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Sample records for syndrome central plateau

  1. CENTRAL PLATEAU REMEDIATION

    International Nuclear Information System (INIS)

    ROMINE, L.D.

    2006-01-01

    A systematic approach to closure planning is being implemented at the Hanford Site's Central Plateau to help achieve the goal of closure by the year 2035. The overall objective of Central Plateau remediation is to protect human health and the environment from the significant quantity of contaminated material that resulted from decades of plutonium production in support of the nation's defense. This goal will be achieved either by removing contaminants or placing the residual contaminated materials in a secure configuration that minimizes further migration to the groundwater and reduces the potential for inadvertent intrusion into contaminated sites. The approach to Central Plateau cleanup used three key concepts--closure zones, closure elements, and closure process steps--to create an organized picture of actions required to complete remediation. These actions were merged with logic ties, constraints, and required resources to produce an integrated time-phased schedule and cost profile for Central Plateau closure. Programmatic risks associated with implementation of Central Plateau closure were identified and analyzed. Actions to mitigate the most significant risks are underway while high priority remediation projects continue to make progress

  2. PLATEAU IRIS SYNDROME--CASE SERIES.

    Science.gov (United States)

    Feraru, Crenguta Ioana; Pantalon, Anca Delia; Chiselita, Dorin; Branisteanu, Daniel

    2015-01-01

    Plateau iris is characterized by closing the anterior chamber angle due to a large ciliary body or due to its anterior insertion that alters the position of iris periphery in respect to the trabecular meshwork. There are two aspects that need to be differentiated: plateau iris configuration and plateau iris syndrome. The first describes a situation when the iris root is flat and the anterior chamber is not shallow, the latter refers to a post laser iridotomy condition in which a patent iridotomy has removed the relative pupillary block, but goniscopically confirmed angle closure recurs without central shallowing of the anterior chamber. Isolated plateau iris syndrome is rare compared to plateau iris configuration. We hereby present two case reports of plateau iris syndrome in young patients who came to an ophthalmologic consult by chance.

  3. CENTRAL PLATEAU REMEDIATION OPTIMIZATION STUDY

    Energy Technology Data Exchange (ETDEWEB)

    BERGMAN, T. B.; STEFANSKI, L. D.; SEELEY, P. N.; ZINSLI, L. C.; CUSACK, L. J.

    2012-09-19

    THE CENTRAL PLATEAU REMEDIATION OPTIMIZATION STUDY WAS CONDUCTED TO DEVELOP AN OPTIMAL SEQUENCE OF REMEDIATION ACTIVITIES IMPLEMENTING THE CERCLA DECISION ON THE CENTRAL PLATEAU. THE STUDY DEFINES A SEQUENCE OF ACTIVITIES THAT RESULT IN AN EFFECTIVE USE OF RESOURCES FROM A STRATEGIC PERSPECTIVE WHEN CONSIDERING EQUIPMENT PROCUREMENT AND STAGING, WORKFORCE MOBILIZATION/DEMOBILIZATION, WORKFORCE LEVELING, WORKFORCE SKILL-MIX, AND OTHER REMEDIATION/DISPOSITION PROJECT EXECUTION PARAMETERS.

  4. HANFORD SITE CENTRAL PLATEAU CLEANUP COMPLETION STRATEGY

    International Nuclear Information System (INIS)

    Bergman, T.B.

    2011-01-01

    Cleanup of the Hanford Site is a complex and challenging undertaking. The U.S. Department of Energy (DOE) has developed a comprehensive vision for completing Hanford's cleanup mission including transition to post-cleanup activities. This vision includes 3 principle components of cleanup: the ∼200 square miles ofland adjacent to the Columbia River, known as the River Corridor; the 75 square miles of land in the center of the Hanford Site, where the majority of the reprocessing and waste management activities have occurred, known as the Central Plateau; and the stored reprocessing wastes in the Central Plateau, the Tank Wastes. Cleanup of the River Corridor is well underway and is progressing towards completion of most cleanup actions by 2015. Tank waste cleanup is progressing on a longer schedule due to the complexity of the mission, with construction of the largest nuclear construction project in the United States, the Waste Treatment Plant, over 50% complete. With the progress on the River Corridor and Tank Waste, it is time to place increased emphasis on moving forward with cleanup of the Central Plateau. Cleanup of the Hanford Site has been proceeding under a framework defmed in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement). In early 2009, the DOE, the State of Washington Department of Ecology, and the U.S. Environmental Protection Agency signed an Agreement in Principle in which the parties recognized the need to develop a more comprehensive strategy for cleanup of the Central Plateau. DOE agreed to develop a Central Plateau Cleanup Completion Strategy as a starting point for discussions. This DOE Strategy was the basis for negotiations between the Parties, discussions with the State of Oregon, the Hanford Advisory Board, and other Stakeholder groups (including open public meetings), and consultation with the Tribal Nations. The change packages to incorporate the Central Plateau Cleanup Completion Strategy were signed by the

  5. Central Pain Syndrome

    Science.gov (United States)

    ... such as neurontin (gabapentin) can be useful. Lowering stress levels appears to reduce pain. View Full Treatment Information Definition Central pain syndrome is a neurological condition caused ...

  6. Heat flow in the north-central Colorado Plateau

    International Nuclear Information System (INIS)

    Bodell, J.M.; Chapman, D.S.

    1982-01-01

    We report new heat flow measurements at 25 evenly distributed sites in the north-central Colorado Plateau. Heat flow values computed for these new sites and one previously published site range from 43 to 116 mW m -2 but fall into the following district subsets related to physiographic and tectonic elements within the Plateau: (1) heat flow of 51 mW m -2 (12 sites; s.d. 6) in the San Rafael Swell and Green River Desert which constitute the core of the Colorado Plateau at this latitude, (2) heat flows of 69 mW m -2 (5 sites; s.d. 10) in successive parallel north-south bands approaching the Wasatch Plateau to the west but still 80 km east of the Basin and Range physiographic boundary, (3) heat flow of 64 mW m -2 (5 sites; s.d. 2) along the Salt Anticline trend which strikes northwest in the region of Moab, Utah. Heat flow results for the entire Colorado Plateau have been reexamined in view of our new results, and the overall pattern supports the concept of a low heat flow 'thermal interior' for the plateau surrounded by a periphery some 100 km wide having substantially higher heat flow. Average heat flow in the thermal interior is about 60 mW m -2 compared to 80--90 mW m -2 in the periphery. This regional heat flow pattern supports a model of tertiary lithospheric thinning under the Colorado Plateau whereby the plateau is still in transient thermal response and a 15--20 m.y. lag between uplift and corresponding surface heat flow anomaly is to be expected. The position of the heat flow transition between our interior and peripheral regions in the northwest plateau is roughly consistent with lateral warming and weakening of the Colorado Plateau lithosphere initiated at the Basin and Range boundary some 20 m.y. ago

  7. FINAL FRONTIER AT HANFORD TACKLING THE CENTRAL PLATEAU

    International Nuclear Information System (INIS)

    GERBER MS

    2008-01-01

    The large land area in the center of the vast Department of Energy (DOE) Hanford Site in southeast Washington State is known as 'the plateau'--aptly named because its surface elevations are 250-300 feet above the groundwater table. By contrast, areas on the 585-square mile Site that border the Columbia River sit just 30-80 feet above the water table. The Central Plateau, which covers an ellipse of approximately 70 square miles, contains Hanford's radiochemical reprocessing areas--the 200 East and 200 West Areas--and includes the most highly radioactive waste and contaminated facilities on the Site. Five 'canyons' where chemical processes were used to separate out plutonium (Pu), 884 identified soil waste sites (including approximately 50 miles of solid waste burial trenches), more than 900 structures, and all of Hanford's liquid waste storage tanks reside in the Central Plateau. (Notes: Canyons is a nickname given by Hanford workers to the chemical reprocessing facilities. The 177, underground waste tanks at Hanford comprise a separate work scope and are not under Fluor's management). Fluor Hanford, a DOE prime cleanup contractor at the Site for the past 12 years, has moved aggressively to investigate Central Plateau waste sites in the last few years, digging more than 500 boreholes, test pits, direct soil 'pushes' or drive points; logging geophysical data sets; and performing electrical-resistivity scans (a non-intrusive technique that maps patterns of sub-surface soil conductivity). The goal is to identify areas of contamination areas in soil and solid waste sites, so that cost-effective and appropriate decisions on remediation can be made. In 2007, Fluor developed a new work plan for DOE that added 238 soil waste-site characterization activities in the Central Plateau during fiscal years (FYs) 2007-2010. This number represents a 50 percent increase over similar work previously done in central Hanford. Work Plans are among the required steps in the Comprehensive

  8. Unilatelaral iris plateau syndrome after the use of ecstasy

    Directory of Open Access Journals (Sweden)

    Jovanović Predrag

    2009-01-01

    Full Text Available Bacground. Courmon street name for 3,4-Methylenedioxymethamphetamine (MDMA is ecstasy. This widely abused 'recreational' drug causes both an increased release of monoamine neurotransmitters, including serotonine and dopamine, and an increased reuptake inhibition of serotonin. As a consequence, mydriasis and increased intraocular pressure (IOP in predisposed patients occur. We present herein a rare case of acute increased IOP after use of ecstasy. Case report. A female patient, aged 38 years, visited doctor complaing of a decreased vision acuity and severe pain in the left eye and in the left part of the head. The initial treatment was urgent antiglaucomatous therapy followed by withdrawal of subjective problems of the patient and improvement of objective finding. History taking procedure reveled that just before the onset of the pain the patient had used ecstasy and had had similar 'experience' 6 years ago after cocaine snorting. She had not been to a doctor although she had experienced sporadic migrenous pain. Previous medical records excavation of revealed optic disk (cup-to-dise C/D=06, Bjerum arcuate scotoma and iris plateau with narrow chamber angle (Scheie II- III so the diagnosis was a rare unilateral iris plateau syndrome of the left eye. Although the patient was given some pieces of information about the dangerous and possible deadly consequences of psychoactive substance abuse, she has not continue the treatment. Conclusion. Ecstasy abuse might cause a complete loss of vision, thus medicametous and surgical treatment are obligatory.

  9. Psychosocial Factors and Central Sensitivity Syndromes

    OpenAIRE

    Adams, Leah M.; Turk, Dennis C.

    2015-01-01

    Central sensitivity syndromes (CSSs) represent a heterogeneous group of disorders (e.g., fibromyalgia [FM], irritable bowel syndrome [IBS], chronic headache, temporomandibular disorders [TMDs], pelvic pain syndromes) that share common symptoms, with persistent pain being the most prominent feature.

  10. Model Package Report: Central Plateau Vadose Zone Geoframework Version 1.0

    Energy Technology Data Exchange (ETDEWEB)

    Springer, Sarah D.

    2018-03-27

    The purpose of the Central Plateau Vadose Zone (CPVZ) Geoframework model (GFM) is to provide a reasonable, consistent, and defensible three-dimensional (3D) representation of the vadose zone beneath the Central Plateau at the Hanford Site to support the Composite Analysis (CA) vadose zone contaminant fate and transport models. The GFM is a 3D representation of the subsurface geologic structure. From this 3D geologic model, exported results in the form of point, surface, and/or volumes are used as inputs to populate and assemble the various numerical model architectures, providing a 3D-layered grid that is consistent with the GFM. The objective of this report is to define the process used to produce a hydrostratigraphic model for the vadose zone beneath the Hanford Site Central Plateau and the corresponding CA domain.

  11. Extensional Seismogenic Stress and Tectonic Movement on the Central Region of the Tibetan Plateau

    Directory of Open Access Journals (Sweden)

    Jiren Xu

    2009-01-01

    Full Text Available Various earthquake fault types, mechanism solutions and stress fields, as well as GPS and geothermal data are analyzed for the study of the crustal movements on the Tibetan plateau and their tectonic implications. The results show that a lot of the normal faulting type-event concentrated at altitudes greater than 4000 m on the central Tibetan plateau. The altitudes concentrating normal faulting type-events can be zoned two parts: the western part, the Lhasa block, and the eastern part, the Qiangtang-Changdu region. The azimuths of T-axes are in a general E-W direction in the Lhasa block and NW-SE or NNW-SSE in the Qiangtang-Changdu region at the altitudes of the Tibetan plateau. The tensional stresses in E-W direction and NW-SE direction predominate normal faulting earthquake occurrence in the Lhasa block and the Qiangtang-Changdu region, respectively. The slipping displacements of the normal-faulting-type events have great components in near E-W direction and NW-SE direction in the Lhasa block and the Qiangtang-Changdu region, respectively. The extensions are probably an eastward or southeastward extensional motion, being mainly tectonic activity phenomena in the plateau altitudes. The extensional motions due to normal-fault earthquakes are important tectonic activity regimes on the high altitudes of the plateau. The easterly crustal extensions on the plateau are attributable to the gravitational collapse of the high plateau and eastward extrusion of hotter mantle materials beneath the eastern boundary of the plateau. Numbers of thrust-fault and strike-slip-fault earthquakes with strong compressive stress in a general NNE-SSW direction occur on the edges of the plateau.

  12. Genetics Home Reference: congenital central hypoventilation syndrome

    Science.gov (United States)

    ... Kravis EM, Zhou L, Rand CM, Weese-Mayer DE. Congenital central hypoventilation syndrome: PHOX2B mutations and phenotype. Am J Respir Crit ... BA, Leurgans SE, Berry-Kravis EM, Weese-Mayer DE. Congenital central hypoventilation syndrome: PHOX2B genotype determines risk for sudden death. Pediatr ...

  13. A possible cause of the Miocene uplift and volcanism in the central Anatolian plateau

    Science.gov (United States)

    Bartol, J.; Govers, R. M.; Wortel, M. J.

    2010-12-01

    During the middle and late Miocene (13-5Ma) several seemingly unrelated events occurred in central Anatolia, Turkey; (1) a new epoch of widespread volcanic activity with a mantle signature, (2) sudden uplift and disruption of a Oligocene-lower Miocene palaeo drainage system in the Western Taurus (southwest Turkey) and (3) a regional regression across southern Turkey (Antalya, Adana, Mut) coeval with volcanic activity. These observations suggest an uplift (>1000 meters) of the central Anatolian plateau by a mechanism which also triggered widespread volcanic activity. In eastern Anatolia, similar events are attributed to delamination of the lithospheric mantle [e.g. Keskin et al., 2003]. Results from tomography [W.Spakman, pers. com]) suggest that the (deeper) Bitlis slab was laterally continuous below the eastern and central Anatolian plateau. We therefore propose that the scenario developed for eastern Anatolian plateau also applies to the central Anatolian plateau. In this scenario, delamination started along the Izmir-Ankara-Erzincan suture zone and was possibly induced by remnants of a northern Neotethys slab or continental collision between Arabia and Eurasia. As the lithospheric mantle separated from the crust it sank into the asthenosphere and was replaced by hot mantle material. If true, delamination is expected to have had a thermal and isostatic imprint. Using a three-dimensional thermal-flexural model and taking changes of the effective elastic thickness due to thermal perturbation into account, we aim to quantify the possible imprints in the geological record of the central and eastern Anatolian plateau. Our model results show that delamination of the lithospheric mantle can explain the present day elevation (1500 m) of the central Anatolian plateau. For the eastern Anatolian plateau, however, delamination of the lithospheric mantle alone can only explain half (1000 m) of the present day elevation. Thickening of the eastern Anatolia crust by 1-5 km (β=1

  14. Evaluation of Soil Flushing for Application to the Deep Vadose Zone in the Hanford Central Plateau

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J.; Oostrom, Martinus; Zhang, Z. F.; Carroll, Kenneth C.; Schramke, Janet A.; Wietsma, Thomas W.; Tartakovsky, Guzel D.; Gordon, Kathryn A.; Last, George V.

    2010-11-01

    Soil flushing was included in the Deep Vadose Zone Treatability Test Plan for the Hanford Central Plateau as a technology with the potential to remove contaminants from the vadose zone. Soil flushing operates through the addition of water, and if necessary an appropriate mobilizing agent, to mobilize contaminants and flush them from the vadose zone and into the groundwater where they are subsequently captured by a pump-and-treat system. There are uncertainties associated with applying soil flushing technology to contaminants in the deep vadose zone at the Hanford Central Plateau. The modeling and laboratory efforts reported herein are intended to provide a quantitative assessment of factors that impact water infiltration and contaminant flushing through the vadose zone and into the underlying groundwater. Once in the groundwater, capture of the contaminants would be necessary, but this aspect of implementing soil flushing was not evaluated in this effort. Soil flushing was evaluated primarily with respect to applications for technetium and uranium contaminants in the deep vadose zone of the Hanford Central Plateau.

  15. Consuming the savings: Water conservation in a vegetation barrier system at the Central Plateau in Burkina Faso

    OpenAIRE

    Spaan, W.

    2003-01-01

    The vast majority of land users at the Central Plateau of Burkina Faso make a living by farming small plots, where mainly staple crops are produced for subsistence use. Both area interventions and line interventions comprising indigenous techniques as well as introduced techniques can be encountered at the Central Plateau and have proved to be effective. There is a preference for semi-permeable line measures that slow down runoff and prevent water logging in wet periods.In order to ascertain ...

  16. Ecotone shift and major droughts during the mid-late Holocene in the central Tibetan Plateau.

    Science.gov (United States)

    Shen, Caiming; Liu, Kam-Biu; Morrill, Carrie; Overpeck, Jonathan T; Peng, Jinlan; Tang, Lingyu

    2008-04-01

    A well-dated pollen record from a large lake located on the meadow-steppe ecotone provides a history of ecotone shift in response to monsoonal climate changes over the last 6000 years in the central Tibetan Plateau. The pollen record indicates that the ecotone shifted eastward during 6000-4900, 4400-3900, and 2800-1600 cal. yr BP when steppes occupied this region, whereas it shifted westward during the other intervals when the steppes were replaced by meadows. The quantitative reconstruction of paleoclimate derived from the pollen record shows that monsoon precipitation fluctuated around the present level over the last 6000 years in the central Tibetan Plateau. Three major drought episodes of 5600-4900, 4400-3900, and 2800-2400 cal. yr BP are detected by pollen signals and lake sediments. Comparison of our record with other climatic proxy data from the Tibetan Plateau and other monsoonal regions shows that these episodes are three major centennial-scale monsoon weakening events.

  17. Seismic imaging of the upper mantle beneath the northern Central Andean Plateau: Implications for surface topography

    Science.gov (United States)

    Ward, K. M.; Zandt, G.; Beck, S. L.; Wagner, L. S.

    2015-12-01

    Extending over 1,800 km along the active South American Cordilleran margin, the Central Andean Plateau (CAP) as defined by the 3 km elevation contour is second only to the Tibetan Plateau in geographic extent. The uplift history of the 4 km high Plateau remains uncertain with paleoelevation studies along the CAP suggesting a complex, non-uniform uplift history. As part of the Central Andean Uplift and the Geodynamics of High Topography (CAUGHT) project, we use surface waves measured from ambient noise and two-plane wave tomography to image the S-wave velocity structure of the crust and upper mantle to investigate the upper mantle component of plateau uplift. We observe three main features in our S-wave velocity model including (1), a high velocity slab (2), a low velocity anomaly above the slab where the slab changes dip from near horizontal to a normal dip, and (3), a high-velocity feature in the mantle above the slab that extends along the length of the Altiplano from the base of the Moho to a depth of ~120 km with the highest velocities observed under Lake Titicaca. A strong spatial correlation exists between the lateral extent of this high-velocity feature beneath the Altiplano and the lower elevations of the Altiplano basin suggesting a potential relationship. Non-uniqueness in our seismic models preclude uniquely constraining this feature as an uppermost mantle feature bellow the Moho or as a connected eastward dipping feature extending up to 300 km in the mantle as seen in deeper mantle tomography studies. Determining if the high velocity feature represents a small lithospheric root or a delaminating lithospheric root extending ~300 km into the mantle requires more integration of observations, but either interpretation shows a strong geodynamic connection with the uppermost mantle and the current topography of the northern CAP.

  18. Active shortening, intermontane basin formation, and geomorphic evolution in an orogenic plateau: Central Puna Plateau, NW Argentina (24°37'S, 67°03'W)

    Science.gov (United States)

    Strecker, Manfred R.; Alonso, Ricardo N.; Bookhagen, Bodo; Freymark, Jessica; Pingel, Heiko

    2017-04-01

    The high-elevation Andean Plateau (Altiplano-Puna; 4km) is a first-order morphotectonic province of the Central Andes and constitutes the world's second largest orogenic plateau. While there are many unifying basin characteristics in this region, including internal drainage, semi-arid to arid climate and associated deposition of evaporites, there are notable differences between the northern and southern parts of the plateau. In contrast to the vast basins of the Altiplano (north) and incipient establishment of fluvial connectivity and sediment transport to the foreland, the Puna (south) comprises numerous smaller basins, bordered by reverse-fault bounded ranges up to 6 km high. The plateau is internally drained and fluvial connectivity with the foreland does not exist leading to thick sedimentary basin fills that comprise continental evaporites, volcanic and clastic deposits, typically between 3 and 5 km thick. However, repeated impacts of climate change and superposed tectonic activity in the southern plateau have resulted in further basin differentiation, abandonment or re-arrangement of fluvial networks and impacts on sediment transport. Here we report evidence for sustained contractional tectonic activity in the Pocitos Basin in the southern plateau. On the western margin of the basin fanning of dipping strata and regraded, steeply inclined gravel-covered pediment surfaces and wind gaps associated with gravel derived from distant sources in the west document late Tertiary to Pleistocene growth of an approximately N-S oriented and N plunging anticline. The growth of the eastern limb of this anticline has caused the isolation of a formerly more extensive basin. In addition, Late Pleistocene and Holocene lake shorelines and lacustrine deposits are tilted eastward along the same structure and InSAR measurements of deformed lake terraces document that the fold is growing. Despite widely reported extensional faulting in the southern Puna, we conclude (1) that the

  19. Segmentation of Slow Slip Events in South Central Alaska Possibly Controlled by a Subducted Oceanic Plateau

    Science.gov (United States)

    Li, Haotian; Wei, Meng; Li, Duo; Liu, Yajing; Kim, YoungHee; Zhou, Shiyong

    2018-01-01

    Recent GPS observations show that slow slip events in south central Alaska are segmented along strike. Here we review several mechanisms that might contribute to this segmentation and focus on two: along-strike variation of slab geometry and effective normal stress. We then test them by running numerical simulations in the framework of rate-and-state friction with a nonplanar fault geometry. Results show that the segmentation is most likely related to the along-strike variation of the effective normal stress on the fault plane caused by the Yakutat Plateau. The Yakutat Plateau could affect the effective normal stress by either lowering the pore pressure in Upper Cook Inlet due to less fluids release or increasing the normal stress due to the extra buoyancy caused by the subducted Yakutat Plateau. We prefer the latter explanation because it is consistent with the relative amplitudes of the effective normal stress in Upper and Lower Cook Inlet and there is very little along-strike variation in Vp/Vs ratio in the fault zone from receiver function analysis. However, we cannot exclude the possibility that the difference in effective normal stress results from along-strike variation of pore pressure due to the uncertainties in the Vp/Vs estimates. Our work implies that a structural anomaly can have a long-lived effect on the subduction zone slip behavior and might be a driving factor on along-strike segmentation of slow slip events.

  20. An analysis of potential impacts to the groundwater monitoring networks in the Central Plateau. Revision 0

    International Nuclear Information System (INIS)

    1996-01-01

    This report presents the results of an evaluation of potential impacts to the four groundwater monitoring projects operating in the Central Plateau of the Hanford Site. It specifically fulfills Milestone M-15-81A of the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement). Milestone M-15-81A specifies the evaluation of the potential impacts to the groundwater monitoring well systems in the Central Plateau caused by the following activities: reduction of liquids discharged to soil, proposed and operational liquid treatment facilities, and proposed pump-and-treat systems. For this report, an open-quotes impactclose quotes is defined as a restriction of the ability to draw samples from a well and/or a reduction of the ability of a monitoring well to meet its intended purpose (such as the detection of contaminant seepage from a facility). Approximately 20% (74 wells) of the groundwater monitoring wells potentially will experience sampling problems by the year 2005 due to the declining water table in the Central Plateau. Reduction of discharges to the B Pond complex and operation of the Treated Effluent Disposal System will directly cause four additional wells to potentially experience sampling problems. Approximately 90 monitoring wells (35 of which are Resource Conservation and Recovery Act of 1976 [RCRA] wells) will be potentially affected by the operation of pump-and-treat systems in the 200 West Area. Most of the impacts will be caused by local changes to groundwater flow directions that will potentially reduce the ability of the RCRA well network to monitor a limited number of RCRA facilities

  1. Structural analysis of the central Columbia Plateau utilizing radar, digital topography, and magnetic data bases

    International Nuclear Information System (INIS)

    Thiessen, R.L.; Eliason, J.R.; Johnson, L.K.; Brougher, C.W.

    1991-08-01

    Interest in the Hanford site (Washington) as a nuclear production, power, and waste disposal site has led to generation of a vast quantity of geophysical and remote sensing data sets of the central Columbia Plateau. To data, these various studies, including at least 13 independent magnetic linear and image lineament studies, have not been adequately correlated. Therefore, these studies provide a unique opportunity to compare and contrast the viability of the different geophysical and remote sensing techniques. The geology of the central Columbia Plateau is characterized by subdued topography and limited outcrop, with most of the exposure concentrated in localized folded/faulted mountains (the Yakima folds) and along river canyons. In order to efficiently compare lineament data bases, we have written an automated computer routine that correlated lineaments that are within a user specified distance of each other. The angle between their trends has to be less than an input maximum separation angle. If more than two lineament maps exist for the area, the analyst may also specify the minimum number of times each structure must be seen. The lineament correlation routine was applied to data bases of all aeromagnetic linears as well as lineaments seen on radar and a digital elevation model DEM image. Geologic structures align with a set of three-dimensional planar structures identified with our Geologic Spatial Analysis (GSA) system. The GSA analysis is based upon computer automated detection of valley bottoms as defined by a DEM

  2. Widespread Neogene and Quaternary Volcanism on Central Kerguelen Plateau, Southern Indian Ocean

    Science.gov (United States)

    Duncan, R. A.; Falloon, T.; Quilty, P. G.; Coffin, M. F.

    2016-12-01

    We report new age determinations and compositions for rocks from 18 dredge hauls collected from eight submarine areas across Central Kerguelen Plateau (CKP). Sea knolls and volcanic fields with multiple small cones were targeted over a 125,000 km2 region that includes Heard and McDonald islands. Large early Miocene (16-22 Ma) sea knolls rise from the western margin of the CKP and are part of a NNW-SSE line of volcanic centers that lie between Îles Kerguelen and Heard and McDonald islands. A second group of large sea knolls is aligned E-W across the center of this region. We see evidence of much younger activity (5 Ma to present) in volcanic fields to the north of, and up to 300 km NE of Heard Island. Compositions include basanite, basalt, and trachybasalt, that are broadly similar to plateau lava flows from nearby Ocean Drilling Program (ODP) Site 1138, lower Miocene lavas at Îles Kerguelen, dredged rocks from the early Miocene sea knolls, and Big Ben lavas from Heard Island. Geochemical data indicate decreasing fractions of mantle source melting with time. The western line of sea knolls has been related to hotspot activity now underlying the Heard Island area. In view of the now recognized much larger area of young volcanic activity, we propose that a broad region of CKP became volcanically active in Neogene time due to incubation of plume material at the base of the relatively stationary overlying plateau. The presence of pre-existing crustal faults promotes access for melts from the Heard mantle plume to rise to the surface.

  3. Congenital Central Hypoventilation Syndrome And Intestinal

    African Journals Online (AJOL)

    Congenital central hypoventilation syndrome (CCHS) or 'Ondine's curse' is characterised by an abnormal ventilatory response to progressive hypercapnia and sustained hypoxaemia. During the neonatal period, most patients with this condition present with hypoventilation or apnoea while asleep. Patients with CCHS may ...

  4. Congenital central hypoventilation syndrome mimicking mitochondrial disease.

    Science.gov (United States)

    Rojnueangnit, Kitiwan; Descartes, Maria

    2018-03-01

    Later-onset congenital central hypoventilation syndrome (LO-CCHS) does not present only breathing problems but can be present as episodic multiple organs involvement. Our unique case demonstrated LO-CCHS should be considered in the differential diagnosis of mitochondrial diseases and having nontypical polysomnography result.

  5. Assessment of hydropower potential in small karst catchments: the case of the Rocche Plateau, Central Italy

    Directory of Open Access Journals (Sweden)

    Leopardi Maurizio

    2017-01-01

    Full Text Available Estimation of flow duration characteristics is key in assessing hydropower potential in natural catchments. However, such analysis is not usually straightforward, especially in ungauged sites and/or in complex catchment areas. In this study we evaluate the feasibility of revamping of a small hydroelectric power plant, located in a karst plateau in central Italy, by assessing the hydropower potential of its feeding surface and subsurface stream network. A thorough analysis of runoff processes occurring in the examined area is carried out in order to corroborate regionalization studies based on measured specific flows in neighboring homogeneous basins. The results show an appreciable availability of water resources to be exploited for hydropower purposes.

  6. Idioms of distress, ethnopsychology, and the clinical encounter in Haiti's Central Plateau.

    Science.gov (United States)

    Keys, Hunter M; Kaiser, Bonnie N; Kohrt, Brandon A; Khoury, Nayla M; Brewster, Aimée-Rika T

    2012-08-01

    Haiti's 2010 earthquake mobilized mental health and psychosocial interventions from across the globe. However, failure to understand how psychological distress is communicated between lay persons and health workers in rural clinics, where most Haitians access care, has been a major limitation in providing mental health services. The goal of this study was to map idioms of distress onto Haitian ethnopsychologies in a way that promotes improved communication between lay persons and clinicians in rural Haiti. In Haiti's Central Plateau, an ethnographic study was conducted in May and June 2010, utilizing participant observation in rural clinics, 31 key informant interviews, 11 focus groups, and four case studies. Key informants included biomedical practitioners, traditional healers, community leaders, and municipal and religious figures. Deductive and inductive themes were coded using content analysis (inter-rater reliability > 0.70). Forty-four terms for psychological distress were identified. Head (tèt) or heart (kè) terms comprise 55% of all qualitative text segments coded for idioms of distress. Twenty-eight of 142 observed patient-clinician contacts involved persons presenting with tèt terms, while 29 of the 142 contacts were presentations with kè terms. Thus, 40% of chief complaints were conveyed in either head or heart terms. Interpretations of these terms differed between lay and clinical groups. Lay respondents had broad and heterogeneous interpretations, whereas clinicians focused on biomedical concepts and excluded discussion of mental health concerns. This paper outlines preliminary evidence regarding the psychosocial dimensions of tèt and kè-based idioms of distress and calls for further exploration. Holistic approaches to mental healthcare in Haiti's Central Plateau should incorporate local ethnopsychological frameworks alongside biomedical models of healthcare. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Long-term Outcome of Argon Laser Peripheral Iridoplasty in the Management of Plateau Iris Syndrome Eyes.

    Science.gov (United States)

    Peterson, Jeffrey R; Anderson, John W; Blieden, Lauren S; Chuang, Alice Z; Feldman, Robert M; Bell, Nicholas P

    2017-09-01

    To report long-term (>5 y) outcomes of plateau iris syndrome patients treated with argon laser peripheral iridoplasty (ALPI). A retrospective chart review was performed on all patients with plateau iris syndrome treated with ALPI from 1996 to 2007. The study included 22 eyes from 22 patients with plateau iris after peripheral iridotomy that were followed for at least 1 year after ALPI. The primary outcome was incidence of needing any intraocular pressure (IOP)-lowering medications or surgery (either a filtering procedure or phacoemulsification). Demographic and baseline clinical data were summarized by mean (±SD) or frequency (percentage). Snellen best-corrected visual acuity was converted to logMAR. The paired t test was used to compare IOP changes, number of IOP-lowering medications, and best-corrected visual acuity from baseline to annual follow-up. Mean follow-up was 76 months. Only 2 (9%) eyes maintained an IOPiris in our patient population.

  8. Consuming the savings : Water Conservation in a Vegetation Barrier System at the Central Plateau in Burkina Faso

    NARCIS (Netherlands)

    Spaan, W.P.

    2003-01-01

    The vast majority of land users at the Central Plateau of Burkina Faso make a living by farming small plots, where mainly staple crops are produced for subsistence use. Both area interventions and line interventions comprising indigenous techniques as well as introduced techniques can be encountered

  9. Hyperthyroidism hidden by congenital central hypoventilation syndrome.

    Science.gov (United States)

    Fox, Danya A; Weese-Mayer, Debra E; Wensley, David F; Stewart, Laura L

    2015-05-01

    Congenital central hypoventilation syndrome (CCHS) is a rare neurocristopathy with severe central hypoventilation. CCHS results from a mutation in the paired-like homeobox 2B gene (PHOX2B). In addition to hypoventilation, patients with CCHS display a wide array of autonomic nervous system abnormalities, including decreased heart rate variability and abrupt sinus pauses, esophageal dysmotility, abnormal pupillary light response, and temperature dysregulation, to name a few. To date, there has been no documentation of a child with both CCHS and hyperthyroidism. We report the case of a young child with CCHS who presented with tachycardia, which was later found to be due to Grave's disease, after many months of investigation.

  10. Water quality in the central Columbia Plateau, Washington and Idaho, 1992-95

    Science.gov (United States)

    Williamson, Alex K.; Munn, Mark D.; Ryker, Sarah J.; Wagner, Richard J.; Ebbert, James C.; Vanderpool, Ann M.

    1998-01-01

    Water quality in the Central Columbia Plateau of eastern Washington and western Idaho has been adversely affected by agriculture, especially in irrigated areas, according to the results of a five-year investigation by the U. S. Geological Survey (USGS). Some improvements, however, are noticeable, such as less sediment being washed into streams. These improvements may be the result of increased use of best management practices (BMPs) by area farmers. Areas with intensive fertilizer use and irrigation, such as in the Columbia Basin Irrigation Project (CBIP), showed the greatest impacts on ground-water quality. (The CBIP includes parts of Franklin, Grant, and Adams counties in eastern Washington.) by the U.S. Environmental Protection Agency.) 'The story on pesticides is a mixed bag,' Williamson said. 'We found at least one pesticide in nearly half of the drinking water wells sampled, but pesticide levels were only a very small fraction of their MCLs.' As a cautionary note, however, Williamson said that about half of the pesticides detected in Central Columbia Plateau wells do not have MCLs established. A lack of information makes it difficult to assess the significance of finding pesticides in drinking water. 'As scientists, we don't know enough yet about what happens when these pesticides are combined,' he said. 'In some of the very shallow wells that the USGS installed for monitoring purposes, we found up to seven different pesticides.' Encouraging news is that none of the newer pesticides, which break down more rapidly in the environment, were found at concentrations exceeding MCLs. Compounds that exceed drinking water standards were found in only 1 percent of the wells sampled-and those compounds have not been sold as pesticides since the mid-1980s. However, agricultural impacts on water quality go beyond the concerns for drinking water-the aquatic ecosystem of the plateau also has been significantly affected. 'Very little surface water is used for drinking water

  11. Does a weekend effect in diurnal temperature range exist in the eastern and central Tibetan Plateau?

    International Nuclear Information System (INIS)

    You Qinglong; Kang Shichang; Xu Yanwei; Huang Jie; Fluegel, Wolfgang-Albert; Sanchez-Lorenzo, Arturo; Yan Yuping

    2009-01-01

    The 'weekend effect' method (defined here as the average for Saturday through Monday minus the average for Wednesday through Friday) has been used to identify fingerprints of anthropogenic emissions. Based on daily maximum and minimum temperature series from the China Meteorological Administration homogenized dataset, the weekend effect in diurnal temperature range (DTR) at 71 stations with elevations above 2000 m asl in the eastern and central Tibetan Plateau (TP) during 1961-2004 is examined, and principal component analysis (PCA) is performed to cluster series into four subregions with similar weekend effect variability. The DTR demonstrates a much stronger negative weekend effect in autumn and shows larger positive values in winter, which provides a strong evidence of anthropogenic activity in this region, especially in the central TP. Analysis by topographic type and degree of urbanization shows a clear weekly cycle which cannot be explained by a microclimate effect. We hypothesize that the interaction with anthropogenic aerosols from local emissions and transported by atmospheric circulation may account for the weekly cycle in the TP. More caution should be paid to the driving mechanism of the weekend effect in the most remote and clear regions in the world.

  12. Bed-material entrainment and associated transportation infrastructure problems in streams of the Edwards Plateau, central Texas

    Science.gov (United States)

    Heitmuller, Franklin T.; Asquith, William H.

    2008-01-01

    The Texas Department of Transportation commonly builds and maintains low-water crossings (LWCs) over streams in the Edwards Plateau in Central Texas. LWCs are low-height structures, typically constructed of concrete and asphalt, that provide acceptable passage over seasonal rivers or streams with relatively low normal-depth flow. They are designed to accommodate flow by roadway overtopping during high-flow events. The streams of the Edwards Plateau are characterized by cobble- and gravel-sized bed material and highly variable flow regimes. Low base flows that occur most of the time occasionally are interrupted by severe floods. The floods entrain and transport substantial loads of bed material in the stream channels. As a result, LWCs over streams in the Edwards Plateau are bombarded and abraded by bed material during floods and periodically must be maintained or even replaced.

  13. Nutrient cycling and ecosystem metabolism in boreal streams of the Central Siberian Plateau

    Science.gov (United States)

    Diemer, L.; McDowell, W. H.; Prokushkin, A. S.

    2013-12-01

    Arctic boreal streams are undergoing considerable change in carbon and nutrient biogeochemistry due to degrading permafrost and increasing fire activity. Recent studies show that fire increases transport of inorganic solutes from the boreal landscape to arctic streams in some regions; couple this with expected greater labile dissolved organic carbon (DOC) from deepening active layers, enhanced biomass production, and increased annual precipitation and boreal streams may experience greater in-stream primary production and respiration in the coming century. Little is known about the spatial and temporal dynamics of inorganic nutrients in relation to C availability in headwater streams of a major Arctic region, the Central Siberian Plateau. Our preliminary data of Central Siberian headwater streams show NO3 and PO4 concentrations near or below detection limits (e.g. nine samples taken in spring from a small stream near the Russian settlement of Tura averaged 10 μg/L NO3-N and 9.7 μg/L PO4-P), and recent studies in Central Siberia suggest that bioavailable organic matter and inorganic nutrients such as NO3 will likely increase with climate warming. We examined the fate of nutrients in Central Siberian streams using Tracer for Spiraling Curve Characterization (TASCC) additions of NO3, NH4, and PO4 along with conservative tracer, NaCl, in spring at high and low discharges in streams underlain by continuous permafrost in Central Siberia. We also sampled two sites in spring every 2 hours overnight for 24 hours to document any diel patterns in DOC and inorganic nutrients. Our results thus far show that NO3 uptake length may be strongly correlated with DOC concentration (a function of fire activity). Preliminary results also show that despite high discharge and cold temperatures (4-8°C) in mid to late spring, there appears to be biological activity stimulating a diel signal for NO3 with maximum concentration corresponding to low light (11 PM). Investigating the primary

  14. Central Tibetan Plateau atmospheric trace metals contamination: a 500-year record from the Puruogangri ice core

    Science.gov (United States)

    Beaudon, E.; Gabrielli, P.; Sierra Hernandez, R.; Wegner, A.; Thompson, L. G.

    2017-12-01

    Since the 1980s, Asia has experienced enormous industrial development from rapid population growth, industrialization and consequent large-scale environmental changes. The inherent generated atmospheric pollution currently contributes to half of all Earth's anthropogenic trace metals emissions. Asian trace metal aerosols, when deposited on glaciers of the surrounding mountains of the Tibetan Plateau (TP), leave a characteristic chemical fingerprint. Interpreting trace element (TE) records from glaciers implies a thorough comprehension of their provenance and temporal variability. It is then essential to discriminate the TEs' natural background components from their anthropogenic components. Here we present 500-year TE records from the Puruogangri ice core (Tibet, China) that provide a highly resolved account of the impact of past atmospheric influences, environmental processes and human activities on the central TP. A decreasing aeolian dust input to the ice cap allowed the detection of an atmospheric pollution signal. The anthropogenic pollution contribution emerges in the record since the early 1900s and increases substantially after 1935. The metallurgy (Zn, Pb and steel smelting) emission products from the former Soviet Union and especially from central Asia likely enhanced the anthropogenic deposition to the Puruogangri ice cap between 1935 and 1980, suggesting that the westerlies served as a conveyor of atmospheric pollution to central Tibet. The impact of this industrial pollution cumulated with that of the hemispheric coal and gasoline combustion which are respectively traced by Sb and Pb enrichment in the ice. The Chinese steel production accompanying the Great Leap Forward (1958-1961) and the Chinese Cultural Revolution (1966-1976) is proposed as a secondary but proximal source of Pb pollution affecting the ice cap between 1958 and 1976. The most recent decade (1980-1992) of the enrichment time series suggests that Puruogangri ice cap recorded the early

  15. Miocene tectonic history of the Central Tauride intramontane basins, and the paleogeographic evolution of the Central Anatolian Plateau

    Science.gov (United States)

    Koç, Ayten; Kaymakci, Nuretdin; Van Hinsbergen, Douwe J. J.; Kuiper, Klaudia F.

    2017-11-01

    Marine Lower-Upper Miocene deposits uplifted to > 2 km elevation in the Tauride mountains of southern Turkey are taken as evidence for the rise of a nascent plateau. The dynamic causes of this uplift are debated, but generally thought to be a regional dynamic topographic effect of slab motions or slab break-off. Immediately adjacent to the high Tauride mountains lie the Central Tauride Intramontane Basins, which consist of Miocene and younger fluvio-lacustrine basins, at much lower elevations than the highly uplifted marine Miocene rocks. These basins include the previously analyzed Altınapa and Yalvaç basins, as well as the until now undescribed Ilgın Basin. In this paper, we aim to constrain the paleogeography of the Central Tauride Intramontane Basins and determine the role of the tectonics driving the formation of the high Miocene topography in southern Turkey. Therefore, we provide new data on the stratigraphy, sedimentology and structure of the continental Ilgın Basin. We provide an 40Ar/39Ar age of 11.61 ± 0.05 Ma for pumice deposits in the stratigraphy. We provide paleostress inversion analysis based on growth faults showing that the basin formed during multi-directional extension, with NE-SW to E-W dominating over subordinate Nsbnd S extension. We conclude that major, still-active normal faults like the Akşehir Fault also controlled Miocene Ilgın basin formation, with proximal facies close to the basin margins grading upwards and basinwards into lacustrine deposits representing the local depocenter. The Ilgın Basin was a local depocenter, but it may have connected with the adjacent Altınapa Basin during high lake levels in late Serravallian time. The Ilgın Basin and the other continental basins provide key constraints on the paleogeography and tectonic history of the region. These continental basins were likely close to the paleo-coastline during the Late Miocene after which there must have been major differential uplift of the Taurides. We

  16. Surface Mining and Reclamation Effects on Flood Response of Watersheds in the Central Appalachian Plateau Region

    Science.gov (United States)

    Ferrari, J. R.; Lookingbill, T. R.; McCormick, B.; Townsend, P. A.; Eshleman, K. N.

    2009-01-01

    Surface mining of coal and subsequent reclamation represent the dominant land use change in the central Appalachian Plateau (CAP) region of the United States. Hydrologic impacts of surface mining have been studied at the plot scale, but effects at broader scales have not been explored adequately. Broad-scale classification of reclaimed sites is difficult because standing vegetation makes them nearly indistinguishable from alternate land uses. We used a land cover data set that accurately maps surface mines for a 187-km2 watershed within the CAP. These land cover data, as well as plot-level data from within the watershed, are used with HSPF (Hydrologic Simulation Program-Fortran) to estimate changes in flood response as a function of increased mining. Results show that the rate at which flood magnitude increases due to increased mining is linear, with greater rates observed for less frequent return intervals. These findings indicate that mine reclamation leaves the landscape in a condition more similar to urban areas rather than does simple deforestation, and call into question the effectiveness of reclamation in terms of returning mined areas to the hydrological state that existed before mining.

  17. TREATABILITY TEST PLAN FOR DEEP VADOSE ZONE REMEDIATION AT THE HANFORD'S SITE CENTRAL PLATEAU

    International Nuclear Information System (INIS)

    PETERSEN SW; MORSE JG; TRUEX MJ; LAST GV

    2007-01-01

    A treatability test plan has been prepared to address options for remediating portions of the deep vadose zone beneath a portion of the U.S. Department of Energy's (DOE's) Hanford Site. The vadose zone is the region of the subsurface that extends from the ground surface to the water table. The overriding objective of the treatability test plan is to recommend specific remediation technologies and laboratory and field tests to support the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 and Resource Conservation and Recovery Act of 1976 remedial decision-making process in the Central Plateau of the Hanford Site. Most of the technologies considered involve removing water from the vadose zone or immobilizing the contaminants to reduce the risk of contaminating groundwater. A multi-element approach to initial treatability testing is recommended, with the goal of providing the information needed to evaluate candidate technologies. The proposed tests focus on mitigating two contaminants--uranium and technetium. Specific technologies are recommended for testing at areas that may affect groundwater in the future, but a strategy to test other technologies is also presented

  18. Analysis of surface air temperature variations and local urbanization effects on central Yunnan Plateau, SW China

    Science.gov (United States)

    He, Yunling; Wu, Zhijie; Liu, Xuelian; Deng, Fuying

    2018-01-01

    With the surface air temperature (SAT) data at 37 stations on Central Yunnan Plateau (CYP) for 1961-2010 and the Defense Meteorological Satellite Program/Operational Linescan System (DMSP/OLS) nighttime light data, the temporal-spatial patterns of the SAT trends are detected using Sen's Nonparametric Estimator of Slope approach and MK test, and the impact of urbanization on surface warming is analyzed by comparing the differences between the air temperature change trends of urban stations and their corresponding rural stations. Results indicated that annual mean air temperature showed a significant warming trend, which is equivalent to a rate of 0.17 °C/decade during the past 50 years. Seasonal mean air temperature presents a rising trend, and the trend was more significant in winter (0.31 °C/decade) than in other seasons. Annual/seasonal mean air temperature tends to increase in most areas, and higher warming trend appeared in urban areas, notably in Kunming city. The regional mean air temperature series was significantly impacted by urban warming, and the urbanization-induced warming contributed to approximately 32.3-62.9 % of the total regional warming during the past 50 years. Meantime, the urbanization-induced warming trend in winter and spring was more significant than that in summer and autumn. Since 1985, the urban heat island (UHI) intensity has gradually increased. And the urban temperatures always rise faster than rural temperatures on the CYP.

  19. Changing land management practices and vegetation on the Central Plateau of Burkina Faso (1968-2002)

    Science.gov (United States)

    Reij, C.; Tappan, G.; Belemvire, A.

    2005-01-01

    In the early 1980s, the situation on the northern part of the Central Plateau of Burkina Faso was characterized by expanding cultivation on lands marginal to agriculture, declining rainfall, low and declining cereal yields, disappearing and impoverishing vegetation, falling ground-water levels and strong outmigration. This crisis situation provoked two reactions. Farmers, as well as technicians working for non-governmental organizations, started to experiment in improving soil and water conservation (SWC) techniques. When these experiments proved successful, donor agencies rapidly designed SWC projects based on simple, effective techniques acceptable to farmers. A study looked at the impact of SWC investments in nine villages and identified a number of major impacts, including: significant increases in millet and sorghum yields since the mid-1980s, cultivated fields treated with SWC techniques have more trees than 10-15 years ago, but the vegetation on most of the non-cultivated areas continues to degrade, greater availability of forage for livestock, increased investment in livestock by men and women and a beginning change in livestock management from extensive to semi-intensive methods, improved soil fertility management by farmers, locally rising ground-water tables, a decrease in outmigration and a significant reduction in rural poverty. Finally, data are presented on the evolution of land use in three villages between 1968 and 2002. ?? 2005 Elsevier Ltd. All rights reserved.

  20. A Review of Select Centralized Pain Syndromes

    Directory of Open Access Journals (Sweden)

    David R. Spiegel

    2015-01-01

    Full Text Available Pain can be broadly divided into 3 classes, including nociceptive or inflammatory pain (protective, neuropathic (pathological, occurring after damage to the nervous system, or centralized (pathological, due to abnormal function but with no damage or inflammation to the nervous system. The latter has been posited to occur when descending analgesic pathways are attenuated and/or glutamatergic transmission is facilitated. Additionally, this “pain prone phenotype” can be associated with early life trauma and a suboptimal response to opiates. This article will review the relationships between centralized pain syndromes (ie, fibromyalgia, chronic low back pain, childhood sexual abuse, and opiate misuse. Finally, treatment implications, potentially effecting primary care physicians, will be discussed.

  1. Microfacies analysis of foraminifera rich sedimentary rocks from the Desert Plateau, central Egypt.

    Science.gov (United States)

    Karnitschar, C.; Briguglio, A.; Hohenegger, J.

    2012-04-01

    Microfacies analysis on some samples from the Thebes Group have been carried on by means of thin sections. The study area is included in the Libyan Desert Plateau (central Egypt) at following coordinates N27° 36'30.58" E29° 44'58.34", near the biggest dune of Egypt, the Ghard Abu Muharik. Because of the round shape of the rocks and the desert patina on the surface they could easily be classified as the so called "Melonstones", which are located more southwards and mainly composed by stromatolites. On the contrary, the investigated samples show a completely different fauna and therefore have been separated from the "Melonstones". Even if shape and size are very similar and the desert patina covers all surfaces the same way the differences are impressive. To investigate the samples, two thin-sections have been prepared and analyzed at the microscope. The observed fauna is composed by: agglutinated benthic foraminifera (e.g., Dictyoconus egypticus), complex larger miliolids (e.g., Pseudolacazina cf. danatae, Fabularia sp.), alveolinids (Alveolina vredenburgi), green algae (Dasycladaceae), echinoids and corals. Because of the presence of symbionts bearing larger benthic foraminifera, which need light to feed photosymbionts, the rock was formed in a shallow water environment. With the abundant rock-building benthic foraminifera and calcareous algae the limestone shows a tendency to the packstone/wackestone facies. Based on the presence of Alveolina vredenburgi, the age of the samples can be estimate as lowermost Eocene belonging to the shallow benthic zone 5 (sensu Serra-Kiel et al., 1998). According the obtained data on stratigraphy and palaeoecology, a partial palaeoenvironmental reconstruction is possible for the Libyan Desert Plateau where outcrops are largely missing. Because of the round shape of the samples and the patina which covers them all around it can be assumed that they have been transported from longer distance. According to the geological map of the

  2. Evaluating Contaminant Flux from the Vadose Zone to the Groundwater in the Hanford Central Plateau. SX Tank Farms Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Oostrom, Martinus [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Last, George V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Strickland, Christopher E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Tartakovsky, Guzel D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-09-01

    At the DOE Hanford Site, contaminants were discharged to the subsurface through engineered waste sites in the Hanford Central Plateau. Additional waste was released through waste storage tank leaks. Much of the contaminant inventory is still present within the unsaturated vadose zone sediments. The nature and extent of future groundwater contaminant plumes and the growth or decline of current groundwater plumes beneath the Hanford Central Plateau are a function of the contaminant flux from the vadose zone to the groundwater. In general, contaminant transport is slow through the vadose zone and it is difficult to directly measure contaminant flux in the vadose zone. Predictive analysis, supported by site characterization and monitoring data, was applied using a structured, systems-based approach to estimate the future contaminant flux to groundwater in support of remediation decisions for the vadose zone and groundwater (Truex and Carroll 2013). The SX Tank Farm was used as a case study because of the existing contaminant inventory in the vadose zone, observations of elevated moisture content in portions of the vadose zone, presence of a limited-extent groundwater plume, and the relatively large amount and wide variety of data available for the site. Although the SX Tank Farm case study is most representative of conditions at tank farm sites, the study has elements that are also relevant to other types of disposal sites in the Hanford Central Plateau.

  3. Unraveling of permafrost hydrological variabilities on Central Qinghai-Tibet Plateau using stable isotopic technique.

    Science.gov (United States)

    Yang, Yuzhong; Wu, Qingbai; Hou, Yandong; Zhang, Zhongqiong; Zhan, Jing; Gao, Siru; Jin, Huijun

    2017-12-15

    Permafrost degradation on the Qinghai-Tibet Plateau (QTP) will substantially alter the surface runoff discharge and generation, which changes the recharge processes and influences the hydrological cycle on the QTP. Hydrological connections between different water bodies and the influence of thawing permafrost (ground ice) are not well understood on the QTP. This study applied water stable isotopic method to investigate the permafrost hydrological variabilities in Beiluhe Basin (BLB) on Central QTP. Isotopic variations of precipitation, river flow, thermokarst lake, and near-surface ground ice were identified to figure out the moisture source of them, and to elaborate the hydrological connections in permafrost region. Results suggested that isotopic seasonalities in precipitation is evident, it is showing more positive values in summer seasons, and negative values in winter seasons. Stable isotopes of river flow are mainly distributed in the range of precipitation which is indicative of important replenishment from precipitation. δ 18 O, δD of thermokarst lakes are more positive than precipitation, indicating of basin-scale evaporation of lake water. Comparison of δ I values in different water bodies shows that hydrology of thermokarst lakes was related to thawing of permafrost (ground ice) and precipitation. Near-surface ground ice in BLB exhibits different isotopic characteristics, and generates a special δD-δ 18 O relationship (freezing line): δD=5.81δ 18 O-23.02, which reflects typical freezing of liquid water. From isotopic analysis, it is inferred that near-surface ground ice was mainly recharged by precipitation and active layer water. Stable isotopic and conceptual model is suggestive of striking hydrological connections between precipitation, river flow, thermokarst lake, and ground ice under degrading permafrost. This research provides fundamental comprehensions into the hydrological processes in permafrost regions on QTP, which should be considered

  4. Planktic foraminifer and coccolith contribution to carbonate export fluxes over the central Kerguelen Plateau

    Science.gov (United States)

    Rembauville, M.; Meilland, J.; Ziveri, P.; Schiebel, R.; Blain, S.; Salter, I.

    2016-05-01

    We report the contribution of planktic foraminifers and coccoliths to the particulate inorganic carbon (PIC) export fluxes collected over an annual cycle (October 2011/September 2012) on the central Kerguelen Plateau in the Antarctic Zone (AAZ) south of the Polar Front (PF). The seasonality of PIC flux was decoupled from surface chlorophyll a concentration and particulate organic carbon (POC) fluxes and was characterized by a late summer (February) maximum. This peak was concomitant with the highest satellite-derived sea surface PIC and corresponded to a Emiliania huxleyi coccoliths export event that accounted for 85% of the annual PIC export. The foraminifer contribution to the annual PIC flux was much lower (15%) and dominated by Turborotalita quinqueloba and Neogloboquadrina pachyderma. Foraminifer export fluxes were closely related to the surface chlorophyll a concentration, suggesting food availability as an important factor regulating the foraminifer's biomass. We compared size-normalized test weight (SNW) of the foraminifers with previously published SNW from the Crozet Islands using the same methodology and found no significant difference in SNW between sites for a given species. However, the SNW was significantly species-specific with a threefold increase from T. quinqueloba to Globigerina bulloides. The annual PIC:POC molar ratio of 0.07 was close to the mean ratio for the global ocean and lead to a low carbonate counter pump effect (~5%) compared to a previous study north of the PF (6-32%). We suggest that lowers counter pump effect south of the PF despite similar productivity levels is due to a dominance of coccoliths in the PIC fluxes and a difference in the foraminifers species assemblage with a predominance of polar species with lower SNW.

  5. Characteristics of the aerial regime of an aridisol at the central high plateau of Bolivia

    International Nuclear Information System (INIS)

    Orsag, V.

    1989-01-01

    In this work, the aerial regime of an aridisol with a loam clay-sandy texture of the central area of the high plateau of Bolivia, was determined as a function of the monthly volumetric moisture (using mean values) and the total porosity of the horizons Ap (0-19 cm), Bt (19-49 cm) and Cca (49-70 cm), Bt (19-49 cm) and Cca (49-70 cm). Values of moisture were determined during three year: 1983-84, 1984-5 and 1985-86 with the neutron probe. Fluctuations of the soil air content during the research period in the Ap and Bt horizons were strictly dependant on the precipitations and their seasonal variations due to porosity which was considered constant. Because this work was made in a soil with natural vegetation cover and without physical changes produced by tillage. The soil air content in the sandy Ap horizon showed higher values and greater difference (4-27%) than inferior horizons rich in clay (2-14%). The results were compared with quotes from the Czechoslovakian literature on the requirement of soil air content for certain crops: 15-35% for potatoes, 10-15% for cereals and 5-10% for pastures. This aridisol showing certain properties as clay horizons from 20 cm depth, unstable structure and insufficient air contents, can only be used for cereals and pastures. The use of these soils could be extended to crops with greater air requirements, if the water and aerial regimes are improved with the help of subsoilers, deepening the top soil and incorporating manure and green manure for improving the soil structure and porosity

  6. Chemical characteristics of submicron particles at the central Tibetan Plateau: insights from aerosol mass spectrometry

    Directory of Open Access Journals (Sweden)

    J. Xu

    2018-01-01

    Full Text Available Recent studies have revealed a significant influx of anthropogenic aerosol from South Asia to the Himalayas and Tibetan Plateau (TP during pre-monsoon period. In order to characterize the chemical composition, sources, and transport processes of aerosol in this area, we carried out a field study during June 2015 by deploying a suite of online instruments including an Aerodyne high-resolution time-of-flight aerosol mass spectrometer (HR-AMS and a multi-angle absorption photometer (MAAP at Nam Co station (90°57′ E, 30°46′ N; 4730 m a.s.l. at the central of the TP. The measurements were made at a period when the transition from pre-monsoon to monsoon occurred. The average ambient mass concentration of submicron particulate matter (PM1 over the whole campaign was  ∼  2.0 µg m−3, with organics accounting for 68 %, followed by sulfate (15 %, black carbon (8 %, ammonium (7 %, and nitrate (2 %. Relatively higher aerosol mass concentration episodes were observed during the pre-monsoon period, whereas persistently low aerosol concentrations were observed during the monsoon period. However, the chemical composition of aerosol during the higher aerosol concentration episodes in the pre-monsoon season was on a case-by-case basis, depending on the prevailing meteorological conditions and air mass transport routes. Most of the chemical species exhibited significant diurnal variations with higher values occurring during afternoon and lower values during early morning, whereas nitrate peaked during early morning in association with higher relative humidity and lower air temperature. Organic aerosol (OA, with an oxygen-to-carbon ratio (O ∕ C of 0.94, was more oxidized during the pre-monsoon period than during monsoon (average O ∕ C ratio of 0.72, and an average O ∕ C was 0.88 over the entire campaign period, suggesting overall highly oxygenated aerosol in the central TP. Positive matrix factorization of the

  7. Chemical characteristics of submicron particles at the central Tibetan Plateau: insights from aerosol mass spectrometry

    Science.gov (United States)

    Xu, Jianzhong; Zhang, Qi; Shi, Jinsen; Ge, Xinlei; Xie, Conghui; Wang, Junfeng; Kang, Shichang; Zhang, Ruixiong; Wang, Yuhang

    2018-01-01

    Recent studies have revealed a significant influx of anthropogenic aerosol from South Asia to the Himalayas and Tibetan Plateau (TP) during pre-monsoon period. In order to characterize the chemical composition, sources, and transport processes of aerosol in this area, we carried out a field study during June 2015 by deploying a suite of online instruments including an Aerodyne high-resolution time-of-flight aerosol mass spectrometer (HR-AMS) and a multi-angle absorption photometer (MAAP) at Nam Co station (90°57' E, 30°46' N; 4730 m a.s.l.) at the central of the TP. The measurements were made at a period when the transition from pre-monsoon to monsoon occurred. The average ambient mass concentration of submicron particulate matter (PM1) over the whole campaign was ˜ 2.0 µg m-3, with organics accounting for 68 %, followed by sulfate (15 %), black carbon (8 %), ammonium (7 %), and nitrate (2 %). Relatively higher aerosol mass concentration episodes were observed during the pre-monsoon period, whereas persistently low aerosol concentrations were observed during the monsoon period. However, the chemical composition of aerosol during the higher aerosol concentration episodes in the pre-monsoon season was on a case-by-case basis, depending on the prevailing meteorological conditions and air mass transport routes. Most of the chemical species exhibited significant diurnal variations with higher values occurring during afternoon and lower values during early morning, whereas nitrate peaked during early morning in association with higher relative humidity and lower air temperature. Organic aerosol (OA), with an oxygen-to-carbon ratio (O / C) of 0.94, was more oxidized during the pre-monsoon period than during monsoon (average O / C ratio of 0.72), and an average O / C was 0.88 over the entire campaign period, suggesting overall highly oxygenated aerosol in the central TP. Positive matrix factorization of the high-resolution mass spectra of OA identified two oxygenated

  8. Congenital central hypoventilation syndrome: four families.

    Science.gov (United States)

    Trivedi, Amit; Waters, Karen; Suresh, Sadasivam; Nair, Rashmi

    2011-12-01

    Congenital central hypoventilation syndrome (CCHS) is a rare condition that usually presents soon after birth and is potentially life-shortening if not treated. The defining abnormality is hypoventilation during sleep which requires life-long treatment with artificial ventilation. This syndrome may also be associated with generalised dysfunction of the autonomic nervous system and a sub-group with associated Hirschsprung's disease. The genetic basis of CCHS has been identified as mutations in the PHOX2B gene. We present four families, three with autosomal dominant inheritance and familial clustering, and one with a de novo mutation resulting in CCHS. We demonstrate that nasal mask ventilation from birth can provide adequate treatment and improved quality of life for these children. Phenotypic variability in expression of disease is seen in families with the same mutations in PHOX2B gene. The psychosocial costs of the disease and the unrecognised 'morbidity barter' that is part of current management needs to be factored into in all stages of management from childhood to adolescence to adulthood.

  9. Annual increments of juniper dwarf shrubs above the tree line on the central Tibetan Plateau: a useful climatic proxy

    Science.gov (United States)

    Liang, Eryuan; Lu, Xiaoming; Ren, Ping; Li, Xiaoxia; Zhu, Liping; Eckstein, Dieter

    2012-01-01

    Background and Aims Dendroclimatology is playing an important role in understanding past climatic changes on the Tibetan Plateau. Forests, however, are mainly confined to the eastern Tibetan Plateau. On the central Tibetan Plateau, in contrast, shrubs and dwarf shrubs need to be studied instead of trees as a source of climate information. The objectives of this study were to check the dendrochronological potential of the dwarf shrub Wilson juniper (Juniperus pingii var. wilsonii) growing from 4740 to 4780 m a.s.l. and to identify the climatic factors controlling its radial growth. Methods Forty-three discs from 33 stems of Wilson juniper were sampled near the north-eastern shore of the Nam Co (Heavenly Lake). Cross-dating was performed along two directions of each stem, avoiding the compression-wood side as far as possible. A ring-width chronology was developed after a negative exponential function or a straight line of any slope had been fit to the raw measurements. Then, correlations were calculated between the standard ring-width chronology and monthly climate data recorded by a weather station around 100 km away. Key Results Our study has shown high dendrochronological potential of Wilson juniper, based on its longevity (one individual was 324 years old), well-defined growth rings, reliable cross-dating between individuals and distinct climatic signals reflected by the ring-width variability. Unlike dwarf shrubs in the circum-arctic tundra ecosystem which positively responded to above-average temperature in the growing season, moisture turned out to be growth limiting for Wilson juniper, particularly the loss of moisture caused by high maximum temperatures in May–June. Conclusions Because of the wide distribution of shrub and dwarf shrub species on the central Tibetan Plateau, an exciting prospect was opened up to extend the presently existing tree-ring networks far up into one of the largest tundra regions of the world. PMID:22210848

  10. Annual increments of juniper dwarf shrubs above the tree line on the central Tibetan Plateau: a useful climatic proxy.

    Science.gov (United States)

    Liang, Eryuan; Lu, Xiaoming; Ren, Ping; Li, Xiaoxia; Zhu, Liping; Eckstein, Dieter

    2012-03-01

    Dendroclimatology is playing an important role in understanding past climatic changes on the Tibetan Plateau. Forests, however, are mainly confined to the eastern Tibetan Plateau. On the central Tibetan Plateau, in contrast, shrubs and dwarf shrubs need to be studied instead of trees as a source of climate information. The objectives of this study were to check the dendrochronological potential of the dwarf shrub Wilson juniper (Juniperus pingii var. wilsonii) growing from 4740 to 4780 m a.s.l. and to identify the climatic factors controlling its radial growth. Forty-three discs from 33 stems of Wilson juniper were sampled near the north-eastern shore of the Nam Co (Heavenly Lake). Cross-dating was performed along two directions of each stem, avoiding the compression-wood side as far as possible. A ring-width chronology was developed after a negative exponential function or a straight line of any slope had been fit to the raw measurements. Then, correlations were calculated between the standard ring-width chronology and monthly climate data recorded by a weather station around 100 km away. Our study has shown high dendrochronological potential of Wilson juniper, based on its longevity (one individual was 324 years old), well-defined growth rings, reliable cross-dating between individuals and distinct climatic signals reflected by the ring-width variability. Unlike dwarf shrubs in the circum-arctic tundra ecosystem which positively responded to above-average temperature in the growing season, moisture turned out to be growth limiting for Wilson juniper, particularly the loss of moisture caused by high maximum temperatures in May-June. Because of the wide distribution of shrub and dwarf shrub species on the central Tibetan Plateau, an exciting prospect was opened up to extend the presently existing tree-ring networks far up into one of the largest tundra regions of the world.

  11. Remote sensing analysis for fault-zones detection in the Central Andean Plateau (Catamarca, Argentina)

    Science.gov (United States)

    Traforti, Anna; Massironi, Matteo; Zampieri, Dario; Carli, Cristian

    2015-04-01

    Remote sensing techniques have been extensively used to detect the structural framework of investigated areas, which includes lineaments, fault zones and fracture patterns. The identification of these features is fundamental in exploration geology, as it allows the definition of suitable sites for the exploitation of different resources (e.g. ore mineral, hydrocarbon, geothermal energy and groundwater). Remote sensing techniques, typically adopted in fault identification, have been applied to assess the geological and structural framework of the Laguna Blanca area (26°35'S-66°49'W). This area represents a sector of the south-central Andes localized in the Argentina region of Catamarca, along the south-eastern margin of the Puna plateau. The study area is characterized by a Precambrian low-grade metamorphic basement intruded by Ordovician granitoids. These rocks are unconformably covered by a volcano-sedimentary sequence of Miocene age, followed by volcanic and volcaniclastic rocks of Upper Miocene to Plio-Pleistocene age. All these units are cut by two systems of major faults, locally characterized by 15-20 m wide damage zones. The detection of main tectonic lineaments in the study area was firstly carried out by classical procedures: image sharpening of Landsat 7 ETM+ images, directional filters applied to ASTER images, medium resolution Digital Elevation Models analysis (SRTM and ASTER GDEM) and hill shades interpretation. In addition, a new approach in fault zone identification, based on multispectral satellite images classification, has been tested in the Laguna Blanca area and in other sectors of south-central Andes. In this perspective, several prominent fault zones affecting basement and granitoid rocks have been sampled. The collected fault gouge samples have been analyzed with a Field-Pro spectrophotometer mounted on a goniometer. We acquired bidirectional reflectance spectra, from 0.35μm to 2.5μm with 1nm spectral sampling, of the sampled fault rocks

  12. Central serous choroidopathy in the Hallermann-Streiff Syndrome.

    Science.gov (United States)

    Blair, N P; Brockhurst, R J; Lee, W

    1981-08-01

    Central serous choroidopathy was observed in a young patient with the Hallermann-Streiff syndrome. Typical features of this syndrome include microphthalmos, proportionate dwarfism, dyscephaly with birdlike facies, dental abnormalities, and hypotrichosis. Exceptional aspects of this case include age of onset (11 years), high hyperopic refractive error (+ 13.00 sphere), and multiple recurrences caused by six separate documented leaks from the choroid. Fundus changes previously reported in the Hallermann-Streiff syndrome, interpreted as chorioretinal pigmentary changes, may have been secondary to previous undiagnosed central serous choroidopathy. Periodic ophthalmoscopy should be performed and may detect unrecognized episodes of central serous choroidopathy for which photocoagulation would be beneficial.

  13. Hydroclimatic variability in loess δDwax records from the central Chinese Loess Plateau over the past 250 ka

    Science.gov (United States)

    Wang, Zheng; An, Zhisheng; Liu, Zhonghui; Qiang, Xiaoke; Zhang, Fan; Liu, Weiguo

    2018-04-01

    This study reports hydrogen isotopic records from the central Chinese Loess Plateau (CLP) over the past 250 ka. After eliminating the influence of ice and local temperatures, the δDwax records extracted from two loess sites at Xifeng and Luochuan can be taken to represent arid/humid alternations in the hydrological environment in this marginal Asian Summer Monsoon (ASM) region; they also contain integrated information on summer precipitation patterns and the corresponding responses to these changes by predominant vegetation cover types. These arid/humid alternations show 100 ka, 40 ka and 20 ka cycles. An increase in precipitation in association with an enhanced summer monsoon has historically been taken to be the major factor driving a humid environment in the central CLP. However, hydroclimatic changes in δDwax records differ for the central CLP, central China and southern China. Over a 20 ka cycle, the influence of solar insolation on hydroclimatic changes can be shown to be consistent throughout the central CLP. However, changes in the relative location of the land and sea may have caused different hydroclimatic responses between southern China and the central CLP on a glacial-interglacial scale. The hydroclimatic variability in the central CLP would suggest that an enhanced summer monsoon due to climatic warming is the key to understanding decreased drought degree in this marginal monsoonal region.

  14. Paleointensity Variation of The Earth's Magnetic Field Obtained from Neogene and Quaternary Volcanic Rocks in Central Anatolian Plateau

    Science.gov (United States)

    Kaya, Nurcan; Makaroǧlu, Özlem; Hisarlı, Z. Mümtaz

    2017-04-01

    We present the variation of the earth magnetic field intensity obtained from Neogene and Quaternary volcanic rocks located in the Central Anatolian plateau. Total of four hundred and fifty volcanic rocks were sub-sampled in eighteen different sites around the study region. A modified Thellier method including the Leonhardt protocol was used to determine paleointensity values. Paleointensity results from ten sites were accepted according to the confidence criteria . According to first results the average total paleointensity field values, indicated by F, are 51.797±5.044 μT for site NK8,NK17,NK18,NK15 with age of 4.4-10.7 my, 51.91±4.651 for site NK4, NK3, NK12, NK6, NK11, NK14 with age of 0.1-2.6 m.y. The average VDMs (Virtual Dipol Moments) correspond to 8.39x1022 , 8.92x1022 Am2 for the four Neogene and six Quaternary rocks sites respectively. Our data were correlated with IAGA database that were obtained from the surrounding area. The correlation showed that the paleointensity data from the Central Anatolia plateau considerably agree with the IAGA data.

  15. Conceptual Model of Uranium in the Vadose Zone for Acidic and Alkaline Wastes Discharged at the Hanford Site Central Plateau

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Szecsody, James E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Qafoku, Nikolla [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Serne, R. Jeffrey [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-09-01

    Historically, uranium was disposed in waste solutions of varying waste chemistry at the Hanford Site Central Plateau. The character of how uranium was distributed in the vadose zone during disposal, how it has continued to migrate through the vadose zone, and the magnitude of potential impacts on groundwater are strongly influenced by geochemical reactions in the vadose zone. These geochemical reactions can be significantly influenced by the disposed-waste chemistry near the disposal location. This report provides conceptual models and supporting information to describe uranium fate and transport in the vadose zone for both acidic and alkaline wastes discharged at a substantial number of waste sites in the Hanford Site Central Plateau. The conceptual models include consideration of how co-disposed acidic or alkaline fluids influence uranium mobility in terms of induced dissolution/precipitation reactions and changes in uranium sorption with a focus on the conditions near the disposal site. This information, when combined with the extensive information describing uranium fate and transport at near background pH conditions, enables focused characterization to support effective fate and transport estimates for uranium in the subsurface.

  16. Black Carbon Concentrations from ~1850-1980 from a High-Resolution Ice Core from Geladandong, Central Tibetan Plateau

    Science.gov (United States)

    Jenkins, M.; Kaspari, S.; Kang, S.; Grigholm, B. O.; Mayewski, P. A.

    2011-12-01

    Black carbon (BC), produced by the incomplete combustion of fossil and bio-fuels, is estimated to be the second largest contributor to global warming behind CO2; when deposited on snow and ice BC reduces albedos, potentially enhancing surface melt and glacial retreat. The study of BC's past and present variability is imperative in order to better understand and estimate its potential impact on climate and water resources. This is especially important in the Himalaya/Tibetan Plateau, a region that provides fresh water to over a billion people and where BC's climatic effects are estimated to be the largest (Flanner et al., 2007; Ramanathan and Carmichael, 2008). To more accurately constrain BC's past variability in this sensitive region, an ice core recovered in 2005 from Mt. Geladandong (5800 m a.s.l.) on the central Tibetan Plateau was analyzed for BC at high resolution using a Single Particle Soot Photometer (SP2). Results indicate that 1) average BC concentrations at this location are higher than at other locations closer to BC sources and analyzed by the same method (Mt. Everest by Kaspari et al., 2011 and Muztagh Ata by Wang et al., in prep), and 2) BC exists in peak concentrations high enough (>10 μg/L) to cause a >1% reduction in surface albedo at the sampling location (Ming et al., 2009; Hadley et al., 2010). Potential causes of the higher BC concentrations at the Geladandong site include lower annual precipitation and the mechanical trapping and concentration of BC caused by surface melt and/or sublimation (Conway et al., 1996; Huang et al., 2011). Preliminary dating (Grigholm et al., in prep) has dated the top of the core to ~1980, suggesting that annual mass loss at the site has removed the upper portion of the record. This supports the findings of Kehrwald et al. (2008) who reported that glaciers below ~6050 m a.s.l. in the Himalaya/Tibetan Plateau are losing mass annually. Presented here is the record of BC on the central Tibetan Plateau over the time

  17. [Soil dryness characteristics of alfalfa cropland and optimal growth years of alfalfa on the Loess Plateau of central Gansu, China].

    Science.gov (United States)

    Luo, Zhu-zhu; Li, Ling-ling; Niu, Yi-ning; Cai, Li-qun; Zhang, Ren-zhi; Xie, Jun-hong

    2015-10-01

    This paper investigated soil moisture in alfalfa (Medicago sativa) cropland with different growth years (1, 3, 8, 12 and 14 years) and discussed the optimum growth years of alfalfa on the Loess Plateau of central Gansu. The results showed that the soil moisture along 0-300 cm soil profile of alfalfa croplands with different growth years was obviously lower than that of the local soil stable moisture. The soil water contents in croplands with alfalfa that had grown for 12 and 14 years were only 9.2% and 7.1% of local soil stable moisture, respectively, which were even lower than the lower limit of alfalfa growth. The average soil dryness indexes along 0-300 cm soil profile in 1, 3, 8, 12 and 14 years alfalfa croplands were 125.4%, 30.5%, 18.4%, -34.2% and -83.3% respectively. The results indicated that soil dryness occurred to varying degrees with different growth years except croplands with alfalfa grown for 1 year. With the increase of growth years of alfalfa, the soil dryness intensity increased and the soil dryness rate decreased. According to the soil moisture and alfalfa productivity results in this study, it could be concluded that the optimum growth years of alfalfa are 8-10 years in semiarid areas of the Loess Plateau.

  18. Patient Experiences of Decentralized HIV Treatment and Care in Plateau State, North Central Nigeria: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Grace O. Kolawole

    2017-01-01

    Full Text Available Background. Decentralization of care and treatment for HIV infection in Africa makes services available in local health facilities. Decentralization has been associated with improved retention and comparable or superior treatment outcomes, but patient experiences are not well understood. Methods. We conducted a qualitative study of patient experiences in decentralized HIV care in Plateau State, north central Nigeria. Five decentralized care sites in the Plateau State Decentralization Initiative were purposefully selected. Ninety-three patients and 16 providers at these sites participated in individual interviews and focus groups. Data collection activities were audio-recorded and transcribed. Transcripts were inductively content analyzed to derive descriptive categories representing patient experiences of decentralized care. Results. Patient participants in this study experienced the transition to decentralized care as a series of “trade-offs.” Advantages cited included saving time and money on travel to clinic visits, avoiding dangers on the road, and the “family-like atmosphere” found in some decentralized clinics. Disadvantages were loss of access to ancillary services, reduced opportunities for interaction with providers, and increased risk of disclosure. Participants preferred decentralized services overall. Conclusion. Difficulty and cost of travel remain a fundamental barrier to accessing HIV care outside urban centers, suggesting increased availability of community-based services will be enthusiastically received.

  19. Organochlorine pesticides and polychlorinated biphenyls in air, grass and yak butter from Namco in the central Tibetan Plateau

    International Nuclear Information System (INIS)

    Wang, Chuanfei; Wang, Xiaoping; Yuan, Xiaohua; Ren, Jiao; Gong, Ping

    2015-01-01

    Limited studies on bioaccumulation of persistent organic pollutants (POPs) along terrestrial food chains were conducted. The food chain air–grass–yak (butter) in the pasture region of Namco in the central Tibetan Plateau (TP) was chosen for study. The air, grass and butter POPs in the TP were at the lower end of the concentrations generally found around the globe. HCB was the main pollutant in air and butter. Besides HCB, β-HCH and p,p′-DDE were the other major compounds in butter. Along the food chain, DDTs and high molecular weight PCB-138, 153 and 180 had higher Biological Concentration Factor values. The air–butter transfer factors of POPs were derived and demonstrated the practical advantage in predicting the atmospheric OCPs and PCBs to the TP. This study sheds light on the transfer and accumulation of POPs along the terrestrial food chain of the TP. - Highlights: • Air, grass and butter POPs in the Tibetan Plateau (TP) were at the lower end of the global levels. • The pasture of the TP was found to be a “sink” of DDTs. • Bioaccumulation of OCPs and PCBs happened along the food chain: air–grass–yak. • The TF A:B was tested to be an excellent tool to predict air OCPs and PCBs in the TP. - Transfer and bioaccumulation of OCPs and PCBs happened along the terrestrial food chain: air–grass–yak (butter)

  20. Congenital central hypoventilation syndrome and intestinal ...

    African Journals Online (AJOL)

    ... hypoventilation syndrome (CCHS), also called 'Ondine's curse', is characterised by an abnormal ventilatory response to progressive hypercapnia and sustained hypoxaemia. Neonates with this condition experience hypoventilation or apnoea while asleep. Patients may also have congenital intestinal aganglionosis (CIA), ...

  1. The Ecological Associations of Surface-Dwelling Lizards in Qom Province in the Northwest of Central Plateau of Iran

    Science.gov (United States)

    Ebrahimi, Mehregan; Ahmadzadeh, Faraham; Mostafavi, Hossein; Mehrabian, Aahmad Reza; Abdoli, Asghar; Mahini, Abdolrasoul Salman

    2013-01-01

    We used pitfall trapping to investigate the effects of elevation, plant density and soil structure on species diversity and the impact of these habitat factors on lizard habitat selectivity in the Qom Province in the Central Plateau of Iran. From a total of 12 1-ha plots, we captured 363 individuals of 15 species of lizards (six species of Lacertidae, five species of Agamidae, two species of Gekkonidae, one species of Varanidae and one species of Scincidae). A generalized linear model (GLM) determined that elevation was the most important factor impacting species diversity. The highest species diversity was at the intermediate elevation (1289 m). Abundance of 6 out of 15 species showed strong relationships with some habitat factors. These relationships were demonstrated by habitat selectivity index (Ivlev's index). Our result supports other surveys that showed that elevation plays an important role in determining lizard species diversity. PMID:24349557

  2. Thin Crust and High Crustal Vp/Vs beneath the Central Armenia Plateau of the Lesser Caucasus

    Science.gov (United States)

    Tseng, T. L.; Lin, C. M.; Huang, B. S.; Karakhanyan, A.

    2017-12-01

    Armenia volcanic highland is part of the Lesser Caucasus directly connected with the East Anatolian Plateau to the west and Iranian Plateau to the east. Abundant Quaternary volcanoes in Armenia are the youngest among those associated with post-collision of Arabia-Eurasian since Miocene ( 11 Ma). In this study, teleseismic receiver functions were analyzed from a temporary array to constrain the crustal structures under Armenia and the vicinity. The results show that the Moho depth is shallowest beneath central Armenia where the estimated crustal thickness is 32 km with high averaged crustal Vp/Vs of 1.8-2.0 using H-κ technique. The high crustal Vp/Vs is distributed in a wider area but thin crust is confined more locally around stratovolcano Aragats, whose last eruption was about 0.5 Ma. High crustal Vp/Vs value approaching to 2.1 is found near East of volcano Ghegam complex and NW of volcano Ararat with last dated ages of 0.5 and <0.1 Ma, respectively. Such high Vp/Vs (2.0) cannot be explained without high mafic content and the presence of partial melt in the crust. The 1-D velocity models inverted demonstrate that the partial melt is more likely in the low-velocity layer of the lower crust. To support the unusually thin crust in central Armenia, it requires additional thermal buoyancy in the uppermost mantle which is consistent with regionally low Pn velocity found in previous studies. We propose that the volcanism here is facilitated by the stretches of lithosphere.

  3. Sjogrens Syndrome Presenting with Central Nervous System Involvement

    Directory of Open Access Journals (Sweden)

    Tülay Terzi

    2012-01-01

    Full Text Available Sjogren’s syndrome is a slowly progressive autoimmune disease. Neurological involvement occurs in approximately 20-25% cases in Sjogren’s syndrome. 87% of the neurological involvement is peripheral nervous system, almost 13% in the form of central nervous system involvement. Affected central nervous system may show similar clinical and radiological findings as in multiple sclerosis (MS. In this paper, a 43-year-old patient is discussed who was referred with the complaint of dizziness, there was MS- like lesions in brain imaging studies and was diagnosed with Sjogren’s syndrome. MS- like clinical and radiologic tables can be seen, albeit rarely in Sjogren’s syndrome. In these cases, early diagnosis and early treatment for the sjögren has a great importance for the prognosis of the disease.

  4. Dynamics and characteristics of soil temperature and moisture of active layer in central Tibetan Plateau

    Science.gov (United States)

    Zhao, L.; Hu, G.; Wu, X.; Tian, L.

    2017-12-01

    Research on the hydrothermal properties of active layer during the thawing and freezing processes was considered as a key question to revealing the heat and moisture exchanges between permafrost and atmosphere. The characteristics of freezing and thawing processes at Tanggula (TGL) site in permafrost regions on the Tibetan Plateau, the results revealed that the depth of daily soil temperature transmission was about 40 cm shallower during thawing period than that during the freezing period. Soil warming process at the depth above 140 cm was slower than the cooling process, whereas they were close below 140 cm depth. Moreover, the hydro-thermal properties differed significantly among different stages. Precipitation caused an obviously increase in soil moisture at 0-20 cm depth. The vertical distribution of soil moisture could be divided into two main zones: less than 12% in the freeze state and greater than 12% in the thaw state. In addition, coupling of moisture and heat during the freezing and thawing processes also showed that soil temperature decreased faster than soil moisture during the freezing process. At the freezing stage, soil moisture exhibited an exponential relationship with the absolute soil temperature. Energy consumed for water-ice conversion during the freezing process was 149.83 MJ/m2 and 141.22 MJ/m2 in 2011 and 2012, respectively, which was estimated by the soil moisture variation.

  5. Morphometric Controls on Glacier Mass Balance of the Puruogangri Ice Field, Central Tibetan Plateau

    Directory of Open Access Journals (Sweden)

    Lin Liu

    2016-11-01

    Full Text Available Evaluating the impacts of climatic changes and morphometric features on glacier mass balance is crucial to providing insight into glacier changes and their effects on regional water resources and ecosystems. Here, we presented an evaluation of morphometric effects on the glacier mass balances of the Puruogangri ice field (PIF on the Tibetan Plateau. A clear spatial variability of glacier mass balances, ranging from −0.035 to +0.019 m·w.e.·year−1, was estimated by comparing the TanDEM-X DEM (2012 with the SRTM-X DEM (2000. In general, the observed glacier mass changes were consistent with our fieldwork investigations. Furthermore, by applying the method of linear regression analysis, we found that the mass changes of individual glaciers on the PIF were mainly dominated by the mean altitude (R = 0.84, p < 0.001, however, they were statistically independent of glacier size, aspect, and surface velocity. At a local scale (grid size of 10 × 10 pixels, apart from the factor of altitude, surface velocity was correlated with glacier mass change.

  6. [Peripheral, central and functional vertigo syndromes].

    Science.gov (United States)

    Strupp, M; Dieterich, M; Zwergal, A; Brandt, T

    2015-12-01

    Depending on the temporal course, three forms of vertigo syndrome can be differentiated: 1) vertigo attacks, e.g. benign paroxysmal positional vertigo (BPPV), Menière's disease and vestibular migraine, 2) acute spontaneous vertigo lasting for days, e.g. acute unilateral vestibulopathy, brainstem or cerebellar infarction and 3) symptoms lasting for months or years, e.g. bilateral vestibulopathy and functional vertigo. The specific therapy of the various syndromes is based on three principles: 1) physical treatment with liberatory maneuvers for BPPV and balance training for vestibular deficits, 2) pharmacotherapy, e.g. for acute unilateral vestibulopathy (corticosteroids) and Menière's disease (transtympanic administration of gentamicin or steroids and high-dose betahistine therapy); placebo-controlled pharmacotherapy studies are currently being carried out for acute unilateral vestibulopathy, vestibular paroxysmia, prophylaxis of BPPV, vestibular migraine, episodic ataxia type 2 and cerebellar ataxia; 3) psychotherapy for functional dizziness.

  7. Seismic studies of crustal structure and tectonic evolution across the central California margin and the Colorado Plateau margin

    Science.gov (United States)

    Howie, John Mark

    This thesis presents results from two integrated deep-crustal seismic-reflection and wide-angle-reflection/refraction studies that improve our understanding of crustal structure and tectonic evolution in two tectonically active areas of the western United States. A multi-faceted approach to the study of crustal structure includes the use of compressional and shear wave seismic data. Supplementing the controlled source seismic observations with seismicity, gravity, heat flow, laboratory measurements and available geologic information allows a much improved understanding of crustal structure and tectonic evolution than would be available from the seismic data alone. Chapter 1 introduces the data integration strategy applied to the studies completed. In Chapter 2, an integrated crustal-velocity model across the south-central California margin west of the San Adreas fault is presented. The crustal structure defines tectonostratigraphic terranes 15 to 20 km thick underlain by a 6-km-thick high-velocity layer (6.8-7.0 km/s) interpreted as tectonically underplated oceanic crust. Structures defined in the oceanic crust indicate significant compressional and strike-slip deformation within the oceanic crust that probably formed during the final stages of subduction from 24-16 Ma. In Chapter 3, the crustal model from Chapter 2 is used as a constraint for models of the tectonic evolution of the Pacific-North American transform plate boundary. By combining the crustal structure with thermal models for asthenospheric upwelling associated with a slab-free window, I find that the mantle lithosphere east of the coast beneath south-central California probably delaminated from the oceanic crust, stranding the oceanic crust beneath the margin. In Chapter 4, results from a high-resolution reflection experiment in central Arizona across the southwestern edge of the Colorado Plateau address the relationship between strength of the crust and localization of extensional tectonism. A low

  8. Broadscale postseismic deformation and lower crustal relaxation in the central Bayankala Block (central Tibetan Plateau) observed using InSAR data

    Science.gov (United States)

    Zhao, Dezheng; Qu, Chunyan; Shan, Xinjian; Zuo, Ronghu; Liu, Yunhua; Gong, Wenyu; Zhang, Guohong

    2018-04-01

    We have generated a more than 500 km long postseismic deformation rate map and cumulative displacement time series in the central Bayankala Block of the Tibetan Plateau using ENVISAT/ASAR data from 2003 to 2010 by the π-RATE stacking algorithm. This rate map spans a period of ∼7.2 years and reveals that postseismic motion of 2001 Kokoxili earthquake exhibits a striking signal, dominating crustal deformation of the central Bayankala Block with a cross-fault magnitude ∼9-11 mm/yr in line of sight (LOS) (∼93.1°E). The southern and northern parts of the postseismic deformation field exhibit different patterns and variable magnitudes, reflecting asymmetry of the displacement distribution. Postseismic motion affects eastward extrusion of the central Bayankala Block, which reaches ∼15 km north of the Ganzi-Yushu fault. To further investigate viscoelastic relaxation of the lower crust in this area after approximately two years, E-M, E-M-M and E-S models are constructed. The result shows that the best fit viscosity for the lower crust is about 1 × 1019 Pa·s. Comparison between cumulative displacements resolved by these three models shows that viscoelastic relaxation of the lower crust makes the most significant contribution to postseismic stress relaxation after 2001 event.

  9. The central anticholinergic syndrome in the postoperative period

    NARCIS (Netherlands)

    J. Rupreht (Joze); B. Dworacek (B.)

    1990-01-01

    markdownabstractRésumé Le syndrome anticholinergique central (SAC) comporte des signes centraux (somnolence, confusion, amnésie, agitation, hallucination, dysarthrie, ataxie, délire, stupeur, coma) et des signes périphériques (sécheresse buccale et/ou cutanée, tachycardie, troubles visuels et

  10. Metabolic Syndrome in a Rural Nigerian Community: Is Central ...

    African Journals Online (AJOL)

    Alasia Datonye

    ABSTRACT. Background. Metabolic syndrome (MS) is primarily the consequence of excess central adiposity but can also result from low grade systemic inflammation inducing insulin resistance. There is a global increase in the prevalence of MS; it is on this background that evaluation of the prevalence of MS in a poor rural ...

  11. Geometries of geoelectrical structures in central Tibetan Plateau from INDEPTH magnetotelluric data

    Science.gov (United States)

    Vozar, Jan; Jones, Alan G.; Le Pape, Florian

    2013-04-01

    Magnetotelluric (MT) data collected on N-S profiles crossing the Banggong-Nujiang Suture, which separates the Qiangtang and Lhasa Terranes in central Tibet, as a part of InterNational DEep Profiling of Tibet and the Himalaya project (INDEPTH) are modeled by 2D and 3D inversion codes. The 2D deep MT model of line 500 confirms previous observations concluding that the region is characterized to first-order by a resistive upper crust and a conductive, partially melted, middle to lower crust that extends from the Lhasa Terrane to the Qiangtang Terrane with varying depth. The same conductive structure setting, but in shallower depths is also present on the eastern 400 line. From deep electromagnetic sounding, supported by independent 1D integrated petro-physical investigation, we can estimate the next upper-mantle conductive layer at depths from 200 km to 250 km below the Lhasa Terrane and less resistive Tibetan lithosphere below the Qiangtang Terrane with conductive upper-mantle in depths about 120 km. The anisotropic 2D modeling reveals lower crustal anisotropy in Lhasa Terrane, which can interpreted as crustal channel flow. The 3D inversion models of all MT data from central Tibet show dominant 2D regional strike of mid and lower crustal structures equal N110E. This orientation is parallel to Shuanghu suture, BengCo Jiali strike-slip fault system and perpendicular to convergence direction. The lower crust conductor in central Lhasa Terrane can be interpreted more likely as 3D lower Indian crust structure, located to the east from line 500, than geoelectrical anisotropic crustal flow.

  12. Exploring the ground ice recharge near permafrost table on the central Qinghai-Tibet Plateau using chemical and isotopic data

    Science.gov (United States)

    Wang, Weihua; Wu, Tonghua; Zhao, Lin; Li, Ren; Zhu, Xiaofan; Wang, Wanrui; Yang, Shuhua; Qin, Yanhui; Hao, Junmin

    2018-05-01

    Thawing permafrost on the Qinghai-Tibet Plateau (QTP) has great impacts on the local hydrological process by way of causing ground ice to thaw. Until now there is little knowledge on ground ice hydrology near permafrost table under a warming climate. This study applied stable tracers (isotopes and chloride) and hydrograph separation model to quantify the sources of ground ice near permafrost table in continuous permafrost regions of the central QTP. The results indicated that the ground ice near permafrost table was mainly supplied by active layer water and permafrost water, accounting for 58.9 to 87.0% and 13.0 to 41.1%, respectively, which implying that the active layer was the dominant source. The contribution rates from the active layer to the ground ice in alpine meadow (59 to 69%) was less than that in alpine steppe (70 to 87%). It showed well-developed hydrogeochemical depth gradients, presenting depleted isotopes and positive chemical gradients with depth within the soil layer. The effects of evaporation and freeze-out fractionation on the soil water and ground ice were evident. The results provide additional insights into ground ice sources and cycling near permafrost table in permafrost terrain, and would be helpful for improving process-based detailed hydrologic models under the occurring global warming.

  13. Quantifying Freshwater Mass Balance in the Central Tibetan Plateau by Integrating Satellite Remote Sensing, Altimetry, and Gravimetry

    Directory of Open Access Journals (Sweden)

    Kuo-Hsin Tseng

    2016-05-01

    Full Text Available The Tibetan Plateau (TP has been observed by satellite optical remote sensing, altimetry, and gravimetry for a variety of geophysical parameters, including water storage change. However, each of these sensors has its respective limitation in the parameters observed, accuracy and spatial-temporal resolution. Here, we utilized an integrated approach to combine remote sensing imagery, digital elevation model, and satellite radar and laser altimetry data, to quantify freshwater storage change in a twin lake system named Chibuzhang Co and Dorsoidong Co in the central TP, and compared that with independent observations including mass changes from the Gravity Recovery and Climate Experiment (GRACE data. Our results show that this twin lake, located within the Tanggula glacier system, remained almost steady during 1973–2000. However, Dorsoidong Co has experienced a significant lake level rise since 2000, especially during 2000–2005, that resulted in the plausible connection between the two lakes. The contemporary increasing lake level signal at a rate of 0.89 ± 0.05 cm·yr−1, in a 2° by 2° grid equivalent water height since 2002, is higher than the GRACE observed trend at 0.41 ± 0.17 cm·yr−1 during the same time span. Finally, a down-turning trend or inter-annual variability shown in the GRACE signal is observed after 2012, while the lake level is still rising at a consistent rate.

  14. Polycyclic aromatic hydrocarbons in soils of the central Tibetan Plateau, China: Distribution, sources, transport and contribution in global cycling

    International Nuclear Information System (INIS)

    Yuan, Guo-Li; Wu, Li-Juan; Sun, Yong; Li, Jun; Li, Jing-Chao; Wang, Gen-Hou

    2015-01-01

    Forty-four soil samples were collected across the central Tibetan Plateau (CTP) at altitudes between 3711 m and 5352 m, and their polycyclic aromatic hydrocarbons (PAHs) contents were measured to be from 0.43 to 26.66 ng/g. The main sources of PAHs were identified for each of four sub-areas, and their concentrations in soils were determined to be mainly influenced by local sources. Along a 600 km sampling trajectory from Lhasa, which served as the biggest local source, the concentrations of PAHs decreased logarithmically with increasing distances from the source. Meanwhile, the fractional proportions of PAHs were observed to change logarithmically according to the transport distances. Conclusively, PAHs from local sources were transported within the CTP and dominated PAHs concentrations in the soils, but few of them were transported outside the CTP. In global cycling, the soils in the CTP mainly serve as background and a “sink” for PAHs. - Highlights: • Main sources of PAHs were identified for each of four sub-areas in CTP. • Local sources dominated PAHs in soils but rarely transported outside CTP. • The PAHs in soils changed logarithmically according to the distances from source. • It is first revealed how the local PAH sources influenced PAHs in the soils of CTP. - Local sources dominated PAHs concentrations in the soils of CTP but rarely transported outside, and PAHs in soils changed logarithmically according to the transported distances

  15. Hypercalculia in savant syndrome: central executive failure?

    Science.gov (United States)

    González-Garrido, Andrés Antonio; Ruiz-Sandoval, José Luis; Gómez-Velázquez, Fabiola R; de Alba, José Luis Oropeza; Villaseñor-Cabrera, Teresa

    2002-01-01

    The existence of outstanding cognitive talent in mentally retarded subjects persists as a challenge to present knowledge. We report the case of a 16-year-old male patient with exceptional mental calculation abilities and moderate mental retardation. The patient was clinically evaluated. Data from standard magnetic resonance imaging (MRI) and two 99mTc-ethyl cysteine dimer (ECD)-single photon emission computer tomography (SPECT) (in resting condition and performing a mental calculation task) studies were analyzed. Main neurologic findings were brachycephalia, right-side neurologic soft signs, obsessive personality profile, low color-word interference effect in Stroop test, and diffuse increased cerebral blood flow during calculation task in 99mTc-ECD SPECT. MRI showed anatomical temporal plane inverse asymmetry. Evidence appears to support the hypothesis that savant skill is related to excessive and erroneous use of cognitive processing resources instigated by probable failure in central executive control mechanisms.

  16. Insights into mercury deposition and spatiotemporal variation in the glacier and melt water from the central Tibetan Plateau.

    Science.gov (United States)

    Paudyal, Rukumesh; Kang, Shichang; Huang, Jie; Tripathee, Lekhendra; Zhang, Qianggong; Li, Xiaofei; Guo, Junming; Sun, Shiwei; He, Xiaobo; Sillanpää, Mika

    2017-12-01

    Long-term monitoring of global pollutant such as Mercury (Hg) in the cryosphere is very essential for understanding its bio-geochemical cycling and impacts in the pristine environment with limited emission sources. Therefore, from May 2015 to Oct 2015, surface snow and snow-pits from Xiao Dongkemadi Glacier and glacier melt water were sampled along an elevation transect from 5410 to 5678m a.s.l. in the central Tibetan Plateau (TP). The concentration of Hg in surface snow was observed to be higher than that from other parts of the TP. Unlike the southern parts of the TP, no clear altitudinal variation was observed in the central TP. The peak Total Hg (Hg T ) concentration over the vertical profile on the snow pits corresponded with a distinct yellowish-brown dust layer supporting the fact that most of the Hg was associated with particulate matter. It was observed that only 34% of Hg in snow was lost when the surface snow was exposed to sunlight indicating that the surface snow is less influenced by the post-depositional process. Significant diurnal variation of Hg T concentration was observed in the river water, with highest concentration observed at 7pm when the discharge was highest and lowest concentration during 7-8am when the discharge was lowest. Such results suggest that the rate of discharge was influential in the concentration of Hg T in the glacier fed rivers of the TP. The estimated export of Hg T from Dongkemadi river basin is 747.43gyr -1 , which is quite high compared to other glaciers in the TP. Therefore, the export of global contaminant Hg might play enhanced role in the Alpine regions as these glaciers are retreating at an alarming rate under global warming which may have adverse impact on the ecosystem and the human health of the region. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Sources and the flux pattern of dissolved carbon in rivers of the Yenisey basin draining the Central Siberian Plateau

    International Nuclear Information System (INIS)

    Prokushkin, A S; Korets, M A; Prokushkin, S G; Pokrovsky, O S; Shirokova, L S; Viers, J; Amon, R M W; Guggenberger, G; McDowell, W H

    2011-01-01

    Frequent measurements of dissolved organic (DOC) and inorganic (DIC) carbon concentrations in rivers during snowmelt, the entire ice-free season, and winter were made in five large watersheds (15 000–174 000 km 2 ) of the Central Siberian Plateau (Yenisey River basin). These differ in the degree of continuous permafrost coverage, mean annual air temperature, and the proportion of tundra and forest vegetation. With an annual DOC export from the catchment areas of 2.8–4.7 gC m −2 as compared to an annual DIC export of 1.0–2.8 gC m −2 , DOC was the dominant component of terrigenous C released to rivers. There was strong temporal variation in the discharge of DOC and DIC. Like for other rivers of the pan-arctic and boreal zones, snowmelt dominated annual fluxes, being 55–71% for water runoff, 64–82% for DOC and 37–41% for DIC. Likewise, DOC and DIC exhibited also a strong spatial variation in C fluxes, with both dissolved C species decreasing from south to north. The rivers of the southern part of the plateau had the largest flow-weighted DOC concentrations among those previously reported for Siberian rivers, but the smallest flow-weighted DIC concentrations. In the study area, DOC and DIC fluxes were negatively correlated with the distribution of continuous permafrost and positively correlated with mean annual air temperature. A synthesis of literature data shows similar trends from west to east, with an eastward decrease of dissolved C concentrations and an increased proportion of DOC in the total dissolved C flux. It appears that there are two contemporary limitations for river export of terrigenous C across Siberia: (1) low productivity of ecosystems with respect to potentially mobilizable organic C, slow weathering rates with concomitant small formation of bicarbonate, and/or wildfire disturbance limit the pools of organic and inorganic C that can be mobilized for transport in rivers (source-limited), and (2) mobilization of available pools of C is

  18. Masquerade Syndrome of Multicentre Primary Central Nervous System Lymphoma

    Directory of Open Access Journals (Sweden)

    Silvana Guerriero

    2011-01-01

    Full Text Available Purpose. In Italy we say that the most unlucky things can happen to physicians when they get sick, despite the attention of colleagues. To confirm this rumor, we report the sad story of a surgeon with bilateral vitreitis and glaucoma unresponsive to traditional therapies. Methods/Design. Case report. Results. After one year of steroidal and immunosuppressive therapy, a vitrectomy, and a trabeculectomy for unresponsive bilateral vitreitis and glaucoma, MRI showed a multicentre primary central nervous system lymphoma, which was the underlying cause of the masquerade syndrome. Conclusions. All ophthalmologists and clinicians must be aware of masquerade syndromes, in order to avoid delays in diagnosis.

  19. Central xanthoma of the jaw in association with Noonan syndrome.

    Science.gov (United States)

    Olson, Nicholas J; Addante, Rocco R; de Abreu, Francine B; Memoli, Vincent A

    2018-05-01

    Xanthomas are histiocytic lesions of the skin, soft tissue and bone and are generally considered to be reactive in nature. When they arise in the bones of the jaw, they are referred to as central xanthomas. New evidence supports the hypothesis that central xanthomas are a separate and distinct entity from their extragnathic counterparts. Noonan syndrome (NS) is an autosomal dominant disorder that has been associated with giant cell lesions which also commonly occur in the jaw. We present a case of a 15year-old-male with NS who presented with a radiolucent lesion of the mandible that on excision, was found to be a central xanthoma. Although giant cell lesions have been well described in NS, xanthomas of the jaw have not been reported. We will also discuss the entities that must be excluded prior to making a diagnosis of central xanthoma, as this can affect both treatment and follow up. Copyright © 2018. Published by Elsevier Inc.

  20. Rare association of central pontine myelinolysis with infantile tremor syndrome

    Directory of Open Access Journals (Sweden)

    Kalpana Datta

    2012-01-01

    Full Text Available Central pontine myelinolysis (CPM is an acute demyelination within the central basis pontis. Though exact mechanism is not known it is seen commonly with rapid correction of hyponatremia and also with pontine ischemia or infarction, demyelinating diseases, pontine neoplasm and different metabolic diseases. We report a rare association of CPM in a patient of Infantile Tremor Syndrom (ITS. ITS is a syndrome of tremor, mental and physical retardation, pigmentary changes of hair and skin and anemia in malnourished children. Though first reported in Indian subcontinent many identical cases were reported from around the world. Our case is a 15 month old child with generalized tremor, mild hepatosplenomegaly with features of grade II malnutrition including skin and hair changes. All the signs and symtoms of tremor improved after treatment with the World Health Organization (WHO protocol for protein energy malnutrition (PEM and administration of propranolol without any side effects.

  1. [Comparisons of prevalence and clinical and environmental characteristics between Tibetan and Han Women with polycystic ovarian syndrome in Tibetan Plateau].

    Science.gov (United States)

    Zhai, K L; Zhuo, G; Chi, H B; Lan, Z

    2017-10-10

    Objective: By the preliminary comparison study on the constituent ratio and clinical characteristics of polycystic ovary syndrome (PCOS) in Tibetan and Han women in Tibetan Plateau, we aimed to find the relevance of its pathogenic factors, and to guide the treatment of PCOS in the plateau region and improve the prognosis. Methods: The general situation and clinical data of 165 patients who were diagnosed with PCOS from December 1, 2015 to November 30, 2016 in the Department of Obstetrics and Gynecology of the People's Hospital of Tibet Autonomous Region were analyzed retrospectively. The prevalence of PCOS among Tibetan and Han women in Tibetan Plateau were compared. Results: (1) A total of 1 520 patients were treated in the Tibet Autonomous Region People's Hospital gynecological endocrinology clinics in one year (Tibetan 865 cases, Han 617 cases, other ethnic groups 38 cases), of which patients with PCOS accounted for 10.9% (165/1520). (2) The incidence of Tibetan PCOS patients with oligomenorrhea, infertility, amenorrhea, acne, hairy, LH/FSH inverted, overweight (BMI≥24), and waist circumference >80 cm were 21.2% (35/165), 20.6% (34/165), 16.4% (27/165), 28.5% (47/165), 17% (28/165), 38.2% (63/165), 23.6% (39/165), and 36.4% (60/165), respectively. The incidence of Han PCOS patients with oligomenorrhea, infertility, amenorrhea, acne, hairy, LH/FSH inverted, overweight (BMI≥24), and waist circumference >80 cm were 7.9% (13/165), 10.3% (17/165), 9.1% (15/165), 15.2% (25/165), 9.7% (16/165), 14.5% (24/165), 10.9% (18/165) and 19.4% (32/165), respectively. The proportion of high testosterone in Tibetan PCOS patients was higher than that in Han PCOS patients with statistically significant. (3) The chief complaint of Tibetan PCOS patients were oligomenorrhea and infertility, and the chief complaint of Han PCOS patients were infertility and amenorrhea. (4) The constituent ratio of outpatient clinics in Nyingchi who were with PCOS at an average elevation of about 3

  2. Three-dimensional Upper Crustal Velocity and Attenuation Structures of the Central Tibetan Plateau from Local Earthquake Tomography

    Science.gov (United States)

    Zhou, B.; Liang, X.; Lin, G.; Tian, X.; Zhu, G.; Mechie, J.; Teng, J.

    2017-12-01

    A series of V-shaped conjugate strike-slip faults are the most spectacular geologic features in the central Tibetan plateau. A previous study suggested that this conjugate strike-slip fault system accommodates the east-west extension and coeval north-south contraction. Another previous study suggested that the continuous convergence between the Indian and Eurasian continents and the eastward asthenospheric flow generated lithospheric paired general-shear (PGS) deformation, which then caused the development of conjugate strike-slip faults in central Tibet. Local seismic tomography can image three dimensional upper-crustal velocity and attenuation structures in central Tibet, which will provide us with more information about the spatial distribution of physical properties and compositional variations around the conjugate strike-slip fault zone. Ultimately, this information could improve our understanding of the development mechanism of the conjugate strike-slip fault system. In this study, we collected 6,809 Pg and 2,929 Sg arrival times from 414 earthquakes recorded by the temporary SANDWICH and permanent CNSN networks from November 2013 to November 2015. We also included 300 P and 17 S arrival times from 12 shots recorded by the INDEPTH III project during the summer of 1998 in the velocity tomography. We inverted for preliminary Vp and Vp/Vs models using the SIMUL2000 tomography algorithm, and then relocated the earthquakes with these preliminary velocity models. After that, we inverted for the final velocity models with these improved source locations and origin times. After the velocity inversion, we performed local attenuation tomography using t* measurements from the same dataset with an already existing approach. There are correlated features in the velocity and attenuation structures. From the surface to 10 km depth, the study area is dominated by high Vp and Qp anomalies. However, from 10 km to 20 km depth, there is a low Vp and Qp zone distributed along the

  3. Spinal cord injury with central cord syndrome from surfing.

    Science.gov (United States)

    Steinfeld, Yaniv; Keren, Yaniv; Haddad, Elias

    2018-01-01

    Central cord syndrome (CCS) is an injury to the center of the spinal cord. It is well known as a hyperextension injury, but it has never been described as a surfing injury. Our report describes this injury in detail. A 35-year-old male novice surfer presented to the emergency department with acute tetraplegia following falling off his surfboard and hitting sea floor at a shallow beach break. He was rescued by a fellow surfer while floating in the sea and unable to raise his head above sea level. Upon arrival at the hospital, tetraplegia and sensory deficits were noted. Radiological investigations showed advanced spinal stenosis at C4-6 levels. T2 magnetic resonance imaging (MRI) demonstrated myelopathy at C5-C6 level. He was diagnosed as having central cord syndrome, treated conservatively, and regained near full neurologic recovery after a month of rehabilitation. Unique sport activities lead to unique injuries. It is important to accurately describe these injuries in order to create protective measures against them. Neurologic injuries in surfers are uncommon. With low-energy trauma, surfer's myelopathy is still the most common diagnosis, but central cord syndrome should be in the differential diagnosis.

  4. Comparison Of Vented And Absolute Pressure Transducers For Water-Level Monitoring In Hanford Site Central Plateau Wells

    International Nuclear Information System (INIS)

    Mcdonald, J.P.

    2011-01-01

    Automated water-level data collected using vented pressure transducers deployed in Hanford Site Central Plateau wells commonly display more variability than manual tape measurements in response to barometric pressure fluctuations. To explain this difference, it was hypothesized that vented pressure transducers installed in some wells are subject to barometric pressure effects that reduce water-level measurement accuracy. Vented pressure transducers use a vent tube, which is open to the atmosphere at land surface, to supply air pressure to the transducer housing for barometric compensation so the transducer measurements will represent only the water pressure. When using vented transducers, the assumption is made that the air pressure between land surface and the well bore is in equilibrium. By comparison, absolute pressure transducers directly measure the air pressure within the wellbore. Barometric compensation is achieved by subtracting the well bore air pressure measurement from the total pressure measured by a second transducer submerged in the water. Thus, no assumption of air pressure equilibrium is needed. In this study, water-level measurements were collected from the same Central Plateau wells using both vented and absolute pressure transducers to evaluate the different methods of barometric compensation. Manual tape measurements were also collected to evaluate the transducers. Measurements collected during this study demonstrated that the vented pressure transducers over-responded to barometric pressure fluctuations due to a pressure disequilibrium between the air within the wellbores and the atmosphere at land surface. The disequilibrium is thought to be caused by the relatively long time required for barometric pressure changes to equilibrate between land surface and the deep vadose zone and may be exacerbated by the restriction of air flow between the well bore and the atmosphere due to the presence of sample pump landing plates and well caps. The

  5. Landcover Change, Land Surface Temperature, Surface Albedo and Topography in the Plateau Region of North-Central Nigeria

    Directory of Open Access Journals (Sweden)

    Shakirudeen Odunuga

    2015-04-01

    Full Text Available This study assessed the change in some environmental parameters in the Plateau region of North-Central Nigeria (Barakinladi, Jos, and Kafachan environs using the nexus of landcover change, land surface temperature, surface albedo, and topography. The study employed both remote sensing and statistical techniques for the period between 1986 and 2014 to analyze the dynamics between and within these environmental variables. In Barakinladi, the built up landcover change is highest (increasing from 39.53% to 47.59% between 1986 and 2014; LST ranges from 19.09 °C to 38.59 °C in 1986 and from 22.68 °C and 41.68 °C in 2014; and the albedo ranges between 0.014 and 0.154 in 1986 and 0.017 and 0.248 in 2014. In Jos, the built-up landcover occupied 34.26% in 1986 and 36.67% in 2014; LST values range between 20.83 °C and 41.33 °C in 1986 and between 21.61 °C and 42.64 °C in 2014; and the albedo ranges between 0.003 and 0.211 in 1986 and 0.15 and 0.237 in 2014. In Kafachan area, the built up landcover occupied 32.95% in 1986 and 39.01% in 2014. Urbanization and agricultural activities, including animal grazing, were responsible for the gradual loss in vegetation and increasing average LST and albedo. The results also revealed that changing landcover and topography have a relationship with surface albedo and land surface temperature, thereby impacting significantly on ecosystem services delivered by the natural system.

  6. Variation and control of soil organic carbon and other nutrients in permafrost regions on central Qinghai-Tibetan Plateau

    International Nuclear Information System (INIS)

    Liu, Wenjie; Chen, Shengyun; Zhao, Qian; Ren, Jiawen; Qin, Dahe; Sun, Zhizhong

    2014-01-01

    The variation and control of soil organic carbon (SOC) and other nutrients in permafrost regions are critical for studying the carbon cycle and its potential feedbacks to climate change; however, they are poorly understood. Soil nutrients samples at depths of 0–10, 10–20, 20–30, and 30–40 cm, were sampled eight times in 2009 in alpine swamp meadow, alpine meadow and alpine steppe in permafrost regions of the central Qinghai-Tibetan Plateau. SOC and total nitrogen (TN) in the alpine swamp meadow and meadow decreased with soil depth, whereas the highest SOC content in the alpine steppe was found at depths of 20–30 cm. The vertical profiles of total and available phosphorus (P) and potassium (K) were relatively uniform for all the three grassland types. Correlation and linear regression analyses showed that soil moisture (SM) was the most important parameter for the vertical variation of SOC and other soil nutrients, and that belowground biomass (BGB) was the main source of SOC and TN. The spatial variations (including seasonal variation) of SOC and TN at plot scale were large. The relative deviation of SOC ranged from 7.18 to 41.50 in the alpine swamp meadow, from 2.88 to 35.91 in the alpine meadow, and from 9.33 to 68.38 in the alpine steppe. The spatial variations in the other soil nutrients varied among different grassland types. The most important factors for spatial variations (including seasonal variation) of SOC, TN, total P, available P, and both total and available K were: SM, SM and temperature, SM, air temperature, and SM and BGB, respectively. The large variation in the three grassland types implies that spatial variation at plot scale should be considered when estimating SOC storage and its dynamics. (letter)

  7. Deep Vadose Zone Treatability Test for the Hanford Central Plateau: Interim Post-Desiccation Monitoring Results, Fiscal Year 2014

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Strickland, Christopher E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Christian D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Timothy C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Clayton, Ray E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Chronister, Glen B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-09-01

    Over decades of operation, the U.S. Department of Energy (DOE) and its predecessors have released nearly 2 trillion L (450 billion gal.) of liquid into the vadose zone at the Hanford Site. Much of this discharge of liquid waste into the vadose zone occurred in the Central Plateau, a 200 km2 (75 mi2) area that includes approximately 800 waste sites. Some of the inorganic and radionuclide contaminants in the deep vadose zone at the Hanford Site are at depths below the limit of direct exposure pathways, but may need to be remediated to protect groundwater. The Tri-Party Agencies (DOE, U.S. Environmental Protection Agency, and Washington State Department of Ecology) established Milestone M 015 50, which directed DOE to submit a treatability test plan for remediation of technetium-99 (Tc-99) and uranium in the deep vadose zone. These contaminants are mobile in the subsurface environment and have been detected at high concentrations deep in the vadose zone, and at some locations have reached groundwater. Testing technologies for remediating Tc-99 and uranium will also provide information relevant for remediating other contaminants in the vadose zone. A field test of desiccation is being conducted as an element of the DOE test plan published in March 2008 to meet Milestone M 015 50. The active desiccation portion of the test has been completed. Monitoring data have been collected at the field test site during the post-desiccation period and are reported herein. This is an interim data summary report that includes about 3 years of post-desiccation monitoring data. The DOE field test plan proscribes a total of 5 years of post-desiccation monitoring.

  8. Role of snow-albedo feedback in higher elevation warming over the Himalayas, Tibetan Plateau and Central Asia

    International Nuclear Information System (INIS)

    Ghatak, Debjani; Sinsky, Eric; Miller, James

    2014-01-01

    Recent literature has shown that surface air temperature (SAT) in many high elevation regions, including the Tibetan Plateau (TP) has been increasing at a faster rate than at their lower elevation counterparts. We investigate projected future changes in SAT in the TP and the surrounding high elevation regions (between 25°–45°N and 50°–120°E) and the potential role snow-albedo feedback may have on amplified warming there. We use the Community Climate System Model version 4 (CCSM4) and Geophysical Fluid Dynamics Laboratory (GFDL) model which have different spatial resolutions as well as different climate sensitivities. We find that surface albedo (SA) decreases more at higher elevations than at lower elevations owing to the retreat of the 0 °C isotherm and the associated retreat of the snow line. Both models clearly show amplified warming over Central Asian mountains, the Himalayas, the Karakoram and Pamir during spring. Our results suggest that the decrease of SA and the associated increase in absorbed solar radiation (ASR) owing to the loss of snowpack play a significant role in triggering the warming over the same regions. Decreasing cloud cover in spring also contributes to an increase in ASR over some of these regions in CCSM4. Although the increase in SAT and the decrease in SA are greater in GFDL than CCSM4, the sensitivity of SAT to changes in SA is the same at the highest elevations for both models during spring; this suggests that the climate sensitivity between models may differ, in part, owing to their corresponding treatments of snow cover, snow melt and the associated snow/albedo feedback. (letter)

  9. Central Nervous System (CNS Disease Triggering Takotsubo Syndrome

    Directory of Open Access Journals (Sweden)

    Josef Finsterer

    2016-01-01

    Full Text Available Takotsubo syndrome (TTS is usually triggered by psychological or physical stress. One of the many physical sources of stress are central nervous system (CNS disorders. CNS disorders most frequently triggering TTS include subarachnoid bleeding, epilepsy, ischemic stroke, migraine, and intracerebral bleeding. More rare CNS-triggers of TTS include posterior reversible encephalopathy syndrome (PRES, amyotrophic lateral sclerosis, encephalitis, or traumatic brain or spinal cord injury. TTS triggered by any of the CNS disorders needs to be recognized since adequate treatment of TTS may improve the general outcome from the CNS disorder as well. Neurologists need to be aware of TTS as a complication of specific CNS disorders but TTS may be triggered also by CNS disorders so far not recognised as causes of TTS.

  10. Differences in the water-balance components of four lakes in the southern-central Tibetan Plateau

    Science.gov (United States)

    Biskop, S.; Maussion, F.; Krause, P.; Fink, M.

    2016-01-01

    The contrasting patterns of lake-level fluctuations across the Tibetan Plateau (TP) are indicators of differences in the water balance over the TP. However, little is known about the key hydrological factors controlling this variability. The purpose of this study is to contribute to a more quantitative understanding of these factors for four selected lakes in the southern-central part of the TP: Nam Co and Tangra Yumco (increasing water levels), and Mapam Yumco and Paiku Co (stable or slightly decreasing water levels). We present the results of an integrated approach combining hydrological modeling, atmospheric-model output and remote-sensing data. The J2000g hydrological model was adapted and extended according to the specific characteristics of closed-lake basins on the TP and driven with High Asia Refined analysis (HAR) data at 10 km resolution for the period 2001-2010. Differences in the mean annual water balances among the four basins are primarily related to higher precipitation totals and attributed runoff generation in the Nam Co and Tangra Yumco basins. Precipitation and associated runoff are the main driving forces for inter-annual lake variations. The glacier-meltwater contribution to the total basin runoff volume (between 14 and 30 % averaged over the 10-year period) plays a less important role compared to runoff generation from rainfall and snowmelt in non-glacierized land areas. Nevertheless, using a hypothetical ice-free scenario in the hydrological model, we indicate that ice-melt water constitutes an important water-supply component for Mapam Yumco and Paiku Co, in order to maintain a state close to equilibrium, whereas the water balance in the Nam Co and Tangra Yumco basins remains positive under ice-free conditions. These results highlight the benefits of linking hydrological modeling with atmospheric-model output and satellite-derived data, and the presented approach can be readily transferred to other data-scarce closed lake basins, opening new

  11. [Munchausen syndrome: need for centralized administrative health-care management].

    Science.gov (United States)

    Altmark, D; Sigal, M; Gelkopf, M

    1991-03-01

    The clinical picture of Munchausen syndrome is that of feigned or self-induced illness with the aim of being hospitalized and/or receiving unnecessary medical interventions, peregrination from 1 hospital to another, and disruptive behavior when hospitalized. These patients are a danger to themselves and heavily burden inpatient facilities that care for them. We present a case that illustrates the problems of diagnosing and managing such patients. We stress the need for adequate centralization and distribution of the relevant information concerning these patients.

  12. Scale-Up Information for Gas-Phase Ammonia Treatment of Uranium in the Vadose Zone at the Hanford Site Central Plateau

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Szecsody, James E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhong, Lirong [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Thomle, Jonathan N. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Timothy C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-09-01

    Uranium is present in the vadose zone at the Hanford Central Plateau and is of concern for protection of groundwater. The Deep Vadose Zone Treatability Test Plan for the Hanford Central Plateau identified gas-phase treatment and geochemical manipulation as potentially effective treatment approaches for uranium and technetium in the Hanford Central Plateau vadose zone. Based on laboratory evaluation, use of ammonia vapor was selected as the most promising uranium treatment candidate for further development and field testing. While laboratory tests have shown that ammonia treatment effectively reduces the mobility of uranium, additional information is needed to enable deployment of this technology for remediation. Of importance for field applications are aspects of the technology associated with effective distribution of ammonia to a targeted treatment zone, understanding the fate of injected ammonia and its impact on subsurface conditions, and identifying effective monitoring approaches. In addition, information is needed to select equipment and operational parameters for a field design. As part of development efforts for the ammonia technology for remediation of vadose zone uranium contamination, field scale-up issues were identified and have been addressed through a series of laboratory and modeling efforts. This report presents a conceptual description for field application of the ammonia treatment process, engineering calculations to support treatment design, ammonia transport information, field application monitoring approaches, and a discussion of processes affecting the fate of ammonia in the subsurface. The report compiles this information from previous publications and from recent research and development activities. The intent of this report is to provide technical information about these scale-up elements to support the design and operation of a field test for the ammonia treatment technology.

  13. Regional circulation around Heard and McDonald Islands and through the Fawn Trough, central Kerguelen Plateau

    Science.gov (United States)

    van Wijk, Esmee M.; Rintoul, Stephen R.; Ronai, Belinda M.; Williams, Guy D.

    2010-05-01

    The fine-scale circulation around the Heard and McDonald Islands and through the Fawn Trough, Kerguelen Plateau, is described using data from three high-resolution CTD sections, Argo floats and satellite maps of chlorophyll a, sea surface temperature (SST) and absolute sea surface height (SSH). We confirm that the Polar Front (PF) is split into two branches over the Kerguelen Plateau, with the NPF crossing the north-eastern limits of our survey carrying 25 Sv to the southeast. The SPF was associated with a strong eastward-flowing jet carrying 12 Sv of baroclinic transport through the deepest part of Fawn Trough (relative to the bottom). As the section was terminated midway through the trough this estimate is very likely to be a lower bound for the total transport. We demonstrate that the SPF contributes to the Fawn Trough Current identified by previous studies. After exiting the Fawn Trough, the SPF crossed Chun Spur and continued as a strong north-westward flowing jet along the eastern flank of the Kerguelen Plateau before turning offshore between 50°S and 51.5°S. Measured bottom water temperatures suggest a deep water connection between the northern and southern parts of the eastern Kerguelen Plateau indicating that the deep western boundary current continues at least as far north as 50.5°S. Analysis of satellite altimetry derived SSH streamlines demonstrates a southward shift of both the northern and southern branches of the Polar Front from 1994 to 2004. In the direct vicinity of the Heard and McDonald islands, cool waters of southern origin flow along the Heard Island slope and through the Eastern Trough bringing cold Winter Water (WW) onto the plateau. Complex topography funnels flow through canyons, deepens the mixed layer and increases productivity, resulting in this area being the preferred foraging region for a number of satellite-tracked land-based predators.

  14. Case report: Noonan-like multiple central giant cell granuloma syndrome.

    Science.gov (United States)

    Bitton, Natalie; Alexander, Stanley; Ruggiero, Salvatore; Parameswaran, Ashish; Russo, Antonino; Ferguson, Fred

    2012-01-01

    The purpose of this report was to: summarize the care of a child between the ages of 12 to 16 years old born with Noonan-like central giant cell syndrome and unrelated common variable immune deficiency; provide information on the dental management of patients with Noonan's syndrome; and present a brief discussion of the recent associated genetic findings. A review of the common features of Noonan syndrome and Noonan-like central giant cell syndrome is also provided.

  15. Seed bank and established vegetation in the last remnants of the Mexican Central Plateau wetlands: the Lerma marshes.

    Science.gov (United States)

    Zepeda, Carmen; Lot, Antonio; Nemiga, Xanat Antonio; Manjarrez, Javier

    2014-06-01

    Seed banks play a central role in vegetation dynamics of many wetlands. Therefore, knowledge of seed reservoirs in the soils of aquatic communities should provide useful tools for conservation and restoration efforts. This study was conducted in the Lerma marshes, one of the last remnants of the vast wetlands that were once in the Mexican Central Plateau. The main objective was to determine the composition and abundance of seed bank and its relationship with established vegetation of the three Lerma marshes. In each marsh, we systematically selected 18 to 40 sampling sites. In each site, the composition of vascular plant vegetation was evaluated in two 10m lines perpendicular to the shore. Every 0.5m, we determined the coverage of species by measuring the intercepted length for each plant or group of plants. At each sampling site where we had evaluated the established vegetation, we collected a sample of the top 10cm of sediment; the soil cores were divided into an upper layer (0-5cm) and a lower layer (5-10cm). These samples were used to evaluate the seed bank by the seedling emergence method. All samples were placed in a greenhouse at 20-25 degrees C and remained flooded for 15 weeks. Forty-nine species were recorded in the vegetation. Chiconahuapan had the richest and most diverse flora and the greatest number of perennial species. A life-forms analysis showed that perennial herbs, especially rooted-emergent hydrophytes, dominated in the three wetlands. Sixty-one species were identified in the total seed bank; Chimaliapan had the most diverse total seed bank, whereas the mean seedling density was higher in Chignahuapan. Only two species of the total seed bank of each marsh had a density greater than 10% of the total, and more than half were uncommon. The upper layer of sediment (0-5cm) contained two times more seeds/m2 and species per sample than the lower layer (5-10cm), and there was a significant decrease of seed density with depth. The detrended

  16. HIERACIO UMBROSI-QUERCETUM PETRAEAE PÎNZARU, CANTEMIR, MANIC & POPESCU – ASS. NOVA, FROM THE CENTRAL MOLDOVAN PLATEAU OF THE REPUBLIC OF MOLDOVA

    Directory of Open Access Journals (Sweden)

    Pavel PÎNZARU

    2017-12-01

    Full Text Available The forests of sessile oak (Quercus petraea (Matt. Liebl. with Hieracium umbrosum Jord., found on the Central Moldovan Plateau, are described in this article. Based on 12 relevés, the authors have grouped these forests in an plant community that is new for science – Hieracio umbrosi-Quercetum petraeae Pînzaru, Cantemir, Manic et Popescu, included in the alliance Quercion pubescenti-petraeae Br.-Bl. 1932, the order Quercetalia pubescenti-petraeae Klika 1933, cl. QUERCO-FAGETEA Br.-Bl. et Vlieger in Vlieger 1937.

  17. Congenital central hypoventilation syndrome: diagnostic and management challenges

    Directory of Open Access Journals (Sweden)

    Kasi AS

    2016-08-01

    Full Text Available Ajay S Kasi,1 Iris A Perez,1,2 Sheila S Kun,1 Thomas G Keens1,2 1Division of Pediatric Pulmonology and Sleep Medicine, Children’s Hospital Los Angeles, 2Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA Abstract: Congenital central hypoventilation syndrome (CCHS is a rare genetic disorder with failure of central control of breathing and of the autonomic nervous system function due to a mutation in the paired-like homeobox 2B (PHOX2B gene. Affected patients have absent or negligible ventilatory sensitivity to hypercapnia and hypoxemia, and they do not exhibit signs of respiratory distress when challenged with hypercarbia or hypoxia. The diagnosis of CCHS must be confirmed with PHOX2B gene mutation. Generally, the PHOX2B mutation genotype can aid in anticipating the severity of the phenotype. They require ventilatory support for life. Home assisted ventilation options include positive pressure ventilation via tracheostomy, noninvasive positive pressure ventilation, and diaphragm pacing via phrenic nerve stimulation, but each strategy has its associated limitations and challenges. Since all the clinical manifestations of CCHS may not manifest at birth, periodic monitoring and early intervention are necessary to prevent complications and improve outcome. Life-threatening arrhythmias can manifest at different ages and a normal cardiac monitoring study does not exclude future occurrences leading to the dilemma of timing and frequency of cardiac rhythm monitoring and treatment. Given the rare incidence of CCHS, most health care professionals are not experienced with managing CCHS patients, particularly those with diaphragm pacers. With early diagnosis and advances in home mechanical ventilation and monitoring strategies, many CCHS children are surviving into adulthood presenting new challenges in their care. Keywords: congenital central hypoventilation syndrome, PHOX2B, home mechanical ventilation, diaphragm

  18. Fault-controlled CO2 leakage from natural reservoirs in the Colorado Plateau, East-Central Utah

    Science.gov (United States)

    Jung, Na-Hyun; Han, Weon Shik; Watson, Z. T.; Graham, Jack P.; Kim, Kue-Young

    2014-10-01

    The study investigated a natural analogue for soil CO2 fluxes where CO2 has naturally leaked on the Colorado Plateau, East-Central Utah in order to identify various factors that control CO2 leakage and to understand regional-scale CO2 leakage processes in fault systems. The total 332 and 140 measurements of soil CO2 flux were made at 287 and 129 sites in the Little Grand Wash (LGW) and Salt Wash (SW) fault zones, respectively. Measurement sites for CO2 flux involved not only conspicuous CO2 degassing features (e.g., CO2-driven springs/geysers) but also linear features (e.g., joints/fractures and areas of diffusive leakage around a fault damage zone). CO2 flux anomalies were mostly observed along the fault traces. Specifically, CO2 flux anomalies were focused in the northern footwall of the both LGW and SW faults, supporting the existence of north-plunging anticlinal CO2 trap against south-dipping faults as well as higher probability of the north major fault traces as conduits. Anomalous CO2 fluxes also appeared in active travertines adjacent to CO2-driven cold springs and geysers (e.g., 36,259 g m-2 d-1 at Crystal Geyser), ancient travertines (e.g., 5,917 g m-2 d-1), joint zones in sandstone (e.g., 120 g m-2 d-1), and brine discharge zones (e.g., 5,515 g m-2 d-1). These observations indicate that CO2 has escaped through those pathways and that CO2 leakage from these fault zones does not correspond to point source leakage. The magnitude of CO2 flux is progressively reduced from north (i.e. the LGW fault zone, ∼36,259 g m-2 d-1) to south (i.e. the SW fault zone, ∼1,428 g m-2 d-1) despite new inputs of CO2 and CO2-saturated brine to the northerly SW fault from depth. This discrepancy in CO2 flux is most likely resulting from the differences in fault zone architecture and associated permeability structure. CO2-rich fluids from the LGW fault zone may become depleted with respect to CO2 during lateral transport, resulting in an additional decrease in CO2 fluxes

  19. Boron isotopic composition of tertiary borate deposits in the Puna Plateau of the Central Andes, NW Argentina

    International Nuclear Information System (INIS)

    Kasemann, Simone; Franz, Gerhard; Viramonte, Jose G.; Alonso, Ricardo N.

    1998-01-01

    Full text: The most important borate deposits in South America are concentrated in the Central Andes. The Neogene deposits are located in the Puna Plateau of N W Argentina. These continental deposits are stratiform in the tectonically deformed Tertiary rocks. The largest borate accumulations Tincalayu, Sijes and Loma Blanca are part of the Late Miocene Sijes Formation, composed by different evaporitic and clastic units. In the main borate units of each location different phases of borates dominate. In Tincalayu the mayor mineral is borax with minor amounts of kernite and other rare borate minerals (ameginite, rivadavite, etc.). The principal minerals in Loma Blanca are borax with minor ulexite and inyoite. In the two main units of Sijes hydroboracite and colemanite are the major minerals; inyoite and ulexite appear subordinately. The deposition of the borates is due to a strong evaporation in playa lakes, which were fed by boron bearing thermal fluids (Alonso and Viramonte 1990). From Loma Blanca we determined δ 11 B values of ulexite (- 6.3 %0), inyoite (-12.7 %0) and terrugite (-16.2 %0); and from Tincalayu the δ 11 B values of borax (-10.5 %0), tincal (-12.2 %0) kernite (-11.7 %0) and inderite (-15.4 %0). The borates of Sijes are hydroboracite (-16.8 %0 to -17.2 %0), ulexite (-22.4 %0) and inyoite (-28.5 %0 to -29.6 %0). In order to get information about the δ 11 B values and pH of a boron solution we analysed the thermal spring of Antuco. It has a δ 11 B of -12.5%0 at a pH of 7.9. The presently forming ulexite deposit has a δ 11 B of -22.4%0. Borates within one depositional unit show a decreasing δ 11 B value sequence from the Na-Borates to the Ca-Borates related to the boron coordination of the minerals (Oi et al. 1989). The difference in the δ 11 B values excludes the precipitation in equilibrium from solutions with constant pH. According to results from previous work on Neogene borates (Turkey, USA) we interpret the borate succession due to

  20. Comparable Enhanced Prothrombogenesis in Simple Central Obesity and Metabolic Syndrome

    Directory of Open Access Journals (Sweden)

    Noor Shafina Mohd Nor

    2018-01-01

    Full Text Available Objective. There is limited data comparing prothrombogenic or fibrinolysis biomarkers (tissue plasminogen activator (tPA and plasminogen activator inhibitor-1 (PAI-1 simultaneously in subjects with Metabolic Syndrome (MS, simple central obesity without MS (COB and normal controls (NC. We investigated the concentrations of fibrinolysis biomarkers in subjects with MS, COB and NC. Methods. A cross-sectional study involving 503 drug naive subjects (163 males, aged 30–65 years old (mean age ± SD = 47.4 ± 8.3 years divided into MS, COB and NC groups. COB was defined as central obesity (waist circumference (WC males ≥90 cm, females ≥80 cm in the absence of MS according to the International Diabetes Federation 2006. Fasting blood levels of tPA and PAI-1were analyzed. Results. MS and COB had significantly higher concentration of all biomarkers compared to NC. The MS group had significantly higher concentration of tPA and PAI-1 compared to COB. WC and HDL-c had significant correlation with all biomarkers (tPA p<0.001, PAI-1 p<0.001. Fasting plasma glucose and diastolic blood pressure were independent predictors after correcting for confounding factors. Conclusion. Central obesity with or without MS both demonstrated enhanced prothrombogenesis. This suggests that simple obesity possibly increases the risk of coronary artery disease in part, via increased susceptibility to thrombogenesis.

  1. Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions

    Directory of Open Access Journals (Sweden)

    Steven S. Saraf

    2015-01-01

    Full Text Available A previously healthy 22-year-old African American woman presented with bilateral vision loss associated with headache. Her ocular examination was significant for bilateral retinal arterial “boxcarring,” retinal whitening, retinal hemorrhages, and cherry red spots. She was diagnosed with bilateral central retinal artery occlusions and was hospitalized due to concomitant diagnosis of stroke and hypercoagulable state. She was also found to be in heart failure and kidney failure. Rheumatology was consulted and she was diagnosed with catastrophic antiphospholipid syndrome in association with systemic lupus erythematosus. Approximately 7 months after presentation, the patient’s vision improved and remained stable at 20/200 and 20/80.

  2. Hippocampal volume reduction in congenital central hypoventilation syndrome.

    Directory of Open Access Journals (Sweden)

    Paul M Macey

    Full Text Available Children with congenital central hypoventilation syndrome (CCHS, a genetic disorder characterized by diminished drive to breathe during sleep and impaired CO(2 sensitivity, show brain structural and functional changes on magnetic resonance imaging (MRI scans, with impaired responses in specific hippocampal regions, suggesting localized injury.We assessed total volume and regional variation in hippocampal surface morphology to identify areas affected in the syndrome. We studied 18 CCHS (mean age+/-std: 15.1+/-2.2 years; 8 female and 32 healthy control (age 15.2+/-2.4 years; 14 female children, and traced hippocampi on 1 mm(3 resolution T1-weighted scans, collected with a 3.0 Tesla MRI scanner. Regional hippocampal volume variations, adjusted for cranial volume, were compared between groups based on t-tests of surface distances to the structure midline, with correction for multiple comparisons. Significant tissue losses emerged in CCHS patients on the left side, with a trend for loss on the right; however, most areas affected on the left also showed equivalent right-sided volume reductions. Reduced regional volumes appeared in the left rostral hippocampus, bilateral areas in mid and mid-to-caudal regions, and a dorsal-caudal region, adjacent to the fimbria.The volume losses may result from hypoxic exposure following hypoventilation during sleep-disordered breathing, or from developmental or vascular consequences of genetic mutations in the syndrome. The sites of change overlap regions of abnormal functional responses to respiratory and autonomic challenges. Affected hippocampal areas have roles associated with memory, mood, and indirectly, autonomic regulation; impairments in these behavioral and physiological functions appear in CCHS.

  3. Therapy for sleep hypoventilation and central apnea syndromes.

    Science.gov (United States)

    Selim, Bernardo J; Junna, Mithri R; Morgenthaler, Timothy I

    2012-10-01

    • Primary Central Sleep Apnea (CSA): We would recommend a trial of Positive Airway Pressure (PAP), acetazolamide, or zolpidem based on thorough consideration of risks and benefits and incorporation of patient preferences.• Central Sleep Apnea Due to Cheyne-Stokes Breathing Pattern in Congestive Heart Failure (CSR-CHF): We would recommend PAP devices such as continuous positive airway pressure (CPAP) or adaptive servo-ventilation (ASV) to normalize sleep-disordered breathing after optimizing treatment of heart failure. Oxygen may also be an effective therapy. Acetazolamide and theophylline may be considered if PAP or oxygen is not effective.• Central Sleep Apnea due to High-Altitude Periodic Breathing: We would recommend descent from altitude or supplemental oxygen. Acetazolamide may be used when descent or oxygen are not feasible, or in preparation for ascent to high altitude. Slow ascent may be preventative.• Central Sleep Apnea due to Drug or Substance: If discontinuation or reduction of opiate dose is not feasible or effective, we would recommend a trial of CPAP, and if not successful, treatment with ASV. If ASV is ineffective or if nocturnal hypercapnia develops, bilevel positive airway pressure-spontaneous timed mode (BPAP-ST) is recommended.• Obesity hypoventilation syndrome: We would recommend an initial CPAP trial. If hypoxia or hypercapnia persists on CPAP, BPAP, BPAP-ST or average volume assured pressure support (AVAPS™) is recommended. Tracheostomy with nocturnal ventilation should be considered when the above measures are not effective. Weight loss may be curative.• Neuromuscular or chest wall disease: We would recommend early implementation of BPAP-ST based on thorough consideration of risks and benefits and patient preferences. AVAPS™ may also be considered. We recommend close follow up due to disease progression.

  4. Acute traumatic central cord syndrome: MRI-pathological correlations

    International Nuclear Information System (INIS)

    Quencer, R.M.; Bunge, R.P.; Egnor, M.; Green, B.A.; Puckett, W.; Naidich, T.P.; Post, M.J.D.; Norenberg, M.

    1992-01-01

    The acute traumatic central cord syndrome (ATCCS) is commonly stated to result from an injury which affects primarily the center of the spinal cord and is frequently hemorrhagic. To test the validity of this widely disseminated hypothesis, the magnetic resonance images [MRI] of 11 consecutive cases of ATCCS caused by closed injury to the spine were analyzed and correlated with the gross pathological and histological features of 3 cervical spinal cords obtained at post mortem from patients with ATCCS, including 2 of patients studied by MRI. In this study, the MRI and pathological observations indicate that ATCCS is predominantly a white matter injury and that intramedullary hemorrhage is not a necessary feature of the syndrome; indeed, it is probably an uncommon event in ATCCS. We suggest that the most common mechanism of injury in ATCCS may be direct compression of the cervical spinal cord by buckling of the ligamenta flava into an already narrowed cervical spinal canal; this would explain the predominance of axonal injury in the white matter of the lateral columns. (orig./GDG)

  5. Acute traumatic central cord syndrome: MRI-pathological correlations

    Energy Technology Data Exchange (ETDEWEB)

    Quencer, R.M. (Dept. of Radiology, Univ. of Miami MRI Center, FL (United States) Miami Project to Cure Paralysis, FL (United States)); Bunge, R.P.; Egnor, M.; Green, B.A. (Miami Project to Cure Paralysis, FL (United States) Dept. of Neurological Surgery, Univ. of Miami School of Medicine, FL (United States)); Puckett, W. (Miami Project to Cure Paralysis, FL (United States)); Naidich, T.P. (Dept. of Radiology, Univ. of Miami MRI Center, FL (United States) Miami Project to Cure Paralysis, FL (United States) Baptist Hospital of Greater Miami, FL (United States)); Post, M.J.D. (Dept. of Radiology, Univ. of Miami MRI Center, FL (United States)); Norenberg, M. (Dept. of Neuropathology, Univ. of Miami School of Medicine, FL (United States))

    1992-04-01

    The acute traumatic central cord syndrome (ATCCS) is commonly stated to result from an injury which affects primarily the center of the spinal cord and is frequently hemorrhagic. To test the validity of this widely disseminated hypothesis, the magnetic resonance images [MRI] of 11 consecutive cases of ATCCS caused by closed injury to the spine were analyzed and correlated with the gross pathological and histological features of 3 cervical spinal cords obtained at post mortem from patients with ATCCS, including 2 of patients studied by MRI. In this study, the MRI and pathological observations indicate that ATCCS is predominantly a white matter injury and that intramedullary hemorrhage is not a necessary feature of the syndrome; indeed, it is probably an uncommon event in ATCCS. We suggest that the most common mechanism of injury in ATCCS may be direct compression of the cervical spinal cord by buckling of the ligamenta flava into an already narrowed cervical spinal canal; this would explain the predominance of axonal injury in the white matter of the lateral columns. (orig./GDG).

  6. Holocene monsoon variability inferred from Targo Xian peat bog in the Tangra Yumco basin, central Tibetan Plateau

    Science.gov (United States)

    Henkel, Karoline; Haberzettl, Torsten; Miehe, Sabine; Frenzel, Peter; Daut, Gerhard; Dietze, Elisabeth; Kasper, Thomas; Ahlborn, Marieke; Mäusbacher, Roland

    2013-04-01

    The Tibetan Plateau is the greatest plateau on Earth with an average altitude of 4,500 m asl. Due to its high elevation, large area and significant role in the formation of the Asian Monsoon Systems (e.g., Indian Ocean and East-Asian Summer Monsoon) it is considered to react very sensitive to climate variations. The numerous lake systems on the Tibetan Plateau represent excellent archives reflecting variations in the strength of the monsoon system in terms of hydrological changes expressed in lake level fluctuations. For example, terraces and lacustrine deposits around the saline lake Tangra Yumco indicate lake level highstands up to ~215 m higher than the present lake level. To study Holocene lake level variations we investigated a 3.6 m long sediment core recovered from a peat bog (near the Targo Xian settlement, 30°46'N, 86°40'E) on a recessional lake level terrace ~150 m above the present shoreline of Tangra Yumco. In particular, our analyses of sedimentological (grain size), geochemical (CNS and ICP-OES) and mineralogical (XRD) data allow a detailed and high-resolution interpretation of the hydrological conditions during the Holocene. The existence of two carbonate layers in the Targo Xian record, separated by a sand layer and intercalated in peat sequences at the bottom and top of the core, provide evidence for two stable lake stages at the coring position. Peat at the bottom of the core, which is radiocarbon-dated to 11,130 +130/-345 cal BP, indicates wetland conditions similar to the Recent situation (Miehe et al., submitted). After a transition zone, a layer of pure aragonitic lake marl gives evidence for a lake stage. During this stage, high values of the total inorganic carbon (TIC) and Ca/Ti ratios as well as low C/N ratios point to a stable lake due to wet climatic conditions. This carbonate layer can be correlated with a 2-3 m thick carbonate layer found in outcrops around the present lake Tangra Yumco presenting a high lake level until approx. 2

  7. Comparative proteomics analyses of Kobresia pygmaea adaptation to environment along an elevational gradient on the central Tibetan Plateau.

    Directory of Open Access Journals (Sweden)

    Xiong Li

    Full Text Available Variations in elevation limit the growth and distribution of alpine plants because multiple environmental stresses impact plant growth, including sharp temperature shifts, strong ultraviolet radiation exposure, low oxygen content, etc. Alpine plants have developed special strategies to help survive the harsh environments of high mountains, but the internal mechanisms remain undefined. Kobresia pygmaea, the dominant species of alpine meadows, is widely distributed in the Southeastern Tibet Plateau, Tibet Autonomous Region, China. In this study, we mainly used comparative proteomics analyses to investigate the dynamic protein patterns for K. pygmaea located at four different elevations (4600, 4800, 4950 and 5100 m. A total of 58 differentially expressed proteins were successfully detected and functionally characterized. The proteins were divided into various functional categories, including material and energy metabolism, protein synthesis and degradation, redox process, defense response, photosynthesis, and protein kinase. Our study confirmed that increasing levels of antioxidant and heat shock proteins and the accumulation of primary metabolites, such as proline and abscisic acid, conferred K. pygmaea with tolerance to the alpine environment. In addition, the various methods K. pygmaea used to regulate material and energy metabolism played important roles in the development of tolerance to environmental stress. Our results also showed that the way in which K. pygmaea mediated stomatal characteristics and photosynthetic pigments constitutes an enhanced adaptation to alpine environmental stress. According to these findings, we concluded that K. pygmaea adapted to the high-elevation environment on the Tibetan Plateau by aggressively accumulating abiotic stress-related metabolites and proteins and by the various life events mediated by proteins. Based on the species'lexible physiological and biochemical processes, we surmised that environment change

  8. Comparative Proteomics Analyses of Kobresia pygmaea Adaptation to Environment along an Elevational Gradient on the Central Tibetan Plateau

    Science.gov (United States)

    Li, Xiong; Yang, Yunqiang; Ma, Lan; Sun, Xudong; Yang, Shihai; Kong, Xiangxiang; Hu, Xiangyang; Yang, Yongping

    2014-01-01

    Variations in elevation limit the growth and distribution of alpine plants because multiple environmental stresses impact plant growth, including sharp temperature shifts, strong ultraviolet radiation exposure, low oxygen content, etc. Alpine plants have developed special strategies to help survive the harsh environments of high mountains, but the internal mechanisms remain undefined. Kobresia pygmaea, the dominant species of alpine meadows, is widely distributed in the Southeastern Tibet Plateau, Tibet Autonomous Region, China. In this study, we mainly used comparative proteomics analyses to investigate the dynamic protein patterns for K. pygmaea located at four different elevations (4600, 4800, 4950 and 5100 m). A total of 58 differentially expressed proteins were successfully detected and functionally characterized. The proteins were divided into various functional categories, including material and energy metabolism, protein synthesis and degradation, redox process, defense response, photosynthesis, and protein kinase. Our study confirmed that increasing levels of antioxidant and heat shock proteins and the accumulation of primary metabolites, such as proline and abscisic acid, conferred K. pygmaea with tolerance to the alpine environment. In addition, the various methods K. pygmaea used to regulate material and energy metabolism played important roles in the development of tolerance to environmental stress. Our results also showed that the way in which K. pygmaea mediated stomatal characteristics and photosynthetic pigments constitutes an enhanced adaptation to alpine environmental stress. According to these findings, we concluded that K. pygmaea adapted to the high-elevation environment on the Tibetan Plateau by aggressively accumulating abiotic stress-related metabolites and proteins and by the various life events mediated by proteins. Based on the species'lexible physiological and biochemical processes, we surmised that environment change has only a slight

  9. Prevalence of intestinal parasitic infections and associated risk factors among schoolchildren in the Plateau Central and Centre-Ouest regions of Burkina Faso.

    Science.gov (United States)

    Erismann, Séverine; Diagbouga, Serge; Odermatt, Peter; Knoblauch, Astrid M; Gerold, Jana; Shrestha, Akina; Grissoum, Tarnagda; Kaboré, Aminata; Schindler, Christian; Utzinger, Jürg; Cissé, Guéladio

    2016-10-18

    Unsafe drinking water, unimproved sanitation and lack of hygiene pose health risks, particularly to children in low- and middle-income countries. This study aimed to assess the prevalence and risk factors of intestinal parasitic infections in school-aged children in two regions of Burkina Faso. A cross-sectional survey was carried out in February 2015 with 385 children aged 8-14 years from eight randomly selected schools in the Plateau Central and Centre-Ouest regions of Burkina Faso. Stool samples were subjected to the Kato-Katz and a formalin-ether concentration method for the diagnosis of helminths and intestinal protozoa infections. Urine samples were examined with a urine filtration technique for Schistosoma haematobium eggs. Water samples from community sources (n = 37), children's households (n = 95) and children's drinking water cups (n = 113) were analysed for contamination with coliform bacteria and faecal streptococci. Data on individual and family-level risk factors were obtained using a questionnaire. Mixed logistic regression models were employed to determine factors associated with intestinal parasitic infections in schoolchildren. Intestinal parasitic infections were highly prevalent; 84.7 % of the children harboured intestinal protozoa, while helminth infections were diagnosed in 10.7 % of the children. We found significantly lower odds of pathogenic intestinal protozoa infection (Entamoeba histolytica/E. dispar and Giardia intestinalis) among children from the Plateau Central, compared to the Centre-Ouest region (P parasitic infections in children. Intestinal protozoa but not helminths were highly prevalent among schoolchildren in randomly selected schools in two regions of Burkina Faso. Our findings call for specific public health measures tailored to school-aged children and rural communities in this part of Burkina Faso. It will be interesting to assess the effect of water, sanitation and hygiene interventions on the

  10. Central-Variant Posterior Reversible Encephalopathy Syndrome with Albuminocytologic Dissociation.

    Science.gov (United States)

    Lee, Sang-Woo; Lee, Seung-Jae

    2018-01-01

    Posterior reversible encephalopathy syndrome (PRES) is a disorder of reversible vasogenic brain edema which mainly involves the parieto-occipital lobes in various clinical settings. The main mechanism is known to be cerebral autoregulation failure and endothelial dysfunction leading to the disruption of the blood-brain barrier. We report the case of a 47-year-old woman with PRES which involved the brain stem and thalami, sparing the cerebral hemispheres. She was admitted to the emergency room because of acute-onset confusion. Her initial blood pressure was 270/220 mm Hg. Routine blood lab tests showed pleocytosis, hyperglycemia, and azotemia. Brain magnetic resonance imaging (MRI) showed a lesion of vasogenic edema involving nearly the whole area of pons, the left side of the midbrain, and the bilateral medial thalami. Cerebrospinal fluid (CSF) examination revealed an increased level of protein with normal white blood cell count. With conservative care, the patient markedly recovered 3 days after symptom onset, and a follow-up MRI confirmed complete resolution of the vasogenic edema. This case suggests that PRES can rarely involve the "central zone" only, sparing the cerebral hemispheres, which may be confused with other neurological diseases. Besides, the CSF albuminocytologic dissociation may suggest the disruption of the blood-brain barrier in patients with PRES.

  11. Central-Variant Posterior Reversible Encephalopathy Syndrome with Albuminocytologic Dissociation

    Directory of Open Access Journals (Sweden)

    Sang-Woo Lee

    2018-01-01

    Full Text Available Posterior reversible encephalopathy syndrome (PRES is a disorder of reversible vasogenic brain edema which mainly involves the parieto-occipital lobes in various clinical settings. The main mechanism is known to be cerebral autoregulation failure and endothelial dysfunction leading to the disruption of the blood-brain barrier. We report the case of a 47-year-old woman with PRES which involved the brain stem and thalami, sparing the cerebral hemispheres. She was admitted to the emergency room because of acute-onset confusion. Her initial blood pressure was 270/220 mm Hg. Routine blood lab tests showed pleocytosis, hyperglycemia, and azotemia. Brain magnetic resonance imaging (MRI showed a lesion of vasogenic edema involving nearly the whole area of pons, the left side of the midbrain, and the bilateral medial thalami. Cerebrospinal fluid (CSF examination revealed an increased level of protein with normal white blood cell count. With conservative care, the patient markedly recovered 3 days after symptom onset, and a follow-up MRI confirmed complete resolution of the vasogenic edema. This case suggests that PRES can rarely involve the “central zone” only, sparing the cerebral hemispheres, which may be confused with other neurological diseases. Besides, the CSF albuminocytologic dissociation may suggest the disruption of the blood-brain barrier in patients with PRES.

  12. Recent mass balance of the Purogangri Ice Cap, central Tibetan Plateau, by means of differential X-band SAR interferometry

    Directory of Open Access Journals (Sweden)

    N. Neckel

    2013-10-01

    Full Text Available Due to their remoteness, altitude and harsh climatic conditions, little is known about the glaciological parameters of ice caps on the Tibetan Plateau. This study presents a geodetic mass balance estimate of the Purogangri Ice Cap, Tibet's largest ice field between 2000 and 2012. We utilized data from the actual TerraSAR-X mission and its add-on for digital elevation measurements and compared it with elevation data from the Shuttle Radar Topography Mission. The employed data sets are ideal for this approach as both data sets were acquired at X-band at nearly the same time of the year and are available at a fine grid spacing. In order to derive surface elevation changes we employed two different methods. The first method is based on differential synthetic radar interferometry while the second method uses common DEM differencing. Both approaches revealed a slightly negative mass budget of −44 ± 15 and −38 ± 23 mm w.eq. a−1 (millimeter water equivalent respectively. A slightly negative trend of −0.15 ± 0.01 km2 a−1 in glacier extent was found for the same time period employing a time series of Landsat data. Overall, our results show an almost balanced mass budget for the studied time period. Additionally, we detected one continuously advancing glacier tongue in the eastern part of the ice cap.

  13. Reactions and reaction rates in the regional aquifer beneath the Pajarito Plateau, north-central New Mexico, USA

    Science.gov (United States)

    Hereford, Anne G.; Keating, Elizabeth H.; Guthrie, George D.; Zhu, Chen

    2007-05-01

    Reactions and reaction rates within aquifers are fundamental components of critical hydrological processes. However, reactions simulated in laboratory experiments typically demonstrate rates that are much faster than those observed in the field. Therefore, it is necessary to conduct more reaction rate analyses in natural settings. This study of geochemical reactions in the regional aquifer in the Pajarito Plateau near Los Alamos, New Mexico combines modeling with petrographic assessment to further knowledge and understanding of complex natural hydrologic systems. Groundwater geochemistry shows marked evolution along assumed flow paths. The flow path chosen for this study was evaluated using inverse mass balance modeling to calculate the mass transfer. X-ray diffraction and field emission gun scanning electron microscopy were used to identify possible reactants and products. Considering the mineralogy of the aquifer and saturation indices for the regional water refined initial interpretations. Calculations yielded dissolution rates for plagioclase on the order of 10-15 mol s-1 m-2 and for K-feldspar on the order of 10-17 mol s-1 m-2, orders of magnitude slower than laboratory rates. While these rates agree with other aquifer studies, they must be considered in the light of the uncertainty associated with geometric surface area estimates, 14C ages, and aquifer properties.

  14. Aeolian dust supply from the Yellow River floodplain to the Pleistocene loess deposits of the Mangshan Plateau, central China: Evidence from zircon U-Pb age spectra

    Science.gov (United States)

    Shang, Yuan; Prins, Maarten A.; Beets, Christiaan J.; Kaakinen, Anu; Lahaye, Yann; Dijkstra, Noortje; Rits, Daniël S.; Wang, Bin; Zheng, Hongbo; van Balen, Ronald T.

    2018-02-01

    The thick loess-palaeosol sequences in the Mangshan Loess Plateau (MLP; central China) along the south bank of the lower reach of the Yellow River provide high-resolution records of Quaternary climate change. In addition, substantial increases in grain-size and accumulation rate have been inferred in the upper part of the loess sequence, above palaeosol layer S2. This study investigates the sources of the long-term dust supply to the MLP and explores the mechanism behind the sudden increase in sediment delivery and coarsening of the loess deposits since S2 (∼240 ka) by using end member modelling of the loess grain-size dataset and single-grain zircon U-Pb dating. Our results indicate that the lower Yellow River floodplain, directly north of the MLP, served as a major dust supply for the plateau at least since the deposition of loess unit L9 and indirectly suggest that the integration of the Yellow River and the disappearance of the Sanmen palaeolake took place before L9 (∼900 ka). The sudden change in sedimentology of the Mangshan sequence above palaeosol unit S2 may result from an increased fluvial sediment flux being transported to the lower reaches of the Yellow River because of tectonic movements (initiated) in the Weihe Basin around 240 ka. Furthermore, sediment coarsening can be explained by the gradual southward migration of the lower Yellow River floodplain towards the MLP since the deposition of palaeosol S2. The migration is evidenced by the formation of an impressive scarp, and is likely caused by tectonic tilting of the floodplain area.

  15. Different responses of ecosystem carbon exchange to warming in three types of alpine grassland on the central Qinghai-Tibetan Plateau.

    Science.gov (United States)

    Ganjurjav, Hasbagan; Hu, Guozheng; Wan, Yunfan; Li, Yue; Danjiu, Luobu; Gao, Qingzhu

    2018-02-01

    Climate is a driver of terrestrial ecosystem carbon exchange, which is an important product of ecosystem function. The Qinghai-Tibetan Plateau has recently been subjected to a marked increase in temperature as a consequence of global warming. To explore the effects of warming on carbon exchange in grassland ecosystems, we conducted a whole-year warming experiment between 2012 and 2014 using open-top chambers placed in an alpine meadow, an alpine steppe, and a cultivated grassland on the central Qinghai-Tibetan Plateau. We measured the gross primary productivity, net ecosystem CO 2 exchange (NEE), ecosystem respiration, and soil respiration using a chamber-based method during the growing season. The results show that after 3 years of warming, there was significant stimulation of carbon assimilation and emission in the alpine meadow, but both these processes declined in the alpine steppe and the cultivated grassland. Under warming conditions, the soil water content was more important in stimulating ecosystem carbon exchange in the meadow and cultivated grassland than was soil temperature. In the steppe, the soil temperature was negatively correlated with ecosystem carbon exchange. We found that the ambient soil water content was significantly correlated with the magnitude of warming-induced change in NEE. Under high soil moisture condition, warming has a significant positive effect on NEE, while it has a negative effect under low soil moisture condition. Our results highlight that the NEE in steppe and cultivated grassland have negative responses to warming; after reclamation, the natural meadow would subject to loose more C in warmer condition. Therefore, under future warmer condition, the overextension of cultivated grassland should be avoided and scientific planning of cultivated grassland should be achieved.

  16. PLATEAU IRIS – DIAGNOSIS AND TREATMENT

    Science.gov (United States)

    Stefan, Cornel; Iliescu, Daniela Adriana; Batras, Mehdi; Timaru, Cristina Mihaela; De Simone, Algerino

    2015-01-01

    Objectives: The objective of our study was to review the current knowledge on the diagnosis and treatment options of plateau iris configuration and syndrome. Systematic review methodology: Relevant publications on plateau iris that were published until 2014. Conclusions: Plateau iris syndrome is a form of primary angle closure glaucoma caused by a large or anteriorly positioned ciliary body that leads to mechanical obstruction of trabecular meshwork. This condition is most often found in younger patients. Plateau iris has been considered an abnormal anatomic variant of the iris that can be diagnosed on ultrasound biomicroscopy or optical coherence tomography of anterior segment. Patients with plateau iris syndrome can be recognized by the lack of response in angle opening after iridotomy. The treatment of choice in these cases is argon laser peripheral iridoplasty PMID:27373109

  17. PLATEAU IRIS--DIAGNOSIS AND TREATMENT.

    Science.gov (United States)

    Stefan, Cornel; Iliescu, Daniela Adriana; Batras, Mehdi; Timaru, Cristina Mihaela; De Simone, Algerino

    2015-01-01

    The objective of our study was to review the current knowledge on the diagnosis and treatment options of plateau iris configuration and syndrome. Relevant publications on plateau iris that were published until 2014. Plateau iris syndrome is a form of primary angle closure glaucoma caused by a large or anteriorly positioned ciliary body that leads to mechanical obstruction of trabecular meshwork. This condition is most often found in younger patients. Plateau iris has been considered an abnormal anatomic variant of the iris that can be diagnosed on ultrasound biomicroscopy or optical coherence tomography of anterior segment. Patients with plateau iris syndrome can be recognized by the lack of response in angle opening after iridotomy. The treatment of choice in these cases is argon laser peripheral iridoplasty.

  18. Frequency of fibromyalgia syndrome in patients with central serous chorioretinopathy

    Directory of Open Access Journals (Sweden)

    Ayse Balkarli

    Full Text Available ABSTRACT Purpose: To ınvestigate frequency of fibromyalgia syndrome (FMS among patients with central serous chorioretinopathy (CSCR. Methods: The study included 83 patients with CSCR and 201 age- and sex-matched healthy controls; the mean age was 47.5 ± 11.3 years in the CSCR group (18 women; 21.7% and 47.2 ± 11.2 years in the control group (44 women; 21.9%. All participants were assessed for FMS based on 2010 American College of Rheumatology diagnostic criteria and for depression and anxiety with the Beck Anxiety Inventory (BAI and Beck Depression Inventory (BDI. Results: FMS was diagnosed in 35 patients (42.2% from the CSCR group and in 21 individuals (10.4% from the control group (p<0.001. It was found in 77.77% of the women (14/18 and 32.3% of the men (21/65 in the CSCR group and in 22.7% of the women (10/44 and 7.0% of the men (11/157 in the control group. Familial stress, BDI and BAI scores were higher in the patients with FMS than in those without. When independent risk factors were evaluated by logistic regression analysis, it was found that only the presence of familial stress was a significant risk factor for FMS. Conclusions: Patients with CSCR should be assessed for the presence of FMS, and this should be taken into consideration when developing a treatment plan. Further studies with a larger sample size are needed to clarify the relationship between FMS and CSCR.

  19. Endocrine and anatomical findings in a case of Solitary Median Maxillary Central Incisor Syndrome

    NARCIS (Netherlands)

    Szakszon, Katalin; Felszeghy, Enikő; Csízy, István; Józsa, Tamás; Káposzta, Rita; Balogh, Erzsébet; Oláh, Eva; Balogh, István; Berényi, Ervin; Knegt, Alida C.; Ilyés, István

    2012-01-01

    Solitary Median Maxillary Central Incisor Syndrome (SMMCI) is a rare malformation syndrome consisting of multiple, mainly midline defects. Some authors suggest that it is a mild manifestation of the wide spectrum of holoprosencephaly, others classify it rather as a distinct entity. Authors report a

  20. Pinch-off syndrome: transection of implantable central venous access device

    OpenAIRE

    Sugimoto, Takuya; Nagata, Hiroshi; Hayashi, Ken; Kano, Nobuyasu

    2012-01-01

    As the population of people with cancer increases so does the number of patients who take chemotherapy. Majority of them are administered parentally continuously. Implantable central venous catheter device is a good choice for those patients; however, severe complication would occur concerning the devices. Pinch-off syndrome is one of the most severe complications. The authors report a severe case of pinch-off syndrome. The patient with the implantable central venous device could not take che...

  1. The significance of dorsal migration of the cord after extensive cervical laminectomy for patients with traumatic central cord syndrome.

    Science.gov (United States)

    Levi, L; Wolf, A; Mirvis, S; Rigamonti, D; Fianfaca, M S; Monasky, M

    1995-08-01

    Central cord syndrome (CCS) resulting from traumatic cervical injury is often associated with cervical stenosis and/or spondylosis. The efficacy of multilevel laminectomy in the treatment of this condition has been controversial. The objective of this study was to validate by magnetic resonance (MR) imaging the occurrence of dorsal cord migration after extensive laminectomy for patients with the clinical syndrome of central cord damage and its relationship to the short-term outcome. During a 28-month period, the authors evaluated 20 patients (mean age 54 years) who sustained CCS after cervical spine trauma. Pre- and postoperative MR imaging assessed the adequacy of cervical cord decompression by multilevel laminectomy. All patients had cervical canal stenosis with complete obliteration of the anterior subarachnoid space over multiple levels. Seventeen patients initially had CCS of different degrees of severity. One had no motor deficit and two had motor complete with sensory deficits greater in their arms. Laminectomy, generally from C2 to C7 without facetectomy, was performed after plateau of neurological recovery (mean 17 days postinjury). Neurological assessment 3 months after operation revealed improvement in 12, stable function in 7, and progression of deficit in one with no mortality. The postoperative midsagittal MR images demonstrated adequate decompression with restoration of anterior cerebrospinal fluid space and posterior cord migration in 12 patients (60% of the 20), but only 8 of them also had improved function. MR imaging demonstrated that, in the presence of multilevel spondylosis/stenosis, laminectomy may provide adequate spinal cord decompression in patients with traumatic CCS.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. Central nervous system involvement in primary Sjogren`s syndrome manifesting as multiple sclerosis.

    Science.gov (United States)

    Liu, Jing-Yao; Zhao, Teng; Zhou, Chun-Kui

    2014-04-01

    Central nervous system symptoms in patients with primary Sjogren`s syndrome are rare. They can present as extraglandular manifestations and require a differential diagnosis from multiple sclerosis. Due to a variety of presentations, Sjogren`s syndrome with neurologic involvement may be difficult to diagnose. Here, we report a case of a 75-year-old woman who was first diagnosed with multiple sclerosis in 2010, but who was subsequently diagnosed with primary Sjogren`s syndrome 2 years later after showing signs of atypical neurologic manifestations. Therefore, primary Sjogren`s syndrome should be suspected in patients who present with atypical clinical and radiologic neurologic manifestations.

  3. Hemorrhagic fever with renal syndrome accompanied by panhypopituitarism and central diabetes insipidus: a case report.

    Science.gov (United States)

    Ahn, Hee Jung; Chung, Jong-Hoon; Kim, Dong-Min; Yoon, Na-Ra; Kim, Choon-Mee

    2018-03-05

    Central diabetes insipidus (DI) was detected in a patient with hemorrhagic fever with renal syndrome (HFRS) who had been molecularly and serologically diagnosed with Hantaan virus infection. We recommend that clinicians differentiate central DI in HFRS patients with a persistent diuretic phase even when pituitary MRI findings are normal.

  4. The exploitation of obsidian in the Central Plateau of Santa Cruz, Argentina: Results from La María and Cerro Tres Tetas and a regional perspective

    Directory of Open Access Journals (Sweden)

    Manuel Enrique Cueto

    2016-09-01

    Results from this work strengthen the idea that the groups which lived in the Central Plateau knew about and exploited an obsidian source known as Pampa del Asador. A raise in the use of this raw material throughout time is recorded, reaching its peak in the late Holocene. We identified two different moments in the exploitation of obsidian at the regional level. During the final Pleistocene and early Holocene, obsidian would not have played a relevant role in the organization of technology. Production sequences indicate that tools probably were entered to the sites already manufactured. During the middle and late Holocene nodules and cores could have been brought into the sites. The strategies involved in their reduction are in broad terms similar to those implemented with local raw materials; there is no evidence that obsidian had more value in any way. On the other hand, it is also not possible to state that there was just an eventual exploitation of this raw material. We believe that obsidian was acquired during mobility circuits which enabled the contact between different groups.

  5. Ecomorphology and diet reflect the spatial segregation between two Siluriformes species inhabiting a stream of the Bodoquena Plateau, in Central Brazil

    Directory of Open Access Journals (Sweden)

    Francisco Severo-Neto

    2015-03-01

    Full Text Available Pimelodella taenioptera Miranda Ribeiro, 1914 and Imparfinis schubarti (Gomes, 1956 are two of the most common fish species in Bodoquena Plateau streams, Paraguay basin. These species have benthic habits and subaquatical observations suggested that they present differentiation in their preference for mesohabitat types. Pimelodella taenioptera shows preference for slow waters, such as pools, while I. schubarti is associated to riffles. In this study we investigated if the known patterns of mesohabitat use of P. taenioptera and I. schubarti can be predict by their ecomorphological and trophic traits. We described the dietary habits and ecomorphological attributes of P. taenioptera and I. schubarti individuals, captured in the Parque Nacional da Serra da Bodoquena (PNSB, Mato Grosso do Sul state, central Brazil. Pimelodella taenioptera presented a more generalist diet, consuming a total of 23 different food items. Imparfinis schubarti have a diet based exclusively on aquatic insects. The ecomorphological analysis revealed that the species differed in relation to five morphological traits associated to habitat use (p <0.01. The results of this study reveal a clear functional dissimilarity between P. taenioptera and I. shubarti. The observed trophic and ecomorphological patterns are congruent with the known habitat use for these species and probably reflect the spatial and temporal variability on conditions and resources present in riffles and pools. Therefore, as expected, the morphological and feeding attributes represent predictive information related to mesohabitat use.

  6. Concentration and chiral signature of chlordane in soils and sediments of the Central Tibetan Plateau, China: Transformation in the surficial process

    International Nuclear Information System (INIS)

    Yuan, Guo-Li; Wu, Ming-Zhe; Sun, Yong; Li, Jun; Han, Peng; Wang, Gen-Hou

    2015-01-01

    The fraction of trans-chlordane (TC) in chlordane was used to indicate racemic degradation while the enantiomer fractions (EFs) indicated enantioselective depletion. In 44 soils of the Central Tibetan Plateau, the fractions of TC ranged from 0.368 to 0.411. The EFs ranged from 0.174 to 0.696 for TC and from 0.483 to 0.672 for cis-chlordane (CC). (−) enantiomer excess (ee) was found to be 80.0% in the soils for TC and (+) ee was 86.5% for CC. The fraction of TC changed with the clay content while the EFs changed with the soil organic carbon. Meanwhile, the fractions of TC and the EFs were determined for the surficial sediments in Yamzhog Yumco Lake, which were compared with those in the soils at its catchment area. The composition and chiral signature of chlordane did not vary between soils and sediments. Our results will help to elucidate the transformation of chlordane in soils and in surficial transport. - Highlights: • F TC and EFs were determined for TC and CC in soil and sediment of CTP. • F TC of racemic degradation changed with the content of clays in soils. • EFs of enantioselective depletion changed with SOC in soils. • F TC and EFs were maintained during the surficial transport process. - The racemic and enantioselective transformation of chlordane were investigated in soils and sediments to characterize the surficial soil-to-sediment transport in the CTP.

  7. The fractional patterns of polybrominated diphenyl ethers in the soil of the central Tibetan Plateau, China: The influence of soil components

    International Nuclear Information System (INIS)

    Yuan Guoli; Xie Wei; Che Xiaochao; Han Peng; Liu Chen; Wang Genhou

    2012-01-01

    Sixteen soil samples were collected from the central Tibetan Plateau (CTP). The soil concentrations of polybrominated diphenyl ethers (PBDEs) in CTP were analyzed. The detected 42 congeners were divided into light, intermediate and heavy fractions. In addition to the various minerals, other soil properties were also characterized, including the content of soil organic carbon (SOC) and the particle size distribution. The clay content is positively related to the intermediate fraction of the PBDEs and negatively related to the light and heavy fractions. Similar correlations were observed for SOC and the fine-particle fraction (size 2 ) associated with a linear regression indicated that the clays were more highly correlated with the fractional pattern of the PBDEs than with the other properties, such as SOC and the fine-particle fraction. The values of r 2 between clays and three fractions of PBDEs are 0.70, 0.69 and 0.58. Highlights: ► All data about soil and PBDEs were based on field data rather than experiments. ► The intermediate fraction of PBDEs increased with increases in the clay content. ► The clays were more strongly correlated with PBDEs fractional patterns than SOC. - Certain minerals, such as clays, have a greater impact on the adsorption of POPs than SOC in certain areas.

  8. NON-GENETIC EFFECT ON BODY WEIGHT AND BODY MEASUREMENT OF INDIGENOUS GOATS AT DIFFERENT STAGES OF GROWTH IN NORTH CENTRAL PLATEAU CLIMATIC ZONE OF ODISHA, INDIA

    Directory of Open Access Journals (Sweden)

    S. Ray

    2015-12-01

    Full Text Available The effect of season of birth, type of birth, sex and parity on body weight of indigenous goats under field condition in north central plateau agro-climatic zone of Odisha was studied. Data from 622 kids revealed that the overall body weights were 1.02± 0.01, 4.27± 0.03, 7.29± 0.05, 9.42± 0.08 and 12.09± 0.12 kg at birth, 3 month, 6 month, 9 month and 12 month of age, respectively. Multiple births in the population were 72.3%. Significant difference was observed between male and female goats with respect to body weight in all stages of growth.Multiple births had significant effect on body weights of kids till 6 month of age. Season of birth had significant effect on body weight of kids only at birth and 3 month of age but parity did not show any significant effect on body weight at any studied stages.

  9. In Shackleton's trails: Central and local thermoadaptive modifications to cold and hypoxia after a man-hauling expedition on the Antarctic Plateau.

    Science.gov (United States)

    Keramidas, Michail E; Kölegård, Roger; Eiken, Ola

    2018-04-01

    Cold and hypoxia constitute the main environmental stressors encountered on the Antarctic Plateau. Hence, we examined whether central and/or peripheral acclimatisation to the combined stressors of cold and hypoxia would be developed in four men following an 11-day man-hauling expedition on this polar region. Before and after the journey, participants performed a static whole-body immersion in 21 °C water, during which they were breathing a hypoxic gas (partial pressure of inspired O 2 : ~97 mmHg). To evaluate their local responses to cold, participants also immersed the hand into 8 °C water for 30 min, while they were whole-body immersed and mildly hypothermic [i.e. 0.5 °C fall in rectal temperature (T rec ) from individual pre-immersion values]. T rec and skin temperature (T sk ), skin blood flux, and oxygen uptake (reflecting shivering thermogenesis) were monitored throughout. The polar expedition accelerated by ~14 min the drop in T rec [final mean (95% confidence interval) changes in T rec : Before = -0.94 (0.15) °C, After: - 1.17 (0.23) °C]. The shivering onset threshold [Before: 19 (22) min, After: 25 (19) min] and gain [Before: - 4.19 (3.95) mL min -1 kg -1 , After: - 1.70 (1.21) mL min -1 kg -1 ] were suppressed by the expedition. T sk did not differ between trials. The development of a greater post-expedition hypothermic state did not compromise finger circulation during the hand-cooling phase. Present findings indicate therefore that a hypothermic pattern of cold acclimatisation, as investigated in hypoxia, was developed following a short-term expedition on the South Polar Plateau; an adaptive response that is characterised mainly by suppressed shivering thermogenesis, and partly by blunted cutaneous vasoconstriction. Copyright © 2018 Elsevier Ltd. All rights reserved.

  10. Isolated Richter's syndrome in central nervous system: case report Sindrome de Richter isolada em sistema nervoso central: relato de caso

    Directory of Open Access Journals (Sweden)

    Lucilene S.R. Resende

    2005-06-01

    Full Text Available Diffuse large cell non Hodgkin's lymphoma associated with chronic lymphoid leukemia (CLL, or Richter's syndrome, is a rare and serious complication. Isolated Richter's syndrome in the central nervous system is very rare; only 12 cases have been reported. We describe a 74-year-old patient with diffuse large cell non Hodgkin's lymphoma in the right frontal region with the appearance of multiform glioblastoma.Linfoma não Hodgkin difuso de grandes células em paciente portador de leucemia linfóide crônica (LLC, ou síndrome de Richter, é complicação rara e grave nesta leucemia. Síndrome de Richter isolada no sistema nervoso central é muito rara, tendo sido encontrados apenas 12 casos descritos. Descrevemos paciente de 74 anos, que apresentou linfoma não Hodgkin difuso de grandes células em região frontal direita, simulando glioblastoma multiforme.

  11. Mirizzi Syndrome: A Case Report | Muthuuri | East and Central ...

    African Journals Online (AJOL)

    The classical Mirizzi Syndrome described by P. L. Mirizzi in 1948 is characterized by a cholecystocholedochal fistula arising from a calculus in the cystic duct that erodes into the common hepatic duct. The gall bladder eventually collapses due to fibrosis while the terminal bile ducts become dilated. A calculus is usually ...

  12. Comunidades da nova era no Planalto Central: utopia, ideologia e reafirmação da ordem New Age communities in the Central Plateau: utopia, ideology and reafirmation of order

    Directory of Open Access Journals (Sweden)

    Aico Sipriano Nogueira

    2001-05-01

    Full Text Available Este artigo analisa a constituição de uma comunidade alternativa no planalto central do Brasil, a partir do que se convencionou chamar de "novas formas contemporâneas de sociabilidade". Através de uma discussão teórico-conceitual sobre comunidade, comunidade utópica, mito, ideologia, utopia e imaginário, o texto sugere a possibilidade de se pensar a idéia de alternativa ao sistema social vigente enquanto expressão, ao mesmo tempo, do pensamento conservador e da possibilidade de construção do novo.This article analyses the constitution of an alternative community in the central plateau of Brazil, based on what has been called 'new contemporary forms of sociability'.Using a theoretical-conceptual discussion on community, utopian community, myth, ideology, utopia and imaginary, the text suggests the possibility of taking the idea of alternative to the present social system as an expression, along with conservative thought and the possibility of the construction of the new.

  13. Bilateral widespread mechanical pain sensitivity in carpal tunnel syndrome: evidence of central processing in unilateral neuropathy.

    Science.gov (United States)

    Fernández-de-las-Peñas, César; de la Llave-Rincón, Ana Isabel; Fernández-Carnero, Josué; Cuadrado, María Luz; Arendt-Nielsen, Lars; Pareja, Juan A

    2009-06-01

    The aim of this study was to investigate whether bilateral widespread pressure hypersensitivity exists in patients with unilateral carpal tunnel syndrome. A total of 20 females with carpal tunnel syndrome (aged 22-60 years), and 20 healthy matched females (aged 21-60 years old) were recruited. Pressure pain thresholds were assessed bilaterally over median, ulnar, and radial nerve trunks, the C5-C6 zygapophyseal joint, the carpal tunnel and the tibialis anterior muscle in a blinded design. The results showed that pressure pain threshold levels were significantly decreased bilaterally over the median, ulnar, and radial nerve trunks, the carpal tunnel, the C5-C6 zygapophyseal joint, and the tibialis anterior muscle in patients with unilateral carpal tunnel syndrome as compared to healthy controls (all, P < 0.001). Pressure pain threshold was negatively correlated to both hand pain intensity and duration of symptoms (all, P < 0.001). Our findings revealed bilateral widespread pressure hypersensitivity in subjects with carpal tunnel syndrome, which suggest that widespread central sensitization is involved in patients with unilateral carpal tunnel syndrome. The generalized decrease in pressure pain thresholds associated with pain intensity and duration of symptoms supports a role of the peripheral drive to initiate and maintain central sensitization. Nevertheless, both central and peripheral sensitization mechanisms are probably involved at the same time in carpal tunnel syndrome.

  14. Pinch-off syndrome: transection of implantable central venous access device.

    Science.gov (United States)

    Sugimoto, Takuya; Nagata, Hiroshi; Hayashi, Ken; Kano, Nobuyasu

    2012-11-30

    As the population of people with cancer increases so does the number of patients who take chemotherapy. Majority of them are administered parentally continuously. Implantable central venous catheter device is a good choice for those patients; however, severe complication would occur concerning the devices. Pinch-off syndrome is one of the most severe complications. The authors report a severe case of pinch-off syndrome. The patient with the implantable central venous device could not take chemotherapy because the device occluded. Further examination revealed the transection of the catheter. The transected fragment of the catheter in the heart was successfully removed by using a loop snare placed through the right femoral vein.

  15. Comparison of parasitological and productive traits of Criollo lambs native to the central Mexican Plateau and Suffolk lambs experimentally infected with Haemonchus contortus.

    Science.gov (United States)

    Alba-Hurtado, F; Romero-Escobedo, E; Muñoz-Guzmán, M A; Torres-Hernández, G; Becerril-Pérez, C M

    2010-09-20

    The study compares the parasitological and productive traits of Criollo lambs native to the central Mexican Plateau (CNCMP) and Suffolk (SU) lambs experimentally infected with Haemonchus contortus. CNCMP lambs (n=20) and SU lambs (n=15) were infected with L3 of H. contortus while five lambs of each genotype were kept as controls. Fecal egg count (FEC), packed cell volume (PCV), blood eosinophil number (BEN), ocular mucous membrane color (as measured by the FAMACHA index), changes in body condition score (BCS) and cumulative live weight gain (CLWG) were measured weekly during a 20-week period. On week 20, all animals were euthanized and the number of adult worms (AW) in the abomasum was counted. Infected SU lambs had higher (p<0.05) FEC and AW mean values compared to CNCMP lambs, which had a higher mean BEN count (p<0.05). Infected lambs had lower PCV values than controls, regardless of genotype, and had a negative correlation (r=-0.84, p<0.05) with the FAMACHA index. BCS tended to decline for infected SU lambs and increased slightly for infected CNCMP lambs. CLWG differed in all groups (p<0.05); infected SU lambs gained 12.1+/-1.9kg, infected CNCMP lambs gained 18.8+/-0.7kg, control SU lambs gained 34.6+/-1.6kg, and control CNCMP lambs gained 26.9+/-0.8kg. In conclusion, CNCMP lambs had a smaller worm burden, a better ability to maintain their productive traits, and were less affected by infection with Haemonchus contortus.

  16. Hydromagnesite precipitation in the Alkaline Lake Dujiali, central Qinghai-Tibetan Plateau: Constraints on hydromagnesite precipitation from hydrochemistry and stable isotopes

    International Nuclear Information System (INIS)

    Lin, Yongjie; Zheng, Mianping; Ye, Chuanyong

    2017-01-01

    The mineral hydromagnesite, Mg 5 (CO 3 ) 4 (OH) 2 ·4H 2 O, is a common form of hydrated Mg-carbonate in alkaline lakes, yet the processes involved in its formation are not well understood. This study focuses on Dujiali Lake, in the central Qinghai-Tibetan Plateau (QTP), which is one of the few environments on the earth's surface with extensive Holocene precipitation of hydromagnesite. The hydrogeochemistry of surface waters, and the mineralogical, stable isotope (δ 13 C and δ 18 O), and radiogenic isotope content of hydromagnesite deposits were analyzed to investigate formation mechanisms. The chemical composition of surface water around Dujiali Lake evolved from the rock-weathering-type waters of T1 (Ca−Mg−HCO 3 water type) to more concentrated sodic waters of T2 (Na−SO 4 −Cl water type) due to evaporation. XRD results show that the mineralogical composition of samples is pure hydromagnesite. Analysis of oxygen isotopes in the hydromagnesite indicates that supergene formation with authigenic carbonate crystallization from evaporation water is the dominant precipitation process. Combined carbon-oxygen isotope analysis suggests atmospheric CO 2 provided a carbon source for the precipitation of hydromagnesite. These findings suggest that hydromagnesite precipitation at Lake Dujiali is mainly inorganic in nature, and the greenhouse gas, CO 2 , is trapped and stored in the hydromagnesite directly from the atmosphere. AMS radiocarbon dating of samples indicates CO 2 was sequestered between 5845 ± 30 to 6090 ± 25 cal a BP in the Dujiali Lake hydromagnesite deposit. The study contributes to improved understanding of hydromagnesite formation in modern and ancient playas. - Highlights: • The stable isotopes, radiogenic isotope data are firstly obtained from the hydromagnesite deposits of Lake Dujiali in QTP. • Hydromagnesite precipitation at Lake Dujiali is mainly inorganic. • δ 18 O indicates supergene formation with authigenic carbonate

  17. Using a passive air sampler to monitor air-soil exchange of organochlorine pesticides in the pasture of the central Tibetan Plateau.

    Science.gov (United States)

    Wang, Chuanfei; Wang, Xiaoping; Ren, Jiao; Gong, Ping; Yao, Tandong

    2017-02-15

    Air-soil exchange is a key process controlling the fate of persistent organic pollutants (POPs). However, the "sink effect" of soil for POPs in Tibetan pasture has not been clear. In NamCo, in the central Tibetan Plateau (TP) where the land is covered by grass, a modified passive air sampler (PAS) (thickness: 2cm) was tested. Using the PAS, the atmospheric gaseous phase organochlorine pesticides (OCPs) at 11 heights from close-to-surface (2cm) to 200cm above ground, in summer and in winter, were measured. Concentrations of OCPs in summer were higher than those in winter. Both in summer and winter, atmospheric concentrations of OCPs decreased with decreasing height from 200 to 2cm, indicating that OCPs were being deposited from air to soil. Air deposition of OCPs was possibly driven by wind speed. Furthermore, based on air OCPs at 0-3cm near the surface, the interface exchange of OCPs between air and soil was studied by the fugacity method. The results showed that pastural soil in the TP was a "sink" of OCPs even in summer. The mean deposition fluxes of α-HCH, γ-HCH and o,p'-DDT were 0.72, 0.24 and 0.54pg/h/m 2 , respectively, and it was estimated that the level of these pollutants in the soil will double every 24, 66 and 206years, respectively. This study will contribute to the further understanding of global cycling of POPs in different land covers. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Contrasting evolution patterns between glacier-fed and non-glacier-fed lakes in the central Tibetan Plateau and driving force analysis

    Science.gov (United States)

    Song, C.; Sheng, Y.

    2015-12-01

    High-altitude lakes in the Tibetan Plateau (TP) showed strong spatio-temporal variability during past decades. The lake dynamics can be associated with several key factors including lake type, supply of glacial meltwater, local climate variations. It is important to differentiate these factors when analyzing the driving force of lakes dynamics. With a focus on lakes over the Tanggula Mountains of the central TP, this study investigates the temporal evolution patterns of lake area and water level of different types: glacier-fed closed lake, non-glacier-fed closed lake and upstream lake (draining into closed lakes). We collected all available Landsat archive data and quantified the inter-annual variability of lake extents. Results show accelerated expansions of both glacier-fed and non-glacier-fed lakes during 1970s-2013, and different temporal patterns of the two types of lakes: the non-glacier-fed lakes displayed a batch-wise growth pattern, with obvious growth in 2002, 2005 and 2011 and slight changes in other years, while glacier-fed lakes showed steady expanding tendency. The contrasting patterns are confirmed by the distinction of lake level change between the two groups derived from satellite altimetry during 2003-2009. The upstream lakes remained largely stable due to natural drainage regulation. The intermittent expansions for non-glacier-fed lakes were found to be related to excessive precipitation events and positive "precipitation-evaporation". In contrast, glacier-fed lake changes showed weak correlations with precipitation variations, which imply a joint contribution from glacial meltwater to water budgets. A simple estimation reveals that the increased water storage for all of examined lakes contributed from precipitation/evaporation (0.31±0.09 Gt/yr) slightly overweighed the glacial meltwater supply (0.26±0.08 Gt/yr).

  19. Heard Island and McDonald Islands Acoustic Plumes: Split-beam Echo sounder and Deep Tow Camera Observations of Gas Seeps on the Central Kerguelen Plateau

    Science.gov (United States)

    Watson, S. J.; Spain, E. A.; Coffin, M. F.; Whittaker, J. M.; Fox, J. M.; Bowie, A. R.

    2016-12-01

    Heard and McDonald islands (HIMI) are two active volcanic edifices on the Central Kerguelen Plateau. Scientists aboard the Heard Earth-Ocean-Biosphere Interactions voyage in early 2016 explored how this volcanic activity manifests itself near HIMI. Using Simrad EK60 split-beam echo sounder and deep tow camera data from RV Investigator, we recorded the distribution of seafloor emissions, providing the first direct evidence of seabed discharge around HIMI, mapping >244 acoustic plume signals. Northeast of Heard, three distinct plume clusters are associated with bubbles (towed camera) and the largest directly overlies a sub-seafloor opaque zone (sub-bottom profiler) with >140 zones observed within 6.5 km. Large temperature anomalies did not characterize any of the acoustic plumes where temperature data were recorded. We therefore suggest that these plumes are cold methane seeps. Acoustic properties - mean volume backscattering and target strength - and morphology - height, width, depth to surface - of plumes around McDonald resembled those northeast of Heard, also suggesting gas bubbles. We observed no bubbles on extremely limited towed camera data around McDonald; however, visibility was poor. The acoustic response of the plumes at different frequencies (120 kHz vs. 18 kHz), a technique used to classify water column scatterers, differed between HIMI, suggestiing dissimilar target size (bubble radii) distributions. Environmental context and temporal characteristics of the plumes differed between HIMI. Heard plumes were concentrated on flat, sediment rich plains, whereas around McDonald plumes emanated from sea knolls and mounds with hard volcanic seafloor. The Heard plumes were consistent temporally, while the McDonald plumes varied temporally possibly related to tides or subsurface processes. Our data and analyses suggest that HIMI acoustic plumes were likely caused by gas bubbles; however, the bubbles may originate from two or more distinct processes.

  20. Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation

    Directory of Open Access Journals (Sweden)

    Jorge Marques do Vale

    2014-10-01

    Full Text Available The Chiari malformation type I (CM-I has been associated with sleep-disordered breathing, especially central sleep apnea syndrome. We report the case of a 44-year-old female with CM-I who was referred to our sleep laboratory for suspected sleep apnea. The patient had undergone decompressive surgery 3 years prior. An arterial blood gas analysis showed hypercapnia. Polysomnography showed a respiratory disturbance index of 108 events/h, and all were central apnea events. Treatment with adaptive servo-ventilation was initiated, and central apnea was resolved. This report demonstrates the efficacy of servo-ventilation in the treatment of central sleep apnea syndrome associated with alveolar hypoventilation in a CM-I patient with a history of decompressive surgery.

  1. Cushing's Syndrome and Hypothalamic-Pituitary-Adrenal Axis Hyperactivity in Chronic Central Serous Chorioretinopathy.

    Science.gov (United States)

    van Haalen, Femke M; van Dijk, Elon H C; Dekkers, Olaf M; Bizino, Maurice B; Dijkman, Greet; Biermasz, Nienke R; Boon, Camiel J F; Pereira, Alberto M

    2018-01-01

    Central serous chorioretinopathy (CSC), a specific form of macular degeneration, has been reported as presenting manifestation of Cushing's syndrome. Furthermore, CSC has been associated with both exogenous hypercortisolism and endogenous Cushing's syndrome. It is important to know whether CSC patients should be screened for Cushing's syndrome. Although hypothalamic-pituitary-adrenal (HPA) axis hyperactivity in CSC has been suggested, no detailed evaluation of the HPA axis has been performed in a large cohort of CSC patients. This study aimed to investigate whether Cushing's syndrome prevalence is increased among chronic CSC (cCSC) patients and whether detailed endocrinological phenotyping indicates hyperactivity of the HPA axis. Cross-sectional study. 86 cCSC patients and 24 controls. Prevalence of Cushing's syndrome, HPA axis activity. None of the cCSC patients met the clinical or biochemical criteria of Cushing's syndrome. However, compared to controls, HPA axis activity was increased in cCSC patients, reflected by higher 24 h urinary free cortisol, and accompanying higher waist circumference and diastolic blood pressure, whereas circadian cortisol rhythm and feedback were not different. Chronic CSC patients did not report more stress or stress-related problems on questionnaires. No case of Cushing's syndrome was revealed in a large cohort of cCSC patients. Therefore, we advise against screening for Cushing's syndrome in CSC patients, unless additional clinical features are present. However, our results indicate that cCSC is associated with hyperactivity of the HPA axis, albeit not accompanied with perception of more psychosocial stress.

  2. Characteristics and seasonal variation of hydrochemistry in the Tangra Yumco basin, central Tibetan Plateau, and its response to Indian summer monsoon

    Science.gov (United States)

    Wang, Junbo; Qiao, Baojin; Huang, Lei; Zhu, Liping

    2016-04-01

    Lake Tangra Yumco, located in central Tibetan Plateau, is the deepest lake recorded on the Plateau with a maximum water depth of 230m. Several studies have been conducted focused on paleoenvironmental changes utilizing lake sediemts cores and high lake terraces. The results revealed a significant lake level decreasing up to 180m from early Holocene and Tangra Yumco was separated from two other adjacent lakes since then. A high resolution continuous lake sediment record covering the past 17.4 cal ka has been established. However, compared with the high lake level and paleoenvironmental studies, modern investigations on the water in this basin are still lack. A comprehensive investigation of hydrochemistry is helpful to understand the modern environment and its response to climate change. This study focuses on the characteristics, seasonal variation and controlling mechanism of hydrochemistry in Tangra Yumco basin, including lake water, river water and rainfall water. Lake water, river water and rainfall water were collected for analyzing major ionic composition in Tangra Yumco basin during 2013-2014. The results showed that Na+ is the major cation of lake water; Ca2+ is the major cation of river and rainfall water, whereas the major anion of all samples is HCO3-. Comparison of the concentration of calcium in river water, lake water and surface sediments reveals a significant carbonate precipitation process within the lake. The chemical composition of lake is mainly controlled by evaporation and crystallization, whereas river water and rainfall water are mainly controlled by carbonate weathering. Among all rivers, DR10 and DR1 locate in the north and west part of Tangra Yumco where dense local populations live nearby show the highest and second highest total dissolved solid (TDS) with a small catchment and a high content of SO42-, indicating that anthropogenic input and planting have likely a strong influence on chemical compositions of both rivers. The TDS of lake

  3. Nociceptive transmission and modulation via P2X receptors in central pain syndrome.

    Science.gov (United States)

    Kuan, Yung-Hui; Shyu, Bai-Chuang

    2016-05-26

    Painful sensations are some of the most frequent complaints of patients who are admitted to local medical clinics. Persistent pain varies according to its causes, often resulting from local tissue damage or inflammation. Central somatosensory pathway lesions that are not adequately relieved can consequently cause central pain syndrome or central neuropathic pain. Research on the molecular mechanisms that underlie this pathogenesis is important for treating such pain. To date, evidence suggests the involvement of ion channels, including adenosine triphosphate (ATP)-gated cation channel P2X receptors, in central nervous system pain transmission and persistent modulation upon and following the occurrence of neuropathic pain. Several P2X receptor subtypes, including P2X2, P2X3, P2X4, and P2X7, have been shown to play diverse roles in the pathogenesis of central pain including the mediation of fast transmission in the peripheral nervous system and modulation of neuronal activity in the central nervous system. This review article highlights the role of the P2X family of ATP receptors in the pathogenesis of central neuropathic pain and pain transmission. We discuss basic research that may be translated to clinical application, suggesting that P2X receptors may be treatment targets for central pain syndrome.

  4. Theory of Mind and Central Coherence in Adults with High-Functioning Autism or Asperger Syndrome

    Science.gov (United States)

    Beaumont, Renae; Newcombe, Peter

    2006-01-01

    The study investigated theory of mind and central coherence abilities in adults with high-functioning autism (HFA) or Asperger syndrome (AS) using naturalistic tasks. Twenty adults with HFA/AS correctly answered significantly fewer theory of mind questions than 20 controls on a forced-choice response task. On a narrative task, there were no…

  5. Combined central retinal artery and vein occlusion in Churg-Strauss syndrome

    DEFF Research Database (Denmark)

    Hamann, Steffen; Johansen, Sven; Hamann, Steffen Ellitsgaard

    2006-01-01

    PURPOSE: To describe a rare case of Churg-Strauss syndrome presenting with severe visual loss due to a combined central retinal vein and artery occlusion. METHODS: A 42-year old man with a medical history of asthma and blood hypereosinophilia developed a sudden loss of vision in his right eye. We...... and dilated and tortuous veins. The diagnosis was confirmed by a fluorescein angiogram showing absence of retinal filling and normal choroidal filling. Churg-Strauss syndrome was diagnosed based on the necessary presence of four of six criteria for the disease proposed by the American College of Rheumatology...... the vascular occlusion and experienced no visual improvement. CONCLUSION: Combined central retinal artery and vein occlusion can occur in Churg-Strauss syndrome. We suggest that regional vasculitis may be the pathological mechanism underlying the vascular occlusions observed in our case. The condition carries...

  6. Progress in study on central nervous system injuries caused by obstructive sleep apnea syndrome

    Directory of Open Access Journals (Sweden)

    ZHAO Xiang-xiang

    2013-05-01

    Full Text Available Chronic and repetitive intermittent hypoxia and dysfunction of sleep architecture mainly contribute to obstructive sleep apnea syndrome (OSAS. More and more evidences demonstrate it is a systemic disease, which is common encountered in clinic and strongly related to the systemic lesion of central nervous system. The central nervous system complications comprise cognitive impairment, brain atrophy and the growing risk of stroke and so on. Early treatment for OSAS has a positive significance on complications of central nervous system, and even the damage can be completely reversed.

  7. Radiologists need to be aware of secondary central venous stenosis in patients with SAPHO syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, Mizuho; Kanazawa, Hidenori; Shinozaki, Takeshi; Sugimoto, Hideharu [Jichi Medical University, Department of Radiology, Shimotsuke, Tochigi (Japan)

    2017-11-15

    We aimed to define central venous stenosis (CVS) caused by sternocostoclavicular hyperostosis as a feature of synovitis-acne-pustulosis-hyperostosis-osteitis (SAPHO) syndrome on routine contrast-enhanced computed tomography (CT) images. The relationship between SAPHO syndrome and CVS without venous thrombosis caused by anterior chest wall compression has not been investigated. Therefore, the present study evaluated CVS in patients with SAPHO syndrome at our hospital. We retrospectively reviewed contrast-enhanced CT images of ten patients with suspected or diagnosed SAPHO syndrome between January 2007 and November 2015. The patients were assessed by contrast-enhanced CT using 16-, 64- or 128-detector row scanners. Two radiologists independently assessed the presence of CVS or obstruction and SAPHO syndrome in a retrospective review of CT images. Six of the ten patients had findings of CVS with SAPHO syndrome. The mean diameter and patency rate at the site of CVS were 1.88 mm and 27.2%, respectively. Stenosis was more significant in terms of the mean diameter of CVS sites than of stenotic sites that crossed the anteroposterior vein (p < 0.05). Radiologists who routinely assess contrast-enhanced CT images should be aware that sternocostoclavicular hyperostosis with SAPHO syndrome could cause secondary CVS. (orig.)

  8. Imaging Findings of Central Nervous System Vasculitis Associated with Goodpasture's Syndrome: a Case Report

    International Nuclear Information System (INIS)

    Kim, Jee Young; Ahn, Kook Jin; Jung, Jung Im; Jung, So Lyung; Kim, Bum Soo; Hahn, Seong Tae

    2007-01-01

    We report a rare case of CNS vasculitis associated with Goodpasture's syndrome in a 34-year-old man, who presented with a seizure and sudden onset of right sided weakness. He also had recurrent hemoptysis of one month's duration. Goodpasture's syndrome is histologically diagnosed by intense linear deposits of IgG along the glomerular basement membrane in both renal and lung tissues. oodpasture's syndrome is a rare disease, characterized by rapidly progressive glomerulonephritis, diffuse pulmonary hemorrhage and circulating antiglomerular basement membrane antibody (anti-GBM antibody). Central nervous system (CNS) manifestations in Goodpasture's syndrome are extremely rare, with only a few cases having been reported in the literature (8 10). Therefore, we present our imaging findings of CNS vasculitis associated with Goodpasture's syndrome, together with a review of the relevant literature. In summary, CNS vasculitis associated with Goodpasture's syndrome is extremely rare. Awareness of the imaging findings, as well as the clinical significance of CNS vasculitis associated with Goodpasture's syndrome, can be helpful in making the correct diagnosis and subsequent management of this rare condition

  9. A 27 ka paleoenvironmental lake sediment record from Taro Co, central Tibetan Plateau: implications for the interplay between monsoon and the Westerlies

    Science.gov (United States)

    Wang, J.; Ma, Q.; Huang, L.; Ju, J.; Guo, Y.; Lin, X.; Li, Y.; Zhu, L.

    2017-12-01

    The climate of Tibetan Plateau (TP) is mainly influenced by the Indian Ocean Summer Monsoon (IOSM) and the Westerlies. The interaction of these two air masses is therefore a crucial scientific issue to understand how they impact the climate in this area, especially in the geological times. However, constrained by the available archives, researches on this topic are still very few in the hinterland of the TP, especially covering the Last Glacial Maximum (LGM) period. Here we present a new lake sediment record retrieved from Taro Co covering the last 27 ka to elucidate how the IOSM and the Westerlies interact and the possible mechanisms. Taro Co (486 km2, Dmax: 132m, 4565 m a.s.l., currently closed), located on the central TP, is a fresh lake with the major supply from glaciers. Two parallel piston cores as well as several gravity cores were retrieved from the deepest parts. These cores were correlated based on high resolution XRF scanning and a continuous 1069 cm-long core was finally integrated. Chronology was determined by 210Pb, 137Cs and AMS 14C measurements. Multidiscipline analyses including grain size, total organic carbon (TOC), total nitrogen, diatom, ostracod, pollen and n-alkanes were accomplished to reconstruct paleoenvironmental changes. The lake level of Taro Co was low since 27 cal ka BP indicated by very coarse materials and diatom assemblages with gradually increased temperature and salinity (TOC and carbonate getting higher). The terrestrial water input decreased continuously reflected by such elements as Si, Ti, Fe, K. It is likely that there was a sedimentation gap between 961-954cm, corresponding to 23.4 to 18.6 cal ka BP probably demonstrated Taro Co was very shallow at that period. The first prominent abrupt change of most proxies was observed at 14.7 cal ka BP showing a great lake deepening which likely indicated an enhancement of IOSM. There were several spells with abrupt changes of cold/warm stages before the Holocene and the Younger Dryas

  10. Soil water storage and groundwater behaviour in a catenary sequence beneath forest in central Amazonia: I. Comparisons between plateau, slope and valley floor

    Directory of Open Access Journals (Sweden)

    M. G. Hodnett

    1997-01-01

    Full Text Available Soil water storage was monitored in three landscape elements in the forest (plateau, slope and valley floor over a 3 year period to identify differences in sub-surface hydrological response. Under the plateau and slope, the changes of storage were very similar and there was no indication of surface runoff on the slope. The mean maximum seasonal storage change was 156 mm in the 2 m profile but it was clear that, in the dry season, the forest was able to take up water from below 3.6 m. Soil water availability was low. Soil water storage changes in the valley were dominated by the behaviour of a shallow water table which, in normal years, varied between 0.1 m below the surface at the end of the wet season and 0.8 m at the end of the dry season. Soil water storage changes were small because root uptake was largely replenished by groundwater flow towards the stream. The groundwater behaviour is controlled mainly by the deep drainage from beneath the plateau and slope areas. The groundwater gradient beneath the slope indicated that recharge beneath the plateau and slope commences only after the soil water deficits from the previous dry season have been replenished. Following a wet season with little recharge, the water table fell, ceasing to influence the valley soil water storage, and the stream dried up. The plateau and slope, a zone of very high porosity between 0.4 and 1.1 m, underlain by a less conductive layer, is a probable route for interflow during, and for a few hours after, heavy and prolonged rainfall.

  11. First simultaneous measurements of peroxyacetyl nitrate (PAN and ozone at Nam Co in the central Tibetan Plateau: impacts from the PBL evolution and transport processes

    Directory of Open Access Journals (Sweden)

    X. Xu

    2018-04-01

    Full Text Available Both peroxyacetyl nitrate (PAN and ozone (O3 are key photochemical products in the atmosphere. Most of the previous in situ observations of both gases have been made in polluted regions and at low-altitude sites. Here we present the first simultaneous measurements of PAN and O3 at Nam Co (NMC; 30°46′ N, 90°57′ E, 4745 m a.s.l., a remote site in the central Tibetan Plateau (TP. The observations were made during summer periods in 2011 and 2012. The PAN levels averaged 0.36 ppb (range: 0.11–0.76 ppb and 0.44 ppb (range: 0.21–0.99 ppb during 17–24 August 2011 and 15 May to 13 July 2012, respectively. The O3 level varied from 27.9 to 96.4 ppb, with an average of 60.0 ppb. Profound diurnal cycles of PAN and O3 were observed with minimum values around 05:00 LT, steep rises in the early morning, and broader platforms of high values during 09:00–20:00 LT. The evolution of the planetary boundary layer (PBL played a key role in shaping the diurnal patterns of both gases, particularly the rapid increases of PAN and O3 in the early morning. Air entrainment from the free troposphere into the PBL seemed to cause the early-morning increase and be a key factor for sustaining the daytime high concentrations of both gases. The days with higher daytime PBL (about 3 km showed stronger diurnal variations in both gases and were mainly distributed in the drier pre-monsoon period, while those with shallower daytime PBL (about 2 km showed minor diurnal variations and were mainly distributed in the humid monsoon period. Episodes of higher PAN levels were occasionally observed at NMC. These PAN episodes were caused either by rapid downward transport of air masses from the middle/upper troposphere or by long-range transport of PAN plumes from north India, north Pakistan, and Nepal. The maximum PAN level in the downward transport cases ranged from 0.5 to 0.7 ppb. In the long-range transport case, the PAN level varied in the

  12. First simultaneous measurements of peroxyacetyl nitrate (PAN) and ozone at Nam Co in the central Tibetan Plateau: impacts from the PBL evolution and transport processes

    Science.gov (United States)

    Xu, Xiaobin; Zhang, Hualong; Lin, Weili; Wang, Ying; Xu, Wanyun; Jia, Shihui

    2018-04-01

    Both peroxyacetyl nitrate (PAN) and ozone (O3) are key photochemical products in the atmosphere. Most of the previous in situ observations of both gases have been made in polluted regions and at low-altitude sites. Here we present the first simultaneous measurements of PAN and O3 at Nam Co (NMC; 30°46' N, 90°57' E, 4745 m a.s.l.), a remote site in the central Tibetan Plateau (TP). The observations were made during summer periods in 2011 and 2012. The PAN levels averaged 0.36 ppb (range: 0.11-0.76 ppb) and 0.44 ppb (range: 0.21-0.99 ppb) during 17-24 August 2011 and 15 May to 13 July 2012, respectively. The O3 level varied from 27.9 to 96.4 ppb, with an average of 60.0 ppb. Profound diurnal cycles of PAN and O3 were observed with minimum values around 05:00 LT, steep rises in the early morning, and broader platforms of high values during 09:00-20:00 LT. The evolution of the planetary boundary layer (PBL) played a key role in shaping the diurnal patterns of both gases, particularly the rapid increases of PAN and O3 in the early morning. Air entrainment from the free troposphere into the PBL seemed to cause the early-morning increase and be a key factor for sustaining the daytime high concentrations of both gases. The days with higher daytime PBL (about 3 km) showed stronger diurnal variations in both gases and were mainly distributed in the drier pre-monsoon period, while those with shallower daytime PBL (about 2 km) showed minor diurnal variations and were mainly distributed in the humid monsoon period. Episodes of higher PAN levels were occasionally observed at NMC. These PAN episodes were caused either by rapid downward transport of air masses from the middle/upper troposphere or by long-range transport of PAN plumes from north India, north Pakistan, and Nepal. The maximum PAN level in the downward transport cases ranged from 0.5 to 0.7 ppb. In the long-range transport case, the PAN level varied in the range of 0.3-1.0 ppb, with an average of 0.6 ppb. This long

  13. Cushing’s Syndrome and Hypothalamic–Pituitary–Adrenal Axis Hyperactivity in Chronic Central Serous Chorioretinopathy

    Directory of Open Access Journals (Sweden)

    Femke M. van Haalen

    2018-02-01

    Full Text Available ObjectiveCentral serous chorioretinopathy (CSC, a specific form of macular degeneration, has been reported as presenting manifestation of Cushing’s syndrome. Furthermore, CSC has been associated with both exogenous hypercortisolism and endogenous Cushing’s syndrome. It is important to know whether CSC patients should be screened for Cushing’s syndrome. Although hypothalamic-pituitary-adrenal (HPA axis hyperactivity in CSC has been suggested, no detailed evaluation of the HPA axis has been performed in a large cohort of CSC patients. This study aimed to investigate whether Cushing’s syndrome prevalence is increased among chronic CSC (cCSC patients and whether detailed endocrinological phenotyping indicates hyperactivity of the HPA axis.DesignCross-sectional study.Patients86 cCSC patients and 24 controls.MeasurementsPrevalence of Cushing’s syndrome, HPA axis activity.ResultsNone of the cCSC patients met the clinical or biochemical criteria of Cushing’s syndrome. However, compared to controls, HPA axis activity was increased in cCSC patients, reflected by higher 24 h urinary free cortisol, and accompanying higher waist circumference and diastolic blood pressure, whereas circadian cortisol rhythm and feedback were not different. Chronic CSC patients did not report more stress or stress-related problems on questionnaires.ConclusionNo case of Cushing’s syndrome was revealed in a large cohort of cCSC patients. Therefore, we advise against screening for Cushing’s syndrome in CSC patients, unless additional clinical features are present. However, our results indicate that cCSC is associated with hyperactivity of the HPA axis, albeit not accompanied with perception of more psychosocial stress.

  14. Central Retinal Artery Occlusion in a Patient with Metabolic Syndrome X

    Directory of Open Access Journals (Sweden)

    Sonja Predrag Cekić

    2010-01-01

    Full Text Available Purpose: To report a case of central retinal artery occlusion (CRAO in a patient with metabolic syndrome X. Case Report: A 64 year-old-man presented with abrupt, painless, and severe loss of vision in his left eye. Indirect ophthalmoscopy disclosed signs compatible with CRAO and laboratory investigations revealed erythrocyte sedimentation rate of 74 mm/h, C-reactive protein (CRP level of 21 mg/l, hyperglycemia, hyperuricemia, hypertriglyceridemia and hypercholesterolemia. Fluorescein angiography and immunological studies excluded other systemic disorders. The patient met the full criteria of the National Cholesterol Education Program for metabolic syndrome X. Conclusion: In addition to different vascular complications such as stroke, and cardiovascular disease, metabolic syndrome X may be associated with retinal vascular occlusions.

  15. Annual Status Report (FY2008) Composite Analysis of Low-Level Waste Disposal in the Central Plateau at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Nichols, W. E. [Hanford Site (HNF), Richland, WA (United States)

    2009-12-18

    In accordance with the U.S. Department of Energy (DOE) requirements in DOE 0 435.1, Radioactive to be considered or purposes of Waste Management, and implemented by DOE/RL-2000-292, Maintenance Plan for the Composite Analysis of the Hanford Site, Southeast Washington, the DOE Richland Operations Office has prepared this annual report for fiscal year 2008 of PNNL-1 1800, Composite Analysis for the Low-Level Waste Disposal in the 200-Area Plateau of the Hanford Site, hereafter referred to as the Composite Analysis. The main emphasis of DOE/RL-2000-29 Is to identify additional data and information to enhance the Composite Analysis and the subsequent PNNL- 11800 Addendum, Addendum to Composite Analysis for Low-Level Waste Disposal in the 200 Area Plateau of the Hanford Site, hereafter referred to as the Addendum, and to address secondary issues identified during the review of the Composite Analysis.

  16. The Rare Painful Phenomena - Chronic Paroxysmal Hemicrania-tic Syndrome as a Clinically Isolated Syndrome of the Central Nervous System.

    Science.gov (United States)

    Ljubisavljevic, Srdjan; Prazic, Ana; Lazarevic, Miodrag; Stojanov, Dragan; Savic, Dejan; Vojinovic, Slobadan

    2017-02-01

    The association of paroxysmal hemicrania with trigeminal neuralgia (TN) has been described and called paroxysmal hemicrania-tic syndrome (PH-tic). We report the case of a patient diagnosed as having chronic PH-tic (CPH-tic) syndrome as a clinically isolated syndrome of the central nervous system (CNS) (CIS).A forty year old woman was admitted to our hospital suffering from right facial pain for the last 2 years. The attacks were paroxysmal, neuralgiform, consisting of throb-like sensations, which developed spontaneously or were triggered by different stimuli in right facial (maxilar and mandibular) areas. Parallel with those, she felt a throbbing orbital and frontal pain with homolateral autonomic symptoms such as conjunctival injection, lacrimation, and the feeling that the ear on the same side was full. This pain lasted most often between 15 and 20 minutes. Beyond hemifacial hypoesthesia in the region of right maxilar and mandibular nerve, the other neurological finding was normal. Magnetic resonance imaging (MRI) study showed a T2-weighted multiple hyperintense paraventricular lesion and hyperintense lesion in the right trigeminal main sensory nucleus and root inlet, all of them being hypointense on T1-weighted image. All of these lesions were hypointense in gadolinium-enhanced T1-weighted images. Neurophysiological studies of trigeminal nerve (somatosensory evoked potentials and blink reflex) correlated with MRI described lesions. The patient's pain bouts were improved immediately after treatment with indomethacin, and were completely relieved with lamotrigine for a longer period. According to the actual McDonald's criteria, clinical state was defined as CIS which was clinically presented by CPH-tic syndrome.Even though it is a clinical rarity and its etiology is usually idiopathic, CPH-tic syndrome can also be symptomatic. When dealing with symptomatic cases, like the one described here, when causal therapy is not possible due to the nature of the primary

  17. Acute traumatic central cord syndrome: analysis of clinical and radiological correlations.

    Science.gov (United States)

    Miranda, P; Gomez, P; Alday, R

    2008-12-01

    In patients with traumatic spinal cord injury, several studies correlate neurological impairment and radiological findings. However, little information is available about this correspondence in the particular group of acute traumatic central cord syndrome. The object of the present work was to describe the clinical and radiological features of a series of patients presenting with acute traumatic central cord syndrome and to analyze clinical and radiological correlations on admission and at last follow-up. Retrospective review of 15 patients diagnosed of acute traumatic central cord syndrome between 1995 and 2005. Global motor score and motor score in upper extremities were determined on admission and at last follow-up (6 months-4 years, mean 16 months). Plain films, cervical computed tomography and magnetic resonance (MR) were performed in every patient and retrieved for the study. In seven patients, serial MR studies were performed during follow-up. Clinical and radiological correlations were statistically analyzed with non-parametric tests. Cervical spondylosis appeared associated with older age, falls, and absence of fracture. Spinal cord edema was the most common finding in MR studies but hemorrhage was also observed. The length of spinal cord edema significantly correlated with initial motor score. The decrease in T2-weighted hyperintensity in serial MR studies correlated with the gain of motor power in upper limbs at last follow-up. Elderly patients with more degenerated cervical spines commonly develop acute traumatic central cord syndrome after incidental falls. Length of spinal cord edema correlates with neurological impairment on admission and may provide significant prognostic information.

  18. A model of karst systems of the Usturt plateau (Middle Asia); Un modelo de sistemas karsticos de la meseta Usturt (Asia central)

    Energy Technology Data Exchange (ETDEWEB)

    Victorov, A. S.

    2016-07-01

    The issues relating to the structure and development of desert karst is currently one of the least studied problems. The goal of the research efforts presented in this paper was to create a model of karst systems in the Usturt Plateau and, primarily, of the systems formed by the prevailing numerous surface karst landforms. The model is based on the following main assumptions: the process of emergence of the karst phenomena is probabilistic and occurs independently at non-intersecting sites; the probability of emergence of one depression at a reference site depends only on its area. The increase of the dimensions of a karst landform is a random process that occurs independently of other karst landforms, its speed is governed by random factors, and it is directly proportionate to the existing dimensions of the landform. The model does not assume constancy of climatic characteristics. The testing was conducted at several reference sites of the Usturt Plateau. The research allowed us to reach the following conclusions: the karst depressions of the Usturt Plateau, which are the typical forms of desert karst, are governed by the Poisson distribution of their centres and by the lognormal distribution of their dimensions, similar to the karst depressions in a humid climate. The results may be used in assessments of karst hazard for linear and areal structures, as well as for small-dimensional structures. (Author)

  19. Preschool Weight and Body Mass Index in Relation to Central Obesity and Metabolic Syndrome in Adulthood

    DEFF Research Database (Denmark)

    Graversen, Lise; Sørensen, Thorkild I A; Petersen, Liselotte

    2014-01-01

    BACKGROUND: If preschool measures of body size routinely collected at preventive health examinations are associated with adult central obesity and metabolic syndrome, a focused use of these data for the identification of high risk children is possible. The aim of this study was to test the associ......BACKGROUND: If preschool measures of body size routinely collected at preventive health examinations are associated with adult central obesity and metabolic syndrome, a focused use of these data for the identification of high risk children is possible. The aim of this study was to test...... the associations between preschool weight and body mass index (BMI) and adult BMI, central obesity and metabolic alterations. METHODS: The Northern Finland Birth Cohort 1966 (NFBC1966) (N = 4111) is a population-based cohort. Preschool weight (age 5 months and 1 year) and BMI (age 2-5 years) were studied...... in relation to metabolic syndrome as well as BMI, waist circumference, lipoproteins, blood pressure, and fasting glucose at the age of 31 years. Linear regression models and generalized linear regression models with log link were used. RESULTS: Throughout preschool ages, weight and BMI were significantly...

  20. Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome

    Science.gov (United States)

    Kumano, Yuji; Yoshida, Noriko; Fukuyama, Satoru; Miyazaki, Masanori; Enaida, Hiroshi; Matsui, Takaaki

    2012-01-01

    Ocular involvement in Churg-Strauss syndrome is infrequent. We describe the case of a 54-year-old woman with eosinophilia and involvement of the respiratory tract, skin, and peripheral nervous system, fulfilling the American College of Rheumatology criteria for Churg-Strauss syndrome. The patient presented with acute, painless vision loss in her right eye. Central retinal artery occlusion (CRAO) without accompanying retinal vasculitis was diagnosed by angiographic findings and funduscopic findings of retinal whitening with a cherry-red spot. Although her antineutrophil cytoplasmic antibody (ANCA) status was negative, CRAO was thought to be an ocular manifestation of Churg-Strauss syndrome, and appropriate treatment was planned. She was treated with high-dose corticosteroids and anticoagulant therapy. Her macular edema improved, but visual recovery was poor. Specific therapy to alter inflammation, blood coagulation, and rheology reportedly plays an important role in ANCA-positive patients with Churg-Strauss syndrome who develop CRAO. Regardless of ANCA status, high-dose corticosteroids should be considered for CRAO in patients with Churg-Strauss syndrome, as discussed in this case. PMID:22927731

  1. Annular and central heavy pigment deposition on the posterior lens capsule in the pigment dispersion syndrome: pigment deposition on the posterior lens capsule in the pigment dispersion syndrome.

    Science.gov (United States)

    Turgut, Burak; Türkçüoğlu, Peykan; Deniz, Nurettin; Catak, Onur

    2008-12-01

    To report annular and central heavy pigment deposition on the posterior lens capsule in a case of pigment dispersion syndrome. Case report. A 36-year-old female with bilateral pigment dispersion syndrome presented with progressive decrease in visual acuity in the right eye over the past 1-2 years. Clinical examination revealed the typical findings of pigment dispersion syndrome including bilateral Krunkenberg spindles, iris transillumination defects, and dense trabecular meshwork pigmentation. Remarkably, annular and central dense pigmentation of the posterior lens capsule was noted in the right eye. Annular pigment deposition on the posterior lens capsule may be a rare finding associated with pigment dispersion syndrome. Such a finding suggests that there may be aqueous flow into the retrolental space in some patients with this condition. The way of central pigmentation is the entrance of aqueous to Berger's space. In our case, it is probable that spontaneous detachment of the anterior hyaloid membrane aided this entrance.

  2. Dynamic changes of central thyroid functions in the management of Cushing's syndrome.

    Science.gov (United States)

    Dogansen, Sema Ciftci; Yalin, Gulsah Yenidunya; Canbaz, Bulent; Tanrikulu, Seher; Yarman, Sema

    2018-01-01

    The aim of this study was to determine the frequency of central thyroid dysfunctions in Cushing's syndrome (CS). We also aimed to evaluate the frequency of hyperthyroidism due to the syndrome of the inappropriate secretion of TSH (SITSH), which was recently defined in patients with insufficient hydrocortisone replacement after surgery. We evaluated thyroid functions (TSH and free thyroxine [fT4]) at the time of diagnosis, during the hypothalamo-pituitary-adrenal axis recovery, and after surgery in 35 patients with CS. The patients were separated into two groups: ACTH-dependent CS (group 1, n = 20) and ACTH-independent CS (group 2, n = 15). Patients' clinical and laboratory findings were evaluated in five visits in the outpatient clinic of the endocrinology department. The frequency of baseline suppressed TSH levels and central hypothyroidism were determined to be 37% (n = 13) and 26% (n = 9), respectively. A negative correlation was found between baseline cortisol and TSH levels (r = -0.45, p = 0.006). All patients with central hypothyroidism and suppressed TSH levels showed recovery at the first visit without levothyroxine treatment. SITSH was not detected in any of the patients during the postoperative period. No correlation was found between prednisolone replacement after surgery and TSH or fT4 levels on each visit. Suppressed TSH levels and central hypothyroidism may be detected in CS, independent of etiology. SITSH was not detected in the early postoperative period due to our adequate prednisolone replacement doses.

  3. Annual Status Report (FY2009) Composite Analysis of Low-Level Waste Disposal in the Central Plateau at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Nichols, W. E. [CH2M HILL Plateau Remediation Company, Richland, WA (United States)

    2010-02-10

    In accordance with the U.S. Department of Energy (DOE) requirements in DOE O 435.1, Radioactive Waste Management, and implemented by DOE/RL-2000-29, Maintenance Plan for the Composite Analysis of the Hanford Site, Southeast Washington, the DOE Richland Operations Office has prepared this annual status report for fiscal year (FY) 2009 of PNNL-11800, Composite Analysis for the Low-Level Waste Disposal in the 200-Area Plateau of the Hanford Site, hereafter referred to as the Composite Analysis.

  4. Annual Status Report (FY2010) Composite Analysis of Low-Level Waste Disposal in the Central Plateau at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Nichols, W. E. [CH2M HILL Plateau Remediation Company, Richland, WA (United States)

    2011-01-11

    In accordance with the U.S. Department of Energy (DOE) requirements in DOE O 435.1 Chg 1, Radioactive Waste Management, and implemented by DOE/RL-2000-29, Maintenance Plan for the Composite Analysis of the Hanford Site, Southeast Washington, the DOE Richland Operations Office (DOE-RL), also known as RL, has prepared this annual status report for fiscal year (FY) 2010 of PNNL-11800, Composite Analysis for Low-Level Waste Disposal in the 200 Area Plateau of the Hanford Site, hereafter referred to as the Composite Analysis.

  5. Corrales de piedra, campos abiertos y pampas de camaruco: Memorias de relacionalidad en la meseta central de Chubut Stone yards, open fields and sacred places: Memories of relatedness in the Chubut´s central plateau

    Directory of Open Access Journals (Sweden)

    Ana Ramos

    2008-12-01

    Full Text Available La "cuestión indígena" como política de estado en Argentina ha estado acompañada por la elaboración académica de mapas étnicos. Las definiciones hegemónicas de estas entidades han presupuesto generalmente algún elemento "esencial" como, por ejemplo, fenotipos, uso de una lengua, o la aglutinación en torno a linajes consanguíneos. A partir de las reformulaciones de las teorías del parentesco desde el modelo heurístico de las sociedades de casas y las teorías sobre la relacionalidad proponemos una aproximación a la memoria social como marco alternativo de interpretación histórica. Esta contempla las prácticas sociales del parentesco y la objetivación de la continuidad de los grupos de pertenencia en las políticas y lugares de la memoria -corrales de piedra, actividades productivas y pampas de camaruco- en la región de la "meseta" de Chubut. Dichas relaciones con el espacio físico cuestionan tanto las definiciones académicas tradicionales de parentesco y de cacicazgo como las clasificaciones étnicas-nacionales.The "Indigenous issue" as a state policy in Argentina has been accompanied by an academic production of ethnic maps. Hegemonic definitions of these entities used to presume some "essential" elements like the phenotype, the use of language or consanguineous lineage membership. Based on the reformulation of kinship theory, which came from the heuristic model of houses and relatedness theory, we propose an approach to social memory as an alternative framework for historical interpretation. This includes kinship social practices as well as the materialization of group membership's continuity in policies and places of memory -such as stone yards, productive activities, open fields and sacred places- in the Chubut central plateau. Finally, we argue that regarding a physical space, these relations question not only the ethnic-national classifications but also the traditional academic definitions of kinship and chieftaincy.

  6. Plateau iris Íris em platô

    Directory of Open Access Journals (Sweden)

    Alberto Diniz Filho

    2008-10-01

    Full Text Available The term plateau iris was first coined in 1958 to describe the iris configuration of a patient. Two years later the concept of plateau iris was published. In 1977, the plateau iris configuration was classically defined as presurgical changes of an eye with a relative normal central anterior chamber depth, flat iris by conventional biomicroscopy, but displaying an extremely narrow or closed angle on gonioscopic examination. On the other hand, the plateau iris syndrome was defined as an acute glaucoma crisis in one eye with a relative normal central anterior chamber depth and patent iridotomy on direct examination, presenting angle closure confirmed by gonioscopic examination after mydriasis. In 1992, the anatomic aspects of plateau iris were studied using ultrasound biomicroscopy. Finally, plateau iris has been considered an anatomic variant of iris structure in which the iris periphery angulates sharply forward from its insertion point and then again angulates sharply and centrally backward, along with an anterior positioning of the ciliary processes seen on ultrasound biomicroscopy. The clinical treatment of plateau iris syndrome is carried out with topical use of pilocarpine. However, the definitive treatment should be fulfilled by performing an argon laser peripheral iridoplasty.O termo íris em platô foi primeiramente inventado em 1958 para descrever a configuração da íris de um paciente. Dois anos depois o conceito de íris em platô foi publicado. Em 1977, a configuração de íris em platô foi classicamente definida como alterações pré-cirúrgicas de um olho com uma profundidade de câmara anterior relativamente normal, íris plana pela biomicroscopia convencional, mas mostrando um ângulo extremamente estreito ou fechado pela gonioscopia. Por outro lado, a síndrome de íris em platô foi definida como uma crise de glaucoma agudo em um olho com uma profundidade de câmara anterior relativamente normal e uma iridectomia patente ao

  7. Características produtivas e reprodutivas de vacas Holandesas e mestiças Holandês × Gir no Planalto Central Production and reproduction traits in Holstein and Gyr crossbred cows in the Central Plateau, Brazil

    Directory of Open Access Journals (Sweden)

    Concepta McManus

    2008-05-01

    Full Text Available Com o objetivo de comparar o desempenho leiteiro e reprodutivo de vacas da raça Holandesa e mestiças Holandês × Gir na região do Planalto Central foram utilizados dados de 1.456 vacas de cinco composições raciais, originadas das raças Holandesa (H e Gir (G: puras H; ¾H ¼G; ½H ½G; ³/8H 5/8G; e ¼H ¾G. Analisaram-se as características produção média diária de leite (PMD, número de dias em lactação (DL e produção total da lactação corrigida para 305 dias (P305, idade ao primeiro parto (IPP, período de gestação (PG e intervalo de partos (IEP. Os maiores valores de PMD e P305 foram obtidos para os animais ¾H ¼G e ½H ½G e os menores, para os animais com maior proporção da raça Gir (¼H ¾G. Os valores das características reprodutivas IPP e IEP, no entanto, foram menores para os animais ¾H ¼G.Esses resultados evidenciam a adaptação das vacas mestiças ao ambiente a que foram submetidas ou que os animais puros da raça Holandesa, em razão do estresse nutricional e/ou térmico, não expressaram todo o seu potencial genético para produção leiteira.Além disso, os dados comprovaram a importância da utilização de sistemas de cruzamento na manutenção da produção dos animais e na sua adaptação ao ambiente.Data from 1456 purebred and crossbred cows of five different crossbred groups involving the Holstein (H and Gyr (G breeds (H; ¾H ¼G; ½H ½G; ³/8H 5/8G e ¼H ¾G were used to compare their milk production and reproductive traits in the Brazilian central plateau region. The performance traits studied were: average daily milk production (DMP; lactation length (LL; total production in 305 days (P305 and age at first calving (AFC, gestation length (GL and calving interval (CI. Higher averages of DMP and P305 were observed for animals ¾H ¼G and ½H ½G and the smallest ones for crossbred animals with larger proportion of the Gyr breed (¼H ¾G. The lowest values of AFC and CI were observed for ¾H

  8. Central sensitization as the mechanism underlying pain in joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type.

    Science.gov (United States)

    Di Stefano, G; Celletti, C; Baron, R; Castori, M; Di Franco, M; La Cesa, S; Leone, C; Pepe, A; Cruccu, G; Truini, A; Camerota, F

    2016-09-01

    Patients with joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type (JHS/EDS-HT) commonly suffer from pain. How this hereditary connective tissue disorder causes pain remains unclear although previous studies suggested it shares similar mechanisms with neuropathic pain and fibromyalgia. In this prospective study seeking information on the mechanisms underlying pain in patients with JHS/EDS-HT, we enrolled 27 consecutive patients with this connective tissue disorder. Patients underwent a detailed clinical examination, including the neuropathic pain questionnaire DN4 and the fibromyalgia rapid screening tool. As quantitative sensory testing methods, we included thermal-pain perceptive thresholds and the wind-up ratio and recorded a standard nerve conduction study to assess non-nociceptive fibres and laser-evoked potentials, assessing nociceptive fibres. Clinical examination and diagnostic tests disclosed no somatosensory nervous system damage. Conversely, most patients suffered from widespread pain, the fibromyalgia rapid screening tool elicited positive findings, and quantitative sensory testing showed lowered cold and heat pain thresholds and an increased wind-up ratio. While the lack of somatosensory nervous system damage is incompatible with neuropathic pain as the mechanism underlying pain in JHS/EDS-HT, the lowered cold and heat pain thresholds and increased wind-up ratio imply that pain in JHS/EDS-HT might arise through central sensitization. Hence, this connective tissue disorder and fibromyalgia share similar pain mechanisms. WHAT DOES THIS STUDY ADD?: In patients with JHS/EDS-HT, the persistent nociceptive input due to joint abnormalities probably triggers central sensitization in the dorsal horn neurons and causes widespread pain. © 2016 European Pain Federation - EFIC®

  9. Impaired Central Pulsatile Hemodynamics in Children and Adolescents With Marfan Syndrome.

    Science.gov (United States)

    Grillo, Andrea; Salvi, Paolo; Marelli, Susan; Gao, Lan; Salvi, Lucia; Faini, Andrea; Trifirò, Giuliana; Carretta, Renzo; Pini, Alessandro; Parati, Gianfranco

    2017-11-07

    Marfan syndrome is characterized by aortic root dilation, beginning in childhood. Data about aortic pulsatile hemodynamics and stiffness in pediatric age are currently lacking. In 51 young patients with Marfan syndrome (12.0±3.3 years), carotid tonometry was performed for the measurement of central pulse pressure, pulse pressure amplification, and aortic stiffness (carotid-femoral pulse wave velocity). Patients underwent an echocardiogram at baseline and at 1 year follow-up and a genetic evaluation. Pathogenetic fibrillin-1 mutations were classified between "dominant negative" and "haploinsufficient." The hemodynamic parameters of patients were compared with those of 80 sex, age, blood pressure, and heart-rate matched controls. Central pulse pressure was significantly higher (38.3±12.3 versus 33.6±7.8 mm Hg; P =0.009), and pulse pressure amplification was significantly reduced in Marfan than controls (17.9±15.3% versus 32.3±17.4%; P Marfan and controls (4.98±1.00 versus 4.75±0.67 m/s). In the Marfan group, central pulse pressure and pulse pressure amplification were independently associated with aortic diameter at the sinuses of Valsalva (respectively, β=0.371, P =0.010; β=-0.271, P =0.026). No significant difference in hemodynamic parameters was found according to fibrillin-1 genotype. Patients who increased aortic Z-scores at 1-year follow-up presented a higher central pulse pressure than the remaining (42.7±14.2 versus 32.3±5.9 mm Hg; P =0.004). Central pulse pressure and pulse pressure amplification were impaired in pediatric Marfan syndrome, and associated with aortic root diameters, whereas aortic pulse wave velocity was similar to that of a general pediatric population. An increased central pulse pressure was present among patients whose aortic dilatation worsened at 1-year follow-up. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  10. Prevalence of metabolic syndrome in Central America: a cross-sectional population-based study

    Directory of Open Access Journals (Sweden)

    Roy A. Wong-McClure

    2015-09-01

    Full Text Available OBJECTIVE: To report the prevalence of metabolic syndrome (MetS as found by the Central American Diabetes Initiative (CAMDI study for five major Central American populations: Belize (national; Costa Rica (San José; Guatemala (Guatemala City; Honduras (Tegucigalpa; and Nicaragua (Managua. METHODS: Study data on 6 185 adults aged 20 years or older with anthropometric and laboratory determination of MetS from population-based surveys were analyzed. Overall, the survey response rate was 82.0%. MetS prevalence was determined according to criteria from the Adult Treatment Panel III of the National Cholesterol Education Program. The study's protocol was reviewed and approved by the bioethical committee of each country studied. RESULTS: The overall standardized prevalence of MetS in the Central American region was 30.3% (95% confidence interval (CI: 27.1-33.4. There was wide variability by gender and work conditions, with higher prevalence among females and unpaid workers. The standardized percentage of the population free of any component of MetS was lowest in Costa Rica (9.0%; CI: 6.5-11.4 and highest in Honduras (21.1%; CI: 16.4-25.9. CONCLUSIONS: Overall prevalence of MetS in Central America is high. Strengthening surveillance of chronic diseases and establishing effective programs for preventing cardiovascular diseases might reduce the risk of MetS in Central America.

  11. Sleeping problems in mothers and fathers of patients suffering from congenital central hypoventilation syndrome.

    Science.gov (United States)

    Paddeu, Erika Maria; Giganti, Fiorenza; Piumelli, Raffaele; De Masi, Salvatore; Filippi, Luca; Viggiano, Maria Pia; Donzelli, Gianpaolo

    2015-09-01

    Advanced medical technology has resulted in an increased survival rate of children suffering from congenital central hypoventilation syndrome. After hospitalization, these technology-dependent patients require special home care for assuring ventilator support and the monitoring of vital parameters mainly during sleep. The daily challenges associated with caring for these children can place primary caregivers under significant stress, especially at night. Our study aimed at investigating how this condition affects mothers and fathers by producing poor sleep quality, high-level diurnal sleepiness, anxiety, and depression. The study included parents of 23 subjects with congenital central hypoventilation syndrome and 23 healthy subjects. All parents filled out the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Epworth Sleepiness Scale (ESS), Beck Depression Inventory (BDI-II), and Beck Anxiety Inventory (BAI). A comparison between the two groups showed that parents of patients had poorer sleep quality, greater sleepiness, and higher BDI-II scores compared to that of parents of healthy subjects (respectively, PSQI score 6.5 vs 3.8, ESS score 6.2 vs 4.3, BDI-II score 8.4 vs 5.7). Specifically, mothers of patients showed poorer sleep quality and higher BDI-II scores compared to that of mothers of controls (respectively, PSQI score 7.5 vs 3.8, BDI-II score 9.3 vs 5.9), whereas fathers of patients showed greater levels of sleepiness with respect to fathers of healthy children (respectively, ESS score 6.8 vs 4.0). These differences emerged in parents of younger children. Congenital central hypoventilation syndrome impacts the family with different consequences for mothers and fathers. Indeed, while the patients' sleep is safeguarded, sleeping problems may occur in primary caregivers often associated with other psychological disorders. Specifically, this disease affects sleep quality and mood in the mothers and sleepiness levels in the fathers.

  12. Central Diabetes Insipidus and Cisplatin-Induced Renal Salt Wasting Syndrome: A Challenging Combination.

    Science.gov (United States)

    Cortina, Gerard; Hansford, Jordan R; Duke, Trevor

    2016-05-01

    We describe a 2-year-old female with a suprasellar primitive neuroectodermal tumor and central diabetes insipidus (DI) who developed polyuria with natriuresis and subsequent hyponatremia 36 hr after cisplatin administration. The marked urinary losses of sodium in combination with a negative sodium balance led to the diagnosis of cisplatin-induced renal salt wasting syndrome (RSWS). The subsequent clinical management is very challenging. Four weeks later she was discharged from ICU without neurological sequela. The combination of cisplatin-induced RSWS with DI can be confusing and needs careful clinical assessment as inaccurate diagnosis and management can result in increased neurological injury. © 2016 Wiley Periodicals, Inc.

  13. Neurally adjusted ventilatory assist (NAVA) mode as an adjunct diagnostic tool in congenital central hypoventilation syndrome

    International Nuclear Information System (INIS)

    Rahmani, A.; Rehman, N.U.; Chedid, F.

    2013-01-01

    A full term female newborn was admitted to the neonatal intensive care unit (NICU) for continuous observation of apnea. Infant was noted to have apnea while asleep requiring intubation and mechanical ventilation. A video EEG was performed which demonstrated normal awake background without any seizure activity. Neurally adjusted ventilatory assist (NAVA) demonstrated the absence of electrical activity of the diaphragm (Edi) when the patient was in quiet phase of sleep. This finding on NAVA monitor raised the suspicion of central hypoventilation syndrome (CCHS) which was confirmed by genetic identification of the PHOX2B mutation. (author)

  14. Neurally adjusted ventilatory assist (NAVA) mode as an adjunct diagnostic tool in congenital central hypoventilation syndrome.

    Science.gov (United States)

    Rahmani, Aiman; Ur Rehman, Naveed; Chedid, Fares

    2013-02-01

    A full term female newborn was admitted to the neonatal intensive care unit (NICU) for continuous observation of apnea. Infant was noted to have apnea while asleep requiring intubation and mechanical ventilation. A video EEG was performed which demonstrated normal awake background without any seizure activity. Neurally adjusted ventilatory assist (NAVA) demonstrated the absence of electrical activity of the diaphragm (Edi) when the patient was in quiet phase of sleep. This finding on NAVA monitor raised the suspicion of central hypoventilation syndrome (CCHS) which was confirmed by genetic identification of the PHOX2B mutation.

  15. Chronic Central Serous Chorioretinopathy in a Patient with Pigment Dispersion Syndrome: A Possible Correlation.

    Science.gov (United States)

    Kourkoutas, Dimitrios; Tsakonas, George; Karamaounas, Aristotelis; Karamaounas, Nikolaos

    2017-01-01

    Chronic central serous chorioretinopathy (CSCR) is a progressive chorioretinopathy with widespread atrophic RPE abnormalities and serous retinal detachments (SRDs) present for 6 months or longer. We report a case of CSCR in a 38-year-old patient with Pigment Dispersion Syndrome (PDS). In the presented case of CSCR, the chronic course of the disease may in part be associated with an underlying generalized degenerative dysfunction of the pigmented cells of the eye on grounds of PDS. We suggest that a chronic course of disease may be suspected in the setting of CSCR with concurrent RPE pathology, such as what is found in PDS.

  16. Chronic Central Serous Chorioretinopathy in a Patient with Pigment Dispersion Syndrome: A Possible Correlation

    Directory of Open Access Journals (Sweden)

    Dimitrios Kourkoutas

    2017-01-01

    Full Text Available Chronic central serous chorioretinopathy (CSCR is a progressive chorioretinopathy with widespread atrophic RPE abnormalities and serous retinal detachments (SRDs present for 6 months or longer. We report a case of CSCR in a 38-year-old patient with Pigment Dispersion Syndrome (PDS. In the presented case of CSCR, the chronic course of the disease may in part be associated with an underlying generalized degenerative dysfunction of the pigmented cells of the eye on grounds of PDS. We suggest that a chronic course of disease may be suspected in the setting of CSCR with concurrent RPE pathology, such as what is found in PDS.

  17. Greenland plateau jets

    Directory of Open Access Journals (Sweden)

    George William Kent Moore

    2013-08-01

    Full Text Available The high ice-covered topography of Greenland represents a significant barrier to atmospheric flow and, as a direct and indirect result, it plays a crucial role in the coupled climate system. The wind field over Greenland is important in diagnosing regional weather and climate, thereby providing information on the mass balance of the ice sheet as well as assisting in the interpretation of ice core data. Here, we identify a number of hitherto unrecognised features of the three-dimensional wind field over Greenland; including a 2500-km-long jet along the central ice sheet's western margin that extends from the surface into the middle-troposphere, as well as a similar but smaller scale and less intense feature along its eastern margin. We refer to these features as Greenland Plateau Jets. The jets are coupled to the downslope katabatic flow and we argue that they are maintained by the zonal temperature gradients associated with the strong temperature inversion over the central ice sheet. Their importance for Greenland's regional climate is discussed.

  18. Reduction of central neuropathic pain with ketamine infusion in a patient with Ehlers-Danlos syndrome: a case report.

    Science.gov (United States)

    Lo, Tony Chung Tung; Yeung, Stephen Tung; Lee, Sujin; Skavinski, Kira; Liao, Solomon

    2016-01-01

    Ehlers-Danlos syndrome frequently causes acute and chronic pain because of joint subluxations and dislocations secondary to hypermobility. Current treatments for pain related to Ehlers-Danlos syndrome and central pain syndrome are inadequate. This case report discusses the therapeutic use of ketamine intravenous infusion as an alternative. A 27-year-old Caucasian female with a history of Ehlers-Danlos syndrome and spinal cord ischemic myelopathy resulting in central pain syndrome, presented with severe generalized body pain refractory to multiple pharmacological interventions. After a 7-day course of ketamine intravenous infusion under controlled generalized sedation in the intensive care unit, the patient reported a dramatic reduction in pain levels from 7-8 out of 10 to 0-3 out of 10 on a numeric rating scale and had a significant functional improvement. The patient tolerated a reduction in her pain medication regimen, which originally included opioids, gabapentin, pregabalin, tricyclic antidepressants, and nonsteroidal anti-inflammatory drugs. Ketamine infusion treatment has been used in various pain syndromes, including central neuropathic pain, ischemic pain, and regional pain syndrome. Reports have suggested that ketamine modulates pain by the regression of N-methyl-D-aspartate receptor to a resting state. As such, propagation of nociceptive signal to brain is interrupted allowing for the restoration of physiological balance between pain inhibition and facilitation. The present report shows that this treatment option can be used in patients with refractory central pain syndrome in the setting of spinal cord myelopathy secondary to Ehlers-Danlos syndrome. In addition, as seen in this case, this protocol can potentially decrease the chronic use of pain medication, such as opioids.

  19. Central poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome

    Directory of Open Access Journals (Sweden)

    de Oliveira Rogério Adas

    2012-09-01

    Full Text Available Abstract Background Central post-stroke pain (CPSP is a neuropathic pain syndrome associated with somatosensory abnormalities due to central nervous system lesion following a cerebrovascular insult. Post-stroke pain (PSP refers to a broader range of clinical conditions leading to pain after stroke, but not restricted to CPSP, including other types of pain such as myofascial pain syndrome (MPS, painful shoulder, lumbar and dorsal pain, complex regional pain syndrome, and spasticity-related pain. Despite its recognition as part of the general PSP diagnostic possibilities, the prevalence of MPS has never been characterized in patients with CPSP patients. We performed a cross-sectional standardized clinical and radiological evaluation of patients with definite CPSP in order to assess the presence of other non-neuropathic pain syndromes, and in particular, the role of myofascial pain syndrome in these patients. Methods CPSP patients underwent a standardized sensory and motor neurological evaluation, and were classified according to stroke mechanism, neurological deficits, presence and profile of MPS. The Visual Analogic Scale (VAS, McGill Pain Questionnaire (MPQ, and Beck Depression Scale (BDS were filled out by all participants. Results Forty CPSP patients were included. Thirty-six (90.0% had one single ischemic stroke. Pain presented during the first three months after stroke in 75.0%. Median pain intensity was 10 (5 to 10. There was no difference in pain intensity among the different lesion site groups. Neuropathic pain was continuous-ongoing in 34 (85.0% patients and intermittent in the remainder. Burning was the most common descriptor (70%. Main aggravating factors were contact to cold (62.5%. Thermo-sensory abnormalities were universal. MPS was diagnosed in 27 (67.5% patients and was more common in the supratentorial extra-thalamic group (P Conclusions The presence of MPS is not an exception after stroke and may present in association with CPSP

  20. Application of ERTS and EREP images to geologic investigations of the basin and range: Colorado plateau boundary in northwestern and north-central Arizona

    Science.gov (United States)

    Goetz, A. F. H. (Principal Investigator); Billingsley, F. C.; Elston, D. P.; Lucchita, I.; Shoemaker, E. M.

    1974-01-01

    The author has identified the following significant results. In the course of the ERTS investigation in the Cataract Creek Basin of the Coconino Plateau it was recognized that shallow perched ground water associated with the Kaibab Limestone could be discovered by means of drilling guided by geologic mapping aided by the use of ERTS imagery. At the Globe Ranch, the perched water table is only 5 meters beneath the surface at the site of the original, hand dug well. Recharge occurs from local runoff and from direct precipitation on the outcrop belt of the sandstone. This well provides water for the ranch at the rate of about 1,000 gallons a week. In order to explore the possibility of further developing this aquifer, unit 5 was mapped over an area of about 50 square miles in the vicinity of the hand-dug well, with negative results. A new location was then picked for drilling based on the occurrence of unit 5 in a favorable structural setting. This location was along a normal fault, and it was anticipated that water might be structurally trapped within the down-dropped block of the fault. Four shallow testholes were drilled and all encountered water. These four water-bearing holes are currently being monitored and will be tested to determine potential production of water from the local sandstone aquifer.

  1. Lithium- and boron-bearing brines in the Central Andes: exploring hydrofacies on the eastern Puna plateau between 23° and 23°30'S

    Science.gov (United States)

    Steinmetz, R. L. López

    2017-01-01

    Internally drained basins of the Andean Plateau are lithium- and boron-bearing systems. The exploration of ionic facies and parental links in a playa lake located in the eastern Puna (23°-23°30'S) was assessed by hydrochemical determinations of residual brines, feed waters and solutions from weathered rocks. Residual brines have been characterized by the Cl- (SO4 =)/Na+ (K+) ratio. Residual brines from the playa lake contain up to 450 mg/l of boron and up to 125 mg/l of lithium, and the Las Burras River supplies the most concentrated boron (20 mg/l) and lithium (3.75 mg/l) inflows of the basin. The hydro-geochemical assessment allowed for the identification of three simultaneous sources of boron: (1) inflow originating from granitic areas of the Aguilar and Tusaquillas ranges; (2) weathering of the Ordovician basement; and (3) boron-rich water from the Las Burras River. Most of the lithium input of the basin is likely generated by present geothermal sources rather than by weathering and leaching of ignimbrites and plutonic rocks. However, XRD analyses of playa lake sediments revealed the presence of lithian micas of clastic origin, including taeniolite and eucriptite. This study is the first to document these rare Li-micas from the Puna basin. Thus, both residual brines and lithian micas contribute to the total Li content in the studied hydrologic system.

  2. Reduction of central neuropathic pain with ketamine infusion in a patient with Ehlers–Danlos syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Lo TC

    2016-09-01

    Full Text Available Tony Chung Tung Lo,1,* Stephen Tung Yeung,2,* Sujin Lee,1 Kira Skavinski,3 Solomon Liao,4 1Department of Physical Medicine and Rehabilitation, University of California Irvine, Orange, CA, 2Department of Immunology, University of Connecticut School of Medicine, Farmington, CT, 3Department of Palliative Medicine, University of California San Diego, La Jolla, 4Department of Palliative Medicine, University of California Irvine, Orange, CA, USA *These authors contributed equally to this work Objective: Ehlers–Danlos syndrome frequently causes acute and chronic pain because of joint subluxations and dislocations secondary to hypermobility. Current treatments for pain related to Ehlers–Danlos syndrome and central pain syndrome are inadequate. This case report discusses the therapeutic use of ketamine intravenous infusion as an alternative. Case report: A 27-year-old Caucasian female with a history of Ehlers–Danlos syndrome and spinal cord ischemic myelopathy resulting in central pain syndrome, presented with severe generalized body pain refractory to multiple pharmacological interventions. After a 7-day course of ketamine intravenous infusion under controlled generalized sedation in the intensive care unit, the patient reported a dramatic reduction in pain levels from 7–8 out of 10 to 0–3 out of 10 on a numeric rating scale and had a significant functional improvement. The patient tolerated a reduction in her pain medication regimen, which originally included opioids, gabapentin, pregabalin, tricyclic antidepressants, and nonsteroidal anti-inflammatory drugs. Conclusion: Ketamine infusion treatment has been used in various pain syndromes, including central neuropathic pain, ischemic pain, and regional pain syndrome. Reports have suggested that ketamine modulates pain by the regression of N-methyl-D-aspartate receptor to a resting state. As such, propagation of nociceptive signal to brain is interrupted allowing for the restoration of

  3. A traumatic central cord syndrome occurring after adequate decompression for cervical spondylosis: biomechanics of injury: case report.

    Science.gov (United States)

    Dickerman, Rob D; Lefkowitz, Michael; Epstein, Joseph A

    2005-10-15

    Case report with review of the literature. To present the first case of a central cord syndrome occurring after adequate decompression, and review the mechanics of the cervical spinal cord injury and postoperative biomechanical and anatomic changes occurring after cervical decompressive laminectomy. Cervical spondylosis is a common pathoanatomic occurrence in the elderly population and is thought to be one of the primary causes for a central cord syndrome. Decompressive laminectomy with or without fusion has been a primary treatment for spondylotic disease and is thought to be protective against further injury. To our knowledge, there are no cases of a central cord syndrome occurring after adequate decompression reported in the literature. Case study with extensive review of the literature. The patient underwent C3-C7 cervical laminectomy without complications. After surgery, the patient's spasticity and gait difficulties improved. She was discharged to inpatient rehabilitation for further treatment of upper extremity weakness. The patient fell in the rehabilitation center, with a central cord syndrome despite adequate decompression of her spinal canal. The patient was treated conservatively for the central cord and had minimal improvement. Decompressive laminectomy provides an immediate decompressive effect on the spinal cord as seen by the dorsal migration of the cord, however, the biomechanics of the cervical spine after decompressive laminectomy remain uncertain. This case supports the ongoing research and need for more intensive research on postoperative cervical spine biomechanics, including decompressive laminectomies, decompressive laminectomy and fusion, and laminoplasty.

  4. A multi-proxy record of hydroclimate, vegetation, fire, and post-settlement impacts for a subalpine plateau, Central Rocky Mountains U.S.A

    Science.gov (United States)

    Anderson, Lesleigh; Brunelle, Andrea; Thompson, Robert S.

    2015-01-01

    Apparent changes in vegetation distribution, fire, and other disturbance regimes throughout western North America have prompted investigations of the relative importance of human activities and climate change as potential causal mechanisms. Assessing the effects of Euro-American settlement is difficult because climate changes occur on multi-decadal to centennial time scales and require longer time perspectives than historic observations can provide. Here, we report vegetation and environmental changes over the past ~13,000 years as recorded in a sediment record from Bison Lake, a subalpine lake on a high plateau in northwestern Colorado. Results are based on multiple independent proxies, which include pollen, charcoal, and elemental geochemistry, and are compared with previously reported interpretations of hydroclimatic changes from oxygen isotope ratios. The pollen data indicate a slowly changing vegetation sequence from sagebrush steppe during the late glacial to coniferous forest through the late Holocene. The most dramatic vegetation changes of the Holocene occurred during the ‘Medieval Climate Anomaly’ (MCA) and ‘Little Ice Age’ (LIA) with rapid replacement of conifer forest by grassland followed by an equally rapid return to conifer forest. Late Holocene vegetation responses are mirrored by changes in fire, lake biological productivity, and watershed erosion. These combined records indicate that subsequent disturbance related to Euro-American settlement, although perhaps significant, had acted upon a landscape that was already responding to MCA-LIA hydroclimatic change. Results document both rapid and long-term subalpine grassland ecosystem dynamics driven by agents of change that can be anticipated in the future and simulated by ecosystem models.

  5. Impacts of Agricultural Practices and Tourism Activities on the Sustainability of Telaga Warna and Telaga Pengilon Lakes, Dieng Plateau, Central Java

    Science.gov (United States)

    Sudarmadji; Pudjiastuti, Hermin

    2018-02-01

    Telaga Warna and Telaga Pengilon are two volcanic lakes in the Dieng Plateau offer some unique phenomena which are interested for tourists to visit. Telaga Warna and Telaga Pengilon are located side by side in the Dieng Palteau. Those two lakes also have specific ecosystem which differ to other lakes. However as land use in the surrounding area is now gradually changing, the lake is now facing to environmental degradation. The land use in the surrounding area is for intensive agricultural which main crops are vegetable, especially potatoes. Meanwhile, the number of tourist visiting those two lakes is increasing; it may also give some impact to the lake environment. This research aims to study the impacts of agricultural practices and tourism activities to the lake environmental which lead to the environment sustainability of the lakes. The field survey was conducted to collect some data on lakes characteristics, agricultural and tourism activities. Some interviews to local people and tourists were also conducted. Some water and sediment samples were collected followed by laboratory analyses. Some secondary data from previous study was also collected. Data analysis was conducted based on qualitative and quantitative techniques. The study found that agricultural practices of potatoes plantation uses water from the Telaga Pengilon to irrigate the plant by pumping out the water using water pump and distributes the water over the plantation area. Agricultural practices lead to soil erosion, which contribute sediment to the lake carried by surface runoff. Therefore, the volume of lakes is gradually decreasing. The use of fertilizer in the agricultural practice contribute nutrient into the lake carried by surface runoff, leading to the eutrophication, due to the excess used of fertilizer. The study concludes that agricultural practices and tourism activities have some positive economic impacts to the local community, however it also give some adverse affects on the lakes

  6. Lack of differential pattern in central adiposity and metabolic syndrome in Barrett's esophagus and gastroesophageal reflux disease.

    LENUS (Irish Health Repository)

    Healy, L A

    2012-02-01

    Obesity is an established risk factor for esophageal adenocarcinoma, although the mechanism is unclear. A pathway from reflux to inflammation through metaplasia is the dominant hypothesis, and an added role relating to visceral adiposity and the metabolic syndrome has been mooted in Barrett\\'s esophagus (BE) patients. Whether BE differs from gastroesophageal reflux disease (GERD) in obesity and metabolic syndrome profiles is unclear, and this was the focus of this study. Patients with proven BE or GERD were randomly selected from the unit data registry and invited to attend for metabolic syndrome screening, anthropometry studies including segmental body composition analysis, and laboratory tests including fasting lipids, insulin, and C-reactive protein. Metabolic syndrome was defined using the National Cholesterol Education Program (NCEP) and the International Diabetes Federation (IDF) criteria. One hundred and eighteen BE patients and 113 age- and sex-matched GERD controls were studied. The incidence of obesity (body mass index >30 kg\\/m(2)) was 36% and 38%, respectively, with the pattern of fat deposition predominantly central and an estimated trunk fat mass of 13 and 14 kg, respectively. Using the NCEP criteria, metabolic syndrome was significantly more common in the BE cohort (30% vs 20%, P < 0.05), but there was no significant difference using IDF criteria (42% vs 37%, P= 0.340). Central obesity and the metabolic syndrome are common in both Barrett\\'s and GERD cohorts, but not significantly different, suggesting that central obesity and the metabolic syndrome does not per se impact on the development of BE in a reflux population. In BE, the importance of obesity and the metabolic syndrome in disease progression merits further study.

  7. A Case of Central Pontine Myelinolysis Caused by Hypophosphatemia Secondary to Refeeding Syndrome

    Directory of Open Access Journals (Sweden)

    Chikara Yamashita

    2015-10-01

    Full Text Available Central pontine myelinolysis (CPM, which was originally considered to be the result of rapid correction of chronic hyponatremia, is not necessarily accompanied by hyponatremia or drastic changes in serum sodium level. Here, we report a case of an anorexic 55-year-old male with a history of pharyngo-laryngo-esophagogastrectomy, initially hospitalized with status epilepticus. Although his consciousness gradually recovered as we were controlling his convulsion, it deteriorated again with new onset of anisocoria, and magnetic resonance imaging (MRI at this point revealed CPM. Rapid change of serum sodium or osmolarity, which is often associated with CPM, had not been apparent throughout his hospitalization. Instead, a review of the serum biochemistry test results showed that serum phosphate had drastically declined the day before the MRI first detected CPM. In this case, we suspect that hypophosphatemia induced by refeeding syndrome greatly contributed to the occurrence of CPM.

  8. A Case of Central Pontine Myelinolysis Caused by Hypophosphatemia Secondary to Refeeding Syndrome.

    Science.gov (United States)

    Yamashita, Chikara; Shigeto, Hiroshi; Maeda, Norihisa; Torii, Takako; Ohyagi, Yasumasa; Kira, Jun-Ichi

    2015-01-01

    Central pontine myelinolysis (CPM), which was originally considered to be the result of rapid correction of chronic hyponatremia, is not necessarily accompanied by hyponatremia or drastic changes in serum sodium level. Here, we report a case of an anorexic 55-year-old male with a history of pharyngo-laryngo-esophagogastrectomy, initially hospitalized with status epilepticus. Although his consciousness gradually recovered as we were controlling his convulsion, it deteriorated again with new onset of anisocoria, and magnetic resonance imaging (MRI) at this point revealed CPM. Rapid change of serum sodium or osmolarity, which is often associated with CPM, had not been apparent throughout his hospitalization. Instead, a review of the serum biochemistry test results showed that serum phosphate had drastically declined the day before the MRI first detected CPM. In this case, we suspect that hypophosphatemia induced by refeeding syndrome greatly contributed to the occurrence of CPM.

  9. Expanding the phenotype of congenital central hypoventilation syndrome impacts management decisions.

    Science.gov (United States)

    Byers, Heather M; Chen, Maida; Gelfand, Andrew S; Ong, Bruce; Jendras, Marisa; Glass, Ian A

    2018-04-25

    Congenital central hypoventilation syndrome (CCHS) is a neurocristopathy caused by pathogenic heterozygous variants in the gene paired-like homeobox 2b (PHOX2B). It is characterized by severe infantile alveolar hypoventilation. Individuals may also have diffuse autonomic nervous system dysfunction, Hirschsprung disease and neural crest tumors. We report three individuals with CCHS due to an 8-base pair duplication in PHOX2B; c.691_698dupGGCCCGGG (p.Gly234Alafs*78) with a predominant enteral and neural crest phenotype and a relatively mild respiratory phenotype. The attenuated respiratory phenotype reported here and elsewhere suggests an emergent genotype:phenotype correlation which challenges the current paradigm of invoking mechanical ventilation for all infants diagnosed with CCHS. Best treatment requires careful clinical judgment and ideally the assistance of a care team with expertise in CCHS. © 2018 Wiley Periodicals, Inc.

  10. A case of Churg-Strauss syndrome and central retinal artery occlusion with good visual recovery

    Directory of Open Access Journals (Sweden)

    Yuki Kamata

    2013-01-01

    Full Text Available Here we report a case of Churg-Strauss syndrome (CSS and central retinal artery occlusion (CRAO, with good visual recovery. A 58-year-old Japanese man with CSS experienced acute painless loss of vision in his right eye. CRAO was diagnosed by fundoscopic findings (retinal whitening with a cherry-red spot. Steroid pulse therapy (methylprednisolone at 1 g daily for 3 days followed by combined treatment with prednisolone (30 mg/day and cyclophosphamide (150 mg/day was administered; his visual acuity recovered to 20/30 in 1 month, and no recurrence has occurred for 1 year. Steroid pulse therapy may be effective for CRAO in CSS patients.

  11. Carotid cavernous fistula with central retinal artery occlusion and Terson syndrome after mid-facial trauma

    Directory of Open Access Journals (Sweden)

    Karna, Satya

    2017-05-01

    Full Text Available Objectives: To report a rare occurrence combination of central retinal artery occlusion (CRAO and Terson syndrome in a Barrow’s type A carotid cavernous fistula (CCF patient.Methods: Observational case report.Results: A twenty-year-old male patient with a history of road traffic accident presented with periorbital swelling and redness in the left eye. Examination revealed a CRAO with intraretinal and preretinal hemorrhages. On imaging, type A CCF and subarachnoid hemorrhage were detected. He underwent embolization of the fistula for cosmetic blemish. The possible mechanisms and clinical implications are discussed. Conclusion: Patients with a head injury can have serious ocular damage. Posterior segment manifestations of CCFs are varied and at times can occur in various rare combinations, making it challenging. Early recognition of these rare manifestations and a multi-disciplinary approach are needed in patients with head trauma.

  12. Impacts of Agricultural Practices and Tourism Activities on the Sustainability of Telaga Warna and Telaga Pengilon Lakes, Dieng Plateau, Central Java

    Directory of Open Access Journals (Sweden)

    Sudarmadji

    2018-01-01

    Full Text Available Telaga Warna and Telaga Pengilon are two volcanic lakes in the Dieng Plateau offer some unique phenomena which are interested for tourists to visit. Telaga Warna and Telaga Pengilon are located side by side in the Dieng Palteau. Those two lakes also have specific ecosystem which differ to other lakes. However as land use in the surrounding area is now gradually changing, the lake is now facing to environmental degradation. The land use in the surrounding area is for intensive agricultural which main crops are vegetable, especially potatoes. Meanwhile, the number of tourist visiting those two lakes is increasing; it may also give some impact to the lake environment. This research aims to study the impacts of agricultural practices and tourism activities to the lake environmental which lead to the environment sustainability of the lakes. The field survey was conducted to collect some data on lakes characteristics, agricultural and tourism activities. Some interviews to local people and tourists were also conducted. Some water and sediment samples were collected followed by laboratory analyses. Some secondary data from previous study was also collected. Data analysis was conducted based on qualitative and quantitative techniques. The study found that agricultural practices of potatoes plantation uses water from the Telaga Pengilon to irrigate the plant by pumping out the water using water pump and distributes the water over the plantation area. Agricultural practices lead to soil erosion, which contribute sediment to the lake carried by surface runoff. Therefore, the volume of lakes is gradually decreasing. The use of fertilizer in the agricultural practice contribute nutrient into the lake carried by surface runoff, leading to the eutrophication, due to the excess used of fertilizer. The study concludes that agricultural practices and tourism activities have some positive economic impacts to the local community, however it also give some adverse

  13. Ordovas-Oxidized LDL is associated with metabolic syndrome traits independently of central obesity and insulin resistance

    Science.gov (United States)

    This study assesses whether oxidative stress, using oxidized LDL (ox-LDL) as a proxy, is associated with metabolic syndrome (MS), whether ox-LDL mediates the association between central obesity and MS, and whether insulin resistance mediates the association between ox-LDL and MS. We examined baselin...

  14. U-Pb detrital zircon geochronology from the basement of the Central Qilian Terrane: implications for tectonic evolution of northeastern Tibetan Plateau

    Science.gov (United States)

    Liu, Changfeng; Wu, Chen; Zhou, Zhiguang; Yan, Zhu; Jiang, Tian; Song, Zhijie; Liu, Wencan; Yang, Xin; Zhang, Hongyuan

    2018-03-01

    The Tuolai Group dominates the Central Qilian Terrane, and there are different opinions on the age and tectonic attribute of the Tuolai Group. Based on large-scale geologic mapping and zircon dating, the Tuolai Group is divided into four parts: metamorphic supracrustal rocks, Neoproterozoic acid intrusive rocks, early-middle Ordovician acid intrusive rocks and middle Ordovician basic intrusive rocks. The metamorphic supracrustal rocks are the redefined Tuolai complex-group and include gneiss and schist assemblage by faulting contact. Zircon U-Pb LA-MC-ICP-MS dating was conducted on these samples of gneiss and migmatite from the gneiss assemblage, quartzite, two-mica schist and slate from the schist assemblage. The five detrital samples possess similar age spectra; have detrital zircon U-Pb main peak ages of 1.7 Ga with youngest U-Pb ages of 1150 Ma. They are intruded by Neoproterozoic acid intrusive rocks. Therefore, the Tuolai Group belonging to late Mesoproterozoic and early Neoproterozoic. With this caveat in mind, we believe that U-Pb detrital zircon dating, together with the geologic constraints obtained from this study and early work in the neighboring regions. We suggest that the formation age of the entire crystalline basement rocks of metasedimentary sequence from the Central Qilian Terrane should be constrained between the Late Mesoproterozoic and the Late Neoproterozoic, but not the previous Paleoproterozoic. The basement of the Central Qilian Terrane contains the typical Grenville ages, which indicates the Centre Qilian Terrane have been experienced the Grenville orogeny event.

  15. Evaluation of the Endothelial Cell Density and the Central Corneal Thickness in Pseudoexfoliation Syndrome and Pseudoexfoliation Glaucoma

    Directory of Open Access Journals (Sweden)

    Bożydar T. Tomaszewski

    2014-01-01

    Full Text Available Purpose. Evaluation of central corneal thickness (CCT and endothelial cell density (ECD in patients with senile cataract and coexisting pseudoexfoliation (PEX syndrome with glaucoma (PEXG and without glaucoma using specular microscopy. Participants and Methods. The study included 122 patients (217 eyes. In this group of patients we identified 133 eyes with PEX syndrome (65 with glaucoma, 68 without glaucoma and 84 eyes without PEX syndrome. ECD and CCT were measured in each eye by specular microscopy. Results. ECD in eyes with PEX syndrome without glaucoma (2297 ± 359 cell/mm2 and in eyes with PEXG (2241 ± 363 cell/mm2 was lower than in the control group (2503 ± 262 cell/mm2 (P<0.001. CCT in eyes with PEXG (508.2 ± 32.6 μm was thinner than in eyes with PEX syndrome without glaucoma (529.7 ± 30.3 μm and control group (527.7 ± 29.4 μm (P<0.001. Conclusions. This research shows that in eyes with PEX syndrome, both with and without glaucoma, ECD was statistically significantly lower than in the control group. In patients with PEXG, CCT was statistically significantly thinner than in the PEX syndrome and control group.

  16. Imaging Findings of Central Nervous System Vasculitis Associated with Goodpasture's Syndrome: a Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jee Young; Ahn, Kook Jin; Jung, Jung Im; Jung, So Lyung; Kim, Bum Soo; Hahn, Seong Tae [College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)

    2007-12-15

    We report a rare case of CNS vasculitis associated with Goodpasture's syndrome in a 34-year-old man, who presented with a seizure and sudden onset of right sided weakness. He also had recurrent hemoptysis of one month's duration. Goodpasture's syndrome is histologically diagnosed by intense linear deposits of IgG along the glomerular basement membrane in both renal and lung tissues. oodpasture's syndrome is a rare disease, characterized by rapidly progressive glomerulonephritis, diffuse pulmonary hemorrhage and circulating antiglomerular basement membrane antibody (anti-GBM antibody). Central nervous system (CNS) manifestations in Goodpasture's syndrome are extremely rare, with only a few cases having been reported in the literature (8 10). Therefore, we present our imaging findings of CNS vasculitis associated with Goodpasture's syndrome, together with a review of the relevant literature. In summary, CNS vasculitis associated with Goodpasture's syndrome is extremely rare. Awareness of the imaging findings, as well as the clinical significance of CNS vasculitis associated with Goodpasture's syndrome, can be helpful in making the correct diagnosis and subsequent management of this rare condition.

  17. Tibial Plateau Fractures

    DEFF Research Database (Denmark)

    Elsøe, Rasmus

    This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population. The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level...... with only the subgroup Sport significantly below the age matched reference population. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring...... fixator, both during treatment and at 19 months following injury. In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard...

  18. Prehistoric human settling on the Tibetan Plateau

    Science.gov (United States)

    Chen, F.; Zhang, D.; Dong, G.; Xia, H.

    2017-12-01

    When and where did human first settle down on the Tibetan Plateau is under hot debate among archaeologist, anthropologists, geneticist and paleo-geographers. Based on systematic archaeological, chronological and archaeo-botanical studies of 53 sites in Northeastern Tibetan Plateau, we propose that agriculture facilitated human permanent settlement on the Tibetan Plateau initially since 5200 years ago below 2500 masl and since 3600 years ago up to around 4000 masl, possibly assisted by domesticated animals (Chen et al. 2015). By redating the age of hand- and footprints in Chusang site in Tibet, Meyer et al. (2017) argue that hunter-gatherers permanently occupied central Tibetan Plateau in early Holocene (before 7.4 ka) without the help of agriculture. Except for the possible problem of dating, however, the limited hand- and footprints could only indicate the presence of prehistoric hunter-gatherers on the remote central Tibetan Plateau in the early Holocene, unable to support the permanent inhabitation assertion (Zhang et al., 2017). To better understand how human spread to, settle on and adapt to the Tibetan Plateau, we are closely working together with anthropologists, archaeologists and geneticists to do system Paleolithic surveys, full excavations, and genetic analysis of ancient and modern human, animals and plants. Our preliminary study show that human migrated to the Tibetan Plateau from the last Deglacial period to late Holocene mainly from North China via Yellow River valley and its tributary valleys in the Northeastern Tibetan Plateau (NETP). This migration is constituted of four stages (Upper Paleolithic, Epi-Paleolithic, Neolithic and Bronze Age) with different adaptation strategies, including microlithic technology, millet and barley farming, and sheep herding and so on (Zhang et al., 2016). In addition, our new finds in Tibet indicate that there are probably more migration routes from southeast and southwest Tibetan Plateau in the late Pleistocene or

  19. Systemic 5-fluorouracil treatment causes a syndrome of delayed myelin destruction in the central nervous system

    Directory of Open Access Journals (Sweden)

    Han Ruolan

    2008-04-01

    Full Text Available Abstract Background Cancer treatment with a variety of chemotherapeutic agents often is associated with delayed adverse neurological consequences. Despite their clinical importance, almost nothing is known about the basis for such effects. It is not even known whether the occurrence of delayed adverse effects requires exposure to multiple chemotherapeutic agents, the presence of both chemotherapeutic agents and the body's own response to cancer, prolonged damage to the blood-brain barrier, inflammation or other such changes. Nor are there any animal models that could enable the study of this important problem. Results We found that clinically relevant concentrations of 5-fluorouracil (5-FU; a widely used chemotherapeutic agent were toxic for both central nervous system (CNS progenitor cells and non-dividing oligodendrocytes in vitro and in vivo. Short-term systemic administration of 5-FU caused both acute CNS damage and a syndrome of progressively worsening delayed damage to myelinated tracts of the CNS associated with altered transcriptional regulation in oligodendrocytes and extensive myelin pathology. Functional analysis also provided the first demonstration of delayed effects of chemotherapy on the latency of impulse conduction in the auditory system, offering the possibility of non-invasive analysis of myelin damage associated with cancer treatment. Conclusions Our studies demonstrate that systemic treatment with a single chemotherapeutic agent, 5-FU, is sufficient to cause a syndrome of delayed CNS damage and provide the first animal model of delayed damage to white-matter tracts of individuals treated with systemic chemotherapy. Unlike that caused by local irradiation, the degeneration caused by 5-FU treatment did not correlate with either chronic inflammation or extensive vascular damage and appears to represent a new class of delayed degenerative damage in the CNS.

  20. Impaired neural structure and function contributing to autonomic symptoms in congenital central hypoventilation syndrome.

    Science.gov (United States)

    Harper, Ronald M; Kumar, Rajesh; Macey, Paul M; Harper, Rebecca K; Ogren, Jennifer A

    2015-01-01

    Congenital central hypoventilation syndrome (CCHS) patients show major autonomic alterations in addition to their better-known breathing deficiencies. The processes underlying CCHS, mutations in the PHOX2B gene, target autonomic neuronal development, with frame shift extent contributing to symptom severity. Many autonomic characteristics, such as impaired pupillary constriction and poor temperature regulation, reflect parasympathetic alterations, and can include disturbed alimentary processes, with malabsorption and intestinal motility dyscontrol. The sympathetic nervous system changes can exert life-threatening outcomes, with dysregulation of sympathetic outflow leading to high blood pressure, time-altered and dampened heart rate and breathing responses to challenges, cardiac arrhythmia, profuse sweating, and poor fluid regulation. The central mechanisms contributing to failed autonomic processes are readily apparent from structural and functional magnetic resonance imaging studies, which reveal substantial cortical thinning, tissue injury, and disrupted functional responses in hypothalamic, hippocampal, posterior thalamic, and basal ganglia sites and their descending projections, as well as insular, cingulate, and medial frontal cortices, which influence subcortical autonomic structures. Midbrain structures are also compromised, including the raphe system and its projections to cerebellar and medullary sites, the locus coeruleus, and medullary reflex integrating sites, including the dorsal and ventrolateral medullary nuclei. The damage to rostral autonomic sites overlaps metabolic, affective and cognitive regulatory regions, leading to hormonal disruption, anxiety, depression, behavioral control, and sudden death concerns. The injuries suggest that interventions for mitigating hypoxic exposure and nutrient loss may provide cellular protection, in the same fashion as interventions in other conditions with similar malabsorption, fluid turnover, or hypoxic exposure.

  1. Impaired Neural Structure and Function Contributing to Autonomic Symptoms in Congenital Central Hypoventilation Syndrome

    Directory of Open Access Journals (Sweden)

    Ronald M Harper

    2015-10-01

    Full Text Available Congenital central hypoventilation syndrome (CCHS patients show major autonomic alterations in addition to their better-known breathing deficiencies. The processes underlying CCHS, mutations in the PHOX2B gene, target autonomic neuronal development, with frame shift extent contributing to symptom severity. Many autonomic characteristics, such as impaired pupillary constriction and poor temperature regulation, reflect parasympathetic alterations, and can include disturbed alimentary processes, with malabsorption and intestinal motility dyscontrol. The sympathetic nervous system changes can exert life-threatening outcomes, with dysregulation of sympathetic outflow leading to high blood pressure, time-altered and dampened heart rate and breathing responses to challenges, cardiac arrhythmia, profuse sweating, and poor fluid regulation. The central mechanisms contributing to failed autonomic processes are readily apparent from structural and functional magnetic resonance imaging studies, which reveal substantial cortical thinning, tissue injury, and disrupted functional responses in hypothalamic, hippocampal, posterior thalamic, and basal ganglia sites and their descending projections, as well as insular, cingulate, and medial frontal cortices, which influence subcortical autonomic structures. Midbrain structures are also compromised, including the raphe system and its projections to cerebellar and medullary sites, the locus coeruleus, and medullary reflex integrating sites, including the dorsal and ventrolateral medullary nuclei. The damage to rostral autonomic sites overlaps metabolic, affective and cognitive regulatory regions, leading to hormonal disruption, anxiety, depression, behavioral control, and sudden death concerns. The injuries suggest that interventions for mitigating hypoxic exposure and nutrient loss may provide cellular protection, in the same fashion as interventions in other conditions with similar malabsorption, fluid turnover

  2. Surgery for acute subaxial traumatic central cord syndrome without fracture or dislocation.

    Science.gov (United States)

    Song, Joonsuk; Mizuno, Junichi; Nakagawa, Hiroshi; Inoue, Tatsushi

    2005-05-01

    Twenty-two patients with subaxial acute traumatic central cord syndrome (CCS) without fracture or dislocation who underwent surgery between 1995 and 2002 were reviewed, retrospectively. There were 13 males and nine females ranging in age from 24 to 84 years (mean 61.2). Falls were the most common injury (68%), followed by motor vehicle accidents (32%). All patients had dynamic cervical lateral radiographs and magnetic resonance imaging (MRI). Cord compression was present in all cases and cervical instability in 11. Associated pathology included disc herniation in seven patients, cervical spondylosis (CS) in 11 and ossification of the posterior longitudinal ligament (OPLL) in four. Anterior decompression and fusion was performed in 12 patients with 1- or 2-level lesions. Posterior decompression and fusion was performed for multilevel lesions in 11 patients, including one patient who required re-operation. The interval between injury and surgery ranged from 1 to 37 days (mean 8.0). Postoperatively, all patients improved clinically. We conclude that surgical management of subaxial acute traumatic CCS without fracture or dislocation improved neurological status and prevented delayed neurological deterioration in our patients.

  3. Central nervous system immune reconstitution inflammatory syndrome in AIDS: experience of a Mexican neurological centre.

    Science.gov (United States)

    Guevara-Silva, Erik A; Ramírez-Crescencio, María A; Soto-Hernández, José Luís; Cárdenas, Graciela

    2012-09-01

    Highly active antiretroviral therapy (HAART) restores the inflammatory immune response in AIDS patients and it may unmask previous subclinical infections or paradoxically exacerbate symptoms of opportunistic infections. Up to 25% of patients receiving HAART develop immune reconstitution inflammatory syndrome (IRIS). We describe six patients with IRIS central nervous system (CNSIRIS) manifestations emphasizing the relevance of CSF cultures and neuroimaging in early diagnosis and management. Patients with CNSIRIS were identified among hospitalized HIV-infected patients that started HAART from January 2002 through December 2007 at a referral neurological center in Mexico. One-hundred and forty-two HIV-infected patients with neurological signs were hospitalized, 64 of which had received HAART, and six (9.3%) developed CNSIRIS. Five patients were male. Two cases of tuberculosis, two of cryptococcosis, one of brain toxoplasmosis, and one possible PML case were found. IRIS onset occurred within 12 weeks of HAART in five patients. Anti-infective therapy was continued. In one case, HAART was temporarily suspended. In long-term follow-up the clinical condition improved in all patients. CNSIRIS associated to opportunistic infections appeared in 9% of patients receiving HAART. Interestingly, no cases of malignancy or neoplasm IRIS-related were found. Frequent clinical assessment and neuroimaging studies supported diagnosis and treatment. Risk factors were similar to those found in other series. Copyright © 2012 Elsevier B.V. All rights reserved.

  4. Vocal cord collapse during phrenic nerve-paced respiration in congenital central hypoventilation syndrome.

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    Domanski, Mark C; Preciado, Diego A

    2012-01-01

    Phrenic nerve pacing can be used to treat congenital central hypoventilation syndrome (CCHS). We report how the lack of normal vocal cord tone during phrenic paced respiration can result in passive vocal cord collapse and produce obstructive symptoms. We describe a case of passive vocal cord collapse during phrenic nerve paced respiration in a patient with CCHS. As far as we know, this is the first report of this etiology of airway obstruction. The patient, a 7-year-old with CCHS and normal waking vocal cord movement, continued to require nightly continuous positive airway pressure (CPAP) despite successful utilization of phrenic nerve pacers. On direct laryngoscopy, the patient's larynx was observed while the diaphragmatic pacers were sequentially engaged. No abnormal vocal cord stimulation was witnessed during engaging of either phrenic nerve stimulator. However, the lack of normal inspiratory vocal cord abduction during phrenic nerve-paced respiration resulted in vocal cord collapse and partial obstruction due to passive adduction of the vocal cords through the Bernoulli effect. Bilateral phrenic nerve stimulation resulted in more vocal cord collapse than unilateral stimulation. The lack of vocal cord abduction on inspiration presents a limit to phrenic nerve pacers.

  5. Upper airway resistance syndrome. Central electroencephalographic power and changes in breathing effort.

    Science.gov (United States)

    Black, J E; Guilleminault, C; Colrain, I M; Carrillo, O

    2000-08-01

    Upper airway resistance syndrome (UARS) is defined by excessive daytime sleepiness and tiredness, and is associated with increased breathing effort. Its polygraphic features involve progressive increases in esophageal pressure (Pes), terminated by arousal (AR) as defined by the American Sleep Disorders Association (ASDA). With the arousal there is an abrupt decrease in Pes, called Pes reversal. However, Pes reversal can be seen without the presence of an AR. We performed spectral analysis on electroencephalographic data from a central lead for both AR and nonarousal (N-AR) events obtained from 15 UARS patients (eight men and seven women). Delta band activity was increased before and surrounding Pes reversal regardless of the presence or absence of AR. In the period after Pes reversal, alpha, sigma, and beta activity showed a greater increase in AR events than in N-AR events. The Pes measures were identical leading up to the point of reversal, but showed a longer-lasting and significantly greater decrease in respiratory effort after an AR. The data indicate that substantial electroencephalographic changes can be identified in association with Pes events, even when ARs cannot be detected according to standard criteria; however, visually identifiable electroencephalographic arousals clearly have a greater impact on ongoing inspiratory effort.

  6. [Central cervical cord syndrome: a case report on rehabilitation, with special references to accidental falls in the elderly].

    Science.gov (United States)

    Ina, G; Eto, F; Furuichi, T; Suzuki, H; Shibuya, K

    1995-03-01

    An 81-year-old man with Parkinson's disease was admitted to our hospital with impaired function of all extremities. Four weeks before his symptoms developed, he had tripped on the steps, fallen and bruised his jaw. Following this episode he experienced a few more falls inside his house. On examination his greatest weakness was in the hands and wrists. He was hyper-reflexic in all extremities and had bilateral Babinski's sign. He could not walk and needed physical assistance in most of his daily living activities. X-ray films of the cervical spine showed significant degenerative changes. The magnetic resonance images suggested central cervical cord damage at the level of the C6 vertebral body. After three months' rehabilitation treatment, he became able to walk with a cane and became independent in all the basic activities of daily living except for bathing. He never regained skillful function of his hands despite later levodopa treatment of Parkinson's disease. His clinical features were consistent with the central cervical cord syndrome, described by Schnneider and co-workers in 1954. This syndrome may occur as a result of hyperextension neck injury, occasionally associated with an accidental fall in the elderly with cervical spondylosis. Thirteen patients with cervical spinal cord injury above 65 of age were admitted to our department from 1983 to 1993. Six of them presented with the central cervical cord syndrome, and all patients had a history of accidental injuries related to falling.

  7. Loess Thickness Variations Across the Loess Plateau of China

    Science.gov (United States)

    Zhu, Yuanjun; Jia, Xiaoxu; Shao, Mingan

    2018-01-01

    The soil thickness is very important for investigating and modeling soil-water processes, especially on the Loess Plateau of China with its deep loess deposit and limited water resources. A digital elevation map (DEM) of the Loess Plateau and neighborhood analysis in ArcGIS software were used to generate a map of loess thickness, which was then validated by 162 observations across the plateau. The generated loess thickness map has a high resolution of 100 m × 100 m. The map indicates that loess is thick in the central part of the plateau and becomes gradually shallower in the southeast and northwest directions. The areas near mountains and river basins have the shallowest loess deposit. The mean loess thickness is the deepest in the zones with 400-600-mm precipitation and decreases gradually as precipitation varies beyond this range. Our validation indicates that the map just slightly overestimates loess thickness and is reliable. The loess thickness is mostly between 0 and 350 m in the Loess Plateau region. The calculated mean loess thickness is 105.7 m, with the calibrated value being 92.2 m over the plateau exclusive of the mountain areas. Our findings provide very basic data of loess thickness and demonstrate great progress in mapping the loess thickness distribution for the plateau, which are valuable for a better study of soil-water processes and for more accurate estimations of soil water, carbon, and solute reservoirs in the Loess Plateau of China.

  8. Horner's syndrome in patients admitted to the intensive care unit that have undergone central venous catheterization: a prospective study.

    Science.gov (United States)

    Butty, Z; Gopwani, J; Mehta, S; Margolin, E

    2016-01-01

    PurposeCentral venous catheterization (CVC) is estimated to be performed in millions of patients per year. Swan-Ganz catheters used for CVC are most often inserted into the internal jugular vein and during this procedure they may come into contact with the sympathetic chain. This study aims to determine the incidence of Horner's syndrome in patients admitted to intensive care unit that have undergone internal jugular CVC insertion during their admission and to determine whether ultrasonography-assisted insertion has decreased the frequency of this complication.Patients and methodsA total of 100 prospective patients admitted to the ICU were examined for the presence of anisocoria and ptosis after undergoing recent CVC. Presence of Horner's syndrome was confirmed by testing with 0.5% apraclonidine and looking for the reversal of anisocoria.ResultsFrequency of Horner's syndrome after CVC was 2% in a sample of 100 prospectively examined patients.ConclusionHorner's syndrome remains a relatively rare but definitive complication of CVC. ICU physicians should be educated about its existence and prevalence and ophthalmologists should inquire about any history of ICU admission necessitating CVC insertion in any patient presenting with Horner's syndrome.

  9. Vertebrate Fossils Imply Paleo-elevations of the Tibetan Plateau

    Science.gov (United States)

    Deng, T.; Wang, X.; Li, Q.; Wu, F.; Wang, S.; Hou, S.

    2017-12-01

    The uplift of the Tibetan Plateau remains unclear, and its paleo-elevation reconstructions are crucial to interpret the geodynamic evolution and to understand the climatic changes in Asia. Uplift histories of the Tibetan Plateau based on different proxies differ considerably, and two viewpoints are pointedly opposing on the paleo-elevation estimations of the Tibetan Plateau. One viewpoint is that the Tibetan Plateau did not strongly uplift to reach its modern elevation until the Late Miocene, but another one, mainly based on stable isotopes, argues that the Tibetan Plateau formed early during the Indo-Asian collision and reached its modern elevation in the Paleogene or by the Middle Miocene. In 1839, Hugh Falconer firstly reported some rhinocerotid fossils collected from the Zanda Basin in Tibet, China and indicated that the Himalayas have uplifted by more than 2,000 m since several million years ago. In recent years, the vertebrate fossils discovered from the Tibetan Plateau and its surrounding areas implied a high plateau since the late Early Miocene. During the Oligocene, giant rhinos lived in northwestern China to the north of the Tibetan Plateau, while they were also distributed in the Indo-Pakistan subcontinent to the south of this plateau, which indicates that the elevation of the Tibetan Plateau was not too high to prevent exchanges of large mammals; giant rhinos, the rhinocerotid Aprotodon, and chalicotheres still dispersed north and south of "Tibetan Plateau". A tropical-subtropical lowland fish fauna was also present in the central part of this plateau during the Late Oligocene, in which Eoanabas thibetana was inferred to be closely related to extant climbing perches from South Asia and Sub-Saharan Africa. In contrast, during the Middle Miocene, the shovel-tusked elephant Platybelodon was found from many localities north of the Tibetan Plateau, while its trace was absent in the Siwaliks of the subcontinent, which implies that the Tibetan Plateau had

  10. The cerebral cost of breathing: an FMRI case-study in congenital central hypoventilation syndrome.

    Directory of Open Access Journals (Sweden)

    Mike Sharman

    Full Text Available Certain motor activities--like walking or breathing--present the interesting property of proceeding either automatically or under voluntary control. In the case of breathing, brainstem structures located in the medulla are in charge of the automatic mode, whereas cortico-subcortical brain networks--including various frontal lobe areas--subtend the voluntary mode. We speculated that the involvement of cortical activity during voluntary breathing could impact both on the "resting state" pattern of cortical-subcortical connectivity, and on the recruitment of executive functions mediated by the frontal lobe. In order to test this prediction we explored a patient suffering from central congenital hypoventilation syndrome (CCHS, a very rare developmental condition secondary to brainstem dysfunction. Typically, CCHS patients demonstrate efficient cortically-controlled breathing while awake, but require mechanically-assisted ventilation during sleep to overcome the inability of brainstem structures to mediate automatic breathing. We used simultaneous EEG-fMRI recordings to compare patterns of brain activity between these two types of ventilation during wakefulness. As compared with spontaneous breathing (SB, mechanical ventilation (MV restored the default mode network (DMN associated with self-consciousness, mind-wandering, creativity and introspection in healthy subjects. SB on the other hand resulted in a specific increase of functional connectivity between brainstem and frontal lobe. Behaviorally, the patient was more efficient in cognitive tasks requiring executive control during MV than during SB, in agreement with her subjective reports in everyday life. Taken together our results provide insight into the cognitive and neural costs of spontaneous breathing in one CCHS patient, and suggest that MV during waking periods may free up frontal lobe resources, and make them available for cognitive recruitment. More generally, this study reveals how the

  11. Motor dysfunction of complex regional pain syndrome is related to impaired central processing of proprioceptive information.

    Science.gov (United States)

    Bank, Paulina J M; Peper, C Lieke E; Marinus, Johan; Beek, Peter J; van Hilten, Jacobus J

    2013-11-01

    Our understanding of proprioceptive deficits in complex regional pain syndrome (CRPS) and its potential contribution to impaired motor function is still limited. To gain more insight into these issues, we evaluated accuracy and precision of joint position sense over a range of flexion-extension angles of the wrist of the affected and unaffected sides in 25 chronic CRPS patients and in 50 healthy controls. The results revealed proprioceptive impairment at both the patients' affected and unaffected sides, characterized predominantly by overestimation of wrist extension angles. Precision of the position estimates was more prominently reduced at the affected side. Importantly, group differences in proprioceptive performance were observed not only for tests at identical percentages of each individual's range of wrist motion but also when controls were tested at wrist angles that corresponded to those of the patient's affected side. More severe motor impairment of the affected side was associated with poorer proprioceptive performance. Based on additional sensory tests, variations in proprioceptive performance over the range of wrist angles, and comparisons between active and passive displacements, the disturbances of proprioceptive performance most likely resulted from altered processing of afferent (and not efferent) information and its subsequent interpretation in the context of a distorted "body schema." The present results point at a significant role for impaired central processing of proprioceptive information in the motor dysfunction of CRPS and suggest that therapeutic strategies aimed at identification of proprioceptive impairments and their restoration may promote the recovery of motor function in CRPS patients. Copyright © 2013 American Pain Society. Published by Elsevier Inc. All rights reserved.

  12. Central venous recanalization in patients with short gut syndrome: restoration of candidacy for intestinal and multivisceral transplantation.

    Science.gov (United States)

    Lang, Elvira V; Reyes, Jorge; Faintuch, Salomao; Smith, Amy; Abu-Elmagd, Kareem

    2005-09-01

    To assess feasibility and success of venous recanalization in patients with short gut syndrome who have lost their traditional central venous access and required intestinal or multivisceral transplantation. Twelve patients between the ages of 7 and 55 years with short gut syndrome and long-standing total parenteral nutrition (TPN) dependency and/or hypercoagulability were treated. All had extensive chronic central venous occlusions and survival was dependent on restoration of access and planned transplantation. Central venous recanalizations were obtained via sharp needle recanalization techniques, venous reconstructions with stents, and/or extraanatomic access to the central venous system for placement of central venous tunneled catheters. Central venous access was restored in all patients without operative-related mortality. Three major hemodynamic perioperative technical complications were recorded and successfully treated. There were three self-limited early infectious complications. With a mean follow-up of 22 months, eight of the 12 patients were alive with successful small bowel or multivisceral transplantation; six of those became independent of TPN. The remaining four patients died of complications related to TPN (n = 3) or transplantation (n = 1). With a mean follow-up of 20 months, all but two of the recanalized venous accesses were maintained, for a success rate of 83%. Recanalizations of extensive chronic vein occlusions are feasible but associated with high risk. The technique is life-saving for TPN-dependent patients and can restore candidacy for intestinal and multivisceral transplantation. This approach is likely to be increasingly requested because of the current clinical availability of the transplant procedure.

  13. High-sensitivity C-reactive protein to detect metabolic syndrome in a centrally obese population: a cross-sectional analysis

    Directory of Open Access Journals (Sweden)

    den Engelsen Corine

    2012-03-01

    Full Text Available Abstract Background People with central obesity have an increased risk for developing the metabolic syndrome, type 2 diabetes and cardiovascular disease. However, a substantial part of obese individuals have no other cardiovascular risk factors, besides their obesity. High sensitivity C-reactive protein (hs-CRP, a marker of systemic inflammation and a predictor of type 2 diabetes and cardiovascular disease, is associated with the metabolic syndrome and its separate components. We evaluated the use of hs-CRP to discriminate between centrally obese people with and without the metabolic syndrome. Methods 1165 people with central obesity but without any previous diagnosis of hypertension, dyslipidemia, diabetes or cardiovascular disease, aged 20-70 years, underwent a physical examination and laboratory assays to determine the presence of the metabolic syndrome (NCEP ATP III criteria. Multivariable linear regression analyses were performed to assess which metabolic syndrome components were independently associated with hs-CRP. A ROC curve was drawn and the area under the curve was calculated to evaluate whether hs-CRP was capable to predict the presence of the metabolic syndrome. Results Median hs-CRP levels were significantly higher in individuals with central obesity with the metabolic syndrome (n = 417; 35.8% compared to individuals with central obesity without the metabolic syndrome (2.2 mg/L (IQR 1.2-4.0 versus 1.7 mg/L (IQR 1.0-3.4; p Conclusions Hs-CRP has limited capacity to predict the presence of the metabolic syndrome in a population with central obesity.

  14. External versus internal fixation for bicondylar tibial plateau fractures: systematic review and meta-analysis.

    Science.gov (United States)

    Metcalfe, David; Hickson, Craig J; McKee, Lesley; Griffin, Xavier L

    2015-12-01

    It is uncertain whether external fixation or open reduction internal fixation (ORIF) is optimal for patients with bicondylar tibial plateau fractures. A systematic review using Ovid MEDLINE, Embase Classic, Embase, AMED, the Cochrane Library, Open Grey, Orthopaedic Proceedings, WHO International Clinical Trials Registry Platform, Current Controlled Trials, US National Institute for Health Trials Registry, and the Cochrane Central Register of Controlled Trials. The search was conducted on 3rd October 2014 and no language limits were applied. Inclusion criteria were all clinical study designs comparing external fixation with open reduction internal fixation of bicondylar tibial plateau fractures. Studies of only one treatment modality were excluded, as were those that included unicondylar tibial plateau fractures. Treatment effects from studies reporting dichotomous outcomes were summarised using odds ratios. Continuous outcomes were converted to standardized mean differences to assess the treatment effect, and inverse variance methods used to combine data. A fixed effect model was used for meta-analyses. Patients undergoing external fixation were more likely to have returned to preinjury activities by six and twelve months (P = 0.030) but not at 24 months follow-up. However, external fixation was complicated by a greater number of infections (OR 2.59, 95 % CI 1.25-5.36, P = 0.01). There were no statistically significant differences in the rates of deep infection, venous thromboembolism, compartment syndrome, or need for re-operation between the two groups. Although external fixation and ORIF are associated with different complication profiles, both are acceptable strategies for managing bicondylar tibial plateau fractures.

  15. Effects of Laparoscopic Sleeve Gastrectomy on Central Obesity and Metabolic Syndrome in Indian Adults- A Prospective Study.

    Science.gov (United States)

    Sethi, Pulkit; Thillai, Manoj; Nain, Prabhdeep Singh; Ahuja, Ashish; Vayoth, Sudheer Othiyil; Khurana, Preetika

    2017-01-01

    Increasing incidence of obesity in Indian population has led to an exponential rise in the number of bariatric operations performed annually. Laparoscopic Sleeve Gastrectomy (LSG) has been proposed to cause rapid remission of Type 2 Diabetes Melitus (T2DM) and metabolic syndrome in a weight loss independent manner. To evaluate the effects of LSG on metabolic syndrome and central obesity in morbidly and severely obese Indian adults. Material and Methods: Study was conducted on 91 morbidly obese [Body Mass Index (BMI)>40 kg/m 2 ] and severely obese (BMI>35 kg/m 2 ) individuals who were suffering from diabetes, hypertension or dyslipidemia. The patients were followed up for six months and the trends of glycaemic control, mean blood pressure, lipid profile, weight loss parameters and changes in parameters of central obesity were studied. Weight loss was significant at three months postsurgery and was sustained through six months. There was significant improvement in glycaemic control leading to reduction in need for oral hypoglycaemic agents or insulin in majority of them and even discontinuation of these medications in few patients. Hypertension and dyslipidemia also showed an improving trend through six months postsurgery. There was a significant impact on reduction of central obesity in these patients as marked by significant reduction in waist to hip ratio. LSG produces sustainable weight loss with significant improvement in glycaemic status and control of metabolic syndrome in severe to morbidly obese patients. LSG is also efficacious in reducing central obesity in Indian population which is a major depressive ailment amongst obese individuals.

  16. Central nervous system PET-CT imaging reveals regional impairments in pediatric patients with Wolfram syndrome.

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    Agnieszka Zmyslowska

    Full Text Available Wolfram syndrome (WFS is inherited as an autosomal recessive disease with main clinical features of diabetes mellitus, optic atrophy, diabetes insipidus and deafness. However, various neurological defects may also be detected. The aim of this study was to evaluate aspects of brain structure and function using PET-CT (positron emission tomography and computed tomography and MRI (magnetic resonance imaging in pediatric patients with WFS. Regional changes in brain glucose metabolism were measured using standardized uptake values (SUVs based on images of (18F fluorodeoxyglucose (FDG uptake in 7 WFS patients aged 10.1-16.0 years (mean 12.9±2.4 and in 20 healthy children aged 3-17.9 years (mean 12.8±4.1. In all patients the diagnosis of WFS was confirmed by DNA sequencing of the WFS1 gene. Hierarchical clustering showed remarkable similarities of glucose uptake patterns among WFS patients and their differences from the control group. SUV data were subsequently standardized for age groups 13 years old to account for developmental differences. Reduced SUVs in WFS patients as compared to the control group for the bilateral brain regions such as occipital lobe (-1.24±1.20 vs. -0.13±1.05; p = 0.028 and cerebellum (-1.11±0.69 vs. -0.204±1.00; p = 0.036 were observed and the same tendency for cingulate (-1.13±1.05 vs. -0.15±1.12; p = 0.056, temporal lobe (-1.10±0.98 vs. -0.15±1.10; p = 0.057, parietal lobe (-1.06±1.20 vs. -0.08±1.08; p = 0.058, central region (-1.01±1.04 vs. -0.09±1.06; p = 0.060, basal ganglia (-1.05±0.74 vs. -0.20±1.07; p = 0.066 and mesial temporal lobe (-1.06±0.82 vs. -0.26±1.08; p = 0.087 was also noticed. After adjusting for multiple hypothesis testing, the differences in glucose uptake were non-significant. For the first time, regional differences in brain glucose metabolism among patients with WFS were shown using PET-CT imaging.

  17. Air–surface exchange of gaseous mercury over permafrost soil: an investigation at a high-altitude (4700 m a.s.l. and remote site in the central Qinghai–Tibet Plateau

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    Z. Ci

    2016-11-01

    Full Text Available The pattern of air–surface gaseous mercury (mainly Hg(0 exchange in the Qinghai–Tibet Plateau (QTP may be unique because this region is characterized by low temperature, great temperature variation, intensive solar radiation, and pronounced freeze–thaw process of permafrost soils. However, the air–surface Hg(0 flux in the QTP is poorly investigated. In this study, we performed field measurements and controlled field experiments with dynamic flux chambers technique to examine the flux, temporal variation and influencing factors of air–surface Hg(0 exchange at a high-altitude (4700 m a.s.l. and remote site in the central QTP. The results of field measurements showed that surface soils were the net emission source of Hg(0 in the entire study (2.86 ng m−2 h−1 or 25.05 µg m−2 yr−1. Hg(0 flux showed remarkable seasonality with net high emission in the warm campaigns (June 2014: 4.95 ng m−2 h−1; September 2014: 5.16 ng m−2 h−1; and May–June 2015: 1.95 ng m−2 h−1 and net low deposition in the winter campaign (December 2014: −0.62 ng m−2 h−1 and also showed a diurnal pattern with emission in the daytime and deposition in nighttime, especially on days without precipitation. Rainfall events on the dry soils induced a large and immediate increase in Hg(0 emission. Snowfall events did not induce the pulse of Hg(0 emission, but snowmelt resulted in the immediate increase in Hg(0 emission. Daily Hg(0 fluxes on rainy or snowy days were higher than those of days without precipitation. Controlled field experiments suggested that water addition to dry soils significantly increased Hg(0 emission both on short (minutes and relatively long (hours timescales, and they also showed that UV radiation was primarily attributed to Hg(0 emission in the daytime. Our findings imply that a warm climate and environmental change could facilitate Hg release from the permafrost terrestrial ecosystem

  18. A central role of eNOS in the protective effect of wine against metabolic syndrome.

    Science.gov (United States)

    Leighton, Federico; Miranda-Rottmann, Soledad; Urquiaga, Inés

    2006-01-01

    The positive health effects derived from moderate wine consumption are pleiotropic. They appear as improvements in cardiovascular risk factors such as plasma lipids, haemostatic mechanisms, endothelial function and antioxidant defences. The active principles would be ethanol and mainly polyphenols. Results from our and other laboratories support the unifying hypothesis that the improvements in risk factors after red wine consumption are mediated by endothelial nitric oxide synthase (eNOS). Many genes are involved, but the participation of eNOS would be a constant feature. The metabolic syndrome is a cluster of metabolic risk factors associated with high risk of cardiovascular disease (CVD). The National Cholesterol Education Programmmes Adult Treatment Panel III (NCEPATP III) clinical definition of the metabolic syndrome requires the presence of at least three risk factors, from among abdominal obesity, high plasma triacylglycerols, low plasma HDL, high blood pressure and high fasting plasma glucose. The molecular mechanisms responsible for the metabolic syndrome are not known. Since metabolic syndrome apparently affects 10-30% of the population in the world, research on its pathogenesis and control is needed. The recent finding that eNOS knockout mice present a cluster of cardiovascular risk factors comparable to those of the metabolic syndrome suggests that defects in eNOS function may cause human metabolic syndrome. These mice are hypertensive, insulin resistant and dyslipidemic. Further support for a pathogenic role of eNOS comes from the finding in humans that eNOS polymorphisms associate with insulin resistance and diabetes, with hypertension, with inflammatory and oxidative stress markers and with albuminuria. So, the data sustain the hypothesis that eNOS enhancement should reduce metabolic syndrome incidence and its consequences. Therefore red wine, since it enhances eNOS function, should be considered as a potential tool for the control of metabolic

  19. Animal models of Central Diabetes Insipidus: Human relevance of acquired beyond hereditary syndromes and the role of oxytocin.

    Science.gov (United States)

    Bernal, Antonio; Mahía, Javier; Puerto, Amadeo

    2016-07-01

    The aim of this study was to review different animal models of Central Diabetes Insipidus, a neurobiological syndrome characterized by the excretion of copious amounts of diluted urine (polyuria), a consequent water intake (polydipsia), and a rise in the serum sodium concentration (hypernatremia). In rodents, Central Diabetes Insipidus can be caused by genetic disorders (Brattleboro rats) but also by various traumatic/surgical interventions, including neurohypophysectomy, pituitary stalk compression, hypophysectomy, and median eminence lesions. Regardless of its etiology, Central Diabetes Insipidus affects the neuroendocrine system that secretes arginine vasopressin, a neurohormone responsible for antidiuretic functions that acts trough the renal system. However, most Central Diabetes Insipidus models also show disorders in other neurobiological systems, specifically in the secretion of oxytocin, a neurohormone involved in body sodium excretion. Although the hydromineral behaviors shown by the different Central Diabetes Insipidus models have usually been considered as very similar, the present review highlights relevant differences with respect to these behaviors as a function of the individual neurobiological systems affected. Increased understanding of the relationship between the neuroendocrine systems involved and the associated hydromineral behaviors may allow appropriate action to be taken to correct these behavioral neuroendocrine deficits. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Diagnosis and Management of Combined Central Diabetes Insipidus and Cerebral Salt Wasting Syndrome After Traumatic Brain Injury.

    Science.gov (United States)

    Wu, Xuehai; Zhou, Xiaolan; Gao, Liang; Wu, Xing; Fei, Li; Mao, Ying; Hu, Jin; Zhou, Liangfu

    2016-04-01

    Combined central diabetes insipidus and cerebral salt wasting syndrome after traumatic brain injury (TBI) is rare, is characterized by massive polyuria leading to severe water and electrolyte disturbances, and usually is associated with very high mortality mainly as a result of delayed diagnosis and improper management. We retrospectively reviewed the clinical presentation, management, and outcomes of 11 patients who developed combined central diabetes insipidus and cerebral salt wasting syndrome after traumatic brain injury to define distinctive features for timely diagnosis and proper management. The most typical clinical presentation was massive polyuria (10,000 mL/24 hours or >1000 mL/hour) refractory to vasopressin alone but responsive to vasopressin plus cortisone acetate. Other characteristic presentations included low central venous pressure, high brain natriuretic peptide precursor level without cardiac dysfunction, high 24-hour urine sodium excretion and hypovolemia, and much higher urine than serum osmolarity; normal serum sodium level and urine specific gravity can also be present. Timely and adequate infusion of sodium chloride was key in treatment. Of 11 patients, 5 had a good prognosis 3 months later (Extended Glasgow Outcome Scale score ≥6), 1 had an Extended Glasgow Outcome Scale score of 4, 2 died in the hospital of brain hernia, and 3 developed a vegetative state. For combined diabetes insipidus and cerebral salt wasting syndrome after traumatic brain injury, massive polyuria is a major typical presentation, and intensive monitoring of fluid and sodium status is key for timely diagnosis. To achieve a favorable outcome, proper sodium chloride supplementation and cortisone acetate and vasopressin coadministration are key. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Personality and Affect When the Central Nervous System is Sensitized: An Analysis of Central Sensitization Syndromes in a Substance Use Disorder Population.

    Science.gov (United States)

    McKernan, Lindsey C; Finn, Michael T M; Carr, Erika R

    2017-01-01

    Functional somatic syndromes, or more recently termed central sensitivity syndromes (CSS), comprise a significant portion of the chronic pain population. Although it is evident that personality is intricately related to the pain experience, it has not been widely studied. This article examines the impact of CSS on the clinical presentation of individuals presenting to treatment for a substance use disorder (SUD), with an emphasis on personality and emotional functioning. We examined personality profiles of individuals presenting to treatment with SUD between three groups: those with a CSS (n = 30), non-CSS chronic pain (n = 79), and no pain (n = 232). Based on previous research and a psychodynamic conceptualization of CSS, we hypothesized that predictors of the presence of a CSS in this sample would be higher rates of overall anxiety, traumatic stress, perfectionistic traits, and a need for interpersonal closeness. Logistic regression analyses did not support our hypothesis. Exploratory analyses indicated which personality traits most strongly predicted the presence of CSS. We discuss these findings using descriptive psychopathology literature, with recommendations for future research.

  2. Noninvasive ventilatory strategies in the management of a newborn infant and three children with congenital central hypoventilation syndrome.

    Science.gov (United States)

    Tibballs, James; Henning, Robert D

    2003-12-01

    Four children with congenital central hypoventilation syndrome (CCHS) treated with noninvasive techniques of ventilation are presented. Two infants (one in the newborn period) were treated with nasal mask bilevel positive airway pressure (BiPAP), and then both were transitioned to negative pressure chamber ventilation at several years of age because of possible midface hypoplasia. Tracheostomies were not performed. Two older children were transitioned from mechanical ventilation via tracheostomy to nasal mask BiPAP, and then in one case to negative pressure chamber ventilation, and in the other to phrenic nerve pacing. Their tracheostomies were removed. Copyright 2003 Wiley-Liss, Inc.

  3. Cervical Klippel-Feil syndrome predisposing an elderly African man to central cord myelopathy following minor trauma

    OpenAIRE

    Olufemi Adeleye, A; Olusola Akinyemi, R

    2010-01-01

    An otherwise-healthy, active 83-year-old Nigerian man developed reversible central cord myelopathy from a mild fall on a level surface. Cervical spine magnetic resonance imaging (MRI) revealed C5, 6, and 7 block vertebrae and marked disc extrusions only at the immediately adjoining upper and lower non-fused segments of the cervical spine. There was no spinal canal stenosis otherwise. We think that the unique presentation of this case of Klippel-Feil syndrome further supports the impression th...

  4. Plateau's problem an invitation to varifold geometry

    CERN Document Server

    Frederick J Almgren, Jr

    2001-01-01

    There have been many wonderful developments in the theory of minimal surfaces and geometric measure theory in the past 25 to 30 years. Many of the researchers who have produced these excellent results were inspired by this little book--or by Fred Almgren himself. The book is indeed a delightful invitation to the world of variational geometry. A central topic is Plateau's Problem, which is concerned with surfaces that model the behavior of soap films. When trying to resolve the problem, however, one soon finds that smooth surfaces are insufficient: Varifolds are needed. With varifolds, one can obtain geometrically meaningful solutions without having to know in advance all their possible singularities. This new tool makes possible much exciting new analysis and many new results. Plateau's problem and varifolds live in the world of geometric measure theory, where differential geometry and measure theory combine to solve problems which have variational aspects. The author's hope in writing this book was to encour...

  5. Assessment of central chemosensitivity and cardiac sympathetic nerve activity using I-123 MIBG imaging in central sleep apnea syndrome in patients with dilated cardiomyopathy

    International Nuclear Information System (INIS)

    Meguro, Kentaro; Nagai, Ryozo; Toyama, Takuji; Adachi, Hitoshi; Ohshima, Shigeru; Taniguchi, Koichi

    2007-01-01

    Iodine-123 m-iodobenzylguanidine (MIBG) imaging has been used to study cardiac sympathetic function in various cardiac diseases. Central sleep apnea syndrome (CSAS) occurs frequently in patients with chronic heart failure (CHF) and is reported to be associated with a poor prognosis. One of the mechanisms of its poor prognosis may be related to impaired cardiac sympathetic activity. However, the relationship between chemosensitivity to carbon dioxide, which is reported to correlate with the severity of CSAS, and cardiac sympathetic activity has not been investigated. Therefore, this study was undertaken to assess cardiac sympathetic function and chemosensitivity to carbon dioxide in CHF patients. The oxygen desaturation index (ODI) was evaluated in 21 patients with dilated cardiomyopathy (male/female: 19/2, left ventricular ejection fraction (LVEF) 5 times/h underwent polysomnography. Patients with an apnea hypopnea index >15/h but without evidence of obstructive apnea were defined as having CSAS. Early (15 min) and delayed (4 hr) planar MIBG images were obtained from these patients. The mean counts in the whole heart and the mediastinum were obtained. The heart-to-mediastinum count ratio of the delayed image (H/M) and the corrected myocardial washout rate (WR) were also calculated. The central chemoreflex was assessed with the rebreathing method using a hypercapnic gas mixture (7% CO 2 and 93% O 2 ). Ten of the 21 patients had CSAS. The H/M ratio was similar in patients both with and without CSAS (1.57±0.18 vs. 1.59±0.14, p=0.82). However, the WR was higher in patients with CSAS than in patients without CSAS (40±8% vs. 30±12%, p<0.05). ODI significantly correlated with central chemosensitivity to carbon dioxide. Moreover, there was a highly significant correlation between WR and central chemosensitivity (r=0.65, p<0.05). However, there was no correlation between ODI and the WR (r=0.36, p=0.11). Cardiac sympathetic nerve activity in patients with CHF and CSAS is

  6. Combination therapy with lercanidipine and enalapril reduced central blood pressure augmentation in hypertensive patients with metabolic syndrome.

    Science.gov (United States)

    Ghiadoni, Lorenzo; Bruno, Rosa Maria; Cartoni, Giulia; Stea, Francesco; Magagna, Armando; Virdis, Agostino; Grassi, Davide; Ferri, Claudio; Taddei, Stefano

    2017-05-01

    Arterial stiffness and blood pressure (BP) augmentation are independent predictors of cardiovascular events. In a randomized, open, parallel group study we compared the effect on these parameters of combination therapy with an ACE-inhibitor plus calcium channel blocker or thiazide diuretic in 76 hypertensive patients with metabolic syndrome uncontrolled by ACE-inhibitor monotherapy. After 4weeks run-in with enalapril (ENA, 20mg), patients were randomized to a combination therapy with lercanidipine (LER, 10-20mg) or hydrochlorothiazide (HCT, 12.5-25mg) for 24weeks. Aortic stiffness (carotid to femoral pulse wave velocity, PWV), central BP values and augmentation (augmentation index, AIx) were measured by applanation tonometry. The two groups showed similar office and central BP after run-in. Office (ENA/LER: from 149.1±4.9/94.5±1.5 to 131.7±8.1/82.2±5.3; ENA/HCT: from 150.3±4.7/94.7±2.1 to 133.1±7.1/82.8±5.3mmHg) and central BP (ENA/LER 127.4±17.1/85.2±12.1 to 120.5±13.5/80.0±9.5mmHg; ENA/HCT 121.6±13.4/79.3±9.5mmHg) were similarly reduced after 24weeks. PWV was comparable after run-in and not differently reduced by the two treatments (ENA/LER from 8.6±1.5 to 8.1±1.3m/s, pmetabolic syndrome not controlled by ENA alone. These results indicate a positive effect of the combination of ENA/LER on central BP augmentation, suggesting a potential additive role for cardiovascular protection. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Central Sensitization Syndrome and the Initial Evaluation of a Patient with Fibromyalgia: A Review

    Directory of Open Access Journals (Sweden)

    Kevin C. Fleming

    2015-04-01

    Full Text Available In both primary care and consultative practices, patients presenting with fibromyalgia (FM often have other medically unexplained somatic symptoms and are ultimately diagnosed as having central sensitization (CS. Central sensitization encompasses many disorders where the central nervous system amplifies sensory input across many organ systems and results in myriad symptoms. A pragmatic approach to evaluate FM and related symptoms, including a focused review of medical records, interviewing techniques, and observations, is offered here, giving valuable tools for identifying and addressing the most relevant symptoms. At the time of the clinical evaluation, early consideration of CS may improve the efficiency of the visit, reduce excessive testing, and help in discerning between typical and atypical cases so as to avoid an inaccurate diagnosis. Discussion of pain and neurophysiology and sensitization often proves helpful.

  8. A rare association of central hypothyroidism and adrenal insufficiency in a boy with Williams-Beuren syndrome

    Directory of Open Access Journals (Sweden)

    Devi Dayal

    2017-03-01

    Full Text Available Primary hypothyroidism related to morphological and volumetric abnormalities of the thyroid gland is one of the commonest of several endocrine dysfunctions in Williams-Beuren syndrome (WBS. We report a 10-month-old boy with WBS who presented with central hypothyroidism. During the neonatal period, he had prolonged jaundice, feeding difficulties and episodes of colic that continued during early infancy. Additionally, there was slowing of growth and mild developmental delay. He underwent surgical repair for supravalvular aortic stenosis at 6 months of age. An evaluation done to exclude cortisol deficiency before initiating levothyroxine lead to the detection of secondary adrenal insufficiency, unreported previously in WBS. In addition, insulin-like growth factor-1 (IGF-1 and IGF-binding protein-3 levels were low. This report of hypopituitarism in WBS indicates a need for complete evaluation of pituitary dysfunction in children with WBS.

  9. Hypocretin Deficiency Associated with Narcolepsy Type 1 and Central Hypoventilation Syndrome in Neurosarcoidosis of the Hypothalamus.

    Science.gov (United States)

    Mayo, Mary Catherine; Deng, Jane C; Albores, Jeffrey; Zeidler, Michelle; Harper, Ronald M; Avidan, Alon Y

    2015-09-15

    We report a case of a 53-year-old man presenting with depressed alertness and severe excessive sleepiness in the setting of neurosarcoidosis. Neuroimaging demonstrated hypothalamic destruction due to sarcoidosis with a CSF hypocretin level of 0 pg/mL. The patient also experienced respiratory depression that presumably resulted from hypocretin-mediated hypothalamic dysfunction as a result of extensive diencephalic injury. This is a novel case, demonstrating both hypocretin deficiency syndrome, as well as respiratory dysfunction from destruction of hypocretin neurons and extensive destruction of key diencephalic structures secondary to the underlying neurosarcoidosis. © 2015 American Academy of Sleep Medicine.

  10. Metabolic syndrome in the rural population of Wardha, Central India: An exploratory factor analysis

    Directory of Open Access Journals (Sweden)

    Pradeep R Deshmukh

    2013-01-01

    Full Text Available Background and Objectives: Metabolic syndrome - a plausible precondition for type II diabetes and cardiovascular diseases is also on rise. To understand the mechanistic complexity of metabolic syndrome it is imperative to study the specific contribution of the determinants of metabolic syndrome. Such study can help to identify the most significant factor which may be of use in early detection as well as prevention efforts. Such information is scarcely available from India and especially from rural India. Hence, the present study was undertaken to explore for such factor which might be considered crucial for development of such pathogenesis particularly in rural population of Wardha. Methods: A cross-sectional study comprising of 300 subjects was carried out in rural area of Primary Health Center, attached to medical college with approximate 31,000 populations. The anthropometric parameters such as height, weight, waist circumference were measured. Overnight fasting samples were collected for lipid profile (total cholesterol, triglyceride, high density lipoproteins, low density lipoproteins, very low density lipoproteins and fasting blood glucose levels. The National Cholesterol Education Programme Adult Treatment Panel, ATP-III guidelines were used to categorize the study subjects. As many of the variables are highly intercorrelated, exploratory factor analysis was carried out to reduce the data to a smaller number of independent factors that accounts for the most of the variances in the data. Principal component analysis was used as a method of extraction. Results: For both sexes, three factors were extracted accounting for about 71% variance in the measured variables. An adiposity factor which accounted for highest explained variance (28%, was the initial factor extracted. It was loaded positively by waist circumference, triglyceride, and very low density lipoprotein and negatively loaded by high density lipoprotein. Second factor extracted

  11. PHOX2B mutation-confirmed congenital central hypoventilation syndrome in a Chinese family: presentation from newborn to adulthood.

    Science.gov (United States)

    Lee, Peilin; Su, Yi-Ning; Yu, Chong-Jen; Yang, Pan-Chyr; Wu, Huey-Dong

    2009-02-01

    Congenital central hypoventilation syndrome (CCHS) is characterized by compromised chemoreflexes resulting in sleep hypoventilation. We report a Chinese family with paired-like homeobox 2B (PHOX2B) mutation-confirmed CCHS, with a clinical spectrum from newborn to adulthood, to increase awareness of its various manifestations. After identifying central hypoventilation in an adult man (index case), clinical evaluation was performed on the complete family, which consisted of the parents, five siblings, and five offspring. Pulmonary function tests, overnight polysomnography, arterial blood gas measurements, hypercapnia ventilatory response, and PHOX2B gene mutation screening were performed on living family members. Brain MRI, 24-h Holter monitoring, and echocardiography were performed on members with clinically diagnosed central hypoventilation. The index patient and four offspring manifested clinical features of central hypoventilation. The index patients had hypoxia and hypercapnia while awake, polycythemia, and hematocrit levels of 70%. The first and fourth children had frequent cyanotic spells, and both died of respiratory failure. The second and third children remained asymptomatic until adulthood, when they experienced impaired hypercapnic ventilatory response. The third child had nocturnal hypoventilation with nadir pulse oximetric saturation of 59%. Adult-onset CCHS with PHOX2B gene mutation of the + 5 alanine expansions were confirmed in the index patient and the second and third children. The index patient and the third child received ventilator support system bilevel positive airway pressure treatment, which improved the hypoxemia, hypercapnia, and polycythemia without altering their chemosensitivity. Transmission of late-onset CCHS is autosomal-dominant. Genetic screening of family members of CCHS probands allows for early diagnosis and treatment.

  12. [Combination of acupuncture, cupping and medicine for treatment of fibromyalgia syndrome: a multi-central randomized controlled trial].

    Science.gov (United States)

    Jang, Zhen-Ya; Li, Chang-Du; Qiu, Ling; Guo, Jun-Hua; He, Ling-Na; Yue, Yang; Li, Fang-Ze; Qin, Wen-Yi

    2010-04-01

    To evaluate the clinical effect of combination of acupuncture, cupping and medicine for treatment of fibromyalgia syndrome. By using multi-central randomized controlled method, 186 cases were randomly divided into an acupuncture combined with cupping and western medicine group (group A), an acupuncture combined with cupping group (group B) and a western medicine group (group C) and treated continuously for 4 weeks. The treatment of acupuncture combined with cupping was produced by acupuncture at five mental points and moving cupping on the Hechelu of the back, once evrey other day, thrice each week, and the western medicine therapy by oral administration of Amitriptyline, once each day. The scores of McGill Pain Questionnaire (MPQ), the amount of tenderness point and the time of producing effect were compared and the therapeutic effects were assessed with the Hamilton Depression Scale (HAMD). The cured and markedly effective rate was 65.0% (39/60) in the group A, which was superior to 15.9% (10/63) in the group B and 16.1% (9/56) in the group C (both P cupping and medicine on fibromyalgia syndrome is superior to that of the simple acupuncture combined with cupping or the simple medicine.

  13. Acute traumatic central cord syndrome--experience using surgical decompression with open-door expansile cervical laminoplasty.

    Science.gov (United States)

    Uribe, Juan; Green, Barth A; Vanni, Steven; Moza, Kapil; Guest, James D; Levi, Allan D

    2005-06-01

    Open-door expansile cervical laminoplasty (ODECL) is an effective surgical technique in the treatment of multilevel cervical spondylotic myelopathy. In the present study, we reviewed the safety and short-term neurological outcome after expansile cervical laminoplasty in the treatment of acute central cord syndrome. We retrospectively reviewed our database over a 3-year period (January 1997-January 2001) and identified 69 surgically treated cervical spinal cord injuries, including 29 cases of acute traumatic central cord syndrome (ATCCS). Fifteen of these patients underwent expansile cervical laminoplasty, whereas 14 did not because of radiographic evidence of sagittal instability. We collected data on the preoperative and the immediate postoperative and 3-month neurological examinations. Neurological function was assessed using the Asia Spinal Injury Association (ASIA) grading system. We also reviewed the occurrence of complications and short-term radiological stability after the index procedure. The median age was 56 years. All patients had hyperextension injuries with underlying cervical spondylosis and stenosis in the absence of overt fracture or instability. The average delay from injury to surgery was 3 days. The preoperative ASIA grade scale was grade C, 8 patients, and grade D, 7 patients. There were no cases of immediate postoperative deterioration or at 3 months follow-up. Neurological outcome: 71.4% (10/14) of patients improved 1 ASIA grade when examined 3 months post injury. Surgical intervention consisting of ODECL can be safely applied in the subset of patients with ATCCS without instability who have significant cervical spondylosis/stenosis. Open-door expansile cervical laminoplasty is a safe, low-morbidity, decompressive procedure, and in our patients did not produce neurological deterioration.

  14. Neoclassical resonant-plateau transport in the noncircular equipotential surface of a tandem mirror

    International Nuclear Information System (INIS)

    Katanuma, I.; Kiwamoto, Y.; Ishii, K.; Yatsu, K.; Miyoshi, S.

    1988-07-01

    Neoclassical resonant-plateau transport in a minimum-B anchored tandem mirror is calculated in an experimentally observed case that a magnetic flux tube of an equipotential contours is not circular at the central cell. (author)

  15. Neoclassical resonant-plateau transport in the noncircular equipotential surface of a tandem mirror

    International Nuclear Information System (INIS)

    Katanuma, I.; Kiwamoto, Y.; Ishii, K.; Yatsu, K.; Miyoshi, S.

    1989-01-01

    Neoclassical resonant-plateau transport in a minimum-B anchored tandem mirror is calculated in an experimentally observed case where a flux tube of equipotential contours is not circular at the central cell

  16. Polyalanine expansion and frameshift mutations of the paired-like homeobox gene PHOX2B in congenital central hypoventilation syndrome.

    Science.gov (United States)

    Amiel, Jeanne; Laudier, Béatrice; Attié-Bitach, Tania; Trang, Ha; de Pontual, Loïc; Gener, Blanca; Trochet, Delphine; Etchevers, Heather; Ray, Pierre; Simonneau, Michel; Vekemans, Michel; Munnich, Arnold; Gaultier, Claude; Lyonnet, Stanislas

    2003-04-01

    Congenital central hypoventilation syndrome (CCHS or Ondine's curse; OMIM 209880) is a life-threatening disorder involving an impaired ventilatory response to hypercarbia and hypoxemia. This core phenotype is associated with lower-penetrance anomalies of the autonomic nervous system (ANS) including Hirschsprung disease and tumors of neural-crest derivatives such as ganglioneuromas and neuroblastomas. In mice, the development of ANS reflex circuits is dependent on the paired-like homeobox gene Phox2b. Thus, we regarded its human ortholog, PHOX2B, as a candidate gene in CCHS. We found heterozygous de novo mutations in PHOX2B in 18 of 29 individuals with CCHS. Most mutations consisted of 5-9 alanine expansions within a 20-residue polyalanine tract probably resulting from non-homologous recombination. We show that PHOX2B is expressed in both the central and the peripheral ANS during human embryonic development. Our data support an essential role of PHOX2B in the normal patterning of the autonomous ventilation system and, more generally, of the ANS in humans.

  17. Elucidating the mechanism of posterior reversible encephalopathy syndrome: a case of transient blindness after central venous catheterization.

    Science.gov (United States)

    Rao, Neal M; Raychev, Radoslav; Kim, Doojin; Liebeskind, David S

    2012-11-01

    Posterior reversible encephalopathy syndrome (PRES) is a condition characterized by reversible symptoms including headache, visual disturbances, focal neurological deficits, altered mentation, and seizures. It has been associated with circumstances that may affect the cerebrovascular system, such as hypertension, eclampsia, and immunosuppression with calcineurin inhibitors. The underlying etiology of PRES has remained unclear; however, cerebrovascular autoregulatory dysfunction, hyperperfusion, and endothelial activation have been implicated. We describe a case of a young patient with lung transplant, who presented with headache, acute binocular blindness, and seizure immediately after infusion of saline through a peripherally inserted central catheter line, which inadvertently terminated cephalad in the left internal jugular vein, near the jugular foramen. Subsequent brain magnetic resonance imaging revealed vasogenic edematous lesions in a pattern consistent with PRES--a diagnosis supported by his constellation of symptoms, history of lung transplantation on tacrolimus immunosuppression, and relative hypertension. This is the first reported case describing the development of PRES after the insertion of a peripherally inserted central catheter line. The development of PRES in a typical high-risk patient immediately after cerebral venous outflow obstruction implicates the role of the cerebral venous system and provides potential insight into the mechanism of this disorder that remains of unclear pathogenesis.

  18. Central nervous system mechanisms contributing to the cachexia-anorexia syndrome.

    Science.gov (United States)

    Plata-Salamán, C R

    2000-10-01

    The cachexia-anorexia syndrome occurs in chronic pathophysiologic processes including cancer, infection with human immunodeficiency virus, bacterial and parasitic diseases, inflammatory bowel disease, liver disease, obstructive pulmonary disease, cardiovascular disease, and rheumatoid arthritis. Cachexia makes an organism susceptible to secondary pathologies and can result in death. Cachexia-anorexia may result from pain, depression or anxiety, hypogeusia and hyposmia, taste and food aversions, chronic nausea, vomiting, early satiety, malfunction of the gastrointestinal system (delayed digestion, malabsorption, gastric stasis and associated delayed emptying, and/or atrophic changes of the mucosa), metabolic shifts, cytokine action, production of substances by tumor cells, and/or iatrogenic causes such as chemotherapy and radiotherapy. The cachexia-anorexia syndrome also involves metabolic and immune changes (mediated by either the pathophysiologic process, i.e., tumor, or host-derived chemical factors, e.g., peptides, neurotransmitters, cytokines, and lipid-mobilizing factors) and is associated with hypertriacylglycerolemia, lipolysis, and acceleration of protein turnover. These changes result in the loss of fat mass and body protein. Increased resting energy expenditure in weight-losing cachectic patients can occur despite the reduced dietary intake, indicating a systemic dysregulation of host metabolism. During cachexia, the organism is maintained in a constant negative energy balance. This can rarely be explained by the actual energy and substrate demands by tumors in patients with cancer. Overall, the cachectic profile is significantly different than that observed during starvation. Cachexia may result not only from anorexia and a decreased caloric intake but also from malabsorption and losses from the body (ulcers, hemorrhage, effusions). In any case, the major deficit of a cachectic organism is a negative energy balance. Cytokines are proposed to participate

  19. Uric acid in metabolic syndrome: From an innocent bystander to a central player

    Science.gov (United States)

    Kanbay, Mehmet; Jensen, Thomas; Solak, Yalcin; Le, Myphuong; Roncal-Jimenez, Carlos; Rivard, Chris; Lanaspa, Miguel A.; Nakagawa, Takahiko; Johnson, Richard J.

    2016-01-01

    Uric acid, once viewed as an inert metabolic end-product of purine metabolism, has been recently incriminated in a number of chronic disease states, including hypertension, metabolic syndrome, diabetes, non-alcoholic fatty liver disease, and chronic kidney disease. Several experimental and clinical studies support a role for uric acid as a contributory causal factor in these conditions. Here we discuss some of the major mechanisms linking uric acid to metabolic and cardiovascular diseases. At this time the key to understanding the importance of uric acid in these diseases will be the conduct of large clinical trials in which the effect of lowering uric acid on hard clinical outcomes is assessed. Elevated uric acid may turn out to be one of the more important remediable risk factors for metabolic and cardiovascular diseases. PMID:26703429

  20. Pathology of tissue loss (white syndrome) in Acropora sp. corals from the Central Pacific

    Science.gov (United States)

    Work, Thierry M.; Aeby, Greta S.

    2011-01-01

    We performed histological examination of 69 samples of Acropora sp. manifesting different types of tissue loss (Acropora White Syndrome-AWS) from Hawaii, Johnston Atoll and American Samoa between 2002 and 2006. Gross lesions of tissue loss were observed and classified as diffuse acute, diffuse subacute, and focal to multifocal acute to subacute. Corals with acute tissue loss manifested microscopic evidence of necrosis sometimes associated with ciliates, helminths, fungi, algae, sponges, or cyanobacteria whereas those with subacute tissue loss manifested mainly wound repair. Gross lesions of AWS have multiple different changes at the microscopic level some of which involve various microorganisms and metazoa. Elucidating this disease will require, among other things, monitoring lesions over time to determine the pathogenesis of AWS and the potential role of tissue-associated microorganisms in the genesis of tissue loss. Attempts to experimentally induce AWS should include microscopic examination of tissues to ensure that potentially causative microorganisms associated with gross lesion are not overlooked.

  1. Ictal central apnea and bradycardia in temporal lobe epilepsy complicated by obstructive sleep apnea syndrome

    Directory of Open Access Journals (Sweden)

    Yoko Nishimura

    2015-01-01

    Full Text Available We describe the case of a 12-year-old boy who developed temporal lobe epilepsy (TLE with daily complex partial seizures (CPS and monthly generalized seizures. Moreover, he frequently snored while asleep since early childhood. Polysomnography (PSG revealed severe obstructive sleep apnea with apnea–hypopnea index (AHI of 37.8/h. Video-PSG with simultaneous electroencephalography (EEG recording captured two ictal apneic episodes during sleep, without any motor manifestations. The onset of rhythmic theta activity in the midtemporal area on EEG was preceded by the onset of apnea by several seconds and disappeared soon after cessation of central apnea. One episode was accompanied by ictal bradycardia of <48 beats/min which persisted for 50 s beyond the end of epileptic activity. After treatment with carbamazepine and tonsillectomy/adenoidectomy, the seizures were well controlled and AHI decreased to 2.5/h. Paroxysmal discharges also disappeared during this time. Uncontrolled TLE complicated by sleep apnea should be evaluated for the presence of ictal central apnea/bradycardia.

  2. Contributions of the cerebellum to disturbed central processing of visceral stimuli in irritable bowel syndrome.

    Science.gov (United States)

    Rosenberger, Christina; Thürling, Markus; Forsting, Michael; Elsenbruch, Sigrid; Timmann, Dagmar; Gizewski, Elke R

    2013-04-01

    There is evidence to support that the cerebellum contributes to the neural processing of both emotions and painful stimuli. This could be particularly relevant in conditions associated with chronic abdominal pain, such as the irritable bowel syndrome (IBS), which are often also characterized by affective disturbances. We aimed to test the hypothesis that in IBS, symptoms of anxiety and depression modulate brain activation during visceral stimulation within the cerebellum. We reanalyzed a previous data set from N = 15 female IBS patients and N = 12 healthy women with a specific focus on the cerebellum using advanced normalization methods. Rectal distension-induced brain activation was measured with functional magnetic resonance imaging using non-painful and painful rectal distensions. Symptoms of anxiety and depression, assessed with the Hospital Anxiety and Depression scale, were correlated with cerebellar activation within IBS patients. Within IBS, depression scores were associated with non-painful distension-induced activation in the right cerebellum primarily in Crus II and lobule VIIIb, and additionally in Crus I. Depression scores were also associated with painful distension-induced activation predominantly in vermal lobule V with some extension to the intermediate cerebellum. Anxiety scores correlated significantly with non-painful induced activation in Crus II. Symptoms of anxiety and depression, which are frequently found in chronic pain conditions like IBS, modulate activation during visceral sensory signals not only in cortical and subcortical brain areas but also in the cerebellum.

  3. Polycystic ovary syndrome in Central Australia: Diagnosis and screening of cardiometabolic risk and emotional wellbeing

    Science.gov (United States)

    Ellis, Emma; Gibson-Helm, Melanie; Boyle, Jacqueline A

    2018-04-01

    Polycystic ovary syndrome (PCOS) is a common condition that affects fertility, body image and emotional wellbeing in women, as well as significantly increasing a woman’s likelihood of developing type 2 diabetes mellitus (T2DM) and other cardiovascular disease risk factors. The objective of this study was to assess how management of PCOS in an Aboriginal primary care setting aligns with national standards for diagnosis and screening of cardiometabolic risk and emotional wellbeing. We conducted a retrospective clinical audit of 63 women who had PCOS listed as a diagnosis in their clinical record. Most women (95%) were correctly diagnosed, the most common trigger being menstrual irregularity (83%). Screening for cardiometabolic complications and emotional wellbeing as recommended by the national guideline was applied inconsistently, including 38% of eligible women not being screened for T2DM in the previous 12 months, and no woman being formally screened for emotional wellbeing. Discussion of lifestyle management was nearly universal; most women (75%) were referred to a dietician, although a third did not attend their appointment. Some components of recommended PCOS care were provided at high levels, including correct application of diagnostic criteria. However, PCOS management and screening for complications are being applied inconsistently in a population with high levels of cardiometabolic and emotional wellbeing risk.

  4. Successful treatment of central venous catheter induced superior vena cava syndrome with ultrasound accelerated catheter-directed thrombolysis.

    Science.gov (United States)

    Dumantepe, Mert; Tarhan, Arif; Ozler, Azmi

    2013-06-01

    Superior vena cava (SVC) syndrome results from obstruction of flow through the vessel either by external compression or thrombosis. External compression by intrathoracic neoplasms is the most common etiology, especially lung cancer and lymphoma. Thrombosis is becoming increasingly common due to the use of indwelling catheters and implantable central venous access devices. Most patients are unresponsive to anticoagulation alone which appears to be effective only in the mildest cases. However, recent advances in catheter-based interventions have led to the development of a variety of minimally invasive endovascular strategies to remove venous thrombus and accepted as an important first-line treatment given its high overall success rate and low morbidity as compared with medical and surgical treatments. Ultrasound accelerated catheter-directed thrombolysis (UACDT) has been developed to rapidly and completely resolve the existing thrombus. This technique integrates high frequency, low intensity ultrasound (US) with standard CDT in order to accelerate clot dissolution, reducing treatment time and the incidence of thrombolysis-related complications. An US wave enhances drug permeation through thrombus by disaggregating the fibrin matrix, exposing additional plasminogen receptor sites to the thrombolytic agent. The US energy affects thrombus in the entire venous segment, increasing the probability of complete thrombus clearing. We report the case of a 56-year-old man who presented with a 5 days history of SVC syndrome symptoms who had been receiving chemotherapy for colon cancer through a right subclavian vein port catheter. The patient successfully treated with UACDT with EkoSonic(®) Mach4e Endovascular device with an overnight infusion. © 2013 Wiley Periodicals, Inc. Copyright © 2013 Wiley Periodicals, Inc.

  5. A rare case of concomitant sicca keratopathy and ipsilateral central facial palsy in Wallenberg’s dorsolateral medullary syndrome

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    De Bruyn, Deborah

    2017-03-01

    Full Text Available Objective: To describe a patient with a right-sided supranuclear facial palsy and concomitant sicca keratopathy of the right eye following right-sided dorsolateral medullary infarction. Methods: Our patient underwent a complete ophthalmologic and neurologic examination including biomicroscopy, fundus examination, cranial nerve examination, Shirmer I test, and magnetic resonance imaging of the brain.Results: A 61-year-old woman presented in emergency with a central facial nerve palsy on the right side and truncal ataxia. Neurologic assessment revealed a concurrent dysphagia, dysarthria, hypoesthesia of the right face, and weakness of the right upper limb. Magnetic resonance imaging of the brain showed an old left-sided cerebellar infarction, but a recent ischemic infarction at the level of the right dorsolateral medulla oblongata was the cause of our patient’s current problems. One month after diagnosis of the right-sided dorsolateral medullary syndrome, there were complaints of ocular irritation and a diminished visual acuity in the right eye. Biomicroscopy showed a sicca keratopathy with nearly complete absence of tear secretion on the Shirmer I test, but with normal eye closure and preserved corneal reflexes and sensitivity.Conclusion: A dorsolateral medullary syndrome can have a variable expression in symptomatology. Our case is special because of the combination of an ipsilateral supranuclear facial palsy with normal upper facial muscle function together with an ipsilateral sicca keratopathy as a result of a nearly absent tear secretion. We hypothesized that the mechanism underlying the patient’s sicca keratopathy ipsilateral to the supranuclear facial palsy involved the superior salivatory nucleus, which is situated in the caudal pons inferiorly of the motor facial nucleus and is most probably affected by a superior extension of the infarcted area in the right medulla oblongata.

  6. Precursory strong-signal characteristics of the convective clouds of the Central Tibetan Plateau detected by radar echoes with respect to the evolutionary processes of an eastward-moving heavy rainstorm belt in the Yangtze River Basin

    Science.gov (United States)

    Zhao, Yang; Xu, Xiangde; Ruan, Zheng; Chen, Bin; Wang, Fang

    2018-03-01

    The integrated analysis of the data from a C-band frequency-modulated continuous-wave (C-FMCW) radar site in Naqu obtained during a rainstorm over the middle and lower reaches of the Yangtze River and the data concerning the three-dimensional structure of the circulation of the precipitation system that occurred over the lower reaches of the Yangtze River Basin during the Third Tibetan Plateau (TP) Atmospheric Experiment from August 15th to 19th, 2014, was carried out. The changes in the echo intensity at the C-FMCW radar site in Naqu were of regional indicative significance for the characteristics of the whole-layer apparent heat source Q1 in local areas and the region of the adjacent river source area, including the Yangtze River, Yellow River, and Lancang River (hereinafter referred to as the "source area of three rivers"), as well as to the vertical speeds due to the development of convection. This study indicates that the C-FMCW radar echo intensity of the plateau convection zone and the related power structures of the coupled dipole circulations in the middle layer of the atmosphere, as well as in the upper atmospheric level divergence and lower atmospheric level convergence, are important stimuli for convective clouds in this region. Furthermore, these radar data provided a physical image of the development and maintenance mechanisms of an eastward-moving heavy rainstorm belt. This study also shows that changes in the echo intensities at the C-FMCW radar site of Naqu can provide strong signals related to heavy rainstorm processes in the upper reaches of the Yangtze River.

  7. BURNOUT SYNDROME, JOB SATISFACTION LEVELS AND RELATED FACTORS IN CENTRAL TRABZON PROVINCE PRIMARY HEALTH CENTER WORKERS

    Directory of Open Access Journals (Sweden)

    Asuman YAVUZYILMAZ

    2007-02-01

    Full Text Available Burnout manifests itself in individuals working in professions involving face-to-face contact with the public in depersonalization towards others, feelings of emotional exhaustion, and reduced feelings of personal achievement and adequacy. The objective in this study was to determine burnout and job satisfaction levels and related factors in primary health center personnel in the central part of the Turkish province of Trabzon. A total of 227 people working in central Trabzon province primary health centers participated in this cross-sectional study, a level of 90.4%. The Maslach Burnout Inventory was used to determine burnout level and the Job Satisfaction Inventory for job satisfaction. Burnout levels in health personnel were high among women (15.06±5.57, married individuals (14.80±5.65 and those dissatisfied with their working conditions (16.80±5.81; physicians (5.00±2.79, those without children (5.19±2.54, those whose spouses were not working (4.69±2.70 and smokers (4.71±3.29 had a high level of depersonalization; and married individuals were determined to have a low personal achievement level (10.24±4.14 (p=0.020, p=0.028, p=0.011, p=0.038, p=0.028, p=0.012 and p=0.010, respectively. In conclusion, gender, marital status, age, satisfaction with working conditions and income level were determined to be related to burnout and job satisfaction. [TAF Prev Med Bull 2007; 6(1.000: 41-50

  8. BURNOUT SYNDROME, JOB SATISFACTION LEVELS AND RELATED FACTORS IN CENTRAL TRABZON PROVINCE PRIMARY HEALTH CENTER WORKERS

    Directory of Open Access Journals (Sweden)

    Murat TOPBAS

    2007-02-01

    Full Text Available Burnout manifests itself in individuals working in professions involving face-to-face contact with the public in depersonalization towards others, feelings of emotional exhaustion, and reduced feelings of personal achievement and adequacy. The objective in this study was to determine burnout and job satisfaction levels and related factors in primary health center personnel in the central part of the Turkish province of Trabzon. A total of 227 people working in central Trabzon province primary health centers participated in this cross-sectional study, a level of 90.4%. The Maslach Burnout Inventory was used to determine burnout level and the Job Satisfaction Inventory for job satisfaction. Burnout levels in health personnel were high among women (15.06±5.57, married individuals (14.80±5.65 and those dissatisfied with their working conditions (16.80±5.81; physicians (5.00±2.79, those without children (5.19±2.54, those whose spouses were not working (4.69±2.70 and smokers (4.71±3.29 had a high level of depersonalization; and married individuals were determined to have a low personal achievement level (10.24±4.14 (p=0.020, p=0.028, p=0.011, p=0.038, p=0.028, p=0.012 and p=0.010, respectively. In conclusion, gender, marital status, age, satisfaction with working conditions and income level were determined to be related to burnout and job satisfaction. [TAF Prev Med Bull. 2007; 6(1: 41-50

  9. Identification of Subgroups of Women with Carpal Tunnel Syndrome with Central Sensitization.

    Science.gov (United States)

    Fernández-de-Las-Peñas, César; Fernández-Muñoz, Juan J; Navarro-Pardo, Esperanza; da-Silva-Pocinho, Ricardo F; Ambite-Quesada, Silvia; Pareja, Juan A

    2016-09-01

    Identification of subjects with different sensitization mechanisms can help to identify better therapeutic strategies for carpal tunnel syndrome (CTS). The aim of the current study was to identify subgroups of women with CTS with different levels of sensitization. A total of 223 women with CTS were recruited. Self-reported variables included pain intensity, function, disability, and depression. Pressure pain thresholds (PPT) were assessed bilaterally over median, ulnar, and radial nerves, C5-C6 joint, carpal tunnel, and tibialis anterior to assess widespread pressure pain hyperalgesia. Heat (HPT) and cold (CPT) pain thresholds were also bilaterally assessed over the carpal tunnel and the thenar eminence to determine thermal pain hyperalgesia. Pinch grip force between the thumb and the remaining fingers was calculated to determine motor assessment. Subgroups were determined according to the status on a previous clinical prediction rule: PPT over the affected C5-C6 joint 66 points. The ANOVA showed that women within group 1 (positive rule, n = 60) exhibited bilateral widespread pressure hyperalgesia (P < 0.001) and bilateral thermal thresholds (P < 0.001) than those within group 2 (negative rule, n = 162). Women in group 1 also exhibited higher depression than those in group 2 (P = 0.023). No differences in self-reported variables were observed. This study showed that a clinical prediction rule originally developed for identifying women with CTS who are likely to respond favorably to manual physical therapy was able to identify women exhibiting higher widespread pressure hyper-sensitivity and thermal hyperalgesia. This subgroup of women with CTS exhibiting higher sensitization may need specific therapeutic programs. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report.

    Directory of Open Access Journals (Sweden)

    Mohamad Gharavifard

    2014-10-01

    Full Text Available Central anticholinergic syndrome (CAS following general anesthesia (GA is a well known syndrome in children and adults. Many cases of CAS have been previously reported in the literature. However, there are only two reports of post resuscitation CAS after administration of small doses of atropine. Hereby, we report a case of CAS in a child undergoing complete dental restoration under GA after receiving a small dose of atropine to reverse hypoxia induced bradycardia. Intraoperative events such as hypoxia or cardiac arrest may play a role as triggers for CAS. However, we cannot establish a causal relationship between the occurrence of CAS and such critical events.

  11. Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report.

    Science.gov (United States)

    Gharavifard, Mohamad; Razavi, Majid; Ghandehari Motlagh, Mehdi; Ziyaeifard, Mohsen

    2014-09-01

    Central anticholinergic syndrome (CAS) following general anesthesia (GA) is a well known syndrome in children and adults. Many cases of CAS have been previously reported in the literature. However, there are only two reports of post resuscitation CAS after administration of small doses of atropine. Hereby, we report a case of CAS in a child undergoing complete dental restoration under GA after receiving a small dose of atropine to reverse hypoxia induced bradycardia. Intraoperative events such as hypoxia or cardiac arrest may play a role as triggers for CAS. However, we cannot establish a causal relationship between the occurrence of CAS and such critical events.

  12. Magnetic resonance imaging: early detection of central nervous system involvement in acquired immunodeficiency syndrome (AIDS)

    International Nuclear Information System (INIS)

    Trotot, P.M.; Sansonetti, P.J.; Levillain, R.; Cabanis, E.A.; Lavayssiere, R.; Sandoz-Tronca, C.

    1988-01-01

    Central Nervous System (CNS) involvement, whether primary by the Human Immunodeficiency Virus - HIV - itself, or secondary (toxoplasmosis or lymphoma) is remarkably frequent in AIDS, in 40 to 70% of cases, depending upon the author. In order to study the natural history of this illness, a cohort of 25 asymptomatic seropositive patients have been established. Every 6 months these patients undergo biological and clinical examinations, as well as Magnetic Resonance brain scans. After two examinations at a 6 month's interval, the first results are reported. Out of these 25 cases, 9 present anomalies: One patient with diffuse cerebral atrophy and 8 others with high signal intensity areas on T2 weighted sequences, like those of the Multiple Sclerosis. No relationship could be demonstrated between the existence of these lesions and various criteria such as age, sex, risk factors and T4 cells count. The nature of these lesions is not lear. They certainly indicate early involvement of the CNS after primary infection by the HIV virus. They may either represent scars of the primary infection or early alterations announcing developing encephalopathy [fr

  13. Geodynamics of oceanic plateau and plume head accretion and their role in Phanerozoic orogenic systems of China

    Directory of Open Access Journals (Sweden)

    Peter G. Betts

    2015-01-01

    Full Text Available We present three 3D numerical models of deep subduction where buoyant material from an oceanic plateau and a plume interact with the overriding plate to assess the influence on subduction dynamics, trench geometry, and mechanisms for plateau accretion and continental growth. Transient instabilities of the convergent margin are produced, resulting in: contorted trench geometry; trench migration parallel with the plate margin; folding of the subducting slab and orocline development at the convergent margin; and transfer of the plateau to the overriding plate. The presence of plume material beneath the oceanic plateau causes flat subduction above the plume, resulting in a “bowed” shaped subducting slab. In plateau-only models, plateau accretion at the edge of the overriding plate results in trench migration around the edge of the plateau before subduction is re-established directly behind the trailing edge of the plateau. The plateau shortens and some plateau material subducts. The presence of buoyant plume material beneath the oceanic plateau has a profound influence on the behaviour of the convergent margin. In the plateau + plume model, plateau accretion causes rapid trench advance. Plate convergence is accommodated by shearing at the base of the plateau and shortening in the overriding plate. The trench migrates around the edge of the plateau and subduction is re-established well behind the trailing edge of the plateau, effectively embedding the plateau into the overriding plate. A slab window forms beneath the accreted plateau and plume material is transferred from the subducting plate to the overriding plate through the window. In all of the models, the subduction zone maintains a relatively stable configuration away from the buoyancy anomalies within the downgoing plate. The models provide a dynamic context for plateau and plume accretion in Phanerozoic accretionary orogenic systems such as the East China Orogen and the Central Asian

  14. Deep mantle forces and the uplift of the Colorado Plateau

    Energy Technology Data Exchange (ETDEWEB)

    Moucha, R; Forte, A M; Rowley, D B; Mitrovica, J X; Simmons, N A; Grand, S P

    2009-06-23

    Since the advent of plate tectonics, it has been speculated that the northern extension of the East Pacific Rise, specifically its mantle source, has been over-ridden by the North American Plate in the last 30 Myrs. Consequently, it has also been postulated that the opening of the Gulf of California, the extension in the Basin and Range province, and the uplift of the Colorado Plateau are the resulting continental expressions of the over-ridden mantle source of the East Pacific Rise. However, only qualitative models based solely on surface observations and heuristic, simplified conceptions of mantle convection have been used in support or against this hypothesis. We introduce a quantitative model of mantle convection that reconstructs the detailed motion of a warm mantle upwelling over the last 30 Myrs and its relative advance towards the interior of the southwestern USA. The onset and evolution of the crustal uplift in the central Basin and Range province and the Colorado Plateau is determined by tracking the topographic swell due to this mantle upwelling through time. We show that (1) the extension and magmatism in the central Basin and Range province between 25 and 10 Ma coincides with the reconstructed past position of this focused upwelling, and (2) the southwestern portion of the Colorado Plateau experienced significant uplift between 10 Ma and 5 Ma that progressed towards the northeastern portion of the plateau. These uplift estimates are consistent with a young, ca. 6 Ma, Grand Canyon model and the recent commencement of mafic magmatism.

  15. Central obesity and atherogenic dyslipidemia in metabolic syndrome are associated with increased risk for colorectal adenoma in a Chinese population

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    Lin Tsann

    2010-05-01

    Full Text Available Abstract Background Metabolic syndrome (MetS is composed of cardiovascular risk factors including insulin resistance, obesity, dyslipidemia, and hypertension. Most of the components of MetS have been linked to the development of neoplasm. The purpose of this study was to evaluate the relationship between individual components of MetS and colorectal adenoma. Methods The study subjects were recruited from a pool of 4872 individuals who underwent a health check-up examination during the period January 2006 to May 2008. Each participant fulfilled a structured questionnaire. MetS was defined based on the America Heart Association and National Heart Lung Blood Institute criteria. Subjects with history of colon cancer, colon polyps, colitis, or prior colonic surgery were excluded. Results A total of 4122 subjects were included for final analysis (2367 men and 1755 women; mean age, 49.6 ± 11.7 years. Of them, MetS was diagnosed in 708 men (29.9% and in 367 women (20.9%. Among the patients with MetS, 34.6% had adenoma, 31.7% had hyperplastic polyps and 23.3% were polyp-free (p Conclusions Of the components of MetS analyzed in this study, central obesity and dyslipidemia are independent risk factors for colorectal adenoma. With regard to the prevention of colorectal neoplasm, life-style modification such as weight reduction is worthwhile.

  16. MR findings of central nervous system involvement in acquired immunodeficiency syndrome patient : a report of two cases

    International Nuclear Information System (INIS)

    Hong, Hye Suk; Kim, Dong Ik; Lee, Byeong Hee; Jeong, Sun Yang

    1996-01-01

    Central nervous system (CNS) manifestations in acquired immunodeficiency syndrome (AIDS) patients are an early and common feature. The spectrum of AIDS-related CNS diseases are encephalitis caused by the human immunodeficiency virus(HIV) itself, opportunistic infection, infarct and malignancy. We experienced two cases of CNS involvement in AIDS and they were serologically diagnosed as HIV encephalitis and CNS toxoplasmosis, respectively. In the case of the HIV encephalitis patient, brain MRI showed a non-enhancing lesion with high signal intensity on T2WI and low signal on T1WI and there was no mass effect on the right frontal lobe, periventricular white matter, splenium of the corpus callosum or bilateral basal ganglia. In the other case of CNS toxoplasmosis, MR showed multiple nodular and rim enhanced mass lesions in the right basal ganglia, thalamus and periventricular white matter, which were of low signal intensity on T1WI and of high intensity on T2WI. We thus report the related MRI findings

  17. Common genetic variants near the Brittle Cornea Syndrome locus ZNF469 influence the blinding disease risk factor central corneal thickness.

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    Yi Lu

    2010-05-01

    Full Text Available Central corneal thickness (CCT, one of the most highly heritable human traits (h(2 typically>0.9, is important for the diagnosis of glaucoma and a potential risk factor for glaucoma susceptibility. We conducted genome-wide association studies in five cohorts from Australia and the United Kingdom (total N = 5058. Three cohorts were based on individually genotyped twin collections, with the remaining two cohorts genotyped on pooled samples from singletons with extreme trait values. The pooled sample findings were validated by individual genotyping the pooled samples together with additional samples also within extreme quantiles. We describe methods for efficient combined analysis of the results from these different study designs. We have identified and replicated quantitative trait loci on chromosomes 13 and 16 for association with CCT. The locus on chromosome 13 (nearest gene FOXO1 had an overall meta-analysis p-value for all the individually genotyped samples of 4.6x10(-10. The locus on chromosome 16 was associated with CCT with p = 8.95x10(-11. The nearest gene to the associated chromosome 16 SNPs was ZNF469, a locus recently implicated in Brittle Cornea Syndrome (BCS, a very rare disorder characterized by abnormal thin corneas. Our findings suggest that in addition to rare variants in ZNF469 underlying CCT variation in BCS patients, more common variants near this gene may contribute to CCT variation in the general population.

  18. Comparative care and outcomes for acute coronary syndromes in Central and Eastern European Transitional countries: A review of the literature.

    Science.gov (United States)

    Smith, Fraser G D; Brogan, Richard A; Alabas, Oras; Laut, Kristina G; Quinn, Tom; Bugiardini, Raffaele; Gale, Chris P

    2015-12-01

    The purpose of this review was to compare quality of care and outcomes following acute coronary syndrome (ACS) in Central and Eastern European Transitional (CEET) countries. This was a review of original ACS articles in CEET countries from PubMed, ISI Web of Science, Medline and Embase databases published in English from November 2003 to February 2014. Seventeen manuscripts fulfilled the search criteria. Of 19 CEET countries studied, there were no published ACS management or outcome data for four countries. In-hospital mortality for patients with acute myocardial infarction (AMI) ranged from 6.3% in the Czech Republic to 15.3% in Latvia. In-hospital mortality for ST-elevation myocardial infarction (STEMI) ranged from 3.0% in Poland to 20.7% in Romania. For STEMI, primary percutaneous coronary intervention (PCI) ranged from 1.0% to over 92.0%, fibrinolytic therapy from 0.0% to 49.6%, and no reperfusion therapy from 7.0% to 63.0%. Many CEET countries do not have published ACS care and outcomes data. Of those that do, there is evidence for substantial geographical variation in early mortality. Wide variation in emergency reperfusion strategies for STEMI suggests that acute cardiac care is likely to be modifiable and if addressed could reduce mortality from ACS in CEET countries. The collection of ACS care and outcomes data across Europe must be prioritised. © The European Society of Cardiology 2014.

  19. A new frailty syndrome: central obesity and frailty in older adults with the human immunodeficiency virus.

    Science.gov (United States)

    Shah, Krupa; Hilton, Tiffany N; Myers, Lauren; Pinto, Jonathan F; Luque, Amneris E; Hall, William J

    2012-03-01

    To evaluate the relationships between body composition and physical frailty in community-dwelling older adults with the human immunodeficiency virus (HIV) (HOA). Cross-sectional. Academic hospital-based infectious disease clinic in Rochester, New York. Forty community-dwelling HOA aged 50 and older undergoing antiretroviral therapy who were able to ambulate without assistive devices with a mean age of 58, a mean BMI of 29.0 kg/m(2), mean CD4 count of 569 cells/mL, and a mean duration since HIV diagnosis of 17 years; 28% were female and 57% Caucasian. Subjective and objective measures of functional status were evaluated using the Physical Performance Test (PPT), the graded treadmill test, knee strength, gait speed, balance, and the Functional Status Questionnaire (FSQ). Body composition was evaluated using dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging (MRI). Sixty percent (25/40) of the participants met standard criteria for physical frailty. Frail (FR) and nonfrail (NF) participants were comparable in age, sex, CD4 count, and viral load. FR HOA had greater impairments in PPT, peak oxygen uptake, FSQ, walking speed, balance, and muscle quality than NF HOA. FR HOA had a greater body mass index (BMI), fat mass, and truncal fat with lipodystrophy. Moreover, PPT score was inversely related to trunk fat (correlation coefficient (r) = -0.34; P = .04) and ratio of intermuscular fat to total fat (r = -0.60; P = .02) after adjusting for covariates. HOA represent an emerging cohort of older adults who frequently experience frailty at a much younger age than the general older population. Central obesity and fat redistribution are important predictors of frailty in community-dwelling HOA. These findings suggest that physical frailty in HOA may be amenable to lifestyle interventions, especially exercise and diet therapy. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

  20. 22q11.2q13 duplication including SOX10 causes sex-reversal and peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, Waardenburg syndrome, and Hirschsprung disease.

    Science.gov (United States)

    Falah, Nadia; Posey, Jennifer E; Thorson, Willa; Benke, Paul; Tekin, Mustafa; Tarshish, Brocha; Lupski, James R; Harel, Tamar

    2017-04-01

    Diagnosis of genetic syndromes may be difficult when specific components of a disorder manifest at a later age. We present a follow up of a previous report [Seeherunvong et al., (2004); AJMGA 127: 149-151], of an individual with 22q duplication and sex-reversal syndrome. The subject's phenotype evolved to include peripheral and central demyelination, Waardenburg syndrome type IV, and Hirschsprung disease (PCWH; MIM 609136). DNA microarray analysis defined the duplication at 22q11.2q13, including SOX10. Sequencing of the coding region of SOX10 did not reveal any mutations. Our data suggest that SOX10 duplication can cause disorders of sex development and PCWH, supporting the hypothesis that SOX10 toxic gain of function rather than dominant negative activity underlies PCWH. © 2017 Wiley Periodicals, Inc.

  1. The prevalence of the metabolic syndrome did not increase in Mexico City between 1990-1992 and 1997-1999 despite more central obesity.

    Science.gov (United States)

    Lorenzo, Carlos; Williams, Ken; Gonzalez-Villalpando, Clicerio; Haffner, Steven M

    2005-10-01

    Trends in the metabolic syndrome might follow trends in obesity. We examined this hypothesis in the Mexico City Diabetes Study (MCDS), a study that showed rising trends in obesity, and the effect of the metabolic syndrome on the risk of coronary heart disease (CHD). Designed as a population-based study, the MCDS enrolled subjects in 1990-1992 (n = 2,282). Follow-up visits were held in 1993-1995 (n = 1,764) and 1997-1999 (n = 1,754). We used the revised metabolic syndrome definition of the National Cholesterol Education Program and the Framingham equations to estimate the 10-year CHD risk. In men, the age-adjusted prevalence of the metabolic syndrome was 38.9% in 1990-1992, 43.4% in 1993-1995, and 39.9% in 1997-1999; in women, the prevalences were 65.4, 65.7, and 59.9%, respectively. The prevalence did not change in men (P = 0.349) between 1990-1992 and 1997-1999, but decreased in women (P metabolic syndrome nor CHD risk has increased in Mexico City. Lower blood pressure and triglyceride values appear to have counteracted increases in central obesity and fasting glucose.

  2. Organizational restructuring and career plateauing

    NARCIS (Netherlands)

    P. Paffen; Hans Timmermans

    2009-01-01

    This article describes a flexibility program for plateaued professionals in a technical Dutch firm operating in the consultancy sector we will refer to with the pseudonym Greentree Corp. First, we will discuss the impact reorganization had on job-requirements and career opportunities for technical

  3. Peripheral laser iridoplasty opens angle in plateau iris by thinning the cross-sectional tissues

    Directory of Open Access Journals (Sweden)

    Liu J

    2013-09-01

    Full Text Available Ji Liu,1,2 Tania Lamba,1 David A Belyea1 1Department of Ophthalmology, The George Washington University, Washington DC, USA; 2Yale Eye Center, Yale University, New Haven, CT, USA Abstract: Plateau iris syndrome has been described as persistent angle narrowing or occlusion with intraocular pressure elevation after peripheral iridotomy due to the abnormal plateau iris configuration. Argon laser peripheral iridoplasty (ALPI is an effective adjunct procedure to treat plateau iris syndrome. Classic theory suggests that the laser causes the contraction of the far peripheral iris stroma, "pulls" the iris away from the angle, and relieves the iris-angle apposition. We report a case of plateau iris syndrome that was successfully treated with ALPI. Spectral domain optical coherence tomography confirmed the angle was open at areas with laser treatment but remained appositionally closed at untreated areas. Further analysis suggested significant cross-sectional thinning of the iris at laser-treated areas in comparison with untreated areas. The findings indicate that APLI opens the angle, not only by contracting the iris stroma, but also by thinning the iris tissue at the crowded angle. This is consistent with the ALPI technique to aim at the iris as far peripheral as possible. This case also suggests that spectral domain optical coherence tomography is a useful adjunct imaging tool to gonioscopy in assessing the angle condition. Keywords: plateau iris, optic coherence tomography, argon laser peripheral iridoplasty, angle-closure glaucoma

  4. The Cerebral Cost of Breathing: An fMRI Case-Study in Congenital Central Hypoventilation Syndrome

    Science.gov (United States)

    Sharman, Mike; Gallea, Cécile; Lehongre, Katia; Galanaud, Damien; Nicolas, Nathalie; Similowski, Thomas; Cohen, Laurent; Straus, Christian; Naccache, Lionel

    2014-01-01

    Certain motor activities - like walking or breathing - present the interesting property of proceeding either automatically or under voluntary control. In the case of breathing, brainstem structures located in the medulla are in charge of the automatic mode, whereas cortico-subcortical brain networks - including various frontal lobe areas - subtend the voluntary mode. We speculated that the involvement of cortical activity during voluntary breathing could impact both on the “resting state” pattern of cortical-subcortical connectivity, and on the recruitment of executive functions mediated by the frontal lobe. In order to test this prediction we explored a patient suffering from central congenital hypoventilation syndrome (CCHS), a very rare developmental condition secondary to brainstem dysfunction. Typically, CCHS patients demonstrate efficient cortically-controlled breathing while awake, but require mechanically-assisted ventilation during sleep to overcome the inability of brainstem structures to mediate automatic breathing. We used simultaneous EEG-fMRI recordings to compare patterns of brain activity between these two types of ventilation during wakefulness. As compared with spontaneous breathing (SB), mechanical ventilation (MV) restored the default mode network (DMN) associated with self-consciousness, mind-wandering, creativity and introspection in healthy subjects. SB on the other hand resulted in a specific increase of functional connectivity between brainstem and frontal lobe. Behaviorally, the patient was more efficient in cognitive tasks requiring executive control during MV than during SB, in agreement with her subjective reports in everyday life. Taken together our results provide insight into the cognitive and neural costs of spontaneous breathing in one CCHS patient, and suggest that MV during waking periods may free up frontal lobe resources, and make them available for cognitive recruitment. More generally, this study reveals how the active

  5. Distribution of Wfs1 protein in the central nervous system of the mouse and its relation to clinical symptoms of the Wolfram syndrome

    DEFF Research Database (Denmark)

    Luuk, H.; Koks, S.; Plaas, M.

    2008-01-01

    enrichment of Wf1 protein in the central extended amygdala and ventral striatum. Prominent Wfs1 expression was seen in the hippocampal CA1 region, parasubiculum, superficial part of the second and third layers of the prefrontal cortex and proisocortical areas, hypothalamic magnocellular neurosecretory system......, alveus, fimbria, dorsal hippocampal commissure; subiculum, and to a lesser extent in the central sublenticular extended amygdala, compact part of substantia nigra, and ventral tegmental area. The neuroanatomical findings suggest that the lack of Wf1 protein function can be related to several neurological...... and psychiatric symptoms found in Wolfram syndrome. Enrichment of Wfs1 protein in the central extended amygdala suggests a role in the modulation of anxiety and fear Udgivelsesdato: 2008/8/20...

  6. Repositioning and Leaving In Situ the Central Venous Catheter During Percutaneous Treatment of Associated Superior Vena Cava Syndrome: A Report of Eight Cases

    International Nuclear Information System (INIS)

    Stockx, Luc; Raat, Henricus; Donck, Jan; Wilms, Guy; Marchal, Guy

    1999-01-01

    Purpose: To describe a combined procedure of repositioning and leaving in situ a central venous catheter followed by immediate percutaneous treatment of associated superior vena cava syndrome (SVCS). Methods: Eight patients are presented who have central venous catheter-associated SVCS (n = 6 Hickman catheters, n = 2 Port-a-cath) caused by central vein stenosis (n = 4) or concomitant thrombosis (n = 4). With the use of a vascular snare introduced via the transcubital or transjugular approach, the tip of the central venous catheter could be engaged, and repositioned after deployment of a stent in the innominate or superior vena cava. Results: In all patients it was technically feasible to reposition the central venous catheter and treat the SVCS at the same time. In one patient flipping of the Hickman catheter in its original position provoked dislocation of the released Palmaz stent, which could be positioned in the right common iliac vein. Conclusion: Repositioning of a central venous catheter just before and after stent deployment in SVCS is technically feasible and a better alternative than preprocedural removal of the vascular access

  7. The Pajarito Plateau: A bibliography

    Science.gov (United States)

    Mathien, Frances Joan; Steen, Charlie R.; Allen, Craig D.

    1993-01-01

    This bibliography is the result of two initially independent projects. As the consulting archaeologist at Los Alamos National Laboratory (LANL), Charlie R. Steen collected entries at the suggestion of the staff of the Environmental Surveillance Group of the Health, Safety, and Environmental Division, HSE-8. The primary purpose was to aid the staff in evaluating cultural resources on LANL lands. In addition to works that related to the archaeology and history of the area, Steen included notations of a few books and articles in other fields such as geology and natural history. It was hoped that they also would be of value to other organizations and to students of past human activities on the Pajarito Plateau.At the same time, the National Park Service (NPS) was planning a major survey of Bandelier National Monument (BNM). As part of this plan, the author was asked to prepare a background document that described research previously carried out in the area, including an annotated bibliography. Although the survey would be limited to the park boundaries, the larger Pajarito Plateau is a more logical study area from physiographic, environmental, and cultural perspectives; hence the focus was on this larger region. Mathien (1986) also included some references to natural resources studies, particularly those initiated by NPS within Bandelier National Monument.Both bibliographies were made available to Colleen Olinger and Beverly Larson of the Health and Environmental Services Group at Los Alamos. They realized that while neither was complete, each included entries missing from the other. Larson suggested the two bibliographies be combined. (At this time, Craig Allen was studying the landscape of the Jemez Mountains [Allen 1984c, 1989]. His investigations included much detailed information on natural resource studies and were added in 1991 and 1992.)To limit the scope of their work, Steen and Mathien had chosen their parameter: the Pajarito Plateau. Geographically, the

  8. Central sensitivity syndromes: a new paradigm and group nosology for fibromyalgia and overlapping conditions, and the related issue of disease versus illness.

    Science.gov (United States)

    Yunus, Muhammad B

    2008-06-01

    To discuss the current terminologies used for fibromyalgia syndrome (FMS) and related overlapping conditions, to examine if central sensitivity syndromes (CSS) is the appropriate nosology for these disorders, and to explore the issue of disease versus illness. A literature search was performed through PubMed, Web of Science, and ScienceDirect using a number of keywords, eg, functional somatic syndromes, somatoform disorders, medically unexplained symptoms, organic and nonorganic, and diseases and illness. Relevant articles were then reviewed and representative ones cited. Terminologies currently used for CSS conditions predominantly represent a psychosocial construct and are inappropriate. On the other hand, CSS seems to be the logical nosology based on a biopsychosocial model. Such terms as "medically unexplained symptoms," "somatization," "somatization disorder," and "functional somatic syndromes" in the context of CSS should be abandoned. Given current scientific knowledge, the concept of disease-illness dualism has no rational basis and impedes proper patient-physician communication, resulting in poor patient care. The concept of CSS is likely to promote research, education, and proper patient management. CSS seems to be a useful paradigm and an appropriate terminology for FMS and related conditions. The disease-illness, as well as organic/non-organic dichotomy, should be rejected.

  9. Monuments of the Giza Plateau

    Science.gov (United States)

    Ruggles, Clive L. N.

    The colossal pyramids of the pharaohs Khufu (Cheops), Khafre (Chephren), and Menkaure (Mycerinus) have attracted a huge amount of astronomical interest over the years, both scholarly and popular. Less attention is usually given to the broader context of structures on the Giza Plateau. One of the most notorious ideas connecting the Giza Plateau with astronomy is that the three large pyramids are laid out on the ground so as to reflect the appearance of the three stars of Orion's Belt in the sky. This idea is unsupportable for several reasons but has succeeded in generating huge public interest. Of much greater serious interest is the fact that the three main pyramids were oriented cardinally to extraordinary precision, which raises the questions of why this was important and how it was achieved. Another idea that has attracted serious attention but also some confusion is that the orientations of some narrow shafts within Khufu's pyramid might have been deliberately aligned upon particular stars. The overall layout of monuments on the plateau may certainly have been designed so as to emphasize certain solar phenomena, for symbolic and ideological reasons relating to a dominant sun cult. It is also possible that it formed part of a wider cosmological "master plan" extending to other pyramids and temples up to 20 km distant.

  10. Obesity, Metabolic Syndrome, and Musculoskeletal Disease: Common Inflammatory Pathways Suggest a Central Role for Loss of Muscle Integrity

    Directory of Open Access Journals (Sweden)

    Kelsey H. Collins

    2018-02-01

    Full Text Available Inflammation can arise in response to a variety of stimuli, including infectious agents, tissue injury, autoimmune diseases, and obesity. Some of these responses are acute and resolve, while others become chronic and exert a sustained impact on the host, systemically, or locally. Obesity is now recognized as a chronic low-grade, systemic inflammatory state that predisposes to other chronic conditions including metabolic syndrome (MetS. Although obesity has received considerable attention regarding its pathophysiological link to chronic cardiovascular conditions and type 2 diabetes, the musculoskeletal (MSK complications (i.e., muscle, bone, tendon, and joints that result from obesity-associated metabolic disturbances are less frequently interrogated. As musculoskeletal diseases can lead to the worsening of MetS, this underscores the imminent need to understand the cause and effect relations between the two, and the convergence between inflammatory pathways that contribute to MSK damage. Muscle mass is a key predictor of longevity in older adults, and obesity-induced sarcopenia is a significant risk factor for adverse health outcomes. Muscle is highly plastic, undergoes regular remodeling, and is responsible for the majority of total body glucose utilization, which when impaired leads to insulin resistance. Furthermore, impaired muscle integrity, defined as persistent muscle loss, intramuscular lipid accumulation, or connective tissue deposition, is a hallmark of metabolic dysfunction. In fact, many common inflammatory pathways have been implicated in the pathogenesis of the interrelated tissues of the musculoskeletal system (e.g., tendinopathy, osteoporosis, and osteoarthritis. Despite these similarities, these diseases are rarely evaluated in a comprehensive manner. The aim of this review is to summarize the common pathways that lead to musculoskeletal damage and disease that result from and contribute to MetS. We propose the overarching

  11. Obesity, Metabolic Syndrome, and Musculoskeletal Disease: Common Inflammatory Pathways Suggest a Central Role for Loss of Muscle Integrity.

    Science.gov (United States)

    Collins, Kelsey H; Herzog, Walter; MacDonald, Graham Z; Reimer, Raylene A; Rios, Jaqueline L; Smith, Ian C; Zernicke, Ronald F; Hart, David A

    2018-01-01

    Inflammation can arise in response to a variety of stimuli, including infectious agents, tissue injury, autoimmune diseases, and obesity. Some of these responses are acute and resolve, while others become chronic and exert a sustained impact on the host, systemically, or locally. Obesity is now recognized as a chronic low-grade, systemic inflammatory state that predisposes to other chronic conditions including metabolic syndrome (MetS). Although obesity has received considerable attention regarding its pathophysiological link to chronic cardiovascular conditions and type 2 diabetes, the musculoskeletal (MSK) complications (i.e., muscle, bone, tendon, and joints) that result from obesity-associated metabolic disturbances are less frequently interrogated. As musculoskeletal diseases can lead to the worsening of MetS, this underscores the imminent need to understand the cause and effect relations between the two, and the convergence between inflammatory pathways that contribute to MSK damage. Muscle mass is a key predictor of longevity in older adults, and obesity-induced sarcopenia is a significant risk factor for adverse health outcomes. Muscle is highly plastic, undergoes regular remodeling, and is responsible for the majority of total body glucose utilization, which when impaired leads to insulin resistance. Furthermore, impaired muscle integrity, defined as persistent muscle loss, intramuscular lipid accumulation, or connective tissue deposition, is a hallmark of metabolic dysfunction. In fact, many common inflammatory pathways have been implicated in the pathogenesis of the interrelated tissues of the musculoskeletal system (e.g., tendinopathy, osteoporosis, and osteoarthritis). Despite these similarities, these diseases are rarely evaluated in a comprehensive manner. The aim of this review is to summarize the common pathways that lead to musculoskeletal damage and disease that result from and contribute to MetS. We propose the overarching hypothesis that there

  12. Vegetation greenness trend (2000 to 2009) and the climate controls in the Qinghai-Tibetan Plateau

    Science.gov (United States)

    Zhang, Li; Guo, Huadong; Ji, Lei; Lei, Liping; Wang, Cuizhen; Yan, Dongmei; Li, Bin; Li, Jing

    2013-01-01

    The Qinghai-Tibetan Plateau has been experiencing a distinct warming trend, and climate warming has a direct and quick impact on the alpine grassland ecosystem. We detected the greenness trend of the grasslands in the plateau using Moderate Resolution Imaging Spectroradiometer data from 2000 to 2009. Weather station data were used to explore the climatic drivers for vegetation greenness variations. The results demonstrated that the region-wide averaged normalized difference vegetation index (NDVI) increased at a rate of 0.036  yr−1. Approximately 20% of the vegetation areas, which were primarily located in the northeastern plateau, exhibited significant NDVI increase trend (p-value plateau. A strong positive relationship between NDVI and precipitation, especially in the northeastern plateau, suggested that precipitation was a favorable factor for the grassland NDVI. Negative correlations between NDVI and temperature, especially in the southern plateau, indicated that higher temperature adversely affected the grassland growth. Although a warming climate was expected to be beneficial to the vegetation growth in cold regions, the grasslands in the central and southwestern plateau showed a decrease in trends influenced by increased temperature coupled with decreased precipitation.

  13. Integrated geophysical study of the northeastern margin of Tibetan Plateau

    Science.gov (United States)

    Shi, L.; Meng, X.; Guo, L.

    2011-12-01

    Tibetan Plateau, the so-called "Roof of the World", is a direct consequence of collision of the Indian plate with the Eurasian plate starting in the early Cenozoic time. The continent-continent collision is still going on. The northeastern margin of Tibetan Plateau is the front part of the Tibetan Plateau extends to mainland and favorable area for studying uplift and deformation of the Tibetan Plateau. In the past decades, a variety of geophysical methods were conducted to study geodynamics and geological tectonics of this region. We assembled satellite-derived free-air gravity anomalies with a resolution of one arc-minute from the Scripps Institution of Oceanography, and reduced them to obtain Complete Bouguer Gravity Anomalies. Then we gridded Complete Bouguer Gravity Anomalies on a regular grid, and subsequently processed them with the preferential continuation method to attenuate high-frequency noise and analyzed regional and residual anomalies. We also calculated tilt-angle derivative of Complete Bouguer Gravity Anomalies to derive clearer geological structures with more details. Then we calculated the depth distribution of the Moho discontinuity surface in this area by 3D density interface inversion. From the results of preliminary processing, we analyzed the main deep faults and geological tectonics in this region. We extracted seven important profiles' data of Complete Bouguer Gravity Anomalies in this area, and then did forward modeling and inversion on each profile with constraints of geological information and other geophysical data. In the future, we will perform 3D constrained inversion of Complete Bouguer Gravity Anomalies in this region for better understanding deep structure and tectonics of the northeastern margin of Tibetan Plateau. Acknowledgment: We acknowledge the financial support of the SinoProbe project (201011039), the Fundamental Research Funds for the Central Universities (2010ZY26 2011PY0184), and the National Natural Science Foundation

  14. Imbalance between thyroid hormones and the dopaminergic system might be central to the pathophysiology of restless legs syndrome: a hypothesis

    Directory of Open Access Journals (Sweden)

    Jose Carlos Pereira Jr.

    2010-01-01

    Full Text Available Data collected from medical literature indicate that dopaminergic agonists alleviate Restless Legs Syndrome symptoms while dopaminergic agonists antagonists aggravate them. Dopaminergic agonists is a physiological regulator of thyroid-stimulating hormone. Dopaminergic agonists infusion diminishes the levels of thyroid hormones, which have the ability to provoke restlessness, hyperkinetic states, tremors, and insomnia. Conditions associated with higher levels of thyroid hormones, such as pregnancy or hyperthyroidism, have a higher prevalence of Restless Legs Syndrome symptoms. Low iron levels can cause secondary Restless Legs Syndrome or aggravate symptoms of primary disease as well as diminish enzymatic activities that are involved in dopaminergic agonists production and the degradation of thyroid hormones. Moreover, as a result of low iron levels, dopaminergic agonists diminishes and thyroid hormones increase. Iron therapy improves Restless Legs Syndrome symptoms in iron deprived patients. Medical hypothesis. To discuss the theory that thyroid hormones, when not counterbalanced by dopaminergic agonists, may precipitate the signs and symptoms underpinning Restless Legs Syndrome. The main cause of Restless Legs Syndrome might be an imbalance between the dopaminergic agonists system and thyroid hormones.

  15. Double hump sign in indentation gonioscopy is correlated with presence of plateau iris configuration regardless of patent iridotomy.

    Science.gov (United States)

    Kiuchi, Yoshiaki; Kanamoto, Takashi; Nakamura, Takao

    2009-02-01

    A plateau iris is one of the clinical forms of angle closure glaucoma. In patients with a patent iridotomy, the double hump sign detected during indentation gonioscopy has been reported to indicate the existence of a plateau iris configuration. The purpose of this study was to determine whether the double hump sign is correlated with the presence of the plateau iris syndrome regardless of the patency of the iridotomy. Five women and 3 men without a patent iridotomy presented with narrow angles on gonioscopy and a double hump sign on indentation gonioscopy. Ultrasound biomicroscopy (UBM) imaging was performed to determine the etiology of the narrow angle and double hump sign, and to determine the appropriate treatment to prevent the progression of visual field damage. Ten patients with narrow angles and without a double hump sign were also examined by UBM to serve as a control group. All 8 patients who showed double hump sign had a short iris root, which was inserted anterior to the ciliary face, a typical anatomic appearance of a plateau iris. On the other hand, only 1 eye of 10 eyes in control group appeared to have a plateau iris. A double hump sign observed on indentation gonioscopy is strongly correlated with the presence of a plateau iris, and therefore a useful indicator of a plateau iris configuration regardless of the patency of a laser iridotomy. Thus, a plateau iris configuration can be detected without using a UBM in many cases.

  16. Into Tibet: An Early Pliocene Dispersal of Fossil Zokor (Rodentia: Spalacidae) from Mongolian Plateau to the Hinterland of Tibetan Plateau.

    Science.gov (United States)

    Li, Qiang; Wang, Xiaoming

    2015-01-01

    This paper reports the fossil zokors (Myospalacinae) collected from the lower Pliocene (~4.4 Ma) of Zanda Basin, southwestern Tibet, which is the first record in the hinterland of Tibetan Plateau within the Himalayan Range. Materials include 29 isolated molars belonging to Prosiphneus eriksoni (Schlosser, 1924) by having characters including large size, highly fused roots, upper molars of orthomegodont type, m1 anterior cap small and centrally located, and first pair of m1 reentrants on opposing sides, high crowns, and high value of dentine tract parameters. Based on the cladistics analysis, all seven species of Prosiphneus and P. eriksoni of Zanda form a monophyletic clade. P. eriksoni from Zanda, on the other hand, is nearly the terminal taxon of this clade. The appearance of P. eriksoni in Zanda represents a significant dispersal in the early Pliocene from its center of origin in north China and Mongolian Plateau, possibly via the Hol Xil-Qiangtang hinterland in northern Tibet. The fast evolving zokors are highly adapted to open terrains at a time when regional climates had become increasingly drier in the desert zones north of Tibetan Plateau during the late Miocene to Pliocene. The occurrence of this zokor in Tibet thus suggests a rather open steppe environment. Based on fossils of large mammals, we have formulated an "out of Tibet" hypothesis that suggests earlier and more primitive large mammals from the Pliocene of Tibet giving rise to the Ice Age megafauna. However, fossil records for large mammals are still too poor to evaluate whether they have evolved from lineages endemic to the Tibetan Plateau or were immigrants from outside. The superior record of small mammals is in a better position to address this question. With relatively dense age intervals and numerous localities in much of northern Asia, fossil zokors provide the first example of an "into Tibet" scenario--earlier and more primitive taxa originated from outside of the Tibetan Plateau and the

  17. Central vestibular syndrome in a red fox (Vulpes vulpes) with presumptive right caudal cerebral artery ischemic infarct and prevalent midbrain involvement.

    Science.gov (United States)

    Ricciardi, Mario; Gernone, Floriana; Simone, Antonio De; Giannuzzi, Pasquale

    2017-01-01

    A wild young male red fox ( Vulpes vulpes ) was found in the mountainous hinterland of Rome (Italy) with a heavily depressed mental status and unresponsive to the surrounding environment. Neurological examination revealed depression, left circling, right head tilt, ventromedial positional strabismus and decreased postural reactions on the left side. Neurological abnormalities were suggestive of central vestibular syndrome. Two consecutive MRIs performed with 30 days interval were compatible with lacunar ischemic infarct in the territory of right caudal cerebral artery and its collateral branches. The lesion epicentre was in the right periaqueductal portion of the rostral mesencephalic tegmentum. Neuroanatomical and neurophysiological correlation between lesion localization and clinical presentation are discussed.

  18. Central vestibular syndrome in a red fox (Vulpes vulpes with presumptive right caudal cerebral artery ischemic infarct and prevalent midbrain involvement

    Directory of Open Access Journals (Sweden)

    Mario Ricciardi

    2017-06-01

    Full Text Available A wild young male red fox (Vulpes vulpes was found in the mountainous hinterland of Rome (Italy with a heavily depressed mental status and unresponsive to the surrounding environment. Neurological examination revealed depression, left circling, right head tilt, ventromedial positional strabismus and decreased postural reactions on the left side. Neurological abnormalities were suggestive of central vestibular syndrome. Two consecutive MRIs performed with 30 days interval were compatible with lacunar ischemic infarct in the territory of right caudal cerebral artery and its collateral branches. The lesion epicentre was in the right periaqueductal portion of the rostral mesencephalic tegmentum. Neuroanatomical and neurophysiological correlation between lesion localization and clinical presentation are discussed.

  19. Geomorphological investigations and GIS approach of the Tamiš loess plateau, Banat region (northern Serbia

    Directory of Open Access Journals (Sweden)

    Popov Dragan

    2012-01-01

    Full Text Available The focus of this study was the loess plateau located in the Tamiš River valley in the central part of Banat region (northern Serbia. This morphologic unit has been formed by the loess accumulation process during the last two glacial periods. Digital elevation model (DEM is based on the 1:25.000 scale topographic maps. Detailed geomorphologic and hypsometric maps are provided with selected cross sections. The borders of the plateau and spatial distribution of the micromorphology are precisely defined on DEM. The plateau rises gradually from the Upper Pleistocene terrace on the north and northwest, while to the east and south slopes and vertical bluffs were controlled by the lateral erosion process of surrounding channels and by the weathering process on the loess. The plateau has an atypical morphology characterized by reduced geomorphologic diversity. Loess topography is significantly flattened by human impact. Its micromorphology is characterised by shallow depressions and gullies.

  20. Food Insecurity and Its Association With Central Obesity and Other Markers of Metabolic Syndrome Among Persons Aged 12 to 18 Years in the United States.

    Science.gov (United States)

    Holben, David H; Taylor, Christopher A

    2015-09-01

    Food insecurity is a preventable health threat and may precipitate central obesity and metabolic syndrome in children and adolescents in the United States. To examine (1) health by household food security status; and (2) differences and prevalence of central obesity among persons aged 12 to 18 years in the United States. The National Health and Nutrition Examination Survey was administered to a cross-sectional sample of persons aged 12 to 18 years in 1999 to 2006. Controlling for age, race/ethnicity, and sex differences in mean obesity and chronic disease factors across levels of food insecurity (analysis of covariance [Bonferroni post hoc] and ORs [logistic regression analyses]) were examined, as were differences in the rates of risk factors (χ(2) statistics). A total of 7435 participants were analyzed. Those from marginally food secure (n=751) and low-food secure (n=1206) (population size estimate, 26,714,182) households were significantly more likely than their high-food secure counterparts (n=4831) to be overweight (P=.036) (OR, 1.44), and those from marginally food secure households were 1.3-times more likely to be obese (P=.036). Nearly 25% of respondents from marginally food secure, low-food secure, and very low-food secure (n=647) households reported central obesity (P=.002), which was 1.4 to 1.5 times more likely than those from high-food secure households. Participants from high-food secure households had significantly higher mean high-density lipoprotein values (P=.019). Risk factors indicative of metabolic syndrome were present in 3.1%. Household food insecurity was associated with an increased likelihood of being overweight and having central obesity. Limitations included the use of cross-sectional data and some self-reported data and the inability to control for all moderating variables in obesity and overall health status.

  1. Iceberg incursions across Campbell Plateau

    International Nuclear Information System (INIS)

    Northcote, L.; Neil, H.; Carter, L.

    1999-01-01

    The last reported sighting of icebergs off eastern New Zealand was on 28th October, 1892, at the Chatham Islands. Prior to that time, the SW Pacific Ocean periodically hosted flotillas of icebergs, as revealed by a palaeoceanographic analysis of 8 cores from the Campbell Plateau. Stable isotope stratigraphy, coupled with down-core measurements of magnetic susceptibility, grain size, calcium carbonate and ice-rafted debris, highlight climate-related fluctuations in iceberg activity back to at least marine isotope stage (MIS) 6 - our longest complete record. (author)

  2. Cranial nerve vascular compression syndromes of the trigeminal, facial and vago-glossopharyngeal nerves: comparative anatomical study of the central myelin portion and transitional zone; correlations with incidences of corresponding hyperactive dysfunctional syndromes.

    Science.gov (United States)

    Guclu, Bulent; Sindou, Marc; Meyronet, David; Streichenberger, Nathalie; Simon, Emile; Mertens, Patrick

    2011-12-01

    The aim of this study was to evaluate the anatomy of the central myelin portion and the central myelin-peripheral myelin transitional zone of the trigeminal, facial, glossopharyngeal and vagus nerves from fresh cadavers. The aim was also to investigate the relationship between the length and volume of the central myelin portion of these nerves with the incidences of the corresponding cranial dysfunctional syndromes caused by their compression to provide some more insights for a better understanding of mechanisms. The trigeminal, facial, glossopharyngeal and vagus nerves from six fresh cadavers were examined. The length of these nerves from the brainstem to the foramen that they exit were measured. Longitudinal sections were stained and photographed to make measurements. The diameters of the nerves where they exit/enter from/to brainstem, the diameters where the transitional zone begins, the distances to the most distal part of transitional zone from brainstem and depths of the transitional zones were measured. Most importantly, the volume of the central myelin portion of the nerves was calculated. Correlation between length and volume of the central myelin portion of these nerves and the incidences of the corresponding hyperactive dysfunctional syndromes as reported in the literature were studied. The distance of the most distal part of the transitional zone from the brainstem was 4.19  ±  0.81 mm for the trigeminal nerve, 2.86  ±  1.19 mm for the facial nerve, 1.51  ±  0.39 mm for the glossopharyngeal nerve, and 1.63  ±  1.15 mm for the vagus nerve. The volume of central myelin portion was 24.54  ±  9.82 mm(3) in trigeminal nerve; 4.43  ±  2.55 mm(3) in facial nerve; 1.55  ±  1.08 mm(3) in glossopharyngeal nerve; 2.56  ±  1.32 mm(3) in vagus nerve. Correlations (p  nerves and incidences of the corresponding diseases. At present it is rather well-established that primary trigeminal neuralgia, hemifacial spasm and vago

  3. The peripheral and central mechanisms of transition of acute to chronic pain and the possible role of cyclooxygenase-2 inhibition in the prevention of pain syndrome chronization

    Directory of Open Access Journals (Sweden)

    O. S. Davydov

    2016-01-01

    Full Text Available Chronic pain syndromes as a cause of suffering, short-term or persistent disability, and social losses greatly worsen quality of life. The mechanisms leading to the occurrence and maintenance of chronic pain are traditionally of interest for in-depth study since each of them is potentially a target for pharmacotherapy. Peripheral and central sensitizations, as well as disinhibition make different contributions to the development of chronic pain. The fact that cyclooxygenase-2 (COX-2 inhibitors may affect at both the peripheral and central, spinal levels, by modulating such a phenomenon as central sensitization, has been recently discussed. There are theoretical prerequisites for a discussion of this action of COX-2 inhibitors; however, clinical findings supporting this hypothesis have been scarce so far. In this connection, of interest is the clinical trial published in 2016, which may suggest to a high degree of accuracy that some analgesic effect of the selective COX-2 inhibitor etoricoxib is realized through the central mechanisms of pain modulation. 

  4. Epstein-Barr virus-associated primary central nervous system lymphoma in a child with the acquired immunodeficiency syndrome. A case report and review of the literature.

    Science.gov (United States)

    Rodriguez, M M; Delgado, P I; Petito, C K

    1997-12-01

    A 34-month-old black boy who had contracted acquired immunodeficiency syndrome from his mother presented with fever, vomiting, and cough. He was cachectic, hypertonic, and developmentally delayed. A brain computed tomography scan revealed masses in the left frontal horn, subependymal, and periventricular regions; secondary edema; and hydrocephalus. The differential diagnosis was cerebral lymphoma versus toxoplasmosis. The patient had disseminated Mycobacterium avium-intracellulare infection, lymphoid interstitial pneumonitis, as well as Pseudomonas and Klebsiella pneumonia. He died of respiratory insufficiency 53 days after admission. The autopsy confirmed a primary cerebral B-cell lymphoma, large cell type, which was positive for Epstein-Barr virus, latent phase, by in situ hybridization. Primary central nervous system lymphomas are rare in children, in contrast to adults. To our knowledge, only five well-documented cases of primary cerebral lymphomas in infants and children with acquired immunodeficiency syndrome have been reported previously. The current study shows that these childhood lymphomas are associated with and presumably caused by Epstein-Barr virus and thus have a pathogenesis similar to that of primary central nervous system lymphomas in adults.

  5. MR imaging appearance of insufficiency fractures of the medial tibial plateau

    International Nuclear Information System (INIS)

    Laredo, J.D.; Savy, J.M.; Oreel, P.; Liote, F.; Kuntz, D.; Kaplan, G.

    1990-01-01

    This paper reports on the etiology of a painful syndrome of the medial tibial plateau (MTP) in elderly patients. Findings include acute pain of the medial aspect of the knee, normal plain radiographs, and increased uptake of the MTP on bone scans. It has been related to osteonecrosis in most cases and, more rarely, to an insufficiency fracture. To our knowledge, no MR studies of patients with this syndrome have been previously reported. Five patients presenting with this syndrome (age > 59 years) were studied with MR imaging. In all five cases, initial plain radiographs were normal and increased uptake of the MTP was found on bone scans

  6. Prevalence of central sleep apnea during continous positive airway pressure (CPAP) titration in subjects with obstructive sleep apnea syndrome at an altitude of 2640 m.

    Science.gov (United States)

    Bazurto Zapata, Maria Angelica; Martinez-Guzman, William; Vargas-Ramirez, Leslie; Herrera, Karen; Gonzalez-Garcia, Mauricio

    2015-03-01

    The occurrence of central apneas when applying positive pressure (CPAP) to patients with obstructive sleep apnea syndrome (OSAS) is called complex sleep apnea (CompSA). This causes poor adherence to CPAP and persistence of symptoms. In Bogota, a city located at an altitude of 2640 m above sea level, chronic hypoxemia can generate certain instability of the respiratory system during sleep which could increase the presence of central apnea. The aim was to establish the prevalence of central apnea (central apnea index >5/h) in adults with moderate or severe OSAS during CPAP titration, and the factors associated with this. Patients over 18 years old with OSAS were referred to the Fundacion Neumologica Colombiana Sleep Center, from January 2008 to June 2010. Polysomnogram (PSG) for CPAP titration was performed according to the American Academy of Sleep Medicine criteria. The prevalence was calculated and the clinical and baseline PSG factors associated with the CompSA were analyzed. We included 988 patients, 58% men. CompSA prevalence was 11.6%. Factors associated with CompSA were: central apneas in the baseline PSG (OR: 5.34 [3.49-8.16]), history of heart failure (OR: 2.53 [1.58-4.07]), and male sex (OR: 1.68 [1.06-2.69]). The prevalence of complex sleep apnea in Bogota (11.6%) was intermediate compared to the reported in lower altitudes. The factors associated with the development of CompSA were male sex, heart failure, and the presence of central apnea in the baseline PSG. Copyright © 2014 Elsevier B.V. All rights reserved.

  7. Increased central immunoreactive beta-endorphin content in patients with Wernicke-Korsakoff syndrome and in alcoholics.

    Science.gov (United States)

    Summers, J A; Pullan, P T; Kril, J J; Harper, C G

    1991-01-01

    beta-endorphin, adrenocorticotrophin, and alpha-melanocyte stimulating hormone were measured by radioimmunoassay in three areas of human brain at necropsy in seven subjects with Wernicke-Korsakoff syndrome and in 52 controls. Thiamin concentration in six brain areas was also measured. Mamillary body beta-endorphin concentrations were significantly increased in those with the syndrome compared with controls, and those controls with high alcohol intake showed increased mamillary body beta-endorphin compared with controls with low alcohol intake. Brain thiamin concentration was similar in both groups, with the exception of the brainstem, where it was reduced in subjects with Wernicke-Korsakoff syndrome. Thalamic beta-endorphin in controls was inversely correlated with thiamin in frontal white matter, frontal cortex, parietal white matter and parietal cortex, while beta-endorphin in the hypothalamus of patients was inversely correlated with thiamin in frontal cortex, parietal white matter, thalamus and brainstem. These results suggest that there is a disturbance of the endorphinergic system in Wernicke-Korsakoff syndrome which may be related to alcohol intake. PMID:1650797

  8. Increase in central striatal dopamine transporters in patients with Shwachman-Diamond syndrome: additional evidence of a brain phenotype

    NARCIS (Netherlands)

    Booij, Jan; Reneman, Liesbeth; Alders, Marielle; Kuijpers, Taco W.

    2013-01-01

    Patients with Shwachman-Diamond syndrome (SDS) do not only experience well-described physical features like skeletal abnormalities and hematological dysfunctions, but recent studies also suggested attention and working memory deficits in SDS. Indeed, a recent structural magnetic resonance imaging

  9. A case of central nervous system vasculitis related to an episode of Guillain-Barrè syndrome

    OpenAIRE

    Sinardi, Daniele; Spada, Antonella; Marino, Antonella; Mondello, Epifanio

    2000-01-01

    The authors report their knowledge about an uncommon case of isolated vasculitis, restricted to the left sylvian artery during an auto-immune Guillain-Barrè syndrome (GBS), sustained by cytomegalovirus (CMV). An acute cardiopulmonary failure requiring a ventilator and vasopressor support manifested, notwithstanding plasma exchanging and immune-modulating therapy. An IgM-enriched formula administration coincided with a rapid amelioration of GBS and vasculitis to a complete recovery the next mo...

  10. Strain transformation between tectonic extrusion and crustal thickening in the growth of the Tibetan Plateau

    Science.gov (United States)

    Liu, M.; Li, Y.; Sun, Y.; Shen, X.

    2017-12-01

    The Indo-Eurasian continental collision since 50 Ma has thickened the crust to raise the Himalayan-Tibetan Plateau and driven lateral extrusion of Asian lithospheric blocks to affect Cenozoic tectonics in central and east Asia. The relative roles of crustal thickening and tectonic extrusion, and the strain partitioning between them over time and space, remain controversial. We have analyzed the strain rates using GPS velocities, and correlated the results with vertical motion derived from precise leveling. We found that tectonic extrusion largely transforms to crustal thickening near the margins of the Tibetan Plateau. Near the NW margin of the Tibetan Plateau, the shear stain transforms to compressive strain, consistent with neotectonic studies that indicate crustal shortening and uplift. Around the SE margin, shear stain largely terminates in the southern Yunnan province of China. The present-day crustal motion in SE Tibetan Plateau can be well explained by gravitational spreading without invoking plate-edge push as envisioned in the tectonic extrusion model. Using data collected from local seismic arrays, we derived receiver functions to image the lithospheric structures across the Tibetan Plateau and the Alashan block to its north and the Ordos block to its east. Our results indicate that the mantle lithosphere of these bounding Asian blocks has not been reworked by Tibetan tectonics; instead they have acted as restrictive walls to the growing Tibetan Plateau. Our finite element modeling shows that crustal deformation along the margins of the Tibetan Plateau are consistent with the notion that the east- and southeastward extrusion of the Tibetan lithosphere is largely confined to the Tibetan Plateau because of the restrictive bounding blocks of the Asian lithosphere. Thus the tectonic impact of the Indo-Eurasian collision on the Cenozoic Asian tectonics may not be as extensive as previously thought.

  11. High-Resolution Regional Phase Attenuation Models of the Iranian Plateau and Surrounding Regions

    Science.gov (United States)

    2014-03-03

    crustal structure or sediment thickness across much of the Iranian plateau. The lone exception is the region between the central Zagros and the Lut block...L11303, 2007. Meunier, P., N. Hovius, and J. A. Haines, Topographic site effects and the location of earthquake induced landslides, Earth Planet . Sci

  12. Scrub typhus complicated by acute respiratory distress syndrome and multiorgan failure; an unrecognized alarming entity in central India: A report of two cases

    Directory of Open Access Journals (Sweden)

    Amrish Saxena

    2014-01-01

    Full Text Available Scrub typhus is an acute infectious illness, distributed throughout the Asia Pacific rim. In India, it has been reported from northern, eastern, and southern India. However, cases of scrub typhus have not been well-documented from Vidarbha, an eastern region of Maharashtra state in central India. We report two cases of complicated scrub typhus from Vidarbha region. These cases admitted in unconscious state with 8-10 days history of fever, body ache, cough, and progressive breathlessness. The diagnosis in both cases was based on presence of eschar, a positive Weil-Felix test, and a positive rapid diagnostic test (immunochromatographic assay. Both cases were complicated by acute respiratory distress syndrome (ARDS and multiorgan failure. Both of them presented in their 2 nd week of illness and died during the hospital course in spite of intensive supportive care. The main cause of mortality was delayed referral leading to delay in diagnosis and treatment.

  13. A patient with peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, Waardenburg syndrome, and severe hypoganglionosis associated with a novel SOX10 mutation.

    Science.gov (United States)

    Akutsu, Yuko; Shirai, Kentaro; Takei, Akira; Goto, Yudai; Aoyama, Tomohiro; Watanabe, Akimitu; Imamura, Masatoshi; Enokizono, Takashi; Ohto, Tatsuyuki; Hori, Tetsuo; Suzuki, Keiko; Hayashi, Masaharu; Masumoto, Kouji; Inoue, Ken

    2018-05-01

    In this report, we present the case of a female infant with peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, Waardenburg syndrome, and Hirschsprung disease (PCWH) associated with a novel frameshift mutation (c.842dupT) in exon 5, the last exon of SOX10. She had severe hypoganglionosis in the small intestine and entire colon, and suffered from frequent enterocolitis. The persistence of ganglion cells made both the diagnosis and treatment difficult in the neonatal period. She also showed hypopigmentation of the irises, hair and skin, bilateral sensorineural deafness with hypoplastic inner year, severe demyelinating neuropathy with hypotonia, and diffuse brain hypomyelination. The p.Ser282GlnfsTer12 mutation presumably escapes from nonsense-mediated decay and may generate a dominant-negative effect. We suggest that hypoganglionosis can be a variant intestinal manifestation associated with PCWH and that hypoganglionosis and aganglionosis may share the same pathoetiological mechanism mediated by SOX10 mutations. © 2018 Wiley Periodicals, Inc.

  14. Unified-planning, graded-administration, and centralized-controlling: a management modality for treating acquired immune deficiency syndrome with Chinese medicine in Henan Province of China.

    Science.gov (United States)

    Xu, Li-Ran; Guo, Hui-jun; Liu, Zhi-bin; Li, Qiang; Yang, Ji-ping; He, Ying

    2015-04-01

    Henan Province in China has a major epidemic of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). Chinese medicine (CM) has been used throughout the last decade, and a management modality was developed, which can be described by unified-planning, graded-administration, and centralized-controlling (UGC). The UGC modality has one primary concept (patient-centered medicine from CM theory), four basic foundations (classifying administrative region, characteristics of CM on disease treatment, health resource conditions, and distribution of patients living with HIV), six important relationships (the "three uniformities and three combinations," and the six relationships therein guide the treatment of AIDS with CM), and four key sections (management, operation, records, and evaluation). In this article, the authors introduce the UGC modality, which could be beneficial to developing countries or resource-limited areas for the management of chronic infectious disease.

  15. Spatial distribution and controlling factors of stable isotopes in meteoric waters on the Tibetan Plateau: Implications for paleoelevation reconstruction

    Science.gov (United States)

    Li, Lin; Garzione, Carmala N.

    2017-02-01

    Debates persist about the interpretations of stable isotope based proxies for the surface uplift of the central-northern Tibetan Plateau. These disputes arise from the uncertain relationship between elevation and the δ18 O values of meteoric waters, based on modern patterns of isotopes in precipitation and surface waters. We present a large river water data set (1,340 samples) covering most parts of the Tibetan Plateau to characterize the spatial variability and controlling factors of their isotopic compositions. Compared with the amount-weighted mean annual oxygen isotopic values of precipitation, we conclude that river water is a good substitute for isotopic studies of precipitation in the high flat (e.g., elevation >3,300 m) interior of the Tibetan Plateau in the mean annual timescale. We construct, for the first time based on field data, contour maps of isotopic variations of meteoric waters (δ18 O, δD and d-excess) on the Tibetan Plateau. In the marginal mountainous regions of the Plateau, especially the southern through eastern margins, the δ18 O and δD values of river waters decrease with increasing mean catchment elevation, which can be modeled as a Rayleigh distillation process. However, in the interior of the Plateau, northward increasing trends in δ18 O and δD values are pronounced and present robust linear relations; d-excess values are lower than the marginal regions and exhibit distinct contrasts between the eastern (8 ‰- 12 ‰) and western (Asian monsoon and Westerly winds; 2) contribution of moisture from recycled surface water; and 3) sub-cloud evaporation. We further provide a sub-cloud evaporation modified Rayleigh distillation and mixing model to simulate the isotopic variations in the western Plateau. Results of this work suggest that stable isotope-based paleoaltimetry studies are reliable in the southern through eastern Plateau margins; towards the central-northern Plateau, this method cannot be applied without additional

  16. Crooked Calf Syndrome: Managing Lupines on Rangelands of the Channel Scablands of East-Central Washington State

    Science.gov (United States)

    “Crooked calf syndrome”, the contracture-type skeletal defects and cleft palate caused by velvet lupine (Lupinus leucophyllus) on the channel Scablands of east-central Washington State are the same as those defects induced by Conium maculatum (poison-hemlock) and Nicotiana spp. (wild tobacco) in rum...

  17. Moderate voluntary exercise attenuates the metabolic syndrome in melanocortin-4 receptor-deficient rats showing central dopaminergic dysregulation

    Directory of Open Access Journals (Sweden)

    Silvana Obici

    2015-10-01

    Conclusions: Central dopamine dysregulation during VWR reinforces the link between MC4R function and molecular and behavioral responding to rewards. The data also suggest that exercise can be a successful lifestyle intervention in MC4R-haploinsufficient individuals despite reduced positive reinforcement during exercise training.

  18. Some practical notes on the land surface modeling in the Tibetan Plateau

    Directory of Open Access Journals (Sweden)

    K. Yang

    2009-05-01

    Full Text Available The Tibetan Plateau is a key region of land-atmosphere interactions, as it provides an elevated heat source to the middle-troposphere. The Plateau surfaces are typically characterized by alpine meadows and grasslands in the central and eastern part while by alpine deserts in the western part. This study evaluates performance of three state-of-the-art land surface models (LSMs for the Plateau typical land surfaces. The LSMs of interest are SiB2 (the Simple Biosphere, CoLM (Common Land Model, and Noah. They are run at typical alpine meadow sites in the central Plateau and typical alpine desert sites in the western Plateau.

    The identified key processes and modeling issues are as follows. First, soil stratification is a typical phenomenon beneath the alpine meadows, with dense roots and soil organic matters within the topsoil, and it controls the profile of soil moisture in the central and eastern Plateau; all models, when using default parameters, significantly under-estimate the soil moisture within the topsoil. Second, a soil surface resistance controls the surface evaporation from the alpine deserts but it has not been reasonably modeled in LSMs; an advanced scheme for soil water flow is implemented in a LSM, based on which the soil resistance is determined from soil water content and meteorological conditions. Third, an excess resistance controls sensible heat fluxes from dry bare-soil or sparsely vegetated surfaces, and all LSMs significantly under-predict the ground-air temperature gradient, which would result in higher net radiation, lower soil heat fluxes and thus higher sensible heat fluxes in the models. A parameterization scheme for this resistance has been shown to be effective to remove these biases.

  19. Central sensitization does not identify patients with carpal tunnel syndrome who are likely to achieve short-term success with physical therapy.

    Science.gov (United States)

    Fernández-de-Las-Peñas, César; Cleland, Joshua A; Ortega-Santiago, Ricardo; de-la-Llave-Rincon, Ana Isabel; Martínez-Perez, Almudena; Pareja, Juan A

    2010-11-01

    The aim of the current study was to identify whether hyperexcitability of the central nervous system is a prognostic factor for individuals with carpal tunnel syndrome (CTS) likely to experience rapid and clinical self-reported improvement following a physical therapy program including soft tissue mobilization and nerve slider neurodynamic interventions. Women presenting with clinical and electrophysiological findings of CTS were involved in a prospective single-arm trial. Participants underwent a standardized examination and then a physical therapy session. The physical therapy sessions included both soft tissue mobilization directed at the anatomical sites of potential median nerve entrapment and a passive nerve slider neurodynamic technique targeted to the median nerve. Pressure pain thresholds (PPT) over the median, radial and ulnar nerves, C5-C6 zygapophyseal joint, carpal tunnel and tibialis anterior muscle were assessed bilaterally. Additionally, thermal detection and pain thresholds were measured over the carpal tunnel and thenar eminence bilaterally to evaluate central nervous system excitability. Subjects were classified as responders (having achieved a successful outcome) or non-responders based on self-perceived recovery. Variables were entered into a stepwise logistic regression model to determine the most accurate variables for determining prognosis. Data from 72 women were included in the analysis, of which 35 experienced a successful outcome (48.6%). Three variables including PPT over the C5-C6 joint affected side 66 points were identified. If 2 out of 3 variables were present (LR + 14.8), the likelihood of success increased from 48.6 to 93.3%. We identified 3 factors that may be associated with a rapid clinical response to both soft tissue mobilization and nerve slider neurodynamic techniques targeted to the median nerve in women presenting with CTS. Our results support that widespread central sensitization may not be present in women with CTS who

  20. Three-dimensional Crustal Structure beneath the Tibetan Plateau Revealed by Multi-scale Gravity Analysis

    Science.gov (United States)

    Xu, C.; Luo, Z.; Sun, R.; Li, Q.

    2017-12-01

    The Tibetan Plateau, the largest and highest plateau on Earth, was uplifted, shorten and thicken by the collision and continuous convergence of the Indian and Eurasian plates since 50 million years ago, the Eocene epoch. Fine three-dimensional crustal structure of the Tibetan Plateau is helpful in understanding the tectonic development. At present, the ordinary method used for revealing crustal structure is seismic method, which is inhibited by poor seismic station coverage, especially in the central and western plateau primarily due to the rugged terrain. Fortunately, with the implementation of satellite gravity missions, gravity field models have demonstrated unprecedented global-scale accuracy and spatial resolution, which can subsequently be employed to study the crustal structure of the entire Tibetan Plateau. This study inverts three-dimensional crustal density and Moho topography of the Tibetan Plateau from gravity data using multi-scale gravity analysis. The inverted results are in agreement with those provided by the previous works. Besides, they can reveal rich tectonic development of the Tibetan Plateau: (1) The low-density channel flow can be observed from the inverted crustal density; (2) The Moho depth in the west is deeper than that in the east, and the deepest Moho, which is approximately 77 km, is located beneath the western Qiangtang Block; (3) The Moho fold, the directions of which are in agreement with the results of surface movement velocities estimated from Global Positioning System, exists clearly on the Moho topography.This study is supported by the National Natural Science Foundation of China (Grant No. 41504015), the China Postdoctoral Science Foundation (Grant No. 2015M572146), and the Surveying and Mapping Basic Research Programme of the National Administration of Surveying, Mapping and Geoinformation (Grant No. 15-01-08).

  1. Surface ozone at Nam Co in the inland Tibetan Plateau: variation, synthesis comparison and regional representativeness

    Science.gov (United States)

    Yin, Xiufeng; Kang, Shichang; de Foy, Benjamin; Cong, Zhiyuan; Luo, Jiali; Zhang, Lang; Ma, Yaoming; Zhang, Guoshuai; Rupakheti, Dipesh; Zhang, Qianggong

    2017-09-01

    Ozone is an important pollutant and greenhouse gas, and tropospheric ozone variations are generally associated with both natural and anthropogenic processes. As one of the most pristine and inaccessible regions in the world, the Tibetan Plateau has been considered as an ideal region for studying processes of the background atmosphere. Due to the vast area of the Tibetan Plateau, sites in the southern, northern and central regions exhibit different patterns of variation in surface ozone. Here, we present continuous measurements of surface ozone mixing ratios at Nam Co Station over a period of ˜ 5 years (January 2011 to October 2015), which is a background site in the inland Tibetan Plateau. An average surface ozone mixing ratio of 47.6 ± 11.6 ppb (mean ± standard deviation) was recorded, and a large annual cycle was observed with maximum ozone mixing ratios in the spring and minimum ratios during the winter. The diurnal cycle is characterized by a minimum in the early morning and a maximum in the late afternoon. Nam Co Station represents a background region where surface ozone receives negligible local anthropogenic emissions inputs, and the anthropogenic contribution from South Asia in spring and China in summer may affect Nam Co Station occasionally. Surface ozone at Nam Co Station is mainly dominated by natural processes involving photochemical reactions, vertical mixing and downward transport of stratospheric air mass. Model results indicate that the study site is affected differently by the surrounding areas in different seasons: air masses from the southern Tibetan Plateau contribute to the high ozone levels in the spring, and enhanced ozone levels in the summer are associated with air masses from the northern Tibetan Plateau. By comparing measurements at Nam Co Station with those from other sites on the Tibetan Plateau, we aim to expand the understanding of ozone cycles and transport processes over the Tibetan Plateau. This work may provide a

  2. Interannual variability of the normalized difference vegetation index on the Tibetan Plateau and its relationship with climate change

    Science.gov (United States)

    Zhou, Dingwen; Fan, Guangzhou; Huang, Ronghui; Fang, Zhifang; Liu, Yaqin; Li, Hongquan

    2007-05-01

    The Qinghai-Xizang Plateau, or Tibetan Plateau, is a sensitive region for climate change, where the manifestation of global warming is particularly noticeable. The wide climate variability in this region significantly affects the local land ecosystem and could consequently lead to notable vegetation changes. In this paper, the interannual variations of the plateau vegetation are investigated using a 21-year normalized difference vegetation index (NDVI) dataset to quantify the consequences of climate warming for the regional ecosystem and its interactions. The results show that vegetation coverage is best in the eastern and southern plateau regions and deteriorates toward the west and north. On the whole, vegetation activity demonstrates a gradual enhancement in an oscillatory manner during 1982 2002. The temporal variation also exhibits striking regional differences: an increasing trend is most apparent in the west, south, north and southeast, whereas a decreasing trend is present along the southern plateau boundary and in the central-east region. Covariance analysis between the NDVI and surface temperature/precipitation suggests that vegetation change is closely related to climate change. However, the controlling physical processes vary geographically. In the west and east, vegetation variability is found to be driven predominantly by temperature, with the impact of precipitation being of secondary importance. In the central plateau, however, temperature and precipitation factors are equally important in modulating the interannual vegetation variability.

  3. Preliminary subsurface hydrologic considerations: Columbia River Plateau Physiographic Province. Assessment of effectiveness of geologic isolation systems

    International Nuclear Information System (INIS)

    Veatch, M.D.

    1980-04-01

    This report contains a discussion of the hydrologic conditions of the Columbia River Plateau physiographic province. The Columbia River Plateau is underlain by a thick basalt sequence. The Columbia River basalt sequence contains both basalt flows and sedimentary interbeds. These sedimentary interbeds, which are layers of sedimentary rock between lava flows, are the main aquifer zones in the basalt sequence. Permeable interflow zones, involving the permeable top and/or rubble bottom of a flow, are also water-transmitting zones. A number of stratigraphic units are present in the Pasco Basin, which is in the central part of the Columbia River Plateau. At a conceptual level, the stratigraphic sequence from the surface downward can be separated into four hydrostratigraphic systems. These are: (1) the unsaturated zone, (2) the unconfined aquifer, (3) the uppermost confined aquifers, and (4) the lower Yakima basalt hydrologic sequence. A conceptual layered earth model (LEM) has been developed. The LEM represents the major types of porous media (LEM units) that may be encountered at a number of places on the Columbia Plateau, and specifically in the Pasco Basin. The conceptual LEM is not representative of the actual three-dimensional hydrostratigraphic sequence and hydrologic conditions existing at any specific site within the Columbia Plateau physiographic province. However, the LEM may be useful for gaining a better understanding of how the hydrologic regime may change as a result of disruptive events that may interact with a waste repository in geologic media

  4. Combining CHAMP and Swarm Satellite Data to Invert the Lithospheric Magnetic Field in the Tibetan Plateau.

    Science.gov (United States)

    Qiu, Yaodong; Wang, Zhengtao; Jiang, Weiping; Zhang, Bingbing; Li, Fupeng; Guo, Fei

    2017-01-26

    CHAMP and Swarm satellite magnetic data are combined to establish the lithospheric magnetic field over the Tibetan Plateau at satellite altitude by using zonal revised spherical cap harmonic analysis (R-SCHA). These data are integrated with geological structures data to analyze the relationship between magnetic anomaly signals and large-scale geological tectonic over the Tibetan Plateau and to explore the active tectonic region based on the angle of the magnetic anomaly. Results show that the model fitting error is small for a layer 250-500 km high, and the RMSE of the horizontal and radial geomagnetic components is better than 0.3 nT. The proposed model can accurately describe medium- to long-scale lithospheric magnetic anomalies. Analysis indicates that a negative magnetic anomaly in the Tibetan Plateau significantly differs with a positive magnetic anomaly in the surrounding area, and the boundary of the positive and negative regions is generally consistent with the geological tectonic boundary in the plateau region. Significant differences exist between the basement structures of the hinterland of the plateau and the surrounding area. The magnetic anomaly in the Central and Western Tibetan Plateau shows an east-west trend, which is identical to the direction of the geological structures. The magnetic anomaly in the eastern part is arc-shaped and extends along the northeast direction. Its direction is significantly different from the trend of the geological structures. The strongest negative anomaly is located in the Himalaya block, with a central strength of up to -9 nT at a height of 300 km. The presence of a strong negative anomaly implies that the Curie isotherm in this area is relatively shallow and deep geological tectonic activity may exist.

  5. C-Peptide Is a Sensitive Indicator for the Diagnosis of Metabolic Syndrome in Subjects from Central Mexico.

    Science.gov (United States)

    Gonzalez-Mejia, M Elba; Porchia, Leonardo M; Torres-Rasgado, Enrique; Ruiz-Vivanco, Guadalupe; Pulido-Pérez, Patricia; Báez-Duarte, Blanca G; Pérez-Fuentes, Ricardo

    2016-05-01

    Metabolic Syndrome (MetS) is associated with elevated risk for developing diabetes and cardiovascular disease. A key component of MetS is the development of insulin resistance (IR). The homeostatic model assessment (HOMA) model can determine IR by using insulin or C-peptide concentrations; however, the efficiency of insulin and C-peptide to determine MetS has not been compared. The aim of the study was to compare the efficiency of C-peptide and insulin to determine MetS in Mexicans. Anthropometrics, glucose, insulin, C-peptide, triglycerides, and high-density lipoproteins were determined in 156 nonpregnant females and 114 males. Subjects were separated into normal or positive for MetS. IR was determined by the HOMA2 calculator using insulin or C-peptide. Correlations were calculated using the Spearman correlation coefficient (ρ). Differences between correlations were determined by calculating Steiger's Z. The sensitivity was determined by the area under receiver operating characteristics curve (AUC) analysis. Independent of the MetS definition [Adult Treatment Panel III (ATP III), International Diabetes Federation (IDF), or World Health Organization (WHO)], C-peptide and insulin were significantly higher in MetS subjects (P indicator of MetS. Since C-peptide has recently emerged as a biomolecule with significant importance for inflammatory diseases, monitoring C-peptide levels will aid clinicians in preventing MetS.

  6. Evaluation of best corrected visual acuity and central macular thickness after intravitreal dexamethasone implant injections in patients with Irvine-Gass syndrome: A retrospective study of six cases.

    Science.gov (United States)

    Keilani, Chafik; Halalchi, Aziz; Wakpi Djeugue, Désiré; Regis, Anne; Abada, Samir

    2016-10-01

    Irvine-Gass syndrome is a macular edema (ME) that specifically occurs after cataract surgery. Its incidence varies from 0.2-2%. The purpose of this study is to evaluate the effectiveness of intravitreal dexamethasone implant injections in patients with Irvine-Gass syndrome. Patients with ME secondary to cataract surgery who underwent intravitreal injections of dexamethasone implant between December 2011 to October 2014 at François-Quesnay hospital (Mantes-la-Jolie, France) were retrospectively reviewed. The patients were followed for at least 10 months. All the patients were handled by intravitreal injection of dexamethasone in the eye of study among which some resisted to a preliminary treatment by non-steroidal anti-inflammatory drug (NSAID) and acetazolamide. The patients were examined each month. The patients were again handled by intravitreal injection of dexamethasone if they presented a recurrence. The primary endpoint of the study was determined on best corrected visual acuity (BCVA) using early diabetic retinopathy study (ETDRS) scale and central macular thickness (CMT) [μm] using optical coherence tomography (OCT) 3 and 6 months after the first injection. Secondary endpoints were the number of recurrences, the number of injections, the duration average before the first recurrence, the BCVA 10 months after the first injection and the tolerance. Six eyes of six patients were studied. At baseline, the mean (standard deviation [SD]) of the BCVA was 59.8±11. Three months after the first injection, the mean (SD) of the BCVA showed a statistically significant increase to 72.2±8.6 (P=0.03). Six months after the first injection, the mean (SD) of the BCVA showed a statistically significant increase to 72±11.8 (P=0.03). Concerning the CMT, the mean (SD) was 495.6±135.2 before treatment. Three months after the first injection, the mean (SD) of the CMT showed a statistically significant decrease to 268.6±57.8 (P=0.03). Six months after the first injection, the

  7. Guillain–Barre syndrome: Demographics, clinical profile & seasonal variation in a tertiary care centre of central India

    Science.gov (United States)

    Shrivastava, Manisha; Nehal, Shah; Seema, Navaid

    2017-01-01

    Background & objectives: Guillain–Barre syndrome (GBS) is an autoimmune disease and a recognized cause of generalized progressive paralysis worldwide. The present study was aimed to document the clinical findings, demographics and seasonal variations amongst the patients with GBS during the hospital stay. Methods: A retrospective analysis of 66 referred cases diagnosed as GBS was conducted. Medical records and the data related to age, sex, antecedent illness, duration of symptoms before admission, muscle power graded by the Medical Research Council scale, functional scores, details of Intensive Care Unit complications and need for ventilation were obtained. The patients were divided into four seasonal groups: S1 (spring, February to April), S2 (summer, May to July), S3 (rainy, August to October) and S4 (winter, November to January) and parameters were studied. Results: The mean age of the patients was 40.69 yr. Forty one (62.1%) patients had a history of preceding illness. Forty nine (74.2%) patients showed quadriparesis as most common complaint. Thirty three (50%) patients were of acute inflammatory demyelinating polyneuropathy (AIDP) variant. The highest number of GBS cases (60%) was found in S1 and S2. The maximum duration of hospital stay was observed in S3 group (mean 23 days). Interpretation & conclusions: GBS seems to affect all age groups with male preponderance. Most common antecedent event and presenting feature were flu-like illness and quadriparesis, respectively. AIDP was the most common variant. Most cases occurred from February to July (S1 and S2 group) (maximum in July) with preceding influenza and diarrhoea and maximum duration of hospital stay was observed in S3 group. Prospective studies with follow up of GBS patients need to be done to confirm findings. PMID:28639596

  8. Development of central nervous system autoimmunity is impaired in the absence of Wiskott-Aldrich syndrome protein.

    Directory of Open Access Journals (Sweden)

    Marita Bosticardo

    Full Text Available Wiskott-Aldrich Syndrome protein (WASP is a key regulator of the actin cytoskeleton in hematopoietic cells. Defective expression of WASP leads to multiple abnormalities in different hematopoietic cells. Despite severe impairment of T cell function, WAS patients exhibit a high prevalence of autoimmune disorders. We attempted to induce EAE, an animal model of organ-specific autoimmunity affecting the CNS that mimics human MS, in Was(-/- mice. We describe here that Was(-/- mice are markedly resistant against EAE, showing lower incidence and milder score, reduced CNS inflammation and demyelination as compared to WT mice. Microglia was only poorly activated in Was(-/- mice. Antigen-induced T-cell proliferation, Th-1 and -17 cytokine production and integrin-dependent adhesion were increased in Was(-/- mice. However, adoptive transfer of MOG-activated T cells from Was(-/- mice in WT mice failed to induce EAE. Was(-/- mice were resistant against EAE also when induced by adoptive transfer of MOG-activated T cells from WT mice. Was(+/- heterozygous mice developed an intermediate clinical phenotype between WT and Was(-/- mice, and they displayed a mixed population of WASP-positive and -negative T cells in the periphery but not in their CNS parenchyma, where the large majority of inflammatory cells expressed WASP. In conclusion, in absence of WASP, T-cell responses against a CNS autoantigen are increased, but the ability of autoreactive T cells to induce CNS autoimmunity is impaired, most probably because of an inefficient T-cell transmigration into the CNS and defective CNS resident microglial function.

  9. Association of MEP1A gene variants with insulin metabolism in central European women with polycystic ovary syndrome.

    Science.gov (United States)

    Lam, Uyen D P; Lerchbaum, Elisabeth; Schweighofer, Natascha; Trummer, Olivia; Eberhard, Katharina; Genser, Bernd; Pieber, Thomas R; Obermayer-Pietsch, Barbara

    2014-03-10

    Polycystic ovary syndrome (PCOS) shows not only hyperandrogenemia, hirsutism and fertility problems, but also metabolic disturbances including obesity, cardiovascular events and type-2 diabetes. Accumulating evidence suggests some degree of inflammation associated with prominent aspects of PCOS. We aimed to investigate the association of genetic variants 3'UTR rs17468190 (G/T) of the inflammation-associated gene MEP1A (GenBank ID: NM_005588.2) with metabolic disturbances in PCOS and healthy control women. Genetic variants rs17468190 (G/T) of MEP1A gene were analyzed in 576 PCOS women and 206 controls by using the Taqman fluorogenic 5'-exonuclease assay. This polymorphism was tested for association with anthropometric, metabolic, hormonal, and functional parameters of PCOS. There was a borderline significant difference in genotype distribution between PCOS and control women (p=0.046). In overweight/obese PCOS patients, the variants rs17468190 (G/T) in the MEP1A gene are associated with glucose and insulin metabolism. In a dominant model, the GG genotype of the MEP1A gene was more strongly associated with insulin metabolism in overweight/obese PCOS women (body mass index, BMI>25 kg/m(2)), than in GT+TT genotypes. The MEP1A GG-carriers showed a significantly increased homeostatic model assessment - insulin resistance (HOMA-IR) (p=0.003), elevation of fasting insulin (p=0.004) and stimulated insulin (30 min, pdisease modification in PCOS. It might contribute to the abnormalities of glucose metabolism and insulin sensitivity and serve as a diagnostic or therapeutic target gene for PCOS. Copyright © 2014 Elsevier B.V. All rights reserved.

  10. Gorlin-goltz syndrome

    International Nuclear Information System (INIS)

    Ahmed, N.; Salman, M.; Mansoor, M.A.

    2007-01-01

    Multiple jaw cysts are a characteristic manifestation of basal cell nevus (Gorlin) syndrome. Gorlin-Goltz syndrome is characterized by symptoms primarily involving the skin, central nervous system, and skeletal system. In 90% of the patients, nevoid basal cell carcinoma syndrome is associated with recurring odontogenic keratocysts. This patient showed recurrent jaw and maxillary cysts, for which he was followed for 2 years. (author)

  11. The acute radiation syndrome

    International Nuclear Information System (INIS)

    Souhami Filho, L.

    1985-01-01

    Symptoms and signs from medical aspects resulting from whole body exposure, or in the main part, to ionizing radiation are described. The dose-response relationship is studied and the exposure is divided in three parts: central nervous system syndrome, gastrointestinal syndrome and hematopoietic syndrome. Brief comments about the treatment are reported. (M.A.C.) [pt

  12. Origin and radiative forcing of black carbon transported to the Himalayas and Tibetan Plateau

    Directory of Open Access Journals (Sweden)

    M. Kopacz

    2011-03-01

    Full Text Available The remote and high elevation regions of central Asia are influenced by black carbon (BC emissions from a variety of locations. BC deposition contributes to melting of glaciers and questions exist, of both scientific and policy interest, as to the origin of the BC reaching the glaciers. We use the adjoint of the GEOS-Chem model to identify the location from which BC arriving at a variety of locations in the Himalayas and Tibetan Plateau originates. We then calculate its direct and snow-albedo radiative forcing. We analyze the seasonal variation in the origin of BC using an adjoint sensitivity analysis, which provides a detailed map of the location of emissions that directly contribute to black carbon concentrations at receptor locations. We find that emissions from northern India and central China contribute the majority of BC to the Himalayas, although the precise location varies with season. The Tibetan Plateau receives most BC from western and central China, as well as from India, Nepal, the Middle East, Pakistan and other countries. The magnitude of contribution from each region varies with season and receptor location. We find that sources as varied as African biomass burning and Middle Eastern fossil fuel combustion can significantly contribute to the BC reaching the Himalayas and Tibetan Plateau. We compute radiative forcing in the snow-covered regions and find the forcing due to the BC induced snow-albedo effect to vary from 5–15 W m−2 within the region, an order of magnitude larger than radiative forcing due to the direct effect, and with significant seasonal variation in the northern Tibetan Plateau. Radiative forcing from reduced snow albedo likely accelerates glacier melting. Our analysis may help inform mitigation efforts to slow the rate of glacial melt by identifying regions that make the largest contributions to BC deposition in the Himalayas and Tibetan Plateau.

  13. The Hikurangi Plateau: Tectonic Ricochet and Accretion

    Science.gov (United States)

    Willis, David; Moresi, Louis; Betts, Peter; Whittaker, Joanne

    2015-04-01

    80 million years between interactions with different subduction systems provided time for the Hikurangi Plateau and Pacific Ocean lithosphere to cool, densify and strengthen. Neogene subduction of the Hikurangi Plateau occurring orthogonal to its Cretaceous predecessor, provides a unique opportunity to explore how changes to the physical properties of oceanic lithosphere affect subduction dynamics. We used Underworld to build mechanically consistent collision models to understand the dynamics of the two Hikurangi collisions. The Hikurangi Plateau is a ~112 Ma, 15km thick oceanic plateau that has been entrained by subduction zones immediately preceding the final break-up of Eastern Gondwana and currently within the active Hikurangi Margin. We explore why attempted subduction of the plateau has resulted in vastly different dynamics on two separate occasions. Slab break-off occured during the collision with Gondwana, currently there is apparent subduction of the plateau underneath New Zealand. At ~100Ma the young, hot Hikurangi Plateau, positively buoyant with respect to the underlying mantle, impacted a Gondwana Margin under rapid extension after the subduction of an mid-ocean ridge 10-15Ma earlier. Modelling of plateaus within young oceanic crust indicates that subduction of the thickened crust was unlikely to occur. Frontal accretion of the plateau and accompanying slab break-off is expected to have occured rapidly after its arrival. The weak, young slab was susceptible to lateral propagation of the ~1500 km window opened by the collision, and break-off would have progressed along the subduction zone inhibiting the "step-back" of the trench seen in older plates. Slab break-off coincided with a world-wide reorganisation of plate velocites, and orogenic collapse along the Gondwana margin characterised by rapid extension and thinning of the over-riding continental plate from ~60 to 30km. Following extension, Zealandia migrated to the NW until the Miocene allowing the

  14. Computed tomography of tibial plateau fractures

    International Nuclear Information System (INIS)

    Rafii, M.; Firooznia, H.; Golimbu, C.; Bonamo, J.

    1984-01-01

    Twenty patients with tibial plateau fractures were studied by conventional tomography and computed tomography (CT) in order to determine the role and feasibility of CT in management of such patients. CT resulted in less discomfort to the patient and provided optimal visualization of the plateau defect and the split fragments. It proved more accurate than conventional tomography in assessing depressed and split fractures when they involved the anterior or posterior border of the plateau and in demonstrating the extent of fracture comminution. Split fragments with an oblique plane of fracture also were seen better by CT. The degree of fracture depression and separation as measured by the computerized technique was often more accurate than measurements obtained from conventional tomograms

  15. Multielement stoichiometry of submerged macrophytes across Yunnan plateau lakes (China).

    Science.gov (United States)

    Xing, Wei; Wu, Haoping; Shi, Qiao; Hao, Beibei; Liu, Han; Wang, Zhixiu; Liu, Guihua

    2015-05-13

    Stoichiometric homeostasis of element composition is one of the central concepts of ecological stoichiometry. We analyzed concentrations of macroelements (C, N, P, Ca, K, Mg, S), microelements (Cu, Fe, Mn, Mo, Ni, Zn) and beneficial elements (Na, Se, Si) in submerged macrophytes, water and sediments across 20 Yunnan plateau lakes. We predicted that tissue element composition in submerged macrophytes is affected by lake trophic level and taxonomy, and submerged macrophytes have weak stoichiometric homeostasis for all above 16 elements. Canonical discriminant analyses successfully discriminated among trophic level groups and taxa groups. Of all the elements, C, N, P and S most effectively discriminated among trophic level groups across 20 lakes, revealing lake trophic level mostly affect tissue macroelement composition in submerged macrophytes; while Ca, K and Se most effectively discriminated among submerged macrophytes taxa groups, suggesting taxonomy mostly affect compositions of macroelements and beneficial elements in submerged macrophytes. In addition, the stoichiometric homeostatic coefficient of 1/HCa:C for all five taxa of submerged macrophytes were less than zero, suggesting submerged macrophytes in Yunnan plateau lakes have strong Ca stoichiometric homeostasis. Our findings, not only broaden the knowledge of multielement stoichiometric homeostasis, but also help to choose most appropriate lake management strategy.

  16. Plateau iris secondary to iridociliary cysts.

    Science.gov (United States)

    Vila-Arteaga, J; Díaz-Céspedes, R A; Suriano, M M

    2015-11-01

    We present a case of plateau iris and glaucoma due to multiple unilateral iridociliary cysts. The patient was treated with iridotomy Nd: YAG laser and 360° iridoplasty, without achieving pressure control. Phacoemulsification improved the hypertension. Dynamic gonioscopy and OCT of the anterior chamber was also performed before and after treatment. Iridociliary cysts are a benign condition that can cause iris plateau configuration, and can produce a difficult to treat ocular hypertension. Cystotomy, peripheral iridoplasty, and other treatments have been proposed. Copyright © 2014 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  17. Effects of temperature anisotropy on neoclassical transport in the plateau and banana-plateau regimes

    International Nuclear Information System (INIS)

    Taguchi, Masayoshi

    1999-01-01

    The neoclassical transport theory in a presence of temperature anisotropy is investigated in the low to the intermediate collision frequency regimes for a large aspect-ratio tokamak plasma. The standard procedure for an isotropic plasma in the plateau regime is extended to an anisotropic plasma, and the neoclassical transport coefficients in this regime are explicitly calculated. By interpolating the results in the plateau regime and the previously obtained ones in the banana regime, the expressions for the neoclassical transport coefficients which are continuously valid from the banana to the plateau regimes are presented. (author)

  18. Central arterial stiffness and diastolic dysfunction are associated with insulin resistance and abdominal obesity in young women but polycystic ovary syndrome does not confer additional risk.

    Science.gov (United States)

    Rees, E; Coulson, R; Dunstan, F; Evans, W D; Blundell, H L; Luzio, S D; Dunseath, G; Halcox, J P; Fraser, A G; Rees, D A

    2014-09-01

    Are arterial stiffness, carotid intima-media thickness and diastolic dysfunction increased in young women with polycystic ovary syndrome (PCOS) independently of the effects of obesity? Insulin resistance and central obesity are associated with subclinical cardiovascular dysfunction in young women, but a diagnosis of PCOS does not appear to confer additional risk at this age. Some studies have shown that young women with PCOS may have increased measures of cardiovascular risk, including arterial stiffness, carotid intima-media thickness and myocardial dysfunction. However, it is difficult to establish how much of this risk is due to PCOS per se and how much is due to obesity and insulin resistance, which are common in PCOS and themselves associated with greater vascular risk. This cross-sectional study comprised 84 women with PCOS and 95 healthy volunteers, aged 16-45 years. The study was conducted in a university hospital. Subjects underwent a comprehensive assessment of body composition (including computed tomography (CT) assessment of visceral fat; VF), measurements of arterial stiffness (aortic pulse wave velocity; aPWV), common carotid intima-media thickness (ccIMT), diastolic function (longitudinal tissue velocity; e':a') and endocrinological measures. A sample size of 80 in each group gave 80% power for detecting a difference of 0.45 m/s in aPWV or a difference of 0.25 in e':a'. After adjustment for age and body mass index (BMI), PCOS subjects had a greater insulin response (insulin area under the curve-IAUC) following glucose challenge (adjusted difference [AD] 35 900 pmol min/l, P insulin resistance were only partly attenuated by adjusting for logVF. There was no significant relationship between aPWV or e':a' and either testosterone or adiponectin. The study recruited young women meeting the Rotterdam criteria for PCOS diagnosis; hence our findings may not be generalizable to older patients or those meeting other definitions of the syndrome. Biochemical

  19. Glacier mass changes on the Tibetan Plateau 2003–2009 derived from ICESat laser altimetry measurements

    International Nuclear Information System (INIS)

    Neckel, N; Kropáček, J; Hochschild, V; Bolch, T

    2014-01-01

    Glacier mass changes are a valuable indicator of climate variability and monsoon oscillation on the underexplored Tibetan Plateau. In this study data from the Ice Cloud and Elevation Satellite (ICESat) is employed to estimate elevation and mass changes of glaciers on the Tibetan Plateau between 2003 and 2009. In order to get a representative sample size of ICESat measurements, glaciers on the Tibetan Plateau were grouped into eight climatically homogeneous sub-regions. Most negative mass budgets of − 0.77 ± 0.35 m w.e. a −1 were found for the Qilian Mountains and eastern Kunlun Mountains while a mass gain of + 0.37 ± 0.25 m w.e. a −1 was found in the westerly-dominated north-central part of the Tibetan Plateau. A total annual mass budget of − 15.6 ± 10.1 Gt a −1 was estimated for the eight sub-regions sufficiently covered by ICESat data which represents ∼80% of the glacier area on the Tibetan Plateau. 13.9 ± 8.9 Gt a −1 (or 0.04 ± 0.02 mm a −1 sea-level equivalent) of the total mass budget contributed ‘directly’ to the global sea-level rise while 1.7 ± 1.9 Gt a −1 drained into endorheic basins on the plateau. (paper)

  20. 200 Area plateau inactive miscellaneous underground storage tanks locations

    International Nuclear Information System (INIS)

    Brevick, C.H.

    1997-01-01

    Fluor Daniel Northwest (FDNW) has been tasked by Lockheed Martin Hanford Corporation (LMHC) to incorporate current location data for 64 of the 200-Area plateau inactive miscellaneous underground storage tanks (IMUST) into the centralized mapping computer database for the Hanford facilities. The IMUST coordinate locations and tank names for the tanks currently assigned to the Hanford Site contractors are listed in Appendix A. The IMUST are inactive tanks installed in underground vaults or buried directly in the ground within the 200-East and 200-West Areas of the Hanford Site. The tanks are categorized as tanks with a capacity of less than 190,000 liters (50,000 gal). Some of the IMUST have been stabilized, pumped dry, filled with grout, or may contain an inventory or radioactive and/or hazardous materials. The IMUST have been out of service for at least 12 years

  1. Regional basalt hydrology of the Columbia Plateau in Washington

    International Nuclear Information System (INIS)

    Tanaka, H.; Barrett, G.; Wildrick, L.

    1979-10-01

    This study is part of the Basalt Waste Isolation Project, operated for the US Department of Energy by Rockwell Hanford Operations. The overall purpose of the study is to assess locations within the Columbia River Basalt Group beneath the Hanford Site in south-central Washington suitable for a geologic repository for radioactive waste. This hydrologic study was made to describe the hydrologic characteristics of the basalt units of the Columbia Plateau. This was done by comprehensive data compilation, data interpretation and analysis. Data are presented in the form of maps and tables suitable as input information about the regional hydrology for possible future analysis by computer models. The report includes: an introduction; basic data; interpretation which covers stratigraphic trend surface, water levels, transmissivity and storage of aquifers, recharge, discharge, flow, subbasins, cross sections, references and appendix of record of wells

  2. (Bos grunniens) in Qinghai-Tibetan Plateau

    African Journals Online (AJOL)

    DR. NJ TONUKARI

    2012-10-30

    Oct 30, 2012 ... Qinghai-Tibetan Plateau, as it represents a unique bovine species adapted to ..... al., 1993; Udina et al., 2003), mastitis caused by. Staphylococcus sp. ... for prevention and treatment in many cases (Gerald et al., 2003). But in ...

  3. The Climate Effect of the Topographies at the Northern Margin of the Tibetan Plateau

    Science.gov (United States)

    Sha, Y.; Shi, Z.; Liu, X.

    2017-12-01

    The Tibetan Plateau play a crucial role in the formation and evolution of the Asian monsoon-interior aridity climate system. However, the climate effect of other relatively smaller topographies receives less attention. Based on high-resolved general circulation models, we conducted a series of sensitive experiments as with/without mountains, which include the Mongolian Plateau and the Tian Shan Mountains. The numerical simulations reveal the important impacts of the mountain ranges at the northern margins of the Tibetan Plateau. Compared to the main body of the Tibetan Plateau, the uplift of the Mongolian Plateau is essential for the establishment of the strong Siberian High. The East Asian winter monsoon and the westerly jet over the North Pacific Ocean are also significantly strengthened. At present, the Tian Shan Mountains geographically separate the arid interior Asia to the west and east sub-regions. However, the arid west sub-region (Central Asia) and the east sub-region (arid northwestern China) was connected as one large arid region before the uplift of the Tian Shan Mountains. The large arid interior land shares the same precipitation seasonality, with most rains fall in spring and winter while lowest precipitation in summer. After the uplift of the Tian Shan, the large arid region is divided into the west and east sub-regions by the wetter uplifted mountain ranges. More importantly, the precipitation seasonality in the east of the Tian Shan is reversed to be the summer-peak type, which is opposite to that in the Central Asia. The precipitation alteration corresponds well with the change of vertical motion. By the conservation of potential vorticity, the atmosphere stationary waves are modulated. Thus, the remote East Asian monsoon is also modulated. Though enhanced southerly wind blows over East Asia, the monsoon precipitation over the east coast of China and subtropical western Pacific Ocean is significantly reduced as an anticyclonic circulation appears

  4. Perfluorinated carboxylic and sulphonic acids in surface water media from the regions of Tibetan Plateau: Indirect evidence on photochemical degradation?

    Science.gov (United States)

    Yamazaki, Eriko; Falandysz, Jerzy; Taniyasu, Sachi; Hui, Ge; Jurkiewicz, Gabriela; Yamashita, Nobuyoshi; Yang, Yong-Liang; Lam, Paul K S

    2016-01-01

    Perfluorinated surfactants and repellents are synthetic substances that have found numerous industrial and customer applications. Due to their persistence, at least two groups of these substances-perfluorinated carboxylic acids (PFCAs) and perfluorinated sulfonic acids (PFSAs)-are diffused widely in the environment. It is hypothesized that the Tibetan Plateau, is one of few unique places on the Earth, due to its topography, specifically the vast space and high elevation above sea level, geographic location, climate, high solar radiation, lack of industry, little urbanization and general lack of significant direct sources of pollution. There it is believed possible to gain an insight into atmospheric fate (possible photochemical degradation of higher molecular mass and formation of lower molecular mass PFCAs and PFSAs) of PFASs under un-disturbed environmental conditions. Ultratrace analytical method for PFCAs and PFSAs and use of transportation and field blanks, laboratory blanks and isotopically labelled surrogates for recovery control has allowed the determination of nine perfluorinated carboxylic acids and six perfluorinated sulfonic acids at ultra-trace levels in water based samples from the alpine dimension regions of the Tibetan Plateau, the eastern slope of Minya Konka peak at the eastern edge of the Tibetan Plateau, and also from the city of Chengdu from the lowland of the Sichuan Province in China. The specific compositional pattern of PFCAs and PFSAs and low levels of pollution with those compounds were observed in the central region of the Tibetan Plateau and in the region adjacent to the peaks of Minya Konka in the Eastern Tibetan Plateau. The fingerprint of the compositional pattern of PFCAs and PFSAs in water samples in the central region of the Tibetan Plateau and in the alpine region adjacent to the peaks of Minya Konka in the Eastern Tibetan Plateau may be explained by the result of photochemical degradation with dealkylation of longer chain

  5. New insights into trace elements deposition in the snow packs at remote alpine glaciers in the northern Tibetan Plateau, China.

    Science.gov (United States)

    Dong, Zhiwen; Kang, Shichang; Qin, Xiang; Li, Xiaofei; Qin, Dahe; Ren, Jiawen

    2015-10-01

    Trace element pollution resulting from anthropogenic emissions is evident throughout most of the atmosphere and has the potential to create environmental and health risks. In this study we investigated trace element deposition in the snowpacks at two different locations in the northern Tibetan Plateau, including the Laohugou (LHG) and the Tanggula (TGL) glacier basins, and its related atmospheric pollution information in these glacier areas, mainly focusing on 18 trace elements (Li, Be, V, Cr, Co, Ni, Cu, Zn, Ga, Rb, Nb, Mo, Cd, Sb, Cs, Ba, Tl, and Pb). The results clearly demonstrate that pronounced increases of both concentrations and crustal enrichment factors (EFs) are observed in the snowpack at the TGL glacier basin compared to that of the LHG glacier basin, with the highest EFs for Sb and Zn in the TGL basin, whereas with the highest EFs for Sb and Cd in the LHG basin. Compared with other studies in the Tibetan Plateau and surrounding regions, trace element concentration showed gradually decreasing trend from Himalayan regions (southern Tibetan Plateau) to the TGL basin (central Tibetan Plateau), and to the LHG basin (northern Tibetan Plateau), which probably implied the significant influence of atmospheric trace element transport from south Asia to the central Tibetan Plateau. Moreover, EF calculations at two sites showed that most of the heavy metals (e.g., Cu, Zn, Mo, Cd, Sb, and Pb) were from anthropogenic sources and some other elements (e.g., Li, Rb, and Ba) were mainly originated from crustal sources. MODIS atmospheric optical depth (AOD) fields derived using the Deep Blue algorithm and CALIOP/CALIPSO transect showed significant influence of atmospheric pollutant transport from south Asia to the Tibetan Plateau, which probably caused the increased concentrations and EFs of trace element deposition in the snowpack on the TGL glacier basin. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Genetic diversity and sex-bias dispersal of plateau pika in Tibetan plateau.

    Science.gov (United States)

    Zhang, Liangzhi; Qu, Jiapeng; Li, Kexin; Li, Wenjing; Yang, Min; Zhang, Yanming

    2017-10-01

    Dispersal is an important aspect in organism's life history which could influence the rate and outcome of evolution of organism. Plateau pika is the keystone species in community of grasslands in Tibetan Plateau. In this study, we combine genetic and field data to character the population genetic pattern and dispersal dynamics in plateau pika ( Ochotona curzoniae ). Totally, 1,352 individual samples were collected, and 10 microsatellite loci were analyzed. Results revealed that plateau pika possessed high genetic diversity and inbreeding coefficient in a fine-scale population. Dispersal distance is short and restricted in about 20 m. An effective sex-biased dispersal strategy is employed by plateau pika: males disperse in breeding period for mating while females do it after reproduction for offspring and resource. Inbreeding avoiding was shown as the common driving force of dispersal, together with the other two factors, environment and resource. In addition, natal dispersal is female biased. More detailed genetic analyzes are needed to confirm the role of inbreeding avoidance and resource competition as ultimate cause of dispersal patterns in plateau pika.

  7. Heavy metals in the surface sediments of lakes on the Tibetan Plateau, China.

    Science.gov (United States)

    Guo, Bixi; Liu, Yongqin; Zhang, Fan; Hou, Juzhi; Zhang, Hongbo; Li, Chaoliu

    2018-02-01

    Heavy metal contamination has affected many regions in the world, particularly the developing countries of Asia. We investigated 8 heavy metals (Cu, Zn, Cd, Pb, Cr, Co, Ni, and As) in the surface sediments of 18 lakes on the Tibetan Plateau. It was found that the distributions of the heavy metals showed no clear spatial pattern on the plateau. The results indicated that the mean concentrations of these metals in the sediment samples diminished as follows: Cr > As > Zn > Ni > Pb > Cu > Co > Cd. The results of geoaccumulation index (I geo ) and potential ecological risk factor (E i r ) assessments showed that the sediments were moderately polluted by Cd and As, which posed much higher risks than the other metals. The values of the potential ecological risk index (RI) showed that lake Bieruoze Co has been severely polluted by heavy metals. Principal component analysis, hierarchical cluster analysis, and Pearson correlation analysis results indicated that the 8 heavy metals in the lake surface sediments of the Tibetan Plateau could be classified into four groups. Group 1 included Cu, Zn, Pb, Co, and Ni which were mainly derived from both natural and traffic sources. Group 2 included Cd which mainly originated from anthropogenic sources like alloying, electroplating, and dyeing industries and was transported to the Tibetan Plateau by atmospheric circulation. Group 3 included Cr and it might mainly generate from parent rocks of watersheds. The last Group (As) was mainly from manufacturing, living, and the striking deterioration of atmospheric environment of the West, Central Asia, and South Asia.

  8. PLATEAUING COSMIC RAY DETECTORS TO ACHIEVE OPTIMUM OPERATING VOLTAGE

    Energy Technology Data Exchange (ETDEWEB)

    Knoff, E.N.; Peterson, R.S.

    2008-01-01

    Through QuarkNet, students across the country have access to cosmic ray detectors in their high school classrooms. These detectors operate using a scintillator material and a photomultiplier tube (PMT). A data acquisition (DAQ) board counts cosmic ray hits from the counters. Through an online e-Lab, students can analyze and share their data. In order to collect viable data, the PMTs should operate at their plateau voltages. In these plateau ranges, the number of counts per minute remains relatively constant with small changes in PMT voltage. We sought to plateau the counters in the test array and to clarify the plateauing procedure itself. In order to most effectively plateau the counters, the counters should be stacked and programmed to record the number of coincident hits as well as their singles rates. We also changed the threshold value that a signal must exceed in order to record a hit and replateaued the counters. For counter 1, counter 2, and counter 3, we found plateau voltages around 1V. The singles rate plateau was very small, while the coincidence plateau was very long. The plateau voltages corresponded to a singles rate of 700–850 counts per minute. We found very little effect of changing the threshold voltages. Our chosen plateau voltages produced good performance studies on the e-Lab. Keeping in mind the nature of the experiments conducted by the high school students, we recommend a streamlined plateauing process. Because changing the threshold did not drastically affect the plateau voltage or the performance study, students should choose a threshold value, construct plateau graphs, and analyze their data using a performance study. Even if the counters operate slightly off their plateau voltage, they should deliver good performance studies and return reliable results.

  9. MANAGING ENGINEERING ACTIVITIES FOR THE PLATEAU REMEDIATION CONTRACT - HANFORD

    Energy Technology Data Exchange (ETDEWEB)

    KRONVALL CM

    2011-01-14

    In 2008, the primary Hanford clean-up contract transitioned to the CH2MHill Plateau Remediation Company (CHPRC). Prior to transition, Engineering resources assigned to remediation/Decontamination and Decommissioning (D&D) activities were a part of a centralized engineering organization and matrixed to the performing projects. Following transition, these resources were reassigned directly to the performing project, with a loose matrix through a smaller Central Engineering (CE) organization. The smaller (10 FTE) central organization has retained responsibility for the overall technical quality of engineering for the CHPRC, but no longer performs staffing and personnel functions. As the organization has matured, there are lessons learned that can be shared with other organizations going through or contemplating performing a similar change. Benefits that have been seen from the CHPRC CE organization structure include the following: (1) Staff are closely aligned with the 'Project/facility' that they are assigned to support; (2) Engineering priorities are managed to be consistent with the 'Project/facility' priorities; (3) Individual Engineering managers are accountable for identifying staffing needs and the filling of staffing positions; (4) Budget priorities are managed within the local organization structure; (5) Rather than being considered a 'functional' organization, engineering is considered a part of a line, direct funded organization; (6) The central engineering organization is able to provide 'overview' activities and maintain independence from the engineering organizations in the field; and (7) The central engineering organization is able to maintain a stable of specialized experts that are able to provide independent reviews of field projects and day-to-day activities.

  10. MANAGING ENGINEERING ACTIVITIES FOR THE PLATEAU REMEDIATION CONTRACT - HANFORD

    International Nuclear Information System (INIS)

    Kronvall, C.M.

    2011-01-01

    In 2008, the primary Hanford clean-up contract transitioned to the CH2MHill Plateau Remediation Company (CHPRC). Prior to transition, Engineering resources assigned to remediation/Decontamination and Decommissioning (D and D) activities were a part of a centralized engineering organization and matrixed to the performing projects. Following transition, these resources were reassigned directly to the performing project, with a loose matrix through a smaller Central Engineering (CE) organization. The smaller (10 FTE) central organization has retained responsibility for the overall technical quality of engineering for the CHPRC, but no longer performs staffing and personnel functions. As the organization has matured, there are lessons learned that can be shared with other organizations going through or contemplating performing a similar change. Benefits that have been seen from the CHPRC CE organization structure include the following: (1) Staff are closely aligned with the 'Project/facility' that they are assigned to support; (2) Engineering priorities are managed to be consistent with the 'Project/facility' priorities; (3) Individual Engineering managers are accountable for identifying staffing needs and the filling of staffing positions; (4) Budget priorities are managed within the local organization structure; (5) Rather than being considered a 'functional' organization, engineering is considered a part of a line, direct funded organization; (6) The central engineering organization is able to provide 'overview' activities and maintain independence from the engineering organizations in the field; and (7) The central engineering organization is able to maintain a stable of specialized experts that are able to provide independent reviews of field projects and day-to-day activities.

  11. Median nerve conduction velocity and central conduction time measured with somatosensory evoked potentials in thyroxine-treated infants with Down syndrome

    NARCIS (Netherlands)

    van Trotsenburg, A. S. Paul; Smit, Bert J.; Koelman, Johannes H. T. M.; Dekker-van der Sloot, Marijke; Ridder, Jeannette C. D.; Tijssen, Jan G. P.; de Vijlder, Jan J. M.; Vulsma, Thomas

    2006-01-01

    OBJECTIVE: The aim of this study was to determine whether thyroxine treatment would improve nerve conduction in infants with Down syndrome. METHODS: A single-center, nationwide, randomized, double-blind, clinical trial was performed. Neonates with Down syndrome were assigned randomly to thyroxine (N

  12. Stylolites, porosity, depositional texture, and silicates in chalk facies sediments:Ontong Java Plateau - Gorm and Tyra fields, North Sea

    OpenAIRE

    Fabricius, Ida Lykke; Borre, Mai K.

    2007-01-01

    Comparison of chalk on the Ontong Java Plateau and chalk in the Central North Sea indicates that, whereas pressure dissolution is controlled by effective burial stress, pore-filling cementation is controlled by temperature. Effective burial stress is caused by the weight of all overlying water and sediments as counteracted by the pressure in the pore fluid, so the regional overpressure in the Central North Sea is one reason why the two localities have different relationships between temperatu...

  13. [Surgical approaches to tibial plateau fractures].

    Science.gov (United States)

    Krause, Matthias; Müller, Gunnar; Frosch, Karl-Heinz

    2018-06-06

    Intra-articular tibial plateau fractures can present a surgical challenge due to complex injury patterns and compromised soft tissue. The treatment goal is to spare the soft tissue and an anatomical reconstruction of the tibial articular surface. Depending on the course of the fracture, a fracture-specific access strategy is recommended to provide correct positioning of the plate osteosynthesis. While the anterolateral approach is used in the majority of lateral tibial plateau fractures, only one third of the joint surface is visible; however, posterolateral fragments require an individual approach, e. g. posterolateral or posteromedial. If necessary, osteotomy of the femoral epicondyles can improve joint access for reduction control. Injuries to the posterior columns should be anatomically reconstructed and biomechanically correctly addressed via posterior approaches. Bony posterior cruciate ligament tears can be refixed via a minimally invasive posteromedial approach.

  14. Freshwater Biogeography and Limnological Evolution of the Tibetan Plateau - Insights from a Plateau-Wide Distributed Gastropod Taxon (Radix spp.)

    Science.gov (United States)

    von Oheimb, Parm Viktor; Albrecht, Christian; Riedel, Frank; Du, Lina; Yang, Junxing; Aldridge, David C.; Bößneck, Ulrich; Zhang, Hucai; Wilke, Thomas

    2011-01-01

    Background The Tibetan Plateau is not only the highest and largest plateau on earth; it is also home to numerous freshwater lakes potentially harbouring endemic faunal elements. As it remains largely unknown whether these lakes have continuously existed during the Last Glacial Maximum (LGM), questions arise as to whether taxa have been able to exist on the plateau since before the latest Pleistocene, from where and how often the plateau was colonized, and by which mechanisms organisms conquered remote high altitude lentic freshwater systems. In this study, species of the plateau-wide distributed freshwater gastropod genus Radix are used to answer these biogeographical questions. Methodology/Principal Findings Based on a broad spatial sampling of Radix spp. on the Tibetan Plateau, and phylogenetic analyses of mtDNA sequence data, three probably endemic and one widespread major Radix clade could be identified on the plateau. Two of the endemic clades show a remarkably high genetic diversity, indicating a relatively great phylogenetic age. Phylogeographical analyses of individuals belonging to the most widely distributed clade indicate that intra-plateau distribution cannot be explained by drainage-related dispersal alone. Conclusions/Significance Our study reveals that Radix spp. persisted throughout the LGM on the Tibetan Plateau. Therefore, we assume the continuous existence of suitable water bodies during that time. The extant Radix diversity on the plateau might have been caused by multiple colonization events combined with a relatively long intra-plateau evolution. At least one colonization event has a Palaearctic origin. In contrast to freshwater fishes, passive dispersal, probably by water birds, might be an important mechanism for conquering remote areas on the plateau. Patterns found in Radix spp. are shared with some terrestrial plateau taxa, indicating that Radix may be a suitable model taxon for inferring general patterns of biotic origin, dispersal and

  15. Collision-induced post-plateau volcanism: Evidence from a seamount on Ontong Java Plateau

    Science.gov (United States)

    Hanyu, Takeshi; Tejada, Maria Luisa G.; Shimizu, Kenji; Ishizuka, Osamu; Fujii, Toshiyuki; Kimura, Jun-Ichi; Chang, Qing; Senda, Ryoko; Miyazaki, Takashi; Hirahara, Yuka; Vaglarov, Bogdan S.; Goto, Kosuke T.; Ishikawa, Akira

    2017-12-01

    Many seamounts on the Ontong Java Plateau (OJP) occur near the Stewart Arch, a topographic high that extends parallel to the North Solomon Trench along the southern margins of the plateau. Despite the thick sediment cover, several volcanic cones with strong acoustic reflection were discovered on the submarine flank of the Nuugurigia Seamount. From such volcanic cones, basalts were successfully sampled by dredging. Radiometric dating of basalts and ferromanganese encrustation indicate eruption age of 20-25 Ma, significantly younger than the 122 Ma main OJP plateau and post-plateau basalts. The age range coincides with the collision of the OJP with the Solomon Arc. The Nuugurigia basalts geochemically differ from any other rocks sampled on the OJP so far. They are alkali basalts with elevated Sr, low Zr and Hf, and Enriched Mantle-I (EMI)-like isotopic composition. Parental magmas of these alkali basalts may have formed by small-degree melting of peridotitic mantle impregnated with recycled pyroxenite material having enriched geochemical composition in the OJP's mantle root. We conclude that small-volume alkali basalts from the enriched mantle root migrated through faults or fractures caused by the collision along the Stewart Arch to form the seamount. Our results suggest that the collision of the OJP with the Solomon arc played an important role in the origin of similar post-plateau seamounts along the Stewart Arch.

  16. Mapping of lithologic and structural units using multispectral imagery. [Afar-Triangle/Ethiopia and adjacent areas (Ethiopian Plateau, Somali Plateau, and parts of Yemen and Saudi Arabia)

    Science.gov (United States)

    Kronberg, P. (Principal Investigator)

    1974-01-01

    The author has identified the following significant results. ERTS-1 MSS imagery covering the Afar-Triangle/Ethiopia and adjacent regions (Ethiopian Plateau, Somali Plateau, and parts of Yemen and Saudi Arabi) was applied to the mapping of lithologic and structural units of the test area at a scale 1:1,000,000. Results of the geological evaluation of the ERTS-1 imagery of the Afar have proven the usefullness of this type of satellite data for regional geological mapping. Evaluation of the ERTS images also resulted in new aspects of the structural setting and tectonic development of the Afar-Triangle, where three large rift systems, the oceanic rifts of the Red Sea and Gulf of Aden and the continental East African rift system, seem to meet each other. Surface structures mapped by ERTS do not indicate that the oceanic rift of the Gulf of Aden (Sheba Ridge) continues into the area of continental crust west of the Gulf of Tadjura. ERTS data show that the Wonji fault belt of the African rift system does not enter or cut through the central Afar. The Aysha-Horst is not a Horst but an autochthonous spur of the Somali Plateau.

  17. Patterns of species diversity and phylogenetic structure of vascular plants on the Qinghai-Tibetan Plateau.

    Science.gov (United States)

    Yan, Yujing; Yang, Xian; Tang, Zhiyao

    2013-11-01

    Large-scale patterns of species richness and the underlying mechanisms regulating these patterns have long been the central issues in biogeography and macroecology. Phylogenetic community structure is a result of combined effects of contemporary ecological interactions, environmental filtering, and evolutionary history, and it links community ecology with biogeography and trait evolution. The Qinghai-Tibetan Plateau provides a good opportunity to test the influence of contemporary climate on shaping species richness because of its unique geological history, cold climate, and high biodiversity. In this study, based on high-resolution distributions of ˜9000 vascular plant species, we explored how species richness and phylogenetic structure of vascular plants correlate with climates on the highest (and species rich) plateau on the Earth. The results showed that most of the vascular plants were distributed on the eastern part of the plateau; there was a strong association between species richness and climate, even after the effects of habitat heterogeneity were controlled. However, the responses of richness to climate remarkably depended on life-forms. Richness of woody plants showed stronger climatic associations than that of herbaceous plants; energy and water availability together regulated richness pattern of woody plants; whereas water availability predominantly regulated richness pattern of herbaceous plants. The phylogenetic structure of vascular species clustered in most areas of the plateau, suggesting that rapid speciation and environment filtering dominated the assembly of communities on the plateau. We further propose that biodiversity conservation in this area should better take into account ecological features for different life-forms and phylogenetic lineages.

  18. Surface ozone at Nam Co in the inland Tibetan Plateau: variation, synthesis comparison and regional representativeness

    Directory of Open Access Journals (Sweden)

    X. Yin

    2017-09-01

    Full Text Available Ozone is an important pollutant and greenhouse gas, and tropospheric ozone variations are generally associated with both natural and anthropogenic processes. As one of the most pristine and inaccessible regions in the world, the Tibetan Plateau has been considered as an ideal region for studying processes of the background atmosphere. Due to the vast area of the Tibetan Plateau, sites in the southern, northern and central regions exhibit different patterns of variation in surface ozone. Here, we present continuous measurements of surface ozone mixing ratios at Nam Co Station over a period of  ∼ 5 years (January 2011 to October 2015, which is a background site in the inland Tibetan Plateau. An average surface ozone mixing ratio of 47.6 ± 11.6 ppb (mean ± standard deviation was recorded, and a large annual cycle was observed with maximum ozone mixing ratios in the spring and minimum ratios during the winter. The diurnal cycle is characterized by a minimum in the early morning and a maximum in the late afternoon. Nam Co Station represents a background region where surface ozone receives negligible local anthropogenic emissions inputs, and the anthropogenic contribution from South Asia in spring and China in summer may affect Nam Co Station occasionally. Surface ozone at Nam Co Station is mainly dominated by natural processes involving photochemical reactions, vertical mixing and downward transport of stratospheric air mass. Model results indicate that the study site is affected differently by the surrounding areas in different seasons: air masses from the southern Tibetan Plateau contribute to the high ozone levels in the spring, and enhanced ozone levels in the summer are associated with air masses from the northern Tibetan Plateau. By comparing measurements at Nam Co Station with those from other sites on the Tibetan Plateau, we aim to expand the understanding of ozone cycles and transport processes over the Tibetan Plateau

  19. Surgical site infection after open reduction and internal fixation of tibial plateau fractures.

    Science.gov (United States)

    Lin, Shishui; Mauffrey, Cyril; Hammerberg, E Mark; Stahel, Philip F; Hak, David J

    2014-07-01

    The aim of this study was to identify risk factors for surgical site infections and to quantify the contribution of independent risk factors to the probability of developing infection after definitive fixation of tibial plateau fractures in adult patients. A retrospective analysis was performed at a level I trauma center between January 2004 and December 2010. Data were collected from a review of the patient's electronic medical records. A total of 251 consecutive patients (256 cases) were divided into two groups, those with surgical site infections and those without surgical site infections. Preoperative and perioperative variables were compared between these groups, and risk factors were determined by univariate analyses and multivariate logistic regression. Variables analyzed included age, gender, smoking history, diabetes, presence of an open fracture, presence of compartment syndrome, Schatzker classification, polytrauma status, ICU stay, time from injury to surgery, use of temporary external fixation, surgical approach, surgical fixation, operative time, and use of a drain. The overall rate of surgical site infection after ORIF of tibial plateau fractures during the 7 years of this study was 7.8% (20 of 256). The most common causative pathogens was Staphylococcus aureus (n=15, 75%). Independent predictors of surgical site infection identified by multivariate analyses were open tibial plateau fracture (odds ratio=3.9; 95% CI=1.3-11.6; p=0.015) and operative time (odds ratio=2.7; 95% CI=1.6-4.4; psite infection. Both open fracture and operative time are independent risks factors for postoperative infection.

  20. Signals of pollution revealed by trace elements in recent snow from mountain glaciers at the Qinghai-Tibetan plateau.

    Science.gov (United States)

    Li, Yuefang; Li, Zhen; Cozzi, Giulio; Turetta, Clara; Barbante, Carlo; Huang, Ju; Xiong, Longfei

    2018-06-01

    In order to extract pollution signal of trace elements (TEs) in glacier snow at the Qinghai-Tibetan plateau of China by human activities, concentrations of 18 TEs (Al, Ti, Fe, Rb, Sr, Ba, V, Cr, Mn, Li, Cu, Co, Mo, Cs, Sb, Pb, Tl, and U), 14 rare earth elements (La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb, and Lu), Y and Th in digested snow samples from five glaciers in April-May 2013 before monsoon season were measured. Results shown that higher TEs concentrations were found in glaciers at the northern plateau while lower concentrations in glaciers at the central and southern plateau. Discussion revealed that EF values calculated from elements with mass fraction TEs such as Sb, Sr, As, Cu and Pb etc. Analysis indicated that most TEs mainly originated from dust sources, whereas Pb, Cu, Mo and Sb showed occasionally significant contributions from polluted sources in three snow pits and the GRHK surface snow samples. The pollution probably originated from mining and smelting, road transport emissions on the plateau and some regions outside of the plateau. Dust provenance tracing results based on REEs indicated that Taklimakan Desert, Qaidam Basin, and Tibetan surface soil were the potential dust sources for the studied glaciers, while the Indian Thar Desert was an occasional dust sources for YZF,XDKMD and GRHK snow samples. Copyright © 2018 Elsevier Ltd. All rights reserved.

  1. Atmospheric deposition of trace elements recorded in snow from the Mt. Nyainqêntanglha region, southern Tibetan Plateau.

    Science.gov (United States)

    Huang, Jie; Kang, Shichang; Zhang, Qianggong; Guo, Junming; Chen, Pengfei; Zhang, Guoshuai; Tripathee, Lekhendra

    2013-08-01

    In May 2009, snowpit samples were collected from a high-elevation glacier in the Mt. Nyainqêntanglha region on the southern Tibetan Plateau. A set of elements (Al, V, Cr, Mn, Co, Ni, Cu, Zn, Cd, Hg and Pb) was analyzed to investigate the concentrations, deposition fluxes of trace elements, and the relative contributions from anthropogenic and natural sources deposited on the southern Tibetan Plateau. Concentrations of most of the trace elements in snowpit samples from the Zhadang glacier are significantly lower than those examined from central Asia (e.g., eastern Tien Shan), with higher concentrations during the non-monsoon season than during the monsoon season. The elements of Al, V, Cr, Mn, Co, and Ni display low crustal enrichment factors (EFs), while Cu, Zn, Cd, Hg, and Pb show high EF values in the snow samples, suggesting anthropogenic inputs are potentially important for these elements in the remote, high-elevation atmosphere on the southern Tibetan Plateau. Together with the fact that the concentration levels of such elements in the Mt. Nyainqêntanglha region are significantly higher than those observed on the south edge of the Tibetan Plateau, our results suggest that the high-elevation atmosphere on the southern Tibetan Plateau may be more sensitive to variations in the anthropogenic emissions of atmospheric trace elements than that in the central Himalayas. Moreover, the major difference between deposition fluxes estimated in our snow samples and those recently measured at Nam Co Station for elements such as Cr and Cu may suggest that atmospheric deposition of some of trace elements reconstructed from snowpits and ice cores could be grossly underestimated on the Tibetan Plateau. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. Arizona/New Mexico Plateau Ecoregion: Chapter 26 in Status and trends of land change in the Western United States--1973 to 2000

    Science.gov (United States)

    Ruhlman, Jana; Gass, Leila; Middleton, Barry

    2012-01-01

    Situated between ecoregions of distinctly different topographies and climates, the Arizona/New Mexico Plateau Ecoregion represents a large area of approximately 192,869 km2 (74,467 mi2) that stretches across northern Arizona, central and northwestern New Mexico, and parts of southwestern Colorado; in addition, a small part extends into southeastern Nevada (fig. 1) (Omernik, 1987; U.S. Environmental Protection Agency, 1997). Forested, mountainous terrain borders the ecoregion on the northeast (Southern Rockies Ecoregion) and southwest (Arizona/New Mexico Mountains Ecoregion). Warmer and drier climates exist to the south (Chihuahuan Deserts Ecoregion) and west (Mojave Basin and Range Ecoregion). The semiarid grasslands of the western Great Plains are to the east (Southwestern Tablelands Ecoregion), and the tablelands of the Colorado Plateau in Utah and western Colorado lie to the north (Colorado Plateaus Ecoregion). The Arizona/New Mexico Plateau Ecoregion occupies a significant portion of the southern half of the Colorado Plateau.

  3. Chemical erosion and hydrologic budget for the Susure karst plateau

    Directory of Open Access Journals (Sweden)

    Nikić Zoran

    2010-01-01

    Full Text Available The karst plateau of Susure, about 4.5 km2 in surface area, is situated on the Jadovnik eastern offset, western Serbia. The plateau is a morphologic unit higher 15 m to 30 m than the surrounding terrain. The unit consists of crushed and karstified Middle Triassic limestones. Numerous hydrogeological and geomorphologic features of the plateau are attractive for visitors in this economically underdeveloped country. Rocks building up the surrounding terrain are largely peridotites. Surface streams flow neither into nor off the plateau. Atmospheric precipitations discharge to evapotanspiration and filtration underground. More than eighteen constant springs at the limestone/peridotite tectonic contact drain fracture aquifers on the karst plateau border. Measured precipitations and springflows were the input and output data for accounting water budget of an aquifer of Middle Triassic limestones in the Susure plateau.

  4. Summer rainfall over the southwestern Tibetan Plateau controlled by deep convection over the Indian subcontinent

    Science.gov (United States)

    Dong, Wenhao; Lin, Yanluan; Wright, Jonathon S.; Ming, Yi; Xie, Yuanyu; Wang, Bin; Luo, Yong; Huang, Wenyu; Huang, Jianbin; Wang, Lei; Tian, Lide; Peng, Yiran; Xu, Fanghua

    2016-01-01

    Despite the importance of precipitation and moisture transport over the Tibetan Plateau for glacier mass balance, river runoff and local ecology, changes in these quantities remain highly uncertain and poorly understood. Here we use observational data and model simulations to explore the close relationship between summer rainfall variability over the southwestern Tibetan Plateau (SWTP) and that over central-eastern India (CEI), which exists despite the separation of these two regions by the Himalayas. We show that this relationship is maintained primarily by ‘up-and-over' moisture transport, in which hydrometeors and moisture are lifted by convective storms over CEI and the Himalayan foothills and then swept over the SWTP by the mid-tropospheric circulation, rather than by upslope flow over the Himalayas. Sensitivity simulations confirm the importance of up-and-over transport at event scales, and an objective storm classification indicates that this pathway accounts for approximately half of total summer rainfall over the SWTP. PMID:26948491

  5. Happily Ever After: Plateauing as a Means for Long-Term Career Satisfaction.

    Science.gov (United States)

    Montgomery, Denise L.

    2002-01-01

    Discusses plateauing as a means for long-term career satisfaction, Highlights include a literature review; what plateauing is and why it occurs, including career-based plateauing and life plateauing; some solutions to plateauing for librarians, including management changes and individual changes; and personal examples. (LRW)

  6. Colorado Plateau magmatism and uplift by warming of heterogeneous lithosphere.

    Science.gov (United States)

    Roy, Mousumi; Jordan, Thomas H; Pederson, Joel

    2009-06-18

    The forces that drove rock uplift of the low-relief, high-elevation, tectonically stable Colorado Plateau are the subject of long-standing debate. While the adjacent Basin and Range province and Rio Grande rift province underwent Cenozoic shortening followed by extension, the plateau experienced approximately 2 km of rock uplift without significant internal deformation. Here we propose that warming of the thicker, more iron-depleted Colorado Plateau lithosphere over 35-40 Myr following mid-Cenozoic removal of the Farallon plate from beneath North America is the primary mechanism driving rock uplift. In our model, conductive re-equilibration not only explains the rock uplift of the plateau, but also provides a robust geodynamic interpretation of observed contrasts between the Colorado Plateau margins and the plateau interior. In particular, the model matches the encroachment of Cenozoic magmatism from the margins towards the plateau interior at rates of 3-6 km Myr(-1) and is consistent with lower seismic velocities and more negative Bouguer gravity at the margins than in the plateau interior. We suggest that warming of heterogeneous lithosphere is a powerful mechanism for driving epeirogenic rock uplift of the Colorado Plateau and may be of general importance in plate-interior settings.

  7. Serotonin syndrome

    Science.gov (United States)

    Hyperserotonemia; Serotonergic syndrome; Serotonin toxicity; SSRI - serotonin syndrome; MAO - serotonin syndrome ... brain area. For example, you can develop this syndrome if you take migraine medicines called triptans together ...

  8. Therapeutical Management of the Tibial Plateau Fractures

    Directory of Open Access Journals (Sweden)

    Obada B.

    2016-11-01

    Full Text Available The study was aimed to identify the role of surgical treatment of tibial plateau fractures, its functional outcome and complications. Demographic data for the patients and details of current clinical and radiological follow-up findings were obtained to assess range of motion, clinical stability, alignment of the knee, and posttraumatic arthrosis (Kellgren/Lawrence score. 64 cases of tibial plateau fractures treated by different surgical methods and variuos implants type were studied from 2013 to 2015 and followed-up for minimum period of 6 months. The systematisation of the casuitry was made using Schatzker and AO classifications. The treatment methods consist of: percutaneous cannulated cancellous screws, ORIF with buttress plate with or without bone grafting, locking or nonlocking plates, external fixator. As complications we found: redepression 4 case, malunion 2 cases, knee stiffness 9, wound dehiscence in 1 cases and non-union or infection in none of our cases. The average flexion of the injured knee was significantly lower in comparison with the contralateral side (124.9°/135.2°. Knee stability did not differ statistically significantly. There were no signs of posttraumatic arthrosis in 45% of cases, mild signs in 30%, clear signs in 18%, and severe signs in 7%. As conclusion we found that surgical management of tibial plateau fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, facilitate early motion and reduce arthrosis risk and hence to achieve optimal knee function. The choice of optimal surgical methods, proper approach and implant is made in relation to fracture type according Schatzker and AO classification.

  9. Churg Strauss syndrome

    International Nuclear Information System (INIS)

    Lopez Rengifo, Diana Milena; Contreras Zuniga, Eduardo; Osio, Luis Fernando

    2007-01-01

    The Churg-Strauss syndrome, also called allergic granulomatosis and angiitis, is a multisystem disorder characterized by allergic rhinitis, asthma, and prominent peripheral blood eosinophilia. The most common organ involved is the lung, followed by the skin. The Churg-Strauss syndrome, however, can affect any organ system, including the cardiovascular, gastrointestinal, renal, and central nervous systems

  10. The stress ulcer syndrome

    NARCIS (Netherlands)

    H.A. van Essen

    1986-01-01

    textabstractThe stress ulcer syndrome is described in this thesis. This syndrome is seen in patients admitted to intensive care departments or being treated in field hospitals, in disaster areas, or battle fields. Acute mucosal lesions associated with burns (Curling's ulcers) and central nervous

  11. Apert Syndrome: A Case Report

    Directory of Open Access Journals (Sweden)

    Masoud Gharib

    2012-10-01

    Full Text Available Apert syndrome is a genetic defect which was first described by Eugene Apert in 1906. it's incidence is approximately one in 50000 births. This syndrome is many abnormalities in your body and Central Nervous System. rehabilitation can increase children and their parent's quality of life.We report a case of Apert syndrome and his occupational therapy program.

  12. Tectonic History and Deep Structure of the Demerara Plateau from Combined Wide-Angle and Reflection Seismic Data and Plate Kinematic Reconstructions

    Science.gov (United States)

    Klingelhoefer, F.; Museur, T.; Roest, W. R.; Graindorge, D.; Chauvet, F.; Loncke, L.; Basile, C.; Poetisi, E.; Deverchere, J.; Lebrun, J. F.; Perrot, J.; Heuret, A.

    2017-12-01

    Many transform margins have associated intermediate depth marginal plateaus, which are commonly located between two oceanic basins. The Demerara plateau is located offshore Surinam and French Guiana. Plate kinematic reconstructions show that the plateau is located between the central and equatorial Atlantic in a position conjugate to the Guinean Plateau. In the fall of 2016, the MARGATS cruise acquired geophysical data along the 400 km wide Demerara plateau. The main objective of the cruise was to image the deep structure of the Demerara plateau and to study its tectonic history. A set of 4 combined wide-angle and reflection seismic profiles was acquired along the plateau, using 80 ocean-bottom seismometers, a 3 km long seismic streamer and a 8000 cu inch tuned airgun array. Forward modelling of the wide-angle seismic data on a profile, located in the eastern part of the plateau and oriented in a NE-SW direction, images the crustal structure of the plateau, the transition zone and the neighbouring crust of oceanic origin, up to a depth of 40 km. The plateau itself is characterised by a crust of 30 km thickness, subdivided into three distinct layers. However, the velocities and velocity gradients do not fit typical continental crust, with a lower crustal layer showing untypically high velocities and an upper layer having a steep velocity gradient. From this model we propose that the lowermost layer is probably formed from volcanic underplated material and that the upper crustal layer likely consists of the corresponding extrusive volcanic material, forming thick seaward-dipping reflector sequences on the plateau. A basement high is imaged at the foot of the slope and forms the ocean-continent transition zone. Further oceanward, a 5-6 km thick crust is imaged with velocities and velocity gradients corresponding to a thin oceanic crust. A compilation of magnetic data from the MARGATS and 3 previous cruises shows a high amplitude magnetic anomaly along the northern

  13. [Operative treatment for complex tibial plateau fractures].

    Science.gov (United States)

    Song, Qi-Zhi; Li, Tao

    2012-03-01

    To explore the surgical methods and clinical evaluation of complex tibial plateau fractures resulted from high-energy injuries. From March 2006 to May 2009,48 cases with complex tibial plateau fractures were treated with open reduction and plate fixation, including 37 males and 11 females, with an average age of 37 years (ranged from 18 to 63 years). According to Schatzker classification, 16 cases were type IV, 20 cases type V and 12 cases type VI. All patients were examined by X-ray flim and CT scan. The function of knee joint were evaluated according to postoperative follow-up X-ray and Knee Merchant Rating. Forty-eight patients were followed up with a mean time of 14 months. According to Knee Merchant Rating, 24 cases got excellent results, 16 cases good, 6 cases fair and 2 cases poor. Appropriate operation time, anatomical reduction, suitable bone graft and reasonable rehabilitation exercises can maximally recovery the function of knee joint.

  14. Geochemical characteristics of the Jos-Plateau Basalts, North ...

    African Journals Online (AJOL)

    The Jos Plateau basalts, present Zr/Nb ratios (2.4-3.0) comparable to those of the alkali basalts of the lower Benue valley, and of the Cameroon volcanic line, suggesting that they were possibly derived from the same mantle source. Keywords: Jos Plateau, alkali basalt, mantle, partial melting, incompatible elements.

  15. Predicting the distribution of Stipa purpurea across the Tibetan Plateau via the MaxEnt model.

    Science.gov (United States)

    Ma, Baibing; Sun, Jian

    2018-02-21

    The ecosystems across Tibetan Plateau are changing rapidly under the influence of climate warming, which has caused substantial changes in spatial and temporal environmental patterns. Stipa purpurea, as a dominant herbsage resource in alpine steppe, has a great influence on animal husbandry in the Tibetan Plateau. Global warming has been forecasted to continue in the future (2050s, 2070s), questioning the future distribution of S. purpurea and its response to climate change. The maximum entropy (MaxEnt) modeling, due to its multiple advantages (e.g. uses presence-only data, performs well with incomplete data, and requires small sample sizes and gaps), has been used to understand species environment relationships and predict species distributions across locations that have not been sampled. Annual mean temperature, annual precipitation, temperature seasonality, altitude, and precipitation during the driest month, significantly affected the distribution of S. purpurea. Only 0.70% of the Tibetan Plateau area included a very highly suitable habitat (habitat suitability [HS] = 0.8-1.0). Highly suitable habitat (HS = 0.6-0.8), moderately suitable habitat (HS = 0.4-0.6), and unsuitable habitat (HS = 0.2-0.4) occupied 6.20, 14.30 and 22.40% of the Tibetan Plateau area, respectively, and the majority (56.40%) of the Tibetan Plateau area constituted a highly unsuitable habitat (HS = 0-0.2). In addition, the response curves of species ecological suitability simulated by generalized additive model nearly corresponded with the response curves generated by the MaxEnt model. At a temporal scale, the habitat suitability of S. purpurea tends to increase from the 1990s to 2050s, but decline from the 2050s to 2070s. At a spatial scale, the future distribution of S. purpurea will not exhibit sweeping changes and will remain in the central and southeastern regions of the Tibetan Plateau. These results benefit the local animal husbandry and provide evidence for establishing

  16. Parhelic-like circle from light scattering in Plateau borders

    Energy Technology Data Exchange (ETDEWEB)

    Tufaile, A., E-mail: tufaile@usp.br; Tufaile, A.P.B.

    2015-03-06

    We are reporting a new simple optical element to generate halos. We have observed interesting patterns of light scattering in Plateau borders in foams. In analogy to the atmospheric phenomena known as parhelic circle, sun dogs, and sun pillars, we have named the features of the patterns observed as parlaseric circle, laser dogs, and laser pillars. The triangular symmetry of the Plateau borders is analogous to the hexagonal symmetry of ice crystals which produce these atmospheric phenomena. Working with one Plateau border at a time, we have observed wave optics phenomena that are not perceived in the atmospheric phenomena, such as diffraction and interference. - Highlights: • We obtained halo formation from light scattering in a Plateau border using an experiment. • We explained halo formation using geometrical theory of diffraction. • An optical element based on a Plateau border is proposed. • We compared some aspects of the parhelic circle with the parlaseric circle.

  17. High-resolution MRI vessel wall imaging: spatial and temporal patterns of reversible cerebral vasoconstriction syndrome and central nervous system vasculitis.

    Science.gov (United States)

    Obusez, E C; Hui, F; Hajj-Ali, R A; Cerejo, R; Calabrese, L H; Hammad, T; Jones, S E

    2014-08-01

    High-resolution MR imaging is an emerging tool for evaluating intracranial artery disease. It has an advantage of defining vessel wall characteristics of intracranial vascular diseases. We investigated high-resolution MR imaging arterial wall characteristics of CNS vasculitis and reversible cerebral vasoconstriction syndrome to determine wall pattern changes during a follow-up period. We retrospectively reviewed 3T-high-resolution MR imaging vessel wall studies performed on 26 patients with a confirmed diagnosis of CNS vasculitis and reversible cerebral vasoconstriction syndrome during a follow-up period. Vessel wall imaging protocol included black-blood contrast-enhanced T1-weighted sequences with fat suppression and a saturation band, and time-of-flight MRA of the circle of Willis. Vessel wall characteristics including enhancement, wall thickening, and lumen narrowing were collected. Thirteen patients with CNS vasculitis and 13 patients with reversible cerebral vasoconstriction syndrome were included. In the CNS vasculitis group, 9 patients showed smooth, concentric wall enhancement and thickening; 3 patients had smooth, eccentric wall enhancement and thickening; and 1 patient was without wall enhancement and thickening. Six of 13 patients had follow-up imaging; 4 patients showed stable smooth, concentric enhancement and thickening; and 2 patients had resoluton of initial imaging findings. In the reversible cerebral vasoconstriction syndrome group, 10 patients showed diffuse, uniform wall thickening with negligible-to-mild enhancement. Nine patients had follow-up imaging, with 8 patients showing complete resolution of the initial findings. Postgadolinium 3T-high-resolution MR imaging appears to be a feasible tool in differentiating vessel wall patterns of CNS vasculitis and reversible cerebral vasoconstriction syndrome changes during a follow-up period. © 2014 by American Journal of Neuroradiology.

  18. The vascular flora of the Tepoš plateau around Pirot city (Eastern Serbia

    Directory of Open Access Journals (Sweden)

    Jotić, B.

    2013-12-01

    Full Text Available The flora of the karst plateau Tepoš, which is the part of Vidlič mountain (eastern Serbia was studied. Based on the analysis of the collected material and data from the literature, it was noted that the flora of Tepoš plateau is represented by 486 species, distributed in 284 genera and 68 families of vascular plants. The biological spectra was shown. The hemicriptophytic-terophytic character was established by analyzing the presence of plant life forms. By phytogeographical analysis the presence of 25 area types was established. The euroasian florystic chorion with 258 species of eurasian area type is the most abundant, followed by mediterranean-submediterranean (58 species, central-european (47 species, cosmopolitan (27 species and pontian area type (24 species. In the flora of Tepoš plateau the 9 balkan endemic taxa were recorded, which is 3,14% of total balkan endemic taxa in flora of Serbia. A small number of endemic taxa is expected, considering the low diversity of habitats. Balkan endemic taxa recorded in this area are: Acer hyrcanum subsp. intermedium, Bupleurum flavicans, Crucianella graeca, Eryngium palmatum, Pastinaca hirsuta, Hypericum rumeliacum subsp. rumeliacum, Thymus praecox subsp. jankae, Linaria rubioides subsp. nissana and Viola tricolor subsp. macedonica.

  19. Analyzing the Velocity of Vegetation Phenology Over the Tibetan Plateau Using Gimms NDVI3g Data

    Science.gov (United States)

    Zhou, Y. K.

    2018-05-01

    Global environmental change is rapidly altering the dynamics of terrestrial vegetation, and phenology is a classic proxy to detect the response of vegetation to the changes. On the Tibetan Plateau, the earlier spring and delayed autumn vegetation phenology is widely reported. Remotely sensed NDVI can serve as a good data source for vegetation phenology study. Here GIMMS NDVI3g data was used to detect vegetation phenology status on the Tibetan Plateau. The spatial and temporal gradients are combined to depict the velocity of vegetation expanding process. This velocity index represents the instantaneous local velocity along the Earth's surface needed to maintain constant vegetation condition. This study found that NDVI velocity show a complex spatial pattern. A considerable number of regions display a later starting of growing season (SOS) and earlier end of growing season (EOS) reflected by the velocity change, particularly in the central part of the plateau. Nearly 74 % vegetation experienced a shortened growing season length. Totally, the magnitude of the phenology velocity is at a small level that reveals there is not a significant variation of vegetation phenology under the climate change context.

  20. Diurnal variations of summertime precipitation over the Tibetan Plateau in relation to orographically-induced regional circulations

    International Nuclear Information System (INIS)

    Liu Xiaodong; Bai Aijuan; Liu Changhai

    2009-01-01

    The diurnal patterns of variation of summertime precipitation over the Tibetan Plateau were first investigated using the TRMM multi-satellite precipitation analysis product for five summer seasons (i.e. June to August for 2002-2006). Both hourly precipitation amount and precipitation frequency exhibit pronounced daily variability with an overall late-afternoon-evening maximum and a dominant morning minimum. A notable exception is the prevalent nocturnal maximum around the periphery of the Plateau. In terms of the normalized harmonic amplitude, the diurnal signal shows significant regional contrast with the strongest manifestation over the central Plateau and the weakest near the periphery. This remarkable spatial dependence in daily rainfall cycles is clear evidence of orographic and heterogeneous land-surface impacts on convective development. Using six-hourly NCEP FNL data, we then examined the diurnal variability in the atmospheric circulation and thermodynamics in this region. The results show that the Plateau heats (cools) the overlying atmosphere during the day (night) more than the surrounding areas, and as a consequence a relatively stronger confluent circulation in this region occurs during the day than during the night, consistent with the diurnal rainfall cycles. Moreover, the regions with large low-level convergence and upper-level divergence correspond to the strong diurnal rainfall variations. The reversed daily alterations of convergence-divergence patterns in the vicinity of the Plateau edges are in agreement with the observed nighttime rainfall peak therein. This study further demonstrates the importance of the Tibetan Plateau in regulating regional circulation and precipitation.

  1. 3-D mechanical modeling of the eastward escape flow pattern around the Northeastern Tibetan plateau and surrounding regions

    Science.gov (United States)

    Cheng, H.; Shi, Y.; Zhang, H.

    2016-12-01

    Since the last 50 million years, 2500km shorting of Indian Plate moving north collided with the Eurasian Plate has resulted in rapid uplift of the Tibetan Plateau shaped into the most intensive and extensive orogen on earth (Molnar and Tapponnier, 1975; Li et al., 2013). Based on previous geological and geophysical investigations (Royden et al., 1997; Clark and Royden, 2000), two end-member models of the entire Tibetan Plateau are proposed: thin visous sheet model and lateral escape model. However, when we scope into a special local area, for example, Northeastern Tibetan plateau and surrounding regions, end-member models could change to lower crustal flow model and upper crust shorting model. Recently, with vigorous geophysical observations, more data such as differential traveltime tomography and seismic velocity structure in the Tibetan Plateau actually reveal that the eastward crustal flow from the central Tibetan plateau is expected to divert north-eastward and south-eastward around the rigid Sichuan basin (Royden et al., 1997, 2008; Clark and Royden, 2000). Moreover, both the P-wave polarization tomography and gravitational anomaly and the GPS data from the intensive crustal movement monitoring network in China show that the north-eastward crustal flow divide two direction due to the Ordos Block as a barrier with rigid, cold and stable crust. In order to investigate mechanical of the eastward escape flow pattern around the Northeastern Tibetan plateau and surrounding regions, especially along the Xi'an-Taiyuan-Datong, we construct 3-D geological finite element model with high resolution topography and non-homogeneous strata. For the uncertainties of computational parameters, such as the depth and width and viscosity coefficient of the middle-lower crust, and the pressure differences, several models were tested to analyze the spatial distribution of curst flow and try to known about the uplift of Datong in Shanxi Province.

  2. Beals Syndrome

    Science.gov (United States)

    ... the syndrome. How does Beals syndrome compare with Marfan syndrome? People with Beals syndrome have many of the ... bone) and aortic enlargement problems as people with Marfan syndrome, and treatments for these problems are the same. ...

  3. Satellite precipitation estimation over the Tibetan Plateau

    Science.gov (United States)

    Porcu, F.; Gjoka, U.

    2012-04-01

    Precipitation characteristics over the Tibetan Plateau are very little known, given the scarcity of reliable and widely distributed ground observation, thus the satellite approach is a valuable choice for large scale precipitation analysis and hydrological cycle studies. However,the satellite perspective undergoes various shortcomings at the different wavelengths used in atmospheric remote sensing. In the microwave spectrum often the high soil emissivity masks or hides the atmospheric signal upwelling from light-moderate precipitation layers, while low and relatively thin precipitating clouds are not well detected in the visible-infrared, because of their low contrast with cold and bright (if snow covered) background. In this work an IR-based, statistical rainfall estimation technique is trained and applied over the Tibetan Plateau hydrological basin to retrive precipitation intensity at different spatial and temporal scales. The technique is based on a simple artificial neural network scheme trained with two supervised training sets assembled for monsoon season and for the rest of the year. For the monsoon season (estimated from June to September), the ground radar precipitation data for few case studies are used to build the training set: four days in summer 2009 are considered. For the rest of the year, CloudSat-CPR derived snowfall rate has been used as reference precipitation data, following the Kulie and Bennartz (2009) algorithm. METEOSAT-7 infrared channels radiance (at 6.7 and 11 micometers) and derived local variability features (such as local standard deviation and local average) are used as input and the actual rainrate is obtained as output for each satellite slot, every 30 minutes on the satellite grid. The satellite rainrate maps for three years (2008-2010) are computed and compared with available global precipitation products (such as C-MORPH and TMPA products) and with other techniques applied to the Plateau area: similarities and differences are

  4. Modern limnology of two lakes in the Tibetan Plateau - evidence from in-situ monitoring

    Science.gov (United States)

    Wang, M.; Li, X.; Lei, L.; He, Y.; Hou, J.

    2013-12-01

    The mechanisms of climate change in the Tibetan Plateau, known as the Third Pole, receive more and more attention due to its unique geographic location and the influence of multiple climate systems. Among the paleoclimate archives, widespread lakes provide abundant information on past climate changes and have been investigated for decades. Though many high-quality paleolimnological records have been reported in the Tibetan Plateau, little is known about the modern limnological processes in most Tibetan lakes as most lakes are difficult to access and not ready for long-term monitoring. We have installed a series of temperature data logger at different water levels in two Tibetan lakes, Bangong Co and Dagze Co in July 2012 to monitor hourly variability of temperature profile. Bangong Co (33.5°N, 79.8°E, 4245 m asl) is a freshwater lake (salinity ~0.5 g/L) in the westernmost Tibetan Plateau, receiving melt water from mountain glaciers in the basin. Dagze Co (31.9°N, 87.5°E, 4470 m asl) is saline lake (salinity ~15 g/L) in the central Tibetan Plateau, mostly fed by precipitation. In combination with the climate data in the nearby weather stations, we wish to understand the modern limnological processes in the two lakes and their potential effect on the lake biology, sedimentation, and sedimentary biomarkers. Based on the data collected for the first calendar year (Jul 2012 ~ Aug 2013), we anticipate to understand: 1) the influence of climate on the hydrological processes in high elevation lakes; 2) the difference in the metalimnion in meltwater-fed lake (Bangong Co) and precipitation-fed lake (Dagze Co) and their potential effect on the lake biology; 3) the difference in the spring turnover and fall turnover and the effect of meltwater and salinity.

  5. Plateau subduction, intraslab seismicity, and the Denali (Alaska) volcanic gap

    Science.gov (United States)

    Chuang, Lindsay Yuling; Bostock, Michael; Wech, Aaron; Plourde, Alexandre

    2018-01-01

    Tectonic tremors in Alaska (USA) are associated with subduction of the Yakutat plateau, but their origins are unclear due to lack of depth constraints. We have processed tremor recordings to extract low-frequency earthquakes (LFEs), and generated a set of six LFE waveform templates via iterative network matched filtering and stacking. The timing of impulsive P (compressional) wave and S (shear) wave arrivals on template waveforms places LFEs at 40–58 km depth, near the upper envelope of intraslab seismicity and immediately updip of increased levels of intraslab seismicity. S waves at near-epicentral distances display polarities consistent with shear slip on the plate boundary. We compare characteristics of LFEs, seismicity, and tectonic structures in central Alaska with those in warm subduction zones, and propose a new model for the region’s unusual intraslab seismicity and the enigmatic Denali volcanic gap (i.e., an area of no volcanism where expected). We argue that fluids in the Yakutat plate are confined to its upper crust, and that shallow subduction leads to hydromechanical conditions at the slab interface in central Alaska akin to those in warm subduction zones where similar LFEs and tremor occur. These conditions lead to fluid expulsion at shallow depths, explaining strike-parallel alignment of tremor occurrence with the Denali volcanic gap. Moreover, the lack of double seismic zone and restriction of deep intraslab seismicity to a persistent low-velocity zone are simple consequences of anhydrous conditions prevailing in the lower crust and upper mantle of the Yakutat plate.

  6. Change in Vegetation Growth and Its Feedback to Climate in the Tibet Plateau

    Science.gov (United States)

    Piao, S.

    2015-12-01

    Vegetation growth is strongly influenced by climate and climate change and can affect the climate system through a number of bio-physical processes. As a result, monitoring, understanding and predicting the response of vegetation growth to global change has been a central activity in Earth system science during the past two decades. The Tibetan Plateau (TP) has experienced a pronounced warming over recent decades. The warming rate of the TP over the period 1960-2009 was about twice the global average warming rate, yet with heterogeneous patterns. In this study, we use satellite derived NDVI data to investigate spatio-temporal change in vegetation growth over the last three decades.

  7. Genetics Home Reference: gray platelet syndrome

    Science.gov (United States)

    ... disorder, platelet-type, 4 deficient alpha granule syndrome GPS grey platelet syndrome platelet alpha-granule deficiency platelet ... on PubMed Central Kahr WH, Hinckley J, Li L, Schwertz H, Christensen H, Rowley JW, Pluthero FG, ...

  8. Uranium indicator plants of the Colorado plateau

    International Nuclear Information System (INIS)

    Massingill, G.L.

    1979-01-01

    Two methods of botanical prospecting for uranium deposits have been applied on the Colorado Plateau. The first, based on a chemical analysis of deep-rooted plants that absorb uranium from ore bodies, detects small but measurable amounts of the element in plants rooted in ore. A second method involves mapping the distribution of indicator plants because these plants are dependent--either directly or indirectly--upon the presence of abnormally high levels of elements in the parent soil or rock. Botanical prospecting studies made in ten districts have been productive. In the Thompson district, Grand County, Utah, five ore bodies were found solely on the basis of indicator plant data. 15 refs

  9. Plateau inflation in SUGRA-MSSM

    Directory of Open Access Journals (Sweden)

    Girish Kumar Chakravarty

    2016-09-01

    Full Text Available We explored a Higgs inflationary scenario in the SUGRA embedding of the MSSM in Einstein frame where the inflaton is contained in the SU(2 Higgs doublet. We include all higher order non-renormalizable terms to the MSSM superpotential and an appropriate Kähler potential which can provide slow-roll inflaton potential in the D-flat direction. In this model, a plateau-like inflation potential can be obtained if the imaginary part of the neutral Higgs acts as the inflaton. The inflationary predictions of this model are consistent with the latest CMB observations. The model represents a successful Higgs inflation scenario in the context of Supergravity and it is compatible with Minimal Supersymmetric extension of the Standard Model.

  10. Quality of life on the Colorado Plateau: A report to camera-survey collaborators in southeast Utah

    Science.gov (United States)

    Taylor, Jonathan G.; Reis-Ruehrwein, Jessica B.; Sexton, Natalie R.; Blahna, Dale J.

    1999-01-01

    What constitutes quality of life among community residents in southeastern and central Utah? What critical areas, elements, and special outdoor places are essential to quality of life in those areas? Answering these questions was the goal of this "quality-of-life" research collaboration in the Colorado Plateau region. Collaborators include the Utah Travel Council (UTC), Canyon Country Partnership, Utah State University, and the county governments of Carbon, Emery, Grand, San Juan, and Wayne counties.

  11. Detecting water yield variability due to the small proportional land use and land cover changes in a watershed on the Loess Plateau, China

    Science.gov (United States)

    S. Wang; Z. Zhang; G. Sun; S.G. McNulty; M. Zhang

    2009-01-01

    Soil conservation practices have been widely implemented on the Loess Plateau to reduce severe soil erosion in north-central China over the past three decades. However, the hydrologic impacts of these practices are not well documented and understood. The objective of this study was to examine how water yield has changed after implementing soil conservation practices...

  12. Cushing syndrome

    Science.gov (United States)

    Hypercortisolism; Cortisol excess; Glucocorticoid excess - Cushing syndrome ... The most common cause of Cushing syndrome is taking too much ... Cushing syndrome . Prednisone, dexamethasone, and prednisolone ...

  13. LEOPARD syndrome

    Science.gov (United States)

    Multiple lentigines syndrome; Noonan syndrome with multiple lentigines ... Genetics Home Reference -- ghr.nlm.nih.gov/condition/noonan-syndrome-with-multiple-lentigines National Organization for Rare Disorders -- ...

  14. Two distinct patterns of seasonal variation of airborne black carbon over Tibetan Plateau

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Mo; Xu, Baiqing; Wang, Ninglian; Cao, Junji; Tie, Xuexi; Wang, Hailong; Zhu, Chongshu; Yang, Wei

    2016-12-01

    Airborne black carbon (BC) mass concentrations were measured from November 2012 to June 2013 at Ranwu and Beiluhe, located in the southeastern and central Tibetan Plateau, respectively. Monthly mean BC concentrations showawinter (November–February) high (413.2 ng m$-$3) and spring (March–June) low(139.1 ng m$-$3) at Ranwu, but in contrast awinter lowand spring high at Beiluhe (204.8 and 621.6 ng m$-$3, respectively). By examining the meteorological conditions at various scales, we found that themonthly variation of airborne BC over the southeastern Tibetan Plateau (TP) was highly influenced by regional precipitation and over the hinterland by winds. Local precipitation at both sites showed little impact on the seasonal variation of airborne BC concentrations. Potential BC source regions are identified using air mass backward trajectory analysis. At Ranwu, BC was dominated by the air masses from the northeastern India and Bangladesh in both winter and spring, whereas at Beiluhe it was largely contributed by air masses from the south slope of Himalayas in winter, and from the arid region in the north of the TP in spring. Thewinter and spring seasonal peak of BC in the southern TP is largely contributed by emissions from South Asia, and this seasonal variation is heavily influenced by the regional monsoon. In the northern TP, BC had high concentrations during spring and summer seasons, which is very likely associated with more efficient transport of BC over the arid regions on the north of Tibetan Plateau and in Central Asia. Airborne BC concentrations at the Ranwusampling site showed a significant diurnal cyclewith a peak shortly after sunrise followed by a decrease before noon in both winter and spring, likely shaped by local human activities and the diurnal variation of wind speed. At the Beiluhe sampling site, the diurnal variation of BC is different and less distinct.

  15. Two distinct patterns of seasonal variation of airborne black carbon over Tibetan Plateau.

    Science.gov (United States)

    Wang, Mo; Xu, Baiqing; Wang, Ninglian; Cao, Junji; Tie, Xuexi; Wang, Hailong; Zhu, Chongshu; Yang, Wei

    2016-12-15

    Airborne black carbon (BC) mass concentrations were measured from November 2012 to June 2013 at Ranwu and Beiluhe, located in the southeastern and central Tibetan Plateau, respectively. Monthly mean BC concentrations show a winter (November-February) high (413.2ngm -3 ) and spring (March-June) low (139.1ngm -3 ) at Ranwu, but in contrast a winter low and spring high at Beiluhe (204.8 and 621.6ngm -3 , respectively). By examining the meteorological conditions at various scales, we found that the monthly variation of airborne BC over the southeastern Tibetan Plateau (TP) was highly influenced by regional precipitation and over the hinterland by winds. Local precipitation at both sites showed little impact on the seasonal variation of airborne BC concentrations. Potential BC source regions are identified using air mass backward trajectory analysis. At Ranwu, BC was dominated by the air masses from the northeastern India and Bangladesh in both winter and spring, whereas at Beiluhe it was largely contributed by air masses from the south slope of Himalayas in winter, and from the arid region in the north of the TP in spring. The winter and spring seasonal peak of BC in the southern TP is largely contributed by emissions from South Asia, and this seasonal variation is heavily influenced by the regional monsoon. In the northern TP, BC had high concentrations during spring and summer seasons, which is very likely associated with more efficient transport of BC over the arid regions on the north of Tibetan Plateau and in Central Asia. Airborne BC concentrations at the Ranwu sampling site showed a significant diurnal cycle with a peak shortly after sunrise followed by a decrease before noon in both winter and spring, likely shaped by local human activities and the diurnal variation of wind speed. At the Beiluhe sampling site, the diurnal variation of BC is different and less distinct. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Xylella fastidiosa CoDiRO strain associated with the olive quick decline syndrome in southern Italy belongs to a clonal complex of the subspecies pauca that evolved in Central America.

    Science.gov (United States)

    Marcelletti, Simone; Scortichini, Marco

    2016-12-01

    Xylella fastidiosa, a xylem-limited bacterium transmitted by xylem-fluid-feeding Hemiptera insects, causes economic losses of both woody and herbaceous plant species. A Xyl. fastidiosa subsp. pauca strain, namely CoDiRO, was recently found to be associated with the 'olive quick decline syndrome' in southern Italy (i.e. Apulia region). Recently, some Xyl. fastidiosa strains intercepted in France from Coffea spp. plant cuttings imported from Central and South America were characterized. The introduction of infected plant material from Central America in Apulia was also postulated even though an ad hoc study to confirm this hypothesis is lacking. In the present study, we assessed the complete and draft genome of 27 Xyl. fastidiosa strains. Through a genome-wide approach, we confirmed the occurrence of three subspecies within Xyl. fastidiosa, namely fastidiosa, multiplex and pauca, and demonstrated the occurrence of a genetic clonal complex of four Xyl. fastidiosa strains belonging to subspecies pauca which evolved in Central America. The CoDiRO strain displayed 13 SNPs when compared with a strain isolated in Costa Rica from Coffea sp. and 32 SNPs when compared with two strains obtained from Nerium oleander in Costa Rica. These results support the close relationships of the two strains. The four strains in the clonal complex contain prophage-like genes in their genomes. This study strongly supports the possibility of the introduction of Xyl. fastidiosa in southern Italy via coffee plants grown in Central America. The data also stress how the current global circulation of agricultural commodities potentially threatens the agrosystems worldwide.

  17. The Use of Central Pathology Review With Digital Slide Scanning in Advanced-stage Mycosis Fungoides and Sézary Syndrome: A Multi-institutional and International Pathology Study.

    Science.gov (United States)

    Gru, Alejandro A; Kim, Jinah; Pulitzer, Melissa; Guitart, Joan; Battistella, Maxime; Wood, Gary S; Cerroni, Lorenzo; Kempf, Werner; Willemze, Rein; Pawade, Joya; Querfeld, Christiane; Schaffer, Andras; Pincus, Laura; Tetzlaff, Michael; Duvic, Madeleine; Scarisbrick, Julia; Porcu, Pierluigi; Mangold, Aaron R; DiCaudo, David J; Shinohara, Michi; Hong, Eric K; Horton, Bethany; Kim, Youn H

    2018-06-01

    This pathology PILOT study aims to define the role and feasibility of centralized pathology review in a cohort of 75 patients from different centers in the United States and Europe using digital slide scanning. The pathologic material from 75 patients who had been diagnosed with mycosis fungoides/Sézary syndrome and were clinically staged as IIb or above was retrieved from 11 participating centers. Each pathology reviewer was provided with the pathologic diagnosis (by the referring pathologist), and the following list of histopathologic criteria (presence or absence) from the initial report: epidermotropism, folliculotropism (FT), large cell transformation, syringotropism, and granulomas. Patients with advance stage were selected for this study as this is a population where there is significant variability in the diagnosis of pathologic prognostic and predictive biomarkers. The slides were digitally scanned with an Aperio scanner and consensus review of cases occurred when major or minor discrepancies between the referral diagnosis and central pathology review occurred. Among the 75 cases, 70 (93.3%) had a final consensus diagnosis between the 3 central review pathologists. The overall agreement between the consensus review and the referring pathologist was 60%. The overall agreement was also higher between the reviewers and consensus review, compared with the referring pathologist and consensus. 65.3% of cases had some type of discrepancy (major or minor) between the outside and consensus review. Major discrepancies were seen in 34 of 73 cases (46.6%; 73 cases indicated a yes or no response). Minor discrepancies were seen in 32 of 75 (42.7%) of cases. Most of the major discrepancies were accounted by a difference in interpretation in the presence or absence of large cell transformation or FT. Most minor discrepancies were explained by a different interpretation in the expression of CD30. We found digital slide scanning to be a beneficial, reliable, and practical

  18. Topographic heterogeneity and temperature amplitude explain species richness patterns of birds in the Qinghai-Tibetan Plateau.

    Science.gov (United States)

    Zhang, Chunlan; Quan, Qing; Wu, Yongjie; Chen, Youhua; He, Peng; Qu, Yanhua; Lei, Fumin

    2017-04-01

    Large-scale patterns of species richness have gained much attention in recent years; however, the factors that drive high species richness are still controversial in local regions, especially in highly diversified montane regions. The Qinghai-Tibetan Plateau (QTP) and the surrounding mountains are biodiversity hot spots due to a high number of endemic montane species. Here, we explored the factors underlying this high level of diversity by studying the relationship between species richness and environmental variables. The richness patterns of 758 resident bird species were summarized at the scale of 1°×1° grid cell at different taxonomic levels (order, family, genus, and species) and in different taxonomic groups (Passeriformes, Galliformes, Falconiformes, and Columbiformes). These richness patterns were subsequently analyzed against habitat heterogeneity (topographical heterogeneity and land cover), temperature amplitude (annual temperature, annual precipitation, precipitation seasonality, and temperature seasonality) and a vegetation index (net primary productivity). Our results showed that the highest richness was found in the southeastern part of the QTP, the eastern Himalayas. The lowest richness was observed in the central plateau of the QTP. Topographical heterogeneity and temperature amplitude are the primary factors that explain overall patterns of species richness in the QTP, although the specific effect of each environmental variable varies between the different taxonomic groups depending on their own evolutionary histories and ecological requirements. High species richness in the southeastern QTP is mostly due to highly diversified habitat types and temperature zones along elevation gradients, whereas the low species richness in the central plateau of the QTP may be due to environmental and energetic constraints, as the central plateau is harsh environment.

  19. Characteristics of black carbon in snow from Laohugou No. 12 glacier on the northern Tibetan Plateau.

    Science.gov (United States)

    Zhang, Yulan; Kang, Shichang; Li, Chaoliu; Gao, Tanguang; Cong, Zhiyuan; Sprenger, Michael; Liu, Yajun; Li, Xiaofei; Guo, Junming; Sillanpää, Mika; Wang, Kun; Chen, Jizu; Li, Yang; Sun, Shiwei

    2017-12-31

    Black carbon (BC) emitted from the incomplete combustion of biomass and fossil fuel impacts the climate system, cryospheric change, and human health. This study documents black carbon deposition in snow from a benchmark glacier on the northern Tibetan Plateau. Significant seasonality of BC concentrations indicates different input or post-depositional processes. BC particles deposited in snow had a mass volume median diameter slightly larger than that of black carbon particles typically found in the atmosphere. Also, unlike black carbon particles in the atmosphere, the particles deposited in snow did not exhibit highly fractal morphology by Scanning Transmission Electron Microscope. Footprint analysis indicated BC deposited on the glacier in summer originated mainly from Central Asia; in winter, the depositing air masses generally originated from Central Asia and Pakistan. Anthropogenic emissions play an important role on black carbon deposition in glacial snow, especially in winter. The mass absorption efficiency of BC in snow at 632nm exhibited significantly seasonality, with higher values in summer and lower values in winter. The information on black carbon deposition in glacial snow provided in this study could be used to help mitigate the impacts of BC on glacier melting on the northern Tibetan Plateau. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Fanconi syndrome

    Science.gov (United States)

    De Toni-Fanconi syndrome ... Fanconi syndrome can be caused by faulty genes, or it may result later in life due to kidney damage. Sometimes the cause of Fanconi syndrome is unknown. Common causes of Fanconi syndrome in ...

  1. Duane Syndrome

    Science.gov (United States)

    ... Frequently Asked Questions Español Condiciones Chinese Conditions Duane Syndrome En Español Read in Chinese What is Duane Syndrome? Duane syndrome, also called Duane retraction syndrome (DRS), ...

  2. Hydrologic modeling of the Columbia Plateau basalts

    International Nuclear Information System (INIS)

    Dove, F.H.; Cole, C.R.; Bond, F.W.; Zimmerman, D.A.

    1982-09-01

    The Office of Nuclear Waste Isolation (ONWI) directed the Assessment of Effectiveness of Geologic Isolation Systems (AEGIS) Program to conduct a technology demonstration of current performance assessment techniques for the Department of Energy (DOE) as applied to a nuclear waste repository in the Columbia Plateau Basalts. Hypothetical repository coordinates were selected for an actual geographical setting on the Hanford Reservation in the state of Washington. Published hydrologic and geologic data used in the analyses were gathered in 1979 or earlier. The hydrologic simulation was divided into three major parts: (1) aquifer recharge calculations, (2) a regional hydrologic model, and (3) a local hydrologic model of the Pasco Basin. The presentation discusses the regional model. An estimate of the amount of water transmitted through the groundwater system was required to bound the transmissivity values and to estimate the transmissivity distributions for the deeper basalts. The multiple layer two-dimensional Variable Thickness Transient (VTT) code was selected as appropriate for the amount of data available and for the conditions existing in the regional systems. This model uses a finite difference formulation to represent the partial differential flow equation. The regional study area as defined for the VTT model was divided into 55 by 55 square pattern with each grid 5 kilometers on a side. The regional system was modeled as a held potential surface layer and two underlying basalt layers. The regional model established the boundary conditions for the hydrologic model the Pasco Basin

  3. Does the climate warming hiatus exist over the Tibetan Plateau?

    Science.gov (United States)

    Duan, Anmin; Xiao, Zhixiang

    2015-09-02

    The surface air temperature change over the Tibetan Plateau is determined based on historical observations from 1980 to 2013. In contrast to the cooling trend in the rest of China, and the global warming hiatus post-1990s, an accelerated warming trend has appeared over the Tibetan Plateau during 1998-2013 (0.25 °C decade(-1)), compared with that during 1980-1997 (0.21 °C decade(-1)). Further results indicate that, to some degree, such an accelerated warming trend might be attributable to cloud-radiation feedback. The increased nocturnal cloud over the northern Tibetan Plateau would warm the nighttime temperature via enhanced atmospheric back-radiation, while the decreased daytime cloud over the southern Tibetan Plateau would induce the daytime sunshine duration to increase, resulting in surface air temperature warming. Meanwhile, the in situ surface wind speed has recovered gradually since 1998, and thus the energy concentration cannot explain the accelerated warming trend over the Tibetan Plateau after the 1990s. It is suggested that cloud-radiation feedback may play an important role in modulating the recent accelerated warming trend over the Tibetan Plateau.

  4. Fate of Glaciers in the Tibetan Plateau by 2100

    Science.gov (United States)

    Duan, K.

    2017-12-01

    As the third polar on the Earth, the Tibetan plateau holds more than 40,000 glaciers which have experienced a rapid retreat in recent decades. The variability of equilibrium line altitude (ELA) indicates expansion and wastage of glacier directly. Here we simulated the ELA variability in the Tibetan Plateau based on a full surface energy and mass balance model. The simulation results are agreement with the observations. The ELAs have risen at a rate of 2-8m/a since 1970 throughout the Plateau, especially in the eastern Plateau where the ELAs have risen to or over the top altitude of glacier, indicating the glaciers are accelerating to melting over there. Two glaciers, XD glacier in the center of the Plateau and Qiyi glacier in the Qilian Mountain, are chosen to simulate its future ELA variability in the scenarios of RCP2.6, RCP4.5 and RCP 8.5 given by IPCC. The results show the ELAs will arrive to its maximum in around 2040 in RCP2.6, while the ELAs will be over the top altitude of glaciers in 2035-2045 in RCP4.5 and RCP8.5, suggesting the glaciers in the eastern Plateau will be melting until the disappear of the glaciers by the end of 2100.

  5. Diurnal variation of summer precipitation over the Tibetan Plateau. A cloud-resolving simulation

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Jianyu; Zhang, Bing; Wang, Minghuan [China Meteorological Administration, Wuhan (China). Wuhan Inst. of Heavy Rain; Wang, Huijuan [Weather Modification Office of Hubei Province, Wuhan (China)

    2012-07-01

    In this study, the Weather Research and Forecasting model was used to simulate the diurnal variation in summer precipitation over the Tibetan Plateau (TP) at a cloudresolving scale. Compared with the TRMM, precipitation data shows that the model can well simulate the diurnal rainfall cycle with an overall late-afternoon maximum precipitation in the central TP and a nighttime maximum in the southern edge. The simulated diurnal variations in regional circulation and thermodynamics are in good correspondence with the precipitation diurnal cycles in the central and southern edge of TP, respectively. A possible mechanism responsible for the nocturnal precipitation maximum in the southern edge has been proposed, indicating the importance of the TP in regulating the regional circulation and precipitation. (orig.)

  6. Integrated assessment on the vulnerability of animal husbandry to snow disasters under climate change in the Qinghai-Tibetan Plateau

    Science.gov (United States)

    Wei, Yanqiang; Wang, Shijin; Fang, Yiping; Nawaz, Zain

    2017-10-01

    Animal husbandry is a dominant and traditional source of livelihood and income in the Qinghai-Tibetan Plateau. The Qinghai-Tibetan Plateau is the third largest snow covered area in China and is one of the main snow disaster regions in the world. It is thus imperative to urgently address the issue of vulnerability of the animal husbandry sector to snow disasters for disaster mitigation and adaptation under growing risk of these disasters as a result of future climate change. However, there is very few literature reported on the vulnerability of animal husbandry in the Qinghai-Tibetan Plateau. This assessment aims at identifying vulnerability of animal husbandry at spatial scale and to identify the reasons for vulnerability for adaptive planning and disaster mitigation. First, historical snow disaster characteristics have been analyzed and used for the spatial weight for vulnerability assessment. Second, indicator-based vulnerability assessment model and indicator system have been established. We combined risk of snow hazard, sensitivity of livestock to disaster, physical exposure to disaster, and community capacity to adapt to snow disaster in an integrated vulnerability index. Lastly, vulnerability of animal husbandry to snow disaster on the Qinghai-Tibetan Plateau has been evaluated. Results indicate that high vulnerabilities are mainly concentrated in the eastern and central plateau and that vulnerability decreases gradually from the east to the west. Due to global warming, the vulnerability trend has eased to some extent during the last few decades. High livestock density exposure to blizzard-prone regions and shortages of livestock barn and forage are the main reasons of high vulnerability. The conclusion emphasizes the important role of the local government and community to help local pastoralists for reducing vulnerability to snow disaster and frozen hazard. The approaches presented in this paper can be used for snow disaster mitigation, resilience

  7. Treatment of the Guillain-Barré syndrome

    NARCIS (Netherlands)

    R.P. Kleyweg

    1990-01-01

    textabstractThe Guillain-Barre syndrome (GBS) is an inflammatory polyneuropathy with an incidence of 1-1.8/100,000. It is characterised by an acute or subacute onset and a progressive phase of less than four weeks, followed by a plateau phase of variable duration [106, 111]. Improvement then

  8. KBG syndrome

    Directory of Open Access Journals (Sweden)

    Brancati Francesco

    2006-12-01

    Full Text Available Abstract KBG syndrome is a rare condition characterised by a typical facial dysmorphism, macrodontia of the upper central incisors, skeletal (mainly costovertebral anomalies and developmental delay. To date, KBG syndrome has been reported in 45 patients. Clinical features observed in more than half of patients that may support the diagnosis are short stature, electroencephalogram (EEG anomalies (with or without seizures and abnormal hair implantation. Cutaneous syndactyly, webbed short neck, cryptorchidism, hearing loss, palatal defects, strabismus and congenital heart defects are less common findings. Autosomal dominant transmission has been observed in some families, and it is predominantly the mother, often showing a milder clinical picture, that transmits the disease. The diagnosis is currently based solely on clinical findings as the aetiology is unknown. The final diagnosis is generally achieved after the eruption of upper permanent central incisors at 7–8 years of age when the management of possible congenital anomalies should have been already planned. A full developmental assessment should be done at diagnosis and, if delays are noted, an infant stimulation program should be initiated. Subsequent management and follow-up should include an EEG, complete orthodontic evaluation, skeletal investigation with particular regard to spine curvatures and limb asymmetry, hearing testing and ophthalmologic assessment.

  9. Hamartomatous polyposis syndromes

    DEFF Research Database (Denmark)

    Jelsig, Anne Marie; Qvist, Niels; Brusgaard, Klaus

    2014-01-01

    Hamartomatous Polyposis Syndromes (HPS) are genetic syndromes, which include Peutz-Jeghers syndrome, Juvenile polyposis syndrome, PTEN hamartoma tumour syndrome (Cowden Syndrom, Bannayan-Riley-Ruvalcaba and Proteus Syndrome) as well as hereditary mixed polyposis syndrome. Other syndromes such as ......Hamartomatous Polyposis Syndromes (HPS) are genetic syndromes, which include Peutz-Jeghers syndrome, Juvenile polyposis syndrome, PTEN hamartoma tumour syndrome (Cowden Syndrom, Bannayan-Riley-Ruvalcaba and Proteus Syndrome) as well as hereditary mixed polyposis syndrome. Other syndromes...

  10. Incidence and risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture: A systematic review and meta-analysis.

    Science.gov (United States)

    Shao, Jiashen; Chang, Hengrui; Zhu, Yanbin; Chen, Wei; Zheng, Zhanle; Zhang, Huixin; Zhang, Yingze

    2017-05-01

    This study aimed to quantitatively summarize the risk factors associated with surgical site infection after open reduction and internal fixation of tibial plateau fracture. Medline, Embase, CNKI, Wanfang database and Cochrane central database were searched for relevant original studies from database inception to October 2016. Eligible studies had to meet quality assessment criteria according to the Newcastle-Ottawa Scale, and had to evaluate the risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture. Stata 11.0 software was used for this meta-analysis. Eight studies involving 2214 cases of tibial plateau fracture treated by open reduction and internal fixation and 219 cases of surgical site infection were included in this meta-analysis. The following parameters were identified as significant risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture (p operative time (OR 2.15; 95% CI 1.53-3.02), tobacco use (OR 2.13; 95% CI 1.13-3.99), and external fixation (OR 2.07; 95% CI 1.05-4.09). Other factors, including male sex, were not identified as risk factors for surgical site infection. Patients with the abovementioned medical conditions are at risk of surgical site infection after open reduction and internal fixation of tibial plateau fracture. Surgeons should be cognizant of these risks and give relevant preoperative advice. Copyright © 2017. Published by Elsevier Ltd.

  11. Multiscale Spatio-Temporal Dynamics of Economic Development in an Interprovincial Boundary Region: Junction Area of Tibetan Plateau, Hengduan Mountain, Yungui Plateau and Sichuan Basin, Southwestern China Case

    Directory of Open Access Journals (Sweden)

    Jifei Zhang

    2016-02-01

    Full Text Available An interprovincial boundary region is a new subject of economic disparity study in China. This study explored the multi-scale spatio-temporal dynamics of economic development from 1995 to 2010 in the interprovincial boundary region of Sichuan-Yunnan-Guizhou, a mountain area and also the junction area of Tibetan Plateau, Hengduan Mountain, Yungui Plateau and Sichuan Basin in southwestern China. A quantitative study on county GDP per capita for different scales of administrative regions was conducted using the Theil index, Markov chains, a geographic information system and exploratory spatial data analysis. Results indicated that the economic disparity was closely related with geographical unit scale in the study area: the smaller the unit, the bigger the disparity, and the regional inequality gradually weakened over time. Moreover, significant positive spatial autocorrelation and clustering of economic development were also found. The spatial pattern of economic development presented approximate circle structure with two cores in the southwest and northeast. The Panxi region in the southwest core and a part of Hilly Sichuan Basin in the northeast core were considered to be hot spots of economic development. Most areas in the east and central region were persistently trapped in the low level of a balanced development state, with a poverty trap being formed in the central and south part. Geographical conditions and location, administrative barriers and the lack of effective growth poles may be the main reasons for the entire low level of balanced development. Our findings suggest that in order to achieve a high level of balanced development, attention should be paid beyond developing transportation and other infrastructure. Breaking down the rigid shackles of administrative districts that hinder trans-provincial cooperation and promoting new regional poles in the Yunnan-Guizhou region may have great significance for the study area.

  12. Influence of elevation and forest type on community assemblage and species distribution of shrews in the central and southern Appalachian mountains

    Science.gov (United States)

    W. Mark Ford; Timothy S. McCay; Michael A. Menzel; W. David Webster; Cathryn H. Greenberg; John F. Pagels; Joseph F. Merritt; Joseph F. Merritt

    2005-01-01

    We analyzed shrew community data from 398,832 pitfall trapnights at 303 sites across the upper Piedmont, Blue Ridge, northern Ridge and Valley, southern Ridge and Valley, Cumberland Plateau and Allegheny Mountains and Plateau sections of the central and southern Appalachian Mountains from Alabama to Pennsylvania. The objectives of our research were to describe regional...

  13. The Colorado Plateau II: biophysical, socioeconomic, and cultural research

    Science.gov (United States)

    Mattson, David J.; van Riper, Charles

    2005-01-01

    The publication of The Colorado Plateau: Cultural, Biological, and Physical Research in 2004 marked a timely summation of current research in the Four Corners states. This new volume, derived from the seventh Biennial Conference on the Colorado Plateau in 2003, complements the previous book by focusing on the integration of science into resource management issues. The 32 chapters range in content from measuring human impacts on cultural resources, through grazing and the wildland-urban interface issues, to parameters of climate change on the Plateau. The book also introduces economic perspectives by considering shifting patterns and regional disparities in the Colorado Plateau economy. A series of chapters on mountain lions explores the human-wildland interface. These chapters deal with the entire spectrum of challenges associated with managing this large mammal species in Arizona and on the Colorado Plateau, conveying a wealth of timely information of interest to wildlife managers and enthusiasts. Another provocative set of chapters on biophysical resources explores the management of forest restoration, from the micro scale all the way up to large-scale GIS analyses of ponderosa pine ecosystems on the Colorado Plateau. Given recent concerns for forest health in the wake of fires, severe drought, and bark-beetle infestation, these chapters will prove enlightening for forest service, park service, and land management professionals at both the federal and state level, as well as general readers interested in how forest management practices will ultimately affect their recreation activities. With broad coverage that touches on topics as diverse as movement patterns of rattlesnakes, calculating watersheds, and rescuing looted rockshelters, this volume stands as a compendium of cutting-edge research on the Colorado Plateau that offers a wealth of insights for many scholars.

  14. Central nervous system abnormalities in patients with oculo-auriculo-vertebral spectrum (Goldenhar syndrome Anormalidades do sistema nervoso central em pacientes com espectro óculo-aurículo-vertebral (síndrome de Goldenhar

    Directory of Open Access Journals (Sweden)

    Rafael Fabiano Machado Rosa

    2010-02-01

    Full Text Available OBJECTIVE: To describe the central nervous system (CNS alterations present in a sample of oculo-auriculo-vertebral spectrum (OAVS patients, trying to correlate them with other clinical features. METHOD: Seventeen patients with diagnosis of OAVS were evaluated. All presented radiological evaluation of the CNS, normal GTG-Banding karyotype and clinical features involving at least two from the four following areas: oro-cranio-facial, ocular, auricular and vertebral. RESULTS: CNS alterations were verified in eight from seventeen patients (47%. Diffuse cerebral hypoplasia, dilated lateral cerebral ventricles (asymptomatic hydrocephalus, corpus callosum dysgenesis and frontal hypodensities were the most frequent abnormalities. Presence of ophthalmologic abnormalities was the only clinical association observed, being significantly more frequent among patients with cerebral alterations (63% versus 11%. CONCLUSION: CNS abnormalities are frequent in patients with OAVS, especially in carriers of ophthalmologic alterations. However, the absence of detectable cerebral abnormalities did not exclude the possibility that these subjects will subsequently present neurological symptoms.OBJETIVO: Descrever as alterações do sistema nervoso central (SNC presentes em uma amostra de pacientes com espectro óculo-aurículo-vertebral (EOAV, tentando correlacioná-las com os demais achados clínicos. MÉTODO: Foram avaliados dezessete pacientes com diagnóstico de EOAV. Todos apresentavam avaliação radiológica do SNC, cariótipo por bandas GTG normal e achados clínicos em pelo menos duas das quatro das seguintes áreas: oro-crânio-facial, ocular, auricular e vertebral. RESULTADOS: Alterações do SNC foram verificadas em oito dos dezessete pacientes (47%. Hipoplasia cerebral difusa, dilatação dos ventrículos cerebrais laterais (hidrocefalia assintomática, disgenesia do corpo caloso e hipondesidades frontais foram as anormalidades mais frequentes. A presença de

  15. Gorlin syndrome: A case report

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    Patil K

    2005-01-01

    Full Text Available Gorlin syndrome is an autosomal dominant inherited condition that exhibits high penetrance and variable expressivity. It is characterized mainly by Basal cell carcinomas, Odontogenic keratocysts and skeletal anomalies. However, medical literature documents both common and lesser known manifestations of the disorder involving the skin, central nervous system, skeletal system etc. Diagnosis of the syndrome in childhood is basically through oral abnormalities. A case of Gorlin syndrome has been reported here, with review of literature.

  16. Thermography imaging during static and controlled thermoregulation in complex regional pain syndrome type 1: diagnostic value and involvement of the central sympathetic system

    Directory of Open Access Journals (Sweden)

    Westra Mirjam

    2006-05-01

    Full Text Available Abstract Background Complex Regional Pain Syndrome type 1 (CRPS1 is a clinical diagnosis based on criteria describing symptoms of the disease. The main aim of the present study was to compare the sensitivity and specificity of calculation methods used to assess thermographic images (infrared imaging obtained during temperature provocation. The secondary objective was to obtain information about the involvement of the sympathetic system in CRPS1. Methods We studied 12 patients in whom CRPS1 was diagnosed according to the criteria of Bruehl. High and low whole body cooling and warming induced and reduced sympathetic vasoconstrictor activity. The degree of vasoconstrictor activity in both hands was monitored using a videothermograph. The sensitivity and specificity of the calculation methods used to assess the thermographic images were calculated. Results The temperature difference between the hands in the CRPS patients increases significantly when the sympathetic system is provoked. At both the maximum and minimum vasoconstriction no significant differences were found in fingertip temperatures between both hands. Conclusion The majority of CRPS1 patients do not show maximal obtainable temperature differences between the involved and contralateral extremity at room temperature (static measurement. During cold and warm temperature challenges this temperature difference increases significantly. As a result a higher sensitivity and specificity could be achieved in the diagnosis of CRPS1. These findings suggest that the sympathetic efferent system is involved in CRPS1.

  17. The central role of vascular extracellular matrix and basement membrane remodeling in metabolic syndrome and type 2 diabetes: the matrix preloaded

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    Tyagi Suresh C

    2005-06-01

    Full Text Available Abstract The vascular endothelial basement membrane and extra cellular matrix is a compilation of different macromolecules organized by physical entanglements, opposing ionic charges, chemical covalent bonding, and cross-linking into a biomechanically active polymer. These matrices provide a gel-like form and scaffolding structure with regional tensile strength provided by collagens, elasticity by elastins, adhesiveness by structural glycoproteins, compressibility by proteoglycans – hyaluronans, and communicability by a family of integrins, which exchanges information between cells and between cells and the extracellular matrix of vascular tissues. Each component of the extracellular matrix and specifically the capillary basement membrane possesses unique structural properties and interactions with one another, which determine the separate and combined roles in the multiple diabetic complications or diabetic opathies. Metabolic syndrome, prediabetes, type 2 diabetes mellitus, and their parallel companion (atheroscleropathy are associated with multiple metabolic toxicities and chronic injurious stimuli. The adaptable quality of a matrix or form genetically preloaded with the necessary information to communicate and respond to an ever-changing environment, which supports the interstitium, capillary and arterial vessel wall is individually examined.

  18. Pediatric-onset multiple sclerosis and other acquired demyelinating syndromes of the central nervous system in Denmark during 1977-2015

    DEFF Research Database (Denmark)

    Boesen, Magnus Spangsberg; Magyari, Melinda; Koch-Henriksen, Nils

    2018-01-01

    BACKGROUND: The incidence of acquired demyelinating syndromes (ADS) including multiple sclerosis (MS) has never been investigated in a Danish pediatric population. OBJECTIVES: We estimated the nationwide age- and sex-specific incidence of pediatric ADS including MS. METHODS: Data were sourced from...... the Danish Multiple Sclerosis Registry, providing cases of pediatric MS for 1977-2015, and the National Patient Register, providing cases of ADS during 2008-2015. All medical records were reviewed to validate the register-based diagnoses. RESULTS: We identified 364 cases of pediatric MS occurring during 1977......-2015 (incidence rate = 0.79 per 100,000 person-years). MS was exceptionally rare before puberty, but the incidence rose considerably from 9 years in girls and 11 years in boys. The female-to-male ratio was 2.5; the median age at onset was 16 years (range = 7-17 years). The MS incidence rate was relatively stable...

  19. Dental approach to craniofacial syndromes

    DEFF Research Database (Denmark)

    Kjær, Inger

    2012-01-01

    is essential for insight into craniofacial syndromes. The dentition, thus, becomes central in diagnostics and evaluation of the pathogenesis. Developmental fields can explore and advance the concept of dental approaches to craniofacial syndromes. Discussion. As deviations in teeth persist and do not reorganize...

  20. The effect of the Asian Monsoon to the atmospheric boundary layer over the Tibetan Plateau

    Science.gov (United States)

    Li, Maoshan; Su, Zhongbo; Chen, Xuelong; Zheng, Donghai; Sun, Fanglin; Ma, Yaoming; Hu, Zeyong

    2016-04-01

    Modulation of the diurnal variations in the convective activities associated with day-by-day changes of surface flux and soil moisture was observed in the beginning of the monsoon season on the central Tibetan plateau (Sugimoto et al., 2008) which indicates the importance of land-atmosphere interactions in determining convective activities over the Tibetan plateau. Detailed interaction processes need to be studied by experiments designed to evaluate a set of hypotheses on mechanisms and linkages of these interactions. A possible function of vegetation to increase precipitation in cases of Tibetan High type was suggested by Yamada and Uyeda (2006). Use of satellite derived plateau scale soil moisture (Wen et al., 2003) enables the verification of these hypotheses (e.g. Trier et al. 2004). To evaluate these feedbacks, the mesoscale WRF model will be used because several numerical experiments are being conducted to improve the soil physical parameterization in the Noah land surface scheme in WRF so that the extreme conditions on the Tibetan plateau could be adequately represented (Van der Velde et al., 2009) such that the impacts on the structure of the atmospheric boundary layer can be assessed and improved. The Tibetan Observational Research Platform (TORP) operated by the Institute of Tibetan Plateau (Ma et al., 2008) will be fully utilized to study the characteristics of the plateau climate and different aspects of the WRF model will be evaluated using this extensive observation platform (e.g. Su et al., 2012). Recently, advanced studies on energy budget have been done by combining field and satellite measurements over the Tibetan Plateau (e.g. Ma et al., 2005). Such studies, however, were based on a single satellite observation and for a few days over an annual cycle, which are insufficient to reveal the relation between the land surface energy budget and the Asian monsoon over the Tibetan plateau. Time series analysis of satellite observations will provide the

  1. [Evaluation of changes in the central and peripheral circulatory system under the influence of physical training carried out under the standard procedure of improving patients after acute coronary syndrome].

    Science.gov (United States)

    Kapusta, Joanna; Kapusta, Anna; Kowalski, Jan; Irzmański, Robert

    2016-06-01

    The observed with age, atherosclerotic changes in vessels and increasing damage to the vascular endothelium, causing an increase in the occurrence of cardiovascular events. An important element in the rehabilitation of patients with coronary artery disease is a physical activity, to complement the pharmacological treatment. The aim of the study was to evaluate the influence of a controlled exercise training on changes in central and peripheral circulatory system in patients after acute coronary syndrome. Group comprising 92 patients were divided into three subgroups. The rehabilitation period ranged from 2 to 4 weeks. In group I and II performed a series of interval training on a bicycle ergometer supplemented by general conditioning exercises; in the group III training individually tailored program, consisting of breathing exercises, relaxation and small muscle groups. In all groups, before and after the training cycle test was performed impedance plethysmography of the chest, echocardiography, exercise test. After completing the program, the parameters plethysmography improved in all groups, with the largest changes were observed in the group treated to the longest training: increase PAmpl (pulse wave amplitude) of 16.7% and PSlope (systolic slope) of 17.6%, while decline in the value of CT (crest time) by 5.7% and PT (propagation time) by 6.3%. In groups, which carried out a controlled exercise training have improved as well: exercise capacity of patients, stroke volume SV, cardiac output CO and global myocardial contractility EF. Moreover, a correlation between the results plethysmography parameters and SV, CO and EF. Controlled physical training, which comes under the standard procedure rehabilitation of patients after acute coronary syndrome, leads to better blood perfusion in vessels of the legs and improve myocardial functional parameters, thereby affecting the growth of physical capacity of patients. © 2016 MEDPRESS.

  2. Atypical presentations of Wolframs syndrome

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    S Saran

    2012-01-01

    Full Text Available Background: Wolfram syndrome is a rare hereditary or sporadic neurodegenerative disorder also known as DIDMOAD. The classically described presentation is of insulin-dependent diabetes, followed by optic atrophy, central diabetes insipidus, and sensory neural deafness. Also included are less well-described presentations of Wolframs syndrome. We here present three cases of atypical presentation of this syndrome. Case 1: A 15-year-old boy with insulin-dependent diabetes was presented for evaluation of depressive symptoms associated with suicidal tendency. Neuropsychiatric manifestations are described with Wolframs syndrome, and wolframin gene, in recessive inheritance, is associated with psychiatric illnesses without other manifestations of Wolframs syndrome. Case 2: A 17-year-old diabetic boy on insulin with good control of blood sugar presented for evaluation of delayed puberty. Central hypogonadism and other anterior pituitary hormone dysfunctions are the less publicized hormone dysfunctions in Wolframs syndrome. Case 3: A 23-year-old female who was on insulin for diabetes for the past 14 years, got admitted for evaluation of sudden loss of vision. This patient had developed a vitreous hemorrhage and, on evaluation, was found to have optic atrophy, sensory neural hearing loss, and diabetes insipidus, and presented differently from the gradual loss of vision described in Wolframs syndrome. Conclusion: Wolframs syndrome being a multisystem degenerative disorder can have myriad other manifestations than the classically described features. Neuropsychiatric manifestations, depression with suicidal risk, central hypogonadism, and secondary adrenal insufficiency are among the less well-described manifestations of this syndrome.

  3. Hexabromocyclododecane in alpine fish from the Tibetan Plateau, China

    International Nuclear Information System (INIS)

    Zhu, Nali; Fu, Jianjie; Gao, Yan; Ssebugere, Patrick; Wang, Yawei; Jiang, Guibin

    2013-01-01

    Hexabromocyclododecanes (HBCDs) has just been listed into Stockholm Convention as a persistent organic pollutant recently. This paper studied the HBCDs in 79 wild fish from high mountain lakes and rivers of the Tibetan Plateau. The ∑HBCDs in fish muscles ranged from non detectable levels to 13.7 ng/g lipid weight (lw) (mean value of 2.12 ng/g lw) with a high detection frequency of 65.8%. α-HBCD dominated among the isomers and accounted for 78.2% of the total burden. Concentrations of ∑HBCDs in the fish were significantly correlated with the lipid content . A decreasing trend was observed between α-HBCD and trophic level. Positive correlation was also noted between the HBCD levels in fish from lakes and the annual precipitation, and this implied the long-range atmospheric transport of HBCDs to the Tibet Plateau. This was the first work to widely explore HBCDs contamination in the aquatic ecosystems of the Tibetan Plateau. -- Highlights: •HBCDs were ubiquitous in fish of the Tibetan Plateau. •α-HBCD showed a negative correlation with TL in the Lhasa River aquatic food web. •Concentrations of ∑HBCD were significantly correlated with lipid contents of fish. -- HBCD was ubiquitous in fish of the Tibetan Plateau, and its concentration was significantly correlated with lipid content

  4. Prader-Willi Critical Region, a Non-Translated, Imprinted Central Regulator of Bone Mass: Possible Role in Skeletal Abnormalities in Prader-Willi Syndrome.

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    Ee-Cheng Khor

    Full Text Available Prader-Willi Syndrome (PWS, a maternally imprinted disorder and leading cause of obesity, is characterised by insatiable appetite, poor muscle development, cognitive impairment, endocrine disturbance, short stature and osteoporosis. A number of causative loci have been located within the imprinted Prader-Willi Critical Region (PWCR, including a set of small non-translated nucleolar RNA's (snoRNA. Recently, micro-deletions in humans identified the snoRNA Snord116 as a critical contributor to the development of PWS exhibiting many of the classical symptoms of PWS. Here we show that loss of the PWCR which includes Snord116 in mice leads to a reduced bone mass phenotype, similar to that observed in humans. Consistent with reduced stature in PWS, PWCR KO mice showed delayed skeletal development, with shorter femurs and vertebrae, reduced bone size and mass in both sexes. The reduction in bone mass in PWCR KO mice was associated with deficiencies in cortical bone volume and cortical mineral apposition rate, with no change in cancellous bone. Importantly, while the length difference was corrected in aged mice, consistent with continued growth in rodents, reduced cortical bone formation was still evident, indicating continued osteoblastic suppression by loss of PWCR expression in skeletally mature mice. Interestingly, deletion of this region included deletion of the exclusively brain expressed Snord116 cluster and resulted in an upregulation in expression of both NPY and POMC mRNA in the arcuate nucleus. Importantly, the selective deletion of the PWCR only in NPY expressing neurons replicated the bone phenotype of PWCR KO mice. Taken together, PWCR deletion in mice, and specifically in NPY neurons, recapitulates the short stature and low BMD and aspects of the hormonal imbalance of PWS individuals. Moreover, it demonstrates for the first time, that a region encoding non-translated RNAs, expressed solely within the brain, can regulate bone mass in health

  5. Fraturas do planalto tibial Tibial plateau fractures

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    Maurício Kfuri Júnior

    2009-01-01

    Full Text Available As fraturas do planalto tibial são lesões articulares cujos princípios de tratamento envolvem a redução anatômica da superfície articular e a restauração funcional do eixo mecânico do membro inferior. Contribuem para a tomada de decisões no tratamento dessas fraturas o perfil do paciente, as condições do envelope de tecidos moles, a existência de outros traumatismos associados e a infraestrutura disponível para abordagens cirúrgicas. Para as fraturas de alta energia, o tratamento estagiado, seguindo o princípio do controle de danos, tem como prioridade a manutenção do alinhamento do membro enquanto se aguarda a resolução das más condições de tecidos moles. Já nos traumas de baixa energia, desde que os tecidos moles não sejam um fator adverso, o tratamento deve ser realizado em tempo único, com osteossíntese definitiva. Fixação estável e movimento precoce são variáveis diretamente relacionadas com os melhores prognósticos. Desenvolvimentos recentes, como os implantes com estabilidade angular, substitutos ósseos e imagens tridimensionais para controle intraoperatório, deverão contribuir para cirurgias menos invasivas e melhores resultados.Tibial plateau fractures are joint lesions that require anatomical reduction of joint surface and functional restoration of mechanical axis of a lower limb. Patient profile, soft tissue conditions, presence of associated injuries and the available infrastructure for the treatment all contribute to the decision making about the best treatment for these fractures. High-energy fractures are usually approached in a staged manner respecting the principle of damage control, and are primarily targeted to maintain limb alignment while the resolution unfavorable soft tissue conditions is pending. Low-energy trauma can be managed on a single-stage basis, provided soft tissues are not an adverse factor, with open reduction and internal f-ixation. Stable fixation and early painless joint

  6. The Positive Impacts Of American Reinvestment And Recovery Act (ARRA) Funding To The Waste Management Program On Hanford's Plateau Remediation Project

    International Nuclear Information System (INIS)

    Blackford, L.T.

    2010-01-01

    In April 2009, the Department of Energy (DOE) Richland Operations Office (RL) was allocated $1.6 billion (B) in ARRA funding to be applied to cleanup projects at the Hanford Site. DOE-RL selected projects to receive ARRA funding based on 3-criteria: creating/saving jobs, reducing the footprint of the Hanford Site, and reducing life-cycle costs for cleanup. They further selected projects that were currently covered under regulatory documents and existing prime contracts, which allowed work to proceed quickly. CH2M HILL Plateau Remediation Company (CHPRC) is a prime contractor to the DOE focused on the environmental cleanup of the DOE Hanford Site Central Plateau. CHPRC was slated to receive $1.36B in ARRA funding. As of January, 2010, CHPRC has awarded over $200 million (M) in subcontracts (64% to small businesses), created more that 1,100 jobs, and touched more than 2,300 lives - all in support of long-term objectives for remediation of the Central Plateau, on or ahead of schedule. ARRA funding is being used to accelerate and augment cleanup activities already underway under the baseline Plateau Remediation Contract (PRC). This paper details challenges and accomplishments using ARRA funding to meet DOE-RL objectives of creating/saving jobs, expediting cleanup, and reducing lifecycle costs for cleanup during the first months of implementation.

  7. Teaching Rayleigh–Plateau instabilities in the laboratory

    International Nuclear Information System (INIS)

    Fragkopoulos, A A; Ellis, P W; Fernandez-Nieves, A

    2015-01-01

    The breakup of a liquid jet into spherical droplets via the Rayleigh–Plateau instability is a common and fundamental part of fluid mechanics. However, teaching this instability in a laboratory setting is challenging, requiring sophisticated methods to generate and study the jet dynamics. Recently, toroidal droplets were shown to break into one or more spherical droplets in the thin-drop limit via the Rayleigh–Plateau instability. We propose a simple experimental setup to generate toroidal droplets that break up on the order of tens of seconds, allowing for easy video capture using a basic CCD camera. With this setup, it is possible to quantify the Rayleigh–Plateau instability in a pedagogical laboratory setting. In addition, the role of curvature on jet breakup can be explored using thick toroidal droplets. We envision this setup as a powerful teaching tool for one of the most fundamental fluid dynamics processes. (paper)

  8. Fukushima Nuclear Accident Recorded in Tibetan Plateau Snow Pits

    Science.gov (United States)

    Wang, Ninglian; Wu, Xiaobo; Kehrwald, Natalie; Li, Zhen; Li, Quanlian; Jiang, Xi; Pu, Jianchen

    2015-01-01

    The β radioactivity of snow-pit samples collected in the spring of 2011 on four Tibetan Plateau glaciers demonstrate a remarkable peak in each snow pit profile, with peaks about ten to tens of times higher than background levels. The timing of these peaks suggests that the high radioactivity resulted from the Fukushima nuclear accident that occurred on March 11, 2011 in eastern Japan. Fallout monitoring studies demonstrate that this radioactive material was transported by the westerlies across the middle latitudes of the Northern Hemisphere. The depth of the peak β radioactivity in each snow pit compared with observational precipitation records, suggests that the radioactive fallout reached the Tibetan Plateau and was deposited on glacier surfaces in late March 2011, or approximately 20 days after the nuclear accident. The radioactive fallout existed in the atmosphere over the Tibetan Plateau for about one month. PMID:25658094

  9. An avifaunal case study of a plateau from Goa, India: an eye opener for conservation of plateau ecosystems

    Directory of Open Access Journals (Sweden)

    Minal Desai

    2012-03-01

    Full Text Available The lateritic plateaux typical of the midlands between the Western Ghats and the coastal plains of the Arabian Sea are known to be a unique ecosystem with a sizeable endemic flora. However, there is a total lack of studies on the faunal diversity of these plateaux, which are currently experiencing enormous anthropogenic pressures. We conducted a year-long study on the avifauna of the Taleigao Plateau, Goa. The Taleigao Plateau harbours 114 species of birds, accounting for 37% of the avifaunal diversity of the state. The resident bird population did not vary significantly through the seasons. Among the migrant birds, Rosy Starling Sturnus roseus was particularly partial to the plateau. Besides, five species of larks, grassland specialists were also recorded on the plateau. However, the absence of forest birds like the Malabar Pied Hornbill and the Indian Grey Hornbill (recorded earlier and the predominance of habitat generalists like the House Crow and the Jungle Myna seemed to be the offshoot of heavy anthropogenic pressures on the plateau. It is recommended that at least some plateaux in the belt deserve to be protected from the impact of unsustainable developmental process

  10. A programme evaluation of pre-primary education reform, and policy, in Plateau State, Nigeria

    Directory of Open Access Journals (Sweden)

    Sumaye Fadimatu Hamza

    2006-05-01

    Full Text Available Contextualisation This paper presents a brief overview of the educational system in Nigeria with an emphasis on the pre-primary education level. It addresses the international literature on early childhood pedagogy and assesses to what extent pre-primary education policy in Nigeria is inspired by this literature. The paper will pay special attention to the shortcomings and obstacles encountered in trying to implement the pre-primary education policy of Plateau State in Nigeria Abstract: The current study is an evaluation of the pre-primary education policy in Plateau State in Nigeria. It was inspired by my own experience as a school teacher/principal who has seen the effects on primary schools and the results of a lack of government investment in the sector, itself leading to a proliferation of ‘private owners’. Because of these circumstances the implementation of central policy is highly dependent on the varying understanding of these owners. The study will employ both qualitative and quantitative techniques in data collection through the use of questionnaire, interviews, classroom observation and use of documents. The data will be analysed both quantitatively and qualitatively. The results will hopefully be used, not only to add to existing literature, but also to improve the system serving as a basis for further research in the area.

  11. Niche conservatism in Gynandropaa frogs on the southeastern Qinghai-Tibetan Plateau.

    Science.gov (United States)

    Hu, Junhua; Broennimann, Olivier; Guisan, Antoine; Wang, Bin; Huang, Yan; Jiang, Jianping

    2016-09-07

    The role of ecological niche in lineage diversification has been the subject of long-standing interest of ecologists and evolutionary biologists. Gynandropaa frogs diversified into three independent clades endemic to the southeastern Qinghai-Tibetan Plateau. Here, we address the question whether these clades kept the same niche after separation, and what it tells us about possible diversification processes. We applied predictions in geographical (G)-space and tests of niche conservatism in environmental (E)-space. Niche models in G-space indicate separate regions with high suitability for the different clades, with some potential areas of sympatry. While the pair of central and eastern clades displayed the largest niche overlap for most variables, and strict niche equivalency was rejected for all clade-pairs, we found no strong evidence for niche divergence, but rather the signature of niche conservatism compared to null models in E-space. These results suggest a common ancestral ecological niche, and as such give good support to divergence through allopatric speciation, but alternative explanations are also possible. Our findings illustrate how testing for niche conservatism in lineage diversification can provide insights into underlying speciation processes, and how this information may guide further research and conservation practices, as illustrated here for amphibians on the Qinghai-Tibetan Plateau.

  12. Photochemical modelling of photo-oxidant levels over the Swiss plateau and emission reduction scenarios

    International Nuclear Information System (INIS)

    Rosselet, C.M.; Kerr, J.A.

    1993-05-01

    During summertime high pressure conditions, high photo-oxidant (O 3 , H 2 O 2 , PAN and others) levels are frequently observed in the planetary boundary layer in central Europe. It is well known that close to the earth's surface ozone is formed by complex reactions involving VOC, NO x , and sunlight. Substantial reductions of both precursors are needed to reduce photo-oxidant levels. In this context the reductions of the abundance of the precursors and the variation of their ratios is of great importance. Here we report model calculations from the Harwell Photochemical Trajectory Model of the levels of O 3 , H 2 O 2 and PAN along a trajectory over the Swiss Plateau from Lake Constance to Lake Geneva. These calculations are in satisfactory agreement with measurements made during the intensive observation period of the research program POLLUMET (Pollution and Meteorology in Switzerland). Sensitivity calculations of emission reduction scenarios indicate that on the Swiss Plateau the ozone production may be mainly NO x -limited; under conditions where the CO levels are closer to the upper limit within the range (120-600 ppbv). The calculated peak ozone level reduction caused by an exclusive NO x -emission reduction is about three times larger than that caused by an exclusive VOC reduction. The combined reduction of all precursor compounds is the most efficient strategy, although it is only marginally more efficient than the NO x -reduction scenario alone. (author) figs., tabs., 75 refs

  13. Paleocene Pacific Plate reorganization mirrored in formation of the Suvarov Trough, Manihiki Plateau

    Science.gov (United States)

    Pietsch, Ricarda; Uenzelmann-Neben, Gabriele

    2016-10-01

    The Suvarov Trough is a graben structure that deviates from the Danger Islands Troughs within the Manihiki Plateau, a Large Igneous Province (LIP) located in the Central Pacific. New high-resolution seismic reflection data provide evidence that the graben formed in two phases during the Paleocene (65-45 Ma). In a first phase extension occurred in southwestward direction, pulling apart the northern part of the Suvarov Trough and a parallel trending unnamed trough. In a second phase a change of extensional force direction occurred from southwest to west-northwest, forming the southern part of the Suvarov Trough that extends onto the High Plateau. The formation of the Suvarov Trough is accompanied by a series of normal fault systems that apparently formed simultaneously. Comparing the seismic results to existing Pacific paleo strain reconstructions, the timing of increased strain and local deformation direction fits well to our findings. We thus suggest that the multiple strike directions of the Suvarov Trough represent an extensional structure that was caused by the major, stepwise Pacific Plate reorganization during the Paleocene.

  14. Agricultural origins on the Anatolian plateau

    OpenAIRE

    Baird, D.; Fairbairn, A.; Jenkins, Emma L.; Martin, L.; Middleton, C.; Pearson, J.; Asouti, E.; Edwards, Y.; Kabukcu, C.; Mustafaoğlu, G.; Russell, N.; Bar-Yosef, O.; Jacobsen, G.; Wu, X.

    2018-01-01

    This paper explores explanations for, and consequences of, the early appearance of food production outside the Fertile Crescent of Southwest Asia, where it had originated in the 10th/9th millennium cal BC. We present evidence that cultivation appeared in Central Anatolia through adoption by indigenous foragers in the mid 9th millennium cal BC, but also demonstrate that uptake was not uniform, and that some communities chose to actively disregard cultivation. Adoption of cultivation seems to h...

  15. Mineralogy and geochemistry of vanadium in the Colorado Plateau

    Science.gov (United States)

    Weeks, A.D.

    1961-01-01

    The chief domestic source of vanadium is uraniferous sandstone in the Colorado Plateau. Vanadium is 3-, 4-, or 5-valent in nature and, as oxides or combined with other elements, it forms more than 40 minerals in the Plateau ores. These ores have been studied with regard to the relative amounts of vanadium silicates and oxide-vanadates, uranium-vanadium ratios, the progressive oxidation of black low-valent ores to high-valent carnotite-type ores, and theories of origin. ?? 1961.

  16. Does the climate warming hiatus exist over the Tibetan Plateau?

    OpenAIRE

    Anmin Duan; Zhixiang Xiao

    2015-01-01

    The surface air temperature change over the Tibetan Plateau is determined based on historical observations from 1980 to 2013. In contrast to the cooling trend in the rest of China, and the global warming hiatus post-1990s, an accelerated warming trend has appeared over the Tibetan Plateau during 1998–2013 (0.25 °C decade−1), compared with that during 1980–1997 (0.21 °C decade−1). Further results indicate that, to some degree, such an accelerated warming trend might be attributable to cloud–ra...

  17. Late-Glacial radiocarbon- and palynostratigraphy in the Swiss Plateau

    International Nuclear Information System (INIS)

    Ammann, B.; Lotter, A.F.

    1989-01-01

    A detailed Late-Glacial radiocarbon stratigraphy for the Swiss Plateau has been established on the basis of over 90 accelerator 14 C dates on terrestrial plant macrofossils. A comparison of the radiocarbon ages derived from terrestrial, telmatic and limnic material at different sites on the Swiss Plateau yields a proposal for modifying the zonation system of Welten for the Late-Glacial. By retaining the limits of chronozones and by refining the palynostratigraphic criteria for the limits of biozones, a separation between chrono- and biozonation at the beginning of the Boelling and the Younger Dryas becomes obvious. 54 refs

  18. Plateau onset for correlation dimension: When does it occur?

    International Nuclear Information System (INIS)

    Ding, M.; Grebogi, C.; Ott, E.; Sauer, T.; Yorke, J.A.

    1993-01-01

    Chaotic experimental systems are often investigated using delay coordinates. Estimated values of the correlation dimension in delay coordinate space typically increase with the number of delays and eventually reach a plateau (on which the dimension estimate is relatively constant) whose value is commonly taken as an estimate of the correlation dimension D 2 of the underlying chaotic attractor. We report a rigorous result which implies that, for long enough data sets, the plateau begins when the number of delay coordinates first exceeds D 2 . Numerical experiments are presented. We also discuss how lack of sufficient data can produce results that seem to be inconsistent with the theoretical prediction

  19. Marfan Syndrome

    Science.gov (United States)

    Marfan syndrome is a disorder that affects connective tissue. Connective tissues are proteins that support skin, bones, blood vessels, ... A problem with the fibrillin gene causes Marfan syndrome. Marfan syndrome can be mild to severe, and ...

  20. Aarskog syndrome

    Science.gov (United States)

    Aarskog disease; Aarskog-Scott syndrome; AAS; Faciodigitogenital syndrome; Gaciogenital dysplasia ... Aarskog syndrome is a genetic disorder that is linked to the X chromosome. It affects mainly males, but females ...

  1. Williams syndrome

    Science.gov (United States)

    Williams-Beuren syndrome ... Williams syndrome is caused by not having a copy of several genes. It may be passed down in families. ... history of the condition. However, people with Williams syndrome have a 50% chance of passing the disorder ...

  2. Cushing's Syndrome

    OpenAIRE

    宗, 友厚; 伊藤, 勇; 諏訪, 哲也; 武田, 純; MUNE, Tomoatsu

    2003-01-01

    Sixteen cases of verified Cushing's syndrome, and twelve cases of probable Cushing's syndrome were reviewed and data on them were compared with various reports on Cushing's syndrome in the literature.

  3. Tourette syndrome

    Science.gov (United States)

    Gilles de la Tourette syndrome; Tic disorders - Tourette syndrome ... Tourette syndrome is named for Georges Gilles de la Tourette, who first described this disorder in 1885. The disorder is likely passed down through families. ...

  4. The dating and interpretation of Chusang indicates permanent human occupation of the interior of the Tibetan Plateau in the early Holocene

    Science.gov (United States)

    Meyer, Michael; Aldenderfer, Mark; Wang, Zhijun; Hoffmann, Dirk; Dahl, Jenny; Degering, Detlev; Haas, Randy; Schlütz, Frank; Gliganic, Luke; May, Jan-Hendrik

    2017-04-01

    The nature and timing of a permanent human settlement on the Tibetan Plateau and the accompanying cultural and physiological responses, including genetic high-altitude adaptations, are subject to ongoing debate (1-3). The latest genetic data (based on extensive analysis of the modern Tibetan genome) suggest a main wave of human migration onto the plateau between 15 and 8 ka but genetic traces that hint to an even earlier initial occupation (dating to 65 ka) have to be considered too (4, 5). The archaeological record against which these genetic data can be compared to remains scant. The few archaeological sites with a chronometric age are all located on the northeastern margin of the plateau and range in date from 9 to 15 ka. These sites typically are at medium to low elevations (≤ 3300 masl) and are believed to have been short-term, seasonal occupations monitored from lower-elevation base camps (1). It is widely believed that permanent peopling of the interior (higher-elevation zones) of the Tibetan Plateau was only facilitated by an agricultural lifeway at 3.6 thousand calibrated carbon-14 years before present (2). The climatic and paleoenvironmental constraints on this colonization process are poorly understood (1-3). Here we report a reanalysis of the chronology and paleoenvironmental significance of the Chusang site, located on the central Tibetan Plateau at an elevation of 4270 meters above sea level (3). The site is known for its hot springs and extensive hydrothermal carbonate (travertine) formations and also preserves 19 human hand- and footprints on the surface of a fossil travertine sheet. The minimum age of the site is fixed at 7.4 thousand years (thorium-230/uranium dating), with a maximum age between 8.20 and 12.67 thousand calibrated carbon-14 years before present based on radiocarbon and OSL single-grain dating. Travel cost modeling and archaeological data suggest that the site was part of an annual, permanent, preagricultural occupation of the

  5. Individual particles of cryoconite deposited on the mountain glaciers of the Tibetan Plateau: Insights into chemical composition and sources

    Science.gov (United States)

    Dong, Zhiwen; Qin, Dahe; Kang, Shichang; Liu, Yajun; Li, Yang; Huang, Jie; Qin, Xiang

    2016-08-01

    influenced by large deserts in central Asia. Therefore, the transport and deposition of cryoconite is of great significance for understanding regional atmospheric environment and circulation. Large amounts of biological, NaCl and MCS particles were observed in the cryoconite, implying that in addition to dust and BC, many types of light absorbing impurities (LAI) together could influence the glacier albedo change and induce ice melting in the mountain glaciers of the Tibetan Plateau. Moreover, a high BC concentration in the south (e.g., YL and ZD) could significantly change the albedo of snow and ice, at a greater rate than dust, causing significant melting of the glaciers under global warming.

  6. Orogenic plateau growth: Expansion of the Turkish-Iranian Plateau across the Zagros fold-and-thrust belt

    Science.gov (United States)

    Allen, M. B.; Saville, C.; Blanc, E. J.-P.; Talebian, M.; Nissen, E.

    2013-03-01

    This paper shows how the Turkish-Iranian Plateau grows laterally by incrementally incorporating adjacent parts of the Zagros fold-and-thrust belt. The limit of significant, seismogenic, thrusting in the Zagros (Mw > 5) occurs close to the regional 1250 m elevation contour. The seismicity cutoff is not a significant bedrock geology boundary. Elevations increase northward, toward regional plateau elevations of 2 km, implying that another process produced the extra elevation. Between the seismogenic limit of thrusting and the suture, this process is a plausibly ductile thickening of the basement, suggesting depth-dependent strain during compression. Similar depth-dependant crustal strain may explain why the Tibetan plateau has regional elevations 1500 m greater than the elevation limit of seismogenic thrusting at its margins. We estimate 68 km shortening across the Zagros Simply Folded Belt in the Fars region, and 120 km total shortening of the Arabian plate. The Dezful Embayment is a low strain zone in the western Zagros. Deformation is more intense to its northeast, in the Bakhtyari Culmination. The orogenic taper (across strike topographic gradient) across the Dezful Embayment is 0.0004, and across the Bakhtyari Culmination, 0.022. Lateral plateau growth is more pronounced farther east (Fars), where a more uniform structure has a taper of 0.010 up to elevations of 1750 m. A >100 km wide region of the Zagros further northeast has a taper of 0.002 and is effectively part of the Turkish-Iranian Plateau. Internal drainage enhances plateau development but is not a pre-requisite. Aspects of the seismicity, structure, and geomorphology of the Zagros do not support critical taper models for fold-and-thrust belts.

  7. Functional-trait ecology of the plateau pika Ochotona curzoniae (Hodgson, 1858) in the Qinghai-Tibetan Plateau ecosystem.

    Science.gov (United States)

    Smith, Andrew T; Badingqiuying; Wilson, Maxwell C; Hogan, Brigitte W

    2018-01-09

    Understanding a species' functional traits allows for a directed and productive perspective on the role a species plays in nature, thus its relative importance to conservation planning. The functional trait ecology of the plateau pika Ochotona curzoniae (Hodgson, 1858) is examined to better understand the resilience and sustainability of the high alpine grasslands of the Qinghai-Tibetan Plateau (QTP). The key functional traits of plateau pikas are their abundance and behavior of digging extensive burrow systems. Plateau pikas have been poisoned over a significant part of their original geographic distribution across the QTP, allowing comparison of ecological communities with and without pikas. Nearly all mammalian and avian carnivores, most of which are obligate predators on pikas, have been lost in regions where pikas have been poisoned. Most endemic birds on the QTP nest in pika burrows; when pikas are poisoned, burrows collapse, and these birds are greatly reduced in number. Due to the biopedturbation resulting from their burrows, regional plant species richness is higher in areas with pikas than without. The presence of pika burrows allows higher rates of infiltration during heavy monsoon rains compared to poisoned areas, possibly mitigating runoff and the potential for serious downslope erosion and flooding. Thus the functional traits of plateau pikas enhance native biodiversity and other important ecosystem functions; these traits are irreplaceable. As plateau pikas are not natural colonizers, active re-introduction programs are needed to restore pikas to areas from which they have been poisoned to restore the important functional ecological traits of pikas. This article is protected by copyright. All rights reserved.

  8. Elsberg syndrome

    Science.gov (United States)

    Savoldi, Filippo; Kaufmann, Timothy J.; Flanagan, Eoin P.; Toledano, Michel

    2017-01-01

    Objective: Elsberg syndrome (ES) is an established but often unrecognized cause of acute lumbosacral radiculitis with myelitis related to recent herpes virus infection. We defined ES, determined its frequency in patients with cauda equina syndrome (CES) with myelitis, and evaluated its clinical, radiologic, and microbiologic features and outcomes. Methods: We searched the Mayo Clinic medical records for ES and subsequently for combinations of index terms to identify patients with suspected CES and myelitis. Results: Our search yielded 30 patients, 2 diagnosed with ES and an additional 28 with clinical or radiologic evidence of CES retrospectively suspected of having ES. We classified patients in 5 groups according to diagnostic certainty. MRI and EMG confirmed that 2 had only myelitis, 5 only radiculitis, and 16 both. Two had preceding sacral herpes infection and 1 oral herpes simplex. Spinal cord lesions were commonly multiple, discontinuous, not expansile, and centrally or ventrally positioned. Lesions generally spared the distal conus. Nerve root enhancement was occasionally prominent and was smooth rather than nodular. Lymphocytic CSF pleocytosis was common. Thirteen patients (43%) had viral isolation studies, which were commonly delayed; the delay may have accounted for the low rate of viral detection. Acyclovir was administered to 6 patients. Most patients recovered with sequelae; 1 patient experienced encephalomyelitis and died. Conclusion: ES is a definable condition likely responsible for 10% of patients with combined CES and myelitis. Radiologic findings are not entirely specific but may help in differentiating ES from some competing diagnostic considerations. We propose criteria to facilitate diagnosis. PMID:28534040

  9. Combined motor point associative stimulation (MPAS) and transcranial direct current stimulation (tDCS) improves plateaued manual dexterity performance.

    Science.gov (United States)

    Hoseini, Najmeh; Munoz-Rubke, Felipe; Wan, Hsuan-Yu; Block, Hannah J

    2016-10-28

    Motor point associative stimulation (MPAS) in hand muscles is known to modify motor cortex excitability and improve learning rate, but not plateau of performance, in manual dexterity tasks. Central stimulation of motor cortex, such as transcranial direct current stimulation (tDCS), can have similar effects if accompanied by motor practice, which can be difficult and tiring for patients. Here we asked whether adding tDCS to MPAS could improve manual dexterity in healthy individuals who are already performing at their plateau, with no motor practice during stimulation. We hypothesized that MPAS could provide enough coordinated muscle activity to make motor practice unnecessary, and that this combination of stimulation techniques could yield improvements even in subjects at or near their peak. If so, this approach could have a substantial effect on patients with impaired dexterity, who are far from their peak. MPAS was applied for 30min to two right hand muscles important for manual dexterity. tDCS was simultaneously applied over left sensorimotor cortex. The motor cortex input/output (I/O) curve was assessed with transcranial magnetic stimulation (TMS), and manual dexterity was assessed with the Purdue Pegboard Test. Compared to sham or cathodal tDCS combined with MPAS, anodal tDCS combined with MPAS significantly increased the plateau of manual dexterity. This result suggests that MPAS has the potential to substitute for motor practice in mediating a beneficial effect of tDCS on manual dexterity. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Magnetic record of Mio-Pliocene red clay and Quaternary loess-paleosol sequence in the Chinese Loess Plateau

    Directory of Open Access Journals (Sweden)

    Yougui Song

    2018-02-01

    Full Text Available This article presents magnetic data of a 300-m-thick Mio-Pliocene red clay and Quaternary loess-paleosol sequence near Chaona town in the Central Chinese Loess Plateau. Detailed magnetostratigraphy shows that the aeolian red clay began to accumulate at ca. 8.1 Ma. Here, we presented a high-resolution rock magnetic data at 20–40 cm intervals within 4.5–8 ka span per sample of this section, which has been published in Song et al. (2014 [1] and (2017 [2]. The dataset including the following magnetic parameters: mass magnetic susceptibility (χ, frequency-dependent susceptibility (χfd, saturation magnetization (Ms, saturation remanent magnetization (Mrs, coercive force (Bc, remanent coercivity (Bcr, saturation isothermal remanent magnetization (SIRM and S-ratio. Magnetic susceptibility and hysteresis parameters were measured at Lanzhou University and Kyoto University, respectively. This data provides a high-resolution rock magnetic evidences for understanding East Asia Monsoon change, Asian interior aridification and tectonic effect of the uplift of the Tibetan Plateau since middle Miocene period. Keywords: Rock magnetic record, Late Miocene and Pliocene red clay, Quaternary loess-paleosol sequence, Chinese Loess Plateau

  11. Hepatorenal syndrome

    Science.gov (United States)

    ... 2016:chap 153. Nevah MI, Fallon MB. Hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, and other systemic complications of liver disease. In: Feldman M, Friedman LS, Brandt LJ, ...

  12. Medial tibial plateau morphology and stress fracture location: A magnetic resonance imaging study

    OpenAIRE

    Yukata, Kiminori; Yamanaka, Issei; Ueda, Yuzuru; Nakai, Sho; Ogasa, Hiroyoshi; Oishi, Yosuke; Hamawaki, Jun-ichi

    2017-01-01

    AIM To determine the location of medial tibial plateau stress fractures and its relationship with tibial plateau morphology using magnetic resonance imaging (MRI). METHODS A retrospective review of patients with a diagnosis of stress fracture of the medial tibial plateau was performed for a 5-year period. Fourteen patients [three female and 11 male, with an average age of 36.4 years (range, 15-50 years)], who underwent knee MRI, were included. The appearance of the tibial plateau stress fract...

  13. 210Pb and 137Cs dating of sediments from Zigetang Lake, Tibetan Plateau

    International Nuclear Information System (INIS)

    Yao, S.C.; Li, S.J.; Zhang, H.C.

    2008-01-01

    Zigetang Lake located in the central Tibetan Plateau was selected for the purpose of understanding of recent sedimentation rates. Based on 137 Cs dating marker, the sediment rate was 0.077 cm x yr -1 . The sedimentation rate was calculated to be 0.071 cm x yr -1 and 0.029 g x cm -2 x yr -1 on the basis of 210 Pb CIC model. 210 Pb CRS model was also used for understanding of recent sedimentation change. The sediment accumulation rates for the CRS model ranged from 0.022 to 0.038 g x cm -2 x yr -1 with an irregular high value of 0.12 g x cm -2 x yr -1 around 1932 at Zigetang Lake core in the past eighty years. (author)

  14. Quantifying the Plutonic to Volcanic Relationship Along the Puna Plateau: Implications for Cordilleran Plateau Evolution

    Science.gov (United States)

    Ward, K. M.; Delph, J. R.; Zandt, G.; Beck, S. L.; Ducea, M. N.

    2016-12-01

    Quantifying well constrained plutonic to volcanic (P:V) ratios is inherently difficult because the tectonic processes that exhume intrusive bodies rarely preserve their extrusive equivalents. Conversely, active magmatic systems that have well-preserved volcanic deposits require sophisticated geophysical or geochemical approaches to estimate their plutonic roots and even when these sophisticated approaches are available, it is not always clear what constitutes a plutonic volume. Further complicating the enigmatic plutonic to volcanic relationship is the highly episodic nature of pluton emplacement where magmatic flare-ups produce several orders of magnitude more magmatism when compared against magmatic lulls. Despite this inherent difficulty, a growing body of independently measured P:V ratios (e.g. seismic tomography, geomorphic modeling, geological mapping/dating, and Zircon age spectra modeling) suggests the contribution of magmatic addition as an uplift mechanism in Cordilleran systems is much larger than is currently accepted. However, it remains unclear if these studies can be generalized to represent type behavior in Cordilleran systems or result from the non-uniform sampling imposed by the ability to measure large P:V ratios in only a few select and potentially anomalous regions of the American Cordillera. To better examine the role of magmatic processes in building Cordilleran high plateaus, we image the crustal seismic shear-wave velocity for an 800 km section (20.5°-28°S) of the active South American Cordillera (Puna Plateau). When placed in the context of existing geological and geophysical datasets, our seismic model reveals numerous mid-crustal low-velocity zones that we unambiguously interpret as the plutonic underpinnings associated with the voluminous silicic volcanics of the Puna Plateau. These larger P:V ratios are consistent with recent thermomechanical modeling of granitic magma intrusions that support the existence of long-lived, partially

  15. 40 CFR 81.162 - Northeast Plateau Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Northeast Plateau Intrastate Air... Air Quality Control Regions § 81.162 Northeast Plateau Intrastate Air Quality Control Region. The Northeast Plateau Intrastate Air Quality Control Region (California) consists of the territorial area...

  16. Congenital hypoventilation syndrome and Hirschsprung's disease - Haddad syndrome: A neonatal case presentation.

    Science.gov (United States)

    Jaiyeola, P; El-Metwally, D; Viscardi, R; Greene, C; Woo, H

    2015-01-01

    Congenital central hypoventilation syndrome (CCHS) is an uncommon cause of apnea in the newborn characterized by the occurrence of apnea predominantly during sleep. Haddad syndrome is CCHS with Hirschsprung's disease. We report a newborn with Haddad syndrome that had a family history of spinal muscular atrophy and discuss aspects of CCHS and important considerations in the evaluation of apnea in the term newborn.

  17. Threshold friction velocity of soils within the Columbia Plateau

    Science.gov (United States)

    Wind erosion only occurs when the friction velocity exceeds the threshold friction velocity (TFV) of the surface. The TFV of loessial soils commonly found across the Columbia Plateau region of the U.S. Pacific Northwest is virtually unknown even though these soils are highly erodible and a source of...

  18. Mapping risk of plague in Qinghai-Tibetan Plateau, China.

    Science.gov (United States)

    Qian, Quan; Zhao, Jian; Fang, Liqun; Zhou, Hang; Zhang, Wenyi; Wei, Lan; Yang, Hong; Yin, Wenwu; Cao, Wuchun; Li, Qun

    2014-07-10

    Qinghai-Tibetan Plateau of China is known to be the plague endemic region where marmot (Marmota himalayana) is the primary host. Human plague cases are relatively low incidence but high mortality, which presents unique surveillance and public health challenges, because early detection through surveillance may not always be feasible and infrequent clinical cases may be misdiagnosed. Based on plague surveillance data and environmental variables, Maxent was applied to model the presence probability of plague host. 75% occurrence points were randomly selected for training model, and the rest 25% points were used for model test and validation. Maxent model performance was measured as test gain and test AUC. The optimal probability cut-off value was chosen by maximizing training sensitivity and specificity simultaneously. We used field surveillance data in an ecological niche modeling (ENM) framework to depict spatial distribution of natural foci of plague in Qinghai-Tibetan Plateau. Most human-inhabited areas at risk of exposure to enzootic plague are distributed in the east and south of the Plateau. Elevation, temperature of land surface and normalized difference vegetation index play a large part in determining the distribution of the enzootic plague. This study provided a more detailed view of spatial pattern of enzootic plague and human-inhabited areas at risk of plague. The maps could help public health authorities decide where to perform plague surveillance and take preventive measures in Qinghai-Tibetan Plateau.

  19. Behavior of Colorado Plateau uranium minerals during oxidation

    Science.gov (United States)

    Garrels, Robert Minard; Christ, C.L.

    1956-01-01

    Uranium occurs as U(VI) and U(IV) in minerals of the Colorado Plateau ores. The number of species containing U(VI) is large, but only two U(IV) minerals are known from the Plateau: uraninite, and oxide, and coffinite, a hydroxy-silicate. These oxidize to yield U(VI) before reacting significantly with other mineral constituents. Crystal-structure analysis has shown that U(VI) invariable occurs as uranyl ion, UO2+2. Uranyl ion may form complex carbonate or sulfate ions with resulting soluble compounds, but only in the absence of quinquevalent vanadium, arsenic, or phosphorous. In the presence of these elements in the +5 valence state, the uranyl ion is fixed in insoluble layer compounds formed by union of uranyl ion with orthovanadate, orthophosphate, or orthoarsenate. Under favorable conditions UO2+2 may react to form the relatively insoluble rutherfordine, UO2CO3, or hydrated uranyl hydroxides. These are rarely found on the Colorado Plateau as opposed to their excellent development in other uraniferous areas, a condition which is apparently related to the semiarid climate and low water table of the Plateau. Uranium may also be fixed as uranyl silicate, but little is known about minerals of this kind. In the present study emphasis has been placed on a detailing of the chemical and crystal structural changes which occur in the oxidation paragenetic sequence.

  20. Sensitivity of LUCC on the Surface Temperature of Tibetan Plateau

    Science.gov (United States)

    Qi, W.; Deng, X.; Wu, F.

    2016-12-01

    The Tibetan Plateau has an important effect on the ecological security in China, even in Asia, which makes the region become the hot spot in recently research. Under the joint influence of global change and human activities, ecosystem destabilizing and the increasing pressure on resources and environment emerge on the Tibetan Plateau, but the potential spatial sensitivity of land use and land cover changes(LUCC) on surface temperature has not been quantitatively analyzed. This study analyzed the mainly types of LUCC, urbanization, grassland degradation, deforestation on Tibetan Plateau along with Representative Concentration Pathways (RCPs) of the Intergovernmental Panel on Climate Change (IPCC). The LUCC in recent decades was first quantitatively analyzed in this study to give the basic fact with a significant increase in temperatures, reduced precipitation and increased evaporation. This study focused on the future spatio-temporal heterogeneity of the temperature and precipitation. Finally, the influencing factors with LUCC on Tibetan Plateau were simulated with the Weather Research and Forecasting (WRF) model, and the sensitivity of different land use types was spatially analyzed with Singular Value Decomposition (SVD). The results indicate that the large-area alpine grassland plays a more important role in alleviating global warming than other vegetation types do. The changes of the landscape structure resulting from the urban expansion play a significant role in intensifying regional temperature increase. In addition, the effects of LUCC on monthly average temperature change would vary from month to month with obviously spatial heterogeneity.

  1. Excessive Afforestation and Soil Drying on China's Loess Plateau

    Science.gov (United States)

    Zhang, Shuilei; Yang, Dawen; Yang, Yuting; Piao, Shilong; Yang, Hanbo; Lei, Huimin; Fu, Bojie

    2018-03-01

    Afforestation and deforestation as human disturbances to vegetation have profound impacts on ecohydrological processes influencing both water and carbon cycles and ecosystem sustainability. Since 1999, large-scale revegetation activities such as "Grain-to-Green Program" have been implemented across China's Loess Plateau. However, negative ecohydrological consequences, including streamflow decline and soil drying have emerged. Here we estimate the equilibrium vegetation cover over the Loess Plateau based on an ecohydrological model and assess the water balance under the equilibrium and actual vegetation cover over the past decade. Results show that the current vegetation cover (0.48 on average) has already exceeded the climate-defined equilibrium vegetation cover (0.43 on average) in many parts of the Loess Plateau, especially in the middle-to-east regions. This indicates a widespread overplanting, which is found to primarily responsible for soil drying in the area. Additionally, both the equilibrium vegetation cover and soil moisture tend to decrease under future (i.e., 2011-2050) climate scenarios due to declined atmospheric water supply (i.e., precipitation) and increased atmospheric water demand (i.e., potential evapotranspiration). Our findings suggest that further revegetation on the Loess Plateau should be applied with caution. To maintain a sustainable ecohydrological environment in the region, a revegetation threshold is urgently needed to guide future revegetation activities.

  2. Discovery of cryptic Armillaria solidipes genotypes within the Colorado Plateau

    Science.gov (United States)

    J. W. Hanna; N. B. Klopfenstein; M. -S. Kim; S. M. Ashiglar; A. L. Ross-Davis; G. I. McDonald

    2012-01-01

    Armillaria solidipes (= A. ostoyae) is a root-disease pathogen that causes severe losses in growth and productivity of forest trees throughout the Northern Hemisphere. This species is genetically diverse with variable disease activities across different regions of the world. In North America, A. solidipes in the Colorado Plateau exists in drier habitats and causes more...

  3. Protozoan Diversity in a productive fishpond of a tropical plateau ...

    African Journals Online (AJOL)

    A survey of the Protozoan species diversity in a productive fishpond of the Jos Plateau, Nigeria was investigated at 7 day interval over a period of 11 months. Samples were collected from water column and sediment. Protozoans were found to compose of the flagellates sarcodines and cilliates. There was a significant ...

  4. Les jeux de plateau: une géographie ludique

    Directory of Open Access Journals (Sweden)

    Frédéric BIZET

    1997-12-01

    Full Text Available Les jeux de plateau utilisent le plus souvent une carte «papier» comme support. Au-delà de l'aspect cartographique, ces jeux intègrent également des notions de territorialité et d'analyse spatiale.

  5. Geologic studies of the Columbia Plateau: a status report

    International Nuclear Information System (INIS)

    Myers, C.W.; Price, S.M.

    1979-10-01

    The results of recent geologic studies of the Columbia Plateau, with emphasis on work completed under the Basalt Waste Isolation Project, Rockwell Hanford Operations, are summarized in this report. Geologic studies were performed mostly during the period from 1977 to 1979. The major objective of these studies was to examine the feasibility of using deep underground tunnels mined into Columbia River basalt beneath the Hanford Site for final storage of nuclear waste. The results are presented in four chapters: Introduction; Regional Geology; Pasco Basin Geology; and Seismicity and Tectonics. Results from surface mapping and remote sensing studies in the Washington State portion of the Columbia Plateau are presented in the Regional Geology chapter. Results from surface mapping, borehole studies, and geophysical surveys in the Pasco Basin are presented in the Pasco Basin Geology chapter. Results that relate to the tectonic stability of the Pasco Basin and Columbia Plateau and discussion of findings from earthquake monitoring in the region for the past ten years are summarized in the Seismicity and Tectonics chapter. A volume of Appendices is included. This volume contains a description of study tasks, a description of the methodology used in geophysical surveys the geophysical survey results, a summary of earthquake records in eastern Washington, a description of tectonic provinces, and a preliminary description of the regional tectonic setting of the Columbia Plateau

  6. Plateau diffusion coefficient for arbitrary flux surface geometry

    International Nuclear Information System (INIS)

    Meier, H.K.; Hirshman, S.P.; Sigmar, D.J.; Lao, L.L.

    1981-03-01

    A relatively simple but accurate representation has been developed for magnetic flux surfaces; it is valid for finite β and it describes configurations with both ellipticity and D-shape. This representation has been applied to the computation of the diffusion coefficient in the plateau regime

  7. Rainfall Erosivity Factor for Uasin Gishu Plateau, Kenya | Kariaga ...

    African Journals Online (AJOL)

    Runoff plots were established on bare soil classified as Dystric Nitosols (Typic Rhodudults) at Moi University Main Campus, on Uasin Gishu Plateau, Kenya. The objective of the study was to determine the best erosivity factor for the area. This was found to be EI30, defined as the product of the rainstorm's kinetic energy and ...

  8. Discussion on the Regional Paleotemperature Evolution since the Late Pleistocene in the Loess Plateau with GDGT as an Index

    Science.gov (United States)

    Yingchun, S.

    2017-12-01

    It is an effective way to understand the modern climate and predict the future climate trend by using the geological substitute indicators to reconstruct the past climate. In recent years, scientists have begun to apply Glycerol dialkyl glycerol tetraethers (GDGTs) to reconstruct paleoclimate and many proxies about ancient air temperature based on GDGTs have been proposed, even the empirical formulas used for China have also been established. In this paper, five loess-paleosol sequences spanning the Late Pleistocene from the Loess Plateau have been used to examine the effectiveness of the formulas as well as to discuss the regional evolution of the ancient temperature of the plateau. The results are as follows: (1) The relative content of iGDGT is higher than that of bGDGT in all Loess sections, and that of each compound follows relatively fixed regularity. Seen from the geographical distribution, the relative content of GDGT in southernmost sections is the highest, which in the northernmost is the smallest. (2) In the last interglacial period, from the northern part to the southern part of the Loess Plateau, the mean annual air temperature (MAAT) of northern Jingbian was 14°, central Luochuan was up to 15°, and southern Weinan was nearly 18°. And at the end of the last glacial period the temperature, where LC and WN located, dropped to 13.5°. Along the east-west direction of the Plateau, in the last interglacial period, the MAAT of western Qin'an secion was 13°, and that of central Baoji and eastern Weinan was about 18°. To the end of the last glacial period, the MAAT decreased to the lowest, Weinan 13.5°, Baoji 14.5°, while Qin'an 10.8°. (3)In contrast to the magnetic susceptibility index, the curves of GDGT MAAT have great similarity with the magnetic susceptibility curve, but it is obvious that there are phase differences between them. That may be indicating that the temperature rise was before the onset of the East-Asian summer monsoon in the Plateau

  9. Spatial variations and sources of trace elements in recent snow from glaciers at the Tibetan Plateau.

    Science.gov (United States)

    Huang, Ju; Li, Yuefang; Li, Zhen; Xiong, Longfei

    2018-03-01

    Trace elements (TEs) could pose a potential threat to the environment and human health and hence they have been paid attention increasingly at present. This study presents the acid-leached concentrations of TEs (e.g., Al, As, Ba, Co, Cr, Cs, Cu, Fe, Li, Mn, Mo, Pb, Rb, Sb, Sr, Ti, Tl, U, V) and dust content sampled from Qiumianleike (QMLK), Meikuang (MK), Yuzhufeng (YZF), Xiaodongkemadi (XDKMD), Gurenhekou (GRHK) glaciers on the Tibetan Plateau (TP) from April to May in 2013. A nonparametric Jonckheere-Terpstra Method was used to test the trend of spatial distribution of TEs. The statistical analysis indicates that TEs were the highest in the QMLK glacier, lowest in the YZF glacier, and comparable in the other three glaciers. Comparison with other glaciers of the plateau, the statistical analysis on As, Cu, Mo, Pb, and Sb shows that their concentrations had, in general, a decreasing distribution characteristic from the north to the south of TP, which indicates that the northern TP is loading more atmospheric-polluted impurity than central and southern TP. Enrichment factor (EF) analysis indicates that Rb, V, U, Cr, Ba, Cs, Li, As, Co, Mn, Tl, Sr, and Cu originated mainly from crustal dust, while anthropogenic inputs such as nonferrous metals melting, coal combustion, and traffic emission made an important contribution to the Mo, Pb, and Sb. Evidences from air mass back trajectories show that TEs in the five studied glaciers might not only come from surrounding areas of glaciers but also might be long-range transported by atmosphere from the Central Asia and South Asia and deposited on these glaciers.

  10. Jacobsen syndrome

    Directory of Open Access Journals (Sweden)

    Grossfeld Paul

    2009-03-01

    Full Text Available Abstract Jacobsen syndrome is a MCA/MR contiguous gene syndrome caused by partial deletion of the long arm of chromosome 11. To date, over 200 cases have been reported. The prevalence has been estimated at 1/100,000 births, with a female/male ratio 2:1. The most common clinical features include pre- and postnatal physical growth retardation, psychomotor retardation, and characteristic facial dysmorphism (skull deformities, hypertelorism, ptosis, coloboma, downslanting palpebral fissures, epicanthal folds, broad nasal bridge, short nose, v-shaped mouth, small ears, low set posteriorly rotated ears. Abnormal platelet function, thrombocytopenia or pancytopenia are usually present at birth. Patients commonly have malformations of the heart, kidney, gastrointestinal tract, genitalia, central nervous system and skeleton. Ocular, hearing, immunological and hormonal problems may be also present. The deletion size ranges from ~7 to 20 Mb, with the proximal breakpoint within or telomeric to subband 11q23.3 and the deletion extending usually to the telomere. The deletion is de novo in 85% of reported cases, and in 15% of cases it results from an unbalanced segregation of a familial balanced translocation or from other chromosome rearrangements. In a minority of cases the breakpoint is at the FRA11B fragile site. Diagnosis is based on clinical findings (intellectual deficit, facial dysmorphic features and thrombocytopenia and confirmed by cytogenetics analysis. Differential diagnoses include Turner and Noonan syndromes, and acquired thrombocytopenia due to sepsis. Prenatal diagnosis of 11q deletion is possible by amniocentesis or chorionic villus sampling and cytogenetic analysis. Management is multi-disciplinary and requires evaluation by general pediatrician, pediatric cardiologist, neurologist, ophthalmologist. Auditory tests, blood tests, endocrine and immunological assessment and follow-up should be offered to all patients. Cardiac malformations can be

  11. Effects of water avoidance stress on peripheral and central responses during bladder filling in the rat: A multidisciplinary approach to the study of urologic chronic pelvic pain syndrome (MAPP research network study.

    Directory of Open Access Journals (Sweden)

    Zhuo Wang

    Full Text Available Stress plays a role in the exacerbation and possibly the development of functional lower urinary tract disorders. Chronic water avoidance stress (WAS in rodents is a model with high construct and face validity to bladder hypersensitive syndromes, such as interstitial cystitis/bladder pain syndrome (IC/BPS, characterized by urinary frequency and bladder hyperalgesia and heightened stress responsiveness. Given the overlap of the brain circuits involved in stress, anxiety, and micturition, we evaluated the effects chronic stress has on bladder function, as well as its effects on regional brain activation during bladder filling. Female Wistar-Kyoto rats were exposed to WAS (10 days or sham paradigms. One day thereafter, cystometrograms were obtained during titrated bladder dilation, with visceromotor responses (VMR recorded simultaneously. Cerebral perfusion was assessed during passive bladder distension (20-cmH2O following intravenous administration of [14C]-iodoantipyrine. Regional cerebral blood flow was quantified by autoradiography and analyzed in 3-dimensionally reconstructed brains with statistical parametric mapping. WAS animals compared to controls demonstrated a decreased pressure threshold and visceromotor threshold triggering the voiding phase. At 20-cmH2O, VMR was significantly greater in WAS animals compared to controls. WAS animals showed greater activation in cortical regions of the central micturition circuit, including the posterior cingulate, anterior retrosplenial, somatosensory, posterior insula, orbital, and anterior secondary ("supplementary" motor cortices, as well as in the thalamus, anterior hypothalamus, parabrachial and Barrington nuclei, and striatum. Seed analysis showed increased functional connectivity of WAS compared to control animals of the posterior cingulate cortex to the pontine parabrachial nucleus; of the Barrington nucleus to the anterior dorsal midline and ventrobasilar thalamus and somatosensory and

  12. Greenhouse gases emissions in rivers of the Tibetan Plateau.

    Science.gov (United States)

    Qu, Bin; Aho, Kelly Sue; Li, Chaoliu; Kang, Shichang; Sillanpää, Mika; Yan, Fangping; Raymond, Peter A

    2017-11-29

    Greenhouse gases (GHGs) emissions from streams are important to regional biogeochemical budgets. This study is one of the first to incorporate stream GHGs (CO 2 , CH 4 and N 2 O) concentrations and emissions in rivers of the Tibetan Plateau. With one-time sampling from 32 sites in rivers of the plateau, we found that most of the rivers were supersaturated with CO 2 , CH 4 and N 2 O during the study period. Medians of partial pressures of CO 2 (pCO 2 ), pCH 4 and pN 2 O were presented 864 μatm, 6.3 μatm, and 0.25 μatm respectively. Based on a scaling model of the flux of gas, the calculated fluxes of CO 2 , CH 4 and N 2 O (3,452 mg-C m 2 d -1 , 26.7 mg-C m 2 d -1 and 0.18 mg-N m 2 d -1 , respectively) in rivers of the Tibetan Plateau were found comparable with most other rivers in the world; and it was revealed that the evasion rates of CO 2 and CH 4 in tributaries of the rivers of the plateau were higher than those in the mainstream despite its high altitude. Furthermore, concentrations of GHGs in the studied rivers were related to dissolved carbon and nitrogen, indicating that riverine dissolved components could be used to scale GHGs envision in rivers of the Tibetan Plateau.

  13. MARGATS cruise: investigation of the deep internal structure and the heterogeneous margins of the Demerara plateau reveals a polyphased volcanic history

    Science.gov (United States)

    Graindorge, D.; Museur, T.; Roest, W. R.; Klingelhoefer, F.; Loncke, L.; Basile, C.; Poetisi, E.; Deverchere, J.; Heuret, A.; Jean-Frederic, L.; Perrot, J.

    2017-12-01

    The MARGATS scientific cruise was carried out from October 20th to November 16th 2016 on board the R/V L'Atalante, offshore Suriname and French Guiana. This cruise is part of a program dedicated to the geological investigation of the continental margin, including the Demerara plateau, following the GUYAPLAC (2003), IGUANES (2013) and DRADEM (2016) cruises. The aim of MARGATS was to image the internal structure of the Demerara plateau and its different margins using coincident deep penetrating wide angle refraction and multi channel reflection seismic (MCS) methods. During the MARGATS experiment 171 OBS deployments were distributed along 4 wide-angle lines. Along each wide-angle line we also recorded coincident MCS data using a 3 km long 480 channel streamer. The dataset was completed by three MCS lines along the eastern part of the Demerara plateau. MCS MAR007 line which is coincident with line OBS MAR-3 was extended on land by 13 land stations deployed along the Maroni River. This line, together with MCS MAR001 and the coincident OBS MAR-1 line reveal the highly homogeneous deep structure of the internal part of the plateau. MCS MAR005 line, which is coincident with OBS MAR-2, MCS MAR006 line coincident with OBS MAR-4, MCS MAR002, MCS MAR003 and MCS MAR004 helps to elucidate the structural complexity of the northern transform margin and the eastern divergent margin of the plateau. These new datasets are highly complementary to the DRADEM dredge results which provide evidence for mid Jurassic volcanic rocks along the plateau and significant vertical displacements along the transform margin. These results allow to interpret the plateau as the remains of a huge jurassic volcanic divergent margin along the Central Atlantic ocean to the west, possibly remobilized during the cretaceous opening of the Equatorial Atlantic ocean as an highly oblique margin to the north and a divergent margin to the east in persistent presence of volcanism. This AGU session will be a great

  14. Intracontinental Deformation in the NW Iranian Plateau and Comparisons with the Northern Margin of the Tibetan Plateau

    Science.gov (United States)

    Chen, L.; Jiang, M.; Talebian, M.; Wan, B.; Ai, Y.; Ghods, A.; Sobouti, F.; Xiao, W.; Zhu, R.

    2017-12-01

    This study investigates the intracontinental deformation and its relationship with the structure of the crust and uppermost mantle in the NW Iranian plateau by combining new seismic and geological observations, to understand how this part of the plateau deformed to accommodate the Arabia-Eurasia plate collision and how the property of the lithosphere controls the deformation pattern. In contrast to the adjacent Anatolian block that exhibits westward large-scale extrusion, the northwesternmost part of the Iranian plateau shows dispersed intracontinental deformations with the development of numerous small-scale and discontinuous right-lateral strike-slip faults. The dispersed surface structures and deformation pattern correspond well to the active volcanism and seismically slow crust and uppermost mantle, and hence a weak lithosphere of the area. Further to the southeast are the western part of the Alborz Mountains and the southern Caspian Sea, both of which are characterized by stronger and more rigid lithosphere with relatively fast crust and uppermost mantle and absence of Quaternary volcanoes. A sharp Moho offset of 18 km has been imaged at the border of the Alborz and southern Caspian Sea using teleseismic receiver function data from a dense seismic array deployed under a collaborative project named "China-Iran Geological and Geophysical Survey in the Iranian Plateau (CIGSIP)". The sharp Moho offset and the minor undulations of the Moho on both sides indicate insignificant intracrustal deformation but mainly relative crustal movements between the Alborz Mountains and southern Caspian Sea, a behavior consistent with the relatively rigid nature of the lithosphere. Similar Moho offsets and lithospheric structures have been reported at the borders between the Kunlun Mountains and Qaidam or Tarim Basins in the northern margin of the Tibetan plateau, suggesting the occurrence of relative crustal movements with the effects of rigid continental lithosphere in the region

  15. Shiga Toxin-Producing Escherichia coli in Plateau Pika (Ochotona curzoniae) on the Qinghai-Tibetan Plateau, China.

    Science.gov (United States)

    Bai, Xiangning; Zhang, Wang; Tang, Xinyuan; Xin, Youquan; Xu, Yanmei; Sun, Hui; Luo, Xuelian; Pu, Ji; Xu, Jianguo; Xiong, Yanwen; Lu, Shan

    2016-01-01

    Shiga toxin-producing Escherichia coli (STEC) are an emerging group of zoonotic pathogens. Ruminants are the natural reservoir of STEC. In this study we determined the prevalence and characteristics of the STEC in plateau pika (Ochotona curzoniae) on the Qinghai-Tibetan Plateau, China. A total of 1116 pika samples, including 294 intestinal contents samples, 317 fecal samples, and 505 intestinal contents samples, were collected from May to August in the years 2012, 2013, and 2015, respectively. Twenty-one samples (1.88%) yielded at least one STEC isolate; in total, 22 STEC isolates were recovered. Thirteen different O serogroups and 14 serotypes were identified. One stx 1 subtype (stx 1a) and three stx 2 subtypes (stx 2a, stx 2b, and stx 2d) were present in the STEC isolates. Fifteen, fourteen, and three STEC isolates harbored the virulence genes ehxA, subA, and astA, respectively. Adherence-associated genes iha and saa were, respectively, present in 72.73 and 68.18% of the STEC isolates. Twenty antibiotics were active against all the STEC isolates; all strains were resistant to penicillin G, and some to cephalothin or streptomycin. The 22 STEC isolates were divided into 16 pulsed-field gel electrophoresis patterns and 12 sequence types. Plateau pikas may play a role in the ongoing circulation of STEC in the Qinghai-Tibetan plateau. This study provides the first report on STEC in plateau pikas and new information about STEC reservoirs in wildlife. Based on the serotypes, virulence gene profiles and multi-locus sequence typing (MLST) analysis, the majority of these pika STECs may pose a low public health risk.

  16. Late-Miocene thrust fault-related folding in the northern Tibetan Plateau: Insight from paleomagnetic and structural analyses of the Kumkol basin

    Science.gov (United States)

    Lu, Haijian; Fu, Bihong; Shi, Pilong; Xue, Guoliang; Li, Haibing

    2018-05-01

    Constraints on the timing and style of the Tibetan Plateau growth help spur new understanding of the tectonic evolution of the northern Tibetan Plateau and its relation to the India-Asia continental collision. In this regard, records of tectonic deformation with accurate ages are urgently needed, especially in regions without relevant studies. The Kumkol basin, located between two major intermontane basins (the Hoh Xil and Qaidam basins), may hold clues to how these major basins evolve during the Cenozoic. However, little has been known about the exact ages of the strata and tectonic deformation of the basin. Herein, detailed paleomagnetic and structural studies are conducted on the southern Baiquanhe section in the central Kumkol basin, northern Tibetan Plateau. The magnetostratigraphic study indicates that the southern Baiquanhe section spans a time interval of 8.2-4.2 Ma. Well-preserved growth strata date to 7.5 Ma, providing evidence for a significant thrust fault-related folding. This thrust-related folding has also been identified in the Tian Shan foreland and in the northern Tibetan Plateau, most likely implying a pulsed basinward deformation during the late Miocene.

  17. Central blood pressure and pulse wave velocity: relationship to target organ damage and cardiovascular morbidity-mortality in diabetic patients or metabolic syndrome. An observational prospective study. LOD-DIABETES study protocol

    Directory of Open Access Journals (Sweden)

    Castaño-Sánchez Carmen

    2010-03-01

    Full Text Available Abstract Background Diabetic patients show an increased prevalence of non-dipping arterial pressure pattern, target organ damage and elevated arterial stiffness. These alterations are associated with increased cardiovascular risk. The objectives of this study are the following: to evaluate the prognostic value of central arterial pressure and pulse wave velocity in relation to the incidence and outcome of target organ damage and the appearance of cardiovascular episodes (cardiovascular mortality, myocardial infarction, chest pain and stroke in patients with type 2 diabetes mellitus or metabolic syndrome. Methods/Design Design: This is an observational prospective study with 5 years duration, of which the first year corresponds to patient inclusion and initial evaluation, and the remaining four years to follow-up. Setting: The study will be carried out in the urban primary care setting. Study population: Consecutive sampling will be used to include patients diagnosed with type 2 diabetes between 20-80 years of age. A total of 110 patients meeting all the inclusion criteria and none of the exclusion criteria will be included. Measurements: Patient age and sex, family and personal history of cardiovascular disease, and cardiovascular risk factors. Height, weight, heart rate and abdominal circumference. Laboratory tests: hemoglobin, lipid profile, creatinine, microalbuminuria, glomerular filtration rate, blood glucose, glycosylated hemoglobin, blood insulin, fibrinogen and high sensitivity C-reactive protein. Clinical and 24-hour ambulatory (home blood pressure monitoring and self-measured blood pressure. Common carotid artery ultrasound for the determination of mean carotid intima-media thickness. Electrocardiogram for assessing left ventricular hypertrophy. Ankle-brachial index. Retinal vascular study based on funduscopy with non-mydriatic retinography and evaluation of pulse wave morphology and pulse wave velocity using the SphygmoCor system. The

  18. Central blood pressure and pulse wave velocity: relationship to target organ damage and cardiovascular morbidity-mortality in diabetic patients or metabolic syndrome. An observational prospective study. LOD-DIABETES study protocol.

    Science.gov (United States)

    Gómez-Marcos, Manuel A; Recio-Rodríguez, José I; Rodríguez-Sánchez, Emiliano; Castaño-Sánchez, Yolanda; de Cabo-Laso, Angela; Sánchez-Salgado, Benigna; Rodríguez-Martín, Carmela; Castaño-Sánchez, Carmen; Gómez-Sánchez, Leticia; García-Ortiz, Luis

    2010-03-18

    Diabetic patients show an increased prevalence of non-dipping arterial pressure pattern, target organ damage and elevated arterial stiffness. These alterations are associated with increased cardiovascular risk.The objectives of this study are the following: to evaluate the prognostic value of central arterial pressure and pulse wave velocity in relation to the incidence and outcome of target organ damage and the appearance of cardiovascular episodes (cardiovascular mortality, myocardial infarction, chest pain and stroke) in patients with type 2 diabetes mellitus or metabolic syndrome. This is an observational prospective study with 5 years duration, of which the first year corresponds to patient inclusion and initial evaluation, and the remaining four years to follow-up. The study will be carried out in the urban primary care setting. Consecutive sampling will be used to include patients diagnosed with type 2 diabetes between 20-80 years of age. A total of 110 patients meeting all the inclusion criteria and none of the exclusion criteria will be included. Patient age and sex, family and personal history of cardiovascular disease, and cardiovascular risk factors. Height, weight, heart rate and abdominal circumference. Laboratory tests: hemoglobin, lipid profile, creatinine, microalbuminuria, glomerular filtration rate, blood glucose, glycosylated hemoglobin, blood insulin, fibrinogen and high sensitivity C-reactive protein. Clinical and 24-hour ambulatory (home) blood pressure monitoring and self-measured blood pressure. Common carotid artery ultrasound for the determination of mean carotid intima-media thickness. Electrocardiogram for assessing left ventricular hypertrophy. Ankle-brachial index. Retinal vascular study based on funduscopy with non-mydriatic retinography and evaluation of pulse wave morphology and pulse wave velocity using the SphygmoCor system. The medication used for diabetes, arterial hypertension and hyperlipidemia will be registered, together

  19. Late Pleistocene-Holocene Activity of the Strike-slip Xianshuihe Fault Zone, Tibetan Plateau, Inferred from Tectonic Landforms

    Science.gov (United States)

    Lin, A.; Yan, B.

    2017-12-01

    Knowledges on the activity of the strike-slip fault zones on the Tibetan Plateau have been promoted greatly by the interpretation of remote sensing images (Molnar and Tapponnier, 1975; Tapponnier and Molnar, 1977). The active strike-slip Xianshuihe-Xiaojiang Fault System (XXFS), with the geometry of an arc projecting northeastwards, plays an important role in the crustal deformation of the Tibetan Plateau caused by the continental collision between the Indian and Eurasian plates. The Xianshuihe Fault Zone (XFZ) is located in the central segment of the XXFS and extends for 370 km, with a maximum sinistral offset of 60 km since 13‒5 Ma. In this study, we investigated the tectonic landforms and slip rate along the central segment of the left-lateral strike-slip XFZ. Field investigations and analysis of ttectonic landforms show that horizontal offset has been accumulated on the topographical markers of different scales that developed since the Last Glacial Maximum (LGM). The central segment of the XFZ is composed of three major faults: Yalahe, Selaha, and Zheduotang faults showing a right-stepping echelon pattern, that is characterized by systematical offset of drainages, alluvial fans and terrace risers with typical scissoring structures, indicating a structural feature of left-lateral strike-slip fault. Based on the offset glacial morphology and radiocarbon dating ages, we estimate the Late Pleistocene-Holocene slip rate to be 10 mm/yr for the central segment of the XFZ, which is consistent with that estimated from the GPS observations and geological evidence as reported previously. Across the central segment of the XFZ, the major Selaha and Zheduotang faults participate a slip rate of 5.8 mm/yr and 3.4 mm/yr, respectively. Detailed investigations of tectonic landforms are essential for the understanding the activity of active faults. Our findings suggest that the left-lateral slipping of the XFZ partitions the deformation of eastward extrusion and northeastward

  20. [The pathogenic ecology research on plague in Qinghai plateau].

    Science.gov (United States)

    Dai, Rui-xia; Wei, Bai-qing; Li, Cun-xiang; Xiong, Hao-ming; Yang, Xiao-yan; Fan, Wei; Qi, Mei-ying; Jin, Juan; Wei, Rong-jie; Feng, Jian-ping; Jin, Xing; Wang, Zu-yun

    2013-12-01

    To study the pathogenic ecology characteristics of plague in Qinghai plateau. Applied molecular biology techniques, conventional technologies and geographic information system (GIS) to study phenotypic traits, plasmid spectrum, genotype, infected host and media spectrum etc.of 952 Yersinia pestis strains in Qinghai plateau plague foci, which were separated from different host and media in different regions during 1954 to 2012. The ecotypes of these strains were Qingzang plateau (91.49%, 871/952),Qilian mountain (6.41%, 61/952) and Microtus fuscus (1.26%, 12/952).83.6% (796/952) of these strains contained all the 4 virulence factors (Fr1, Pesticin1,Virulence antigen, and Pigmentation), 93.26% (367/392) were velogenic strains confirmed by virulence test.725 Yersinia pestis strains were separated from Qinghai plateau plague foci carried 9 kinds of plasmid, among which 713 strains from Marmot himalayan plague foci carried 9 kinds of plasmid, the Mr were 6×10(6), 7×10(6), 23×10(6), 27×10(6), 30×10(6), 45×10(6), 52×10(6), 65×10(6) and 92×10(6) respectively. 12 Yersinia pestis strains were separated from Microtus fuscus plague foci carried only 3 kinds of plasmid, the Mr were 6×10(6), 45×10(6), 65×10(6). Meanwhile, the strains carrying large plasmid (52×10(6), 65×10(6) and 92×10(6)) were only distributed in particular geographical location, which had the category property. The research also confirmed that 841 Yersinia pestis strains from two kinds of plague foci in Qinghai plateau had 11 genomovars. The strains of Marmot himalayan plague foci were given priority to genomovar 5 and 8, amounted to 611 strains, genomovar 8 accounted for 56.00% (471/841), genomovar 5 accounted for 23.07% (194/841). Besides, 3 new genomovars, including new 1(62 strains), new 2(52 strains), new 3(48 strains) were newly founded, and 12 strains of Microtus fuscus plague foci were genomovar 14. The main host and media of Qinghai plateau plague foci directly affected the spatial

  1. Exploring the undulating plateau: the future of global oil supply.

    Science.gov (United States)

    Jackson, Peter M; Smith, Leta K

    2014-01-13

    In this paper, we analyse the factors that will influence long-term oil supply and describe the future form of the global oil supply profile as an 'undulating plateau' rather than an irreversible, short-term peak or an ever upward trend of increasing production. The ultimate transition from a world of relatively plentiful and cheap oil to one of tight supply and high cost will be slow and challenging. An understanding of the signposts for the future path of supply and the drivers of that profile will be critical to managing the transition. The ultimate form of the global supply curve may well be dictated by demand evolution rather than a limited resource endowment in the longer term. Several factors will probably control future global oil supply. We believe that the scale of global oil resource will not constitute a physical supply limit for at least the next two or three decades. However, all categories of oil resources are already more expensive to develop than in the past, requiring high oil prices to stimulate supply growth. Lower rates of oil demand growth relative to economic growth, combined with more challenging supply growth, will probably lead to an undulating plateau sometime after 2040, with demand from non-Organization for Economic Cooperation and Development states continuing to dominate. Upstream investment requirements and oil price volatility will increase towards and beyond the undulating production plateau. In this new world, high oil prices will induce demand destruction, fuel substitution and ever increasing energy efficiency. As we discuss below, the fundamental differences between the IHS Cambridge Energy Research Associates' (IHS CERA) view of the future of oil supply and many peak oil supply models are the timing of the onset of a dramatic slowdown in the rate of growth of supply and the existence or otherwise of a production plateau. We do not dispute that supply will plateau and eventually fall; the question is when, how and at what price

  2. Late Quaternary Soil Development Enhances Aeolian Landform Stability, Moenkopi Plateau, Southern Colorado Plateau, USA

    Directory of Open Access Journals (Sweden)

    Amy L. Ellwein

    2018-04-01

    Full Text Available The Moenkopi dune field in northeastern Arizona covers roughly 1250 km2, but most of the field is inactive. Dune deposits on the Moenkopi Plateau (MP have remained inactive throughout the Holocene despite periods of elevated aridity or historical reductions of vegetation cover by livestock grazing. We argue that this inactivity is not because of any diminishment of driving forces in the aeolian system (e.g., insufficient winds, but rather because of increased cohesion due to soil development that enhances resistance to wind erosion. Abundant aeolian sediments were supplied to the Black Mesa region by the Little Colorado River and its tributaries during the late Pleistocene (MIS 2 and 3, which enabled the development of climbing dunes and transport of sand over the Adeii Eechii Cliffs and onto the MP. These deposits (Qe1 stabilized during the Pleistocene/Holocene climatic transition (~12–7.5 ka because of reduced sediment supply and high dust flux which resulted in rapid soil formation. Erosion of climbing dunes/sand ramps from the Adeii Eechii Cliffs eliminated delivery of large quantities of new sand to the MP during the mid to late Holocene. Soil development within the Qe1 mantle increased sediment cohesion and prevented widespread aeolian reactivation during the Holocene, despite the occurrence of conditions (wind speed, climate, etc. under which dune reactivation would be expected. Drylands comprise roughly 40% of the land cover of earth and climate models predict their expansion. Pedogenic stability is not commonly considered in climate-based models used to predict aeolian activity. To improve predictions of future dune activity in drylands, the degree of soil development in aeolian deposits should be considered when evaluating sediment availability in aeolian systems.

  3. Crustal deformation rates in Assam Valley, Shillong Plateau, Eastern Himalaya, and Indo-Burmese region from 11 years (2002-2013) of GPS measurements

    Science.gov (United States)

    Barman, Prakash; Jade, Sridevi; Shrungeshwara, T. S.; Kumar, Ashok; Bhattacharyya, Sanjeev; Ray, Jagat Dwipendra; Jagannathan, Saigeetha; Jamir, Wangshi Menla

    2017-09-01

    The present study reports the contemporary deformation of the tectonically complex northeast India using 11 years (2002-2013) of GPS observations. The central Shillong Plateau and few sites north of Plateau located in Assam Valley behave like a rigid block with 7 mm/year India-fixed southward velocity. The Euler pole of rotation of this central Shillong Plateau-Assam Valley (SH-AS) block is estimated to be at -25.1° ± 0.2°N, -97.8° ± 1.8°E with an angular velocity of 0.533° ± 0.10° Myr-1 relative to India-fixed reference frame. Kopili fault located between Shillong Plateau and Mikir massif records a dextral slip of 4.7 ± 1.3 mm/year with a locking depth of 10.2 ± 1.4 km indicating the fragmentation of Assam Valley across the fault. Presently, western edge of Mikir massif appears to be locked to Assam block indicating strain accumulation in this region. First-order elastic dislocation modelling of the GPS velocities estimates a slip rate of 16 mm/year along the Main Himalayan Thrust in Eastern Himalaya which is locked over a width of 130 km from the surface to a depth of 17 km with underthrusting Indian plate. Around 9 mm/year arc-normal convergence is accommodated in Lesser Himalaya just south of Main Central Thrust indicating high strain accumulation. Out of 36 mm/year (SSE) India-Sunda plate motion, about 16 mm/year motion is accommodated in Indo-Burmese Fold and Thrust Belt, both as normal convergence ( 6 mm/year) and active slip ( 7-11 mm/year) in this region.

  4. Neglected, semimembranosus osteochondral avulsion fracture of the posteromedial tibial plateau

    Directory of Open Access Journals (Sweden)

    Rakesh John

    2018-06-01

    Full Text Available Semimembranosus avulsion fracture is infrequently reported and is easy to miss on plain radiographs; the mechanism of injury is highly controversial. Initial reports linked it to anterior cruciate ligament and medial meniscal tears. We report an osteochondral semimembranosus avulsion fracture of the posteromedial tibial plateau with associated posterior cruciate ligament rupture. Also described is a novel surgical fixation technique for such osteochondral fractures where the surgical exposure is limited due to the obliquity of the fracture line resulting in a greater involvement of the articular cartilage than the small bony component. The fixation technique described may be used for osteochondral fractures where the application of a conventional compression screw may not be feasible. Keywords: Osteochondral fracture, Semimembranosus avulsion fracture, Posteromedial tibial plateau, Neglected, Nonunion

  5. Neoclassical kinetic theory near an X point: Plateau regime

    International Nuclear Information System (INIS)

    Solano, E.R.; Hazeltine, R.D.

    1994-01-01

    Traditionally, neoclassical transport calculations ignore poloidal variation of the poloidal magnetic field. Near an X point of the confining field of a diverted plasma, the poloidal field is small, causing guiding centers to linger at that poloidal position. A study of how neoclassical transport is affected by this differential shaping is presented. The problem is solved in general in the plateau regime, and a model poloidal flux function with an X point is utilized as an analytic example to show that the plateau diffusion coefficient can change considerably (factor of 2 reduction). Ion poloidal rotation is proportional to the local value of B pol but otherwise it is not strongly affected by shaping. The usual favorable scaling of neoclassical confinement time with plasma current is unaffected by the X point

  6. Minimal surfaces, stratified multivarifolds, and the plateau problem

    CERN Document Server

    Thi, Dao Trong; Primrose, E J F; Silver, Ben

    1991-01-01

    Plateau's problem is a scientific trend in modern mathematics that unites several different problems connected with the study of minimal surfaces. In its simplest version, Plateau's problem is concerned with finding a surface of least area that spans a given fixed one-dimensional contour in three-dimensional space--perhaps the best-known example of such surfaces is provided by soap films. From the mathematical point of view, such films are described as solutions of a second-order partial differential equation, so their behavior is quite complicated and has still not been thoroughly studied. Soap films, or, more generally, interfaces between physical media in equilibrium, arise in many applied problems in chemistry, physics, and also in nature. In applications, one finds not only two-dimensional but also multidimensional minimal surfaces that span fixed closed "contours" in some multidimensional Riemannian space. An exact mathematical statement of the problem of finding a surface of least area or volume requir...

  7. [Dynamic changes of Ruoergai Plateau wetland ecosystem service value].

    Science.gov (United States)

    Zhang, Xiao-Yun; Lü, Xian-Guo; Shen, Song-Ping

    2009-05-01

    Based on the satellite remote sensing data acquired in 1975 and 2006, and by using the assessment method of ecosystem service value, the dynamic changes of physical production value, gas regulation value, and water storage value of Ruoergai Plateau wetland ecosystem in 1975-2006 were studied. During study period, the total value of the three services decreased from 19.59 billion RMB Yuan to 12.38 billion Yuan RMB, among which, physical production value increased by 0.302 billion RMB Yuan, while the gas regulation and water storage value decreased by 7.507 billion RMB Yuan. The benefit from the increase of physical production was much less than the loss of ecosystem degradation. Overgrazing induced the biomass reduction and soil deterioration, resulting in the decline of Ruoergai Plateau wetland ecosystem service value and service capacity.

  8. Cenozoic uplift of the Tibetan Plateau: Evidence from the tectonic–sedimentary evolution of the western Qaidam Basin

    Directory of Open Access Journals (Sweden)

    Yadong Wang

    2012-03-01

    Full Text Available Geologists agree that the collision of the Indian and Asian plates caused uplift of the Tibet Plateau. However, controversy still exists regarding the modes and mechanisms of the Tibetan Plateau uplift. Geology has recorded this uplift well in the Qaidam Basin. This paper analyzes the tectonic and sedimentary evolution of the western Qaidam Basin using sub-surface seismic and drill data. The Cenozoic intensity and history of deformation in the Qaidam Basin have been reconstructed based on the tectonic developments, faults growth index, sedimentary facies variations, and the migration of the depositional depressions. The changes in the sedimentary facies show that lakes in the western Qaidam Basin had gone from inflow to still water deposition to withdrawal. Tectonic movements controlled deposition in various depressions, and the depressions gradually shifted southeastward. In addition, the morphology of the surface structures in the western Qaidam Basin shows that the Cenozoic tectonic movements controlled the evolution of the Basin and divided it into (a the southern fault terrace zone, (b a central Yingxiongling orogenic belt, and (c the northern fold-thrust belt; divided by the XI fault (Youshi fault and Youbei fault, respectively. The field data indicate that the western Qaidam Basin formed in a Cenozoic compressive tectonic environment caused by the India–Asia plate collision. Further, the Basin experienced two phases of intensive tectonic deformation. The first phase occurred during the Middle Eocene–Early Miocene (Xia Ganchaigou Fm. and Shang Ganchaigou Fm., 43.8–22 Ma, and peaked in the Early Oligocene (Upper Xia Ganchaigou Fm., 31.5 Ma. The second phase occurred between the Middle Miocene and the Present (Shang Youshashan Fm. and Qigequan Fm., 14.9–0 Ma, and was stronger than the first phase. The tectonic–sedimentary evolution and the orientation of surface structures in the western Qaidam Basin resulted from the Tibetan

  9. Interactions between ecosystems and hydrology in the Loess Plateau

    Science.gov (United States)

    Fu, B.; Wang, S.

    2017-12-01

    The Loess Plateau is located in the arid and semi-arid temperate continental monsoon climatic zone. Large-scale "Grain-for-Green" project has been implemented in the since 1999, which has made remarkable contribution to the soil and water control, but also has led to some negative ecological effects. Understanding the interactions between ecosystems and hydrology is significant for the vegetation carrying capacity assessment and guiding the vegetation restoration. We observed the soil moisture at multiple scales including slope, catchment and transect across Loess Plateau to analyze the effects of land use change and its trend along the precipitation gradient. Remote sensing data also used to capture the spatiotemporal variance of soil moisture in the Loess Plateau, as well as the in-situ measured soil moisture decrease following the massive re-vegetation. We found soil moisture decrease in response to the massive re-vegetation occurred in a transition zone of grass-forest ecosystems with annual precipitation between 450-550 mm. The average runoff in the Loess Plateau also decreased continuously during the period 1961-2009 (average rate of -0.9 mm yr-1, P < 0.001). Human intervention played a dominant role in creating the transition points, Water yield (i.e., the ratio of runoff to precipitation) decreased following each anthropogenic transition, causing a 56% reduction in available freshwater resources during the period 1961-2009. From currently revegetated areas and human water demand, we estimate a threshold of NPP of 400±5 g C m-2 yr-1 above which the population will suffer water shortages. NPP in this region is found to be already close to this limit.

  10. Groundwater quality in the Cascade Range and Modoc Plateau, California

    Science.gov (United States)

    Fram, Miranda S.; Shelton, Jennifer L.

    2015-01-01

    Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Cascade Range and Modoc Plateau area constitutes one of the study units being evaluated.

  11. Late Quaternary paleoseismology of the Milin fault: Implications for active tectonics along the Yarlung Zangbo Suture, Southeastern Tibet Plateau

    Science.gov (United States)

    Li, Kang; Xu, Xiwei; Kirby, Eric; Tang, Fangtou; Kang, Wenjun

    2018-04-01

    How the eastward motion of crust in the central Tibetan Plateau is accommodated in the remote regions of the eastern Himalayan syntaxis remains uncertain. Although the Yarlung Zangbo suture (YZS) forms a striking lineament in the topography of the region, evidence for recent faulting along this zone has been equivocal. To understand whether faults along the YZS are active, we performed a geological investigation along the eastern segments of the YZS. Geomorphic observations suggest the presence of active faulting along several segments of the YZS, which we collectively refer to as the "Milin fault". Paleoseismologic data from trenches reveal evidence for one faulting event, which is constrained to occur between 5620 and 1945 a BP. The latest faulting event displaced alluvial surface T2 by 7 m. The offset on this earthquake place the minimum value on the vertical slip rate of 0.3 mm/yr. Empirical relationships between surface rupture length, displacement and magnitude, suggest that magnitude of the latest event could have been Mw 7.3-7.7. On the basis of this slip rate and the elapsed time since the last event, it is estimated that a seismic moment equivalent to Mw 7.0 has been accumulated on the Milin fault. It is pose a threat to the surrounding region. Our results suggest that shortening occurs in the vicinity of the eastern Himalayan syntaxis, and part of eastward motion of crust from the central Tibetan Plateau is absorbed by uplift of the eastern Himalayan syntaxis.

  12. Biomass burning and urban air pollution over the Central Mexican Plateau

    Science.gov (United States)

    J. D. Crounse; P. F. DeCarlo; D. R. Blake; L. K. Emmons; T. L. Campos; E. C. Apel; A. D. Clarke; A. J. Weinheimer; D. C. McCabe; R. J. Yokelson; J. L. Jimenez; P. O. Wennberg

    2009-01-01

    Observations during the 2006 dry season of highly elevated concentrations of cyanides in the atmosphere above Mexico City (MC) and the surrounding plains demonstrate that biomass burning (BB) significantly impacted air quality in the region. We find that during the period of our measurements, fires contribute more than half of the organic aerosol mass and submicron...

  13. Biomass burning and urban air pollution over the central Mexican Plateau [Discussions

    Science.gov (United States)