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Sample records for surgical grand rounds

  1. Re-examining the value of medical grand rounds.

    Science.gov (United States)

    Hebert, Randy S; Wright, Scott M

    2003-12-01

    To study medical grand rounds, the cornerstone of a department of medicine's educational programs. Between April and June 2001, a questionnaire was sent to chairs of departments of medicine at the 389 U.S. hospitals with medicine residency programs accredited by the Accreditation Council for Graduate Medical Education. Data were collected on the objectives and attendance, educational structure, perceived quality, and costs of medical grand rounds. Three hundred questionnaires were returned (77%). Grand rounds were offered by 97% of departments and accredited for continuing medical education in 96% of hospitals. The most important objectives were to educate, showcase faculty role models, and promote a collegial atmosphere. Patients were present at grand rounds less than 3% of the time. Grand rounds were predominantly lecture based; only 10% were clinical case presentations or interactive workshops/small groups, the formats proven most effective for facilitating adult learning and a humanistic approach to patients. Curricular tenets of needs assessment, program evaluation, and knowledge assessment were performed in only 73%, 59%, and 17% of programs, respectively. University hospitals were less likely to incorporate these principles (p <.01). Although respondents attested to the high quality of grand rounds, many potential attendees missed more than half the sessions. Grand rounds were the most expensive conference in 78% of departments, with the pharmaceutical industry providing the majority of the funding. Medical grand rounds are costly and often do not take into account learners' needs. Departments of medicine should reevaluate their commitment to grand rounds.

  2. Integrated telemedicine workstation for intercontinental grand rounds

    Science.gov (United States)

    Willis, Charles E.; Leckie, Robert G.; Brink, Linda; Goeringer, Fred

    1995-04-01

    The Telemedicine Spacebridge to Moscow was a series of intercontinental sessions sponsored jointly by NASA and the Moscow Academy of Medicine. To improve the quality of medical images presented, the MDIS Project developed a workstation for acquisition, storage, and interactive display of radiology and pathology images. The workstation was based on a Macintosh IIfx platform with a laser digitizer for radiographs and video capture capability for microscope images. Images were transmitted via the Russian Lyoutch Satellite which had only a single video channel available and no high speed data channels. Two workstations were configured -- one for use at the Uniformed Services University of Health Sciences in Bethesda, MD. and the other for use at the Hospital of the Interior in Moscow, Russia. The two workstations were used may times during 16 sessions. As clinicians used the systems, we modified the original configuration to improve interactive use. This project demonstrated that numerous acquisition and output devices could be brought together in a single interactive workstation. The video images were satisfactory for remote consultation in a grand rounds format.

  3. Clinical Immersion and Biomedical Engineering Design Education: "Engineering Grand Rounds".

    Science.gov (United States)

    Walker, Matthew; Churchwell, André L

    2016-03-01

    Grand Rounds is a ritual of medical education and inpatient care comprised of presenting the medical problems and treatment of a patient to an audience of physicians, residents, and medical students. Traditionally, the patient would be in attendance for the presentation and would answer questions. Grand Rounds has evolved considerably over the years with most sessions being didactic-rarely having a patient present (although, in some instances, an actor will portray the patient). Other members of the team, such as nurses, nurse practitioners, and biomedical engineers, are not traditionally involved in the formal teaching process. In this study we examine the rapid ideation in a clinical setting to forge a system of cross talk between engineers and physicians as a steady state at the praxis of ideation and implementation.

  4. Ethical Grand Rounds: Teaching Ethics at the Point of Care.

    Science.gov (United States)

    Airth-Kindree, Norah M M; Kirkhorn, Lee-Ellen C

    2016-01-01

    We offer an educational innovation called Ethical Grand Rounds (EGR) as a teaching strategy to enhance ethical decision-making. Nursing students participate in EGR-flexible ethical laboratories, where they take stands on ethical dilemmas, arguing for--or against--an ethical principle. This process provides the opportunity to move past normative ethics, that is, an ideal ethical stance in accord with ethical conduct codes, to applied ethics, what professional nurses would do in actual clinical practice, given the constraints that exist in contemporary care settings. EGR serves as a vehicle to translate "what ought to be" into "what is."

  5. Quality Improvement-Focused Departmental Grand Rounds Reports: A Strategy to Engage General Surgery Residents.

    Science.gov (United States)

    Abelson, Jonathan S; Mitchell, Katrina B; Afaneh, Cheguevera; Rich, Barrie S; Frey, Theresa J; Gellman, Carol; Pomp, Alfons; Michelassi, Fabrizio

    2016-05-01

    Background Many institutions are seeking ways to enhance their surgical trainees' quality improvement (QI) skills. Objective To educate trainees about the importance of lifelong performance improvement, chief residents at New York Presbyterian Hospital-Weill Cornell Medicine are members of a multidisciplinary QI team tasked with improving surgical outcomes. We describe the process and the results of this effort. Methods Our analysis used 2 data sources to assess complication rates: the National Surgical Quality Improvement Program (NSQIP) and ECOMP, our own internal complication database. Chief residents met with a multidisciplinary QI team to review complication rates from both data sources. Chief residents performed a case-by-case analysis of complications and a literature search in areas requiring improvement. Based on this information, chief residents met with the multidisciplinary team to select interventions for implementation, and delivered QI-focused grand rounds summarizing the QI process and new interventions. Results Since 2009, chief residents have presented 16 QI-focused grand rounds. Urinary tract infections (UTIs) and surgical site infections (SSIs) were the most frequently discussed. Interventions to improve UTIs and SSIs were introduced to the department of surgery through these reports in 2011 and 2012. During this time we saw improvement in outcomes as measured by NSQIP odds ratio. Conclusions Departmental grand rounds are a suitable forum to review NSQIP data and our internal, resident-collected data as a means to engage chief residents in QI improvement, and can serve as a model for other institutions to engage surgery residents in QI projects.

  6. Implementing Patient Family-Centered Care Grand Rounds Using Patient/Family Advisor Narratives

    OpenAIRE

    Maureen B Fagan DNP, MHA, FNP-BC; Celene Wong MHA; Martha B Carnie AS; Stanley W Ashley MD; Jacqueline G Somerville RN, PhD

    2015-01-01

    With the emerging trend of patient family–centered care in health care, it is essential that physicians be exposed to patient and family perspectives of care during medical education and training. Grand Rounds provides an ideal format for physicians to learn about patient family–centered care. At Brigham and Women’s Hospital, we sought to bring the voice of the patient to Patient Family–Centered Grand Rounds in order to expose clinicians to rich narratives describing the medical care received...

  7. Multicultural Grand Rounds: Competency-Based Training Model for Clinical Psychology Graduate Students

    Science.gov (United States)

    Stites, Shana D.; Warholic, Christina L.

    2014-01-01

    Preparing students to enter the field of psychology as competent professionals requires that multicultural practices be infused into all areas of training. This article describes how the Grand Rounds model was adapted to a graduate clinical psychology training program to foster applied learning in multicultural competence. This extension of Grand…

  8. Multicultural Grand Rounds: Competency-Based Training Model for Clinical Psychology Graduate Students

    Science.gov (United States)

    Stites, Shana D.; Warholic, Christina L.

    2014-01-01

    Preparing students to enter the field of psychology as competent professionals requires that multicultural practices be infused into all areas of training. This article describes how the Grand Rounds model was adapted to a graduate clinical psychology training program to foster applied learning in multicultural competence. This extension of Grand…

  9. Implementing Patient Family-Centered Care Grand Rounds Using Patient/Family Advisor Narratives

    Directory of Open Access Journals (Sweden)

    Maureen B Fagan DNP, MHA, FNP-BC

    2015-11-01

    Full Text Available With the emerging trend of patient family–centered care in health care, it is essential that physicians be exposed to patient and family perspectives of care during medical education and training. Grand Rounds provides an ideal format for physicians to learn about patient family–centered care. At Brigham and Women’s Hospital, we sought to bring the voice of the patient to Patient Family–Centered Grand Rounds in order to expose clinicians to rich narratives describing the medical care received by patients/families and to ultimately change physician practice to reflect patient family–centered principles. We conducted a clinician survey and found promising results indicating that patient/family narratives can be effective at educating physicians about patient family–centered care.

  10. Medical grand rounds. West Virginia University Health Sciences Center. Bites and stings. Part 1. Spiders.

    Science.gov (United States)

    Ullrich, I H

    1989-04-01

    Most animals can bite or sting. In narrowing the kingdom down to those that harm humans, the field still is vast. It would be interesting to explore the rich variety of pathology produced in us by moray eels, lionfish, sea urchins, jellyfish, sting rays, fire ants, kissing bugs, flies, lice, mosquitoes, ticks, mites, fleas, puss caterpillars, centipedes, snakes, dogs and cats, camels, and myriad other creatures including homo sapiens (not a trivial biter)--but for this grand rounds, the topic will simply be spiders (Part 1), bees and vespid (Part 2). Vespids are the wasps, yellow jackets and hornets.

  11. Diagnostic grand rounds: A new teaching concept to train diagnostic reasoning

    Energy Technology Data Exchange (ETDEWEB)

    Stieger, Stefan, E-mail: stefan.stieger@univie.ac.at [Department of Basic Psychological Research, School of Psychology, University of Vienna, Liebiggasse 5, A-1010 Vienna (Austria); Praschinger, Andrea, E-mail: andrea.praschinger@meduniwien.ac.at [Core Unit for Medical Education (BEMAW), Medical University of Vienna, Spitalgasse 23, BT87, P.O. 10, A-1097 Vienna (Austria); Kletter, Kurt, E-mail: kurt.kletter@meduniwien.ac.at [Department of Nuclear Medicine, General Hospital of Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Kainberger, Franz, E-mail: franz.kainberger@meduniwien.ac.at [Department of Radiology, General Hospital of Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria)

    2011-06-15

    Introduction: Diagnostic reasoning is a core skill in teaching and learning in undergraduate curricula. Diagnostic grand rounds (DGRs) as a subform of grand rounds are intended to train the students' skills in the selection of appropriate tests and in the interpretation of test results. The aim of this study was to test DGRs for their ability to improve diagnostic reasoning by using a pre-post-test design. Methods: During one winter term, all 398 fifth-year students (36.1% male, 63.9% female) solved 23 clinical cases presented in 8 DGRs. In an online questionnaire, a Diagnostic Thinking Inventory (DTI) with 41 items was evaluated for flexibility in thinking and structure of knowledge in memory. Results were correlated with those from a summative multiple-choice knowledge test and of the learning objectives in a logbook. Results: The students' DTI scores in the post-test were significantly higher than those reported in the pre-test. DTI scores at either testing time did not correlate with medical knowledge as assessed by a multiple-choice knowledge test. Abilities acquired during clinical clerkships as documented in a logbook could only account for a small proportion of the increase in the flexibility subscale score. This effect still remained significant after accounting for potential confounders. Conclusion: Establishing DGRs proofed to be an effective way of successfully improving both students' diagnostic reasoning and the ability to select the appropriate test method in routine clinical practice.

  12. Reliability of a seminar grading rubric in a grand rounds course

    Directory of Open Access Journals (Sweden)

    Eric J MacLaughlin

    2010-09-01

    Full Text Available Eric J MacLaughlin1, David S Fike1, Carlos A Alvarez2, Charles F Seifert3, Amie T Blaszczyk2Texas Tech University Health Sciences School of Pharmacy, Department of Pharmacy Practice, 1Amarillo, 2Dallas, 3Lubbock, Texas, USAPurpose: Formal presentations are a common requirement for students in health professional programs, and evaluations are often viewed as subjective. To date, literature describing the reliability or validity of seminar grading rubrics is lacking. The objectives of this study were to characterize inter-rater agreement and internal consistency of a grading rubric used in a grand rounds seminar course.Methods: Retrospective study of 252 student presentations given from fall 2007 to fall 2008. Data including student and faculty demographics, overall content score, overall communication scores, subcomponents of content and communication, and total presentation scores were collected. Statistical analyses were performed using SPSS, 16.0.Results: The rubric demonstrated internal consistency (Cronbach’s alpha = 0.826. Mean grade difference between faculty graders was 4.54 percentage points (SD = 3.614, with ≤ 10-point difference for 92.5% of faculty evaluations. Student self evaluations correlated with faculty scores for content, communication, and overall presentation (r = 0.513, r = 0.455, and r = 0.539; P < 0.001 for all respectively. When comparing mean faculty scores to student’s self-evaluations between quintiles, students with lower faculty evaluations overestimated their performance, and those with high faculty evaluations underestimated their performance (P < 0.001.Conclusion: The seminar evaluation rubric demonstrated inter-rater agreement and internal consistency. Keywords: seminar, public speaking, evaluation, grand rounds

  13. The Asia-Pacific Academy of Ophthalmology's Grand Rounds Around the World-An Online Educational Program Freely Accessible to All.

    Science.gov (United States)

    Lam, Dennis; Leung, Christopher; He, Mingguang; Tham, Clement; Liu, Yizhi; Pang, Calvin; Martin, Frank

    2012-01-01

    Grand rounds are excellent learning platforms for physicians and other health care professionals to keep up with important evolving areas in the management and treatment models of various diseases. However, there are hardly any freely accessible grand rounds in ophthalmology to meet the need for ophthalmic education in the Asia-Pacific region and beyond. The Asia-Pacific Academy of Ophthalmology would like to meet the need by sponsoring a new initiative "Grand Rounds Around the World" so that ophthalmologists and eye care professionals in the Asia-Pacific region and beyond can benefit from the program, leading to improved patient care and the elimination of learning barriers.

  14. Medical grand rounds in Riyadh, Saudi Arabia: Current attitudes and barriers

    Directory of Open Access Journals (Sweden)

    Mohammad Alqahtani

    2015-01-01

    Full Text Available Background: Medical grand rounds (MGRs are considered key educational tools in most academic medical institutions. In this multi-center cross-sectional survey, we tried to determine the current attitudes of local medical practitioners to MGRs, as well as perceived barriers. Methodology: A total of 120 physicians from the National Guard Hospital, King Fahad Medical City, King Khalid University Hospital and King Faisal Specialist Hospital participated in the survey. The questionnaire consisted of statements on attitudes and perceived barriers against participating in MGRs, as well as participants′ levels of agreement. Results: Most participants attend MGRs regularly (94.2%, claiming that it is mandatory (88%. Participants also agreed that MGRs were important tools for continuing medical education (89.2% and that they provided an opportunity to both present materials and interact with their colleagues in other divisions (86.7% and 81.6%, respectively. The vast majority of respondents agreed that "topic review/update" and "inviting guest speakers" were the two most preferred suggestions for improving MGRs (94.2% and 92.5%, respectively. Major barriers included constraints of time (43.3% and topics that were not patient-related (40.8%. Conclusion: MGRs in the major Tertiary Hospitals in Riyadh are well attended, and the majority of the local practitioners believe in the positive effect of MGRs in delivering quality and up to date medical knowledge. Time and physician-specific issues were identified as major barriers that needed to be addressed in order to maximize participation of medical staff.

  15. A Daily Goals Tool to Facilitate Indirect Nurse-Physician Communication During Morning Rounds on a Medical-Surgical Unit.

    Science.gov (United States)

    Perry, Veronica; Christiansen, Mollie; Simmons, Angela

    2016-01-01

    Interprofessional bedside rounds are essential for patient-centered care. However, it may be difficult for nurses to round with physicians on medical-surgical units. Using a daily goals tool for indirect rounds improved nurse-physician communication and interprofessional care for patients.

  16. Development of an adhesive surgical ward round checklist: a technique to improve patient safety.

    LENUS (Irish Health Repository)

    Dhillon, P

    2012-02-01

    Checklists have been shown to improve patient outcomes. Checklist use is seen in the pre-operative to post-operative phases of the patient pathway. An adhesive checklist was developed for ward rounds due to the positive impact it could have on improving patient safety. Over an eight day period data were collected from five consultant-led teams that were randomly selected from the surgical department and divided into sticker groups and control groups. Across the board percentage adherence to the Good Surgical Practice Guidelines (GSPG) was markedly higher in the sticker study group, 1186 (91%) in comparison with the control group 718 (55%). There was significant improvement of documentation across all areas measured. An adhesive checklist for ward round note taking is a simple and cost-effective way to improve documentation, communication, hand-over, and patient safety. Successfully implemented in a tertiary level centre in Dublin, Ireland it is easily transferable to other surgical departments globally.

  17. Education Research: An exploration of case-based learning in neuroscience grand rounds using the Delphi technique.

    Science.gov (United States)

    Rigby, Heather; Schofield, Susie; Mann, Karen; Benstead, Timothy

    2012-07-17

    Neuroscience grand rounds (NSGR) is a key educational exercise in most academic medical centers. Despite its importance, there are few published studies evaluating the manner in which it is conducted. Our objective was to obtain consensus opinion from staff neurologists, neurosurgeons, neuroradiologists, and neuropathologists on the features that best characterize a highly educational NSGR. Using the Delphi technique, multiple rounds of questionnaires were presented to a panel of neurologists, neurosurgeons, neuropathologists, and neuroradiologists. The anonymous responses were analyzed and fed back to participants. Each round, the participants were given the opportunity to react to collective opinion by changing their response or by presenting arguments in favor or against the item in question. We found that support for NSGR in its present form is high and that particularly strong support exists for 1) case-based rounds, 2) high level of audience interaction, 3) resident participation in case presentation and analysis, 4) formal training for residents in leading case-based presentations, and 5) resident feedback and evaluation. Our results offer centers that use a case-based format for NSGR with guidance to maximize the important learning opportunity that it provides. We provide an organized evaluation of expert opinion on how this important educational exercise should be conducted. The results expose some fresh insights into traditional values in medical education.

  18. Shaped versus Round Implants in Breast Reconstruction: A Multi-Institutional Comparison of Surgical and Patient-Reported Outcomes.

    Science.gov (United States)

    Khavanin, Nima; Clemens, Mark W; Pusic, Andrea L; Fine, Neil A; Hamill, Jennifer B; Kim, H Myra; Qi, Ji; Wilkins, Edwin G; Kim, John Y S

    2017-05-01

    Since the 2012 approval of shaped implants, their use in breast reconstruction has increased in the United States. However, large-scale comparisons of complications and patient-reported outcomes are lacking. The authors endeavored to compare surgical and patient-reported outcomes across implant types. The Mastectomy Reconstruction Outcomes Consortium database was queried for expander/implant reconstructions with at least 1-year postexchange follow-up (mean, 18.5 months). Outcomes of interest included postoperative complications, 1-year revisions, and patient-reported outcomes. Bivariate and mixed-effects regression analyses evaluated the effect of implant type on patient outcomes. Overall, 822 patients (73.5 percent) received round and 297 patients (26.5 percent) received shaped implants. Patients undergoing unilateral reconstructions with round implants underwent more contralateral symmetry procedures, including augmentations (round, 18.7 percent; shaped, 6.8 percent; p = 0.003) and reductions (round, 32.2 percent; shaped, 20.5 percent; p = 0.019). Shaped implants were associated with higher rates of infection (shaped, 6.1 percent; round, 2.3 percent; p = 0.002), that remained significant after multivariable adjustment. Other complication rates did not differ significantly between cohorts. Round and shaped implants experienced similar 2-year patient-reported outcome scores. This prospective, multicenter study is the largest evaluating outcomes of shaped versus round implants in breast reconstruction. Although recipients of round implants demonstrated lower infection rates compared with shaped implants, these patients were more likely to undergo contralateral symmetry procedures. Both implant types yielded comparable patient-reported outcome scores. With appropriate patient selection, both shaped and round implants can provide acceptable outcomes in breast reconstruction. Therapeutic, III.

  19. Tympanotomy with sealing of the round window as surgical salvage option in sudden idiopathic sensorineural hearing loss.

    Science.gov (United States)

    Loader, Benjamin; Atteneder, Claudia; Kaider, Alexandra; Franz, Peter

    2013-12-01

    Tympanotomy with sealing of the round window is a promising surgical alternative as a salvage strategy in younger patients with acute idiopathic sensorineural hearing loss (SNHL) and may be considered as an alternative drug delivery method to the round window. To analyze the potential benefit of the sealing of the round window with special emphasis on the age of treated patients and the influence of time elapsed between symptom onset and surgery. This was a retrospective cohort study of 25 patients (13 males,12 females) with an average age of 55 years (range 31-75 years) with sudden SNHL, who underwent an enaural tympanotomy with sealing of the round niche using triamcinolone-soaked fascia. Pre- and postoperative bone conduction thresholds were compared for each frequency and for the pure-tone average (PTA) measured at 500 Hz, 1 kHz, 2 kHz, and 3 kHZ. The time (days) between primary symptom onset and surgery as well as age was scrutinized. Hearing improvement was described as 'no improvement' (0-9 dB), 'moderate recovery' (10-29 dB), or 'marked recovery' (≥30 dB). The difference in age of patients who improved was compared to those who did not. A statistically significant improvement in PTA values (mean change 20.4 dB) was noted (p = 0.0002). In all, 13/25 (52%) patients exhibited improved bone conduction postoperatively regardless of age and time of treatment. A marked recovery (≥30 dB) could be seen in eight patients (median time to surgery, 9 days; average age, 48.5 years); recovery between 10 and 30 dB in five patients (median time to surgery, 10 days; average age, 46.6 years). Twelve significantly older patients showed no improvement (average time to surgery, 19 days; average age, 61.8 years; p = 0.004). No patient over the age of 65 years showed improvement in bone conduction.

  20. Peer-to-peer nursing rounds and hospital-acquired pressure ulcer prevalence in a surgical intensive care unit: a quality improvement project.

    Science.gov (United States)

    Kelleher, Alyson Dare; Moorer, Amanda; Makic, MaryBeth Flynn

    2012-01-01

    We conducted a quality improvement project in order to evaluate the effect of nurse-to-nurse bedside "rounding" as a strategy to decrease hospital-acquired pressure ulcers (HAPU) in a surgical intensive care unit. We instituted weekly peer-to-peer bedside skin rounds in a 17-bed surgical intensive care unit. Two nurses were identified as skin champions and trained by the hospital's certified WOC nurse to conduct skin rounds. The skin champion nurses conducted weekly peer-to-peer rounds that included discussions about key elements of our patients' skin status including current Braden Scale for Pressure Sore Risk score, and implementation of specific interventions related to subscale risk assessment. If a pressure ulcer was present, the current action plan was reevaluated for effectiveness. Quarterly HAPU prevalence studies were conducted from January 2008 to December 2010. Nineteen patients experienced a HAPU: 17 were located on the coccyx and 2 on the heel. Ten ulcers were classified as stage II, 3 PU were stage IV, 5 were deemed unstageable, and 1 was classified as a deep tissue injury. The frequency of preventive interventions rose during our quality improvement project. Specifically, the use of prevention surfaces increased 92%, repositioning increased 30%, nutrition interventions increased 77%, and moisture management increased 100%. Prior to focused nursing rounds, the highest HAPU prevalence rate was 27%. After implementing focused nursing rounds, HAPU rates trended down and were 0% for 3 consecutive quarters.

  1. Congenital oval or round window anomaly with or without abnormal facial nerve course: surgical results for 15 ears.

    NARCIS (Netherlands)

    Thomeer, H.G.; Kunst, H.P.; Verbist, B.M.; Cremers, C.W.R.J.

    2012-01-01

    OBJECTIVES: To describe the audiometric results in a consecutive series of patients with congenital ossicular aplasia (Class 4a) or dysplasia of the oval and/or round window (Class 4b), which might include a possible anomalous course of the facial nerve. STUDY DESIGN: Retrospective chart study.

  2. A quality improvement project using a problem based post take ward round proforma based on the SOAP acronym to improve documentation in acute surgical receiving.

    Science.gov (United States)

    Dolan, R; Broadbent, P

    2016-02-01

    Ward round documentation provides one of the most important means of communication between healthcare professionals. We aimed to establish if the use of a problem based standardised proforma can improve documentation in acute surgical receiving. Gold standards were established using the RCSE record keeping guidelines. We audited documentation for seven days using the following headings: patient name/identification number, subjective findings, objective findings, clinical impression/diagnosis, plan, diet status, discharge decision, discharge planning, signature, and grade. After the initial audit cycle, a ward round proforma was introduced using the above headings and re-audited over a seven day period. The pre-intervention arm contained 50 patients and the post intervention arm contained 47. The following headings showed an improvement in documentation compliance to 100%: patient name/identification number vs 96%, subjective findings vs 84%, objective findings vs 48%, plan vs 98%, signature vs 96%, and grade vs 62%. Documentation of the clinical impression/diagnosis improved to 98% vs 30%, diet status rose to 83% vs 16%, discharge decision to 66% vs 16%, and discharge planning to 40% vs 20%. Standardised proformas improve the documentation of post-take ward round notes. This helps to clarify the onward management plan for all aspects of a patient's care and will help avoid adverse events and litigation. This should improve the quality and safety of Patient Care.

  3. A quality improvement project using a problem based post take ward round proforma based on the SOAP acronym to improve documentation in acute surgical receiving

    Science.gov (United States)

    Dolan, R.; Broadbent, P.

    2015-01-01

    Objectives Ward round documentation provides one of the most important means of communication between healthcare professionals. We aimed to establish if the use of a problem based standardised proforma can improve documentation in acute surgical receiving. Methods Gold standards were established using the RCSE record keeping guidelines. We audited documentation for seven days using the following headings: patient name/identification number, subjective findings, objective findings, clinical impression/diagnosis, plan, diet status, discharge decision, discharge planning, signature, and grade. After the initial audit cycle, a ward round proforma was introduced using the above headings and re-audited over a seven day period. Results The pre-intervention arm contained 50 patients and the post intervention arm contained 47. The following headings showed an improvement in documentation compliance to 100%: patient name/identification number vs 96%, subjective findings vs 84%, objective findings vs 48%, plan vs 98%, signature vs 96%, and grade vs 62%. Documentation of the clinical impression/diagnosis improved to 98% vs 30%, diet status rose to 83% vs 16%, discharge decision to 66% vs 16%, and discharge planning to 40% vs 20%. Conclusions Standardised proformas improve the documentation of post-take ward round notes. This helps to clarify the onward management plan for all aspects of a patient's care and will help avoid adverse events and litigation. This should improve the quality and safety of Patient Care. PMID:26858834

  4. A brain-dead pregnant woman with prolonged somatic support and successful neonatal outcome: A grand rounds case with a detailed review of literature and ethical considerations.

    Science.gov (United States)

    Said, Abuhasna; Amer, Al Jundi; Masood, Ur Rahman; Dirar, Abdallah; Faris, Chedid

    2013-07-01

    There are increased reports in the medical literature of brain death during pregnancy. In these rare cases, the decision was either to consider discontinuing homeostatic support and mechanical ventilation with an understanding that the fetus then will also die, or to continue full support in an attempt to prolong pregnancy for the purpose of maintaining the fetus alive until maturity. We report the first case in the United Arab Emirates and in literature of somatic support that extended up to 110 days with the successful delivery of a viable fetus. A 35-year-old woman suffered intracranial hemorrhage during the 16(th) week of pregnancy that lead to brain death despite maximal surgical and medical management. Upon confirmation of this diagnosis, the patient received full ventilatory and homeostatic support required to prolong gestation and improve the survival prognosis of her fetus. The status of the patient was discussed in a multidisciplinary approach and with the full involvement of her family. Somatic support continued until the patient was 32 of weeks gestation. Obstetric complications of the patient were frequently assessed and managed. Lower segment cesarean section (LSCS) was then performed. A preterm male in breech presentation was delivered with an average weight of 750 gm, and an Apgar score of 6, 7, and 9 at 1, 5, and 10 minutes, respectively. Prolonging somatic support in a pregnant woman with brain death to allow fetal survival resulted in a successful outcome in terms of saving the life of the fetus. The results are consistent with previous published case reports in the literature on the appropriateness and safety of such a strategy that involved an intensive multidisciplinary approach. Despite being a tragedy, maternal death can represent an opportunity to save the life of the fetus and for organ donation. Consensus future recommendations that can guide the management of similar conditions may also be adapted, especially with the growing medical

  5. 抗菌药物在围手术期的合理性使用调查%Anti-virus Medicine at Round the Rationality that the Surgical Operation Expects to Use Survey

    Institute of Scientific and Technical Information of China (English)

    范俊; 何金波

    2012-01-01

      the infection is most familiarly and after operation complications.the anti-virus medicine is round-ing the reasonable(exactitude) that the surgical operation expects to use, contribute to the infection that reduces surgical operation part.(namely occurrence slice a deep department of or surgical operation in the surgical opera-tion organ, or the infection of chamber Xi)What circumstance under need to prevent sex from using anti-virus medicine?How to choose to prevent sex from using anti-virus medicine?When starts using?need to be much long-term?this rounds surgical operation and expects and prevents sex from using currently the key problem that the anti-virus medicine exists, is also the problem that has to face and reach agreement definitely.%  感染是最常见的手术后并发症,抗菌药物是临床应用最广泛的药物。在围手术期为了预防感染应用抗菌药物,对于减少手术部位的感染(即包括发生在手术切口的感染也包括手术深部腔隙和器官的感染)的发生率至关重要。明确预防性使用抗菌药物的适应症,以及抗菌药物的正确选择,以及预防性应用抗菌药物的开始时间和持续时间,都是目前围手术期预防性使用抗菌药物存在的主要问题,也是必须正视和解决的问题。

  6. Clinical grand rounds: atypical hemolytic uremic syndrome.

    Science.gov (United States)

    Hodgkins, Kavita S; Bobrowski, Amy E; Lane, Jerome C; Langman, Craig B

    2012-01-01

    Atypical hemolytic uremic syndrome (aHUS) is a rare, lifethreatening, chronic, genetic disease of uncontrolled alternative pathway complement activation. The understanding of the pathophysiology and genetics of this disease has expanded over recent decades and promising new developments in the management of aHUS have emerged. Regardless of the cause of aHUS, with or without a demonstrated mutation or autoantibody, blockade of terminal complement activation through C5 is of high interest as a mechanism to ameliorate the disease. Eculizumab, an existing monoclonal antibody directed against C5 with high affinity, prevents the perpetuation of the downstream activation of the complement cascade and the damage caused by generation of the anaphylotoxin C5a and the membrane attack complex C5b-9, by blocking C5 cleavage. We report the successful use of eculizumab in a patient after kidney transplantation and discuss the disease aHUS.

  7. A quality improvement project using a problem based post take ward round proforma based on the SOAP acronym to improve documentation in acute surgical receiving

    Directory of Open Access Journals (Sweden)

    R. Dolan

    2016-02-01

    Conclusions: Standardised proformas improve the documentation of post-take ward round notes. This helps to clarify the onward management plan for all aspects of a patient's care and will help avoid adverse events and litigation. This should improve the quality and safety of Patient Care.

  8. Round-robin tournaments with homogeneous rounds

    NARCIS (Netherlands)

    Buiteveld, Bregje; Holland, van Erik; Post, Gerhard; Smit, Dirk

    2014-01-01

    We study single and double round-robin tournaments for n teams, where in each round a fixed number (g) of teams is present and each team present plays a fixed number (m) of matches in this round. In a single, respectively double, round-robin tournament each pair of teams play one, respectively two,

  9. Round-robin tournaments with homogeneous rounds

    NARCIS (Netherlands)

    Buiteveld, Bregje; Holland, van Erik; Post, Gerhard; Smit, Dirk

    2011-01-01

    We study single and double round-robin tournaments for n teams, where in each round a fixed number (g) of teams is present and each team present plays a fixed number (m) of matches in this round. In a single, respectively double, round-robin tournament each pair of teams play one, respectively two,

  10. Round-Robin Tournaments with homogenous rounds

    NARCIS (Netherlands)

    Buiteveld, Bregje; Holland, van Erik; Post, Gerhard; Smit, Dirk

    2010-01-01

    We study round-robin tournaments for n teams, where in each round a fixed number (g) of teams is present and each team present plays a fixed number (m) of matches in this round. In the tournament each match between two teams is either played once or twice, in the latter case in different rounds. We

  11. Effects of herbicide (Round-up®) on Alliaria petiolata (Bieb.) Cavara & Grande (garlic mustard), an invasive biennial, and subsequent effects on the native plant community in Hueston Woods State Nature Preserve, Ohio

    Science.gov (United States)

    Adriane M. Carlson; David L. Gorchov

    2003-01-01

    Alliaria petiolata (Garlic Mustard) is invasive throughout the northeast U.S. and has become established in the Nature Preserve at Hueston Woods State Park in southwest Ohio. The Park is attempting eradication by spot-spraying Round-up® herbicide each fall.

  12. Round bale silage

    Energy Technology Data Exchange (ETDEWEB)

    Kjelgaard, W.L.; Anderson, P.M.; Wilson, L.L.; Harpster, H.W.; LeVan, P.J.; Todd, R.F.

    1981-01-01

    Round bale silage and chopped-bagged silage were compared. Chopping required 3 to 4 times the energy of round baling. Using plastic materials to maintain anaerobic storage for round silage bales was a problem. Beef cows utilized chopped silage and hay more efficiently than round silage bales.

  13. Interruptions during hospital nurses’ medication administration rounds

    Directory of Open Access Journals (Sweden)

    Marian Smeulers

    2013-05-01

    Full Text Available Medication administration errors are common, costly and the cause of adverse events in clinical practice. Interruptions during medication administration rounds are thought to be a prominent causative factor of these medication errors. In this observational study, data were collected on the number and duration of several different sources of verbal and non-verbal interruptions using unobtrusive structured observations on 32 medication administration rounds. Interruptions occurred very often (6.9 times per nurse each hour, differed in frequency among the medication administration rounds and were from a variety of sources. The most frequent interruptions were caused by nursing colleagues (43% and non-verbal interruptions from the ward environment (25%, such as noises from pagers, conversations in the vicinity of the nurse, the work of cleaners, or stock management by pharmacy staff. The longest durations of interruptions were from nursing colleagues’ verbal interrup- interruptions. When comparing the medication rounds, more and longer interruptions were observed during the morning rounds than those at noon. A comparison between surgical and non-surgical units showed that interruptions occurred more often and lasted longer in non-surgical units than those in surgical units. But the observed differences were not statistically significant. In conclusion, interruptions during medication administration rounds are frequent and originated from different human and environmental sources. Interventions should target not only interruptions by colleagues, but should also consider ways to reduce self-initiated interruptions and those arising from the immediate ward environment.

  14. Rotavírus, adenovírus, astrovírus, calicivírus e "Small Round Virus Particles" em fezes de crianças, com e sem diarréia aguda, no período de 1987 a 1988, na Grande São Paulo Rotavirus, adenovirus, astrovirus, calicivirus and Small Round Virus Particles in faeces of children with and without acute diarrhea within the period of 1987 to 1988, in São Paulo

    Directory of Open Access Journals (Sweden)

    María do Carmo Sampaio Tavares Timenetsky

    1993-06-01

    Full Text Available No período de agosto de 1987 a setembro de 1988, 193 amostras de fezes de crianças, com e sem sintomatologia diarréica aguda, foram submetidas às provas diagnósticas do ensaio imunoenzimático (EIE, eletroforese em gel de poliacrilamida (EGPA e microscopia eletrônica (ME para a detecção de vírus. A positividade para Rotavírus, Adenovírus, Astrovírus, Calicivírus e "Small Round Virus Particles" (SRVP foi encontrada nas 97 crianças com diarréia aguda em 11,3%, 3,1%, 2,1%, l,0%e4,l%, respectivamente. Das 96 crianças sem diarréia, 4,2% foram positivas para Rotavírus, 1,0% para Calicivírus e 7,3% para SRVP. Das 15 amostras positivas para Rotavírus, 14 apresentaram perfil eletroforético característico do Grupo A e 1 amostra do Grupo C. A análise dos eletroforotipos demonstrou a grande heterogeneidade de perfis e a predominância do perfil "longo". A associação de vírus, bactéria e parasita foi encontrada tanto em crianças com diarréia como em crianças sem diarréia.Between 1987 and 1988, 193 faecal specimens from children, with or without diarrhea, were submitted to enzyme immunoassay, polyacrylamide-gel electrophoresis and electronmicroscopy tests for virus detection. The positivity for Rotavirus, Adenovirus, Astrovirus, Calicivirus and Small Round Virus Particles (SRVP was 11.3%, 3.1%, 2.1%, 1.0% and 4.1%, respectively, for the 97 children with acute diarrhea. Of the 96 children without diarrhea, 4.2% were positive for Rotavirus, 1.0% for Calicivirus and 7.3% for SRVP. Of 15 positive specimens for Rotavirus, 14 showed electrophoretic patterns proper to group A and 1 specimen of group C Rotavirus. The analysis of electrophorotypes demonstrated great heterogeneity of electrophoretic patterns and predominance of subgroup 2, "long". The association of virus, bacteria and parasites was present both in children with or without acute diarrhea.

  15. Grandes remolques

    Directory of Open Access Journals (Sweden)

    Editorial, Equipo

    1961-07-01

    Full Text Available El empleo creciente del material pesado auxiliar en la construcción de obras de ingeniería civil ha motivado la fabricación de grandes plataformas, capaces de transportar toda clase de maquinaria auxiliar. En general, este tipo de maquinaria requiere medios de transporte, pues su circulación por carreteras es lenta, obstructiva y cara, siempre que se trate de grandes distancias, caso presente en la mayoría de ocasiones en que se exige un traslado de esta maquinaria de una a otra obra.

  16. Expert's comment concerning Grand Rounds case entitled "Limited access surgery for 360 degrees in situ fusion in a dysraphic patient with high grade spondylolisthesis" (by M. A. König and B. M. Boszczyk).

    Science.gov (United States)

    Lamartina, Claudio

    2012-03-01

    The case of a 26 year-old woman with high grade spondylolisthesis, history of diastematomyelia and tethered cord, with acute onset of back pain and bilateral sciatica after a fall. This comment will focus on three issues: indication for surgery, indication for reduction and levels to be included in fusion. Surgery is indicated in this case for intermittent urinary incontinence and saddle anesthesia, and failure of conservative treatment to control pain. Other important determinant of surgical indication is risk of progression, depending rather on the degree of dysplasia as classified by Marchetti-Bartolozzi than on the degree of slip as classified by Meyerding. High dysplastic olisthesis is identified by excessive pelvic retroversion. Reduction is indicated in patients with high torque through L5-S1. L5 severity index (SI) correlates with the magnitud of torque through L5-S1. Similarly, the decision to include L4 in fusion can be made based on the value of SI for L4.

  17. Round Ligament Varicosities During Pregnancy: Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Baek, Chang Kyu; Oh, Young Taik; Jung, Dae Chul [Yonsei University Health System, Seoul (Korea, Republic of)

    2011-12-15

    There are various causes of a painful palpable mass in the groin during pregnancy. The differential diagnoses of an inguinal mass include hernia, lymphadenopathy, mesothelial cyst, cystic lymphangioma, neoplasms (lipoma, leiomyoma and sarcoma), endometriosis, embryonic remnants and round ligament varicosities. Among them, round ligament varicosities can be easily misdiagnosed as an inguinal hernia in a pregnant woman. These lesions should be managed conservatively because they resolve spontaneously during the postpartum period. Ultrasonography can help make the diagnosis of round ligament varicosities and so prevent unnecessary surgical intervention and the associated morbidity. Herein we report on a case of round ligament varicosities that presented during pregnancy and this condition was readily diagnosed via Doppler sonography

  18. Grandes cocinas

    Directory of Open Access Journals (Sweden)

    García de Castro, Emilio

    1957-11-01

    Full Text Available Se describen en este artículo una serie de aparatos para grandes cocinas, vistos por los autores durante un rápido viaje por Alemania. Aprovechando los datos obtenidos se analizan brevemente las necesidades de una gran cocina moderna, comentando los planos de las instalaciones en varios hoteles o instituciones de todo el mundo. La mayoría de la información.

  19. On minimal round functions

    NARCIS (Netherlands)

    Khimshiashvili, G.; Siersma, D.

    2001-01-01

    We describe the structure of minimal round functions on closed surfaces and three-folds. The minimal possible number of critical loops is determined and typical non-equisingular round function germs are interpreted in the spirit of isolated line singularities. We also discuss a version of Lusternik-

  20. CDC grand rounds: dietary sodium reduction - time for choice.

    Science.gov (United States)

    2012-02-10

    Excess dietary sodium is a major contributor to hypertension (high blood pressure) and a critical public health issue in the United States. Nearly one in three U.S. adults, or 68 million persons, has hypertension, and half of those do not have their condition under control. Hypertension is a major contributor to cardiovascular diseases, which are a leading cause of death, disability, and health-care costs in the United States. The average sodium intake among persons in the United States aged ≥2 years is 3,266 mg/day (excluding table salt). Current dietary guidelines recommend that reducing consumption of sodium to sodium intake by most U.S. residents considerably exceeds recommended levels. Reducing sodium intake to 2,300 mg/day potentially could prevent 11 million cases of hypertension and save billions of dollars in health-care expenditures; reducing sodium intake further would yield additional benefits. To achieve those reductions and help consumers make healthful choices, expanded educational efforts and monitoring of the sodium content of the food supply are needed. Increased availability of lower sodium products and reductions in the amount of sodium in foods served or sold in the marketplace also are needed.

  1. CDC Grand Rounds: Adolescence - Preparing for Lifelong Health and Wellness.

    Science.gov (United States)

    Banspach, Stephen; Zaza, Stephanie; Dittus, Patricia; Michael, Shannon; Brindis, Claire D; Thorpe, Phoebe

    2016-08-05

    Approximately 42 million adolescents aged 10-19 years, representing 13% of the population, resided in the United States in 2014 (1). Adolescence is characterized by rapid and profound physical, intellectual, emotional, and psychological changes (2), as well as development of healthy or risky behaviors that can last a lifetime. Parents have strong influence on their adolescent children's lives, and family-based programs can help parents support healthy adolescent development. Because schools are natural learning environments, implementing and improving school-based policies and programs are strategic ways to reinforce healthy behaviors and educate adolescents about reducing risky behaviors. Health care during adolescence should be tailored to meet the changing developmental needs of the adolescent while providing welcoming, safe, and confidential care. Parents, educators, care providers, public health officials, and communities should collaborate in fostering healthy environments for all adolescents, now and into the future.

  2. Pediatric Round Pneumonia

    Directory of Open Access Journals (Sweden)

    Yen-Lin Liu

    2014-12-01

    Full Text Available “Round pneumonia” or “spherical pneumonia” is a well-characterized clinical entity that seems to be less addressed by pediatricians in Taiwan. We herein report the case of a 7-year-old boy who presented with prolonged fever, cough, and chest X-rays showing a well-demarcated round mass measuring 5.9 × 5.6 × 4.3 cm in the left lower lung field, findings which were typical for round pneumonia. The urinary pneumococcal antigen test was positive, and serum anti-Mycoplasma pneumoniae antibody titer measurement using a microparticle agglutination method was 1:160 (+. After oral administration of antibiotics including azithromycin and amoxicillin/clavulanate, which was subsequently replaced by ceftibuten due to moderate diarrhea, the fever subsided 2 days later and the round patch had completely resolved on the 18th day after the diagnosis. Recent evidence suggests treating classical round pneumonia with antibiotics first and waiving unwarranted advanced imaging studies, while alternative etiologies such as abscesses, tuberculosis, nonbacterial infections, congenital malformations, or neoplasms should still be considered in patients with atypical features or poor treatment response.

  3. Round Robin Schedules.

    Science.gov (United States)

    Iannone, Michael A.

    1983-01-01

    Presented is a computer program written in BASIC that covers round-robin schedules for team matches in competitions. The program was originally created to help teams in a tennis league play one match against every other team. Part of the creation of the program involved use of modulo arithmetic. (MP)

  4. Resultados da correção cirúrgica de esotropias de grande ângulo, em portadores de baixa de acuidade visual unilateral Results of surgical treatment of large angle esotropia in patients with low visual acuity

    Directory of Open Access Journals (Sweden)

    Jorge Antonio Meireles-Teixeira

    2000-10-01

    Full Text Available Objetivo: Avaliar os resultados cirúrgicos de esotropias de grande ângulo (no mínimo 60 dioptrias prismáticas - dp, associadas à baixa de acuidade visual (BAV unilateral, cuja cirurgia foi planejada com o intuito de não se operar o olho de melhor visão. Casuística e Métodos: Foram selecionados 17 casos de esotropias não-acomodativas, associadas à BAV (AV 15 dp ou rotações de ± 4. Resultados: 13 (76,4% tinham AV de conta-dedos no olho não-fixador, 2 (11,7% atingiam 0,1 e outros 2 (11,7% 0,4. Em 3 havia alta miopia (equivalente esférico > ou = -6,00 dioptrias esféricas em ambos os olhos. Entre os 17 pacientes, 12 (70,5% obtiveram bom resultado cirúrgico, 3 (17,6% foram regulares e 2 (11,7% ruins. Conclusão: A cirurgia de estrabismo sob anestesia tópica mostrou ser eficaz e segura nestes casos especiais de BAV em um dos olhos, sendo que na maioria das vezes consegue-se não operar o olho de melhor visão; o que a nosso ver, só se tornou possível pelo uso da anestesia tópica.Purpose: To evaluate the surgical outcome of large angle esotropia (minimum of 60 prism diopters -- pd associated with unilateral low visual acuity (LVA in which the surgical strategy was applied in order to operate only the non-fixating eye. Patients and Methods: We selected 17 patients with non-accommodative esotropia, LVA (VA<= 0,4 in the non-fixating eye with the better visual correction and no previous treatment. Patients were classified as good result if they had a postoperative deviation of maximally 10 pd with binocular rotations of up to --2 of medial rectus and +2 of lateral rectus. Exotropia/esotropia between 10 and 15 pd or binocular rotations of ±3 were considered as a regular outcome. Deviations greater than 15 pd or binocular rotations of ±4 were included regarded as poor results. Results: Thirteen (76.4% patients had counts fingers VA in the non-fixating eye, 2 (11.7% achieved 0.1 and another two had 0.4. Three of them were also highly

  5. Round the clock librarianship

    OpenAIRE

    1995-01-01

    The concept of Round the Clock Librarianship (ROCLOLIB) is one such opportunity of terminal and critical importance to librarians, which helps people (clients) in general and reassures them about the professional commitment and devotedness of librarians. Although the concept is old, it is an exercise here to analyse its importance for the overall image and status of the practice/occupation. The chapter discusses the proposal of opening Libraries for 24 Hours. It also points out the reasons fo...

  6. On a Grand Scale

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The futuristic National Grand Theater of China opened its grand curtains for a test show in September. Will this costly addition to Beijing’s entertainment scene be affordable to ordinary audiences?

  7. Ultrasonographic diagnosis of round ligament varicosities mimicking inguinal hernia: report of two cases with literature review

    Energy Technology Data Exchange (ETDEWEB)

    Ryu, Kyeong Hwa; Yoon, Jung Hee [Dept. of Radiology, Inje University Haeundae Paik Hospital, College of Medicine, Busan (Korea, Republic of)

    2014-10-15

    Round ligament varicosities are rare, and the mass mimics an inguinal hernia. Round ligament varicosities should be considered in the differential diagnosis of a groin swelling in a female, especially during pregnancy. The diagnosis of round ligament varicosities can be established on grayscale and color Doppler ultrasonography. We report two cases of round ligament varicosities in a 33-year-old non pregnant woman and a 28-year-old pregnant woman, and these patients were diagnosed using ultrasonography. We also reviewed the literature on round ligament varicosities including the present cases. Ultrasonography is diagnostic and can prevent unnecessary surgical intervention and associated morbidity.

  8. Abscess Formation of the Round Ligament of the Liver: Report of a Case

    Directory of Open Access Journals (Sweden)

    Ikeda,Eiji

    2008-12-01

    Full Text Available Abscess formation of the round ligament of the liver is very rare. We report a case of a 70-year-old female with abscess of the round ligament after an endoscopic papillotomy for choledocholithiasis. On the 21st day following papillotomy, abscess formation of the round ligament was found by ultrasonographic examination. Surgical treatment was performed because conservative therapy was not effective. The purulent fluid and necrotic tissue at the round ligament were completely removed. Cultures obtained from the abscess grew Staphylococcus epidermidis, but the mechanism of abscess formation in this case remains unclear.

  9. Round Table on Chicano Literature

    Science.gov (United States)

    Bruce-Novoa, Juan

    1975-01-01

    Themes covered by this round table include the genres in Chicano literature, publication problems for Chicanos; the social role of the Chicano author; the Chicano-Mexican relationship, and the theater festival in Mexico City in 1974. (Author/AM)

  10. Infantile pericardial round cell tumor

    Directory of Open Access Journals (Sweden)

    K H Sridevi

    2015-01-01

    Full Text Available Cardiac malignancies presenting in infancy are rare. Desmoplastic small round cell tumor (DSRCT is a rare occurrence in this age group. No case of intrapericardial DSRCT has been reported in the literature in infants.

  11. Anatomy of the ward round.

    LENUS (Irish Health Repository)

    O'Hare, James A

    2008-07-01

    The ward round has been a central activity of hospital life for hundreds of years. It is hardly mentioned in textbooks. The ward round is a parade through the hospital of professionals where most decision making concerning patient care is made. However the traditional format may be intimidating for patients and inadequate for communication. The round provides an opportunity for the multi-disciplinary team to listen to the patient\\'s narrative and jointly interpret his concerns. From this unfolds diagnosis, management plans, prognosis formation and the opportunity to explore social, psychological, rehabilitation and placement issues. Physical examination of the patient at the bedside still remains important. It has been a tradition to discuss the patient at the bedside but sensitive matters especially of uncertainty may better be discussed elsewhere. The senior doctor as round leader must seek the input of nursing whose observations may be under-appreciated due to traditional professional hierarchy. Reductions in the working hours of junior doctors and shortened length of stay have reduced continuity of patient care. This increases the importance of senior staff in ensuring continuity of care and the need for the joint round as the focus of optimal decision making. The traditional round incorporates teaching but patient\\'s right to privacy and their preferences must be respected. The quality and form of the clinical note is underreported but the electronic record is slow to being accepted. The traditional multi-disciplinary round is disappearing in some centres. This may be regrettable. The anatomy and optimal functioning of the ward round deserves scientific scrutiny and experimentation.

  12. Anatomy of the ward round.

    Science.gov (United States)

    O'Hare, James A

    2008-07-01

    The ward round has been a central activity of hospital life for hundreds of years. It is hardly mentioned in textbooks. The ward round is a parade through the hospital of professionals where most decision making concerning patient care is made. However the traditional format may be intimidating for patients and inadequate for communication. The round provides an opportunity for the multi-disciplinary team to listen to the patient's narrative and jointly interpret his concerns. From this unfolds diagnosis, management plans, prognosis formation and the opportunity to explore social, psychological, rehabilitation and placement issues. Physical examination of the patient at the bedside still remains important. It has been a tradition to discuss the patient at the bedside but sensitive matters especially of uncertainty may better be discussed elsewhere. The senior doctor as round leader must seek the input of nursing whose observations may be under-appreciated due to traditional professional hierarchy. Reductions in the working hours of junior doctors and shortened length of stay have reduced continuity of patient care. This increases the importance of senior staff in ensuring continuity of care and the need for the joint round as the focus of optimal decision making. The traditional round incorporates teaching but patient's right to privacy and their preferences must be respected. The quality and form of the clinical note is underreported but the electronic record is slow to being accepted. The traditional multi-disciplinary round is disappearing in some centres. This may be regrettable. The anatomy and optimal functioning of the ward round deserves scientific scrutiny and experimentation.

  13. Grand Hotel prijutil hudozhnikov

    Index Scriptorium Estoniae

    2004-01-01

    Raadioajakirjanik Lea Veelmaa lindistas "Kunstikanali" 2004. a. esimese saate Grand Hotel Viljandis. Saatekülaliseks oli maalikunstnik Andres Tolts. Toltsi kaheksa akrüülmaali on eksponeeritud hotelli fuajees ja restoranis

  14. Abortion - surgical

    Science.gov (United States)

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

  15. "Walking" Along a Free Rotating Bicycle Wheel (Round and Round)

    CERN Document Server

    Guemez, Julio

    2016-01-01

    We describe the kinematics, dynamics and also some energetic issues related to the Marta mouse motion when she walks on top of a horizontal bicycle wheel, which is free to rotate like a merry-to-go round, as presented recently by Paul Hewitt in the Figuring Physics section of this magazine.

  16. "Walking" Along a Free Rotating Bicycle Wheel (Round and Round)

    Science.gov (United States)

    Güémez, J.; Fiolhais, M.

    2015-01-01

    We describe the kinematics, dynamics, and also some energy issues related to Marta mouse's motion when she walks on top of a horizontal bicycle wheel, which is free to rotate like a merry-go-round, as presented recently by Paul Hewitt in the "Figuring Physics" section of this journal. The situation is represented in Fig. 1, which was…

  17. Rounding effects in record statistics.

    Science.gov (United States)

    Wergen, G; Volovik, D; Redner, S; Krug, J

    2012-10-19

    We analyze record-breaking events in time series of continuous random variables that are subsequently discretized by rounding to integer multiples of a discretization scale Δ>0. Rounding leads to ties of an existing record, thereby reducing the number of new records. For an infinite number of random variables that are drawn from distributions with a finite upper limit, the number of discrete records is finite, while for distributions with a thinner than exponential upper tail, fewer discrete records arise compared to continuous variables. In the latter case, the record sequence becomes highly regular at long times.

  18. Round robin scheduling - a survey

    DEFF Research Database (Denmark)

    Rasmussen, Rasmus Vinther; Trick, Michael A.

    2008-01-01

    This paper presents a comprehensive survey on the literature considering round robin tournaments. The terminology used within the area has been modified over time and today it is highly inconsistent. By presenting a coherent explanation of the various notions we hope that this paper will help to ...

  19. The rationality of round Interpretation

    NARCIS (Netherlands)

    H. Bastiaanse

    2009-01-01

    Expanding on a point made by Krifka [6, p.7-8], we show that the fact that a round number has been used significantly increases the posterior probability that that number was intended as an approximation. This increase should typically be enough to make assuming that an approximation was indeed inte

  20. Asymptotically Safe Grand Unification

    DEFF Research Database (Denmark)

    Bajc, Borut; Sannino, Francesco

    2016-01-01

    for a broad class of prime candidates of phenomenologically relevant supersymmetric grand unified theories. We also uncover candidates passing these tests, which have either exotic matter or contain one field decoupled from the superpotential. The latter class of theories contains a model with the minimal...... matter content required by phenomenology....

  1. Diez grandes arquitectos

    OpenAIRE

    Dominguez Uceta, Enrique

    2009-01-01

    Selección de 10 museos de arquitectura contemporánea realizada con Rafael Moneo y Juan Miguel Hernández León, con las mejores obras museísticas de 10 grandes arquitectos. Los edificios, de Wright, Sert, Scarpa, Piano & Rogers, Kahn, Moneo, Piano, Gehry, Siza y Herzog & de Meuron, son descritos y analizados.

  2. Surgical Assisting

    Science.gov (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  3. Round worm in common bile duct, a rare pathology: Review of 15 cases

    Directory of Open Access Journals (Sweden)

    Biswaranjan Nayak

    2014-01-01

    Full Text Available Round worm or Ascaris lumbricoides has a worldwide distribution but is more prevalent in the developing countries like India and other South Asian countries. In human beings, round worms are commonly found in the small intestine, particularly the jejunum. If the pathogen load is very high, it may migrate to other sites and manifest different symptoms. In this paper, we share our experience of biliary ascariasis with regards to its clinical presentation, diagnosis, conservative and surgical management.

  4. Asymptotically safe grand unification

    Science.gov (United States)

    Bajc, Borut; Sannino, Francesco

    2016-12-01

    Phenomenologically appealing supersymmetric grand unified theories have large gauge representations and thus are not asymptotically free. Their ultraviolet validity is limited by the appearance of a Landau pole well before the Planck scale. One could hope that these theories save themselves, before the inclusion of gravity, by generating an interacting ultraviolet fixed point, similar to the one recently discovered in non-supersymmetric gauge-Yukawa theories. Employing a-maximization, a-theorem, unitarity bounds, as well as positivity of other central charges we nonperturbatively rule out this possibility for a broad class of prime candidates of phenomenologically relevant supersymmetric grand unified theories. We also uncover candidates passing these tests, which have either exotic matter or contain one field decoupled from the superpotential. The latter class of theories contains a model with the minimal matter content required by phenomenology.

  5. Asymptotically Safe Grand Unification

    CERN Document Server

    Bajc, Borut

    2016-01-01

    Phenomenologically appealing supersymmetric grand unified theories have large gauge representations and thus are not asymptotically free. Their ultraviolet validity is limited by the appearance of a Landau pole well before the Planck scale. One could hope that these theories save themselves, before the inclusion of gravity, by generating an interacting ultraviolet fixed point, similar to the one recently discovered in non-supersymmetric gauge-Yukawa theories. Employing a-maximization, a-theorem, unitarity bounds, as well as positivity of other central charges we nonperturbatively rule out this possibility for a broad class of prime candidates of phenomenologically relevant supersymmetric grand unified theories. We also uncover candidates passing these tests, which have either exotic matter or contain one field decoupled from the superpotential. The latter class of theories contains a model with the minimal matter content required by phenomenology.

  6. Special grand unification

    Science.gov (United States)

    Yamatsu, Naoki

    2017-06-01

    We discuss new-type grand unified theories based on grand unified groups broken into their special subgroups, as well as their regular subgroups. In the framework, when we construct 4-dimensional (4D) chiral gauge theories, i.e., the Standard Model (SM), 4D gauge anomaly cancelation restricts the minimal number of generations of the 4D SM Weyl fermions. We show that in a 6-dimensional (6D) SU(16) gauge theory on M^4× T^2/\\mathbb{Z}_2, one generation of the SM fermions can be embedded into a 6D bulk Weyl fermion. For the model including 3 chiral generations of the SM fermions, the 6D and 4D gauge anomalies on the bulk and fixed points are canceled out without exotic 4D chiral fermions.

  7. LA GRANDE DESCENTE

    CERN Multimedia

    The first endcap disc of CMS being lowered slowly and carefully 100 m underground into the experimental cavern. The disc is one of 15 large pieces to make the grand descent.  The uniquely shaped slice, 16 m high, about 50 cm thick weighs 400 tonnes. The two HF that were lowered earlier in November can also be seen in the foreground and background.  

  8. Grand alliance HDTV

    Science.gov (United States)

    Petajan, Eric D.

    1995-12-01

    Terrestrial broadcast television in the United States has remained essentially unchanged in the last fifty years except for the addition of color and stereo sound. Today, personal computers are addressing the need for random access of high resolution images and CD quality audio. Furthermore, advances in digital video compression and digital communication technology have cleared the way toward offering high resolution video and audio services to consumers using traditional analog communications channels. In 1987, the U.S. Federal Communications Commission (FCC) chartered an advisory committee to recommend an advanced television system for the United States. From 1990 to 1992, the Advanced Television Test Center tested four all-digital systems, one analog High Definition Television (HDTV) system, and one enhancement NTSC system using broadcast and cable television environment simulators. The formation of the HDTV Grand Alliance in May of 1993 resulted from the withdrawal of the only analog HDTV system from the competition and a stalemate between the other four all- digital systems. The HDTV Grand Alliance system is composed of the best components from previously competing digital systems demonstrated to the FCC. Moving Pictures Experts Group (MPEG-2) syntax is used with novel encoding techniques to deliver a set of video scanning formats for a variety of applications. This paper describes the important features and concepts embodied in the HDTV Grand Alliance system.

  9. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

    Science.gov (United States)

    Bharwani, Aleem M; Harris, G Chad; Southwick, Frederick S

    2012-12-01

    An effective interprofessional medical team can efficiently coordinate health care providers to achieve the collective outcome of improving each patient's health. To determine how current teams function, four groups of business students independently observed interprofessional work rounds on four different internal medicine services in a typical academic hospital and also interviewed the participants. In all instances, caregivers had formed working groups rather than working teams. Participants consistently exhibited parallel interdependence (individuals working alone and assuming their work would be coordinated with other caregivers) rather than reciprocal interdependence (individuals working together to actively coordinate patient care), the hallmark of effective teams. With one exception, the organization was hierarchical, with the senior attending physician possessing the authority. The interns exclusively communicated with the attending physician in one-on-one conversations that excluded all other members of the team. Although nurses and pharmacists were often present, they never contributed their ideas and rarely spoke.The authors draw on these observations to form recommendations for enhancing interprofessional rounding teams. These are to include the bedside nurse, pharmacist, and case manager as team members, begin with a formal team launch that encourages active participation by all team members, use succinct communication protocols, conduct work rounds in a quiet, distraction-free environment, have teams remain together for longer durations, and receive teamwork training and periodic coaching. High-performing businesses have effectively used teams for decades to achieve their goals, and health care professionals should follow this example.

  10. Next Round of Enterprise Reform

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    China's decades of rapid growth has led some to hail the success of "state capitalism." Others say the state's hand is less important. Researcher Zhang Wenkui at the State Council's Development Research Center is in the second camp. State companies and industrial administrators have had roles to play in leading the economy. But more recentlyhe said, they've yielded to a rising private sector. Zhang suggests it's time to launch a new round of state-run enterprise reform by selling small companies and introducing private investors for big ones, thus helping China maintain high economic growth.

  11. Entanglement entropy of round spheres

    Energy Technology Data Exchange (ETDEWEB)

    Solodukhin, Sergey N., E-mail: Sergey.Solodukhin@lmpt.univ-tours.f [Laboratoire de Mathematiques et Physique Theorique, Universite Francois-Rabelais Tours Federation Denis Poisson - CNRS, Parc de Grandmont, 37200 Tours (France)

    2010-10-18

    We propose that the logarithmic term in the entanglement entropy computed in a conformal field theory for a (d-2)-dimensional round sphere in Minkowski spacetime is identical to the logarithmic term in the entanglement entropy of extreme black hole. The near horizon geometry of the latter is H{sub 2}xS{sub d-2}. For a scalar field this proposal is checked by direct calculation. We comment on relation of this and earlier calculations to the 'brick wall' model of 't Hooft. The case of generic 4d conformal field theory is discussed.

  12. Innocuous Double Rounding of Basic Arithmetic Operations

    Directory of Open Access Journals (Sweden)

    Pierre Roux

    2014-11-01

    Full Text Available Double rounding occurs when a floating-point value is first rounded to an intermediate precision before being rounded to a final precision. The result of two such consecutive roundings can differ from the result obtained when directly rounding to the final precision. Double rounding practically happens, for instance, when implementing the IEEE754 binary32 format with an arithmetic unit performing operations only in the larger binary64 format, such as done in the PowerPC or x87 floating-point units. It belongs to the folklore in the floating-point arithmetic community that double rounding is innocuous for the basic arithmetic operations (addition, division, multiplication, and square root as soon as the final precision is about twice larger than the intermediate one. This paper adresses the formal proof of this fact considering underflow cases and its extension to radices other than two.

  13. Grand Challenge Problem 10

    DEFF Research Database (Denmark)

    Dirckinck-Holmfeld, Lone; Balacheff, Nicolas; Bottino, Rosa Maria

    2016-01-01

    settings across Europe. However, to strengthen the various research practices and to develop a common scientific language on TEL research the Grand Challenge Problem is to establish a vivid network and a community of practice among the research labs. TELEARC (Technology Enhanced Learning European Advanced......Small and medium sized research labs (SMLs) are dominating European TEL research. This is justified by the great numbers of countries and regions in Europe needing to develop a research and innovation competence to facilitate the diverse educational systems contextualized in various institutional...... Research Consortium) has been established to realize such a network. The chapter presents the framework of TELEARC....

  14. Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Denis Alcides-Rezende

    2008-01-01

    Full Text Available The objective of this work is to analyse the integration of information systems and information technology resources in the municipal planning of 14 small cities of Rio Grande do Sul (Brazil. The research methodology consisted of a multiple case study together with a convenient non-probabilistic sample chosen through a research protocol. The results demonstrate the difficulties of these cities to organise the municipal data as well as their struggle for accessibility of information and planning for management and control.

  15. Radiological Control of the Floating Mass Transducer Attached to the Round Window

    Directory of Open Access Journals (Sweden)

    Ingo Todt

    2013-01-01

    Full Text Available The surgical rehabilitation of mixed hearing losses can be performed by coupling the floating mass transducer of the Vibrant Soundbridge to the round window. The quality of coupling the floating mass transducer to the round window is crucial for the audiological outcome. It was the aim of this study to further observe the different patterns of floating mass transducer position at the round window. We compared twenty patients with mixed hearing loss implanted with a floating mass transducer attached to the round window and 24 surgeries between 5/2007 and 6/2010. An evaluation of the chronological observation of the flat panel angiography-controlled position of the floating mass transducer at the round window with relation to the surgical report and the audiological outcome was done. We observed no changes in the mean pre- and postbone conduction thresholds. The floating mass transducer position was variable and could be radiologically classified and correlated with the audiologically outcome. A learning curve was observed from the earlier to later implantations. Postoperative, radiological evaluation of the location and angle of the floating mass transducer by means of flat panel tomography allowed us to classify the floating mass transducer position at the round window into 4 groups.

  16. Radiological Control of the Floating Mass Transducer Attached to the Round Window

    Science.gov (United States)

    Rademacher, G.; Wagner, J.; Mittmann, P.; Basta, Dietmar; Ernst, Arne

    2013-01-01

    The surgical rehabilitation of mixed hearing losses can be performed by coupling the floating mass transducer of the Vibrant Soundbridge to the round window. The quality of coupling the floating mass transducer to the round window is crucial for the audiological outcome. It was the aim of this study to further observe the different patterns of floating mass transducer position at the round window. We compared twenty patients with mixed hearing loss implanted with a floating mass transducer attached to the round window and 24 surgeries between 5/2007 and 6/2010. An evaluation of the chronological observation of the flat panel angiography-controlled position of the floating mass transducer at the round window with relation to the surgical report and the audiological outcome was done. We observed no changes in the mean pre- and postbone conduction thresholds. The floating mass transducer position was variable and could be radiologically classified and correlated with the audiologically outcome. A learning curve was observed from the earlier to later implantations. Postoperative, radiological evaluation of the location and angle of the floating mass transducer by means of flat panel tomography allowed us to classify the floating mass transducer position at the round window into 4 groups. PMID:24327808

  17. Radiological control of the floating mass transducer attached to the round window.

    Science.gov (United States)

    Todt, Ingo; Rademacher, G; Wagner, J; Mittmann, P; Basta, Dietmar; Ernst, Arne

    2013-01-01

    The surgical rehabilitation of mixed hearing losses can be performed by coupling the floating mass transducer of the Vibrant Soundbridge to the round window. The quality of coupling the floating mass transducer to the round window is crucial for the audiological outcome. It was the aim of this study to further observe the different patterns of floating mass transducer position at the round window. We compared twenty patients with mixed hearing loss implanted with a floating mass transducer attached to the round window and 24 surgeries between 5/2007 and 6/2010. An evaluation of the chronological observation of the flat panel angiography-controlled position of the floating mass transducer at the round window with relation to the surgical report and the audiological outcome was done. We observed no changes in the mean pre- and postbone conduction thresholds. The floating mass transducer position was variable and could be radiologically classified and correlated with the audiologically outcome. A learning curve was observed from the earlier to later implantations. Postoperative, radiological evaluation of the location and angle of the floating mass transducer by means of flat panel tomography allowed us to classify the floating mass transducer position at the round window into 4 groups.

  18. Improved Round Robin Policya Mathematical Approach

    OpenAIRE

    Prof . D. Pandey; Vandana

    2010-01-01

    This work attempts to mathematically formulize the computation of waiting time of any process in a static n-process, CPU-bound round robin scheme. That in effect, can calculate other performance measures also. An improvement in the existing round robin algorithm has also been worked out that provides priority to processes nearing completion. The suggested approach uses two ready queues, wherein a process is returned to the second ready queue after the completion of its penultimate round. This...

  19. Staff and patient views on intentional rounding.

    Science.gov (United States)

    Kenny, Rebecca; Norton, Christine

    Intentional rounding is controversial, with growing evidence questioning its effectiveness. This article describes the planning stage of a quality improvement project to develop rounding undertaken by a London trust. Through a survey, interviews, observations and an audit, it was found that neither patients nor staff believed intentional rounding was effective in improving patient care. The system was not carried out as indicated by trust policy, and patients interviewed questioned the need for rounding. It is suggested that nurses and patients work together to develop a new model of inpatient care provision, with emphasis placed on an effective nurse-patient relationship.

  20. Grande Bretagne Hotel Athens

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Grande Bretagne酒店在过去的130年间被认为是雅典的“贵族包厢”。它坐落于市中心最著名的街区之一.对面是宪法广场,国会议院和国家花园,酒店的地理位置非常理想.通过短时间的步行就可以到达附近的高级购物区,餐馆,露天咖啡馆,博物馆和商务区,到目前为止,这家酒店已经接待了很多的国际领导人和知名人士。

  1. INTRODUCTION Outline of Round Tables Outline of Round Tables

    Science.gov (United States)

    Abarzhi, Snezhana I.; Sreenivasan, Katepalli R.

    2010-12-01

    The Second International Conference and Advanced School 'Turbulent Mixing and Beyond', TMB-2009, was held at the Abdus Salam International Centre for Theoretical Physics, (ICTP), Trieste, Italy on 27 July-7 August 2009. TMB-2009 united over 180 participants ranging from students to members of the National Academies of Sciences and Engineering, and including researchers at experienced and early stages of their carriers from leading scientific institutions in academia, national laboratories, corporations and industry worldwide. Responding to the community's inquiry and reaffirming the practices established at TMB-2007, two Round Tables were organized for the participants of TMB-2009 on 30 July 2009 and 6 August 2009 in the Oppenheimer Room at the Centre. The goals of the Round Tables were to encourage the information exchange among the members of the interdisciplinary and international TMB community, promote discussions regarding the state-of-the-art in TMB-related scientific areas, identify directions for frontier research, and articulate recommendations for future developments. This article is a summary of the collective work of the Round Table participants (listed alphabetically below by their last names), whose contributions form its substance and, as such, are greatly appreciated. Abarzhi, Snezhana I (University of Chicago, USA) Andrews, Malcolm (Los Alamos National Laboratory, USA) Belotserkovskii, Oleg (Institute for Computer Aided Design of the Russian Academy of Sciences, Russia) Bershadskii, Alexander (ICAR, Israel) Brandenburg, Axel (Nordita, Denmark) Chumakov, Sergei (Stanford University, USA) Desai, Tara (University of Milano-Bicocca, Italy) Galperin, Boris (University of South Florida, USA) Gauthier, Serge (Commissariat à l'Energie Atomique, France) Gekelman, Walter (University of California at Los Angeles, USA) Gibson, Carl (University of California at San Diego, USA) Goddard III, William A (California Institute of Technology, USA) Grinstein, Fernando

  2. Playing Doctor with Education: Considerations in Using Medical Rounds as a Model for Instructional Rounds

    Science.gov (United States)

    Roegman, Rachel; Riehl, Carolyn

    2012-01-01

    This article examines the literature on medical rounds to inform the recent move toward instructional rounds as a practice of districtwide improvement and professional learning for superintendents and administrators. Based on the practice of medical rounds as a method for creating shared norms and understandings about medicine and patient care,…

  3. Discretization vs. Rounding Error in Euler's Method

    Science.gov (United States)

    Borges, Carlos F.

    2011-01-01

    Euler's method for solving initial value problems is an excellent vehicle for observing the relationship between discretization error and rounding error in numerical computation. Reductions in stepsize, in order to decrease discretization error, necessarily increase the number of steps and so introduce additional rounding error. The problem is…

  4. Discretization vs. Rounding Error in Euler's Method

    Science.gov (United States)

    Borges, Carlos F.

    2011-01-01

    Euler's method for solving initial value problems is an excellent vehicle for observing the relationship between discretization error and rounding error in numerical computation. Reductions in stepsize, in order to decrease discretization error, necessarily increase the number of steps and so introduce additional rounding error. The problem is…

  5. Quality Teaching Rounds in Mathematics Teacher Education

    Science.gov (United States)

    Prieto, Elena; Howley, Peter; Holmes, Kathryn; Osborn, Judy-anne; Roberts, Malcolm; Kepert, Andrew

    2015-01-01

    The purpose of the study reported in this paper is to evaluate the effectiveness of an implementation of teaching rounds as a practice-based approach to pre-service teacher education in mathematics. The teaching rounds implemented in the study utilised the NSW Quality Teaching model pedagogical framework as a tool for learning about and reflecting…

  6. Australia: round module handling and cotton classing

    Science.gov (United States)

    Round modules of seed cotton produced via on-board module building harvesters are the reality of the cotton industry, worldwide. Although round modules have been available to the industry for almost a decade, there is still no consensus on the best method to handle the modules, particularly when th...

  7. Bridging Theory to Practice with Classroom Rounds

    Science.gov (United States)

    Bowman, Connie L.; Herrelko, Janet M.

    2014-01-01

    Pre-service candidates' perceptions of how to teach were challenged after going through the process of Classroom Rounds, the process that was used in this study. Classroom Rounds consisted of a pre-conference meeting with an inservice teacher, followed by a classroom observation of that teacher, and finally a discussion focusing on proven…

  8. 38 CFR 3.29 - Rounding.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Rounding. 3.29 Section 3.29 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation General § 3.29 Rounding. (a) Annual rates. Where...

  9. Expert’s comment concerning Grand Rounds case entitled “Surgical treatment of a 180° thoracolumbar fixed kyphosis in a young achondroplastic patient: a one stage ‘in situ’ combined fusion and spinal cord translocation” (by J. C. Aurégan, T. Odent, M. Zerah, J.-P. Padovani and C. Glorion)

    Science.gov (United States)

    2010-01-01

    Abstact An expert comment is provided for the case of an 18-year-old male achondroplastic patient with a severe thoracolumbar kyphosis and spinal stenosis managed with a five level hemilaminotomy, a decancellation osteotomy of the three apical vertebrae and circumferential fusion. A review incidence, presenting symptoms and treatment options for thoracolumbar kyphosis in adults with achondroplasia, is provided. PMID:20798961

  10. Grand slam on cancer.

    Science.gov (United States)

    Gartrell, Nanette

    2014-01-01

    A winner of 59 Grand Slam championships including a record 9 Wimbledon singles titles, Martina Navratilova is the most successful woman tennis player of the modern era. Martina was inducted into the International Tennis Hall of Fame, named "Tour Player of the Year" seven times by the Women's Tennis Association, declared "Female Athlete of the Year" by the Associated Press, and ranked one of the "Top Forty Athletes of All-Time" by Sports Illustrated. Equally accomplished off the court, Martina is an author, philanthropist, TV commentator, and activist who has dedicated her life to educating people about prejudice and stereotypes. After coming out as a lesbian in 1981, Martina became a tireless advocate of equal rights for lesbian, gay, bisexual, and transgender (LGBT) people, and she has contributed generously to the LGBT community. Martina is the author of seven books, including most recently Shape Your Self: My 6-Step Diet and Fitness Plan to Achieve the Best Shape of your Life, an inspiring guide to healthy living and personal fitness. Martina was diagnosed with breast cancer in 2010.

  11. Warped Supersymmetric Grand Unification

    CERN Document Server

    Goldberger, W D; Smith, D R; Goldberger, Walter D.; Nomura, Yasunori; Smith, David R.

    2003-01-01

    We construct a realistic model of grand unification in AdS_5 truncated by branes, in which the unified gauge symmetry is broken by boundary conditions and the electroweak scale is generated by the AdS warp factor. We show that the model preserves the successful gauge coupling unification of the 4D MSSM at leading-logarithmic level. Kaluza-Klein towers, including those of XY gauge and colored Higgs multiplets, appear at the TeV scale, while the extra dimension provides natural mechanisms for doublet-triplet splitting and proton decay suppression. In one possible scenario supersymmetry is strongly broken on the TeV brane, in which case the lightest SU(3)_C x SU(2)_L x U(1)_Y gauginos are Dirac fermions, with universal masses at the weak scale, and the mass of the lightest XY gaugino is pushed well below that of the lowest gauge boson KK mode, improving the prospects for its production at the LHC. The bulk Lagrangian possesses a symmetry that we call GUT parity. If GUT parity is exact, the lightest GUT particle,...

  12. Should This Patient Have Weight Loss Surgery?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.

    Science.gov (United States)

    Smetana, Gerald W; Jones, Daniel B; Wee, Christina C

    2017-06-06

    Obesity is an important public health priority in the United States. One third of U.S. adults are obese and therefore can expect higher rates of diabetes mellitus, other obesity-related comorbidities, and mortality. In 2013, the American Association of Clinical Endocrinologists, the Obesity Society, and the American Society for Metabolic and Bariatric Surgery issued a guideline that recommended weight loss (bariatric) surgery for all patients with a body mass index (BMI) of 40 kg/m2 or higher and for those with a BMI of 35 kg/m2 or greater in the presence of at least 1 obesity-related comorbidity. Among the 3 most commonly performed surgeries, the amount of excess weight reduction ranges from 49% for laparoscopic adjustable gastric banding to 76% for Roux-en-Y gastric bypass. In accredited centers, perioperative mortality averages 0.3%. In this Beyond the Guidelines, 2 experts in obesity management, a bariatric surgeon and a general internist, discuss the role of weight loss surgery versus dietary and lifestyle modification, both in general and for a specific patient who is eligible for surgery. Ethnic and age-related variability in the effects of obesity on mortality, as well as potential long-term benefits and risks of weight loss surgery for patient subgroups, are discussed.

  13. Should We Screen for Type 2 Diabetes?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.

    Science.gov (United States)

    Smetana, Gerald W; Abrahamson, Martin J; Rind, David M

    2016-10-04

    The prevalence of diabetes in the United States is rising. Twelve percent of U.S. adults have diabetes and another 37% have impaired fasting glucose or impaired glucose tolerance. Diabetes is a major risk factor for such outcomes as cardiovascular disease, blindness, chronic kidney disease, and limb amputation. An important consideration is whether screening for abnormal glucose levels or diabetes reduces cardiovascular or all-cause morbidity and mortality. In October 2015, the U.S. Preventive Services Task Force published recommendations on screening for abnormal blood glucose and concluded that intensive lifestyle interventions have a moderate benefit in reducing progression to diabetes in patients who have abnormal blood glucose levels detected by screening. It found inadequate evidence that such screening reduces cardiovascular or all-cause mortality and no evidence of psychological or other harms from screening. The Task Force recommends glucose screening every 3 years for adults aged 40 to 70 years who are overweight or obese and do not have symptoms of diabetes. In this article, we present the case of a man who meets these criteria and explore his preferences and concerns regarding screening. Two experts then debate screening merits and benefits, the significance of abnormal blood glucose levels and diabetes as cardiovascular risk factors, and application of the guidelines to this particular patient.

  14. Should This Patient Receive an Antidepressant?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.

    Science.gov (United States)

    Burns, Risa B; Smetana, Gerald W; Brady, Roscoe

    2017-08-01

    Depression is a major public health problem and a common cause of disability. To help physicians choose among available treatment options, the American College of Physicians recently issued a guideline titled "Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients with Major Depressive Disorder." The evidence review done for the guideline found no statistically significant difference in the efficacy of second-generation antidepressants (SGAs) versus most other treatments for this disorder. However, rates of adverse events and discontinuation were generally higher in patients treated with SGAs. This Beyond the Guidelines reviews the guideline and includes a discussion between 2 experts on how they would apply it to a 64-year-old man with depression who is reluctant to begin medication. They review the data on which the guideline is based, discuss the limitations of applying the data to real-world settings, review how they would incorporate patient preferences when making treatment decisions, and outline options for patients in whom first-line therapy has failed.

  15. Medical grand rounds at Yale-New Haven Hospital. Septic abortion.

    Science.gov (United States)

    Sachs, F L; Landsberg, L

    1970-09-01

    a 17-year-old gravida 1, para 0, single white girl who had undergone criminal abortion, presented at the hospital with high fever and red urine. Her vital signs were monitored and laboratory tests were performed. A total abdominal hysterectomy and salpingo-oophorectomy were performed because of gangrenous uterus and ovaries. The patient developed postoperative complications and blood transfusion was performed. The criminal abortion was induced using some type of liquid (eg., Lysol) that was injected into the uterus transvaginally. The use of Lysol, soap and detergents in criminal abortion produces an area of tissue necrosis. The compounds are also absorbed into the bloodstream. The necrotic tissue is susceptible to infection, while the part which is absorbed into the bloodstream is nephrotoxic, hepatotoxic and produces hemolysis. Common complications of septic abortion are pelvic abscesses; metastatic abscesses; tetanus; renal insufficiency; cortical necrosis; and acute tubular necrosis. Coagulation abnormalities, as well as the psychological, economic and legal aspects of septic abortion are also discussed. It is hoped that all physicians would actively support legislation which would liberalize abortion laws.

  16. CDC Grand Rounds: Family History and Genomics as Tools for Cancer Prevention and Control.

    Science.gov (United States)

    Rodriguez, Juan L; Thomas, Cheryll C; Massetti, Greta M; Duquette, Debra; Avner, Lindsay; Iskander, John; Khoury, Muin J; Richardson, Lisa C

    2016-11-25

    Although many efforts in cancer prevention and control have routinely focused on behavioral risk factors, such as tobacco use, or on the early detection of cancer, such as colorectal cancer screening, advances in genetic testing have created new opportunities for cancer prevention through evaluation of family history and identification of cancer-causing inherited mutations. Through the collection and evaluation of a family cancer history by a trained health care provider, patients and families at increased risk for a hereditary cancer syndrome can be identified, referred for genetic counseling and testing, and make informed decisions about options for cancer risk reduction (1). Although hereditary cancers make up a small proportion of all cancers, the number of affected persons can be large, and the level of risk among affected persons is high. Two hereditary cancer syndromes for which public health professionals have worked to reduce the burden of morbidity and mortality are hereditary breast and ovarian cancer syndrome (HBOC) and Lynch syndrome.

  17. CDC Grand Rounds: Preventing Suicide Through a Comprehensive Public Health Approach.

    Science.gov (United States)

    David-Ferdon, Corinne; Crosby, Alex E; Caine, Eric D; Hindman, Jarrod; Reed, Jerry; Iskander, John

    2016-09-02

    Suicide in the United States is a major public health problem with approximately 42,000 reported suicides in 2014 among persons aged >10 years (1). The overall suicide rate is increasing, with a 27% increase from 2000 (12.1 per 100,000 population) to 2014 (15.4 per 100,000) (Figure 1). Males, youths and young adults, and certain racial/ethnic groups have historically had higher rates of suicide. In 2014, suicide rates were approximately four times higher among males (24.3 per 100,000) than females (6.8 per 100,000), and suicide was the second leading cause of death among youths and young adults aged 10-34 years (1). Among persons aged 10-24 years, the 2014 suicide rate among non-Hispanic American Indian/Alaska Natives was 20.2 per 100,000, 1.9 times higher than non-Hispanic whites (10.5 per 100,000), 3.5 times higher than non-Hispanic blacks (5.8 per 100,000), and 3.7 times higher than Hispanics (5.5 per 100,000) (1). Adults aged 35-64 years are an emerging group at risk, with suicide rates increasing 33% since 2000 and accounting for the largest proportion of suicides (1).

  18. Beyond Grand Rounds: A Comprehensive and Sequential Intervention to Improve Identification of Delirium

    Science.gov (United States)

    Ramaswamy, Ravishankar; Dix, Edward F.; Drew, Janet E.; Diamond, James J.; Inouye, Sharon K.; Roehl, Barbara J. O.

    2011-01-01

    Purpose of the Study: Delirium is a widespread concern for hospitalized seniors, yet is often unrecognized. A comprehensive and sequential intervention (CSI) aiming to effect change in clinician behavior by improving knowledge about delirium was tested. Design and Methods: A 2-day CSI program that consisted of progressive 4-part didactic series,…

  19. Grand rounds from international lupus centres cardiac abnormalities in SLE : pancarditis

    NARCIS (Netherlands)

    Bijl, M; Brouwer, J; Kallenberg, GGM

    2000-01-01

    Many patients with systemic lupus erythematosus (SLE) develop cardiac manifestations during the course of their disease. Pericarditis is most commonly seen, with a reported prevalence of 60%. Myocardial involvement is present in only a minority of patients. In recent years, due to better noninvasive

  20. Economic grand rounds: Can states implement involuntary outpatient commitment within existing state budgets?

    Science.gov (United States)

    Swartz, Marvin S; Swanson, Jeffrey W

    2013-01-01

    Many states have not implemented involuntary outpatient commitment, possibly believing that the program is too costly. A review of New York State's experience found that even though the state had appropriated funds for implementing outpatient commitment, overall cost savings were realized. This column presents an analysis in which net costs of outpatient commitment were calculated by using data from a randomized controlled study in North Carolina, where court-ordered treatment was implemented without additional appropriations. The analysis found that outpatient commitment in North Carolina was relatively cost-neutral when relevant costs for persons on outpatient commitment were compared with costs for persons not on outpatient commitment, regardless of commitment duration. Outpatient commitment of six months or more, combined with provision of outpatient services, appeared to result in cost savings of 40%. Findings suggest that states with adequate services to provide consumers on outpatient commitment may implement a program without new funding.

  1. CDC Grand Rounds: a public health approach to prevention of intimate partner violence.

    Science.gov (United States)

    Spivak, Howard R; Jenkins, Lynn; VanAudenhove, Kristi; Lee, Debbie; Kelly, Mim; Iskander, John

    2014-01-17

    Intimate partner violence (IPV) is a serious, and preventable, public health problem in the United States. IPV can involve physical and sexual violence, threats of physical or sexual violence, and psychological abuse, including stalking. It can occur within opposite-sex or same-sex couples and can range from one incident to an ongoing pattern of violence. On average, 24 persons per minute are victims of rape, physical violence, or stalking by an intimate partner in the United States. These numbers underestimate the problem because many victims do not report IPV to police, friends, or families. In 2010, IPV contributed to 1,295 deaths, accounting for 10% of all homicides for that year. The combined medical, mental health, and lost productivity costs of IPV against women are estimated to exceed $8.3 billion per year. In addition to the economic burden of IPV, victims are more likely to experience adverse health outcomes, such as depression, anxiety, posttraumatic stress disorder symptoms, suicidal behavior, sexually transmitted infections, and unintended pregnancy.

  2. Beyond Grand Rounds: A Comprehensive and Sequential Intervention to Improve Identification of Delirium

    Science.gov (United States)

    Ramaswamy, Ravishankar; Dix, Edward F.; Drew, Janet E.; Diamond, James J.; Inouye, Sharon K.; Roehl, Barbara J. O.

    2011-01-01

    Purpose of the Study: Delirium is a widespread concern for hospitalized seniors, yet is often unrecognized. A comprehensive and sequential intervention (CSI) aiming to effect change in clinician behavior by improving knowledge about delirium was tested. Design and Methods: A 2-day CSI program that consisted of progressive 4-part didactic series,…

  3. Estratégia cirúrgica na transposição das grandes artérias associada à obstrução do arco aórtico Surgical strategy in transposition of the great arteries with aortic arch obstruction

    Directory of Open Access Journals (Sweden)

    Bayard Gontijo Filho

    2007-06-01

    Full Text Available OBJETIVO: Analisar nossa experiência no tratamento cirúrgico da transposição das grandes artérias (TGA associada à obstrução do arco aórtico. MÉTODO: Entre janeiro de 1998 e dezembro de 2005, realizamos 223 operações de Jatene para correção de TGA: 21 (9,4% pacientes apresentavam obstruções do arco aórtico. A anatomia do arco aórtico evidenciou: coarctação da aorta localizada (n=10; coarctação com hipoplasia tubular do arco aórtico (n=6; interrupção do arco aórtico (n=5. Comunicação interventricular (CIV: 19 pacientes (90,5%, sendo 11 do tipo Taussig-Bing. Desproporção importante entre aorta e artéria pulmonar e anomalias coronárias foram achados freqüentes. Houve 7 correções em dois estágios e 14 correções em um único estágio. A reconstrução do arco foi realizada por ressecção e anastomose término-terminal ampliada (13 ou por translocação da aorta ascendente (8. RESULTADO: Houve cinco (23,8% óbitos hospitalares; apenas um (11,1% nos últimos nove casos consecutivos. Reoperações no período hospitalar: revisão de hemostasia (5, CIV residual + coarctação não identificada (1, estenose residual de arco aórtico (1. Após a alta, houve dois óbitos e três pacientes foram submetidos a reintervenções para estenose da via de saída do ventrículo direito. CONCLUSÃO: O tratamento da transposição das grandes artérias associada à obstrução do arco aórtico apresenta alta complexidade e morbi-mortalidade. Empregamos as correções em um e em dois estágios, obtendo resultados comparáveis. Nossa preferência atual é pela correção precoce em um único estágio para todos os pacientes, independente de sua configuração anatômica.OBJECTIVE:To analyze our experience in the surgical correction of transposition of the great arteries associated with aortic arch obstruction. METHOD: From January 1998 to December 2005 we performed 223 arterial switch operations for transposition of the great

  4. Rounding in redundant digit floating point system

    Science.gov (United States)

    Fahmy, Hossam A. H.; Flynn, Michael J.

    2003-12-01

    Redundant representations are used to increase the performance of arithmetic units. If redundancy is eliminated, the bits needed to represent a number may increase or decrease depending on the type of redundancy used. In such a redundant representation, finding the exact location and correct decision for rounding without eliminating the redundancy or loosing its performance gains is difficult. This paper discusses the different issues related to rounding in redundant systems. It also presents a solution that was used to maintain the gains of redundancy in a floating point unit while correctly implementing the IEEE rounding modes.

  5. Cassini's Grand Finale

    Science.gov (United States)

    Spilker, L. J.; Edgington, S. G.; Altobelli, N.

    2016-12-01

    After more than 12 years in Saturn orbit, the Cassini-Huygens mission has entered its final year of data collection. Cassini will return its final bits of unique data on 15 September 2017 as it plunges into Saturn's atmosphere, vaporizing and satisfying planetary protection requirements. Since early 2016 Cassini's orbital inclination was slowly increased towards its final inclination. In November Cassini transitioned to a series of 20 orbits with peripases just outside Saturn's F ring that include some of the closest flybys of the tiny ring moons and excellent views of the F ring and outer A ring. Cassini's final close flyby of Titan will propel it across Saturn's main rings and into its final orbits. Cassini's Grand Finale begins in April 2017 and is comprised of 22 orbits at an inclination of 63 degrees. Cassini will repeatedly dive between the innermost ring and Saturn's upper atmosphere providing insights into fundamental questions unattainable during the rest of the mission. It will be the first spacecraft to explore this region. These close orbits provide the highest resolution observations of both the rings and Saturn, and direct in situ sampling of the ring particles' composition, plasma, Saturn's exosphere and the innermost radiation belts. Saturn's gravitational field will be measured to unprecedented accuracy, providing information on Saturn's interior structure and mass distribution in the rings. Probing the magnetic field will give insight into the nature of the magnetic dynamo and the true rotation rate of Saturn's interior. The ion and neutral mass spectrometer will sniff the exosphere and upper atmosphere and examine water-based molecules originating from the rings. The cosmic dust analyzer will sample particle composition from different parts of the main rings. Recent science highlights and science objectives from Cassini's final orbits will be discussed. This work was carried out in part at the Jet Propulsion Laboratory, California Institute of

  6. Rounding, work intensification and new public management.

    Science.gov (United States)

    Willis, Eileen; Toffoli, Luisa; Henderson, Julie; Couzner, Leah; Hamilton, Patricia; Verrall, Claire; Blackman, Ian

    2016-06-01

    In this study, we argue that contemporary nursing care has been overtaken by new public management strategies aimed at curtailing budgets in the public hospital sector in Australia. Drawing on qualitative interviews with 15 nurses from one public acute hospital with supporting documentary evidence, we demonstrate what happens to nursing work when management imposes rounding as a risk reduction strategy. In the case study outlined rounding was introduced across all wards in response to missed care, which in turn arose as a result of work intensification produced by efficiency, productivity, effectiveness and accountability demands. Rounding is a commercially sponsored practice consistent with new public management. Our study illustrates the impact that new public management strategies such as rounding have on how nurses work, both in terms of work intensity and in who controls their labour.

  7. Round Robin Reading as a Teaching Method.

    Science.gov (United States)

    Hill, Charles H.

    1983-01-01

    Concludes that Round Robin Reading is a widely used method of teaching science and social studies in the intermediate grades. Discusses the effects of this method of instruction and provides alternatives for it. (FL)

  8. Improved Round Robin Policya Mathematical Approach

    Directory of Open Access Journals (Sweden)

    Prof . D. Pandey

    2010-07-01

    Full Text Available This work attempts to mathematically formulize the computation of waiting time of any process in a static n-process, CPU-bound round robin scheme. That in effect, can calculate other performance measures also. An improvement in the existing round robin algorithm has also been worked out that provides priority to processes nearing completion. The suggested approach uses two ready queues, wherein a process is returned to the second ready queue after the completion of its penultimate round. This policy reduces the average waiting timeand increases the throughput, in comparison to the conventional round robin scheme, while maintaining the same level of CPU utilization and no substantial increase in the overheads. The mathematical formulation of this policy is transparent enough; it provides, for each process, the actual order of shifting to the second queue and also the order of termination.

  9. [Surgical implantation of the Med-El vibrant Soundbridge].

    Science.gov (United States)

    Ramos Macías, Angel

    2008-11-01

    Surgical implantation of the Med-El Vibrant Soundbridge is, in the initial phases, similar to that of other otologic processes but differs in certain aspects that should be known. The surgical steps are as follows: incision, mastoidectomy, posterior tympanotomy, preparation of the implant bed, and placement of the device. The present article also describes the surgical procedure for placement of the device in the round window.

  10. The summer sun shone round me

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The summer sun shone round me, The folded valley lay In a stream of sun and odour, That sultry summer day. The tall trees stood in the sunlight As still as still could be, But the deep grass sighed and rustled And bowed and beckoned me. The deep grass moved and whispered And bowed and brushed my face. It whis pered in the sunshine: The winter comes apdce.”The summer sun shone round me

  11. Maximizing efficiency on trauma surgeon rounds.

    Science.gov (United States)

    Ramaniuk, Aliaksandr; Dickson, Barbara J; Mahoney, Sean; O'Mara, Michael S

    2017-01-01

    Rounding by trauma surgeons is a complex multidisciplinary team-based process in the inpatient setting. Implementation of lean methodology aims to increase understanding of the value stream and eliminate nonvalue-added (NVA) components. We hypothesized that analysis of trauma rounds with education and intervention would improve surgeon efficacy. Level 1 trauma center with 4300 admissions per year. Average non-intensive care unit census was 55. Five full-time attending trauma surgeons were evaluated. Value-added (VA) and NVA components of rounding were identified. The components of each patient interaction during daily rounds were documented. Summary data were presented to the surgeons. An action plan of improvement was provided at group and individual interventions. Change plans were presented to the multidisciplinary team. Data were recollected 6 mo after intervention. The percent of interactions with NVA components decreased (16.0% to 10.7%, P = 0.0001). There was no change between the two periods in time of evaluation of individual patients (4.0 and 3.5 min, P = 0.43). Overall time to complete rounds did not change. There was a reduction in the number of interactions containing NVA components (odds ratio = 2.5). The trauma surgeons were able to reduce the NVA components of rounds. We did not see a decrease in rounding time or individual patient time. This implies that surgeons were able to reinvest freed time into patient care, or that the NVA components were somehow not increasing process time. Direct intervention for isolated improvements can be effective in the rounding process, and efforts should be focused upon improving the value of time spent rather than reducing time invested. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Ideal ward round making in neurosurgical practice.

    Directory of Open Access Journals (Sweden)

    Pathak A

    2000-07-01

    Full Text Available The success of a perfect ward round lies in the role of the consultant leading the ′round making group′ (RMG as well as the hallmark of effective questioning and participation of each member. Twelve senior consultants with more than 10 years′ experience in neurosurgical practice at three different university hospitals were observed during round making by a participant observer. Observations were made on the group climate of the RMG, the leadership pattern and language expressed by the clinician conducting the round and the effectiveness in his performance as a leader during clinical discussions. The group climate showed evidence of good productivity and flexibility with 92% and 75% consultants, pleasantness of climate was above average with only 50% (6/12 and poor objectivity with 42% (5/12 consultants. Forty two percent of the consultants were not always very well comprehensible, while only 50% (6/12 spoke exactly fitting the occasion. Only 33% (4/12 of the consultants used humour effectively, while 42% (5/12 spoke unnecessarily in between discussion and were poor in introducing the problems of patient to the round making group. Ward round making in neurosurgical practice needs a holistic approach with motivation, planning, leadership skills and structured curriculum to fulfill its objectives.

  13. Surgical Navigation

    DEFF Research Database (Denmark)

    Azarmehr, Iman; Stokbro, Kasper; Bell, R. Bryan

    2017-01-01

    were identified in the field of traumatology. Treatment of complex orbital fractures was considerably improved by the use of SN compared with traditionally treated control groups. Conclusions: SN seems to be a very promising addition to the surgical toolkit. Planning details of the surgical procedure...... in a 3-dimensional virtual environment and execution with real-time guidance can significantly improve precision. Among factors to be considered are the financial investments necessary and the learning curve....

  14. Crumb rubber impact to the mechanical performance of concrete based at round gravel

    Science.gov (United States)

    Bouaka, Wafa; Kriker, Abdelouahed

    2017-02-01

    Today the concrete is used more than any other construction material, with almost four (4) billion cubic meters used worldwide [1]. Throughout history, mankind has used concrete in construction. Concrete has not only been used in the construction of buildings such as dwelling areas but also in bridges, roads, tunnels, airports and water dams. It is a heterogeneous composite resulting from cement, aggregates, water and a limited quantity of adjuvant. The round gravel is an existing traditional material within the formulation of concrete. It is high in resistance to fragmentation and widely spread out in grand quantity in the Saharian regions. However, its utilization remains rare in different types of construction. The purpose of this study is to compare and contrast the use of local materials (Round gravel) with polymer industrial products (Crumb Rubber). This one is used to enhance the density, homogeneity, malleability and strength of the construction material.

  15. Desmoplastic Small Round Cell Tumor: Current Management and Recent Findings

    Directory of Open Access Journals (Sweden)

    Armelle Dufresne

    2012-01-01

    Full Text Available Desmoplastic small round cell tumor (DSRCT is a rare and highly aggressive mesenchymal tumor that develops in the abdominal cavity of young men adults. Patients typically present with symptoms of abdominal sarcomatosis. Diagnosis is based on histological analysis of biopsies which typically show small round blue cells in nests separated by an abundant desmoplastic stroma. DSRCT is associated with a unique chromosomal translocation t(11:22 (p 13; q 12 that involves the EWSR1 and WT1 genes. The prognosis is particularly poor; median survival ranges from 17 to 25 months, largely due to the presentation of the majority of patients with metastatic disease. Management of DSRCT remains challenging and current schemes lack a significant cure rate despite the use of aggressive treatments such as polychemotherapy, debulking surgery and whole abdominal radiation. Several methods are being evaluated to improve survival: addition of chemotherapy and targeted therapies to standard neoadjuvant protocol, completion of surgical resection with HIPEC, postoperative IMRT, treatment of hepatic metastases with [90Y]Yttrium microsphere liver embolization.

  16. Assessment of teamwork during structured interdisciplinary rounds on medical units.

    Science.gov (United States)

    O'Leary, Kevin J; Boudreau, Yvonne N; Creden, Amanda J; Slade, Maureen E; Williams, Mark V

    2012-01-01

    Interdisciplinary rounds (IDR) provide a means to assemble hospital team members and improve collaboration. Little is known about teamwork during IDR. To evaluate and characterize teamwork during IDR. Cross-sectional observational study. Six medical units which had implemented structured interdisciplinary rounds (SIDR). We adapted the Observational Teamwork Assessment for Surgery (OTAS) tool, a behaviorally anchored rating scale shown to be reliable and valid in surgical settings. OTAS provides scores ranging from 0 to 6 (0 = problematic behavior; 6 = exemplary behavior) across 5 domains (communication, coordination, cooperation/backup behavior, leadership, and monitoring/situational awareness) and for prespecified subteams. Two researchers conducted direct observations using the adapted OTAS tool. We conducted 7-8 independent observations for each unit (total = 44) and 20 joint observations. Inter-rater reliability was excellent at the unit level (Spearman's rho = 0.75), and good across domains (rho = 0.53-0.68) and subteams (rho = 0.53-0.76) with the exception of the physician subteam, for which it was poor (rho = 0.35). Though teamwork scores were generally high, we found differences across units, with a median (interquartile range [IQR]) 4.5 (3.9-4.9) for the lowest and 5.4 (5.3-5.5) for the highest performing unit (P teamwork during SIDR across units, domains, and most subteams. Variation in performance suggests a need to improve consistency of teamwork and emphasizes the importance of leadership. Copyright © 2012 Society of Hospital Medicine.

  17. Facial sculpting: Comprehensive approach for aesthetic correction of round face

    Directory of Open Access Journals (Sweden)

    M K Thomas

    2012-01-01

    Full Text Available Context: Standards for an aesthetic face are dynamic. The current trend is towards a leaner looking face with preservation of the inverted triangle of youth. Procedures that have been reported to be employed for correction of a chubby face include buccal fat pad excision, facial liposuction and injection lipolysis. In addition to giving the face an aesthetic triangular cut, chin and malar augmentation may be performed. The rounded appearance at the angles may further be reduced by injection of Botulinum toxin into the masseter. Materials and Methods: Forty patients who presented to us for correction of chubby (round faces were analysed and treated by facial sculpting surgery, which included at least two of the procedures in combination. The procedures included facial liposuction, buccal fat pad excision, chin augmentation, malar augmentation and injection lipolysis. All cases were followed-up for a minimum of 6 months after surgery. Results: Aesthetic expectations of the patients were met in 39 cases, one patient complained of facial asymmetry following facial liposuction and was subjected to a touch-up injection lipolysis. Conclusions: A combination of procedures is necessary to give the face an attractive contour. All the individual procedures have stood the test of time and are safe, proven and are put in mainstream. However, a thorough analysis of the face preoperatively and then subjecting the patient to a combination of these procedures in a single surgical sitting has yielded good results as seen in this study.

  18. ROUNDED FLOWING STATES OF OBSTRUCTED BUOYANT JET

    Institute of Scientific and Technical Information of China (English)

    HUAI Wen-xin; FANG Shen-guang

    2006-01-01

    The mutual relationships of three effective factors, the diameter D/d (d is the diameter of exit) of obstructed plate, exit densimetric Froude number and the distance H/d of the plate from jet orifice for obstructed buoyant jet in static ambient, are analyzed to explain normal and abnormal rounded flowing (reverberated and bifurcated flowing).The critical Froude numbers for obstructed buoyant jets with H/d=2, 4, 6, 8 which distinguished normal and abnormal flowing pattern are obtained. Normal rounded flowing is found only for a plate under a special value of H/d. A fitted formula of critical Froude numbers with H/d and D/d is presented to distinguish rounded flowing types. The occurring of reverberated or bifurcated flowing in abnormal rounded flow is analyzed. Based on the results of obstructed buoyant jets with D/d=1, normal rounded flowing occurred only for all conditions and axial dilution behind the plate under different H/D is obtained.

  19. International Technical Working Group Round Robin Tests

    Energy Technology Data Exchange (ETDEWEB)

    Dudder, Gordon B.; Hanlen, Richard C.; Herbillion, Georges M.

    2003-02-01

    The goal of nuclear forensics is to develop a preferred approach to support illicit trafficking investigations. This approach must be widely understood and accepted as credible. The principal objectives of the Round Robin Tests are to prioritize forensic techniques and methods, evaluate attribution capabilities, and examine the utility of database. The HEU (Highly Enriched Uranium) Round Robin, and previous Plutonium Round Robin, have made tremendous contributions to fulfilling these goals through a collaborative learning experience that resulted from the outstanding efforts of the nine participating internal laboratories. A prioritized list of techniques and methods has been developed based on this exercise. Current work is focused on the extent to which the techniques and methods can be generalized. The HEU Round Robin demonstrated a rather high level of capability to determine the important characteristics of the materials and processes using analytical methods. When this capability is combined with the appropriate knowledge/database, it results in a significant capability to attribute the source of the materials to a specific process or facility. A number of shortfalls were also identified in the current capabilities including procedures for non-nuclear forensics and the lack of a comprehensive network of data/knowledge bases. The results of the Round Robin will be used to develop guidelines or a ''recommended protocol'' to be made available to the interested authorities and countries to use in real cases.

  20. A time-motion study of inpatient rounds using a family-centered rounds model

    NARCIS (Netherlands)

    Bhansali, P.; Birch, S.; Campbell, J.K.; Agrawal, D.; Hoffner, W.; Manicone, P.; Shah, K.; Krieger, E.; Ottolini, M.

    2013-01-01

    OBJECTIVE: Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model. METHODS: We conducted a prospective observational study at Childr

  1. Family participation in intensive care unit rounds: Comparing family and provider perspectives.

    Science.gov (United States)

    Au, Selena S; Roze des Ordons, Amanda; Soo, Andrea; Guienguere, Simon; Stelfox, Henry T

    2017-04-01

    To describe and compare intensive care unit (ICU) patient family member and provider experiences, preferences, and perceptions of family participation in ICU rounds. Cross-sectional survey of ICU family members and providers of patients admitted to 4 medical-surgical ICUs from September 2014 to March 2015. Surveys were completed by 63 (62%) family members and 258 (43%) providers. Provider respondents included physicians (9%), nurses (56%), respiratory therapists (24%), and other ICU team members (11%). Although 38% of providers estimated only moderate family member interest in participating in rounds, 97% of family members expressed high interest. Family members and providers reported listening (95% vs 96%; P=.594) and sharing information about the patient (82% vs 82%; P=.995) as appropriate roles for family members during rounds, but differed in their perceptions on asking questions (75% vs 86%; P=.043) and participating in decision making (36% vs 59%; P=.003). Compared with family members, providers were more likely to perceive family participation in rounds to cause family stress (7% vs 22%; P=.020) and confusion (0% vs 28%; PFamily members and providers share some perspectives on family participation in ICU rounds although other perspectives are discordant, with implications for communication strategies and collaborative decision making. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Does Negative Type Characterize the Round Sphere?

    DEFF Research Database (Denmark)

    Kokkendorff, Simon Lyngby

    2007-01-01

    We discuss the measure theoretic metric invariants extent, mean distance and symmetry ratio and their relation to the concept of negative type of a metric space. A conjecture stating that a compact Riemannian manifold with symmetry ratio 1 must be a round sphere, was put forward in a previous paper....... We resolve this conjecture in the class of Riemannian symmetric spaces by showing, that a Riemannian manifold with symmetry ratio 1 must be of negative type and that the only compact Riemannian symmetric spaces of negative type are the round spheres....

  3. Round Gating for Low Energy Block Ciphers

    DEFF Research Database (Denmark)

    Banik, Subhadeep; Bogdanov, Andrey; Regazzoni, Francesco;

    2016-01-01

    Pushed by the pervasive diffusion of devices operated by battery or by the energy harvested, energy has become one of the most important parameter to be optimized for embedded systems. Particularly relevant would be to optimize the energy consumption of security primitives. In this paper we explore...... design techniques for implementing block ciphers in a low energy fashion. We concentrate on round based implementation and we discuss how gating, applied at round level can affect and improve the energy consumption of the most common lightweight block cipher currently used in the internet of things...

  4. Trade liberalization in the Doha development Round

    NARCIS (Netherlands)

    Francois, J.; Meijl, van H.; Tongeren, van F.W.

    2005-01-01

    The Doha Round faced a long series of launch-delays and a spectacular launch-failure in Seattle in 1999. While the talks did take off in 2001, the negotiating agenda is still ambiguous in a number of crucial areas. This paper argues that these ambiguities matter greatly. Such ambiguities include the

  5. Commercial lumber, round timbers, and ties

    Science.gov (United States)

    David E. Kretschmann

    2010-01-01

    When sawn, a log yields round timber, ties, or lumber of varying quality. This chapter presents a general discussion of grading, standards, and specifications for these commercial products. In a broad sense, commercial lumber is any lumber that is bought or sold in the normal channels of commerce. Commercial lumber may be found in a variety of forms, species, and types...

  6. Race to Top Round Two Heating Up

    Science.gov (United States)

    McNeil, Michele

    2010-01-01

    With the second-round deadline for federal Race to the Top Fund grants less than six weeks away, states are rushing to raise the stakes on their education reform plans as they fight over the remaining $3.4 billion in prize money. But in doing so, states from Massachusetts to Colorado are tangling with their teachers' unions as they test how far…

  7. The "Virtues" of Round Robin Reading.

    Science.gov (United States)

    Standal, Timothy C.; Towner, John C.

    1982-01-01

    Argues that round robin reading is valuable because it prepares students for "the real world" by exposing them to boredom, teaching them to look alert when they are not, teaching the skills of oneupmanship, and teaching inference skills (since it often obscures the story line of a work). (FL)

  8. Rx for Round Robin Oral Reading.

    Science.gov (United States)

    Johns, Jerry L.

    1982-01-01

    Concludes that, as it is commonly practiced today, round robin oral reading is merely a vehicle for assessing accuracy in calling words. Argues that such a purpose can be achieved better on a one-to-one basis between teacher and student. (FL)

  9. Round Two for Three ALICE Industrial Awards

    CERN Multimedia

    2004-01-01

    Excellency in industrial collaboration with the LHC experimental teams is one important contribution to the successful development and realization of the experiments. A few weeks ago the ALICE collaboration presented a second round of awards to industrial collaborators for their novel and remarkable contributions to major detector systems.

  10. ESSA's Well-Rounded Education. Special Report

    Science.gov (United States)

    Jones, Scott D.; Workman, Emily

    2016-01-01

    As questions regarding the Every Student Succeeds Act (ESSA) flow in to Education Commission of the States, one frequent inquiry is about the concept of a "well-rounded education," referenced more than 20 times and included within the majority of Titles in the Act. State education leaders want to know what constitutes a well-rounded…

  11. 78 FR 11678 - Notice of Inventory Completion: Grand Rapids Public Museum, Grand Rapids, MI

    Science.gov (United States)

    2013-02-19

    ... National Park Service Notice of Inventory Completion: Grand Rapids Public Museum, Grand Rapids, MI AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Grand Rapids Public Museum has completed an... Grand Rapids Public Museum. Repatriation of the human remains and associated funerary objects to...

  12. Occurence of a round window membrane rupture in patients with sudden sensorineural hearing loss

    Directory of Open Access Journals (Sweden)

    Haubner Frank

    2012-11-01

    Full Text Available Abstract Background Aim of the present study was to evaluate the occurence of a round window membrane rupture and the effects of hearing restoration after exploratory tympanotomy and sealing of the round window (niche in patients with unilateral sudden deafness. Methods Retrospective analysis of patients’ charts in a tertiary referral center. Charts of 69 patients with sudden deafness followed by exploratory tympanotomy were retrospectively analyzed. Pure-tone audiometry data before and after tympanotomy were compared to determine the outcome of hearing recovery. The postoperative hearing test values were documented 3 weeks after tympanotomy. All surgical reports were reviewed with regard to the surgical technique performed and the intraoperative findings. Results 18.8% of the patients revealed a visible perilymphatic fistula in the round window niche. 89.8% of the patients reported no typical history for a round window membrane rupture. All patients were treated with an exploratory tympanotomy under local anesthesia and an intravenous corticosteroid treatment regimen. The majority of the surgeons used a fat plomb to cover the round window. Postoperative hearing was significantly improved compared to the preoperative hearing test data. No patient showed a worsened hearing curve after the treatment. Conclusion Most patients suffering from unilateral sudden deafness had no visible perilymphatic fistula. In our study population, the majority of patients reported no typical history of a pressure elevation in the inner ear. Exploratory tympanotomy is a safe procedure that may support hearing recovery in patients with sudden deafness in addition to the established treatment regimen including high-dose steroids.

  13. Results from KASCADE-Grande

    Energy Technology Data Exchange (ETDEWEB)

    Bertaina, M., E-mail: bertaina@to.infn.it [Dipartimento di Fisica Generale dell' Universita, Torino (Italy); Apel, W.D. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Arteaga-Velazquez, J.C. [Universidad Michoacana, Instituto de Fisica y Matematicas, Morelia (Mexico); Bekk, K. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Bluemer, J. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Institut fuer Experimentelle Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Bozdog, H. [Institut fuer Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); Brancus, I.M. [National Institute of Physics and Nuclear Engineering, Bucharest (Romania); Buchholz, P. [Fachbereich Physik, Universitaet Siegen (Germany); Cantoni, E. [Dipartimento di Fisica Generale dell' Universita, Torino (Italy); Istituto di Fisica dello Spazio Interplanetario, INAF Torino (Italy); Chiavassa, A. [Dipartimento di Fisica Generale dell' Universita, Torino (Italy); Cossavella, F. [Institut fuer Experimentelle Kernphysik, KIT - Karlsruher Institut fuer Technologie (Germany); and others

    2012-11-11

    The KASCADE-Grande experiment, located at Karlsruhe Institute of Technology (Germany) is a multi-component extensive air-shower experiment devoted to the study of cosmic rays and their interactions at primary energies 10{sup 14}-10{sup 18} eV. Main goals of the experiment are the measurement of the all-particle energy spectrum and mass composition in the 10{sup 16}-10{sup 18} eV range by sampling charged (N{sub ch}) and muon (N{sub {mu}}) components of the air shower. The method to derive the energy spectrum and its uncertainties, as well as the implications of the obtained result, is discussed. An overview of the analyses performed by KASCADE-Grande to derive the mass composition of the measured high-energy comic rays is presented as well.

  14. Mars rapid round trip mission design

    Science.gov (United States)

    Sarzi Amade', Nicola

    The present research is divided in two parts. The first part is a well defined mathematical problem, with exact rules and results, in which the basic constraints for interplanetary round trip travels are used to calculate an interplanetary train schedule (ITS) of missions to Mars, in the general case of orbits with non-zero eccentricity and non-zero inclination. Several possible options for round trip travels to Mars are considered. In particular, options at high energy, which allow rapid round trip missions, are discussed. These options have important applications for human travels to Mars. The second part of the research is about systems engineering aspects, which are intrinsically less exact, since they can change with time due, for example, to technology development or economic and political factors. For the case of a selected human rapid round trip mission to Mars, the development of a mission architecture, an assessment of the masses involved in the mission (such as the initial masses required in LEO), an estimate of the necessary number of launches, and a preliminary analysis of the radiation protection requirements, are performed. The main problem that justifies the existence of basic constraints for round trip missions is that by increasing the DeltaV of a mission, in general the total round trip time does not vary much, because a higher DeltaV can only reduce the transfer time and it simply increases the stay-time on the target planet. However, if the DeltaV is increased beyond a well-defined level, the total round trip time has a sudden drop in duration that makes fast round trips possible. This is due to the fact that the traveler can go back before the home planet makes one extra revolution around the Sun. For a sufficiently high DeltaV, a round trip to Mars can change in duration from 2.7 years to about 5 months. For Mars missions, the round trip times are calculated for different DeltaV's and for different transfer trajectories (T1, T2, etc.). An

  15. The KASCADE-grande experiment

    Energy Technology Data Exchange (ETDEWEB)

    Bluemer, J; Apel, W D; Badea, F; Bekk, K; Bozdog, H; Daumiller, K; Doll, P; Engel, R; Engler, J [Institut fuer Kernphysik, Forschungszentrum Karlsruhe (Germany); Arteaga, J C; Cossavella, F; Souza, V de; Finger, M [Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe (Germany); Bertaina, M; Chiavassa, A; Cantoni, E; Di Pierro, F [Dipartimento di Fisica Generale dell' Universita Torino (Italy); Brancus, I M [National Institute of Physics and Nuclear Engineering, Bucharest (Romania); Brueggemann, M; Buchholz, P [Fachbereich Physik, Universitaet Siegen (Germany)], E-mail: Johannes.Bluemer@ik.fzk.de (and others)

    2008-07-15

    KASCADE-Grande is an extensive air shower array co-located with the original KASCADE air shower experiment at Forschungszentrum Karlsruhe, Germany. The multi-detector system allows to investigate the energy spectrum, composition, and anisotropies of cosmic rays in the energy range extended up to 10{sup 18} eV. An overview on the performance of the apparatus and first results are presented.

  16. Rio Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Charlote Wink

    2007-01-01

    Full Text Available The occurrence of Cryptophlebia carpophagoides Clarke, 1951, (Lepidoptera: Olethreutidae, in fruit of Enterolobium contortisiliquum (Vell. Morong, has bun first registered in the state of Rio Grande do Sul, Brazil. The damaged fruit was collected in the campus of National University of Santa Maria, Santa Maria, from May to June of 2003 and 2004. It was evidenced that the caterpillars damage the fruit of that specie affecting the integrety, the vigor and the germination of the seeds.

  17. Grand Unification and Exotic Fermions

    CERN Document Server

    Feger, Robert P

    2015-01-01

    We exploit the recently developed software package LieART to show that SU(N) grand unified theories with chiral fermions in mixed tensor irreducible representations can lead to standard model chiral fermions without additional light exotic chiral fermions, i.e., only standard model fermions are light in these models. Results are tabulated which may be of use to model builders in the future. An SU(6) toy model is given and model searches are discussed.

  18. The KASCADE-Grande experiment

    Energy Technology Data Exchange (ETDEWEB)

    Apel, W.D. [Karlsruhe Institute of Technology - Campus North, Institut fuer Kernphysik, Karlsruhe (Germany); Arteaga, J.C. [Karlsruhe Institute of Technology - Campus South, Institut fuer Experimentelle Kernphysik, Karlsruhe (Germany); Badea, A.F.; Bekk, K. [Karlsruhe Institute of Technology - Campus North, Institut fuer Kernphysik, Karlsruhe (Germany); Bertaina, M. [Dipartimento di Fisica Generale dell' Universita Torino (Italy); Bluemer, J. [Karlsruhe Institute of Technology - Campus North, Institut fuer Kernphysik, Karlsruhe (Germany); Karlsruhe Institute of Technology - Campus South, Institut fuer Experimentelle Kernphysik, Karlsruhe (Germany); Bozdog, H. [Karlsruhe Institute of Technology - Campus North, Institut fuer Kernphysik, Karlsruhe (Germany); Brancus, I.M. [National Institute of Physics and Nuclear Engineering, Bucharest (Romania); Buchholz, P. [Universitaet Siegen, Fachbereich Physik, Siegen (Germany); Cantoni, E. [Dipartimento di Fisica Generale dell' Universita Torino (Italy); Istituto di Fisica dello Spazio Interplanetario, INAF Torino (Italy); Chiavassa, A. [Dipartimento di Fisica Generale dell' Universita Torino (Italy); Cossavella, F. [Karlsruhe Institute of Technology - Campus South, Institut fuer Experimentelle Kernphysik, Karlsruhe (Germany); Daumiller, K. [Karlsruhe Institute of Technology - Campus North, Institut fuer Kernphysik, Karlsruhe (Germany); Souza, V. de [Karlsruhe Institute of Technology - Campus South, Institut fuer Experimentelle Kernphysik, Karlsruhe (Germany); Di Pierro, F., E-mail: dipierr@to.infn.i [Dipartimento di Fisica Generale dell' Universita Torino (Italy); Doll, P.; Engel, R.; Engler, J.; Finger, M. [Karlsruhe Institute of Technology - Campus North, Institut fuer Kernphysik, Karlsruhe (Germany); Fuhrmann, D. [Bergische Universitaet Wuppertal, Fachbereich Physik, Wuppertal (Germany)

    2010-08-21

    KASCADE-Grande is the enlargement of the KASCADE extensive air shower detector, realized to expand the cosmic ray studies from the previous 10{sup 14}-10{sup 17} eV primary energy range to 10{sup 18} eV. This is performed by extending the area covered by the KASCADE electromagnetic array from 200x200 to 700x700 m{sup 2} by means of 37 scintillator detector stations of 10 m{sup 2} area each. This new array is named Grande and provides measurements of the all-charged particle component of extensive air showers (N{sub ch}), while the original KASCADE array particularly provides information on the muon content (N{sub {mu}}). Additional dense compact detector set-ups being sensitive to energetic hadrons and muons are used for data consistency checks and calibration purposes. The performance of the Grande array and its integration into the entire experimental complex is discussed. It is demonstrated that the overall observable resolutions are adequate to meet the physical requirements of the measurements, i.e. primary energy spectrum and elemental composition studies in the primary cosmic ray energy range of 10{sup 16}-10{sup 18} eV.

  19. Virtual radiology rounds: adding value in the digital era.

    Science.gov (United States)

    Fefferman, Nancy R; Strubel, Naomi A; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P

    2016-11-01

    To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

  20. Virtual radiology rounds: adding value in the digital era

    Energy Technology Data Exchange (ETDEWEB)

    Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P. [New York University School of Medicine, Department of Radiology, New York, NY (United States)

    2016-11-15

    To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

  1. ["Round back" in children and adolescents].

    Science.gov (United States)

    Garoflid, N; Fragnière, B; Dutoit, M

    2000-10-01

    The hyper-kyphosis or "the postural round back" is one of the most common complaints in orthopedic practice. In the majority of cases, the thoracic kyphosis are painless and flexible. The vertebral bodies are normal on radiograms. This is "the kyphotic attitude" or postural round-back. A medical treatment is not the necessary rule. Life hygiene, sports and simple supervision are needed. Nevertheless, there are still pathological fixed kyphosis, induced in the majority of cases by Scheuermann's disease. The other possible etiologies (congenital, paralytic, post-traumatic, Pott's disease, postradiation, or metabolic origin) are a lot rare ones and will be excluded by clinical examination and imaging studies. The structural hyper-kyphosis require treatment. We will approach successively steps of the diagnosis and treatment of the hyper-kyphosis of the adolescent.

  2. All-Round Marketing Increases Hospital Popularity.

    Science.gov (United States)

    Ziqi, Tao

    2015-06-01

    Xuzhou Center Hospital is in a competing medical market in Xuzhou city. This hospital has been dedicating to improve the medical skills and provide professional and individualized service to the patients in order to improve the patient's experience and increase the patient's satisfaction. On the other side, this hospital has provided an all-round marketing campaign to build up the social influence and public reputation through public-praise marketing, web marketing, media marketing, and scholar marketing. Besides, this hospital has been cooperating with foreign medical institutions and inviting foreign medical specialists to academic communication. With the combined effects of improving medical service and all-round marketing, the hospital's economic performance has been enhanced significantly and laid a solid foundation for its ambition to become the first-class hospital in Huaihai Economic Zone.

  3. Third Round of Tax Reforms Launched

    Institute of Scientific and Technical Information of China (English)

    LINYIYI

    2004-01-01

    China's third round of tax reform is underway.Premier Wen Jiabao declared the three main lpoints of this tax reform in this year's 'state-of-the-art' government working report:to shift gradually from production-oriented value added tax(VAT) to consumption-oriented,the reform of export tax rebate system and to eliminate the agricultural tax in five yeaars.

  4. Efficient Online Learning via Randomized Rounding

    CERN Document Server

    Cesa-Bianchi, Nicolò

    2011-01-01

    Most online algorithms used in machine learning today are based on variants of mirror descent or follow-the-leader. In this paper, we present an online algorithm based on a completely different approach, which combines "random playout" and randomized rounding of loss subgradients. As an application of our approach, we provide the first computationally efficient online algorithm for collaborative filtering with norm-constrained matrices. As a second application, we solve an open question linking batch learning and transductive online learning.

  5. Offset Error Compensation in Roundness Measurement

    Institute of Scientific and Technical Information of China (English)

    朱喜林; 史俊; 李晓梅

    2004-01-01

    This paper analyses three causes of offset error in roundness measurement and presents corresponding compensation methods.The causes of offset error include excursion error resulting from the deflection of the sensor's line of measurement from the rotational center in measurement (datum center), eccentricity error resulting from the variance between the workpiece's geometrical center and the rotational center, and tilt error resulting from the tilt between the workpiece's geometrical axes and the rotational centerline.

  6. Optimal Design of Round Bottomed Triangle Channels

    Directory of Open Access Journals (Sweden)

    Ayman T. Hameed

    2013-05-01

    Full Text Available     In optimal design concept, the geometric dimensions of a channel cross-section are determined in a manner to minimize the total construction costs. The Direct search optimization method by using MATALAB is used to solve the resulting channel optimization models for a specified flow rate, roughness coefficient and longitudinal slope. The developed optimization models are applied to design the round bottomed triangle channel and trapezoidal channels to convey a given design flow considering various design scenarios However, it also can be extended to other shapes of channels. This method optimizes the total construction cost by minimizing the cross-sectional area and wetted perimeter per unit length of the channel. In the present study, it is shown that for all values of side slope, the total construction cost in the round bottomed triangle cross-section are less than those of trapezoidal cross-section for the same values of discharge. This indicates that less excavation and a lining are involved and therefore implies that the round bottomed triangle cross-section is more economical than trapezoidal cross-section.

  7. [Round ligament cyst simulating incarcerated inguinal hernia. Report of a case].

    Science.gov (United States)

    Vargas-Ávila, Arcenio Luis; Gómez-Montoya, Luis Ernesto; Guidos-Gil, José César; Ávila-Rivera, José Luis; Huerta-García de León, Óscar; Medina-Tirado, Manuel Alejandro

    Round ligament cysts are rare lesions, often diagnosed as irreducible inguinal hernias. Most patients are in the third to fourth decade of life, but they can occur in younger patients. They are usually clinically asymptomatic or tend to produce subtle symptoms such as pain, discomfort, or a feeling of heaviness, and swelling. Cysts should not be resized with the Valsalva manoeuvre. Ultrasound is the diagnostic method of choice. The definitive diagnosis is made during surgery, and confirmed by pathological examination. To present a case of round ligament cyst, initially diagnosed as an incarcerated inguinal hernia, and a review of the literature. A 19 year-old female, who was admitted to the emergency department due to her current condition of 5 days of onset. She had an increased volume in right inguinal region that increased with physical exertion, throbbing pain, and nausea without vomiting. A right inguinal mass of approximately of 6cm in diameter was found, which was painful on mid-superficial palpation, reaching a pre-surgical diagnosis of incarcerated right inguinal hernia with an indication of surgical intervention. Round ligament cysts are a rare pathology, often confused with incarcerated inguinal hernias. Although ultrasound is the study of choice, the final diagnosis is usually made during surgery and confirmed by histopathology. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  8. Complete multiple round quantum dense coding with quantum logical network

    Institute of Scientific and Technical Information of China (English)

    LI ChunYan; LI XiHan; DENG FuGuo; ZHOU Ping; ZHOU HongYu

    2007-01-01

    We present a complete multiple round quantum dense coding scheme for improving the source capacity of that introduced recently by Zhang et al. The receiver resorts to two qubits for storing the four local unitary operations in each round.

  9. 31 CFR 593.309 - Round log or timber product.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Round log or timber product. 593.309 Section 593.309 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE... SANCTIONS REGULATIONS General Definitions § 593.309 Round log or timber product. The term round log...

  10. 7 CFR 1405.7 - Uruguay Round Agreements Act.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Uruguay Round Agreements Act. 1405.7 Section 1405.7... Uruguay Round Agreements Act. In the event the outlays by the United States for domestic support measures will exceed, in any required reporting period, the allowable levels under the Uruguay Round...

  11. Graafikatriennaali grand prix Korea kunstnikule

    Index Scriptorium Estoniae

    1998-01-01

    Tallinna XI graafikatriennaali rahvusvaheline žürii andis grand prix korea kunstnikule Chung¡Sang-Gonile, kolm võrdset preemiat - soome kunstnikele Anita Jensenile ja Tapani Mikkonenile ning jaapani kunstnikule Estuko Obatale. Eesti Kunstimuuseumi preemia - Wendy Swallow. Tallinna linna preemia ja Ivar Luki sponsoripreemia - Walter Jule. Sponsoripreemiad : Paletti Eesti AS preemia - Inga Heamägi; Rannila Profiili preemia - Mojca Zlokarnik; UNDP preemia - Andrea Juan. Rotermanni soolalao arhitektuuri- ja kunstikeskuse diplom - Lis Ingram, Heli Päivikki Kurunsaari, Randi Strand, Wendy Swallow

  12. Grand unified theories from superstrings

    CERN Document Server

    Cleaver, G B

    1996-01-01

    I discuss how traditional grand unified theories, which require adjoint (or higher representation) Higgs fields for breaking to the standard model, can be contained within string theory. The status of stringy free fermionic three generation SO(10) SUSY--GUT models is reviewed. Progress in classification of both SO(10)_2 charged and uncharged embeddings and in N=1 spacetime solutions is discussed. Based on talks presented at the Workshop on SUSY Phenomena and SUSY GUTs, Santa Barbara, California, Dec. 7-11, 1995, and at the Orbis Scientiae, Coral Gables, Florida, January 25-28, 1996. To appear in the Proceedings of Orbis Scientiae, 1996.

  13. Grand canonical Molecular Dynamics Simulations

    CERN Document Server

    Fritsch, S; Junghans, C; Ciccotti, G; Site, L Delle; Kremer, K

    2011-01-01

    For simulation studies of (macro-) molecular liquids it would be of significant interest to be able to adjust/increase the level of resolution within one region of space, while allowing for the free exchange of molecules between (open) regions of different resolution/representation. In the present work we generalize the adaptive resolution idea in terms of a generalized Grand Canonical approach. This provides a robust framework for truly open Molecular Dynamics systems. We apply the method to liquid water at ambient conditions.

  14. Graafikatriennaali grand prix Korea kunstnikule

    Index Scriptorium Estoniae

    1998-01-01

    Tallinna XI graafikatriennaali rahvusvaheline žürii andis grand prix korea kunstnikule Chung¡Sang-Gonile, kolm võrdset preemiat - soome kunstnikele Anita Jensenile ja Tapani Mikkonenile ning jaapani kunstnikule Estuko Obatale. Eesti Kunstimuuseumi preemia - Wendy Swallow. Tallinna linna preemia ja Ivar Luki sponsoripreemia - Walter Jule. Sponsoripreemiad : Paletti Eesti AS preemia - Inga Heamägi; Rannila Profiili preemia - Mojca Zlokarnik; UNDP preemia - Andrea Juan. Rotermanni soolalao arhitektuuri- ja kunstikeskuse diplom - Lis Ingram, Heli Päivikki Kurunsaari, Randi Strand, Wendy Swallow

  15. Grand Gauge-Higgs Unification

    CERN Document Server

    Kojima, Kentaro; Yamashita, Toshifumi

    2011-01-01

    We propose a novel way to break grand unified gauge symmetries via the Hosotani mechanism in models that can accommodate chiral fermions. Adjoint scalar fields are realized through the so-called diagonal embedding method which is often used in the heterotic string theory. We calculate the one-loop effective potential of the adjoint scalar field in a five dimensional model compactified on an S^1/Z_2 orbifold, as an illustration. It turns out that the potential is basically the same as the one in an S^1 model, and thus the results in literatures, in addition to the chiral fermions, can be realized easily.

  16. Grand unification: quo vadis domine

    Energy Technology Data Exchange (ETDEWEB)

    Senjanovic, G.

    1985-01-01

    The present theoretical and experimental situation with grand unification is summarized. The issues of proton decay and the Weinberg angle are addressed, going through the predictions of both the standard SU(5) theory and its supersymmetric extension. The SO(10) theory, which provides a minimal one family model, is then studied. The gravitational characteristics of domain walls and strings are then discussed. It is argued that there is a need to go beyond SO(10) in order to incorporate a unified picture of families. This leads to the prediction of mirror fermions, whose physics is analyzed. 31 refs. (LEW)

  17. Grand Challenges of Enterprise Integration

    Energy Technology Data Exchange (ETDEWEB)

    Brosey, W.D; Neal, R.E.; Marks, D.

    2001-04-01

    Enterprise Integration connects and combines people, processes, systems, and technologies to ensure that the right people and the right processes have the right information and the right resources at the right time. A consensus roadmap for Technologies for Enterprise Integration was created as part of an industry/government/academia partnership in the Integrated Manufacturing Technology Initiative (IMTI). Two of the grand challenges identified by the roadmapping effort will be addressed here--Customer Responsive Enterprises and Totally Connected Enterprises. Each of these challenges is briefly discussed as to the current state of industry and the future vision as developed in the roadmap.

  18. American Grand Strategy: The End of Primacy?

    Science.gov (United States)

    2015-02-13

    harbingers of the end of American power or influence, we should note the new context of our international relationships and reassess our grand strategy as...AIR WAR COLLEGE AIR UNIVERSITY AMERICAN GRAND STRATEGY THE END OF PRIMACY? by Carey J. Jones, USAF, Lt Col A Research Report Submitted...Grand Strategy: The End of Primacy 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER

  19. China Textile Round Table Annual Meeting 2010

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    As a pageant for China textile and apparel industry, China Textile Round Table Annual Meeting 2010 with a theme of "Restructuring for Innovative Development" was held in Beijing under the aegis of "China Textile" Magazine and China Textile Economic Research Centre on Jan.27,2010. CEOs from some representative textile and appeal manufactories including Beijing Dahua Tiantan Group, Oerlikon (China) Technology Co., Ltd together with the officials from State Statistical Bureau, the National Development & Reform Commission, State Council Development and Research Center and CNTAC attended this conference, delivering some important speeches regarding to the trend and measures for China textile economic growth in 2010.

  20. 77 FR 11575 - Notice of Inventory Completion: Grand Rapids Public Museum, Grand Rapids, MI

    Science.gov (United States)

    2012-02-27

    ... National Park Service Notice of Inventory Completion: Grand Rapids Public Museum, Grand Rapids, MI AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Grand Rapids Public Museum has completed an... Rapids Public Museum. Repatriation of the human remains and associated funerary objects to the...

  1. Roundness of grains in cellular microstructures

    Science.gov (United States)

    Lutz, F. H.; Mason, J. K.; Lazar, E. A.; MacPherson, R. D.

    2017-08-01

    Many physical systems are composed of polyhedral cells of varying sizes and shapes. These structures are simple in the sense that no more than three faces meet at an edge and no more than four edges meet at a vertex. This means that individual cells can usually be considered as simple, three-dimensional polyhedra. This paper is concerned with determining the distribution of combinatorial types of such polyhedral cells. We introduce the terms fundamental and vertex-truncated types and apply these concepts to the grain growth microstructure as a testing ground. For these microstructures, we demonstrate that most grains are of particular fundamental types, whereas the frequency of vertex-truncated types decreases exponentially with the number of truncations. This can be explained by the evolutionary process through which grain growth structures are formed and in which energetically unfavorable surfaces are quickly eliminated. Furthermore, we observe that these grain types are "round" in a combinatorial sense: there are no "short" separating cycles that partition the polyhedra into two parts of similar sizes. A particular microstructure derived from the Poisson-Voronoi initial condition is identified as containing an unusually large proportion of round grains. This microstructure has an average of 14.036 faces per grain and is conjectured to be more resistant to topological change than the steady-state grain growth microstructure.

  2. The EWGRD Round Robin Measurement Exercise

    Science.gov (United States)

    Thornton, D. A.; Wagemans, J.; Fernandes, A. C.; Girard, J. M.; Kis, D. P.; Klupák, V.; Mutnuru, R.; Philibert, H.; Rousseau, G.; Santos, J. P.; Serén, T.; Zsolnay, E. M.

    2016-02-01

    This paper presents the results of a round robin exercise carried out to compare specific activity measurements performed by eight European organisations on a set of ten neutron activation detectors containing the radio-nuclides 110mAg, 60Co, 54Mn, 46Sc and 94Nb. The purpose of the exercise was to demonstrate the level of consistency between the participating organisations in blind tests of measurements relevant to reactor metrology. The samples used were selected from a stock of pre-existing irradiated material held at SCK•CEN. Taking turns over a period of approximately 9 months, the participating organisations received the samples, measured them and provided their results to an independent referee who collated and compared the data. The inter-comparison has demonstrated good agreement between the participants with standard deviations for each dosimeter varying between 1.6% and 3.1%. The paper provides results of the EWGRD Round Robin in an anonymised form together with discussion and conclusions which may be drawn from the exercise.

  3. Grand challenges for biological engineering.

    Science.gov (United States)

    Yoon, Jeong-Yeol; Riley, Mark R

    2009-09-22

    Biological engineering will play a significant role in solving many of the world's problems in medicine, agriculture, and the environment. Recently the U.S. National Academy of Engineering (NAE) released a document "Grand Challenges in Engineering," covering broad realms of human concern from sustainability, health, vulnerability and the joy of living. Biological engineers, having tools and techniques at the interface between living and non-living entities, will play a prominent role in forging a better future. The 2010 Institute of Biological Engineering (IBE) conference in Cambridge, MA, USA will address, in part, the roles of biological engineering in solving the challenges presented by the NAE. This letter presents a brief outline of how biological engineers are working to solve these large scale and integrated problems of our society.

  4. Grand challenges for biological engineering

    Directory of Open Access Journals (Sweden)

    Riley Mark R

    2009-09-01

    Full Text Available Abstract Biological engineering will play a significant role in solving many of the world's problems in medicine, agriculture, and the environment. Recently the U.S. National Academy of Engineering (NAE released a document "Grand Challenges in Engineering," covering broad realms of human concern from sustainability, health, vulnerability and the joy of living. Biological engineers, having tools and techniques at the interface between living and non-living entities, will play a prominent role in forging a better future. The 2010 Institute of Biological Engineering (IBE conference in Cambridge, MA, USA will address, in part, the roles of biological engineering in solving the challenges presented by the NAE. This letter presents a brief outline of how biological engineers are working to solve these large scale and integrated problems of our society.

  5. Grand Unification in Neutron Stars

    CERN Document Server

    Kaspi, Victoria M

    2010-01-01

    The last decade has shown us that the observational properties of neutron stars are remarkably diverse. From magnetars to rotating radio transients, from radio pulsars to `isolated neutron stars,' from central compact objects to millisecond pulsars, observational manifestations of neutron stars are surprisingly varied, with most properties totally unpredicted. The challenge is to establish an overarching physical theory of neutron stars and their birth properties that can explain this great diversity. Here I survey the disparate neutron stars classes, describe their properties, and highlight results made possible by the Chandra X-ray Observatory, in celebration of its tenth anniversary. Finally, I describe the current status of efforts at physical `grand unification' of this wealth of observational phenomena, and comment on possibilities for Chandra's next decade in this field.

  6. Grandes almacenes en Ginebra, Suiza

    Directory of Open Access Journals (Sweden)

    Braillard, P.

    1968-10-01

    Full Text Available This large building, whose metal structure is one of the most important ones erected in Switzerland, has 14 storeys. The sales zones occupy all the above ground floor levels, and the basements contain garages and stores. Additionally, there is a restaurant on the third floor, and administrative offices in the fourth floor of this outstanding commercial building, the «La Placette» Stores, of Geneva.Este gran edificio, cuya estructura metálica es una de las mayores construidas en Suiza, fue organizado en 14 niveles. Las plantas baja y superiores están destinadas a «venta»; y los sótanos, a garajes, almacenes, etc. La tercera planta alberga, además, el comedor, restaurante, etc.; y la cuarta, los locales de administración y dirección de este notable edificio comercial: «Grandes Almacenes La Placette», de Ginebra.

  7. Grand unification of neutron stars.

    Science.gov (United States)

    Kaspi, Victoria M

    2010-04-20

    The last decade has shown us that the observational properties of neutron stars are remarkably diverse. From magnetars to rotating radio transients, from radio pulsars to isolated neutron stars, from central compact objects to millisecond pulsars, observational manifestations of neutron stars are surprisingly varied, with most properties totally unpredicted. The challenge is to establish an overarching physical theory of neutron stars and their birth properties that can explain this great diversity. Here I survey the disparate neutron stars classes, describe their properties, and highlight results made possible by the Chandra X-Ray Observatory, in celebration of its 10th anniversary. Finally, I describe the current status of efforts at physical "grand unification" of this wealth of observational phenomena, and comment on possibilities for Chandra's next decade in this field.

  8. Proton decay and grand unification

    CERN Document Server

    Senjanovic, Goran

    2009-01-01

    I review the theoretical and experimental status of proton decay theory and experiment. Regarding theory, I focus mostly, but not only, on grand unification. I discuss only the minimal, well established SU(5) and SO(10) models, both ordinary and supersymmetric. I show how the minimal realistic extensions of the original Georgi - Glashow model can lead to interesting LHC physics, and I demonstrate that the minimal supersymmetric SU(5) theory is in perfect accord with experiment. Since no universally accepted model has of yet emerged, I discuss the effective operator analysis of proton decay and some related predictions from a high scale underlying theory. A strong case is made for the improvement of experimental limits, or better the search of, two body neutron decay modes into charged kaons and charged leptons. Their discovery would necessarily imply a low energy physics since they practically vanish in any theory with a desert in energies between M_W and M_GUT.

  9. Grand unification of neutron stars

    Science.gov (United States)

    Kaspi, Victoria M.

    2010-01-01

    The last decade has shown us that the observational properties of neutron stars are remarkably diverse. From magnetars to rotating radio transients, from radio pulsars to isolated neutron stars, from central compact objects to millisecond pulsars, observational manifestations of neutron stars are surprisingly varied, with most properties totally unpredicted. The challenge is to establish an overarching physical theory of neutron stars and their birth properties that can explain this great diversity. Here I survey the disparate neutron stars classes, describe their properties, and highlight results made possible by the Chandra X-Ray Observatory, in celebration of its 10th anniversary. Finally, I describe the current status of efforts at physical “grand unification” of this wealth of observational phenomena, and comment on possibilities for Chandra’s next decade in this field. PMID:20404205

  10. Google Earth Grand Tour Themes

    Science.gov (United States)

    De Paor, D. G.; Whitmeyer, S. J.; Bentley, C.; Dordevic, M. M.

    2014-12-01

    As part of an NSF TUES Type 3 project entitled "Google Earth for Onsite and Distance Education (GEODE)," we are assembling a "Grand Tour" of locations on Earth and other terrestrial bodies that every geoscience student should know about and visit at least in virtual reality. Based on feedback from colleagues at previous meetings, we have identified nine Grand Tour themes: "Plates and Plumes," "Rocks and Regions," "Geology Through Time," "The Mapping Challenge*," "U.S. National Parks*," "The Magical Mystery Tour*," "Resources and Hazards," "Planets and Moons," and "Top of the Pops." Themes marked with an asterisk are most developed at this stage and will be demonstrated in real time. The Mapping Challenge invites students to trace geological contacts, measure bedding strike and dip and the plunge, trend, and facing of a fold. There is an advanced tool for modeling periclinal folds. The challenge is presented in a game-like format with an emphasis on puzzle-solving that will appeal to students regardless of gender. For the tour of U.S. national parks, we divided the most geologically important parks into four groups—Western Pacific, West Coast, Rockies, and East Coast. We are combining our own team's GigaPan imagery with imagery already available on the Internet. There is a great deal of imagery just waiting to be annotated for geological education purposes. The Magical Mystery Tour takes students to Google Streetview locations selected by instructors. Students are presented with questions or tasks and are given automatic feedback. Other themes are under development. Within each theme, we are crowd-sourcing contributions from colleagues and inviting colleagues to vote for or against proposed locations and student interactions. The GEODE team includes the authors and: Heather Almquist, Stephen Burgin, Cinzia Cervato, Gene Cooper, Paul Karabinos, Terry Pavlis, Jen Piatek, Bill Richards, Jeff Ryan, Ron Schott, Kristen St. John, and Barb Tewksbury.

  11. Proton hexality in local grand unification

    Energy Technology Data Exchange (ETDEWEB)

    Foerste, Stefan; Nilles, Hans Peter [Bonn Univ. (Germany). Bethe Center for Theoretical Physics and Physikalisches Institut; Ramos-Sanchez, Saul [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Vaudrevange, Patrick K.S. [Muenchen Univ. (Germany). Arnold Sommerfeld Center for Theoretical Physics

    2010-07-15

    Proton hexality is a discrete symmetry that avoids the problem of too fast proton decay in the supersymmetric extension of the standard model. Unfortunately it is inconsistent with conventional grand unification. We show that proton hexality can be incorporated in the scheme of ''Local Grand Unification'' discussed in the framework of model building in (heterotic) string theory. (orig.)

  12. The Promise and Pitfalls of Grand Strategy

    Science.gov (United States)

    2012-08-01

    clarify the analysis that follows.3 There is no single, universally accepted definition of grand strategy. The British military historian Sir Basil ...presidential campaign—that American policy had come loose from its democratic moorings . When it comes to grand strategy, working within the strictures

  13. 33 CFR 117.285 - Grand Canal.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Grand Canal. 117.285 Section 117.285 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Florida § 117.285 Grand Canal. (a) The draw of the Lansing Island bridge, mile 0.7, shall open on...

  14. Grand Unification, Higgs Bosons, and Baryogenesis

    Science.gov (United States)

    Sher, Marc

    2004-03-01

    My task in these lectures is to discuss "Grand Unification and Higgs Bosons". Given that each of these subjects has had books written about them, this is a daunting task. My goal will be to introduce the basics of each topic, and provide references for those who wish to explore the topics further. I'll begin with a general motivation for grand unification, followed with an elementary review of SU(N) group algebra. The seminal SU(5) model will be discussed, followed by the supersymmetric version. On the second day, we'll look at other grand unified theories, and then look at the various methods of supersymmetry breaking in the context of grand unification. The third day, we'll turn to the Higgs mechanism, the effective potential, and mass bounds in the Standard Model and the MSSM. Finally, we'll look at baryogenesis, first in grand unified theories and then in the electroweak model.

  15. Round-robin multiple-source localization.

    Science.gov (United States)

    Mantzel, William; Romberg, Justin; Sabra, Karim G

    2014-01-01

    This paper introduces a round-robin approach for multi-source localization based on matched-field processing. Each new source location is estimated from the ambiguity function after nulling from the data vector the current source location estimates using a robust projection matrix. This projection matrix effectively minimizes mean-square energy near current source location estimates subject to a rank constraint that prevents excessive interference with sources outside of these neighborhoods. Numerical simulations are presented for multiple sources transmitting through a fixed (and presumed known) generic Pekeris ocean waveguide in the single-frequency and broadband-coherent cases that illustrate the performance of the proposed approach which compares favorably against other previously published approaches. Furthermore, the efficacy with which randomized back-propagations may also be incorporated for computational advantage is also presented.

  16. Identifying Excessively Rounded or Truncated Data

    CERN Document Server

    Knuth, Kevin H; Wheeler, Kevin R

    2016-01-01

    All data are digitized, and hence are essentially integers rather than true real numbers. Ordinarily this causes no difficulties since the truncation or rounding usually occurs below the noise level. However, in some instances, when the instruments or data delivery and storage systems are designed with less than optimal regard for the data or the subsequent data analysis, the effects of digitization may be comparable to important features contained within the data. In these cases, information has been irrevocably lost in the truncation process. While there exist techniques for dealing with truncated data, we propose a straightforward method that will allow us to detect this problem before the data analysis stage. It is based on an optimal histogram binning algorithm that can identify when the statistical structure of the digitization is on the order of the statistical structure of the data set itself.

  17. On Round-off Error for Adaptive Finite Element Methods

    KAUST Repository

    Alvarez-Aramberri, J.

    2012-06-02

    Round-off error analysis has been historically studied by analyzing the condition number of the associated matrix. By controlling the size of the condition number, it is possible to guarantee a prescribed round-off error tolerance. However, the opposite is not true, since it is possible to have a system of linear equations with an arbitrarily large condition number that still delivers a small round-off error. In this paper, we perform a round-off error analysis in context of 1D and 2D hp-adaptive Finite Element simulations for the case of Poisson equation. We conclude that boundary conditions play a fundamental role on the round-off error analysis, specially for the so-called ‘radical meshes’. Moreover, we illustrate the importance of the right-hand side when analyzing the round-off error, which is independent of the condition number of the matrix.

  18. Role of immunohistochemistry and fluorescence in-situ hybridization (FISH in the diagnosis of spindle and round cell tumors of the kidney

    Directory of Open Access Journals (Sweden)

    M. Abbas

    2015-09-01

    Conclusion: In summary we advise an immunohistochemical panel for round/spindle cell tumors of the kidney and for unclear cases we advise to add (FISH to get the correct diagnosis, as they are completely different regarding surgical approach and post-operative adjuvant therapy.

  19. La Grande: volver a empezar

    Directory of Open Access Journals (Sweden)

    Julio Premat

    2011-07-01

    Full Text Available Este texto, borrador de un trabajo más amplio, pretende despejar algunas pistas de lectura de La grande, en tanto que paradójico final de la producción de Saer. Digo “paradójico” porque puede tomársela como una novela de comienzo o de origen : de un volver a empezar, en todos los sentidos del término. En esa perspectiva podrían estudiarse algunos núcleos temáticos (como el retorno o el recuerdo de cara a la construcción del texto, a la relación planteada con la tradición y a la singular historia de su escritura (y al material genético que rodea y completa esta novela a la vez inacabada y póstuma. En esta intervención, la idea es la de comentar tres textos, escenas o frases del texto, y a partir de allí esbozar pistas para un estudio que está en ciernes.Première ébauche d’un travail de plus d’ampleur, ce texte vise à éclairer quelques pistes de lecture de La grande, en tant que fin paradoxale de la production de Saer. Je dis « paradoxale » parce que l’on peut considérer cette œuvre comme un roman des commencements ou des origines : comme un retour aux débuts, dans tous les sens du terme. Dans cette perspective, plusieurs nœuds thématiques (comme le retour ou le souvenir pourraient être étudiés en relation à la construction du texte, à la relation qui s’établit avec la tradition et à la singulière histoire de son écriture (et au matériau génétique qui entoure et complète ce roman, à la fois inachevé et posthume. Il sera question ici de commenter trois textes, scènes ou phrases du texte, et d’ébaucher à partir de là quelques pistes pour une étude à l’état naissant.The objective of this text, a draft for a broader work, is to outline some reading clues for La grande, inasmuch as it constitutes a paradoxical ending of Saer’s production. I say “paradoxical” because we can consider this work a novel of beginnings or of origins: a return to the beginning, in every meaning of the

  20. U-value measurements on ISO round Robin window

    DEFF Research Database (Denmark)

    Duer, Karsten

    1997-01-01

    9 laboratories in 6 european and 2 north american countries have participated in a round robin U-value test of a standard facade window. The objective of the round robin test was to verify that the ISO/CEN proposals for U-value measurement standard is robust.......9 laboratories in 6 european and 2 north american countries have participated in a round robin U-value test of a standard facade window. The objective of the round robin test was to verify that the ISO/CEN proposals for U-value measurement standard is robust....

  1. U-value measurements on ISO round Robin window

    DEFF Research Database (Denmark)

    Duer, Karsten

    1997-01-01

    9 laboratories in 6 european and 2 north american countries have participated in a round robin U-value test of a standard facade window. The objective of the round robin test was to verify that the ISO/CEN proposals for U-value measurement standard is robust.......9 laboratories in 6 european and 2 north american countries have participated in a round robin U-value test of a standard facade window. The objective of the round robin test was to verify that the ISO/CEN proposals for U-value measurement standard is robust....

  2. Militari italiani e grande guerra

    Directory of Open Access Journals (Sweden)

    Emilio Franzina

    2015-01-01

    Full Text Available Il saggio verte su alcuni aspetti dei fenomeni immigratori che si collegano alla genesi e alla tenuta dei sensi di appartenenza etnica e nazionale. Accanto alla progressiva rimozione dei vecchi meccanismi di acculturazione linguistica, che scalzano, ove posseduto in partenza, l’italiano procurando la sua sostituzione progressiva –e in parte fisiologica– con il castigliano si assiste in America, per integrazione, anche al declino dell’“italianità politica”. Un momento di svolta prima del definitivo affermarsi di tale processo di “argentinizzazione” fu rappresentato però dalla congiuntura della grande guerra. Il suo deflagrare, infatti, coincise con il momento di massima espansione (non solo a Buenos Aires della presenza immigratoria straniera e di quella italiana in particolare. Diversamente da quanto succederà più tardi con il secondo conflitto mondiale, dopo quasi vent’anni però di declino o di arresto dei flussi in entrata, tra il 1914 e il 1918 si poté assistere infatti a una concreta forma di doppio patriottismo o di duplice lealtà politico-istituzionale da parte dei gruppi etnici immigratori all’interno dei quali si generarono scelte come la decisione presa da molti dei loro componenti di arruolarsi sotto le bandiere delle “antiche patrie” per raggiungere i campi di battaglia europei.

  3. Round window membrane intracochlear drug delivery enhanced by induced advection.

    Science.gov (United States)

    Borkholder, David A; Zhu, Xiaoxia; Frisina, Robert D

    2014-01-28

    Delivery of therapeutic compounds to the inner ear via absorption through the round window membrane (RWM) has advantages over direct intracochlear infusions; specifically, minimizing impact upon functional hearing measures. However, previous reports show that significant basal-to-apical concentration gradients occur, with the potential to impact treatment efficacy. Here we present a new approach to inner ear drug delivery with induced advection aiding distribution of compounds throughout the inner ear in the murine cochlea. Polyimide microtubing was placed near the RWM niche through a bullaostomy into the middle ear cavity allowing directed delivery of compounds to the RWM. We hypothesized that a posterior semicircular canalostomy would induce apical flow from the patent cochlear aqueduct to the canalostomy due to influx of cerebral spinal fluid. To test this hypothesis, young adult CBA/CaJ mice were divided into two groups: bullaostomy approach only (BA) and bullaostomy+canalostomy (B+C). Cochlear function was evaluated by distortion product otoacoustic emission (DPOAE) and auditory brainstem response (ABR) thresholds during and after middle ear infusion of salicylate in artificial perilymph (AP), applied near the RWM. The mice recovered for 1week, and were re-tested. The results demonstrate there was no significant impact on auditory function utilizing the RWM surgical procedure with or without the canalostomy, and DPOAE thresholds were elevated reversibly during the salicylate infusion. Comparing the threshold shifts for both methods, the B+C approach had more of a physiological effect than the BA approach, including at lower frequencies representing more apical cochlear locations. Unlike mouse cochleostomies, there was no deleterious auditory functional impact after 1week recovery from surgery. The B+C approach had more drug efficacy at lower frequencies, underscoring potential benefits for more precise control of delivery of inner ear therapeutic compounds.

  4. Evidence for predatory control of the invasive round goby

    Science.gov (United States)

    Madenjian, C.P.; Stapanian, M.A.; Witzel, L.D.; Einhouse, D.W.; Pothoven, S.A.; Whitford, H.L.

    2011-01-01

    We coupled bioenergetics modeling with bottom trawl survey results to evaluate the capacity of piscivorous fish in eastern Lake Erie to exert predatory control of the invading population of round goby Neogobius melanostomus. In the offshore (>20 m deep) waters of eastern Lake Erie, burbot Lota lota is a native top predator, feeding on a suite of prey fishes. The round goby invaded eastern Lake Erie during the late 1990s, and round goby population size increased dramatically during 1999–2004. According to annual bottom trawl survey results, round goby abundance in offshore waters peaked in 2004, but then declined during 2004–2008. Coincidentally, round goby became an important component of burbot diet beginning in 2003. Using bottom trawling and gill netting, we estimated adult burbot abundance and age structure in eastern Lake Erie during 2007. Diet composition and energy density of eastern Lake Erie burbot were also determined during 2007. This information, along with estimates of burbot growth, burbot mortality, burbot water temperature regime, and energy densities of prey fish from the literature, were incorporated into a bioenergetics model application to estimate annual consumption of round goby by the adult burbot population. Results indicated that the adult burbot population in eastern Lake Erie annually consumed 1,361 metric tons of round goby. Based on the results of bottom trawling, we estimated the biomass of yearling and older round goby in offshore waters eastern Lake Erie during 2007–2008 to be 2,232 metric tons. Thus, the adult burbot population was feeding on round goby at an annual rate equal to 61% of the estimated round goby standing stock. We concluded that the burbot population had high potential to exert predatory control on round goby in offshore waters of eastern Lake Erie.

  5. Micro-surgical endodontics.

    Science.gov (United States)

    Eliyas, S; Vere, J; Ali, Z; Harris, I

    2014-02-01

    Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis, appropriate case selection, the quality of the surgical skills, and the application of the most appropriate haemostatic agents and biomaterials. This article describes the armamentarium and technical procedures involved in performing micro-surgical endodontics to a high standard.

  6. Surgical innovation as sui generis surgical research.

    Science.gov (United States)

    Lotz, Mianna

    2013-12-01

    Successful innovative 'leaps' in surgical technique have the potential to contribute exponentially to surgical advancement, and thereby to improved health outcomes for patients. Such innovative leaps often occur relatively spontaneously, without substantial forethought, planning, or preparation. This feature of surgical innovation raises special challenges for ensuring sufficient evaluation and regulatory oversight of new interventions that have not been the subject of controlled investigatory exploration and review. It is this feature in particular that makes early-stage surgical innovation especially resistant to classification as 'research', with all of the attendant methodological and ethical obligations--of planning, regulation, monitoring, reporting, and publication--associated with such a classification. This paper proposes conceptual and ethical grounds for a restricted definition according to which innovation in surgical technique is classified as a form of sui generis surgical 'research', where the explicit goal of adopting such a definition is to bring about needed improvements in knowledge transfer and thereby benefit current and future patients.

  7. Rio Grande Channel, El Paso Area, 1852

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Historical map of Rio Grande river between Texas and Mexico. U.S.-Mexican Boundary Survey.The original map is a Xerox of a Photolithographic Copy of Salazar...

  8. Waterfowl Evaluation- Lake Ophelia / Grand Cote NWR's

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This memo describes the waterfowl evaluation on Lake Ophelia and Grand Cote National Wildlife Refuges. A team of multiagency biologist overviewed the waterfowl...

  9. Las cinco grandes dimensiones de la personalidad

    Directory of Open Access Journals (Sweden)

    Jan ter Laak

    1996-12-01

    Full Text Available Este artículo revisa las distintas posiciones teóricas sobre las cinco grandes dimensiones de la personalidad, mostrando las semejanzas y diferencias entre las posturas teóricas. Esta contribución presenta lo siguiente: (a la génesis del contenido y la estructura de las cinco dimensiones; (b la fortaleza de las cinco dimensiones; (e la relación de las cinco grandes dimensiones con otros constructos de personalidad; (d discute el valor predictivo de las puntuaciones del perfil de las cinco dimensiones para criterios pertinentes; (e analiza el estatus teórico de las cinco dimensiones; (f discute críticas históricas sobre las cinco grandes dimensiones y se formulan respuestas a estas críticas; (g hace conjeturas para el futuro de las cinco grandes dimensiones; y (h concluye con algunas conclusiones y comentarios.

  10. Rio Grande Channel, Guadalupe Area, 1852

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Historical map of Rio Grande river between Texas and Mexico. U.S.- Mexican Boundary Survey. The original map is a xerox of a map entitled Boundary between the United...

  11. A Grand Gathering of Storytelling Artists

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    The grand storytelling fair held in Majie Township, Hebei Province every year, has a history of more than 400 years. ● Most of the stories used to be based on ancient legends and folk stories. Nowadays, there are also many newly-written pieces about people’s lives in modern times. ● Every year, the grand storytelling performance attracts hundreds and thousands of locals and visitors from several neigh-boring provinces.

  12. Management of desmoplastic small round cell tumor.

    Science.gov (United States)

    Hayes-Jordan, Andrea; LaQuaglia, Michael P; Modak, Shakeel

    2016-10-01

    Desmoplastic small round cell tumor (DSRCT) is a soft tissue sarcoma of mesenchymal cell origin that typically presents with multiple intra-abdominal tumors and exhibits a multi-phenotypic pattern of immunohistochemical staining. The specific organ or tissue type of origin has yet to be identified. DSRCT rarely arises as a singular tumor in the abdomen; in most cases, there are dozens to hundreds of abdominal peritoneal tumors that are detected on diagnosis. One very large dominant mass is usually present in the omentum, with an additional one or two large conglomerates of tumors in the pelvis and right peritoneum, respectively. Despite an often overwhelmingly large number of abdominal tumors, symptoms of bowel obstruction are rare. Ascites may be present. In late stages, pleural effusions, pleural implants, mediastinal adenopathy, supraclavicular adenopathy, or bone metastasis may be present. With this challenging disease, multidisciplinary therapy, including aggressive surgery, is warranted. This review will address DSRCT biology and treatment options and discuss outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Iterative Rounding for the Closest String Problem

    CERN Document Server

    Chen, Jing-Chao

    2007-01-01

    The closest string problem is an NP-hard problem, which arises in computational molecular biology and coding theory. Its task is to find a string that minimizes maximum Hamming distance to a given set of strings. This problem can be reduced to an integer program (IP). However, to date, there exists no known polynomial-time algorithm for integer programs. In 2004, Meneses et al. introduced a branch-and-bound (B&B) method for solving the IP problem. Their algorithm is not always efficient and has the exponential time complexity. In the paper, we attempt to solve efficiently the IP problem by a greedy iterative rounding technique. The proposed algorithm is polynomial time and much faster than the existing B&B IP for the CSP. If the string count is limited to 3, the algorithm is provably at most 1 away from the optimum. The empirical results show that in many cases we can find an exact solution. Even though we fails to find an exact solution, the solution found is very close to exact solution. We think th...

  14. Rounded stretched exponential for time relaxation functions.

    Science.gov (United States)

    Powles, J G; Heyes, D M; Rickayzen, G; Evans, W A B

    2009-12-01

    A rounded stretched exponential function is introduced, C(t)=exp{(tau(0)/tau(E))(beta)[1-(1+(t/tau(0))(2))(beta/2)]}, where t is time, and tau(0) and tau(E) are two relaxation times. This expression can be used to represent the relaxation function of many real dynamical processes, as at long times, t>tau(0), the function converges to a stretched exponential with normalizing relaxation time, tau(E), yet its expansion is even or symmetric in time, which is a statistical mechanical requirement. This expression fits well the shear stress relaxation function for model soft soft-sphere fluids near coexistence, with tau(E)Cole-Cole plots for dielectric and shear stress relaxation (both the modulus and viscosity forms). It is shown that both the dielectric spectra and dynamic shear modulus imaginary parts approach the real axis with a slope equal to 0 at high frequency, whereas the dynamic viscosity has an infinite slope in the same limit. This indicates that inertial effects at high frequency are best discerned in the modulus rather than the viscosity Cole-Cole plot. As a consequence of the even expansion in time of the shear stress relaxation function, the value of the storage modulus derived from it at very high frequency exceeds that in the infinite frequency limit (i.e., G(infinity)).

  15. Underlying Phoneme Velar Nasal with Lip Rounding in Hueyapan Nahuatl

    Science.gov (United States)

    Campbell, R. Joe

    1976-01-01

    Reasons are given for the idea that Hueyapan (Morelos) Nahuatl has an underlying velar nasal with lip rounding phoneme which never has the surface reflex of a rounded velar nasal allophone, but occurs phonetically as a velar nasal allophone or a labial dental voiced allophone or disappears. (SCC)

  16. Underlying Phoneme Velar Nasal with Lip Rounding in Hueyapan Nahuatl

    Science.gov (United States)

    Campbell, R. Joe

    1976-01-01

    Reasons are given for the idea that Hueyapan (Morelos) Nahuatl has an underlying velar nasal with lip rounding phoneme which never has the surface reflex of a rounded velar nasal allophone, but occurs phonetically as a velar nasal allophone or a labial dental voiced allophone or disappears. (SCC)

  17. Finding Connected Components on Map-reduce in Logarithmic Rounds

    CERN Document Server

    Rastogi, Vibhor; Chitnis, Laukik; Sarma, Anish Das

    2012-01-01

    Given a large graph G = (V,E) with millions of nodes and edges, how do we compute its connected components efficiently? Recent work addresses this problem in map-reduce, where a fundamental trade-off exists between the number of map-reduce rounds and the communication of each round. Denoting d the diameter of the graph, and n the number of nodes in the largest component, all prior map-reduce techniques either require d rounds, or require about n|V| + |E| communication per round. We propose two randomized map-reduce algorithms -- (i) Hash-Greater-To-Min, which provably requires at most 3log(n) rounds with high probability, and at most 2(|V| + |E|) communication per round, and (ii) Hash-to-Min, which has a worse theoretical complexity, but in practice completes in at most 2log(d) rounds and 3(|V| + |E|) communication per rounds. Our techniques for connected components can be applied to clustering as well. We propose a novel algorithm for agglomerative single linkage clustering in map-reduce. This is the first a...

  18. 16 CFR 460.11 - Rounding off R-values.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Rounding off R-values. 460.11 Section 460.11 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES LABELING AND ADVERTISING OF HOME INSULATION § 460.11 Rounding off R-values. R-values shown in labels, fact sheets, ads, or other...

  19. Proceedings of National Seminar on Year-Round Education.

    Science.gov (United States)

    Florida Technological Univ., Orlando.

    The conference was held to exchange updated information concerning alternatives to the traditional 9-month school year; question motives and methods relating to established and planned year-round programs; and identify problem areas in year-round school operations. Presented in chronological order are all the speeches given at the conference.…

  20. On the Relationship between Integer Lifting and Rounding Transform

    Directory of Open Access Journals (Sweden)

    R. Vargic

    2007-12-01

    Full Text Available In this paper we analyze the relationship between integer Lifting scheme and Rounding transform as means to compute the wavelet transform in signal processing area. We bring some new results which better describe relationship, reversibility and equivalence of integer lifting scheme and rounding transform concept.

  1. Why Are So Many Things in the Solar System Round?

    Science.gov (United States)

    Heilig, Steven J.

    2010-01-01

    Several years ago a student asked why so many things in the solar system were round. He noted that many objects in the solar system, although not all, are round. The standard answer, which he knew, is that the mutual gravitational attraction of the molecules pulls them into the shape that gets them as close to each other as possible: a sphere.…

  2. Improved classification, diagnosis and prognosis of canine round cell tumours

    NARCIS (Netherlands)

    Cangul, Taci

    2001-01-01

    As the name suggests, canine round cell tumour (RCTs) are composed of cells with a round morphology. There is some discrepancy amongst authors as to which tumours belong to this category, but most designate lymphomas, melanomas, plasmacytomas, transmissible venereal tumours (TVTs), histiocytomas, an

  3. Why Are So Many Things in the Solar System Round?

    Science.gov (United States)

    Heilig, Steven J.

    2010-01-01

    Several years ago a student asked why so many things in the solar system were round. He noted that many objects in the solar system, although not all, are round. The standard answer, which he knew, is that the mutual gravitational attraction of the molecules pulls them into the shape that gets them as close to each other as possible: a sphere.…

  4. 19 CFR 159.3 - Rounding of fractions.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Rounding of fractions. 159.3 Section 159.3 Customs... (CONTINUED) LIQUIDATION OF DUTIES General Provisions § 159.3 Rounding of fractions. (a) Value. In the... cents or more, the lower fractions shall be dropped, and if it is necessary to take up as whole...

  5. Shaped versus Round Implants for Breast Reconstruction: Indications and Outcomes

    Directory of Open Access Journals (Sweden)

    Maurice Y. Nahabedian, MD

    2014-03-01

    Conclusions: Both shaped and round silicone gel devices can result in natural aesthetic outcomes. Shaped devices are preferred for contouring the upper pole and for optimizing breast projection. Round devices are preferred when the upper pole is not deficient and the patient desires softer breasts. Longer follow-up studies will be necessary.

  6. Screening for lung cancer with low-dose computed tomography: grand rounds discussion from the Beth Israel Deaconess Medical Center.

    Science.gov (United States)

    Smetana, Gerald W; Boiselle, Phillip M; Schwartzstein, Richard M

    2015-04-21

    In December 2013, the U.S. Preventive Services Task Force recommended screening for lung cancer with low-dose computed tomography (LDCT) for selected current and former smokers. The Task Force based the recommendation primarily on the results of the NLST (National Lung Screening Trial). In this trial, patients randomly assigned to LDCT screening for 3 years had lower rates of both lung cancer-specific mortality and all-cause mortality (relative risk reduction, 6.7% [95% CI, 1.2% to 13.6%]; absolute risk reduction, 0.46% [CI, 0% to 0.9%]). Clinicians and health systems confront questions and challenges as they begin to implement lung cancer screening. This paper summarizes a conference during which an internist and a radiologist discuss the application of the Task Force recommendation to an individual patient.

  7. Should We Screen for Coronary Heart Disease in Asymptomatic Persons?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.

    Science.gov (United States)

    Smetana, Gerald W; Cutlip, Donald E; Pinto, Duane S

    2016-04-05

    In March 2015, the American College of Physicians (ACP) released a clinical guideline on the value of screening for coronary heart disease (CHD) in asymptomatic persons. The guideline authors found that results of screening studies are unlikely to change patient management or the intensity of risk factor reduction strategies. Most events occur in patients who are at low to intermediate risk for CHD; and in low-risk asymptomatic patients, percutaneous coronary intervention in "screen-positive" patients does not improve outcomes and creates unnecessary risks. As a result, the ACP recommended against screening for asymptomatic patients who are at low risk for CHD. Instead, it recommended a focus on proven strategies, such as treatment of hypertension and hypercholesterolemia, to reduce risk in appropriately selected asymptomatic persons. Two discussants weigh the evidence for and against screening for CHD in asymptomatic patients with varying degrees of risk and provide recommendations for a specific patient who is uncertain whether to proceed to screening.

  8. Software Engineering Support of the Third Round of Scientific Grand Challenge Investigations: Earth System Modeling Software Framework Survey

    Science.gov (United States)

    Talbot, Bryan; Zhou, Shu-Jia; Higgins, Glenn; Zukor, Dorothy (Technical Monitor)

    2002-01-01

    One of the most significant challenges in large-scale climate modeling, as well as in high-performance computing in other scientific fields, is that of effectively integrating many software models from multiple contributors. A software framework facilitates the integration task, both in the development and runtime stages of the simulation. Effective software frameworks reduce the programming burden for the investigators, freeing them to focus more on the science and less on the parallel communication implementation. while maintaining high performance across numerous supercomputer and workstation architectures. This document surveys numerous software frameworks for potential use in Earth science modeling. Several frameworks are evaluated in depth, including Parallel Object-Oriented Methods and Applications (POOMA), Cactus (from (he relativistic physics community), Overture, Goddard Earth Modeling System (GEMS), the National Center for Atmospheric Research Flux Coupler, and UCLA/UCB Distributed Data Broker (DDB). Frameworks evaluated in less detail include ROOT, Parallel Application Workspace (PAWS), and Advanced Large-Scale Integrated Computational Environment (ALICE). A host of other frameworks and related tools are referenced in this context. The frameworks are evaluated individually and also compared with each other.

  9. Economic grand rounds: experience with mandated use of generic medications for patients covered by the mental health safety net.

    Science.gov (United States)

    Amirsadri, Alireza; Chapman, Timothy; Breen, Michael; Drake, William; Arfken, Cynthia L

    2014-07-01

    Reducing pharmacy costs without increasing adverse outcomes would relieve some pressure on mental health budgets. This column describes the experience of a publicly funded provider network in a Michigan county that mandated generic use of psychotropic medications to address financial challenges. The percentage of brand-name medications and cost per prescription declined with the policy change, resulting in lower total pharmacy expenditures. No increase was noted in prescriptions per patient or psychiatric hospitalizations. Changes were sustained after the initial implementation period. Mandating generic use may be feasible as a tool for constraining pharmacy costs in mental health budgets.

  10. Initiating round robins in the L2 classroom - preliminary observations

    DEFF Research Database (Denmark)

    Mortensen, Kristian; Hazel, Spencer

    2011-01-01

    position in which round robins are initiated and how this is talked and embodied into being by the participants as well as the design of the turn that initiates the round robin activity. Relevant to the initiation and further development of the round robin are the physical arrangement of the classroom......Complementing recent interactional research on the contingent operation of online task accomplishment, this paper deals with a specific way of organizing and managing tasks in plenary L2 classrooms – namely the round robin. This may seem like a “traditional” and rigid form of classroom organization...... that reduces students’ contributions to responses to the teacher’s elicitations. This paper shows that although the round robin puts certain interactional features out of play, it is nonetheless done in and through participants’ mutual orientation to the ongoing activity. The paper describes the sequential...

  11. Floating-Point Arithmetic on Round-to-Nearest Representations

    CERN Document Server

    Kornerup, Peter; Panhaleux, Adrien

    2012-01-01

    Recently we introduced a class of number representations denoted RN-representations, allowing an un-biased rounding-to-nearest to take place by a simple truncation. In this paper we briefly review the binary fixed-point representation in an encoding which is essentially an ordinary 2's complement representation with an appended round-bit. Not only is this rounding a constant time operation, so is also sign inversion, both of which are at best log-time operations on ordinary 2's complement representations. Addition, multiplication and division is defined in such a way that rounding information can be carried along in a meaningful way, at minimal cost. Based on the fixed-point encoding we here define a floating point representation, and describe to some detail a possible implementation of a floating point arithmetic unit employing this representation, including also the directed roundings.

  12. Different Views of the Grand Canyon

    Science.gov (United States)

    Elders, Wilfred A.

    Each year the spectacular scenery of the Grand Canyon of Arizona awes its more than 4,000,000 visitors. Just as its enormous scale dwarfs our human sense of space, its geology also dwarfs our human sense of time. Perhaps here, more than anywhere else on the planet, we can experience a sense of ``Deep Time.'' The colorful rocks exposed in the vertical walls of the canyon display a span of 1.8 billion years of Earth's history [Beus and Morales, 2003]. But wait! There is a different view! According to Vail [2003], this time span is only 6,000 years and the Grand Canyon and its rocks are a record of the Biblical 6 days of creation and Noah's flood. During a visit to Grand Canyon, in August 2003, I learned that Vail's book, Grand Canyon: A Different View, is being sold within the National Park. The author and compiler of Grand Canyon: A Different View is a Colorado River guide who is well acquainted with the Grand Canyon at river level. He has produced a book with an attractive layout and beautiful photographs. The book is remarkable because it has 23 co-authors, all male, who comprise a veritable ``Who's Who'' in creationism. For example, Henry Morris and John Whitcomb, the authors of the seminal young Earth creationist text, The Genesis Flood [Whitcomb and Morris, 1961], each contribute a brief introduction. Each chapter of Grand Canyon: A Different View begins with an overview by Vail, followed by brief comments by several contributors that ``have been peer reviewed to ensure a consistent and Biblical perspective.'' This perspective is strict Biblical literalism.

  13. Dermatosurgery Rounds - The Island SKIN Infraorbital Flap

    Directory of Open Access Journals (Sweden)

    Georgi Tchernev

    2017-07-01

    Full Text Available The main objective in dermatologic surgery is complete excision of the tumour while achieving the best possible functional and cosmetic outcome. Also we must take into account age, sex, and tumour size and site. We should also consider the patient's expectations, the preservation of the different cosmetic units, and the final cosmetic outcome. Various reconstructive methods ranging from secondary healing to free flap applications are usedfor the reconstruction of perinasal or facial defects caused by trauma or tumour surgery. Herein, we describe the nasal infraorbital island skin flap for the reconstruction in a patient with basal cell carcinoma. No complications were observed in operation field. The infraorbital island skin flap which we describe for the perinasal area reconstruction is a safe, easily performed and versatile flap. The multidimensional use of this flap together with a relatively easy reconstruction plan and surgical procedure would be effective in flap choice.

  14. [Evaluation of rounded atelectasis induced by exposure to asbestos].

    Science.gov (United States)

    Kishimoto, Takumi; Gemba, Kenichi; Fujimoto, Nobukazu; Nishi, Hideyuki; Ozaki, Shinji

    2008-09-01

    We encountered 19 patients of rounded atelectasis induced by exposure to asbestos from 2000 to 2007. All patients were men whose ages arranged from 60 to 89 years with a mean of 74.2 years. Twenty rounded atelectasis were present in the right lung and 5 in the left lung. Five patients had 2 rounded atelectasis. In 21 rounded atelectasis were found in Segment 10 and while other 2 found in S1 and each in S5 and 9. Eleven patients were diagnosed with no symptoms through medical examinations. Other 8 patients complained of dyspnea, chest pain and cough. Thirteen patients complicated with benign asbestos pleurisy and only 3 patients accompanied asbestosis. Eighteen patients (95%) displayed pleural plaques and 15 patients with calcified plaques. Ten patients had been exposed to asbestos in the shipyards and 4 in construction works and other 5 patients had also exposed by occupational exposure to asbestos. The mean period of exposure to asbestos was 26.6 years and the mean latency periods from the first asbestos exposure to the diagnosis of rounded atelectasis were 51.6 years. An autopsied patient had 18,100 asbestos bodies per 1 g of dry lung tissue which meant the heavy asbestos exposure. High incidence of pleural plaques and long period of latency from the first exposure to the appearance of rounded atelectasis in this study suggested that rounded atelectasis might appear less high-dose exposure to asbestos than former patients who were reported 6 years ago.

  15. Practical Low Data-Complexity Subspace-Trail Cryptanalysis of Round-Reduced PRINCE

    DEFF Research Database (Denmark)

    Grassi, Lorenzo; Rechberger, Christian

    2016-01-01

    of a 2.5 rounds subspace trail of PRINCE, we present several (truncated differential) attacks up to 6 rounds of PRINCE. This includes a very practical attack with the lowest data complexity of only 8 plaintexts for 4 rounds, which co-won the final round of the PRINCE challenge in the 4-round chosen...

  16. Hernia Surgical Mesh Implants

    Science.gov (United States)

    ... Prosthetics Hernia Surgical Mesh Implants Hernia Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine) ...

  17. Urogynecologic Surgical Mesh Implants

    Science.gov (United States)

    ... Prosthetics Urogynecologic Surgical Mesh Implants Urogynecologic Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine). ...

  18. American Pediatric Surgical Association

    Science.gov (United States)

    American Pediatric Surgical Association Search for: Login Resources + For Members For Professionals For Training Program Directors For Media For ... Surgical Outcomes Surveys & Results Publications Continuing Education + ExPERT Pediatric Surgery NaT Annual Meeting CME MOC Requirements Residents / ...

  19. Optimizing surgical f

    Directory of Open Access Journals (Sweden)

    Sabry Mohamed Amin

    2016-07-01

    Conclusions: In our study both dexmedetomidine and esmolol were effective in reducing MABP, and lowering the heart rate providing dry surgical field and ensured good surgical condition during cochlear implant surgery in pediatric patients.

  20. Abortion - surgical - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000658.htm Abortion - surgical - aftercare To use the sharing features on ... please enable JavaScript. You have had a surgical abortion. This is a procedure that ends pregnancy by ...

  1. Conditional differential cryptanalysis of 105 round Grain v1

    DEFF Research Database (Denmark)

    Banik, Subhadeep

    2016-01-01

    In this paper we propose conditional differential cryptanalysis of 105 round Grain v1. This improves the attack proposed on 97 round Grain v1 by Knellwolf et al at Asiacrypt 2010. We take the help of the tool ΔGrain KSA, to track the differential trails introduced in the internal state of Grain v1...... by any difference in the IV bits. We prove that a suitably introduced difference in the IV leads to a distinguisher for the output bit produced in the 105th round. This helps determine the values of 6 expressions in the Secret Key bits. Using the above attack as a subroutine, we propose a method...

  2. Well-rounded zeta-function of planar arithmetic lattices

    CERN Document Server

    Fukshansky, Lenny

    2012-01-01

    We investigate the properties of the zeta-function of well-rounded sublattices of a fixed arithmetic lattice in the plane. In particular, we show that this function has abscissa of convergence at $s=1$ with a real pole of order 2, improving upon a recent result of S. Kuehnlein. We use this result to show that the number of well-rounded sublattices of a planar arithmetic lattice of index less or equal $N$ is $O(N \\log N)$ as $N \\to \\infty$. To obtain these results, we produce a description of integral well-rounded sublattices of a fixed planar integral well-rounded lattice and investigate convergence properties of a zeta-function of similarity classes of such lattices, building on some previous results of the author.

  3. Promise Zone Round 2 Applicant Geography and Goal Data

    Data.gov (United States)

    Department of Housing and Urban Development — This dataset includes Promise Zone initiative round II applicant project data from 111 urban, rural, and tribal communities who consented to share their application...

  4. An Optimized Round Robin Scheduling Algorithm for CPU Scheduling

    Directory of Open Access Journals (Sweden)

    Ajit Singh

    2010-10-01

    Full Text Available The main objective of this paper is to develop a new approach for round robin scheduling which help to improve the CPU efficiency in real time and time sharing operating system. There are many algorithms available for CPU scheduling. But we cannot implemented in real time operating system because of high context switch rates, large waiting time, large response time, large trn around time and less throughput. The proposed algorithm improves all the drawback of simple round robin architecture. The author have also given comparative analysis of proposed with simple round robin scheduling algorithm. Therefore, the author strongly feel that the proposed architecture solves all the problem encountered in simple round robin architecture by decreasing the performance parameters to desirable extent and thereby increasing the system throughput.

  5. On security arguments of the second round SHA-3 candidates

    DEFF Research Database (Denmark)

    Andreeva, Elena; Bogdanov, Andrey; Mennink, Bart;

    2012-01-01

    In 2007, the US National Institute for Standards and Technology (NIST) announced a call for the design of a new cryptographic hash algorithm in response to vulnerabilities like differential attacks identified in existing hash functions, such as MD5 and SHA-1. NIST received many submissions, 51...... of which got accepted to the first round. 14 candidates were left in the second round, out of which five candidates have been recently chosen for the final round. An important criterion in the selection process is the SHA-3 hash function security. We identify two important classes of security arguments...... for the new designs: (1) the possible reductions of the hash function security to the security of its underlying building blocks and (2) arguments against differential attack on building blocks. In this paper, we compare the state of the art provable security reductions for the second round candidates...

  6. Round robin performance testing of organic photovoltaic devices

    DEFF Research Database (Denmark)

    Gevorgyan, Suren; Zubillaga, Oihana; de Seoane, José María Vega

    2014-01-01

    This study addresses the issue of poor intercomparability of measurements of organic photovoltaic (OPV) devices among different laboratories. We present a round robin performance testing of novel OPV devices among 16 laboratories, organized within the framework of European Research Infrastructure...

  7. Improving nurse–physician teamwork through interprofessional bedside rounding

    Science.gov (United States)

    Henkin, Stanislav; Chon, Tony Y; Christopherson, Marie L; Halvorsen, Andrew J; Worden, Lindsey M; Ratelle, John T

    2016-01-01

    Background Teamwork between physicians and nurses has a positive association with patient satisfaction and outcomes, but perceptions of physician–nurse teamwork are often suboptimal. Objective To improve nurse–physician teamwork in a general medicine inpatient teaching unit by increasing face-to-face communication through interprofessional bedside rounds. Intervention From July 2013 through October 2013, physicians (attendings and residents) and nurses from four general medicine teams in a single nursing unit participated in bedside rounding, which involved the inclusion of nurses in morning rounds with the medicine teams at the patients’ bedside. Based on stakeholder analysis and feedback, a checklist for key patient care issues was created and utilized during bedside rounds. Assessment To assess the effect of bedside rounding on nurse–physician teamwork, a survey of selected items from the Safety Attitudes Questionnaire (SAQ) was administered to participants before and after the implementation of bedside rounds. The number of pages to the general medicine teams was also measured as a marker of physician–nurse communication. Results Participation rate in bedside rounds across the four medicine teams was 58%. SAQ response rates for attendings, residents, and nurses were 36/36 (100%), 73/73 (100%), and 32/73 (44%) prior to implementation of bedside rounding and 36 attendings (100%), 72 residents (100%), and 14 (19%) nurses after the implementation of bedside rounding, respectively. Prior to bedside rounding, nurses provided lower teamwork ratings (percent agree) than residents and attendings on all SAQ items; but after the intervention, the difference remained significant only on SAQ item 2 (“In this clinical area, it is not difficult to speak up if I perceive a problem with patient care”, 64% for nurses vs 79% for residents vs 94% for attendings, P=0.02). Also, resident responses improved on SAQ item 1 (“Nurse input is well received in this area

  8. Las cinco grandes dimensiones de la personalidad

    OpenAIRE

    Jan ter Laak

    1996-01-01

    Este artículo revisa las distintas posiciones teóricas sobre las cinco grandes dimensiones de la personalidad, mostrando las semejanzas y diferencias entre las posturas teóricas. Esta contribución presenta lo siguiente: (a) la génesis del contenido y la estructura de las cinco dimensiones; (b) la fortaleza de las cinco dimensiones; (e) la relación de las cinco grandes dimensiones con otros constructos de personalidad; (d) discute el valor predictivo de las puntuaciones del perfil de las cinco...

  9. Efficient 4-round zero-knowledge proof system for NP

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    A 4-round zero-knowledge interactive proof system for NP (Non-deterministic Polynomial) is presented when assuming the existence of one-way permutations and collision-free hash functions. This construction is more efficient than the original construction of 5-round zero-knowledge proof system for NP. The critical tools used in this paper are: zap, hash-based commitment scheme and non-interactive zero-knowledge.

  10. Electronic Printed Ward Round Proformas: Freeing Up Doctors' Time

    Science.gov (United States)

    Fernandes, Darren; Eneje, Philip

    2017-01-01

    The role of a junior doctor involves preparing for the morning ward round. At a time when there are gaps on rotas and doctors' time is more stretched, this can be a source of significant delay and thus a loss of working time. We therefore looked at ways in which we could make the ward round a more efficient place by introducing specific electronic, printed ward round proformas. We used the average time taken to write proformas per patient and the average time taken per patient on the ward round. This would then enable us to make fair comparisons with future changes that were made using the plan, do, study, and act principles of quality improvement. Our baseline measurement found that the average time taken to write up the proforma for each patient was 1 minute 9 seconds and that the average time taken per patient on the ward round was 8 minutes 30 seconds. With the changes we made during our 3 PDSA cycles and the implementation of an electronic, printed ward round proforma, we found that we were able to reduce the average time spent per patient on the ward round to 6 minutes 32 seconds, an improvement of 1 min 58 seconds per patient. The project has thus enabled us to reduce the time taken per patient during the ward round. This improved efficiency will enable patients to be identified earlier for discharge. It will also aid in freeing up the time of junior doctors, allowing them to complete discharge letters sooner, order investigations earlier and enable them to complete their allocated tasks within contracted hours. PMID:28352467

  11. Surgical Lasers In Gynecology

    Science.gov (United States)

    Schellhas, Helmut F.; Barnes, Alfonso E.

    1982-12-01

    Multipurpose surgical CO2 lasers marketed in the USA have been developed to be applicable to a variety of surgical procedures in many surgical fields. They are all suited for endoscopic surgical procedures and can be fitted to all standard surgical microscopes. They all can adjust the focal length of the laser beam to the different standard focal lengths of the surgical microscope which for instance in laryngoscopy is 400 mm and in colposcopy 300 mm. One laser instrument can even change the spot size in a given focal distance which is very advantageous for some microsurgical procedures (Merrimack Laboratories 820). All multipurpose surgical CO2 laser systems provide a multi-articulated surgical arm for free-hand surgery. The surgical arms are cumbersome to use but they are adapted to the surgeons needs with ingenuity. The practicality of the multi-articulated surgical arms depends mostly on the distance of the handpiece from the surgical console which now is also overbridged by the laser tube in most surgical laser system. The spot size of the beam is variable in most handpieces by interchangeable lenses which modify the focal distance of the beam and the power density. Another common feature in all systems is a coaxial He-Ne pilot light which provides a red spot which unfortunately becomes invisible in a bleeding surgical field. Most surgical laser systems have a spacial mode of TEM 00 which is essential for incisional surgery. The continuous mode of beam delivery is used for incisional surgery and also for most endoscopic procedures.

  12. Nuclear Waste Analytical Round Robins 1-6 summary report

    Energy Technology Data Exchange (ETDEWEB)

    Smith, G.L.; Marschman, S.C.

    1993-12-31

    The MCC has conducted six round robins for the waste management, research, and development community from 1987 to present. The laboratories participating regularly are Ames, Argonne, Catholic University, Lawrence Livermore, Pacific Northwest Laboratory, Savannah River, and West Valley Nuclear. Glass types analyzed in these round robins all have been simulated nuclear waste compositions expected from vitrification of high-level nuclear waste. A wide range of analytical procedures have been used by the participating laboratories including Atomic Absorption spectroscopy, inductively coupled plasma-atomic emission spectroscopy, direct current plasma-emission spectroscopy, and inductively coupled plasma-mass spectroscopy techniques. Consensus average relative error for Round Robins 1 through 6 is 5.4%, with values ranging from 9.4 to 1.1%. Trend on the average improved with each round robin. When the laboratories analyzed samples over longer periods of time, the intralaboratory variability increased. Lab-to-lab variation accounts for most of the total variability found in all the round robins. Participation in the radiochemistry portion has been minimal, and analytical results poor compared to nonradiochemistry portion. Additional radiochemical work is needed in future round robins.

  13. Measuring the effect of rounding the corners of scattering structures

    Science.gov (United States)

    Markowskei, Audrey J.; Smith, Paul D.

    2017-05-01

    In studying acoustic or electromagnetic wave diffraction, the choice of an appropriate canonical structure to model the dominant features of a scattering scenario can be very illuminating. A common approach used when dealing with domains with corners is to round the corners, producing a smooth surface, eliminating the singularities introduced by the corners. In order to quantify the effect of corner rounding, this paper examines the diffraction from cylindrical scatterers which possess corners, that is, points at which the normal changes discontinuously. We develop a numerical method for the scattering of a plane wave normally incident on such cylindrical structures with soft, hard, or impedance loaded boundary conditions. We then examine the difference between various test structures with corners and with the corners rounded to assess the impact on near- and far-field scattering, as a function of the radius of curvature in the vicinity of the rounded corner point. We then examine the nature of the differences in the far field between the cornered and rounded scatterers as well as the effect on the differences as the frequency of the plane wave increases and obtain precise quantitative estimates for the rate of convergence of the maximum difference between the far-field solutions as the radius of curvature of the rounded scatterer approaches zero.

  14. Bristle end-rounding in children's toothbrushes: a comparative study.

    Science.gov (United States)

    Rawls, H R; van Gelder, R; Smith, N K; Jeppesen, M; Yuan, C

    1993-01-01

    Animal and clinical studies have shown that sharp, unpolished toothbrush bristles can injure gingival tissues and that substantial variation exists in the degree of end-roundness of commercially available toothbrushes. In this study, eight brands of children's toothbrushes were assessed for their relative potential to cause oral tissue injury based upon the degree of end-roundness of their bristles. The brands studied were: Blend-a-dent Jr., Butler GUM Jr., Colgate Plus Jr., Johnson & Johnson Prevent Jr., Johnson & Johnson Reach Child, Lever Bros. Disney, Oral-B P20, and Sensodyne Jr. Brushes were ranked on the basis of three criteria: the percentage of bristles with sharp ends (89% roundness or less), the percentage of bristles with smooth edges (96% roundness or greater), and the average roundness of bristle ends. The Oral-B P20 brush had significantly more (p criteria, the Oral-B P20 showed the least potential for oral tissue damage, whereas the Johnson & Johnson Reach Child and Butler GUM Jr. showed the most potential for tissue injury. The other brands investigated were intermediate in end-rounding values and damage potential.

  15. Grand Forks - East Grand Forks Urban Water Resources Study. Wastewater Management Appendix.

    Science.gov (United States)

    1981-07-01

    denitrification or clinoptilolite ion exchange is required to meet the ammonia and total nitrogen levels. The effluent from these unit processes would be filtered...32 45 Dissolved Oxygen (mg/1) At Grand Forks 6.0 7.0 8.6 i0.0 12.1 At East Grand Forks 6.5 7.4 9.0 11.4 12.7 Ammonia Nitrogen (mg/i) At Grand Forks...Concentration (mg/i) Total Solids 700 Dissolved Solids 500 Suspended Solids 200 BOD5 200 COD 500 Total Nitrogen 40 Organic Nitrogen 15 Ammonia Nitrogen

  16. Plasma nanoscience: setting directions, tackling grand challenges

    Science.gov (United States)

    (Ken Ostrikov, Kostya; Cvelbar, Uros; Murphy, Anthony B.

    2011-05-01

    This review paper presents historical perspectives, recent advances and future directions in the multidisciplinary research field of plasma nanoscience. The current status and future challenges are presented using a three-dimensional framework. The first and the largest dimension covers the most important classes of nanoscale objects (nanostructures, nanofeatures and nanoassemblies/nanoarchitectures) and materials systems, namely carbon nanotubes, nanofibres, graphene, graphene nanoribbons, graphene nanoflakes, nanodiamond and related carbon-based nanostructures; metal, silicon and other inorganic nanoparticles and nanostructures; soft organic nanomaterials; nano-biomaterials; biological objects and nanoscale plasma etching. In the second dimension, we discuss the most common types of plasmas and plasma reactors used in nanoscale plasma synthesis and processing. These include low-temperature non-equilibrium plasmas at low and high pressures, thermal plasmas, high-pressure microplasmas, plasmas in liquids and plasma-liquid interactions, high-energy-density plasmas, and ionized physical vapour deposition as well as some other plasma-enhanced nanofabrication techniques. In the third dimension, we outline some of the 'Grand Science Challenges' and 'Grand Socio-economic Challenges' to which significant contributions from plasma nanoscience-related research can be expected in the near future. The urgent need for a stronger focus on practical, outcome-oriented research to tackle the grand challenges is emphasized and concisely formulated as from controlled complexity to practical simplicity in solving grand challenges.

  17. "Teine" võitis Prantsusmaal Grand Prix'

    Index Scriptorium Estoniae

    2006-01-01

    Prantsusmaal Essonne'is toimuval 8. Euroopa filmifestivalil Cinessonne sai üliõpilaste žürii grand prix rahvusvahelises ühistöös valminud tantsufilm "Teine" ("Another") : režissöör Rene Vilbre. Ka teistest festivalidest, kus film osalenud

  18. Youth Voice and the Llano Grande Center

    Science.gov (United States)

    Guajardo, Francisco; Perez, Delia; Guajardo, Miguel A.; Davila, Eric; Ozuna, Juan; Saenz, Maribel; Casaperalta, Nadia

    2006-01-01

    The Llano Grande Center is a non-profit education and community development organization founded in the mid-1990s by youth and teachers out of a public high school classroom in a rural South Texas (USA) community. The Center was created, in large part, to cultivate youth voices as important elements of curriculum development and teacher training…

  19. Summer Grand Summons Ceremony in Tashilhungpo Monastery

    Institute of Scientific and Technical Information of China (English)

    XILHU

    2003-01-01

    Every year, Tashilhungpo Monastery celebrates the Summer Grand Summons Ceremony (called Ximoqenbo in Tibetan) in the eighth month of the Tibetan calendar. All the monks and lay people of the Xigaze area get together to watch Chammo, which is a kind of sorcerer's dance. It is also a Tantric ritual

  20. Substance Abuse in the Rio Grande Valley.

    Science.gov (United States)

    Zavaleta, Anthony N.

    1979-01-01

    In the Mexican American barrios of Texas' Lower Rio Grande Valley, existence is complicated by the interactive forces of culture, society, and economy. These three factors act in unison to create an etiology of alcohol and drug use and abuse which is poorly understood by persons outside the barrio's grasp. (Author/NQ)

  1. A Grand Unified Theory of Interdisciplinarity

    Science.gov (United States)

    Davis, Lennard J.

    2007-01-01

    Aside from the appeal to administrators as a tool to reduce costs by combining less robust departments with heftier relations, interdisciplinarity is a powerful idea because it implies that different branches of knowledge can benefit from talking to one another: a grand, unified theory of knowledge in which each discipline contributes building…

  2. Salinity management in the Rio Grande Bosque

    Science.gov (United States)

    Jan M. H. Hendrickx; J. Bruce J. Harrison; Jelle Beekma; Graciela Rodriguez-Marin

    1999-01-01

    This paper discusses management options for salinity control in the Rio Grande Bosque. First, salt sources are identified and quantified. Capillary rise of ground water is the most important cause for soil salinization in the bosque. Next, a riparian salt balance is presented to explain the different mechanisms for soil salinization. Finally, the advantages and...

  3. Reisipakkumine - Grand Tour Itaalias / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2009-01-01

    Tiina Abeli koostatud ja Urmas Viigi kujundatud näitus "Grand Tour. Eesti kunstnikud Itaalias" Kumu Kunstimuuseumis 05. aprillini. Loetletud eksponeeritud tööde autoreid. Näitus annab ülevaate, kes siinsetest kunstnikest 19. sajandi algusest kuni 1930ndate aastateni Itaalias käisid ja kuidas see nende loomingut mõjutas

  4. The Virtual Grand Tour as Educational Paradigm

    DEFF Research Database (Denmark)

    Hansen, Per Skafte; Mouritsen, Lars

    2001-01-01

    The Virtual Grand Tour as defined here bears some resemblance to its 18th century ancestor: a wide range of individual topics are treated as a whole; a tutor, whether real or simulated, present or remote, is provided; a set of problem solving tools forms an integrated part of the "traveller's" eq...

  5. Radiatively Induced Fermi Scale in Grand Unification

    DEFF Research Database (Denmark)

    Alanne, Tommi; Meroni, Aurora; Sannino, Francesco;

    2016-01-01

    We consider Grand Unified Theories in which the hierarchy between the unification and the Fermi scale emerges radiatively. Within the Pati-Salam framework, we show that it is possible to construct a viable model where the Higgs is an elementary pseudo-Goldstone boson, and the correct hierarchy...

  6. The Virtual Grand Tour as Educational Paradigm

    DEFF Research Database (Denmark)

    Hansen, Per Skafte; Mouritsen, Lars

    2001-01-01

    The Virtual Grand Tour as defined here bears some resemblance to its 18th century ancestor: a wide range of individual topics are treated as a whole; a tutor, whether real or simulated, present or remote, is provided; a set of problem solving tools forms an integrated part of the "traveller...

  7. Reisipakkumine - Grand Tour Itaalias / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2009-01-01

    Tiina Abeli koostatud ja Urmas Viigi kujundatud näitus "Grand Tour. Eesti kunstnikud Itaalias" Kumu Kunstimuuseumis 05. aprillini. Loetletud eksponeeritud tööde autoreid. Näitus annab ülevaate, kes siinsetest kunstnikest 19. sajandi algusest kuni 1930ndate aastateni Itaalias käisid ja kuidas see nende loomingut mõjutas

  8. Grand Canyon Humpback Chub Population Improving

    Science.gov (United States)

    Andersen, Matthew E.

    2007-01-01

    The humpback chub (Gila cypha) is a long-lived, freshwater fish found only in the Colorado River Basin. Physical adaptations-large adult body size, large predorsal hump, and small eyes-appear to have helped humpback chub evolve in the historically turbulent Colorado River. A variety of factors, including habitat alterations and the introduction of nonnative fishes, likely prompted the decline of native Colorado River fishes. Declining numbers propelled the humpback chub onto the Federal list of endangered species in 1967, and the species is today protected under the Endangered Species Act of 1973. Only six populations of humpback chub are currently known to exist, five in the Colorado River Basin above Lees Ferry, Ariz., and one in Grand Canyon, Ariz. The U.S. Geological Survey's Grand Canyon Monitoring and Research Center oversees monitoring and research activities for the Grand Canyon population under the auspices of the Glen Canyon Dam Adaptive Management Program (GCDAMP). Analysis of data collected through 2006 suggests that the number of adult (age 4+ years) humpback chub in Grand Canyon increased to approximately 6,000 fish in 2006, following an approximate 40-50 percent decline between 1989 and 2001. Increasing numbers of adult fish appear to be the result of steadily increasing numbers of juvenile fish reaching adulthood beginning in the mid- to late-1990s and continuing through at least 2002.

  9. Plasma nanoscience: setting directions, tackling grand challenges

    Energy Technology Data Exchange (ETDEWEB)

    Ostrikov, Kostya [Plasma Nanoscience Centre Australia (PNCA), CSIRO Materials Science and Engineering, PO Box 218, Lindfield NSW 2070 (Australia); Cvelbar, Uros [Jozef Stefan Institute, 39 Jamova cesta, Ljubljana, SI-1000 (Slovenia); Murphy, Anthony B, E-mail: Kostya.Ostrikov@csiro.au, E-mail: Uros.Cvelbar@ijs.si, E-mail: Tony.Murphy@csiro.au [CSIRO Materials Science and Engineering, PO Box 218, Lindfield NSW 2070 (Australia)

    2011-05-04

    This review paper presents historical perspectives, recent advances and future directions in the multidisciplinary research field of plasma nanoscience. The current status and future challenges are presented using a three-dimensional framework. The first and the largest dimension covers the most important classes of nanoscale objects (nanostructures, nanofeatures and nanoassemblies/nanoarchitectures) and materials systems, namely carbon nanotubes, nanofibres, graphene, graphene nanoribbons, graphene nanoflakes, nanodiamond and related carbon-based nanostructures; metal, silicon and other inorganic nanoparticles and nanostructures; soft organic nanomaterials; nano-biomaterials; biological objects and nanoscale plasma etching. In the second dimension, we discuss the most common types of plasmas and plasma reactors used in nanoscale plasma synthesis and processing. These include low-temperature non-equilibrium plasmas at low and high pressures, thermal plasmas, high-pressure microplasmas, plasmas in liquids and plasma-liquid interactions, high-energy-density plasmas, and ionized physical vapour deposition as well as some other plasma-enhanced nanofabrication techniques. In the third dimension, we outline some of the 'Grand Science Challenges' and 'Grand Socio-economic Challenges' to which significant contributions from plasma nanoscience-related research can be expected in the near future. The urgent need for a stronger focus on practical, outcome-oriented research to tackle the grand challenges is emphasized and concisely formulated as from controlled complexity to practical simplicity in solving grand challenges.

  10. Discovery of the Grand Unified Theory

    Science.gov (United States)

    Nair, Radhakrishnan

    2010-11-01

    I have discovered the Grand Unified Theory which unites quantum with classical mechanics. This discovery is based on a geocentric universe, the myth of empty space, four states of matter in three dimensional space and space-time exponentiation, instead of space-time curvature.

  11. Feature selection with the image grand tour

    Science.gov (United States)

    Marchette, David J.; Solka, Jeffrey L.

    2000-08-01

    The grand tour is a method for visualizing high dimensional data by presenting the user with a set of projections and the projected data. This idea was extended to multispectral images by viewing each pixel as a multidimensional value, and viewing the projections of the grand tour as an image. The user then looks for projections which provide a useful interpretation of the image, for example, separating targets from clutter. We discuss a modification of this which allows the user to select convolution kernels which provide useful discriminant ability, both in an unsupervised manner as in the image grand tour, or in a supervised manner using training data. This approach is extended to other window-based features. For example, one can define a generalization of the median filter as a linear combination of the order statistics within a window. Thus the median filter is that projection containing zeros everywhere except for the middle value, which contains a one. Using the convolution grand tour one can select projections on these order statistics to obtain new nonlinear filters.

  12. Rio Branco, grand strategy and naval power

    Directory of Open Access Journals (Sweden)

    João Paulo Alsina Jr.

    2014-12-01

    Full Text Available This article addresses Baron of Rio Branco's grand strategy and the role played by the naval reorganization program (1904-1910 in this context. The ensuing case study determined the domestic and international constraints that affected the program, as well as the worldview of the patron of Brazilian diplomacy regarding military power's instrumentality to foreign policy.

  13. Oval and round window vibroplasty: a comparison of hearing results, risks and failures.

    Science.gov (United States)

    Canale, Andrea; Dagna, Federico; Cassandro, Claudia; Giordano, Pamela; Caranzano, Federico; Lacilla, Michelangelo; Albera, Roberto

    2014-10-01

    The aim of this study was to compare oval and round window vibroplasty. Eighteen (18) patients implanted with Vibrant Soundbridge (VSB) were enrolled. Two groups were formed depending on FMT placement: on round window in ten cases (RW group) and on oval window in eight (OW group). Pre and postoperative audiological tests were performed both under headphones and free-field settings, VSB on and off. One (1) RW patient experienced sudden hearing loss at the operated side after 4 months from surgery and was excluded from the analysis. Both groups showed good hearing results. Significant differences were measured at free-field pure-tone test with VSB on at 0.5 kHz (RW better than OW, p = 0.026) and 4 kHz (OW better than RW, p = 0.043). Both techniques share similar good results and are considered safe. However, we had one failure with deep and sudden hearing threshold worsening after some months of good results. From a surgical point of view OW vibroplasty is easier and safer to perform, when the stapes suprastructure is absent, as it does not require any drilling and should be preferred in such cases. More reports are needed to explain if RW vibroplasty is risky in a mid to long term.

  14. An atypical manifestation of inguinal endometriosis in the extra pelvic part of the round ligament: a case report

    Directory of Open Access Journals (Sweden)

    Vito Chiantera

    2016-09-01

    Full Text Available Establishing the diagnostic and surgical management of the inguinal Endometriosis, with further investigation of the biological character. The imaging findings of CT and PET-CT, biopsy, ultrasound, open surgery of the inguinal region with intraoperative cryosection, confirmation and evaluation of tissue infiltration by endometriosis, laparoscopic removal of all endometriotic lesions, reconstruction of the groin. Based on the history of the 29-year-old patient, suffering from a painful growing induration of the inguinal region. Immunohistochemistry performed, in order to analyze the character of the inguinal endometriosis. CT, PET-CT and biopsy did not confirm the diagnosis of endometriosis. Considering, the progressive symptoms of the patient, was performed the surgical intervention. Open surgery of the inguinal region, with a preparation and separation of the groin fibrotic mass lead to the finding of an affected extra-peritoneal portion of the round ligament. Intraoperative cryosection confirmed endometriosis. Simultaneous laparoscopy showed peritoneal endometriosis (rASRM I and an alteration of the inner round ligament, involving the inner inguinal channel in this process. All endometriotic lesions were removed and the inguinal region reconstructed. The immunohistochemical staining gave evidence of the endometriotic tissue, surrounded by smooth muscle metaplasia. We consider that, reporting this rare case of endometriosis, based on a case report and a literature review, affecting intra and extra peritoneal portion of the round ligament, is an important aid to avoid a wrong diagnosis and method of therapy in future. Our data demonstrated the fully recovery of the patient, after surgical treatment, reporting symptom-free status. [Int J Reprod Contracept Obstet Gynecol 2016; 5(9.000: 3202-3207

  15. Creationism in the Grand Canyon, Texas Textbooks

    Science.gov (United States)

    Folger, Peter

    2004-01-01

    AGU President Bob Dickinson, together with presidents of six other scientific societies, have written to Joseph Alston, Superintendent of Grand Canyon National Park, pointing out that a creationist book, The Grand Canyon: A Different View, is being sold in bookstores within the borders of the park as a scientific explanation about Grand Canyon geologic history. President Dickinson's 16 December letter urges that Alston clearly separate The Grand Canyon: A Different View from books and materials that discuss the legitimate scientific understanding of the origin of the Grand Canyon. The letter warns the Park Service against giving the impression that it approves of the anti-science movement known as young-Earth creationism, or that it endorses the advancement of religious tenets disguised as science. The text of the letter is on AGU's Web site http://www.agu.org/sci_soc/policy/sci_pol.html. Also, this fall, AGU sent an alert to Texas members about efforts by intelligent design creationists aimed at weakening the teaching of biological evolution in textbooks used in Texas schools. The alert pointed scientists to a letter, drafted by AGU, together with the American Institute of Physics, the American Physical Society, the Optical Society of America, and the American Astronomical Society, that urged the Texas State Board of Education to adopt textbooks that presented only accepted, peer-reviewed science and pedagogical expertise. Over 550 scientists in Texas added their names to the letter (http://www.agu.org/sci_soc/policy/texas_textbooks.pdf ), sent to the Board of Education on 1 November prior to their vote to adopt a slate of new science textbooks. The Board voted 11-5 in favor of keeping the textbooks free of changes advocated by groups supporting intelligent design creationism.

  16. Manual of Surgical Instruments

    Directory of Open Access Journals (Sweden)

    Olga Lidia Sánchez Sarría

    2014-10-01

    Full Text Available Surgical instruments are the group of tools used in surgical procedures. They are very expensive and sophisticated. Consequently, a standardized and meticulous care is essential; they should go through the decontamination, cleaning and sterilization process. These instruments are designed in order to provide surgeons with tools that help them to perform a basic surgical procedure; there are multiple variations and the design depends on their function. This paper aims at showing all surgical instruments that can be used in an operating room during surgery and are not generally included in the medical literature.

  17. Intraabdominal desmoplastic small round cell tumor - case report; Tumor de pequenas celulas redondas desmoplasico intra-abdominal - relato de caso

    Energy Technology Data Exchange (ETDEWEB)

    Westphalen, Antonio Carlos Anderson; Ferreira, Jose Hamilton Pinheiro [Hospital Moinhos de Vento, Porto Alegre, RS (Brazil). Moinhos Centro de Imagem]. E-mail: cpostal@zaz.com.br; Daudt, Alexander Welaussen [Centro de Oncologia Radioterapica do Rio Grande do Sul, Porto Alegre, RS (Brazil); Gaiger, Ana Maria [Pontificia Univ. Catolica do Rio Grande do Sul, Porto Alegre, RS (Brazil). Faculdade de Medicina. Dept. de Patologia

    2001-10-01

    The authors report a case of intraabdominal desmoplastic small round cell tumor in a 21-year-old male patient who presented with abdominal pain, right lower limb thrombosis and obstructive loss of renal function. Initial investigation showed a large lobulated intraabdominal soft tissue mass with internal cystic cavities, located posteriorly to the bladder and causing obstruction of ureteral flow, compression of the right iliac vein and partial occlusion of the rectum. Involvement of intraperitoneal and retroperitoneal nodes was also seen. Ultrasound, computed tomography and magnetic resonance imaging findings, as well as surgical and histopathology macroscopical, microscopical and immunohistochemistry findings are described. (author)

  18. [Plain film appearances of chondropathia patellae. Morphological changes after surgical treatment (author's transl)].

    Science.gov (United States)

    Schumacher, K A; Langer, R; Langer, M; Mutschler, W; von Dewitz, H

    1981-05-01

    The localised patella defects in our material of 90 patients were largely unchanged up to nine months after surgical treatment. Persistence of soft tissue swelling round the knee correlates with continuing pain. In some cases there has been remineralisation of the patella, which can be regarded as a stage in healing. Unchanged or deteriorating radiological findings may be associated with clinical improvement or deterioration.

  19. Recommended Protocol for Round Robin Studies in Additive Manufacturing

    Science.gov (United States)

    Moylan, Shawn; Brown, Christopher U.; Slotwinski, John

    2016-01-01

    One way to improve confidence and encourage proliferation of additive manufacturing (AM) technologies and parts is by generating more high quality data describing the performance of AM processes and parts. Many in the AM community see round robin studies as a way to generate large data sets while distributing the cost among the participants, thereby reducing the cost to individual users. The National Institute of Standards and Technology (NIST) has conducted and participated in several of these AM round robin studies. While the results of these studies are interesting and informative, many of the lessons learned in conducting these studies concern the logistics and methods of the study and unique issues presented by AM. Existing standards for conducting interlaboratory studies of measurement methods, along with NIST’s experience, form the basis for recommended protocols for conducting AM round robin studies. The role of round robin studies in AM qualification, some of the limitations of round robin studies, and the potential benefit of less formal collaborative experiments where multiple factors, AM machine being only one, are varied simultaneously are also discussed. PMID:27274602

  20. Recommended Protocol for Round Robin Studies in Additive Manufacturing.

    Science.gov (United States)

    Moylan, Shawn; Brown, Christopher U; Slotwinski, John

    2016-03-01

    One way to improve confidence and encourage proliferation of additive manufacturing (AM) technologies and parts is by generating more high quality data describing the performance of AM processes and parts. Many in the AM community see round robin studies as a way to generate large data sets while distributing the cost among the participants, thereby reducing the cost to individual users. The National Institute of Standards and Technology (NIST) has conducted and participated in several of these AM round robin studies. While the results of these studies are interesting and informative, many of the lessons learned in conducting these studies concern the logistics and methods of the study and unique issues presented by AM. Existing standards for conducting interlaboratory studies of measurement methods, along with NIST's experience, form the basis for recommended protocols for conducting AM round robin studies. The role of round robin studies in AM qualification, some of the limitations of round robin studies, and the potential benefit of less formal collaborative experiments where multiple factors, AM machine being only one, are varied simultaneously are also discussed.

  1. Liberating methodological thinking in human sciences from grand theories

    DEFF Research Database (Denmark)

    Kharlamov, Nikita; Baldursson, Einar Baldvin

    2016-01-01

    focus on the necessity of a “grand unified theory” at the expense of any and all alternative perspectives. Properties of grand theories are discussed on the examples of Giddens and Bourdieu. It is argued that grand theories hamper a more productive focus on concrete phenomena. Robert Merton’s focus...

  2. 78 FR 39998 - Safety Zone; Grand Haven 4th of July Fireworks; Grand River; Grand Haven, MI

    Science.gov (United States)

    2013-07-03

    ... , type the docket number in the ``SEARCH'' box and click ``SEARCH.'' Click on Open Docket Folder on the... arc of a circle with an 800 foot radius with a center in position 43 3' 55.7'' N and 86 14' 13.8'' W...) Location. All waters of the Grand River within the arc of a circle with an 800 foot radius with a center...

  3. Direct round window stimulation with the Med-El Vibrant Soundbridge: 5 years of experience using a technique without interposed fascia

    OpenAIRE

    Skarzynski, Henryk; Olszewski, Lukasz; Skarzynski, Piotr H; Lorens, Artur; PIOTROWSKA, Anna; Porowski, Marek; Mrowka, Maciej; Pilka, Adam

    2013-01-01

    The objective of this study was to present 5 years of surgical experience, and the extended results of hearing preservation (based on 3-year follow-up), with the Med-El Vibrant Soundbridge (VSB) in which the floating mass transducer (FMT) is placed directly against the round window membrane, and the fascia is used only as covering tissue to keep it in position. A retrospective survey of surgical and audiological data was conducted to evaluate the performance and stability of patient hearing, ...

  4. Surgical ethics and the challenge of surgical innovation.

    Science.gov (United States)

    Angelos, Peter

    2014-12-01

    Surgical ethics as a specific discipline is relatively new to many. Surgical ethics focuses on the ethical issues that are particularly important to the care of surgical patients. Informed consent for surgical procedures, the level of responsibility that surgeons feel for their patients' outcomes, and the management of surgical innovation are specific issues that are important in surgical ethics and are different from other areas of medicine. The future of surgical progress is dependent on surgical innovation, yet the nature of surgical innovation raises specific concerns that challenge the professionalism of surgeons. These concerns will be considered in the following pages.

  5. How river rocks round: resolving the shape-size paradox.

    Directory of Open Access Journals (Sweden)

    Gabor Domokos

    Full Text Available River-bed sediments display two universal downstream trends: fining, in which particle size decreases; and rounding, where pebble shapes evolve toward ellipsoids. Rounding is known to result from transport-induced abrasion; however many researchers argue that the contribution of abrasion to downstream fining is negligible. This presents a paradox: downstream shape change indicates substantial abrasion, while size change apparently rules it out. Here we use laboratory experiments and numerical modeling to show quantitatively that pebble abrasion is a curvature-driven flow problem. As a consequence, abrasion occurs in two well-separated phases: first, pebble edges rapidly round without any change in axis dimensions until the shape becomes entirely convex; and second, axis dimensions are then slowly reduced while the particle remains convex. Explicit study of pebble shape evolution helps resolve the shape-size paradox by reconciling discrepancies between laboratory and field studies, and enhances our ability to decipher the transport history of a river rock.

  6. How river rocks round: resolving the shape-size paradox

    CERN Document Server

    Domokos, G; Sipos, A Á; Török, Á

    2013-01-01

    River-bed sediments display two universal downstream trends: fining, in which particle size decreases; and rounding, where pebble shapes evolve toward ellipsoids. Rounding is known to result from transport-induced abrasion; however many researchers argue that the contribution of abrasion to downstream fining is negligible. This presents a paradox: downstream shape change indicates substantial abrasion, while size change apparently rules it out. Here we use laboratory experiments and numerical modeling to show quantitatively that pebble abrasion is a curvature-driven flow problem. As a consequence, abrasion occurs in two well-separated phases: first, pebble edges rapidly round without any change in axis dimensions until the shape becomes entirely convex; and second, axis dimensions are then slowly reduced while the particle remains convex. Explicit study of pebble shape evolution helps resolve the shape-size paradox by reconciling discrepancies between laboratory and field studies, and enhances our ability to ...

  7. Round-Robin Test of Paraffin Phase-Change Material

    Science.gov (United States)

    Vidi, S.; Mehling, H.; Hemberger, F.; Haussmann, Th.; Laube, A.

    2015-11-01

    A round-robin test between three institutes was performed on a paraffin phase-change material (PCM) in the context of the German quality association for phase-change materials. The aim of the quality association is to define quality and test specifications for PCMs and to award certificates for successfully tested materials. To ensure the reproducibility and comparability of the measurements performed at different institutes using different measuring methods, a round-robin test was performed. The sample was unknown. The four methods used by the three participating institutes in the round-robin test were differential scanning calorimetry, Calvet calorimetry and three-layer calorimetry. Additionally, T-history measurements were made. The aim of the measurements was the determination of the enthalpy as a function of temperature. The results achieved following defined test specifications are in excellent agreement.

  8. SOPHIA CPV module round robin: Power rating at CSOC

    Science.gov (United States)

    Siefer, Gerald; Steiner, Marc; Baudrit, Mathieu; Dominguez, César; Antón, Igancio; Nuñez, Ruben; Roca, Franco; Pugliatti, Paola Maria; Stefano, Agnese Di; Kenny, Robert; Morabito, Paolo

    2014-09-01

    In the frame of the European project SOPHIA a concentrator photovoltaic (CPV) module measurement round robin has been initiated. The round robin includes measurements of four CPV modules at seven different test laboratories located in Europe. IV curves of the modules are measured with different measurement equipment under various climatic conditions. The aim of this activity is to perform at each site a rating of the modules at concentrator standard operating conditions CSOC according to IEC 62670-1. The outcome of the round robin is intended for direct feedback to the current draft standard IEC 62670-3 "Concentrator Photovoltaic (CPV) Performance Testing - Performance Measurements and Power Rating". The paper discusses initial results from the first three partners that have already finished the measurements up to now.

  9. Recognizing surgical patterns

    NARCIS (Netherlands)

    Bouarfa, L.

    2012-01-01

    In the Netherlands, each year over 1700 patients die from preventable surgical errors. Numerous initiatives to improve surgical practice have had some impact, but problems persist. Despite the introduction of checklists and protocols, patient safety in surgery remains a continuing challenge. This is

  10. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  11. The Grand Tack model: a critical review

    CERN Document Server

    Raymond, Sean N

    2014-01-01

    The `Grand Tack' model proposes that the inner Solar System was sculpted by the giant planets' orbital migration in the gaseous protoplanetary disk. Jupiter first migrated inward then Jupiter and Saturn migrated back outward together. If Jupiter's turnaround or "tack" point was at ~1.5 AU the inner disk of terrestrial building blocks would have been truncated at ~1 AU, naturally producing the terrestrial planets' masses and spacing. During the gas giants' migration the asteroid belt is severely depleted but repopulated by distinct planetesimal reservoirs that can be associated with the present-day S and C types. The giant planets' orbits are consistent with the later evolution of the outer Solar System. Here we confront common criticisms of the Grand Tack model. We show that some uncertainties remain regarding the Tack mechanism itself; the most critical unknown is the timing and rate of gas accretion onto Saturn and Jupiter. Current isotopic and compositional measurements of Solar System bodies -- including ...

  12. Status of the KASCADE-Grande experiment

    Energy Technology Data Exchange (ETDEWEB)

    Ulrich, H. [Institut fuer Kernphysik, Forschungszentrum Karlsruhe, D-76021 Karlsruhe (Germany)], E-mail: ulrich@ik.fzk.de; Apel, W.D.; Arteaga, J.C.; Badea, A.F.; Bekk, K. [Institut fuer Kernphysik, Forschungszentrum Karlsruhe, D-76021 Karlsruhe (Germany); Bercuci, A. [National Institute of Physics and Nuclear Engineering, P.O. Box Mg-6, RO-7690 Bucharest (Romania); Bertaina, M. [Dipartimento di Fisica Generale dell' Universita, 10125 Torino (Italy); Bluemer, J. [Institut fuer Kernphysik, Forschungszentrum Karlsruhe, D-76021 Karlsruhe (Germany); Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe, D-76021 Karlsruhe (Germany); Bozdog, H. [Institut fuer Kernphysik, Forschungszentrum Karlsruhe, D-76021 Karlsruhe (Germany); Brancus, I.M. [National Institute of Physics and Nuclear Engineering, P.O. Box Mg-6, RO-7690 Bucharest (Romania); Brueggemann, M.; Buchholz, P. [Fachbereich Physik, Universitaet Siegen, 57068 Siegen (Germany); Chiavassa, A. [Dipartimento di Fisica Generale dell' Universita, 10125 Torino (Italy); Cossavella, F. [Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe, D-76021 Karlsruhe (Germany); Daumiller, K. [Institut fuer Kernphysik, Forschungszentrum Karlsruhe, D-76021 Karlsruhe (Germany); Di Pierro, F. [Dipartimento di Fisica Generale dell' Universita, 10125 Torino (Italy); Doll, P.; Engel, R.; Engler, J. [Institut fuer Kernphysik, Forschungszentrum Karlsruhe, D-76021 Karlsruhe (Germany); Finger, M. [Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe, D-76021 Karlsruhe (Germany)] (and others)

    2008-01-15

    The KASCADE-Grande experiment measures extensive air showers induced by cosmic rays in the energy range between 0.5 PeV and 1 EeV - the so-called knee region. Principal task of the experiment is to measure with high accuracy the energy and composition of primary cosmic rays to shed light on the nature of the knee. The data of the former KASCADE experiment have been used in a composition analysis showing the knee at 3-5 PeV to be caused by a steepening in the light-element spectra. In the following, an update on these analyses will be given. In addition, the status of the experimental extension - the Grande array - together with first results will be briefly discussed.

  13. Efficient, Robust and Constant-Round Distributed RSA Key Generation

    DEFF Research Database (Denmark)

    Damgård, Ivan Bjerre; Mikkelsen, Gert Læssøe

    2010-01-01

    We present the first protocol for distributed RSA key generation which is constant round, secure against malicious adversaries and has a negligibly small bound on the error probability, even using only one iteration of the underlying primality test on each candidate number.......We present the first protocol for distributed RSA key generation which is constant round, secure against malicious adversaries and has a negligibly small bound on the error probability, even using only one iteration of the underlying primality test on each candidate number....

  14. Advanced transportation concept for round-trip space travel

    Science.gov (United States)

    Yen, Chen-Wan L.

    1988-01-01

    A departure from the conventional concept of round-trip space travel is introduced. It is shown that a substantial reduction in the initial load required of the Shuttle or other launch vehicle can be achieved by staging the ascent orbit and leaving fuel for the return trip at each stage of the orbit. Examples of round trips from a low-inclination LEO to a high-inclination LEO and from an LEO to a GEO are used to show the merits of the new concept. Potential problem areas and research needed for the development of an efficient space transportation network are discussed.

  15. Splendid Culture on the Grand Canal

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    JINING Prefecture on thesouthwest plain of ShandongProvince is known as the homeof Confucius and Mencins and theland of etiquette.It is famous as thebirthplace or residence of many out-standing people and has beautifulscenery with blue Weishan Lake tothe south,lofty Mount Tai to thenorth and Liang Mountain by thelake in the west.The Beijing-Hangzhor Grand Canal crosses theprefecture,which has been a com-munications hub between north andsouth China since the Ming

  16. Kocel Steel Foundry Grand Opening Ceremony

    Institute of Scientific and Technical Information of China (English)

    TIAN Shi-jiang

    2006-01-01

    @@ On May 9, 2006 the Grand Opening ceremony of Kocel Steel Foundry Co., Ltd. was held in the National Economic and Technological Development Zone in Yinchuan City, Ningxia, China. Kocel Steel Foundry Co.,Ltd. is a large scale enterprise producing steel castings and it is jointly established by Ningxia Kocel Group,Changcheng Suzaki Machine & Foundry Co., Ltd. and Voestalpine Giesserei Linz GmbH, Austria.

  17. The Internet in developing nations: Grand challenges

    OpenAIRE

    Press, Larry

    2004-01-01

    This is a call for a "Grand Challenge" project for achieving truly global connectivity. For over a decade, we have hypothesized that the Internet could raise the quality of life in developing nations. We have conducted hundreds of studies of the state of the Internet and "e–readiness," done extensive training of technicians and policy makers, run pilot studies, and held local, regional and global conferences and workshops. After all of this activity, Internet connectivity is nearly non–existe...

  18. Gravity as a Grand Unification of Forces

    CERN Document Server

    Sharafiddinov, R S

    2004-01-01

    Any of all possible types of charges corresponds in nature to a kind of the inertial mass. Such a mass - charge duality of matter explains the coexistence of grand united rest mass and charge for the same neutrino equal respectively to its all the gravitational mass and charge which consist of the gravitoelectric, gravitoweak, gravitostrong and a range of others, innate components. From their point of view, a new grand unification theory has been created at the discussion of a question about unification of forces of a different nature. In this theory, the gravitational field must be naturally united gauge field of the unified system of the most diverse combinations of electromagnetic photons, weak bosons and strong gluons where the four pairs of forces of the micro world fundamental interactions are united. Some consequences and laboratory confirmations of the suggested theory have been listed which allow also to define the structure of the graviton as a grand united boson. Thereby it gives the possibility to...

  19. Raptor Use of the Rio Grande Gorge

    Energy Technology Data Exchange (ETDEWEB)

    Ponton, David A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-03-20

    The Rio Grande Gorge is a 115 km long river canyon located in Southern Colorado (15 km) and Northern New Mexico (100 km). The majority of the canyon is under the administration of the Bureau of Land Management {BLM), and 77 km of the canyon south of the Colorado/New Mexico border are designated Wild River under the National Wild and Scenic Rivers Act of 1968. Visits I have made to the Rio Grande Gorge over the past 15 .years disclosed some raptor utilization. As the Snake River Birds of Prey Natural Area gained publicity, its similarity to the Rio Grande Gorge became obvious, and I was intrigued by the possibility of a high raptor nesting density in the Gorge. A survey in 1979 of 20 km of the northern end of the canyon revealed a moderately high density of red-tailed hawks and prairie falcons. With the encouragement of that partial survey, and a need to assess the impact of river-running on nesting birds of prey, I made a more comprehensive survey in 1980. The results of my surveys, along with those of a 1978 helicopter survey by the BLM, are presented in this report, as well as general characterization of the area, winter use by raptors, and an assessment of factors influencing the raptor population.

  20. Introduction-Grand Challenges and small steps.

    Science.gov (United States)

    De Grandis, Giovanni; Efstathiou, Sophia

    2016-04-01

    This collection addresses two different audiences: 1) historians and philosophers of the life sciences reflecting on collaborations across disciplines, especially as regards defining and addressing Grand Challenges; 2) researchers and other stakeholders involved in cross-disciplinary collaborations aimed at tackling Grand Challenges in the life and medical sciences. The essays collected here offer ideas and resources both for the study and for the practice of goal-driven cross-disciplinary research in the life and medical sciences. We organise this introduction in three sections. The first section provides some background and context. The second motivates our take on this topic and then outlines the central ideas of each paper. The third section highlights the specificity and significance of this approach by considering: a) how this collection departs from existing literature on inter- and trans-disciplinarity, b) what is characteristic about this approach, and c) what role this suggests for the history and philosophy of the life sciences in addressing Grand Challenges. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. The Multiple Faces of Effective Grand Strategy

    Directory of Open Access Journals (Sweden)

    Bryan N. Groves

    2010-01-01

    Full Text Available Effective national leaders throughout history have deliberately developed grand strategies and successfully implemented them to attain their political goals, while also integrating and accomplishing economic, social, defense, and sometimes religious objectives. Not all leaders have been successful, however, as this process is immensely complex and can be adversely affected by the actions of other leaders around their region and the world. It bears examination, then, to determine what factors contribute to successful grand strategies and why many leaders fail to reach their stated ends. This article utilizes a historic case study approach and explores three key areas of grand strategy: universal principles, Clausewitzian approaches, and indirect approaches. I handle each separately and in distinct fashion, though some connective tissue does interlace across sections. Additionally, the unifying argument is that thoughtful, rational leaders, who weigh the costs and benefits associated with each course of action available to them, still must heed the truths embedded in these three sections to attain their objectives. Not doing so often leads to failure, unrealized goals, and a nation gone awry.

  2. Grandes hérnias incisionais Giant incisional hernias

    Directory of Open Access Journals (Sweden)

    Manlio Basilio Speranzini

    2010-12-01

    Full Text Available INTRODUÇÃO: A correção de hérnias incisionais abdominais permanece como um dos procedimentos cirúrgicos mais comuns uma vez que ela ocorre em cerca de 11% das laparotomias. Vários são os fatores de risco. Surgem, em geral, nos primeiros cinco anos após a operação e seu manuseio ainda é controverso. OBJETIVO: Atualizar os meios e métodos empregados para a correção cirúrgica das hérnias abdominais gigantes. MÉTODO: Revisão da literatura com base no Pubmed, Scielo e Lilacs com cruzamento dos descritores "hérnia abdominal, próteses, complicações e técnicas cirúrgicas", e adicionando contribuição própria baseada na experiência dos autores no manuseio desta afecção. CONCLUSÃO: Mesmo as correções bem sucedidas, com a utilização ou não de grandes próteses, não são os procedimentos isentos de inconvenientes, pois a parede abdominal não retoma a sua elasticidade e complacência normais. Por este motivo, é importante que o paciente seja alertado da possibilidade da sua expectativa em relação ao resultado, tanto estético quanto funcional, não ser alcançada.BACKGROUND: The correction of abdominal hernias remains one of the most common surgical procedures since it occurs in about 11% of laparotomies. There are several risk factors. Arise, in general, the first five years after the operation and their management is controversial. AIM: Update the means and methods for surgical repair of giant abdominal hernias. METHOD: Literature review based on PubMed, Lilacs and Scielo with crossing the keywords "abdominal hernia, prostheses, surgical techniques and complications", and adding its own contribution based on the authors' experience in handling this condition. CONCLUSION: Even the successful correction with the use of large prostheses, may happen procedure inconvenient, because the abdominal wall does not resume its elasticity and compliance at the normal. For this reason, it is important that the patient be advised

  3. Surgical ethics: surgical virtue and more.

    Science.gov (United States)

    Vercler, Christian J

    2015-01-01

    The encounter between a patient and her surgeon is unique for several reasons. The surgeon inflicts pain upon a patient for the patient's own good. An operative intervention is irreducibly personal, such that the decisions about and performance of operations are inseparable from the idiosyncrasies of the individual surgeon. Furthermore, there is a chasm of knowledge between the patient and surgeon that is difficult to cross. Hence, training in the discipline of surgery includes the inculcation of certain virtues and practices to safeguard against abuses of this relationship and to make sure that the best interests of the patient are prioritized. The stories in this issue are evidence that in contemporary practice this is not quite enough, as surgeons reflect on instances they felt were ethically challenging. Common themes include the difficulty in communicating surgical uncertainty, patient-surgeon relationships, ethical issues in surgical training, and the impact of the technological imperative on caring for dying patients.

  4. Morphodynamics of a gravel-dominated macrotidal estuary: Rio Grande, Tierra del Fuego

    Directory of Open Access Journals (Sweden)

    Federico I. Isla

    2004-06-01

    Full Text Available Rio Grande city (Tierra del Fuego is located on two attached beach systems, one of Upper Pleistocene (Sangamonian and the other of Holocene age. Both gravel spits grew from north to south modifying the inlet of the Rio Grande estuary. The present estuary is constrained by the modern and recurved spit Popper Spit. The main characteristic of this macrotidal estuary is that both margins and the bottom are mainly composed of rounded gravel. Expansion of the city is limited by oceanic and estuarine coasts, and is taking place towards salt marshes taking up more than 30 hectares in the last 20 years. The alteration of the tidal prism induced by marsh reclamation and the construction of a bridge may be affecting the inlet dynamics. The area of salt marsh and gravel banks were calculated by means of supervised classifications derived from a Landsat TM image. The inlet morphology changes in response to cycles dominated by longshore drift, wave refraction and ebb-tidal delta configuration. Oceanic beaches are characterised by large disc-shape boulders at the storm berm, spherical pebbles and sand runs at the foreshore, and fine sand on the low-tide terrace. Although tidal effects are very significant in the dynamics of the estuary, wind can prevail during some days or during slack water.

  5. Multiscale Surgical Telerobots

    Energy Technology Data Exchange (ETDEWEB)

    Miles, R R; Seward, K P; Benett, W J; Tendick, F; Bentley, L; Stephan, P L

    2002-01-23

    A project was undertaken to improve robotic surgical tools for telerobotic minimally invasive surgery. The major objectives were to reduce the size of the tools to permit new surgical procedures in confined spaces such as the heart and to improve control of surgical tools by locating positional sensors and actuators at the end effector rather than external to the patient as is currently the state of the technology. A new compact end-effector with wrist-like flexibility was designed. Positional sensors based on MEMS microfabrication techniques were designed.

  6. New Heuristic Rounding Approaches to the Quadratic Assignment Problem

    CERN Document Server

    Gharibi, Wajeb

    2011-01-01

    Quadratic assignment problem is one of the great challenges in combinatorial optimization. It has many applications in Operations research and Computer Science. In this paper, the author extends the most-used rounding approach to a one-parametric optimization model for the quadratic assignment problems. A near-optimum parameter is also predestinated. The numerical experiments confirm the efficiency.

  7. Competitors' Perceptions of Questions in Individual Events Rounds.

    Science.gov (United States)

    Mills, Daniel; Pettus, Ann Burnett

    A study investigated student competitors' opinions of the practice of judges asking questions of competitors at the conclusion of speeches in the individual events competiton at forensic tournaments. Surveys were completed by 52 final round student competitors at a large midwestern university individual events invitational tournament. Results…

  8. CHINA NATIONAL PETROLEUM CORPORATION Notice for Third Round of Bidding

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    @@ Authorized by the Government of the People's Republic of China, China National Petroleum Corporation (CNPC)hereby announces the commencement of the Third Round of Bidding for the Exploration of Land Petroleum Resources of P.R. China in Cooperation with Foreign Enterprises. 12 exploration blocks with a total area of 112 739 square kilometers are on offer.

  9. China Textile Round Table Forum Fabrics: International Trend and Marketing

    Institute of Scientific and Technical Information of China (English)

    Feng Yuan

    2007-01-01

    @@ On April 8,2007,China Textile Round Table Forum:Profesional Market Forum(Guangzhou 2007)was held in China Fabrics & Accessories Center.Representatives from many countries and regions,leaderships from Chinese textile and garment industry,as well as experts and corporated executives gathered together on the forum,sharing their views on international trend and marketing of fabric.

  10. Regional year-round sypply of vegetables in North Vietnam

    NARCIS (Netherlands)

    Everaarts, A.P.; Wijk, van M.S.; Pham Van Hoi,

    2008-01-01

    A discussion is presented about the patterns in the present year-round supply of vegetables to large cities in the Red River Delta in North Vietnam. Especially during the hot summer season, vegetables are supplied from Dalat in South Vietnam or from Kunming Province in China. Generally speaking, imp

  11. Medieval Round Churches and the Shape of the Earth.

    Science.gov (United States)

    Haagensen, Erling; Lind, Niels C

    2015-12-01

    There is a unique cluster of four medieval round churches, linked by a simple geometry, on Bornholm Island in the Baltic Sea. Why so many and why so close together? Immediate simple answers are "Just by chance" and "For no reason." Why are the churches round? "Defense." This essay proposes another hypothesis for this unique situation: the churches are astronomical observatories, meant to solve a scientific problem (Is the Earth really spherical?) and a practical problem (How far is it to sail west to the Orient?). The capacity and desire to find answers, together with other practical needs related to astronomy, can better explain these round churches' special architecture. The geometry that connects them fits the ideal pattern with an angular accuracy of 1 minute of a degree. The round churches may be the earliest astronomical observatories in Christian Europe; other hypotheses have been shown to be untenable. Their location provides for a good method to estimate the Earth's extent in the east-west direction, seemingly the earliest such measurements.

  12. Benign Multicystic Mesothelioma in the Left Round Ligament: Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Bae, So Young; Yi, Boem Ha; Lee, Hae Kyung; Park, Seong Jin; Cho, Gyu Seok; Kwak, Jeong Ja [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of)

    2010-02-15

    Benign multicystic mesothelioma is a rare mesothelial lesion that forms multicystic masses in the upper abdomen, pelvis, and retroperitoneum. Most cases have a benign course. We present the ultrasound and MR findings of benign multicystic mesothelioma in the left round ligament, which caused a left inguinal hernia in a 46-year-old woman.

  13. Round Table Talk of International Garment Industry Announced in Ningbo

    Institute of Scientific and Technical Information of China (English)

    Nie Ting

    2009-01-01

    @@ As one the most important events of the 13th Ningbo International Fashion Festival,the 2nd Round Table Talk of International Garment Industry (Ningbo) was held ceremoniously at Shangri-La Hotel on October 22nd,2009.This session was jointly organized by China National Garment Association,Ningbo government,and the 13th Ningbo International Fashion Fair.

  14. Eating Disorders in Young Athletes. A Round Table.

    Science.gov (United States)

    Physician and Sportsmedicine, 1985

    1985-01-01

    A round table discussion by a physician, a psychiatrist, a dietitian, and 3 college coaches reviewed the problem of anorexia nervosa and bulimia in young athletes who are compulsive overachievers. Coaches need to know the symptoms and potential consequences of these illnesses in order to detect them and to counsel athletes properly. (MT)

  15. Distinguishing attack on five-round Feistel networks

    DEFF Research Database (Denmark)

    Knudsen, Lars Ramkilde; Raddum, H

    2003-01-01

    Recently it was shown (by J. Patarin) how to distinguish a general five-round Feistel network from a random permutation using O(2/sup 3n/2/) chosen plaintexts or O(2/sup 7n/4/) known plaintexts. The present authors report improvement of these results and a distinguisher is presented which uses...

  16. Topology-based hierarchical scheduling using deficit round robin

    DEFF Research Database (Denmark)

    Yu, Hao; Yan, Ying; Berger, Michael Stubert

    2009-01-01

    This paper proposes a topology-based hierarchical scheduling scheme using Deficit Round Robin (DRR). The main idea of the topology-based hierarchical scheduling is to map the topology of the connected network into the logical structure of the scheduler, and combine several token schedulers...

  17. Round-robin test of heat flux sensors

    NARCIS (Netherlands)

    Turzo-Andras, E.; Blokland, H.; Hammerschmidt, U.; Rudtsch, S.; Stacey, C.; Krös, C.; Magyarlaki, T.; Nemeth, S.

    2011-01-01

    The first intercomparison on the density of heat flow-rate measurements has been organized by MKEH (Hungarian Trade Licensing Office, Metrology Division) within the framework of EUROMET (Project No. 426). This round-robin test gives evidence about the measurement capabilities of the local realizatio

  18. Evaluation of Round Robin Approaches in Teaching Reading.

    Science.gov (United States)

    Ediger, Marlow

    One approach in the teaching of reading that is criticized a lot is the round robin procedure in which the teacher, generally in a heterogeneously grouped classroom, forms three reading subgroups for instruction purposes. Each of the groups is as homogenous as possible. The teacher teaches one subgroup, while the other two are profitably engaged…

  19. A Systematic Approach to Structuring Round Robin Leagues.

    Science.gov (United States)

    Rokosz, Frank

    Commonly, tournament directors are responsible for organizing round robin leagues for team sports that have several divisions of play. On occasion, the director may have to operate under certain constraints that limit the number of games that can be played per day and the number of days that can be utilized. After receiving entries in each…

  20. A Paired Compositions Model for Round-Robin Experiments

    Science.gov (United States)

    Gleason, John R.; Halperin, Silas

    1975-01-01

    Investigation of the effects of a series of treatment conditions upon some social behaviors may require observation of subjects mutually paired, in round-robin fashion. Data arising from such experiments are difficult to analyze, partly because they do not fit neatly into standard designs. A model is presented. (Author/BJG)

  1. Round-Robin Peer Evaluations Require Candid Assessments.

    Science.gov (United States)

    Hays, Robert G.

    1990-01-01

    Presents a round-robin technique (in which each faculty member is evaluated by all the others in a single session) developed by a small, highly specialized faculty group to meet a new peer evaluation requirement. Notes that this technique does not require classroom observation, but still provides comprehensive and useful critiques. (SR)

  2. Comparison of CPX systems with Round Robin Test

    NARCIS (Netherlands)

    Reinink, F.; Blokland, G. van; Roo, F. de; Derksen, G.B.

    2011-01-01

    The CPX method (ISO/CD 11819-2) is regularly used for assessing the acoustic quality of road surface within the frame work of checking with compliance to contract requirements nd conformity-of-production. The reproducibility of the test procedure is investigated ith a Round Robin test in which 7 ope

  3. Lead Content of Round scad (Decapterus macrosomafrom Batangas Bay, Philippines

    Directory of Open Access Journals (Sweden)

    Reygan H. Sangalang

    2015-11-01

    Full Text Available The main objective of the study was to determine the presence of lead in the head, flesh and internalorgans of roundscad (Decapterus macrosoma collected from three sampling stations along Batangas Bay, Philippines. It is done to assess if the lead levels are still within the safety level set by United States Environmental Protection Agency (US EPA and Food and Drug Administration (FDA. Quantitative analysis following Association of Official Analytical Chemists (AOAC official method confirmed the presence of lead in the head, flesh and internal organs of round scad. Lead analysis of round scad was carried out using Flame Atomic Absorption Spectroscopy. The internal organs of round scad was found to contain the highest amount of leadas compared to the muscle and the head. Round scad samples collected along Batangas Bay had mean lead concentrationwhich is below the USEPA and FDA’s standardand can be considered safe for consumption. Continuous monitoring of lead content of roundscad is recommended to effectively investigate the risk and effects of heavy metals on the environ-ment and on the general public’s welfare.

  4. Round versus rectangular: Does the plot shape matter?

    Science.gov (United States)

    Iserloh, Thomas; Bäthke, Lars; Ries, Johannes B.

    2016-04-01

    Field rainfall simulators are designed to study soil erosion processes and provide urgently needed data for various geomorphological, hydrological and pedological issues. Due to the different conditions and technologies applied, there are several methodological aspects under review of the scientific community, particularly concerning design, procedures and conditions of measurement for infiltration, runoff and soil erosion. Extensive discussions at the Rainfall Simulator Workshop 2011 in Trier and the Splinter Meeting at EGU 2013 "Rainfall simulation: Big steps forward!" lead to the opinion that the rectangular shape is the more suitable plot shape compared to the round plot. A horizontally edging Gerlach trough is installed for sample collection without forming unnatural necks as is found at round or triangle plots. Since most research groups did and currently do work with round plots at the point scale (<1m²), a precise analysis of the differences between the output of round and square plots are necessary. Our hypotheses are: - Round plot shapes disturb surface runoff, unnatural fluvial dynamics for the given plot size such as pool development especially directly at the plot's outlet occur. - A square plot shape prevent these problems. A first comparison between round and rectangular plots (Iserloh et al., 2015) indicates that the rectangular plot could indeed be the more suitable, but the rather ambiguous results make a more elaborate test setup necessary. The laboratory test setup includes the two plot shapes (round, square), a standardised silty substrate and three inclinations (2°, 6°, 12°). The analysis of the laboratory test provide results on the best performance concerning undisturbed surface runoff and soil/water sampling at the plot's outlet. The analysis of the plot shape concerning its influence on runoff and erosion shows that clear methodological standards are necessary in order to make rainfall simulation experiments comparable. Reference

  5. Guide to Surgical Specialists

    Science.gov (United States)

    ... have expertise in the following areas of responsibility: neonatal surgery (specialized knowledge in the surgical repair of ... and non-operative management of certain types of pain. Common conditions managed by neurologic surgeons include disorders ...

  6. Surgical Critical Care Initiative

    Data.gov (United States)

    Federal Laboratory Consortium — The Surgical Critical Care Initiative (SC2i) is a USU research program established in October 2013 to develop, translate, and validate biology-driven critical care....

  7. Ambulatory Surgical Measures - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  8. Ambulatory Surgical Measures - Facility

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  9. Surgical site infections

    African Journals Online (AJOL)

    and mortality as well as significant financial implications. Worldwide it has ... common nosocomial infection amongst surgical patients with up to 38% .... antibiotics as soon as the sensitivity results are available. ... Breast surgery. Staph Aureus/ ...

  10. Needs assessment for the Greenway Grand Forks-East Grand Forks development and public education

    Science.gov (United States)

    Munski, Laura

    Following the flood of 1997, the U.S. Army Corps of Engineers included the Greenway Grand Forks---East Grand Forks (the Greenway) as a flood control measure for Grand Forks, North Dakota and East Grand Forks, Minnesota. It extends along both the Red River of the North and the Red Lake River, encompassing 2200 acres of land. The cities of Grand Forks and East Grand Forks hired consultants to assist with the postflood planning process. The planning process culminated with the Red River of the North Greenway Final Report (Flink, 1998). The purpose of this study was to determine if the development of the Greenway addressed the objectives of the planning report. The history of the land adjacent to the rivers was reviewed to document the progression of riverfront development. Anecdotal evidence was collected, field observations were made, city council minutes were reviewed, Greenway Technical Committee members were interviewed, Greenway Technical Committee minutes were reviewed, and the Greenway Grand Forks---East Grand Forks survey results were reviewed to determine if the objectives of the Red River of the North Greenway Final Report were addressed. A cross section survey was designed by Laura Munski for this dissertation research. The survey was approved by the Greenway Technical Committee. The survey collected both quantitative and qualitative data from the community. The purpose of the survey portion of the research project was to ascertain how residents were kept informed of activities on the Greenway and what amenities residents were using on the Greenway and to solicit their comments regarding the Greenway. The results of the survey research were used in both marketing and event planning for the Greenway. The singular qualitative survey question gave respondents an opportunity to share their comments regarding the Greenway. The qualitative data analysis provided insight to the amenities and educational programs desired by respondents, their concerns regarding the

  11. Quality improvement of interdisciplinary rounds by leadership training based on essential quality indicators of the Interdisciplinary Rounds Assessment Scale

    NARCIS (Netherlands)

    Ten Have, Elsbeth C. M.; Nap, Raoul E.; Tulleken, Jaap E.

    2013-01-01

    The implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. Daily interdisciplinary rounds (IDRs) in ICUs integrate leadership behavior and interdisciplinary teamwork. The purpose of this intervention study was to measure the effect of

  12. The periodicity of Grand Solar Minimum

    Science.gov (United States)

    Velasco Herrera, Victor Manuel

    2016-07-01

    The sunspot number is the most used index to quantify the solar activity. Nevertheless, the sunspot is a syn- thetic index and not a physical index. Therefore, we should be careful to use the sunspot number to quantify the low (high) solar activity. One of the major problems of using sunspot to quantify solar activity is that its minimum value is zero. This zero value hinders the reconstruction of the solar cycle during the Maunder minimum. All solar indexes can be used as analog signals, which can be easily converted into digital signals. In con- trast, the conversion of a digital signal into an analog signal is not in general a simple task. The sunspot number during the Maunder minimum can be studied as a digital signal of the solar activity In 1894, Maunder published a discovery that has maintained the Solar Physics in an impasse. In his fa- mous work on "A Prolonged Sunspot Minimum" Maunder wrote: "The sequence of maximum and minimum has, in fact, been unfailing during the present century [..] and yet there [..], the ordinary solar cycle was once interrupted, and one long period of almost unbroken quiescence prevailed". The search of new historical Grand solar minima has been one of the most important questions in Solar Physics. However, the possibility of estimating a new Grand solar minimum is even more valuable. Since solar activity is the result of electromagnetic processes; we propose to employ the power to quantify solar activity: this is a fundamental physics concept in electrodynamics. Total Solar Irradiance is the primary energy source of the Earth's climate system and therefore its variations can contribute to natural climate change. In this work, we propose to consider the fluctuations in the power of the Total Solar Irradiance as a physical measure of the energy released by the solar dynamo, which contributes to understanding the nature of "profound solar magnetic field in calm". Using a new reconstruction of the Total Solar Irradiance we found the

  13. Westernmost Grand Canyon incision: Testing thermochronometric resolution

    Science.gov (United States)

    Fox, M.; Tripathy-Lang, A.; Shuster, D. L.; Winn, C.; Karlstrom, K.; Kelley, S.

    2017-09-01

    The timing of carving of Grand Canyon has been debated for over 100 years with competing endmember hypotheses advocating for either a 70 Ma (;old;) or history and corresponding estimates of landscape evolution have been in debate. In particular, 4He/3He thermochronometric data record the distribution of radiogenic 4He (from the 238U, 235U and 232Th decay series) within an individual apatite crystal and thus are highly sensitive to the thermal history corresponding to landscape evolution. However, there are several complicating factors that make interpreting such data challenging in geologic scenarios involving reheating. Here, we analyze new data that provide measures of the cooling of basement rocks at the base of westernmost Grand Canyon, and use these data as a testbed for exploring the resolving power and limitations of 4He/3He data in general. We explore a range of thermal histories and find that these data are most consistent with a ;young; Grand Canyon. A problem with the recovered thermal history, however, is that burial temperatures are under predicted based on sedimentological evidence. A solution to this problem is to increase the resistance of alpha recoil damage to annealing, thus modifying He diffusion kinetics, allowing for higher temperatures throughout the thermal history. This limitation in quantifying radiation damage (and hence crystal retentivity) introduces non-uniqueness to interpreting time-temperature paths in rocks that resided in the apatite helium partial retention zone for long durations. Another source of non-uniqueness, is due to unknown U and Th distributions within crystals. We show that for highly zoned with a decrease in effective U of 20 ppm over the outer 80% of the radius of the crystal, the 4He/3He data could be consistent with an ;old; canyon model. To reduce this non-uniqueness, we obtain U and Th zonation information for separate crystals from the same rock sample through LA-ICP-MS analysis. The observed U and Th

  14. La "misteriosa" scrittura grande: paleografia e storia

    OpenAIRE

    Modesti, Maddalena; Iannacci, Lorenza; Zuffrano, Annafelicia

    2010-01-01

    Nel 1952 Jan Olof Tjäder riusciva finalmente a decifrare la cosiddetta misteriosa scrittura grande che caratterizza la prima riga di quattro papiri ravennati contenenti protocolli dei gesta municipalia (504-625 d. C.) e a individuarne la base grafica nella corsiva romana antica. Questo permetteva quindi al Tjäder di dimostrare che l’antica scrittura comune romana non era sopravvissuta, dopo il IV secolo, solo nelle litterae caelestes riservate ai documenti imperiali (cfr. Th.9.19.3, 367 d. C....

  15. Inflationary Reheating in Grand Unified Theories

    CERN Document Server

    Bassett, B A; Bassett, Bruce A.; Tamburini, Fabrizio

    1998-01-01

    Grand unified theories may display multiply interacting fields with strong coupling dynamics. This poses two new problems: (1) What is the nature of chaotic reheating after inflation, and (2) How is reheating sensitive to the mass spectrum of these theories ? We answer these questions in two interesting limiting cases and demonstrate an increased efficiency of reheating which strongly enhances non-thermal topological defect formation, including monopoles and domain walls. Nevertheless, the large fluctuations may resolve this monopole problem via a modified Dvali-Liu-Vachaspati mechanism in which non-thermal destabilsation of discrete symmetries occurs at reheating.

  16. Produccion de plantas grandes usando minicontenedores

    Science.gov (United States)

    R. Kasten Dumroese; Thomas D. Landis

    2012-01-01

    En América del Norte hay cada vez más interés por la producción híbrida o mixta. La misma consiste en cultivar plantines en contenedores de pequeño volumen y luego trasplantarlos; el trasplante se puede realizar a canteros en el suelo como en la producción a raíz desnuda o bien a contenedores más grandes. Originalmente se llamaban plantines "plug+", "...

  17. Grand Banquet of CDM for Power Enterprises

    Institute of Scientific and Technical Information of China (English)

    Peng Yuanchang; Jin Wen

    2007-01-01

    @@ The Kyoto Protocol was taken into effect on Feb. 16, 2005. It requires developed countries to reduce their greenhouse gas emissions, but it doesn't set binding limits on developing countries, such as China. The developed countries found that it is more cost-effective to reduce the emissions in developing countries than in their own. Therefore, the CDM emerged as the times require. Due to unfamiliarity and complicatedness, Chinese enterprises had been hesitating and taking wait-and-see attitude toward CDM, but they couldn't resist the attraction of free dinner of CDM, more and more enterprises started to attend the grand banquet of CDM since 2006.

  18. FOCAL Grande Utopia EM音箱

    Institute of Scientific and Technical Information of China (English)

    成师

    2008-01-01

    对于一个真正在音响领域有所追求的品牌来讲,创新与改进是没有尽头的。尽管愈往前发展,技术的突破度会越来越小,但这仍不妨碍品牌向着高境界的持续前行。近期,法国劲浪(FOCAL)最新发表的Grande Utopia EM音箱,便是展示其研发成果的生动例证。

  19. Graviton as a Grand United Gauge Boson

    Science.gov (United States)

    Sharafiddinov, Rasulkhozha S.

    2015-04-01

    To any type of charge corresponds a kind of inertial mass. Such a mass-charge duality explains the availability in the neutrino of the naturally united rest mass and charge equal to all its mass and charge consisting of the electric, weak, strong and a range of other the innate components. From their point of view, we discuss a new theory of a grand unification. In this theory, the gravitational field is a naturally united field of the unified system of the most diverse combinations of the electric photons, magnetic monophotons, weak bosons and the strong gluons where the four pairs of forces of a different nature are united. Some consequences and laboratory confirmations of the discussed theory have been listed, in which graviton is predicted as a grand united gauge boson. Therefore, the gravitons constitute a natural light testifying in favor of gravitational force. They show that to each type of light corresponds a kind of force. Thereby, the suggested field theory that unites all gauge bosons in gravitons gives the possibility to directly look on the nature of gravitational matter elucidating the interratio of intragraviton forces and the problem of elementary particle fundamental symmetries.

  20. SUGRA Grand Unification, LHC and Dark Matter

    CERN Document Server

    Nath, Pran

    2012-01-01

    A brief review is given of recent developments related to the Higgs signal and its implications for supersymmetry in the supergravity grand unification framework. The Higgs data indicates that the allowed parameter space largely lies on focal curves and focal surfaces of the Hyperbolic Branch of radiative breaking of the electroweak symmetry where TeV size scalars naturally arise. The high mass of the Higgs leads to a more precise prediction for the allowed range of the spin independent neutralino -proton cross section which is encouraging for the detection of dark matter in future experiments with greater sensitivity. Also discussed is the status of grand unification and a natural solution to breaking the GUT group at one scale and resolving the doublet-triplet problem. It is shown that the cosmic coincidence can be compatible within a supersymmetric framework in a muticomponent dark matter picture with one component charged under $B-L$ while the other component is the conventional supersymmetric dark matter...

  1. Aspects Of Grand Unified And String Phenomenology

    CERN Document Server

    Walker, J W

    2005-01-01

    Explored in this report is the essential interconnectedness of Grand Unified and String Theoretic Phenomenology. In order to extract a modeled connection to low-energy physics from the context of superstring theory, it is presently necessary to input some preferred region of parameter space in which to search. This need may be well filled by a parallel study of Grand Unification, which is by contrast in immediate proximity to a wealth of experimental data. The favored GUT so isolated may then reasonably transfer this phenomenological correlation to a string embedding, receiving back by way of trade a greater sense of primary motivation, and potentially enhanced predictability for parameters taken as input in a particle physics context. The Flipped SU(5) GUT will be our preferred framework in which to operate and first receives an extended study in a non-string derived setting. Of particularly timely interest are predictions for super-particle mass ranges and the interrelated question of proton decay lifetime....

  2. Calculations of canonical averages from the grand canonical ensemble.

    Science.gov (United States)

    Kosov, D S; Gelin, M F; Vdovin, A I

    2008-02-01

    Grand canonical and canonical ensembles become equivalent in the thermodynamic limit, but when the system size is finite the results obtained in the two ensembles deviate from each other. In many important cases, the canonical ensemble provides an appropriate physical description but it is often much easier to perform the calculations in the corresponding grand canonical ensemble. We present a method to compute averages in the canonical ensemble based on calculations of the expectation values in the grand canonical ensemble. The number of particles, which is fixed in the canonical ensemble, is not necessarily the same as the average number of particles in the grand canonical ensemble.

  3. Clinical ethics ward rounds: building on the core curriculum.

    Science.gov (United States)

    Parker, Lisa; Watts, Lisa; Scicluna, Helen

    2012-08-01

    The clinical years of medical student education are an ideal time for students to practise and refine ethical thinking and behaviour. We piloted a new clinical ethics teaching activity this year with undergraduate medical students within the Rural Clinical School at the University of New South Wales. We used a modified teaching ward round model, with students bringing deidentified cases of ethical interest for round-table discussion. We found that students were more engaged in the subject of clinical ethics after attending the teaching sessions and particularly appreciated having structured time to listen to and learn from their peers. Despite this, we found no change in student involvement in managing or planning action in situations that they find ethically challenging. A key challenge for educators in clinical ethics is to address the barriers that prevent students taking action.

  4. The Round House Gaol: Western Australia's first lunatic asylum.

    Science.gov (United States)

    Hudson-Rodd, N; Farrell, G A

    1998-12-01

    This paper is an account of the social history of the Round House Gaol in Fremantle, Western Australia and of those lunatics that were gathered together into its closed geographical space. The first permanent structure, perched on the most elevated and prominent site in Fremantle, was a gaol; the design for which was based on Jeremy Bentham's Panopticon or Inspection House, created for the purpose of surveillance and control of inmates. Visible in 1997, the Round House still stands as a dominant, physical marker of the landscape, ranking as a premier historical tourist attraction in Western Australia. But its actual use as a place for the containment of lunatics is only cursorily alluded to. This paper addresses the previously ignored period of 1830-1850.

  5. Standardization of Solar Mirror Reflectance Measurements - Round Robin Test: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Meyen, S.; Lupfert, E.; Fernandez-Garcia, A.; Kennedy, C.

    2010-10-01

    Within the SolarPaces Task III standardization activities, DLR, CIEMAT, and NREL have concentrated on optimizing the procedure to measure the reflectance of solar mirrors. From this work, the laboratories have developed a clear definition of the method and requirements needed of commercial instruments for reliable reflectance results. A round robin test was performed between the three laboratories with samples that represent all of the commercial solar mirrors currently available for concentrating solar power (CSP) applications. The results show surprisingly large differences in hemispherical reflectance (sh) of 0.007 and specular reflectance (ss) of 0.004 between the laboratories. These differences indicate the importance of minimum instrument requirements and standardized procedures. Based on these results, the optimal procedure will be formulated and validated with a new round robin test in which a better accuracy is expected. Improved instruments and reference standards are needed to reach the necessary accuracy for cost and efficiency calculations.

  6. Space-Round Tradeoffs for MapReduce Computations

    CERN Document Server

    Pietracaprina, Andrea; Riondato, Matteo; Silvestri, Francesco; Upfal, Eli

    2011-01-01

    This work explores fundamental modeling and algorithmic issues arising in the well-established MapReduce framework. First, we formally specify a computational model for MapReduce which captures the functional flavor of the paradigm by allowing for a flexible use of parallelism. Indeed, the model diverges from a traditional processor-centric view by featuring parameters which embody only global and local memory constraints, thus favoring a more data-centric view. Second, we apply the model to the fundamental computation task of matrix multiplication presenting upper and lower bounds for both dense and sparse matrix multiplication, which highlight interesting tradeoffs between space and round complexity. Finally, building on the matrix multiplication results, we derive further space-round tradeoffs on matrix inversion and matching.

  7. Response of round gobies, Neogobius melanostomus, to conspecific sounds

    Science.gov (United States)

    Isabella-Valenzi, Lisa

    A useful model group to examine reproductive plasticity in acoustic responsiveness is the family Gobiidae. Male round gobies Neogobius melanostomus emit calls and females respond to these calls with high specificity. The current study investigates differential attraction between reproductive morphologies of the goby to conspecific calls and explores the use of calls to develop a bioacoustic trap. Behavioural responsiveness to conspecific calls was tested using playback experiments in the lab and field. Females showed a strong attraction to the grunt call in both the lab and field, while nonreproductive and sneaker males preferred the drum call in the lab, but favoured the grunt call in the field. By determining the relationship between reproductive state and auditory responsiveness to conspecific calls, I am further elucidating the function of acoustic communication in the round goby and may be essential when creating control strategies to prevent the spread of the invasive species.

  8. Round-Robin approach to data flow optimization

    Science.gov (United States)

    Witt, J.

    1978-01-01

    A large data base, circular in structure, was required (for the Voyager Mission to Jupiter/Saturn) with the capability to completely update the data every four hours during high activity periods. The data is stored in key ordered format for retrieval but is not input in key order. Existing access methods for large data bases with rapid data replacement by keys become inefficient as the volume of data being replaced grows. The Round-Robin method was developed to alleviate this problem. The Round-Robin access method allows rapid updating of the data with continuous self cleaning where the oldest data (by key) is deleted and the newest data (by key) is kept regardless of the order of input.

  9. 3D Surgical Simulation

    Science.gov (United States)

    Cevidanes, Lucia; Tucker, Scott; Styner, Martin; Kim, Hyungmin; Chapuis, Jonas; Reyes, Mauricio; Proffit, William; Turvey, Timothy; Jaskolka, Michael

    2009-01-01

    This paper discusses the development of methods for computer-aided jaw surgery. Computer-aided jaw surgery allows us to incorporate the high level of precision necessary for transferring virtual plans into the operating room. We also present a complete computer-aided surgery (CAS) system developed in close collaboration with surgeons. Surgery planning and simulation include construction of 3D surface models from Cone-beam CT (CBCT), dynamic cephalometry, semi-automatic mirroring, interactive cutting of bone and bony segment repositioning. A virtual setup can be used to manufacture positioning splints for intra-operative guidance. The system provides further intra-operative assistance with the help of a computer display showing jaw positions and 3D positioning guides updated in real-time during the surgical procedure. The CAS system aids in dealing with complex cases with benefits for the patient, with surgical practice, and for orthodontic finishing. Advanced software tools for diagnosis and treatment planning allow preparation of detailed operative plans, osteotomy repositioning, bone reconstructions, surgical resident training and assessing the difficulties of the surgical procedures prior to the surgery. CAS has the potential to make the elaboration of the surgical plan a more flexible process, increase the level of detail and accuracy of the plan, yield higher operative precision and control, and enhance documentation of cases. Supported by NIDCR DE017727, and DE018962 PMID:20816308

  10. Experimental and Numerical Analysis of Steel Joints in Round Wood

    Directory of Open Access Journals (Sweden)

    Mikolášek David

    2014-12-01

    Full Text Available The paper analyses a drawn steel joint in round logs for which several types of reinforcements have been proposed. The load-carrying capacity of the reinforcements have been tested in laboratories. At the same time, numerical modelling has been performed - it has focused, in particular, on rigidity of the joints during the loading process. Physical and geometrical nonlinearities have been taken into account. The Finite Element Method and 3D computation models have been used in the numerical calculations.

  11. Fractal Characteristics of Round Jets in Steady Crossflow

    Institute of Scientific and Technical Information of China (English)

    YuliangLI; ChaoquanCHEN; 等

    1998-01-01

    The fractal dimensions of turbulent round jets in steady crossflow has been analyzed by using planar laser-induced fluorescence(PLIF) method.The relation between the fractal dimension and the momentum ratio,the variation of the fractal dimension with the elevation of jet and the dilution have been investigated.The comparison of the fractal characteristics between the multiple jets and the signal jet has been carried out.

  12. Mass entrainment rate of an ideal momentum turbulent round jet

    DEFF Research Database (Denmark)

    Medrano, Fermın Franco; Fukumoto, Yasuhide; Velte, Clara Marika

    2017-01-01

    We propose a two-phase-fluid model for a full-cone turbulent round jet that describes its dynamics in a simple but comprehensive manner with only the apex angle of the cone being a disposable parameter. The basic assumptions are that (i) the jet is statistically stationary and that (ii) it can...... jet and show that the predictions of our model compare well with this and other experimental data of atomizing liquid jets....

  13. Thermal Rounding of the Charge Density Wave Depinning Transition

    OpenAIRE

    Middleton, A. Alan

    1992-01-01

    The rounding of the charge density wave depinning transition by thermal noise is examined. Hops by localized modes over small barriers trigger ``avalanches'', resulting in a creep velocity much larger than that expected from comparing thermal energies with typical barriers. For a field equal to the $T=0$ depinning field, the creep velocity is predicted to have a {\\em power-law} dependence on the temperature $T$; numerical computations confirm this result. The predicted order of magnitude of t...

  14. Presidential Round Table: A Report from the GRAPPA Annual Meeting.

    Science.gov (United States)

    Gladman, Dafna D; Mease, Philip J; Boehncke, Wolf-Henning; Helliwell, Philip S; Callis Duffin, Kristina

    2016-05-01

    In preparation for strategic planning of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), a special session titled the Presidential Round Table took place during the GRAPPA annual meeting in Stockholm, Sweden, in July 2015. During this session, past, current, and incoming presidents of GRAPPA reflected on GRAPPA's history and provided insights about GRAPPA's future, followed by general discussion by the membership.

  15. Manipulating Tournaments in Cup and Round Robin Competitions

    CERN Document Server

    Russell, Tyrel; 10.1007/978-3-642-04428-1_3

    2009-01-01

    In sports competitions, teams can manipulate the result by, for instance, throwing games. We show that we can decide how to manipulate round robin and cup competitions, two of the most popular types of sporting competitions in polynomial time. In addition, we show that finding the minimal number of games that need to be thrown to manipulate the result can also be determined in polynomial time. Finally, we show that there are several different variations of standard cup competitions where manipulation remains polynomial.

  16. Anxiety in veterinary surgical students

    DEFF Research Database (Denmark)

    Langebæk, Rikke; Eika, Berit; Jensen, Asger Lundorff

    2012-01-01

    The surgical educational environment is potentially stressful and this can negatively affect students' learning. The aim of this study was to investigate whether veterinary students' level of anxiety is higher in a surgical course than in a non-surgical course and if pre-surgical training...... in a Surgical Skills Lab (SSL) has an anxiety reducing effect. Investigations were carried out as a comparative study and a parallel group study. Potential participants were fourth-year veterinary students who attended a surgical course (Basic Surgical Skills) and a non-surgical course (Clinical Examination...... and 28 students from 2010). Our results show that anxiety levels in veterinary students are significantly higher in a surgical course than in a non-surgical course (p...

  17. Standardized surgical approaches to ear surgery in rats

    Institute of Scientific and Technical Information of China (English)

    Peng Li; Dalian Ding; Kelei Gao; Richard Salvi

    2015-01-01

    Objective:To describe several approaches of ear surgeries for experimental studies in rats. Methods:Anesthetized rats were prepared for demonstration of various ear surgery approaches designed to optimize experimental outcomes in studies with specific goals and exposure requirements. The surgical approaches included the posterior tympanum, superior tympanum, inferior tympanum and occipital approaches. Results: The middle ear cavity and inner ear were successfully exposed from different angles via the mentioned surgical approaches. For example, electrode placement for recording of cochlear bioelectric responses was easily achieved through the posterior tympanum or inferior tympanum approach. Alternatively, drug delivery or gene transfection via round window membrane was most easily accomplished using the posterior tympanum approach. Cochlear perfusion of protective or ototoxic drugs was best performed using the inferior tympanum approach. Ossicular chain interruption to induce a prolonged conductive hearing loss was readily achieved using a superior tympanum approach. Lastly, surgical destruction of the endolymphatic sac to induce experimental endolymphatic hydrops was readily performed via an occipital surgical approach. Conclusion: These standardized surgical approaches can be applied in scientific studies of the ear with different purposes covering electro-physiology, conductive hearing loss, intra-cochlear drug perfusion and experimental studies relevant to Meniere's disease.

  18. Suppressing rippling with minimized corner rounding through OPC fragmentation optimization

    Science.gov (United States)

    Wang, Jingyu; Wei, Alexander; Wilkinson, William; Chen, Norman

    2016-10-01

    As technology shrinks, the requirements placed on the post-OPC solution become so exacting that even small residual optical effects are significant. Simultaneously minimizing rippling and corner rounding cannot be accom- plished in parallel in wafer patterning especially when complex asymmetric pixelated sources are used. While either effect can be moderated by accurate application of optical proximity correction, they are both charac- teristic of unfiltered diffraction due to asymmetric illumination or design geometry and will remain inherent. Corrections that over emphasize reduced corner-rounding necessarily sacrifice edge convergence, resulting in a standing wave or unacceptable rippling along an entire edge. OPC can be used to reduce the magnitude of this rippling, but fragment placing is extremely critical. In this paper, we discuss optimized OPC fragmentation that offers balanced consideration to suppressing rippling and minimizing corner rounding. Specifically, we correlate design shapes with simulated post-OPC contours to account for design geometry-dependent rippling signature given existing illumination conditions. In contrast to adaptive fragmentation that relies on multiple iterations of simulation of intensity extrema redistribution, our method predicts the optimum contour as allowed by process and fragments the mask accordingly. The maximum imaging curvature resolvable by process coupled with the rippling signature, gives rise to the exact locations of the inflection points of the wafer contour. From there we achieve the best correction results by segmenting edges at the inflection points.

  19. The Impact of the Uruguay Round on World Agriculture

    Directory of Open Access Journals (Sweden)

    Chung-Sil Kim

    2002-12-01

    Full Text Available This paper focuses on the impact of the Uruguay Round (UR implementation on world agriculture using a multi-regional general equilibrium model and the mapping function of the Geographic Information System (GIS. The results of this study show that the Uruguay Round has had a negative impact on world agriculture in the light of total food production and food distribution. For commodities such as grains, while grain production rises in exporting countries, the effect is not sufficient to cover the fall in production in importing countries. In particular, the impact is serious on food security in importing countries of agricultural products. The negative impact is almost concentrated in importing countries, particularly Japan, the European Union (EU and South Korea. As is clearly visible on the maps produced by the GIS function, the real state of world agriculture as well as the results evaluated by this Computable General Equilibrium (CGE model has changed negatively in major importing countries and particularly the Least Developed Countries (LDCs, Sub-Saharan Africa following the Uruguay Round.

  20. Desmoplastic small round cell tumour: Cytological and immunocytochemical features

    Directory of Open Access Journals (Sweden)

    Filho Adhemar

    2005-01-01

    Full Text Available Abstract Background Desmoplastic small round cell tumor (DSRCT is a rare and highly aggressive neoplasm. The cytological diagnosis of these tumors can be difficult because they show morphological features quite similar to other small round blue cells tumors. We described four cases of DSRCT with cytological sampling: one obtained by fine needle aspiration biopsy (FNAB and three from serous effusions. The corresponding immunocytochemical panel was also reviewed. Methods Papanicolaou stained samples from FNAB and effusions were morphologically described. Immunoreaction with WT1 antibody was performed in all cytological samples. An immunohistochemical panel including the following antibodies was performed in the corresponding biopsies: 34BE12, AE1/AE3, Chromogranin A, CK20, CK7, CK8, Desmin, EMA, NSE, Vimentin and WT1. Results The smears showed high cellularity with minor size alteration. Nuclei were round to oval, some of them with inconspicuous nucleoli. Tumor cells are clustered, showing rosette-like feature. Tumor cells in effusions and FNA were positive to WT1 in 3 of 4 cytology specimens (2 out 3 effusions and one FNA. Immunohistochemical reactions for vimentin, NSE, AE1/AE3 and WT1 were positive in all cases in tissue sections. Conclusion The use of an adjunct immunocytochemical panel coupled with the cytomorphological characteristics allows the diagnosis of DSRCT in cytological specimens.

  1. Surgical bleeding in microgravity

    Science.gov (United States)

    Campbell, M. R.; Billica, R. D.; Johnston, S. L. 3rd

    1993-01-01

    A surgical procedure performed during space flight would occur in a unique microgravity environment. Several experiments performed during weightlessness in parabolic flight were reviewed to ascertain the behavior of surgical bleeding in microgravity. Simulations of bleeding using dyed fluid and citrated bovine blood, as well as actual arterial and venous bleeding in rabbits, were examined. The high surface tension property of blood promotes the formation of large fluid domes, which have a tendency to adhere to the wound. The use of sponges and suction will be adequate to prevent cabin atmosphere contamination with all bleeding, with the exception of temporary arterial droplet streams. The control of the bleeding with standard surgical techniques should not be difficult.

  2. Surgical management of presbyopia

    Directory of Open Access Journals (Sweden)

    Torricelli AA

    2012-09-01

    Full Text Available André AM Torricelli, Jackson B Junior, Marcony R Santhiago, Samir J BecharaDivision of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilAbstract: Presbyopia, the gradual loss of accommodation that becomes clinically significant during the fifth decade of life, is a physiologic inevitability. Different technologies are being pursued to achieve surgical correction of this disability; however, a number of limitations have prevented widespread acceptance of surgical presbyopia correction, such as optical and visual distortion, induced corneal ectasia, haze, anisometropy with monovision, regression of effect, decline in uncorrected distance vision, and the inherent risks with invasive techniques, limiting the development of an ideal solution. The correction of the presbyopia and the restoration of accommodation are considered the final frontier of refractive surgery. The purpose of this paper is to provide an update about current procedures available for presbyopia correction, their advantages, and disadvantages.Keywords: presbyopia, surgical correction, treatment

  3. Circularity, Solidity, Axes of a Best Fit Ellipse, Aspect Ratio, and Roundness of the Foramen Ovale: A Morphometric Analysis With Neurosurgical Considerations.

    Science.gov (United States)

    Zdilla, Matthew J; Hatfield, Scott A; McLean, Kennedy A; Cyrus, Leah M; Laslo, Jillian M; Lambert, H Wayne

    2016-01-01

    The structure of the foramen ovale of the sphenoid bone is clinically important, particularly with regard to surgical procedures that cannulate the foramen such as percutaneous trigeminal rhizotomy for the treatment of trigeminal neuralgia, percutaneous biopsy of parasellar lesions, and electroencephalographic analysis of the temporal lobe among patients undergoing selective amygdalohippocampectomy. Differences in the morphology of the foramen ovale (FO) have been reported to contribute to difficulties in the cannulation of the FO. Reports regarding the structure of the FO, however, use subjective and ambiguous descriptions of morphology, including "oval," "truly oval," "elongated oval," "elongated," "semicircular," "almond," "round," "rounded," "slit," "irregular," "D shape," and "pear." Therefore, it is necessary to describe the structure of the FO with reproducible objective morphometric data. This study analyzed 169 foramina to determine normative morphometric shape descriptions of the following: area, perimeter, circularity, solidity, axes of a best fit ellipse, aspect ratio, and roundness. The shape descriptors reported herein may aid in identification and description of structural variation in FO including bony projections encroaching upon the foramina and may improve surgical approaches to transovale cannulation.

  4. ICRPG WORKING GROUP ON ANALYTICAL CHEMISTRY ROUND ROBIN NO. 22 -- EUDIOMETRIC ANALYSIS OF POWDERED ALUMINUM,

    Science.gov (United States)

    Analytical Chemistry voted to conduct a round robin to estimate the interlaboratory reproducibility. The round robin was designed to facilitate statistical analysis of the data. Three samples representing different purity levels as

  5. The effect of robotic telerounding in the surgical intensive care units impact on medical education.

    Science.gov (United States)

    Marini, Corrado Paolo; Ritter, Garry; Sharma, Cordelia; McNelis, John; Goldberg, Michael; Barrera, Rafael

    2015-03-01

    Robotic telerounding is effective from the standpoint of patients' satisfaction and patients' care in teaching and community hospitals. However, the impact of robotic telerounding by the intensivist rounding remotely in the surgical intensive care unit (SICU), on patients' outcome and on the education of medical students physician assistants and surgical residents, as well as on nurses' satisfaction has not been studied. Prospective evaluation of robotic telerounding (RT) using a Likert Scale measuring tool to assess whether it can replace conventional rounding (CR) from the standpoint of patients' care and outcome, nursing satisfaction, and educational effectiveness. RT did not have a negative impact on patients' outcome during the study interval: mortality 5/42 (12 %) versus 6/37 (16 %), RT versus CR, respectively, p = 0.747. The intensivists rounding in the SICU were satisfied with their ability to deliver the same patients' care remotely (Likert score 4.4 ± 0.2). The educational experience of medical students, physicia assistants, and surgical residents was not affected by RT (average Likert score 4.5 ± 0.2, 3.9 ± 0.4, and 4.4 ± 0.4 for surgical residents, medical students and PAs, respectively, p > 0.05). However, as shown by a Likert score of 3.5 ± 1.0, RT did not meet nurses' expectations from several standpoints. Intensivists regard robotic telerounding as an effective alternative to conventional rounding from the standpoint of patients' care and teaching. Medical students, physician assistants (PA's), and surgical residents do not believe that RT compromises their education. Despite similar patients' outcome, nurses have a less favorable opinion of RT; they believe that the physical presence of the intensivist is favorable at all times.

  6. Rounding of Negative Dry Film Resist by Diffusive Backside Exposure Creating Rounded Channels for Pneumatic Membrane Valves

    Directory of Open Access Journals (Sweden)

    Philipp Frank

    2015-10-01

    Full Text Available Processing of dry film resist is an easy, low-cost, and fast way to fabricate microfluidic structures. Currently, common processes are limited to creating solely rectangular channels. However, it has shown that rounded channels are necessary to ensure proper closing of pneumatic membrane valves for microfluidic devices. Here, we introduce a modification to the standard lithography process, in order to create rounded channels for microfluidic structures. Therefore, a diffuser element was inserted into in the optical path between the light source and glass substrate, which is then exposed through the backside, hence altering the exposure to the dry resist spatially. Characterization of the process was carried out with different exposure times, features sizes, and substrate thickness. The process modification is almost effortless and can be integrated in any lithography process.

  7. Round robin调度算法在FPGA中的实现%THE FPGA IMPLEMENTATION OF THE ROUND ROBIN SCHEDULING ALGORITHMS

    Institute of Scientific and Technical Information of China (English)

    孙华锦; 高德远; 张盛兵

    2003-01-01

    Round robin调度算法是一个在许多方面有着广泛应用的经典调度算法.该文在考虑了FPGA的结构特点和实际系统需求后,利用桶式移位器和分段式优先级编码器,在FPGA中实现了Round robin调度算法,并对实现方法的面积和性能进行了讨论.系统测试结果表明该算法实现是高效的,满足了系统的需求,在实际系统中运行状况良好.

  8. Round ligament lipoma mimicking acute appendicitis in a 24-week pregnant female: a case report.

    Science.gov (United States)

    Miller, T J; Paulk, D G

    2013-04-01

    An exhaustive search of the literature using the Pub Med database revealed no reports of round ligament lipomas mimicking acute appendicitis in pregnant patients. There are relatively few articles on round ligament lipomas and even less on round ligament lipomas during pregnancy. This case report is on a 27-year-old 24-week pregnant female who presented with signs and symptoms similar to acute appendicitis who in fact had a large right pelvic round ligament lipoma that was causing her pain.

  9. La masa de los grandes impactores

    Science.gov (United States)

    Parisi, M. G.; Brunini, A.

    Los planetas han sido formados fundamentalmente acretando masa a través de colisiones con planetesimales sólidos. La masa más grande de la distribución de planetesimales y las masas máxima y mínima de los impactores, han sido calculadas usando los valores actuales del período y de la inclinación de los planetas (Lissauer & Safronov 1991; Parisi & Brunini 1996). Recientes investigaciones han mostrado, que las órbitas de los planetas gigantes no han sufrido variaciones con el tiempo, siendo su movimiento regular durante su evolución a partir de la finalización de la etapa de acreción (Laskar 1990, 1994). Por lo tanto, la eccentricidad actual de los planetas gigantes se puede utilizar para imponer una cota máxima a las masas y velocidades orbitales de los grandes impactores. Mediante un simple modelo dinámico, y considerando lo arriba mencionado, obtenemos la cota superior para la masa del planetesimal más grande que impactó a cada planeta gigante al final de su etapa de acreción. El resultado más importante de este trabajo es la estimación de la masa máxima permitida para impactar a Júpiter, la cúal es ~ 1.136 × 10 -1, siendo en el caso de Neptuno ~ 3.99 × 10 -2 (expresada en unidades de la masa final de cada planeta). Además, fue posible obtener la velocidad orbital máxima permitida para los impactores como una función de su masa, para cada planeta. Las cotas obtenidas para la masa y velocidad de los impactores de Saturno y Urano (en unidades de la masa y velocidad final de cada planeta respectivamente) son casi las mismas que las obtenidas para Júpiter debido a que estos tres planetas poseen similar eccentricidad actual. Nuestros resultados están en buen acuerdo con los obtenidos por Lissauer & Safronov (1991). Estas cotas podrían ser utilizadas para obtener la distribución de planetesimales en el Sistema Solar primitivo.

  10. Differences By Ending-Rounds And Other Rounds In Time-Motion Analysis Of Mixed Martial Arts: Implications For Assessment And Training.

    Science.gov (United States)

    Miarka, Bianca; Brito, Ciro José; Moreira, Danilo Gomes; Amtmann, John

    2017-01-20

    This study aimed to support training program development through the comparison of performance analysis of professionals mixed martial arts (MMA) athletes in the bouts that were not finished by points. Using digital recordings of each bout, we analyzed 1,564 rounds (678 bouts) which were separated by Ending and other Rounds. Our results indicated that KO/TKO is the main outcome that defines the ending round (≈60%), however, there is a higher frequency of ending by submission on the 1 and 2 round (>30%). Bouts ending during the 1 or 2 rounds had shorter total time and standing combat with low-intensity than ending in the 3 round (91.5±71.4, 93.4±67.5 and 143.2±87.4; for low-intensity in the 1st, 2nd and 3rd round respectively; p<0.05), while standing combat time with high intensity was longer in the last round in comparison to bouts that finished in the 1 or 2 rounds (7.4±9.2, 9.7±18.0 and 17.7±29.1 for high intensity in the 1, 2 and 3 round respectively; p<0.05). The lower time dedicated to low-intensity stand up combat actions, regardless of round, and forcefulness of the actions in groundwork in the 1 and 2 rounds appear to be elements that increase the probability of success in professional MMA bouts, these factors have essential implications related to training program design.

  11. 78 FR 19097 - Establishment of Class E Airspace; Round Mountain, TX

    Science.gov (United States)

    2013-03-29

    ... Federal Aviation Administration 14 CFR Part 71 Establishment of Class E Airspace; Round Mountain, TX... Class E airspace at Round Mountain, TX. Controlled airspace is necessary to accommodate new Area... the West Ranch Airport, Round Mountain, TX (77 FR 71367) Docket No. FAA-2012-0771. Interested...

  12. 75 FR 21343 - Notice of Availability of the Final Environmental Impact Statement for the Round Mountain...

    Science.gov (United States)

    2010-04-23

    ...: 14X5017] Notice of Availability of the Final Environmental Impact Statement for the Round Mountain... prepared a Final Environmental Impact Statement (EIS) for the Round Mountain Expansion Project and by this... the Federal Register. ADDRESSES: Copies of the Round Mountain Expansion Project Final EIS...

  13. Experimental Evaluation of Multi-Round Matrix Multiplication on MapReduce

    DEFF Research Database (Denmark)

    Ceccarello, Matteo; Silvestri, Francesco

    2015-01-01

    the performance of the multi-round approach. We use matrix multiplication as a case study. We first propose a scalable Hadoop library, named M3, for matrix multiplication in the dense and sparse cases which allows to tradeoff round number with the amount of data shuffled in each round and the amount of memory...

  14. Cryptanalysis of the 10-Round Hash and Full Compression Function of SHAvite-3-512

    DEFF Research Database (Denmark)

    Gauravaram, Praveen; Leurent, Gaëtan; Mendel, Florian;

    2010-01-01

    In this paper, we analyze SHAvite-3-512 hash function, as proposed for round 2 of the SHA-3 competition. We present cryptanalytic results on 10 out of 14 rounds of the hash function SHAvite-3-512, and on the full 14 round compression function of SHAvite-3-512. We show a second preimage attack on ...

  15. Experimental Evaluation of Multi-Round Matrix Multiplication on MapReduce

    DEFF Research Database (Denmark)

    Ceccarello, Matteo; Silvestri, Francesco

    2015-01-01

    the performance of the multi-round approach. We use matrix multiplication as a case study. We first propose a scalable Hadoop library, named M3, for matrix multiplication in the dense and sparse cases which allows to tradeoff round number with the amount of data shuffled in each round and the amount of memory...

  16. Round Robin Reading: Considering Alternative Instructional Practices That Make More Sense.

    Science.gov (United States)

    Kelly, Patricia R.

    1995-01-01

    Discusses how preservice teachers in a reading methods course investigated the prevalence of round-robin reading in 72 elementary classrooms. Finds that the majority of the teachers used round-robin reading. Notes that the preservice teachers became acutely aware of what really goes on during round robin reading. Discusses five alternatives to…

  17. 78 FR 53486 - Addition of Round-Trip Mailer Product to the Competitive Product List

    Science.gov (United States)

    2013-08-29

    ... Round-Trip Mailer Product to the Competitive Product List AGENCY: Postal Service TM ACTION: Notice... Commission to add a product called ``Round-Trip Mailer'' to the competitive product list. DATES: Effective... (Commission) a request to add a ``Round-Trip Mailer'' product to its competitive product list, pursuant to...

  18. A grand model for chemical product design

    DEFF Research Database (Denmark)

    Fung, Ka Y.; Ng, Ka M.; Zhang, Lei;

    2016-01-01

    Chemical engineering has been expanding its focus from primarily business-to-business products (B2B) to business-to-consumer (B2C) products. The production of B2B products generally emphasizes on process design and optimization, whereas the production of B2C products focuses on product quality......, ingredients and structure. Market and competitive analysis, government policies and regulations have to be explicitly considered in product design. All these considerations are accounted for in the Grand Product Design Model, which consists of a process model, a property model, a quality model, a cost model...... product composition changes with market conditions. Another is a hand lotion that illustrates how product quality affects the profit.(C) 2016 Elsevier Ltd. All rights reserved....

  19. Gauge-Higgs EW and Grand Unification

    Science.gov (United States)

    Hosotani, Yutaka

    Four-dimensional Higgs field is identified with the extra-dimensional component of gauge potentials in the gauge-Higgs unifiation scenario. SO(5) × U(1) gauge-Higgs EW unification in the Randall-Sundrum warped space is successful at low energies. The Higgs field appears as an Aharonov-Bohm phase θH in the fifth dimension. Its mass is generated at the quantum level and is finite. The model yields almost the same phenomenology as the standard model for θH bosons around 6-10 TeV with very broad widths. The scenario is generalized to SO(11) gauge-Higgs grand unification. Fermions are introduced in the spinor and vector representations of SO(11). Proton decay is naturally forbidden.

  20. Steroids from Dysoxylum grande (Meliaceae) leaves.

    Science.gov (United States)

    Wah, Low Kok; Abas, Faridah; Cordell, Geoffrey A; Ito, Hideyuki; Ismail, Intan Safinar

    2013-02-01

    Seven new 23-oxo-cholestane derivatives named as grandol A (1), B (2), C (3), D (4), E (5), F (6), and G (7) were isolated from Dysoxylum grande leaves alongside with a new 3,4-secodammar-4(28)-en-3-oic acid derivative (8). The structures of the compounds were elucidated based on the interpretation of spectroscopic data, and their relative configurations were established by NOESY 2D NMR data. All of the isolates were tested for anti-acetylcholinesterase activity using thin layer chromatography (TLC)-bioautography with fast blue B salt. Only grandol A (1) and B (2) showed positive results, with clear discoloration at a concentration of 12.5 ppm. However, the obtained IC(50) values for grandol A and B, when using Ellman's method, were not significant (>200 μg/ml).

  1. Las cubiertas de grandes luces. Soluciones actuales

    Directory of Open Access Journals (Sweden)

    de Alarcón Álvarez, C.

    1971-04-01

    Full Text Available This article deals generally with the problems connected with the construction of large span roofs, and also with the various types of designs that are currently in practice. It may be said that at present the only limitation to these designs is the imagination of the designer and the financial restrictions imposed on him.Se exponen en este artículo, de forma panorámica, los problemas que presenta la cobertura de grandes vanos y las diversas soluciones que se han adoptado hasta los tiempos actuales, en los que puede afirmarse que no existe más límite para la fantasía del proyectista que el condicionamiento del presupuesto de la obra.

  2. Grandes incendios urbanos: mesa redonda, Lima 2001

    Directory of Open Access Journals (Sweden)

    Juan L. Arce-Palomino

    2008-01-01

    Full Text Available Entre los desastres antrópicos destacan los grandes incendios urbanos. El 29 de diciembre de 2001, en un área comercial tugurizada del centro de Lima, Perú se produjo un gran incendio que causó 277 muertes, 247 heridos, millonarias pérdidas y un gran dolor en el pueblo peruano. Esta situación se había previsto, pero no se tomaron las acciones necesarias para evitarla. En este artículo se recopila la situación previa, las características de la tragedia, las acciones y organización que se tuvo para su control, se destaca el trabajo interdisciplinario y la una activa participación del Cuerpo General de Bomberos Voluntarios del Perú.

  3. Gauged flavor, supersymmetry and grand unification

    Science.gov (United States)

    Mohapatra, Rabindra N.

    2012-07-01

    I review a recent work on gauged flavor with left-right symmetry, where all masses and all Yukawa couplings owe their origin to spontaneous flavor symmetry breaking. This is suggested as a precursor to a full understanding of flavor of quarks and leptons. An essential ingredient of this approach is the existence of heavy vector-like fermions, which is the home of flavor, which subsequently gets transmitted to the familiar quarks and leptons via the seesaw mechanism. I then discuss implications of extending this idea to include supersymmetry and finally speculate on a possible grand unified model based on the gauge group SU(5)L×SU(5)R which provides a group theoretic origin for the vector-like fermions.

  4. Gauged Flavor, Supersymmetry and Grand Unification

    CERN Document Server

    Mohapatra, Rabindra N

    2012-01-01

    I review a recent work on gauged flavor with left-right symmetry, where all masses and all Yukawa couplings owe their origin to spontaneous flavor symmetry breaking. This is suggested as a precursor to a full understanding of flavor of quarks and leptons. An essential ingredient of this approach is the existence of heavy vector-like fermions, which is the home of flavor, which subsequently gets transmitted to the familiar quarks and leptons via the seesaw mechanism. I then discuss implications of extending this idea to include supersymmetry and finally speculate on a possible grand unified model based on the gauge group $SU(5)_L\\times SU(5)_R$ which provides a group theoretic origin for the vector-like fermions.

  5. Recent Results from Kascade-Grande

    CERN Document Server

    Kampert, K H; Ainsley, C; Åkesson, P F; Alexander, G; Anagnostou, G; Anderson, K J; Asai, S; Axen, D; Bailey, I; Barberio, E; Barillari, T; Barlow, R J; Batley, J Richard; Bechtle, P; Behnke, T; Bell, K W; Bell, P J; Bella, G; Bellerive, A; Benelli, G; Bethke, Siegfried; Biebel, O; Boeriu, O; Bock, P; Boutemeur, M; Braibant, S; Brown, R M; Burckhart, H J; Campana, S; Capiluppi, P; Carnegie, R K; Carter, A A; Carter, J R; Chang, C Y; Charlton, D G; Ciocca, C; Csilling, A; Cuani, M; Dado, S; de Roeck, A; De Wolf, E A; Desch, K; Dienes, B; Dubbert, J; Duchovni, E; Duckeck, G; Duerdoth, I P; Etzion, E; Fabbri, F; Ferrari, P; Fiedler, F; Fleck, I; Ford, M; Frey, A; Gagnon, P; Gary, J W; Geich-Gimbel, C; Giacomelli, G; Giacomelli, P; Giunta, M; Goldberg, J; Gross, E; Grunhaus, J; Gruwé, M; Sen-Gupta, A; Hajdu, C; Hamann, M; Hanson, G G; Harel, A; Hauschild, M; Hawkes, C M; Hawkings, R; Herten, G; Heuer, R D; Hill, J C; Horváth, D; Igo-Kemenes, P; Ishii, K; Jeremie, H; Jovanovic, P; Junk, T R; Kanzaki, J; Karlen, D; Kawagoe, K; Kawamoto, T; Keeler, R K; Kellogg, R G; Kennedy, B W; Kluth, S; Kobayashi, T; Kobel, M; Komamiya, S; Kramer, T; Krasznahorkay, A; Krieger, P; Von Krogh, J; Kühl, T; Kupper, M; Laerty, G D; Landsman, H; Lanske, D; Lellouch, D; Letts, J; Levinson, L; Lillich, J; Lloyd, S L; Loebinger, F K; Lü, J; Ludwig, A; Ludwig, J; Mader, W; Marcellini, S; Martin, A J; Mashimo, T; Mättig, P; McKenna, J; McPherson, R A; Meijers, F; Menges, W; Merritt, F S; Mes, H; Meyer, N; Michelini, A; Mihara, S; Mikenberg, G; Miller, D J; Mohr, W; Mori, T; Mutter, A; Nagai, K; Nakamura, I; Nanjo, H; Neal, H A; Nisius, R; O'Neale, S W; Oh, A; Oreglia, M J; Orito, S; Pahl, C; Pásztor, G; Pater, J R; Pilcher, J E; Pinfold, J L; Plane, D E; Pooth, O; Przybycien, M B; Quadt, A; Rabbertz, K; Rembser, C; Renkel, P; Roney, J M; Rossi, A M; Rozen, Y; Runge, K; Sachs, K; Saeki, T; Sarkisyan-Grinbaum, E; Schaile, A D; Schaile, O; Schar-Hansen, P; Schieck, J; Schörner-Sadenius, T; Schröder, M; Schumacher, M; Seuster, R; Shears, T G; Shen, B C; Sherwood, P; Skuja, A; Smith, A M; Sobie, R J; Söldner-Rembold, S; Spanó, F; Stahl, A; Strom, D; Ströhmer, R; Tarem, S; Tasevsky, M; Teuscher, R; Thomson, M A; Torrence, E; Toya, D; Tran, P; Trigger, I; Trócsányi, Z L; Tsur, E; Turner-Watson, M F; Ueda, I; Ujvári, B; Vollmer, C F; Vannerem, P; Vertesi, R; Verzocchi, M; Voss, H; Vossebeld, Joost Herman; Ward, C P; Ward, D R; Watkins, P M; Watson, A T; Watson, N K; Wells, P S; Wengler, T; Wermes, N; Wilson, G W; Wilson, J A; Wolf, G; Wyatt, T R; Yamashita, S; Zer-Zion, D; Zivkovic, L; Kampert, Karl-Heinz

    2006-01-01

    KASCADE-Grande is a new extensive air shower experiment co-located to the KASCADE site at Forschungszentrum Karlsruhe. The multi-detector system allows to investigate the energy spectrum, composition, and anisotropies of cosmic rays with unprecedented prevision in the energy range from 10^{14}-10^{18} eV. The primary goals besides investigating the origin of the knee at E ~ 3 * 10^{15} eV, are to verify the existence of the second knee at E ~ 10^{17} eV and to measure the composition in the expected transition region of galactic to extragalactic cosmic rays. The performance of the apparatus and shower reconstruction methods will be discussed on the basis of detailed Monte Carlo simulations and first data. First results based on slightly more than a year of data taking are presented.

  6. Gauge-Higgs EW and Grand Unification

    CERN Document Server

    Hosotani, Yutaka

    2016-01-01

    4D Higgs field is identified with the extra-dimensional component of gauge potentials in the gauge-Higgs unification scenario. $SO(5) \\times U(1)$ gauge-Higgs EW unification in the Randall-Sundrum warped space is successful at low energies. The Higgs field appears as an Aharonov-Bohm phase $\\theta_H$ in the fifth dimension. Its mass is generated at the quantum level and is finite. The model yields almost the same phenomenology as the standard model for $\\theta_H < 0.1$, and predicts $Z'$ bosons around 6 - 10 TeV with very broad widths. The scenario is genelarized to $SO(11)$ gauge-Higgs grand unification. Fermions are introduced in the spinor and vector representations of $SO(11)$. Proton decay is naturally forbidden.

  7. Grand Challenges in Protoplanetary Disc Modelling

    Science.gov (United States)

    Haworth, Thomas J.; Ilee, John D.; Forgan, Duncan H.; Facchini, Stefano; Price, Daniel J.; Boneberg, Dominika M.; Booth, Richard A.; Clarke, Cathie J.; Gonzalez, Jean-François; Hutchison, Mark A.; Kamp, Inga; Laibe, Guillaume; Lyra, Wladimir; Meru, Farzana; Mohanty, Subhanjoy; Panić, Olja; Rice, Ken; Suzuki, Takeru; Teague, Richard; Walsh, Catherine; Woitke, Peter; Community authors

    2016-10-01

    The Protoplanetary Discussions conference-held in Edinburgh, UK, from 2016 March 7th-11th-included several open sessions led by participants. This paper reports on the discussions collectively concerned with the multi-physics modelling of protoplanetary discs, including the self-consistent calculation of gas and dust dynamics, radiative transfer, and chemistry. After a short introduction to each of these disciplines in isolation, we identify a series of burning questions and grand challenges associated with their continuing development and integration. We then discuss potential pathways towards solving these challenges, grouped by strategical, technical, and collaborative developments. This paper is not intended to be a review, but rather to motivate and direct future research and collaboration across typically distinct fields based on community-driven input, to encourage further progress in our understanding of circumstellar and protoplanetary discs.

  8. Grand challenges in protoplanetary disc modelling

    CERN Document Server

    Haworth, Thomas J; Forgan, Duncan H; Facchini, Stefano; Price, Daniel J; authors, Community; Boneberg, Dominika M; Booth, Richard A; Gonzalez, Jean-François; Hutchison, Mark A; Laibe, Guillaume; Meru, Farzana; Mohanty, Subhanjoy; Panić, Olja; Rice, Ken; Walsh, Catherine; Woitke, Peter

    2016-01-01

    The Protoplanetary Discussions conference --- held in Edinburgh, UK, from 7th-11th March 2016 --- included several open sessions led by participants. This paper reports on the discussions collectively concerned with the multiphysics modelling of protoplanetary discs, including the self-consistent calculation of gas and dust dynamics, radiative transfer and chemistry. After a short introduction to each of these disciplines in isolation, we identify a series of burning questions and grand challenges associated with their integration, which are not necessarily achievable in the short-to-medium term. We then discuss potential pathways towards solving these challenges, grouped by strategical, technical and collaborative developments. This paper is not intended to be a review, but rather to motivate and direct future research and collaboration across typically distinct fields based on community driven input, to encourage further progress in our understanding of circumstellar and protoplanetary discs.

  9. The ten grand challenges of synthetic life.

    Science.gov (United States)

    Porcar, Manuel; Danchin, Antoine; de Lorenzo, Victor; Dos Santos, Vitor A; Krasnogor, Natalio; Rasmussen, Steen; Moya, Andrés

    2011-06-01

    The construction of artificial life is one of the main scientific challenges of the Synthetic Biology era. Advances in DNA synthesis and a better understanding of regulatory processes make the goal of constructing the first artificial cell a realistic possibility. This would be both a fundamental scientific milestone and a starting point of a vast range of applications, from biofuel production to drug design. However, several major issues might hamper the objective of achieving an artificial cell. From the bottom-up to the selection-based strategies, this work encompasses the ten grand challenges synthetic biologists will have to be aware of in order to cope with the task of creating life in the lab.

  10. A unified grand tour of theoretical physics

    CERN Document Server

    Lawrie, Ian D

    2013-01-01

    A Unified Grand Tour of Theoretical Physics invites its readers to a guided exploration of the theoretical ideas that shape our contemporary understanding of the physical world at the fundamental level. Its central themes, comprising space-time geometry and the general relativistic account of gravity, quantum field theory and the gauge theories of fundamental forces, and statistical mechanics and the theory of phase transitions, are developed in explicit mathematical detail, with an emphasis on conceptual understanding. Straightforward treatments of the standard models of particle physics and cosmology are supplemented with introductory accounts of more speculative theories, including supersymmetry and string theory. This third edition of the Tour includes a new chapter on quantum gravity, focusing on the approach known as Loop Quantum Gravity, while new sections provide extended discussions of topics that have become prominent in recent years, such as the Higgs boson, massive neutrinos, cosmological perturba...

  11. [Optimizing surgical hand disinfection].

    Science.gov (United States)

    Kampf, G; Kramer, A; Rotter, M; Widmer, A

    2006-08-01

    For more than 110 years hands of surgeons have been treated before a surgical procedure in order to reduce the bacterial density. The kind and duration of treatment, however, has changed significantly over time. Recent scientific evidence suggests a few changes with the aim to optimize both the efficacy and the dermal tolerance. Aim of this article is the presentation and discussion of new insights in surgical hand disinfection. A hand wash should be performed before the first disinfection of a day, ideally at least 10 min before the beginning of the disinfection as it has been shown that a 1 min hand wash significantly increases skin hydration for up to 10 min. The application time may be as short as 1.5 min depending on the type of hand rub. Hands and forearms should be kept wet with the hand rub for the recommended application time in any case. A specific rub-in procedure according to EN 12791 has been found to be suitable in order to avoid untreated skin areas. The alcohol-based hand rub should have a proven excellent dermal tolerance in order to ensure appropriate compliance. Considering these elements in clinical practice can have a significant impact to optimize the high quality of surgical hand disinfection for prevention of surgical site infections.

  12. 36 CFR 7.22 - Grand Teton National Park.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Grand Teton National Park. 7.22 Section 7.22 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.22 Grand Teton National Park. (a)...

  13. 36 CFR 7.4 - Grand Canyon National Park.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Grand Canyon National Park. 7.4 Section 7.4 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.4 Grand Canyon National Park. (a)...

  14. Grand Hyatt Beijing Opens Wine Shop in the Patisserie

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Over the years,Grand Hyatt Beijing has become a crowd favorite for wine events thanks to events such as its many exquisite wine dinners at the hotel’s superb Italian restaurant Da Giorgio,the Wine Club at Redmoon and the Grand Wine Sale at the Patisserie."The wine shop will cater to Beijing’s growing community of wine

  15. Gauge coupling unification in gauge-Higgs grand unification

    Science.gov (United States)

    Yamatsu, Naoki

    2016-04-01

    We discuss renormalization group equations for gauge coupling constants in gauge-Higgs grand unification on five-dimensional Randall-Sundrum warped space. We show that all four-dimensional Standard Model gauge coupling constants are asymptotically free and are effectively unified in SO(11) gauge-Higgs grand unified theories on 5D Randall-Sundrum warped space.

  16. Elastoplasticidad anisotropa de metales en grandes deformaciones

    Science.gov (United States)

    Caminero Torija, Miguel Angel

    El objetivo de este trabajo es el desarrollo de modelos y algoritmos numericos que simulen el comportamiento del material bajo estas condiciones en el contexto de programas de elementos finitos, dando como resultado predicciones mas precisas de los procesos de conformado y deformacion plastica en general. Para lograr este objetivo se han desarrollado diversas tareas destinadas a mejorar las predicciones en tres aspectos fundamentales. El primer aspecto consiste en la mejora de la descripcion del endurecimiento cinematico anisotropo en pequenas deformaciones, lo cual se ha realizado a traves de modelos y algoritmos implicitos de superficies multiples. Ha sido estudiada la consistencia de este tipo de modelos tanto si estan basados en una regla implicita similar a la de Mroz o en la regla de Prager. Ademas se han simulado los ensayos de Lamba y Sidebottom, obteniendo, en contra de la creencia general, muy buenas predicciones con la regla de Prager. Dichos modelos podrian ser extendidos de forma relativamente facil para considerar grandes deformaciones a traves de procedimientos en deformaciones logaritmicas, similares a los desarrollados en esta tesis y detallados a continuacion. El segundo aspecto consiste en la descripcion de la anisotropia elastoplastica inicial. Esto se ha conseguido mediante el desarrollo de modelos y algoritmos para plasticidad anisotropa en grandes deformaciones, bien ignorando la posible anisotropia elastica, bien considerandola simultaneamente con la anisotropia plastica. Para ello ha sido necesario desarrollar primero un nuevo algoritmo de elastoplasticidad anisotropa en pequenas deformaciones consistentemente linealizado y sin despreciar ningun termino, de tal forma que se conserve la convergencia cuadratica de los metodos de Newton. Este algoritmo en pequenas deformaciones ha servido para realizar la correccion plastica de dos algoritmos en grandes deformaciones. El primero de estos algoritmos es una variacion del clasico algoritmo de

  17. [da Vinci surgical system].

    Science.gov (United States)

    Watanabe, Gou; Ishikawa, Norihiro

    2014-07-01

    The da Vinci surgical system was developed by Intuitive Surgical Inc. in the United States as an endoscopic surgical device to assist remote control surgeries. In 1998, the Da Vinci system was first used for cardiothoracic procedures. Currently a combination of robot-assisted internal thoracic artery harvest together with coronary artery bypass grafting (CABG) through a mini-incision (ThoraCAB) or totally endoscopic procedures including anastomoses under robotic assistance (TECAB) are being conducted for the treatment of coronary artery diseases. With the recent advances in catheter interventions, hybrid procedures combining catheter intervention with ThoraCAB or TECAB are anticipated in the future.On the other hand, with the decrease in number of coronary artery bypass surgeries, the share of valvular surgeries is expected to increase in the future. Among them, mitral valvuloplasty for mitral regurgitation is anticipated to be conducted mainly by low-invasive procedures, represented by minimally invasive cardiac surgery( MICS) and robot-assisted surgery. Apart from the intrinsic good surgical view, robotic-assisted systems offer additional advantages of the availability of an amplified view and the easy to observe the mitral valve in the physiological position. Thus, robotic surgical surgeries that make complicated procedures easier are expected to accomplish further developments in the future. Furthermore, while the number of surgeries for atrial septal defects has decreased dramatically following the widespread use of Amplatzer septal occluder, robotic surgery may become a good indication for cases in which the Amplatzer device is not indicated. In Japan, clinical trial of the da Vinci robotic system for heart surgeries has been completed. Statutory approval of the da Vinci system for mitral regurgitation and atrial septal defects is anticipated in the next few years.

  18. Desmoplastic small round cell tumor: Extra abdominal and abdominal presentations and the results of treatment

    Directory of Open Access Journals (Sweden)

    Biswas G

    2005-01-01

    Full Text Available BACKGROUND: Desmoplastic small round cell tumor (DSRCT is a rare malignant neoplasm of adolescent males. Current multimodality treatment prolongs life and rarely achieves cure. Aim: To review the presenting features, histopathology and outcome of 18 patients with DSRCT treated at a single institution. Setting and Design: This is a retrospective observational study of patients with DSRCT who presented at the Tata Memorial Hospital between January 1994 to January 2005. Materials and Methods: Eighteen patients of DSRCT seen during this period were evaluated for their clinical presentation, response to chemotherapy and other multimodality treatment and overall survival. The cohort of 18 patients included 11 males (61% and 7 females (39% with a mean age of 16 years (Range 1½ - 30 years. Majority (83% presented with abdomino-pelvic disease. The others, involving chest wall and extremities. There were 6 patients (33% with metastatic disease at presentation. Results:The treatment primarily included a multimodality approach using a combination of multiagent chemotherapy with adjuvant surgery and radiotherapy as applicable. A response rate of 39% (CR-1, PR-6, with chemotherapy was observed. The overall response rate after multimodality treatment was 39% (CR-5, PR-2. The overall survival was poor except in patients who had complete excision of the tumor. Conclusion: Abdomino-pelvic site was the commonest presentation, the disease can occur at other non-serosal surfaces also. Despite aggressive treatment the outcome was poor. However, complete surgical excision seems to provide a better survival.

  19. 75 FR 13138 - Grand Ditch Breach Restoration Environmental Impact Statement, Rocky Mountain National Park, CO

    Science.gov (United States)

    2010-03-18

    ... National Park Service Grand Ditch Breach Restoration Environmental Impact Statement, Rocky Mountain... prepare an Environmental Impact Statement for the Grand Ditch Breach Restoration, Rocky Mountain National...), the National Park Service is preparing an Environmental Impact Statement for the Grand Ditch...

  20. Direct round window stimulation with the Med-El Vibrant Soundbridge: 5 years of experience using a technique without interposed fascia.

    Science.gov (United States)

    Skarzynski, Henryk; Olszewski, Lukasz; Skarzynski, Piotr H; Lorens, Artur; Piotrowska, Anna; Porowski, Marek; Mrowka, Maciej; Pilka, Adam

    2014-03-01

    The objective of this study was to present 5 years of surgical experience, and the extended results of hearing preservation (based on 3-year follow-up), with the Med-El Vibrant Soundbridge (VSB) in which the floating mass transducer (FMT) is placed directly against the round window membrane, and the fascia is used only as covering tissue to keep it in position. A retrospective survey of surgical and audiological data was conducted to evaluate the performance and stability of patient hearing, with audiometric measurements performed over fixed time intervals up to 36 months. 21 patients, aged 19-62 years (mean 48.4), with mixed or conductive, bilateral or unilateral hearing loss were included in this study. Surgical intervention involved monaural implantation of the Med-El VSB between 2006 and 2009. The results were assessed using pure tone audiometry. In 5 years of experience with the technique, no significant complications or device extrusion were observed except for two revision surgeries requiring FMT repositioning. In the 3-year follow-up, we observed stable hearing in the implanted ear. It is concluded that direct round window stimulation without interposed fascia is an alternative for patients with hearing impairment caused by chronic otitis media and/or lack of ossicles, especially after modified radical mastoidectomy. It allows good results in a selected group of patients, although further observation on a larger population is needed to confirm long-term validity and effectiveness.

  1. What do they understand and how? Second time round

    OpenAIRE

    Taillefer, Gail

    2014-01-01

    “What”, as presented in the first round of this paper in 1991, is authentic English language documentation in the field of social sciences. “They” are second year DEUG students in Law, Economics and Administration. “How” is their cognitive treatment of such pre-professional texts. The “first time round” explored the relation between second language reading, first language reading and second language acquisition. The “second time round’ briefly summarizes and completes results of that first pa...

  2. Impacts of the Doha Round framework agreements on dairy policies.

    Science.gov (United States)

    Suzuki, N; Kaiser, H M

    2005-05-01

    Dairy is highly regulated in many countries for several reasons. Perishability, seasonal imbalances, and inelastic supply and demand for milk can cause inherent market instability. Milk buyers typically have had more market power than dairy farmers. Comparative production advantages in some countries have led to regulations and policies to protect local dairy farmers by maintaining domestic prices higher than world prices. A worldwide consensus on reduction of border measures for protecting dairy products is unlikely, and dairy will probably be an exception in ongoing World Trade Organization (WTO) negotiations. Under the Doha Round framework agreements, countries may name some products such as dairy as "sensitive," thereby excluding them from further reforms. However, new Doha Round framework agreements depart from the current WTO rule and call for product-specific spending caps. Such caps will greatly affect the dairy sector because dairy accounts for much of the aggregate measure of support (AMS) in several countries, including the United States and Canada. Also, the amounts of dairy AMS in several countries may be recalculated relative to an international reference price. In addition, all export subsidies are targeted for elimination in the Doha Round, including export credit programs and state trading enterprises, which will limit options for disposing of surplus dairy products in foreign markets. Currently, with higher domestic prices, measures for cutting or disposing of surpluses have been used in many countries. Supply control, which is not regulated by WTO rules, remains as an option. Although explicit export subsidies are restricted by WTO rules, many countries use esoteric measures to promote dairy exports. If countries agree to eliminate "consumer financed" export subsidies using a theoretical definition and measurements proposed herein as Export Subsidy Equivalents (ESE), dairy exports in many countries may be affected. Although domestic supports and

  3. Mechanisms of Cochlear Stimulation Through the Round Window

    Science.gov (United States)

    Lukashkin, Andrei N.; Weddell, Thomas; Russell, Ian J.

    2011-11-01

    The round window membrane (RW) functions as a pressure relief valve in conventional hearing allowing structures of the middle ear to move. Investigations in recent years have shown that middle ear implants can be used to stimulate the cochlea via the RW. Isolated clinical uses of this technique have been applied but more thorough theoretical and empirical studies are required. Using guinea pigs as test subjects we have investigated physiological effects of RW stimulation using a simulation of active middle ear prosthesis, a cylindrical neodymium iron boron disk magnet placed upon the RW which can be stimulated by an electromagnetic coil positioned in close proximity to the magnet.

  4. The educational value of ward rounds for junior trainees

    Directory of Open Access Journals (Sweden)

    Faidon-Marios Laskaratos

    2015-04-01

    Full Text Available The ward round (WR is a complex task and medical teachers are often faced with the challenge of finding a balance between service provision and clinical development of learners. The educational value of WRs is an under-researched area. This short communication aims to evaluate the educational role of WRs for junior trainees and provides insight into current practices. It also identifies obstacles to effective teaching/training in this setting and provides suggestions for improving the quality of WR teaching.

  5. Extended-stay rounds can help move patients along.

    Science.gov (United States)

    2014-08-01

    Weekly extended stay rounds help move along patients who have issues and barriers to a timely discharge, experts say. They recommend: Hold them at the same time and place each week and schedule an hour to an hour and a half for each meeting. Include the physician advisor for case management, a financial counselor, and representatives from case management, social work, therapy, nutrition, pharmacy, wound care, and other departments providing services to patients. Talk about the barriers and issues impeding discharge and brainstorm on solutions.

  6. The Development Round: Main Outcomes, Challenges and Implementation Prospects

    Directory of Open Access Journals (Sweden)

    Volomymyr Vashchenko

    2004-04-01

    Full Text Available The article touches upon current issues in the development of a WTO-based multilateral trade system and the participation of the broadest possible range of nations in this system, with special attention to the agenda of the Fourth and Fifth Ministerial Conferences of WTO memberstates, progress on negotiations and their current status. Bottlenecks in specific areas of the negotiations that have arisen in the course of the discussions, the positions of groups and individual countries are also identified. The article outlines the possibilities of activating and accelerating efforts towards the completion of the liberalization of world trade as envisaged in the agenda of the Development Round.

  7. La Thuile 2014: Theoretical premises to neutrino round table

    CERN Document Server

    Vissani, Francesco

    2014-01-01

    This talk, dedicated to the memory of G. Giacomelli, introduced the round table on neutrinos held in February 2014. The topics selected for the discussion are: 1) the neutrinoless double beta decay rate (interpretation in terms of light neutrinos, nuclear uncertainties); 2) the physics in the gigantic water Cherenkov detectors (proton decay, atmospheric neutrinos); 3) the study of neutrino oscillations (mass hierarchy and CP violation; other neutrino states); 4) the neutrino astronomy at low and high energies (solar, supernova, cosmic neutrinos). The importance of an active interplay between theory and experiment is highlighted.

  8. Temperature Field for Improving Internal Quality of Stretched Round Billet

    Institute of Scientific and Technical Information of China (English)

    QIU Ping; XIAO Hong

    2009-01-01

    Based on the rigid-plastic theory, using a coupled thermomechanieal model, the stretching process of a cir-cular section billet is simulated by means of FEM software Deform-2D. Through the distribution of internal stress fields of stretched round billet, it is found that the shear stress field is the main factor to induce Mannesmann's effect. The simulation results show that a reasonable distribution of the temperature field may improve the internal quality of the circular section billet in the stretching process.

  9. Security of the Five-Round KASUMI Type Permutation

    Science.gov (United States)

    Iwata, Tetsu; Yagi, Tohru; Kurosawa, Kaoru

    KASUMI is a blockcipher that forms the heart of the 3GPP confidentiality and integrity algorithms. In this paper, we study the security of the five-round KASUMI type permutations, and derive a highly non-trivial security bound against adversaries with adaptive chosen plaintext and chosen ciphertext attacks. To derive our security bound, we heavily use the tools from graph theory. However the result does not show its super-pseudorandomness, this gives us a strong evidence that the design of KASUMI is sound.

  10. PRIORITIZED QUEUE WITH ROUND ROBIN SCHEDULER FOR BUFFERED CROSSBAR SWITCHES

    Directory of Open Access Journals (Sweden)

    N. Narayanan Prasanth

    2014-03-01

    Full Text Available Research in high speed switching systems is in greater demand as the internet traffic gets rapid increase. Designing an efficient scheduling algorithm with high throughput and low delay is an open challenge. Most of the algorithms achieve 100% throughput in uniform traffics but failed to attain the same performance under non-uniform traffics. Moreover these algorithms are also suffers from starvation leads to extended waiting time of VOQ. In this paper, Prioritized Queue with Round Robin Scheduler (PQRS is proposed for Buffered Crossbar Switches. We proved that our proposed scheduler can achieve 85% throughput under any non-uniform traffic without starvation.

  11. Outdoor performance results for NBS Round Robin collector no. 1

    Science.gov (United States)

    Miller, D. R.

    1976-01-01

    The efficiency of a PPG flat-plate solar collector was evaluated utilizing an outdoor solar collector test facility at the NASA-Lewis Research Center, as part of the National Bureau of Standards 'round robin' collector test program. The correlation equation for collector thermal efficiency Eta curve fit of the data was: Eta = 0.666 - 1.003(Btu/hr-sq ft-F) Theta, where the parameter Theta is the difference between the average fluid temperature and the ambient temperature, all divided by the total flux impinging on the collector.

  12. A New Method for Impossible Differential Cryptanalysis of 8-Round Advanced Encryption Standard

    Institute of Scientific and Technical Information of China (English)

    CHEN Jie; HU Yupu; WEI Yongzhuang

    2006-01-01

    This paper first presents an impossible differential property for 5-round Advanced Encryption Standard (AES) with high probability. Based on the property and the impossible differential cryptanalytic method for the 5-round AES, a new method is proposed for cryptanalyzing the 8-round AES-192 and AES-256. This attack on the reduced 8-round AES-192 demands 2121 words of memory, and performs 2148 8-round AES-192 encryptions. This attack on the reduced 8-round AES-256 demands 2153 words of memory, and performs 2180 8-round AES-256 encryptions. Furthermore, both AES-192 and AES-256 require about 298 chosen plaintexts for this attack, and have the same probability that is only 2-3 to fail to recover the secret key.

  13. Vitiligo- A surgical approach

    Directory of Open Access Journals (Sweden)

    Deepti Ghia

    2012-01-01

    Full Text Available Aims and objective- To describe the spectrum of surgical modalities for stable vitiligo patients Methods- Patients having stable vitiligo since past 2 years with no improvement with medical line of treatment were enrolled for surgery after informed consent. Depending upon the size and location of vitiligo patch different modalities were performed. Suction blister, mini-punch grafting, split thickness skin grafting, trypsinised melanocyte-keratinocyte transfer and non-trypsinised melanocyte- keratinocyte transfer (Jodhpur technique and follicular grafting technique have been described photographically which have been performed at a tertiary care hospital. Conclusion- Vitiligo is often difficult to treat, stable patches resistant to medical line of management do respond to surgical treatment; however it is very important to choose the modality of surgery according location of the patch, size of the lesion and available resources.

  14. Spacecraft surgical scrub system

    Science.gov (United States)

    Abbate, M.

    1980-01-01

    Ease of handling and control in zero gravity and minimizing the quantity of water required were prime considerations. The program tasks include the selection of biocidal agent from among the variety used for surgical scrub, formulation of a dispensing system, test, and delivery of flight dispensers. The choice of an iodophore was based on effectiveness on single applications, general familiarity among surgeons, and previous qualification for space use. The delivery system was a choice between the squeeze foamer system and impregnated polyurethane foam pads. The impregnated foam pad was recommended because it is a simpler system since the squeeze foamer requires some applicator to effectively clean the skin surfaces, whereas the form pad is the applicator and agent combined. Testing demonstrated that both systems are effective for use as surgical scrubs.

  15. Transient Three-Dimensional Side Load Analysis of Out-of-Round Film Cooled Nozzles

    Science.gov (United States)

    Wang, Ten-See; Lin, Jeff; Ruf, Joe; Guidos, Mike

    2010-01-01

    The objective of this study is to investigate the effect of nozzle out-of-roundness on the transient startup side loads at a high altitude, with an anchored computational methodology. The out-of-roundness could be the result of asymmetric loads induced by hardware attached to the nozzle, asymmetric internal stresses induced by previous tests, and deformation, such as creep, from previous tests. The rocket engine studied encompasses a regeneratively cooled thrust chamber and a film cooled nozzle extension with film coolant distributed from a turbine exhaust manifold. The computational methodology is based on an unstructured-grid, pressure-based computational fluid dynamics formulation, and a transient inlet history based on an engine system simulation. Transient startup computations were performed with the out-of-roundness achieved by four different degrees of ovalization: one perfectly round, one slightly out-of-round, one more out-of-round, and one significantly out-of-round. The results show that the separation-line-jump is the peak side load physics for the round, slightly our-of-round, and more out-of-round cases, and the peak side load increases as the degree of out-of-roundness increases. For the significantly out-of-round nozzle, however, the peak side load reduces to comparable to that of the round nozzle and the separation line jump is not the peak side load physics. The counter-intuitive result of the significantly out-of-round case is found to be related to a side force reduction mechanism that splits the effect of the separation-line-jump into two parts, not only in the circumferential direction and most importantly in time.

  16. Gossypiboma—Retained Surgical Sponge

    Directory of Open Access Journals (Sweden)

    Hung-Shun Sun

    2007-11-01

    Full Text Available Intra-abdominal retained surgical sponge is an uncommon surgical error. Herein, we report a 92-year-old woman who was brought to the emergency room for acute urinary retention. She had a history of vaginal hysterectomy for uterine prolapse 18 years previously, performed at our hospital. Retained surgical sponge in the pelvic cavity was suspected by abdominal computed tomography. The surgical gauze was removed by laparotomy excision and the final diagnosis was gossypiboma.

  17. Hepatic surgical anatomy.

    Science.gov (United States)

    Skandalakis, John E; Skandalakis, Lee J; Skandalakis, Panajiotis N; Mirilas, Petros

    2004-04-01

    The liver, the largest organ in the body, has been misunderstood at nearly all levels of organization, and there is a tendency to ignore details that do not fit the preconception. A complete presentation of the surgical anatomy of the liver includes the study of hepatic surfaces, margins, and fissures; the various classifications of lobes and segments; and the vasculature and lymphatics. A brief overview of the intrahepatic biliary tract is also presented.

  18. Adenoviral-mediated Hath1-EGFP gene transfer into guinea pig cochlea through intact round window membrane

    Institute of Scientific and Technical Information of China (English)

    CHEN Wei; HU Yin-yan; YANG Shi-ming; GUO Wei; SUN Jian-he; HAN Dong-yi; ZHAI Suo-qiang; YANG Wei-yan; David Z.Z.He

    2008-01-01

    Objective To study expression of adenovira1-mediated Hathl-EGFP gene in the guinea pig cochlea after transfer through intact round window membrane (RWM), and to assess its effects on hearing. Methods Twenty adult guinea pigs were used, of which: 12 were surgically inoculated with AdHath1-EGFP in the bony groove of round window niche, and 8 with artificial perilymph. Auditory brainstem response(ABR) thresholds were determined in all animals before and 5 days after surgery. On post-surgery day 5 and day 14, animals were sacrificed and whole mounts of cochlea and fro zensections were examined. Results ABR tests showed no significant change of hearing after the surgery.Strong fluorescence staining in the cochleae was seen in Ad-Hathl-EGFP groups. The highest levels of gene expression were seen in the post-surgery day 5 group with tittle decrease on post-surgery day 14.The contralateral cochlea and those in the control groups were free of fluorescence staining. Conclusion The transgenic Hath1-EGFP can be effectively delivered into the inner ear through intact RWM, in an atraumatic manner.

  19. Louis Pasteur surgical revolution.

    Science.gov (United States)

    Toledo-Pereyra, Luis H

    2009-01-01

    Louis Pasteur (1822-1895) is considered the most notable medical scientist of his time and perhaps one of the most distinguished of all times in the history of medicine. From Dole in France to Paris, from a student of crystals to "living ferments," and from chemistry to biology and medicine, Pasteur changed the world for the benefit of humanity. The genius of Pasteur dealt with the most pressing issues of his time, basing the germ theory on the effects that microorganisms had on fermentation and putrefaction of organic matter, which gave birth to the science of bacteriology. Many other difficult problems in medicine and biology were tackled by Pasteur, culminating in the spectacular results seen with the treatment of rabies. Surgery was no exception to the scientific conquests of Pasteur. The transformation of the surgical world arose from the antiseptic concepts of Lister that were based on the germ theory of the disease, which had been derived from the germ theory of fermentation and putrefaction discovered by Pasteur. The acceptance of these principles represented the surgical revolution brought on by the science of Pasteur, a revolution that is now accepted in our daily care of surgical patients.

  20. Guideline implementation: Surgical attire.

    Science.gov (United States)

    Cowperthwaite, Liz; Holm, Rebecca L

    2015-02-01

    Surgical attire helps protect patients from microorganisms that may be shed from the hair and skin of perioperative personnel. The updated AORN "Guideline for surgical attire" provides guidance on scrub attire, shoes, head coverings, and masks worn in the semirestricted and restricted areas of the perioperative setting, as well as how to handle personal items (eg, jewelry, backpacks, cell phones) that may be taken into the perioperative suite. This article focuses on key points of the guideline to help perioperative personnel adhere to facility policies and regulatory requirements for attire. The key points address the potential benefits of wearing scrub attire made of antimicrobial fabric, covering the arms when in the restricted area of the surgical suite, removing or confining jewelry when wearing scrub attire, disinfecting personal items that will be taken into the perioperative suite, and sending reusable attire to a health care-accredited laundry facility after use. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  1. An assessment of ninth round; Nona: uma avaliacao da rodada

    Energy Technology Data Exchange (ETDEWEB)

    Assumpcao, Eduardo; Andrade, Leila; Fontana, Raphaela [Agencia Nacional do Petroleo, Gas Natural e Biocombustiveis (ANP), Rio de Janeiro, RJ (Brazil)

    2008-07-01

    Accomplished on November, 27{sup th}, 2007, 271 exploratory blocks were offered in Round 9, distributed within 14 sectors, totalling an area of 73 thousand km{sup 2}. The following basins were included: Campos, Espirito Santo, Para- Maranhao, Parnaiba, Pernambuco-Paraiba, Potiguar, Santos, Reconcavo and Rio do Peixe. From the original lot of 67 companies qualified (31 Brazilian and 36 of foreign origin), 42 offered bids individually or in partnerships. 117 blocks were allocated to 24 winning operator companies. Other 12 enterprises won acreage as non-operator participants of joint bids. A record of R$ 2,1 billion were offered as signature bonuses along with 169.436 units of the so called minimum exploratory programs. These units may be converted to an estimated R$ 1,4 billion. The objective of this paper is to evaluate the results obtained in Round 9, analyzing collected data through three different perspectives of aggregate results: bidding companies, offered areas and exploratory models. (author)

  2. Medical academia clinical experiences of Ward Round Teaching curriculum

    Directory of Open Access Journals (Sweden)

    Fariba Haghani

    2014-01-01

    Full Text Available Background: Medical students spend most of their time in hospital wards and it is necessary to study clinical educational opportunities. This study was aimed to explore faculty members′ experience on Ward Round Teaching content. Methods and Materials: This qualitative study was conducted by purposive sampling with the maximum variation of major clinical departments faculty members in Isfahan University of Medical Sciences (n = 9. Data gathering was based on deep and semi-structured interviews. Data gathering continued till data saturation.Data was analyzed through the Collaizzi method and validated. Strategies to ensure trustworthiness of data (credibility, dependability, conformability, transferability were employed (Guba and Lincoln. Results: Basic codes extracted from the analyzed data were categorized into two main themes and related subthemes, including (1 tangible teachings (analytic intelligence, technical intelligence, legal duties and (2 implied teachings (professionalism, professional discipline, professional difficulties. Conclusion: Ward round teaching is a valuable opportunity for learners to learn not only patient care aspects but also ethical values. By appropriate planning, opportunities can be used to teach capabilities that are expected of general practitioners.

  3. Integrated lithography to prepare arrays of rounded nano-objects

    Science.gov (United States)

    Sipos, Áron; Szalai, Anikó; Csete, Mária

    2012-03-01

    An integrated lithography method is presented to prepare rounded nano-objects with variable shape, in arrays with arbitrary symmetry and wavelength-scaled periodicity. Finite element method was applied to determine the near-field confinement under monolayers of silver and gold colloid spheres illuminated by circularly polarized beams possessing periodic intensity distribution, and to predict the shape of nano-objects, which can be fabricated on thin noble metal layers on glass substrates. It was shown that illumination by perpendicularly incident homogeneous beam results in hexagonal array of uniform nano-rings, while uniform nano-crescents appear due to single obliquely incident beam. Illumination of colloid sphere monolayers by interfering beams causes development of co-existent nano-rings and nanocrescents. It was demonstrated that the periodicity of complex patterns is determined by the wavelength and angle of incidence; the inter-object distance is controlled by the relative orientation of interference patterns with respect to colloid sphere monolayers; the nano-object size is determined by the wavelength, sphere diameter and material; while the nearfield distribution sensitively depends on the direction of illumination by circularly polarized light. We present complex patterns of various rounded nano-objects that can be uniquely fabricated via Circular Integrated Interference and Colloid sphere Lithography (CIICL), and applied as plasmonic and meta-materials.

  4. Medical academia clinical experiences of Ward Round Teaching curriculum.

    Science.gov (United States)

    Haghani, Fariba; Arabshahi, Seyed Kamran Soltani; Bigdeli, Shoaleh; Alavi, Mousa; Omid, Athar

    2014-01-01

    Medical students spend most of their time in hospital wards and it is necessary to study clinical educational opportunities. This study was aimed to explore faculty members' experience on Ward Round Teaching content. This qualitative study was conducted by purposive sampling with the maximum variation of major clinical departments faculty members in Isfahan University of Medical Sciences (n = 9). Data gathering was based on deep and semi-structured interviews. Data gathering continued till data saturation. Data was analyzed through the Collaizzi method and validated. Strategies to ensure trustworthiness of data (credibility, dependability, conformability, transferability) were employed (Guba and Lincoln). Basic codes extracted from the analyzed data were categorized into two main themes and related subthemes, including (1) tangible teachings (analytic intelligence, technical intelligence, legal duties) and (2) implied teachings (professionalism, professional discipline, professional difficulties). Ward round teaching is a valuable opportunity for learners to learn not only patient care aspects but also ethical values. By appropriate planning, opportunities can be used to teach capabilities that are expected of general practitioners.

  5. Mini-Jet Controlled Turbulent Round Air Jet

    Institute of Scientific and Technical Information of China (English)

    杜诚; 米建春; 周裕; 詹杰

    2011-01-01

    We report an investigation of the active control of a round air jet by multiple radial blowing mini-jets.The Reynolds number based on the jet exit velocity and diameter is 8000.It is found that once the continuous minijets are replaced with pulsed ones,the centerline velocity decay rate K can be greatly increased as the pulsing frequency of mini-jets approaches the natural vortex frequency of the main jet.For example,the K value is amplified by more than 50% with two(or four)pulsed mini-jets blowing,compared with the continuous mini-jets at the same ratio of the mass flow rate of the mini-jets to that of the main jet.%We report an investigation of the active control of a round air jet by multiple radial blowing mini-jets. The Reynolds number based on the jet exit velocity and diameter is 8000. It is found that once the continuous mini-jets are replaced with pulsed ones, the centerline velocity decay rate K can be greatly increased as the pulsing frequency of mini-jets approaches the natural vortex frequency of the main jet. For example, the K value is amplified by more than 50% with two (or four) pulsed mini-jets blowing, compared with the continuous mini-jets at the same ratio of the mass Sow rate of the mini-jets to that of the main jet.

  6. Multi-Round Contention in Wireless LANs with Multipacket Reception

    CERN Document Server

    Jun, Ying

    2010-01-01

    Multi-packet reception (MPR) has been recognized as a powerful capacity-enhancement technique for random-access wireless local area networks (WLANs). As is common with all random access protocols, the wireless channel is often under-utilized in MPR WLANs. In this paper, we propose a novel multi-round contention random-access protocol to address this problem. This work complements the existing random-access methods that are based on single-round contention. In the proposed scheme, stations are given multiple chances to contend for the channel until there are a sufficient number of ``winning" stations that can share the MPR channel for data packet transmission. The key issue here is the identification of the optimal time to stop the contention process and start data transmission. The solution corresponds to finding a desired tradeoff between channel utilization and contention overhead. In this paper, we conduct a rigorous analysis to characterize the optimal strategy using the theory of optimal stopping. An int...

  7. International round-robin study on the Ames fluctuation test.

    Science.gov (United States)

    Reifferscheid, G; Maes, H M; Allner, B; Badurova, J; Belkin, S; Bluhm, K; Brauer, F; Bressling, J; Domeneghetti, S; Elad, T; Flückiger-Isler, S; Grummt, H J; Gürtler, R; Hecht, A; Heringa, M B; Hollert, H; Huber, S; Kramer, M; Magdeburg, A; Ratte, H T; Sauerborn-Klobucar, R; Sokolowski, A; Soldan, P; Smital, T; Stalter, D; Venier, P; Ziemann, Chr; Zipperle, J; Buchinger, S

    2012-04-01

    An international round-robin study on the Ames fluctuation test [ISO 11350, 2012], a microplate version of the classic plate-incorporation method for the detection of mutagenicity in water, wastewater and chemicals was performed by 18 laboratories from seven countries. Such a round-robin study is a precondition for both the finalization of the ISO standardization process and a possible regulatory implementation in water legislation. The laboratories tested four water samples (spiked/nonspiked) and two chemical mixtures with and without supplementation of a S9-mix. Validity criteria (acceptable spontaneous and positive control-induced mutation counts) were fulfilled by 92-100%, depending on the test conditions. A two-step method for statistical evaluation of the test results is proposed and assessed in terms of specificity and sensitivity. The data were first subjected to powerful analysis of variance (ANOVA) after an arcsine-square-root transformation to detect significant differences between the test samples and the negative control (NC). A threshold (TH) value based on a pooled NC was then calculated to exclude false positive test results. Statistically, positive effects observed by the William's test were considered negative, if the mean of all replicates of a sample did not exceed the calculated TH. By making use of this approach, the overall test sensitivity was 100%, and the test specificity ranged from 80 to 100%.

  8. Creep and thermal rounding close to the elastic depinning threshold

    Science.gov (United States)

    Purrello, V. H.; Iguain, J. L.; Kolton, A. B.; Jagla, E. A.

    2017-08-01

    We study the slow stochastic dynamics near the depinning threshold of an elastic interface in a random medium by solving a particularly suited model of hopping interacting particles that belongs to the quenched-Edwards-Wilkinson depinning universality class. The model allows us to compare the cases of uniformly activated and Arrhenius activated hops. In the former case, the velocity accurately follows a standard scaling law of the force and noise intensity with the analog of the thermal rounding exponent satisfying a modified "hyperscaling" relation. For the Arrhenius activation, we find, both numerically and analytically, that the standard scaling form fails for any value of the thermal rounding exponent. We propose an alternative scaling incorporating logarithmic corrections that appropriately fits the numerical results. We argue that this anomalous scaling is related to the strong correlation between activated hops that, alternated with deterministic depinning-like avalanches, occur below the depinning threshold. We rationalize the spatiotemporal patterns by making an analogy of the present model in the near-threshold creep regime with some well-known models with extremal dynamics, particularly the Bak-Sneppen model.

  9. International Round-Robin Testing of Bulk Thermoelectrics

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Hsin [ORNL; Porter, Wallace D [ORNL; Bottner, Harold [Fraunhofer-Institute, Freiburg, Germany; Konig, Jan [Fraunhofer-Institute, Freiburg, Germany; Chen, Lidong [Chinese Academy of Sciences; Bai, Shengqiang [Chinese Academy of Sciences; Tritt, Terry M. [Clemson University; Mayolett, Alex [Corning, Inc; Smith, Charlene [Corning, Inc; Harris, Fred [ZT-Plus; Sharp, Jeff [Marlow Industries, Inc; Lo, Jason [CANMET - Materials Technology Laboratory, Natural Resources of Canada; Keinke, Holger [University of Waterloo, Canada; Kiss, Laszlo I. [University of Quebec at Chicoutimi

    2011-11-01

    Two international round-robin studies were conducted on transport properties measurements of bulk thermoelectric materials. The study discovered current measurement problems. In order to get ZT of a material four separate transport measurements must be taken. The round-robin study showed that among the four properties Seebeck coefficient is the one can be measured consistently. Electrical resistivity has +4-9% scatter. Thermal diffusivity has similar +5-10% scatter. The reliability of the above three properties can be improved by standardizing test procedures and enforcing system calibrations. The worst problem was found in specific heat measurements using DSC. The probability of making measurement error is great due to the fact three separate runs must be taken to determine Cp and the baseline shift is always an issue for commercial DSC. It is suggest the Dulong Petit limit be always used as a guide line for Cp. Procedures have been developed to eliminate operator and system errors. The IEA-AMT annex is developing standard procedures for transport properties testing.

  10. submitter Electromagnetic Study of a Round Coil Superferric Magnet

    CERN Document Server

    Volpini, Giovanni; Statera, Marco

    2016-01-01

    A novel type of superferric magnets suitable to arbitrary multipole orders was proposed by I. F. Malyshev and later by V. Kashikhin. This new topology, which we refer to as round coil superferric magnets (RCSM), allows a great simplification of the superconducting part, which in the simplest case may be composed by a single round coil, which has intrinsically a rather large bending radius allowing the use of strain-sensitive superconductors. INFN is designing and building a prototype of a multipolar corrector magnet based on this geometry and using MgB2 tapes. In this paper, we investigate a number of issues pertaining to the electromagnetic characteristics of RCSM. The RCSM magnetic has inherently even harmonics, in addition to usual odd ones and a solenoidal component. Either (but not both) disappears when integrated using a one-coil or a two-coil specular design. We investigate the effect of saturation on the multipolar components and on the load line, since in RCSM, saturation plays a role that differs bo...

  11. Supercritical flows past a square cylinder with rounded corners

    Science.gov (United States)

    Cao, Yong; Tamura, Tetsuro

    2017-08-01

    Large-eddy simulations were used to investigate the supercritical aerodynamics of a square cylinder with rounded corners in comparison with those in the subcritical regime. First, the numerical methods, especially the dynamic mixed model, were validated on the basis of their prediction of supercritical flows past a circular cylinder. Then, the supercritical flows past a rounded-corner square cylinder were simulated and systematically clarified. Strong Reynolds number (Re) effects existed in the forces and local pressures as Re increased from o(104) to o(106). Changeover of flow patterns occurred as Re increased. At the supercritical Re, the free stream overall flowed along the cross sections of the cylinder, separated from the leeward corners and generated Karman vortices behind the cylinder. This pattern resulted in a much smaller recirculation region behind the cylinder compared with the subcritical flow. At the micro level, the flow experienced laminar separation and flow reattachment near the frontal corners, followed by the spatial development of turbulent boundary layers (TBLs) on the side faces and turbulent separation near the leeward corners. The feedback by large-scale primary vortex shedding and the small-scale turbulent motions in the high-frequency region with a slope of -5/3 were detected in the TBL. Their interaction affected the spanwise correlations of wall pressure fluctuations. The TBL on the side face differed from the zero-pressure-gradient flat-plate one; it was subjected to pressure gradients varying in space and time.

  12. Surgical navigation with QR codes

    Directory of Open Access Journals (Sweden)

    Katanacho Manuel

    2016-09-01

    Full Text Available The presented work is an alternative to established measurement systems in surgical navigation. The system is based on camera based tracking of QR code markers. The application uses a single video camera, integrated in a surgical lamp, that captures the QR markers attached to surgical instruments and to the patient.

  13. Debridement for surgical wounds.

    Science.gov (United States)

    Dryburgh, Nancy; Smith, Fiona; Donaldson, Jayne; Mitchell, Melloney

    2008-07-16

    Surgical wounds that become infected are often debrided because clinicians believe that removal of this necrotic or infected tissue will expedite wound healing. There are numerous methods available but no consensus on which one is most effective for surgical wounds. The aim of this review is to determine the effect of different methods of debridement on the rate of debridement and healing of surgical wounds. We developed a search strategy to search the following electronic databases: Wounds Group Specialised Trials Register (searched 3/3/08) , Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2008, issue 1), MEDLINE (1950 to February Week 3 2008 ), EMBASE (1980 to 2008 Week 09) and CINHAL (1982 to February Week 4 2008). We checked the citations within obtained studies to identify additional papers and also relevant conference proceedings. We contacted manufactures of wound debridement agents to ascertain the existence of published, unpublished and ongoing trials. Our search was not limited by language or publication status. We included relevant randomised controlled trials (RCT) with outcomes including at least one of the following: time to complete debridement, or time to complete healing. Two authors independently reviewed the abstracts and titles obtained from the search, two extracted data independently using a standardised extraction sheet, and two independently assessed methodological quality. One author was involved in all stages of the data collection and extraction process, thus ensuring continuity. Five RCTs were eligible for inclusion; all compared treatments for infected surgical wounds and reported time required to achieve a clean wound bed (complete debridement). One trial compared an enzymatic agent (Streptokinase/streptodornase) with saline-soaked dressings and reported the time to complete debridement. Four of the trials compared the effectiveness of dextranomer beads or paste with other products (different comparator

  14. 围手术期的整体护理%Whole Nuring of Round the Surgical Operation Period

    Institute of Scientific and Technical Information of China (English)

    潘丽红; 文石汉

    2005-01-01

    整体护理是一种护理行为的指导思想或称护理观念,足以人为中心,以现代护理观为指导,以护理程序为基础框架,并且把护理程序系统化地运用到临床护理和护理管理中去的指导思想,整体护理的目标是根据人的生理、心理、社会、文化、精神等多方面的需要,提供适合人的最佳护理。围手术期的整体护理对象是手术病人有其特殊性,现就此方面作简要的综述。

  15. Mastoplastia reductora en L para grandes volúmenes

    OpenAIRE

    Fernandez, Claudio de Barros

    2013-01-01

    Las primeras descripciones de las mastoplastias fueron atribuidas a Paulus Aegineta en 625-690d.C. 4, con una resección de ginecomastia por el surco sub-mamario. Posteriormente, muchas técnicas fueron descritas para la disminución del órgano. Clásicamente, fueron consideradas mamas grandes aquellas con volúmenes resecados más grandes que 600 gr., siendo la mayoría tratadas tras cicatrices en T invertido. El objetivo de ese estudio es mostrar que es posible tratar mamas grandes con cicatrices ...

  16. Mastoplastia reductora en l para grandes volúmenes

    OpenAIRE

    De Barros Fernandez, Claudio

    2012-01-01

    Las primeras descripciones de las mastoplastias fueron atribuidas a Paulus Aegineta en 625-690d.C. 4, con una resección de ginecomastia por el surco sub-mamario. Posteriormente, muchas técnicas fueron descritas para la disminución del órgano. Clásicamente, fueron consideradas mamas grandes aquellas con volúmenes resecados más grandes que 600 gr., siendo la mayoría tratadas tras cicatrices en T invertido. El objetivo de ese estudio es mostrar que es posible tratar mamas grandes ...

  17. Water resources of the Grand Rapids area, Michigan

    Science.gov (United States)

    Stramel, G.J.; Wisler, C.O.; Laird, L.B.

    1954-01-01

    The Grand Rapids area, Michigan, has three sources from which to obtain its water supply: Lake Michigan, the Grand River and its tributaries, and ground water. Each of the first two and possibly the third is capable of supplying the entire needs of the area.This area is now obtaining a part of its supply from each of these sources. Of the average use of 50 mgd (million gallons per day) during 1951, Lake Michigan supplied 29 mgd; the Grand River and its tributaries supplied 1 mgd; and ground water supplied 20 mgd.Lake Michigan offers a practically unlimited source of potable water. However, the cost of delivery to the Grand Rapids area presents an economic problem in the further development of this source. Even without storage the Grand River can provide an adequate supply for the city of Grand Rapids. The present average use of the city of Grand Rapids is about 30 mgd and the maximum use is about 60 mgd, while the average flow of the Grand River is 2, 495 mgd or 3, 860 cfs (cubic feet per second) and the minimum daily flow recorded is 246 mgd. The quality and temperature of water in the Grand River is less desirable than Lake Michigan water. However, with proper treatment its chemical quality can be made entirely satisfactory.The city of Grand Rapids is actively engaged in a study that will lead to the expansion of its present water-supply facilities to meet the expected growth in population in Grand Rapids and its environs.Ground-water aquifers in the area are a large potential source of supply. The Grand Rapids area is underlain by glacial material containing a moderately hard to very hard water of varying chemical composition but suitable for most uses. The glacial outwash and lacustrine deposits bordering principal streams afford the greatest potential for the development of large supplies of potable ground water. Below the glacial drift, bedrock formations contain water that is extremely hard and moderately to highly mineralized. Thus the major sources of

  18. The People-First Service of Grand Hotel Beijing

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Grand Hotel Beijing is located north of Chang’an Avenue and east of the landmark Forbidden City in Beijing.This five-star luxury hotel has received numerous government delegations and state leaders from around the world since it opened in 1990.Wang Fuhe has been General Manager of Grand Hotel Beijing for more than 10 years.Through the effortsofWangandhisteam,thehotelflagshipsteers steady and fast,taking a leading position among the countless luxury hotels in Beijing.Wang attributes the success of Grand Hotel Beijing to its distinctive

  19. Toward realistic gauge-Higgs grand unification

    Science.gov (United States)

    Furui, Atsushi; Hosotani, Yutaka; Yamatsu, Naoki

    2016-09-01

    The SO(11) gauge-Higgs grand unification in the Randall-Sundrum warped space is presented. The 4D Higgs field is identified as the zero mode of the fifth-dimensional component of the gauge potentials, or as the fluctuation mode of the Aharonov-Bohm phase θ along the fifth dimension. Fermions are introduced in the bulk in the spinor and vector representations of SO(11). SO(11) is broken to SO(4)×SO(6) by the orbifold boundary conditions, which is broken to SU2×U1×SU3 by a brane scalar. Evaluating the effective potential V(θ), we show that the electroweak symmetry is dynamically broken to U1. The quark-lepton masses are generated by the Hosotani mechanism and brane interactions, with which the observed mass spectrum is reproduced. Proton decay is forbidden thanks to the new fermion number conservation. It is pointed out that there appear light exotic fermions. The Higgs boson mass is determined with the quark-lepton masses given; however, it turns out to be smaller than the observed value.

  20. desenvolvimento para o Rio Grande do Sul

    Directory of Open Access Journals (Sweden)

    Benedito Silva Neto

    2005-01-01

    Full Text Available The paper discusses the role that the milk production can carry out in a development strategy for the Rio Grande do Sul State (Brazil. It was verified that an important contribution that the milk production could provide to the development it derives of its capacity of maintenance of the population in the rural zones, which enhance its effects on the local economies. These effects are generated by the high potential of aggregation of value that the dairy activity can provide in a direct, indirect and induced way. So for the milk production can play this function, however, it is necessary orientate the current policies sustained by the representatives of the agro-industrial chain that can lead more than two thirds of the producers to the exclusion in the short period. The main conclusion of the paper is that the promotion of production systems adapted to the conditions of the family production would be an indispensable condition for the construction of a development model more equitable and balanced territorially

  1. La grande bellezza (P. Sorrentino, 2013

    Directory of Open Access Journals (Sweden)

    Daniela Brogi

    2013-05-01

    Full Text Available Qual è il soggetto della Grande bellezza? Di cosa parla il film, mentre racconta come sta al mondo Jep Gambardella? Ripartiamo dalla traccia narrativa: Jep si è trasferito a Roma da giovane, in cerca di successo – come tanti, come tutti – per occupare il centro della mondanità e diventarne imperatore, tanto da essere distolto dalla cura del proprio talento (a venticinque anni aveva conquistato la fama col suo primo e unico romanzo L’apparato umano; quarant’anni più tardi, lo guardiamo vivere: essenzialmente senza far nulla, mentre divaga continuamente, tra feste in terrazza, incontri, passaggi onirici e camminate solitarie sul Tevere; intanto giunge la notizia della morte della donna di cui era stato innamorato da ragazzo. Qual è, dunque, la storia più vera messa in scena? Quella di un’ambizione implosa? Quella dello sperpero esistenziale della mondanità capitolina? Quella di una crisi d’identità e del tentativo di ritrovare una spiritualità? Quella di Roma? 

  2. Local grand unification in the heterotic landscape

    Energy Technology Data Exchange (ETDEWEB)

    Schmidt, Jonas

    2009-07-15

    We consider the possibility that the unification of the electroweak interactions and the strong force arises from string theory, at energies significantly lower than the string scale. As a tool, an effective grand unified field theory in six dimensions is derived from an anisotropic orbifold compactification of the heterotic string. It is explicitly shown that all anomalies cancel in the model, though anomalous Abelian gauge symmetries are present locally at the boundary singularities. In the supersymmetric vacuum additional interactions arise from higher-dimensional operators. We develop methods that relate the couplings of the effective theory to the location of the vacuum, and find that unbroken discrete symmetries play an important role for the phenomenology of orbifold models. An efficient algorithm for the calculation of the superpotential to arbitrary order is developed, based on symmetry arguments. We furthermore present a correspondence between bulk fields of the orbifold model in six dimensions, and the moduli fields that arise from compactifying four internal dimensions on a manifold with non-trivial gauge background. (orig.)

  3. y las grandes ciudades: 1970-2004

    Directory of Open Access Journals (Sweden)

    Adrián de León Arias

    2008-01-01

    Full Text Available El cambio regional en las manufacturas mexicanas a partir de la década de 1980 se ha caracterizado por el rápido crecimiento del empleo y la producción en la frontera norte del país y la pérdida de participación de ellos en las grandes ciudades. En este artículo se analiza y evalúa este cambio regional en términos de la dinámica de la productividad laboral y factorial total para ambas configuraciones espaciales, presentando cálculos de productividad para éstas de 1970 a 2004, estimados a partir de la información censal. Los resultados sugieren que mientras el empleo ha crecido en magnitud mucho más rápido en la frontera norte, esta dinámica se ha generado con bajos niveles en crecimiento de la productividad, al menos hasta fechas recientes, por lo que el cambio regional estimulado por la apertura comercial hasta 2004 no parece haber facilitado un crecimiento económico más acelerado para México

  4. Toward Realistic Gauge-Higgs Grand Unification

    CERN Document Server

    Furui, Atsushi; Yamatsu, Naoki

    2016-01-01

    The $SO(11)$ gauge-Higgs grand unification in the Randall-Sundrum warped space is presented. The 4D Higgs field is identified as the zero mode of the fifth dimensional component of the gauge potentials, or as the fluctuation mode of the Aharonov-Bohm phase $\\theta_H$ along the fifth dimension. Fermions are introduced in the bulk in the spinor and vector representations of $SO(11)$. $SO(11)$ is broken to $SO(4) \\times SO(6)$ by the orbifold boundary conditions, which is broken to $SU(2)_L \\times U(1)_Y \\times SU(3)_C$ by a brane scalar. Evaluating the effective potential $V_{\\rm eff} (\\theta_H)$, we show that the electroweak symmetry is dynamically broken to $U(1)_{\\rm EM}$. The quark-lepton masses are generated by the Hosotani mechanism and brane interactions, with which the observed mass spectrum is reproduced. The proton decay is forbidden thanks to the new fermion number conservation. It is pointed out that there appear light exotic fermions. The Higgs boson mass is determined with the quark-lepton masses ...

  5. A unified grand tour of theoretical physics

    CERN Document Server

    Griffiths, J

    2002-01-01

    Anyone offering a grand tour is faced with several options. Should they concentrate on what may be considered to be essential features, or should they attempt to present a brief glimpse of almost everything? The present offering is a compromise between these two extremes. The area considered - theoretical physics - is now such a vast subject that some kind of compromise is essential. Indeed, the field is now so wide that few could even attempt to review it in a single-authored work. My task here is to assess how well this book has succeeded in its main aim of providing a unified (though introductory) tour of this subject. Constrained within a single volume, this is clearly not an updated Landau-Lifschitz. It cannot be expected to take any particular topic to the level of recent research. Nevertheless, it does seem to cover the broad range of essential topics which now constitute the subject. It starts (most appropriately in my opinion) with geometry. It then covers classical physics, general relativity and qu...

  6. The grand descent has begun for CMS

    CERN Multimedia

    2006-01-01

    Until recently, the CMS experimental cavern looked relatively empty; its detector was assembled entirely at ground level, to be lowered underground in 15 sections. On 2 November, the first hadronic forward calorimeter led the way with a grand descent. The first section of the CMS detector (centre of photo) arriving from the vertical shaft, viewed from the cavern floor. There is something unusual about the construction of the CMS detector. Instead of being built in the experimental cavern, like all the other detectors in the LHC experiments, it was constructed at ground level. This was to allow for easy access during the assembly of the detector and to minimise the size of the excavated cavern. The slightly nerve-wracking task of lowering it safely into the cavern in separate sections came after the complete detector was successfully tested with a magnetic field at ground level. In the early morning of 2 November, the first section of the CMS detector began its eagerly awaited descent into the underground ca...

  7. Variations of the 'grand-piano sign' during total knee replacement. A computer-simulation study.

    Science.gov (United States)

    Cui, W-Q; Won, Y-Y; Baek, M-H; Kim, K-K; Cho, J-H

    2006-11-01

    The appearance of the 'grand-piano sign' on the anterior resected surface of the femur has been considered to be a marker for correct femoral rotational alignment during total knee replacement. Our study was undertaken to assess quantitatively the morphological patterns on the resected surface after anterior femoral resection with various angles of external rotation, using a computer-simulation technique. A total of 50 right distal femora with varus osteoarthritis in 50 Korean patients were scanned using computerised tomography. Computer image software was used to simulate the anterior femoral cut, which was applied at an external rotation of 0 degrees, 3 degrees and 6 degrees relative to the posterior condylar axis, and parallel to the surgical and clinical epicondylar axes in each case. The morphological patterns on the resected surface were quantified and classified as the 'grand-piano sign', 'the boot sign' and the 'butterfly sign'. The surgeon can use the analogy of these quantified sign patterns to ensure that a correct rotational alignment has been obtained intra-operatively.

  8. New Frontiers in Surgical Innovation.

    Science.gov (United States)

    Jackson, Ryan S; Schmalbach, Cecelia E

    2017-08-01

    It is an exciting time for head and neck surgical innovation with numerous advances in the perioperative planning and intraoperative management of patients with cancer, trauma patients, and individuals with congenital defects. The broad and rapidly changing realm of head and neck surgical innovation precludes a comprehensive summary. This article highlights some of the most important innovations from surgical planning with sentinel node biopsy and three-dimensional, stereolithic modeling to intraoperative innovations, such as transoral robotic surgery and intraoperative navigation. Future surgical innovations, such as intraoperative optical imaging of surgical margins, are also highlighted. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. The Effect of Family Presence on Rounding Duration in the PICU.

    Science.gov (United States)

    Gupta, Priya R; Perkins, R Serene; Hascall, Rebecca L; Shelak, Carolyn F; Demirel, Shaban; Buchholz, Mark T

    2017-02-01

    The incorporation of family-centered rounds has become standard in PICUs across the United States. We compared rounding times in our institution, with and without family members present, to determine the effect on total rounding time and work flow. This observational study of a convenience sample was conducted over a 17-month period (May 2014-October 2015), accounting for typical seasonal variation in the PICU. The individual patient rounding times for 2657 encounters were recorded. The presence of family members, intubation status, physician assistant participation, interruptions during rounds, attending physician's full- or part-time status, and patient census were documented. The effect of family presence on per-patient rounding time was analyzed, while controlling for influential variables. Family members were present during 1743 of 2657 (66%) rounding encounters. The average per-patient rounding time with and without family members present was 8.6 minutes and 7.3 minutes, respectively, a difference of 1.3 minutes per patient. In statistical models that accounted for other influential variables, the presence of family members was associated with a highly significant (20.4%, P family members increases per-patient rounding times in the PICU. Family presence on rounds may have benefits that outweigh the additional time required to complete each patient interaction. Copyright © 2017 by the American Academy of Pediatrics.

  10. Grand challenge in Biomaterials-wound healing

    Science.gov (United States)

    Salamone, Joseph C.; Salamone, Ann Beal; Swindle-Reilly, Katelyn; Leung, Kelly Xiaoyu-Chen; McMahon, Rebecca E.

    2016-01-01

    Providing improved health care for wound, burn and surgical patients is a major goal for enhancing patient well-being, in addition to reducing the high cost of current health care treatment. The introduction of new and novel biomaterials and biomedical devices is anticipated to have a profound effect on the future improvement of many deleterious health issues. This publication will discuss the development of novel non-stinging liquid adhesive bandages in healthcare applications developed by Rochal Industries. The scientists/engineers at Rochal have participated in commercializing products in the field of ophthalmology, including rigid gas permeable contact lenses, soft hydrogel contact lenses, silicone hydrogel contact lenses, contact lens care solutions and cleaners, intraocular lens materials, intraocular controlled drug delivery, topical/intraocular anesthesia, and in the field of wound care, as non-stinging, spray-on liquid bandages to protect skin from moisture and body fluids and medical adhesive-related skin injuries. Current areas of entrepreneurial activity at Rochal Industries pertain to the development of new classes of biomaterials for wound healing, primarily in regard to microbial infection, chronic wound care, burn injuries and surgical procedures, with emphasis on innovation in product creation, which include cell-compatible substrates/scaffolds for wound healing, antimicrobial materials for opportunistic pathogens and biofilm reduction, necrotic wound debridement, scar remediation, treatment of diabetic ulcers, amelioration of pressure ulcers, amelioration of neuropathic pain and adjuvants for skin tissue substitutes. PMID:27047680

  11. Analysis of surgical intervention populations using generic surgical process models.

    Science.gov (United States)

    Neumuth, Thomas; Jannin, Pierre; Schlomberg, Juliane; Meixensberger, Jürgen; Wiedemann, Peter; Burgert, Oliver

    2011-01-01

    According to differences in patient characteristics, surgical performance, or used surgical technological resources, surgical interventions have high variability. No methods for the generation and comparison of statistical 'mean' surgical procedures are available. The convenience of these models is to provide increased evidence for clinical, technical, and administrative decision-making. Based on several measurements of patient individual surgical treatments, we present a method of how to calculate a statistical 'mean' intervention model, called generic Surgical Process Model (gSPM), from a number of interventions. In a proof-of-concept study, we show how statistical 'mean' procedure courses can be computed and how differences between several of these models can be quantified. Patient individual surgical treatments of 102 cataract interventions from eye surgery were allocated to an ambulatory or inpatient sample, and the gSPMs for each of the samples were computed. Both treatment strategies are exemplary compared for the interventional phase Capsulorhexis. Statistical differences between the gSPMs of ambulatory and inpatient procedures of performance times for surgical activities and activity sequences were identified. Furthermore, the work flow that corresponds to the general recommended clinical treatment was recovered out of the individual Surgical Process Models. The computation of gSPMs is a new approach in medical engineering and medical informatics. It supports increased evidence, e.g. for the application of alternative surgical strategies, investments for surgical technology, optimization protocols, or surgical education. Furthermore, this may be applicable in more technical research fields, as well, such as the development of surgical workflow management systems for the operating room of the future.

  12. Grand Cote National Wildlife Refuge [Land Status Map

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This map was produced by the Division of Realty to depict landownership at Grand Cote National Wildlife Refuge. It was generated from rectified aerial photography,...

  13. Grand Bay National Wildlife Refuge: Comprehensive Conservation Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on Grand Bay NWR for the next 15 years. This plan outlines the Refuge vision and purpose...

  14. From Grand Narratives of Democracy to Small Expectations of Participation

    DEFF Research Database (Denmark)

    Peters, Chris; Witschge, Tamara

    2016-01-01

    This chapter critically examines the invocation of democracy in the discourse of audience participation in digital journalism. Rather than simply restate the familiar grand narratives that traditionally described journalism’s function for democracy (information source, watchdog, public representa...

  15. Casa Grande Ruins National Monument Vegetation Mapping Project - Plot Locations

    Data.gov (United States)

    National Park Service, Department of the Interior — This layer contains spatial information for 25 plots sampled during vegetation mapping and classification efforts at Casa Grande Ruins NM, AZ. Data was collected by...

  16. Grand Performances: Building Self and Social Ties through Theatrical Performance

    Directory of Open Access Journals (Sweden)

    Stephanie May de Montigny

    2015-05-01

    Full Text Available The stories that individuals tell about their experiences on stage and behind-the-scenes at the Grand Opera House of Oshkosh, Wisconsin, contribute to their knowledge of self and social ties.

  17. The KASCADE-Grande Experiment and the LOPES Project

    CERN Document Server

    Badea, A F; Apel, W D; Bekk, K; Bercuci, A; Bertaina, M; Blümer, H; Bozdog, H; Brancus, I M; Bruggemann, M; Bucholz, P; Chiavassa, A; Daumiller, K; di Pierro, F; Doll, P; Engel, R; Engler, J; Falcke, H; Fessler, F; Ghia, P L; Gils, H J; Glasstetter, R; Haungs, A; Heck, D; Hörandel, J R; Horneffer, A; Huege, T; Kampert, K H; Kant, G W; Klages, H O; Kolotaev, Yu; Maier, G; Mathes, H J; Mayer, H J; Milke, J; Morello, C; Müller, M; Navarra, G; Obenland, R; Oehlschläger, J; Ostapchenko, S; Petcu, M; Plewnia, S; Rebel, H; Risse, A; Roth, M; Schieler, H; Scholz, J; Stumpert, M; Thouw, T; Toma, G; Trinchiero, G C; Ulrich, H; Valchierotti, S; Van Buren, J; De Vos, C M; Walkowiak, W; Weindl, A; Wochele, J; Zabierowski, J; Zagromski, S; Zimmermann, D

    2004-01-01

    KASCADE-Grande is the extension of the multi-detector setup KASCADE to cover a primary cosmic ray energy range from 100 TeV to 1 EeV. The enlarged EAS experiment provides comprehensive observations of cosmic rays in the energy region around the knee. Grande is an array of 700 x 700 sqm equipped with 37 plastic scintillator stations sensitive to measure energy deposits and arrival times of air shower particles. LOPES is a small radio antenna array to operate in conjunction with KASCADE-Grande in order to calibrate the radio emission from cosmic ray air showers. Status and capabilities of the KASCADE-Grande experiment and the LOPES project are presented.

  18. Kevadise lilleseadevõistluse Grand Deco 2004 eelvoor / Piret Veigel

    Index Scriptorium Estoniae

    Veigel, Piret, 1961-

    2004-01-01

    17.-18. IV toimub Palmse mõisas rahvusvaheline lilleseade meistrivõistlus Grand Deco 2004, korraldajaks firma Tourinest. Žürii esimees Michael Bowyer Suurbritanniast. Eestit esindab žüriis Priit Press. Eelvoorus osalemisest

  19. VT Built Up Lands in Grand Isle County - 1977

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  20. VT Developed Lands in Grand Isle County - 2003

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  1. VT Built Up Lands in Grand Isle County - 1941

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  2. VT Built Up Lands in Grand Isle County - 1995

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  3. VT Built Up Lands in Grand Isle County - 1962

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  4. VT Built Up Lands in Grand Isle County - 1980

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  5. VT Built Up Lands in Grand Isle County - 1986

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  6. Albuquerque/Middle Rio Grande Urban Waters Viewer

    Data.gov (United States)

    U.S. Environmental Protection Agency — These data have been compiled in support of the Middle Rio Grande/Albuquerque Urban Waters Partnership for the region including Albuquerque, New Mexico.The Middle...

  7. VT Built Up Lands in Grand Isle County - 1974

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  8. Consumo y entretenimiento: los grandes almacenes como espacio de sociabilidad

    National Research Council Canada - National Science Library

    Rocha, Everardo; Amaral, Maria

    2009-01-01

    .... Por un lado, la aparicion de los grandes almacenes como un nuevo lugar de sociabilidad y, por el otro, este mismo lugar como parte de la construccion de la propia identidad del consumidor moderno...

  9. Grand Cote National Wildlife Refuges Habitat Management Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Grand Cote NWR Habitat Management Plan provides a long-term vision and specific guidance on managing habitats for the resources of concern at the Refuge, to...

  10. Grand Cote National Wildlife Refuge: Comprehensive Conservation Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on Grand Cote NWR for the next 15 years. This plan outlines the Refuge vision and purpose...

  11. VT Built Up Lands in Grand Isle County - 2003

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) NRCS mapped historical and current-day built-up lands for Grand Isle County, VT using several vintages of aerial photography: 1941, 1962, 1974,...

  12. [Duane vertical surgical treatment].

    Science.gov (United States)

    Merino, M L; Gómez de Liaño, P; Merino, P; Franco, G

    2014-04-01

    We report 3 cases with a vertical incomitance in upgaze, narrowing of palpebral fissure, and pseudo-overaction of both inferior oblique muscles. Surgery consisted of an elevation of both lateral rectus muscles with an asymmetrical weakening. A satisfactory result was achieved in 2 cases, whereas a Lambda syndrome appeared in the other case. The surgical technique of upper-insertion with a recession of both lateral rectus muscles improved vertical incomitance in 2 of the 3 patients; however, a residual deviation remains in the majority of cases. Copyright © 2011 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

  13. Diverticulitis: selective surgical management.

    Science.gov (United States)

    Rugtiv, G M

    1975-08-01

    The surgical treatment of complications of diverticulitis remains most challenging. A review of twenty years' experience with one hundred fifteen cases is presented with one proved anastomotic leak and no deaths. Interval primary resection with anastomosis for chronic recurrent disease including colovesical fistula and mesocolic abscess was proved sate with low morbidity. The three-stage procedure for perforated diverticulitis with spreading peritonitis or pericolic abscess was associated with a high rate of complications and morbidity. An aggressive approach with resection without anastomosis in two stages is indicated.

  14. Impossible Differential Attacks on 13-Round CLEFIA-128

    Institute of Scientific and Technical Information of China (English)

    Hamid Mala; Mohammad Dakhilalian; Mohsen Shakiba

    2011-01-01

    CLEFIA,a new 128-bit block cipher proposed by Sony Corporation,is increasingly attracting cryptanalysts'attention.In this paper,we present two new impossible differential attacks on 13 rounds of CLEFIA-128.The proposed attacks utilize a variety of previously known techniques,in particular the hash table technique and redundancy in the key schedule of this block cipher.The first attack does not consider the whitening layers of CLEFIA,requires 2109.5 chosen plaintexts,and has a running time equivalent to about 2112.9 encryptions.The second attack preserves the whitening layers,requires 2117.8 chosen plaintexts,and has a total time complexity equivalent to about 2121.2 encryptions.

  15. Multilateral market-access reforms of the Doha Round

    DEFF Research Database (Denmark)

    Yu, Wusheng; Jensen, Hans Grinsted

    external trade surpluses in many EU agricultural products. Further, the resulting adjustments in member states’ production and net trade positions are not equal: the new member states would generally lose part of their export shares in the EU market to external competitors, as highlighted in the cases......The July package of the Doha Round of trade negotiations stipulates that a tiered-formula approach should be used to significantly reduce market access barriers across countries, implying that the EU would have to make larger cuts to its high external tariffs, in comparison with many other WTO...... members such as the US. This paper provides a preliminary assessment of the likely impact of the tiered-formula reform approach on EU agricultural sectors. Numerical simulations of a multilateral market-access reform scenario show that such cuts would lead to across-the-board decreases in intra-EU trade...

  16. Primary desmoplastic small round cell tumor of the femur

    Energy Technology Data Exchange (ETDEWEB)

    Yoshida, Akihiko; Garcia, Joaquin [Memorial Sloan-Kettering Cancer Center, Department of Pathology, New York, NY (United States); Edgar, Mark A. [Memorial Sloan-Kettering Cancer Center, Department of Pathology, New York, NY (United States); Weill Medical College of Cornell University, New York, NY (United States); Meyers, Paul A. [Weill Medical College of Cornell University, New York, NY (United States); Memorial Sloan-Kettering Cancer Center, Department of Pediatrics, New York, NY (United States); Morris, Carol D. [Weill Medical College of Cornell University, New York, NY (United States); Memorial Sloan-Kettering Cancer Center, Department of Surgery, Orthopaedic Service, New York, NY (United States); Panicek, David M. [Weill Medical College of Cornell University, New York, NY (United States); Memorial Sloan-Kettering Cancer Center, Department of Radiology, New York, NY (United States)

    2008-09-15

    Desmoplastic small round cell tumor (DSRCT) is a rare malignant neoplasm typically involving the abdominal cavity of a young male. Extra-abdominal occurrence of this tumor is very rare. We report a 10-year-old girl with primary DSRCT arising within the left femur. The patient presented with knee pain, and radiological findings were strongly suggestive of osteogenic sarcoma. In addition to the typical microscopic appearance and immunophenotype, RT-PCR demonstrated the chimeric transcript of EWS-WT1, which is diagnostic of DSRCT. Pulmonary metastases were present at initial staging studies, but no abdominal or pelvic lesion was present. Despite chemotherapy and complete tumor excision, the patient developed progressive lung and bone metastases and died 3 years after initial presentation. This is the second reported case of primary DSRCT of bone with genetic confirmation. (orig.)

  17. Implementing interprofessional bedside rounding at the prequalification stage

    Directory of Open Access Journals (Sweden)

    Tuite DR

    2016-10-01

    Full Text Available Daniel R Tuite,1 David Healy,1 Thomas S MacKinnon2 1Faculty of Medicine, Brighton and Sussex Medical School, Brighton, 2School of Medicine, Imperial College London, London, UKWe read with great interest the paper by Henkin et al,1 demonstrating that the use of interprofessional bedside rounding (IBR significantly improved nurse–physician teamwork, particularly from the nurses’ point of view. This finding is relevant when one takes into account the importance of interdisciplinary teamwork; a review conducted by Epstein concluded that effective interprofessional teamwork both maximizes patient safety and increases job satisfaction and efficiency.2 We, as medical students, believe that inadequate emphasis is placed on interprofessional collaboration at the prequalification phase, and therefore, we suggest that implementing IBR at the university level could represent a method to improve teamwork between the nurses and doctors of the future.  View the original paper by Henkin et al.  

  18. Mass entrainment rate of an ideal momentum turbulent round jet

    DEFF Research Database (Denmark)

    Medrano, Fermın Franco; Fukumoto, Yasuhide; Velte, Clara Marika;

    2017-01-01

    We propose a two-phase-fluid model for a full-cone turbulent round jet that describes its dynamics in a simple but comprehensive manner with only the apex angle of the cone being a disposable parameter. The basic assumptions are that (i) the jet is statistically stationary and that (ii) it can...... of the distance from the nozzle, from which the dynamic pressure and the mass entrainment rate are calculated. Assuming a far-field approximation, we theoretically derive a constant entrainment rate coefficient solely in terms of the cone angle. Moreover, we carry out experiments for a single-phase turbulent air...... jet and show that the predictions of our model compare well with this and other experimental data of atomizing liquid jets....

  19. An Improved Round Robin Scheduling Algorithm for CPU scheduling

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar yadav

    2010-07-01

    Full Text Available There are many functions which are provided by operating system like process management, memory management, file management, input/outputmanagement, networking, protection system and command interpreter system. In these functions, the process management is most important function because operating system is a system program that means at the runtime process interact with hardware. Therefore, we can say that for improving the efficiency of a CPU we need to manage all process. For managing the process we use various types scheduling algorithm. There are many algorithm are available for CPU scheduling. But all algorithms have its own deficiency and limitations. In this paper, I proposed a new approach for round robin scheduling algorithm which helps to improve the efficiency of CPU.

  20. Particle modulations to turbulence in two-phase round jets

    Institute of Scientific and Technical Information of China (English)

    Bing Wang; Huiqiang Zhang; Yi Liu; Xiaofen Yan; Xilin Wang

    2009-01-01

    The particle modulations to turbulence in round jets were experimentally studied by means of two-phase velocity measurements with Phase Doppler Anemometer (PDA). Laden with very large particles, no significant attenuations of turbulence intensities were measured in the far-fields, due to small two-phase slip velocities and particle Reynolds number. The gas-phase turbulence is enhanced by particles in the near-fields, but it is significantly attenuated by the small particles in the far-fields. The smaller particles have a more profound effect on the attenuation of turbulence intensities. The enhancements or attenuations of turbulence intensities in the far-fields depends on the energy production, transport and dissipation mechanisms between the two phases, which are determined by the particle prop-erties and two-phase velocity slips. The non-dimensional parameter CTI is introduced to represent the change of turbulence intensity.

  1. Analysis of 2004 Round Robin Tests 1 and 4 Data

    Science.gov (United States)

    Hirsch, David; Beeson, Harold

    2005-01-01

    An analysis of 2004 round robin tests 1 and 4 data is presented. Test 1 burn length test results include: 1) Kydex, WSTF No. 04-38645 25.9% O2 @ 14.3 psia; 2) Kydex, 30% O2 @ 10.2 psia; 3) Royal Blue Cotton, Flame Resistant (WST No. 04-38644) 30% O2 @ 10.2 psia; and 4) Silicone 20.9% O2 @ 14.7 psia. Test 4 burn length test results include: 1) Raychem Electrical Wire, MIL M22759/32-20-9 30% O2 @ 10.2 psia; and 2) Raychem Electrical Wire, MIL M81044/12-20-9 20.9% O2 @ 14.7 psia.

  2. Round Robin for Optical Fiber Bragg Grating Metrology.

    Science.gov (United States)

    Rose, A H; Wang, C M; Dyer, S D

    2000-01-01

    NIST has administered the first round robin of measurements for optical fiber Bragg gratings. We compared the measurement of center wavelength, bandwidth, isolation, minimum relative transmittance, and relative group delay among several grating types in two industry groups, telecommunications and sensors. We found that the state of fiber Bragg grating metrology needs improvement in most areas. Specifically, when tunable lasers are used a filter is needed to remove broadband emissions from the laser. The linear slope of relative group delay measurements is sensitive to drift and systematic bias in the rf-modulation technique. The center wavelength measurement had a range of about 27 pm in the sensors group and is not adequate to support long-term structural monitoring applications.

  3. The OLI Radiometric Scale Realization Round Robin Measurement Campaign

    Science.gov (United States)

    Cutlip, Hansford; Cole,Jerold; Johnson, B. Carol; Maxwell, Stephen; Markham, Brian; Ong, Lawrence; Hom, Milton; Biggar, Stuart

    2011-01-01

    A round robin radiometric scale realization was performed at the Ball Aerospace Radiometric Calibration Laboratory in January/February 2011 in support of the Operational Land Imager (OLI) Program. Participants included Ball Aerospace, NIST, NASA Goddard Space Flight Center, and the University of Arizona. The eight day campaign included multiple observations of three integrating sphere sources by nine radiometers. The objective of the campaign was to validate the radiance calibration uncertainty ascribed to the integrating sphere used to calibrate the OLI instrument. The instrument level calibration source uncertainty was validated by quatnifying: (1) the long term stability of the NIST calibrated radiance artifact, (2) the responsivity scale of the Ball Aerospace transfer radiometer and (3) the operational characteristics of the large integrating sphere.

  4. Round robin testing of a percolation column leaching procedure.

    Science.gov (United States)

    Geurts, Roeland; Spooren, Jeroen; Quaghebeur, Mieke; Broos, Kris; Kenis, Cindy; Debaene, Luc

    2016-09-01

    Round robin test results of a percolation column leaching procedure (CEN/TS 14405:2004), organised by the Flemish Institute for Technological Research (VITO), over a time span of 13years with a participation of between 8 and 18 different laboratories are presented and discussed. Focus is on the leachability of heavy metals As, Cd, Cr, Cu, Hg, Ni, Pb and Zn from mineral waste materials. By performing statistical analyses on the obtained results, insight into the reproducibility and repeatability of the column leaching test is gathered. A ratio of 1:3 between intra- and inter-laboratory variability is found. The reproducibility of the eluates' element concentrations differ significantly between elements, materials and fractions (i.e. different liquid-to-solid ratios). The reproducibility is discussed in light of the application of the column leaching test for legal and environmental policy purposes. In addition, the performances of laboratories are compared.

  5. Cell Senescence in Myxoid/Round Cell Liposarcoma

    Directory of Open Access Journals (Sweden)

    Christina Kåbjörn Gustafsson

    2014-01-01

    Full Text Available Myxoid/round cell liposarcoma (MLS/RCLS is the second most common liposarcoma type and characterized by the fusion oncogenes FUS-DDIT3 or EWSR1-DDIT3. Previous analysis of cell cycle regulatory proteins revealed a prominent expression of G1-cyclins, cyclin dependent kinases, and their inhibitors but very few cells progressing through the G1/S boundary. Here, we extend the investigation to proteins involved in cell senescence in an immunohistochemistry based study of 17 MLS/RCLS cases. Large subpopulations of tumor cells expressed the RBL2 pocket protein and senescence associated heterochromatin 1γ and IL8 receptor β. We conclude that MLS/RCLS tissues contain major populations of senescent tumor cells and this may explain the slow growth rate of this tumor type.

  6. NUFACT11 round table discussion questions and answers

    CERN Document Server

    Blondel, A

    2013-01-01

    This presents the response to questions formulated by a round table discussion panel to the NUFACT11 participants. The main points made were as follows. Neutrino mass is physics beyond the Standard Model, it presents a very deep puzzle to solve, with the answers to several fundamental questions as potential reward. Precision measurement of oscillation parameters is one essential way to access information needed to solve this puzzle and there is a relatively clear (but not easy) way forward. Large θ(13) makes the appearance signals larger, but does not allow to relax the requirements on high beam intensity and large detector masses, it creates a difficult challenge on systematic errors, which will require dedicated ancillary experiments. Of particular interest is a low intensity muon storage ring for required cross-section measurements. There exist already extended bottom-up international collaboration in both physics and R&D experiments. All three main regions have plans for upgraded super-beams and asso...

  7. PARENT Quick Blind Round-Robin Test Report

    Energy Technology Data Exchange (ETDEWEB)

    Braatz, Brett G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Heasler, Patrick G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Meyer, Ryan M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-09-30

    The U.S. Nuclear Regulatory Commission has established the Program to Assess the Reliability of Emerging Nondestructive Techniques (PARENT) whose goal is to investigate the effectiveness of current and novel nondestructive examination procedures and techniques to find flaws in nickel-alloy welds and base materials. This is to be done by conducting a series of open and blind international round-robin tests on a set of piping components that include large-bore dissimilar metal welds, small-bore dissimilar metal welds, and bottom-mounted instrumentation penetration welds. The blind testing is being conducted in two segments, one is called Quick-Blind and the other is called Blind. The Quick-Blind testing and destructive analysis of the test blocks has been completed. This report describes the four Quick-Blind test blocks used, summarizes their destructive analysis, gives an overview of the nondestructive evaluation (NDE) techniques applied, provides an analysis inspection data, and presents the conclusions drawn.

  8. Environmental Assessment: Demolish 452 at Grand Forks Air Force Base

    Science.gov (United States)

    2005-12-01

    Preserve” has been developed to restore a part of the native tallgrass prairie that once was dominant in this region. Plants thriving in this...native wildflower species. The Grand Forks AFB Natural Resources Manager installed a butterfly garden in the Prairie View Nature 32 Preserve in the...characterized as typical prairie potholes found within the northern plains ecoregion. 31 Wetlands on Grand Forks AFB occur frequently in drainage

  9. South African Formula One Grand Prix: a dream or nightmare.

    OpenAIRE

    2008-01-01

    In 2004 a group of South African based companies submitted a bid to the Formula One Management to host a South African Formula One Grand Prix, from 2009 in Cape Town. The group approached the government to establish a public-private partnership, due to the: • escalating hosting and infrastruture development cost, resulting in very few Formula One Grand Prix host countries undertaking hosting without government involvement; and • believe that the economic benefits of hosting the event would st...

  10. The canonical and grand canonical models for nuclear multifragmentation

    Indian Academy of Sciences (India)

    G Chaudhuri; S Das Gupta

    2010-08-01

    Many observables seen in intermediate energy heavy-ion collisions can be explained on the basis of statistical equilibrium. Calculations based on statistical equilibrium can be implemented in microcanonical ensemble, canonical ensemble or grand canonical ensemble. This paper deals with calculations with canonical and grand canonical ensembles. A recursive relation developed recently allows calculations with arbitrary precision for many nuclear problems. Calculations are done to study the nature of phase transition in nuclear matter.

  11. Simulations of Precipitation Variability over the Upper Rio Grande Basin

    Energy Technology Data Exchange (ETDEWEB)

    Costigan, Keeley R.; Bossert, James E.; Langley, David L.

    1997-12-31

    In this research, we study Albuquerque`s water and how it may be affected by changes in the regional climate, as manifested by variations in Rio Grande water levels. To do this, we rely on the use of coupled atmospheric, runoff, and ground water models. Preliminary work on the project has focused on uncoupled simulations of the aquifer beneath Albuquerque and winter precipitation simulations of the upper Rio Grande Basin. The latter is discussed in this paper.

  12. Grand Bay-Banks Lake Stewardship Partnership - Phase 2

    Science.gov (United States)

    2006-11-01

    depending upon the drop from the Shiner Pond dike at full pool to the bottom of the original natural drain (not the swamp floor ) below. No mill...county would be appropriate. Similar soils at Craig’s Pond are mapped as: 1) Ogeechee - fine-loamy, siliceous, thermic Typic Ochraquults 2) Rembert...clayey, kaolinitic, thermic Typic Ochraquults These two soils have clayey textures very similar to those on the bottom of Grand Bay Grand Bay

  13. Tres grandes plataformas marinas Mar del Norte

    Directory of Open Access Journals (Sweden)

    Soulas, R.

    1978-03-01

    Full Text Available This article analyzes the different building stages of three large sea platforms. After studying the structure's main characteristics, preparing scale models and calculating ail the elements, platform construction was carried out in three stages: — Dry-dock construction of the hull base. — Installation in the water and finishing the structure. — Immersion and bridge installation. Finally, the necessary operations to move the platform to its definite location were carried out. The structures are formed by a parallelepiped hull of reinforced concrete, divided into compartments by means of vertical orthogonals panels on top of which 2 or 4 piles are placed to support the bridge.

    En este artículo se analizan las diversas etapas en la realización de tres grandes plataformas marinas. Después de un estudio de las características principales de la estructura, ensayos en modelo reducido y cálculo de todos los elementos, se procede a la construcción de las plataformas en tres fases: — Construcción en seco de la base del casco. — Colocación en el agua y acabado de la estructura. — Inmersión y colocación del puente. Por último, se realizan las operaciones necesarias para llevar la plataforma a su ubicación definitiva. Las estructuras están formadas por un casco paralelepipédico de hormigón armado, dividido en compartimientos mediante tabiques verticales ortogonales y sobre el que se han colocado 2 ó 4 pilas que soportan el puente.

  14. The Grand Banks Landslide area revisited

    Science.gov (United States)

    Krastel, S.; Feldens, P.; Georgiopoulou, A.; Lindhorst, K.; Llopart, J.; Mehringer, L.; Mosher, D. C.; Piper, D.; Roskoden, R.; Schoenke, M.; Schulten, I.; Stevenson, C.

    2016-12-01

    On November 18, 1929, a M7.2 earthquake occurred beneath the Laurentian Channel off the coast of Newfoundland. Nearly simultaneously, 12 undersea trans-Atlantic communication cables were severed and within two hours, a devastating tsunami struck the south coast of Newfoundland, claiming 28 lives. Only in 1952, it was understood that a slump-generated turbidity current caused the sequential severance of the cables and likely generated the tsunami. The landslide site was visited numerous times as underwater survey technologies evolved. No major head scarp related to the event is recognized. The landslide appears to have affected shallow sediments (top 5-50 m) and was laterally extensive. In order to test the hypothesis that a distributed, laterally extensive, shallow submarine mass failure event caused the tsunami, we collected 1500 km of seismic lines in combination with a dense net of hydroacoustic data during RV Maria S. Merian cruise in autumn 2015. Coring and CPT transects were carried out based on the acoustic data. The data in the failure area show abundant small scarps and several young landslide deposits. Listric faults in the failure area may play an important role for tsunami generation but need to be investigated further. The turbidity currents related to the failure entered the Grand Banks channel system. A complex pattern of bypassing and deposition is found in this complex channel area downslope of the failure area. Very coarse gravel was sampled up to 150 m above the canyon thalweg. First estimates suggest high concentrations of sediments in the flow, which was able to run out over 1000s of kilometers. We have not identified indications for similar large events in the late Holocene.

  15. Observational Needs from the WCRP Grand Challenges

    Science.gov (United States)

    Carlson, David

    2016-07-01

    An innovative history of platforms and instruments has provided remarkable satellite-based views of and data about our planet over roughly the past 35 years. The fragile and temporary nature of these satellite systems remind us that, from a climate viewpoint, we have not in any way solved or completed our observational tasks. Instead, the challenges of using satellites to observe key features of our planet's climate grow more complicated and the need grows more urgent. Admitting that we have borrowed and adopted some of our current capabilities from meteorological satellites, we need continuity of what we have as well as innovation and extension to reach new features that we now recognise as important. The scientific goals of the WCRP Grand Challenges emphasise this simultaneous need for continuation and innovation. We need longer better records of global changes in cloud types and distributions but we also need sharp accurate views of water vapour beneath those clouds. We need gravity missions to continue to track the net mass losses from Greenland and Antarctica while at the same time we need innovative remote sensing techniques to quantify rapid ice discharges at their peripheries. We need longer and broader latitudinal records of precipitation, snow cover and soil moisture but we also crucially need to detect hydrological and biogeochemical processes at the root zone. We must maintain continuity and consistency of ocean surface temperature, surface salinity and surface wind records while we also develop new methods to reveal and record deep ocean temperatures and currents. For immediate scientific, economic and political reasons we must develop a comprehensive CO2 monitoring system. And we need open high-quality access to all these data to understand present and preceding conditions as we encounter the surprises of the Anthropocene.

  16. The 1929 Grand Banks submarine landslide revisited

    Science.gov (United States)

    Schulten, Irena; Mosher, David C.; Krastel, Sebastian; Piper, David J. W.; Kienast, Markus

    2017-04-01

    On November 18th, 1929 a large submarine landslide occurred along the St. Pierre Slope of the southwestern Grand Banks of Newfoundland, as a result of a Mw 7.2 earthquake. This submarine landslide led to the first recognition of naturally-occurring submarine turbidity currents and is one of the few landslides known to have generated a tsunami. The event caused 28 causalities in Newfoundland and severe infrastructural damage. Earlier investigations of the area identified widely distributed shallow mass failures (15 - 20 m high escarpments), but no evidence of a larger headscarp. It is difficult to conceive, therefore, how this distributed shallow failure that rapidly evolved into a turbidity current would have generated a tsunami. It is hypothesised in this study that a deeper rooted sediment failure ( 500 m), involving faulting and mass-rotation, was involved in the sediment failure and this displacement generated the tsunami. In order to test this hypothesis, the volume and kinematics of the 1929 slope failure are analysed by means of recently acquired high resolution seismic reflection and multibeam swath bathymetry data, in addition to a significant volume of legacy data. The data allow determination of: 1) the dimension of the failure area, 2) the thickness and volume of failed sediment on St. Pierre Slope, 3) fault patterns and displacements, and 4) styles of sediment failure involved. Shallow (20 m high) sinuous escarpments and a number of faults are observed along the upper St. Pierre Slope (500 - 2 500 m water depth). The uppermost and largest of these escarpments shows association with a fault system. Preliminary results, therefore, indicate a complex sediment failure pattern along the St. Pierre Slope, possibly involving a deep-seated decollement and mobilization of a large volume of surficial sediment through retrogressive failure. Causes for the tsunami are yet to be determined.

  17. Extreme dry spells: Problem of rounding and Bayesian solution

    Science.gov (United States)

    Cindric Kalin, Ksenija; Pasaric, Zoran

    2016-04-01

    Two theoretically justified models of extremes are applied to dry spell (DS) series: The generalized Pareto distribution is applied to peak-over-threshold data (POT-GP), and the Generalized Extreme Value distribution is applied to the annual maxima (AM-GEV). DS data are categorized according to three precipitation-per-day thresholds (1, 5 and 10 mm). The well-known classical methods for parameter estimation (L-moments and Maximum Likelihood) are applied both to measured and to simulated DS time series. When applied within the GEV model, both methods yield very similar results. Somewhat surprisingly, in the case of the GP model, these methods lead to substantially different estimates of parameters, as well as return values. This is found to be a consequence of the fact that DS values are recorded discretely as a whole number of days, whereas the classical extreme value distributions are intended for continuous data. The inference is further evaluated within the Bayesian paradigm, where the process of rounding can be incorporated in a straightforward manner. The study confirmed precautionary estimations when applying the AM-GEV model in comparison with the simpler AM-Gumbel model. Regarding POT-GP modelling, the Bayesian approach reveals a high uncertainty that can occur in parameter estimations when very high thresholds are considered. It is found that there are no clear criteria in the assessment of some optimal threshold, nor is there a necessity for its detection. Instead, Bayesian inference provides a reasonable overall picture of the range of thresholds compatible with the GP-model. Furthermore, it is concluded that when using rounded data, all three GP parameters should be assessed. The location estimates should be compatible with the theoretical value of 0.5. Although the present study is performed mainly on the DS series from two stations in Croatia spanning the period of 1961-2010, the authors believe that the methodology developed here is applicable to

  18. Hourly rounding and patient falls: what factors boost success?

    Science.gov (United States)

    Goldsack, Jennifer; Bergey, Meredith; Mascioli, Susan; Cunningham, Janet

    2015-02-01

    Falls are a persistent problem in all healthcare settings, with rates in acute care hospitals ranging from 1.3 to 8.9 falls per 1,000 inpatient days, about 30% resulting in serious injury. A 30-day prospective pilot study was conducted on two units with pre- and postimplementation evaluation to determine the impact of patient-centered proactive hourly rounding on patient falls as part of a Lean Six Sigma process improvement project. Nurse leaders and a staff champion from Unit 1 were involved in the process from the start of the implementation period, while Unit 2 was introduced to the project for training shortly before the intervention began. On Unit 1, where staff and leadership were engaged in the project from the outset, the 1-year baseline mean fall rate was 3.9 falls/1,000 patient days. The pilot period fall rate of 1.3 falls/1,000 patient days was significantly lower than the baseline fall rate (P = 0.006). On Unit 2, where there was no run-in period, the 1-year baseline mean fall rate was 2.6 falls/1,000 patient days, which fell, but not significantly, to 2.5 falls/1,000 patient days during the pilot period (P = 0.799). Engaging an interdisciplinary team, including leadership and unit champions, to complete a Lean Six Sigma process improvement project and implement a patient-centered proactive hourly rounding program was associated with a significant reduction in the fall rate in Unit 1. Implementation of the same program in Unit 2 without engaging leadership or front-line staff in program design did not impact its fall rate. The active involvement of leadership and front-line staff in program design and as unit champions during the project run-in period was critical to significantly reducing inpatient fall rates and call bell use in an adult medical unit.

  19. Round robin test for odour testing of migration waters.

    Science.gov (United States)

    Rapp, Thomas; Günther, Herbert

    2015-04-15

    For a round robin test for EN 1420-1 (Odour assessment for organic materials in contact with drinking water) with 14 contributing laboratories from 10 European countries segments of a plastic pipe were sent to the laboratories which performed a migration test and an odour analysis of the migration waters (water that had contact with the organic material) according to the procedure described in the standard from 1999. In addition reference substances (Methyl tert-butyl ether, 1-butanol and hexanal) were investigated for their suitability to qualify the panels and the individual panellists. Methyl tert-butyl ether (MtBE) and 1-butanol proved to be suitable for this purpose, whereas hexanal showed a wide distribution of the individual odour threshold concentrations. Both possible testing options (unforced and forced choice) were performed and gave similar results. However, with respect to the qualification of the panellists and the data analysis the unforced choice procedure showed advantages. As human olfactory perception is used for the analysis, the reproducibility and the comparability between laboratories is of particular concern. For the pipe material the TON results of the different laboratories were in a range of ±1.5 dilutions based on a dilution factor of 2. This might be improved by taking the individual sensitivities of the panellists into account more strongly. Appropriate measures for the improvement of the test method appear to be the use of the proposed reference substances for the training of the panellists as well as the auditing and the selection of the panellists. The results of this round robin test are used in the revision process of the standard.

  20. The value of case-based teaching vignettes in clinical microbiology rounds.

    Science.gov (United States)

    Spicer, Jennifer O; Kraft, Colleen S; Burd, Eileen M; Armstrong, Wendy S; Guarner, Jeannette

    2014-03-01

    To describe the implementation and evaluation of a case-based microbiology curriculum during daily microbiology rounds. Vignettes consist of short cases with images and questions that facilitate discussion among microbiologists, pathologists, infectious disease physicians, and trainees (residents and fellows). We performed a survey to assess the value of these vignettes to trainees. Motivation to come to rounds on time increased from 60% to 100%. Trainees attending rounds after implementation of the vignettes perceived the value of microbiology rounds to be significantly higher compared with those who attended rounds before implementation (P = .04). Pathology residents found that vignettes were helpful for retaining knowledge (8.3 of 10 points). The vignettes have enhanced the value of microbiology rounds by serving as a formalized curriculum exposing trainees from multiple specialties to various microbiology topics. Emphasis on interdisciplinary interactions between clinical and laboratory personnel was highlighted with this case-based curriculum.

  1. Design of automatic labeling system on the end surfaces of bundles of round steels

    Directory of Open Access Journals (Sweden)

    Fuxiang ZHANG

    2016-12-01

    Full Text Available To achieve automatic labeling on the end surfaces of bundles of round steels for the steel plants, on the basis of the analysis of round steel production process, a set of automatic system for labeling on the round steel end surfaces of bundles is designed. The system includes the robot visual location unit, the label supply unit, the pressure supply unit, the automatic labeling unit, the laser ranging unit, and the host computer communication control unit, etc.. In the system, the robot visual location unit provides the round steel center location, and the automatic labeling unit implements automatic labeling on the round steel. The system is tested under lab condition, which shows the system can effectively solve the artificial labeling problems such as fault paste and leakage paste of workers, and realize efficient and stable automatic labeling. The system can be used in sleel plants for automatic labeling on the end surfaces of bundles of round steels.

  2. A COMPARATIVE STUDY TO ASSES THE OUTCOME OF GRAND MULTIPARA WITH THAT OF GREAT GRAND MULTIPARA

    Directory of Open Access Journals (Sweden)

    Nayana

    2015-01-01

    Full Text Available NEED FOR THE STUDY: In a developing country like India , where poverty , illiteracy , ignorance and lack of knowledge of family planning facilities available have greatly increased the incidence of grandmultipara 2. Grandmultipara has been associated with increased maternal morbidity and mortality rat es as well as poor outcome. The investigator is interested in finding out the outcome in grand multipara women and great grand multipara 1 women during the antenatal , internatal and postnatal period , and also to analyze demographic characteristics such as socioeconomic status and religion of the sample. STATEMENT OF THE PROBLEM: A comparative study to assess the outcome of grandmultipara (1 with that of grandmultipara women. OBJECTIVE OF THE STUDY: 1. To findout the outcome of grandmultipara women during th e antenatal , internatal and postnatal period. 2. To find the outcome of great grandmultipara women during the antenatal , internatal (2 and postnatal period. 3. To compare the outcomes of grandmultipara with that of non - grandmultipara women during the anten atal , internatal and postnatal (3 period. ( 4 To analyze the demographic characteristics 6 of the sample i.e. income and religion.

  3. Fauna reptiliana do norte da grande Porto Alegre, Rio Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Thales de Lema

    1983-01-01

    Full Text Available This paper reports the preliminary results of two years of herpetogeographic studies in the region called «Grande Porto Alegre» at its northern portion. The physiognomy shows, at North, slopes of the Brazilian Southern Plateau, more or less forested in a general view; these elevations graãuálly decrease to the South until the levei of the sea to Atlantic littoral by the eastern border, and to Rio Grande do Sul savanah, which extends to Uruguay and Argentina. The biota is transitional from the highland prairies and forests of the plateau to lowland prairies of the pampas. Three faunistic Provinces are included: Guarani, Pampean, and Tupi. The most conspicuous dispersion is shown by the taxa proceeding from the plateau to savanah (Dispersion Centre Guarani; the pampean species occur in low percentage (Dispersion Centre Uruguay, and an inappreciable account of Tupi fauna (Dispersion Centre of «Serra do Mar». The new records are: presence of Chironius pyrrhopogon, Hydrodynastes gigas, Bothrops neuwiedi para-naensis, Micrurus corallinus; intergradation zone of Guarani and Pampean geographic roces; and new taxa of snakes, which will be described brieflly. The systematic composition presents: Chelonia, 4 (3 Chelidae, 1 Testudinidae; Sauria, 10 (1 Gekkonidae, 2 Iguanidae, 1 Anguidae, 3 Teiidae, 3 Amphisbaenidae; Serpentes, 45 (35 Colubridae, 4 Elapidae, 6 Viperidae; Crocodylia (1 Crocodylidae.

  4. Corner rounding in EUV photoresist: tuning through molecular weight, PAG size, and development time

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, Christopher; Daggett, Joe; Naulleau, Patrick

    2009-12-31

    In this paper, the corner rounding bias of a commercially available extreme ultraviolet photoresist is monitored as molecular weight, photoacid generator (PAG) size, and development time are varied. These experiments show that PAG size influences corner biasing while molecular weight and development time do not. Large PAGs are shown to exhibit less corner biasing, and in some cases, lower corner rounding, than small PAGs. In addition, heavier resist polymers are shown to exhibit less corner rounding than lighter ones.

  5. Air Force Dynamic Mechanical Analysis of NATO Round Robin Propellant Testing for Development of AOP-4717

    Science.gov (United States)

    2015-09-23

    Round Robin Propellant Testing for Development of AOP-4717 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S...area code) N/A Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std. 239.18 0 Air Force Dynamic Mechanical Analysis of NATO Round Robin ...the clamps are tight at the coldest temperature. • Long tests such as the frequency sweep sequences prescribed in this round robin may be

  6. Reprogramming of round spermatids by the germinal vesicle cytoplasm in mice.

    Directory of Open Access Journals (Sweden)

    Peng-Cheng Kong

    Full Text Available The birthrate following round spermatid injection (ROSI remains low in current and evidence suggests that factors in the germinal vesicle (GV cytoplasm and certain substances in the GV such as the nucleolus might be responsible for genomic reprogramming and embryonic development. However, little is known whether the reprogramming factors in GV oocyte cytoplasm and/or nucleolus in GV are beneficial to the reprogramming of round spermatids and development of ROSI embryos. Here, round spermatids were treated with GV cytolysates and injected this round spermatid alone or co-injected with GV oocyte nucleolus into mature metaphase II oocytes. Subsequent embryonic development was assessed morphologically and by Oct4 expression in blastocysts. There was no significant difference between experimental groups at the zygote to four-cell development stages. Blastocysts derived from oocytes which were injected with cytolysate treated-round spermatid alone or co-injected with nucleoli injection yielded 63.6% and 70.3% high quality embryos, respectively; comparable to blastocysts derived by intracytoplasmic sperm injection (ICSI, but higher than these oocytes which were co-injected with lysis buffer-treated round spermatids and nucleoli or injected with the lysis buffer-treated round spermatids alone. Furthermore, the proportion of live offspring resulting from oocytes which were co-injected with cytolysate treated-round spermatids and nucleoli or injected with cytolysate treated-round spermatids alone was higher than those were injected with lysis buffer treated-round spermaids, but comparable with the ICSI group. Our results demonstrate that factors from the GV cytoplasm improve round spermatid reprogramming, and while injection of the extra nucleolus does not obviously improve reprogramming its potential contribution, although which cannot be definitively excluded. Thus, some reprogramming factors are evidently present in GV oocyte cytoplasm and could

  7. Minimally invasive surgical technique for tethered surgical drains

    Directory of Open Access Journals (Sweden)

    Shane R Hess

    2017-01-01

    Full Text Available A feared complication of temporary surgical drain placement is from the technical error of accidentally suturing the surgical drain into the wound. Postoperative discovery of a tethered drain can frequently necessitate return to the operating room if it cannot be successfully removed with nonoperative techniques. Formal wound exploration increases anesthesia and infection risk as well as cost and is best avoided if possible. We present a minimally invasive surgical technique that can avoid the morbidity associated with a full surgical wound exploration to remove a tethered drain when other nonoperative techniques fail.

  8. 76 FR 28687 - Proposed Amendment of Class E Airspace; Grand Marais, MN

    Science.gov (United States)

    2011-05-18

    ... Federal Aviation Administration 14 CFR Part 71 Proposed Amendment of Class E Airspace; Grand Marais, MN...: This action proposes to amend Class E airspace at Grand Marais, MN. Additional controlled airspace is... procedures at Grand Marais/Cook County Airport, Grand Marais, MN. Controlled airspace is needed for the...

  9. Existence of 3-round zero-knowledge proof systems for NP

    Institute of Scientific and Technical Information of China (English)

    LI HongDa; LI Bao

    2008-01-01

    This paper considers the existence of 3-round zero-knowledge proof systems for NP. Whether there exist 3-round non-black-box zero-knowledge proof systems for NP language is an open problem. By introducing a new interactive proof model, we con- struct a 3-round zero-knowledge proof system for graph 3-coloring under standard assumptions. Our protocol is a non-black-box zero-knowledge proof because we adopt a special strategy to prove the zero-knowledge property. Consequently, our construction shows the existence of 3-round non-black-box zero-knowledge proof for all languages in NP under the DDH assumption.

  10. Risk Assessment and Analysis of Diversification of China’s Round Wood Import

    Directory of Open Access Journals (Sweden)

    Cheng Baodong

    2015-07-01

    Full Text Available With China’s economic and social development, China’s demand for timber keeps increasing and China’s dependence on round wood import remains high. In this study, the risk change of China’s round wood import was examined in two perspectives, which were the risk and the diversification of China’s round wood import. The study also discussed how to optimize the import structure using quadratic model. Optimization results suggested that import diversification was an important way to reduce the risk of round wood import; China shall adjust its sources of imports to reduce the risk.

  11. Therapeutic Trial for Patients With Ewing Sarcoma Family of Tumor and Desmoplastic Small Round Cell Tumors

    Science.gov (United States)

    2016-08-25

    Desmoplastic Small Round Cell Tumor; Ewing Sarcoma of Bone or Soft Tissue; Localized Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Metastatic Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor

  12. Myelomeningocele (open spina bifida) - surgical management.

    Science.gov (United States)

    Akalan, N

    2011-01-01

    Myelomeningocele has been recognized since ancient times although written descriptions began not before the 17th century. Among all serious congenital malformations, myelomeningocele is unique that is has a steady and considerable prevalence while being compatible with life. It has a dismal prognosis when left untreated where virtually all die within the first year while aggressive treatment have a profound effect on survival and quality of life. Effective surgical treatment became possible parallel to the treatment of hydrocephalus in the late 1950s. Advent of the shunt systems undoubtedly changed the morbidity and mortality rates due to associated hydrocephalus. Aggressive and effective treatment improved survival rates but also those suffering physical and mental disabilities have increased as well. Ethical and socioeconomic concerns have led to proposal for selective treatment criteria which have raised arguments on medical and ethico-legal rounds. After the swing of the pendulum between early treatment in all affected children and selective treatment of those who fulfilled the criteria for good prognosis, early myelomeningocele repair is practiced widely unless the infant is critically ill.Incidence of myelomeningocele has been decreasing especially in the Western world, partly due to prenatal diagnosis and elective terminations, dietary folate supplementation. Still, it is the most common central nervous system malformation and one of the leading causes of paraplegia, worldwide. Unfortunately, gains in the management of myelomeningocele have been mainly on antenatal diagnosis and prevention while efforts on understanding its cause, mechanisms involved are still tentative. Concerning the surgical management, no revolutionary modification improving outcome has been introduced unlike other fields of neurosurgery.Medical management of a child with myelomeningocele requires a lifelong effort of several disciplines including urology, orthopedics physical and social

  13. Surgical scar revision: An overview

    Directory of Open Access Journals (Sweden)

    Shilpa Garg

    2014-01-01

    Full Text Available Scar formation is an inevitable consequence of wound healing from either a traumatic or a surgical intervention. The aesthetic appearance of a scar is the most important criteria to judge the surgical outcome. An understanding of the anatomy and wound healing along with experience, meticulous planning and technique can reduce complications and improve the surgical outcome. Scar revision does not erase a scar but helps to make it less noticeable and more acceptable. Both surgical and non-surgical techniques, used either alone or in combination can be used for revising a scar. In planning a scar revision surgeon should decide on when to act and the type of technique to use for scar revision to get an aesthetically pleasing outcome. This review article provides overview of methods applied for facial scar revision. This predominantly covers surgical methods.

  14. Enterotoxemia em caprinos no Rio Grande do Sul Caprine enterotoxaemia in Rio Grande do Sul, Brazil

    Directory of Open Access Journals (Sweden)

    Edson M. Colodel

    2003-12-01

    Full Text Available São descritos surtos de enterotoxemia em caprinos em cinco propriedades no Estado do Rio Grande do Sul. Os animais afetados eram, normalmente, encontrados mortos ou apresentavam evolução aguda de 2 a 3 horas com acentuada depressão, cólicas abdominais e diarréia profusa com fibrina. Em duas propriedades relataram-se casos com a evolução de até 12 horas. Em treze animais necropsiados observaram-se aumento de líquidos nas cavidades abdominal, torácica e pericárdica, congestão e hiperemia da serosa e mucosa do intestino, conteúdo do cólon líquido com fibrina além de hemorragias de serosa e fibrina. Em um animal constatou-se microangiopatia cerebral caracterizada por acúmulo de material homogêneo e eosinofílico no espaço perivascular. No conteúdo intestinal, colônias com bastonetes morfológica e bioquimicamente sugestivos de Clostridium perfringens foram caracterizadas no estudo bacteriológico. A soroneutralização em camundongos com conteúdo intestinal dos animais afetados, revelou a presença da toxina épsilon. Estes achados evidenciam a enterotoxemia como doença de importância para criação de caprinos no Rio Grande do Sul.Five outbreaks of caprine enterotoxaemia in Rio Grande do Sul, Brazil, were studied. The animals were found dead or had a clinical course that usually lasted 2-3 hours. From two farms a clinical manifestation period of 12 hours was reported. Clinical signs were characterized by depression, marked abdominal discomfort, profuse watery diarrhea with fibrin clots, and death. Thirteen necropsies were performed and hydropericardium, hydrothorax and hydroperitoneum were commonly found. The mucosa and serosa of the colon were congested, and its contents was watery with multiple fibrin clots. Serosal hemorrhages and fibrin clots in the gallbladder were also seen. Fibrinous colitis and thyphilitis were the most frequent histological changes. Cerebral microangiopathy was observed in one case, which was

  15. Cassini's Grand Finale: The Final Orbits

    Science.gov (United States)

    Spilker, Linda; Edgington, Scott

    2016-04-01

    The Cassini-Huygens mission, a joint collaboration between NASA, ESA and the Italian Space Agency, is approaching its last year of operations after nearly 12 years in orbit around Saturn. Cassini will send back its final bits of unique data on September 15th, 2017 as it plunges into Saturn's atmosphere, vaporizing and satisfying planetary protection requirements. Before that time Cassini will continue its legacy of exploration and discovery with 12 close flybys of Titan in 2016 and 2017 that will return new science data as well as sculpt the inclinations and periods of the final orbits. Even though all of our close icy satellite flybys, including those of Enceladus, are now completed, numerous Voyager-class flybys (summer solstice approaches. In November 2016 Cassini will transition to a series of orbits with peripases just outside Saturn's F ring. These 20 orbits will include close flybys of some tiny ring moons and excellent views of the F ring and outer A ring. The 126th and final close flyby of Titan will propel Cassini across Saturn's main rings and into its final orbits. Cassini's Grand Finale, starting in April 2017, is comprised of 22 orbits at an inclination of 63 degrees. Cassini will repeatedly dive between the innermost rings and the upper atmosphere of the planet providing insights into fundamental questions unattainable during the rest of the mission. Cassini will be the first spacecraft to explore this region. These close orbits provide the highest resolution observations of both the rings and Saturn, and direct in situ sampling of the ring particles, composition, plasma, Saturn's exosphere and the innermost radiation belts. Saturn's gravitational field will be measured to unprecedented accuracy, providing information on the interior structure of the planet, winds in the outer layers of Saturn's atmosphere, and the mass distribution in the rings. Probing the magnetic field will give insight into the nature of the magnetic dynamo, telling us: why the

  16. Cassini's Grand Finale and Recent Science Highlights

    Science.gov (United States)

    Spilker, Linda J.

    2017-06-01

    After almost 13 years in Saturn orbit, the Cassini-Huygens mission has entered its final year of data collection. Cassini will return its final bits of unique data on 15 September 2017 as it plunges into Saturn’s atmosphere, vaporizing and satisfying planetary protection requirements.Since early 2016 Cassini’s orbital inclination was slowly increased towards its final inclination. In November Cassini transitioned to a series of 20 orbits with periapses just outside Saturn's F ring that included some of the closest flybys of the tiny ring moons and excellent views of the F ring and outer A ring.Cassini's final close flyby of Titan in April 2017 propelled it across Saturn’s main rings and into its final orbits. Cassini's Grand Finale began in April 2017 and is comprised of 22 orbits at an inclination of 63 degrees. Cassini is repeatedly diving between the innermost ring and Saturn's upper atmosphere providing insights into fundamental questions unattainable during the rest of the mission. It is the first spacecraft to explore this region.These close orbits provide the highest resolution observations of both the rings and Saturn, and direct in situ sampling of the ring particles' composition, plasma, Saturn's exosphere and the innermost radiation belts. Saturn's gravitational field will be measured to unprecedented accuracy, providing information on Saturn's interior structure and mass distribution in the rings. Probing the magnetic field will give insight into the nature of the magnetic dynamo and the true rotation rate of Saturn's interior. The ion and neutral mass spectrometer will sniff the exosphere and upper atmosphere and examine water-based molecules originating from the rings. The cosmic dust analyzer will sample particle composition from different parts of the main rings.Recent science highlights and science objectives from Cassini’s final orbits will be discussed.This work was carried out in part at the Jet Propulsion Laboratory, California

  17. 3D View of Grand Canyon, Arizona

    Science.gov (United States)

    2000-01-01

    The Grand Canyon is one of North America's most spectacular geologic features. Carved primarily by the Colorado River over the past six million years, the canyon sports vertical drops of 5,000 feet and spans a 445-kilometer-long stretch of Arizona desert. The strata along the steep walls of the canyon form a record of geologic time from the Paleozoic Era (250 million years ago) to the Precambrian (1.7 billion years ago).The above view was acquired by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) instrument aboard the Terra spacecraft. Visible and near infrared data were combined to form an image that simulates the natural colors of water and vegetation. Rock colors, however, are not accurate. The image data were combined with elevation data to produce this perspective view, with no vertical exaggeration, looking from above the South Rim up Bright Angel Canyon towards the North Rim. The light lines on the plateau at lower right are the roads around the Canyon View Information Plaza. The Bright Angel Trail, which reaches the Colorado in 11.3 kilometers, can be seen dropping into the canyon over Plateau Point at bottom center. The blue and black areas on the North Rim indicate a forest fire that was smoldering as the data were acquired on May 12, 2000.Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of International Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products. Dr. Anne Kahle at NASA's Jet Propulsion Laboratory, Pasadena, Calif., is the U.S. Science team leader; Moshe Pniel of JPL is the project manager. ASTER is the only high resolution imaging sensor on Terra. The primary goal of the ASTER mission is to obtain high-resolution image data in 14 channels over the entire land surface, as

  18. Tophi - surgical treatment.

    Science.gov (United States)

    Słowińska, Iwona; Słowiński, Radosław; Rutkowska-Sak, Lidia

    2016-01-01

    Gout is an inflammatory joint disease associated with deposition of monosodium urate crystals in the bones forming the joints, in periarticular tissues and in other organs. The disease is one of the most frequent causes of disability. This paper presents the case of a 57-year-old male patient treated for generalised gout. A "clinical mask" suggesting another disease was the cause of making the correct diagnosis only six years after the occurrence of the first manifestations. The patient, with high values of inflammatory markers, severe pain and advanced joint destruction, was given an aggressive anti-inflammatory treatment. The unsatisfactory effect of the conservative treatment forced the authors to perform surgical resection of the gouty nodules in the hands. After several operations the function of the hand joints operated on, appearance of the hands and the quality of the patient's life improved significantly.

  19. Tophi – surgical treatment

    Science.gov (United States)

    Słowińska, Iwona; Słowiński, Radosław

    2016-01-01

    Gout is an inflammatory joint disease associated with deposition of monosodium urate crystals in the bones forming the joints, in periarticular tissues and in other organs. The disease is one of the most frequent causes of disability. This paper presents the case of a 57-year-old male patient treated for generalised gout. A “clinical mask” suggesting another disease was the cause of making the correct diagnosis only six years after the occurrence of the first manifestations. The patient, with high values of inflammatory markers, severe pain and advanced joint destruction, was given an aggressive anti-inflammatory treatment. The unsatisfactory effect of the conservative treatment forced the authors to perform surgical resection of the gouty nodules in the hands. After several operations the function of the hand joints operated on, appearance of the hands and the quality of the patient’s life improved significantly. PMID:27994273

  20. Neuronavigation. Principles. Surgical technique.

    Science.gov (United States)

    Ivanov, Marcel; Ciurea, Alexandru Vlad

    2009-01-01

    Neuronavigation and stereotaxy are techniques designed to help neurosurgeons precisely localize different intracerebral pathological processes by using a set of preoperative images (CT, MRI, fMRI, PET, SPECT etc.). The development of computer assisted surgery was possible only after a significant technological progress, especially in the area of informatics and imagistics. The main indications of neuronavigation are represented by the targeting of small and deep intracerebral lesions and choosing the best way to treat them, in order to preserve the neurological function. Stereotaxis also allows lesioning or stimulation of basal ganglia for the treatment of movement disorders. These techniques can bring an important amount of confort both to the patient and to the neurosurgeon. Neuronavigation was introduced in Romania around 2003, in four neurosurgical centers. We present our five-years experience in neuronavigation and describe the main principles and surgical techniques.