aspects of food and nutrition services in assisted living facilities for older adults.

    Science.gov (United States)

    Chao, Shirley Y; Dwyer, Johanna T; Houser, Robert F; Jacques, Paul; Tennstedt, Sharon

    2008-10-01

    There has been no consensus on best practices in food and nutrition services in assisted living facilities for older adults. We documented experts' views on optimal food and nutrition services emphases in assisted living facilities, and factors affecting their views. One hundred thirty-five national experts specializing in health, aging, nutrition and assisted living facilities completed a survey consisting four scenarios (ie, home-style, restaurant/hotel, and health/medical, and a combination of these three) in six food and nutrition services areas: dining room environment, meal services, meal quality, nutrition services, employees' qualifications, and therapeutic nutrition services. Sixty-three percent of experts favored the combination scenario. Dietetics education and experts' beliefs that assisted living facilities should be health promotion and maintenance facilities were significant predictors of emphases, including wellness considerations. Experts' personal views exerted a powerful influence. Experts chose food and nutrition service quality indicators that emphasized a focus on both wellness and amenities as their ideal scenarios for optimal food and nutrition services in assisted living facilities.

  2. Stress in nurses working in intensive care units El estrés de los enfermeros que actúan en una unidad de terapia intensiva Estresse de enfermeiros com atuação em unidade de terapia intensiva

    Directory of Open Access Journals (Sweden)

    Ana Maria Cavalheiro

    2008-02-01

    Full Text Available The present study aimed to identify the presence of stress in nurses working in intensive care units, the stressing agents and symptoms associated to the nurses' perceptions of stress, and to assess the correlation between the occurrence of stress, sources of stress, and symptoms shown by the nurses. Seventy-five nurses took part in the study. The data were collected from questionnaires, analyzed with the Pearson correlation coefficients, and adjusted by general linear models. The study showed the presence of stress related to work dissatisfaction, activities regarded as critical situations in intensive care units, symptoms related to cardiovascular, digestive and musculoskeletal disorders. The conclusion is that stress is present in nurses' activities in intensive care units, related to characteristics of the health area itself, causing dissatisfaction and stress-related symptoms.El presente estudio tuvo como objetivos: identificar la presencia de estrés en enfermeros que trabajan en unidades de terapia intensiva; identificar a los agentes estresantes y a los síntomas asociados al estrés, según la percepción del enfermero; y, evaluar la correlación entre la presencia del estrés, las fuentes del estrés y los síntomas presentados por los enfermeros. Setenta y cinco enfermeros participaron del estudio. Los datos fueron recolectados por medio de cuestionarios. El análisis fue realizado utilizando los coeficientes de correlación de Pearson y ajustando con modelos lineales generalizados. El estudio mostró la presencia de estrés correlacionado a: la insatisfacción en el trabajo; a las actividades consideradas como situaciones críticas en unidad de terapia intensiva; a los síntomas relacionados con alteraciones cardiovasculares; al aparato digestivo y a los músculos del esqueleto. La conclusión del estudio es que el estrés está presente en la actividad del enfermero en las unidades de terapia intensiva y está correlacionado a

  3. The Effects of Adult Day Services on Family Caregivers’ Daily Stress, Affect, and Health: Outcomes From the Daily Stress and Health (DaSH) Study

    OpenAIRE

    Zarit, Steven H.; Kim, Kyungmin; Femia, Elia E.; Almeida, David M.; Klein, Laura C.

    2013-01-01

    Purpose: We examine the effects of use of adult day service (ADS) by caregivers of individuals with dementia (IWD) on daily stressors, affect, and health symptoms. Participants were interviewed for 8 consecutive days. On some days, the IWD attended an ADS program and on the other days caregivers provide most or all of the care at home. Methods: Participants were 173 family caregivers of IWDs using an ADS program. Daily telephone interviews assessed care-related stressors, noncare stressors, p...

  4. Stress Management and Gifted Children

    Science.gov (United States)

    Patel, Vidisha A.

    2009-01-01

    Stress can affect anyone, and gifted children are no exception. Giftedness can sometimes be the cause of the stress. Perfectionism, sensitivity, and intensity are characteristics of gifted children that may exacerbate stress. Stress can be constructive. Prolonged stress, however, with no time to re