WorldWideScience

Sample records for suspects count miles

  1. Four square mile survey pair count instructions

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This standard operating procedure (SOP) provides guidance for conducting bird pair count measurements on wetlands for the HAPETs Four-Square-Mile survey. This set of...

  2. [Four-Square-Mile Pair Count Instruction Presentation : Chase Lake National Wildlife Refuge : 2008

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This informal presentation outlines the basics of conducting pair counts in support of the Habitat Population and Evaluation Team's (HAPET) Four-Square-Mile Survey....

  3. Predictive value of the corrected TIMI frame count in patients with suspected angina pectoris but no obstructive coronary artery disease at angiography

    DEFF Research Database (Denmark)

    Jespersen, Lasse; Abildstrøm, Steen Z; Peña, Adam

    2014-01-01

    AIMS: To evaluate whether the corrected thrombolysis in myocardial infarction frame count (CTFC), an index of resting coronary blood flow, is associated with the risk of major adverse cardiovascular events (MACE) in patients with suspected stable angina pectoris (SAP) but no obstructive coronary...

  4. Use of the lymphocyte count as a diagnostic screen in adults with suspected Epstein-Barr virus infectious mononucleosis.

    Science.gov (United States)

    Biggs, Timothy C; Hayes, Stephen M; Bird, Jonathan H; Harries, Philip G; Salib, Rami J

    2013-10-01

    To evaluate the predictive diagnostic accuracy of the lymphocyte count in Epstein-Barr virus-related infectious mononucleosis (IM). Retrospective case note and blood results review within a university-affiliated teaching hospital. A retrospective review of 726 patients undergoing full blood count and Monospot testing was undertaken. Monospot testing outcomes were compared with the lymphocyte count, examining for significant statistical correlations. With a lymphocyte count of ≤4 × 10(9) /L, 99% of patients had an associated negative Monospot result (sensitivity of 84% and specificity of 94%). A group subanalysis of the population older than 18 years with a lymphocyte count ≤4 × 10(9) /L revealed that 100% were Monospot negative (sensitivity of 100% and specificity of 97%). A lymphocyte count of ≤4 × 10(9) /L correlated significantly with a negative Monospot result. A lymphocyte count of ≤4 × 10(9) /L appears to be a highly reliable predictor of a negative Monospot result, particularly in the population aged >18 years. Pediatric patients, and adults with strongly suggestive symptoms and signs of IM, should still undergo Monospot testing. However, in adults with more subtle symptoms and signs, representing the vast majority, Monospot testing should be restricted to those with a lymphocyte count >4 × 10(9) /L. NA Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  5. John Miles

    African Journals Online (AJOL)

    Tom

    en waardeur die persoonlike belange en dié van die groep in botsing kom. Hierdie besigwees met die stadswêreld het Miles eenkant gelos toe 'n nuwe kwessie hom begin interesseer het. “Ek is in dié tyd geraak deur die jongste vorm van die verstrooiing onder ons mense – 'n mens dink dat met. 'n nuwe grondwet en nuwe ...

  6. Colorado River Mile System, Tenths of Miles

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This coverage contains points representing tenth of miles in the GCMRC river mile system. The points fall along the centerline of the Colorado River from Glen Canyon...

  7. Diagnostic accuracy of procalcitonin, neutrophil-lymphocyte count ratio, C-reactive protein, and lactate in patients with suspected bacterial sepsis.

    Science.gov (United States)

    Ljungström, Lars; Pernestig, Anna-Karin; Jacobsson, Gunnar; Andersson, Rune; Usener, Barbara; Tilevik, Diana

    2017-01-01

    Early recognition is a key factor to achieve improved outcomes for septic patients. Combinations of biomarkers, as opposed to single ones, may improve timely diagnosis and survival. We investigated the performance characteristics of sepsis biomarkers, alone and in combination, for diagnosis of verified bacterial sepsis using Sepsis-2 and Sepsis-3 criteria, respectively. Procalcitonin (PCT), neutrophil-lymphocyte count ratio (NLCR), C-reactive protein (CRP), and lactate were determined in a total of 1,572 episodes of adult patients admitted to the emergency department on suspicion of sepsis. All sampling were performed prior to antibiotic administration. Discriminant analysis was used to construct two composite biomarkers consisting of linear combinations of the investigated biomarkers, one including three selected biomarkers (i.e., NLCR, CRP, and lactate), and another including all four (i.e., PCT, NLCR, CRP, and lactate). The diagnostic performances of the composite biomarkers as well as the individual biomarkers were compared using the area under the receiver operating characteristic curve (AUC). For diagnosis of bacterial sepsis based on Sepsis-3 criteria, the AUC for PCT (0.68; 95% CI 0.65-0.71) was comparable to the AUCs for the both composite biomarkers. Using the Sepsis-2 criteria for bacterial sepsis diagnosis, the AUC for the NLCR (0.68; 95% CI 0.65-0.71) but not for the other single biomarkers, was equal to the AUCs for the both composite biomarkers. For diagnosis of severe bacterial sepsis or septic shock based on the Sepsis-2 criteria, the AUCs for both composite biomarkers were significantly greater than those of the single biomarkers (0.85; 95% CI 0.82-0.88 for the composite three-biomarker, and 0.86; 95% CI 0.83-0.89 for the composite four-biomarker). Combinations of biomarkers can improve the diagnosis of verified bacterial sepsis in the most critically ill patients, but in less severe septic conditions either the NLCR or PCT alone exhibit

  8. Spooky Suspects

    Science.gov (United States)

    Pacifici, Lara

    2011-01-01

    This activity presents an option for covering biology content while engaging students in an investigation that highlights the spirit of Halloween. Students are engaged in the story line and have fun trying to solve the mystery kidnapping by using science skills to examine the evidence and eliminate some ghoulish suspects. (Contains 1 figure.)

  9. Émile Ajar

    Directory of Open Access Journals (Sweden)

    Claudia Almeida

    2016-07-01

    Full Text Available Gros-Câlin, o texto inaugural de Émile Ajar, pseudônimo de Romain Gary, mostra o percurso do narrador, personagem fortemente marcado pela incapacidade de estabelecer comunicação com o mundo, em busca de um (renascimento que lhe permita instituir seu lugar de fala. As tentativas de metamorfose do personagem, que destacam seu protesto contido e sisifístico, remetem ao surgimento do novo autor, Émile Ajar, e à revolta loquaz e bem-sucedida de Romain Gary. O embuste, aparentemente não premeditado, torna-se o avatar explicitamente desejado.

  10. Miles Hand Grenade

    Science.gov (United States)

    Harrington, John J.; Buttz, James H.; Maish, Alex B.; Page, Ray R.; Metcalf, Herbert E.

    2005-11-15

    A simulated grenade for MILES-type simulations generates a unique RF signal and a unique audio signal. A detector utilizes the time between receipt of the RF signal and the slower-traveling audio signal to determine the distance between the detector and the simulated grenade.

  11. Diabetes MILES--The Netherlands

    DEFF Research Database (Denmark)

    Nefs, Giesje; Bot, Mariska; Browne, Jessica L

    2012-01-01

    BACKGROUND: As the number of people with diabetes is increasing rapidly worldwide, a more thorough understanding of the psychosocial aspects of living with this condition has become an important health care priority. While our knowledge has grown substantially over the past two decades with respect...... to the physical, emotional and social difficulties that people with diabetes may encounter, many important issues remain to be elucidated. Under the umbrella of the Diabetes MILES (Management and Impact for Long-term Empowerment and Success) Study International Collaborative, Diabetes MILES--The Netherlands aims...... to examine how Dutch adults with diabetes manage their condition and how it affects their lives. Topics of special interest in Diabetes MILES--The Netherlands include subtypes of depression, Type D personality, mindfulness, sleep and sexual functioning. METHODS/DESIGN: Diabetes MILES--The Netherlands...

  12. Three Mile Island Accident Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Three Mile Island Accident Data consists of mostly upper air and wind observations immediately following the nuclear meltdown occurring on March 28, 1979, near...

  13. Food miles to assess sustainability: A revision

    OpenAIRE

    Van Passel, Steven

    2013-01-01

    Sustainability assessment is an essential process in our aim to reach a more sustainable production and consumption pattern. This research revises the food miles concept as a guiding tool to assess sustainability. Food miles measure the distance that food travels from where it is grown or raised to where it is consumed. Three different concepts to assess sustainability are described: (i) food miles, (ii) enhanced food miles, (iii) food chain sustainability. An illustrative case study shows th...

  14. Seal Counts

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Database of seal counts from aerial photography. Counts by image, site, species, and date are stored in the database along with information on entanglements and...

  15. Counting carbohydrates

    Science.gov (United States)

    Carb counting; Carbohydrate-controlled diet; Diabetic diet; Diabetes-counting carbohydrates ... Many foods contain carbohydrates (carbs), including: Fruit and fruit juice Cereal, bread, pasta, and rice Milk and milk products, soy milk Beans, legumes, ...

  16. Welfare Effects of Food Miles Labels

    OpenAIRE

    Caputo, Vincenzina; Vassilopoulos, Achilleas; Nayga, Rodolfo M., Jr.; Canavari, Maurizio

    2010-01-01

    We assessed the consumer welfare effects of two generic food miles labels: carbon dioxide (CO2) emission label and number of miles label. Using data from a choice experiment, our results generally suggest that a mandatory labeling policy for either type of label would have a positive welfare effect on both informed and uninformed consumers. However, a label informing consumers about the number of miles the food product has travelled provides greater positive welfare effects than a label infor...

  17. Counting cormorants

    DEFF Research Database (Denmark)

    Bregnballe, Thomas; Carss, David N; Lorentsen, Svein-Håkon

    2013-01-01

    This chapter focuses on Cormorant population counts for both summer (i.e. breeding) and winter (i.e. migration, winter roosts) seasons. It also explains differences in the data collected from undertaking ‘day’ versus ‘roost’ counts, gives some definitions of the term ‘numbers’, and presents two e...

  18. Multiplicity Counting

    Energy Technology Data Exchange (ETDEWEB)

    Geist, William H. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-12-01

    This set of slides begins by giving background and a review of neutron counting; three attributes of a verification item are discussed: 240Pueff mass; α, the ratio of (α,n) neutrons to spontaneous fission neutrons; and leakage multiplication. It then takes up neutron detector systems – theory & concepts (coincidence counting, moderation, die-away time); detector systems – some important details (deadtime, corrections); introduction to multiplicity counting; multiplicity electronics and example distributions; singles, doubles, and triples from measured multiplicity distributions; and the point model: multiplicity mathematics.

  19. Tower counts

    Science.gov (United States)

    Woody, Carol Ann; Johnson, D.H.; Shrier, Brianna M.; O'Neal, Jennifer S.; Knutzen, John A.; Augerot, Xanthippe; O'Neal, Thomas A.; Pearsons, Todd N.

    2007-01-01

    Counting towers provide an accurate, low-cost, low-maintenance, low-technology, and easily mobilized escapement estimation program compared to other methods (e.g., weirs, hydroacoustics, mark-recapture, and aerial surveys) (Thompson 1962; Siebel 1967; Cousens et al. 1982; Symons and Waldichuk 1984; Anderson 2000; Alaska Department of Fish and Game 2003). Counting tower data has been found to be consistent with that of digital video counts (Edwards 2005). Counting towers do not interfere with natural fish migration patterns, nor are fish handled or stressed; however, their use is generally limited to clear rivers that meet specific site selection criteria. The data provided by counting tower sampling allow fishery managers to determine reproductive population size, estimate total return (escapement + catch) and its uncertainty, evaluate population productivity and trends, set harvest rates, determine spawning escapement goals, and forecast future returns (Alaska Department of Fish and Game 1974-2000 and 1975-2004). The number of spawning fish is determined by subtracting subsistence, sport-caught fish, and prespawn mortality from the total estimated escapement. The methods outlined in this protocol for tower counts can be used to provide reasonable estimates ( plus or minus 6%-10%) of reproductive salmon population size and run timing in clear rivers. 

  20. Pediatric glaucoma suspects

    Directory of Open Access Journals (Sweden)

    Kooner K

    2014-06-01

    Full Text Available Karanjit Kooner,1 Matthew Harrison,1 Zohra Prasla,1 Mohannad Albdour,1 Beverley Adams-Huet21Department of Ophthalmology, 2Department of Clinical Sciences, Division of Biostatistics, University of Texas Southwestern Medical Center, Dallas, TX, USAPurpose: To report demographic and ocular features of pediatric glaucoma suspects in an ethnically diverse population of North Central Texas.Design: Retrospective cross-sectional chart review.Participants: Subjects included 75 (136 eyes pediatric glaucoma suspects. Patients with one or more of the following risk factors were included: cup-to disc (C/D ratio of ≥0.6; intraocular pressure (IOP ≥21 mmHg; family history of glaucoma; congenital glaucoma in the opposite eye; history of blunt trauma to either eye; and presence of either Sturge–Weber or Axenfeld–Rieger syndrome, or oculodermal melanocytosis.Methods: Data were extracted from electronic patient medical records. Patient records with incomplete data were excluded. The main outcome measures were race, sex, age, IOP, C/D, family history of glaucoma; and glaucoma treatment.Results: Subjects included 28 (37.3% Hispanics, 20 (26.6% African Americans, 20 (26.6% Caucasians, and seven (9.3% Asians. Forty (53.3% of the patients were male. Suspicious optic disc was seen in 57 (76%; elevated IOP in 25 (33.3%; presence of family history in 13 (17.3%, and Sturge–Weber syndrome in nine (12% patients. The average C/D ratio was 0.58±0.2. The C/D ratios of African American (0.65±0.2, Hispanic (0.63±0.2, and Asian (0.62±0.15 patients were significantly greater than those of Caucasians (0.43±0.18; P=0.0004, 0.0003, and 0.0139, respectively. Caucasian patients were the youngest (7.9±4.8 years. Eleven cases (14.7% required medication.Conclusion: Thirty-three point seven percent of patients seen in the glaucoma clinic were glaucoma suspects. The most common risk factors for suspected glaucoma were suspicious optic discs, elevated IOP, and family history

  1. Counting Penguins.

    Science.gov (United States)

    Perry, Mike; Kader, Gary

    1998-01-01

    Presents an activity on the simplification of penguin counting by employing the basic ideas and principles of sampling to teach students to understand and recognize its role in statistical claims. Emphasizes estimation, data analysis and interpretation, and central limit theorem. Includes a list of items for classroom discussion. (ASK)

  2. Technology and the Glaucoma Suspect

    National Research Council Canada - National Science Library

    Blumberg, Dana M; De Moraes, Carlos Gustavo; Liebmann, Jeffrey M; Garg, Reena; Chen, Cynthia; Theventhiran, Alex; Hood, Donald C

    2016-01-01

    ...), stereoscopic disc photographs, and automated perimetry as assessed by a group of glaucoma specialists in differentiating individuals with early glaucoma from suspects. Forty-six eyes (46 patients...

  3. Counting Possibilia

    Directory of Open Access Journals (Sweden)

    Alfredo Tomasetta

    2010-06-01

    Full Text Available Timothy Williamson supports the thesis that every possible entity necessarily exists and so he needs to explain how a possible son of Wittgenstein’s, for example, exists in our world:he exists as a merely possible object (MPO, a pure locus of potential. Williamson presents a short argument for the existence of MPOs: how many knives can be made by fitting together two blades and two handles? Four: at the most two are concrete objects, the others being merely possible knives and merely possible objects. This paper defends the idea that one can avoid reference and ontological commitment to MPOs. My proposal is that MPOs can be dispensed with by using the notion of rules of knife-making. I first present a solution according to which we count lists of instructions - selected by the rules - describing physical combinations between components. This account, however, has its own difficulties and I eventually suggest that one can find a way out by admitting possible worlds, entities which are more commonly accepted - at least by philosophers - than MPOs. I maintain that, in answering Williamson’s questions, we count classes of physically possible worlds in which the same instance of a general rule is applied.

  4. Émile Durkheims politiske teori

    DEFF Research Database (Denmark)

    Harste, Gorm

    2009-01-01

    Émile Durkheim skabte en af de mest koherænte teorier om moderne samfunds udvikling og ikke mindst om udviklinger i stat og demokrati. Demokrati defineres som deliberativt demokrati, dvs. at demokrati ikke skal forstås blot som flertalsstyre, men som kommunikationen i forhandlingerne om samfundets...

  5. 78 FR 35567 - Safety Zone; Lower Mississippi River, Mile Marker 219 to Mile Marker 229, in the Vicinity of Port...

    Science.gov (United States)

    2013-06-13

    ... Captain of the Port, New Orleans has implemented a safety zone from mile marker 219 to mile marker 225... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Lower Mississippi River, Mile Marker 219 to Mile Marker 229, in the Vicinity of Port Allen Lock AGENCY: Coast Guard, DHS. ACTION: Temporary final...

  6. "Employability-miles" and worker employability awareness

    OpenAIRE

    Gerards, R.; de Grip, A.; Witlox, M.A.

    2012-01-01

    This article studies the use and impact of a firm-sponsored training ("Employability-miles") voucher scheme that aims to stimulate employees to develop a more active attitude toward their own employability. Using data from two surveys of the firm's workforce, we find that voucher use is related to various personality traits and personal characteristics. In particular, a worker's ambition, goal setting, and education level are positively related to voucher use. In addition, women and those wit...

  7. Getting miles away from Terman: Did the CRPS fund Catharine Cox Miles's unsilenced psychology of sex?

    Science.gov (United States)

    Hegarty, Peter

    2012-08-01

    Psychologist Catharine Cox Miles (1890-1984) is often remembered as the junior author, with Lewis Terman, of Sex and Personality. Written with support from the Committee for Research on the Problems of Sex (CRPS), Sex and Personality introduced the "masculinity-femininity" personality measure to psychology in 1936. Miles has been overlooked by some historians and constructed as a silent, indirect feminist by others. Private letters show that Terman and Miles had different assumptions about the need for library research work to precede the empirical work for Sex and Personality. Miles's 1935 chapter on the "Social Psychology of Sex" shows that her theoretical formulation of sex differed from Terman's in its emphasis on female embodiment, respect for the emerging tradition of the sex survey, and its opinions about the determinants of marital happiness, and the variability of intelligence. Ironically, CRPS monies wired to Terman may have funded Miles to develop this early formulation of the psychology of sex. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

  8. Fair Miles? The concept of 'food miles' through a sustainable development lens

    Energy Technology Data Exchange (ETDEWEB)

    MacGregor, James; Vorley, Bill

    2006-10-15

    The concept of 'food miles' presents an argument to buy goods which have travelled the shortest distance from farm to table, and to discriminate against long-haul transportation, especially air-freighted goods. The long-distance transport of food is associated with additional emissions due to increased transportation coupled with greater packaging, as well as a disconnection between the public and local farming. Furthermore, 'food miles' encapsulates (and is at the vanguard of) the climate change debate in the UK. In light of growing international concern over the speed and scale of climate change, the concept of 'food miles' has captured public attention and apparently is changing some consumers' behaviour, although only around one-third of shoppers know of the concept.

  9. 76 FR 60733 - Safety Zone; Mississippi River, Mile Marker 230 to Mile Marker 234, in the Vicinity of Baton...

    Science.gov (United States)

    2011-09-30

    .... Basis and Purpose The Captain of the Port New Orleans has implemented a safety zone from mile marker 230... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Mississippi River, Mile Marker 230 to Mile Marker 234, in the Vicinity of Baton Rouge, LA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule...

  10. 75 FR 59620 - Natchez Fireworks Safety Zone; Lower Mississippi River, Mile Marker 365.5 to Mile Marker 363...

    Science.gov (United States)

    2010-09-28

    ..., Mile Marker 365.5 to Mile Marker 363, Natchez, MS AGENCY: Coast Guard, DHS. ACTION: Temporary final... Mississippi River from mile marker 365.5 to 363 extending the entire width of the river. This safety zone is... W12-140, 1200 New Jersey Avenue, SE., Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through...

  11. Entiat 4Mile WELLs Completion Report, 2006.

    Energy Technology Data Exchange (ETDEWEB)

    Malinowksi, Richard

    2007-01-01

    The Entiat 4-mile Wells (Entiat 4-mile) project is located in the Entiat subbasin and will benefit Upper Columbia steelhead, spring Chinook and bull trout. The goal of this project is to prevent juvenile fish from being diverted into an out-of-stream irrigation system and to eliminate impacts due to the annual maintenance of an instream pushup dam. The objectives include eliminating a surface irrigation diversion and replacing it with two wells, which will provide Bonneville Power Administration (BPA) and the Bureau of Reclamation (Reclamation) with a Federal Columbia River Power System (FCRPS) BiOp metric credit of one. Wells were chosen over a new fish screen based on biological benefits and costs. Long-term biological benefits are provided by completely eliminating the surface diversion and the potential for fish entrainment in a fish screen. Construction costs for a new fish screen were estimated at $150,000, which does not include other costs associated with implementing and maintaining a fish screening project. Construction costs for a well were estimated at $20,000 each. The diversion consisted of a pushup dam that diverted water into an off-channel pond. Water was then pumped into a pressurized system for irrigation. There are 3 different irrigators who used water from this surface diversion, and each has multiple water right claims totaling approximately 5 cfs. Current use was estimated at 300 gallons per minute (approximately 0.641 cfs). Some irrigated acreage was taken out of orchard production less than 5 years ago. Therefore, approximately 6.8 acre-feet will be put into the State of Washington Trust Water Right program. No water will be set aside for conservation savings. The construction of the two irrigation wells for three landowners was completed in September 2006. The Lower Well (Tippen/Wick) will produce up to 175 gpm while the Upper Well (Griffith) will produce up to 275 gpm during the irrigation season. The eight inch diameter wells were

  12. Memories of MilesMiles Blackwell and his contribution to South African librarianship

    Directory of Open Access Journals (Sweden)

    A.S.C. Hooper

    2010-01-01

    Full Text Available The contribution of BH Blackwell (BHB, and specifically of Miles Blackwell, to the development of libraries and librarians in South Africa is explored based on available literature sources and personal reminiscences. This article tells how Miles was true to his personal values and how he demonstrated his integrity in the exercise of his office. Miles integrated in his mind the history of the “firm” of BHB and the times that it lived though with his sense of his responsibility to his customers. He was prepared to stand up against enormous political pressure from his peers in Europe and North America, and perhaps his fellow board members in BHB, to make sure that the channels of published information flow remained open to his customers in South Africa. The value of books and information was what he believed in. His service to his customers in South Africa reflected the self-sacrificing service ethic that he understood to be the essence of the family firm of which he had the great privilege of leading. He contributed to the development of the new, post-apartheid South Africa by ensuring that the people who needed the enlightened word to become part of the global society, benefited by what he had done.

  13. Counting and Arithmetic of the Inca

    Directory of Open Access Journals (Sweden)

    Ximena Catepillán

    2012-08-01

    Full Text Available The Inca Empire - the greatest pre-Columbian empire on the American continent - extended from Ecuador to central Chile for more than five thousand miles. Its capital was Cuzco established in the high Peruvian Andes. This highly advanced civilization developed a counting system used to run the empire - in particular, to build the 14,000 mile road structure and monumental architecture. Some of the algorithms believed to be used by the Inca to do computations using a yupana, an ancient calculating device, will be presented, as well as classroom activities for the course “Mathematics in Non-European Cultures” for non Mathematics and Science majors offered at Millersville University of Pennsylvania.

  14. Clean Hands Count

    Medline Plus

    Full Text Available ... Queue __count__/__total__ Find out why Close Clean Hands Count Centers for Disease Control and Prevention (CDC) ... intended to promote or encourage adherence to CDC hand hygiene recommendations. It is a component of the ...

  15. Clean Hands Count

    Medline Plus

    Full Text Available ... Like this video? Sign in to make your opinion count. Sign in 117 2 Don't like this video? Sign in to make your opinion count. Sign in 3 Loading... Loading... Transcript The ...

  16. Clean Hands Count

    Medline Plus

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  17. Miles better? how 'fair miles' stack up in the sustainable supermarket

    Energy Technology Data Exchange (ETDEWEB)

    Garside, Ben; MacGregor, James; Vorley, Bill

    2007-12-15

    In 2007, 'food miles' shot to the top of consumer concerns in the UK. Buying goods that took the shortest route from farm to table was widely seen as a way of shrinking carbon footprints. This left airfreighted produce singled out as the epitome of unsustainable consumption, and some UK retailers began to label flown items such as green beans from Kenya. Yet looking at the bigger picture, fresh produce airfreighted from Africa accounts for less than 0.1 per cent of UK emissions, and per capita emissions from sub-Saharan Africa are minuscule compared to those in industrialised countries. Against this background are the million-plus African livelihoods supported by growing the produce. Within the grocery supply chain the time is ripe for 'fair miles' — a working idea that puts development in the South on the environmental agenda, and allows UK retailers a more balanced response on behalf of their millions of customers.

  18. Development of an Evaluation Model and Training Program for the Multiple Integrated Laser Engagement System (MILES): Phase 1

    Science.gov (United States)

    1976-10-01

    elements counted in number 1 above . It would also include the current chain of command and provide a listing of key personnel still remaining in the...performance. The procedures described above are specifically for REALTRAIN and not MILES, but much of the same information may also be gathered during...end of the exercise. The tank was located at the road junction southwest of FOXTROT, the dismounted infantry had taken positions in the treeline just

  19. Automated differential leukocyte counts.

    Science.gov (United States)

    Morse, E E; Nashed, A; Spilove, L

    1989-01-01

    Automated differential counts have the advantage of precision, efficiency, safety, and economy. They could potentially serve effectively in 90 percent of patients with normal counts or in 75 percent of patients with anemia only (64 percent of the total in this study). Even patients with increased white blood cell counts and major population shifts (toward granulocytes or lymphocytes) could be followed with automated differential counts. Such a tactic would decrease turnaround time for results, be less expensive, and reduce exposure of technologists to direct contact with patients' blood. However, presently available instruments fail to detect patients' blood samples with small numbers of abnormal cells, e.g., blasts in early relapse of acute leukemia, atypical lymphocytes in viral diseases such as infectious mononucleosis, eosinophils in allergic or parasitic disease, and band forms in early infectious diseases. Clinical judgment should be used in selectively ordering manual differential counts for these patients. While automated differential counts can be very useful in screening general medical and surgical patients in the ambulatory setting, in referral centers where hematologic abnormalities are more prevalent, the manual differential count and further examination of a smear is particularly necessary at least on initial presentation. Selective manual differential counts may improve efficiency, economy, and safety while not compromising patient care. Further studies of the correlation of clinical disease with automated differential counts are necessary.

  20. Health Physics counting room

    CERN Multimedia

    CERN PhotoLab

    1970-01-01

    The Health Physics counting room, where the quantity of induced radioactivity in materials is determined. This information is used to evaluate possible radiation hazards from the material investigated.

  1. Health effects of the nuclear accident at Three Mile Island

    Energy Technology Data Exchange (ETDEWEB)

    Fabrikant, J.I.

    1980-05-01

    Between March 28 and April 15, 1979 the collective dose resulting from the radioactivity released to the population living within a 50-mile radius of the Three Mile Island nuclear plant was about 2000 person-rems, less than 1% of the annual natural background level. The average dose to a person living within 5 miles of the nuclear plant was less than 10% of annual background radiation. The maximum estimated radiation dose received by any one individual in the general population (excluding the nuclear plant workers) during the accident was 70 mrem. The doses received by the general population as a result of the accident were so small that there will be no detectable additional cases of cancer, developmental abnormalities, or genetic ill-health. Three Three Mile Island nuclear workers received radiation doses of about 3 to 4 rem, exceeding maximum permissible quarterly dose of 3 rem. The major health effect of the accident at Three Mile Island was that of a pronounced demoralizing effect on the general population in the Three Mile Island area, including teenagers and mothers of preschool children and the nuclear plant workers. However, this effect proved transient in all groups studied except the nuclear workers.

  2. Suspected levamisole intoxication in calves.

    Science.gov (United States)

    Müller, K R; Dwyer, C

    2016-07-01

    A group of 32 Friesian and four Hereford calves, 3-4 months old with body weights between 100-120 kg, were purchased from a weaner sale. On arrival at the property the Hereford calves were treated with a combination anthelmintic containing 2 g/L abamectin and 80 g/L levamisole hydrochloride. Shortly afterwards they developed tremors and frothing from the mouth, and two died overnight. The Friesian calves were treated with the same anthelmintic on the following day, when some showed hypersalivation and frothing from the mouth. Examination of the three most severely affected Friesian calves revealed severe nicotinic-type symptoms including hypersalivation, frothing from the mouth, muscle tremors, recumbency, rapid respiration, hyperaesthesia, and central nervous system depression. Other calves showed mild to moderate signs of intoxication including restlessness, tail switching, salivation, tremors, frequent defaecation, mild colic and jaw chomping. Two calves died shortly afterwards. An adverse drug event investigation revealed that the formulation and quality of the anthelmintic was within the correct specification, and that the drench gun was functioning correctly. Suspected levamisole intoxication due to a combination of possible overdosing, dehydration, and stress caused by transportation and prolonged yarding. Susceptibility to levamisole toxicity in New Zealand calves can be increased if factors like dehydration or stress are present. Levamisole has a narrow margin of safety, and overdosing in calves can easily occur if the dose rate is not based on their actual weight or health status.

  3. EcoCount

    Directory of Open Access Journals (Sweden)

    Phillip P. Allen

    2014-05-01

    Full Text Available Techniques that analyze biological remains from sediment sequences for environmental reconstructions are well established and widely used. Yet, identifying, counting, and recording biological evidence such as pollen grains remain a highly skilled, demanding, and time-consuming task. Standard procedure requires the classification and recording of between 300 and 500 pollen grains from each representative sample. Recording the data from a pollen count requires significant effort and focused resources from the palynologist. However, when an adaptation to the recording procedure is utilized, efficiency and time economy improve. We describe EcoCount, which represents a development in environmental data recording procedure. EcoCount is a voice activated fully customizable digital count sheet that allows the investigator to continuously interact with a field of view during the data recording. Continuous viewing allows the palynologist the opportunity to remain engaged with the essential task, identification, for longer, making pollen counting more efficient and economical. EcoCount is a versatile software package that can be used to record a variety of environmental evidence and can be installed onto different computer platforms, making the adoption by users and laboratories simple and inexpensive. The user-friendly format of EcoCount allows any novice to be competent and functional in a very short time.

  4. 77 FR 46287 - Safety Zone; Gulf Intracoastal Waterway, Mile Marker 35.2 to Mile Marker 35.5, West of Harvey...

    Science.gov (United States)

    2012-08-03

    ....2 to Mile Marker 35.5, West of Harvey Locks, Bank to Bank, Lafourche Parish, Larose, LA AGENCY... safety zone in the Gulf Intracoastal Waterway, Mile Marker 35.2 to Mile Marker 35.5, west of Harvey Locks... Waterway, Mile Marker 35.2 to Mile Marker 35.5, bank to bank, West of Harvey Locks. The U.S. Army Corps of...

  5. Trainer engineering report for MILES, volume 1, revision

    Science.gov (United States)

    1981-04-01

    This document provides a detailed analysis of the MILES systems (Volume I) and a final hardware design disclosure (Volume II) of the 11 systems that comprise the current Engineering Development (ED) phase of MILES. The problem was to design and build a tactical training system for the U.S. Army that simulates the weapons, weapon characteristics, and weapon effects of a family of weapon systems including infantry, armor, and aircraft. The design of the initial 11 systems allows for expansion, flexibility, and compatibility with the total 1980 MILES family of weapons. The key elements of the systems are the low power pulsed laser transmitters used to simulate the weapons and the inexpensive silicon photodiode (solar cell) detectors used to receive the laser transmission. Audio and visual indicators display the effects of weapon fire with kill, hit, and near miss indications. The weapons of the infantry man or target vehicle are deactivated by the receipt of a kill signal.

  6. Housing Inventory Count

    Data.gov (United States)

    Department of Housing and Urban Development — This report displays the data communities reported to HUD about the nature of their dedicated homeless inventory, referred to as their Housing Inventory Count (HIC)....

  7. Clean Hands Count

    Medline Plus

    Full Text Available ... out why Close Clean Hands Count Centers for Disease Control and Prevention (CDC) Loading... Unsubscribe from Centers for Disease Control and Prevention (CDC)? Cancel Unsubscribe Working... Subscribe ...

  8. Allegheny County Traffic Counts

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Traffic sensors at over 1,200 locations in Allegheny County collect vehicle counts for the Pennsylvania Department of Transportation. Data included in the Health...

  9. Clean Hands Count

    Medline Plus

    Full Text Available ... Clean Hands Count Centers for Disease Control and Prevention (CDC) Loading... Unsubscribe from Centers for Disease Control and Prevention (CDC)? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 59K ...

  10. Clean Hands Count

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  11. Clean Hands Count

    Medline Plus

    Full Text Available ... to CDC hand hygiene recommendations. It is a component of the Clean Hands Count campaign, which also ... views 3:56 Loading more suggestions... Show more Language: English Location: United States Restricted Mode: Off History ...

  12. Clean Hands Count

    Medline Plus

    Full Text Available ... to CDC hand hygiene recommendations. It is a component of the Clean Hands Count campaign, which also ... 3:56 Loading more suggestions... Show more Language: English Location: United States Restricted Mode: Off History Help ...

  13. White Blood Cell Count

    Science.gov (United States)

    ... Acidosis and Alkalosis Adrenal Insufficiency and Addison Disease Alcoholism Allergies Alzheimer Disease Anemia Angina Ankylosing Spondylitis Anthrax ... smoking status. It is not uncommon for the elderly to fail to develop high WBC count ( leukocytosis ) ...

  14. Calorie count - fast food

    Science.gov (United States)

    ... gov/ency/patientinstructions/000887.htm Calorie count - fast food To use the sharing features on this page, ... Nutrition Browse the Encyclopedia A.D.A.M., Inc. is accredited by URAC, also known as the ...

  15. Clean Hands Count

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    Full Text Available ... why Close Clean Hands Count Centers for Disease Control and Prevention (CDC) Loading... Unsubscribe from Centers for Disease Control and Prevention (CDC)? Cancel Unsubscribe Working... Subscribe Subscribed ...

  16. Clean Hands Count

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    Full Text Available ... Sign in Share More Report Need to report the video? Sign in to report inappropriate content. Sign ... opinion count. Sign in 3 Loading... Loading... Transcript The interactive transcript could not be loaded. Loading... Loading... ...

  17. Clean Hands Count

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    Full Text Available ... Hands Count Centers for Disease Control and Prevention (CDC) Loading... Unsubscribe from Centers for Disease Control and Prevention (CDC)? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 61K Loading... ...

  18. Reticulocyte Count Test

    Science.gov (United States)

    ... certain clinical conditions and in assessing iron deficiency anemia in children. Can the reticulocyte count be done on the ... Irwin, J. and Kirchner, J. (2001 October 15). Anemia in Children. American Family Physician [On-line journal]. Available online ...

  19. Using Internet Artifacts to Profile a Child Pornography Suspect

    Directory of Open Access Journals (Sweden)

    Marcus K. Rogers

    2014-03-01

    Full Text Available Digital evidence plays a crucial role in child pornography investigations. However, in the following case study, the authors argue that the behavioral analysis or “profiling” of digital evidence can also play a vital role in child pornography investigations. The following case study assessed the Internet Browsing History (Internet Explorer Bookmarks, Mozilla Bookmarks, and Mozilla History from a suspected child pornography user’s computer. The suspect in this case claimed to be conducting an ad hoc law enforcement investigation. After the URLs were classified (Neutral; Adult Porn; Child Porn; Adult Dating sites; Pictures from Social Networking Profiles; Chat Sessions; Bestiality; Data Cleaning; Gay Porn, the Internet history files were statistically analyzed to determine prevalence and trends in Internet browsing. First, a frequency analysis was used to determine a baseline of online behavior. Results showed 54% (n = 3205 of the URLs were classified as “neutral” and 38.8% (n = 2265 of the URLs were classified as a porn website. Only 10.8% of the URLs were classified as child pornography websites. However when the IE history file was analyzed by visit, or “hit,” count, the Pictures/Profiles (31.5% category had the highest visit count followed by Neutral (19.3%, Gay Porn (17%, and Child Porn (16.6%. When comparing the frequency of URLs to the Hit Count for each pornography type, it was noted that the accused was accessing gay porn, child porn, chat rooms, and picture profiles (i.e., from Facebook more often than adult porn and neutral websites. The authors concluded that the suspect in this case was in fact a child pornography user and not an ad hoc investigator, and the findings from the behavioral analysis were admitted as evidence in the sentencing hearing for this case. The authors believe this case study illustrates the ability to conduct a behavioral analysis of digital evidence. More work is required to further validate the

  20. A case of suspect “cyanosis”

    OpenAIRE

    Elisabetta Antonucci; Matteo Conte; Michele Di Pumpo; Giuseppe Antonucci

    2013-01-01

    CLINICAL CASE A 70-year old woman was admitted to our hospital because of fever, asthenia and a suspected stroke. Her medical history showed a congenital cardiopathy (Patent Foramen Ovale, PFO). Skin and oral mucosa pigmentation, orthostatic hypotension, hypoglycemia and hyponatriemia arose the suspect of Addison’s disease. The diagnosis was confirmed by the evaluation of basal levels of plasma ACTH and serum cortisol, and serum cortisol levels after ACTH stimulation. Abdominal CT scan showed...

  1. Rainflow counting revisited

    Energy Technology Data Exchange (ETDEWEB)

    Soeker, H. [Deutsches Windenergie-Institut (Germany)

    1996-09-01

    As state of the art method the rainflow counting technique is presently applied everywhere in fatigue analysis. However, the author feels that the potential of the technique is not fully recognized in wind energy industries as it is used, most of the times, as a mere data reduction technique disregarding some of the inherent information of the rainflow counting results. The ideas described in the following aim at exploitation of this information and making it available for use in the design and verification process. (au)

  2. 77 FR 31725 - Safety Zone; Belle Pass Dredge Operations, Belle Pass, Mile Marker 1.0 to Mile Marker (−0.2...

    Science.gov (United States)

    2012-05-30

    ..., Mile Marker 1.0 to Mile Marker (-0.2), Port Fourchon, Lafourche Parish, LA AGENCY: Coast Guard, DHS... Building, 1200 New Jersey Avenue SE., Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through... safety zone around the Dredge MISSOURI H while ] it conducts dredging operations from Mile Marker 1.0 to...

  3. What Counts as Evidence?

    Science.gov (United States)

    Dougherty Stahl, Katherine A.

    2014-01-01

    Each disciplinary community has its own criteria for determining what counts as evidence of knowledge in their academic field. The criteria influence the ways that a community's knowledge is created, communicated, and evaluated. Situating reading, writing, and language instruction within the content areas enables teachers to explicitly…

  4. Clean Hands Count

    Medline Plus

    Full Text Available ... is a component of the Clean Hands Count campaign, which also aims to address myths and misperceptions ... views 3:56 Creative Communication - LifeBouy Hand Washing Campaign - Duration: 2:08. LIQVD ASIA 15,338 views ...

  5. Platelet Count and Plateletcrit

    African Journals Online (AJOL)

    Aim: To determine whether platelet count, plateletcrit (PCT), mean platelet volume (MPV) and platelet distribution width. (PDW) and their ratios can predict mortality in hospitalised children. Methods: Children who died during hospital stay were the cases. Controls were age matched children admitted contempora- neously.

  6. Clean Hands Count

    Medline Plus

    Full Text Available ... starting stop Loading... Watch Queue Queue __count__/__total__ Music makes for happy holidays Loading... Even the scrooges ... smile at 3 free months of ad-free music with YouTube Red. Working... No thanks Try it ...

  7. What Counts as Prostitution?

    Directory of Open Access Journals (Sweden)

    Stuart P. Green

    2016-08-01

    Full Text Available What counts, or should count, as prostitution? In the criminal law today, prostitution is understood to involve the provision of sexual services in exchange for money or other benefits. But what exactly is a ‘sexual service’? And what exactly is the nature of the required ‘exchange’? The key to answering these questions is to recognize that how we choose to define prostitution will inevitably depend on why we believe one or more aspects of prostitution are wrong or harmful, or should be criminalized or otherwise deterred, in the first place. These judgements, in turn, will often depend on an assessment of the contested empirical evidence on which they rest. This article describes a variety of real-world contexts in which the ‘what counts as prostitution’ question has arisen, surveys a range of leading rationales for deterring prostitution, and demonstrates how the answer to the definition question depends on the answer to the normative question. The article concludes with some preliminary thoughts on how analogous questions about what should count as sexual conduct arise in the context of consensual offences such as adultery and incest, as well as non-consensual offences such as sexual assault.

  8. Clean Hands Count

    Medline Plus

    Full Text Available ... in to report inappropriate content. Sign in Transcript Statistics Add translations 30,667 views 113 Like this video? Sign in to make your opinion count. Sign in 114 2 Don't like this video? Sign in to ...

  9. The phenomenology of specialization of criminal suspects.

    Directory of Open Access Journals (Sweden)

    Michele Tumminello

    Full Text Available A criminal career can be either general, with the criminal committing different types of crimes, or specialized, with the criminal committing a specific type of crime. A central problem in the study of crime specialization is to determine, from the perspective of the criminal, which crimes should be considered similar and which crimes should be considered distinct. We study a large set of Swedish suspects to empirically investigate generalist and specialist behavior in crime. We show that there is a large group of suspects who can be described as generalists. At the same time, we observe a non-trivial pattern of specialization across age and gender of suspects. Women are less prone to commit crimes of certain types, and, for instance, are more prone to specialize in crimes related to fraud. We also find evidence of temporal specialization of suspects. Older persons are more specialized than younger ones, and some crime types are preferentially committed by suspects of different ages.

  10. Vaccine refusal and the endgame: walking the last mile first.

    Science.gov (United States)

    Saint-Victor, Diane S; Omer, Saad B

    2013-08-05

    As multiple papers within this special issue illustrate, the dynamics of disease eradication are different from disease control. When it comes to disease eradication, 'the last mile is longest'. For social and ecological reasons such as vaccine refusal, further ending incidence of a disease when it has reached low levels is frequently complex. Issues of non-compliance within a target population often influence the outcome of disease eradication efforts. Past eradication efforts confronted such obstacles towards the tail end of the campaign, when disease incidence was lowest. This article provides a comparison of non-compliance within polio, measles and smallpox campaigns, demonstrating the tendency of vaccine refusal to rise as disease incidence falls. In order to overcome one of the most intractable challenges to eradication, future disease eradication efforts must prioritize vaccine refusal from the start, i.e. 'walk the last mile first'.

  11. Enhancing the scientific value of the Christmas Bird Count

    Science.gov (United States)

    Dunn, Erica H.; Francis, C.M.; Blancher, P.J.; Drennan, S.R.; Howe, M.A.; Lepage, D.; Robbins, Chandler S.; Rosenberg, K.V.; Sauer, J.R.; Smith, Kimberly G.

    2005-01-01

    The Christmas Bird Count (CBC), conducted by the National Audubon Society (NAS) since 1900, constitutes the longest-running and geographically most widespread survey of bird life in the Western Hemisphere. Starting with 25 count locations in its first year, the program has grown continuously ever since, with 20–30 locations currently being added annually. Each CBC consists of a tally of all birds detected within a circle 24.1 km (15 miles) in diameter, on a single day within a few weeks around Christmas (current allowable dates are 14 December through 5 January). More than 50,000 observers now take part each year, in close to 2,000 count circles spread across the U.S. and its territories, southern Canada, and, increasingly, Latin America.

  12. A case of suspect “cyanosis”

    Directory of Open Access Journals (Sweden)

    Elisabetta Antonucci

    2013-05-01

    Full Text Available CLINICAL CASE A 70-year old woman was admitted to our hospital because of fever, asthenia and a suspected stroke. Her medical history showed a congenital cardiopathy (Patent Foramen Ovale, PFO. Skin and oral mucosa pigmentation, orthostatic hypotension, hypoglycemia and hyponatriemia arose the suspect of Addison’s disease. The diagnosis was confirmed by the evaluation of basal levels of plasma ACTH and serum cortisol, and serum cortisol levels after ACTH stimulation. Abdominal CT scan showed atrophy and calcification of adrenal glands. CONCLUSIONS In most cases, Addison’s disease is provoked by autoimmune destruction of the adrenal cortex; however, in our reported patient, tuberculosis could be a possible cause.

  13. Congenital Malaria Among Newborns Admitted for Suspected ...

    African Journals Online (AJOL)

    Background: Signs and symptoms of congenital malaria do not differ much from those of neonatal sepsis: both can co-exist, and most times very difficult to differentiate clinically. Objective: To document the prevalence, risk factors for congeni tal malar ia among neonates admitted for suspected neonatal sepsis, and ...

  14. Congenital Malaria Among Newborns Admitted for Suspected ...

    African Journals Online (AJOL)

    None of the clinical feature had good sensitivity, specificity or predictive value for congenital malaria, and only 1.6% death was recorded in a baby with high parasite density. Conclusion: Congenital malaria is common in newborns with suspected neonatal sepsis. History of peripartum pyrexia, prematurity and intrauterine ...

  15. MRI for clinically suspected appendicitis during pregnancy.

    NARCIS (Netherlands)

    Cobben, L.P.; Groot, I.; Haans, L.; Blickman, J.G.; Puylaert, J.

    2004-01-01

    OBJECTIVE: The purpose of this study was to evaluate whether MRI can be used to accurately diagnose or exclude appendicitis in pregnant patients with clinically suspected appendicitis. CONCLUSION: Our results suggest that MRI is helpful in the examination and diagnosis of acute appendicitis in

  16. Biomechanical properties of keratoconus suspect eyes.

    Science.gov (United States)

    Saad, Alain; Lteif, Yara; Azan, Elodie; Gatinel, Damien

    2010-06-01

    Measuring corneal biomechanical properties may help detect keratoconus suspect corneas and eliminate the risk of ectasia after LASIK. Data of 504 eyes separated into three groups were retrospectively reviewed: normal (n = 252), keratoconus suspect (n = 80), and keratoconus (n = 172). Corneal hysteresis (CH) and corneal resistance factor (CRF) were measured with an ocular biomechanics analyzer. Mean corneal hysteresis was 10.6 +/- 1.4 (SD) mm Hg in the normal group, compared with 10.0 +/- 1.6 mm Hg in the keratoconus suspect group and 8.1 +/- 1.4 mm Hg in the keratoconus group. The mean CRF was 10.6 +/- 1.6 mm Hg in the normal group compared with 9.7 +/- 1.7 in the keratoconus suspect group and 7.1 +/- 1.6 mm Hg in the keratoconus group. Mean CH and CRF were significantly different between the three groups (P corneas. Analyzing signal curves obtained with the biomechanics analyzer may provide additional valuable information for selecting qualified patients for refractive surgery.

  17. Characterization of suspected illegal skin whitening cosmetics.

    Science.gov (United States)

    Desmedt, B; Van Hoeck, E; Rogiers, V; Courselle, P; De Beer, J O; De Paepe, K; Deconinck, E

    2014-03-01

    An important group of suspected illegal cosmetics consists of skin bleaching products, which are usually applied to the skin of the face, hands and décolleté for local depigmentation of hyper pigmented regions or more importantly, for a generalized reduction of the skin tone. These cosmetic products are suspected to contain illegal active substances that may provoke as well local as systemic toxic effects, being the reason for their banning from the EU market. In that respect, illegal and restricted substances in cosmetics, known to have bleaching properties, are in particular hydroquinone, tretinoin and corticosteroids. From a legislative point of view, all cosmetic products containing a prohibited whitening agent are illegal and must be taken off the EU market. A newly developed screening method using ultra high performance liquid chromatography-time off flight-mass spectrometry allows routine analysis of suspected products. 163 suspected skin whitening cosmetics, collected by Belgian inspectors at high risk sites such as airports and so-called ethnic cosmetic shops, were analyzed and 59% were classified as illegal. The whitening agents mostly detected were clobetasol propionate and hydroquinone, which represent a serious health risk when repeatedly and abundantly applied to the skin. Copyright © 2013 Elsevier B.V. All rights reserved.

  18. Suspecting Neurological Dysfunction From E Mail Messages ...

    African Journals Online (AJOL)

    A non medical person suspected and confirmed neurological dysfunction in an individual, based only on e mail messages sent by the individual. With email communication becoming rampant “peculiar” email messages may raise the suspicion of neurological dysfunction. Organic pathology explaining the abnormal email ...

  19. Analysis of Three Mile Island-Unit 2 accident

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    The Nuclear Safety Analysis Center (NSAC) of the Electric Power Research Institute has analyzed the Three Mile Island-2 accident. Early results of this analysis were a brief narrative summary, issued in mid-May 1979 and an initial version of this report issued later in 1979 as noted in the Foreword. The present report is a revised version of the 1979 report, containing summaries, a highly detailed sequence of events, a comparison of that sequence of events with those from other sources, 25 appendices, references and a list of abbreviations and acronyms. A matrix of equipment and system actions is included as a folded insert.

  20. The right to count does not always count

    DEFF Research Database (Denmark)

    Sodemann, Morten

    2013-01-01

    The best prescription against illness is learning to read and to count. People who are unable to count have a harder time learning to read. People who have difficulty counting make poorer decisions, are less able to combine information and are less likely to have a strategy for life...

  1. CalCOFI Egg Counts

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish egg counts and standardized counts for eggs captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets], and...

  2. Role of DR-70 immunoassay in suspected malignant pleural effusion

    Science.gov (United States)

    Sengupta, Amitabha; Saha, Kaushik; Jash, Debraj; Banerjee, Sourindra Nath; Biswas, Nirendra Mohan; Dey, Atin

    2013-01-01

    Context: A good proportion of patients with undiagnosed pleural effusion (PE) turn into malignancy over a period of time. Identification of positive biomarker may help in selecting the individuals who require close follow-up. Aims: The aims of this study were to evaluate the role of DR-70 immunoassay in suspected malignant PE. Settings and Design: We conducted a cross-sectional study among 89 patients of suspected malignant PE and 50 normal subjects (NS) were taken as control. Materials and Methods: Patients with exudative PE; who had pleural fluid lymphocyte count greater than 50% and adenosine deaminase less than 30 U/L were taken as cases. We had selected NSs among relatives of patients having normal blood chemistry and radiological investigations. Sensitivity and specificity of the test to differentiate malignant and non-malignant PE and also to identify PE with underlying malignancy was analyzed. Results: Mean value of DR-70 in NS was found to be 0.83 ± 0.273 mg/L without any significant difference between males (0.82 mg/L) and females (0.85 mg/L). Mean value of DR-70 in PE with underlying cancer was 5.03 ± 3.79 mg/L. Sensitivity (80%) and specificity (77.78%) of the test was maximum in PE with underlying cancer using cut-off value of 2 mg/L. Mean value DR-70 in malignant PE was 5.18 ± 3.75 mg/L and in non-malignant PE was 3.73 ± 3.74 mg/L without any statistically significant difference (P = 0.08). Conclusions: DR-70 assay has high sensitivity in detecting underlying lung cancer, but has no role in differentiating malignant PE from non-malignant PE. PMID:24339491

  3. Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Hudson River: RVRMILES (River Mile Marker Lines)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains human-use resource data for river miles along the Hudson River. Vector lines in this data set represent river mile markers. This data set...

  4. Suspected poisoning of domestic animals by pesticides.

    Science.gov (United States)

    Caloni, Francesca; Cortinovis, Cristina; Rivolta, Marina; Davanzo, Franca

    2016-01-01

    A retrospective study was carried out by reviewing all suspected cases of domestic animal poisoning attributed to pesticides, reported to the Milan Poison Control Centre (MPCC) between January 2011 and December 2013. During this period, pesticides were found to be responsible for 37.3% of all suspected poisoning enquiries received (815). The most commonly species involved was the dog (71.1% of calls) followed by the cat (15.8%), while a limited number of cases involved horses, goats and sheep. Most cases of exposure (47.1%) resulted in mild to moderate clinical signs. The outcome was reported in 59.9% of these cases, with death occurring in 10.4% of them. Insecticides (40.8%) proved to be the most common group of pesticides involved and exposure to pyrethrins-pyrethroids accounted for the majority of calls. According to the MPCC data, there has been a decrease in the number of suspected poisonings cases attributed to pesticides that have been banned by the EU, including aldicarb, carbofuran, endosulfan and paraquat. In contrast, there has been an increase of suspected poisoning cases attributed to the neonicotinoids, imidacloprid and acetamiprid, probably due to their widespread use in recent years. Cases of suspected poisoning that involved exposure to rodenticides accounted for 27.6% of calls received by the MPCC and anticoagulant rodenticides were the primary cause of calls, with many cases involving brodifacoum and bromadiolone. Herbicides were involved in 14.2% of calls related to pesticides and glyphosate was the main culprit in cases involving dogs, cats, horses, goats and sheep. As far as exposure to molluscicides (11.5%) and fungicides (5.9%), most of the cases involved dogs and the suspected poisoning agents were metaldehyde and copper compounds respectively. The data collected are useful in determining trends in poisoning episodes and identifying newly emerging toxicants, thus demonstrating the prevalence of pesticides as causative agents in animal

  5. Vegetation survey of Pen Branch and Four Mile Creek wetlands

    Energy Technology Data Exchange (ETDEWEB)

    1992-10-01

    One hundred-fifty plots were recently sampled (vegetational sampling study) at the Savannah River Site (SRS). An extensive characterization of the vascular flora, in four predetermined strata (overstory, Understory, shrub layer, and ground cover), was undertaken to determine dominance, co-dominance, and the importance value (I.V.) of each species. These results will be used by the Savannah River Laboratory (SRL) to evaluate the environmental status of Four Mile Creek, Pen Branch, and two upland pine stands. Objectives of this study were to: Describe in detail the plant communities previously mapped with reference to the topography and drainage, including species of plants present: Examine the successional trends within each sampling area and describe the extent to which current vegetation communities have resulted from specific earlier vegetation disturbances (e.g., logging and grazing); describe in detail the botanical field techniques used to sample the flora; describe the habitat and location of protected and/or rare species of plants; and collect and prepare plant species as herbarium quality specimens. Sampling was conducted at Four Mile Creek and Pen Branch, and in two upland pine plantations of different age growth.

  6. Vegetation survey of Pen Branch and Four Mile Creek wetlands

    Energy Technology Data Exchange (ETDEWEB)

    1992-01-01

    One hundred-fifty plots were recently sampled (vegetational sampling study) at the Savannah River Site (SRS). An extensive characterization of the vascular flora, in four predetermined strata (overstory, Understory, shrub layer, and ground cover), was undertaken to determine dominance, co-dominance, and the importance value (I.V.) of each species. These results will be used by the Savannah River Laboratory (SRL) to evaluate the environmental status of Four Mile Creek, Pen Branch, and two upland pine stands. Objectives of this study were to: Describe in detail the plant communities previously mapped with reference to the topography and drainage, including species of plants present: Examine the successional trends within each sampling area and describe the extent to which current vegetation communities have resulted from specific earlier vegetation disturbances (e.g., logging and grazing); describe in detail the botanical field techniques used to sample the flora; describe the habitat and location of protected and/or rare species of plants; and collect and prepare plant species as herbarium quality specimens. Sampling was conducted at Four Mile Creek and Pen Branch, and in two upland pine plantations of different age growth.

  7. The evaluation of suspected child physical abuse.

    Science.gov (United States)

    Christian, Cindy W

    2015-05-01

    Child physical abuse is an important cause of pediatric morbidity and mortality and is associated with major physical and mental health problems that can extend into adulthood. Pediatricians are in a unique position to identify and prevent child abuse, and this clinical report provides guidance to the practitioner regarding indicators and evaluation of suspected physical abuse of children. The role of the physician may include identifying abused children with suspicious injuries who present for care, reporting suspected abuse to the child protection agency for investigation, supporting families who are affected by child abuse, coordinating with other professionals and community agencies to provide immediate and long-term treatment to victimized children, providing court testimony when necessary, providing preventive care and anticipatory guidance in the office, and advocating for policies and programs that support families and protect vulnerable children. Copyright © 2015 by the American Academy of Pediatrics.

  8. 75 FR 63086 - Great Mississippi Balloon Race and Fireworks Safety Zone; Lower Mississippi River, Mile Marker...

    Science.gov (United States)

    2010-10-14

    ...; Lower Mississippi River, Mile Marker 365.5 to Mile Marker 363, Natchez, MS AGENCY: Coast Guard, DHS... waters of the Lower Mississippi River from mile marker 365.5 to 363 extending the entire width of the... Ground Floor, Room W12-140, 1200 New Jersey Avenue, SE., Washington, DC 20590, between 9 a.m. and 5 p.m...

  9. Suspects in criminal investigations of rape

    Directory of Open Access Journals (Sweden)

    Marinković Darko

    2014-01-01

    Full Text Available Investigations of sexual assaults mostly focus on victims and their credibility, which may cause lack of firm evidence in relation to suspects. Given the fact that the criminal offence of rape is characterised by a high incidence of false reports and accusations, frequently indicating specific persons as the perpetrators, certain caution is necessary in the investigation in order to avoid false accusations and/or convictions. As regards the personality of the rapist and motives for committing a forcible sexual act, certain types or rather certain categories of perpetrators can be distinguished, although it should be noted that a large number of rapists do not belong to one category only, but rather combine characteristics of several different types. During a criminal investigation it is of vital importance to differentiate between a rape as a surprise attack and a rape as abuse of trust, as they are compatible with the nature of the suspect's defence. The suspect shall be subjected to a forensic examination in the course of the investigation in order to find traces which prove vaginal, anal or oral penetration, coerced sexual intercourse and identity of the rapist. While conducting an interrogation of a suspected rapist, a crime investigating officer shall use either factual or emotional approach to his interviewee, depending on his psychological and motivational characteristics. In this regard, the factual approach is believed to be more efficient with anger rapists and sadistic rapists, whereas the compassionate approach gives good results with the gentlemen-rapists and partly with the power asserting rapists.

  10. Glaucoma suspect & Humphrey Field Analyzer a correlation

    Directory of Open Access Journals (Sweden)

    P Dahal

    2012-09-01

    Full Text Available Glaucoma originally meant "clouded", in Greek.The term glaucoma refers to a group of diseases that have in common characteristic optic neuropathy with associated visual field loss for which elevated intraocular pressure is one of the primary risk factor. The purpose of the study is to correlate the clinically diagnosed cases of glaucoma suspect with the Humphrey Field Analyzer (HFA. Fifty cases of glaucoma suspect who attended the glaucoma clinic of Nepal Eye Hospital Tripureswor, Kathmandu, Nepal and who meets at least two criteria, among the four types of glaucoma suspects were advised for the HFA for the study. In this study out of 50 patient, 36 (72% patients had normal visual field. 14 (28% patients had thinning of the neural retinal rim (NRR in both eyes. The significant relation with thinning of neural retina rim and glaucomatous hemifield test was found in the study. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 23-28 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6822

  11. Tocolytics for suspected intrapartum fetal distress.

    Science.gov (United States)

    Kulier, R; Hofmeyr, G J

    2000-01-01

    Prophylactic tocolysis with betamimetics and other agents has become widespread as a treatment for fetal distress. Uterine relaxation may improve placental blood flow and therefore fetal oxygenation. However there may also be adverse maternal cardiovascular effects. The objective of this review was to assess the effects of tocolytic therapy for suspected fetal distress on fetal, maternal and perinatal outcomes. We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. Date of last search: February 1999. Randomised trials comparing tocolytic therapy with no treatment or treatment with another tocolytic agent for suspected fetal distress. Two reviewers assessed trial quality and extracted data. Three studies were included. Compared with no treatment, there were fewer failed improvements in fetal heart rate abnormalities with tocolytic therapy (relative risk 0.26, 95% 0.13 to 0.53). Betamimetic therapy compared with magnesium sulphate showed a non-significant trend towards reduced uterine activity (relative risk 0.07, 95% confidence interval 0.00 to 1.10). Betamimetic therapy appears to be able to reduce the number of fetal heart rate abnormalities and perhaps reduce uterine activity. However there is not enough evidence based on clinically important outcomes to evaluate the use of betamimetics for suspected fetal distress.

  12. First Mile Challenges for Large-Scale IoT

    KAUST Repository

    Bader, Ahmed

    2017-03-16

    The Internet of Things is large-scale by nature. This is not only manifested by the large number of connected devices, but also by the sheer scale of spatial traffic intensity that must be accommodated, primarily in the uplink direction. To that end, cellular networks are indeed a strong first mile candidate to accommodate the data tsunami to be generated by the IoT. However, IoT devices are required in the cellular paradigm to undergo random access procedures as a precursor to resource allocation. Such procedures impose a major bottleneck that hinders cellular networks\\' ability to support large-scale IoT. In this article, we shed light on the random access dilemma and present a case study based on experimental data as well as system-level simulations. Accordingly, a case is built for the latent need to revisit random access procedures. A call for action is motivated by listing a few potential remedies and recommendations.

  13. Monitoring krypton-85 during Three Mile Island Unit 2 purging

    Energy Technology Data Exchange (ETDEWEB)

    Jester, W.A.; Baratta, A.J.

    1982-03-01

    The Penn State noble gas monitor played an important role in measuring environmental levels of /sup 85/Kr during the purging of the Three Mile Island Unit 2 primary containment. It filled a gap in the U.S. Environmental Protection Agency monitoring program, which existed between their real time monitors and their cryogenic gas chromatographic separation technique. During the 15-day purging period, the system analyzed a total of 124 samples, of which 37 were quantified to contain /sup 85/Kr in concentrations ranging from 3 X 10/sup 4/ to 1.5 X 10/sup 6/ pCi/m/sup 3/. The maximum whole body beta dose rate was found to be 0.28 mrem/h.

  14. Sociologismo e individualismo em Émile Durkheim

    Directory of Open Access Journals (Sweden)

    Sidnei Ferreira de Vares

    Full Text Available O presente trabalho pretende analisar o tema do individualismo na teoria sociológica de Émile Durkheim com vistas a compreender a validade das críticas direcionadas por seus principais comentadores à primazia do campo social, à preocupação com a ordem e à adoção de uma postura anti-individualista que permearia toda a extensão de sua obra. Para tanto, promovemos um diálogo entre as abordagens mais recentes da obra durkheimiana e as interpretações consagradas pela tradição sociológica, com o objetivo de verificar o peso que o sociólogo francês atribuía ao indivíduo e à sociedade em sua teoria.

  15. 77 FR 3609 - Safety Zone; Gulf Intracoastal Waterway, Mile Marker 35.2 to Mile Marker 35.5, Larose, Lafourche...

    Science.gov (United States)

    2012-01-25

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Gulf Intracoastal Waterway, Mile Marker 35.2 to Mile Marker 35.5, Larose, Lafourche Parish, LA AGENCY: Coast Guard, DHS. ACTION: Temporary... installation of a new sheetpile floodwall on the waterward side of the existing Larose floodwall and...

  16. 76 FR 36314 - Safety Zone; Mile Marker 98.5 West of Harvey Lock Gulf Intracoastal Waterway to Mile Marker 108.5...

    Science.gov (United States)

    2011-06-22

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Mile Marker 98.5 West of Harvey Lock Gulf Intracoastal Waterway to Mile Marker 108.5 West of Harvey Lock Gulf Intracoastal Waterway AGENCY: Coast Guard... imposing restrictions on the Gulf Intracoastal Waterway (GIWW) between West Harvey Lock Gulf West (WHL...

  17. AdipoCount: A New Software for Automatic Adipocyte Counting

    Directory of Open Access Journals (Sweden)

    Xuhao Zhi

    2018-02-01

    Full Text Available Obesity has spread worldwide and become a common health problem in modern society. One typical feature of obesity is the excessive accumulation of fat in adipocytes, which occurs through the following two physiological phenomena: hyperplasia (increase in quantity and hypertrophy (increase in size of adipocytes. In clinical and scientific research, the accurate quantification of the number and diameter of adipocytes is necessary for assessing obesity. In this study, we present a new automatic adipocyte counting system, AdipoCount, which is based on image processing algorithms. Comparing with other existing adipocyte counting tools, AdipoCount is more accurate and supports further manual correction. AdipoCount counts adipose cells by the following three-step process: (1 It detects the image edges, which are used to segment the membrane of adipose cells; (2 It uses a watershed-based algorithm to re-segment the missing dyed membrane; and (3 It applies a domain connectivity analysis to count the cells. The outputs of this system are the labels and the statistical data of all adipose cells in the image. The AdipoCount software is freely available for academic use at: http://www.csbio.sjtu.edu.cn/bioinf/AdipoCount/.

  18. Prevalence of glaucoma suspects and pattern of intra-ocular ...

    African Journals Online (AJOL)

    Background: Glaucoma is the commonest cause of irreversible blindness in the world. Some glaucoma patients start out as glaucoma suspects for years. Aim: To determine the prevalence of glaucoma suspects and pattern of intra-ocular pressure distribution in glaucoma suspects. Methods: This survey was carried out in ...

  19. Nuclear Pedigree Criteria of Suspected HNPCC

    Directory of Open Access Journals (Sweden)

    Kładny Józef

    2003-01-01

    Full Text Available Abstract The criteria for the diagnosis of HNPCC established by the ICG-HNPCC are very restrictive as they do not allow for the diagnosis of a large number of "suspected HNPCC" cases - these are families which do no fulfill the strict diagnostic "Amsterdam criteria", but do present with several pedigree and clinical features characteristic for HNPCC. Several series of families suspected of harboring germline mutations in DNA mismatch repair genes have been studied for germline changes in DNA mismatch repair genes and a mutation rate of somewhere between 8-60% was found. Therefore a subgroup of members of the ICG-HNPCC has been working on pedigree/clinical diagnostic criteria for suspected HNPCC. Materials and methods Part I The study was based on two series of colorectal cancer (CRC cases: 1 HNPCC - this group comprised 190 patients affected by CRC from randomly selected families which fulfilled the Amsterdam II criteria registered in Düsseldorf, Germany (102 cases of CRC, Denmark (18 CRCs, Leiden, Holland (23 CRCs and Szczecin, Poland (47 CRCs. 2 Consecutive CRCs - this group comprised 629 (78.0% of 806 individuals with CRC diagnosed in 1991-1997 in the city of Szczecin (ca. 400,000 of inhabitants, Poland. Nuclear pedigrees in both groups were compared for frequency of occurrence of clinical features, that have been shown to be associated with HNPCC. Part II 52 consecutive CRC cases from Szczecin, matching the criteria recognized in part I as appropriate for diagnosis of cases "suspected of HNPCC" were studied for the occurrence of germline hMSH2/hMLH1 constitutional mutations using "exon by exon" sequencing. Results The combination of features - i.e. the occurrence of an HNPCC associated cancer (CRC or cancer of the endometrium, small bowel or urinary tract in a 1st degree relative of a CRC patient; at least one of the patients being diagnosed under age of 50 - appeared to be strongly associated to HNPCC with an OR - 161. Constitutional

  20. Counting Frequencies from Zotero Items

    Directory of Open Access Journals (Sweden)

    Spencer Roberts

    2013-04-01

    Full Text Available In Counting Frequencies you learned how to count the frequency of specific words in a list using python. In this lesson, we will expand on that topic by showing you how to get information from Zotero HTML items, save the content from those items, and count the frequencies of words. It may be beneficial to look over the previous lesson before we begin.

  1. LAWRENCE RADIATION LABORATORY COUNTING HANDBOOK

    Energy Technology Data Exchange (ETDEWEB)

    Group, Nuclear Instrumentation

    1966-10-01

    The Counting Handbook is a compilation of operational techniques and performance specifications on counting equipment in use at the Lawrence Radiation Laboratory, Berkeley. Counting notes have been written from the viewpoint of the user rather than that of the designer or maintenance man. The only maintenance instructions that have been included are those that can easily be performed by the experimenter to assure that the equipment is operating properly.

  2. SUMS Counts-Related Projects

    Data.gov (United States)

    Social Security Administration — Staging Instance for all SUMs Counts related projects including: Redeterminations/Limited Issue, Continuing Disability Resolution, CDR Performance Measures, Initial...

  3. Making environmental DNA count.

    Science.gov (United States)

    Kelly, Ryan P

    2016-01-01

    The arc of reception for a new technology or method--like the reception of new information itself--can pass through predictable stages, with audiences' responses evolving from 'I don't believe it', through 'well, maybe' to 'yes, everyone knows that' to, finally, 'old news'. The idea that one can sample a volume of water, sequence DNA out of it, and report what species are living nearby has experienced roughly this series of responses among biologists, beginning with the microbial biologists who developed genetic techniques to reveal the unseen microbiome. 'Macrobial' biologists and ecologists--those accustomed to dealing with species they can see and count--have been slower to adopt such molecular survey techniques, in part because of the uncertain relationship between the number of recovered DNA sequences and the abundance of whole organisms in the sampled environment. In this issue of Molecular Ecology Resources, Evans et al. (2015) quantify this relationship for a suite of nine vertebrate species consisting of eight fish and one amphibian. Having detected all of the species present with a molecular toolbox of six primer sets, they consistently find DNA abundances are associated with species' biomasses. The strength and slope of this association vary for each species and each primer set--further evidence that there is no universal parameter linking recovered DNA to species abundance--but Evans and colleagues take a significant step towards being able to answer the next question audiences tend to ask: 'Yes, but how many are there?' © 2015 John Wiley & Sons Ltd.

  4. Four Mile Creek bottomland restoration program. Final report

    Energy Technology Data Exchange (ETDEWEB)

    McLeod, K.W.

    1995-12-31

    On the Savannah River Site (SRS), nuclear production reactors were cooled by a once-through cooling cycle, using water from the Savannah River and discharging the effluent to small tributaries of the Savannah River. Four Mile Creek (also known as Fourmile Branch) is a third order tributary of the Savannah River on the upper coastal plain of South Carolina. It received thermal effluent from C Reactor from 1955 to 1985, which increased the flow rate, water depth and water temperature. Prior to 1955, the base flow was approximately one cubic meter per second, but increased, with the reactor effluent, to approximately 11 cubic meters per second, raising the water depth in the channel by 15 to 30 cm. Effluent temperature at the outfall was approximately 60 C and at the delta was 40 to 45 C, depending on the operation level of the reactor, the season of the year and the specific meteorological conditions. The increased flow rate also increased erosion in the upper reaches of the stream with deposition of this eroded material occurring in the delta averaging 60 cm of newly deposited sand on top of the former substrate.

  5. MILES FORMULAE FOR BOOLEAN MODELS OBSERVED ON LATTICES

    Directory of Open Access Journals (Sweden)

    Joachim Ohser

    2011-05-01

    Full Text Available The densities of the intrinsic volumes – in 3D the volume density, surface density, the density of the integral of the mean curvature and the density of the Euler number – are a very useful collection of geometric characteristics of random sets. Combining integral and digital geometry we develop a method for efficient and simultaneous calculation of the intrinsic volumes of random sets observed in binary images in arbitrary dimensions. We consider isotropic and reflection invariant Boolean models sampled on homogeneous lattices and compute the expectations of the estimators of the intrinsic volumes. It turns out that the estimator for the surface density is proved to be asymptotically unbiased and thusmultigrid convergent for Boolean models with convex grains. The asymptotic bias of the estimators for the densities of the integral of the mean curvature and of the Euler number is assessed for Boolean models of balls of random diameters. Miles formulae with corresponding correction terms are derived for the 3D case.

  6. Vegetation survey of Four Mile Creek wetlands. [Savannah River Plant

    Energy Technology Data Exchange (ETDEWEB)

    Loehle, C.

    1990-11-01

    A survey of forested wetlands along upper Four Mile Creek was conducted. The region from Road 3 to the creek headwaters was sampled to evaluate the composition of woody and herbaceons plant communities. All sites were found to fall into either the Nyssa sylvatica (Black Gum) -- Persea borbonia (Red Bay) or Nyssa sylvatica -- Acer rubrum (Red Maple) types. These community types are generally species-rich and diverse. Previous studies (Greenwood et al., 1990; Mackey, 1988) demonstrated contaminant stress in areas downslope from the F- and H-Area seepage basins. In the present study there were some indications of contaminant stress. In the wetland near H-Area, shrub basal area, ground cover stratum species richness, and diversity were low. In the area surrounding the F-Area tree kill zone, ground cover stratum cover and shrub basal area were low and ground cover stratum species richness was low. The moderately stressed site at F-Area also showed reduced overstory richness and diversity and reduced ground cover stratum richness. These results could, however, be due to the very high basal area of overstory trees in both stressed F-Area sites that would reduce light availability to understory plants. No threatened or endangered plant species were found in the areas sampled. 40 refs., 4 figs., 8 tabs.

  7. Getting Miles away from Terman: Did the CRPS found Catharine Cox Milex Unsilenced Psychology of Sex?

    OpenAIRE

    Hegarty, PJ

    2012-01-01

    Psychologist Catharine Cox Miles (1890–1984) is often remembered as the junior author, with Lewis Terman, of Sex and Personality. Written with support from the Committee for Research on the Problems of Sex (CRPS), Sex and Personality introduced the “masculinity-femininity” personality measure to psychology in 1936. Miles has been overlooked by some historians and constructed as a silent, indirect feminist by others. Private letters show that Terman and Miles had different assumptions about th...

  8. Investigating last mile distribution challenges of wine suppliers in Lagos, Nigeria

    OpenAIRE

    2014-01-01

    M.Com. (Business Management) The last mile distribution is the final link of successful supply chain operations. The high demand for products, lead time uncertainties and replenishment time complicate the distribution task. In order to achieve a competitive business edge, suppliers need to work at developing and improving their last mile distribution link. The aim of this study was to investigate the effectiveness of the last mile wine distribution in Lagos Island, Nigeria, and to determin...

  9. Neutron triples counting data for uranium

    Science.gov (United States)

    Croft, Stephen; LaFleur, Adrienne M.; McElroy, Robert D.; Swinhoe, Martyn T.

    2015-06-01

    Correlated neutron counting using multiplicity shift register logic extracts the first three factorial moments from the detected neutron pulse train. The descriptive properties of the measurement item (mass, the ratio of (α,n) to spontaneous fission neutron production, and leakage self-multiplication) are related to the observed singles (S), doubles (D) and triples (T) rates, and this is the basis of the widely used multiplicity counting assay method. The factorial moments required to interpret and invert the measurement data in the framework of the point kinetics model may be calculated from the spontaneous fission prompt neutron multiplicity distribution P(ν). In the case of 238U very few measurements of P(ν) are available and the derived values, especially for the higher factorial moments, are not known with high accuracy. In this work, we report the measurement of the triples rate per gram of 238U based on the analysis of a set of measurements in which a collection of 10 cylinders of UO2F2, each containing about 230 g of compound, were measured individually and in groups. Special care was taken to understand and compensate the recorded multiplicity histograms for the effect of random cosmic-ray induced background neutrons, which, because they also come in bursts and mimic fissions but with a different and harder multiplicity distribution. We compare our fully corrected (deadtime, background, efficiency, multiplication) experimental results with first principles expectations based on evaluated nuclear data. Based on our results we suspect that the current evaluated nuclear data is biased, which points to a need to undertake new basic measurements of the 238U prompt neutron multiplicity distribution.

  10. U.S. Navigated Waterway Mile Marker Locations from USCOE source data, Geographic NAD83, LOSCO (2000) [river_mile_markers_USACE_1994

    Data.gov (United States)

    Louisiana Geographic Information Center — This is a point dataset representing 10,044 sequential mile positions of navigable inland waterways and the Gulf Intracoastal Waterway. These data were developed as...

  11. "Last mile" challenges to in situ volcanic data transmission

    Science.gov (United States)

    Fonseca, J. F. B. D.; Faria, B. V. E.; Trindade, J.; Cruz, G.; Chambel, A.; Silva, F. M.; Pereira, R. L.; Vazão, T.

    2013-12-01

    Scientists play a key role in volcanic risk management, but rely heavily on fast access to data acquired in the vicinity of an active volcano. Hazardous volcanoes are often located in remote areas were telecommunications infrastructure is fragile. Besides being exposed directly to the volcanic hazard, the infrastructure in such remote areas can also suffer from "last mile" limitations derived from lack of market demand for data transmission services. In this paper, we report on the findings of the FP7 MIAVITA project in the topic of volcanic data transmission. We draw on the contribution of partners from emergent or developing countries to identify the main bottlenecks and fragilities. We also present the results of an experiment conducted on Fogo Island, Cape Verde, to test the availability of VSAT services adequate for volcanic monitoring. We warn against the false sense of security resulting from increasingly ubiquitous connectivity, and point out the lack of reliability of many consumer-type services, particularly during emergencies when such services are likely to crash due to excess of demand from the public. Finally, we propose guidelines and recommend best practices for the design of volcanic monitoring networks in what concerns data transmission. In particular, we advise that the data transmission equipment close to the exposed area should be owned, operated and maintained by the volcanic monitoring institution. We exemplify with the set-up of the Fogo telemetric interface, which uses low-power licence-free radio modems to reach a robust point of entry into the public network at a suitable distance from the volcano.

  12. Attenuation in the dubbing and subtitling of The Green Mile

    Directory of Open Access Journals (Sweden)

    Lidia Rodríguez

    2015-12-01

    Full Text Available This paper is part of the doctoral thesis entitled “Critique of translation for film dubbing and subtitling from the perspective of discourse analysis. A study applied to "The Green Mile”, written by Ph.D. student Gabriela Saturnina Alanís Uresti, directed by Ph.D. Lidia Rodríguez. It is a qualitative and descriptive study where we contrasted The Green Mile - a 1999 Hollywood film, original in American English - with its translated versions: dubbed and subtitled into Spanish of Mexico. We start from the presupposition that in film translation, some references such as the ones related to sexual behaviors and offensive language are attenuated in order to be strategically polite. Specifically, we analyzed two mechanisms of attenuation: lexical selection whereby a euphemism is used, and discursive modalization. These mechanisms constitute strategies of linguistic, pragmatic and semiotic nature as they appear in original (OV, dubbed (DV and subtitled (SV versions; both in acoustic and visual channels. Therefore, we examine these occurrences on verbal, para-verbal, and non-verbal codes. The theoretical basis includes studies of attenuation, politeness, euphemisms, and linguistic taboos. This paper is based on methodological proposals by Gutiérrez (2008, Nájar (2009, Brown y Levinson (1987, Goffman (1967, Leech (1983, Fraser (1980 Haverkate (1994, Bravo (2001, Albelda (2010, (2005, Albelda y Briz (2010, Briz (2002a; 2002b, Allan y Burridge (2006, Chamizo (2008, Foucault (1987, Seiciuc (2010, Dubois (1969, Dubois et al (1973, and Rodríguez (2004.

  13. Uncertainty in measurements by counting

    Science.gov (United States)

    Bich, Walter; Pennecchi, Francesca

    2012-02-01

    Counting is at the base of many high-level measurements, such as, for example, frequency measurements. In some instances the measurand itself is a number of events, such as spontaneous decays in activity measurements, or objects, such as colonies of bacteria in microbiology. Countings also play a fundamental role in everyday life. In any case, a counting is a measurement. A measurement result, according to its present definition, as given in the 'International Vocabulary of Metrology—Basic and general concepts and associated terms (VIM)', must include a specification concerning the estimated uncertainty. As concerns measurements by counting, this specification is not easy to encompass in the well-known framework of the 'Guide to the Expression of Uncertainty in Measurement', known as GUM, in which there is no guidance on the topic. Furthermore, the issue of uncertainty in countings has received little or no attention in the literature, so that it is commonly accepted that this category of measurements constitutes an exception in which the concept of uncertainty is not applicable, or, alternatively, that results of measurements by counting have essentially no uncertainty. In this paper we propose a general model for measurements by counting which allows an uncertainty evaluation compliant with the general framework of the GUM.

  14. High Count Rate Single Photon Counting Detector Array Project

    Data.gov (United States)

    National Aeronautics and Space Administration — An optical communications receiver requires efficient and high-rate photon-counting capability so that the information from every photon, received at the aperture,...

  15. Make My Trip Count 2015

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Make My Trip Count (MMTC) commuter survey, conducted in September and October 2015 by GBA, the Pittsburgh 2030 District, and 10 other regional transportation...

  16. 77 FR 47525 - Safety Zone, Mississippi River, Mile Marker 291 to 295

    Science.gov (United States)

    2012-08-09

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone, Mississippi River, Mile Marker 291 to 295... from Mile Marker (MM) 291.0 to MM 295.0. This safety zone is needed to protect vessel traffic from the... one way traffic unless authorized by the (COTP) New Orleans or a designated representative. Any full...

  17. 78 FR 49553 - Three Mile Island, Unit 2; Post Shutdown Decommissioning Activities Report

    Science.gov (United States)

    2013-08-14

    ...) for Three Mile Island, Unit 2 (TMI-2). The PSDAR provides an overview of GPUN's proposed... COMMISSION Three Mile Island, Unit 2; Post Shutdown Decommissioning Activities Report AGENCY: Nuclear... document. Mail comments to: Cindy Bladey, Chief, Rules, Announcements, and Directives Branch, Office of...

  18. 78 FR 41687 - Safety zone; Ohio River, Mile 469.4-470.0; Bellevue, KY

    Science.gov (United States)

    2013-07-11

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety zone; Ohio River, Mile 469.4-470.0; Bellevue, KY... temporary safety zone for all waters of the Ohio River, surface to bottom, extending from Ohio River mile... fireworks display over or on the Ohio River and a safety zone is required to protect persons and property on...

  19. Magnetic resonance imaging of suspected atrial tumors.

    Science.gov (United States)

    Menegus, M A; Greenberg, M A; Spindola-Franco, H; Fayemi, A

    1992-05-01

    Two-dimensional echocardiography has become the standard technique for evaluation of cardiac and paracardiac mass lesions. We have used magnetic resonance imaging (MRI) as an independent assessment of cardiac-associated masses in patients with echocardiograms demonstrating sessile atrial tumors. MRI was performed in seven patients, ages 33 to 84, whose echocardiographic diagnoses included left atrial mass (five), right atrial mass (one), and interatrial mass (one). In four of the patients with a diagnosis of left atrial mass, MRI showed extracardiac compression of the atrium, simulating a tumor (hiatal hernia, tortuous descending aorta, bronchogenic cyst). MRI was entirely normal in one patient with an apparent left atrial mass. MRI elucidated extension of an extracavitary mass into the interatrial septum in two patients. One of these patients with an echocardiographic right atrial mass had extension of a lipoma into the interatrial septum without atrial tumor. MRI confirmed the echocardiographic diagnosis of an interatrial mass in the other patient. We conclude that MRI, because of its ability to define anatomic relationships and tissue characteristics, is a powerful noninvasive tool for evaluating suspected cardiac mass lesions. Although echocardiography remains the primary screening test for the detection of cardiac masses, MRI is a more specific modality for precise diagnosis. Correct MRI interpretation may obviate the need for invasive studies or surgery.

  20. Lymphocytopenia and neutrophil-lymphocyte count ratio predict bacteremia better than conventional infection markers in an emergency care unit

    OpenAIRE

    de Jager, C. P. C.; van Wijk, P.T.I.; Mathoera, R B; de Jongh-Leuvenink, J; van der Poll, T.; Wever, P. C.

    2010-01-01

    Introduction: Absolute lymphocytopenia has been reported as a predictor of bacteremia in medical emergencies. Likewise, the neutrophil-lymphocyte count ratio (NLCR) has been shown a simple promising method to evaluate systemic inflammation in critically ill patients. Methods: We retrospectively evaluated the ability of conventional infection markers, lymphocyte count and NLCR to predict bacteremia in adult patients admitted to the Emergency Department with suspected community-acquired bactere...

  1. Hanford whole body counting manual

    Energy Technology Data Exchange (ETDEWEB)

    Palmer, H.E.; Rieksts, G.A.; Lynch, T.P.

    1990-06-01

    This document describes the Hanford Whole Body Counting Program as it is administered by Pacific Northwest Laboratory (PNL) in support of the US Department of Energy--Richland Operations Office (DOE-RL) and its Hanford contractors. Program services include providing in vivo measurements of internally deposited radioactivity in Hanford employees (or visitors). Specific chapters of this manual deal with the following subjects: program operational charter, authority, administration, and practices, including interpreting applicable DOE Orders, regulations, and guidance into criteria for in vivo measurement frequency, etc., for the plant-wide whole body counting services; state-of-the-art facilities and equipment used to provide the best in vivo measurement results possible for the approximately 11,000 measurements made annually; procedures for performing the various in vivo measurements at the Whole Body Counter (WBC) and related facilities including whole body counts; operation and maintenance of counting equipment, quality assurance provisions of the program, WBC data processing functions, statistical aspects of in vivo measurements, and whole body counting records and associated guidance documents. 16 refs., 48 figs., 22 tabs.

  2. Detection of Rabies antigen in brains of suspected Rabid dogs ...

    African Journals Online (AJOL)

    Objective: To detect the presence of rabies antigen in brains of suspected rabid dogs. Materials and Methods: Ninety six (96) brain specimens from suspected rabid dogs were examined for the presence of rabies antigen using Seller's staining technique and enzyme immunoassay. Results: The two techniques were both ...

  3. 48 CFR 803.806 - Processing suspected violations.

    Science.gov (United States)

    2010-10-01

    ... GENERAL IMPROPER BUSINESS PRACTICES AND PERSONAL CONFLICTS OF INTEREST Limitation on the Payment of Funds to Influence Federal Transactions 803.806 Processing suspected violations. A VA employee must report suspected violations of 31 U.S.C. 1352, Limitation on Use of Appropriated Funds to Influence Certain Federal...

  4. The clinical course of patients with suspected pulmonary embolism

    NARCIS (Netherlands)

    van Beek, E. J.; Kuijer, P. M.; Büller, H. R.; Brandjes, D. P.; Bossuyt, P. M.; ten Cate, J. W.

    1997-01-01

    BACKGROUND: The outcome of patients with suspected pulmonary embolism is known to a limited extent only. OBJECTIVE: To address this limited knowledge in a cohort in whom pulmonary embolism was proved or ruled out. METHODS: Consecutive patients with clinically suspected pulmonary embolism underwent

  5. Seasonal variation among tuberculosis suspects in four countries

    DEFF Research Database (Denmark)

    Mabaera, Biggie; Naranbat, Nymadawa; Katamba, Achilles

    2009-01-01

    The objective of the study was to analyze monthly trends across a calendar year in tuberculosis suspects and sputum smear-positive cases based on nationally representative samples of tuberculosis laboratory registers from Moldova, Mongolia, Uganda and Zimbabwe. Out of the 47 140 suspects registered...... in the tuberculosis laboratory registers, 13.4% (6312) were cases. The proportion varied from country to country, Moldova having the lowest (9%) and Uganda the highest (21%). From the monthly proportion of suspects and cases among total suspects and cases, seasonal variations were most marked in Mongolia which, among...... attendance to diagnostic laboratory services, evidenced by the contrasting findings of Mongolia (extreme continental northern climate) compared to Uganda (equatorial climate). A combination of external and possibly endogenous factors seems to determine whether tuberculosis suspects and cases present...

  6. Cohort profiles of the cross-sectional and prospective participant groups in the second Diabetes MILES-Australia (MILES-2) study

    DEFF Research Database (Denmark)

    Browne, Jessica L; Holmes-Truscott, Elizabeth; Ventura, Adriana D

    2017-01-01

    and social aspects of diabetes. The aim of the MILES-2 study was to provide a (1) longitudinal follow-up of the original MILES 2011 study cohort; (2) cross-sectional assessment of a new cohort. PARTICIPANTS: Eligible participants were English-speaking Australians with type 1 or type 2 diabetes, aged 18....... The final sample included N=2342 eligible respondents (longitudinal cohort: n=504; 2015 new cohort: n=1838); 54% had type 2 diabetes. FINDINGS TO DATE: Survey respondents were from an advantaged socioeconomic background compared to the general population. Respondents with type 1 diabetes were over...

  7. Quantification of disease activity in patients undergoing leucocyte scintigraphy for suspected inflammatory bowel disease

    Energy Technology Data Exchange (ETDEWEB)

    Cheow, Heok K.; Voutnis, Demetrius D.; Evans, John W.; Szczepura, Katy R.; Swift, E. Anna; Bird, Nicholas J.; Ruparelia, Prina; Solanki, Chandra K.; Ballinger, James R.; Chilvers, Edwin R.; Peters, A. Michael [Addenbrooke' s Hospital, Department of Nuclear Medicine, Cambridge (United Kingdom); Middleton, Stephen J. [Addenbrooke' s Hospital, Department of Gastroenterology, Cambridge (United Kingdom)

    2005-03-01

    Whole-body gamma camera counting is an alternative to faecal {sup 111}In collection for quantifying disease activity in inflammatory bowel disease (IBD) but requires administration of imaging activities of {sup 111}In. The aim of this study was to explore a dedicated whole-body counter which requires 20-fold less activity than gamma camera counting. Thirty patients with known or suspected IBD received {sup 99m}Tc-granulocytes ({proportional_to}200 MBq) and {sup 111}In-granulocytes ({proportional_to}0.5 MBq). The {sup 99m}Tc-cells were injected 45 min after the {sup 111}In-cells and immediately after a baseline {sup 111}In whole-body count. The decay-corrected count at 120 h was expressed as a fraction of baseline to give whole-body {sup 111}In retention (WBR). One patient was excluded as the injected cells were non-viable. Median 45-min intravascular {sup 111}In recovery was 35% in patients compared with 43% in six normal volunteers (p<0.05). WBR in normals ranged from 91% to 93% and in 11 patients with negative {sup 99m}Tc imaging from 87% to 96%. Only one of 11 patients with negative imaging had WBR <90% while 11/12 patients with WBR <90% had abnormal imaging. Ten of 13 patients with Crohn's disease (CD) had abnormal imaging. The lowest WBR in these ten was 77% and six had values of >90%. There was a significant association between WBR and {sup 99m}Tc image grade (R{sub s}=0.73, p<0.002) in 16 patients without CD, but not in 13 patients with CD (R{sub s}=0.54, p>0.05). Dedicated whole-body counting is able to quantify disease activity in IBD but may give normal values in active CD. (orig.)

  8. The effect of nail characteristics on surface bacterial counts of surgical personnel before and after scrubbing.

    Science.gov (United States)

    Hardy, Jade M; Owen, Tina J; Martinez, Steven A; Jones, Lisa P; Davis, Margaret A

    2017-10-01

    To determine the influence of nail characteristics on bacterial counts on the fingers of surgery personnel. Randomized nonblinded controlled crossover study design. Veterinary students, small animal surgery technicians, small animal surgery interns/residents, and small animal surgery faculty in a veterinary teaching hospital (n = 21). Subjects were randomized into one of 2 groups; group 1 wore nail polish (P) for 1 week and group 2 (control) had nonpolished (NP) fingernails. Each subject changed groups the following week. Fingernail lengths were measured each day and fingernail samples were collected before and after presurgical scrub and after surgery. Total bacterial counts (TBC) and suspected staphylococci were counted on blood agar media and mannitol salt agar. The association between bacterial counts and nail biting, position of the volunteer, duration of the surgery, whether the nail polish was chipped, duration of nail polish application, type of surgery, and handedness was tested. Log-transformed CFU counts were compared with a Student's t test and presence or absence of bacteria were compared using Fisher's exact test. TBC, quantities of staphylococci, other gram-positive organisms, and gram-negative bacilli did not differ between P and NP personnel. The only variable associated with higher bacterial counts consisted of nail lengths greater than 2 mm. Nail polish did not influence bacterial counts and types of isolates, but nail length is a risk factor for increased bacterial counts. Based on our results, we recommend that nail length be kept under 2 mm. © 2017 The American College of Veterinary Surgeons.

  9. Photon-counting image sensors

    CERN Document Server

    Teranishi, Nobukazu; Theuwissen, Albert; Stoppa, David; Charbon, Edoardo

    2017-01-01

    The field of photon-counting image sensors is advancing rapidly with the development of various solid-state image sensor technologies including single photon avalanche detectors (SPADs) and deep-sub-electron read noise CMOS image sensor pixels. This foundational platform technology will enable opportunities for new imaging modalities and instrumentation for science and industry, as well as new consumer applications. Papers discussing various photon-counting image sensor technologies and selected new applications are presented in this all-invited Special Issue.

  10. Counting a Culture of Mealworms

    Science.gov (United States)

    Ashbrook, Peggy

    2007-01-01

    Math is not the only topic that will be discussed when young children are asked to care for and count "mealworms," a type of insect larvae (just as caterpillars are the babies of butterflies, these larvae are babies of beetles). The following activity can take place over two months as the beetles undergo metamorphosis from larvae to adults. As the…

  11. Verbal Counting in Bilingual Contexts

    Science.gov (United States)

    Donevska-Todorova, Ana

    2015-01-01

    Informal experiences in mathematics often include playful competitions among young children in counting numbers in as many as possible different languages. Can these enjoyable experiences result with excellence in the formal processes of education? This article discusses connections between mathematical achievements and natural languages within…

  12. Shakespeare Live! and Character Counts.

    Science.gov (United States)

    Brookshire, Cathy A.

    This paper discusses a live production of Shakespeare's "Macbeth" (in full costume but with no sets) for all public middle school and high school students in Harrisonburg and Rockingham, Virginia. The paper states that the "Character Counts" issues that are covered in the play are: decision making, responsibility and…

  13. On modelling overdispersion of counts

    NARCIS (Netherlands)

    Poortema, Klaas

    1999-01-01

    For counts it often occurs that the observed variance exceeds the nominal variance of the claimed binomial, multinomial or Poisson distributions. We study how models can be extended to cope with this phenomenon: a survey of literature is given. We focus on modelling, not on estimation or testing

  14. Kids Count Data Sheet, 2000.

    Science.gov (United States)

    Annie E. Casey Foundation, Baltimore, MD.

    Data from the 50 United States are listed for 1997 from Kids Count in an effort to track state-by-state the status of children in the United States and to secure better futures for all children. Data include percent low birth weight babies; infant mortality rate; child death rate; rate of teen deaths by accident, homicide, and suicide; teen birth…

  15. Vote Counting as Mathematical Proof

    DEFF Research Database (Denmark)

    Schürmann, Carsten; Pattinson, Dirk

    2015-01-01

    -based formalisation of voting protocols inside a theorem prover, we synthesise vote counting programs that are not only provably correct, but also produce independently verifiable certificates. These programs are generated from a (formal) proof that every initial set of ballots allows to decide the election winner...

  16. Kids Count New Hampshire, 1996.

    Science.gov (United States)

    Terry, Susan Palmer; Hall, Douglas E.

    This Kids Count report presents statewide trends in the well-being of New Hampshire's children. The statistical report is based on 14 indicators of child well being: (1) children in poverty; (2) fatherless families; (3) maternal education; (4) teen births; (5) births to unmarried mothers; (6) low birth weight births; (7) insurance coverage; (8)…

  17. Prediction of Suspect Location Based on Spatiotemporal Semantics

    Directory of Open Access Journals (Sweden)

    Lian Duan

    2017-06-01

    Full Text Available The prediction of suspect location enables proactive experiences for crime investigations and offers essential intelligence for crime prevention. However, existing studies have failed to capture the complex social location transition patterns of suspects and lack the capacity to address the issue of data sparsity. This paper proposes a novel location prediction model called CMoB (Crime Multi-order Bayes model based on the spatiotemporal semantics to enhance the prediction performance. In particular, the model groups suspects with similar spatiotemporal semantics as one target suspect. Then, their mobility data are applied to estimate Markov transition probabilities of unobserved locations based on a KDE (kernel density estimating smoothing method. Finally, by integrating the total transition probabilities, which are derived from the multi-order property of the Markov transition matrix, into a Bayesian-based formula, it is able to realize multi-step location prediction for the individual suspect. Experiments with the mobility dataset covering 210 suspects and their 18,754 location records from January to June 2012 in Wuhan City show that the proposed CMoB model significantly outperforms state-of-the-art algorithms for suspect location prediction in the context of data sparsity.

  18. Cheat Mountain Salamander search - Three Mile Trail 7/21/10

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — On July 21, 2010 two survey transects were established along Three mile trail on the Kelly Elkins tract of Canaan Valley N.W.R. Both of these transects were...

  19. National Emissions Inventory Vehicle Miles Traveled, U.S., 2014, EPA/OAR/OAQPS/AQAD

    Data.gov (United States)

    U.S. Environmental Protection Agency — This web service contains layers that depict gridded Vehicle Miles Traveled (VMT) for 2014 from the National Emission Inventory (NEI). The default 2014 National...

  20. NASA Green Flight Challenge: Conceptual Design Approaches and Technologies to Enable 200 Passenger Miles per Gallon

    Science.gov (United States)

    Wells, Douglas P.

    2011-01-01

    The Green Flight Challenge is one of the National Aeronautics and Space Administration s Centennial Challenges designed to push technology and make passenger aircraft more efficient. Airliners currently average around 50 passenger-miles per gallon and this competition will push teams to greater than 200 passenger-miles per gallon. The aircraft must also fly at least 100 miles per hour for 200 miles. The total prize money for this competition is $1.65 Million. The Green Flight Challenge will be run by the Comparative Aircraft Flight Efficiency (CAFE) Foundation September 25 October 1, 2011 at Charles M. Schulz Sonoma County Airport in California. Thirteen custom aircraft were developed with electric, bio-diesel, and other bio-fuel engines. The aircraft are using various technologies to improve aerodynamic, propulsion, and structural efficiency. This paper will explore the feasibility of the rule set, competitor vehicles, design approaches, and technologies used.

  1. EAARL Topography--Three Mile Creek and Mobile-Tensaw Delta, Alabama, 2010

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — A digital elevation model (DEM) of a portion of the Mobile-Tensaw Delta region and Three Mile Creek in Alabama was produced from remotely sensed, geographically...

  2. Malheur National Wildlife Refuge: Narrative Report: 1937: Camp Five Mile BF-1: 2: February

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  3. Malheur National Wildlife Refuge: Narrative Report: 1936: Camp Five Mile BF-1: 1: October

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  4. Malheur National Wildlife Refuge: Narrative Report: 1937: Camp Five Mile BF-1: 5: May

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  5. Malheur National Wildlife Refuge: Narrative Report: 1937: Camp Five Mile BF-1: 4: April

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  6. Malheur National Wildlife Refuge: Narrative Report: 1936: Camp Five Mile BF-1: 3: December

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  7. Malheur National Wildlife Refuge: Narrative Report: 1936: Camp Five Mile BF-1: 2: November

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  8. Malheur National Wildlife Refuge: Narrative Report: 1937: Camp Five Mile BF-1: 6: June

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  9. Malheur National Wildlife Refuge: Narrative Report: 1938: Camp Five Mile BF-1: 1: March-April

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  10. Malheur National Wildlife Refuge: Narrative Report: 1937: Camp Five Mile BF-1: 1: January

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This narrative report from the Civilian Conservation Corps summarizes activities done for Five Mile on Malheur Migratory Waterfowl Refuge. Topics include...

  11. B Plant/WESF suspect/counterfeit parts identification program

    Energy Technology Data Exchange (ETDEWEB)

    Mertz, D.W.

    1996-01-12

    This document describes a suspect/counterfeit parts inspection program required by DOE conducted in accordance with Internal Memo 16710-94-DWM-048, J.A. O`Brien to J. N. Nansen, B Plant Suspect/ Counterfeit Parts Action Plan, dated May 24, 1994. The program included: physical inspection of all spare parts inventories within the plant; screening of installed B Plant/WESF (Waste Encapsulation and Storage Facility) systems for applications where the use and subsequent potential failure of suspect/counterfeit parts could have critical consequences; and a physical inspection based upon this screening.

  12. Longitudinal analysis of categorical epidemiological data: a study of Three Mile Island.

    OpenAIRE

    Fienberg, S. E.; Bromet, E.J.; Follmann, D; Lambert, D; S. M. May

    1985-01-01

    The accident at the Three Mile Island nuclear power plant in 1979 led to an unprecedented set of events with potentially life threatening implications. This paper focusses on the analysis of a longitudinal study of the psychological well-being of the mothers of young children living within 10 miles of the plant. The initial analyses of the data utilize loglinear/logit model techniques from the contingency table literature, and involve the fitting of a sequence of logit models. The inadequanci...

  13. The metabolic equivalents of one-mile walking by older adults; implications for health promotion

    Directory of Open Access Journals (Sweden)

    Mandy Lucinda Gault

    2017-09-01

    Full Text Available Background: Instructions for older adults regarding the intensity of walking may not elicit an intensity to infer health gains. We recorded the metabolic equivalents (METs during a 1-mile walk using constant and predicted values of resting MET in older adults to establish walking guidelines for health promotion and participation.Methods: In a cross-sectional design study, participants (15 men, 10 women walked 1-mile over ground, in a wooden floored gymnasium, wearing the Cosmed K4b2 for measurement of energy expenditure. Constant or predicted values for resting MET were used to calculate the number of 1-mile walks to meet 450-750 MET∙min∙wk-1.Results: Participants had MET values higher than 3 for both methods, with 29% and 64% of the participants higher than 6 for a constant and predicted MET value, respectively. The METs of the1-mile walk were (mean ± SD 6 ± 1 and 7 ± 1 METs using constant and predicted resting MET,and similar for men (constant: 6 ± 1 METs; predicted: 7 ± 1 METs and women (constant: 5±1METs; predicted: 6 ± 1 METs (P > 0.05.Conclusion: Older adults that are instructed to walk 1-mile at a fast and constant pace meet the minimum required intensity for physical activity, and public health guidelines. Health professionals, that administer exercise, could encourage older adults to accumulate between six and nine 1-mile walks per week for health gains.

  14. Evaluation of Algorithms for a Miles-in-Trail Decision Support Tool

    Science.gov (United States)

    Bloem, Michael; Hattaway, David; Bambos, Nicholas

    2012-01-01

    Four machine learning algorithms were prototyped and evaluated for use in a proposed decision support tool that would assist air traffic managers as they set Miles-in-Trail restrictions. The tool would display probabilities that each possible Miles-in-Trail value should be used in a given situation. The algorithms were evaluated with an expected Miles-in-Trail cost that assumes traffic managers set restrictions based on the tool-suggested probabilities. Basic Support Vector Machine, random forest, and decision tree algorithms were evaluated, as was a softmax regression algorithm that was modified to explicitly reduce the expected Miles-in-Trail cost. The algorithms were evaluated with data from the summer of 2011 for air traffic flows bound to the Newark Liberty International Airport (EWR) over the ARD, PENNS, and SHAFF fixes. The algorithms were provided with 18 input features that describe the weather at EWR, the runway configuration at EWR, the scheduled traffic demand at EWR and the fixes, and other traffic management initiatives in place at EWR. Features describing other traffic management initiatives at EWR and the weather at EWR achieved relatively high information gain scores, indicating that they are the most useful for estimating Miles-in-Trail. In spite of a high variance or over-fitting problem, the decision tree algorithm achieved the lowest expected Miles-in-Trail costs when the algorithms were evaluated using 10-fold cross validation with the summer 2011 data for these air traffic flows.

  15. White blood cell and platelet count as adjuncts to standard clinical evaluation for risk assessment in patients at low probability of acute aortic syndrome.

    Science.gov (United States)

    Morello, Fulvio; Cavalot, Giulia; Giachino, Francesca; Tizzani, Maria; Nazerian, Peiman; Carbone, Federica; Pivetta, Emanuele; Mengozzi, Giulio; Moiraghi, Corrado; Lupia, Enrico

    2017-08-01

    Pre-test probability assessment is key in the approach to suspected acute aortic syndromes (AASs). However, most patients with AAS-compatible symptoms are classified at low probability, warranting further evaluation for decision on aortic imaging. White blood cell count, platelet count and fibrinogen explore pathophysiological pathways mobilized in AASs and are routinely assayed in the workup of AASs. However, the diagnostic performance of these variables for AASs, alone and as a bundle, is unknown. We tested the hypothesis that white blood cell count, platelet count and/or fibrinogen at presentation may be applied as additional tools to standard clinical evaluation for pre-test risk assessment in patients at low probability of AAS. This was a retrospective observational study conducted on consecutive patients managed in our Emergency Department from 2009 to 2014 for suspected AAS. White blood cell count, platelet count and fibrinogen were assayed during evaluation in the Emergency Department. The final diagnosis was obtained by computed tomography angiography. The pre-test probability of AAS was defined according to guidelines. Of 1210 patients with suspected AAS, 1006 (83.1%) were classified at low probability, and 271 (22.4%) were diagnosed with AAS. Within patients at low probability, presence of at least one alteration among white blood cell count >9*10 3 /µl, platelet count 9*10 3 /µl and platelet count 9*10 3 /µl and platelet count evaluation, white blood cell count and platelet count may be used in patients at low pre-test probability to fine-tune risk assessment of AAS.

  16. 77 FR 6013 - Moving Security Zone Around Escorted Vessels On the Lower Mississippi River Between Mile Marker...

    Science.gov (United States)

    2012-02-07

    ... Lower Mississippi River Between Mile Marker 90.0 Above Head of Passes to Mile Marker 110.0 Above Head of Passes AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Captain of the Port of New Orleans (COTP New Orleans) has established moving security zones on the Mississippi River, from mile...

  17. 78 FR 54569 - Special Local Regulation, Cumberland River, Mile 190.0 to 192.0; Nashville, TN

    Science.gov (United States)

    2013-09-05

    ... beginning at mile marker 190.0 and ending at mile marker 192.0, extending bank to bank. This zone is... ground floor of the Department of Transportation West Building, 1200 New Jersey Avenue SE., Washington... Cumberland River from mile marker 190.0 to 192.0. The Coast Guard determined that a temporary special local...

  18. 77 FR 29254 - Safety Zones, Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker...

    Science.gov (United States)

    2012-05-17

    ... River, Southwest Pass Sea Buoy to Mile Marker 96.0; New Orleans, LA AGENCY: Coast Guard, DHS. ACTION... transit the Lower Mississippi River between mile marker 96.0, New Orleans, LA and the Southwest Pass Sea...; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

  19. 78 FR 54168 - Special Local Regulation, Cumberland River, Mile 157.0 to 159.0; Ashland City, TN

    Science.gov (United States)

    2013-09-03

    ... beginning at mile marker 157.0 and ending at mile marker 159.0, extending bank to bank. This zone is... ground floor of the Department of Transportation West ] Building, 1200 New Jersey Avenue SE., Washington... Purpose The Nashvegas Triathlon takes place on the Cumberland River from mile marker 157.0 to 159.0. The...

  20. 77 FR 65816 - Safety Zone; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker...

    Science.gov (United States)

    2012-10-31

    ..., Southwest Pass Sea Buoy to Mile Marker 96.0; New Orleans, LA AGENCY: Coast Guard, DHS. ACTION: Final rule... the Lower Mississippi River between the Port of New Orleans Cruise Ship Terminal, mile marker 96.0... intending to transit the Lower Mississippi River between mile marker 96.0, New Orleans, LA and the Southwest...

  1. 76 FR 79145 - Drawbridge Operation Regulations; Bayou Liberty, Mile 2.0, St. Tammany Parish, Slidell, LA

    Science.gov (United States)

    2011-12-21

    ... SECURITY Coast Guard 33 CFR Part 117 RIN 1625-AA09 Drawbridge Operation Regulations; Bayou Liberty, Mile 2... operation of the SR 433 Bridge over Bayou Liberty, mile 2.0, St. Tammany Parish, Slidell, LA. The Louisiana... Notice of Proposed Rulemaking (NPRM) entitled ``Drawbridge Operation Regulations; Bayou Liberty, mile 2.0...

  2. 76 FR 28311 - Drawbridge Operation Regulations; Bayou Liberty, Mile 2.0, St. Tammany Parish, Slidell, LA

    Science.gov (United States)

    2011-05-17

    ... SECURITY Coast Guard 33 CFR Part 117 Drawbridge Operation Regulations; Bayou Liberty, Mile 2.0, St. Tammany... deviation from the regulation governing the operation of the S433 Bridge over Bayou Liberty, mile 2.0, St... Bayou Liberty at mile 2.0, in St. Tammany Parish. The vertical clearance is 7.59 feet (2.31m) above the...

  3. 75 FR 71061 - Drawbridge Operation Regulations; Bayou Liberty, Mile 2.0, St. Tammany Parish, Slidell, LA

    Science.gov (United States)

    2010-11-22

    ... SECURITY Coast Guard 33 CFR Part 117 RIN 1625-AA09 Drawbridge Operation Regulations; Bayou Liberty, Mile 2... the regulation governing the operation of the S433 bridge over Bayou Liberty, mile 2.0, St. Tammany... of the S433 bridge over Bayou Liberty, mile 2.0, St. Tammany Parish, Slidell, LA. This change would...

  4. 49 CFR 228.103 - Approval procedure: construction within one-half mile (2,640 feet) (804 meters).

    Science.gov (United States)

    2010-10-01

    ... mile (2,640 feet) (804 meters). 228.103 Section 228.103 Transportation Other Regulations Relating to... within one-half mile (2,640 feet) (804 meters). (a) A common carrier that has developed plans for the... less than one-half mile (2,640 feet) (804 meters) from any area where switching or humping operations...

  5. Stopping and Questioning Suspected Shoplifters Without Creating Civil Liability

    Science.gov (United States)

    Reed, Jack R., Jr.

    1977-01-01

    Legal problems concerned with shoplifting suspects are addressed, including common law, criminal penalties, and the merchant's liability. Tangential questions and answers are presented along with discussion of pertinent court cases. (LBH)

  6. ALGORITHM OF MANAGEMENT OF PATIENTS WITH SUSPECTED BLUNT CARDIAC TRAUMA

    Directory of Open Access Journals (Sweden)

    S. R. Gilarevsky

    2013-01-01

    Full Text Available Abstract. Contemporary algorithm of diagnostic examination of patients with suspected blunt cardiac trauma is presented. General aspects of monitoring and treatment of such patients are also discussed. 

  7. Suspect confession of child sexual abuse to investigators.

    Science.gov (United States)

    Lippert, Tonya; Cross, Theodore P; Jones, Lisa; Walsh, Wendy

    2010-05-01

    Increasing the number of suspects who give true confessions of sexual abuse serves justice and reduces the burden of the criminal justice process on child victims. With data from four communities, this study examined confession rates and predictors of confession of child sexual abuse over the course of criminal investigations (final N = 282). Overall, 30% of suspects confessed partially or fully to the crime. This rate was consistent across the communities and is very similar to the rates of suspect confession of child sexual abuse found by previous research, although lower than that from a study focused on a community with a vigorous practice of polygraph testing. In a multivariate analysis, confession was more likely when suspects were younger and when more evidence of abuse was available, particularly child disclosure and corroborative evidence. These results suggest the difficulty of obtaining confession but also the value of methods that facilitate child disclosure and seek corroborative evidence, for increasing the odds of confession.

  8. Relationship between shift work and peripheral total and differential leukocyte counts in Chinese steel workers.

    Science.gov (United States)

    Lu, Li-Fen; Wang, Chao-Ping; Tsai, I-Ting; Hung, Wei-Chin; Yu, Teng-Hung; Wu, Cheng-Ching; Hsu, Chia-Chang; Lu, Yung-Chuan; Chung, Fu-Mei; Jean, Mei-Chu Yen

    2016-01-01

    Even though shift work has been suspected to be a risk factor for cardiovascular disease, little research has been done to determine the logical underlying inflammation mechanisms. This study investigated the association between shift work and circulating total and differential leukocyte counts among Chinese steel workers. The subjects were 1,654 line workers in a steel plant, who responded to a cross-sectional survey with a questionnaire on basic attributes, life style, and sleep. All workers in the plant received a periodic health checkup. Total and differential leukocytes counts were also examined in the checkup. Shift workers had higher rates of alcohol use, smoking, poor sleep, poor physical exercise, and obesity than daytime workers. In further analysis, we found that the peripheral total WBC, monocyte, neutrophil, and lymphocyte counts were also greater in shift workers than in daytime workers. When subjects were divided into quartiles according to total WBC, neutrophil, monocyte, and lymphocyte counts, increased leukocyte count was associated with shift work. Using stepwise linear regression analysis, smoking, obesity, and shift work were independently associated with total WBC, monocyte, neutrophil, and lymphocyte counts. This study indicates that peripheral total and differential leukocyte counts are significantly higher in shift workers, which suggests that shift work may be a risk factor of cardiovascular disease. Applicable intervention strategies are needed for prevention of cardiovascular disease for shift workers.

  9. Temporal trends in sperm count

    DEFF Research Database (Denmark)

    Levine, Hagai; Jørgensen, Niels; Martino-Andrade, Anderson

    2017-01-01

    , method of measuring SC and semen volume, exclusion criteria and indicators of completeness of covariate data]. The slopes of SC and TSC were estimated as functions of sample collection year using both simple linear regression and weighted meta-regression models and the latter were adjusted for pre......-determined covariates and modification by fertility and geographic group. Assumptions were examined using multiple sensitivity analyses and nonlinear models. OUTCOMES: SC declined significantly between 1973 and 2011 (slope in unadjusted simple regression models -0.70 million/ml/year; 95% CI: -0.72 to -0.69; P ...BACKGROUND: Reported declines in sperm counts remain controversial today and recent trends are unknown. A definitive meta-analysis is critical given the predictive value of sperm count for fertility, morbidity and mortality. OBJECTIVE AND RATIONALE: To provide a systematic review and meta-regression...

  10. 1/Nc Countings in Baryons

    Energy Technology Data Exchange (ETDEWEB)

    Jose Goity

    2004-05-01

    The 1/N{sub c} power countings for baryon decays and configuration mixings are determined by means of a non-relativistic quark picture. Such countings are expected to be robust as the quark masses are decreased towards the chiral limit. It is shown that excited baryons have natural widths of {Omicron}(N{sub c}{sup 0}). These dominant widths are due to the decays that proceed directly to the ground state baryons, with cascade decays being suppressed to {Omicron}(1/N{sub c}). Configuration mixings, defined as mixings between states belonging to different O(3) x SU(2N{sub f}) multiplets, are shown to be sub-leading in an expansion in 1/{radical}N{sub c}, except for certain mixings between excited multiplets belonging to the mixed-symmetric spin-flavor representation and different O(3) representations, where the mixings are of zeroth order in 1/N{sub c}.

  11. Suspect aggression and victim resistance in multiple perpetrator rapes.

    Science.gov (United States)

    Woodhams, Jessica; Cooke, Claire

    2013-11-01

    Several research studies have reported an elevated level of aggression in rapes committed by multiple perpetrators compared to rapes committed by lone suspects. Several factors that have been linked to elevated aggression in generic samples of rape were examined for the first time with a sample of multiple perpetrator rapes. Factors that might be associated with victim resistance were also investigated. Victim and offender characteristics, as well as the behaviors displayed by victims and offenders, were extracted from the police files of 89 multiple perpetrator stranger rapes perpetrated against female victims in the United Kingdom. These behaviors were rated for their level of suspect (non-sexual) aggression and victim resistance, respectively. Degree of victim resistance was significantly and positively associated with suspect aggression. Older victims were the recipients of significantly higher levels of suspect aggression. Victims who were incapacitated from drugs and/or alcohol were less likely to be the recipients of suspect aggression. Group leaders displayed more aggression towards the victim than the followers in the groups. The number of perpetrators was significantly related to the degree of resistance displayed by the victim with offences perpetrated by fewer suspects being characterized by more victim resistance. Research regarding cognitive appraisal during criminal interactions and the respective roles of offenders is referred to in considering these relationships.

  12. Interviewing strategically to elicit admissions from guilty suspects.

    Science.gov (United States)

    Tekin, Serra; Granhag, Pär Anders; Strömwall, Leif; Giolla, Erik Mac; Vrij, Aldert; Hartwig, Maria

    2015-06-01

    In this article we introduce a novel interviewing tactic to elicit admissions from guilty suspects. By influencing the suspects' perception of the amount of evidence the interviewer holds against them, we aimed to shift the suspects' counterinterrogation strategies from less to more forthcoming. The proposed tactic (SUE-Confrontation) is a development of the Strategic Use of Evidence (SUE) framework and aims to affect the suspects' perception by confronting them with statement-evidence inconsistencies. Participants (N = 90) were asked to perform several mock criminal tasks before being interviewed using 1 of 3 interview techniques: (a) SUE-Confrontation, (b) Early Disclosure of Evidence, or (c) No Disclosure of Evidence. As predicted, the SUE-Confrontation interview generated more statement-evidence inconsistencies from suspects than the Early Disclosure interview. Importantly, suspects in the SUE-Confrontation condition (vs. Early and No disclosure conditions) admitted more self-incriminating information and also perceived the interviewer to have had more information about the critical phase of the crime (the phase where the interviewer lacked evidence). The findings show the adaptability of the SUE-technique and how it may be used as a tool for eliciting admissions. (c) 2015 APA, all rights reserved).

  13. Monitoring Milk Somatic Cell Counts

    Directory of Open Access Journals (Sweden)

    Gheorghe Şteţca

    2014-11-01

    Full Text Available The presence of somatic cells in milk is a widely disputed issue in milk production sector. The somatic cell counts in raw milk are a marker for the specific cow diseases such as mastitis or swollen udder. The high level of somatic cells causes physical and chemical changes to milk composition and nutritional value, and as well to milk products. Also, the mastitic milk is not proper for human consumption due to its contribution to spreading of certain diseases and food poisoning. According to these effects, EU Regulations established the maximum threshold of admitted somatic cells in raw milk to 400000 cells / mL starting with 2014. The purpose of this study was carried out in order to examine the raw milk samples provided from small farms, industrial type farms and milk processing units. There are several ways to count somatic cells in milk but the reference accepted method is the microscopic method described by the SR EN ISO 13366-1/2008. Generally samples registered values in accordance with the admissible limit. By periodical monitoring of the somatic cell count, certain technological process issues are being avoided and consumer’s health ensured.

  14. Suspected neurotoxicity due to Clostridium perfringens type B in a tiger (Panthera tigris).

    Science.gov (United States)

    Zeira, Offer; Briola, Chiara; Konar, Martin; Dumas, Maria Pia; Wrzosek, Marcin Adam; Papa, Valentina

    2012-09-01

    A 4-yr-old tiger (Panthera tigris) was referred with acute onset of severe abnormal consciousness. Neurological evaluation showed normal palpebral and corneal reflexes, normal pupil diameter with normal direct and consensual papillary light reflex, and absent menace response bilaterally. Diffuse forebrain lesion or focal lesion affecting the ascending reticular activating system was suspected. Complete blood examination and cerebrospinal fluid analysis were normal. Magnetic resonance imaging of the brain showed an empty sella as the only result. Clostridium perfringens 10(4) to 10(7) colony-forming units/g were detected in fecal flora samples. Multiplex polymerase chain reaction assay identified serotype B counts with production of epsilon toxin. This toxin specifically accumulates in the central nervous system, where it causes acute neurological signs in humans, domestic animals, and wildlife. In this communication, the acute onset of neurological signs without evidence of trauma, vascular, metabolic, or inflammatory diseases may be caused by neurotoxicity due to C. perfringens.

  15. Error in laboratory report data for platelet count assessment in patients suspicious for dengue: a note from observation

    Directory of Open Access Journals (Sweden)

    Somsri Wiwanitkit

    2016-08-01

    Full Text Available Dengue is a common tropical infection that is still a global health threat. An important laboratory parameter for the management of dengue is platelet count. Platelet count is an useful test for diagnosis and following up on dengue. However, errors in laboratory reports can occur. This study is a retrospective analysis on laboratory report data of complete blood count in cases with suspicious dengue in a medical center within 1 month period during the outbreak season on October, 2015. According to the studied period, there were 184 requests for complete blood count for cases suspected for dengue. From those 184 laboratory report records, errors can be seen in 12 reports (6.5%. This study demonstrates that there are considerable high rate of post-analytical errors in laboratory reports. Interestingly, the platelet count in those erroneous reports can be unreliable and ineffective or problematic when it is used for the management of dengue suspicious patients.

  16. A novel interference fringes software counting method

    Science.gov (United States)

    Yang, Yuanzhao; Chen, Benyong; Wu, Xiaowei; Li, Dacheng

    2005-02-01

    Conventional interference fringes counting methods often process two sinusoidal interference signals with a phase difference of π/2 to realize fringe-counting. But when the signals fluctuate in half a period of the signal, the conventional fringe-counting method sometimes produces direction-distinguishing mistakes, then resulting in counting errors. To address the problem, this paper presents a novel interference fringes counting method that uses software to distinguish the forward or backward direction of interference fringe and to count. This fringe-counting method can accurately distinguish the moving direction induced by the fluctuation of interference fringes, so it has the advantages of exact counting, intelligence and reliability. An experimental setup based on a Michelson interferometer is constructed to demonstrate the utility of this fringe-counting method for displacement measurement, and experimental results with a range of 1036mm is presented.

  17. The Role of 16S rRNA Gene Sequencing in Confirmation of Suspected Neonatal Sepsis.

    Science.gov (United States)

    El Gawhary, Somaia; El-Anany, Mervat; Hassan, Reem; Ali, Doaa; El Gameel, El Qassem

    2016-02-01

    Different molecular assays for the detection of bacterial DNA in the peripheral blood represented a diagnostic tool for neonatal sepsis. We targeted to evaluate the role of 16S rRNA gene sequencing to screen for bacteremia to confirm suspected neonatal sepsis (NS) and compare with risk factors and septic screen testing. Sixty-two neonates with suspected NS were enrolled. White blood cells count, I/T ratio, C-reactive protein, blood culture and 16S rRNA sequencing were performed. Blood culture was positive in 26% of cases, and PCR was positive in 26% of cases. Evaluation of PCR for the diagnosis of NS showed sensitivity 62.5%, specificity 86.9%, PPV 62.5%, NPV 86.9% and accuracy of 79.7%. 16S rRNA PCR increased the sensitivity of detecting bacterial DNA in newborns with signs of sepsis from 26 to 35.4%, and its use can be limited to cases with the most significant risk factors and positive septic screen. © The Author [2015]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Cohort profiles of the cross-sectional and prospective participant groups in the second Diabetes MILES-Australia (MILES-2) study

    DEFF Research Database (Denmark)

    Browne, Jessica L; Holmes-Truscott, Elizabeth; Ventura, Adriana D

    2017-01-01

    and social aspects of diabetes. The aim of the MILES-2 study was to provide a (1) longitudinal follow-up of the original MILES 2011 study cohort; (2) cross-sectional assessment of a new cohort. PARTICIPANTS: Eligible participants were English-speaking Australians with type 1 or type 2 diabetes, aged 18....... The final sample included N=2342 eligible respondents (longitudinal cohort: n=504; 2015 new cohort: n=1838); 54% had type 2 diabetes. FINDINGS TO DATE: Survey respondents were from an advantaged socioeconomic background compared to the general population. Respondents with type 1 diabetes were over......-represented in the new cohort (45%) relative to the planned stratification (40% type 1 diabetes, 60% type 2 diabetes). Respondents with insulin-treated type 2 diabetes were under-represented in the new cohort relative to the stratified sampling (42% invited vs 50% response). Participants who completed both the 2011...

  19. Presumed prevalence analysis on suspected and highly suspected breast cancer lesions in São Paulo using BIRADS® criteria

    Directory of Open Access Journals (Sweden)

    Vivian Milani

    Full Text Available CONTEXT AND OBJECTIVE: Breast cancer screening programs are critical for early detection of breast cancer. Early detection is essential for diagnosing, treating and possibly curing breast cancer. Since there are no data on the incidence of breast cancer, nationally or regionally in Brazil, our aim was to assess women by means of mammography, to determine the prevalence of this disease. DESIGN AND SETTING: The study protocol was designed in collaboration between the Department of Diagnostic Imaging (DDI, Institute of Diagnostic Imaging (IDI and São Paulo Municipal Health Program. METHODS: A total of 139,945 Brazilian women were assessed by means of mammography between April 2002 and September 2004. Using the American College of Radiology (ACR criteria (Breast Imaging Reporting and Data System, BIRADS®, the prevalence of suspected and highly suspected breast lesions were determined. RESULTS: The prevalence of suspected (BIRADS® 4 and highly suspected (BIRADS® 5 lesions increased with age, especially after the fourth decade. Accordingly, BIRADS® 4 and BIRADS® 5 lesions were more prevalent in the fourth, fifth, sixth and seventh decades. CONCLUSION: The presumed prevalence of suspected and highly suspected breast cancer lesions in the population of São Paulo was 0.6% and it is similar to the prevalence of breast cancer observed in other populations.

  20. Repeatability of differential goat bulk milk culture and associations with somatic cell count, total bacterial count, and standard plate count

    NARCIS (Netherlands)

    Koop, G.; Dik, N.; Nielen, M.; Lipman, L.J.A.

    2010-01-01

    The aims of this study were to assess how different bacterial groups in bulk milk are related to bulk milk somatic cell count (SCC), bulk milk total bacterial count (TBC), and bulk milk standard plate count (SPC) and to measure the repeatability of bulk milk culturing. On 53 Dutch dairy goat farms,

  1. The 1-mile walk test is a valid predictor of VO(2max) and is a reliable alternative fitness test to the 1.5-mile run in U.S. Air Force males.

    Science.gov (United States)

    Weiglein, Laura; Herrick, Jeffery; Kirk, Stacie; Kirk, Erik P

    2011-06-01

    The purpose of this study was to assess the validity of the 1-mile walk (Rockport Walk Test) as a predictor of VO(2max) and determine whether the 1-mile walk is a reliable alternative to the 1.5-mile run in moderately fit to highly fit U.S. Air Force males. Twenty-four (33.0 +/- 1.5 years) males completed a maximal treadmill VO(2max) (50.3 +/- 1.4 mL/ kg/min), 1-mile walk, and 1.5-mile run. For the 1-mile walk, there were no significant differences between measured and predicted VO(2max) (p = 0.177, r = 0.817). There were no significant differences (p = 0.573) between points scored in the Air Force Fitness Test for the 1-mile walk and 1.5-mile run tests. In conclusion, the 1-mile walk test is a valid predictor of VO(2max) and can be used as an alternative fitness test to the 1.5-mile run in assessing cardiovascular fitness in Air Force males.

  2. CalCOFI Larvae Counts Positive Tows

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for eggs captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  3. Alaska Steller Sea Lion Pup Count Database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This database contains counts of Steller sea lion pups on rookeries in Alaska made between 1961 and 2015. Pup counts are conducted in late June-July. Pups are...

  4. White blood cell count - series (image)

    Science.gov (United States)

    The White Blood Cell (WBC) Count measures two components: the total number of WBC's (leukocytes), and the differential count. ... and basophils) and non-granulocytes (lymphocytes and monocytes). White blood cells are a major component of the ...

  5. Walter Miles, Pop Warner, B. C. Graves, and the psychology of football.

    Science.gov (United States)

    Baugh, Frank G; Benjamin, Ludy T

    2006-01-01

    In 1926-1927, a graduate student, B. C. Graves, working with Stanford University psychologist Walter Miles and legendary football coach Pop Warner, conducted an investigation of variations in signal calling as they affected the charging times of football players. The study was one of two that involved Miles and the ingenious multiple chronograph that he had invented to time the reactions of seven players simultaneously. These studies represented a brief digression in the career of Miles, who certainly was no sport psychologist. They tell of an interesting collaboration between scientist and coaches that produced one of the richest studies in sport psychology in the first half of the twentieth century. Copyright 2006 Wiley Periodicals, Inc.

  6. Revisiting Miles-Snow typology of strategic orientation using stakeholder theory

    DEFF Research Database (Denmark)

    Obel, Børge; Gurkov, Igor B.

    Miles-Snow strategic typology has been successfully used in research in strategy and organizational design. The key dimension underlying Miles-Snow typology is the organizational response to changing environmental conditions. In this paper a new model is proposed based on the type of relationship...... its stakeholders serve as foundation for determining strategic orientation types. The proposed model allows interpreting the Miles and Snow typology in a new way and in particular the often neglected reactor type. Examples of the use of the proposed model are also provided. The reformulated model...... of a firm with its stakeholders (shareholders, employees, customers, authorities etc.) who are considered as suppliers of key strategic resources. Relationship between the firm and its particular stakeholder is presented on an input-output like scheme and the variants of the position of the firm towards all...

  7. Diabetes MILES--Australia (management and impact for long-term empowerment and success)

    DEFF Research Database (Denmark)

    Speight, Jane; Browne, Jessica L; Holmes-Truscott, Elizabeth

    2012-01-01

    BACKGROUND: Successful management of diabetes requires attention to the behavioural, psychological and social aspects of this progressive condition. The Diabetes MILES (Management and Impact for Long-term Empowerment and Success) Study is an international collaborative. Diabetes MILES......--Australia, the first Diabetes MILES initiative to be undertaken, was a national survey of adults living with type 1 or type 2 diabetes in Australia. The aim of this study was to gather data that will provide insights into how Australians manage their diabetes, the support they receive and the impact of diabetes...... on their lives, as well as to use the data to validate new diabetes outcome measures. METHODS/DESIGN: The survey was designed to include a core set of self-report measures, as well as modules specific to diabetes type or management regimens. Other measures or items were included in only half of the surveys...

  8. Modeling and Simulation of Count Data

    Science.gov (United States)

    Plan, E L

    2014-01-01

    Count data, or number of events per time interval, are discrete data arising from repeated time to event observations. Their mean count, or piecewise constant event rate, can be evaluated by discrete probability distributions from the Poisson model family. Clinical trial data characterization often involves population count analysis. This tutorial presents the basics and diagnostics of count modeling and simulation in the context of pharmacometrics. Consideration is given to overdispersion, underdispersion, autocorrelation, and inhomogeneity. PMID:25116273

  9. 7 CFR 1220.625 - Counting requests.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Counting requests. 1220.625 Section 1220.625... CONSUMER INFORMATION Procedures To Request a Referendum Definitions § 1220.625 Counting requests. (a) The requests for a referendum shall be counted by county FSA offices on the same day as the requests are...

  10. Risk cognition and the public: The case of Three Mile Island

    Science.gov (United States)

    Cutter, Susan L.

    1984-01-01

    Residents of within 50 miles of the nuclear power plant at Three Mile Island (TMI), Pennsylvania, were surveyed in 1979, 1980, and 1982 to assess their general attitudes toward nuclear power, to assess their individual coping responses to the March 1979 accident, and to monitor changes in attitudes over the three-year period. Most respondents feel that future accidents like TMI will occur once or twice more in their lifetimes, that operating nuclear power stations should have improved safeguards and should continue operating, and that major institutions—government and utility companies—are experiencing a continued erosion of public trust.

  11. How much do women count if they not counted?

    Directory of Open Access Journals (Sweden)

    Federica Taddia

    2006-01-01

    Full Text Available The condition of women throughout the world is marked by countless injustices and violations of the most fundamental rights established by the Universal Declaration of human rights and every culture is potentially prone to commit discrimination against women in various forms. Women are worse fed, more exposed to physical violence, more exposed to diseases and less educated; they have less access to, or are excluded from, vocational training paths; they are the most vulnerable among prisoners of conscience, refugees and immigrants and the least considered within ethnic minorities; from their very childhood, women are humiliated, undernourished, sold, raped and killed; their work is generally less paid compared to men’s work and in some countries they are victims of forced marriages. Such condition is the result of old traditions that implicit gender-differentiated education has long promoted through cultural models based on theories, practices and policies marked by discrimination and structured differentially for men and women. Within these cultural models, the basic educational institutions have played and still play a major role in perpetuating such traditions. Nevertheless, if we want to overcome inequalities and provide women with empowerment, we have to start right from the educational institutions and in particular from school, through the adoption of an intercultural approach to education: an approach based on active pedagogy and on methods of analysis, exchange and enhancement typical of socio-educational animation. The intercultural approach to education is attentive to promote the realisation of each individual and the dignity and right of everyone to express himself/herself in his/her own way. Such an approach will give women the opportunity to become actual agents of collective change and to get the strength and wellbeing necessary to count and be counted as human beings entitled to freedom and equality, and to have access to all

  12. The use of psychoactive prescription drugs among DUI suspects.

    Science.gov (United States)

    Karjalainen, Karoliina; Haukka, Jari; Lintonen, Tomi; Joukamaa, Matti; Lillsunde, Pirjo

    2015-10-01

    The study seeks to increase understanding of the use of psychoactive prescription drugs among persons suspected of driving under the influence (DUI). We studied whether the use of prescribed psychoactive medication was associated with DUI, and examined the difference in the use of prescription drugs between DUI recidivists and those arrested only once. In this register-based study, persons suspected of DUI (n=29470) were drawn from the Register of DUI suspects, and an age- and gender-matched reference population (n=30043) was drawn from the Finnish general population. Data on prescription drug use was obtained by linkage to the National Prescription Register. The associations of DUI arrest and use of psychoactive prescription drugs in different DUI groups (findings for alcohol only, prescription drugs, prescription drugs and alcohol, illicit drugs) were estimated by using mixed-effect logistic regression. The use of psychoactive prescription drugs and DUI appeared to be strongly associated, with DUI suspects significantly more likely to use psychoactive prescription drugs compared to the reference population. Gender differences existed, with the use of benzodiazepines being more common among female DUI suspects. Moreover, DUI recidivists were more likely to use psychoactive prescription drugs compared to those arrested only once. In addition to alcohol and/or illicit drug use, a significant proportion of DUI suspects were using psychoactive prescription drugs. When prescribing psychoactive medication, especially benzodiazepines, physicians are challenged to screen for possible substance use problems and also to monitor for patients' alcohol or illicit drug use while being medicated. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  13. Book Review: Placing the Suspect behind the Keyboard: Using Digital Forensics and Investigative Techniques to Identify Cybercrime Suspects

    Directory of Open Access Journals (Sweden)

    Thomas Nash

    2013-06-01

    Full Text Available Shavers, B. (2013. Placing the Suspect behind the Keyboard: Using Digital Forensics and Investigative Techniques to Identify Cybercrime Suspects. Waltham, MA: Elsevier, 290 pages, ISBN-978-1-59749-985-9, US$51.56. Includes bibliographical references and index.Reviewed by Detective Corporal Thomas Nash (tnash@bpdvt.org, Burlington Vermont Police Department, Internet Crime against Children Task Force. Adjunct Instructor, Champlain College, Burlington VT.In this must read for any aspiring novice cybercrime investigator as well as the seasoned professional computer guru alike, Brett Shaver takes the reader into the ever changing and dynamic world of Cybercrime investigation.  Shaver, an experienced criminal investigator, lays out the details and intricacies of a computer related crime investigation in a clear and concise manner in his new easy to read publication, Placing the Suspect behind the Keyboard. Using Digital Forensics and Investigative techniques to Identify Cybercrime Suspects. Shaver takes the reader from start to finish through each step of the investigative process in well organized and easy to follow sections, with real case file examples to reach the ultimate goal of any investigation: identifying the suspect and proving their guilt in the crime. Do not be fooled by the title. This excellent, easily accessible reference is beneficial to both criminal as well as civil investigations and should be in every investigator’s library regardless of their respective criminal or civil investigative responsibilities.(see PDF for full review

  14. Suspected Rhinolithiasis Associated With Endodontic Disease in a Cat.

    Science.gov (United States)

    Ng, Kevin; Fiani, Nadine; Peralta, Santiago

    2017-12-01

    Rhinoliths are rare, intranasal, mineralized masses formed via the precipitation of mineral salts around an intranasal nidus. Clinical signs are typically consistent with inflammatory rhinitis and nasal obstruction, but asymptomatic cases are possible. Rhinoliths may be classified as exogenous or endogenous depending on the origin of the nidus, with endogenous rhinoliths reportedly being less common. This case report describes a suspected case of endogenous rhinolithiasis in a cat which was detected as an incidental finding during radiographic assessment of a maxillary canine tooth with endodontic disease. Treatment consisted of removal of the suspected rhinolith via a transalveolar approach after surgical extraction of the maxillary canine tooth.

  15. Cholescintigraphy and ultrasonography in patients suspected of having acute cholecystitis

    DEFF Research Database (Denmark)

    Lauritsen, K B; Sommer, W; Hahn, L

    1988-01-01

    The diagnostic power of combined cholescintigraphy and ultrasonography was tested in 67 patients suspected of having acute cholecystitis; of these, 42 (63%) had acute cholecystitis. The predictive value of a positive scintigraphy (PVpos) was 95% and that of a negative (PVneg) was 91% (n = 67...... that in patients suspected of having acute cholecystitis cholescintigraphy should be the first diagnostic procedure performed. If the scintigraphy is positive, additional ultrasonographic detection of gallstones makes the diagnosis almost certain. If one diagnostic modality is inconclusive, the other makes a fair...

  16. Symptomatic Patency Capsule Retention in Suspected Crohn's Disease

    DEFF Research Database (Denmark)

    Rasmussen, Bjørn; Nathan, Torben; Jensen, Michael Dam

    2016-01-01

    The main limitation of capsule endoscopy is the risk of capsule retention. In patients with suspected Crohn's disease, however, this complication is rare, and if a small bowel stenosis is not reliably excluded, small bowel patency can be confirmed with the Pillcam patency capsule. We present two...... patients examined for suspected Crohn's disease who experienced significant symptoms from a retained patency capsule. Both patients had Crohn's disease located in the terminal ileum. In one patient, the patency capsule caused abdominal pain and vomiting and was visualized at magnetic resonance enterography...

  17. Counting paths with Schur transitions

    Energy Technology Data Exchange (ETDEWEB)

    Díaz, Pablo [Department of Physics and Astronomy, University of Lethbridge, Lethbridge, Alberta, T1K 3M4 (Canada); Kemp, Garreth [Department of Physics, University of Johannesburg, P.O. Box 524, Auckland Park 2006 (South Africa); Véliz-Osorio, Alvaro, E-mail: aveliz@gmail.com [Mandelstam Institute for Theoretical Physics, University of the Witwatersrand, WITS 2050, Johannesburg (South Africa); School of Physics and Astronomy, Queen Mary, University of London, Mile End Road, London E1 4NS (United Kingdom)

    2016-10-15

    In this work we explore the structure of the branching graph of the unitary group using Schur transitions. We find that these transitions suggest a new combinatorial expression for counting paths in the branching graph. This formula, which is valid for any rank of the unitary group, reproduces known asymptotic results. We proceed to establish the general validity of this expression by a formal proof. The form of this equation strongly hints towards a quantum generalization. Thus, we introduce a notion of quantum relative dimension and subject it to the appropriate consistency tests. This new quantity finds its natural environment in the context of RCFTs and fractional statistics; where the already established notion of quantum dimension has proven to be of great physical importance.

  18. Discrete calculus methods for counting

    CERN Document Server

    Mariconda, Carlo

    2016-01-01

    This book provides an introduction to combinatorics, finite calculus, formal series, recurrences, and approximations of sums. Readers will find not only coverage of the basic elements of the subjects but also deep insights into a range of less common topics rarely considered within a single book, such as counting with occupancy constraints, a clear distinction between algebraic and analytical properties of formal power series, an introduction to discrete dynamical systems with a thorough description of Sarkovskii’s theorem, symbolic calculus, and a complete description of the Euler-Maclaurin formulas and their applications. Although several books touch on one or more of these aspects, precious few cover all of them. The authors, both pure mathematicians, have attempted to develop methods that will allow the student to formulate a given problem in a precise mathematical framework. The aim is to equip readers with a sound strategy for classifying and solving problems by pursuing a mathematically rigorous yet ...

  19. Accuracy and Generalizability in Summaries of Affect Regulation Strategies: Comment on Webb, Miles, and Sheeran (2012)

    Science.gov (United States)

    Augustine, Adam A.; Hemenover, Scott H.

    2013-01-01

    In their examination of the effectiveness of affect regulation strategies, Webb, Miles, and Sheeran (2012) offered the results of a broad meta-analysis of studies on regulatory interventions. Their analysis provides an alternative to our earlier, more focused meta-analysis of the affect regulation literature (Augustine & Hemenover, 2009).…

  20. Crisis contained, The Department of Energy at Three Mile Island: a history

    Energy Technology Data Exchange (ETDEWEB)

    Cantelon, P L; Williams, R C

    1980-12-01

    An account is given of the response of US DOE to the Three Mile Island-2 accident on March 28, 1979. The accident is treated as though it was a military battle. A synoptic chronologgy of the accident events and of DOE and other responses is included. (DLC)

  1. Fear of hypoglycaemia in adults with Type 1 diabetes : Results from Diabetes MILES - The Netherlands

    NARCIS (Netherlands)

    Nefs, G.M.; Bevelander, S.E.; Hendrieckx, C.; Bot, M.; Ruige, J.; Speight, J.; Pouwer, F.

    2015-01-01

    Aims To examine sociodemographic, clinical and psychological factors associated with fear of hypoglycaemia in adults with Type 1 diabetes. Methods Data were obtained from Diabetes MILES – The Netherlands, an online self-report national survey. This cross-sectional analysis focused on participants

  2. 75 FR 24400 - Drawbridge Operation Regulation; CSX Railroad, Trout River, Mile 0.9, Jacksonville, FL

    Science.gov (United States)

    2010-05-05

    .... This rule will provide less restrictive vessel traffic flow as the bridge will be in the open position.... Protection of Children We have analyzed this rule under Executive Order 13045, Protection of Children from... River, Mile 0.9, Jacksonville, FL AGENCY: Coast Guard, DHS. ACTION: Final rule. SUMMARY: The Coast Guard...

  3. When FE Lecturers Go the Extra Mile: The Rhetoric and the Reality

    Science.gov (United States)

    Lobb, Rhonda

    2017-01-01

    This paper explores the concept of "going the extra mile" from the perceptions of 30 lecturers and six middle managers working within the further education (FE) sector. Until now, the phenomena of discretionary behaviour has only been researched using a scientific, positivist approach adopting the construct of organisational citizenship…

  4. An updated MILES stellar library and stellar population models (Research Note)

    NARCIS (Netherlands)

    Falcon-Barroso, J.; Sanchez-Blazquez, P.; Vazdekis, A.; Ricciardelli, E.; Cardiel, N.; Cenarro, A. J.; Gorgas, J.; Peletier, R. F.

    Aims: We present a number of improvements to the MILES library and stellar population models. We correct some small errors in the radial velocities of the stars, measure the spectral resolution of the library and models more accurately, and give a better absolute flux calibration of the models.

  5. Upward trend in vehicle-miles resumed during 2009 : a time series analysis

    Science.gov (United States)

    2010-04-01

    After a 2-year interruption to a long-term upward trend, the : number of vehicle-miles traveled (VMT) on the Nations highways : appears to have resumed a pattern of upward growth in : 2009. While VMT rises and falls seasonally, the years 2007 : an...

  6. Leveraging socially networked mobile ICT platforms for the last-mile delivery problem.

    Science.gov (United States)

    Suh, Kyo; Smith, Timothy; Linhoff, Michelle

    2012-09-04

    Increasing numbers of people are managing their social networks on mobile information and communication technology (ICT) platforms. This study materializes these social relationships by leveraging spatial and networked information for sharing excess capacity to reduce the environmental impacts associated with "last-mile" package delivery systems from online purchases, particularly in low population density settings. Alternative package pickup location systems (PLS), such as a kiosk on a public transit platform or in a grocery store, have been suggested as effective strategies for reducing package travel miles and greenhouse gas emissions, compared to current door-to-door delivery models (CDS). However, our results suggest that a pickup location delivery system operating in a suburban setting may actually increase travel miles and emissions. Only once a social network is employed to assist in package pickup (SPLS) are significant reductions in the last-mile delivery distance and carbon emissions observed across both urban and suburban settings. Implications for logistics management's decades-long focus on improving efficiencies of dedicated distribution systems through specialization, as well as for public policy targeting carbon emissions of the transport sector are discussed.

  7. Gridded bathymetry of Galvez Bank, S. Galvez Bank, and 11-Mile Reef, Territory of Guam, USA

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded bathymetry (5m) of the bank environment of Galvez Bank, and 2 small nearby banks S. Galvez Bank (~ 3 nmi south of Galvez) and 11-mile Reef (~ 5 nmi north of...

  8. A Conceptual Study of Spirituality in Selected Writings of Émile Jaques-Dalcroze

    Science.gov (United States)

    Habron, John; van der Merwe, Liesl

    2017-01-01

    Several authors have noted that one of Émile Jaques-Dalcroze's aims was to dissolve the mind-body dualism, typical of Cartesianism. However, there has been little research on the spirit-body connection, as it appears in Jaques-Dalcroze's writings. The purpose of this document analysis is to understand how a hermeneutic phenomenological model for…

  9. Historical and Architectural Documentation of the Interurban Trolley Bridge at Three Mile Creek, Fort Riley, Kansas

    Science.gov (United States)

    2009-09-01

    in the new territories gained in the Louisiana 3 Ibid. 4 Ibid. 5 Ibid. 6 George...Intending to join the city with the growing military reserva - tion of Fort Riley four miles away, the company plans did not materialize. A second

  10. SOLIDARIEDADE SOCIAL : as ponderações de Émile Durkheim

    Directory of Open Access Journals (Sweden)

    Marta do Socorro Sousa de Araujo

    2005-01-01

    Full Text Available Analysis of the forms of social solidarity pointed by Émile Durkheim as a part of the principle of the social integration through as the balance and of t he social cohesion, indispensable considered aspects to the good operation of the society.

  11. Integrating management techniques to restore sites invaded by mile-a-minute weed, Persicaria perfoliata

    Science.gov (United States)

    Ellen C. Lake; Judith Hough-Goldstein; Vincent. D' Amico

    2014-01-01

    Efforts to suppress an invasive weed are often undertaken with the goal of facilitating the recovery of a diverse native plant community. In some cases, however, reduction in the abundance of the target weed results in an increase in other exotic weeds. Mile-a-minute weed (Persicaria perfoliata (L.) H. Gross (Polygonaceae)) is an annual vine from...

  12. Cross validation of the 1-mile walking test for men with mental retardation.

    Science.gov (United States)

    Rintala, P; McCubbin, J A; Downs, S B; Fox, S D

    1997-01-01

    The purpose of this study was to cross validate the equation developed by Rintala et al. (1992) to estimate the cardiorespiratory efficiency of men with mental retardation (MR). Subjects were 19 healthy men (27 +/- 8 yr) with MR (IQ = 58 +/- 12). Following familiarization, a graded maximal treadmill test and two 1-mile walk tests (Rockport Fitness Walking Test, RFWT) were administered. The peak VO2 value was the criterion measure used to cross validate the equation. The equation was: Peak VO2 (ml.kg-1.min-1) = 101.92 - 2.356 (MILE)-0.420 (WEIGHT). The mean differences were 2.04 (MILE1)(P = 0.02) and 2.43 (MILE2)(P = 0.004) ml.kg-1.min-1. A significant positive correlation was found between measured peak VO2 and predicted peak VO2 on both 1-mile walks (r = 0.91 and 0.93). For both predicted peak VO2 values, the Total Error (TE) was greater than standard error of estimate (SEE), indicating a systematic difference between the measured and predicted peak VO2 values. Moreover, only 58% of the measured peak VO2 values fell within the prespecified range. Test-retest reliability of RFWT was R = 0.96. However, the prediction equation underestimated the actual cardiorespiratory levels in 74% and 79% of the subjects, depending on the trial. Because the equation developed in this research underestimates the measured VO2 values for the majority of these subjects, the test is probably not statistically valid, even if reliable, and the prediction formula needs to be revised for this population.

  13. PMS2 Involvement in Patients Suspected of Lynch Syndrome

    NARCIS (Netherlands)

    Niessen, Renee C.; Kleibeuker, Jan H.; Westers, Helga; Jager, Paul O. J.; Rozeveld, Dennie; Bos, Krista K.; Boersma-van Ek, Wytske; Hollema, Harry; Sijmons, Rolf H.; Hofstra, Robert M. W.

    It is well-established that germline mutations in the mismatch repair genes MLH1, MSH2, and MSH6 cause Lynch syndrome. However, mutations in these three genes do not account for all Lynch syndrome (suspected) families. Recently, it was shown that germline mutations in another mismatch repair gene,

  14. Faecal Calprotectin in Suspected Paediatric Inflammatory Bowel Disease

    NARCIS (Netherlands)

    Degraeuwe, Pieter L. J.; Beld, Monique P. A.; Ashorn, Merja; Canani, Roberto Berni; Day, Andrew S.; Diamanti, Antonella; Fagerberg, Ulrika L.; Henderson, Paul; Kolho, Kaija-Leena; Van de Vijver, Els; van Rheenen, Patrick F.; Wilson, David C.; Kessels, Alfons G. H.

    Objectives: The diagnostic accuracy of faecal calprotectin (FC) concentration for paediatric inflammatory bowel disease (IBD) is well described at the population level, but not at the individual level. We reassessed the diagnostic accuracy of FC in children with suspected IBD and developed an

  15. Stabilization of the spine in patients with suspected cervical spine ...

    African Journals Online (AJOL)

    Stabilization of the spine in patients with suspected cervical spine injury in Mulago Hospital. BM Ndeleva, T Beyeza. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/eaoj.v5i1.67487 · AJOL African Journals ...

  16. Talking heads : interviewing suspects from a cultural perspective

    NARCIS (Netherlands)

    Beune, K.

    2009-01-01

    Although the literature on the interviewing of suspects has increased over the past decade, research on the use and effectiveness of police strategies and their boundary conditions is very rare. The present dissertation aims to fill this void by identifying behaviors that appeal to and persuade

  17. Nonreferral of Nursing Home Patients With Suspected Breast Cancer

    NARCIS (Netherlands)

    Hamaker, Marije E.; Hamelinck, Victoria C.; van Munster, Barbara C.; Bastiaannet, Esther; Smorenburg, Carolien H.; Achterberg, Wilco P.; Liefers, Gerrit-Jan; de Rooij, Sophia E.

    2012-01-01

    Introduction: People with suspected breast cancer who are not referred for diagnostic testing remain unregistered and are not included in cancer statistics. Little is known about the extent of and motivation for nonreferral of these patients. Methods: A Web-based survey was sent to all elderly care

  18. DNA typing from vaginal smear slides in suspected rape cases

    Directory of Open Access Journals (Sweden)

    Dayse Aparecida da Silva

    Full Text Available In an investigation of suspected rape, proof of sexual assault with penetration is required. In view of this, detailed descriptions of the genitalia, the thighs and pubic region are made within the forensic medical service. In addition, vaginal swabs are taken from the rape victim and some of the biological material collected is then transferred to glass slides. In this report, we describe two rape cases solved using DNA typing from cells recovered from vaginal smear slides. In 1999, two young women informed the Rio de Janeiro Police Department that they had been victims of sexual assaults. A suspect was arrested and the victims identified him as the offender. The suspect maintained that he was innocent. In order to elucidate these crimes, vaginal smear slides were sent to the DNA Diagnostic Laboratory for DNA analysis three months after the crimes, as unique forensic evidence. To get enough epithelial and sperm cells to perform DNA analysis, we used protocols modified from the previously standard protocols used for DNA extraction from biological material fixed on glass slides. The quantity of cells was sufficient to perform human DNA typing using nine short tandem repeat (STR loci. It was 3.3 billion times more probable that it was the examined suspect who had left sperm cells in the victims, rather than any other individual in the population of Rio de Janeiro.

  19. Cognitive Linguistic Performances of Multilingual University Students Suspected of Dyslexia

    Science.gov (United States)

    Lindgren, Signe-Anita; Laine, Matti

    2011-01-01

    High-performing adults with compensated dyslexia pose particular challenges to dyslexia diagnostics. We compared the performance of 20 multilingual Finnish university students with suspected dyslexia with 20 age-matched and education-matched controls on an extensive test battery. The battery tapped various aspects of reading, writing, word…

  20. Differential Diagnosis of Children with Suspected Childhood Apraxia of Speech

    Science.gov (United States)

    Murray, Elizabeth; McCabe, Patricia; Heard, Robert; Ballard, Kirrie J.

    2015-01-01

    Purpose: The gold standard for diagnosing childhood apraxia of speech (CAS) is expert judgment of perceptual features. The aim of this study was to identify a set of objective measures that differentiate CAS from other speech disorders. Method: Seventy-two children (4-12 years of age) diagnosed with suspected CAS by community speech-language…

  1. A suspected case of Addison’s disease in cattle

    OpenAIRE

    Lambacher, Bianca; Wittek, Thomas

    2015-01-01

    A 4.75-year old Simmental cow was presented with symptoms of colic and ileus. The clinical signs and blood analysis resulted in the diagnosis of suspected primary hypoadrenocorticism (Addison’s disease). Although Addison’s disease has been frequently described in other domestic mammals, to our knowledge, this disease has not previously been reported in cattle.

  2. Is extended biopsy protocol justified in all patients with suspected ...

    African Journals Online (AJOL)

    Objective: To determine the significance of an extended 10-core transrectal biopsy protocol in different categories of patients with suspected prostate cancer using digital guidance. Materials and Methods: We studied 125 men who were being evaluated for prostate cancer. They all had an extended 10-core digitally guided ...

  3. Correlates and Suspected Causes of Obesity in Children

    Science.gov (United States)

    Crothers, Laura M.; Kehle, Thomas J.; Bray, Melissa A.; Theodore, Lea A.

    2009-01-01

    The correlates and suspected causes of the intractable condition obesity are complex and involve environmental and heritable, psychological and physical variables. Overall, the factors associated with and possible causes of it are not clearly understood. Although there exists some ambiguity in the research regarding the degree of happiness in…

  4. Medical Evaluation of Suspected Child Sexual Abuse: 2011 Update

    Science.gov (United States)

    Adams, Joyce A.

    2011-01-01

    The medical evaluation of children with suspected sexual abuse includes more than just the physical examination of the child. The importance of taking a detailed medical history from the parents and a history from the child about physical sensations following sexual contact has been emphasized in other articles in the medical literature. The…

  5. Selective screening in neonates suspected to have inborn errors of ...

    African Journals Online (AJOL)

    Background: Inborn errors of metabolism (IEM) have a high morbidity and mortality in neonates. Unfortunately, there is no nationwide neonatal screen in Egypt, so several cases may be missed. Objective: The aim of this work was to detect the prevalence of IEM among neonates with suspected IEM, and to diagnose IEM as ...

  6. Sexual Health Before Treatment in Women with Suspected Gynecologic Malignancy.

    Science.gov (United States)

    Bretschneider, C Emi; Doll, Kemi M; Bensen, Jeannette T; Gehrig, Paola A; Wu, Jennifer M; Geller, Elizabeth J

    2017-08-22

    Sexual health in survivors of gynecologic cancer has been studied; however, sexual health in these women before treatment has not been thoroughly evaluated. The objective of our study was to describe the pretreatment characteristics of sexual health of women with suspected gynecologic cancer before cancer treatment. We performed a cross-sectional analysis of women with a suspected gynecologic cancer, who were prospectively enrolled in a hospital-based cancer survivorship cohort from August 2012 to June 2013. Subjects completed the validated Patient-Reported Outcomes Measurement Information System Sexual Function and Satisfaction Questionnaire. Pretreatment sexual health was assessed in terms of sexual interest, desire, lubrication, discomfort, orgasm, enjoyment, and satisfaction. Of 186 eligible women with suspected gynecologic cancer, 154 (82%) completed the questionnaire pretreatment. Mean age was 58.1 ± 13.3 years. Sexual health was poor: 68.3% reported no sexual activity, and 54.7% had no interest in sexual activity. When comparing our study population to the general U.S. population, the mean pretreatment scores for the subdomains of lubrication and vaginal discomfort were similar, while sexual interest was significantly lower and global satisfaction was higher. In a linear regression model, controlling for cancer site, age remained significantly associated with sexual function while cancer site did not. Problems with sexual health are prevalent in women with suspected gynecologic malignancies before cancer treatment. Increasing awareness of the importance of sexual health in this population will improve quality of life for these women.

  7. Use of budesonide Turbuhaler in young children suspected of asthma

    DEFF Research Database (Denmark)

    Bisgaard, H; Pedersen, S; Nikander, K

    1994-01-01

    The question addressed in this study was the ability of young children to use a dry-powder inhaler, Turbuhaler. One hundred and sixty five children suspected of asthma, equally distributed in one year age-groups from 6 months to 8 yrs, inhaled from a Pulmicort Turbuhaler, 200 micrograms budesonid...

  8. Doppler ultrasound in the assessment of suspected intra-uterine ...

    African Journals Online (AJOL)

    Ramakantb

    obesity with hypertension and non-insulin-dependent diabetes mellitus.[3] In this review, a brief discussion about the ultrasound diagnosis of suspected IUGR, and thereafter about the use of Doppler ultrasound in the diagnosis of IUGR, will be ... before that, all fetuses have relatively larger heads, which will mask the brain-.

  9. Candida meningitis in a suspected immunosuppressive patient - A ...

    African Journals Online (AJOL)

    Candida meningitis in a suspected immunosuppressive patient - A case report. EO Sanya, NB Ameen, BA Onile. Abstract. No Abstract. West African Journal of Medicine Vol. 25 (1) 2006: pp.79-81. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  10. Ajmaline challenge in young individuals with suspected Brugada syndrome

    NARCIS (Netherlands)

    Sorgente, A.; Sarkozy, A.; Asmundis, C. de; Chierchia, G.B.; Capulzini, L.; Paparella, G.; Henkens, S.; Brugada, P.

    2011-01-01

    BACKGROUND: The clinical characteristics and the results of ajmaline challenge in young individuals with suspected Brugada syndrome (BS) have not been systematically investigated. METHODS: Among a larger series of patients included in the BS database of our Department, 179 patients undergoing

  11. A Diagnostic Program for Patients Suspected of Having Lung Cancer

    NARCIS (Netherlands)

    Stigt, Jos A.; Uil, Steven M.; Oostdijk, Ad H.; Boers, James E.; van den Berg, Jan-Willem K.; Groen, Harry J. M.

    2012-01-01

    In 297 patients suspected of having lung cancer, invasive diagnostic procedures followed positron emission tomography/computed tomography (PET-CT) on the same day. For patients with a diagnosis of malignancy (215/297), investigations were finalized on 1 day in 85%, and bronchoscopy was performed in

  12. Use of Chest Radiography In Patients Suspected of Pulmonary ...

    African Journals Online (AJOL)

    may be rushed into treatfng all cases of cough, fever and weight loss with negative sputums as PTB, and other diagnoses may be overlooked. A cheaper, quicker way of screening TB suspects would help con- siderably in this common problem. In Febuary 1991, the Norwegian Government do- nated two Odelka camer;l,s to ...

  13. Methodology for Calculating Cost-per-Mile for Current and Future Vehicle Powertrain Technologies, with Projections to 2024: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Ruth, M.; Timbario, T. A.; Timbario, T. J.; Laffen, M.

    2011-01-01

    Currently, several cost-per-mile calculators exist that can provide estimates of acquisition and operating costs for consumers and fleets. However, these calculators are limited in their ability to determine the difference in cost per mile for consumer versus fleet ownership, to calculate the costs beyond one ownership period, to show the sensitivity of the cost per mile to the annual vehicle miles traveled (VMT), and to estimate future increases in operating and ownership costs. Oftentimes, these tools apply a constant percentage increase over the time period of vehicle operation, or in some cases, no increase in direct costs at all over time. A more accurate cost-per-mile calculator has been developed that allows the user to analyze these costs for both consumers and fleets. The calculator was developed to allow simultaneous comparisons of conventional light-duty internal combustion engine (ICE) vehicles, mild and full hybrid electric vehicles (HEVs), and fuel cell vehicles (FCVs). This paper is a summary of the development by the authors of a more accurate cost-per-mile calculator that allows the user to analyze vehicle acquisition and operating costs for both consumer and fleets. Cost-per-mile results are reported for consumer-operated vehicles travelling 15,000 miles per year and for fleets travelling 25,000 miles per year.

  14. Consumer Airfare Report: Table 5 - Detailed Fare Information For Highest and Lowest Fare Markets Under 750 Miles

    Data.gov (United States)

    Department of Transportation — Provides detailed fare information for highest and lowest fare markets under 750 miles. For a more complete explanation, please read the introductory information at...

  15. Opioid analgesic administration in patients with suspected drug use.

    Science.gov (United States)

    Kreling, Maria Clara Giorio Dutra; Mattos-Pimenta, Cibele Andrucioli de

    2017-01-01

    To identify the prevalence of patients suspected of drug use according to the nursing professionals' judgement, and compare the behavior of these professionals in opioid administration when there is or there is no suspicion that patient is a drug user. A cross-sectional study with 507 patients and 199 nursing professionals responsible for administering drugs to these patients. The Chi-Square test, Fisher's Exact and a significance level of 5% were used for the analyzes. The prevalence of suspected patients was 6.7%. The prevalence ratio of administration of opioid analgesics 'if necessary' is twice higher among patients suspected of drug use compared to patients not suspected of drug use (p = 0.037). The prevalence of patients suspected of drug use was similar to that of studies performed in emergency departments. Patients suspected of drug use receive more opioids than patients not suspected of drug use. Identificar a prevalência de pacientes com suspeita de uso de drogas conforme opinião de profissionais de enfermagem e comparar a conduta desses profissionais na administração de opioides quando há ou não suspeita de que o paciente seja usuário de drogas. Estudo transversal com 507 pacientes e 199 profissionais de enfermagem responsáveis pela administração de medicamentos a esses pacientes. Para as análises foram utilizados os testes de Qui-Quadrado, Exato de Fisher e um nível de significância de 5%. A prevalência de pacientes suspeitos foi 6,7%. A razão de prevalência de administração de analgésicos opioides "se necessário" é duas vezes maior entre os pacientes suspeitos em relação aos não suspeitos (p=0,037). A prevalência de suspeitos foi semelhante à de estudos realizados em departamentos de emergência. Os suspeitos de serem usuários de drogas recebem mais opioides do que os não suspeitos.

  16. Influence of platelet and white blood cell counts on major thrombosis - analysis from a patient registry in essential thrombocythemia.

    Science.gov (United States)

    Buxhofer-Ausch, Veronika; Steurer, Michael; Sormann, Siegfried; Schloegl, Ernst; Schimetta, Wolfgang; Gisslinger, Bettina; Ruckser, Reinhard; Gastl, Günther; Gisslinger, Heinz

    2016-12-01

    Although guidelines recommend normalization of platelet counts as an appropriate endpoint for treatment in high-risk essential thrombocythemia (ET), retrospective studies could not prove a correlation of diagnostic platelet counts with an increased thrombotic rate. There is, however, an increasing evidence that leukocytosis is an important risk factor for arterial thrombosis in myeloproliferative neoplasms. This study considers the Austrian cohort of a European registry regarding the platelet-lowering therapeutic anagrelide. Influence of platelet and white blood cell (WBC) counts on thrombotic risk was assessed. Using the calculated cutoffs of 574.5 G/L for platelets and 8.48 G/L for WBC counts, respectively, the Cox regression analysis revealed a clear influence of elevated platelets (P = 0.008) and WBC counts (P = 0.011) on the occurrence of major thrombotic events. The time to a major thrombotic event was shortest (P < 0.001) and the frequency related to 100 patient-years was highest (P = <0.001) when both platelet and WBC counts ranged above the calculated cutoffs. Our data add evidence to the impact of platelet and WBC counts on thrombosis in ET. We suspect a particular interaction between platelets and WBC which might be based on a biological interplay depending on particular cell counts. © 2016 The Authors. European Journal of Haematology Published by John Wiley & Sons Ltd.

  17. Magnetic resonance imaging versus bone scintigraphy in suspected scaphoid fracture

    Energy Technology Data Exchange (ETDEWEB)

    Tiel-van Buul, M.M.C. [Dept. of Nuclear Medicine, Academic Medical Center, Univ. of Amsterdam (Netherlands); Roolker, W. [Dept. of Nuclear Medicine, Academic Medical Center, Univ. of Amsterdam (Netherlands); Verbeeten, B.W.B. Jr. [Dept. of Radiology, Academic Medical Center, Univ. of Amsterdam (Netherlands); Broekhuizen, A.H. [Dept. of Traumatology, Academic Medical Center, Univ. of Amsredam (Netherlands)

    1996-08-01

    Magnetic resonance imaging (MRI) has become increasingly useful in the evaluation of musculoskeletal problems, including those of the wrist. In patients with a wrist injury, MRI is used mainly to assess vascularity of scaphoid non-union. However, the use of MRI in patients in the acute phase following carpal injury is not common. Three-phase bone scintigraphy is routinely performed from at least 72 h after injury in patients with suspected scaphoid fracture and negative initial radiographs. We evaluated MRI in this patient group. The bone scan was used as the reference method. Nineteen patients were included. Bone scintigraphy was performed in all 19 patients, but MRI could be obtained in only 16 (in three patients, MRI was stopped owing to claustrophobia). In five patients, MRI confirmed a scintigraphically suspected scaphoid fracture. In one patient, a perilunar luxation, without a fracture, was seen on MRI, while bone scintigraphy showed a hot spot in the region of the lunate bone, suspected for fracture. This was confirmed by surgery. In two patients, a hot spot in the scaphoid region was suspected for scaphoid fracture, and immobilization and employed for a period of 12 weeks. MRI was negative in both cases; in one of them a scaphoid fracture was retrospectively proven on the initial X-ray series. In another two patients, a hot spot in the region of MCP I was found with a negative MRI. In both, the therapy was adjusted. In the remaining six patients, both modalities were negative. We conclude that in the diagnostic management of patients with suspected scaphoid fracture and negative initial radiographs, the use of MRI may be promising, but is not superior to three-phase bone scintigraphy. (orig.)

  18. Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage : Results from diabetes MILES - Australia

    NARCIS (Netherlands)

    Dixon, J.B.; Browne, J.L.; Lambert, G.W.; Jones, K.M.; Reddy, P.; Pouwer, F.; Speight, J.

    2013-01-01

    Aim To examine the emotional well-being of severely obese Australians with type 2 diabetes, along with markers of social and economic disadvantage, using the Diabetes MILES – Australia dataset. Methods Diabetes MILES – Australia was a national survey of 3338 adults with diabetes that focused on

  19. Answers to frequently asked questions about cleanup activities at Three Mile Island, Unit 2. Public information report

    Energy Technology Data Exchange (ETDEWEB)

    1980-09-01

    The document presents answers to frequently asked questions about plans for cleanup and decontamination activities at Three Mile Island, Unit 2. Answers to the questions asked are based on information in the NRC 'Draft Programmatic Environmental Impact Statement related to decontamination and disposal of radioactive wastes resulting from March 28, 1979, accident, Three Mile Island Nuclear Station, Unit 2,' NUREG-0683.

  20. Mile-a-minute weed (Persicaria perfoliata) and weevil (Rhinoncomimus latipes) response to varying moisture and temperature conditions

    Science.gov (United States)

    Scott H. Berg; Judith Hough-Goldstein; Ellen C. Lake; Vincent D' Amico

    2015-01-01

    The combined effects of herbivory and water stress on growth and reproduction of mile-a-minute weed (Persicaria perfoliata (L.) H. Gross) were investigated in greenhouse trials over two years, with well-watered or water-limited plants either exposed or not exposed to herbivory by the mile-a-minute weevil (Rhinoncomimus latipes...

  1. 78 FR 50135 - AIMS Worldwide, Inc., Apollo Capital Group, Inc., CommunitySouth Financial Corp., Last Mile...

    Science.gov (United States)

    2013-08-16

    ... COMMISSION AIMS Worldwide, Inc., Apollo Capital Group, Inc., CommunitySouth Financial Corp., Last Mile Logistics Group, Inc., Made in America Entertainment, Inc., and Millenia Hope, Inc.; Order of Suspension of... that there is a lack of current and accurate information concerning the securities of Last Mile...

  2. 76 FR 43226 - Drawbridge Operation Regulations; Bayou Liberty, Mile 2.0, St. Tammany Parish, Slidell, LA

    Science.gov (United States)

    2011-07-20

    ... SECURITY Coast Guard 33 CFR Part 117 RIN 1625-AA09 Drawbridge Operation Regulations; Bayou Liberty, Mile 2... (S433) bridge across Liberty Bayou, mile 2.0, at Slidell, St. Tammany Parish, Louisiana. The proposed... Development (LDOTD), the owner of the bridge, replaced the existing S433 pontoon bridge over Bayou Liberty...

  3. 33 CFR 165.820 - Security Zone; Ohio River Mile, 34.6 to 35.1, Shippingport, Pennsylvania.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zone; Ohio River Mile... Guard District § 165.820 Security Zone; Ohio River Mile, 34.6 to 35.1, Shippingport, Pennsylvania. (a) Location. The following area is a security zone: The waters of the Ohio River, extending 200 feet from the...

  4. 76 FR 28386 - Safety Zone: Ohio River Mile 355.5 to 356.5 Portsmouth, OH

    Science.gov (United States)

    2011-05-17

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone: Ohio River Mile 355.5 to 356.5 Portsmouth... to establish a safety zone in the Ohio Valley Captain of the Port Zone on the Ohio River in.... Fireworks will be launched from the left descending bank on the Ohio River at mile 356. A hazardous...

  5. 77 FR 11168 - In the Matter of Exelon Corporation; Constellation Energy Group, Inc.; Nine Mile Nuclear Station...

    Science.gov (United States)

    2012-02-24

    ... Exelon Corporation; Constellation Energy Group, Inc.; Nine Mile Nuclear Station, LLC; Nine Mile Point... Ventures), and Constellation Energy Nuclear Group, LLC (CENG), acting on behalf of itself, and the licensee... Committee of Constellation Energy Nuclear Group, LLC, shall prepare an Annual Report regarding the status of...

  6. SMART PLATFORM FOR SUPPORT ISSUES AT THE FIRST AND LAST MILE IN THE SUPPLY CHAIN - THE CONCEPT OF THE S-MILE PROJECT

    Directory of Open Access Journals (Sweden)

    Marcin STANIEK

    2016-09-01

    Full Text Available The concept of an innovative support tool for freight transport used in planning, organization and realization is presented in this paper. In addition to the basic functions of a fleet management tool, the educative approach towards environmentally friendly behaviour will be based on promoting ecological solutions, such as unconventionally powered cars, e.g., electric vehicles (EVs. The suggested criteria for a routing algorithm, which will be implemented in the freight transport planner tool, not only allows routing in relation to time and cost criteria, but also the criterion regarding the limitation of emissions of harmful factors. The implementation of innovative the S-mile platform gives rise to environmentally friendly cognition behaviour in the freight transport sector. This is a fundamental aspect to its application, which could help to move the planning, organization and realization of freight transport in the direction of more environmental friendly solutions

  7. Open access phone triage for veterans with suspected malignant pleural mesothelioma.

    Science.gov (United States)

    Siegert, Charles Jeff; Fisichella, Piero Marco; Moseley, Jennifer M; Shoni, Melina; Lebenthal, Abraham

    2017-01-01

    Phone triaging patients with suspected malignant pleural mesothelioma (MPM) within the Veterans Healthcare Administration (VHA) system offers a model for rapid, expert guided evaluation for patients with rare and treatable diseases within a national integrated healthcare system. To assess feasibility of national open access telephone triage using evidence-based treatment recommendations for patients with MPM, measure timelines of the triage and referral process and record the impact on "intent to treat" for patients using our service. A retrospective study. The main outcome measures were: (1) ability to perform long distance phone triage, (2) to assess the speed of access to a mesothelioma surgical specialist for patients throughout the entire VHA, and (3) to determine if access to a specialist would alter the plan of care. Sixty veterans were screened by our phone triage program, 38 traveled an average of 997 miles to VA Boston Healthcare system. On average, 14 d elapsed from initial phone contact until the patient was physically evaluated in our general thoracic clinic in Boston. The treatment plan was altered for 71% of patients evaluated at VA Boston Healthcare system based on 2012 International Mesothelioma Interest Group guidelines. Our initial experience demonstrates that in-network centralized care for Veterans with MPM is feasible within the VHA. National open access phone triage improves access to expert surgical advice and can be delivered in a timely manner for Veterans using our service. Guideline-based treatment recommendations ("intent to treat") changed the therapeutic course for the majority of patients who used our service. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Business and magic: Émile Zola, Au Bonheur des Dames and modern consumption

    Directory of Open Access Journals (Sweden)

    Everardo Rocha

    2014-12-01

    Full Text Available This work examines the emergence of grand magazines and how this new commerce was crucial in establishing the phenomenon of consumption in modernity. In particular, it has been investigated through Émile Zola’s novel, Au Bonheur des Dames, how the social values and sales models of grand magazines appear as “cathedrals of modern consumption”, creating, at once, a world of business and magic.

  9. Mediating influences of social support on stress at Three Mile Island

    Energy Technology Data Exchange (ETDEWEB)

    Fleming, R.; Baum, A.; Gisriel, M.M.; Gatchel, R.J.

    1982-09-01

    Symptom reporting, task performance, and urinary catecholamine excretion were studied in a group of people living near the Three Mile Island nuclear power plant and in control populations. More than a year after the accident, living near the damaged reactor was associated with elevations in all indices of stress compared with control levels. Social support mediated these stress indices such that higher levels were associated with fewer psychological and behavioral symptoms of stress. Biochemical measures showed a different pattern of results.

  10. Using the Crowd of Taxis to Last Mile Delivery in E-commerce: a Methodological Research

    OpenAIRE

    CHEN, CHAO; Pan, Shenle

    2015-01-01

    International audience; Crowdsourcing is garnering increased attention in freight transport area, mainly applied in internet-based services to city logistics. However, scientific research, especially methodology for application is still rare in the literature. This paper aims to fill this gap and to propose a methodological approach of applying crowdsourcing solution to Last Mile Delivery in E-commerce environment. The proposed solution is based on taxi fleet in city and a transport network c...

  11. A rational clinical approach to suspected insulin allergy

    DEFF Research Database (Denmark)

    Bødtger, Uffe; Wittrup, M

    2005-01-01

    AIMS: Allergy to recombinant human (rDNA) insulin preparations is a rare complication of insulin therapy. However, insulin preparations contain several allergens, and several disorders can resemble insulin allergy. Studies evaluating the diagnostic procedures on suspected insulin allergy...... technique (n = 5), skin disease (n = 3) and other systemic allergy (n = 1). Nine other patients were found to be allergic to protamine (n = 3) or rDNA insulin (n = 6), and specific treatment was associated with relief in 8 patients (89%). Four patients had local reactions of unknown causes but symptom...... relief was obtained in three cases by unspecific therapy. Overall, 20 (91%) reported relief of symptoms. CONCLUSION: Our standardized investigative procedure of suspected insulin preparation (IP) allergy was associated with relief of symptoms in > 90% of patients. IP allergy was diagnosed in 41...

  12. Interdisciplinary action of nurses to children with suspected sexual abuse

    Directory of Open Access Journals (Sweden)

    Lia Leão Ciuffo

    2014-04-01

    Full Text Available Objective. Understanding the role of nurses as members of interdisciplinary teams in the care of children with suspected sexual abuse. Methodology. This is a qualitative research based on the sociological phenomenology of Alfred Schutz. In 2008 were interviewed eleven nurses who worked in reference institutions for the care of child victims of sexual abuse in Rio de Janeiro. Results. The category called 'Interacting with other professionals in child care' emerged from the analysis of performance of professionals. The intersubjective relations between the nurses and the interdisciplinary team will enable to understand the intent of care from the perspective of social, emotional and psychological needs of children and their families. Conclusion. Interdisciplinarity favored the development of actions based on acceptance, listening and agreements on possible solutions in the care of children with suspected sexual abuse.

  13. Atlantoaxial subluxation and nasopharyngeal necrosis complicating suspected granulomatosis with polyangiitis.

    Science.gov (United States)

    Mohapatra, Anand; Holekamp, Terrence F; Diaz, Jason A; Zebala, Lukas; Brasington, Richard

    2015-04-01

    Granulomatosis polyangiitis (GPA, formerly Wegener granulomatosis) is a vasculitis that typically involves the upper respiratory tract, lungs, and kidneys. The 2 established methods to confirm a suspicion of GPA are the antineutrophil cytoplasmic antibody (ANCA) test and biopsy. However, ANCA-negative cases have been known to occur, and it can be difficult to find biopsy evidence of granulomatous disease.We report a case of suspected granulomatosis with polyangiitis limited to the nasopharynx. With a negative ANCA and no histological evidence, our diagnosis was founded on the exclusion of other diagnoses and the response to cyclophosphamide therapy. This case is unique because the patient's lesion resulted in atlantoaxial instability, which required a posterior spinal fusion at C1-C2. This is the first reported case of suspected GPA producing damage to the cervical spine and threatening the spinal cord.

  14. Suspected side effects to the quadrivalent human papilloma vaccine

    DEFF Research Database (Denmark)

    Brinth, Louise; Theibel, Ann Cathrine; Pors, Kirsten

    2015-01-01

    INTRODUCTION: The quadrivalent vaccine that protects against human papilloma virus types 6, 11, 16 and 18 (Q-HPV vaccine, Gardasil) was included into the Danish childhood vaccination programme in 2009. During the past years, a collection of symptoms primarily consistent with sympathetic nervous...... system dysfunction have been described as suspected side effects to the Q-HPV vaccine. METHODS: We present a description of suspected side effects to the Q-HPV vaccine in 53 patients referred to our Syncope Unit for tilt table test and evaluation of autonomic nervous system function. RESULTS: All...... consistency in the reported symptoms as well as between our findings and those described by others. Our findings neither confirm nor dismiss a causal link to the Q-HPV vaccine, but they suggest that further research is urgently warranted to clarify the pathophysiology behind the symptoms experienced...

  15. Radiological (scintigraphic) evaluation of patients with suspected pulmonar thromboembolism

    Energy Technology Data Exchange (ETDEWEB)

    Biello, D.R.

    1987-06-19

    The optimal strategy for diagnostic evaluation of patients with suspected pulmonary thromboembolism (PE) is subject of controversial and often conflicting opinions. If untreated, as many as 30% of patients with PE may die. Conversely, anticoagulant therapy significantly decreases mortality from PE, but bleeding complications occur. Underdiagnosis may result in a preventable death, and overdiagnosis may lead to significant hemorrhage from unnecessary anticoagulant therapy. This article outlines a practical guide for the use of pulmonary ventilation-perfusion (V-P) scintigraphy in patients with suspected PE. Perfusion imaging involves the intravenous injection of radiolabeled particles ranging from 10 to 60 ..mu..m in diameter (technetium Tc 99m macroaggregated albumin or technetium Tc 99m serum albumin microspheres); these particles are trapped in the capillaries and precapillary arterioles of the lung. The radiolabeled particles are distributed to the lungs in proportion to regional pulmonary blood flow. The correspondence of perfusion defects to bronchopulmonary segments is best appreciated in the posterior oblique views.

  16. Changes in cardiopulmonary function in normal adults after the Rockport 1 mile walking test: a preliminary study.

    Science.gov (United States)

    Kim, Kyoung; Lee, Hye-Young; Lee, Do-Youn; Nam, Chan-Woo

    2015-08-01

    [Purpose] The purpose of this study was to investigate the changes of cardiopulmonary function in normal adults after the Rockport 1 mile walking test. [Subjects and Methods] University students (13 males and 27 females) participated in this study. Before and after the Rockport 1 mile walking test, pulmonary function, respiratory pressure, and maximal oxygen uptake were measured. [Results] Significant improvements in forced vital capacity and maximal inspiratory pressure were observed after the Rockport 1 mile walking test in males, and significant improvements in forced vital capacity, forced expiratory volume at 1 s, maximal inspiratory pressure, and maximal expiratory pressure were observed after the Rockport 1 mile walking test in females. However, the maximal oxygen uptake was not significantly different. [Conclusion] Our findings indicate that the Rockport 1 mile walking test changes cardiopulmonary function in males and females, and that it may improve cardiopulmonary function in middle-aged and older adults and provide basic data on cardiopulmonary endurance.

  17. Oogenesis and spawn formation in the invasive lionfish, Pterois miles and Pterois volitans

    Directory of Open Access Journals (Sweden)

    James A. Morris, Jr

    2011-02-01

    Full Text Available The Indo-Pacific lionfish, Pterois miles and P. volitans, have recently invaded the U.S. east coast and the Caribbean and pose a significant threat to native reef fish communities. Few studies have documented reproduction in pteroines from the Indo-Pacific. This study provides a description of oogenesis and spawn formation in P. miles and P. volitans collected from offshore waters of North Carolina, U.S.A and the Bahamas. Using histological and laboratory observations, we found no differences in reproductive biology between P. miles and P. volitans. These lionfish spawn buoyant eggs that are encased in a hollow mass of mucus produced by specialized secretory cells of the ovarian wall complex. Oocytes develop on highly vascularized peduncles with all oocyte stages present in the ovary of spawning females and the most mature oocytes placed terminally, near the ovarian lumen. Given these ovarian characteristics, these lionfish are asynchronous, indeterminate batch spawners and are thus capable of sustained reproduction throughout the year when conditions are suitable. This mode of reproduction could have contributed to the recent and rapid establishment of these lionfish in the northwestern Atlantic and Caribbean.

  18. Digital Divides and the 'First Mile': Framing First Nations Broadband Development in Canada

    Directory of Open Access Journals (Sweden)

    Rob McMahon

    2011-05-01

    Full Text Available Across Canada, rural and remote First Nations face a significant 'digital divide'. As self-determining autonomous nations in Canada, these communities are building broadband systems to deliver public services to their members and residents. To address this challenge, First Nations are working towards a variety of innovative, locally driven broadband development initiatives. This paper contributes a theoretical discussion that frames our understanding of these initiatives by drawing on the paradigm of the 'First Mile' (Paisley & Richardson, 1998. We argue that broadband development policy in Canada must be re-framed to address the specific needs of First Nations. The First Mile position foregrounds community-based involvement, control, and ownership: a consideration we suggest has particular resonance for First Nations. This is because it holds potential to move beyond the historical context of paternalistic, colonial-derived development policies, in the context of broadband systems development. We argue First Nations broadband projects offer on-the-ground examples of a First Mile approach, and call for more research in this area.

  19. Nuclear accident at Three Mile Island: its effect on a local community

    Energy Technology Data Exchange (ETDEWEB)

    Behler, G.T. Jr.

    1987-01-01

    This dissertation consists of a longitudinal case study of the extent to which the structure of community power in Riverside, (a pseudonym) Pennsylvania (the largest community located within five miles of the Three Mile Island nuclear facility) changed as a result of the March, 1979 accident. The investigation centers around testing a basic working hypothesis. Simply stated, this working hypothesis argues that Riverside's power structure has become more pluralistic in response to the Three Mile Island nuclear accident. An additional corollary to this working hypothesis is also tested. This corollary asserts that many of Riverside's community power actors have become much more cosmopolitan in their political-action tactics and problem-solving orientations as a results of the TMI crisis. The aforementioned working hypothesis and associated corollary are tested via the combined utilization of three different techniques for measuring the distribution of social power. The findings of the study clearly demonstrate the existence of increased pluralism, politicization, and cosmopolitanism within Riverside since March of 1979. Furthermore, these research results, and the entire dissertation itself, contribute to a number of subfields within the discipline of sociology. In particular,contributions are noted for the subfields of community power, social movements, and disaster research.

  20. Radiotherapy in three suspect cases of feline thymoma.

    Science.gov (United States)

    Kaser-Hotz, B; Rohrer, C R; Fidel, J L; Nett, C S; Hörauf, A; Hauser, B

    2001-01-01

    Radiation therapy for three cases of suspect feline thymoma is described. The thymoma was controlled for 4 years in case no. 1. Case no. 2 responded well to radiation therapy but was euthanized after 2 months because of a nasal adenocarcinoma. Case no. 3 continues to do well more than 8 months after radiotherapy. Difficulties in diagnosing feline thymomas are discussed, and biological behavior as well as different treatment modalities of feline and human thymomas are compared.

  1. Percutaneous cholecystocentesis in cats with suspected hepatobiliary disease.

    Science.gov (United States)

    Byfield, Victoria L; Callahan Clark, Julie E; Turek, Bradley J; Bradley, Charles W; Rondeau, Mark P

    2017-12-01

    Objectives The objective was to evaluate the safety and diagnostic utility of percutaneous ultrasound-guided cholecystocentesis (PUC) in cats with suspected hepatobiliary disease. Methods Medical records of 83 cats with suspected hepatobiliary disease that underwent PUC were retrospectively reviewed. Results At the time of PUC, at least one additional procedure was performed in 79/83 cats, including hepatic aspiration and/or biopsy (n = 75) and splenic aspiration (n = 18). Complications were noted in 14/83 cases, including increased abdominal fluid (n = 11), needle-tip occlusion (n = 1), failed first attempt to penetrate the gall bladder wall (n = 1) and pneumoperitoneum (n = 1). There were no reports of gall bladder rupture, bile peritonitis or hypotension necessitating treatment with vasopressor medication. Blood products were administered to 7/83 (8%) cats. Seventy-two cats (87%) survived to discharge. Of the cats that were euthanized (9/83) or died (2/83), none were reported as a definitive consequence of PUC. Bacteria were identified cytologically in 10/71 samples (14%); all 10 had a positive aerobic bacterial culture. Bile culture was positive in 11/80 samples (14%). Of the cases with a positive bile culture, cytological description of bacteria corresponded to the organism cultured in fewer than 50% of cases. The most common cytologic diagnosis was hepatic lipidosis (49/66). The most common histopathologic diagnosis was cholangitis (10/21). Conclusions and relevance PUC was safe in this group of cats with suspected hepatobiliary disease. Complications were likely associated with ancillary procedures performed at the time of PUC. Bile analysis yielded an abnormal result in nearly one-third of cats with suspected hepatobiliary disease. Complete agreement between bile cytology and culture was lacking. Further evaluation of the correlation between bile cytology and bile culture is warranted.

  2. Interviewing strategically to elicit admissions from guilty suspects

    OpenAIRE

    Tekin, Serra; Granhag, Pär Anders; Strömwall, Leif; Giolla, Erik Mac; Vrij, Aldert; Hartwig, Maria

    2015-01-01

    In this article we introduce a novel interviewing tactic to elicit admissions from guilty suspects. By influencing the suspects’ perception of the amount of evidence the interviewer holds against them, we aimed to shift the suspects’ counterinterrogation strategies from less to more forthcoming. The proposed tactic (SUE-Confrontation) is a development of the Strategic Use of Evidence (SUE) framework and aims to affect the suspects’ perception by confronting them with statement-evidence incons...

  3. MRI for clinically suspected pediatric appendicitis: case interpretation

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Michael M.; Brian, James M.; Methratta, Sosamma T.; Hulse, Michael A.; Choudhary, Arabinda K.; Eggli, Kathleen D.; Boal, Danielle K.B. [Penn State Milton S. Hershey Medical Center, Division of Pediatric Radiology, Department of Radiology, Hershey, PA (United States)

    2014-05-15

    As utilization of MRI for clinically suspected pediatric appendicitis becomes more common, there will be increased focus on case interpretation. The purpose of this pictorial essay is to share our institution's case interpretation experience. MRI findings of appendicitis include appendicoliths, tip appendicitis, intraluminal fluid-debris level, pitfalls of size measurements, and complications including abscesses. The normal appendix and inguinal appendix are also discussed. (orig.)

  4. MRI for clinically suspected pediatric appendicitis: an implemented program

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Michael M.; Gustas, Cristy N.; Choudhary, Arabinda K.; Methratta, Sosamma T.; Hulse, Michael A.; Eggli, Kathleen D.; Boal, Danielle K.B. [Penn State Milton S. Hershey Medical Center, Department of Radiology, Mail Code H066, 500 University Drive, P.O. Box 850, Hershey, PA (United States); Geeting, Glenn [Penn State Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, PA (United States)

    2012-09-15

    Emergent MRI is now a viable alternative to CT for evaluating appendicitis while avoiding the detrimental effects of ionizing radiation. However, primary employment of MRI in the setting of clinically suspected pediatric appendicitis has remained significantly underutilized. To describe our institution's development and the results of a fully implemented clinical program using MRI as the primary imaging evaluation for children with suspected appendicitis. A four-sequence MRI protocol consisting of coronal and axial single-shot turbo spin-echo (SS-TSE) T2, coronal spectral adiabatic inversion recovery (SPAIR), and axial SS-TSE T2 with fat saturation was performed on 208 children, ages 3 to 17 years, with clinically suspected appendicitis. No intravenous or oral contrast material was administered. No sedation was administered. Data collection includes two separate areas: time parameter analysis and MRI diagnostic results. Diagnostic accuracy of MRI for pediatric appendicitis indicated a sensitivity of 97.6% (CI: 87.1-99.9%), specificity 97.0% (CI: 93.2-99.0%), positive predictive value 88.9% (CI: 76.0-96.3%), and negative predictive value 99.4% (CI: 96.6-99.9%). Time parameter analysis indicated clinical feasibility, with time requested to first sequence obtained mean of 78.7 +/- 52.5 min, median 65 min; first-to-last sequence time stamp mean 14.2 +/- 8.8 min, median 12 min; last sequence to report mean 57.4 +/- 35.2 min, median 46 min. Mean age was 11.2 +/- 3.6 years old. Girls represented 57% of patients. MRI is an effective and efficient method of imaging children with clinically suspected appendicitis. Using an expedited four-sequence protocol, sensitivity and specificity are comparable to CT while avoiding the detrimental effects of ionizing radiation. (orig.)

  5. Epidemiology of suspected wrist joint infection versus inflammation.

    Science.gov (United States)

    Skeete, Kshamata; Hess, Erik P; Clark, Tod; Moran, Steven; Kakar, Sanjeev; Rizzo, Marco

    2011-03-01

    To determine the cumulative prevalence of septic arthritis presenting to the emergency department of an academic medical center and evaluate the use of clinical data to diagnose infection versus inflammation. We conducted a records review of a single institution with 80,000 annual emergency room visits. We included a consecutive series of patients with suspected wrist infection from January 1, 2007, to December 31, 2008. Adults complaining of atraumatic wrist pain with either erythema or swelling on physical examination or a final diagnosis of septic arthritis, gout, pseudogout, cellulitis, wrist hematoma/edema, or wrist arthritic flare were suspected to have infection. We collected data using a standardized data abstraction form. We reviewed 804 patient records. A total of 104 patients meeting inclusion criteria for suspected wrist joint infection during the 2-year study period were included. Mean age was 62.5 years (SD, 20.2 y); 63 were men. There were 12 patients with a history of gout, 4 with a history of pseudogout, and 19 with a history of diabetes. Wrist arthrocentesis was performed in 31 patients, and 11 underwent surgical treatment. There were 16 patients with a final diagnosis of gout, 11 with pseudogout, 43 with cellulitis, 13 with upper extremity hematoma/edema, and 15 with wrist arthritic flare. The cumulative prevalence of septic arthritis was 5%. In this series of emergency department patients with suspected wrist joint infection, gout, pseudogout, and cellulitis were the most common etiologies. The cumulative incidence of septic wrist arthritis was low. Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  6. Suspected spinocellular carcinoma of the inferior eyelid resulted multiple chalazion.

    Science.gov (United States)

    Onesti, Maria Giuseppina; Troccola, Antonietta; Maruccia, Michele; Conversi, Andrea; Scuderi, Gianluca

    2013-01-01

    Chalazion is a subacute granulomatous inflammation of the eyelid caused by retention of tarsal gland secretions and it's the most common inflammatory lesion of the eyelid. In cases of doubtful clinical presentation the diagnosis with a biopsy and a histopathological examination is important because it can orientate an appropriate surgical treatment. We report a case of a 64-years-old diabetic man, suspected for a spinocellular lesion of the inferior eyelid of the left eye, it resulted unexpectedly a chalazion.

  7. CT-guided biopsy of suspected malignancy: A potential pitfall

    Directory of Open Access Journals (Sweden)

    Steven Henderson

    2013-11-01

    Full Text Available Paragangliomas are rare catecholamine-secreting neuro-endocrine tumours that can arise from sympathetic or parasympathetic tissue. Any manipulation of these tumours, without appropriate medical therapy, can result in excess catecholamine release leading to a catecholamine crisis. Neuro-endocrine tumours must be considered prior to interventional biopsy of an unknown soft-tissue mass, and appropriate biochemical investigations should be performed in suspected cases to prevent catastrophic complications.

  8. [Three cases of suspected re-infection of mumps virus].

    Science.gov (United States)

    Hatanaka, Akio; Kamada, Tomoko; Honda, Keiji; Tazaki, Akihisa; Kishine, Naomi; Kawashima, Yoshiyuki

    2012-08-01

    A 32-year-old woman, 5-year-old girl, and 33-year-old man visited our otorhinolaryngology outpatient clinic with tumentia of the unilateral parotid gland. A high titer of serum IgG antibodies against the mumps virus was detected. Around the same time, other members of their families had the same parotid tumentia, and they were diagnosed as having their first mumps infection. Therefore, the diagnosis of the three cases was strongly suspected to be re-infection with mumps. In Japan, it was classically believed that the mumps virus infection occurs only once in patients and reinfection doesn't occur. However, some pediatricians in Japan have reported that re-infection with mumps is strongly suspected when high titers of serum IgG antibodies against the mumps virus are found at the initial visit. It is now believed many more examples of mumps re-infection cases have existed than we previously believed. When high titers of serum IgG antibodies against the mumps virus are detected at an initial visit in patients who have had mumps previously, re-infection should be strongly suspected. And to make it certain, we suggest that the mumps IgG antibodies should be checked twice to confirm the diagnosis. If elevation of the IgG antibodies persist, the diagnosis will be much more certain.

  9. Ten-day observation of live rabies suspected dogs.

    Science.gov (United States)

    Tepsumethanon, V; Wilde, H; Sitprija, V

    2008-01-01

    This study aimed at analyzing a ten-day observation period of rabies suspected dogs and cats according to six criteria. Dogs and cats suspected of being rabid were brought for observation when they had either bitten a person or another animal or when abnormal behaviour or unusual illness was observed. Between 1985 and 2005, retrospective and prospective data from 1,222 dogs and 303 cats was collected during the ten-day observation period. If an animal had died, brain examination using fluorescent antibody testing was routinely performed. If an animal had survived for > or =10 days, it was released to its owner or transferred to the municipal dog shelter. A total of 644 dogs and 58 cats found rabid died within 10 days of observation. In addition, for 208 dogs confirmed rabid with laboratory tests between 1997 and 2005, six criteria were analysed from the day of submission. This experience with the implemented 10-day observation period confirms the WHO recommendation on identifying suspected rabid dogs or cats under veterinary supervision following a human exposure.

  10. MR delayed enhancement imaging findings in suspected acute myocarditis

    Energy Technology Data Exchange (ETDEWEB)

    Gahide, Gerald [CHU de Montpellier, Radiologie centrale - Pole Cardiovasculaire et Thoracique, Montpellier (France); Centre Hospitalo-Universitaire de Montpellier, Hopital A de Villeneuve, Montpellier (France); Bertrand, D.; Dacher, J.N. [CHU de Rouen, Radiologie centrale - Hopital Charles Nicolle, Rouen (France); Roubille, F.; Skaik, S.; Piot, C.; Leclerq, F. [CHU de Montpellier, Departement de Cardiologie - Pole Cardiovasculaire et Thoracique, Montpellier (France); Tron, C.; Cribier, A. [CHU de Rouen, Departement de Cardiologie - Hopital Charles Nicolle, Rouen (France); Vernhet, H. [CHU de Montpellier, Radiologie centrale - Pole Cardiovasculaire et Thoracique, Montpellier (France)

    2010-01-15

    The purpose of the study was to prospectively assess the clinical impact of routinely performed delayed enhancement imaging in suspected acute myocarditis. A two-centre prospective study was performed in patients with suspected acute myocarditis. The protocol included horizontal long axis, vertical long axis and short axis cine MR and delayed enhancement imaging after Gd-DTPA infusion (0.2 mmol/kg). Sixty consecutive patients were enrolled (aged 49.4{+-}17.8 years). MRI demonstrated delayed enhancement sparing the subendocardicardial layer in 51.6% of patients, concordant with the diagnosis of acute myocarditis; 16.7% of patients exhibited delayed enhancement involving the subendocardial layer with irregular margins, concordant with the diagnosis of acute myocardial infarction; 31.7% of patients had delayed enhancement imaging that was considered normal. Routine imaging to identify delayed enhancement provided crucial information in suspected acute myocarditis by reinforcing the diagnosis in 51.6% of patients and correcting a misdiagnosed acute myocardial infarction in 16.7% of patients. (orig.)

  11. Low dose computed tomography in suspected acute renal colic.

    Science.gov (United States)

    Meagher, T; Sukumar, V P; Collingwood, J; Crawley, T; Schofield, D; Henson, J; Lakin, K; Connolly, D; Giles, J

    2001-11-01

    To evaluate whether computed tomography (CT) of the renal tract in suspected renal colic using reduced exposure factors maintains diagnostic accuracy. Prospective multi-centre cohort study. Patients with suspected renal colic were examined using computed tomography (CT) of the renal tract followed by intravenous urography (IVU) in four different centres with five different CT systems. Sixty-nine patients with suspected renal colic had CT of the renal tract followed by IVU. CT was performed with reduced exposure factors, giving a mean CT effective dose of 3.5 (range 2.8-4.5) mSv compared with 1.5 mSv for IVU. Ureteric calculi were detected in 43 patients: CT and IVU detected 40 (93%) ureteric calculi. CT identified other lesions causing symptoms in five patients and identified renal calculi in 24 patients. IVU identified renal calculi in six patients and made false positive diagnosis of renal calculi in seven patients. Mean examination time for CT was 5 minutes and for IVU was 80 minutes. CT examination at reduced exposure factors maintains the diagnostic accuracy recorded in other series. Copyright 2001 The Royal College of Radiologists.

  12. The economics of cardiac biomarker testing in suspected myocardial infarction.

    Science.gov (United States)

    Goodacre, Steve; Thokala, Praveen

    2015-03-01

    Suspected myocardial infarction (MI) is a common reason for emergency hospital attendance and admission. Cardiac biomarker measurement is an essential element of diagnostic assessment of suspected MI. Although the cost of a routinely available biomarker may be small, the large patient population and consequences in terms of hospital admission and investigation mean that the economic impact of cardiac biomarker testing is substantial. Economic evaluation involves comparing the estimated costs and effectiveness (outcomes) of two or more interventions or care alternatives. This process creates some difficulties with respect to cardiac biomarkers. Estimating the effectiveness of cardiac biomarkers involves identifying how they help to improve health and how we can measure this improvement. Comparison to an appropriate alternative is also problematic. New biomarkers may be promoted on the basis of reducing hospital admission or length of stay, but hospital admission for low risk patients may incur significant costs while providing very little benefit, making it an inappropriate comparator. Finally, economic evaluation may conclude that a more sensitive biomarker strategy is more effective but, by detecting and treating more cases, is also more expensive. In these circumstances it is unclear whether we should use the more effective or the cheaper option. This article provides an introduction to health economics and addresses the specific issues relevant to cardiac biomarkers. It describes the key concepts relevant to economic evaluation of cardiac biomarkers in suspected MI and highlights key areas of uncertainty and controversy. Copyright © 2014 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  13. Limitation of personal freedom by detention of suspect

    Directory of Open Access Journals (Sweden)

    Knežević Saša

    2011-01-01

    Full Text Available The right of personal freedom is one of the most important right from the set of basic human rights and freedoms, contained in the most important acts of international legal character, and the constitutions of states based on the rule of law. This right is directly related to the very human existence, and, therefore, it is necessary to make its legal articulation. Personal freedom means the right to security of the citizen, that he will not be arrested and detained in prison by the state authorities, as well as the right to be free to move and inhabit. However, from the very nature of Criminal Law protection of social values, arises the need to limit the right to personal freedom in exceptional circumstances, including the detention of the suspect. Keeping the suspect is a measure of procedural compulsion, by which, through the police decision, detained prison is temporarily imprisoned, for gathering information and hearing. The basic principles of humanity require that the detained suspect retains all the rights, derived from the principle of personal liberty.

  14. MIBG in the evaluation of suspected pheochromocytoma: Mayo Clinic experience

    Energy Technology Data Exchange (ETDEWEB)

    Brown, M.L.; Sheps, S.G.; Sizemore, G.; Swensen, S.J.; Gharib, H.; Grant, C.S.; van Heerden, J.A.

    1984-01-01

    Work done at the University of Michigan has shown that I-131 metaiodobenzylguanidine (MIBG) is an effective agent for the diagnosis and localization of pheochromocytoma. A recent report questioned the sensitivity of this test. In 1983, 40 patients at Mayo Clinic had 42 scans during the workup of suspected spontaneous pheochromocytoma or metastatic pheochromocytoma. All patients were given 500 ..mu..Ci I-131 MIBG supplied by the University of Michigan. The final diagnosis of pheochromocytoma (true positive (TP) and false negative (FN) and false positive (FP)) was made by surgery and pathology. True negative (TN) diagnosis was made by normal plasma and urinary catecholamines, and in many patients CT. There were 15 TP studies (six spontaneous pheochrocytoma, nine metastatic or recurrent pheochromoctyoma), and 22 TN studies. There was one FP study of recurrent paraganglioma near the bladder (CT was also FP) and four FN studies (two spontaneous and two metastatic) where one CT was also FN. This results in a sensitivity of 79%, specificity of 96%, and accuracy of 88%. MIBG is very useful in the workup of patients with known or suspected recurrent or metastatic pheochromocytoma and is helpful in the evaluation of the patient suspected of having a spontaneous pheochromocytoma when CT is normal.

  15. Counting losses due to saturation effects of scintillation counters at high count rates

    CERN Document Server

    Hashimoto, K

    1999-01-01

    The counting statistics of a scintillation counter, with a preamplifier saturated by an overloading input, are investigated. First, the formulae for the variance and the mean number of counts, accumulated within a given gating time, are derived by considering counting-loss effects originating from the saturation and a finite resolving time of the electronic circuit. Numerical examples based on the formulae indicate that the saturation makes a positive contribution to the variance-to-mean ratio and that the contribution increases with count rate. Next the ratios are measured under high count rates when the preamplifier saturation can be observed. By fitting the present formula to the measured data, the counting-loss parameters can be evaluated. Corrections based on the parameters are made for various count rates measured in a nuclear reactor. As a result of the corrections, the linearity between count rate and reactor power can be restored.

  16. Tropical count of curves on abelian varieties

    DEFF Research Database (Denmark)

    Halle, Lars Halvard; Rose, Simon Charles Florian

    2017-01-01

    We investigate the problem of counting tropical genus g curves ing-dimensional tropical abelian varieties. We do this by studyingmaps from principally polarized tropical abelian varieties into afixed abelian variety. For g = 2, 3, we prove that the tropical countmatches the count provided in [Göt98...

  17. Is It Counting, or Is It Adding?

    Science.gov (United States)

    Eisenhardt, Sara; Fisher, Molly H.; Thomas, Jonathan; Schack, Edna O.; Tassell, Janet; Yoder, Margaret

    2014-01-01

    The Common Core State Standards for Mathematics (CCSSI 2010) expect second grade students to "fluently add and subtract within 20 using mental strategies" (2.OA.B.2). Most children begin with number word sequences and counting approximations and then develop greater skill with counting. But do all teachers really understand how this…

  18. It Is Time to Count Learning Communities

    Science.gov (United States)

    Henscheid, Jean M.

    2015-01-01

    As the modern learning community movement turns 30, it is time to determine just how many, and what type, of these programs exist at America's colleges and universities. This article first offers a rationale for counting learning communities followed by a description of how disparate counts and unclear definitions hamper efforts to embed these…

  19. Lazy reference counting for the Microgrid

    NARCIS (Netherlands)

    Poss, R.; Grelck, C.; Herhut, S.; Scholz, S.-B.

    2012-01-01

    This papers revisits non-deferred reference counting, a common technique to ensure that potentially shared large heap objects can be reused safely when they are both input and output to computations. Traditionally, thread-safe reference counting exploit implicit memory-based communication of counter

  20. Power-counting theorem for staggered fermions

    CERN Document Server

    Giedt, J

    2006-01-01

    One of the assumptions that is used in Reisz's power-counting theorem does not hold for staggered fermions, as was pointed out long ago by Lüscher. Here, we generalize the power-counting theorem, and the methods of Reisz's proof, such that the dif culties posed by staggered fermions are overcome.

  1. Counting sequences, Gray codes and lexicodes

    NARCIS (Netherlands)

    Suparta, I.N.

    2006-01-01

    A counting sequence of length n is a list of all 2^n binary n-tuples (binary codewords of length n). The number of bit positions where two codewords differ is called the Hamming distance of these two codewords. The average Hamming distance of a counting sequence of length n is defined as the average

  2. Surgical count process: evidence for patient safety.

    Science.gov (United States)

    Freitas, Patrícia Scotini; Mendes, Karina Dal Sasso; Galvão, Cristina Maria

    2017-02-23

    To analyze the surgical count process according to reports of nurses working in surgical centers of a city in the state of São Paulo. Cross-sectional study with a sample of 55 nurses. Data collection occurred from August to December 2013, with application of an instrument submitted to face and content validation, composed of data on variables regarding characteristics of nurses, hospital, and surgical count process. Fifty-two (94.5%) nurses reported that the surgical count process was carried out in their workplaces. A statistically significant association was found between the surgical count process and the type of institution (P=0.046), and between the presence of a surgical technologist and the processes for counting surgical instruments (Pprocess was carried out in the studied hospital.

  3. Cluster counting in helium based gas mixtures

    Science.gov (United States)

    Cataldi, G.; Grancagnolo, F.; Spagnolo, S.

    1997-02-01

    The statistical advantages deriving from counting primary ionization, as opposed to the conventional energy loss measurement, are extensively discussed. A primary ionization counting method is proposed for a "traditional", cylindrical, single sense wire cell drift chamber, which makes use of a helium based gas mixture. Its conceptual feasibility is proven by means of a simple Monte Carlo simulation. A counting algorithm is developed and tested on the simulation output. A definition of the parameters of the read-out and of the digitizing electronics is given, assuming the described counting algorithm applied to a general detector design, in order to have a complete and realistic planning of a cluster counting measurement. Finally, some interesting results from a beam test, performed according to the described parameters, on primary ionization measurements and on {π}/{μ} separation are shown.

  4. Imaging trends in suspected appendicitis-a Canadian perspective.

    Science.gov (United States)

    Tan, Victoria F; Patlas, Michael N; Katz, Douglas S

    2017-06-01

    The purpose of our study was to assess trends in the imaging of suspected appendicitis in adult patients in emergency departments of academic centers in Canada. A questionnaire was sent to all 17 academic centers in Canada to be completed by a radiologist who works in emergency radiology. The questionnaires were sent and collected over a period of 4 months from October 2015 to February 2016. Sixteen centers (94%) responded to the questionnaire. Eleven respondents (73%) use IV contrast-enhanced computed tomography (CT) as the imaging modality of choice for all patients with suspected appendicitis. Thirteen respondents (81%) use ultrasound as the first modality of choice in imaging pregnant patients with suspected appendicitis. Eleven respondents (69%) use ultrasound (US) as the first modality of choice in patients younger than 40 years of age. Ten respondents (67%) use ultrasound as the first imaging modality in female patients younger than 40 years of age. When CT is used, 81% use non-focused CT of the abdomen and pelvis, and 44% of centers use oral contrast. Thirteen centers (81%) have ultrasound available 24 h a day/7 days a week. At 12 centers (75%), ultrasound is performed by ultrasound technologists. Four centers (40%) perform magnetic resonance imaging (MRI) in suspected appendicitis in adult patients at the discretion of the attending radiologist. Eleven centers (69%) have MRI available 24/7. All 16 centers (100%) use unenhanced MRI. Various imaging modalities are available for the work-up of suspected appendicitis. Although there are North American societal guidelines and recommendations regarding the appropriateness of the multiple imaging modalities, significant heterogeneity in the first-line modalities exist, which vary depending on the patient demographics and resource availability. Imaging trends in the use of the first-line modalities should be considered in order to plan for the availability of the imaging examinations and to consider plans for

  5. Predictors of bacteremia in emergency department patients with suspected infection.

    Science.gov (United States)

    Chase, Maureen; Klasco, Richard S; Joyce, Nina R; Donnino, Michael W; Wolfe, Richard E; Shapiro, Nathan I

    2012-11-01

    The goal of this study is to identify clinical variables associated with bacteremia. Such data could provide a rational basis for blood culture testing in emergency department (ED) patients with suspected infection. This is a secondary analysis of a prospective cohort of ED patients with suspected infection. Data collected included demographics, vital signs, medical history, suspected source of infection, laboratory and blood culture results and outcomes. Bacteremia was defined as a positive blood culture by Centers for Disease Control criteria. Clinical variables associated with bacteremia on univariate logistic regression were entered into a multivariable model. There were 5630 patients enrolled with an average age of 59.9 ± 19.9 years, and 54% were female. Blood cultures were obtained on 3310 (58.8%). There were 409 (12.4%) positive blood cultures, of which 68 (16.6%) were methicillin-resistant Staphylococcus aureus (MRSA) and 161 (39.4%) were Gram negatives. Ten covariates (respiratory failure, vasopressor use, neutrophilia, bandemia, thrombocytopenia, indwelling venous catheter, abnormal temperature, suspected line or urinary infection, or endocarditis) were associated with all-cause bacteremia in the final model (c-statistic area under the curve [AUC], 0.71). Additional factors associated with MRSA bacteremia included end-stage renal disease (odds ratio [OR], 3.9; 95% confidence interval [CI], 1.9-7.8) and diabetes (OR, 2.0; 95% CI, 1.1-3.6) (AUC, 0.73). Factors strongly associated with Gram-negative bacteremia included vasopressor use in the ED (OR, 2.8; 95% CI, 1.7-4.6), bandemia (OR, 3.5; 95% CI, 2.3-5.3), and suspected urinary infection (OR, 4.0; 95% CI, 2.8-5.8) (AUC, 0.75). This study identified several clinical factors associated with bacteremia as well as MRSA and Gram-negative subtypes, but the magnitude of their associations is limited. Combining these covariates into a multivariable model moderately increases their predictive value. Copyright

  6. Kids Count in Delaware, Families Count in Delaware: Fact Book, 2002.

    Science.gov (United States)

    Delaware Univ., Newark. Kids Count in Delaware.

    This Kids Count Fact Book is combined with the Families Count Fact Book to provide information on statewide trends affecting children and families in Delaware. The Kids Count statistical profile is based on 11 main indicators of child well-being: (1) births to teens 15-17 years; (2) births to teens 10 to 14 years; (3) low birth weight babies; (3)…

  7. Generalised count distributions for modelling parity

    Directory of Open Access Journals (Sweden)

    Bilal Barakat

    2017-03-01

    Full Text Available Background: Parametric count distributions customarily used in demography - the Poisson and negative binomial models - do not offer satisfactory descriptions of empirical distributions of completed cohort parity. One reason is that they cannot model variance-to-mean ratios below unity, i.e., underdispersion, which is typical of low-fertility parity distributions. Statisticians have recently revived two generalised count distributions that can model both over- and underdispersion, but they have not attracted demographers' attention to date. Objective: The objective of this paper is to assess the utility of these alternative general count distributions, namely the Conway-Maxwell-Poisson and gamma count models, for the modeling of distributions of completed parity. Methods: Simulations and maximum-likelihood estimation are used to assess their fit to empirical data from the Human Fertility Database (HFD. Results: The results show that the generalised count distributions offer a dramatically improved fit compared to customary Poisson and negative binomial models in the presence of under- dispersion, without performance loss in the case of equidispersion or overdispersion. Conclusions: This gain in accuracy suggests generalised count distributions should be used as a matter of course in studies of fertility that examine completed parity as an outcome. Contribution: This note performs a transfer of the state of the art in count data modelling and regression in the more technical statistical literature to the field of demography, allowing demographers to benefit from more accurate estimation in fertility research.

  8. Prognostic importance of quantitative echocardiographic evaluation in patients suspected of first non-massive pulmonary embolism

    DEFF Research Database (Denmark)

    Kjaergaard, Jesper; Schaadt, Bente Krogsgaard; Lund, Jens Otto

    2008-01-01

    AIMS: Patients suspected of acute pulmonary embolism (PE) frequently undergo echocardiography as a part of the initial work-up. Prognostic implication of routine echocardiography in patients suspected of PE remain to be established. METHODS AND RESULTS: Transthoracic echocardiography, including...

  9. Questões sobre a frase na obra de Émile Benveniste Questões sobre a frase na obra de Émile Benveniste

    Directory of Open Access Journals (Sweden)

    Verônica Pasqualin MACHADO

    2012-06-01

    Full Text Available The aim of this article is to demonstrate which notions can be related for a better understanding of the term phrase in Émile Benveniste’s work (1974/2006,1966/2005. In order to do so, we investigated how this term is treated in two texts by this author, in which he gives major emphasis to this theme: Os níveis de análise linguística and A forma e o sentido na linguagem. In the analysis of these texts, we highlighted excerpts that deal with the term phrase and point the notions which are attached to it. Thereby, we can conclude that the term phrase is connected to the notions of form and meaning, of semantic domain and of reference.O objetivo desse artigo é mostrar que noções podem estar imbricadas para que se entenda o termo frase na obra de Émile Benveniste (1974/2006, 1966/2005. Para isso, investigou-se como esse termo é tratado em dois textos do autor, nos quais ele dá maior ênfase ao tema, a saber, Os níveis de análise linguística e A forma e o sentido na linguagem. Na análise desses textos, foram destacados excertos que versam sobre o termo frase e evidenciam as noções que estão vinculadas a esse termo. Por meio da análise, pode-se concluir que o termo frase está ligado às noções de forma e sentido, de domínio semântico e de referência.

  10. Management of Suspected Pemphigus Vulgaris in Elderly Patient with Chronic Diseases

    Directory of Open Access Journals (Sweden)

    Ayu M. Prihanti

    2013-07-01

    Full Text Available 72 1024x768 Pemphigus vulgaris (PV is a group of vesicobullous disease affecting skin and mucous membranes. PV is associated with autoimmune diseases, characterized by binding of IgG autoantibodies to desmoglein 3. PV lesion is a thin-walled bulla arising on the skin or mucosa. Oral mucous bulla are fragile and easily breakdown, forming irreguler ulcers. There are several factors that trigger PV, including genetic factors, age, drugs and food. This paper aimed to report treatment of suspected pemphigus vulgaris in elderly patient with history of chronic diseases. A 75-year-old woman with 2 months history of bulla formation on skin and history of persistent oral ulceration. Ulcers were covered with fibrin and erosive erythematous on labial, buccal and gingival mucosa. History of hypertension, diabetes mellitus and hepatitis was revealed. Routine complete blood count showed thrombocytopenia. Diagnosis was confirmed by anamnesis, clinical examination and complete blood investigation. PV should be distinguished from other vesicobullous disease. Systemic corticosteroid was given concurrently with hepato-protector, mouthwash, supportive therapy and topical lip cream. Bulla on skin and persistent erosive ulcers of the oral mucosa are the manifestations of PV. Elderly patient with history of chronic diseases showed a complex care of PV requiring more intensive and comprehensive treatment.DOI: 10.14693/jdi.v20i1.129

  11. B Counting at BaBar

    Energy Technology Data Exchange (ETDEWEB)

    McGregor, Grant Duncan

    2008-12-16

    In this thesis we examine the method of counting B{bar B} events produced in the BABAR experiment. The original method was proposed in 2000, but improvements to track reconstruction and our understanding of the detector since that date make it appropriate to revisit the B Counting method. We propose a new set of cuts designed to minimize the sensitivity to time-varying backgrounds. We find the new method counts B{bar B} events with an associated systematic uncertainty of {+-} 0.6%.

  12. Strontium-90 ({sup 90}Sr) determination using liquid scintillation counting

    Energy Technology Data Exchange (ETDEWEB)

    Cheberle, L.T.V.; Rosa, M.M.L.; Ferreira, M.T.; Taddei, M.H.T. [Comissao Nacional de Energia Nuclear (LAPOC/CNEN-MG), Pocos de Caldas, MG (Brazil). Laboratorio de Pocos de Caldas

    2015-07-01

    This procedure describes a method for separation and measurement of strontium {sup 90}Sr in water, soils, and biological samples. Water samples may be concentrated using evaporation or calcium phosphate coprecipitation. Soils and biological materials must be dissolved using wet digestion. Tracers and carriers must be added before the attack. Radioactive strontium is separated employing a specific resin before determination by liquid scintillation counting using the double energetic window method. The resin is used to concentrate strontium from samples. Stable strontium is used to monitor method yields and correct results to improve precision and accuracy. The presence of elemental strontium in the sample may bias the gravimetric yield determination. If it is suspected that natural strontium is present in the sample, its concentration should be determined by a suitable means (ICP), and the yield calculation properly modified. Sr-Spec resin with an 8M HNO{sub 3} load solution is used to effectively remove {sup 140}Ba and {sup 40}K isotopes, as well as other interferences from the matrix. Tetravalent plutonium, neptunium, cerium and ruthenium, however, are not removed using nitric acid. The radiochemical procedure was tested using PROCORAD intercomparison exercises and PNI samples. (author)

  13. Icare rebound tonometry in children with known and suspected glaucoma.

    Science.gov (United States)

    Flemmons, Meghan S; Hsiao, Ya-Chuan; Dzau, Jacqueline; Asrani, Sanjay; Jones, Sarah; Freedman, Sharon F

    2011-04-01

    Accurate intraocular pressure (IOP) measurement, important in managing pediatric glaucoma, often presents challenges. The Icare rebound tonometer shows promise for screening healthy children and has been reported comparable with Goldmann applanation in adults with glaucoma. The purpose of this study was to evaluate the Icare tonometer against Goldmann applanation for clinic IOP measurement in pediatric glaucoma. This was a prospective study comparing Icare versus Goldmann tonometry in pediatric glaucoma. Children with known or suspected glaucoma were recruited from scheduled clinic visits. IOP was measured with the Icare tonometer by a clinician and subsequently measured with Goldmann applanation tonometry (GAT) by a different single masked clinician. A total of 71 eyes of 71 children with known or suspected glaucoma were included. IOP by GAT ranged from 9 to 36 mm Hg. Icare readings ranged from 11 to 44 mm Hg. Mean difference between Icare and GAT was 2.3 ± SD 3.7 mm Hg, p IOPs were within ± 3 mm Hg of GAT in 63%. Icare IOPs were ≥GAT IOPs in 75%. The following factors were not associated with Icare IOPs greater than GAT: child's age, glaucoma diagnosis, strabismus, nystagmus, central corneal thickness, Icare instrument-reported reliability, number of glaucoma surgeries or medications, corneal abnormalities, and visual acuity. IOP by Icare tonometry was within 3 mm Hg of IOP by GAT in 63% and greater than GAT in 75%. This device may be reasonable to estimate IOP in selected children with known or suspected glaucoma whose IOP cannot otherwise be obtained in clinic; however, correlation of Icare IOPs with clinical findings must continue to be considered in each case. Copyright © 2011 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

  14. Herbal hepatotoxicity: suspected cases assessed for alternative causes.

    Science.gov (United States)

    Teschke, Rolf; Schulze, Johannes; Schwarzenboeck, Alexander; Eickhoff, Axel; Frenzel, Christian

    2013-09-01

    Alternative explanations are common in suspected drug-induced liver injury (DILI) and account for up to 47.1% of analyzed cases. This raised the question of whether a similar frequency may prevail in cases of assumed herb-induced liver injury (HILI). We searched the Medline database for the following terms: herbs, herbal drugs, herbal dietary supplements, hepatotoxic herbs, herbal hepatotoxicity, and herb-induced liver injury. Additional terms specifically addressed single herbs and herbal products: black cohosh, Greater Celandine, green tea, Herbalife products, Hydroxycut, kava, and Pelargonium sidoides. We retrieved 23 published case series and regulatory assessments related to hepatotoxicity by herbs and herbal dietary supplements with alternative causes. The 23 publications comprised 573 cases of initially suspected HILI; alternative causes were evident in 278/573 cases (48.5%). Among them were hepatitis by various viruses (9.7%), autoimmune diseases (10.4%), nonalcoholic and alcoholic liver diseases (5.4%), liver injury by comedication (DILI and other HILI) (43.9%), and liver involvement in infectious diseases (4.7%). Biliary and pancreatic diseases were frequent alternative diagnoses (11.5%), raising therapeutic problems if specific treatment is withheld; pre-existing liver diseases including cirrhosis (9.7%) were additional confounding variables. Other diagnoses were rare, but possibly relevant for the individual patient. In 573 cases of initially assumed HILI, 48.5% showed alternative causes unrelated to the initially incriminated herb, herbal drug, or herbal dietary supplement, calling for thorough clinical evaluations and appropriate causality assessments in future cases of suspected HILI.

  15. Analysis of performance and age of the fastest 100-mile ultra-marathoners worldwide

    Directory of Open Access Journals (Sweden)

    Christoph Alexander Rüst

    2013-05-01

    Full Text Available OBJECTIVES: The performance and age of peak ultra-endurance performance have been investigated in single races and single race series but not using worldwide participation data. The purpose of this study was to examine the changes in running performance and the age of peak running performance of the best 100-mile ultra-marathoners worldwide. METHOD: The race times and ages of the annual ten fastest women and men were analyzed among a total of 35,956 finishes (6,862 for women and 29,094 for men competing between 1998 and 2011 in 100-mile ultra-marathons. RESULTS: The annual top ten performances improved by 13.7% from 1,132±61.8 min in 1998 to 977.6±77.1 min in 2011 for women and by 14.5% from 959.2±36.4 min in 1998 to 820.6±25.7 min in 2011 for men. The mean ages of the annual top ten fastest runners were 39.2±6.2 years for women and 37.2±6.1 years for men. The age of peak running performance was not different between women and men (p>0.05 and showed no changes across the years. CONCLUSION: These findings indicated that the fastest female and male 100-mile ultra-marathoners improved their race time by ∼14% across the 1998-2011 period at an age when they had to be classified as master athletes. Future studies should analyze longer running distances (>200 km to investigate whether the age of peak performance increases with increased distance in ultra-marathon running.

  16. Benefits of sonography in diagnosing suspected uncomplicated acute diverticulitis.

    Science.gov (United States)

    King, Welfur C; Shuaib, Waqas; Vijayasarathi, Arvind; Fajardo, Carlos G; Cabrera, Waldo E; Costa, Juan L

    2015-01-01

    Despite evidence demonstrating equivalent accuracy of sonography and computed tomography (CT) in the workup of mild/uncomplicated acute diverticulitis, CT is overwhelmingly performed as the initial diagnostic test, particularly in the acute setting. Our study evaluated potential radiation and turnaround time savings associated with performing sonography instead of CT as the initial diagnostic examination in the workup of suspected uncomplicated acute diverticulitis. We retrospectively reviewed medical records from January 2010 to December 2012 for patients presenting with clinical symptoms of acute diverticulitis. Patients were categorized as a whole and subgrouped by age (>40 and 40 years and 121 diverticulitis. © 2015 by the American Institute of Ultrasound in Medicine.

  17. A Suspected Pelvic Aneurysmal Bone Cyst in Pregnancy

    Directory of Open Access Journals (Sweden)

    Rayan Elkattah

    2013-01-01

    Full Text Available Albeit rare, the majority of identified bone lesions in pregnancy spare the pelvis. Once encountered with a pelvic bone lesion in pregnancy, the obstetrician may face a challenging situation as it is difficult to determine and predict the effects that labor and parturition impart on the pelvic bones. Bone changes and pelvic bone fractures have been well documented during childbirth. The data regarding clinical outcomes and management of pregnancies complicated by pelvic ABCs is scant. Highly suspected to represent an aneurysmal bone cyst, the clinical evaluation of a pelvic lesion in the ilium of a pregnant individual is presented, and modes of delivery in such a scenario are discussed.

  18. Patch Testing in Suspected Allergic Contact Dermatitis to Cosmetics

    OpenAIRE

    Pramod Kumar; Rekha Paulose

    2014-01-01

    Background. Increasing use of cosmetics has contributed to a rise in the incidence of allergic contact dermatitis (ACD) to cosmetics. It is estimated that 1–5.4% of the population is sensitized to a cosmetic ingredient. Patch testing helps to confirm the presence of an allergy and to identify the actual allergens which are chemical mixtures of various ingredients. Objectives. The aims of this study are to perform patch testing in suspected ACD to cosmetics and to identify the most common alle...

  19. Compilation of Earthquakes from 1850-2007 within 200 miles of the Idaho National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    N. Seth Carpenter

    2010-07-01

    An updated earthquake compilation was created for the years 1850 through 2007 within 200 miles of the Idaho National Laboratory. To generate this compilation, earthquake catalogs were collected from several contributing sources and searched for redundant events using the search criteria established for this effort. For all sets of duplicate events, a preferred event was selected, largely based on epicenter-network proximity. All unique magnitude information for each event was added to the preferred event records and these records were used to create the compilation referred to as “INL1850-2007”.

  20. Conversatorio sobre Las formas elementales de la vida religiosa (1912 de Émile Durkheim

    Directory of Open Access Journals (Sweden)

    Víctor Alberto Reyes Morris

    2014-07-01

    Full Text Available Edición del texto del conversatorio público sostenido el día 23 de noviembre de 2012, en el contexto del Ciclo de conferencias conmemorativas de los cien años de la publicación de Las formas elementales de la vida religiosa de Émile Durkheim, evento realizado por la Sección de Teorías, Departamento de Sociología, desde el viernes 16 de noviembre hasta elviernes 23 de noviembre de 2012 en la Universidad Nacional de Colombia

  1. Safely Transporting the assembled EUSO-SPB instrument 1000 miles for field testing

    Science.gov (United States)

    Cummings, Austin; Gregg, Rachael; Polonsky, Zach

    2017-01-01

    The EUSO-SPB instrument assembled and tested at Colorado School of Mines and then transported in this state to the Telescope Array site in Delta Utah for field tests. 6 hours after arrival the instrument recorded first light from a laser 20 km distant. We describe the structures and methods that we developed drive this instrument to the test site. The vibration data collected during the 1000 mile round trip and the lessons learned will also be presented. In our experience, there is relatively little quantitative information available about this type of critical operation.

  2. Three Mile Island, Unit 2, radiation protection program: report of the special panel

    Energy Technology Data Exchange (ETDEWEB)

    Meinhold, C. B. [Brookhaven National Lab., Upton, NY (United States); Murphy, T. D. [Nuclear Regulatory Commission, Washington, DC (United States); Neely, D. R. [Nuclear Regulatory Commission, Washington, DC (United States); Kathren, R. L. [Batelle Pacific Northwest Lab. (United States); Rich, B. L. [Exxon Nuclear Idaho Co., Inc. ID (United States); Stone, G. F. [Tennessee Valley Authority, Chattanooga, TN (United States); Casey, W. R. [Brookhaven National Lab., Upton, NY (United States)

    1979-12-01

    A special panel was appointed by the Director of Nuclear Reactor Regulation, NRC, to review the radiation protection program at Three Mile Island Unit 2. The Panel confirmed several management and technical deficiencies in the program. Recent major GPU/Met Ed commitments and actions demonstrated a major change in management attitude. The Panel concluded that exposures to personnel can be maintained to as low as is reasonably achievable while limited preparatory recovery work continues and when further needed improvements are implemented as needed, the radiation safety program will be able to support major recovery activities.

  3. Mortality among the residents of the Three Mile Island accident area: 1979-1992.

    OpenAIRE

    Talbott, E O; Youk, A. O.; McHugh, K.P.; Shire, J D; Zhang, A; B. P. Murphy; Engberg, R A

    2000-01-01

    The largest U.S. population exposed to low-level radioactivity released by an accident at a nuclear power plant is composed of residents near the Three Mile Island (TMI) Plant on 28 March 1979. This paper (a collaboration of The University of Pittsburgh and the Pennsylvania Department of Health) reports on the mortality experience of the 32,135 members in this cohort for 1979-1992. We analyzed standardized mortality ratios (SMRs) using a local comparison population and performed relative risk...

  4. Furbearer track count index testing and development

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Indices of abundance can be useful in monitoring furbearer populations where actual counts of individual animals are difficult. I sampled marten and snowshoe hare...

  5. CoC Housing Inventory Count Reports

    Data.gov (United States)

    Department of Housing and Urban Development — Continuum of Care (CoC) Homeless Assistance Programs Housing Inventory Count Reports are a snapshot of a CoC’s housing inventory, available at the national and state...

  6. Mourning Dove Call-count Survey

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Mourning Dove (Zenaida macroura) Call-Count Survey was developed to provide an index to population size and to detect annual changes in mourning dove breeding...

  7. Global Population Count Grid Time Series Estimates

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Population Count Grid Time Series Estimates provide a back-cast time series of population grids based on the year 2000 population grid from SEDAC's Global...

  8. 2013 bobwhite whistle count : performance report

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Performance report for the 2013 spring whistle count to monitor northern bobwhite abundance in Kansas state. This survey was initiated in 1998, and is preformed on...

  9. 2012 bobwhite whistle count : performance report

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Performance report for the 2012 spring whistle count to monitor northern bobwhite abundance in Kansas state. This survey was initiated in 1998, and is preformed on...

  10. Calorie count - sodas and energy drinks

    Science.gov (United States)

    ... ency/patientinstructions/000888.htm Calorie count - sodas and energy drinks To use the sharing features on this page, ... 150 Wild Cherry Pepsi 12 oz 160 Energy Drinks AMP Energy Strawberry Lemonade 16 oz 220 AMP Energy Boost ...

  11. Why calories count: from science to politics

    National Research Council Canada - National Science Library

    Nestle, Marion; Nesheim, Malden C

    2012-01-01

    .... They are also hard to understand. In Why Calories Count, Marion Nestle and Malden Nesheim explain in clear and accessible language what calories are and how they work, both biologically and politically...

  12. VSRR Provisional Drug Overdose Death Counts

    Data.gov (United States)

    U.S. Department of Health & Human Services — This data contains provisional counts for drug overdose deaths based on a current flow of mortality data in the National Vital Statistics System. National...

  13. White Blood Cell Counts and Malaria

    National Research Council Canada - National Science Library

    McKenzie, F. E; Prudhomme, Wendy A; Magill, Alan J; Forney, J. R; Permpanich, Barnyen; Lucas, Carmen; Gasser, Jr., Robert A; Wongsrichanalai, Chansuda

    2005-01-01

    .... At each site and in each year, WBC counts in the Plasmodium falciparum infected patients were lower than those in the Plasmodium vivax infected patients, which, in turn, were lower than those in the uninfected patients...

  14. White Blood Cell Counts and Malaria

    National Research Council Canada - National Science Library

    McKenzie, F. E; Prudhomme, Wendy A; Magill, Alan J; Forney, J. R; Permpanich, Barnyen; Lucas, Carmen; Gasser, Jr., Robert A; Wongsrichanalai, Chansuda

    2005-01-01

    White blood cells (WBCs) were counted in 4697 individuals who presented to outpatient malaria clinics in Maesod, Tak Province, Thailand, and Iquitos, Peru, between 28 May and 28 August 1998 and between 17 May and 9 July 1999...

  15. Adaptive and Approximate Orthogonal Range Counting

    DEFF Research Database (Denmark)

    Chan, Timothy M.; Wilkinson, Bryan Thomas

    2013-01-01

    ]. •We give an O(n loglog n)-space data structure for approximate 2-D orthogonal range counting that can compute a (1+δ)-factor approximation to the count in O(loglog n) time for any fixed constant δ>0. Again, our bounds match the state of the art for the 2-D orthogonal range emptiness problem. •Lastly...

  16. How to count an introduction to combinatorics

    CERN Document Server

    Allenby, RBJT

    2010-01-01

    What's It All About? What Is Combinatorics? Classic Problems What You Need to Know Are You Sitting Comfortably? Permutations and Combinations The Combinatorial Approach Permutations CombinationsApplications to Probability Problems The Multinomial Theorem Permutations and Cycles Occupancy Problems Counting the Solutions of Equations New Problems from Old A ""Reduction"" Theorem for the Stirling Numbers The Inclusion-Exclusion Principle Double Counting Derangements A Formula for the Stirling NumbersStirling and Catalan Numbers Stirling Numbers Permutations and Stirling Numbers Catalan Numbers Pa

  17. Investigation of suspected chronic fatigue syndrome/myalgic encephalopathy.

    Science.gov (United States)

    Owe, Jone Furlund; Næss, Halvor; Gjerde, Ivar Otto; Bødtker, Jørn Eilert; Tysnes, Ole-Bjørn

    2016-02-09

    Chronic fatigue is a frequently occurring problem in both the primary and specialist health services. The Department of Neurology at Haukeland University Hospital has established a standard assessment for patients referred with suspected CFS/ME. This study reports diagnoses and findings upon assessment, and considers the benefit of supplementary examinations. Diagnoses and findings from examinations of 365 patients assessed for suspected CFS/ME are retrospectively reported. A total of 48 patients (13.2%) were diagnosed with CFS/ME, while a further 18 patients (4.9%) were diagnosed with post-infectious fatigue. Mental and behavioural disorders were diagnosed in 169 patients (46.3%), and these represented by far the largest group. Serious, but unrecognised somatic illness was discovered in two patients, while changes of uncertain significance were identified by MRI and lumbar puncture in a few patients. Fatigue is a frequently occurring symptom in the population. Thorough somatic and psychiatric investigation is necessary before referral to the specialist health services. Mental disorders and reactions to life crises are common and important differential diagnoses for CFS/ME. Long waiting times in the specialist health services may result in delayed diagnosis for these patients.

  18. Perioperative sexual interest in women with suspected gynecologic malignancies.

    Science.gov (United States)

    Bretschneider, C E; Bensen, Jeannette T; Geller, Elizabeth J; Gehrig, Paola A; Wu, Jennifer M; Doll, Kemi M

    2017-07-01

    For women with gynecologic cancer, the impact of surgery on sexual interest and desire in the immediate and later postoperative period is not well characterized. The objective of this study was to report the perioperative trends of changing sexual interest and desire in a cohort of women undergoing surgery for suspected gynecologic malignancies. This is an ancillary analysis of a cohort study analyzing health-related outcomes in women who underwent primary surgical management of a suspected gynecologic malignancy between 10/2013 and 10/2014. Subjects completed the Patient-Reported Outcomes Measurement Information System Sexual Function and Satisfaction Questionnaire (PROMIS-SFQ) preoperatively and questions on sexual interest and desire at one, three, and six months postoperatively. Bivariate tests and multiple linear regression were used to analyze data. Of 231 women who completed a baseline PROMIS-SFQ, 187 (81%) completed one-month, 170 (74%) three-month, and 174 (75%) six-month follow-up interviews. Following surgery, 71% of enrolled subjects were diagnosed with a malignancy. Women age women age >55 (-5.5±1.0 vs -2.3±0.9, p=0.02). In a multivariable analysis, age women of all ages (-5.6, 95% CI: -9.6, -1.5). This study provides new data regarding the timing and magnitude of changes in sexual interest following gynecologic oncology procedures. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. MRI diagnosis of suspected atlanto-occipital dissociation in childhood

    Energy Technology Data Exchange (ETDEWEB)

    Grabb, B.C.; Frye, T.A.; Hedlund, G.L.; Vaid, Y.N.; Royal, S.A. [Department of Radiology, The Children`s Hospital of Alabama, Birmingham (United States); Grabb, P.A. [Department of Neurosurgery, University of Alabama at Birmingham (United States)

    1999-04-01

    Objective. To demonstrate the utility of magnetic resonance (MR) imaging in the diagnosis of complete and partial ligamentous injuries in patients with suspected atlanto-occipital dissociation (AOD). Materials and methods. Five patients with suspected AOD had MR imaging performed within an average of 4 days after injury. MR scans were reviewed with specific analysis of craniocervical ligamentous structures. Charts were reviewed to obtain clinical information regarding presentation, treatment, hospital course, and outcome. Results. Two patients demonstrated MR evidence of complete AOD. One had disruption of all visualized major ligamentous structures at the craniocervical junction with anterolisthesis and evidence of cord damage. The second had injuries to the tectorial membrane, superior band of the cruciform ligament, apical ligament, and interspinous ligament at C 1-2. The remaining three patients sustained incomplete severance of the ligamentous structures at the craniocervical junction. All patients demonstrated subtle radiographic findings suggestive of AOD, including soft tissue swelling at the craniocervical junction without fracture. The two patients with complete AOD died. The three patients with partial AOD were treated with stabilization. On follow-up, these three children were asymptomatic following their craniocervical injury. Conclusion. MR imaging of acute AOD provides accurate identification of the craniocervical ligaments injured, classification of full versus partial ligamentous disruption, and analysis of accompanying spinal cord injury. This information is important for early appropriate neurosurgical management and preservation of neurologic function in survivors. (orig.) With 7 figs., 1 tab., 14 refs.

  20. MRI diagnosis of suspected atlanto-occipital dissociation in childhood.

    Science.gov (United States)

    Grabb, B C; Frye, T A; Hedlund, G L; Vaid, Y N; Grabb, P A; Royal, S A

    1999-04-01

    To demonstrate the utility of magnetic resonance (MR) imaging in the diagnosis of complete and partial ligamentous injuries in patients with suspected atlanto-occipital dissociation (AOD). Five patients with suspected AOD had MR imaging performed within an average of 4 days after injury. MR scans were reviewed with specific analysis of craniocervical ligamentous structures. Charts were reviewed to obtain clinical information regarding presentation, treatment, hospital course, and outcome. Two patients demonstrated MR evidence of complete AOD. One had disruption of all visualized major ligamentous structures at the craniocervical junction with anterolisthesis and evidence of cord damage. The second had injuries to the tectorial membrane, superior band of the cruciform ligament, apical ligament, and interspinous ligament at C 1-2. The remaining three patients sustained incomplete severance of the ligamentous structures at the craniocervical junction. All patients demonstrated subtle radiographic findings suggestive of AOD, including soft tissue swelling at the craniocervical junction without fracture. The two patients with complete AOD died. The three patients with partial AOD were treated with stabilization. On follow-up, these three children were asymptomatic following their craniocervical injury. MR imaging of acute AOD provides accurate identification of the craniocervical ligaments injured, classification of full versus partial ligamentous disruption, and analysis of accompanying spinal cord injury. This information is important for early appropriate neurosurgical management and preservation of neurologic function in survivors.

  1. CT Pulmonary Angiography and Suspected Acute Pulmonary Embolism

    Energy Technology Data Exchange (ETDEWEB)

    Enden, T.; Kloew, N.E. [Ullevaal Univ. Hospital, Oslo (Norway). Dept. of Cardiovascular Radiology

    2003-05-01

    Purpose: To evaluate the use and quality of CT pulmonary angiography in our department, and to relate the findings to clinical parameters and diagnoses. Material and Methods: A retrospective study of 324 consecutive patients referred to CT pulmonary angiography with clinically suspected pulmonary embolism (PE). From the medical records we registered clinical parameters, blood gases, D-dimer, risk factors and the results of other relevant imaging studies. Results: 55 patients (17%) had PE detected on CT. 39 had bilateral PE, and 8 patients had isolated peripheral PE. 87% of the examinations showing PE had satisfactory filling of contrast material including the segmental pulmonary arteries, and 60% of the subsegmental arteries. D-dimer test was performed in 209 patients, 85% were positive. A negative D-dimer ruled out PE detected at CT. Dyspnea and concurrent symptoms or detection of deep vein thrombosis (DVT), contraceptive pills and former venous thromboembolism (VTE) were associated with PE. The presence of only one clinical parameter indicated a negative PE diagnosis (p < 0.017), whereas two or more suggested a positive PE diagnosis (p < 0.002). CT also detected various ancillary findings such as consolidation, pleural effusion, nodule or tumor in nearly half of the patients; however, there was no association with the PE diagnosis. Conclusion: The quality of CT pulmonary angiography was satisfactory as a first-line imaging of PE. CT also showed additional pathology of importance in the chest. Our study confirmed that a negative D-dimer ruled out clinically suspected VTE.

  2. Ocular lesions following suspected lightning injury in a horse.

    Science.gov (United States)

    Evans, Paige M; Armour, Micki D; Dubielzig, Richard R

    2012-07-01

      To describe the gross and histopathological ocular findings in a horse following suspected lightning injury.   The eyes of a 2-year-old thoroughbred gelding were clinically and histopathologically evaluated following a severe lightning storm following euthanasia because of visual impairment.   Severe corneal edema and hydrops were noted clinically oculus dexter. Indirect ophthalmoscopy revealed bilateral symmetrical raised hyporeflective peripapillary geographic lesions. Histopathologic evaluation revealed corneal edema in the right eye with normal corneal endothelium. Posterior segment evaluation revealed localized, pericentral choroidal lesions characterized by the presence of hemorrhage, early fibrosis, and minimal lymphoplasmacytic, neutrophilic, and histiocytic inflammation with spindle cell proliferation. The retinas overlying the choroidal lesions were necrotic and mostly absent. Peripheral to the focal lesion, the retina abruptly returned to normal architecture peripheral to a zone of apoptotic photoreceptors. Centrally, swollen axons extended into the optic disc.   There have been few descriptions of ocular lesions in animals following suspected lightning injury. We believe these findings to be unique because of the type of thermal injury that may be characteristic of lightening injury. We do not know whether these lesions would have progressed over time. © 2011 American College of Veterinary Ophthalmologists.

  3. Suspected side effects to the quadrivalent human papilloma vaccine.

    Science.gov (United States)

    Brinth, Louise; Theibel, Ann Cathrine; Pors, Kirsten; Mehlsen, Jesper

    2015-04-01

    The quadrivalent vaccine that protects against human papilloma virus types 6, 11, 16 and 18 (Q-HPV vaccine, Gardasil) was included into the Danish childhood vaccination programme in 2009. During the past years, a collection of symptoms primarily consistent with sympathetic nervous system dysfunction have been described as suspected side effects to the Q-HPV vaccine. We present a description of suspected side effects to the Q-HPV vaccine in 53 patients referred to our Syncope Unit for tilt table test and evaluation of autonomic nervous system function. All patients had symptoms consistent with pronounced autonomic dysfunction including different degrees of orthostatic intolerance, severe non-migraine-like headache, excessive fatigue, cognitive dysfunction, gastrointestinal discomfort and widespread pain of a neuropathic character. We found consistency in the reported symptoms as well as between our findings and those described by others. Our findings neither confirm nor dismiss a causal link to the Q-HPV vaccine, but they suggest that further research is urgently warranted to clarify the pathophysiology behind the symptoms experienced in these patients and to evaluate the possibility and the nature of any causal link and hopefully establish targeted treatment options. not relevant. not relevant.

  4. Patch Testing in Suspected Allergic Contact Dermatitis to Cosmetics

    Science.gov (United States)

    Paulose, Rekha

    2014-01-01

    Background. Increasing use of cosmetics has contributed to a rise in the incidence of allergic contact dermatitis (ACD) to cosmetics. It is estimated that 1–5.4% of the population is sensitized to a cosmetic ingredient. Patch testing helps to confirm the presence of an allergy and to identify the actual allergens which are chemical mixtures of various ingredients. Objectives. The aims of this study are to perform patch testing in suspected ACD to cosmetics and to identify the most common allergen and cosmetic product causing dermatitis. Methods. Fifty patients with suspected ACD to cosmetics were patch-tested with 38 antigens of the Indian Cosmetic Series and 12 antigens of the Indian Standard Series. Results. The majority (58%) of patients belonged to the 21–40 years age group. The presence of ACD to cosmetics was confirmed in 38 (76%) patients. Face creams (20%), hair dyes (14%), and soaps (12%) were the most commonly implicated. The most common allergens identified were gallate mix (40%), cetrimide (28%), and thiomersal (20%). Out of a total of 2531 patches applied, positive reactions were obtained in 3.75%. Conclusion. Incidence of ACD to cosmetics was greater in females. Face creams and hair dyes were the most common cosmetic products implicated. The principal allergens were gallate mix, cetrimide, and thiomersal. PMID:25295057

  5. Feline toxicological emergencies: when to suspect and what to do.

    Science.gov (United States)

    Grave, Tobias W; Boag, Amanda K

    2010-11-01

    Confirmed or suspected intoxications with a wide variety of agents represent a small but important group of feline emergency cases. Generally it is thought that toxicities are less common in cats compared with dogs, with a higher proportion relating to dermal as opposed to oral exposure. Once toxicity is suspected or diagnosed, it must be recognised that treatment regimes may need modification compared with those established for dogs. Different drugs or different dosages may be warranted and the choice of available drugs may be reduced. This review draws on published studies, case reports and clinical experience to summarise key features of the general management of the intoxicated feline patient before describing some of the more serious and common intoxications in more detail. The focus throughout the review is on the peculiarities of feline metabolism and how they may impact on presentation and treatment. The aim is to assist companion animal and feline practitioners, who are in the frontline when it comes to managing these emergency cases. Copyright © 2010 ISFM and AAFP. Published by Elsevier Ltd. All rights reserved.

  6. Changes in cardiopulmonary function in normal adults after the Rockport 1 mile walking test: a preliminary study

    OpenAIRE

    Kim, Kyoung; LEE,Hye-Young; Lee, Do-Youn; Nam, Chan-Woo

    2015-01-01

    [Purpose] The purpose of this study was to investigate the changes of cardiopulmonary function in normal adults after the Rockport 1 mile walking test. [Subjects and Methods] University students (13 males and 27 females) participated in this study. Before and after the Rockport 1 mile walking test, pulmonary function, respiratory pressure, and maximal oxygen uptake were measured. [Results] Significant improvements in forced vital capacity and maximal inspiratory pressure were observed after t...

  7. Influenza Illness among Case-Patients Hospitalized for Suspected Dengue, El Salvador, 2012.

    Directory of Open Access Journals (Sweden)

    Rafael Chacon

    Full Text Available We estimate the proportion of patients hospitalized for suspected dengue that tested positive for influenza virus in El Salvador during the 2012 influenza season. We tested specimens from 321 hospitalized patients: 198 patients with SARI and 123 patients with suspected dengue. Among 121 hospitalized suspected dengue (two co-infected excluded patients, 28% tested positive for dengue and 19% positive for influenza; among 35 with suspected dengue and respiratory symptoms, 14% were positive for dengue and 39% positive for influenza. One percent presented co-infection between influenza and dengue. Clinicians should consider the diagnosis of influenza among patients with suspected dengue during the influenza season.

  8. Influenza Illness among Case-Patients Hospitalized for Suspected Dengue, El Salvador, 2012.

    Science.gov (United States)

    Chacon, Rafael; Clara, Alexey Wilfrido; Jara, Jorge; Armero, Julio; Lozano, Celina; El Omeiri, Nathalie; Widdowson, Marc-Alain; Azziz-Baumgartner, Eduardo

    2015-01-01

    We estimate the proportion of patients hospitalized for suspected dengue that tested positive for influenza virus in El Salvador during the 2012 influenza season. We tested specimens from 321 hospitalized patients: 198 patients with SARI and 123 patients with suspected dengue. Among 121 hospitalized suspected dengue (two co-infected excluded) patients, 28% tested positive for dengue and 19% positive for influenza; among 35 with suspected dengue and respiratory symptoms, 14% were positive for dengue and 39% positive for influenza. One percent presented co-infection between influenza and dengue. Clinicians should consider the diagnosis of influenza among patients with suspected dengue during the influenza season.

  9. The Miles Theorem and New Particular Solutions to the Taylor--Goldstein Equation

    Directory of Open Access Journals (Sweden)

    A.A. Gavrilieva

    2016-06-01

    Full Text Available The linear stability problem of steady-state plane-parallel shear flows of a continuously stratified inviscid incompressible fluid in the gravity field between two immovable impermeable solid planes is studied in and without the Boussinesq approximation. Using the Lyapunov direct method, it is proved that these flows are absolutely unstable in the theoretical sense with respect to small plane perturbations. The applicability domain boundaries of the known necessary condition of the linear instability of steady-state plane-parallel shear flows of a continuously stratified inviscid incompressible fluid in the gravity field is strictly determined in the Boussinesq approximation and without it (Miles theorem. It is found that this theorem is, by its character, both sufficient and necessary statement with respect to some uncompleted unclosed subclasses of studied perturbations. The analytical examples are constructed with the view of illustrations of the mentioned stationary flows and small plane perturbations imposed on these flows. These perturbations are not under the Miles theorem and they increase with time irrespective of the validity of the theoretical linear stability criterion in and without the Boussinesq approximation. Therefore, the results derived earlier by other authors with the help of the method of integral relations for the linear stability problems of steady-state plane-parallel shear flows of a continuously stratified inviscid incompressible fluid demand strict description for the studied partial classes of small plane perturbations as otherwise they can be mistaken.

  10. Going the Extra Mile: Improved Survival for Pancreatic Cancer Patients Traveling to High-volume Centers.

    Science.gov (United States)

    Lidsky, Michael E; Sun, Zhifei; Nussbaum, Daniel P; Adam, Mohamed A; Speicher, Paul J; Blazer, Dan G

    2017-08-01

    This study compares outcomes following pancreaticoduodenectomy (PD) for patients treated at local, low-volume centers and those traveling to high-volume centers. Although outcomes for PD are superior at high-volume institutions, not all patients live in proximity to major medical centers. Theoretical advantages for undergoing surgery locally exist. The 1998 to 2012 National Cancer Data Base was queried for T1-3N0-1M0 pancreatic adenocarcinoma patients who underwent PD. Travel distances to treatment centers were calculated. Overlaying the upper and lower quartiles of travel distance with institutional volume established short travel/low-volume (ST/LV) and long travel/high-volume (LT/HV) cohorts. Overall survival was evaluated. Of 7086 patients, 773 ST/LV patients traveled ≤6.3 (median 3.2) miles to centers performing ≤3.3 PDs yearly, and 758 LT/HV patients traveled ≥45 (median 97.3) miles to centers performing ≥16 PDs yearly. LT/HV patients had higher stage disease (P travel to a high-volume center remained associated with reduced long-term mortality (hazard ratio 0.75, P travel burden, patients treated at high-volume centers had improved perioperative outcomes, short-term mortality, and overall survival. These data support ongoing efforts to centralize care for patients undergoing PD.

  11. Laboratory measurement verification of laser hazard analysis for miles weapon simulators used in force on force exercises.

    Energy Technology Data Exchange (ETDEWEB)

    Augustoni, Arnold L.

    2006-08-01

    Due to the change in the batteries used with the Small Arm Laser Transmitters (SALT) from 3-volts dc to 3.6-volts dc and changes to SNL MILES operating conditions, the associated laser hazards of these units required re-evaluation to ensure that the hazard classification of the laser emitters had not changed as well. The output laser emissions of the SNL MILES, weapon simulators and empire guns, used in Force-On-Force (FOF) training exercises, was measured in accordance to the ANSI Standard Z136.4-2005, ''Recommended Practice for Laser Safety Measurements for Hazard Evaluation''. The laser hazard class was evaluated in accordance with the ANSI Standard Z136.1-2000, ''Safe Use of Lasers'', using ''worst'' case conditions associated with these MILES units. Laser safety assessment was conducted in accordance with the ANSI Standard Z136.6-2005, ''Safe Use of Lasers Outdoors''. The laser hazard evaluation of these MILES laser emitters was compared to and supersedes SAND Report SAND2002-0246, ''Laser Safety Evaluation of the MILES and Mini MILES Laser Emitting Components'', which used ''actual'' operating conditions of the laser emitters at the time of its issuance.

  12. 75 FR 71543 - Safety Zone; Gulf Intracoastal Waterway, Mile Marker 49.0 to 50.0, west of Harvey Locks, Bank to...

    Science.gov (United States)

    2010-11-24

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Gulf Intracoastal Waterway, Mile Marker 49... temporary safety zone in the Gulf Intracoastal Waterway extending from Mile Marker 49.0 to Mile Marker 50.0...-30), U.S. Department of Transportation, West Building Ground Floor, Room W12-140, 1200 New Jersey...

  13. 33 CFR 165.812 - Security Zones; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

    Science.gov (United States)

    2010-07-01

    ... River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. 165.812 Section 165.812 Navigation..., Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location. Within the Lower Mississippi... Mississippi River mile marker 96.0 in New Orleans, Louisiana. These moving security zones encompass all waters...

  14. 49 CFR 228.105 - Additional requirements; construction within one-third mile (1,760 feet) (536 meters) of certain...

    Science.gov (United States)

    2010-10-01

    ...-third mile (1,760 feet) (536 meters) of certain switching. 228.105 Section 228.105 Transportation Other... Additional requirements; construction within one-third mile (1,760 feet) (536 meters) of certain switching... site located within one-third mile (1,760 feet) (536 meters) of any area where railroad switching or...

  15. Benjamin Thompson, Count Rumford Count Rumford on the nature of heat

    CERN Document Server

    Brown, Sanborn C

    1967-01-01

    Men of Physics: Benjamin Thompson - Count Rumford: Count Rumford on the Nature of Heat covers the significant contributions of Count Rumford in the fields of physics. Count Rumford was born with the name Benjamin Thompson on March 23, 1753, in Woburn, Massachusetts. This book is composed of two parts encompassing 11 chapters, and begins with a presentation of Benjamin Thompson's biography and his interest in physics, particularly as an advocate of an """"anti-caloric"""" theory of heat. The subsequent chapters are devoted to his many discoveries that profoundly affected the physical thought

  16. Blood Count Tests: MedlinePlus Health Topic

    Science.gov (United States)

    ... Spanish WBC count (Medical Encyclopedia) Also in Spanish Topic Image MedlinePlus Email Updates Get Blood Count Tests ... WBC count Show More Show Less Related Health Topics Bleeding Disorders Blood Laboratory Tests National Institutes of ...

  17. Teicoplanin versus vancomycin for proven or suspected infection.

    Science.gov (United States)

    Cavalcanti, Alexandre B; Goncalves, Anderson R; Almeida, Claudia S; Bugano, Diogo Dg; Silva, Eliezer

    2010-06-16

    Vancomycin and teicoplanin are commonly used to treat gram-positive infections, particularly those caused by methicillin-resistant Staphylococcus aureus (MRSA). There is uncertainty regarding the effects of teicoplanin compared to vancomycin on kidney function with some previous studies suggesting teicoplanin is less nephrotoxic than vancomycin. To investigate the efficacy and safety of vancomycin versus teicoplanin in patients with proven or suspected infection. We searched the Cochrane Renal Group's Specialised Register, CENTRAL, MEDLINE, EMBASE, reference lists of nephrology textbooks, review articles with relevant studies and sent letters seeking information about unpublished or incomplete studies to investigators involved in previous studies. We searched for randomised controlled trials (RCTs) in any language comparing teicoplanin to vancomycin for patients with proven or suspected infection. Two authors independently evaluated methodological quality and extracted data using standardised data extraction forms. Study investigators were contacted for information not available in the original manuscripts. Random effects model was used to estimate the pooled risk ratio (RR) with 95% confidence interval (CI). We included 24 studies (2,610 patients) in this review. Teicoplanin reduced the risk of nephrotoxicity compared to vancomycin (RR 0.66, 95% CI 0.48 to 0.90).The effects of teicoplanin or vancomycin were similar for clinical cure (RR 1.03, 95% CI 0.98 to 1.08), microbiological cure (RR 0.98, 95% CI 0.93 to 1.03) and mortality (RR 1.02, 95% CI 0.79 to1.30). Six studies reported no cases of acute kidney injury (AKI) needing dialysis. Adverse events were less frequent with teicoplanin including cutaneous rash (RR 0.57, 95% CI 0.35 to 0.92), red man syndrome (RR 0.21, 95% CI 0.08 to 0.59) and total adverse events (RR 0.73, 95% CI 0.53 to 1.00). A lower risk of nephrotoxicity with teicoplanin was observed in patients either with (RR 0.51, 95% CI 0.30 to 0.88) or

  18. The Acquisition of Counting Skill in Preschooler

    Directory of Open Access Journals (Sweden)

    Kadir Çakır

    2013-03-01

    Full Text Available Abstract- The aim of this study was to find out more information on the acquisition of counting skill in preschool children. For this purpose, children’s judgment of acceptability of a counting activity was used to investigate whether children’s counting skills are governed by their implicit knowledge of a number of counting principles. Data showed that children easily recognized the violation of one or more counting principles in a one’s application of counting principles in sequences of English and Turkish count words, implying that children have the understanding of counting principles. The sessions on counting in Turkish make it very likely that the children were responding to violations of rules rather than merely violation of well-learning of count words. These results give additional support to the assumption that there are innate counting principles that rule young children’s counting. Keywords: counting principles, error-detection task, mathematical development. Özet- Okul Öncesi Çocuklarda Sayma İlkeleri. Bu çalışmada çocukların bir sayma etkinliğinin geçerli olup olmadığı hakkındaki yargıları kullanılarak, sayma becerisinin doğuştan sahip olunan bir dizi örtük ilkeler tarafından yönlendirilip yönlendirilmediği incelenmiştir. Bu amaç doğrultusunda, bir grup okul öncesi çocuklardan videodan izledikleri bir aktör çocuğun hem anadilinde (İngilizce hem de bilmedikleri bir yabancı dilde (Türkçe yaptığı farklı hatalar içeren sayma serilerinin doğru veya yanlış olup olmadığı belirtmesi istenmiştir. Elde edilen sonuçlar çocukların sayma etkinliklerine rehberlik eden doğuştan getirdikleri örtük “sayma ilkelerine” sahip olduklarına ilişkin görüşleri destekler yönündedir. Örneğin, gerek İngilizce gerekse Türkçe sayma serilerinde, “standart (doğru sayma” serisi diğer tüm serilere göre anlamlı ölçüde “doğru” bir sayma olarak değerlendirilirken, T

  19. Protecting count queries in study design

    Science.gov (United States)

    Sarwate, Anand D; Boxwala, Aziz A

    2012-01-01

    Objective Today's clinical research institutions provide tools for researchers to query their data warehouses for counts of patients. To protect patient privacy, counts are perturbed before reporting; this compromises their utility for increased privacy. The goal of this study is to extend current query answer systems to guarantee a quantifiable level of privacy and allow users to tailor perturbations to maximize the usefulness according to their needs. Methods A perturbation mechanism was designed in which users are given options with respect to scale and direction of the perturbation. The mechanism translates the true count, user preferences, and a privacy level within administrator-specified bounds into a probability distribution from which the perturbed count is drawn. Results Users can significantly impact the scale and direction of the count perturbation and can receive more accurate final cohort estimates. Strong and semantically meaningful differential privacy is guaranteed, providing for a unified privacy accounting system that can support role-based trust levels. This study provides an open source web-enabled tool to investigate visually and numerically the interaction between system parameters, including required privacy level and user preference settings. Conclusions Quantifying privacy allows system administrators to provide users with a privacy budget and to monitor its expenditure, enabling users to control the inevitable loss of utility. While current measures of privacy are conservative, this system can take advantage of future advances in privacy measurement. The system provides new ways of trading off privacy and utility that are not provided in current study design systems. PMID:22511018

  20. Hours and Miles: Patient and Health System Implications of Transfer for Psychiatric Bed Capacity

    Directory of Open Access Journals (Sweden)

    Amy M. O’Neil

    2016-11-01

    Full Text Available Introduction: An increasing number of behavioral health (BH patients are presenting to the emergency department (ED while BH resources continue to decline. This situation may lead to more external transfers to find care. Methods: This is a retrospective cohort study of consecutive patients presenting to a tertiary care academic ED from February 1, 2013, through January 31, 2014. Patients were identified through electronic health record documentation of psychiatric consultation during ED evaluation. We reviewed electronic health records for demographic characteristics, diagnoses, payer source, ED length of stay, ED disposition, arrival method, and distance traveled to an external facility for inpatient admission. Univariable and multivariable associations with transfer to an external facility in comparison with patients admitted internally were evaluated with logistic regression models and summarized with odds ratios (OR. Results: We identified 2,585 BH visits, of which 1,083 (41.9% resulted in discharge. A total of 1,502 patient visits required inpatient psychiatric admission, and of these cases, 177 patients (11.8%; 95% CI = [10.2-13.5] required transfer to an external facility. The median ED length of stay for transferred patients was 13.9 hours (interquartile range [IQR], 9.3-20.2 hours; range, 3.0-243.0 hours. The median distance for transport was 83 miles (IQR, 42-111 miles; range, 42-237 miles. In multivariable analysis, patients with suicidal or homicidal ideation had increased risk of transfer (odds ratio [OR] [95% CI], 1.93 [1.22-3.06]; P=0.005. Children younger than 18 years (OR [95% CI], 2.34 [1.60- 3.40]; P<0.001 and adults older than 65 years (OR [95% CI], 3.46 [1.93-6.19]; P<0.001 were more likely to require transfer and travel farther to access care. Conclusion: Patients requiring external transfer for inpatient psychiatric care were found to have prolonged ED lengths of stay. Patients with suicidal and homicidal ideation as well

  1. Pararenal splenosis encountered during the evaluation of a suspected pheochromocytoma.

    Science.gov (United States)

    Brown, Joel D; Kwee, Sandi

    2010-11-01

    The authors describe a patient in whom pararenal splenosis nodules were initially interpreted as probable pheochromocytoma. A 22-year-old man with chronic glomerulonephritis, hypertension and a childhood history of splenectomy was hospitalized for a hypertensive emergency. He did not improve with aggressive antihypertensive therapy. A pheochromocytoma was suspected, and a renal ultrasound and a magnetic resonance imaging showed 2 left pararenal masses. Laboratory evaluation for pheochromocytoma and aldosteronoma were negative. Biopsies of the masses were planned, but the masses were subsequently shown to be splenic tissue by a (99m)technnetium heat-damaged red blood cell scan. Ectopic splenic masses, eg, splenosis or accessory spleens, should be considered in patients with undiagnosed abdominal or kidney masses and a history of splenectomy.

  2. Seroprevalance of brucellosis among suspected cases in Malaysia.

    Science.gov (United States)

    Jama'ayah, M Z; Heu, J Y; Norazah, A

    2011-06-01

    Brucellosis is a zoonotic disease which can be transmitted by direct or indirect contact with infected animal or their products. It is an important public health problem but little is known on brucellosis in the Malaysian population. The aim of this study was to determine the presence of Brucella antibodies using commercial Brucella IgG and IgM ELISA kits (Vircell, SL, Barcelona Spain). A total of 184 sera from suspected patients were received from 16 hospitals in Malaysia over the years 2004 to 2009. Only 10 serum samples (5.4%) were positive for Brucella antibodies in which 5 showed the presence of both IgM and IgG. Most of the positive patients were occupationally involved with animals. This study suggests the seroprevalance of brucellosis among individuals who have contact with infected animals in Malaysia is low.

  3. Unenhanced MR Imaging in adults with clinically suspected acute appendicitis

    DEFF Research Database (Denmark)

    Chabanova, Elizaveta; Balslev, Ingegerd; Achiam, Michael

    2011-01-01

    PURPOSE: The purpose of the study was to evaluate unenhanced Magnetic Resonance Imaging (MRI) for the diagnosis of appendicitis or another surgery-requiring condition in an adult population scheduled for emergency appendectomy based on a clinical diagnosis of suspected acute appendicitis. MATERIALS...... radiologists and one surgeon independent of each other and compared with surgical and pathological records. RESULTS: According to the surgical and histopathological findings 30 of 48 patients (63%) had acute appendicitis. Of the remaining 18 patients, 4 patients had no reasons for the clinical symptoms and 14...... patients had other pathology. For the three reviewers the performance of MRI in the diagnosis of acute appendicitis showed the following sensitivity, specificity and accuracy ranges: 83-93%, 50-83% and 77-83%. Moderate (kappa=0.51) and fair (kappa=0.31) interobserver agreements in the MR diagnosis of acute...

  4. CT diagnosis of suspected acute appendicitis in adult patients

    Energy Technology Data Exchange (ETDEWEB)

    Yamase, Hiroshi; Sahashi, Kiyomi; Kawai, Masayuki; Kishida, Yoshihiko; Sumida, Kei; Kawamura, Ken-ichi [Gifu Syakaihoken Hospital (Japan)

    1998-06-01

    In order to assess the CT diagnosis of suspected acute appendicitis, we performed abdominal contrasted CT measurements in 77 patients from 20 to 86 years old, and of 50 men and 27 women from June 1993 to June 1996. The surgical findings were compared with the preoperative CT findings. By the preoperative CT imaging, we can know the degree and the position of inflammation in appendix vermiformis and the degree and the spread of periappendicular inflammation in the case of appendicitis, and can make a differential diagnosis of diverticulitis or gynecological diseases from appendicitis. It is important to make a preoperative diagnosis by the objectively excellent abdominal CT imaging and to avoid unnecessary surgery. (K.H.)

  5. Cost-effectiveness of routine imaging of suspected appendicitis.

    Science.gov (United States)

    D'Souza, N; Marsden, M; Bottomley, S; Nagarajah, N; Scutt, F; Toh, S

    2018-01-01

    Introduction The misdiagnosis of appendicitis and consequent removal of a normal appendix occurs in one in five patients in the UK. On the contrary, in healthcare systems with routine cross-sectional imaging of suspected appendicitis, the negative appendicectomy rate is around 5%. If we could reduce the rate in the UK to similar numbers, would this be cost effective? This study aimed to calculate the financial impact of negative appendicectomy at the Queen Alexandra Hospital and to explore whether a policy of routine imaging of such patients could reduce hospital costs. Materials and methods We performed a retrospective analysis of all appendicectomies over a 1-year period at our institution. Data were extracted on outcomes including appendix histology, operative time and length of stay to calculate the negative appendicectomy rate and to analyse costs. Results A total of 531 patients over 5 years of age had an appendicectomy. The negative appendicectomy rate was 22% (115/531). The additional financial costs of negative appendicectomy to the hospital during this period were £270,861. Universal imaging of all patients with right iliac fossa pain that could result in a 5% negative appendicectomy rate would cost between £67,200 and £165,600 per year but could save £33,896 (magnetic resonance imaging), £105,896 (computed tomography) or £132,296 (ultrasound) depending on imaging modality used. Conclusions Negative appendicectomy is still too frequent and results in additional financial burden to the health service. Routine imaging of patients with suspected appendicitis would not only reduce the negative appendicectomy rate but could lead to cost savings and a better service for our patients.

  6. Reliability of Examination Findings in Suspected Community-Acquired Pneumonia.

    Science.gov (United States)

    Florin, Todd A; Ambroggio, Lilliam; Brokamp, Cole; Rattan, Mantosh S; Crotty, Eric J; Kachelmeyer, Andrea; Ruddy, Richard M; Shah, Samir S

    2017-09-01

    The authors of national guidelines emphasize the use of history and examination findings to diagnose community-acquired pneumonia (CAP) in outpatient children. Little is known about the interrater reliability of the physical examination in children with suspected CAP. This was a prospective cohort study of children with suspected CAP presenting to a pediatric emergency department from July 2013 to May 2016. Children aged 3 months to 18 years with lower respiratory signs or symptoms who received a chest radiograph were included. We excluded children hospitalized ≤14 days before the study visit and those with a chronic medical condition or aspiration. Two clinicians performed independent examinations and completed identical forms reporting examination findings. Interrater reliability for each finding was reported by using Fleiss' kappa (κ) for categorical variables and intraclass correlation coefficient (ICC) for continuous variables. No examination finding had substantial agreement (κ/ICC > 0.8). Two findings (retractions, wheezing) had moderate to substantial agreement (κ/ICC = 0.6-0.8). Nine findings (abdominal pain, pleuritic pain, nasal flaring, skin color, overall impression, cool extremities, tachypnea, respiratory rate, and crackles/rales) had fair to moderate agreement (κ/ICC = 0.4-0.6). Eight findings (capillary refill time, cough, rhonchi, head bobbing, behavior, grunting, general appearance, and decreased breath sounds) had poor to fair reliability (κ/ICC = 0-0.4). Only 3 examination findings had acceptable agreement, with the lower 95% confidence limit >0.4: wheezing, retractions, and respiratory rate. In this study, we found fair to moderate reliability of many findings used to diagnose CAP. Only 3 findings had acceptable levels of reliability. These findings must be considered in the clinical management and research of pediatric CAP. Copyright © 2017 by the American Academy of Pediatrics.

  7. Investigating suspected acute pulmonary embolism - what are hospital clinicians thinking?

    Energy Technology Data Exchange (ETDEWEB)

    McQueen, A.S. [Department of Radiology, Royal Victoria Infirmary, Newcastle upon Tyne (United Kingdom)], E-mail: andrewmcqueen7@hotmail.com; Worthy, S. [Department of Radiology, Royal Victoria Infirmary, Newcastle upon Tyne (United Kingdom); Keir, M.J. [Department of Medical Physics, Royal Victoria Infirmary, Newcastle upon Tyne (United Kingdom)

    2008-06-15

    Aims: To assess local clinical knowledge of the appropriate investigation of suspected acute pulmonary embolism (PE) and this compare with the 2003 British Thoracic Society (BTS) guidelines as a national reference standard. Methods: A clinical questionnaire was produced based on the BTS guidelines. One hundred and eight-six participants completed the questionnaires at educational sessions for clinicians of all grades, within a single NHS Trust. The level of experience amongst participants ranged from final year medical students to consultant physicians. Results: The clinicians were divided into four groups based on seniority: Pre-registration, Junior, Middle, and Senior. Forty-six point eight percent of all the clinicians correctly identified three major risk factors for PE and 25.8% recognized the definition of the recommended clinical probability score from two alternatives. Statements regarding the sensitivity of isotope lung imaging and computed tomography pulmonary angiography (CTPA) received correct responses from 41.4 and 43% of participants, respectively, whilst 81.2% recognized that an indeterminate ventilation-perfusion scintigraphy (V/Q) study requires further imaging. The majority of clinicians correctly answered three clinical scenario questions regarding use of D-dimers and imaging (78, 85, and 57.5%). There was no statistically significant difference between the four groups for any of the eight questions. Conclusions: The recommended clinical probability score was unfamiliar to all four groups of clinicians in the present study, and the majority of doctors did not agree that a negative CTPA or isotope lung scintigraphy reliably excluded PE. However, questions based on clinical scenarios received considerably higher rates of correct responses. The results indicate that various aspects of the national guidelines on suspected acute pulmonary embolism are unfamiliar to many UK hospital clinicians. Further research is needed to identify methods to improve

  8. Carbohydrate counting-1: South Asian framework.

    Science.gov (United States)

    Gupta, Lovely; Khandelwal, Deepak; Kalra, Sanjay

    2017-08-01

    Carbohydrate counting or "carb counting" is a meal planning technique for persons with diabetes for managing blood glucose levels by tracking the grams of carbohydrate consumed at meals. It has shown to improve glycaemic control and glycaemic variability and decreases risk of hypoglycaemia in persons with diabetes especially on insulins. It needs basic education of the patient regarding meal plan, assessment of carbohydrate content of various foods and also exchange lists. It also gives flexibility of food choice, helps to identify patterns in blood glucose levels and adjustment of pre meals short acting insulins as related to food intake. In this short review we have summarised basic principles of carbohydrate counting, its application in clinical practice and also exchange lists primarily pertaining to South Asian population.

  9. Colours, luminosity functions and counts of galaxies

    Science.gov (United States)

    Saracco, P.; Chincarini, G.; Iovino, A.

    1996-12-01

    Standard models for deep galaxy counts are based on luminosity functions (LFs) that have a relatively flat faint end (alpha~-1.0). Galaxy counts in the B band exceed the prediction of such models from a factor of 2 to more than a factor of 5, forcing the introduction of strong luminosity and/or density evolution. Recently Marzke, Huchra & Geller, using the CfA redshift survey sample, found that the number of galaxies in the range -16<2.5 for dwarf galaxies, we reproduce well also the observed K-band deep galaxy counts. This assumption is supported by the strong correlation we found between B-K colour of galaxies and their infrared absolute magnitude: galaxies become bluer with decreasing luminosity.

  10. CERN_DxCTA counting mode chip

    CERN Document Server

    Moraes, D; Nygård, E

    2008-01-01

    This ASIC is a counting mode front-end electronic optimized for the readout of CdZnTe/CdTe and silicon sensors, for possible use in applications where the flux of ionizing radiation is high. The chip is implemented in 0.25 μm CMOS technology. The circuit comprises 128 channels equipped with a transimpedance amplifier followed by a gain shaper stage with 21 ns peaking time, two discriminators and two 18-bit counters. The channel architecture is optimized for the detector characteristics in order to achieve the best energy resolution at counting rates of up to 5 M counts/second. The amplifier shows a linear sensitivity of 118 mV/fC and an equivalent noise charge of about 711 e−, for a detector capacitance of 5 pF. Complete evaluation of the circuit is presented using electronic pulses and pixel detectors.

  11. Detection limits for radioanalytical counting techniques

    Energy Technology Data Exchange (ETDEWEB)

    Hartwell, J.K.

    1975-06-01

    In low-level radioanalysis it is usually necessary to test the sample net counts against some ''Critical Level'' in order to determine if a given result indicates detection. This is an interpretive review of the work by Nicholson (1963), Currie (1968) and Gilbert (1974). Nicholson's evaluation of three different computational formulas for estimation of the ''Critical Level'' is discussed. The details of Nicholson's evaluation are presented along with a basic discussion of the testing procedures used. Recommendations are presented for calculation of confidence intervals, for reporting of analytical results, and for extension of the derived formula to more complex cases such as multiple background counts, multiple use of a single background count, and gamma spectrometric analysis. (auth)

  12. Sub electron readout noise & photon counting devices

    Science.gov (United States)

    Gach, J.-L.; Balard, Ph.; Daigle, O.; Destefanis, G.; Feautrier, Ph.; Guillaume, Ch.; Rothman, J.

    We present recent advances on ultra low noise visible detectors at Laboratoire d'Astrophysique de Marseille, photon counting and EMCCD developments in collaboration with Observatoire de haute provence, Laboratoire d'astrophysique de l'observatoire de Grenoble and Laboratoire d'Astrophysique Experimentale (Montreal). After a review of the progress with third generation Image Photon Counting Systems (IPCS), we present the OCAM camera, based on the E2V CCD220 EMCCD, part of the Opticon JRA2 programme, and the CCCP controller, a new controller for the 3DNTT instrument that reduces the clock induced charge of an EMCCD by a factor 10, making it competitive with IPCS detectors for very faint fluxes. We will finally present the RAPID project and the concept of photon counting avalanche photodiode CMOS device (in collaboration with CEA-LETI) which is foreseen to be the ultimate detector for the visible-IR range providing no readout noise, high QE and extremely fast readout.

  13. CURRENT APPLICATIONS OF THREE MILE ISLAND-2 CORE AND DEBRIS HANDLING AT THE IDAHO NATIONAL LABORATORY

    Energy Technology Data Exchange (ETDEWEB)

    Carmack, William Jonathan [Idaho National Laboratory; Braase, Lori Ann [Idaho National Laboratory

    2015-09-01

    Fuel recovery from severe accidents requires careful planning and execution. The Idaho National Laboratory played a key role in the Three Mile Island (TMI) fuel and core recovery. This involved technology development to locate and handle the damaged fuel; characterization of fuel and debris; analysis of fuel interaction with structural components and materials; development of fuel drying technology for long-term storage. However, one of the critical activities from the TMI project was the extensive effort document all the activities and archive the reports and photos. A historical review of the TMI project at the INL leads to the identification of current applications and considerations for facility designs, fuel handling, robotic applications, material characterization, etc.

  14. An Analytical Framework for Miles and Snow Typology and Dynamic Capabilities

    Directory of Open Access Journals (Sweden)

    Tomas Sparano Martins

    2014-03-01

    Full Text Available The literature on dynamic capabilities is confusing, full of overlapping definitions, and contradictions. The theoretical and practical importance of developing and applying dynamic capabilities to sustain competitive advantage in complex external environment is central in studies about strategy nowadays. In this paper, we offer a definition of dynamic capabilities under two aspects: first, it refers to the shifting character of the environment; second, it emphasizes the key role of strategic management in appropriately adapting, integrating, and re-configuring internal and external organizational skills, resources, and functional competences towards a changing environment. This paper aims to clarify the concept of dynamic capabilities, propose an analytical framework that connects this “new” concept to a well known and recognized generic strategic model (Miles and Snow, 1978 and to the concept of sustainable competitive advantage and evolutionary fit. DOI:10.5585/riae.v13i1.1934

  15. The United States Naval Nuclear Propulsion Program - Over 151 Million Miles Safely Steamed on Nuclear Power

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2015-03-01

    NNSA’s third mission pillar is supporting the U.S. Navy’s ability to protect and defend American interests across the globe. The Naval Reactors Program remains at the forefront of technological developments in naval nuclear propulsion and ensures a commanding edge in warfighting capabilities by advancing new technologies and improvements in naval reactor performance and reliability. In 2015, the Naval Nuclear Propulsion Program pioneered advances in nuclear reactor and warship design – such as increasing reactor lifetimes, improving submarine operational effectiveness, and reducing propulsion plant crewing. The Naval Reactors Program continued its record of operational excellence by providing the technical expertise required to resolve emergent issues in the Nation’s nuclear-powered fleet, enabling the Fleet to safely steam more than two million miles. Naval Reactors safely maintains, operates, and oversees the reactors on the Navy’s 82 nuclear-powered warships, constituting more than 45 percent of the Navy’s major combatants.

  16. Evaluation of nuclear facility decommissioning projects. Summary report: Three Mile Island Unit 2 polar crane recovery

    Energy Technology Data Exchange (ETDEWEB)

    Doerge, D.H.; Miller, R.L.

    1984-08-01

    This document summarizes information concerning restoration of the Three Mile Island-Unit 2 Polar Crane to a fully operational condition following the loss of coolant accident experienced on March 28, 1979. The data collected from activity reports, reactor containment entry records, and other sources were placed in a computerized information retrieval/manipulation system which permits extraction/manipulation of specific data which could be utilized in planning for recovery activities should a similar accident occur in a nuclear generating plant. The information is presented in both computer output form and a manually assembled summarization. This report contains only the manpower requirements and radiation exposures actually incurred during recovery operations within the reactor containment and does not include support activities or costs.

  17. ÉMILE DURKHEIM: Contribuições para se pensar a sociedade

    Directory of Open Access Journals (Sweden)

    Linovaldo Miranda Lemos

    2010-05-01

    Full Text Available O presente artigo tem por objetivo apresentar a teoria sociológica elaborada por Émile Durkheim a partir de duas de suas mais importantes obras: “Da Divisão do Trabalho Social” e “O Suicídio”. Em que se pese os limites do seu pensamento – e as críticas daí advindas – o presente autor contribuiu de forma decisiva para a consolidação da sociologia enquanto ciência, bem como forneceu subsídios valiosos para a compreensão da sociedade. Não sem motivos, figura ao lado de Karl Marx e Max Weber, como um dos pilares do pensamento sociológico clássico.

  18. Human reliability analysis of Three Mile Island II accident considering THERP and ATHEANA methodologies

    Energy Technology Data Exchange (ETDEWEB)

    Fonseca, Renato Alves; Alvarenga, Marco Antonio Bayout; Gibelli, Sonia Maria Orlando [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil)]. E-mails: rfonseca@cnen.gov.br; bayout@cnen.gov.br; sonia@cnen.gov.br; Alvim, Antonio Carlos Marques; Frutuoso e Melo, Paulo Fernando Ferreira [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil)]. E-mails: Alvim@con.ufrj.br; frutuoso@con.ufrj.br

    2008-07-01

    The main purpose of this work is to perform a human reliability analysis using THERP (Technique for Human Error Prediction) and ATHEANA (A Technique for Human Error Analysis) methodologies, as well as their application to the development of qualitative and quantitative analysis of a nuclear power plant accident. The accident selected was the one that occurred at the Three Mile Island (TMI) Unit 2 Pressurized Water Reactor (PWR) nuclear power plan. The accident analysis has revealed a series of unsafe actions that resulted in permanent loss of the unit. This study also aims at enhancing the understanding of THERP and ATHEANA methodologies and their possible interactions with practical applications. The TMI accident analysis has pointed out the possibility of integration of THERP and ATHEANA methodologies. In this work, the integration between both methodologies is developed in a way to allow better understanding of the influence of operational context on human errors. (author)

  19. Spatial welfare effects of shared taxi operating policies for first mile airport access

    Directory of Open Access Journals (Sweden)

    Ziyi Ma

    2017-12-01

    Full Text Available With increasing availability of alternative mobility options for first/last mile, it is necessary to better understand how shared taxis are impacting airport access demand and consumer surplus. However, no study has been conducted to evaluate the welfare effects of the range of shared taxi matching and fare allocation policies for airport access. Using several data sources primarily from Port Authority of NY and NJ and The Taxi and Limousine Commission, a mode choice model is estimated for access to John F. Kennedy International Airport in New York City. The baseline model and data show that passengers have a value of time of $101 per hour, consistent with Harvey’s study from 1986. Airport taxi travelers are also elastic to cost in a similar manner to public transit. The model is used to evaluate two policies: a first (we call this wait-share policy where taxis can offer shared rides for two passengers from the same zip code, incorporating an endogenous expected wait time variable; and a second (we call this space-share policy where taxis match randomly arriving passengers from any zip codes in the city. These two policies reflect extreme ends of a spectrum of policies between waiting and detouring. Findings suggest that having a shared taxi option benefit passengers in NYC going to JFK airport by at least 10% increase in consumer surplus. However, the increase in taxi ridership comes at a cost to transit ridership. Furthermore, the population in NYC that benefits most is highly dependent on the type of shared taxi policy. A wait-share policy benefits passengers from the dense parts of Manhattan most, while a space-share policy distributes the benefits more to other boroughs. These insights can help policymakers set regulations in providing first/last mile ride-sharing taxi options in different cities around the world.

  20. Total lymphocyte count as a surrogate marker for CD4 count in resource-limited settings.

    Science.gov (United States)

    Obirikorang, Christian; Quaye, Lawrence; Acheampong, Isaac

    2012-06-07

    CD4 testing is the recognized gold standard used to stage HIV/AIDS, guide treatment decisions for HIV-infected persons and evaluate effectiveness of therapy. The need for a less expensive surrogate marker that can be used in resource-limited setting is however necessary. The study sought to assess the suitability of Total lymphocyte count (TLC) as a surrogate marker for CD4 count in resource-limited localities in Ghana. This observational study was conducted at the Central Regional Hospital, which has one of the established antiretroviral therapy centres in Ghana. A total of one hundred and eighty-four (184) confirmed HIV I seropositive subjects were included in the study. Blood samples were taken from all the subjects for estimation of CD4 and total lymphocyte counts. The study subjects were further categorised into three (3) groups according to the Centers for Disease Control and Prevention (CDC) classification criteria as follows: CD4 counts (1) ≥ 500 cells/mm3 (2) 200-499 cells/mm3 and (3) Lymphocyte count obtained. The sensitivity, specificity, positive and negative predictive values of TLC 1200 cells/ mm3 to predict CD4 count were Lymphocyte count can therefore adequately serve as a surrogate marker for CD4 count in HIV patients who are naïve for antiretroviral therapy in resource-limited areas.

  1. Optical planar waveguide for cell counting

    Science.gov (United States)

    LeBlanc, John; Mueller, Andrew J.; Prinz, Adrian; Butte, Manish J.

    2012-01-01

    Low cost counting of cells has medical applications in screening, military medicine, disaster medicine, and rural healthcare. In this report, we present a shallow, buried, planar waveguide fabricated by potassium ion exchange in glass that enables low-cost and rapid counting of metal-tagged objects that lie in the evanescent field of the waveguide. Laser light transmitted through the waveguide was attenuated proportionately to the presence of metal-coated microstructures fabricated from photoresist. This technology enables the low-cost enumeration of cells from blood, urine, or other biofluids.

  2. Quantifying oral inflammatory load: oral neutrophil counts in periodontal health and disease.

    Science.gov (United States)

    Landzberg, M; Doering, H; Aboodi, G M; Tenenbaum, H C; Glogauer, M

    2015-06-01

    Neutrophils are the primary white blood cells that are recruited to fight the initial phases of microbial infections. While healthy norms have been determined for circulating blood neutrophil counts in order to identify patients with suspected systemic infections, the levels of oral neutrophils (oPMNs) in oral health and in the presence of periodontal diseases have not been described. It is important to address this deficiency in our knowledge as neutrophils are the primary immune cell present in the crevicular fluid and oral environment and previous work has suggested that they may be good indicators of overall oral inflammation and periodontal disease severity. The objective of this study was to measure oPMN counts obtained in a standardized oral rinse from healthy patients and from those with chronic periodontal disease in order to determine if oPMN levels have clinical relevance as markers of periodontal inflammation. A parallel goal of this investigation was to introduce the concept of 'oral inflammatory load', which constitutes the inflammatory burden experienced by the body as a consequence of oral inflammatory disease. Periodontal examinations of patients with a healthy periodontium and chronic periodontal disease were performed (n = 124). Two standardized consecutive saline rinses of 30 s each were collected before patient examination and instrumentation. Neutrophils were quantified in the rinse samples and correlated with the clinical parameters and periodontal diagnosis. Average oPMN counts were determined for healthy patients and for those with mild, moderate and severe chronic periodontal diseases. A statistically significant correlation was found between oPMN counts and deep periodontal probing, sites with bleeding on probing and overall severity of periodontal disease. oPMN counts obtained through a 30-s oral rinse are a good marker of oral inflammatory load and correlate with measures of periodontal disease severity. © 2014 John Wiley & Sons A

  3. Predictors of Bacteraemia in Patients with Suspected Community-Acquired Pneumonia.

    Directory of Open Access Journals (Sweden)

    Cornelis H van Werkhoven

    Full Text Available The diagnostic yield of blood cultures is limited in patients with community-acquired pneumonia (CAP. Yet, positive blood culture results provide important information for antibiotic treatment and for monitoring epidemiologic trends. We investigated the potential of clinical predictors to improve the cost-benefit ratio of obtaining blood cultures.Data from two prospective cohort studies of adults with suspected CAP, admitted to non-ICU wards, were combined. Two models were created, one using readily available parameters and one additionally including laboratory parameters.3,786 patients were included (2,626 (69% with X-ray confirmed CAP. Blood cultures were obtained from 2,977 (79% patients (and from 2,107 (80% with X-ray confirmed CAP. 266 (8.9% of the patients with a blood culture had bacteraemia. Clinical predictors of bacteraemia were absence of pre-admission antibiotic treatment, pleuritic pain, gastro-intestinal symptoms, tachycardia, tachypnea, hypotension and absence of hypoxia. After including laboratory results in the model, younger age, C-reactive protein, leukocytosis or leukopenia, low thrombocyte count, low sodium level, elevated urea and elevated arterial pH were added, while gastro-intestinal symptoms and hypotension were no longer significant. The area under the receiver operating characteristics curve was 0.66 (95% confidence interval 0.63-0.70 for the first model and 0.76 (95% confidence interval 0.73-0.79 for the second model.In conclusion, in patients hospitalized with CAP, bacteraemia was moderately predictable using clinical parameters only. We recommend against the use of a risk prediction model for the decision to obtain blood cultures.

  4. Variability in faecal egg counts – a statistical model to achieve reliable determination of anthelmintic resistance in livestock

    DEFF Research Database (Denmark)

    Nielsen, Martin Krarup; Vidyashankar, Anand N.; Hanlon, Bret

    pyrantel resistance were: >92%: no resistance, 88-92%: suspect resistance, and farms as pyrantel resistant, five (7.8 %) as suspect resistant, and the remainder of farms (81.3 %) as not resistant. In comparison, traditional...... was shown to be unaffected by single outlier horses on the farms, while traditional calculations were strongly biased. The statistical model combines information between farms to distinguish between variability and genuine reduction in efficacy and can be adapted to handle FECRT data obtained from other...... statistical model was therefore developed for analysis of FECRT data from multiple farms. Horse age, gender, zip code and pre-treatment egg count were incorporated into the model. Horses and farms were kept as random effects. Resistance classifications were based on model-based 95% lower confidence limit (LCL...

  5. Statistical tests to compare motif count exceptionalities

    Directory of Open Access Journals (Sweden)

    Vandewalle Vincent

    2007-03-01

    Full Text Available Abstract Background Finding over- or under-represented motifs in biological sequences is now a common task in genomics. Thanks to p-value calculation for motif counts, exceptional motifs are identified and represent candidate functional motifs. The present work addresses the related question of comparing the exceptionality of one motif in two different sequences. Just comparing the motif count p-values in each sequence is indeed not sufficient to decide if this motif is significantly more exceptional in one sequence compared to the other one. A statistical test is required. Results We develop and analyze two statistical tests, an exact binomial one and an asymptotic likelihood ratio test, to decide whether the exceptionality of a given motif is equivalent or significantly different in two sequences of interest. For that purpose, motif occurrences are modeled by Poisson processes, with a special care for overlapping motifs. Both tests can take the sequence compositions into account. As an illustration, we compare the octamer exceptionalities in the Escherichia coli K-12 backbone versus variable strain-specific loops. Conclusion The exact binomial test is particularly adapted for small counts. For large counts, we advise to use the likelihood ratio test which is asymptotic but strongly correlated with the exact binomial test and very simple to use.

  6. Counting Women's Work in Vietnam | IDRC - International ...

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

    2017-07-31

    Jul 31, 2017 ... “The success of women's entrepreneurship and economic participation, as well as national efforts to improve gender equality, is an example to other countries in the region.” Globally, methodologies to count women's work are essential to achieving Sustainable Development Goal 5 on gender equality and ...

  7. ESL Proficiency and a Word Frequency Count.

    Science.gov (United States)

    Harlech-Jones, Brian

    1983-01-01

    In a study of the vocabulary proficiency of some South African ESL teacher trainees, the General Service List of English Words' validity was evaluated. It was found that mastery of this list would meet most of the vocabulary needs of the test group. Recommendations are made for practical uses of word counts. (MSE)

  8. Photon Counting Chirped Amplitude Modulation Ladar

    Science.gov (United States)

    2008-03-01

    a computer simulation of the photon counting chirped AM ladar technique in MathCAD * and presented results from the computer simulation using a two... MathCAD is a trademark of Mathsoft Inc. 4 Figure 3. Magnitude spectrum of the IF waveform from the first chirped AM

  9. Differential white cell count by centrifugal microfluidics.

    Energy Technology Data Exchange (ETDEWEB)

    Sommer, Gregory Jon; Tentori, Augusto M.; Schaff, Ulrich Y.

    2010-07-01

    We present a method for counting white blood cells that is uniquely compatible with centrifugation based microfluidics. Blood is deposited on top of one or more layers of density media within a microfluidic disk. Spinning the disk causes the cell populations within whole blood to settle through the media, reaching an equilibrium based on the density of each cell type. Separation and fluorescence measurement of cell types stained with a DNA dye is demonstrated using this technique. The integrated signal from bands of fluorescent microspheres is shown to be proportional to their initial concentration in suspension. Among the current generation of medical diagnostics are devices based on the principle of centrifuging a CD sized disk functionalized with microfluidics. These portable 'lab on a disk' devices are capable of conducting multiple assays directly from a blood sample, embodied by platforms developed by Gyros, Samsung, and Abaxis. [1,2] However, no centrifugal platform to date includes a differential white blood cell count, which is an important metric complimentary to diagnostic assays. Measuring the differential white blood cell count (the relative fraction of granulocytes, lymphocytes, and monocytes) is a standard medical diagnostic technique useful for identifying sepsis, leukemia, AIDS, radiation exposure, and a host of other conditions that affect the immune system. Several methods exist for measuring the relative white blood cell count including flow cytometry, electrical impedance, and visual identification from a stained drop of blood under a microscope. However, none of these methods is easily incorporated into a centrifugal microfluidic diagnostic platform.

  10. Stalking the count. Dracula, Fandom and Tourism

    NARCIS (Netherlands)

    S.L. Reijnders (Stijn)

    2011-01-01

    textabstractLarge numbers of tourists travel to Transylvania every year, looking for traces of Count Dracula. This article investigates why people feel the need to connect fictional stories, such as Dracula, with identifiable physical locations, and why they subsequently want to visit these

  11. Counting Processes for Retail Default Modeling

    DEFF Research Database (Denmark)

    Kiefer, Nicholas Maximilian; Larson, C. Erik

    in a discrete state space. In a simple case, the states could be default/non-default; in other models relevant for credit modeling the states could be credit scores or payment status (30 dpd, 60 dpd, etc.). Here we focus on the use of stochastic counting processes for mortgage default modeling, using data...

  12. Maine KIDS COUNT 2002 Data Book.

    Science.gov (United States)

    Maine Children's Alliance, Augusta.

    This KIDS COUNT data book details statewide trends in the well-being of Maine's children. Following a brief overview of the data book and a summary of indicators, state trend data are presented in the areas of: (1) poverty; (2) child and adolescent suicide; (3) public high school dropouts; (4) teen pregnancy; (5) public high school graduates…

  13. Reduced Component Count RGB LED Driver

    NARCIS (Netherlands)

    De Pedro, I.; Ackermann, B.

    2008-01-01

    The goal of this master thesis is to develop new drive and contrololutions, for creating white light from mixing the light of different-color LEDs, aiming at a reduced component count resulting in less space required by the electronics and lower cost. It evaluates the LED driver concept proposed in

  14. An analytical model of crater count equilibrium

    Science.gov (United States)

    Hirabayashi, Masatoshi; Minton, David A.; Fassett, Caleb I.

    2017-06-01

    Crater count equilibrium occurs when new craters form at the same rate that old craters are erased, such that the total number of observable impacts remains constant. Despite substantial efforts to understand this process, there remain many unsolved problems. Here, we propose an analytical model that describes how a heavily cratered surface reaches a state of crater count equilibrium. The proposed model formulates three physical processes contributing to crater count equilibrium: cookie-cutting (simple, geometric overlap), ejecta-blanketing, and sandblasting (diffusive erosion). These three processes are modeled using a degradation parameter that describes the efficiency for a new crater to erase old craters. The flexibility of our newly developed model allows us to represent the processes that underlie crater count equilibrium problems. The results show that when the slope of the production function is steeper than that of the equilibrium state, the power law of the equilibrium slope is independent of that of the production function slope. We apply our model to the cratering conditions in the Sinus Medii region and at the Apollo 15 landing site on the Moon and demonstrate that a consistent degradation parameterization can successfully be determined based on the empirical results of these regions. Further developments of this model will enable us to better understand the surface evolution of airless bodies due to impact bombardment.

  15. Spontaneous Non-verbal Counting in Toddlers

    Science.gov (United States)

    Sella, Francesco; Berteletti, Ilaria; Lucangeli, Daniela; Zorzi, Marco

    2016-01-01

    A wealth of studies have investigated numerical abilities in infants and in children aged 3 or above, but research on pre-counting toddlers is sparse. Here we devised a novel version of an imitation task that was previously used to assess spontaneous focusing on numerosity (i.e. the predisposition to grasp numerical properties of the environment)…

  16. pulmonary candidiasis and cd4 count

    African Journals Online (AJOL)

    boaz

    sputum of HIV sero-positive patient's presenting to hospital with complaint of cough for more than two weeks and related the level of CD4 count to Pulmonary candidiasis. Methods: Using sterile wire loop, each sputum sample was inoculated into duplicate SDA (Thermo Scientific, UK); one tube without antibiotics, another ...

  17. KidsCount in Colorado! 1998.

    Science.gov (United States)

    Staberg, Christine

    This Kids Count report examines statewide and county trends in the well-being of Colorado's children. The statistical portrait is based on 12 indicators of well-being: (1) infant mortality; (2) low birth weight births; (3) immunizations; (4) child poverty; (5) early prenatal care; (6) child abuse deaths; (7) health insurance; (8) paternity…

  18. KidsCount in Colorado! 1999.

    Science.gov (United States)

    Staberg, Christine

    This Kids Count report examines statewide and county trends in the well-being of Colorado's children. The statistical portrait is based on 12 indicators of well-being: (1) infant mortality; (2) low birth weight births; (3) immunizations; (4) child poverty; (5) early prenatal care; (6) child abuse deaths; (7) health insurance; (8) paternity…

  19. The analysis of dependent count data

    NARCIS (Netherlands)

    Engel, J.

    1987-01-01

    In the literature, methods have been presented for the analysis of count data classified by fixed and crossed factors under the assumptions that this data can be modeled by independent binomial or Poisson distributions. In general, the mean value of these distributions depends on the levels

  20. Pre-admission antibiotics for suspected cases of meningococcal disease.

    Science.gov (United States)

    Sudarsanam, Thambu D; Rupali, Priscilla; Tharyan, Prathap; Abraham, Ooriapadickal Cherian; Thomas, Kurien

    2013-08-02

    Meningococcal disease can lead to death or disability within hours after onset. Pre-admission antibiotics aim to reduce the risk of serious disease and death by preventing delays in starting therapy before confirmation of the diagnosis. To study the effectiveness and safety of pre-admission antibiotics versus no pre-admission antibiotics or placebo, and different pre-admission antibiotic regimens in decreasing mortality, clinical failure and morbidity in people suspected of meningococcal disease. We updated searches of CENTRAL (2013, Issue 4), MEDLINE (1966 to April week 4, 2013), EMBASE (1980 to May 2013), Web of Science (1985 to May 2013), CAB Abstracts (1985 to May 2013), LILACS (1982 to May 2013) and prospective trials registries to May 2013. Randomised controlled trials (RCTs) or quasi-RCTs comparing antibiotics versus placebo or no intervention, in people with suspected meningococcal infection, or different antibiotics administered before admission to hospital or confirmation of the diagnosis. Two review authors independently assessed trial quality and extracted data from the search results. We calculated the risk ratio (RR) and 95% confidence interval (CI) for dichotomous data. We included only one trial so data synthesis was not performed. We assessed the overall quality of the evidence using the GRADE approach. We found no RCTs that compared pre-admission antibiotics versus no pre-admission antibiotics or placebo. One open-label, non-inferiority RCT, conducted during an epidemic in Niger, evaluated a single dose of intramuscular ceftriaxone versus a single dose of intramuscular long-acting (oily) chloramphenicol. Ceftriaxone was not inferior to chloramphenicol in reducing mortality (RR 1.2, 95% CI 0.6 to 2.6; N = 503; 308 confirmed meningococcal meningitis; 26 deaths; moderate-quality evidence), clinical failures (RR 0.8, 95% CI 0.3 to 2.2; N = 477, 18 clinical failures; moderate-quality evidence) or neurological sequelae (RR 1.3, 95% CI 0.6 to 2.6; N

  1. Suspected vitreous seeding of uveal melanoma: relevance of diagnostic vitrectomy.

    Science.gov (United States)

    Metz, Claudia H D; Bornfeld, Norbert; Metz, Klaus A; Gök, Mete

    2016-05-01

    To review all cases of suspected vitreous seeding of treated or untreated uveal melanoma at our clinic and to compare clinical, cytological and histological findings with patients' survival. Retrospective non-randomised study of 23 patients with consecutive uveal melanoma who underwent diagnostic vitrectomy in our clinic between January 2000 and November 2013. Reason for vitrectomy was suspected dissemination of tumour cells inside the eye. Treated as well as treatment-naïve primary uveal melanomas were included in this study. Follow-up data of all patients were collected. The study included 23 patients with a mean age of 66 years. Four patients presented pigmented vitreous debris at initial presentation prior to treatment of the uveal melanoma. All but one of these four patients has been enucleated as a consequence of cytology-proven vitreous spreading of vital melanoma cells. The remaining 19 patients presented pigmented vitreous debris at a mean of 60 months following local tumour treatment. Thirteen of these patients had been treated with a ruthenium plaque (mean scleral dose 1295 Gy, mean apex dose 152 Gy), three with binuclid plaque (mean scleral dose 1005 Gy, mean apex dose 70 Gy) and three with proton beam radiation. Of the 19 patients, 10 showed only melanophages in the vitreous specimen, while the remaining 9 patients had vital tumour cells in vitreous cytology. Four out of these nine patients have been enucleated in the course of follow-up. During follow-up of our cohort of 23 patients, 4 patients died, but only 1 of them due to metastatic disease. The outcome of this small cohort study shows that obtaining a vitreous specimen helps to distinguish melanophages from vital tumour cells. We could not observe an increased risk of metastasis in patients who showed melanoma cell dissemination inside the eye, compared with those patients only showing melanophages. We therefore suggest to carefully re-evaluate the necessity of enucleation in every

  2. Cost analysis of inappropriate treatments for suspected dermatomycoses

    Directory of Open Access Journals (Sweden)

    Emanuela Fiammenghi

    2015-06-01

    Full Text Available Superficial mycoses are estimated to affect more than 20-25% of the world’s population with a consistent increase over the years. Most patients referred to our clinic for suspected dermatomycoses have already been treated with pharmacotherapy, without a previous mycological examination and many show changes in the clinical manifestations. Indeed, some medications, such as steroids, antiviral, antibiotics and antihistamines are not able to erase a fungal infection, but also they can cause atypical clinical manifestations. The consequences of inappropriate treatment include delayed diagnosis, prolonged healing time, and additional costs. The aims of this study were (1 to evaluate the incidence of increased costs attributable to inappropriate therapy sustained by the National Health Service and patients and (2 to highlight the importance of mycological evaluation before starting treatment, in order to improve diagnostic accuracy. An observational retrospective and prospective study was performed from September 2013 to February 2014, in 765 patients referred to our center (University Hospital “ Federico II” in Naples, Italy, for suspected mycological infection. The following treatments (alone or in combination were defined as inappropriate: (1 cortisone in a patient with at least one positive site; (2 antifungals in (a patients with all negative sites or (b ineffective antifungal treatment (in terms of drug chosen, dose or duration in those with all positive sites; or (3 antibiotics; (4 antivirals or (5 antihistamines, in patients with ≥ 1 positive site. Five hundred and fifty patients were using medications before the assessment visit. The total amount of avoidable costs related to inappropriate previous treatments was € 121,417, representing 74% of the total treatment costs. 253/550 patients received drugs also after the visit. For these patients, the cost of treatment prescribed after mycological testing was € 42,952, with a decrease

  3. Automated microfluidic cartridges for point-of-care cell counting

    CSIR Research Space (South Africa)

    Smith, S

    2016-10-01

    Full Text Available This work presents microfluidic cartridges for automated blood cell counting towards a point-of-care (POC) full blood count (FBC). Total white blood cell count (WBC) and red blood cell count (RBC) tests were implemented using low-cost, disposable...

  4. Estimation of malaria parasite density using leukocyte counts as an ...

    African Journals Online (AJOL)

    Leukocyte counts and screening for malaria parasites were carried out on 252 apparently healthy blood donors attending a transfusion centre in Ibadan. The leukocyte count range for the donors was 2.5-9.6 x 109 /l; the mean leukocyte count being 4.98 x 109 /l. 193 (76.6%) had leukocyte count less than 6.0 x 109 /l.

  5. To count or not to count: the effect of instructions on expecting a break in timing.

    Science.gov (United States)

    Gaudreault, Rémi; Fortin, Claudette

    2013-04-01

    When a break is expected during a time interval production, longer intervals are produced as the break occurs later during the interval. This effect of break location was interpreted as a result of distraction related to break expectancy in previous studies. In the present study, the influence of target duration and of instructions about chronometric counting strategies on the break location effect was examined. Using a strategy such as chronometric counting enhances the reliability of temporal processing, typically in terms of reduced variability, and could influence how timing is affected by break expectancy, especially when relatively long target durations are used. In two experiments, results show that time productions lengthened with increasing value of break location at various target durations and that variability was greater in the no-counting than in the counting instruction condition. More important, the break location effect was stronger in the no-counting than in the counting instruction condition. We conclude that chronometric counting orients attention toward timing processes, making them less likely to be disrupted by concurrent nontemporal processes.

  6. Radioactive plume from the Three Mile Island accident: xenon-133 in air at a distance of 375 kilometers.

    Science.gov (United States)

    Wahlen, M; Kunz, C O; Matuszek, J M; Mahoney, W E; Thompson, R C

    1980-02-08

    The transit of an air mass containing radioactive gas released from the Three Mile Island reactor was recorded in Albany, New York, by measuring xenon-133. These measurements provide an evaluation of Three Mile Island effluents to distances greater than 100 kilometers. Two independent techniques identified xenon-133 in ambient air at concentrations as high as 3900 picocuries per cubic meter. The local gamma-ray whole-body dose from the passing radioactivity amounted to 0.004 millirem, or 0.004 percent of the annual dose from natural sources.

  7. Aquatic Habitat Studies on the Lower Mississippi River, River Mile 480 to 530. Report 5. Fish Studies--Pilot Report.

    Science.gov (United States)

    1981-05-01

    extends from river mile 499.1 to 499.7. b. A reach of natural bank extending from river mile 499.7 to 500.4. This section of bank was recently modified ...shiner, and river carp- sucker (Table 8). Cypress minnow, pugnose minnow, spotfin shiner, steel - color shiner, creek chub, and black buffalo were unique...Species Captured with Various Collecting Devices on 5-7 June 1978 from Lake Lee Gear* Species EG12 EG8 T122 T82 HN2 HN4 Paddlefish 7.4 12.5 3.4 Spotted

  8. The role of gamma probe activity counts in minimally invasive parathyroidectomy. Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Bekis, R.; Aydin, A.; Tasci, C.; Durak, H. [Dept. of Nuclear Medicine, Dokuz Eyluel Univ. School of Medicine, Izmir (Turkey); Atila, K.; Kocdor, M.A.; Sevinc, A.; Harmancioglu, Oe. [Dept. of Surgery, Dokuz Eyluel Univ. School of Medicine, Izmir (Turkey); Canda, S. [Dept. of Pathology, Dokuz Eyluel Univ. School of Medicine, Izmir (Turkey)

    2004-12-01

    Aim: The benefit of preoperative gamma probe in the diagnosis of adenoma in patients with histopathologically proven parathyroid (PT) adenomas was examined. Patients, material, methods: 20 patients with positive {sup 99m}Tc MIBI uptake in PT scintigraphy with primary hyperparathyroidism were enrolled in this study. 740 MBq {sup 99m}Tc MIBI were injected 3 h before operation. Counts of four PT regions were obtained with gamma probe before surgery in the operation room. All suspected PT adenomas were resected and histopathologically diagnosed as adenomas. We also obtained counts of the resection region and the resected adenoma with gamma probe after the parathyroidectomy. Preoperative counts of adenoma bearing regions (ABR), non-adenoma bearing regions (NABR), postoperative resection region (PRR), resected adenoma counts (RA) were registered. Statistical analysis was performed by Wilcoxon rank test. Results: The mean counts of ABR, NABR, the PRR and RA were 462{+-}106, 230{+-}66, 164{+-}42, 374{+-}87, respectively. The mean counts from ABR were twofold higher than those of NABR. The PRR mean counts decreased by 64% when compared to the mean counts of ABR and by 55% when compared to the mean counts of RA. The differences in mean counts of ABR and NABR, PRR and ABR, PRR and RA (p<0.01) turned out as statistically significant. Discussion: According to our preliminary results, the region with the highest counts is at least 2{+-}0,4 times higher than the mean of the other three PT regions. Thus, it seems to be significant for PT adenoma. Resection of adenoma may be accepted as successful, if the count of ABR decreased more than 64% with decreased postoperative parathoromone levels. Conclusion: This technique should not yet be applied instead of parathormone measurement or frozen technique. But it may replace the frozen technique used for confirmation of the diagnosis during the operation in the future. (orig.) [German] Ziel: Der Vorteil der praeoperativen Sondermessung

  9. [Suspected pathogenic mutation identified in two cases with oculocutaneous albinism].

    Science.gov (United States)

    He, Jiangmei; Zheng, Meiling; Zhang, Guilin; Hua, Ailing

    2015-08-01

    To detect potential mutations in genes related with non-syndromic oculocutaneous albinism I-IV and ocular albinism type I in two couples who had given births to children with albinism. All exons of the non-syndromic albinism related genes TYR, OCA2, TYRP-1, MITF, SLC45A2 and GPR143 were subjected to deep sequencing. The results were verified with Sanger sequencing. For the two female carriers, the coding region of the TYR gene was found to harbor a frameshift mutation c.925_926insC, which was also suspected to have been pathogenic. In one of the male partners, a nonsense mutations c.832C>T was found, which was also known to be pathogenic. Another male partner was found to harbor a TYR gene mutation c.346C>T, which was also known to be a pathogenic nonsense mutation. The coding region of the TYR gene c.925_926insC (p.Thr309ThrfsX9) probably underlies the OCA1 disease phenotype.

  10. Chest pain and behavior in suspected coronary artery disease.

    Science.gov (United States)

    Young, L D; Barboriak, J J; Anderson, A J

    1988-01-01

    This study assessed behavioral activity, dietary and emotional variables among patient cohorts with angina pectoris, atypical chest pain, and no chest pain in whom coronary disease is suspected. Questionnaire responses of 3,899 employed male patients at the time of coronary arteriography were analyzed. Patients with angina pectoris had high levels of coronary-prone and neurotic attitudes, and fatigue variables including feeling unrested on awakening, easy fatiguability, reducing activity at work and arriving home tired. Atypical chest pain patients showed coronary-prone and neurotic attitudes similar to the angina pectoris group but had less coronary occlusion and lower levels of fatigue variables. Compared to the other groups, atypical chest pain patients were more likely to skip breakfast and showed a trend to eat fast. These findings suggest that including assessment of activity levels, fatiguability, eating behavior, neurotic traits and coronary-prone attitudes at time of coronary arteriography can have some limited value for patients with chest pain who may seek cardiac treatment but could benefit from alternative approaches.

  11. Acute aortic dissection in patient with suspected pheochromocytoma

    Directory of Open Access Journals (Sweden)

    Lešanović Jelena

    2016-01-01

    Full Text Available Introduction: Aortic dissection is one of the most fatal vascular emergencies. Almost 40% of the patients do not reach hospital in time while more than quarter die in the first 24 hours after the dissection begins. Case Report: A 37-year old man was admitted to our hospital with severe anterior chest pain which had lasted for over a week. Suspected aortic dissection was rapidly confirmed using imaging modalities - MDCT chest scan and TTE, followed by an urgent surgical management - Bentall procedure. MDCT chest scan also discovered adrenal incidentaloma defined as malignant, pheochromocytoma like mass. Due to the critical state of the patient, there was not enough time for further endocrinologic testing. Discussion and conclusion: When treating patients with pheochromocytoma and acute aortic disection, it is crucial to obtain a stable hemodynamic state before the surgery, since they can trigger a severe hypertensive crisis due to high levels of cathecholamines induced chronic vasoconctriction. The most vulnerable periods are the induction of anesthesia and perioperative hemodynamic oscillations, so treating patients with short acting alpha- 1 adrenergic blocking agents preoperatively has proven to be helpful - Phentolamine. Both dissection of aorta and pheochromocytoma present challenges for anesthesiologists and early recognition of symptoms is essential in establishing the diagnosis and reducing the mortality rate.

  12. [Predictive value of procalcitonin in children with suspected sepsis].

    Science.gov (United States)

    Bustos B, Raúl; Padilla P, Oslando

    2015-01-01

    The use of biomarkers could be a tool for diagnosis, prognosis and stratifying children with sepsis. Our main goal was to analyze the value of procalcitonin (PCT), C reactive protein (CRP) and lactate in predicting mortality, septic shock and the stratification in children with suspected sepsis Prospective study in 81 patients. Plasma levels of PCT, CRP and lactate were measured at admission in the pediatric intensive care unit. Patients were categorized into systemic inflammatory response syndrome, sepsis, severe sepsis and septic shock. Concentrations of PCT (ng/mL) increased significantly according to the severity of sepsis: 0.36 (0-1.2) for systemic inflammatory response syndrome; 1.96 (0.4-3.5) for sepsis; 7.5 (3.9-11.1) for severe sepsis; and 58.9 (35.1-82.7) for septic shock (P<.001). Compared to CRP and lactate, the area under the ROC curve revealed a good discriminative power of PCT to predict septic shock and mortality, 0.91 (95% CI: 0.83-0.97) and 0.80 (95% CI: 0.69-0.88), respectively. In contrast to CRP and lactate, the determination of PCT in pediatric intensive care unit admission is a good predictor of mortality and septic shock and can stratify patients according to severity of sepsis. Copyright © 2015 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. The optimal diagnostic workup for children with suspected food allergy.

    Science.gov (United States)

    Berni Canani, Roberto; Di Costanzo, Mara; Troncone, Riccardo

    2011-10-01

    Food allergy is defined as an abnormal immunologic reaction to food proteins that causes an adverse clinical reaction. In addition to well-known acute allergic reactions and anaphylaxis triggered by immunoglobulin E antibody-mediated immune responses to food proteins, there is an increasing recognition of cell-mediated disorders such as eosinophilic esophagitis and food protein-induced enterocolitis syndrome. More than 90% of food allergies in childhood are caused by eight foods: cow's milk, hen's egg, soy, peanuts, tree nuts, wheat, fish, and shellfish. The diagnostic workup for a child with suspected food allergy includes a detailed medical history, physical examination, food allergy screening tests, and responses to an elimination diet and an oral food challenge. None of the screening tests, alone or in combination, can definitely diagnose or exclude a food allergy. Novel diagnostic methods including those that focus on immune responses to specific food proteins or epitopes of specific proteins are under active study. Unconventional diagnostic methods are increasingly used, but they lack scientific rationale, standardization, and reproducibility. In selected cases, such as eosinophilic esophageal gastroenteropathies or food protein-induced gastroesophageal reflux disease, invasive procedures are mandatory for an accurate diagnosis. Properly done, an oral food challenge is still the gold standard in the diagnostic workup. An incorrect diagnosis is likely to result in unnecessary dietary restrictions, which, if prolonged, may adversely affect the child's nutritional status and growth. Copyright © 2011 Elsevier Inc. All rights reserved.

  14. Control of Suspect/Counterfeit and Defective Items

    Energy Technology Data Exchange (ETDEWEB)

    Sheriff, Marnelle L.

    2013-09-03

    This procedure implements portions of the requirements of MSC-MP-599, Quality Assurance Program Description. It establishes the Mission Support Alliance (MSA) practices for minimizing the introduction of and identifying, documenting, dispositioning, reporting, controlling, and disposing of suspect/counterfeit and defective items (S/CIs). employees whose work scope relates to Safety Systems (i.e., Safety Class [SC] or Safety Significant [SS] items), non-safety systems and other applications (i.e., General Service [GS]) where engineering has determined that their use could result in a potential safety hazard. MSA implements an effective Quality Assurance (QA) Program providing a comprehensive network of controls and verification providing defense-in-depth by preventing the introduction of S/CIs through the design, procurement, construction, operation, maintenance, and modification of processes. This procedure focuses on those safety systems, and other systems, including critical load paths of lifting equipment, where the introduction of S/CIs would have the greatest potential for creating unsafe conditions.

  15. Cancer incidence among residents of the Three Mile Island accident area: 1982-1995

    Energy Technology Data Exchange (ETDEWEB)

    Han, Yueh-Ying, E-mail: hany2@upmc.edu [Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA (United States); Youk, Ada O., E-mail: ayouk@pitt.edu [Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA (United States); Sasser, Howell, E-mail: howell_sasser@nymc.edu [Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College, Valhalla, NY (United States); Talbott, Evelyn O., E-mail: eot1@pitt.edu [Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA (United States)

    2011-11-15

    Background: The Pennsylvania Department of Health established a registry of the Three Mile Island (TMI) nuclear power plant accident in 1979. Over 93% of the population present on the day of the accident within a 5-mile radius was enrolled and interviewed. We used the registry to investigate the potential cancer risk from low-dose radiation exposure among the TMI population. Methods: Cancer incidence data among the TMI cohort were available from 1982 to 1995. Because more than 97% of the population were white and few cancer cases were reported for those younger than 18 years of age, we included whites of age 18 years and older (10,446 men and 11,048 women) for further analyses. Cox regression models were used to estimate the relative risk (RR) per 0.1 m Sv and 95% confident interval (CI) of cancer by radiation-related exposures. The cancers of interest were all malignant neoplasms, cancer of bronchus, trachea, and lung, cancer of lymphatic and hematopoietic tissues, leukemia, and female breast. Results: Among men and women, there was no evidence of an increased risk for all malignant neoplasms among the TMI cohort exposed to higher maximum and likely {gamma} radiation (RR=1.00, 95% CI=0.97, 1.01 and RR=0.99, 95% CI=0.94, 1.03, respectively) after adjusting for age, gender, education, smoking, and background radiation. Elevation in risk was noted for cancer of the bronchus, trachea, and lung in relation to higher background radiation exposure (RR=1.45, 95% CI=1.02-2.05 at 8.0-8.8 {mu}R/h compared to 5.2-7.2 {mu}R/h). An increased risk of leukemia was found among men exposed to higher maximum and likely {gamma} radiation related to TMI exposure during the ten days following the accident (RR=1.15, 95% CI=1.04, 1.29 and RR=1.36, 95% CI=1.08, 1.71, respectively). This relationship was not found in women. Conclusion: Increased cancer risks from low-level radiation exposure within the TMI cohort were small and mostly statistically non-significant. However, additional

  16. Modeling Weather Impact on Airport Arrival Miles-in-Trail Restrictions

    Science.gov (United States)

    Wang, Yao; Grabbe, Shon

    2013-01-01

    When the demand for either a region of airspace or an airport approaches or exceeds the available capacity, miles-in-trail (MIT) restrictions are the most frequently issued traffic management initiatives (TMIs) that are used to mitigate these imbalances. Miles-intrail operations require aircraft in a traffic stream to meet a specific inter-aircraft separation in exchange for maintaining a safe and orderly flow within the stream. This stream of aircraft can be departing an airport, over a common fix, through a sector, on a specific route or arriving at an airport. This study begins by providing a high-level overview of the distribution and causes of arrival MIT restrictions for the top ten airports in the United States. This is followed by an in-depth analysis of the frequency, duration and cause of MIT restrictions impacting the Hartsfield-Jackson Atlanta International Airport (ATL) from 2009 through 2011. Then, machine-learning methods for predicting (1) situations in which MIT restrictions for ATL arrivals are implemented under low demand scenarios, and (2) days in which a large number of MIT restrictions are required to properly manage and control ATL arrivals are presented. More specifically, these predictions were accomplished by using an ensemble of decision trees with Bootstrap aggregation (BDT) and supervised machine learning was used to train the BDT binary classification models. The models were subsequently validated using data cross validation methods. When predicting the occurrence of arrival MIT restrictions under low demand situations, the model was able to achieve over all accuracy rates ranging from 84% to 90%, with false alarm ratios ranging from 10% to 15%. In the second set of studies designed to predict days on which a high number of MIT restrictions were required, overall accuracy rates of 80% were achieved with false alarm ratios of 20%. Overall, the predictions proposed by the model give better MIT usage information than what has been

  17. Should the Standard Count Be Excluded from Neutron Probe Calibration?

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Zhuanfang

    2017-10-12

    About 6 decades after its introduction, the neutron probe remains one of the most accurate methods for indirect measurement of soil moisture content. Traditionally, the calibration of a neutron probe involves the ratio of the neutron count in the soil to a standard count, which is the neutron count in the fixed environment such as the probe shield or a specially-designed calibration tank. The drawback of this count-ratio-based calibration is that the error in the standard count is carried through to all the measurements. An alternative calibration is to use the neutron counts only, not the ratio, with proper correction for radioactive decay and counting time. To evaluate both approaches, the shield counts of a neutron probe used for three decades were analyzed. The results show that the surrounding conditions have a substantial effect on the standard count. The error in the standard count also impacts the calculation of water storage and could indicate false consistency among replicates. The analysis of the shield counts indicates negligible aging effect of the instrument over a period of 26 years. It is concluded that, by excluding the standard count, the use of the count-based calibration is appropriate and sometimes even better than ratio-based calibration. The count-based calibration is especially useful for historical data when the standard count was questionable or absent

  18. Elaborate Item Count Questioning: Why Do People Underreport in Item Count Responses?

    National Research Council Canada - National Science Library

    Takahiro Tsuchiya; Yoko Hirai

    2010-01-01

    ... `applies/does not apply' responses to each item. Because this inconsistency, which we refer to as the underreporting effect, often disturbs proper item count estimates, the causes of this effect are explored in this paper...

  19. TasselNet: counting maize tassels in the wild via local counts regression network.

    Science.gov (United States)

    Lu, Hao; Cao, Zhiguo; Xiao, Yang; Zhuang, Bohan; Shen, Chunhua

    2017-01-01

    Accurately counting maize tassels is important for monitoring the growth status of maize plants. This tedious task, however, is still mainly done by manual efforts. In the context of modern plant phenotyping, automating this task is required to meet the need of large-scale analysis of genotype and phenotype. In recent years, computer vision technologies have experienced a significant breakthrough due to the emergence of large-scale datasets and increased computational resources. Naturally image-based approaches have also received much attention in plant-related studies. Yet a fact is that most image-based systems for plant phenotyping are deployed under controlled laboratory environment. When transferring the application scenario to unconstrained in-field conditions, intrinsic and extrinsic variations in the wild pose great challenges for accurate counting of maize tassels, which goes beyond the ability of conventional image processing techniques. This calls for further robust computer vision approaches to address in-field variations. This paper studies the in-field counting problem of maize tassels. To our knowledge, this is the first time that a plant-related counting problem is considered using computer vision technologies under unconstrained field-based environment. With 361 field images collected in four experimental fields across China between 2010 and 2015 and corresponding manually-labelled dotted annotations, a novel Maize Tassels Counting (MTC) dataset is created and will be released with this paper. To alleviate the in-field challenges, a deep convolutional neural network-based approach termed TasselNet is proposed. TasselNet can achieve good adaptability to in-field variations via modelling the local visual characteristics of field images and regressing the local counts of maize tassels. Extensive results on the MTC dataset demonstrate that TasselNet outperforms other state-of-the-art approaches by large margins and achieves the overall best counting

  20. Characterization of solids in the Three Mile Island Unit 2 reactor defueling water

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, D. O.

    1987-12-01

    Because of the impact of poor water clarity on defueling operations at the Three Mile Island Unit 2 Nuclear Power Station, a study was undertaken to characterize suspended particulates in the reactor defueling water. The examination included cascade filtration through Nuclepore filters of progressively smaller pore sizes, using three water samples obtained at different times and after varying degrees of clarification. The solids collected on the filters were examined with a scanning electron microscope and analyzed with energy-dispersive x-ray fluorescence. A wide variety of solids was observed, and 26 elements were detected. These included all the materials expected from the reactor system (uranium, zirconium, silver, cadmium, indium, iron, chromium, and nickel), chemicals and zeolites used to decontaminate the water (aluminum, silicon, sodium), common impurities (potassium, chlorine, sulfur, magnesium, calcium, and others), as well as some unexpected metals (molybdenum, manganese, bromine, and lead). There was also evidence for the presence of organic material. A diverse assortment of particles with widely varying surface properties was found to be present.

  1. Vehicle fuel economy and vehicle miles traveled: An empirical investigation of Jevons' Paradox

    Science.gov (United States)

    Munyon, Vinola Vincent

    There has been, in recent decades, a concerted effort to promote energy efficiency as a means to reduce energy consumption, along the supply and demand sides. The general thesis is that, ceteris paribus, an increase in energy efficiency would lead to a decrease in the consumption of the good or service rendered efficient. This is in opposition to Jevons' Paradox which states that "It is wholly a confusion of ideas to suppose that the economical use of fuel is equivalent to a diminished consumption. The very contrary is the truth..." (Jevons, 1865). While many studies have applied Jevons' Paradox to various sectors to estimate rebound effects, few have examined if Jevons' Paradox holds when all available factors that could affect consumption of an efficient good/service are controlled for. This study hoped to fill that gap in literature. The study looked at vehicle fuel economy and vehicle miles travelled (VMT) and examined if, all else being equal, a vehicle that was more fuel efficient accrued greater VMT. Using data from the National Household Travel Survey (NHTS, 2009), a multivariate regression model was built (N = 82,485) controlling for driver, household and vehicle attributes. The findings indicated that, at the microlevel, Jevons' Paradox does hold true; a 1% increase in fuel efficiency was associated with a 1.2% increase in VMT.

  2. The 'last mile' of data handling: Fermilab's IFDH tools

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, Adam L. [Fermilab; Mengel, Marc W. [Fermilab

    2014-01-01

    IFDH (Intensity Frontier Data Handling), is a suite of tools for data movement tasks for Fermilab experiments and is an important part of the FIFE[2] (Fabric for Intensity Frontier [1] Experiments) initiative described at this conference. IFDH encompasses moving input data from caches or storage elements to compute nodes (the 'last mile' of data movement) and moving output data potentially to those caches as part of the journey back to the user. IFDH also involves throttling and locking to ensure that large numbers of jobs do not cause data movement bottlenecks. IFDH is realized as an easy to use layer that users call in their job scripts (e.g. 'ifdh cp'), hiding the low level data movement tools. One advantage of this layer is that the underlying low level tools can be selected or changed without the need for the user to alter their scripts. Logging and performance monitoring can also be added easily. This system will be presented in detail as well as its impact on the ease of data handling at Fermilab experiments.

  3. MARCH calculations performed for the TMI-2 (Three Mile Island Unit) analysis exercise program

    Energy Technology Data Exchange (ETDEWEB)

    Wooton, R.O.

    1988-01-01

    As part of the validation effort for the MARCH portion of the Source Term Code Package, the U.S. Nuclear Regulatory Commission has requested Battelle Columbus to participate in the Three Mile Island Unit (TMI-2) Analysis Exercise Program. Previous TMI-2 calculations (1980) had been performed using the original MARCH 1.1 version of the code. MARCH was written to calculate thermal-hydraulic phenomena for reactor accidents leading to core meltdown. The accident sequences normally considered by MARCH users are relatively uncomplicated. For example, multiple changes in emergency core cooling injection, steam generator auxiliary feedwater flow rates, and cycling of primary system steam relief valves are not generally considered in severe-accident analysis. All of these things were done during the TMI-2 accident. In addition, at TMI-2 the core meltdown sequence was interrupted by the restoration of core cooling after achieving significant melting. In order to perform meaningful TMI-2 calculations, it has been found necessary to add a number of modeling enhancements to MARCH. These modeling changes are discussed along with the results of the TMI-2 MARCH calculations in this paper.

  4. Strategic Orientation and Organisational Culture in Polish Public Organisations: Insights from the Miles and Snow Typology

    Directory of Open Access Journals (Sweden)

    Wronka-Pośpiech Martyna

    2016-05-01

    Full Text Available Polish public organisations are often perceived as having strong bureaucratic orientation, avoiding both change and risk. However, in the last decade a distinct change in the management model of public organisations can be noticed. Public sector becomes an open ground for mergers and partnerships, entrepreneurial leadership, diversified services and commercialization (Golensky and DeRuiter 1999; Zimmerman and Dart, 1998; Pollitt and Bouckaert, 2004; Walker, 2013]. Public organisations embrace these strategies from the for-profit sector in order to manage change and to be effective. Most importantly, public organisations are adopting these frameworks in order to survive the changing operating environment, including changes in the level of government funding. Our paper draws on the Miles and Snow (1978 typology of generic strategies - prospectors, defenders, analysers, and reactors - to identify different organisational strategies within public organisations providing social services in Poland. In order to assess organisational culture we used the most widespread and used in many empirical studies Cameron and Quinn’s model (2003, the Competing Values Framework (CVF, from which four cultures - adhocracy, clan, market and hierarchy - emerge. The choice of these two providers of social services was dictated by our conviction, that these organisations are critical both for the national economy and for mitigating, counteracting and preventing social exclusion.

  5. Identity versus determinism: Émile Meyerson's neo-Kantian interpretation of the quantum theory

    Science.gov (United States)

    Mills, M. Anthony

    2014-08-01

    Despite the praise his writing garnered during his lifetime, e.g., from readers such as Einstein and de Broglie, Émile Meyerson has been largely forgotten. The rich tradition of French épistémologie has recently been taken up in some Anglo-American scholarship, but Meyerson-who popularized the term épistémologie through his historical method of analyzing science, and criticized positivism long before Quine and Kuhn-remains overlooked. If Meyerson is remembered at all, it is as a historian of classical science. This paper attempts to rectify both states of affairs by explicating one of Meyerson's last and untranslated works, Réel et déterminisme dans la théorie quantique, an opuscule on quantum physics. I provide an overview of Meyerson's philosophy, his critique of Max Planck's interpretation of quantum physics, and then outline and evaluate Meyerson's neo-Kantian alternative. I then compare and contrast this interpretation with Cassirer's neo-Kantian program. Finally I show that, while Meyerson believes the revolutionary new physics requires "profoundly" modifying our conception of reality, ultimately, he thinks, it secures the legitimacy of his thesis: that science seeks explanations in the form of what he calls "identification." I hope my research will enable a more general and systematic engagement with Meyerson's work, especially with a view to assessing its viability as a philosophical method today.

  6. PROFISSÕES, CORPORAÇÕES E MORAL NA SOCIOLOGIA DE ÉMILE DURKHEIM

    Directory of Open Access Journals (Sweden)

    Jonis Manhães Sales Felippe

    2015-04-01

    Full Text Available Este artigo apresenta uma revisão das discussões elaboradas por Émile Durkheim, um dos autores mais importantes da sociologia clássica, acerca do papel desempenhado pelas profissões e suas corporações nas sociedades modernas. Assim, resgata-se a função a elas atribuída na reconstrução da moral, numa era em que a divisão do trabalho ganha uma dimensão jamais experimentada anteriormente, produzindo um novo tipo de solidariedade social entre os indivíduos. Para tanto, recorre-se às obras clássicas do autor e de alguns comentaristas sobre a temática em questão, as quais demonstram o caráter conservador das formulações de Durkheim ao apontar a reconstrução das corporações como uma saída para os conflitos e embates de sua época, negando, por conseguinte, a possibilidade de mudanças substanciais nesta ordem social. No entanto, embora seus textos tenham retratado a realidade de seu tempo, muitas de suas formulações ainda oferecem contribuições importantes para se pensar a estrutura organizativa das profissões na contemporaneidade.

  7. Historical summary of the Three Mile Island Unit 2 core debris transportation campaign

    Energy Technology Data Exchange (ETDEWEB)

    Schmitt, R.C.; Tyacke, M.J. [EG and G Idaho, Inc., Idaho Falls, ID (United States); Quinn, G.J. [Wastren, Inc., Germantown, MD (United States)

    1993-03-01

    Transport of the damaged core materials from the Unit 2 reactor of the Three Mile Island Nuclear Power Station (TMI-2) to the Idaho National Engineering Laboratory (INEL) for examination and storage presented many technical and institutional challenges, including assessing the ability to transport the damaged core; removing and packaging core debris in ways suitable for transport; developing a transport package that could both meet Federal regulations and interface with the facilities at TMI-2 and the INEL; and developing a transport plan, support logistics, and public communications channels suited to the task. This report is a historical summary of how the US Department of Energy addressed those challenges and transported, received, and stored the TMI-2 core debris at the INEL. Subjects discussed include preparations for transport, loading at TMI-2, institutional issues, transport operations, receipt and storage at the INEL, governmental inquiries/investigations, and lessons learned. Because of public attention focused on the TMI-2 Core Debris Transport Program, the exchange of information between the program and public was extensive. This exchange is a focus for parts of this report to explain why various operations were conducted as they were and why certain technical approaches were employed. And, because of that exchange, the program may have contributed to a better public understanding of such actions and may contribute to planning and execution of similar future actions.

  8. Assessing the Contribution of Urban Freight Terminals in Last Mile Operations

    Directory of Open Access Journals (Sweden)

    Nathanail Eftihia

    2016-09-01

    Full Text Available This paper introduces a multi-stakeholder multi-criteria evaluation framework, which can be used for the assessment of the last mile distribution performance of urban freight terminals. To this end, a comparative analysis is conducted addressing two Greek urban intermodal freight terminals located at the port of Thessaloniki (ThPA and Kuehne+Nagel (K+N’s premises. The assessment of the terminals’ performance relies on a tailored multi-criteria Key Performance Indicator (KPI-based evaluation framework, whereas the selection and significance of the incorporated criteria and KPIs is predetermined by the relevant responsible stakeholders, who imposed their viewpoint through an analytic hierarchy process. Results showed that ThPA was ranked first according to its performance pertaining to the role of an intermodal interchange; still, K+N’s performance index was only 8.5% lower than ThPA’s, while in specific KPIs it seems that it performs in a better way.

  9. Revisiting the Miles and Snow Typology: Strategic Path Mediates Business Strategy and Resource Configuration for Innovation

    Directory of Open Access Journals (Sweden)

    Yasmina Zubaedah

    2013-04-01

    Full Text Available This article provides the results of an exploratory study that investigated the effect of Capabil- ity Lifecycle Path on attaining effective adaptation through innovation. Based on Miles and Snow (1978, an empirical study was conducted to explore whether performing firms are those that indi- cate consistency within the strategy, process, structure and Capability Lifecycle Path arrangement. The basic premise of this study is adaptability for sustainability, where firms go through adapta- tion cycles through Business Model Innovation would perform well when they are able to consis- tently create value and effectively manage adopted business models, or denoted as Business Mod- el Effectiveness. Using data obtained from seven Indonesian firms in various industries, PLS Analy- sis was conducted to investigate the relationships between Business Strategy, Firm Resource Con- figuration, Capability Lifecycle Path and Business Model Effectiveness. Findings indicated that Ca- pability Lifecycle Path, or decisions made on the development of capabilities at the mature stage, is an important part of the series of decisions made during adaptation to ensure performance.

  10. Mile Nedeljković as a social, cultural and ethnic issues researcher

    Directory of Open Access Journals (Sweden)

    Ćupurdija Branko

    2011-01-01

    Full Text Available Mile Nedeljković published about a hundred titles in ethnology, literature, folklore studies and journalism, focusing especially on Šumadija, the traditional culture of the Serbian and other South-Slavic peoples, as well as peoples and their cultures worldwide. This contribution makes an attempt to look at his major ethnological works, which address social, cultural and ethnic issues. As it turns out, they deal with some of the most intricate, most sensitive and most important issues of national history and culture, such as Kosovo and Metohija as the cradle of Serbian spirituality, Islamization in the South-Slavic areas, Šumadija as the pivot of Serbia’s restored statehood, or the gloomy destiny of the Serbs the Frontiersmen and their expulsion from Croatia in the 1990s. As it also turns out, their author has a fundamental and diverse work, the ability to make sweeping syntheses and significant scholarly discoveries, the culture of chronicle keeping, and the simplicity and beauty of narrative expression, and, as such, he belongs to the very top of contemporary Serbian ethnology.

  11. Lessons learned from the Three Mile Island Unit 2 Advisory Panel

    Energy Technology Data Exchange (ETDEWEB)

    Lach, D.; Bolton, P.; Durbin, N. [Battelle Seattle Research Center, WA (United States); Harty, R. [Pacific Northwest Lab., Richland, WA (United States)

    1994-08-01

    In response to public concern about the cleanup of the Three Mile Island, Unit 2 (TMI-2) facility after an accident on March 28, 1979 involving a loss of reactor coolant and subsequent damage to the reactor fuel, twelve citizens were asked to serve on an independent Advisory Panel to consult with the Nuclear Regulatory Commission (NRC) on the decontamination and cleanup of the facility. The panel met 78 times over a period of thirteen years, holding public meetings in the vicinity of TMI-2 and meeting regularly with NRC Commissioners in Washington, DC. This report describes the results of a project designed to identify and describe the lessons learned from the Advisory Panel and place those lessons in the context of what we generally know about citizen advisory groups. A summary of the empirical literature on citizen advisory panels is followed by a brief history of the TMI-2 Advisory Panel. The body of the report contains the analysis of the lessons learned, preliminary conclusions about the effectiveness of the Panel, and implications for the NRC in the use of advisory panels. Data for the report include meeting transcripts and interviews with past and present Panel participants.

  12. From architectural to literary symbolism: Proust in the school of Émile Mâle

    Directory of Open Access Journals (Sweden)

    Luc Fraisse

    2011-01-01

    Full Text Available Marcel Proust (1871-1922 debuted as a writer when the doctrine of symbolism was prevalent in the French literature. But his relationship with this contemporary trend is difficult to define. The reconstruction of historical and logical facts connected with this issue seems to indicate that Proust distanced himself from the poets and writers of symbolism; the word “symbol” itself would often be used in negative contexts in "In Search of Lost Time" which Proust started to write in 1908. At that time Proust was also impressed by the work of Émile Mâle entitled "L’Art religieux du XIIIe siècle en France" (Religious Art of the 13th century in France, 1898. Thus, it is through the contact with architecture, more than with literature, that the author of "In Search of Lost Time" explores the notion of symbolism when, based on consciously adopted rules, he gives his work the exact structure of a cathedral.

  13. Relationships Between Miles and Snow Strategic Types and Organizational Performance in Polish Production Companies

    Directory of Open Access Journals (Sweden)

    Tomasz Ingram

    2016-03-01

    Full Text Available Purpose: Miles and Snow’s conception of strategic types is the most popular and extensively studied typology of strategic choices. Consequently, in recent years it has been related to organizational performance measures. Despite numerous studies conducted in different environmental and organizational settings, the research results of relationships between strategic types and organizational performance are ambiguous. In this paper, we seek to advance the knowledge regarding how a chosen strategic type affects organizational performance measures in the transition economy of Poland.Methodology: Using quantitative research results, on the basis of data from 96 organizations we statistically test four research hypotheses.Findings: Research results reveal the existence of “clear” strategic types in majority of companies but highlight moderately strong relationships between declared strategic type and organizational performance. In turn, they suggest that Prospector and Analyzer strategic types promise slightly higher performance than Reactor and Defender types.Originality: This research project on strategic types in SMEs in a transition economy is one of few dealing with this topic that have been conducted in Eastern European countries to date.

  14. Platelet counting with a laser nephelometer.

    Science.gov (United States)

    Giannitsis, D J

    1979-08-01

    A method for platelet counting is described, based on the Laser nephelometric principle. Experimental results are reported, together with the practical considerations for the standardisation and correlation of the method, and for application of the method in the routine biochemical laboratory. Venous blood, taken with EDTA-NaCL solution according to Schulz et al (1071, Z. Klin. Chem. Klin. Biochem. 9, 329-333) is used. The blood is centrifuged at 100 g for 10 min and 10 microliter of the supernatant is added to 3000 microliter of a suspending medium (dilution 1:80); 300 microliter platelet suspension are read in a nephelometer cuvet or tube against blank. The number of platelets per liter blood are determined with the aid of a standard curve. The sensitivity and reproducibility of the method, and the correlation with the "electronic coulter counting" method are satisfactory.

  15. [Significance of the automated blood count].

    Science.gov (United States)

    Gratwohl, A; Tichelli, A; Speck, B

    1992-03-28

    Modern hematology depends on rapid and accurate determination of quantitative and qualitative blood counts. Fully automated analyzers based on the principles of flow cytometry have replaced the traditional blood smear in the routine laboratory. They count the number of red cells, platelets and leukocytes with high precision. In addition, they divide the cells into different populations according to their physical or chemical properties. This population distribution pattern mimics a "differential" blood smear. Normality can be assessed with a high degree of accuracy, rapidly and reproducibly. The qualitative changes frequently provide pointers to the final diagnosis. In case of abnormalities the reports are flagged. A microscopic analysis should be added according to internal laboratory guidelines. It clarifies pathological findings and is essential in the search for specific abnormalities such as malaria. This underlines the need for exchange of information between physician and laboratory.

  16. Going Online to Make Learning Count

    Directory of Open Access Journals (Sweden)

    Cathy Brigham

    2011-01-01

    Full Text Available Adult students often come to higher education with college-level learning that they have acquired outside of the classroom – from the workplace, military service, self-study, or hobbies. For decades, many forward-thinking colleges and universities have been offering services to evaluate that learning and award it college credit that counts towards a degree. However, for a range of reasons, not every institution can offer prior learning assessment (PLA in every discipline or for every student. With funding from several U.S. philanthropic organizations, the Council for Adult and Experiential Learning (CAEL is launching Learning Counts, a national online service that will offer students a range of opportunities to have their learning evaluated for college credit. This online service will expand the capacity of institutions offering PLA to students and provide an efficient and scalable delivery mechanism for the awarding of credit through PLA.

  17. Low level counting from meteorites to neutrinos

    Science.gov (United States)

    Heusser, Gerd

    2005-09-01

    The development in low level counting at Heidelberg with NaI(Tl) crystals, proportional counters and Germanium detectors is reviewed throughout the course of almost 40 years of experience. Research subjects changed from cosmogenic radionuclides in meteorites to solar neutrinos and double beta decay. Driven by screening measurements for these rare event experiments, the sensitivity in single gamma counting has gained almost 3 orders of magnitude. With Ge spectrometry the μBq/kg range is now accessible. It is discussed how further improvements can be realized. There is potential to reach a sensitivity at the level of 10 to 100 nBq/kg for cryogenic liquid type Gespectroscopy, a technique which the next generation 76Ge double beta decay experiment GERDA is based on.

  18. Double hard scattering without double counting

    Science.gov (United States)

    Diehl, Markus; Gaunt, Jonathan R.; Schönwald, Kay

    2017-06-01

    Double parton scattering in proton-proton collisions includes kinematic regions in which two partons inside a proton originate from the perturbative splitting of a single parton. This leads to a double counting problem between single and double hard scattering. We present a solution to this problem, which allows for the definition of double parton distributions as operator matrix elements in a proton, and which can be used at higher orders in perturbation theory. We show how the evaluation of double hard scattering in this framework can provide a rough estimate for the size of the higher-order contributions to single hard scattering that are affected by double counting. In a numeric study, we identify situations in which these higher-order contributions must be explicitly calculated and included if one wants to attain an accuracy at which double hard scattering becomes relevant, and other situations where such contributions may be neglected.

  19. Double hard scattering without double counting

    Energy Technology Data Exchange (ETDEWEB)

    Diehl, Markus [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Gaunt, Jonathan R. [VU Univ. Amsterdam (Netherlands). NIKHEF Theory Group; Schoenwald, Kay [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany)

    2017-02-15

    Double parton scattering in proton-proton collisions includes kinematic regions in which two partons inside a proton originate from the perturbative splitting of a single parton. This leads to a double counting problem between single and double hard scattering. We present a solution to this problem, which allows for the definition of double parton distributions as operator matrix elements in a proton, and which can be used at higher orders in perturbation theory. We show how the evaluation of double hard scattering in this framework can provide a rough estimate for the size of the higher-order contributions to single hard scattering that are affected by double counting. In a numeric study, we identify situations in which these higher-order contributions must be explicitly calculated and included if one wants to attain an accuracy at which double hard scattering becomes relevant, and other situations where such contributions may be neglected.

  20. Counting and mining research data with Unix

    Directory of Open Access Journals (Sweden)

    James Baker

    2014-09-01

    Full Text Available This lesson will look at how research data, when organised in a clear and predictable manner, can be counted and mined using the Unix shell. The lesson builds on the lessons “Preserving Your Research Data: Documenting and Structuring Data” and “Introduction to the Bash Command Line”. Depending on your confidence with the Unix shell, it can also be used as a standalone lesson or refresher.

  1. Methods for precise photoelectron counting with photomultipliers

    Energy Technology Data Exchange (ETDEWEB)

    Dossi, R.; Ianni, A.; Ranucci, G.; Smirnov, O.Ju. E-mail: smirnov@lngs.infn.itsmipol@cv.jinr.ru

    2000-09-11

    A series of measurements has been performed on a THORN EMI 9351 phototube in order to investigate its response to a low light intensity. Precise procedures to determine the intensity of the incident photon flux have been developed and compared. The data show that the various approaches give consistent and reliable results, thus allowing the precise calibration of the device for applications of photon counting.

  2. Relationship between platelet count and hemodialysis membranes

    Directory of Open Access Journals (Sweden)

    Nasr R

    2013-08-01

    Full Text Available Rabih Nasr,1 Chadi Saifan,1 Iskandar Barakat,2 Yorg Al Azzi,2 Ali Naboush,2 Marc Saad,2 Suzanne El Sayegh1 1Department of Nephrology, Staten Island University Hospital, Staten Island, NY, USA; 2Department of Medicine, Staten Island University Hospital, Staten Island, NY, USA Background: One factor associated with poor outcomes in hemodialysis patients is exposure to a foreign membrane. Older membranes are very bioincompatible and increase complement activation, cause leukocytosis by activating circulating factors, which sequesters leukocytes in the lungs, and activates platelets. Recently, newer membranes have been developed that were designed to be more biocompatible. We tested if the different “optiflux” hemodialysis membranes had different effects on platelet levels. Methods: Ninety-nine maintenance hemodialysis patients with no known systemic or hematologic diseases affecting their platelets had blood drawn immediately prior to, 90 minutes into, and immediately following their first hemodialysis session of the week. All patients were dialyzed using a Fresenius Medical Care Optiflux polysulfone membrane F160, F180, or F200 (polysulfone synthetic dialyzer membranes, 1.6 m2, 1.8 m2, and 2.0 m2 surface area, respectively, electron beam sterilized. Platelet counts were measured from each sample by analysis using a CBC analyzer. Results: The average age of the patients was 62.7 years; 36 were female and 63 were male. The mean platelet count pre, mid, and post dialysis was 193 (standard deviation ±74.86, 191 (standard deviation ±74.67, and 197 (standard deviation ±79.34 thousand/mm3, respectively, with no statistical differences. Conclusion: Newer membranes have no significant effect on platelet count. This suggests that they are, in fact, more biocompatible than their predecessors and may explain their association with increased survival. Keywords: platelet count, polysulfone membranes, complement activation, electron beam sterilized

  3. Bayesian analysis of energy and count rate data for detection of low count rate radioactive sources.

    Science.gov (United States)

    Klumpp, John; Brandl, Alexander

    2015-03-01

    A particle counting and detection system is proposed that searches for elevated count rates in multiple energy regions simultaneously. The system analyzes time-interval data (e.g., time between counts), as this was shown to be a more sensitive technique for detecting low count rate sources compared to analyzing counts per unit interval (Luo et al. 2013). Two distinct versions of the detection system are developed. The first is intended for situations in which the sample is fixed and can be measured for an unlimited amount of time. The second version is intended to detect sources that are physically moving relative to the detector, such as a truck moving past a fixed roadside detector or a waste storage facility under an airplane. In both cases, the detection system is expected to be active indefinitely; i.e., it is an online detection system. Both versions of the multi-energy detection systems are compared to their respective gross count rate detection systems in terms of Type I and Type II error rates and sensitivity.

  4. Motorcycle detection and counting using stereo camera, IR camera, and microphone array

    Science.gov (United States)

    Ling, Bo; Gibson, David R. P.; Middleton, Dan

    2013-03-01

    Detection, classification, and characterization are the key to enhancing motorcycle safety, motorcycle operations and motorcycle travel estimation. Average motorcycle fatalities per Vehicle Mile Traveled (VMT) are currently estimated at 30 times those of auto fatalities. Although it has been an active research area for many years, motorcycle detection still remains a challenging task. Working with FHWA, we have developed a hybrid motorcycle detection and counting system using a suite of sensors including stereo camera, thermal IR camera and unidirectional microphone array. The IR thermal camera can capture the unique thermal signatures associated with the motorcycle's exhaust pipes that often show bright elongated blobs in IR images. The stereo camera in the system is used to detect the motorcyclist who can be easily windowed out in the stereo disparity map. If the motorcyclist is detected through his or her 3D body recognition, motorcycle is detected. Microphones are used to detect motorcycles that often produce low frequency acoustic signals. All three microphones in the microphone array are placed in strategic locations on the sensor platform to minimize the interferences of background noises from sources such as rain and wind. Field test results show that this hybrid motorcycle detection and counting system has an excellent performance.

  5. Prevalence of IgE sensitization in Danish children with suspected asthma

    DEFF Research Database (Denmark)

    Hoffmann-Petersen, Benjamin; Høst, Arne; Larsen, Kirsten Toksvig

    2013-01-01

    OBJECTIVE: The aim of this article was to estimate the prevalence of IgE sensitization in Danish children with suspected asthma and to characterize the pattern of sensitization. STUDY DESIGN: We performed a cross-sectional study including 1744 children from 0 to 15 yr suspected of asthma who were...

  6. Diagnostic accuracy and patient acceptance of MRI in children with suspected appendicitis

    NARCIS (Netherlands)

    Thieme, Mai E.; Leeuwenburgh, Marjolein M. N.; Valdehueza, Zaldy D.; Bouman, Donald E.; de Bruin, Ivar G. J. M.; Schreurs, W. Hermien; Houdijk, Alexander P. J.; Stoker, Jaap; Wiarda, Bart M.

    2014-01-01

    To compare magnetic resonance imaging (MRI) and ultrasound in children with suspected appendicitis. In a single-centre diagnostic accuracy study, children with suspected appendicitis were prospectively identified at the emergency department. All underwent abdominal ultrasound and MRI within 2 h,

  7. 9 CFR 354.123 - Segregation of suspects on ante-mortem inspection.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Segregation of suspects on ante-mortem inspection. 354.123 Section 354.123 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... Inspection Procedures; Ante-Mortem Inspections § 354.123 Segregation of suspects on ante-mortem inspection...

  8. 9 CFR 381.72 - Segregation of suspects on ante mortem inspection.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Segregation of suspects on ante mortem inspection. 381.72 Section 381.72 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT... Inspection § 381.72 Segregation of suspects on ante mortem inspection. (a) All birds, except ratites, that on...

  9. D-dimer test in cancer patients with suspected acute pulmonary embolism

    NARCIS (Netherlands)

    Di Nisio, M.; Sohne, M.; Kamphuisen, P. W.; Büller, H. R.

    2005-01-01

    Background: The safety of a D-dimer (DD) measurement in cancer patients with clinically suspected pulmonary embolism (PE) is unclear. Objectives: The aim of this study was to assess the accuracy of the DD test in consecutive patients with clinically suspected PE with and without cancer. Methods: The

  10. D-Dimer test in cancer patients with suspected acute pulmonary embolism.

    NARCIS (Netherlands)

    Nisio, M. Di; Sohne, M.; Kamphuisen, P.W.; Buller, H.R.

    2005-01-01

    BACKGROUND: The safety of a D-dimer (DD) measurement in cancer patients with clinically suspected pulmonary embolism (PE) is unclear. OBJECTIVES: The aim of this study was to assess the accuracy of the DD test in consecutive patients with clinically suspected PE with and without cancer. METHODS: The

  11. The Lawyer in the Dutch Interrogation Room: Influence on Police and Suspect

    NARCIS (Netherlands)

    W-J. Verhoeven (Willem-Jan); L. Stevens (Lonneke)

    2012-01-01

    textabstractIn many European countries, providing a suspect in custody with legal aid before the first police interrogation is a heavily debated issue. In this paper, we report on an exploratory study on the use of coercion by the police and the use of the right to silence by suspects in 70 Dutch

  12. Occurrence of antibodies to Anaplasma phagocytophilum in patients with suspected tick-borne encephalitis

    Directory of Open Access Journals (Sweden)

    Zuzana Kalinová

    2015-09-01

    None of the examined patients with suspected TBE had the disease confirmed. Hoever, as shown by the results, the relative risk of occurrence of anaplasmosis is higher in people examined for some another vector-borne disease (in this case TBE. Therefore, the performance of screening examinations in patients suspected of having any tick-borne disease is very important.

  13. Screening for keratoconus suspects among candidates for refractive surgery.

    Science.gov (United States)

    McMonnies, Charles W

    2014-11-01

    This review examines methods for estimating the risk of post-surgical ectasia in candidates for refractive surgery by establishing a diagnosis of keratoconus suspect as a contraindication for proceeding with surgery. Notwithstanding the desirability of achieving 100 per cent sensitivity, any associated reduction in specificity and increased numbers of false positives might deny some candidates the opportunity to proceed with refractive surgery. The introduction of a model for the risk of ectasia involving both pre- and post-surgical findings has been followed by a plethora of attempts to achieve the same purpose based on topographic and/or tomographic evaluation before surgery. The desirability of being able to depend on objective assessment using one type of instrument needs to be weighed against the possibility that subjective assessments may contribute significantly to screening success. For example, consideration of ethnicity, family history of keratoconus, a history of atopy or ocular allergies in particular, a history of significant exposure to corneal trauma associated with abnormal rubbing habits or with vocational, leisure or geographically increased exposure to ultraviolet radiation or with contact lens wear trauma or a history of significant exposure to activities which elevate intraocular pressure may improve screening success. To the extent that these factors could contribute to increased risk of the development of keratoconus, they may be useful in estimating the risk of post-surgical ectasia. If any combination of these factors helps to explain the development of keratoconus in normal or even thicker than normal corneas, they may have more significance for those corneas, which have been thinned surgically. © 2014 The Author. Clinical and Experimental Optometry © 2014 Optometrists Association Australia.

  14. Investigation of a suspected outbreak of lipoatrophia semicircularis in children.

    Science.gov (United States)

    Rius, Cristina; Baselga, Eulalia; Tizón, Jorge; Fuentes, Paulina; Muñoz-Garza, Fania Zamantta; Roigé, Glòria; Llebaria, Xavier; Caylà, Joan A

    2017-08-10

    Recent reports of outbreaks of lipoatrophia semicircularis (LS) in various countries have generated discussion regarding the potential role of the environmental characteristics of office workplaces in new buildings. The objective of this study was to investigate a suspected outbreak of LS among children in a public school in Barcelona, which generated tremendous alarm. We performed an epidemiological assessment including descriptive and prevalence analyses, and an environmental investigation followed by a psychiatric assessment according to Small's criteria. We compared the prevalence of LS and its 95% confidence interval between children and staff attending the day-care centre under study and other centres. Among 86 children attending a day-care centre we detected 11 confirmed and 2 possible cases of LS (15.1%) while among 41 children attending other day-care centres we identified 8 cases and 4 possible cases (29.3%) (P=.10). Among 12 day-care staff, we detected 8 cases of LS (66.7%) while among 19 women working different jobs we identified 14 with the same condition as the staff (73.7%) (P=.98). All lesions were finally classified as indentations with different locations. The environmental evaluation didn't identify any exposure factors with a significant role in the onset of the outbreak. The outbreak shared 13 of Small's 16 criteria regarding epidemic somatoform disorder ("mass hysteria"). The presence of indentations can be considered a normal variant in the lower extremities of children. The characteristic development of the process leads us to the conclusion that this outbreak was an epidemic somatoform disorder. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  15. [Breath tests in children with suspected lactose intolerance].

    Science.gov (United States)

    Parra, P Ángela; Furió, C Simone; Arancibia, A Gabriel

    2015-01-01

    Up to 70% of the world population is lactose intolerance. However, there are no epidemiological studies among Chilean pediatric population affected by this condition. Clinical characterization of a series of children who underwent the lactose intolerance breath test for lactose intolerance study, establishing intolerance and malabsorption frequencies, the most frequent symptoms, and test performance depending on the origin. Patients under 18 years old who took the lactose intolerance breath test in the Gastroenterology Laboratory of the Catholic University of Chile, and who were admitted due to clinically suspected lactose intolerance. Malabsorption was considered when there was as an increase of ≥20ppm above the baseline (H2) or ≥34ppm of H2 and methane (CH4) combined. Intolerance was considered when the above was associated with a symptom intensity score ≥7 during registration. The analysis included194 patients aged 1 to17 years of age. Of these, 102 (53%) presented with malabsorption, and 53 (27%) were intolerant. The frequency of lactose intolerance varied from 7.1 to 45.4%, and it occurred more frequently at older ages. The most common reported symptoms were abdominal pain, bloating and rumbling. Lactose malabsorption and intolerance can be investigated from the first years of life using the lactose breath test plus a symptom questionnaire. An increase in the frequency of intolerance with age, and a greater number of positive tests, if they were requested by a gastroenterologist, were observed. Copyright © 2015 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  16. Unenhanced MR Imaging in adults with clinically suspected acute appendicitis

    Energy Technology Data Exchange (ETDEWEB)

    Chabanova, Elizaveta, E-mail: elcha@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark); Balslev, Ingegerd, E-mail: inbal@heh.regionh.dk [Department of Pathology, Copenhagen University Hospital at Herlev (Denmark); Achiam, Michael, E-mail: micach01@heh.regionh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Nielsen, Yousef W., E-mail: yujwni01@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark); Adamsen, Sven, E-mail: svad@heh.regionh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Gocht-Jensen, Peter, E-mail: petgoc01@heh.reginh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Brisling, Steffen K., E-mail: stkibr01@heh.regionh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Logager, Vibeke B., E-mail: viloe@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark); Thomsen, Henrik S., E-mail: heth@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark)

    2011-08-15

    Purpose: The purpose of the study was to evaluate unenhanced Magnetic Resonance Imaging (MRI) for the diagnosis of appendicitis or another surgery-requiring condition in an adult population scheduled for emergency appendectomy based on a clinical diagnosis of suspected acute appendicitis. Materials and methods: The prospective study included 48 consecutive patients (29 female, 19 male, 18-70 years old, mean age = 37.1 years). MRI examination was designed to be comfortable and fast; no contrast was administered. The sequences were performed during quiet respiration. The MRI findings were reviewed by two radiologists and one surgeon independent of each other and compared with surgical and pathological records. Results: According to the surgical and histopathological findings 30 of 48 patients (63%) had acute appendicitis. Of the remaining 18 patients, 4 patients had no reasons for the clinical symptoms and 14 patients had other pathology. For the three reviewers the performance of MRI in the diagnosis of acute appendicitis showed the following sensitivity, specificity and accuracy ranges: 83-93%, 50-83% and 77-83%. Moderate ({kappa} = 0.51) and fair ({kappa} = 0.31) interobserver agreements in the MR diagnosis of acute appendicitis were found between the reviewers. Sensitivity, specificity and accuracy values for overall performance of MRI in detecting pelvic abnormalities were 100%, 75% (3 of 4 healthy patients were identified by MRI) and 98%, respectively. Conclusion: Unenhanced fast MRI is feasible as an additional fast screening before the appendectomy. It may prevent unnecessary surgeries. The fast MRI examination can be adequately performed on an MRI unit of broad range of field strengths.

  17. Suspected dog bite associated HIV horizontal transmission in Swaziland

    Directory of Open Access Journals (Sweden)

    Ganizani Mlawanda

    2013-01-01

    Full Text Available Background: Dog bites may lead to transmission of bacteria and viruses over and above tetanus and rabies. Theoretically human immunodeficiency virus (HIV, Hepatitis B and Hepatitis C may be transmitted after dog bites where transfer of blood from one victim to another occur in clinical practice HIV, Hepatitis B and Hepatitis C are not considered when making treatment decisions, nor adequate patient history taken to consider all potential risks after dog bites in succession.Objective: To present case of suspected HIV transmission after dog bites in close succession involving two HIV sero-discordant victims.Management and outcome: HIV rapid test and/or HIV Ribonucleic acid (RNA polymerasechain reaction (PCR results for the victim(s at presentation and a month later.Results: Two night patrol guards presented to casualty after dog bites in close succession by the same dog. They were managed according to the dog bite protocol. Thinking out of the box, the first victim was found to be HIV positive by rapid test whilst the second victim was negative based on both HIV rapid test and HIV RNA PCR. One month after the dogbites, a case of HIV sero-conversion was confirmed in the second victim despite post-exposure prophylaxis (PEP.Discussion: Although an isolated case, shouldn’t clinicians re-think the significance of HIV transmission after animal bites where there is repeated blood exposure in several people insuccession?Conclusion: Clinicians should be aware of the potential of HIV, Hepatitis B and C transmission, when faced with dog bites in succession. 

  18. Suspect/Counterfeit Items Information Guide for Subcontractors/Suppliers

    Energy Technology Data Exchange (ETDEWEB)

    Tessmar, Nancy D. [Los Alamos National Laboratory; Salazar, Michael J. [Los Alamos National Laboratory

    2012-09-18

    Counterfeiting of industrial and commercial grade items is an international problem that places worker safety, program objectives, expensive equipment, and security at risk. In order to prevent the introduction of Suspect/Counterfeit Items (S/CI), this information sheet is being made available as a guide to assist in the implementation of S/CI awareness and controls, in conjunction with subcontractor's/supplier's quality assurance programs. When it comes to counterfeit goods, including industrial materials, items, and equipment, no market is immune. Some manufactures have been known to misrepresent their products and intentionally use inferior materials and processes to manufacture substandard items, whose properties can significantly cart from established standards and specifications. These substandard items termed by the Department of Energy (DOE) as S/CI, pose immediate and potential threats to the safety of DOE and contractor workers, the public, and the environment. Failure of certain systems and processes caused by an S/CI could also have national security implications at Los Alamos National Laboratory (LANL). Nuclear Safety Rules (federal Laws), DOE Orders, and other regulations set forth requirements for DOE contractors to implement effective controls to assure that items and services meet specified requirements. This includes techniques to implement and thereby minimizing the potential threat of entry of S/CI to LANL. As a qualified supplier of goods or services to the LANL, your company will be required to establish and maintain effective controls to prevent the introduction of S/CI to LANL. This will require that your company warrant that all items (including their subassemblies, components, and parts) sold to LANL are genuine (i.e. not counterfeit), new, and unused, and conform to the requirements of the LANL purchase orders/contracts unless otherwise approved in writing to the Los Alamos National Security (LANS) contract administrator

  19. An alternative approach to the Army Physical Fitness Test two-mile run using critical velocity and isoperformance curves.

    Science.gov (United States)

    Fukuda, David H; Smith, Abbie E; Kendall, Kristina L; Cramer, Joel T; Stout, Jeffrey R

    2012-02-01

    The purpose of this study was to evaluate the use of critical velocity (CV) and isoperformance curves as an alternative to the Army Physical Fitness Test (APFT) two-mile running test. Seventy-eight men and women (mean +/- SE; age: 22.1 +/- 0.34 years; VO2(MAX): 46.1 +/- 0.82 mL/kg/min) volunteered to participate in this study. A VO2(MAX) test and four treadmill running bouts to exhaustion at varying intensities were completed. The relationship between total distance and time-to-exhaustion was tracked for each exhaustive run to determine CV and anaerobic running capacity. A VO2(MAX) prediction equation (Coefficient of determination: 0.805; Standard error of the estimate: 3.2377 mL/kg/min) was developed using these variables. Isoperformance curves were constructed for men and women to correspond with two-mile run times from APFT standards. Individual CV and anaerobic running capacity values were plotted and compared to isoperformance curves for APFT 2-mile run scores. Fifty-four individuals were determined to receive passing scores from this assessment. Physiological profiles identified from this procedure can be used to assess specific aerobic or anaerobic training needs. With the use of time-to-exhaustion as opposed to a time-trial format used in the two-mile run test, pacing strategies may be limited. The combination of variables from the CV test and isoperformance curves provides an alternative to standardized time-trial testing.

  20. Radioactive debris from operations Tumbler and Snapper: observations beyond 200 miles from the test site. Part II

    Energy Technology Data Exchange (ETDEWEB)

    List, R.J.

    1953-02-25

    The results of the fall-out monitoring program at fixed stations more than 200 miles from the test site following the series of atomic tests in Nevada during the spring of 1952 are shown in a series of maps. Trajectories of debris from the individual bursts are given, together with a discussion of meteorological phenomena associated with the transport of atomic debris.

  1. Title list, publicly available documents: Three Mile Island Unit 1, Docket 50-289 - cumulated to November 16, 1979

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-01-01

    This title list of publicly available documents pertaining to Three Mile Island Unit 1, Docket 50-289, includes all documents pertaining to this Docket that had been filed in the NRC Public Document Room as of November 16, 1979. The categories used for filing and searching in the NRC Public Document Room are used to catalog the entries.

  2. Sustainable Vehicles-Based Alternatives in Last Mile Distribution of Urban Freight Transport: A Systematic Literature Review

    Directory of Open Access Journals (Sweden)

    Cintia Machado de Oliveira

    2017-07-01

    Full Text Available The advent of new technologies in last mile deliveries is about to cause a disruption in the traditional business model applied in urban cargo transportation, thus presenting innumerous research opportunities in this field of knowledge. In this context, identifying new operation models and vehicles that could be applied for last mile deliveries in urban areas becomes crucial. Therefore, this paper aims to identify, through a systematic literature review, the main types of vehicles addressed in the literature that could be used in the last mile of urban freight distribution in order to increase the sustainability of this type of operation. The results indicate a trend for the implementation of smaller and lighter vehicles for last mile deliveries in urban areas: 47% of the studies suggest, among other alternatives, the use of bicycles and tricycles; while 53% of the articles support the use of light commercial vehicles. Another trend observed in this type of distribution, indicated in 64% of the studies, is the shift from conventional (fossil fuels to alternative sources of energy (electricity.

  3. A Multi-Depot Two-Echelon Vehicle Routing Problem with Delivery Options Arising in the Last Mile Distribution

    NARCIS (Netherlands)

    Zhou, Lin; Baldacci, Roberto; Vigo, Daniele; Wang, Xu

    2018-01-01

    In this paper, we introduce a new city logistics problem arising in the last mile distribution of e-commerce. The problem involves two levels of routing problems. The first requires a design of the routes for a vehicle fleet located at the depots to transport the customer demands to a subset of the

  4. Establishment and dispersal of the biological control weevil Rhinoncomimus latipes on mile-a-minute weed, Persicaria perfoliata

    Science.gov (United States)

    Ellen C. Lake; Judith Hough-Goldstein; Kimberley J. Shropshire; Vincent D' Amico

    2011-01-01

    Mile-a-minute weed, Persicaria perfoliata (L.) H. Gross (Polygonaceae), is an annual vine from Asia that has invaded the eastern US where it can form dense monocultures and outcompete other vegetation in a variety of habitats. The host-specific Asian weevil Rhinoncomimus latipes Korotyaev (Coleoptera: Curculionidae) was first...

  5. Advances in large-scale mudflat surveying: The Roebuck Bay and Eighty Mile Beach, Western Australia examples

    NARCIS (Netherlands)

    Hickey, R.J.; Pearson, G.B.; Piersma, T.

    2015-01-01

    The shores of Roebuck Bay and Eighty Mile Beach in northwestern Australia are amongst the richest known intertidal mudflats worldwide. They are both listed as Wetlands of International Importance under the Ramsar Convention, primarily because of the high numbers of shorebirds that migrate to and

  6. The politics of regime construction and maintenance: the case of a 200 mile fisheries zone for Canada

    National Research Council Canada - National Science Library

    Johnson, B; Middlemiss, D

    .... We have then examined the range of strategies available to Canada to institute and maintain a 200 mile fishing zone, beginning with a discussion of various coercive strategies and followed by a discussion of non-coercive strategies. Each of these strategies will be evaluated in terms of its economic costs and political advantages and disadvantages for the Canadian government.

  7. 78 FR 22347 - GPU Nuclear Inc., Three Mile Island Nuclear Power Station, Unit 2, Exemption From Certain...

    Science.gov (United States)

    2013-04-15

    ... COMMISSION GPU Nuclear Inc., Three Mile Island Nuclear Power Station, Unit 2, Exemption From Certain Security... . SUPPLEMENTARY INFORMATION: 1.0 Background GPU Nuclear, Inc. (GPUN, the licensee) is the licensee and holder of... responsibility of the licensee. Therefore, the Commission hereby grants GPU Nuclear, Inc., an exemption from the...

  8. The Effects of Running Club Membership on Fourth Graders' Achievement of Connecticut State Standard for the Mile Run

    Science.gov (United States)

    Foshay, John D.; Patterson, Melissa

    2010-01-01

    The purpose of this study was to investigate the effects of a running club on the mile run times of fourth grade students. The study was conducted in a suburban elementary school setting in central Connecticut with a student body of 400. The participants for the study included 59 fourth grade students, 30 of whom were boys and 29 of whom were…

  9. Incidence and risk factors of running-related injuries during preparation for a 4-mile recreational running event

    NARCIS (Netherlands)

    Buist, I.; Bredeweg, S. W.; Bessem, B.; van Mechelen, W.; Lemmink, K. A. P. M.; Diercks, R. L.

    Objective In this study, the incidence and the sex-specific predictors of running-related injury (RRI) among a group of recreational runners training for a 4-mile running event were determined and identified, respectively. Design Prospective cohort study. Methods Several potential risk factors were

  10. 78 FR 15041 - Notice of Availability of the Draft Miles City Resource Management Plan and Environmental Impact...

    Science.gov (United States)

    2013-03-08

    ... Bureau of Land Management Notice of Availability of the Draft Miles City Resource Management Plan and... draft Resource Management Plan (RMP) revision and draft Environmental Impact Statement (EIS) for the... analyze and update public land and resource management objectives within the planning area. The planning...

  11. Radiation hazards in children - lessons from Chernobyl, Three Mile Island and Fukushima.

    Science.gov (United States)

    Fushiki, Shinji

    2013-03-01

    On March 11, 2011, Japan was hit by the Great East Japan Earthquake followed by the Fukushima Daiichi Nuclear Disaster. Firstly, this review focuses on what happened after the accidents at the Three Mile Island nuclear power station in 1979 and the Chernobyl nuclear power plant in 1986, in terms of the effects of these incidents on health. The most critical issue when considering the effects of radiation on the health of children was the increase of thyroid cancer, as clearly demonstrated among people who were children or adolescence at the time of the Chernobyl accident. Therefore, in the early days after a nuclear accident, the primary concern should be efforts to prevent the exposure of children to radioactive iodine through inhalation and ingestion, because radioactive iodine preferentially accumulates in the thyroid. In the longer term, another concern is exposure to radionuclides with long half-lives, including cesium137 and cesium134, with physical half-lives of 30 and 2 years, respectively. Secondly, fetal radiation risks and radiobiological studies on low-level radiation are briefly reviewed, with reference to the effects upon the developing brain. A fetal dose of 100 mSv may increase the risk of an effect on brain development, especially neuronal migration, based upon the results of experiments with rodents. Finally, this review proposes that research on the health effects of low level radiation should be prioritized so that accurate information on the effects of radiation can be disseminated and prevent the prevalence of unnecessary fear lacking scientific justification. Copyright © 2012 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  12. Peer review of the Three Mile Island Unit 2 Vessel Investigation Project metallurgical examinations

    Energy Technology Data Exchange (ETDEWEB)

    Bohl, R.W.; Gaydos, R.G.; Vander Voort, G.F.; Diercks, D.R. [Argonne National Lab., IL (United States)

    1994-07-01

    Fifteen samples recovered from the lower head of the Three Mile Island (TMI) Unit 2 nuclear reactor pressure vessel were subjected to detailed metallurgical examinations by the Idaho National Engineering Laboratory (INEL), with supporting work carried out by Argonne National Laboratory (ANL) and several of the European participants. These examinations determined that a portion of the lower head, a so-called elliptical ``hot spot`` measuring {approx}0.8 {times} 1 m, reached temperatures as high as 1100{degrees}C during the accident and cooled from these temperatures at {approx}10--100{degrees}C/min. The remainder of the lower head was found to have remained below the ferrite-toaustenite transformation temperature of 727{degrees}C during the accident. Because of the significance of these results and their importance to the overall analysis of the TMI accident, a panel of three outside peer reviewers, Dr. Robert W. Bohl, Mr. Richard G. Gaydos, and Mr. George F. Vander Voort, was formed to conduct an independent review of the metallurgical analyses. After a thorough review of the previous analyses and examination of photo-micrographs and actual lower head specimens, the panel determined that the conclusions resulting from the INEL study were fundamentally correct. In particular, the panel reaffirmed that four lower head samples attained temperatures as high as 1100{degrees}C, and perhaps as high as 1150--1200{degrees}C in one case, during the accident. They concluded that these samples subsequently cooled at a rate of {approx}50--125{degrees}C/min in the temperature range of 600--400{degrees}C, in good agreement with the original analysis. The reviewers also agreed that the remainder of the lower head samples had not exceeded the ferrite-to-austenite transformation temperature during the accident and suggested several refinements and alternative procedures that could have been employed in the original analysis.

  13. Counting, Measuring And The Semantics Of Classifiers

    Directory of Open Access Journals (Sweden)

    Susan Rothstein

    2010-12-01

    Full Text Available This paper makes two central claims. The first is that there is an intimate and non-trivial relation between the mass/count distinction on the one hand and the measure/individuation distinction on the other: a (if not the defining property of mass nouns is that they denote sets of entities which can be measured, while count nouns denote sets of entities which can be counted. Crucially, this is a difference in grammatical perspective and not in ontological status. The second claim is that the mass/count distinction between two types of nominals has its direct correlate at the level of classifier phrases: classifier phrases like two bottles of wine are ambiguous between a counting, or individuating, reading and a measure reading. On the counting reading, this phrase has count semantics, on the measure reading it has mass semantics.ReferencesBorer, H. 1999. ‘Deconstructing the construct’. In K. Johnson & I. Roberts (eds. ‘Beyond Principles and Parameters’, 43–89. Dordrecht: Kluwer publications.Borer, H. 2008. ‘Compounds: the view from Hebrew’. In R. Lieber & P. Stekauer (eds. ‘The Oxford Handbook of Compounds’, 491–511. Oxford: Oxford University Press.Carlson, G. 1977b. Reference to Kinds in English. Ph.D. thesis, University of Massachusetts at Amherst.Carlson, G. 1997. Quantifiers and Selection. Ph.D. thesis, University of Leiden.Carslon, G. 1977a. ‘Amount relatives’. Language 53: 520–542.Chierchia, G. 2008. ‘Plurality of mass nouns and the notion of ‘semantic parameter”. In S. Rothstein (ed. ‘Events and Grammar’, 53–103. Dordrecht: Kluwer.Danon, G. 2008. ‘Definiteness spreading in the Hebrew construct state’. Lingua 118: 872–906.http://dx.doi.org/10.1016/j.lingua.2007.05.012Gillon, B. 1992. ‘Toward a common semantics for English count and mass nouns’. Linguistics and Philosophy 15: 597–640.http://dx.doi.org/10.1007/BF00628112Grosu, A. & Landman, F. 1998. ‘Strange relatives of the third kind

  14. Elaborate Item Count Questioning: Why Do People Underreport in Item Count Responses?

    Directory of Open Access Journals (Sweden)

    Takahiro Tsuchiya

    2010-12-01

    Full Text Available The item count technique, used often to investigate illegal or socially undesirable behaviours, requires respondents to indicate merely the number of applicable items from among a list. However, the number of applicable items indicated via the item count question tends to be smaller than when it is calculated from the direct `applies/does not apply' responses to each item. Because this inconsistency, which we refer to as the underreporting effect, often disturbs proper item count estimates, the causes of this effect are explored in this paper. Web survey results revealed that the order of the response alternatives is irrelevant to the underreporting effect, and that the underreporting effect is caused by the response format in which the item count question requests merely the number of applicable items and not the number of non-applicable items. It is also shown that the magnitude of the underreporting effect decreases when the respondents are asked to indicate the numbers of both applicable and non-applicable items, which we refer to as elaborate item count questioning.

  15. Metal ion levels and lymphocyte counts

    DEFF Research Database (Denmark)

    Penny, Jeannette Ø; Varmarken, Jens-Erik; Ovesen, Ole

    2013-01-01

    BACKGROUND AND PURPOSE: Wear particles from metal-on-metal arthroplasties are under suspicion for adverse effects both locally and systemically, and the DePuy ASR Hip Resurfacing System (RHA) has above-average failure rates. We compared lymphocyte counts in RHA and total hip arthroplasty (THA....../ppb. INTERPRETATION: Circulating T-lymphocyte levels may decline after surgery, regardless of implant type. Metal ions-particularly cobalt-may have a general depressive effect on T- and B-lymphocyte levels. Registered with ClinicalTrials.gov under # NCT01113762....

  16. Applied categorical and count data analysis

    CERN Document Server

    Tang, Wan; Tu, Xin M

    2012-01-01

    Introduction Discrete Outcomes Data Source Outline of the BookReview of Key Statistical ResultsSoftwareContingency Tables Inference for One-Way Frequency TableInference for 2 x 2 TableInference for 2 x r TablesInference for s x r TableMeasures of AssociationSets of Contingency Tables Confounding Effects Sets of 2 x 2 TablesSets of s x r TablesRegression Models for Categorical Response Logistic Regression for Binary ResponseInference about Model ParametersGoodness of FitGeneralized Linear ModelsRegression Models for Polytomous ResponseRegression Models for Count Response Poisson Regression Mode

  17. Tackling the single molecule counting problem

    Science.gov (United States)

    Pressé, Steve

    2015-03-01

    Protein-protein interactions - that give rise to spatiotemporal organization in the cell - are the basis for most biological information processing and cellular control. Quantitatively understanding these interactions is an essential prerequisite for developing mechanistic models of cell biology. However, there is currently no routine answer to ``how many proteins of type X are in this complex?'' in living cells. Here we discuss methods developed in our group (Geoff Rollins, Kostas Tsekouras) for tackling this ``single molecule counting problem'' starting from photobleaching data and data from a superresolution microscopy technique called PALM (PhotoActivated Localization Microscopy). We gratefully acknowledge the NSF (MCB-1412259)

  18. Strange Curves, Counting Rabbits, & Other Mathematical Explorations

    CERN Document Server

    Ball, Keith

    2011-01-01

    How does mathematics enable us to send pictures from space back to Earth? Where does the bell-shaped curve come from? Why do you need only 23 people in a room for a 50/50 chance of two of them sharing the same birthday? In Strange Curves, Counting Rabbits, and Other Mathematical Explorations, Keith Ball highlights how ideas, mostly from pure math, can answer these questions and many more. Drawing on areas of mathematics from probability theory, number theory, and geometry, he explores a wide range of concepts, some more light-hearted, others central to the development of the field and used dai

  19. Change-Point Methods for Overdispersed Count Data

    National Research Council Canada - National Science Library

    Wilken, Brian A

    2007-01-01

    .... Although the Poisson model is often used to model count data, the two-parameter gamma-Poisson mixture parameterization of the negative binomial distribution is often a more adequate model for overdispersed count data...

  20. CalCOFI Larvae Counts, Scientific Names C to CE

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  1. CalCOFI Larvae Counts, Scientific Names EV to GN

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  2. CalCOFI Larvae Counts, Scientific Names SJ to ST

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  3. CalCOFI Larvae Counts, Scientific Names CP to DE

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  4. CalCOFI Larvae Counts, Scientific Names HB to HI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  5. CalCOFI Larvae Counts, Scientific Names SU to TE

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  6. CalCOFI Larvae Counts, Scientific Names PP to PZ

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  7. CalCOFI Larvae Counts, Scientific Names SD to SI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  8. CalCOFI Larvae Counts, Scientific Names TF to U

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  9. CalCOFI Larvae Counts, Scientific Names PL to PO

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  10. Alaska Steller sea lion Count Database (Non-pups)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This database contains counts of adult and juvenile (non-pup) Steller sea lions on rookeries and haulouts in Alaska made between 1904 and 2015. Non-pup counts have...

  11. CalCOFI Larvae Counts, Scientific Names OM to OX

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  12. CalCOFI Larvae Counts, Scientific Names HJ to ID

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  13. Baseline CD4 lymphocyte count among HIV patients in Kano ...

    African Journals Online (AJOL)

    lymphocytes; hence CD4 count has become a valuable indicator of immune function in the management of HIV infection. Consequently, we evaluated baseline CD4 counts of 500 HIV seropsitive adults in a government sponsored anti-retroviral ...

  14. CalCOFI Larvae Counts, Scientific Names OY to PI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fish larvae counts and standardized counts for larvae captured in CalCOFI icthyoplankton nets (primarily vertical [Calvet or Pairovet], oblique [bongo or ring nets],...

  15. Discriminative Accuracy of Novel and Traditional Biomarkers in Children with Suspected Appendicitis Adjusted for Duration of Abdominal Pain

    Science.gov (United States)

    Kharbanda, Anupam B.; Cosme, Yohaimi; Liu, Khin; Spitalnik, Steven L.; Dayan, Peter S.

    2011-01-01

    Objectives To assess the accuracy of novel and traditional biomarkers in patients with suspected appendicitis as a function of duration of symptoms. Methods This was a prospective cohort study, conducted in a tertiary care emergency department (ED). The authors enrolled children 3 to 18 years old with acute abdominal pain of less than 96 hours, and measured serum levels of Interleukin-6 (IL-6), Interleukin-8 (IL-8), C - reactive protein (CRP), white blood cell count (WBC), and absolute neutrophil count (ANC). Final diagnosis was determined by histopathology or telephone follow-up. Trends in biomarker levels were examined based on duration of abdominal pain. The accuracy of biomarkers was assessed with receiver operating characteristic (ROC) curves. Optimal cut-points and test performance characteristics were calculated for each biomarker. Results Of 280 patients enrolled, the median age was 11.3 years (IQR 8.6 to 14.8), 57% were male, and 33% had appendicitis. Median IL-6, median CRP, mean WBC, and mean ANC differed significantly (p appendicitis and those without appendicitis; median IL-8 levels did not differ between groups. In non-perforated appendicitis, median IL-6, WBC, and ANC levels were maximal at less than 24 hrs of pain, while CRP peaked between 24 and 48 hours. In perforated appendicitis, median IL-8 levels were highest by 24 hours, WBC and IL-6 by 24 to 48 hours, and CRP after 48 hours of pain. The WBC appeared to be the most useful marker to predict appendicitis in those with fewer than 24 or more than 48 hours of pain, while CRP was the most useful in those with 24 to 48 hours of pain. Conclusions In this population, the serum levels and accuracy of novel and traditional biomarkers varies in relation to duration of abdominal pain. IL-6 shows promise as a novel biomarker to identify children with appendicitis. PMID:21676053

  16. [Positive bronchoalveolar lavage and quantitative cultures results in suspected late-onset ventilator associated penumonia evaluation--retrospective study].

    Science.gov (United States)

    Vaz, A P; Amorim, A; Espinar, M J; Oliveira, T; Pereira, J M; Paiva, J A

    2011-01-01

    Bronchoalveolar lavage (BAL) with quantitative cultures has been used in order to increase ventilator associated pneumonia (VAP) diagnosis specificity, although the accurate technique for this entity diagnosis remains controversial. To evaluate the influence of using positive BAL and quantitative cultures results in microbiologic diagnosis and treatment of patients with suspected late VAP and prior antibiotherapy. Retrospective analysis of intensive care unit (UCI) patients, during a one year period, with clinical suspicion of late VAP and prior use of antibiotics that presented a growth in BAL cultures. Of 243 BAL performed, there were 71 (29.2%) positive cultures (60 patients, 76.7% male, 54 ± 19 years). BAL was done after 13 days (median) of invasive mechanical ventilation, 11 days of ICU antibiotherapy and in the day in which a new antibiotic for VAP suspicion was started. Colony forming units (CFU)/ml count was performed in 71.8% and endotracheal aspirate (ETA) simultaneously collected for qualitative analysis in 85.9%. Therapeutic approach was changed in 38.0%: correction (16.9%), de-escalation (12.7%) and directed antibiotherapy start (8.4%). Therapeutic changes were made in the presence of CFU > 10(4) in 84.2% and in agreement with ETA in 70.8%. In cases in which antibiotherapy was maintained (62.0%), quantitative cultures would have allowed de-escalation in 9.1%. Changes in prescription were more frequent when CFU was > 10(4) (48.5%), comparing with situations in which counts were lower and BAL analysis was qualitative (28.9%), p = 0.091. There were no significant differences between patients submitted to different therapeutic approaches concerning to ICU mortality or length of stay. In late onset VAP, positive BAL and quantitative cultures allowed therapeutic changes, leading to antibiotic adequacy and consumption reduction, which can however be maximised. Copyright © 2011. Published by Elsevier España.

  17. Correlation of mucocutaneous manifestations of HIV-infected patients in an ART center with CD4 counts.

    Science.gov (United States)

    Lahoti, Sonal; Rao, Kavita; Umadevi, H S; Mishra, Lakshmi

    2017-01-01

    As the search for reliable clinical indicators for management of human immunodeficiency virus/AIDS continues, mucocutaneous manifestations of HIV are considered among key clinical indicators for prediction of underlying degree of immunosuppression, systemic opportunistic infections, and disease progression. (1) To study the prevalence of mucocutaneous manifestations in HIV-seropositive patients attending the ART center of our hospital (2) To correlate mucocutaneous manifestations with CD4 cell counts. A total of 200 HIV-seropositive patients of adult age group visiting our hospital were included in the study. Information on demographics such as age, sex, transmission route, socioeconomic status, educational status, CD4 counts, and mucocutaneous findings was collected through interview administered survey and case records followed by oral and cutaneous examination. Mean CD4 cell count of asymptomatic HIV/AIDS patients was 580.96 cells/mm3. In comparison with the CD4 cell count of asymptomatic HIV-positive patients, (mean 580.96 cells/mm3) CD4 cell count of HIV-positive patients with various mucocutaneous manifestations (mean 409.65 cells/mm3) was correlated using student t-test and was statistically significant (P = 0.017). This study revealed maximum mucocutaneous lesions in the CD4 count range of 200-500. Nail changes accounted for the most common cutaneous manifestation with 53%, and pigmentation accounted for the most common oral manifestation with 39%. Mucocutaneous manifestations can arouse one to suspect the diagnosis of HIV infection in an otherwise healthy unwary patient. They can serve as a dependable marker of HIV disease.

  18. Leucocyte Counts in Pregnant Nigerian Women with Sickle Cell Trait

    African Journals Online (AJOL)

    White blood count (WBC) with differential counts and packed cell volume (PCV) were studied in 100 pregnant and 30 non-pregnant control women aged 18-45 years. Eighty of the pregnant women were homozygous HbAA and 20 heterozygous HbAS. The non-pregnant women\\'s PCV, lymphocyte and eosinophils counts ...

  19. Differences in meristic counts of the genus Clarias (pisces: clariidae ...

    African Journals Online (AJOL)

    Specific differences in meristic counts were exhibited in both the anal fin ray count and the vertebral count in the clariids of Anambra rver, Nigeria. There was a close numerical relationship between the number of anal fin rays and the number of vertebrae. The present study further justifies the taxonomic importance of anal fin ...

  20. Automated vehicle counting using image processing and machine learning

    Science.gov (United States)

    Meany, Sean; Eskew, Edward; Martinez-Castro, Rosana; Jang, Shinae

    2017-04-01

    Vehicle counting is used by the government to improve roadways and the flow of traffic, and by private businesses for purposes such as determining the value of locating a new store in an area. A vehicle count can be performed manually or automatically. Manual counting requires an individual to be on-site and tally the traffic electronically or by hand. However, this can lead to miscounts due to factors such as human error A common form of automatic counting involves pneumatic tubes, but pneumatic tubes disrupt traffic during installation and removal, and can be damaged by passing vehicles. Vehicle counting can also be performed via the use of a camera at the count site recording video of the traffic, with counting being performed manually post-recording or using automatic algorithms. This paper presents a low-cost procedure to perform automatic vehicle counting using remote video cameras with an automatic counting algorithm. The procedure would utilize a Raspberry Pi micro-computer to detect when a car is in a lane, and generate an accurate count of vehicle movements. The method utilized in this paper would use background subtraction to process the images and a machine learning algorithm to provide the count. This method avoids fatigue issues that are encountered in manual video counting and prevents the disruption of roadways that occurs when installing pneumatic tubes

  1. Relationships between blood cell counts and the density of malaria ...

    African Journals Online (AJOL)

    The findings depicted a negative correlation between parasite load and haemoglobin concentration [Hb], mean cell volume (MCV), and mean cell haemoglobin (MCH); a positive correlation of parasite density with white blood cell counts (WBC), red blood cell counts (RBC), and the differential white blood cell counts ...

  2. Somatic chromosome counts and yield performance of some ...

    African Journals Online (AJOL)

    Investigation in 20 accessions of Citrullus lanatus ('egusi' melon) revealed somatic chromosome counts ranging from 18 to 24 with 2n = 22 being the most frequent. Polyploid counts of 2n = 40 and 2n =44 were made for accessions DD98/4 and L6, respectively. Diploid chromosome counts varying from 2n = 22 suggest ...

  3. Patterns in exoplanet count and eccentricity distributions

    Science.gov (United States)

    Taylor, Stuart F.

    2018-01-01

    The distribution of exoplanets of contains an unexpected level of features, starting with an unexpected gap the splits the main pileup of much of the planet population. In the population of planets of metal-rich sunlike single stars (SLSS objects), which comprises 40% of planets found by the radial velocity method, when counting logarithmic periods the main pileup of planets with periods longer than 100 days is split into two peaks separated by a significant gap. There is a wide region which has so few planets that none are found in the current data set. We show that this gap is extremely unlikely to occur by random. Because this gap is well-filled among planets of low surface gravity and low metallicity stars with 31 objects, it is unlikely that the bimodal nature of the metal rich SLSS population is due to observational effects. Comparisons of eccentricity of the metal-rich and metal-poor SLSS populations depend strongly on the two-peak-gap structure of counts of the metal-rich SLSS (rSLSS) population. Consideration of these features is essential to properly study the correlations of eccentricity with other planet-system parameters given how the eccentricity of rSLSS objects is highest in the two peaks of the rSLSS population.

  4. Robustifying Bayesian nonparametric mixtures for count data.

    Science.gov (United States)

    Canale, Antonio; Prünster, Igor

    2017-03-01

    Our motivating application stems from surveys of natural populations and is characterized by large spatial heterogeneity in the counts, which makes parametric approaches to modeling local animal abundance too restrictive. We adopt a Bayesian nonparametric approach based on mixture models and innovate with respect to popular Dirichlet process mixture of Poisson kernels by increasing the model flexibility at the level both of the kernel and the nonparametric mixing measure. This allows to derive accurate and robust estimates of the distribution of local animal abundance and of the corresponding clusters. The application and a simulation study for different scenarios yield also some general methodological implications. Adding flexibility solely at the level of the mixing measure does not improve inferences, since its impact is severely limited by the rigidity of the Poisson kernel with considerable consequences in terms of bias. However, once a kernel more flexible than the Poisson is chosen, inferences can be robustified by choosing a prior more general than the Dirichlet process. Therefore, to improve the performance of Bayesian nonparametric mixtures for count data one has to enrich the model simultaneously at both levels, the kernel and the mixing measure. © 2016, The International Biometric Society.

  5. Counting BPS operators in N=4 SYM

    CERN Document Server

    Dolan, F A

    2007-01-01

    The free field partition function for a generic U(N) gauge theory, where the fundamental fields transform in the adjoint representation, is analysed in terms of symmetric polynomial techniques. It is shown by these means how this is related to the cycle polynomial for the symmetric group and how the large N result may be easily recovered. Higher order corrections for finite N are also discussed in terms of symmetric group characters. For finite N, the partition function involving a single bosonic fundamental field is recovered and explicit counting of multi-trace quarter BPS operators in free \\N=4 super Yang Mills discussed, including a general result for large N. The partition function for BPS operators in the chiral ring of \\N=4 super Yang Mills is analysed in terms of plane partitions. Asymptotic counting of BPS primary operators with differing R-symmetry charges is discussed in both free \\N=4 super Yang Mills and in the chiral ring. Also, general and explicit expressions are derived for SU(2) gauge theory...

  6. Language and counting: Some recent results

    Science.gov (United States)

    Bell, Garry

    1990-02-01

    It has long been recognised that the language of mathematics is an important variable in the learning of mathematics, and there has been useful work in isolating and describing the linkage. Steffe and his co-workers at Georgia, for example, (Steffe, von Glasersfeld, Richardson and Cobb, 1983) have suggested that young children may construct verbal countable items to count objects which are hidden from their view. Although there has been a surge of research interest in counting and early childhood mathematics, and in cultural differences in mathematics attainment, there has been little work reported on the linkage between culture as exemplified by language, and initial concepts of numeration. This paper reports on some recent clinical research with kindergarten children of European and Asian background in Australia and America. The research examines the influence that number naming grammar appears to have on young children's understandings of two-digit numbers and place value. It appears that Transparent Standard Number Word Sequences such as Japanese, Chinese and Vietnamese which follow the numerical representation pattern by naming tens and units in order ("two tens three"), may be associated with distinctive place value concepts which may support sophisticated mental algorithms.

  7. Atmospheric pollen count in Monterrey, Mexico.

    Science.gov (United States)

    González-Díaz, Sandra N; Rodríguez-Ortiz, Pablo G; Arias-Cruz, Alfredo; Macías-Weinmann, Alejandra; Cid-Guerrero, Dagoberto; Sedo-Mejia, Giovanni A

    2010-01-01

    There are few reports of pollen count and identification in Mexico; therefore, it is important to generate more information on the subject. This study was designed to describe the prevalence of pollen in the city of Monterrey, Mexico, during the year 2004. Atmospheric pollen was collected with a Hirst air sampler, with an airflow of 10 L/minute during 2004. Pollen was identified with light microscopy; the average monthly pollen count as well as total was calculated from January 2004 to January 2005. The months with the highest concentration of pollen were February and March (289 and 142 grains/m(3) per day, respectively), and July and November had the lowest concentration (20 and 11 grains/m(3) per day, respectively). Most of the pollen recollected corresponded to tree pollen (72%). Fraxinus spp had the highest concentration during the year (19 grains/m(3) per day; 27.5% of the total concentration of pollen). Tree pollen predominated from January through March; with Fraxinus spp, Morus spp, Celtis spp, Cupressus spp, and Pinus spp as the most important. Weed pollen predominated in May, June, and December and the most frequently identified, were Amaranthaceae/Chenopodiaceae, Ambrosia spp, and Parietaria spp. The highest concentration of grass pollen was reported during the months of May, June, September, October, and December with Gramineae/Poaceae predominating. Tree pollen was the most abundant during the year, with the ash tree having the highest concentration. Weed and grass pollen were perennial with peaks during the year.

  8. Counting Majorana bound states using complex momenta

    Directory of Open Access Journals (Sweden)

    I. Mandal

    2016-09-01

    Full Text Available Recently, the connection between Majorana fermions bound to the defects in arbitrary dimensions, and complex momentum roots of the vanishing determinant of the corresponding bulk Bogoliubov–de Gennes (BdG Hamiltonian, has been established (EPL, 2015, 110, 67005. Based on this understanding, a formula has been proposed to count the number (n of the zero energy Majorana bound states, which is related to the topological phase of the system. In this paper, we provide a proof of the counting formula and we apply this formula to a variety of 1d and 2d models belonging to the classes BDI, DIII and D. We show that we can successfully chart out the topological phase diagrams. Studying these examples also enables us to explicitly observe the correspondence between these complex momentum solutions in the Fourier space, and the localized Majorana fermion wavefunctions in the position space. Finally, we corroborate the fact that for systems with a chiral symmetry, these solutions are the so-called "exceptional points", where two or more eigenvalues of the complexified Hamiltonian coalesce.

  9. Automated body hair counting and length measurement.

    Science.gov (United States)

    Vallotton, P; Thomas, N

    2008-11-01

    Hair loss or hair excess is a common condition. There is a growing need to quantitatively assess the success of interventions aimed at replenishing areas that lack hair or at removing hair from areas such as the back, the legs, or the arms. Non-invasive methods that do not require staining are highly desirable because the staining process itself may affect the efficacy of the treatment. We introduce a system based on a flatbed scanner and on novel and sensitive image analysis algorithms to count the number of hairs and their individual length. Additionally, a measure of hair visibility is introduced, which allows assessing objectively the severity of the condition. Our system is able to detect even hairs that are difficult to see to a human observer. It is robust to skin impurities or variations in the skin texture and colour. Scanner imaging ensures a sharp image over the whole field. The system analyses on the order of two images per minute, making it suitable for large clinical studies. Counts delivered by a human counter vs. the software were within 10% of each other (N=12). Based on our results, we expect that the software will be useful to a number of researchers investigating medical and cosmetic issues involving objective assessment of pilosity. The algorithm itself may be of use for other applications.

  10. The value of recognizing suspect diagnoses in the triple diagnosis of giant cell tumor of bone

    Directory of Open Access Journals (Sweden)

    Kotru Mrinalini

    2007-01-01

    Full Text Available Giant cell tumor (GCT of bone is the most frequently over-diagnosed neoplasm in orthopedic pathology because giant cells are a common component of many neoplastic and nonneoplastic conditions of bone. Triple diagnosis, requiring substantial individual and collective inputs by orthopedic surgeons, radiologists and pathologists, is the preferred method for the workup of patients with suspected bone neoplasms. At each stage in triple diagnosis, deviations from the typical must be regarded as clues to alternate diagnoses: the greater the deviation, the more a diagnosis of GCT must be considered suspect. A suspect diagnosis must trigger renewed analysis of the available data and a diligent search to exclude alternate diagnoses.

  11. Estudio de la intercara de uniones entre metales disímiles por medio de ultrasonido

    Directory of Open Access Journals (Sweden)

    López, G. A.

    1999-02-01

    Full Text Available As a result of the associated problems to evaluate bonding characteristics of interfaces between dissimilar metals, mainly those cladded, it has been propposed the use of ultrasonic methods. Acoustic impedance methods had been tested succesfully in the study of plastic-aluminium (glued and babbit-steel (bearing interfaces. Preliminary results on explosively bonded aluminium-steel and aluminium-lead interfaces are presented. A digital ultrasonic device with a 5 Mhz transducer was used in this study. So far, results have shown that "VID" signal gives an acceptance criterion based on the ratio of amplitudes coming from interface and bottom surface, meanwhile "RF" signal gives the same criterion based on wave form. It is concluded that VID and RF signals could be used to achieve characteristics of the bonded interfaces.

    Como resultado de las dificultades encontradas para determinar las características de la intercara entre uniones de materiales disímiles, sobre todo aquellas empleadas en los recubrimientos, surge la posibilidad de emplear las técnicas de ultrasonido. Las técnicas basadas en la diferencia de impedancia acústica se han usado de manera exitosa para caracterizar las intercaras plástico-aluminio (adheridas y metal babbit-acero (en cojinetes. En este estudio se analizan, de manera preliminar, las intercaras de pares aluminio-acero y aluminio-plomo obtenidos por medio de soldadura por explosivos. Se utilizó un sistema de adquisición de señales digitales ultrasónicas y un transductor de 5 MHz. Los resultados obtenidos hasta el momento indican que la representación de la señal en forma de "VID" proporciona un criterio de aceptación basado en la relación entre las amplitudes de la intercara y la superficie posterior, mientras que la señal de "RF" proporciona un criterio de aceptación basado en la forma de la onda. Se concluye que es posible emplear las señales VID y RF para establecer criterios de aceptación de la uni

  12. Mortality among the residents of the Three Mile Island accident area: 1979-1992.

    Science.gov (United States)

    Talbott, E O; Youk, A O; McHugh, K P; Shire, J D; Zhang, A; Murphy, B P; Engberg, R A

    2000-06-01

    The largest U.S. population exposed to low-level radioactivity released by an accident at a nuclear power plant is composed of residents near the Three Mile Island (TMI) Plant on 28 March 1979. This paper (a collaboration of The University of Pittsburgh and the Pennsylvania Department of Health) reports on the mortality experience of the 32,135 members in this cohort for 1979-1992. We analyzed standardized mortality ratios (SMRs) using a local comparison population and performed relative risk regression modeling to assess overall mortality and specific cancer risks by confounding factors and radiation-related exposure variables. Total mortality was significantly elevated for both men and women (SMRs = 109 and 118, respectively). All heart disease accounted for 43.3% of total deaths and demonstrated elevated SMRs for heart disease of 113 and 130 for men and women, respectively; however, when controlling for confounders and natural background radiation, these elevations in heart disease were no longer evident. Overall cancer mortality was similar in this cohort as compared to the local population (male SMR = 100; female SMR = 101). In the relative risk modeling, there was a significant effect for all lymphatic and hematopoietic tissue in males in relation to natural background exposure (p = 0.04). However, no trend was noted. We found a significant linear trend for female breast cancer risk in relation to increasing levels of TMI-related likely [gamma]-exposure (p = 0.02). Although such a relationship has been noted in other investigations, emissions from the TMI incident were significantly lower than in other documented studies. Therefore, it is unlikely that this observed increase is related to radiation exposure on the day of the accident. The mortality surveillance of this cohort does not provide consistent evidence that radioactivity released during the TMI accident has a significant impact on the mortality experience of this cohort to date. However, continued

  13. Photon Counting Using Edge-Detection Algorithm

    Science.gov (United States)

    Gin, Jonathan W.; Nguyen, Danh H.; Farr, William H.

    2010-01-01

    New applications such as high-datarate, photon-starved, free-space optical communications require photon counting at flux rates into gigaphoton-per-second regimes coupled with subnanosecond timing accuracy. Current single-photon detectors that are capable of handling such operating conditions are designed in an array format and produce output pulses that span multiple sample times. In order to discern one pulse from another and not to overcount the number of incoming photons, a detection algorithm must be applied to the sampled detector output pulses. As flux rates increase, the ability to implement such a detection algorithm becomes difficult within a digital processor that may reside within a field-programmable gate array (FPGA). Systems have been developed and implemented to both characterize gigahertz bandwidth single-photon detectors, as well as process photon count signals at rates into gigaphotons per second in order to implement communications links at SCPPM (serial concatenated pulse position modulation) encoded data rates exceeding 100 megabits per second with efficiencies greater than two bits per detected photon. A hardware edge-detection algorithm and corresponding signal combining and deserialization hardware were developed to meet these requirements at sample rates up to 10 GHz. The photon discriminator deserializer hardware board accepts four inputs, which allows for the ability to take inputs from a quadphoton counting detector, to support requirements for optical tracking with a reduced number of hardware components. The four inputs are hardware leading-edge detected independently. After leading-edge detection, the resultant samples are ORed together prior to deserialization. The deserialization is performed to reduce the rate at which data is passed to a digital signal processor, perhaps residing within an FPGA. The hardware implements four separate analog inputs that are connected through RF connectors. Each analog input is fed to a high-speed 1

  14. An Evaluation of the Accuracy of the Subtraction Method Used for Determining Platelet Counts in Advanced Platelet-Rich Fibrin and Concentrated Growth Factor Preparations

    Directory of Open Access Journals (Sweden)

    Taisuke Watanabe

    2017-01-01

    Full Text Available Platelet concentrates should be quality-assured of purity and identity prior to clinical use. Unlike for the liquid form of platelet-rich plasma, platelet counts cannot be directly determined in solid fibrin clots and are instead calculated by subtracting the counts in other liquid or semi-clotted fractions from those in whole blood samples. Having long suspected the validity of this method, we herein examined the possible loss of platelets in the preparation process. Blood samples collected from healthy male donors were immediately centrifuged for advanced platelet-rich fibrin (A-PRF and concentrated growth factors (CGF according to recommended centrifugal protocols. Blood cells in liquid and semi-clotted fractions were directly counted. Platelets aggregated on clot surfaces were observed by scanning electron microscopy. A higher centrifugal force increased the numbers of platelets and platelet aggregates in the liquid red blood cell fraction and the semi-clotted red thrombus in the presence and absence of the anticoagulant, respectively. Nevertheless, the calculated platelet counts in A-PRF/CGF preparations were much higher than expected, rendering the currently accepted subtraction method inaccurate for determining platelet counts in fibrin clots. To ensure the quality of solid types of platelet concentrates chairside in a timely manner, a simple and accurate platelet-counting method should be developed immediately.

  15. Plugged percutaneous biopsy of the liver in living-donor liver transplantation recipients suspected to have graft rejection.

    Science.gov (United States)

    Kim, Sung Jung; Won, Je Hwan; Kim, Young Bae; Wang, Hee-Jung; Kim, Bong-Wan; Kim, Haeryoung; Kim, Jinoo

    2017-07-01

    Background Percutaneous biopsy is a widely-accepted technique for acquiring histologic samples of the liver. When there is concern for bleeding, plugged percutaneous biopsy (PPB) may be performed, which involves embolization of the biopsy tract. Purpose To evaluate the efficacy and safety of PPB of the liver in patients suspected to have graft rejection after living-donor liver transplantation (LDLT). Material and Methods During January 2007 and December 2013, 51 patients who underwent PPB of the liver under the suspicion of post-LDLT graft rejection were retrospectively analyzed. A total of 73 biopsies were performed. Biopsy was performed with a 17-gauge core needle and 18-gauge cutting needle. The needle tract was embolized using gelatin sponge (n = 44) or N-butyl cyanoacrylate (NBCA) (n = 29). The specimens were reviewed to determine their adequacy for histologic diagnosis. We reviewed all medical records after PPB. Results Specimens were successfully acquired in all procedures (100%). They were adequate for diagnosis in 70 cases (95.9%) and inadequate in three (1.3%). Average of 9.8 complete portal tracts was counted per specimen. One minor complication (1.4%) occurred where the patient had transient fever after the procedure. Conclusion PPB is easy and safe to perform in LDLT recipients and provides high diagnostic yield.

  16. UV-extended E-MILES stellar population models: young components in massive early-type galaxies

    OpenAIRE

    Vazdekis, A.; Koleva, M.; Ricciardelli, E.; Röck, B.; Falcón-Barroso, J.

    2016-01-01

    We present UV extended E MILES stellar population synthesis models covering the spectral range ?? 1680 50 000 Å at moderately high resolution. We employ the NGSL space based stellar library to compute spectra of single age single metallicity stellar populations in the wavelength range from 1680 to 3540 Å. These models represent a significant improvement in resolution and age/metallicity coverage over previous studies based on earlier space based libraries. These model spectra were joined with...

  17. Publicly available documents Three Mile Island Unit 2, Docket 50-320. Title list, July 1-October 31, 1979

    Energy Technology Data Exchange (ETDEWEB)

    1979-01-01

    This supplemental title list of publicly available documents pertaining to Three Mile Island Unit 2, Docket 50-320, includes those preincident and postincident documents filed in the NRC Public Document Room between July 1, 1979 and October 31, 1979. It is divided into preincident and postincident listings, with both listings sub-divided into the categories used for filing and searching in the NRC Public Document Room.

  18. Going the extra mile - creating a co-operative model for supporting patient and public involvement in research.

    Science.gov (United States)

    Horobin, Adele

    2016-01-01

    In 2014, the Chief Medical Officer and Director General of Research and Development commissioned a review of patient and public involvement in the National Institute for Health Research. The report on this review, entitled 'Going the Extra Mile' was published in March, 2015. It described the bold goal of expecting all people using health and social care, and increasing numbers of the public, to be aware of and choosing to be involved in research. This requires more effort to build public awareness of research and better support for the public and researchers to do patient and public involvement in research. The author has created a new way of providing support for patient and public involvement based on co-operation between organisations. Termed 'share-banking', this model pools limited resources across organisations to deliver a regional programme of support activities for patient and public involvement over the long term. This includes helping organisations to share and learn from each other to avoid 're-inventing wheels' (where separate organisations each develop the same thing from the beginning). The 'Going the Extra Mile' report recommends that local organisations should work together to deliver public involvement activities across a region. 'Share-banking' should help fulfil this recommendation. The 'Going the Extra Mile' final report opened with the ambition to increase the public's awareness, participation and involvement in research. It stated the need for public and researchers to be better supported to do public involvement. A new co-operative model, termed 'share-banking', has been developed whereby organisations pool limited resources to create and sustain support for patient and public involvement in research. This should fulfil the 'Going the Extra Mile' report's recommendation to take a collaborative, cross-organisational and regional approach to public involvement.

  19. Absolute Lymphocyte Count Is Not a Suitable Alternative to CD4 Count for Determining Initiation of Antiretroviral Therapy in Fiji

    Science.gov (United States)

    Balak, Dashika A.; Ram, Sharan; Devi, Rachel R.; Graham, Stephen M.

    2014-01-01

    Introduction. An absolute lymphocyte count is commonly used as an alternative to a CD4 count to determine initiation of antiretroviral therapy for HIV-infected individuals in Fiji when a CD4 count is unavailable. Methods. We conducted a retrospective analysis of laboratory results of HIV-infected individuals registered at all HIV clinics in Fiji. Results. Paired absolute lymphocyte and CD4 counts were available for 101 HIV-infected individuals, and 96% had a CD4 count of ≤500 cells/mm3. Correlation between the counts in individuals was poor (Spearman rank correlation r = 0.5). No absolute lymphocyte count could be determined in this population as a suitable surrogate for a CD4 count of either 350 cells/mm3 or 500 cells/mm3. The currently used absolute lymphocyte count of ≤2300 cells/μL had a positive predictive value of 87% but a negative predictive value of only 17% for a CD4 of ≤350 cells/mm3 and if used as a surrogate for a CD4 of ≤500 cells/mm3 it would result in all HIV-infected individuals receiving ART including those not yet eligible. Weight, CD4 count, and absolute lymphocyte count increased significantly at 3 months following ART initiation. Conclusions. Our findings do not support the use of absolute lymphocyte count to determine antiretroviral therapy initiation in Fiji. PMID:25400669

  20. Effects of the accident at Three Mile Island on the mental health and behavior responses of the general population and the nuclear workers

    Energy Technology Data Exchange (ETDEWEB)

    Fabrikant, J.I.

    1982-02-01

    A main conclusion drawn from the investigation by the President's Commission was that the most serious health effect of the Three Mile Island nuclear accident was severe mental stress, which was short-lived. The highest levels of psychological distress were found among those living within 5 miles of Three Mile Island, in families with preschool children, and among the Three Mile Island nuclear workers. This report provides some understanding of how these conclusions were drawn, the methods used to obtain information of the experiences of mental stress and the behavioral effects and responses of the general population and the nuclear workers to the accident at Three Mile Island. In order to limit the scope of the discussion, information is taken from the Behavioral Effects Task Group Report (TMI79c) to the President's Commission, and thus from the labors of the many behavioral scientists.