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Sample records for syndrome central plateau

  1. 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.

  2. 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

  3. Tectonomagmatic Associations on the Central Andean Plateau

    Science.gov (United States)

    de Silva, S. L.; Viramonte, J. G.

    2012-12-01

    The Neogene evolution of the Central Andes is characterized by a strong association between plate convergence, mountain building and plateau formation, and magmatism. Plateau uplift by crustal shortening and thickening in the lower crust is broadly coincident with large scale silicic magmatism defined by the Neogene Central Andean ignimbrite province. Of particular interest here are the spatiotemporal correlations between silicic magmatism and tectonic evolution of the Altiplano-Puna plateau. Although magmatism is driven by the subduction-related flux from mantle to crust, the shift to "crustal" magmatism as indicated by elevated crustal isotopic indices after ~10Ma suggests a link between crustal thickening, plateau formation and silicic magmatism. In particular, elevated geotherms associated with crustal thickening and enhanced mantle flux associated with lithospheric delamination may have played a role in thermally preparing the Central Andean crust for enhanced silicic magma production during the extensive Neogene ignimbrite flare-up. Emplacement of these magmas in the upper crust throughout the Neogene may have fuelled a period of significant interaction between magmatism and tectonism on the plateau. With particular reference to the 21° to 24°S segment of the Central Andes, spatial and structural coincidence of calderas of the Altiplano Puna Volcanic Complex with the NW-SE striking Calama-Olacapata-El Toro fault zone suggests significant tectonomagmatic interaction. Location of calderas suggest that these regional faults focused magma intrusion and storage, while spatially and temporally correlated eruption pulses connote a tectonic control. Indeed, current thermomechanical models of magma chamber development and eruption triggering promote a role for external triggering of "perched" upper crustal magma chambers. This might have been achieved by melt-enhanced deformation, or alternatively, significant uplift (~1km) associated with the development of large

  4. Isolated central vestibular syndrome.

    Science.gov (United States)

    Kim, Sung-Hee; Park, Seong-Ho; Kim, Hyo-Jung; Kim, Ji-Soo

    2015-04-01

    Isolated vestibular syndrome may occur all along the vestibular pathways from the peripheral labyrinth to the brain. By virtue of recent developments in clinical neurotology and neuroimaging, however, diagnosis of isolated central vestibulopathy is increasing. Here, we review five distinct syndromes of isolated central vestibular syndrome from lesions restricted to the vestibular nuclei, the nucleus prepositus hypoglossi, the flocculus, the tonsil, and the nodulus, and introduce a new vestibular syndrome from isolated involvement of the inferior cerebellar peduncle. Decreased responses to head impulses do not exclude a central lesion as a cause of isolated vestibular syndrome. Brain imaging, including diffusion-weighted magnetic resonance imaging (MRI), may be falsely negative during the acute phase in patients with isolated vestibular syndrome because of a stroke. Central signs should be sought carefully in patients with isolated vertigo, even when the patients show the features of peripheral vestibulopathy and negative MRIs. Recognition of these isolated central vestibular syndromes would aid in defining the lesions responsible for various vestibular manifestations in central vestibulopathy. © 2015 New York Academy of Sciences.

  5. Central Cord Syndrome

    Science.gov (United States)

    ... finding better ways to prevent, treat, and ultimately cure neurological disorders such as central cord syndrome. Information from the National Library of Medicine’s MedlinePlus Spinal ... cord syndrome is the most common form of incomplete spinal cord injury characterized by impairment in the arms and hands and to a lesser extent in the legs. ...

  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. Insights into the crustal structure and magmatic evolution of the High and Western Plateau of the Manihiki Plateau, Central Pacific

    Science.gov (United States)

    Hochmuth, Katharina; Gohl, Karsten; Uenzelmann-Neben, Gabriele

    2014-05-01

    The Manihiki Plateau is a Large Igneous Province (LIP) located in the Central Pacific. It is assumed, that the formation of the Manihiki Plateau took place during the early Cretaceous in multiple volcanic stages as part of the "Super-LIP" Ontong-Java-Nui. The plateau consists of several sub-plateaus of which the Western Plateau und High Plateau are the largest. In addressing the plateau's magmatic evolutionary history, one of the key questions is whether all sub-plateaus experienced the same magmatic history or if distinct phases of igneous or tectonic processes led to its fragmentation. During the RV Sonne cruise SO-224 in 2012; we collected two deep crustal seismic refraction/wide-angle reflection lines, crossing the two main sub-plateaus. Modeling of P- and S-wave phases reveals the different crustal nature of both sub-plateaus. On the High Plateau, the 20 km thick crust is divided into four seismic units, interpreted to range from basaltic composition in the uppermost crust to peridotitic composition in the middle and lower crust. The Western Plateau on the other hand shows multiple rift structures and no indications of basalt flows. With a maximum of 17 km crustal thickness, the Western Plateau is also thinner than the High Plateau. The upper basement layers show relatively low P-wave velocities (3.0 - 5.0 km/s), which infers that on the Western Plateau these layers consist of volcanoclastic and carbonatic rocks rather than basaltic flow units. Later volcanic stages may be restricted to the High Plateau with a possible eastward trend in the center of volcanic activity. Extensive secondary volcanism does not seem to have occurred on the Western Plateau, and its later deformation is mainly caused by tectonic extension and rifting.

  8. FINAL FRONTIER AT HANFORD TACKLING THE CENTRAL PLATEAU

    Energy Technology Data Exchange (ETDEWEB)

    GERBER MS

    2008-03-04

    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

  9. 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.

  10. 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.

  11. The diverse crustal structure and magmatic evolution of the Manihiki Plateau, central Pacific

    Science.gov (United States)

    Hochmuth, K.; Gohl, K.; Uenzelmann-Neben, G.; Werner, R.

    2014-07-01

    The Manihiki Plateau is a Large Igneous Province (LIP) in the central Pacific. It was emplaced as part of the "Super-LIP" Ontong Java Nui and experienced fragmentation into three sub-plateaus, possibly during the break-up of Ontong Java Nui. The Manihiki Plateau is presumably the centerpiece of this "Super-LIP" and its investigation can therefore decipher the break-up mechanisms as well as the evolution of the plateau after its initial emplacement. By analyzing two seismic refraction/wide-angle reflection profiles crossing the two largest sub-plateaus of the Manihiki Plateau, the High Plateau and the Western Plateaus, we give new insights into their crustal structure and magmatic evolution. The High Plateau shows a crustal structure of 20 km thickness and a seismic P wave velocity distribution, which is comparable to other LIPs. The High Plateau experienced a strong secondary volcanism, which can be seen in relicts of seamount chain volcanism. The Western Plateaus on the other hand show no extensive secondary volcanism and are mainly structured by fault systems and sedimentary basins. A constant decrease in Moho depth (9-17 km) is a further indicator of crustal stretching on the Western Plateaus. Those findings lead to the conclusion, that the two sub-plateaus of the Manihiki Plateau experienced a different magmatic and tectonic history. Whereas the High Plateau experienced a secondary volcanism, the Western Plateaus underwent crustal stretching during and after the break-up of Ontong Java Nui. This indicates, that the sub-plateaus of the Manihiki Plateau play an individual part in the break-up history of Ontong Java Nui.

  12. A single cause for uplift of the Central and Eastern Anatolian plateau?

    NARCIS (Netherlands)

    Bartol, Jeroen; Govers, Rob

    2014-01-01

    Regional observations suggest that the Central Anatolian plateau (central Turkey) has risen by > 1 km since the Tortonian (~ 8 Ma) while significant crustal shortening did not occur. This uplift was preceded by the onset of widespread volcanism (~ 14–9 Ma). The lithospheric context of these events

  13. 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.

  14. A single cause for uplift of the Central and Eastern Anatolian plateau?

    Science.gov (United States)

    Govers, Rob; Bartol, Jeroen

    2015-04-01

    Regional observations suggest that the Central Anatolian platearal (central Turkey) has risen by more than since the Tortonian (~8 Ma) while significant crustal shortening did not occur. This uplift was preceded by the onset of widespread volcanism (~14-9Ma). The lithospheric context of these events is however unknown. For the Eastern Anatolian plateau, similar events have been attributed to the late-stage evolution of the northern Neotethys slab, resulting in delamination and slab break-off. Recent tomographic results indicate that this slab extended beneath both below the Eastern and Central Anatolian plateau just prior to delamination. We propose a new lithospheric scenario for the regional evolution in the Aegean-Anatolia-Near East region that combines a recent compilation of surface geology data with the structure of the upper mantle. Following Cretaceous-Eocene closure of the northern Neotethys, Africa-Eurasia convergence was accommodated by horizontal subduction at a trench that was located south of Anatolia. Like before the closure, the northern Neotethys slab continued to sink into the deeper mantle beneath the Izmir-Ankara-Erzincan suture. In the early Miocene (~20-15Ma), the northern Neotethys slab started to retreat southward to the trench, resulting in delamination of the lithospheric mantle. The last part of this scenario is testable, whether delamination can explain the uplift of both the Central and Eastern Anatolian plateau. In the east, uplift due to collision of Arabia is included. We use a coupled thermal-flexural model of the lithosphere. Delamination can explain the average present-day long-wavelength topography of the Central Anatolian plateau. For the Eastern Anatolian plateau, delamination explains half the present-day elevation: the other half resulted from crustal thickening. We therefore propose to refer to central and east Anatolia since the middle Miocene as "the Anatolian plateau".

  15. 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.

  16. 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

  17. Sensitivity of boundary layer variables to PBL schemes over the central Tibetan Plateau

    Science.gov (United States)

    Xu, L.; Liu, H.; Wang, L.; Du, Q.; Liu, Y.

    2017-12-01

    Planetary Boundary Layer (PBL) parameterization schemes play critical role in numerical weather prediction and research. They describe physical processes associated with the momentum, heat and humidity exchange between land surface and atmosphere. In this study, two non-local (YSU and ACM2) and two local (MYJ and BouLac) planetary boundary layer parameterization schemes in the Weather Research and Forecasting (WRF) model have been tested over the central Tibetan Plateau regarding of their capability to model boundary layer parameters relevant for surface energy exchange. The model performance has been evaluated against measurements from the Third Tibetan Plateau atmospheric scientific experiment (TIPEX-III). Simulated meteorological parameters and turbulence fluxes have been compared with observations through standard statistical measures. Model results show acceptable behavior, but no particular scheme produces best performance for all locations and parameters. All PBL schemes underestimate near surface air temperatures over the Tibetan Plateau. By investigating the surface energy budget components, the results suggest that downward longwave radiation and sensible heat flux are the main factors causing the lower near surface temperature. Because the downward longwave radiation and sensible heat flux are respectively affected by atmosphere moisture and land-atmosphere coupling, improvements in water vapor distribution and land-atmosphere energy exchange is meaningful for better presentation of PBL physical processes over the central Tibetan Plateau.

  18. 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.

  19. 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.

  20. Optimal plateau pressure for patients with acute respiratory distress syndrome: a protocol for a systematic review and meta-analysis with meta-regression.

    Science.gov (United States)

    Yasuda, Hideto; Nishimura, Tetsuro; Kamo, Tetsuro; Sanui, Masamitsu; Nango, Eishu; Abe, Takayuki; Takebayashi, Toru; Lefor, Alan Kawarai; Hashimoto, Satoru

    2017-05-29

    Lower tidal volume ventilation in patients with acute respiratory distress syndrome (ARDS) is a strategy to reduce the plateau pressure and driving pressure to limit ventilator-induced lung injury (VILI). Several randomised controlled trials (RCTs) and meta-analyses showed that limiting both the plateau pressure and the tidal volume decreased mortality, but the optimal plateau pressure to demonstrate a benefit is uncertain. The aim of this systematic review is to investigate the optimal upper limit of plateau pressure in patients with ARDS to prevent VILI and improve clinical outcomes using meta-analysis with and without meta-regression. RCTs comparing two mechanical ventilation strategies will be included, with lower plateau pressure and with higher plateau pressure, among patients with ARDS and acute lung injury. Data sources include MEDLINE via the NCBI Entrez system, Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE and Ichushi, a database of papers in Japanese. Two of three physicians will independently screen trials obtained by search for eligibility, and extract data from included studies onto standardised data recording forms. For each included trial, the risk of bias and the quality of evidence will be evaluated using the Grading of Recommendation Assessment Development and Evaluation system. This study does not require ethical approval. The results of this systematic review and meta-analysis with and without meta-regression will be disseminated through conference presentation and publication in a peer-reviewed journal. CRD42016041924. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  1. 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

  2. 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

  3. Genetics Home Reference: congenital central hypoventilation syndrome

    Science.gov (United States)

    ... Samuels M, Stevens CA, Berry-Kravis EM, Weese-Mayer DE. PHOX2B mutation-confirmed congenital central hypoventilation syndrome: ... Citation on PubMed Axelrod FB, Chelimsky GG, Weese-Mayer DE. Pediatric autonomic disorders. Pediatrics. 2006 Jul;118( ...

  4. 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 ...

  5. Early villages and prehistoric sites in the Abharroud Basin, northwest of the Iranian Central Plateau

    Directory of Open Access Journals (Sweden)

    Sajjad Alibaigi

    2012-12-01

    Full Text Available The Abharroud basin is an important region in archaeological studies of the northwestern outskirts of the central plateau, and the west and northwest of Iran. Considering its environmental capabilities and geographical location, studying the region can leads us to a better understanding of regional relations and also inter-regional interaction between the cultural-geographical regions. During the two seasons of archaeological survey, 257 archaeological sites were discovered, dating from the lower Palaeolithic to recent ages. Of these, 34 sites contained prehistoric remains. Most of the identified sites are the remains of scattered villages and seasonal camps in different areas of the basin, on the plain and also impassable heights.

  6. 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

  7. Evaluation of In Situ Grouting as a Potential Remediation Method for the Hanford Central Plateau Deep Vadose Zone

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J.; Pierce, Eric M.; Nimmons, Michael J.; Mattigod, Shas V.

    2011-01-11

    The Deep Vadose Zone Treatability Test Plan for the Hanford Central Plateau report identifies in situ grouting as a potential remediation technology for the deep vadose zone and includes a planned effort to evaluate in situ grouting to provide information for future feasibility studies. This report represents the first step in this evaluation effort.

  8. Post-Miocene Tectonics from Black Sea to Mediterrenean Sea along Central Anatolian Plateau

    Science.gov (United States)

    Rojay, B.; Özsayın, E.; Çiner, A.

    2012-04-01

    to the west during Pliocene as a result of the initiation of the North and East Anatolian Faults. The escape can be caused by the retreat of downgoing slab or enlargement of downgoing slab window or solely initiation of the North and East Anatolian faults as single shears or all. The escape was resulted in the NW-SE to NE-SW multi oriented extension in central Anatolian Plateau (from Ankara to Tuzgölü lake to Mut region) between North Anatolian in north and Cyprus in south. To sum up, the regions between the seismogenic North Anatolian Fault in north and Kirenia of northern Cyprus in south experience an extension since Pliocene. Key words: uplift, plateau evolution, locked subduction, Miocene, Anatolia.

  9. 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

  10. 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.

  11. 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.

  12. 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

  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. 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.

  16. A Qualitative Survey of Five Antibiotics in a Water Treatment Plant in Central Plateau of Iran

    Directory of Open Access Journals (Sweden)

    Mohsen Heidari

    2013-01-01

    Full Text Available Introduction. This study aimed to survey a total of five common human and veterinary antibiotics based on SPE-LC-MS-MS technology in a water treatment plant at central plateau of Iran. Also two sampling techniques, passive and grab samplings, were compared in the detection of selected antibiotics. Materials and Methods. In January to March 2012, grab and passive samples were taken from the influent and effluent of a water treatment plant. The samples were prepared using solid-phase extraction (SPE, and extracts were analyzed by liquid chromatography tandem mass spectrometry (LC-MS-MS. Results. The results showed that enrofloxacin, oxytetracycline, and tylosin were not detected in none of the samples. However, ampicillin was detected in the grab and passive samples taken from the influent (source water of the plant, and ciprofloxacin was detected in passive samples taken from the influent and effluent (finished water of the plant. Conclusion. The results imply that passive sampling is a better approach than grab sampling for the investigation of antibiotics in aquatic environments. The presence of ampicillin and ciprofloxacin in source water and finished water of the water treatment plant may lead to potential emergence of resistant bacteria that should be considered in future studies.

  17. Investigating Forest Disturbance Using Landsat Data in the Nagagamisis Central Plateau, Ontario, Canada

    Directory of Open Access Journals (Sweden)

    K. Wayne Forsythe

    2014-03-01

    Full Text Available The Nagagamisis Central Plateau (located in Northern Ontario, Canada is an area of distinct natural and cultural significance. The importance of this land was officially recognized in 1957 through the establishment of the Nagagamisis Provincial Park Reserve. The park has experienced significant expansion since its inception and is currently under development as one of Ontario Parks ‘Signature Sites’. Since the 1980s, timber harvest activity has led to widespread forest disturbance just outside of the park boundaries. This research is focused on the detection of stand level forest disturbances associated with timber harvest occurring near Nagagamisis Provincial Park. The image time-series data selected for this project were Landsat TM and ETM+; spanning a twenty-five year period from 1984 to 2009. The Tasselled Cap Transformation and Normalized Difference Moisture Index were derived for use in unsupervised image classification to determine the land cover for each image in the time-series. Image band differencing and raster arithmetic were performed to create maps illustrating the size and spatial distribution of stand level forest disturbances between image dates. A total area of 1649 km2 or 26.1% of the study area experienced stand level disturbance during the analysis period.

  18. TREATABILITY TEST PLAN FOR DEEP VADOSE ZONE REMEDIATION AT THE HANFORD SITE CENTRAL PLATEAU

    Energy Technology Data Exchange (ETDEWEB)

    PETERSEN SW; MORSE JG; TRUEX MJ; LAST GV

    2007-11-29

    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.

  19. 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.

  20. Assessing and improving Noah-MP land model simulations for the central Tibetan Plateau

    Science.gov (United States)

    Gao, Yanhong; Li, Kai; Chen, Fei; Jiang, Yingsha; Lu, Chungu

    2015-09-01

    The Tibetan Plateau (TP) region experiences strong land-atmosphere interactions, and as an elevated heating source, significantly influences the formation of the Asian monsoon. Those interactions are not well represented in current land-surface models (LSMs), partly due to difficulties in representing heterogeneities in soil structures in LSM. Simulations using the Noah with multiparameterization options (Noah-MP) LSM are employed to assess the relative importance of parameterizing vertical soil heterogeneity, organic matter, and soil rhizosphere and their impacts on seasonal evolution of soil temperature, soil moisture, and surface energy and water budgets at the sparsely vegetated Amdo site located in central TP. The LSM spin-up time at the central TP depends on the complexity of the model physics, ranging from 4 years with simplest soil physics to 30 years with the addition of organic matter and spare to dense rhizosphere parameterization in Noah-MP. Representing layered soil texture and organic matter does not improve low biases in topsoil moisture. Reducing the saturated conductivity from the mucilage in the rhizosphere produces better results. Surface sensible and latent heat fluxes are better simulated in the monsoon season as well. Adding layered soil texture and organic matter in Noah-MP retard the thawing in deep soil layers, and the rhizosphere effect delays thawing even more in the transient season. Uncertainties in soil initialization significantly affect deep-soil temperature and moisture, but uncertainties in atmospheric forcing conditions mainly affect topsoil variables and consequently the surface energy fluxes. Differing land-surface physics cause 36% uncertainty in the accumulated evapotranspiration and subsurface runoff.

  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. 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

  4. Late Pleistocene-Holocene paleoseismology of the Batang fault (central Tibet plateau, China)

    Science.gov (United States)

    Huang, Xuemeng; Du, Yi; He, Zhongtai; Ma, Baoqi; Xie, Furen

    2015-06-01

    The Yushu segment of the Ganzi-Yushu fault system (central Tibet plateau) is mainly composed by the Yushu fault and the Batang fault. The 2010 Ms 7.1 Yushu earthquake occurred on the Yushu fault, causing huge loss of lives and widespread damages to the densely populated Yushu area. So far, much effort has been devoted to the surface rupture and paleoseismology of the Yushu fault, while the late Quaternary activity of the Batang fault has not received much attention. The Batang fault has a clear geomorphic expression with fault scarps, sag ponds, push-ups, systematic offset of fluvial terraces, and alluvial fans along its trace. Integrated methods of geomorphological mapping, outcrop analysis, trench excavation and logging, optically stimulated luminescence (OSL), and radiocarbon (14C) dating are employed to study the latest Pleistocene and Holocene paleoseismology of the Batang fault. Several paleoearthquakes are identified from geomorphic and stratigraphic evidence between 22 ka and after 2.7 ka. The oldest event (E1) occurred after 22 ka BP, E2 prior to 14 ka BP, E3 within 14 and 9.5 ka BP, E4 within 8.0-7.8 ka BP, E5 prior to 6.7 ka BP, the penultimate event (E6) occurred within 4.3-4.0 ka BP, and the most recent event (E7) occurred after 2.7 ka BP. The average recurrence interval of paleoearthquakes for the Batang fault is about 2000 a in the last ~ 8 ka BP, and the relapse time of the latest paleoearthquake is Empirical equations between co-seismic displacement and earthquake magnitude reveal that the average magnitude of these events is about 7.3. This study contributes important information for the seismic hazard assessment of the densely populated Yushu area.

  5. 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

  6. Light-absorbing impurities accelerate glacier melt in the Central Tibetan Plateau.

    Science.gov (United States)

    Li, Xiaofei; Kang, Shichang; He, Xiaobo; Qu, Bin; Tripathee, Lekhendra; Jing, Zhefan; Paudyal, Rukumesh; Li, Yang; Zhang, Yulan; Yan, Fangping; Li, Gang; Li, Chaoliu

    2017-06-01

    Light-absorbing impurities (LAIs), such as organic carbon (OC), black carbon (BC), and mineral dust (MD) deposited on the glacier surface can reduce albedo, thus accelerating the glacier melt. Surface fresh snow, aged snow, granular ice, and snowpits samples were collected between August 2014 and October 2015 on the Xiao Dongkemadi (XDKMD) glacier (33°04'N, 92°04'E) in the central Tibetan Plateau (TP). The spatiotemporal variations of LAIs concentrations in the surface snow/ice were observed to be consistent, differing mainly in magnitudes. LAIs concentrations were found to be in the order: granular ice>snowpit>aged snow>fresh snow, which must be because of post-depositional effects and enrichment. In addition, more intense melting led to higher LAIs concentrations exposed to the surface at a lower elevation, suggesting a strong negative relationship between LAIs concentrations and elevation. The scavenging efficiencies of OC and BC were same (0.07±0.02 for OC, 0.07±0.01 for BC), and the highest enrichments was observed in late September and August for surface snow and granular ice, respectively. Meanwhile, as revealed by the changes in the OC/BC ratios, intense glacier melt mainly occurred between August and October. Based on the SNow ICe Aerosol Radiative (SNICAR) model simulations, BC and MD in the surface snow/ice were responsible for about 52%±19% and 25%±14% of the albedo reduction, while the radiative forcing (RF) were estimated to be 42.74±40.96Wm -2 and 21.23±22.08Wm -2 , respectively. Meanwhile, the highest RF was observed in the granular ice, suggesting that the exposed glaciers melt and retreat more easily than the snow distributed glaciers. Furthermore, our results suggest that BC was the main forcing factor compared with MD in accelerating glacier melt during the melt season in the Central TP. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. 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

  8. 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

  9. QUANTIFICATION OF GLACIER DEPLETION IN THE CENTRAL TIBETAN PLATEAU BY USING INTEGRATED SATELLITE REMOTE SENSING AND GRAVIMETRY

    Directory of Open Access Journals (Sweden)

    K.-H. Tseng

    2016-06-01

    Full Text Available Glaciers over the Tibetan Plateau have experienced accelerated depletion in the last few decades due primarily to the global warming. The freshwater drained into brackish lakes is also observed by optical remote sensing and altimetry satellites. However, the actual water storage change is difficult to be quantified since the altimetry or remote sensing only provide data in limited dimensions. The altimetry data give an elevation change of surface while the remote sensing images provide an extent variation in horizontal plane. Hence a data set used to describe the volume change is needed to measure the exact mass transition in a time span. In this study, we utilize GRACE gravimetry mission to quantify the total column mass change in the central Tibetan Plateau, especially focused on the lakes near Tanggula Mountains. By removing these factors, the freshwater storage change of glacier system at study area can be potentially isolated.

  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

    2012-01-01

    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

  11. Chemical characteristics of submicron particles at the central Tibet Plateau: influence of long-range transport

    Science.gov (United States)

    Xu, J.; Zhang, Q.; Shi, J.; Ge, X.; Xie, C., Sr.; Wang, J.; Shichang, K.; Zhang, R.; Wang, Y.

    2017-12-01

    Recent studies have revealed a significant influx of air pollution from south Asia to Himalayas and Tibet Plateau (TP) during pre-monsoon period. In order to characterize the chemical composition, sources, and transport mechanism of polluted air mass in this pristine area, we performed 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 4746m a.s.l) at the central of the TP. The measurements were made at a time when the transition from pre-monsoon to monsoon occurred. The average ambient mass concentration of submicron particulate matter (PM1) over the whole campaign period was 2.0 µg m-3, with organics accounting for 64%, followed by sulfate (16%), black carbon (9%), ammonium (8%), and nitrate (3%). This mass loading and composition were comparable with most of AMS results in remote sites worldwide. Air pollution episodes were observed during the pre-monsoon period, while consistently low aerosol concentrations were observed during the monsoon period. However, the chemical composition of aerosol during the air pollution 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 time whereas nitrate peaked during early morning in association with higher relative humidity and lower air temperature. Organic aerosol (OA) was more oxidized with an oxygen-to-carbon ratio (O/C) of 0.94 during the pre-monsoon period than during monsoon (average O/C of 0.48). The average O/C of OA was 0.88 over the entire campaign period. Positive matrix factorization of the high resolution mass spectra of OA identified two oxygenated organic aerosol (OOA

  12. Solitary median maxillary central incisor (SMMCI syndrome

    Directory of Open Access Journals (Sweden)

    Hall Roger K

    2006-04-01

    Full Text Available Abstract Solitary median maxillary central incisor syndrome (SMMCI is a complex disorder consisting of multiple, mainly midline defects of development resulting from unknown factor(s operating in utero about the 35th–38th day(s from conception. It is estimated to occur in 1:50,000 live births. Aetiology is uncertain. Missense mutation in the SHH gene (I111F at 7q36 may be associated with SMMCI. The SMMCI tooth differs from the normal central incisor, in that the crown form is symmetric; it develops and erupts precisely in the midline of the maxillary dental arch in both primary and permanent dentitions. Congenital nasal malformation (choanal atresia, midnasal stenosis or congenital pyriform aperture stenosis is positively associated with SMMCI. The presence of an SMMCI tooth can predict associated anomalies and in particular the serious anomaly holoprosencephaly. Common congenital anomalies associated with SMMCI are: severe to mild intellectual disability, congenital heart disease, cleft lip and/or palate and less frequently, microcephaly, hypopituitarism, hypotelorism, convergent strabismus, oesophageal and duodenal atresia, cervical hemivertebrae, cervical dermoid, hypothyroidism, scoliosis, absent kidney, micropenis and ambiguous genitalia. Short stature is present in half the children. Diagnosis should be made by eight months of age, but can be made at birth and even prenatally at 18–22 weeks from the routine mid-trimester ultrasound scan. Management depends upon the individual anomalies present. Choanal stenosis requires emergency surgical treatment. Short stature may require growth hormone therapy. SMMCI tooth itself is mainly an aesthetic problem, which is ideally managed by combined orthodontic, prosthodontic and oral surgical treatment; alternatively, it can be left untreated.

  13. Decreased cortical thickness in central hypoventilation syndrome.

    Science.gov (United States)

    Macey, Paul M; Moiyadi, Ammar S; Kumar, Rajesh; Woo, Mary A; Harper, Ronald M

    2012-08-01

    Central hypoventilation syndrome (CHS) is a rare condition characterized by hypoventilation during sleep, reduced ventilatory responsiveness to CO(2) and O(2), impaired perception of air hunger, and autonomic abnormalities. Neural impairments accompany the condition, including structural injury, impaired cerebral autoregulation, and dysfunctional autonomic control. The hypoventilation may induce cortical hypoxic injury, additional to consequences of maldevelopment from PHOX2B mutations present in most CHS subjects. We assessed cortical injury in clinically diagnosed CHS using high-resolution magnetic resonance imaging scans, collected from 14 CHS (mean age ± standard deviation [SD] 17.7 ± 5.0 years; 6 female) and 29 control (mean age ± SD, 17.9 ± 4.3 years; 12 female) subjects. We measured group differences in mean cortical thickness and age-thickness correlations using FreeSurfer software, accounting for age and sex (0.1 false discovery rate). Reduced thickness in CHS appeared in the dorsomedial frontal cortex and anterior cingulate; medial prefrontal, parietal, and posterior cingulate cortices; the insular cortex; anterior and lateral temporal lobes; and mid- and accessory motor strips. Normal age-related cortical thinning in multiple regions did not appear in CHS. The cortical thinning may contribute to CHS cardiovascular and memory deficits and may impair affect and perception of breathlessness. Extensive axonal injury in CHS is paralleled by reduced cortical tissue and absence of normal developmental patterns.

  14. Organic carbon isotope and molecular fossil records of vegetation evolution in central Loess Plateau since 450 kyr

    OpenAIRE

    Zhou, Bin; Wali, Guzalnur; Peterse, Francien; Bird, Michael I.

    2016-01-01

    Significant uncertainties remain regarding the temporal evolution of natural vegetation during the Quaternary, and drivers of past vegetation change, on the Chinese Loess Plateau (CLP). This study presents analyses of total organic carbon isotopic composition (TOC) and n-alkane ratios (C31/C27) from the Lingtai loess-palaeosol sequence on the central CLP over the last 450 kyr. The results demonstrate that the vegetation in this region comprised a mix of C3 and C4 plants of herb and woody grow...

  15. 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

  16. 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.

  17. Sebaceous nevus syndrome, central nervous system malformations, aplasia cutis congenita, limbal dermoid, and pigmented nevus syndrome.

    Science.gov (United States)

    Hsieh, Chih-Wei; Wu, Yu-Hung; Lin, Shuan-Pei; Peng, Chun-Chih; Ho, Che-Sheng

    2012-01-01

    SCALP syndrome is an acronym describing the coincidence of sebaceous nevus syndrome, central nervous system malformations, aplasia cutis congenita, limbal dermoid, and pigmented nevus (giant congenital melanocytic nevus). We present a fourth case of this syndrome. © 2012 Wiley Periodicals, Inc.

  18. 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.

  19. 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

  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. Seroprevalence of bovine brucellosis in northern Plateau State, North Central Nigeria

    Directory of Open Access Journals (Sweden)

    Nanven Abraham Maurice

    2013-10-01

    Full Text Available Objective: To determine the seroprevalence of brucellosis among cattle in some local government areas (LGA of the northern part of Plateau State, Nigeria. Methods: Sera obtained from a total of 270 randomly selected cattle from different herds in the four selected LGAs were for Brucella antibodies using the Rose Bengal Plate Test (RBPT. Results: An overall brucellosis seroprevalence of 9.6% (26/270 was obtained. The seroprevalence of Brucella antibodies among the cattle across the LGA ranged from 0%-37.3% with Riyom and Bassa LGA having the lowest and highest seroprevalence respectively while Barkin Ladi LGA had no sero-positive cattle. Females had a higher percentage of seropositives compared to males while cattle reared under extensive system of management had a higher (11.6% percentage of sero-positives compared to cattle kept under the intensive system of management. However, there was no statistically significant (P>0.05 association between serological status and sex or management practice. Conclusions: The results of this study indicates that bovine brucellosis is still a problem among the cattle population in Plateau State, Nigeria. And the public and other animals are at risk of exposure to the disease agent in these animals which are still shedding the organism.

  2. Post-treatment lyme syndrome and central sensitization.

    Science.gov (United States)

    Batheja, Shweta; Nields, Jenifer A; Landa, Alla; Fallon, Brian A

    2013-01-01

    Central sensitization is a process that links a variety of chronic pain disorders that are characterized by hypersensitivity to noxious stimuli and pain in response to non-noxious stimuli. Among these disorders, treatments that act centrally may have greater efficacy than treatments acting peripherally. Because many individuals with post-treatment Lyme syndrome (PTLS) have a similar symptom cluster, central sensitization may be a process mediating or exacerbating their sensory processing. This article reviews central sensitization, reports new data on sensory hyperarousal in PTLS, explores the potential role of central sensitization in symptom chronicity, and suggests new directions for neurophysiologic and treatment research.

  3. [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.

  4. Validation of digital elevation models (DEMs) and comparison of geomorphic metrics on the southern Central Andean Plateau

    Science.gov (United States)

    Purinton, Benjamin; Bookhagen, Bodo

    2017-04-01

    In this study, we validate and compare elevation accuracy and geomorphic metrics of satellite-derived digital elevation models (DEMs) on the southern Central Andean Plateau. The plateau has an average elevation of 3.7 km and is characterized by diverse topography and relief, lack of vegetation, and clear skies that create ideal conditions for remote sensing. At 30 m resolution, SRTM-C, ASTER GDEM2, stacked ASTER L1A stereopair DEM, ALOS World 3D, and TanDEM-X have been analyzed. The higher-resolution datasets include 12 m TanDEM-X, 10 m single-CoSSC TerraSAR-X/TanDEM-X DEMs, and 5 m ALOS World 3D. These DEMs are state of the art for optical (ASTER and ALOS) and radar (SRTM-C and TanDEM-X) spaceborne sensors. We assessed vertical accuracy by comparing standard deviations of the DEM elevation versus 307 509 differential GPS measurements across 4000 m of elevation. For the 30 m DEMs, the ASTER datasets had the highest vertical standard deviation at > 6.5 m, whereas the SRTM-C, ALOS World 3D, and TanDEM-X were all radar DEMs (e.g., TanDEM-X) for geomorphometry are promising, but airborne or terrestrial data are still necessary for meter-scale analysis.

  5. 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)

  6. 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.

  7. Regional Deformation of the Southern Puna Plateau, Central Andes, Recorded by Basin Evolution and Bedrock Exhumation History

    Science.gov (United States)

    Zhou, R.; Schoenbohm, L. M.; Sobel, E. R.; Carrapa, B.; Davis, D. W.; Glodny, J.; Stockli, D. F.

    2015-12-01

    The regional deformation history of the southern Puna Plateau remains poorly constrained but is key to understanding the growth and dynamics of the central Andes, an important example of orogeny along a non-collisional plate boundary. Several lines of evidence lead us to propose that the southern Puna Plateau was occupied by an uninterrupted sedimentary basin during the late Eocene to early Oligocene (~38-28 Ma). First, oldest strata in the Antofagasta de la Sierra region (SW Puna) and the Pasto Ventura region (SE Puna) both contain little volcanic material, suggesting they predate the most recent arc activity at ~28 Ma. Second, detrital zircons from the Antofagasta de la Sierra region yield youngest U-Pb ages of ~39 Ma and detrital apatites from the Pasto Ventura region yield youngest fission-track ages of ~38 Ma, giving a maximum depositional age. Third, provenance analysis reveals a single, western source for the Antofagasta de la Sierra region (SW Puna) and dual, eastern and western sources for the Pasto Ventura region (SE Puna), supporting the presence of a regional basin. This regional basin was disrupted and compartmentalized by uplift of ~N-S trending bedrock ranges starting as early as in late Oligocene time. Bedrock samples from the eastern foot of the Sierra de Calalaste (SW Puna) yield an apatite (U-Th-Sm)/He age of 19.9±2.0 Ma, consistent with modeled apatite fission-track data that show onset of exhumation at ~25-20 Ma. Modeling of apatite fission-track and (U-Th-Sm)/He data shows that the Sierra Laguna Blanca (SE Puna) experienced exhumation at ~15-10 Ma, the youngest bedrock exhumation documented in the plateau region, implying that deformation and erosion of basement-bounding structures continued into the middle Miocene. We suggest that the post-late Eocene regional deformation history of the southern Puna Plateau documents an important dynamic shift from flexure-controlled foreland dynamics to flexure-limited broken foreland dynamics during the

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

    Science.gov (United States)

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

    2015-06-01

    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. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Hydrogeology of the Hanford Site Central Plateau – A Status Report for the 200 West Area

    Energy Technology Data Exchange (ETDEWEB)

    Last, George V.; Thorne, Paul D.; Horner, Jacob A.; Parker, Kyle R.; Bjornstad, Bruce N.; Mackley, Rob D.; Lanigan, David C.; Williams, Bruce A.

    2009-08-27

    The Remediation Decisions Support (RDS) function of the Soil and Groundwater Remediation Project (managed by CH2M HILL Plateau Remediation Company [CHPRC]) is responsible for facilitating the development of consistent data, parameters, and conceptual models to resolve technical issues and support efforts to estimate contaminant migration and impacts (i.e., the assessment process). In particular, the RDS function is working to update electronic data sources and conceptual models of the geologic framework and associated hydraulic and geochemical parameters to facilitate traceability, transparency, defensibility, and consistency in support of environmental assessments. This report summarizes the efforts conducted by Pacific Northwest National Laboratory (PNNL) scientists in fiscal year 2008 (FY08) that focused primarily on the 200 West Area, as well as a secondary effort initiated on the 200 East Area.

  10. 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.

  11. 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.

  12. 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.

  13. 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

  14. 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.

  15. Central vestibular syndrome in a red fox ( Vulpes vulpes ) with ...

    African Journals Online (AJOL)

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

  16. 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 ...

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

    African Journals Online (AJOL)

    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 farming ...

  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. 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

  20. 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.

  1. Modeling mass balance and volume of Xiao Dongkemadi glacier in the Central Tibetan Plateau from 1989 to 2050

    Science.gov (United States)

    Duan, K.

    2015-12-01

    The Tibetan Plateau (TP) holds ten thousands of alpine glaciers in mid-latitude, which have shrunk with an accelerating retreat rate recently. Here, we applied a temperature-index distributed mass-balance model coupled with a volume-area scaling method to Xiao Dongkemadi Glacier (XDG) in the central TP, to assess its response to climate change. The result shows the simulated mass balance is in a good agreement with observations (R2=0.75, pRegCM4 under the climate scenarios RCP4.5 and RCP8.5 from 2013 to 2050. The simulated terminus elevation of the glacier will rise from 5454m a.s.l. in 2013 to 5533m a.s.l. (RCP4.5) and 5543m a.s.l (RCP8.5) in 2050. XDG will lose its volume with an increasing rate of 600-700m3 a-1 during the period of 1989-2050, indicating the melting water will enhance the river runoff. But for the long term, the contribution to the river runoff will decrease for shrinkage of glacier scale.

  2. 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.

  3. Numerical simulations of permafrost dynamics in the source area of the Yellow River, central-eastern Qinghai-Tibet Plateau

    Science.gov (United States)

    Luo, D.; Marchenko, S. S.; Jin, H.; Romanovsky, V. E.

    2017-12-01

    Elevational permafrost on the Qinghai-Tibet Plateau (QTP) are particularly warm with more than half boreholes owning ground temperatures within -1 and 0 °C, therefore presumably sensitive to climate changes and anthropogenic activities. In the context of more serious climatic warming on the QTP than the global average, deterioration to ecology and damages to engineering projects in permafrost region had been frequently reported. To forecast further degradation of permafrost in the coming decades or centuries, a number of empirical or physical models have been implemented to study it. However, few attentions had been paid to variations of permafrost for the past century. In this study, we utilized the Geophysical Institute Permafrost (GIPL) model to simulate permafrost variations from 1901 to 2015 in the source area of the Yellow River, central-eastern QTP. Monthly air temperatures and precipitation from the CRU TS 4.0 datasets in 1901-2015 were employed as the input upper boundary conditions. Thermo-physical properties and moisture content of subsurface soils collected from the fieldwork and in situ measurements of ground temperatures were employed as initial conditions. An empirical estimated geothermal heat flux for each grid point was applied for the lower boundary conditions. Monthly air temperatures of 1901 were repeated for 50 times to drive the model to obtain thermal equilibrium, and then the measured ground temperatures were utilized to calibrate the soil properties. Results showed that, the mean annual air temperature (MAAT) did not dramatically change by a rate of consistently continuous increasing, but by rates of 0.27 °C·(10a)-1 in 1901-1944, -0.19 °C·(10a)-1 in 1945-1983, and 0.18°C·(10a)-1 in 1984-2015, while the overall trend was 0.02 °C·(10a)-1. During the past centennial periods, variations of permafrost temperatures at different depths resembled the fluctuation of air temperature with an attenuation effect downwards. During the period of

  4. 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

  5. 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.

  6. Persistence of Carbonate Platform Environments in Central Mexico during the Oceanic Anoxic Event 2: impact of the Carribean Plateau?

    Science.gov (United States)

    Bomou, Brahimsamba; Adatte, Thierry; Föllmi, Karl; Arnaud-Vanneau, Annie; Fleitmann, Dominik

    2010-05-01

    The Cenomanian-Turonian Oceanic Anoxic Event 2 is described as an interruption of normal pelagic sediment deposition by several distinct intervals of widespread oceanic anoxia (Schlanger & Jenkyns, 1976; Jenkyns, 1980; Arthur et al., 1990) characterized by black shales deposition coinciding with a positive shift in carbon isotope excursion. Some authors show a relationship between OAEs and massive volcanic events associated with the emplacement of large igneous provinces (LIPs) and sea floor spreading at mid-ocean ridges (Kuroda et al., 2007; Snow et al., 2005). High metal abundance anomalies recorded in pelagic sections (e.g. Pueblo, Colorado) coincide with the massive volcanism that built the Carribean plateau (around 93-94 Ma), associated with the onset of OAE 2 (Snow et al., 2005). Mort et al., (2007) demonstrate that the onset of the OAE 2 was triggered by a short-lived but significant increase in phosphorus burial. The bottom waters became anoxic and switched from being a P sink to a P source, sustaining the productivity in a positive feedback loop. However, the behaviour of phosphorus and trace metals at larger scale, in different paleogeography and paleodepht is still poorly known. The Axaxacualco and Baranca el Cañon sections, located at the Guerrero-Morelos carbonate platform in southern Mexico exhibit a fully correlateable d13C curves. In the distal part of the carbonate platform at Axaxacualco, the maximum d13C positive excursion coincides with oligotrophic carbonate platform environments supported by low concentrations in P and characterized by abundant and diversified benthic microfauna and rudists. The impact of OAE appears may be more significant in the proximal part of the carbonate platform at Barranca, characterized by the deposition of thick laminated microbialites indicative of mesotrophic conditions. The Morelos Carbonate platform with oligotrophic to mesotrophic conditions was persistent throughout the entire OAE2 in Central Mexico despite

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

    OpenAIRE

    Manuel Enrique Cueto; Ariel David Frank; Fabiana Skarbun

    2016-01-01

    La María and Cerro Tres Tetas archaeological localities are located in the Central Plateau, in the province of Santa Cruz, Argentine Patagonia. This area presents abundant lithic raw materials of very good quality for knapping including flint, chalcedony and silicified wood. These raw materials were used by the inhabitants of the region since the end of the Pleistocene until recent historical times. Besides, we have recorded the exploitation of exotic stones in low proportions at the archaeol...

  8. Impact économique des variétés améliorées du niébé sur les revenus des exploitations agricoles du plateau central du Burkina Faso

    Directory of Open Access Journals (Sweden)

    Ouédraogo, S.

    2003-01-01

    Full Text Available Impact of Improved Varieties of Cowpea on Farm Income in the Central Plateau of Burkina Faso. Cereal crops account for 90% of the total cultivated area in the central plateau of Burkina Faso. Cash crops that promote crop production diversity and substantial farm income improvement are still scarce in this zone. The devaluation of CFA currency in 1994 has increased interest in cowpea production and this can significantly improve the cropping systems in the central plateau. This paper assesses the economical impact of new varieties of cowpea adopted by farmers using partial budget analysis methods and linear programming. The results point out that if suitable credit policy that support this production is implemented, it constitutes an interesting alternative for farmer's income improvement in the central plateau of Burkina Faso.

  9. [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

  10. 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

  11. COMPARISON OF VENTED AND ABSOLUTE PRESSURE TRANSDUCERS FOR WATER-LEVEL MONITORING IN HANFORD SITE CENTRAL PLATEAU WELLS

    Energy Technology Data Exchange (ETDEWEB)

    MCDONALD JP

    2011-09-08

    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

  12. 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.

  13. 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.

  14. 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)

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

    Science.gov (United States)

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

    2014-11-01

    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.

  16. 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)

  17. Neuroimaging of Central Sensitivity Syndromes: Key Insights from the Scientific Literature.

    Science.gov (United States)

    Walitt, Brian; Ceko, Marta; Gracely, John L; Gracely, Richard H

    2016-01-01

    Central sensitivity syndromes are characterized by distressing symptoms, such as pain and fatigue, in the absence of clinically obvious pathology. The scientific underpinnings of these disorders are not currently known. Modern neuroimaging techniques promise new insights into mechanisms mediating these postulated syndromes. We review the results of neuroimaging applied to five central sensitivity syndromes: fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, temporomandibular joint disorder, and vulvodynia syndrome. Neuroimaging studies of basal metabolism, anatomic constitution, molecular constituents, evoked neural activity, and treatment effect are compared across all of these syndromes. Evoked sensory paradigms reveal sensory augmentation to both painful and nonpainful stimulation. This is a transformative observation for these syndromes, which were historically considered to be completely of hysterical or feigned in origin. However, whether sensory augmentation represents the cause of these syndromes, a predisposing factor, an endophenotype, or an epiphenomenon cannot be discerned from the current literature. Further, the result from cross-sectional neuroimaging studies of basal activity, anatomy, and molecular constituency are extremely heterogeneous within and between the syndromes. A defining neuroimaging "signature" cannot be discerned for any of the particular syndromes or for an over-arching central sensitization mechanism common to all of the syndromes. Several issues confound initial attempts to meaningfully measure treatment effects in these syndromes. At this time, the existence of "central sensitivity syndromes" is based more soundly on clinical and epidemiological evidence. A coherent picture of a "central sensitization" mechanism that bridges across all of these syndromes does not emerge from the existing scientific evidence.

  18. 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.

  19. [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.

  20. Evaluation of late Permian mafic magmatism in the central Tibetan Plateau as a response to plume-subduction interaction

    Science.gov (United States)

    Liu, Bin; Ma, Chang-Qian; Guo, Pan; Sun, Yang; Gao, Ke; Guo, Yu-Heng

    2016-11-01

    An integrated study of the geochronology, mineralogy, geochemistry and Sr-Nd isotope compositions of the upper Permian Yushu mafic rocks in the central Tibetan Plateau (CTP) was conducted to evaluate the interaction between the Emeishan mantle plume and the Paleo-Tethyan subduction system. These mafic rocks can be geochemically subdivided into three groups. Group 1 rocks yielded a weighted mean 206Pb/238U age of 258 ± 2 Ma. They have relatively high TiO2, FeOt, Nb/Y and high εNd(t) values and display oceanic island basalts (OIB)-like rare earth and trace element patterns, with obvious enrichment of Nb and Ta. Group 2 and 3 rocks yield weighted mean 206Pb/238U ages of 258 ± 1 Ma and 257 ± 1 Ma, respectively. Both have relatively low TiO2, FeOt, Nb/Y and εNd(t) values and island arc tholeiites (IAT)-like rare earth and trace element patterns with obvious depletion of Nb and Ta. However, the Group 2 rocks have relatively low FeOt/MgO ratios, but high MgO, Mg#, Cr and Ni contents, resembling primitive magmas. They have lower light rare earth element (LREE), Nb, Ti and Zr contents and higher εNd(t) values than the Group 1 rocks. The geochemical and isotopic variations suggest that the Group 1 rocks might be derived from a plume-related mantle source, whereas Group 2 and Group 3 rocks originated from subduction-modified asthenospheric mantle and lithospheric mantle. Moderate degrees of olivine and clinopyroxene fractionation under low oxygen fugacities (fO2) appear to be responsible for the Fe-Ti enrichment in the Group 1 rocks. We propose a model involving plume-subduction interaction to explain the geodynamics and generation of the late Permian mafic magmatism in the CTP. The study region was rifted by the Emeishan mantle plume activity in association with rollback of Longmuco-Shuanghu oceanic lithosphere in late Permian times. Deep melting of the plume source led to the generation of the Group 1 plume-related magmas, whereas shallower melting of the subduction

  1. Influence of Monsoon variations on ecosystem changes on the Central Tibetan Plateau during the last 24 ka cal BP (Invited)

    Science.gov (United States)

    Kasper, T.; Haberzettl, T.; Zhu, L.; Maeusbacher, R.

    2013-12-01

    Lakes as archives of climate and environmental change are well known and well investigated all over the world, also in high mountain areas such as the Tibetan Plateau (TP) which is one of the most important key players in global climate circulation. Lake sediment records in this area, which were subject to lots of paleoenvironmental investigations, are mostly focused on the Holocene, often showing discontinuities due to desiccation or are located at the margin of the TP, such as Lake Qinghai. Here we present the first continuous lake sediment record from the southern central TP from Lake Nam Co, comprising ~24 ka cal BP, i.e., the LGM, the post-Glacial and the entire Holocene. The record reveals environmental changes with varying intensities. Extraordinary high sediment accumulation rates (SAR = 1.3 mm a-1) and quite large quantities of minerogenic input associated with the absence of ostracods during the LGM point to a small lake within a cold and dry environment. Around 19 ka cal BP reduced SAR (~0.3 mm a-1) and the occurrence of ostracods refer to a rising lake level in a moister environment. During the post-Glacial (~16 ka cal BP) changes in the geochemical composition of the sediments and a shift in the pollen composition suggests a change in summer precipitation and wind direction associated with a stronger Indian Ocean Summer Monsoon (IOSM). Major variations in the geochemical parameters between ~12.6 and ~11.6 ka cal BP may reflect the Younger Dryas climate oscillation of the Northern Hemisphere with cool and arid environmental conditions. The most striking hydrological variation within this record occurs at ~9.5 ka cal BP in the early Holocene. A rise in TOC points to enhanced bio-productivity within the lake and the catchment as well as to hampered decomposition of organic matter at the lake floor. Pollen composition refers to alpine meadow vegetation assemblages during this time. This may reflect moist and warm conditions probably associated with a

  2. 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

  3. Organic carbon isotope and molecular fossil records of vegetation evolution in central Loess Plateau since 450 kyr

    NARCIS (Netherlands)

    Zhou, Bin; Wali, Guzalnur; Peterse, Francien; Bird, Michael I.

    Significant uncertainties remain regarding the temporal evolution of natural vegetation during the Quaternary, and drivers of past vegetation change, on the Chinese Loess Plateau (CLP). This study presents analyses of total organic carbon isotopic composition (TOC) and n-alkane ratios (C31/C27) from

  4. 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.

  5. 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.

  6. 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

  7. 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

  8. 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

  9. The volcano-sedimentary succession of Upper Permian in Wuli area, central Qinghai-Tibetan Plateau: Sedimentology, geochemistry and paleogeography

    Science.gov (United States)

    Liu, Shengqian; Jiang, Zaixing; Gao, Yi

    2017-04-01

    Detailed observations on cores and thin sections well documented a volcano-sedimentary succession from Well TK2, which is located in Wuli area, central Qinghai-Tibetan Plateau. The TK2 volcano-sedimentary succession reflects an active sedimentary-tectonic setting in the north margin of North Qiangtang-Chamdo terrane in the late Permian epoch. Based on the observation and recognition on lithology and mineralogy, the components of TK2 succession are mainly volcanic and volcaniclastic rocks and four main lithofacies are recognized, including massive volcanic lithofacies (LF1), pyroclastic tuff lithofacies (LF2), tuffaceous sandstone lithofacies (LF3) and mudstone lithofacies (LF4). LF1 is characterized by felsic components, massive structure and porphyrotopic structure with local flow structure, which indicates submarine intrusive domes or extrusion-fed lavas that formed by magma ascents via faults or dykes. Meanwhile, its eruption style may reflect a relative high pressure compensation level (PCL) that mainly determined by water depth, which implies a deep-water environment. LF2 is composed of volcanic lapilli or ash and featured with massive structure, parallel bedding and various deformed laminations including convolve structure, slide deformation, ball-and-pillow structure, etc.. LF2 indicates the sedimentation of initial or reworked explosive products not far away from volcano centers, reflecting the proximal accumulation of volcano eruption-fed clasts or their resedimentation as debris flows. In addition, the submarine volcano eruptions may induced earthquakes that facilitate the resedimentation of unconsolidated sediments. LF3 contains abundant pyroclastic components and is commonly massive with rip-up mudstone clasts or usually interbedded with LF4. In addition, typical flute casts, scour structures and graded beddings in thin-interbedded layers of sandstone and mudstone are commonly observed, which also represents the sedimentation of debris flows or

  10. 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.

  11. 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.

  12. Central nervous system and cervical spine abnormalities in Apert syndrome.

    Science.gov (United States)

    Breik, Omar; Mahindu, Antony; Moore, Mark H; Molloy, Cindy J; Santoreneos, Stephen; David, David J

    2016-05-01

    Apert syndrome characterized by acrocephalosyndactyly is a rare autosomal dominant congenital malformation with a prevalence of 1/65,000 births. With an extensive range of phenotypic and developmental manifestations, its management requires a multidisciplinary approach. A variety of craniofacial, central nervous system (CNS), and cervical spine abnormalities have been reported in these patients. This study aimed to determine the incidence of these CNS abnormalities in our case series. Retrospective review of Australian Craniofacial Unit (ACFU) database for Apert patients was performed. Data collected that included demographics, place of origin, age at presentation, imaging performed, and images were reviewed and recorded. Where available, developmental data was also recorded. Ninety-four patients seen and managed at the ACFU had their CNS and cervical spine abnormalities documented. The main CNS abnormalities were prominent convolutional markings (67 %), ventriculomegaly (48 %), crowded foramen magnum (36 %), deficient septum pellucidum (13 %), and corpus callosum agenesis in 11 %. Major C-spine findings were present in 50.8 % of patients and included fusion of posterior elements of C5/C6 (50 %) and C3/4 (27 %). Multilevel fusion was seen in 20 %. Other abnormalities were C1 spina bifida occulta (7 %) and atlanto-axial subluxation (7 %). Multiple CNS and cervical spine (c-spine) abnormalities are common in Apert syndrome. The significance of these abnormalities remains largely unknown. Further research is needed to better understand the impact of these findings on growth, development, and treatment outcomes.

  13. 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)

  14. HIV Immune Recovery Inflammatory Syndrome and Central Nervous System Paracoccidioidomycosis.

    Science.gov (United States)

    de Almeida, Sérgio Monteiro; Roza, Thiago Henrique

    2017-04-01

    The immune reconstitution inflammatory syndrome (IRIS) is a deregulated inflammatory response to invading microorganisms. It is manifested when there is an abrupt change in host immunity from an anti-inflammatory and immunosuppressive state to a pro-inflammatory state as a result of rapid depletion or removal of factors that promote immune suppression or inhibition of inflammation. The aim of this paper is to discuss and re-interpret the possibility of association of paracoccidioidomycosis (PCM) with IRIS in the central nervous system (CNS) in a case from Brazil published by Silva-Vergara ML. et al. (Mycopathologia 177:137-141, 6). An AIDS patient who was not receiving medical care developed pulmonary PCM successfully treated with itraconazole. The patient developed central nervous system PCM (NPCM) after starting the ARV therapy with recovery of immunity and control of HIV viral load, although it was not interpreted as IRIS by the authors, it fulfills the criteria for CNS IRIS. This could be the first case of NPCM associated with IRIS described. Although not frequent, IRIS must be considered in PCM patients and HIV, from endemic areas or patients that traveled to endemic areas, receiving ARV treatment and with worsening symptoms.

  15. Congenital central hypoventilation syndrome: diagnostic and management challenges.

    Science.gov (United States)

    Kasi, Ajay S; Perez, Iris A; Kun, Sheila S; Keens, Thomas G

    2016-01-01

    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.

  16. Characterization of dermatoglyphics in PHOX2B-confirmed congenital central hypoventilation syndrome.

    Science.gov (United States)

    Todd, Emily S; Scott, Nicole M; Weese-Mayer, Debra E; Weinberg, Seth M; Berry-Kravis, Elizabeth M; Silvestri, Jean M; Kenny, Anna S; Hauptman, Susan A; Zhou, Lili; Marazita, Mary L

    2006-08-01

    Individuals with congenital central hypoventilation syndrome have characteristic variants in the PHOX2B gene (primarily polyalanine expansion mutations). The PHOX2B gene acts as a transcriptional activator in the promotion of pan-neuronal differentiation in the autonomic nervous system during early embryologic development, with a primary role in the sympathetic noradrenergic phenotype in vertebrates. Because sympathetic innervation has been hypothesized to affect the development of dermatoglyphic pattern types, we hypothesized that individuals with PHOX2B-confirmed congenital central hypoventilation syndrome would have characteristic dermatoglyphic patterning and that the dermatoglyphic phenotype would be related to the disease-defining PHOX2B genotype. Dermatoglyphic pattern type frequency, left/right symmetry, and genotype/phenotype correlation were assessed for 33 individuals with PHOX2B-confirmed congenital central hypoventilation syndrome and compared with published control data. Dermatoglyphic pattern type frequencies were altered in congenital central hypoventilation syndrome cases versus controls. In particular, there was an increase of arches in females and ulnar loops in males, with the largest differences for the left hand and for individuals with both congenital central hypoventilation syndrome and Hirschsprung disease. Dissimilarity scores between the congenital central hypoventilation syndrome and congenital central hypoventilation syndrome + Hirschsprung disease cases were not significantly different, nor were dissimilarity scores between all of the female and all of the male cases. No significant association was found between the number of polyalanine repeats in the PHOX2B genotypic category and dermatoglyphic pattern frequencies in the congenital central hypoventilation syndrome study groups. These results represent the first report describing specific dermatoglyphic patterning in congenital central hypoventilation syndrome and suggest a

  17. Idiopathic restless legs syndrome: abnormalities in central somatosensory processing.

    Science.gov (United States)

    Schattschneider, Jörn; Bode, Andre; Wasner, Gunnar; Binder, Andreas; Deuschl, Günther; Baron, Ralf

    2004-08-01

    Neurophysiological studies have shown an impairment of temperature perception in secondary and idiopathic restless legs syndrome (RLS). It is unclear whether these deficits are caused by peripheral nerve fibre damage or by central impairment of somatosensory processing. The aim of the present study was (1) to determine the frequency of thermal hypaesthesia in a large population of secondary and idiopathic RLS patients; (2) to differentiate between a peripheral and central disturbance of somatosensory processing and (3) to correlate these findings with the clinical manifestation of the disease. From the results of clinical examination, nerve conduction studies and blood samples the patients were divided into secondary and idiopathic RLS groups. The severity of RLS symptoms was assessed by standardized questionnaires. Quantitative sensory testing (QST) assessing temperature perception was performed in all patients. The peripheral function of small nerve fibres was evaluated by the quantitative nociceptor axon reflex test (QNART). 22 secondary and 20 idiopathic RLS patients participated in the study. Impairment of temperature perception (QST) was found in 72% of the secondary RLS patients and in 55% of idiopathic RLS patients. The peripheral C-fibre function (QNART) was normal in idiopathic RLS patients. In contrast it was significantly impaired in secondary RLS patients compared with idiopathic RLS patients and age matched controls. There was no correlation between the results obtained in QST and clinical scores. Impairment of temperature perception is present in a high percentage of RLS patients. In secondary RLS the sensory deficits are at least in part caused by small fibre neuropathy. In idiopathic RLS a functional impairment of central somatosensory processing is present.

  18. Sickle Cell Disease in Central India: A Potentially Severe Syndrome.

    Science.gov (United States)

    Jain, Dipty; Warthe, Vinit; Dayama, Paridhi; Sarate, Dilip; Colah, Roshan; Mehta, Pallavi; Serjeant, Graham

    2016-10-01

    To explore clinical, hematological and molecular features of homozygous sickle cell (SS) disease in central India. Focusing on the pediatric age group attending a clinic at the Akola Government Medical College, Akola, Maharashtra State, India, a cross-sectional assessment of 91 patients with sickle cell disease was performed during one week in March 2015. Of the 91 patients, there were 49 with SS disease, 36 with sickle cell-beta thalassemia, and 6 with sickle cell-HbD Punjab. Alpha globin gene deletions occurred in only 8/49 (16 %) SS disease but fetal hemoglobin (HbF) levels were markedly elevated with mean and median of 24.4 %; all except 3 SS disease patients had the Xmn1(+/+) polymorphism consistent with the Asian haplotype. Among the 36 patients with sickle cell-beta thalassemia, 25 (69 %) had the severe beta(+) mutation, IVS1-5 G > C, and seven other molecular mutations, all beta(o) occurred in the other 11 patients. Many patients had a relatively severe clinical course. Comparison of SS disease and sickle cell-beta thalassemia showed no differences in the prevalence of dactylitis, bone pain crisis, acute chest syndrome, hemoglobin level, reticulocyte counts or hydroxyurea usage but patients with sickle cell-beta thalassemia had significantly more blood transfusions, and greater frequencies of splenomegaly and hepatomegaly. Many patients in central India have relatively severe manifestations. This may result from lower frequencies of alpha thalassemia and more frequent severe sickle cell-beta(+) thalassemia. There is a need for assessment of the indications and policies for blood transfusion and for hydroxyurea.

  19. A comparison of zircon U-Pb age results of the Red Clay sequence on the central Chinese Loess Plateau.

    Science.gov (United States)

    Gong, Hujun; Nie, Junsheng; Wang, Zhao; Peng, Wenbin; Zhang, Rui; Zhang, Yunxiang

    2016-08-19

    Single grain zircon U-Pb geochronology has demonstrated great potentials in extracting tectonic and atmospheric circulation signal carried by aeolian, fluvial, and fluviolacustrine sediments. A routine in this sort of studies is analyzing 100-150 grains and then compares zircon U-Pb age spectra between the measured sample and the potential sources. Here we compared the zircon U-Pb age results of the late Miocene-Pliocene Red Clay sequence of two neighboring sites from the Chinese Loess Plateau where similar provenance signal is expected. Although the results from the 5.5 Ma sediment support this prediction, the results from the 3 Ma sediment at these two sites differ from each other significantly. These results emphasize the importance of increasing analysis number per sample and combining the zircon U-Pb geochronology with other provenance tools in order to get reliable provenance information.

  20. Mammillary Body and Fornix Injury in Congenital Central Hypoventilation Syndrome

    Science.gov (United States)

    Kumar, Rajesh; Lee, Kwanoo; Macey, Paul M.; Woo, Mary A.; Harper, Ronald M.

    2011-01-01

    Congenital central hypoventilation syndrome (CCHS) is accompanied by reduced ventilatory sensitivity to CO2 and O2, respiratory drive failure during sleep, impaired autonomic, fluid, and food absorption regulation, and affective and cognitive deficits, including memory deficiencies. The deficits likely derive from neural injury, reflected as structural damage and impaired functional brain responses to ventilatory and autonomic challenges. Brain structures playing essential memory roles, including the hippocampus and anterior thalamus, are damaged in CCHS. Other memory formation circuitry, the fornix and mammillary bodies, have not been evaluated. We collected two high-resolution T1-weighted image series from 14 CCHS and 31 control subjects, using a 3.0 Tesla magnetic resonance imaging scanner. Image series were averaged and reoriented a standard template; areas containing the mammillary bodies and fornices were over sampled, and body volumes and fornix cross-sectional areas were calculated and compared between groups. Both left and right mammillary body volumes and fornix cross-sectional areas were significantly reduced in CCHS over control subjects, controlling for age, gender, and intracranial volume. Damage to these structures may contribute to memory deficiencies found in CCHS. Hypoxic processes, together with diminished neuroprotection from micronutrient deficiencies secondary to fluid and dietary absorption issues, may contribute to the injury. PMID:19581831

  1. 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

  2. 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

  3. Central versus peripheral cardiovascular risk in metabolic syndrome

    Directory of Open Access Journals (Sweden)

    Heather eEdgell

    2012-02-01

    Full Text Available Individuals with metabolic syndrome (MetS; i.e. 3 of 5 of the following risk factors (RFs: elevated blood pressure, waist circumference, triglycerides, blood glucose or reduced HDL are thought to be prone to serious cardiovascular disease and there is debate as to whether the disease begins in the peripheral vasculature or centrally. This study investigates hemodynamics, cardiac function/morphology, as well as mechanical properties of the central (heart, carotid artery and peripheral (total peripheral resistance, forearm vascular bed vasculature in individuals without (1-2 RFs; n=28, or with (≥3 RFs; n=46 MetS. After adjustments for statin and blood pressure medication use, those with MetS had lower mitral valve E/A ratios (<3 RFs: 1.24±0.07; ≥3 RFs: 1.01±0.04; P=0.025, and higher total peripheral resistance index (<3 RFs: 48±2 mmHg/L/min/m2; ≥3 RFs: 53±2 mmHg/L/min/m2; P=0.04. There were no differences in heart size, carotid artery measurements, cardiovagal baroreflex sensitivity, pulse wave velocity, stroke volume index, or cardiac output index due to MetS after adjustments for statin and blood pressure medication use. In a separate analysis, the use of statins was associated with increased inertia in the brachial vascular bed, increased HbA1c and decreased LDL cholesterol. The independent use of anti-hypertensive medication was associated with decreased predicted VO2max, triglycerides, diastolic blood pressure, interventricular septum thickness, calculated left ventricle mass, left ventricle posterior wall thickness, and left ventricle pre-ejection period, but increased carotid stiffness, HDL cholesterol, and heart rate. These data imply that both a central cardiac effect and a peripheral effect of vascular resistance are expressed in MetS. These data also indicate that variance in between-group responses due to pharmacological treatments are important factors to consider in studying cardiovascular changes in these individuals.

  4. 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.

  5. 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.

  6. Hotwater Geochemistry for Interpreting The Condition of Geothermal Reservoir, Dieng Plateau Case, Banjarnegara-Wonosobo Regency, Central Java

    Directory of Open Access Journals (Sweden)

    Yuris Ramadhan

    2014-07-01

    Full Text Available DOI: 10.17014/ijog.v8i2.158The researched area, located in the Dieng Plateau, is included into the Holocene Dieng Volcanic Rock Unit. The regional structure in this area is originated from the major caldera with local fault having orientation of SE - NW. Surface manifestations found in the researched area are hot springs located in Bitingan, Sileri, Siglagah, Pulosari, Kaliputih, and Sikidang. Fumaroles occur in Candradimuka and Pagerkandang and mud pools are located in Sileri and Sikidang craters. Temperatures of the hot springs ranges from 43 C to 61 C, pH of 6 - 7, and their conductivity are of 38-78 MeV. The type of hotwater is a mixture of bicarbonate, sulfate, and chloride sulfate deriving from condensation of steam. Based on a relative composition of Cl-Li-B, the hot water is originated from four different reservoirs with different rock associations, while their reservoir temperatures vary from 225 C to 300 C.

  7. Central cord syndrome in Ireland: the effect of age on clinical outcome

    OpenAIRE

    Lenehan, Brian; Street, John; O’Toole, Patrick; Siddiqui, Atar; Poynton, Ashley

    2009-01-01

    Central cord syndrome is an incomplete spinal cord injury first described by Schneider et al. (J Neurosurg 11:546–547, 1954). The typical neurological deficit is symmetrical incomplete quadriplegia affecting the upper more than the lower limbs; sensory impairment is variable and urinary retention is common. Records of all patients with acute traumatic central cord syndrome admitted to the National Spinal Injuries Unit from 1999 to 2007 were compiled from a prospectively collected computerized...

  8. 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.

  9. 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.

  10. Mechanical Demolition of Buildings with Concrete Asbestos Board Siding: Methodology, Precautions, and Results at the Hanford Central Plateau - 12417

    Energy Technology Data Exchange (ETDEWEB)

    Kehler, Kurt [Decommissioning and Demolition, CH2M HILL Plateau Remediation Company, Richland, Washington (United States)

    2012-07-01

    Since the start of its contract in 2008, the CH2M Hill Plateau Remediation Company (CH2M HILL) has demolished 25 buildings with concrete asbestos board (CAB) siding using mechanical means. While the asbestos contained in CAB siding is not friable in its manufactured form, concerns persist that mechanical methods of demolition have the potential to render the asbestos friable and airborne, therefore posing a health risk to demolition workers and the public. CH2M HILL's experience demonstrates that when carefully managed, mechanical demolition of CAB siding can be undertaken safely, successfully, and in compliance with regulatory requirements for the disposal of Class II Asbestos-Containing Material (ACM). While the number of buildings demolished at Hanford and the number of samples collected does not make a conclusive argument that CAB cannot be made friable with normal demolition techniques, it certainly provides a significant body of evidence for the success of the approach. Of course, there are many factors that affect how to demolish a structure and dispose of the waste. These factors will impact the success depending on each site. The most obvious factors which contribute to this success at Hanford are: 1. The availability of onsite waste disposal where the handling and cost of asbestos-containing waste is not much different than other potentially contaminated waste. Therefore, segregation of demolition debris from the potential asbestos contamination is not necessary from a debris handling or asbestos disposal aspect. 2. The space between structures is typically significant enough to allow for large exclusion zones. There are not many restrictions due to cohabitation issues or potential contamination of adjacent facilities. 3. The willingness of the regulators and client to understand the industrial safety issues associated with manual CAB removal. (authors)

  11. Atmospheric processes of organic pollutants over a remote lake on the central Tibetan Plateau: implications for regional cycling

    Science.gov (United States)

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

    2017-01-01

    Atmospheric processes (air-surface exchange, and atmospheric deposition and degradation) are crucial for understanding the global cycling and fate of organic pollutants (OPs). However, such assessments over the Tibetan Plateau (TP) remain uncertain. More than 50 % of Chinese lakes are located on the TP, which exerts a remarkable influence on the regional water, energy, and chemical cycling. In this study, air and water samples were simultaneously collected in Nam Co, a large lake on the TP, to test whether the lake is a secondary source or sink of OPs. Lower concentrations of organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) were observed in the atmosphere and lake water of Nam Co, while the levels of polycyclic aromatic hydrocarbons (PAHs) were relatively higher. Results of fugacity ratios and chiral signatures both suggest that the lake acted as the net sink of atmospheric hexachlorocyclohexanes (HCHs), following their long-range transport driven by the Indian monsoon. Different behaviours were observed in the PAHs, which primarily originated from local biomass burning. Acenaphthylene, acenaphthene, and fluorene showed volatilization from the lake to the atmosphere, while other PAHs were deposited into the lake due to the integrated deposition process (wet/dry and air-water gas deposition) and limited atmospheric degradation. As the dominant PAH compound, phenanthrene exhibited a seasonal reversal of air-water gas exchange, which was likely related to the melting of the lake ice in May. The annual input of HCHs from the air to the entire lake area (2015 km2) was estimated as 1.9 kg yr-1, while input estimated for ∑ 15PAHs can potentially reach up to 550 kg yr-1. This study highlights the significance of PAH deposition on the regional carbon cycling in the oligotrophic lakes of the TP.

  12. Should waist circumference be replaced by index of central obesity (ICO) in definition of metabolic syndrome?

    Science.gov (United States)

    Parikh, R; Mohan, V; Joshi, S

    2012-01-01

    Waist circumference has been widely used as the parameter of central obesity in defining metabolic syndrome. Global consensus definition of metabolic syndrome has suggested various race- and gender-specific cutoffs of waist circumference for quantifying central obesity. We have earlier proposed that using index of central obesity (ICO), the need for race- and gender-specific cutoffs may be obviated. We propose that waist circumference be supplanted with index of central obesity in all definitions of metabolic syndrome. Using index of central obesity a common cutoff of 0.5 applicable across races and genders might be obtained. Moreover, it will enhance the sensitivity of definition by diagnosing subjects who are shorter than general population. Among 258 male and 242 female diabetic patients, subjects with metabolic syndrome (defined as per gender-specific waist circumference cutoffs), were found to have a common lower range of index of central obesity suggesting that a common cutoff of waist circumference may be obtained. In another study from National Health and Nutrition Examination Survey database, replacing index of central obesity with waist circumference was found to enhance the specificity and sensitivity of definition of metabolic syndrome. Copyright © 2011 John Wiley & Sons, Ltd.

  13. The primary Maxillary Central Incisor in the Solitary Median Maxillary Central Incisor syndrome

    DEFF Research Database (Denmark)

    Kjaer, I; Balslev-Olesen, M

    2012-01-01

    of the cranium and face. It is not known whether the centrally located permanent incisor is always preceded by a centrally located primary incisor. The aim was to analyse whether a permanent single central incisor in SMMCI is always preceded by a primary single central incisor and to study extra- and intraoral...

  14. Low central nervous system serotonergic responsivity is associated with the metabolic syndrome and physical inactivity.

    Science.gov (United States)

    Muldoon, Matthew F; Mackey, Rachel H; Williams, Katherine V; Korytkowski, Mary T; Flory, Janine D; Manuck, Stephen B

    2004-01-01

    The metabolic syndrome, recognized by the co-occurrence of general or abdominal obesity, hypertension, dyslipidemia, insulin resistance, and dysglycemia, appears to involve disturbances in metabolism, autonomic function, and health-related behaviors. However, physiological processes linking the components of the metabolic syndrome remain obscure. The current study examined associations of central nervous system serotonergic function with each metabolic syndrome risk variable, the metabolic syndrome, and physical activity. The subjects were 270 adult volunteers who participated in a study of cardiovascular disease risk factors and neurobehavioral functioning. Central serotonergic responsivity was indexed as the prolactin (PRL) response evoked by the serotonin-releasing agent, fenfluramine. Across the sample, low PRL response was associated with greater body mass index, higher concentrations of triglycerides, glucose, and insulin, higher systolic and diastolic blood pressure, greater insulin resistance, and less physical activity (P syndrome risk factors individuals possessed (P for trend = 0.002). Finally, a 1 SD decline in PRL response was associated with an odds ratio for the metabolic syndrome of 2.05 (95% confidence interval, 1.10-3.83; P = 0.002) and 5.70 (95% confidence interval, 1.69-19.25; P = 0.005), according to the definitions of the National Cholesterol Education Program and the World Health Organization, respectively. These findings reveal a heretofore unrecognized association between reduced central serotonergic responsivity and the metabolic syndrome.

  15. 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.

  16. 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.

  17. 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.

  18. Impact of model resolution on simulating the water vapor transport through the central Himalayas: implication for models' wet bias over the Tibetan Plateau

    Science.gov (United States)

    Lin, Changgui; Chen, Deliang; Yang, Kun; Ou, Tinghai

    2018-01-01

    Current climate models commonly overestimate precipitation over the Tibetan Plateau (TP), which limits our understanding of past and future water balance in the region. Identifying sources of such models' wet bias is therefore crucial. The Himalayas is considered a major pathway of water vapor transport (WVT) towards the TP. Their steep terrain, together with associated small-scale processes, cannot be resolved by coarse-resolution models, which may result in excessive WVT towards the TP. This paper, therefore, investigated the resolution dependency of simulated WVT through the central Himalayas and its further impact on precipitation bias over the TP. According to a summer monsoon season of simulations conducted using the weather research forecasting (WRF) model with resolutions of 30, 10, and 2 km, the study found that finer resolutions (especially 2 km) diminish the positive precipitation bias over the TP. The higher-resolution simulations produce more precipitation over the southern Himalayan slopes and weaker WVT towards the TP, explaining the reduced wet bias. The decreased WVT is reflected mostly in the weakened wind speed, which is due to the fact that the high resolution can improve resolving orographic drag over a complex terrain and other processes associated with heterogeneous surface forcing. A significant difference was particularly found when the model resolution is changed from 30 to 10 km, suggesting that a resolution of approximately 10 km represents a good compromise between a more spatially detailed simulation of WVT and computational cost for a domain covering the whole TP.

  19. Stratégies paysannes en matière de sécurité alimentaire et de commercialisation céréalière : le rôle des banques de Céréales dans le nord du plateau central du Burkina Faso

    NARCIS (Netherlands)

    Yonli, Paramanga Ernest

    1997-01-01

    ln dit proefschrift wordt de rol van graanbanken op het Centrale Plateau in Burkina Faso bestudeerd. Dit Plateau, dat ongeveer twee keer zo groot is als Nederland, is de dichtst bevolkte streek van Burkina Faso. Het grootste deel van de bevolking bestaat uit boeren en hun gezinnen, die vooral voor

  20. 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.

  1. 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.

  2. 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 ...

  3. Poland's Syndrome: A case report | Gashegu | East and Central ...

    African Journals Online (AJOL)

    Poland's Syndrome is a rare congenital condition. It is classically characterized by absence of unilateral chest wall muscles and sometimes ipsilateral symbrachydactyly (abnormally short and webbed fingers). The condition typically presents with unilateral absence of the sternal or breastbone portion of the pectoralis major ...

  4. 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.

  5. Hidden sinkholes and karst cavities in the travertine plateau of a highly-populated geothermal seismic territory (Tivoli, central Italy)

    Science.gov (United States)

    Billi, Andrea; De Filippis, Luigi; Poncia, Pier Paolo; Sella, Pio; Faccenna, Claudio

    2016-02-01

    Sinkholes and other karst structures in settled carbonate lands can be a significant source of hazard for humans and human works. Acque Albule, the study area of this work, is a Plio-Pleistocene basin near Rome, central Italy, superficially filled by a large and thick deposit of late Pleistocene thermogene travertine. Human activities blanket large portions of the flat territory covering most evidence from geological surface processes and potentially inducing scientists and public officials to underestimate some natural hazards including those connected with sinkholes. To contribute to the proper assessment of these hazards, a geomorphologic study of the basin was performed using digital elevation models (DEMs), recent aerial photographs, and field surveys. Historical material such as old aerial photographs and past geomorphologic studies both pre-dating the most part of quarrying and village building was also used together with memories of the elderly population. This preliminary study pointed out the presence of numerous potentially active sinkholes that are at present largely masked by either quarrying or overbuilding. Where this first study pointed out the apparent absence of sinkholes in areas characterized by high density of buildings, a detailed subsurface study was performed using properly-calibrated electrical resistivity tomography (ERT) and dynamic penetration measurements (DPSH), together with some borehole logs made available from the local municipality. This second study highlighted the presence of sinkholes and caves that are, this time, substantially hidden to the resolution of standard methods and materials such as aerial photographs, DEMs, and field surveys. Active sinkhole subsidence in the Acque Albule Basin may explain, at least in part, the frequent damages that affect numerous buildings in the area. The main conclusion from this study is that the mitigation of sinkhole hazard in highly populated areas has to pass through a thorough search of

  6. 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.

  7. Young mafic back arc volcanic rocks as indicators of continental lithospheric delamination beneath the Argentine Puna plateau, central Andes

    Science.gov (United States)

    Kay, Suzanne Mahlburg; Coira, Beatriz; Viramonte, Jose

    1994-12-01

    The spatial distribution of some major and trace element and isotopic characteristics of backarc Plio-Quaternary basaltic to high-Mg andesitic (51% to 58% SiO2) lavas in the southern Puna (25 S to 27 S) of the Central Andean Volcanic Zone (CVZ) reflect varying continental lithospheric thickness and the thermal state of the underlying mantle wedge and subducting plate. These lavas erupted from small cones and fissures associated with faults related to a change in the regional stress system in the southern Puna at approximately = 2 to 3 Ma. Three geochemical groups are recognized: (1) a relatively high volume intraplate group (high K; La/Ta ratio less than 25) that occurs over a thin continental lithosphere above a gap in the modern seismic zone and represents the highest percentage of mantle partial melt, (2) an intermediate volume, high-K calc-alkaline group (La/Ta ratio greater than 25) that occurs over intermediate thickness lithosphere on the margins of the seismic gap and behind the main CVZ and represents an intermediate percentage of mantle partial melt, and (3) a small-volume shoshonitic group (very high K) that occurs over relatively thick continental lithosphere in the northeast Puna and Altiplano and represents a very small percentage of mantle partial melt. Mantle-generated characteristics of these lavas are partially overprinted by mixing with melts of the overlying thickened crust as shown by the presence of quartz and feldspar xenocrysts, negative Eu anomalies (Eu/E(sup *) less than 0.90; most less than 0.80), and radiogenic Sr (greater than 0.7055) and Pb and nonradiogenic Nd (epsilon(sub Nd) less than -0.4) isotopic ratios. Mixing calculations show that the lavas generally contain more than 20% to 25% crustal melt. The eruption of the intraplate group mafic lavas, the change in regional stress orientation, and the high elevation of the southern Puna are suggested to be the result of the late Pliocene mechanical delamination of a block (or blocks) of

  8. Trace elements and radioactivity measurements in some terrestrial food crops in Jos-plateau, north central, Nigeria

    International Nuclear Information System (INIS)

    Jibiri, N.N.; Agomuo, J.C.

    2007-01-01

    Some crops of important nutritive requirements have been collected from farmlands located in Bitsichi an old tin mining town in north central region of Nigeria. The food crops were analyzed in order to determine trace element concentrations level using Neutron Activation Analysis (NAA). The activity concentrations due to natural radionuclides in the food samples and soil samples collected within the root zone of the crops were also determined using gamma-ray spectrometry (GRS). The NAA results obtained showed higher concentration of Potassium among the essential elements in all the crops. Calcium concentration in both maize and Guinea corn was below detection limit and also Zn in Green beans, sweet potato and cassava. The trace elements; Sc, Hf, Sm, and Th, were below detection limit in all the crops except in Green beans. Rubidium (Rb) and lanthanum (La) were below detection limits only in Cabbage. The activity concentrations of the natural radionuclides in the food samples were found to vary between 83 and 129 Bq kg -1 for 40 K, 19 and 30 Bq kg -1 for 226 Ra and 27 to 41 Bq kg -1 for 232 Th. In the soil samples the activity concentrations varied between 177 and 271 Bq kg -1 for 40 K, 53 and 96 Bq kg -1 for 226 Ra and 73 to 176 Bq kg -1 for 232 Th. Results of activity concentration levels of the radionuclides obtained in similar crops collected for control measurements were found to be very low compared to those from the study area. The effective dose due to intake of the food crops considered in the study area was estimated based on the measured activity concentrations of 226 Ra and 232 Th in the food crops. It was found to vary between 0.01 mSv y -1 (Acha) and 1.35 mSv y -1 (Cassava) with a cumulative total dose estimated as 2.5 mSv y -1 . The mining activities in the area are seen to have 1 influenced the concentration of these trace elements and radionuclides in the food I crops. However, they are seen not to pose any serious internal health burden due to

  9. 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.

  10. 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

  11. 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.

  12. Involvement of central serotonergic systems in dextromethorphan-induced behavioural syndrome in rats.

    Science.gov (United States)

    Gaikwad, R V; Gaonkar, R K; Jadhav, S A; Thorat, V M; Jadhav, J H; Balsara, J J

    2005-07-01

    Dextromethorphan, a noncompetitive blocker of the N-methyl-D-aspartate (NMDA) type of glutamate receptor, at 45, 60 and 75 mg/kg, ip doses induced a behavioural syndrome characterised by reciprocal forepaw treading, lateral head-weaving, hind-limb abduction and flat body posture. Such type of behavioural syndrome is induced by 8-hydroxy-2- (di-n-propylamino) tetralin (8-OH-DPAT) by directly stimulating the central postsynaptic 5-hydroxytryptamine (5-HT, serotonin) receptors of the 5-HT1A type. Pretreatment with buspirone (5, 10 mg/kg, ip) and l-propranolol (10, 20 mg/kg, ip) antagonised the behavioural syndrome induced by 8-OH-DPAT and dextromethorphan. Pretreatment with p-chlorophenylalanine (100 mg/kg/day x 4 days) antagonised the behavioural syndrome induced by dextromethorphan and dexfenfluramine but had no significant effect on 8-OH-DPAT induced behavioural syndrome. This indicates that dextromethorphan induces the behavioural syndrome by releasing 5-HT from serotonergic neurons with resultant activation of the postsynaptic 5-HT1A receptors by the released 5-HT. Pretreatment with fluoxetine (10 mg/kg, ip) significantly potentiated the behavioural syndrome induced by dextromethorphan and 5-hydroxytryptophan but significantly antagonised dexfenfluramine induced behavioural syndrome. This indicates that dextromethorphan releases 5-HT by a mechanism which differs from that of dexfenfluramine. Dextromethorphan may be releasing 5-HT by blocking the NMDA receptors and thereby counteracting the inhibitory influence of l-glutamate on 5-HT release.

  13. The primary Maxillary Central Incisor in the Solitary Median Maxillary Central Incisor syndrome

    DEFF Research Database (Denmark)

    Kjaer, I; Balslev-Olesen, M

    2012-01-01

    Solitary Median Maxillary Central Incisor (SMMCI) is a developmental anomaly in the permanent dentition with one single central incisor in the maxilla, positioned exactly in the midline. This condition has been associated with extra- and intraoral malformations in the frontonasal segment of the c...

  14. HLA class II alleles in the Otomi population of the Mezquital Valley: a genetic approach to the history of interethnic migrations in the Mexican Central Plateau.

    Science.gov (United States)

    Juárez-Martín, Ana Itzel; González-Sobrino, Blanca Zoila; Olvera, Ángel Eduardo Camarena; Falfán-Valencia, Ramcés

    2014-01-01

    From a historical and genetic point of view, the Otomi of the Mezquital Valley are a frontier people that have played an important role in the population dynamics of the Mexican Central Plateau. Due to the antiquity of their presence in the area, the Otomi may be bearers of ancient genetic variability, shared mainly today with other groups belonging to the Otomanguean linguistic family and with the Nahua. In this study we analyzed the HLA class II allele frequencies reported in Mexican indigenous populations, in order to provide an intraregional-level historical perspective of the genetic relationships between the Otomi of the Mezquital Valley and indigenous populations from other regions of Mexico. We examined genetic variation in HLA-DRB1 and -DQB1 loci in 66 nonrelated individuals belonging to seven indigenous communities from the Ixmiquilpan municipality in the Mezquital Valley, in the State of Hidalgo, Mexico. The variability of the HLA-DRB1 gene among the Otomi of the Mezquital Valley was mainly concentrated in five alleles: -DRB1*08:02 (31.06%), -DRB1*04:07 (25.77%), -DRB1*14:06 (7.55%), -DRB1*14:02 (6.06%), and -DRB1*16:02 (4.55%); these alleles have been previously described in other indigenous populations. The most frequent alleles at the HLA-DQB1 locus were -DQB1*03:02 (34.09%), -DQB1*04:02 (31.03%), and -DQB1*03:01 (19.7%). Furthermore, the HLA-DQB1*02:02 allele was found in the Otomi group with a frequency of 2.27%; this allele has not been reported in Mexican indigenous populations. In conclusion, the genetic constitution of the Otomi population is intermediate to the northern groups and the genetic variability shared by the peoples of the central regions of Mexico. Furthermore, HLA-DRB1 and -DQB1 allelic variability among the Otomi provides insight into the historical processes implied in the biological admixture with European, Asian, and African populations as well as in the admixture with the population of Mexico City associated with long

  15. A new species of the genus Yuriria Jordan & Evermann, 1896 (Actinopterygii, Cyprinidae from the Ameca basin of the Central Mexican Plateau

    Directory of Open Access Journals (Sweden)

    Pompa-Domínguez, A.

    2007-12-01

    Full Text Available A new cyprinid species is described based on morfometric, meristic and genetic characters. The new species identified, Yuriria amatlana sp. nov., inhabits the high Ameca Basin in the central plateau of Mexico. This Mexican minnow differs from Yuriria alta and Yuriria chapalae in terms of the following characters: (50-52 53-54 pored lateralline scales; 10 upper transverse-line scales, 5-6 lower transverse-line scales and 8-10 gill rakers. Body coloration is light yellowish-brown. Compared to Yuriria alta and Yuriria chapalae, the new species has a less conspicuous dark grey band running from the start of the dorsal fin to the head. Cytochrome b gene sequences differ from those of Yuriria alta and Yuriria chapalae in terms of 29 fixed nucleotide positions (molecular autopomorphies. Calculated genetic divergences for the cytochrome b gene were: `DHKY = 3.8 (3.2-4.4% between Yuriria amatlana sp. nov. and Y. alta; `DHKY = 5 (4.8-5.2% between Y. amatlana sp. nov and Y. chapalae; and `DHKY = 2.6 (2.1-3.3% between Y. chapalae and Y. alta.Se describe una nueva especie, Yuriria amatlana sp. nov., en base a caracteres morfométricos, merísticos y genéticos. La nueva especie proviene de la parte alta de la cuenca del río Ameca en la Meseta Central de México. Esta especie se diferencia de Yuriria alta y Yuriria chapalae por una combinación de los siguientes caracteres: (50-52 53-54 escamas en una serie longitudinal, 10 escamas en una serie transversal por encima de la línea lateral y 5-6 escamas por debajo de la línea lateral y 8-10 branquiespinas. El color del cuerpo es amarillo-marrón claro. La nueva especie tiene una banda gris oscura menos marcada en el cuerpo desde el comienzo de la aleta dorsal hacia la cabeza con respecto a Yuriria alta y Yuriria chapalae. La nueva especie se diferencia de Yuriria alta y Yuriria chapalae en 29 posiciones nucleotídicas fijadas (autopomorfias moleculares para el citocromo b. La divergencia genética entre

  16. Central nervous system and vertebral malformation resembling the Arnold-Chiari syndrome in a Simmental calf.

    OpenAIRE

    LeClerc, S; López, A; Illanes, O

    1997-01-01

    Multiple congenital anomalies were identified in a stillborn calf, including severe cerebellar hypoplasia and central nervous system abnormalities resembling the Arnold-Chiari syndrome of malformation of calves. The Arnold-Chiari malformation occurs sporadically and has little economic impact, whereas cerebellar hypoplasia implies the presence of BVD virus in the herd.

  17. Central nervous system and vertebral malformation resembling the Arnold-Chiari syndrome in a Simmental calf.

    Science.gov (United States)

    LeClerc, S; López, A; Illanes, O

    1997-01-01

    Multiple congenital anomalies were identified in a stillborn calf, including severe cerebellar hypoplasia and central nervous system abnormalities resembling the Arnold-Chiari syndrome of malformation of calves. The Arnold-Chiari malformation occurs sporadically and has little economic impact, whereas cerebellar hypoplasia implies the presence of BVD virus in the herd. Images Figure 1. PMID:9167880

  18. The metabolic syndrome is associated with reduced central serotonergic responsivity in healthy community volunteers.

    Science.gov (United States)

    Muldoon, Matthew F; Mackey, Rachel H; Korytkowski, Mary T; Flory, Janine D; Pollock, Bruce G; Manuck, Stephen B

    2006-02-01

    The pathobiology of the metabolic syndrome remains unclear. The central nervous system is likely to be involved via regulation of eating, physical activity, blood pressure, and metabolism. The objective of this study was to test the hypothesis that low central serotonergic activity is associated with the metabolic syndrome. This was a cross-sectional study of 345 healthy community volunteers, aged 30-55 yr, not taking medications for hypertension, lipid disorders, or diabetes. Central serotonergic responsivity was assessed with the iv citalopram challenge test. The serum prolactin area under the curve (AUC) over 150 min was calculated, and all analyses were adjusted for age, sex, plasma citalopram concentration, and baseline prolactin. The metabolic syndrome was defined according to the National Cholesterol Education Program (NCEP) and International Diabetes Federation (IDF) criteria. Insulin resistance was estimated by homeostasis model assessment. Compared with other individuals, persons meeting either NCEP or IDF criteria for the metabolic syndrome had lower mean prolactin responses (P syndrome (NCEP criteria: odds ratio, 2.38; 95% confidence interval, 1.14-4.97; P = 0.02; IDF criteria: odds ratio, 2.80; 95% confidence interval, 1.48-5.30; P = 0.002). Finally, the prolactin AUC was negatively associated with insulin resistance (beta = -0.03, P = 0.02). Corroborating previous evidence, the metabolic syndrome was associated with diminished brain serotonergic activity as reflected in a comparative blunting of the prolactin response to a selective serotonergic challenge. This association may have implications for the etiology, prevention, and treatment of the metabolic syndrome.

  19. Nutrient and biological conditions of selected small streams in the Edwards Plateau, central Texas, 2005-06, and implications for development of nutrient criteria

    Science.gov (United States)

    Mabe, Jeffrey A.

    2007-01-01

    During the summers of 2005 and 2006 the U.S. Geological Survey, in cooperation with the Texas Commission on Environmental Quality, evaluated nutrient and biological conditions in small streams in parts of the Edwards Plateau of Central Texas. Land-cover analysis was used to select 15 small streams that represented a gradient of conditions with the potential to affect nutrient concentrations across the study area, which comprises two of four subregions of the Edwards Plateau ecoregion. All 15 streams were sampled for water properties, nutrients, algae, benthic invertebrates, and fish in summer 2005, and eight streams were resampled in summer 2006. Streams that did not receive wastewater effluent had relatively low nutrient concentrations and were classified as oligotrophic; streams receiving wastewater effluent had relatively high nutrient concentrations and were classified as eutrophic. Nutrient concentrations measured in the least-disturbed streams closely matched the U.S. Environmental Protection Agency nutrient criteria recommendations based on estimated reference concentrations. Nitrogen/phosphorus ratios indicated streams not affected by wastewater effluent might be limited by phosphorus concentrations. Algal indicators of nutrient condition were closely related to dissolved nitrogen concentrations and streamflow conditions. Ambient dissolved nitrogen concentrations (nitrite plus nitrate) were positively correlated with benthic algal chlorophyll-a concentrations. The correlation of benthic algal chlorophyll-a with instantaneous nitrite plus nitrate load was stronger than correlations with ambient nutrients. Increased nutrient concentrations were associated with increased macroalgae cover, wider diel dissolved oxygen ranges, and reduced diel dissolved oxygen minimums. Benthic invertebrate aquatic life use scores generally were classified as High to Exceptional in study streams despite the influence of urbanization or wastewater effluent. Reductions in aquatic

  20. 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...... describe the clinical features and evolution of the case after treatment. RESULTS: A combined occlusion of the central retinal artery and central retinal vein was diagnosed by the funduscopic appearance of retinal whitening, macular cherry-red spot, papilloedema, retinal haemorrhages in all four quadrants...

  1. 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

  2. [Metabolic syndrome and ageing: cognitive impairment and structural alterations of the central nervous system].

    Science.gov (United States)

    Segura, B; Jurado, M A

    The metabolic syndrome is a cluster of vascular risk factors, including: hypertension, insulin resistance, low levels of high density lipoproteins, high levels of triglycerides and obesity. Nowadays the prevalence of the syndrome in the developmental societies increases and it is related to aging. To review the relation of metabolic syndrome to the cognitive impairment and cerebrovascular alterations during the aging. The syndrome involves higher risk of vascular pathologies and recently has been related to the pathological aging, including cognitive impairment and structural damage in the central nervous system. Specifically the studies about metabolic syndrome have described a profile of higher general cognitive impairment and higher risk of dementia, as well as concrete neuropsychological deficits probably related to white matter alterations. The independent effects of vascular risk factors in cognition have been studied before as well as their influences in structural integrity of the brain. Nowadays further research is necessary to know if the metabolic syndrome effects on cognition and brain are greater than the sum of the effect of his components. In the future the knowledge about the cognitive and structural damage due to the syndrome could be useful to design prevention programs and promote the healthy aging.

  3. 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.)

  4. Association of metabolic syndrome with reduced central serotonergic activity.

    Science.gov (United States)

    Herrera-Marquez, Rocio; Hernandez-Rodriguez, Jorge; Medina-Serrano, Julio; Boyzo-Montes de Oca, Alfonso; Manjarrez-Gutierrez, Gabriel

    2011-03-01

    The aim of this study was to determine the differences between two groups of adolescents with metabolic syndrome (MetS) and normal controls in relation to brain serotonergic activity through intensity-dependent auditory-evoked potentials (IDAEPs) and plasma free fraction of L-tryptophan. Eighteen adolescents with MetS and thirteen controls were studied. Free fraction, bound and total plasma L-tryptophan, glucose, cholesterol, triglycerides, HDL-cholesterol, albumin and IDAEPs were determined. Glycemia, triglycerides were significantly elevated, and HDL-cholesterol in plasma was significantly reduced. Free fraction and free fraction/total L-tryptophan ratio were decreased. The slope of the amplitude/stimulus intensity function of the N1/P2 component significantly increased in adolescents with MetS. Decrease of free fraction of L-tryptophan in plasma and increase of the slope of the N1/P2 component suggest a low brain serotonin tone. Cortex responses are regulated by serotonergic innervations and may show a different behavior in young patients with MetS. Therefore, the slope of the N1/P2 component along with the free fraction of L-tryptophan in plasma, indicate that in adolescents with MetS the state of serotonergic brain activity is depressed and possibly related to psychiatric disorders.

  5. Central Nervous System Histoplasmosis in Acquired Immunodeficiency Syndrome.

    Science.gov (United States)

    Nyalakonda, Harita; Albuerne, Marisol; Suazo Hernandez, Lia Patricia; Sarria, Juan C

    2016-02-01

    Involvement of the central nervous system (CNS) by Histoplasma capsulatum in AIDS is uncommon and not easily recognized. CNS histoplasmosis cases from our institution were identified by a retrospective chart review from 2004-2014. A thorough literature search was performed for additional cases and their characteristics were compared. Clinical findings, treatment and outcomes are discussed. A total of 5 cases from our institution were identified. They had a clinical presentation that included classic signs of meningitis, often with evidence of disseminated involvement, and was typically severe with important neurological impairment. These cases were treated with antifungal agents, including a lipid amphotericin B formulation and azole drugs, but eventually 3 experienced nonresolution of their disease likely because of lack of adherence to therapy and died from their infection. The clinical presentation, treatment and outcome of these cases did not significantly differ from cases found in the review of the literature. Clinicians practicing in endemic areas should be aware of this rare but serious form of histoplasmosis. The recognition of 5 cases of CNS histoplasmosis in AIDS patients from a single institution suggests that histoplasmosis should be included in the differential diagnosis of the CNS complications of AIDS. Copyright © 2016 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

  6. 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.

  7. Prehistoric human settling on the Tibetan Plateau

    Science.gov (United States)

    Chen, Fahu; Zhang, Dongju; Dong, Guanghui

    2017-04-01

    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 studying hand- and footprints in Chusang, Meyer et al. (2016) argue that hunter-gatherers permanently occupied central Tibetan Plateau in early Holocene without the help of agriculture. However, we think the limited hand- and footprints evidence found in Chusang could indicate no more than prehistoric hunter-gatherers presence on the remote central Tibetan Plateau in the early Holocene. In addition, by reviewing all the published archaeological data, we propose 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) when human adapted to the high altitude environment and climate change with different strategies and techniques. Particularly, the prevail of microlithic technology in North China provoked hunter-gatherers' first visit to the NETP in relatively ameliorated last Deglacial period, and the the quick development of millet farming and subsequent mixed barley-wheat farming and sheep herding facilitated farmers and herders permanently settled in Tibetan Plateau, even above 3000 masl, during mid- and late Holocene. References: Chen et al., 2015. Agriculture facilitated permanent human occupation of the Tibetan Plateau after 3600 BP. Science, 347: 248-250. Meyer et al., 2016

  8. 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

  9. Congenital rhabdomyosarcoma, central precocious puberty, hemihypertrophy and hypophosphatemic rickets associated with epidermal nevus syndrome.

    Science.gov (United States)

    Shahgholi, Elham; Mollaian, Mansour; Haghshenas, Zahra; Honarmand, Malektaj

    2011-01-01

    We describe a newborn girl with right-sided extended epidermal nevus, congenital rhabdomyosarcoma of the inguinal area at birth who had developed central precocious puberty, hemihypertrophy and vitamin D3-responsive hypophosphatemic rickets at the age of 14 months. Our patient demonstrates a much broader and polymorphic spectrum of organ systems involvement in epidermal nevus syndrome at a very early age of her life.

  10. Central cord syndrome in Ireland: the effect of age on clinical outcome

    Science.gov (United States)

    Street, John; O’Toole, Patrick; Siddiqui, Atar; Poynton, Ashley

    2009-01-01

    Central cord syndrome is an incomplete spinal cord injury first described by Schneider et al. (J Neurosurg 11:546–547, 1954). The typical neurological deficit is symmetrical incomplete quadriplegia affecting the upper more than the lower limbs; sensory impairment is variable and urinary retention is common. Records of all patients with acute traumatic central cord syndrome admitted to the National Spinal Injuries Unit from 1999 to 2007 were compiled from a prospectively collected computerized spinal database. Data recorded included patient demographic profile, mechanism of injury, initial neurological deficit, treatment instituted, complications of treatment, and final neurological status. A total of 50 patients with acute traumatic central cord syndrome were identified accounting for 6.2% of all admissions to the spinal injuries unit. There were 42 men and 8 women. The mean age was 56.1 years with a range of 41–88 years. We stratified patients according to age at injury to determine the effect of age on clinical outcome. There were 13 patients 70 years. The mean follow-up time was 42.2 months. More than one-third of patients were intoxicated with alcohol at the time of the injury. Both upper and lower limb motor scores and total sensory scores improved in all age groups. Absolute and relative improvements were greatest in patients 70 years group had. Both of these results reached statistical significance. In conclusion, central cord syndrome is a common cause of acute traumatic neurological deficit, with alcohol intoxication being a common confounder at the time of injury. The clinical outcomes are significantly worse in patients aged 70 years or older. PMID:19685249

  11. 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...

  12. Central Sensitization in Functional Chronic Pain Syndromes: Overview and Clinical Application.

    Science.gov (United States)

    Bettini, Liz; Moore, Ki

    2016-10-01

    The purpose of this review and clinical application article is to offer nurses up-to-date knowledge on peripheral and central sensitization in chronic functional pain syndromes, and to discuss therapies that have shown efficacy in treating various aspects of these disorders. Central sensitization is a result of changes in the peripheral and central nervous system due to noxious stimuli, such as illness or trauma. Once these changes occur, treatment for the associated syndromes requires a multimodal approach that includes behavioral pain psychology, physical therapy, and pharmacological agents that specifically target neuroinflammation, pain modulation, and amplification of pain pathways. More research needs to be conducted on the basis and patient perception of functional pain syndromes to reduce the morbidity and significant disability associated with these illnesses. Nurses have the opportunity to be at the forefront of this research because of their holistic and multidimensional approach to patient care, assessment, and symptom management. Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  13. Segmental hyperalgesia to mechanical stimulus in interstitial cystitis/bladder pain syndrome: evidence of central sensitization.

    Science.gov (United States)

    Lai, H Henry; Gardner, Vivien; Ness, Timothy J; Gereau, Robert W

    2014-05-01

    We investigate if subjects with interstitial cystitis/bladder pain syndrome demonstrate mechanical or thermal hyperalgesia, and whether the hyperalgesia is segmental or generalized (global). Ten female subjects with interstitial cystitis/bladder pain syndrome and 10 age matched female controls without comorbid fibromyalgia or narcotic use were recruited for quantitative sensory testing. Using the method of limits, pressure pain and heat pain thresholds were measured. Using the method of fixed stimulus, the visual analog scale pain experienced was recorded when a fixed pressure/temperature was applied. The visual analog scale pain rated by female subjects with interstitial cystitis/bladder pain syndrome was significantly higher than that rated by female control subjects when a fixed mechanical pressure (2 or 4 kg) was applied to the suprapubic (T11) area (p = 0.028). There was an up shift of the stimulus-response curve, which corresponded to the presence of mechanical hyperalgesia in the suprapubic area in interstitial cystitis/bladder pain syndrome. However, the visual analog scale pain rated by subjects with interstitial cystitis/bladder pain syndrome was not different from that rated by controls when a fixed pressure was applied at the other body sites (T1 arm, L4 leg, S2-3 sacral). No difference in visual analog scale pain rating was noted when a fixed heat stimulus (35C or 37C) was applied to any of the body sites tested (T1, T11, L4, S2). There was no difference in pressure pain thresholds or thermal pain thresholds between subjects with interstitial cystitis/bladder pain syndrome and controls. Female subjects with interstitial cystitis/bladder pain syndrome showed segmental hyperalgesia to mechanical pressure stimulation in the suprapubic area (T10-T12). This segmental hyperalgesia may be explained in part by spinal central sensitization. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights

  14. 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)

  15. Editorial review: an update on central sensitivity syndromes and the issues of nosology and psychobiology.

    Science.gov (United States)

    Yunus, Muhammad B

    2015-01-01

    Central sensitization (CS), simply defined as an amplified response of the central nervous system to peripheral input, is a concept of great importance in clinical medicine. It has helped to explain aspects of the pathophysiology of common diseases, e.g. fibromyalgia syndrome (FMS), irritable bowel syndrome, vulvodynia, headaches, chronic pelvic pain and other overlapping conditions (collectively called central sensitivity syndromes, or CSS). It also applies to pain of complex regional pain syndrome, osteoarthritis (OA), rheumatoid arthritis (RA) and post-operative pain. The pathology-pain gap in CSS is readily explained by CS. Many FMS and other CSS patients have peripheral pathology, e.g. nociceptive areas in the muscles, arthritis, small fiber neuropathy and inflammation. Pro-inflammatory cytokines are elevated in some patients. Identification of CS in patients with structural pathology, e.g. OA and RA, has helped to explain why not all patients benefit from nonsteroidal anti-inflammatory drugs or joint replacement surgery, and require therapy directed at CS. Glial cells are important in pain processing. Remarkable advances have been achieved in neuroimaging, including visualization of grey matter and white matter, not only during provoked pain but also pain at rest. Based on CS mechanisms, targeted individual therapy may now be possible. Appropriate nosology is important particularly for effective patient care. Dichotomy of neurochemical-structural ("functional") and structural ("organic") pathology should be abandoned; many patients have both. Psychobiology is also biology. Patient-blaming terms like somatization, somatizer and catastrophizing should be avoided. For therapy, both pharmacological and non- pharmacological approaches are important, including recognition of subgroups and person/patient-centered care.

  16. Combined central retinal artery and vein occlusion in Churg-Strauss syndrome: case report.

    Science.gov (United States)

    Hamann, Steffen; Johansen, Sven

    2006-10-01

    To describe a rare case of Churg-Strauss syndrome presenting with severe visual loss due to a combined central retinal vein and artery occlusion. 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 describe the clinical features and evolution of the case after treatment. A combined occlusion of the central retinal artery and central retinal vein was diagnosed by the funduscopic appearance of retinal whitening, macular cherry-red spot, papilloedema, retinal haemorrhages in all four quadrants 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. Corticosteroid therapy was initiated. However, during the following year when tapering off the daily dosage, the patient experienced two relapses, with pulmonary symptoms and hypereosinophilia, and the corticosteroid dosage had to be augmented. The patient presented with neovascular glaucoma 7 weeks after the vascular occlusion and experienced no visual improvement. 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 a very poor prognosis for vision, due to the resulting retinal ischaemia, and a poor general prognosis due to the late stage of the systemic disease. Corticosteroids should be instigated promptly in order to prevent further systemic or ocular vasculitis.

  17. 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.

  18. 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.

  19. 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.

  20. 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®

  1. Plateau iris Íris em platô

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    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

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

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    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.

  3. 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.

  4. 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)

  5. 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.

  6. 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.

  7. Ocular lateropulsion as a central oculomotor sign in acute vestibular syndrome is not posturally dependent.

    Science.gov (United States)

    Kattah, Jorge C; Pula, John; Newman-Toker, David E

    2011-09-01

    Horizontal conjugate gaze deviation (h-CGD) in acute vestibular syndrome (AVS) may be detected clinically or radiographically. While upright clinical ocular lateropulsion (OL) predicts central lesions, supine radiographic h-CGD does not. We sought to investigate the cause for this discordance by comparing upright to supine OL in AVS. We prospectively recorded clinical and radiographic h-CGD in 17 AVS patients. Horizontal eye position after brief eyelid closure was tested clinically following postural shifts. Radiographic h-CGD was assessed on axial magnetic resonance imaging (MRI) or computerized tomography (CT) images. All maintained central fixation with eyes open in light. OL was present in 8 (7 strokes, one central demyelination) and radiographic h-CGD in 14 (including all 6 with peripheral lesions). OL was unchanged after static postural testing. OL predicts central pathology and does not vary with postural shifts, regardless of lesion location. Radiographic h-CGD does not help localize, and this is not a positional effect. © 2011 New York Academy of Sciences.

  8. 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

  9. Greenland plateau jets

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    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.

  10. 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

  11. Trace elements and radioactivity measurements in some terrestrial food crops in Jos-plateau, north central, Nigeria; Elements traces et mesures de la radioactivite dans quelques recoltes vivrieres terrestres du plateau de Jos dans le centre-nord du Nigeria

    Energy Technology Data Exchange (ETDEWEB)

    Jibiri, N.N.; Agomuo, J.C. [Ibadan Univ, Radiation and Health Research Physics Lab., Dept. of Physics, Oyo State (Nigeria)

    2007-01-15

    Some crops of important nutritive requirements have been collected from farmlands located in Bitsichi an old tin mining town in north central region of Nigeria. The food crops were analyzed in order to determine trace element concentrations level using Neutron Activation Analysis (NAA). The activity concentrations due to natural radionuclides in the food samples and soil samples collected within the root zone of the crops were also determined using gamma-ray spectrometry (GRS). The NAA results obtained showed higher concentration of Potassium among the essential elements in all the crops. Calcium concentration in both maize and Guinea corn was below detection limit and also Zn in Green beans, sweet potato and cassava. The trace elements; Sc, Hf, Sm, and Th, were below detection limit in all the crops except in Green beans. Rubidium (Rb) and lanthanum (La) were below detection limits only in Cabbage. The activity concentrations of the natural radionuclides in the food samples were found to vary between 83 and 129 Bq kg{sup -1} for {sup 40}K, 19 and 30 Bq kg{sup -1} for {sup 226}Ra and 27 to 41 Bq kg{sup -1} for {sup 232}Th. In the soil samples the activity concentrations varied between 177 and 271 Bq kg{sup -1} for {sup 40}K, 53 and 96 Bq kg{sup -1} for {sup 226}Ra and 73 to 176 Bq kg{sup -1} for {sup 232}Th. Results of activity concentration levels of the radionuclides obtained in similar crops collected for control measurements were found to be very low compared to those from the study area. The effective dose due to intake of the food crops considered in the study area was estimated based on the measured activity concentrations of {sup 226}Ra and {sup 232}Th in the food crops. It was found to vary between 0.01 mSv y{sup -1} (Acha) and 1.35 mSv y{sup -1} (Cassava) with a cumulative total dose estimated as 2.5 mSv y{sup -1}. The mining activities in the area are seen to have 1 influenced the concentration of these trace elements and radionuclides in the food I

  12. Preliminary subsurface hydrologic considerations: Columbia River Plateau physiographic province

    International Nuclear Information System (INIS)

    Veatch, M.D.

    1979-01-01

    Subsurface hydrologic conditions in the Pacific Northwest are strongly controlled by the structural and stratigraphic framework of subregions. A significant portion of the Pacific Northwest is underlain by the Columbia River Plateau basalt sequence. This discussion is limited to hydrologic conditions as they relate to the Columbia River Plateau physiographic province and specifically to the Pasco Basin in the central part of the province

  13. 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.

  14. 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.

  15. 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.

  16. 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

  17. 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.

  18. 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...

  19. [Acute vestibular syndrome : Clinical examination outperforms MRI in the detection of central lesions].

    Science.gov (United States)

    Thömke, F

    2017-12-12

    A significant number of patients who seek medical treatment in an emergency department because of vertigo or dizziness, suffer from acute vestibular syndrome. This is characterized by sustained vertigo, horizontal or horizontal rotatory jerk nystagmus, and unsteady stance and gait. In the acute situation it is crucial to differentiate patients with a peripheral vestibular disorder from those with a central disease. A number of recent studies have shown that a structured clinical examination enables a reliable differential diagnosis of central or peripheral disorders. Such an examination includes the head impulse test, an alternating cover test to detect a skew deviation of the eyes, and observation of nystagmus in different positions of gaze and using Frenzel goggles. This examination is more sensitive for the detection of brainstem stroke than magnetic resonance imaging (MRI), at least within 48 h after symptom onset. As these facts are still little known, in practice there is an overuse of cost-intensive imaging with computed tomography and MRI, and a number of patient brainstem strokes in the vertebrobasilar circulation may be missed. This paper describes the relevant studies on this topic.

  20. Cor pulmonale due to congenital central hypoventilation syndrome presenting in adolescence.

    Science.gov (United States)

    Fine-Goulden, Miriam R; Manna, Soumendu; Durward, Andrew

    2009-07-01

    To report the first case of congenital central hypoventilation syndrome (CCHS) presenting with severe cor pulmonale in an adolescent. Case report and literature review. Our Institutional Review Board waived the need for consent. Pediatric intensive care unit in a tertiary care children's hospital. A 12-year-old girl who developed profound hypoxia following routine dental extraction under intravenous opiate sedation and became progressively obtunded due to marked hypoventilation without hypoxic arousal, requiring mechanical ventilation. She had evidence of severe right heart failure, but no cardiac, pulmonary, neurologic, or neuromuscular cause was identified. The diagnosis of CCHS was suspected and subsequently confirmed by blood polymerase chain reaction analysis that revealed a heterozygous polyalanine expansion mutation of the PHOX2B gene (five polyalanine repeats). This report describes the unusual presentation of severe cor pulmonale in an adolescent with so-called "late-onset" CCHS. CCHS was previously thought to be a disease affecting only neonates, but the late-onset phenotype has now been well described in adults. It should be considered in any child presenting with unexplained right heart failure without an identifiable cause, particularly if central sleep apnea is present, because early initiation of ventilatory support can prevent cardiac and neurologic sequelae and improve outcome.

  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. 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

    2017-08-01

    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.

  6. 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.

  7. 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

  8. 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

  9. Central serotonergic neuron deficiency in a mouse model of Zellweger syndrome.

    Science.gov (United States)

    Rahim, R S; Meedeniya, A C B; Crane, D I

    2014-08-22

    Zellweger syndrome (ZS) is a severe peroxisomal disorder caused by mutations in peroxisome biogenesis, or PEX, genes. A central hallmark of ZS is abnormal neuronal migration and neurodegeneration, which manifests as widespread neurological dysfunction. The molecular basis of ZS neuropathology is not well understood. Here we present findings using a mouse model of ZS neuropathology with conditional brain inactivation of the PEX13 gene. We demonstrate that PEX13 brain mutants display changes that reflect an abnormal serotonergic system - decreased levels of tryptophan hydroxylase-2, the rate-limiting enzyme of serotonin (5-hydroxytryptamine, 5-HT) synthesis, dysmorphic 5-HT-positive neurons, abnormal distribution of 5-HT neurons, and dystrophic serotonergic axons. The raphe nuclei region of PEX13 brain mutants also display increased levels of apoptotic cells and reactive, inflammatory gliosis. Given the role of the serotonergic system in brain development and motor control, dysfunction of this system would account in part for the observed neurological changes of PEX13 brain mutants. Copyright © 2014 IBRO. Published by Elsevier Ltd. All rights reserved.

  10. Congenital central hypoventilation syndrome: Mutation analysis of the receptor tyrosine kinase RET

    Energy Technology Data Exchange (ETDEWEB)

    Bolk, S.; Angrist, M.; Schwartz, S.; Chakravarti, A. [Case Western Reserve Univ., Cleveland, OH (United States)]|[University Hospitals, Cleveland, OH (United States)] [and others

    1996-06-28

    Congenital central hypoventilation syndrome (CCHS) usually occurs as an isolated phenotype. However, 16% of the index cases are also affected with Hirschsprung disease (HSCR). Complex segregation analysis suggests that CCHS is familial and has the same inheritance pattern with or without HSCR. We postulate that alteration of normal function of the receptor tyrosine kinase, RET, may contribute to CCHS based on RET`s expression pattern and the identification of RET mutations in HSCR patients. To further explore the nature of the inheritance of CCHS, we have undertaken two main routes of investigation: cytogenetic analysis and mutation detection. Cytogenetic analysis of metaphase chromosomes showed normal karyotypes in 13 of the 14 evaluated index cases; one index case carried a familial pericentric inversion on chromosome 2. Mutation analysis showed no sequence changes unique to index cases, as compared to control individuals, and as studied by single strand conformational polymorphism (SSCP) analysis of the coding region of RET. We conclude that point mutations in the RET coding region cannot account for a substantial fraction of CCHS in this patient population, and that other candidate genes involved in neural crest cell differentiation and development must be considered. 54 refs.

  11. A risk tertiles model for predicting mortality in patients with acute respiratory distress syndrome: age, plateau pressure, and P(aO(2))/F(IO(2)) at ARDS onset can predict mortality.

    Science.gov (United States)

    Villar, Jesús; Pérez-Méndez, Lina; Basaldúa, Santiago; Blanco, Jesús; Aguilar, Gerardo; Toral, Darío; Zavala, Elizabeth; Romera, Miguel A; González-Díaz, Gumersindo; Nogal, Frutos Del; Santos-Bouza, Antonio; Ramos, Luís; Macías, Santiago; Kacmarek, Robert M

    2011-04-01

    Predicting mortality has become a necessary step for selecting patients for clinical trials and defining outcomes. We examined whether stratification by tertiles of respiratory and ventilatory variables at the onset of acute respiratory distress syndrome (ARDS) identifies patients with different risks of death in the intensive care unit. We performed a secondary analysis of data from 220 patients included in 2 multicenter prospective independent trials of ARDS patients mechanically ventilated with a lung-protective strategy. Using demographic, pulmonary, and ventilation data collected at ARDS onset, we derived and validated a simple prediction model based on a population-based stratification of variable values into low, middle, and high tertiles. The derivation cohort included 170 patients (all from one trial) and the validation cohort included 50 patients (all from a second trial). Tertile distribution for age, plateau airway pressure (P(plat)), and P(aO(2))/F(IO(2)) at ARDS onset identified subgroups with different mortalities, particularly for the highest-risk tertiles: age (> 62 years), P(plat) (> 29 cm H(2)O), and P(aO(2))/F(IO(2)) (IO(2)) at the time the patient meets ARDS criteria identifies patients with the lowest and highest risk of intensive care unit death.

  12. [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.

  13. Structural framework of the central and northern Tibetan plateau as constrained by geologic investigation from Tangula Pass to the southern Qilian Shan thrust belt

    Science.gov (United States)

    McRivette, M. W.; Yin, A.; Chen, X.; Burgess, W. P.

    2005-12-01

    A preliminary cross section is constructed across central and northern Tibet based on field mapping, reinterpretation of existing geologic maps, analysis of satellite images, and interpretation of seismic-reflection profiles. Our cross section can be divided into 6 segments from south to north. (1) Between the Tanggula Pass and Wenquan over a distance of 80 km are dominated by south-directed thrusts entirely within Jurassic strata. The thrusts are cut by the younger and active east-dipping Wenquan normal fault system that bounds a 70-km long rift directly south of the Tanggula Pass. (2) The 90-km long Yanshiping section to the north is dominated by three major south-verging folds involving both Jurassic and Triassic strata. The folds are tight at their cores, suggesting that they may have detached along a decollement. (3) Between Tuotuo He in the south and Wudaoliang in the north over a distance ~130 km, contraction is expressed by south-directed thrusts that place Carboniferous-Permian strata over Triassic strata or Cretaceous strata over Tertiary strata. The leading-edge south-directed thrust near Tuotuo He truncates the south-verging Yanshiping fold system and places Carboniferous strata atop Triassic strata. Along this segment we also document for the first time the presence of a well-exposed south-dipping normal fault that places Cretaceous red beds over Triassic flysch sequences. (4) The 80-km long section between Wudaoling and the left-slip Kunlun fault in Xidatan is dominated by WNW-striking, south-directed thrusts and folds. They are aligned in an en echelon pattern and merge with the east-striking Kunlun fault at their western ends. (5) The Eastern Kunlun segment consists of the left-slip Kunlun fault system and the south-directed East Kunlun-Qimen Tagh thrust belt. The active Kunlun fault system consists of two main strands: (a) the well-known Xidatan strata as the main Kunlun fault, and (b) the Yieniugou branch to the north. The Yieniugou strand

  14. 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...... of radiological outcomes and a level of health related quality of life (Eq5d) below but not significantly different from the Danish reference population at a mean of 5.2 years follow-up. Furthermore, a knee injury-specific questionnaire (KOOS) reported a level of disability close to a reference population...... 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...

  15. Central nervous system abnormalities in fibromyalgia and chronic fatigue syndrome: new concepts in treatment.

    Science.gov (United States)

    Gur, Ali; Oktayoglu, Pelin

    2008-01-01

    Fibromyalgia (FM) and chronic fatigue syndrome (CFS) are poorly understood disorders that share similar demographic and clinical characteristics. The etiology and pathophysiology of these diseases remain unclear. Because of the similarities between both disorders it was suggested that they share a common pathophysiological mechanisms, namely, central nervous system (CNS) dysfunction. Current hypotheses center on atypical sensory processing in the CNS and dysfunction of skeletal muscle nociception and the hypothalamic-pituitary-adrenal (HPA) axis. Researches suggest that the (CNS) is primarily involved in both disorders in regard to the pain, fatigue and sleep disturbances. Many patients experience difficulty with concentration and memory and many others have mood disturbance, including depression and anxiety. Although fibromyalgia is common and associated with substantial morbidity and disability, there are no US Food and Drug Administration (FDA)-approved treatments except pregabalin. Recent pharmacological treatment studies about fibromyalgia have focused on selective serotonin and norepinephrine (NE) reuptake inhibitors, which enhance serotonin and NE neurotransmission in the descending pain pathways and lack many of the adverse side effects associated with tricyclic medications. CFS is a descriptive term used to define a recognisable pattern of symptoms that cannot be attributed to any alternative condition. The symptoms are currently believed to be the result of disturbed brain function. To date, no pharmacological agent has been reliably shown to be effective treatment for CFS. Management strategies are therefore primarily directed at relief of symptoms and minimising impediments to recovery. This chapter presents data demonstrating CFS, abnormal pain processing and autonomic nervous system (ANS) dysfunction in FM and CFS and concludes by reviewing the new concepts in treatments in CFS and FM.

  16. Predictor of Mortality in Acquired Immunodeficiency Syndrome Patients with Central Nervous System Opportunistic Infections

    Directory of Open Access Journals (Sweden)

    Agustina Lestari

    2016-12-01

    Full Text Available Background: Indonesia’s increase of acquired immunodeficiency syndrome (AIDS cases is one of the fastest. Mortality cases of AIDS also increase per year. Central nervous system (CNS opportunistic infection is one of the most likely manifestations on advanced stage of Human immunodeficiency virus (HIV/AIDS patients. Common CNS opportunistic infections are toxoplasma infection and tuberculous meningitis (TBM. The study aimed to analyze the predictor of mortality in AIDS patients with CNS opportunistic infections. Methods: This study reviewed 151 medical records from AIDS patients with CNS opportunistic infection admitted to the Department of Neurology, Dr. Hasan Sadikin General Hospital Bandung from 2007-2012. This study was conducted from April to November 2013. Patients’ clinical manifestations (seizure, headache, altered consciousness, laboratory examination (CD4+ level count and treatment history (antiretroviral or ART and cotrimoxazole were collected. Chi-square and logistic regression test were used to determine the mortality predictor in patients. Results: Mortality rate was 37.7%. Clinical manifestations from patients were seizure 29.8%, altered consciousness 66.2%, and headache 88.7%. Patients had cotrimoxazole treatment 44.4% and 38.4% patients had ART. CD4+ level count data from 86 patients were obtained, 94% had CD4+ level count ≤200. Bivariate analysis showed altered consciousness had significant mortality predictor (Odd ratio (OR: 29.944; 95% Confidence interval (CI 6.9–129.945; p<0,0. Multivariate analysis showed ART had highest predictive mortality value (OR: 2.968; 95% CI 1.236–7.126; p=0.015. Conclusions: Altered consciousness and no antiretroviral treatment are mortality predictors in AIDS patients with CNS opportunistic infections.

  17. 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

  18. 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

    Mutations in the coding region of the WFS1 gene cause Wolfram syndrome, a rare multisystem neurodegenerative disorder of autosomal recessive inheritance. Patients with Wolfram syndrome display considerable clinical pleiomorphism, and symptoms such as neurological complications and psychiatric...... 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...

  19. 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.

  20. Radiative plateau inflation

    CERN Document Server

    Ballesteros, Guillermo

    2016-01-01

    We describe how monomial chaotic inflation becomes compatible with the latest CMB data thanks to radiative corrections producing a plateau. The interactions of the inflation with other fields, required for reheating, can flatten the potential and moderate the production of primordial gravitational waves, keeping these below the current upper bound. We show that the appearance of a plateau requires that the inflaton couples to fermions and to another scalar or a gauge group. We give concrete examples of minimal particle physics models leading to plateaus for quadratic and quartic chaotic inflation. We also provide a three-parameter model-independent description of radiatively corrected inflation that is amenable to CMB analyses.

  1. Radiative plateau inflation

    International Nuclear Information System (INIS)

    Ballesteros, Guillermo; Tamarit, Carlos

    2016-01-01

    We describe how monomial chaotic inflation becomes compatible with the latest CMB data thanks to radiative corrections producing a plateau. The interactions of the inflaton with other fields, required for reheating, can flatten the potential and moderate the production of primordial gravitational waves, keeping these below the current upper bound. We show that the appearance of a plateau requires that the inflaton couples to fermions and to another scalar or a gauge group. We give concrete examples of minimal particle physics models leading to plateaus for quadratic and quartic chaotic inflation. We also provide a three-parameter model-independent description of radiatively corrected inflation that is amenable to CMB analyses.

  2. 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

  3. 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.

  4. Unilateral central retinal artery occlusion as the sole presenting sign of Susac syndrome in a young man: case report

    Directory of Open Access Journals (Sweden)

    Samira Luiza dos Apóstolos-Pereira

    2013-06-01

    Full Text Available We report the case of a 24-year-old man presenting with sudden visual loss in the left eye from a central retinal artery occlusion. An extensive clinical investigation revealed no etiology. Three weeks later, however, the patient developed hearing loss followed by encephalopathy and multiple branch retinal artery occlusions in the right eye. Fluorescein angiography confirmed retinal vascular occlusions with no sign of vasculitis. The neurological examination revealed a diffuse encephalopathy while the MRI scan disclosed several small areas of infarcts in the brain. Bilateral sensorineural hearing loss was confirmed on audiometry. The patient was diagnosed with Susac syndrome and treated with methylprednisolone and cyclophosphamide, resulting in slight improvement and stabilization. This case shows that Susac syndrome may be diagnosed late due to the absence at onset of one or more of the symptoms of the classic triad (encephalopathy, multiple branch retinal artery occlusions and hearing loss. This case also serves to emphasize that Susac syndrome should be considered in the differential diagnosis of central retinal artery occlusion, even in apparently healthy young men.

  5. 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.

  6. References of anthropometric indices of central obesity and metabolic syndrome in Jordanian men and women.

    Science.gov (United States)

    Al-Odat, Areej Zaal; Ahmad, Mousa Numan; Haddad, Fares Halim

    2012-01-01

    To set references and evaluate the associations between the predictive powers of the anthropometric indices of obesity, particularly central obesity, including body mass index (BMI), waist circumference (WC), waist to hip ratio (WHpR) and waist to height ratio (WHtR), and the risk factor accumulations of ≥ 2 of the components of the metabolic syndrome (MS) in a group of Jordanian men and women. Five hundreds subjects were randomly selected from among the visitors attending several family clinics in Amman. Obesity was assessed using BMI, WC, WHpR and WHtR anthropometric indices. MS risk factors as defined by the International Diabetes Federation were determined. Receiver operating characteristic curve (ROC) analysis was used to determine the predictive powers and the cut off points of each index associated with increased MS risk. There were 212 men and 288 women with age ranged 20-85 years. Optimal cut off points of BMI, WC, WHpR for MS diagnosis in men were 28.4 kg/m(2), 97.8 cm and 0.89, respectively. In women, these were 30.3 kg/m(2), 95.6 cm and 0.84, respectively. WHtR was 0.61 in both genders. Area under the curve (AUC) of ROC analysis for identifying of MS (≥ 2 risk factors) was the highest for WHpR (AUC=0.71), followed by WHtR (AUC=0.67), WC (AUC=0.64) and BMI (AUC=0.59) in men; whereas in women WHpR, WHtR and WC were almost equal (AUC=0.76, 0.75 and 0.74, respectively), followed by BMI (AUC=0.67). Correlation coefficients (r) between WHpR and MS risk factors were the strongest among the other obesity indices, followed by WC and WHtR. WHpR correlated significantly with FBG (r=0.27, pmen. Almost similar predictive powers of WHtR, WHpR and WC for identifying MS risk factors were seen in women. WHtR had the highest sensitivity for MS diagnosis among obesity indices in men and its boundary value was the same for both men and women. These cut off values of obesity particularly waist circumference should be advocated and used in Arab Jordanians until larger

  7. 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.

  8. Experience of World Kidney Day 2013 at the Central Military Hospital in Bogotá: Metabolic syndrome and renal disease

    Directory of Open Access Journals (Sweden)

    Jorge Echeverri

    2014-06-01

    Full Text Available Abstract In the last decade wills have joined in the fight against the progression of chronic kidney disease. Thus, in 2006 the International Kidney Day was established, being the second Thursday of March of each year the commemorative date. In the Central Military Hospital in Bogotá, under the International Kidney Day, an educational and screening journey of renal risk factors was performed. Attendees were users of the health system of the Armed Forces of Colombia. It was found in 4.5% of the population a decline in the glomerular filtration rate according to age, with 11% presence of microalbuminuria. The metabolic syndrome is frequent in our environment and in our study population about half (52% of the attendees met the diagnostic criteria. Association between increased BMI or elevated glycosylated hemoglobin and development of microalbuminuria was identified. Campaigns are needed to control the metabolic syndrome in order to control the underlying risk for chronic kidney disease.

  9. Free testosterone level correlated with the metabolic abnormalities dependent on central obesity in women with polycystic ovary syndrome.

    Science.gov (United States)

    Dong, Z; Chen, X; Li, L; Huang, J; Yin, Q; Yang, D

    2012-06-01

    Women with polycystic ovary syndrome (PCOS) have increased risks of developing metabolic abnormalities compared with the women without PCOS. Hyperandrogenemia is one of the most important characteristics of PCOS. However, the correlations between hyperandrogenemia and metabolic disorders are uncertain. To elucidate the relationship between androgen indices and metabolic abnormalities in Chinese women with PCOS. A retrospective analysis of the anthropometric and biochemical records of 408 women with PCOS. The prevalence of metabolic syndrome (MetS) was 15.7% in women with PCOS. No association existed between total testosterone (TT) and metabolic profile. Free testosterone (FT) correlated with most of the metabolic variables by unadjusted correlation analyses. The women with elevated FT levels exhibited more unfavorable metabolic profiles compared with the women with normal FT levels. After adjusting for the confounding factors by multivariate logistic regression analysis, the women with elevated FT levels had higher prevalence of central obesity than the women with normal FT levels (odds ratio [OR] 2.346, p=0.042). Women with reduced sex hormone-binding globulin levels were more likely to have central obesity, overweight, raised fasting glucose, insulin resistance, and raised diastolic blood pressure. Raised dehydroepiandrosterone sulfate (DHEAS) level was associated with a lower probability of having central obesity (OR 0.293, p=0.001) and overweight (OR 0.47, p=0.023). FT has closer association with metabolic parameters than TT. FT can involve in the development of metabolic disorders dependent on central obesity. Raised DHEAS level can reduce the risks of central obesity and overweight. © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York.

  10. 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.

  11. 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.

  12. 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.

  13. 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...

  14. 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

    Directory of Open Access Journals (Sweden)

    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

  15. Central precocious puberty in a patient with X-linked adrenal hypoplasia congenita and Xp21 contiguous gene deletion syndrome

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    Ji Won Koh

    2013-06-01

    Full Text Available X-linked adrenal hypoplasia congenita is caused by the mutation of DAX-1 gene (dosage-sensitive sex reversal, adrenal hypoplasia critical region, on chromosome X, gene 1, and can occur as part of a contiguous gene deletion syndrome in association with glycerol kinase (GK deficiency, Duchenne muscular dystrophy and X-linked interleukin-1 receptor accessory protein-like 1 (IL1RAPL1 gene deficiency. It is usually associated with hypogonadotropic hypogonadism, although in rare cases, it has been reported to occur in normal puberty or even central precocious puberty. This study addresses a case in which central precocious puberty developed in a boy with X-linked adrenal hypoplasia congenita who had complete deletion of the genes DAX-1, GK and IL1RAPL1 (Xp21 contiguous gene deletion syndrome. Initially he was admitted for the management of adrenal crisis at the age of 2 months, and managed with hydrocortisone and florinef. At 45 months of age, his each testicular volumes of 4 mL and a penile length of 5 cm were noted, with pubic hair of Tanner stage 2. His bone age was advanced and a gonadotropin-releasing hormone (GnRH stimulation test showed a luteinizing hormone peak of 8.26 IU/L, confirming central precocious puberty. He was then treated with a GnRH agonist, as well as steroid replacement therapy. In Korea, this is the first case of central precocious puberty developed in a male patient with X-linked adrenal hypoplasia congenita.

  16. 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.

  17. Effects of steroids therapy and ACTH therapy on the central nervous system evaluated by CT. Nephrotic syndrome and infantile spasms

    Energy Technology Data Exchange (ETDEWEB)

    Xano, E.; Yamashita, F.; Aoki, N.i; Matsuishi, T. (Kurume Univ., Fukuoka (Japan). School of Medicine); Yamamoto, M.

    1981-05-01

    CT scanning revealed cerebral atrophy of various degrees in 12 of 15 cases of nephrotic syndrome in which ACTH therapy was given and also in all the 8 cases of infantile spasms in which ACTH therapy was given. CT findings of cerebral atrophy were analysed by computor and expressed in terms of cerebrospinal fluid (CSF)-space/intracranial space ratio (%). The ratio was 6.6 +- 3.9% in nephrotic syndrome, 16.4 +- 7.8% in infantile spasms, and 1.6 +- 0.8% in control, showing statistically significant differences among them. Abnormal CT findings of 12 cases of nephrotic syndrome returned to normal after withdrawal of steroids in 9 cases (75%). CT findings in 8 cases of infantile spasms also improved in all the cases after withdrawal of ACTH therapy. The results suggested that cerebral atrophy on CT scan is a reversible change. However, the effect of steroids and ACTH on the central nervous system is not sufficiently known yet. We should be very careful about long-term administration of great amount of steroids or ACTH to infants and children.

  18. Cotton-wool spots in acquired immunodeficiency syndrome compared with diabetes mellitus, systemic hypertension, and central retinal vein occlusion.

    Science.gov (United States)

    Mansour, A M; Jampol, L M; Logani, S; Read, J; Henderly, D

    1988-08-01

    The cotton-wool spot is a common fundus finding in patients with many ocular and systemic diseases. We investigated the characteristics of cotton-wool spots in patients with four major diseases, ie, acquired immunodeficiency syndrome, diabetes mellitus, systemic hypertension, and central retinal vein occlusion, to see if any differences were detected in their number, size, or location. A composite of all the cotton-wool spots for each of these four categories was obtained by computed reconstruction to analyze variations in their distribution and size. The cotton-wool spots had a predilection for the temporal quadrants in the four categories and were smaller in patients with acquired immunodeficiency syndrome than the other groups. Patients with ischemic central retinal vein occlusion had more cotton-wool spots than the other groups. No other definite differences were detected. Cotton-wool spots than the other groups. No other definite differences were detected. Cotton-wool spots seem to be a common pathway following various insults to the retina, most probably of a vaso-occlusive origin.

  19. Beckwith-Wiedemann syndrome and Chiari I malformation--a case-based review of central nervous system involvement in hemihypertrophy syndromes.

    Science.gov (United States)

    Udayakumaran, Suhas; Onyia, Chiazor U

    2015-05-01

    Beckwith-Wiedemann syndrome (BWS) is an unusual complex of abnormalities that includes mainly omphalocele, macroglossia, gigantism, visceromegaly, and neonatal hypoglycemia. Type I Chiari malformation, on the other hand, is defined as ectopia of the cerebellar tonsils below the plane of the foramen magnum. Only one case of association of BWS with Chiari I malformation has been previously reported in the literature. Several conditions involving congenital hemihypertrophy have been previously reported in association with Type I Chiari malformation. The pathophysiological mechanism for most of these associations is thought to be quite complex and still remains unclear. However, the presence of tonsillar herniation in BWS has been explained by Tubbs and Oakes in the only one existing case report of BWS with Type I Chiari malformation in the literature, to be due to associated hemihypertrophy of the skull base. We additionally suggest that cerebellar hypertrophy may also contribute to the tonsillar herniation and fourth ventricular outlet obstruction. We now report our recent experience on this association following a review of the literature on association of other hemihypertrophy syndromes with the central nervous system anomalies. We believe that a common pathogenesis of Type I Chiari malformation occurs in conditions of hemihypertrophy including BWS, probably secondary to dysmorphology involving the posterior cranial fossa, and is not just an associated finding.

  20. Magnetic resonance imaging biomarkers indicate a central venous hypertension syndrome in patients with symptomatic pineal cysts.

    Science.gov (United States)

    Eide, Per Kristian; Pripp, Are Hugo; Ringstad, Geir A

    2016-04-15

    While most pineal cysts (PCs) are asymptomatic, some PCs are accompanied with symptoms of variable severity. We suggested that symptom severity in symptomatic patients with non-hydrocephalic PCs relates to venous compression causing central venous hypertension. This study explored whether possible magnetic resonance imaging (MRI) biomarkers of central venous hypertension could differentiate the severity of symptoms in individuals with non-hydrocephalic PCs. The study included all individuals with PCs and MRI available for analysis followed conservatively within the department from 2003 to 2014. Severity of symptoms at follow-up were assessed from a questionnaire. Suggested MRI biomarkers indicative of central venous hypertension were explored, in addition to MRI measures of cyst size, aqueduct stenosis, and tectal compression. The study included 66 patients. As compared to the 27/66 patients (41%) with "None-Moderate" symptoms at follow-up, the 39/66 patients (59%) with "Much-Severe" symptoms presented with significantly altered indices of central venous hypertension (tectum-splenium-cyst ratio and indices of thalamic and periventricular edema). PC grading based on MRI biomarkers of central venous hypertension differentiated the severity of symptoms. The results indicate an association between severity of symptoms and MRI biomarkers of central venous hypertension in symptomatic individuals with non-hydrocephalic PCs. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Central sensitization syndrome and the initial evaluation of a patient with fibromyalgia: a review.

    Science.gov (United States)

    Fleming, Kevin C; Volcheck, Mary M

    2015-04-01

    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.

  2. 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.

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

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    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.

  4. Atypical presentation of CLIPPERS syndrome: a new entity in the differential diagnosis of central nervous system rheumatologic diseases.

    Science.gov (United States)

    Gul, Maryam; Chaudhry, Ammar A; Chaudhry, Abbas A; Sheikh, Mubashir A; Carsons, Steven

    2015-04-01

    Numerous autoimmune diseases can affect the central nervous system (CNS), and variable clinical presentations confound the differential diagnosis. The challenging task of properly characterizing various CNS autoimmune diseases enables patients to be rapidly triaged and appropriately treated. In this review article, we aim to explore different CNS manifestations of rheumatologic diseases with emphasis on the utility of imaging and cerebrospinal fluid findings. We review the classic physical examination findings, characteristic imaging features, cerebrospinal fluid results, and serum biomarkers. In addition, we also present a unique case of newly described autoimmune entity CLIPPERS syndrome. Our case is unique in that this is the first case which demonstrates involvement of the supratentorial perivascular spaces in addition to the classic infratentorial involvement as initially described by Pittock et al (Brain. 2010;133:2626-2634).

  5. 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.

  6. 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.

  7. [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.

  8. Association of Markers of Proinflammatory Phenotype and Beige Adipogenesis with Metabolic Syndrome in Chinese Centrally Obese Adults

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    Wilson K. C. Leung

    2018-01-01

    Full Text Available Background. Visceral adiposity is associated with higher productions of C-reactive protein (CRP and interleukin-6 (IL-6. Inflammation of obese adipose tissues could contribute to systemic metabolic dysregulation, especially thermogenic activity of white adipose tissues, namely, beige adipogenesis, characterized by altered irisin expression. Thus, we investigated the roles of inflammation and adipocyte beiging in Chinese centrally obese (CO adults with metabolic syndrome (MetS. Methods. This cross-sectional study was conducted on 54 CO and 58 non-CO subjects drawn from 1492 Chinese people with age and sex matched during November 2010 and August 2013. Twenty (37.0% of the CO subjects fulfilled the IDF worldwide definition of MetS. Serum CRP, IL-6, and irisin levels were examined. Results. Higher CRP and IL-6, but lower irisin, levels were manifested in MetS versus non-MetS subjects with or without CO. Multiple linear regression identified high-density lipoprotein cholesterol level as the only independent risk factor for irisin level. Categorized by median of CRP and IL-6 levels, a lower irisin level was only observed in high CRP group. Conclusion. Under the condition of central obesity, chronic inflammation and impaired beige adipogenesis are associated with MetS in Chinese adults.

  9. 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

  10. 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.

  11. 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

    2016-04-01

    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. Copyright © 2015 European Federation of Internal Medicine. All rights reserved.

  12. Internal Plateau in Short GRBs and Quark Stars

    Science.gov (United States)

    Li, Ang

    I summarize our recent calculations on quark stars (QSs), for the purpose of explaining some short gamma-ray bursts characterized by internal plateau in their early X-ray afterglow. According to the present plateau sample, the QS central engine model is demonstrated to more preferred than the original neutron star (NS) one. New QS equation of states (PMQS1, PMQS2, PMQS3) are then proposed, respecting fully the observed burst data and the mass distribution of the Galactic NS-NS systems.

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

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    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.

  14. 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.

  15. Comparison of characteristics of chronic kidney diseases between Tibet plateau and plain areas.

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    Zhou, Yan; Deng, Yong-Ming; Li, Chuan; Gong, Yun-Bing; Mao, Zhi-Guo; Wu, Jun; Li, Su-Zhi; Liu, Zhi-Hong; Tang, Zheng

    2014-01-01

    The purpose of the current study was to investigate the pathological characteristics of chronic kidney diseases in the Tibet plateau and the plain. 77 cases from the Tibet plateau and 154 cases from the plain of renal biopsied patients with chronic kidney diseases were compared in a randomized, and parallel controlled manner. Pathological characteristics were defined according to the standards of WHO and associated classifications. The ration of sex was shown that most of patients in the plateau region were female, whereas those in the plain were male. The characteristics of pathological types were shown that the patients in the plateau region were primarily minimal change disease, but IgA nephropathy was rare; meanwhile, the proportional lupus nephritis (LN) ratio of the secondary glomerulonephritis in the plateau region was significantly lower than those in the plain region. The current data demonstrated that the most common kidney disease in the Tibet Plateau region is still the primary glomerulonephritis as the same as those in the plain region. However, the primary glomerular disease in the plateau region is minimal change disease, and the most common clinical manifestations are the nephrotic syndrome. The IgA nephropathy in the plain is the most frequent disease. In terms of the secondary renal diseases, Henoch-Schnolein purpura nephritis are dominated in the plateau region, whereas LN-based diseases are frequently found in the plain. There is a statistical significance existed between those two groups.

  16. Early Cenozoic Multiple Thrust in the Tibetan Plateau

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    Zhenhan Wu

    2013-01-01

    Full Text Available Recently completed regional geological mapping at a scale of 1 : 250,000 or larger across all of the Tibetan Plateau coupled with deep seismic surveys reveals for the first time a comprehensive depiction of the major early Cenozoic thrust systems resulting from the northward subduction of the Indian Continental Plate. These systems define a series of overlapping north-dipping thrust sheets that thickened the Tibetan crust and lead to the rise of the plateau. The few south-dipping thrusts present apparently developed within a sheet when the back moved faster than the toe. Many of the thrusts are shown to extend to the middle-lower crustal depths by seismic data. The regional thrust systems are the Main Central, Renbu-Zedong, Gangdese, Central Gangdese, North Gangdese, Bangoin-Nujiang, Qiangtang, Hohxil, and South Kunlun Thrusts. The minimal southward displacements of the South Kunlun, Hohxil, South Qiangtang, and Central Gangdese Thrusts are estimated to be 30 km, 25 km, 150 km and 50 km, respectively. Deep thrusting began in the Himalaya-Tibetan region soon after India-Eurasia continental collision and led to crustal thickening and subsequent uplift of the Tibetan Plateau during Late Eocene-Early Miocene when the systems were mainly active. The major thrust systems ceased moving in Early Miocene and many were soon covered by lacustrine strata. This activity succeeded in the late Cenozoic to crustal extension and strike-slip movement in the central Tibetan Plateau. The revelation of the full array of the early Cenozoic thrust systems provides a much more complete understanding of the tectonic framework of the Tibetan Plateau.

  17. Role of microglia and astrocyte in central pain syndrome following electrolytic lesion at the spinothalamic tract in rats.

    Science.gov (United States)

    Naseri, Kobra; Saghaei, Elham; Abbaszadeh, Fatemeh; Afhami, Mina; Haeri, Ali; Rahimi, Farzaneh; Jorjani, Masoumeh

    2013-03-01

    Central pain syndrome (CPS) is a debilitating state and one of the consequences of spinal cord injury in patients. Many pathophysiological aspects of CPS are not well documented. Spinal glia activation has been identified as a key factor in the sensory component of chronic pain. In this study, the role of glial subtypes in the process of CPS induced by unilateral electrolytic lesion of spinothalamic tract (STT) is investigated. Male rats received a laminectomy at T8-T9 and then unilateral electrolytic lesion centered on the STT. Thermal and mechanical thresholds as well as locomotor function were measured on days 0, 3, 7, 14, 21, and 28 post-injuries by tail flick, von Frey filament, and open field tests, respectively. To investigate the spinal glial activation following denervation in STT-lesioned groups, Iba1 and GFAP were detected by immunohistochemistry and Western blotting at the same time points. Data showed that STT lesion significantly decreased thermal pain at day 3 in comparison with sham groups. Significant bilateral allodynia appeared in hind paws at day 14 after spinal cord injury and continued to day 28 (P < 0.05). Additionally, electrolytic spinal lesion attenuated locomotor function of injured animals after 7 days (P < 0.05). In both histological assessments and Western blotting, Iba1 increased at days 3 and 7 while increased GFAP occurred from day 14 to 28 after lesion. It appears that microglial activation is important in the early stages of pain development and astrocytic activation occurs later. These events may lead to behavioral outcomes especially central neuropathic pain.

  18. 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

  19. [Central sleep apnea syndrome as the first sign of type I Chiari malformation].

    Science.gov (United States)

    Miralbés Terraza, S; García Oguiza, A; López Pisón, J; Sáenz Moreno, I; Jiménez Escobar, V; Peña Segura, J L; Marco Rived, A

    2008-03-01

    Type I Chiari malformation consists on the caudal displacement of cerebellar tonsils through the foramen magnum. It is often asymptomatic, although it may display symptoms as a result of cerebellum, brainstem, high cervical spinal cord or the lower cranial nerve, involvement. We report our experience over the last 16 years. We have identified 16 patients with type I Chiari malformation. Only 2 cases showed common type I Chiari symptoms and just one had respiratory disorder as the first clinical sign. A 15 year old girl presented with a 5 years' history of chronic daily cough aggravated by exercise. Snoring and sleep apnea had been noted by her mother for 1 year. The girl eventually suffered from migraine and diurnal hypersomnolence. The physical and neurological examination was normal with the only exception being the absence of bilateral nauseous reflex. A nocturnal polysomnography study demonstrated a pseudoperiodic pattern with apnea pauses associated to cycles of deep breathing, resulting in severe gasometric repercussion and bradycardia. Magnetic resonance imaging of the brain showed Chiari I malformation. Non-invasive mechanical ventilation treatment significantly improved the clinical symptoms and gasometric analysis. Surgical posterior fossa decompression is discussed. Early decompression before appearance of irreversible neurological damage is recommended. It is associated with a significant reduction in the number of central apneas and sleep arousals. Surgical intervention is recommended in symptomatic patients and in cases of radiographic Chiari malformation or syrinx progression.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. Central Diabetes Insipidus in Infancy With or Without Hypothalamic Adipsic Hypernatremia Syndrome: Early Identification and Outcome.

    Science.gov (United States)

    Djermane, Adel; Elmaleh, Monique; Simon, Dominique; Poidvin, Amélie; Carel, Jean-Claude; Léger, Juliane

    2016-02-01

    Neonatal central diabetes insipidus (CDI) with or without adipsia is a very rare complication of various complex hypothalamic disorders. It is associated with greater morbidity and a high risk of developing both hypernatremia and hyponatremia, due to the condition itself or secondary to treatment with vasopressin analogs or fluid administration. Its outcomes have yet to be evaluated. To investigate the clinical outcomes of patients with neonatal-onset CDI or adipsic CDI with hypernatremia. All patients diagnosed with neonatal CDI in a university hospital-based observational study and followed between 2005 and 2015 were included and analyzed retrospectively. The various causes of CDI were grouped. Clinical outcome and comorbidities were analyzed. Ten of the 12 patients had an underlying condition with brain malformations: optic nerve hypoplasia (n = 3), septo-optic dysplasia (n = 2), semilobar holoprosencephaly (n = 1), ectopic neurohypophysis (n = 3), and unilateral absence of the internal carotid artery (n = 1). The other two were idiopathic cases. During the median follow-up period of 7.8 (4.9-16.8) years, all but one patient displayed anterior pituitary deficiency. Transient CDI was found in three (25%) patients for whom a posterior pituitary hyperintense signal was observed with (n = 2) and without (n = 1) structural hypothalamic pituitary abnormalities, and with no other underlying cerebral malformations. Patients with permanent CDI with persistent adipsia (n = 4) and without adipsia (n = 5) required adequate fluid intake and various doses of desamino-D-arginine-8-vasopressin. Those with adipsia were more likely to develop hypernatremia (45 vs 33%), hyponatremia (16 vs 4%) (P < .0001), and severe neurodevelopmental delay (P < .05) than those without adipsia. Comorbidities were common. The underlying cause remains unknown at the age of 23 years for one patient with CDI and normal thirst. Neonatal CDI may be transient or permanent. These vulnerable patients have

  5. 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.

  6. 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.

  7. Characterizing the summer convective clouds and precipitation over Tibetan Plateau

    Science.gov (United States)

    Guo, X.; Chang, Y.

    2016-12-01

    Tibetan Plateau plays an important role in regional even in global water cycle, ecosystem and atmospheric circulation. China has conducted the Third Tibetan Plateau Experiment-Observation of Boundary Layer and Troposphere (2014-2017) Project in order to reveal the physical process of meteorology and atmosphere over the Tibetan Plateau. The field campaign used state-of-the-art observational instruments for observing clouds and precipitation processes including multiband radar system such as the C-band continuous wave radar and Ka-band millimetre wave cloud radar, as well as raindrop disdrometer and lidar ceilometer etc. Here, we characterize the summer convective clouds and precipitation and raindrop size distribution based on observation data and FY-2E satellite TBB data from July 1 to August 31, 2014. The result shows that the summer convective activities mainly distributed in the central and southeast regions over the Tibetan Plateau, and the precipitation process had a quasi-two-week cycle during the observational period. Due to the strong solar heating effect over the plateau, both convective clouds and precipitation processes had obvious daily variation. The convections first appeared at 11:00 in the morning, and the first peak of precipitation occurred at around 12:00, which was mainly caused by local thermal convection with relative lower cloud-top height and wider drop spectrum. The mean cloud-top height was around 11.5 km (ASL), and its maximum value exceeded 19 km, and the mean cloud-base height was 6.88 km (ASL) during the observation period. The precipitation in summer time over the plateau was mainly short-lasting and showery, and usually lasted less than 1 h, and the mean precipitation intensity was around 1.2 mm/h. The result also shows that the raindrop size distribution over the Tibetan Plateau was wider than that over plain at the same latitude and season, because of which the rainfall could be more easily produced over the plateau than that over

  8. The role of respiratory failure caused by congenital central nervous system abnormalities and the effect of β-casomorphins in sudden infant death syndrome pathogenesis

    OpenAIRE

    Barbara Sumińska-Ziemann; Tomasz Gos; Zbigniew Jankowski

    2015-01-01

    The aim of the paper is to discuss the role of respiratory failure caused by endogenous (both structural and functional) abnormalities in the central nervous system and exogenous food-derived opioid-like peptides in the pathogenesis of sudden infant death syndrome (SIDS). By stimulating μ-opioid receptors, opioid-like peptides may suppress the tonic activity of the respiratory centre in the brain stem.

  9. The role of respiratory failure caused by congenital central nervous system abnormalities and the effect of β-casomorphins in sudden infant death syndrome pathogenesis.

    Science.gov (United States)

    Sumińska-Ziemann, B; Gos, T; Jankowski, Z

    2015-01-01

    The aim of the paper is to discuss the role of respiratory failure caused by endogenous (both structural and functional) abnormalities in the central nervous system and exogenous food-derived opioid-like peptides in the pathogenesis of sudden infant death syndrome (SIDS). By stimulating μ-opioid receptors, opioid-like peptides may suppress the tonic activity of the respiratory centre in the brain stem.

  10. [Establishment of medians for maternal serum markers in Down's syndrome screening during the second trimester of pregnancy in north-central region of Jiangxi Province].

    Science.gov (United States)

    Long, Yao; Liu, Yanqiu; Ma, Pengpeng; You, Xueyun; Yuan, Huizhen

    2017-07-28

    To establish the median databases of serum markers for Down's syndrome screening during the second trimester of pregnancy women in the north-central area of Jiangxi Province.
 Methods: Time-resolved fluorometry was used to detect the serum contents of AFP free β-hCG and uE3 in 57 548 pregnant women during 15-20 gestational weeks. Risk evaluation was conducted by LifeCycle 4.0. SAS 9.2 software was used to establish a model of the median fitted equation. The newly constructed median system was used to reassess the risk of Down's syndrome development in pregnant women.
 Results: The medianand built in medianof north-central region in Jiangxi Province are significantly different (Z=2.201, P=0.028). The relationship between the median of the triple index and the gestational age was analyzed by the weight regression model. The relationship between the MoM value and the weight was used to calculate the reciprocal model. The median of the new system was more efficiency than the built in median. In the median of the new system than the reference, the detection rate improved from 62.75% to 72.55%, false positive rate reduced by 5.84% to 4.94%.
 Conclusion: The newly constructed median system is suitable for Down's syndrome screening in the north-central region of Jiangxi Province.

  11. 4H Syndrome

    Science.gov (United States)

    ... syndrome? 4H syndrome is short for hypomyelination, hypogonadotropic hypogonadism and hypodontia. Hypomyelination means that there is lack ... myelin in the central nervous system. In hypogonadotropic hypogonadism, normal puberty development is absent because the central ...

  12. Plateau iris configuration in eyes with narrow-angle: an ultrasound biomicroscopic study.

    Science.gov (United States)

    Diniz Filho, Alberto; Cronemberger, Sebastião; Ferreira, Dollores Martins; Mérula, Rafael Vidal; Calixto, Nassim

    2010-01-01

    To investigate, through ultrasound biomicroscopy images, the presence of plateau iris configuration in eyes with narrow-angle from patients with open-angle glaucoma and in eyes with previous acute primary angle-closure and compare the biometric features of eyes with plateau iris configuration with those of normal eyes. Ultrasound biomicroscopic images from 196 patients with open-angle glaucoma and narrow-angle and 32 patients with acute primary angle-closure were retrospectively analyzed. The inclusion and specific criteria for the diagnosis of plateau iris configuration was the presence of an anterior positioning of the ciliary processes, supporting the peripheral iris so that it was parallel to the trabecular meshwork; the iris root had a steep rise from its insertion point, followed by a downward angulation from the corneoscleral wall; presence of a central flat iris plane; an absent (complete plateau iris configuration) or partially absent (incomplete plateau iris configuration) ciliary sulcus. The ultrasound biomicroscopic parameters were compared between complete and incomplete plateau iris configuration. The same parameters of both groups were compared with those of normal eyes. The following measurements were performed: anterior chamber depth; angle opening distance at 500 microm from the scleral spur; peripheral iris thickness at 500 microm from the scleral spur; iris-ciliary process distance; trabecular-ciliary process distance and angle recess area. Plateau iris configuration was found in 33 eyes of 20 (10.2%) out of 196 patients with open-angle glaucoma and narrow-angle and in 4 eyes of 2 (6.3%) out of 32 patients with acute primary angleclosure. Seventeen (77.3%) patients with plateau iris configuration were female and 5 (22.7%) male. Twenty-three (62.2%) out of 37 eyes had complete plateau iris configuration, and 14 (37.8%) had incomplete plateau iris configuration. Complete and incomplete plateau iris configuration presented similar biometric

  13. 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

  14. 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

  15. Central Pain Syndrome

    Science.gov (United States)

    ... by touch, movement, emotions, and temperature changes, usually cold temperatures. Individuals experience one or more types of pain sensations, the most prominent being burning. Mingled with the ...

  16. 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

  17. Lifestyle modifications supported by regional health nurses lowered insulin resistance, oxidative stress and central blood pressure in subjects with metabolic syndrome.

    Science.gov (United States)

    Ohno, Yoichi; Miyazaki, Takashi; Sato, Makiko; Araki, Ryuichiro; Takahashi, Sachiko; Takenaka, Tsuneo; Suzuki, Hiromichi; Shibazaki, Satomi

    2015-01-01

    This study was attempted to investigate whether lifestyle modifications supported by regional health nurses should improve cardio-metabolic factors--including adipocytokines, oxidative stress, and arterial stiffness--in subjects with metabolic syndrome. Thirty-six subjects with metabolic syndrome were enrolled, 28 of whom completed the 6-month lifestyle modifications (male:female=19:9). Blood and urine test results were examined in relation to metabolic factors before and after 6-month nutritional and physical activity modifications. In addition, oral glucose tolerance tests were performed and arterial stiffness was measured by brachial-ankle pulse wave velocity and radial augmentation index before and after them. Six-month lifestyle modifications significantly reduced body weight, homeostasis model assessment index, and low-density lipoprotein cholesterol (LDL-C). They significantly attenuated oxidative stress measured by the urinary 8-hydroxy-2-deoxyguanosine/creatinine ratio. They also lowered brachial and central systolic blood pressure. They tended to decrease waist circumferences and the levels of C-reactive protein. However they did not significantly change the levels of adipocytokines, including tumour necrosis factor, soluble tumour necrosis factor receptors, and interleukin 6, or arterial stiffness measured by brachial-ankle pulse wave velocity and radial augmentation index. Six-month lifestyle modifications supported by regional health nurses lowered body weight, insulin resistance, LDL-C, oxidative stress, and peripheral and central blood pressure in subjects with metabolic syndrome. Copyright © 2015 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  18. Angeíte isolada do sistema nervoso central em paciente com síndrome mielodisplásica: relato de caso Isolated central nervous system angiitis and myelodysplastic syndrome: case report

    Directory of Open Access Journals (Sweden)

    Gisele Sampaio Silva

    2004-06-01

    Full Text Available As angeítes isoladas do sistema nervoso central (SNC são vasculites de pequenos e grandes vasos de etiologia indeterminada que acometem exclusivamente a vasculatura do sistema nervoso. Geralmente não estão associadas a doenças pré-existentes. Relatamos caso de angeíte isolada de SNC em um paciente com diagnóstico hematológico de síndrome mielodisplásica.Isolated central nervous system (CNS angiitis are vasculitides of undetermined etiology in which only nervous system vessels are affected. In most cases there is no associated systemic disease. We report the case of a 67 years old man with previous hematologic diagnosis of myelodysplastic syndrome who developed an isolated CNS angiitis.

  19. Association of misoprostol, moebius syndrome and congenital central alveolar hypoventilation: case report Associação de misoprostol, síndrome de Moebius e hipoventilação central congênita: relato de caso

    Directory of Open Access Journals (Sweden)

    MAGDA LAHORGUE NUNES

    1999-03-01

    Full Text Available We report a case showing the association of Moebius syndrome, the use of misoprostol during pregnancy and the development of central congenital alveolar hypoventilation. Pathophysiological aspects of these three diseases are discussed and also the unfavorable prognosis of this association.Descrevemos o caso de um paciente com Síndrome de Moebius associada ao uso de misoprostol durante a gestação. A criança necessitou de suporte ventilatório desde o primeiro dia de vida e evoluiu com quadro de hipoventilação alveolar central congênita, persistindo dependente de ventilação mecânica. São discutidos aspectos fisiopatológicos que poderiam justificar a comorbidade destes três eventos, assim como o prognóstico reservado desta associação.

  20. Tectal glioma presenting with clinical triad of obesity, amenorrhea and central cord syndrome with radiological pentad of hydrocephalus, empty sella, suprapineal diverticula, Chiari and syrinx.

    Science.gov (United States)

    Dhandapani, Sivashanmugam; Karthigeyan, Madhivanan; Sahoo, Sushanta K; Gupta, Vivek

    2017-02-01

    Tectal gliomas (TG) are slow-growing tumors and generally present with features of increased intracranial pressure. We describe an unusual case of a young girl who presented with clinical triad of obesity, primary amenorrhea and central cord syndrome. The radiology unveiled a pentad of hydrocephalus, empty sella, suprapineal recess diverticulum, secondary Chiari malformation and cervical syringomyelia, masking a relatively obscure tectal plate glioma. She was subjected to endoscopic third ventriculostomy (ETV). All of her symptoms improved after ETV and the tumor is being followed up. The possible pathogenesis of such a highly atypical clinico-radiological presentation is described. This unusual syndromic presentation of tectal glioma without clinical features of increased intracranial pressure is probably due to increased compliance of third ventricular walls, and is relieved with ETV.

  1. 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.

  2. 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.

  3. 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

  4. 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.

  5. 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.

  6. Prevalence of metabolic syndrome in type 2 diabetes mellitus using NCEP-ATPIII, IDF and WHO definition and its agreement in Gwalior Chambal region of Central India.

    Science.gov (United States)

    Yadav, Dhananjay; Mahajan, Sunil; Subramanian, Senthil Kumar; Bisen, Prakash Singh; Chung, Choon Hee; Prasad, G B K S

    2013-09-17

    The aim of study was to determine the prevalence of metabolic syndrome (MetS) in people with type 2 diabetes mellitus (T2DM). National Cholesterol Education Program (NCEP) ATPIII Criteria, International Diabetes Federation and the World Health Organization (WHO) definitions were used in quantifying the metabolic syndrome and also the concordance between these three criteria's used for identifying metabolic syndrome. This cross-sectional study involved 700 type 2 diabetic subjects from the urban areas of Gwalior Chambal region (Central India). Subjects in the age group of 28- 87 yrs were included in the study. Type I diabetics, pregnant ladies and those with chronic viral and bacterial infections and serious metabolic disorders were excluded from the study. Fasting blood glucose, Blood lipids (T-cholesterol, triglyceride, HDL-cholesterol) were assessed and anthropometry blood pressure were measured from all the subjects. The Prevalence of metabolic syndrome was found to be 45.8%, 57.7% and 28% following NCEP-ATPIII Criteria, IDF and WHO definitions, respectively. Using all the three definitions the prevalence was higher in women in all age groups. ATP III and IDF criteria showed good agreement (k 0.68) compared to ATP III with WHO (k 0.54) and IDF with WHO (k 0.34) criteria. Highest prevalence was observed following IDF definition. A good agreement was observed between ATPIII and IDF criteria. Maximum prevalence of Metabolic syndrome was recorded when IDF criteria was followed. NCEP-ATPIII criteria for the diagnosis of MetS and this criterion reflected equal importance to the every variable and showed a good agreement between the different criteria used.

  7. 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

  8. [Analysis of risk factors of infection for complex tibial plateau fractures after operation].

    Science.gov (United States)

    Ma, Ju-Lei; Xu, Yun-Qin; Shen, Tu-Gang; Li, Qiang

    2017-10-25

    To analyze the risk factor of infection for complex tibial plateau fractures after operation. Totally clinical data of 293 patients with complex tibial plateau fractures underwent open reduction and internal fixation were retrospectively analyzed from September 2010 to March 2015, including 199 males and 94 females, ranging in age from 17 to 80 years old with an average of 47.3 years old. The possible risk factors such as gender, age, smoking, diabetes, type of fracture(open/closed), classification of open fracture(Gustilo-Anderson classification), classification of soft tissue injury in closed fracture (Tscherne-Gotzen classification), fracture classification(Schatzker V/VI), osteofascial compartment syndrome, ASA score, anesthesia, timing of surgery, operative time(150 min), surgical approach, combined approach or not, internal fixation site were studied. The multivariate Logistic regression model was used to analyze the risk factors. Twelve patients were infected of all 293 patients after operation, the infection rate was 4.10%. Univariate analysis showed that fracture type(χ ² =14.496, P =0.001), fracture classification(χ²=4.560, P =0.033), osteofascial compartment syndrome(χ²=15.631, P =0.001), operative time(χ²=11.233, P =0.001) were correlated with complex tibial plateau fractures postoperative infection. Multivariate analysis showed that open fractures(χ²=9.696, P =0.002) and osteofascial compartment syndrome(χ²=9.119, P =0.003) were complex tibial plateau fracture risk factors for infection after operation. Open fractures and osteofascial compartment syndrome are risk factor of complex tibial plateau fracture for infection after operation. While through debridement for open fracture patients, early diagnosis and promt treatment for osteofascial compartment syndrome could reduce incidence of infection.

  9. 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

  10. New Observations of Crustal Plateau Surface Histories, Venus: Implications for Crustal Plateau Hypotheses

    Science.gov (United States)

    Hansen, V. L.

    2005-03-01

    Geohistories documented for four crustal plateaus surface presents challenges to both downwelling and plume hypotheses of plateau formation, and lead to a third hypothesis, plateau formation involving crystallization of a huge lava pond.

  11. 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. 

  12. A Systematic Review of Peripheral and Central Nervous System Involvement of Rheumatoid Arthritis, Systemic Lupus Erythematosus, Primary Sjögren’s Syndrome, and Associated Immunological Profiles

    Directory of Open Access Journals (Sweden)

    Anastasia Bougea

    2015-01-01

    Full Text Available Both central (CNS and peripheral nervous system (PNS complications are frequent and varied in connective tissue diseases. A systematic review was conducted between 1989 and 2014 in the databases Medline, Scopus, and Cochrane Library using the search terms, peripheral and central nervous complications and immunological profiles, to identify studies in specific connective tissue disorders such as rheumatoid arthritis, systemic lupus erythematosus, and primary Sjögren’s syndrome. A total of 675 references were identified, of which 118 were selected for detailed analysis and 22 were included in the final review with a total of 2338 participants. Our search focused only on studies upon connective tissue disorders such as rheumatoid arthritis, systemic lupus erythematosus, and primary Sjögren’s syndrome associated with seroimmunological data. The reported prevalence of CNS involvement ranges from 9 to 92% across the reported studies. However, the association between CNS and PNS manifestations and seroimmunological profiles remains controversial. Τo date, no laboratory test has been shown as pathognomonic neither for CNS nor for PNS involvement.

  13. Incidence of metabolic syndrome and related diseases in the Khisêdjê indigenous people of the Xingu, Central Brazil, from 1999-2000 to 2010-2011.

    Science.gov (United States)

    Mazzucchetti, Lalucha; Galvão, Patrícia Paiva de Oliveira; Tsutsui, Mario Luiz da Silva; Santos, Kennedy Maia Dos; Rodrigues, Douglas Antônio; Mendonça, Sofia Beatriz; Gimeno, Suely Godoy Agostinho

    2014-11-01

    The aim of this study was to identify the incidence of metabolic syndrome and related diseases in the Khisêdjê population living in the Xingu Indigenous Park, Mato Grosso State, Brazil, from 1999-2000 to 2010-2011. The study included 78 individuals aged ≥20 years. Data were analyzed using Student t test, linear regression, and Poisson regression. In 10 years of follow-up, cumulative incidence rates were 37.5% for metabolic syndrome, 47.4% for hypetriglyceridemia, 38.9% for arterial hypertension, 32% for central obesity, 30.4% for excess weight, 29.1% for hypercholesterolemia, 25% for low HDLc, 10.4% for high LDLc, and 2.9% for diabetes mellitus. Age proved to be a risk factor for incidence of hypertension, diabetes, and elevated LDLc, regardless of gender; male gender was a protective factor against incidence of central obesity, independently of age. The study showed deterioration of most target health indicators and exposure of the Khisêdjê to high cardiometabolic risk. These results may be related to changes in traditional lifestyle.

  14. 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.

  15. 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

  16. 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

  17. 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)

  18. Síndrome oral-facial-digital: relato de um caso com anomalias do sistema nervoso central Oral-facial-digital syndrome: report of a case with abnormalities of the central nervous system

    Directory of Open Access Journals (Sweden)

    Gerson Carakushansky

    1974-06-01

    Full Text Available É relatado um caso de síndrome oral-facial-digital em paciente com anomalias do sistema nervoso central. Os autores fazem um revisão da literatura a procura de outros casos em que tais anomalias também estivessem presentes. A cariotipagem foi normal.The case of a 3-month-old-female infant with oral-facial-digital malformations is reported. Ventriculogram disclosed widened lateral ventricles with lack of communication with the cisterna magna probably because of congenital defect in the formation of the aqueduct of Sylvius. There was communication with a porencephalic cyst present in the anterior fossa. A review of the literature indicates that porencephalies and hydrocephalus appear to be fairly common malformations associated with the OFD syndrome. Dermatoglyphic studies have shown an excess of whorl patterns on the digits. The karyotype was 46,XX.

  19. Trombose de veia central da retina bilateral associada à síndrome de hiperviscosidade sanguínea: relato de caso Bilateral central retinal vein occlusion associated with blood hyperviscosity syndrome: case report

    Directory of Open Access Journals (Sweden)

    John Helal Jr

    2005-02-01

    Full Text Available Relato de caso de um paciente masculino de 16 anos de idade com queixa inicial de baixa da acuidade visual e que no exame oftalmológico foi encontrado edema de papila bilateral, que evoluiu para trombose da veia central da retina em ambos os olhos. Na investigação laboratorial, foi feito diagnóstico de um mieloma múltiplo tipo IgA que cursava com síndrome de hiperviscosidade sanguínea, o que explicava o quadro oftalmológico. Após tratamento específico, o paciente apresentou melhora tanto da acuidade visual quanto do aspecto fundoscópico. O achado de oclusão de veia central da retina bilateral pode levar ao diagnóstico de importantes doenças sistêmicas. os achados fundoscópicos podem servir de parâmetro na avaliação do tratamento.The authors report the case of a 16-year-old male patient who presented with blurred vision and bilateral optic disc edema, then developing bilateral central retinal vein occlusion. On laboratory work-up, he was found to have multiple myeloma IgA along with hyperviscosity syndrome, which led to the ophthalmological features. After proper treatment, the patient recovered visual acuity and normalized his eye fundus changes. Bilateral central retinal vein occlusion finding may yield the diagnosis of major systemic diseases. Fundoscopic features may serve as parameters on treatment evaluation.

  20. 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...

  1. Molecular epidemiology of porcine reproductive and respiratory syndrome virus in Central China since 2014: The prevalence of NADC30-like PRRSVs.

    Science.gov (United States)

    Wang, Lin-Jian; Xie, Weitao; Chen, Xin-Xin; Qiao, Songlin; Zhao, Mengmeng; Gu, Yu; Zhao, Bao-Lei; Zhang, Gaiping

    2017-08-01

    Porcine reproductive and respiratory syndrome (PRRS), characterized by respiratory disorders in piglets and reproductive failure in sows, is still the great threat of swine industry. Recently, Emergence of the novel NADC30-like PRRS viruses (PRRSVs) has caused widespread outbreaks of PRRS. To investigate the epidemic characteristics of PRRSVs in Central China since 2014, 6372 clinical serum samples were tested by ELISA, 250 tissue samples were tested by RT-PCR, and among these, 30 ORF5 and 17 Nsp2 genes sequences were analyzed. Phylogenetic tree based on ORF5 revealed that, 17 isolates were clustered into subgroup 1, represented by the NADC30. And for the Nsp2, The strains which had a discontinuous 131-amino-acid deletion in Nsp2, called NADC30-like strains, were clustered into subgroup 2. Our data suggested that the NADC30-like PRRSV strains spread quickly and are now circulating and prevalent in Central China as well as the classical HP-PRRSV strains. In addition, amino acid variation analysis of GP5 revealed that the amino acid sequences of NADC30-like PRRSV strains underwent rapid evolution and contained extensive amino acid substitutions in important motifs, such as potential neutralization epitope and the N-glycosylation sites. In summary, our data would provide a large amount of detailed information on molecular variation and genetic diversity of PRRSV in central China. Copyright © 2017. Published by Elsevier Ltd.

  2. 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.

  3. Mesozoic sea level fluctuations documented on Exmouth Plateau off northwestern Australia

    Energy Technology Data Exchange (ETDEWEB)

    Haq, B.U.; Blome, C.D.; Bralower, T.J.; Brenner, W.; Oda, M.; Siesser, W.; Wonders, A.A.H.

    1989-03-01

    The Exmouth Plateau is uniquely suited to the study of sea level changes because of the existence of an extensive seismic grid and industry well sites, an extended Mesozoic stratigraphic record punctuated with several major unconformities, and the relatively protected position of this high plateau. Thus, documenting sea level fluctuations was one of the major objectives of drilling on the Exmouth Plateau. This documentation depends on their ability to (1) isolate the tectonic overprint from the eustatic signal by retracing the subsidence histories of the drill sites and (2) accurately date the unconformities. Two transects of sites were drilled, one with four sites on the Wombat Plateau and the other with two sites on the central Exmouth Plateau, with one site located relatively proximally and another distally to the source of sediment supply. Preliminary shipboard work indicates that the age of Mesozoic unconformities can be accurately constrained and the subsidence-related tectonic events can be effectively isolated from sea level fluctuations. Sequence stratigraphic analysis of seismic, lithofacies, biofacies, and well-log data document important Upper Triassic sequence boundaries on the Wombat Plateau between the middle and upper Carnian (Norian-Rhaetian boundary) and in the upper most Rhaetian, whose timing and relative magnitude conform well with the eustatic cycle chart. The sequence boundary and systems tracts recognized in the central Exmouth Plateau Barrow Group equivalent strata (Berriasian-Valanginian) also correspond well with the global cycle chart. These preliminary results are of considerable importance in providing a test of the validity of the eustatic model.

  4. 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.

  5. Economic impacts of ethnic rivalry on Jos, Plateau State 1994-2004 ...

    African Journals Online (AJOL)

    ... North Central areas of Nigeria which Jos, Plateau State belonged. These ethnic rivalries posed serious socioeconomic threats to the State and the fortunes of the people Jeopardized. Hence the paper examines the crucial sectors of the state economy like agriculture, tourism, livestock production and the natural resources ...

  6. Occurrence of Loasis in a Savannah Ecosystem of The Jos Plateau ...

    African Journals Online (AJOL)

    This study evaluated the occurrence of loasis in ten (10) communities of Jos East LGA, Plateau State, North Central Nigeria. Blood samples were collected from 768 consented persons between 12 noon and 4.00 pm. Parasitological analysis using 10 % Giemsa stain results showed that 50 (6.5%) of the sampled population ...

  7. Association of CHRDL1 mutations and variants with X-linked megalocornea, Neuhäuser syndrome and central corneal thickness.

    Directory of Open Access Journals (Sweden)

    Alice E Davidson

    Full Text Available We describe novel CHRDL1 mutations in ten families with X-linked megalocornea (MGC1. Our mutation-positive cohort enabled us to establish ultrasonography as a reliable clinical diagnostic tool to distinguish between MGC1 and primary congenital glaucoma (PCG. Megalocornea is also a feature of Neuhäuser or megalocornea-mental retardation (MMR syndrome, a rare condition of unknown etiology. In a male patient diagnosed with MMR, we performed targeted and whole exome sequencing (WES and identified a novel missense mutation in CHRDL1 that accounts for his MGC1 phenotype but not his non-ocular features. This finding suggests that MMR syndrome, in some cases, may be di- or multigenic. MGC1 patients have reduced central corneal thickness (CCT; however no X-linked loci have been associated with CCT, possibly because the majority of genome-wide association studies (GWAS overlook the X-chromosome. We therefore explored whether variants on the X-chromosome are associated with CCT. We found rs149956316, in intron 6 of CHRDL1, to be the most significantly associated single nucleotide polymorphism (SNP (p = 6.81×10(-6 on the X-chromosome. However, this association was not replicated in a smaller subset of whole genome sequenced samples. This study highlights the importance of including X-chromosome SNP data in GWAS to identify potential loci associated with quantitative traits or disease risk.

  8. Index of central obesity as a parameter to replace waist circumference for the definition of metabolic syndrome in predicting cardiovascular disease.

    Science.gov (United States)

    Luo, Wenshu; Guo, Zhirong; Wu, Ming; Hao, Chao; Zhou, Zhengyuan; Yao, Xingjuan

    2014-10-01

    To compare the suitability of metabolic syndrome definitions in predicting cardiovascular disease (CVD) risk. We analyzed data from a population-based prospective cohort of 3598 participants from Jiangsu, China. Waist circumference was replaced with central obesity [index of central obesity (ICO), a ratio of waist circumference and height] in Cholesterol Education Program Adult Treatment Panel III (ICO-replaced ATPIII) and International Diabetes Federation (ICO-replaced IDF), respectively. Cox proportional-hazards regression model and the receiver operating characteristic curve (ROC curve) was used to evaluate the suitability of ATPIII, IDF, ICO-replaced IDF and ICO-replaced ATPIII in predicting CVD risk. ICO was a better parameter in predicting CVD risk by ROC curve analysis. The ROC curve analysis also showed that although ICO-replaced IDF and IDF had the higher degree of specificity, lower sensitivity, longer ROC curve distance, less area under the curve to identify CVD than ATPIII and ICO-replaced ATPIII, therefore ICO-replaced IDF and IDF seemed to be undesirable. However, there was no significant difference in area under the curve between ATPIII and ICO-replaced ATPIII in predicting CVD risk. But it seems that odds ratios for abnormal triglyceride and high-density lipoprotein levels increase slightly when using ICO, but decrease for hyperglycemia and hypertension when using ICO. ICO was a better predictor of abnormal triglyceride and high-density lipoprotein levels than waist circumference, but waist circumference was a better predictor of hyperglycemia and hypertension than ICO. However, we failed to support ICO as a better parameter for metabolic syndrome definition in predicting CVD risk compared with waist circumference.

  9. 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.

  10. Restless legs syndrome and central nervous system gamma-aminobutyric acid: preliminary associations with periodic limb movements in sleep and restless leg syndrome symptom severity.

    Science.gov (United States)

    Winkelman, John W; Schoerning, Laura; Platt, Sam; Jensen, J Eric

    2014-10-01

    Previous research has demonstrated abnormalities in glutamate and N-acetyl aspartate (NAA) in the thalamus in individuals with restless legs syndrome (RLS) compared with healthy matched controls. However, levels of these transmitters in other RLS-related brain areas and levels of the most common inhibitory neurotransmitter, gamma-aminobutyric acid (GABA), have not been assessed. This study examined GABA, glutamate, and NAA levels in the dorsal anterior cingulate cortex (ACC), thalamus and cerebellum with the use of proton magnetic resonance spectroscopy ((1)H-MRS) at 4 tesla (4 T) and Megapress difference-editing in 18 subjects with RLS and a matched control group without RLS. Actigraphy was performed on the nights before scans to assess periodic limb movements of sleep (PLMS). Levels of GABA, glutamate, and NAA were no different between RLS and control subjects in any of the three voxels of interest. However, GABA levels were positively correlated with both PLM indices and RLS severity in the thalamus and negatively with both of these measures in the cerebellum in RLS subjects. In addition, NAA levels were higher in the ACC in RLS than in controls. Our preliminary data suggest that known cerebellar-thalamic interactions may modulate the intensity of RLS sensory and motor symptoms. In addition, anterior cingulate cortex may be associated with the affective components of the painful symptoms in this disorder. Copyright © 2014 Elsevier B.V. All rights reserved.

  11. 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.

  12. Comparative biometric study between plateau iris configuration and primary open angle glaucoma with narrow angle.

    Science.gov (United States)

    Diniz Filho, Alberto; Cronemberger, Sebastião; Mérula, Rafael Vidal; Calixto, Nassim

    2009-01-01

    To investigate biometrically the differences between plateau iris configuration (PIC) eyes and primary open angle glaucoma with narrow angle eyes. A comparative study involving a case series with 20 eyes of 11 plateau iris configuration patients and 45 eyes of 27 primary open angle glaucoma with narrow angle eyes patients was done. The following measurements were taken: corneal curvature, central corneal thickness, anterior chamber depth, lens thickness (LT), axial length (AL), lens thickness and axial length ratio, lens position (LP) and relative lens position (RLP). The plateau iris configuration eyes presented a higher corneal cuvature value than primary open angle glaucoma with narrow angle eyes eyes but not with clinical and statistical difference (P=0.090). The plateau iris configuration eyes demonstrated a higher central corneal thickness, with statistical significance, when compared to primary open angle glaucoma with narrow angle eyes (P=0.010). Statistical significant difference between plateau iris configuration and primary open angle glaucoma with narrow angle eyes was found in axial length (21.69 +/- 0.98 vs. 22.42 +/- 0.89; P=0.003). No significant difference was found when anterior chamber depth (2.62 +/- 0.23 vs. 2.71 +/- 0.31; P=0.078), LT (4.67 +/- 0.36 vs. 4.69 +/- 0.45; P=0.975), LT/AL (2.16 +/- 0.17 vs. 2.10 +/- 0.21; P=0.569), LP (4.95 +/- 0.25 vs. 5.06 +/- 0.34; P=0.164) and RLP (0.23 +/- 0.01 vs. 0.22 +/- 0.14; P=0.348) were evaluated. The eyes with plateau iris configuration presented statistical significantly shorter axial length and higher central corneal thickness than primary open angle glaucoma with narrow angle eyes.

  13. Axillary Block as the Sole Anesthetic for Peripherally Inserted Central Catheter Placement in an Infant with Goldenhar Syndrome

    Directory of Open Access Journals (Sweden)

    Ma. Carmen Bernardo-Ocampo

    2013-01-01

    Full Text Available The use of peripheral nerve block as the sole anesthetic in infants is not very common. Studies have demonstrated that ultrasound guided (USG peripheral nerve block is associated with higher overall success rate when compared with nerve stimulation (Rubin et al., 2009, and Gelfand et al., 2011. Described below is a medically complex infant who had an USG axillary brachial plexus block for peripherally inserted central catheter (PICC placement.

  14. Origine et composition du plateau océanique Caraïbe

    OpenAIRE

    Révillon , Sidonie

    1999-01-01

    Mémoires de Géosciences Rennes, n° 97, 358 p. ISBN: 2-905532-96-3.; The Caribbean plateau is believed to have formed in the Pacific through melting in a mantle plume. Parts of the plateau accreted around the Caribbean and on the Pacific coast of Colombia and Equador; other parts form the floor of the Caribbean Sea. We studied samples from Curaçao Island and the Beata Ridge in the central Caribbean, and from Gorgona Island in the Pacific. The samples include volcanic (basalts, picrites and kom...

  15. Characterization of adobes in the Central Plateau of Angola.

    OpenAIRE

    Pedro, Elsa C.D.; Duarte, Isabel M.R.; Varun, Humberto; Pinho, António B.

    2015-01-01

    In Angola, the earth construction constitutes part of the built and cultural her-itage. Numerous buildings made of raw earth, built with ancient techniques and methods, are distributed throughout the country. There are a considerable number of structures in wattle and daub, mud and more recently on CEB (Compressed Earth Block). But, adobe constitutes itself as the most widely used technique based on raw earth. Given the current development of the country, and the possibility of integrat-in...

  16. Prenatal to early postnatal nicotine exposure impairs central chemoreception and modifies breathing pattern in mouse neonates: a probable link to sudden infant death syndrome.

    Science.gov (United States)

    Eugenín, Jaime; Otárola, Marcelo; Bravo, Eduardo; Coddou, Claudio; Cerpa, Verónica; Reyes-Parada, Miguel; Llona, Isabel; von Bernhardi, Rommy

    2008-12-17

    Nicotine is a neuroteratogen and is the likely link between maternal cigarette smoking during pregnancy and sudden infant death syndrome (SIDS). Osmotic minipumps were implanted in 5-7 d CF1 pregnant mice to deliver nicotine bitartrate (60 mg Kg(-1) day(-1)) or saline (control) solutions for up to 28 d. Prenatal to early postnatal nicotine exposure did not modify the number of newborns per litter or their postnatal growth; however, nicotine-exposed neonates hypoventilated and had reduced responses to hypercarbia (inhalation of air enriched with 10% CO(2) for 20 min) and hypoxia (inhalation of 100% N(2) for 20 s) at postnatal days 0-3 (P0-P3). In contrast, at postnatal day 8, nicotine-exposed neonates were indistinguishable from controls. Isolated brainstem-spinal cord preparations obtained from P0 to P3 nicotine-exposed neonates showed fictive respiration with respiratory cycles longer and more irregular than those of controls, as indicated by high short- and long-term variability in Poincaré plots. In addition, their responses to acidification were reduced, indicating compromise of central chemoreception. Furthermore, the cholinergic contribution to central chemosensory responses switched from muscarinic receptor to nicotinic receptor-based mechanisms. No significant astrogliosis was detectable in the ventral respiratory group of neurons with glial fibrillary acidic protein immunohistochemistry. These results indicate that nicotine exposure affects the respiratory rhythm pattern generator and causes a decline in central chemoreception during early postnatal life. Consequently, breathing would become highly vulnerable, failing to respond to chemosensory demands. Such impairment could be related to the ventilatory abnormalities observed in SIDS.

  17. 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

  18. Carbonate platform development and drowning on Wombat plateau margin: history of development or rifting off northwestern Australia

    Energy Technology Data Exchange (ETDEWEB)

    Sarti, M.; Borella, P.; De Carlo, E.; Dumont, T.; Galbrun, B.; Golovchenko, X.; Lorenzo, J.; O' Connell, S.

    1989-03-01

    A four-site transect drilled on the Wombat Plateau during ODP Leg 122 provided critical information regarding the development of Mesozoic rifting and relative sea level changes. The Wombat Plateau is an isolated tilted horst at the northern margin of the Exmouth Plateau, off northwestern Australia, with steeply dipping, fault-bounded sides to the south and north. At the four sites, a Carnian-Rhaetian deltaic and carbonate sequence was recovered, bounded by a major post-Triassic unconformity. Rhaetian strata are overlain by post-unconformity Lower Cretaceous to Quaternary pelagic chalk and ooze. The southern edge of the plateau is uptilted, and Middle to Upper Triassic deltaic strata and interbedded carbonate bank deposits are eroded. Locally, the succession is reduced and incomplete, and lower to middle Carnian units are inferred to pinch out against an angular unconformity. In the central plateau, the succession consists of Rhaetian shallow-water carbonates and lagoonal mudstones unconformably overlying Norian deltaic clastics. At the northern rim of the plateau, a platform-edge coral-reef complex is developed. The succession progressively thickens from the south to the north. Uppermost Rhaetian Triasina beds record the initial deepening of the Wombat Plateau. Correlation of the four sites suggests that the onset of differential subsidence began in the early Late Triassic.

  19. Evolution of the Southern Guinea Plateau: Implications on Guinea-Demerara Plateau formation using insights from seismic, subsidence, and gravity data

    Science.gov (United States)

    Olyphant, Jared R.; Johnson, Roy A.; Hughes, Amanda N.

    2017-10-01

    The Guinea Plateau (offshore Guinea) and its conjugate, the Demerara Plateau (offshore French Guiana), comprise two of the most prominent passive continental margins in the Atlantic Ocean. The conjugate plateaus formed as a result of two periods of rifting, the Jurassic opening of the Central Atlantic Ocean and the northward-propagating Cretaceous opening of the Southern Atlantic Ocean. Although several studies are published on the Demerara Plateau that explain the evolution of its multi-rift history and the effect of rifting on its distinct geometry, the Guinea Plateau, and in particular its south-eastern margin, remain relatively unexplored in the literature. Here we present interpretations of the structure and evolution of the Guinea Plateau using recent 2-D and 3-D seismic-reflection data collected at the intersection of the southern and eastern margins. We substantiate our study with calculated subsidence curves at four locations along the southern margin, as well as two 2-D gravity forward models along regional seismic-reflection profiles to estimate stretching factors (β) and crustal thicknesses. We combine our results with previous studies concerning the south-western Guinea margin, and compare them to published interpretations regarding the conjugate margins of the Demerara Plateau. The resolved amounts of rift-related volcanism, listric-style normal faults, and moderate stretching factors suggest that a component of upper-crustal asymmetry (simple shear) and depth-dependent stretching may have persisted at the Demerara-Guinea conjugate margins during Cretaceous rifting of the equatorial segment of the Southern Atlantic Ocean.

  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. 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.

  2. 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.

  3. 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

  4. 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.

  5. Association of Non-alcoholic Fatty Liver Disease with Metabolic Syndrome Independently of Central Obesity and Insulin Resistance.

    Science.gov (United States)

    Yang, Kuen Cheh; Hung, Hui-Fang; Lu, Chia-Wen; Chang, Hao-Hsiang; Lee, Long-Teng; Huang, Kuo-Chin

    2016-06-01

    Non-alcoholic fatty liver disease (NAFLD) is an emerging chronic liver disease that may lead to liver cirrhosis and hepatocellular carcinoma. We aimed to determine the association between the prevalence of metabolic syndrome (MetS) and NAFLD severity using semi-quantitative ultrasonography (US). A total of 614 participants were recruited from the community. NAFLD was evaluated according to the ultrasonographic Fatty Liver Indicator (US-FLI), which is a semi-quantitative liver ultrasound score. Insulin resistance was estimated with the homeostasis model assessment index for insulin resistance (HOMA-IR). NAFLD and MetS were found in 53.7 and 17.3% of the participants, respectively. Linear relationships were found between the severity of NAFLD and waist circumference, fasting glucose, HOMA-IR, triglycerides, HDL-C and blood pressure. After adjusting for confounding factors, i.e., body mass index and HOMA-IR, the odds ratios for MetS were 3.64 (95% confidence interval (CI): 1.5-8.83) for those with mild NAFLD and 9.4 (95% CI: 3.54-24.98) for those with moderate-to-severe NAFLD compared to those without NAFLD. The combination of the HOMA-IR and US-FLI scores better differentiated MetS than the HOMA-IR alone. In addition to obesity, the severity of NAFLD and the HOMA-IR both play important roles in MetS. Whether NAFLD is a component of MetS warrants further research.

  6. 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)

  7. 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

  8. Comparison of Metabolic Syndrome Indicators in Two Samples of Central and South Americans Living in the Washington, D.C. Area in 1993–1994 and 2008–2009: Secular Changes in Metabolic Syndrome in Hispanics

    Directory of Open Access Journals (Sweden)

    Regina Gill

    2017-08-01

    Full Text Available The Central and South American populations are growing rapidly in the US; however, there is a paucity of information about their health status. Objectives: we estimated the prevalence of metabolic syndrome (MetS and its individual components from two cohorts of Central and South Americans. Methods: This cross-sectional, medical record extraction survey sampled 1641 adults from a Washington, D.C clinic. A questionnaire was used to collect socio-demographic, medical history, anthropometric, biochemical, and clinical data. Results: among the 1993–1994 cohort, the MetS prevalence was 19.7%. The most prevalent MetS components were low high-density lipoprotein (HDL cholesterol (40.4% men and 51.3% women, elevated triglycerides (40.9% men and 33.1% women, and high body mass index (BMI ≥ 25 kg/m2 (27.6% men and 36.6% women. The overall prevalence of MetS in the 2008–2009 cohort was 28%. The most common abnormal metabolic indicator was an elevated BMI ≥ 25 kg/m2 (75.6%. 43.2% of men and 50.7% of women had HDL levels below normal, while the prevalence of hypertriglyceridemia was 46.5% and 32.5% for men and women, respectively. Conclusion: the prevalence of MetS was significantly greater in 2008–2009 compared with 1993–1994 (p ≤ 0.05. Dyslipidemia and high BMI have increased. Although similar components were identified in both the 1993–1994 and 2008–2009 study populations, the risks of MetS have increased over time.

  9. New Exploration of Kerguelen Plateau Margins

    Science.gov (United States)

    Vially, R.; Roest, W. R.; Loubrieu, B.; Courreges, E.; Lecomte, J.; Patriat, M.; Pierre, D.; Schaming, M.; Schmitz, J.

    2008-12-01

    France ratified the United Nations Convention on the Law of the Sea in 1996, and has since undertaken an ambitious program of bathymetric and seismic data acquisition (EXTRAPLAC Program) to support claims for the extension of the legal continental shelf, in accordance with Article 76 of this convention. For this purpose, three oceanographic surveys took place on board of the R/V Marion Dufresne II on the Kerguelen Plateau, in Southern Indian Ocean: MD137-Kergueplac1 (February 2004), MD150-Kergueplac2 (October 2005) and MD165-Kergueplac3 (January 2008), operated by the French Polar Institute. Thus, more than 20 000 km of multibeam bathymetric, magnetic and gravimetric profiles, and almost 6 000 km of seismic profiles where acquired during a total of 62 days of survey in the study area. Ifremer's "rapid seismic" system was used, comprised of 4 guns and a 24 trace digital streamer, operated at speeds up to 10 knots. In addition to its use for the Extraplac Program, the data set issued from these surveys gives the opportunity to improve our knowledge of the structure of the Kerguelen Plateau and more particularly of its complex margins. In this poster, we will show the high resolution bathymetry (200 m) data set, that allows us to specify the irregular morphology of the sea floor in the north Kerguelen Plateau, characterised by ridges and volcanoes chains, radial to the plateau, that intersect the oceanic basin on the NE edge of the Kerguelen Plateau. We will also show magnetic and gravity data, which help us to understand the setting up of the oceanic plateau and the kinematics reconstructions. The seismic profiles show that the acoustic basement of the plateau is not much tectonised, and displays a very smooth texture, clearly contrasting it from typical oceanic basement. Both along the edge of the plateau as in the abyssal plain, sediments have variable thicknesses. The sediments on the margin of the plateau are up to 1200 meters thick and display irregular

  10. 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.

  11. Genetics Home Reference: 48,XXYY syndrome

    Science.gov (United States)

    ... and 49,XXXXY syndromes: not just variants of Klinefelter syndrome. Acta Paediatr. 2011 Jun;100(6):851-60. ... on PubMed Central Visootsak J, Graham JM Jr. Klinefelter syndrome and other sex chromosomal aneuploidies. Orphanet J Rare ...

  12. 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

    2015-01-01

    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. PMID:25970822

  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. The Altiplano-Puna Plateau as an Analog for Mars

    Science.gov (United States)

    de Silva, S. L.; Byrnes, J. M.; Crown, D. A.; Zimbelman, J. R.; Jimenez, N.; Bills, B. G.

    2002-12-01

    The Altiplano-Puna Plateau of the Central Andes of Bolivia has experienced a climatic and geologic evolution that has resulted in an enticing array of potential Martian analog geologic environments and features. Elevated ~3 ? 4km above the adjacent Atacama desert, the Altiplano-Puna is the highest plateau in the world associated with extensive volcanism; it is second only to Tibet in height and extent. The high elevation adds extreme cold, wind, and lower atmospheric pressure to a hyper-arid climate making this region a compelling analog environment for Mars. The plateau is dominated by the Altiplano basin, which developed as a major intermontane basin since at least 25Ma. This is flanked by major volcanic provinces to the east and south. To the south is the Altiplano-Puna Volcanic Complex (APVC) where regionally extensive ignimbrite sheets and associated eruptive centers are amongst the largest known volcanic features in the world. The region has proven to be an excellent natural laboratory for remote sensing and field-based studies of volcanism. The extreme cold, wind, and the wide diurnal temperature range, results in geomorphic expressions dominated by physical weathering and aeolian erosion. These factors make this region one of the premier analog environments for Martian features like Amazonis Planitia, and Hadriaca, Alba, and Tyrrhena paterae, as well as the enigmatic Medusa Fossae Formation (MFF) materials. Large ignimbrite shields, are prominent features of volcanic geology of the plateau and are the subject of an ongoing terrestrial analog study for the MFF. The Altiplano basin preserves a long Pleistocene lake history recorded in a well-preserved lake shore geomorphology consisting of both erosional and depositional features. These features are easily identified and studied in the field and on remotely sensed images and may lend valuable insight into the debate over putative paleoshorelines in the northern plains of Mars. Throughout the basin are several

  15. Peopling the Tibetan plateau: insights from archaeology.

    Science.gov (United States)

    Aldenderfer, Mark

    2011-01-01

    Recent studies of the genome of modern Tibetans have revealed the existence of genes thought to provide an adaptive advantage for life at high elevation. Extrapolating from this discovery, some researchers now argue that a Tibetan-Han split occurred no more than 2750 yr ago. This date is implausible, and in this paper I review the archaeological data from the Tibetan plateau as one means by which to examine the veracity of this assertion. Following a review of the general state of knowledge of Tibetan prehistory, which is unfortunately only at its beginnings, I first examine the data that speak to the initial peopling of the plateau and assess the evidence that traces of their presence can be seen in modern Tibetans today. Although the data are sparse, both archaeology and genetics suggest that the plateau was occupied in the Late Pleistocene, perhaps as early as 30,000 yr ago, and that these early peoples have left a genetic signature in modern Tibetans. I then turn to the evidence for later migrations and focus on the question of the timing of the establishment of permanent settled villages on the plateau. Three areas of the plateau-northeastern Qinghai, extreme eastern Tibet, and the Yarlung Tsangpo valley-have evidence of permanent settlements dating from ca. 6500, 5900, and 3750 yr ago, respectively. These data are not consonant with the 2750 yr ago date for the split and suggest at a minimum that the plateau has been occupied substantially longer and, further, that multiple migrations at different times and from different places have created a complex mosaic of population history. © Mary Ann Liebert, Inc.

  16. 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)

  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. The quasi-stationary feature of nocturnal precipitation in the Sichuan Basin and the role of the Tibetan Plateau

    Science.gov (United States)

    Jin, Xia; Wu, Tongwen; Li, Laurent

    2013-08-01

    The nocturnal precipitation in the Sichuan Basin in summer has been studied in many previous works. This paper expands the study on the diurnal cycle of precipitation in the Sichuan Basin to the whole year. Results show that the nocturnal precipitation has a specific quasi-stationary feature in the basin. It occurs not only in summer but also in other three seasons, even more remarkable in spring and autumn than in summer. There is a prominent eastward timing delay in the nocturnal precipitation, that is, the diurnal peak of precipitation occurs at early-night in the western basin whereas at late-night in the center and east of the basin. The Tibetan Plateau plays an essential role in the formation of this quasi-stationary nocturnal precipitation. The early-night peak of precipitation in the western basin is largely due to strong ascending over the plateau and its eastern lee side. In the central and eastern basin, three coexisting factors contribute to the late-night peak of precipitation. One is the lower-tropospheric southwesterly flow around the southeastern edge of the Tibetan Plateau, which creates a strong cyclonic rotation and ascendance in the basin at late-night, as well as brings abundant water vapor. The second is the descending motion downslope along the eastern lee side of the plateau, together with an air mass accumulation caused by the warmer air mass transport from the southeast of the Yunnan-Guizhou Plateau, creating a diabatic warming at low level of the troposphere in the central basin. The third is a cold advection from the plateau to the basin at late-night, which leads to a cooling in the middle troposphere over the central basin. All these factors are responsible for precipitation to occur at late-night in the central to eastern basin.

  19. High-resolution receiver function imaging reveals Colorado Plateau lithospheric architecture and mantle-supported topography

    Science.gov (United States)

    Domingo, Dorothy L.; R. Aster,; S. Grand,; J Ni,; W.S. Baldridge,; David C. Wilson USGS,

    2010-01-01

    After maintaining elevations near sea level for over 500 million years, the Colorado Plateau (CP) has a present average elevation of 2 km. We compute new receiver function images from the first dense seismic transect to cross the plateau that reveal a central CP crustal thickness of 42–50 km thinning to 30–35 km at the CP margins. Isostatic calculations show that only approximately 20% of central CP elevations can be explained by thickened crust alone, with the CP edges requiring nearly total mantle compensation. We calculate an uplift budget showing that CP buoyancy arises from a combination of crustal thickening, heating and alteration of the lithospheric root, dynamic support from mantle upwelling, and significant buoyant edge effects produced by small-scale convecting asthenosphere at its margins.

  20. Autoimmune predisposition in Down syndrome may result from a partial central tolerance failure due to insufficient intrathymic expression of AIRE and peripheral antigens.

    Science.gov (United States)

    Giménez-Barcons, Mireia; Casteràs, Anna; Armengol, Maria del Pilar; Porta, Eduard; Correa, Paula A; Marín, Ana; Pujol-Borrell, Ricardo; Colobran, Roger

    2014-10-15

    Down syndrome (DS), or trisomy of chromosome 21, is the most common genetic disorder associated with autoimmune diseases. Autoimmune regulator protein (AIRE), a transcription factor located on chromosome 21, plays a crucial role in autoimmunity by regulating promiscuous gene expression (pGE). To investigate if autoimmunity in DS is promoted by the reduction of pGE owing to dysregulation of AIRE, we assessed the expression of AIRE and of several peripheral tissue-restricted Ag genes by quantitative PCR in thymus samples from 19 DS subjects and 21 euploid controls. Strikingly, despite the 21 trisomy, AIRE expression was significantly reduced by 2-fold in DS thymuses compared with controls, which was also confirmed by fluorescent microscopy. Allele-specific quantification of intrathymic AIRE showed that despite its lower expression, the three copies are expressed. More importantly, decreased expression of AIRE was accompanied by a reduction of pGE because expression of tissue-restricted Ags, CHRNA1, GAD1, PLP1, KLK3, SAG, TG, and TSHR, was reduced. Of interest, thyroid dysfunction (10 cases of hypothyroidism and 1 of Graves disease) developed in 11 of 19 (57.9%) of the DS individuals and in none of the 21 controls. The thymuses of these DS individuals contained significantly lower levels of AIRE and thyroglobulin, to which tolerance is typically lost in autoimmune thyroiditis leading to hypothyroidism. Our findings provide strong evidence for the fundamental role of AIRE and pGE, namely, central tolerance, in the predisposition to autoimmunity of DS individuals. Copyright © 2014 by The American Association of Immunologists, Inc.

  1. 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

  2. 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.

  3. Braarudosphaera-rich sediments on the Exmouth Plateau, eastern Indian Ocean

    Energy Technology Data Exchange (ETDEWEB)

    Siesser, W.G. (Vanderbilt Univ., Nashville, TN (United States)); Bralower, T.J. (Univ. of North Carolina, Chapel Hill (United States)); Carlo, E.H. de (Univ. of Hawaii, Manoa, Honolulu (United States))

    1991-03-01

    Calcareous nannofossil assemblages enriched in Braarudosphaera occur in lower Oligocene to lower Miocene sediments at Ocean Drilling Program Sites 762 and 763 on the central Exmouth Plateau. Although beds of Braarudosphaera-rich sediments are well known in the Oligocene of the South Atlantic (the Braarudosphaera Chalk), this is the first published report of this phenomenon in the easter Indian Ocean. Braarudosphaerids appear rather abruptly in the lower Oligocene (in Zone NP 21) on the Exmouth Plateau. They reach their greatest numbers in the lower Oligocene (in Zones NP 22 and NP 23), where they comprise up to 10% of some samples. Braarudosphaera bigelowii is the overwhelmingly dominant species, occurring together with rare specimens of B. discula and Micrantholithus pinguis. The holococcoliths Peritrachelina joidesa and Lanternithus minutus are also associated with the Braarudosphaera enrichment. There are two populations of B. bigelowii: one of normal size (10-14 {mu}m) and one of large specimens (20-22 {mu}m). The larger braarudosphaerids are more common than the smaller forms. Braarudosphaera-rich sediments are absent at the nearby Wombat Plateau sites during the same time interval. The authors attribute this to latitudinal control, since the Wombat sites are about 4{degree} north of the Central Exmout Plateau sites. The occurrence of braarudosphaerids on the Exmouth Plateau is related to an Oligocene to early Miocene oceanographic event. Stable-isotope and trace-element analyses suggest that upwelling of cool, low-salinity, nutrient-rich water along a Divergent Zone created the Braarudosphaera-rich sediments in the Indian Ocean.

  4. The Hubble Flow of Plateau Inflation

    NARCIS (Netherlands)

    Coone, Dries; Roest, Diederik; Vennin, Vincent

    2015-01-01

    In the absence of CMB precision measurements, a Taylor expansion has often been invoked to parametrize the Hubble flow function during inflation. The standard "horizon flow" procedure implicitly relies on this assumption. However, the recent Planck results indicate a strong preference for plateau

  5. A report on the extended distribution of Polycarpaea aurea (Caryophyllaceae, an endemic herbaceous species, to Chota Nagpur Plateau, Jharkhand, India

    Directory of Open Access Journals (Sweden)

    Vijay Kumar Mastakar

    2015-10-01

    Full Text Available The extended distribution of Polycarpaea aurea (Wight Dunn to the Chota Nagpur Plateau is discussed with a detailed description, illustration and images. The present collection from the Palkot Wildlife Sanctuary also forms a new record to the flora of Jharkhand. This species is endemic to peninsular, Central and Eastern India.

  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. Detrital zircon evidence for the ternary sources of the Chinese Loess Plateau

    Science.gov (United States)

    Sun, Jimin; Ding, Zhongli; Xia, Xiaoping; Sun, Min; Windley, Brian F.

    2018-04-01

    The provenance of Chinese loess is fundamental for understanding its origin, transportation and climatic significance. In this paper, eight samples were collected for detrital zircon age analysis, five from different deserts, and three from the Jingbian Section in the northern Chinese Loess Plateau, covering an age range of 2.6-0.03 Ma. The new results, integrated with knowledge of relevant topography and wind patterns, demonstrate that the age spectra of the detrital zircons in the loess are different from those of the sands from the Tarim, Junggar and Qaidam basins, implying that these basins were not the sources of the silts of the Loess Plateau. Further analysis suggests that the three sources for the loess are: (1) clastic materials eroded from the mountains of the Central Asian Orogenic Belt (especially the Gobi Altai and Hangay), (2) clastic loess-sized materials generated by erosion of the Qilian Mountains in the NE Tibetan Plateau, and (3) minor clastic debris derived from the mountains of the North China Craton. Thus, silts of the Loess Plateau have a complex origin, although inland basins, long believed to be important sources, have only a minor role at most.

  9. 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.

  10. 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.

  11. 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.

  12. Hydrogeology of the Markagunt Plateau, Southwestern Utah

    Science.gov (United States)

    Spangler, Lawrence E.

    2010-01-01

    The Markagunt Plateau, in southwestern Utah, lies at an altitude of about 9,500 feet and is capped primarily by Quaternary-age basalt that overlies Eocene-age freshwater limestone of the Claron Formation. Over large parts of the Markagunt Plateau, dissolution of the Claron limestone and subsequent collapse of the overlying basalt have produced a terrain characterized by sinkholes as much as 1,000 feet across and 100 feet deep. Numerous large springs discharge from the basalt and underlying limestone on the plateau, including Mammoth Spring, one of the largest springs in Utah, with a discharge that can exceed 300 cubic feet per second. Discharge from Mammoth Spring is from the Claron Formation; however, recharge to the spring largely takes place by both focused and diffuse infiltration through the basalt that caps the limestone. Results of dye tracing to Mammoth Spring indicate that recharge originates largely southwest of the spring outside of the Mammoth Creek watershed, as well as from losing reaches along Mammoth Creek. Maximum groundwater travel time to the spring from dye-tracer tests during the snowmelt runoff period was about 1 week. Specific conductance and water temperature data from the spring show an inverse relation to discharge during snowmelt runoff and rainfall events, also indicating short groundwater residence times. Results of major-ion analyses for samples collected from Mammoth and other springs on the plateau indicate calcium-bicarbonate type water containing low (less than 200 mg/L) dissolved-solids concentrations. Investigations in the Navajo Lake area along the southern margin of the plateau have shown that water losing to sinkholes bifurcates and discharges to both Cascade and Duck Creek Springs, which subsequently flow into the Virgin and Sevier River basins, respectively. Groundwater travel times to these springs, on the basis of dye tracing, were about 8.5 and 53 hours, respectively. Similarly, groundwater travel time from Duck Creek

  13. 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

  14. Genetics Home Reference: Knobloch syndrome

    Science.gov (United States)

    ... the central area of the retina, called the macula. The macula is responsible for sharp central vision, which is ... Due to abnormalities in the vitreous, retina, and macula, people with Knobloch syndrome often develop blindness in ...

  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. Temporal and spatial evolution of the standardized precipitation evapotranspiration index (SPEI) in the Loess Plateau under climate change from 2001 to 2050.

    Science.gov (United States)

    Gao, Xuerui; Zhao, Qi; Zhao, Xining; Wu, Pute; Pan, Wenxiang; Gao, Xiaodong; Sun, Miao

    2017-10-01

    Loess Plateau has great uncertainty on drought occurrence due to climate change. This paper analyzes the evolution of precipitation, potential evapotranspiration and standardized precipitation evapotranspiration index (SPEI) based on the Coupled Model Inter-comparison Project Phase 5 (CMIP5) data and regional downscaling model (RegCM4.0). Results indicate that, under RCP2.6 Scenario, the precipitation will increase significantly (5% confidence level) at the rate of 16.40mm/10a. However, the potential evapotranspiration is showing non-significant decreasing trend at the rate of 2.16mm/10a. Moreover, the SPEI will decrease in the south and northernmost area and increase in the central northern area of Loess Plateau. Under RCP8.5 Scenario, the precipitation will increase significantly (5% confidence level) at the rate of 19.12mm/10a. The potential evapotranspiration will non-significantly decrease at the rate of 2.16mm/10a and the SPEI is showing increasing trend almost in the whole Loess Plateau. Generally, Loess Plateau is becoming wetter in the central part under RCP2.6 Scenario and the wet area will be enlarged to almost the whole plateau under RCP8.5 Scenario. Based on the results, the water resources will increase under global warming, which may alleviate the water scarcity issue in the Loess Plateau. Copyright © 2017. Published by Elsevier B.V.

  17. 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.

  18. 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 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.

  19. 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.

  20. 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.

  1. 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

  2. Lennox-Gastaut Syndrome

    Science.gov (United States)

    ... central nervous system infection and inherited degenerative or metabolic conditions. In 30-35 percent of cases, no cause can be found. Treatment Treatment for Lennox-Gastaut syndrome includes clobazam and anti-epileptic medications such as ...

  3. Quantifying sources, transport, deposition, and radiative forcing of black carbon over the Himalayas and Tibetan Plateau

    Science.gov (United States)

    Zhang, R.; Wang, H.; Qian, Y.; Rasch, P. J.; Easter, R. C.; Ma, P.-L.; Singh, B.; Huang, J.; Fu, Q.

    2015-06-01

    Black carbon (BC) particles over the Himalayas and Tibetan Plateau (HTP), both airborne and those deposited on snow, have been shown to affect snowmelt and glacier retreat. Since BC over the HTP may originate from a variety of geographical regions and emission sectors, it is essential to quantify the source-receptor relationships of BC in order to understand the contributions of natural and anthropogenic emissions and provide guidance for potential mitigation actions. In this study, we use the Community Atmosphere Model version 5 (CAM5) with a newly developed source-tagging technique, nudged towards the MERRA meteorological reanalysis, to characterize the fate of BC particles emitted from various geographical regions and sectors. Evaluated against observations over the HTP and surrounding regions, the model simulation shows a good agreement in the seasonal variation in the near-surface airborne BC concentrations, providing confidence to use this modeling framework for characterizing BC source-receptor relationships. Our analysis shows that the relative contributions from different geographical regions and source sectors depend on season and location in the HTP. The largest contribution to annual mean BC burden and surface deposition in the entire HTP region is from biofuel and biomass (BB) emissions in South Asia, followed by fossil fuel (FF) emissions from South Asia, then FF from East Asia. The same roles hold for all the seasonal means except for the summer, when East Asia FF becomes more important. For finer receptor regions of interest, South Asia BB and FF have the largest impact on BC in the Himalayas and central Tibetan Plateau, while East Asia FF and BB contribute the most to the northeast plateau in all seasons and southeast plateau in the summer. Central Asia and Middle East FF emissions have relatively more important contributions to BC reaching the northwest plateau, especially in the summer. Although local emissions only contribute about 10% of BC in

  4. 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 ...

  5. 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.

  6. 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)

  7. 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

  8. 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

  9. 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.

  10. Hydrogeology - MO 2014 Thermoclines Springfield Plateau Aquifer (SHP)

    Data.gov (United States)

    NSGIC State | GIS Inventory — Springfield Plateau aquifer thermo cline correlates the temperature data throughout the state in the upper Mississippian Subsystem, from the Ste. Genevieve Limestone...

  11. 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.

  12. Going beyond Career Plateau: Using Professional Plateau To Account for Work Outcomes.

    Science.gov (United States)

    Lee, Patrick Chang Boon

    2003-01-01

    Survey responses from 170 of 300 engineers working in Singapore revealed that significant variance in career satisfaction, job satisfaction, and turnover intentions was accounted for by professional plateau, the point at which individuals find their jobs unchallenging with few opportunities for professional development. (Contains 33 references.)…

  13. 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

  14. 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. ...

  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. Magnetolluric Imaging of the Lithosphere beneath the Tibetan Plateau: A Synoptic View

    Science.gov (United States)

    Dong, H.; Wei, W.; Jin, S.; Ye, G.; Jing, J.; Zhang, L.; Jones, A. G.; Xie, C.; Yin, Y.

    2016-12-01

    To better understand the collision and convergence process between India and Asia continent, magnetotelluric (MT) data have been used to image crustal electrical resistivity and to estimate the rheological structure in the south, east and north margin of Tibetan Plateau in the last decades. However, most of these MT data were collected as isolated profiles and insufficient to convey a synoptic view of the Plateau. Recently, the MT data coverage is greatly improved from the 1 by 1 degree SINOPROBE MT array data from 2011-2013. In this study, a three-dimensional (3D) geo-electrical model of the crust and uppermost mantle is derived from the combined broadband and long period array dataset. The resulting model features broadly resistive structure in the upper crust, with the exception of small scale conductors lining along the Yarlung-Zangbo Suture (YZS) and Bangong-Nujiang Suture (BNS). The lower crust consists of widely spread high conductive structures beneath Lhasa and Qiangtang Block except for the southeast part of Tibetan Plateau. Instead of the previous proposed homogenous high conductive layer, these lower crustal conductors are generally N-S directed and perpendicular to the above Cenozoic and Mesozoic sutures. While the lower crustal structures probably indicate partial melts induced by radiogenic heat from the thickened crust, the conductor along the suture zones in the upper crust might imply pathways for deep fluids into the shear zones of YZS and BNS. One of the most prominent feature revealed is the upper mantle conductive sturcture in the central part of Tibet Plateau (85-92°E) accompanied by two resistive regions in the southeast and southwest part of the Plateau. While the southwest resistive zone is broadly consistent with the "flat subduction" region of Indian lithosphere revealed by seismic receiver function study, the conductive middle part of Tibetan Plateau might represent the upper mantle melts induced by the water carried by the steeper

  17. Tibial Plateau Fracture Characteristics: Reliability and Diagnostic Accuracy

    NARCIS (Netherlands)

    Mellema, Jos J.; Doornberg, Job N.; Molenaars, Rik J.; Ring, David; Kloen, Peter; Babis, George C.; Jeray, Kyle J.; Prayson, Michael J.; Pesantez, Rodrigo; Acacio, Ramos; Verbeek, Diederik O.; Melvanki, Parag; Kreis, Barbara E.; Mehta, Samir; Meylaerts, S.; Wojtek, S.; Yeap, Ewe J.; Haapasalo, Heidi; Kristan, Anže; Coles, Chad; Marsh, J. Lawrence; Mormino, Matthew; Memon, Matthew; Tyllianakis, Minos; Schandelmaier, Peter; Jenkinson, R. J.; Neuhaus, Valentin; Shahriar, Chegini M. H.; Belangero, William D.; Leonidovich, Golovakha M.; Davenport, J. H.; Kabir, Koroush; Althausen, Peter L.; Weil, Yoram; Toom, Alar; Sa da Costa, Daniel; Koukoulias, Nikolaos; Manidakis, Nikolaos; van den Bogaert, Max; Patczai, Balázs; Grauls, Anthony; Kurup, Harish; van den Bekerom, Michel P.; Lansdaal, Joris R.; Vale, Mário; Ousema, Paul; Barquet, Antonio; Cross, Brian J.; Broekhuyse, Henry; Haverkamp, Daniel; Merchant, Milind; Harvey, Edward; Stojkovska Pemovska, Emilija; Frihagen, Frede; Seibert, Franz Josef; Garnavos, Christos; van der Heide, Huub; Villamizar, Harold Alonso; Harris, Ian; Borris, Lars C.; Brink, Ole; Choudhari, Pradeep; Swiontkowski, Marc; Mittlmeier, Thomas; Tosounidis, Theodoros; van Rensen, Inge; Martinelli, N.; Park, D. H.; Lasanianos, Nikolaos; Vide, J.; Engvall, A.; Zura, R. D.; Jubel, Axel; Kawaguchi, Alan; Goost, Hans; Bishop, Julius; Mica, Ladislav; Pirpiris, Marinis; van Helden, S. H.; Bouaicha, Samy; Schepers, T.; Havliček, Tomo; Giordano, Vincenzo

    2016-01-01

    The purpose of this study was to assess the interobserver reliability and diagnostic accuracy for 2-dimensional (2D) and 3-dimensional (3D) computed tomography (CT)-based evaluation of tibial plateau fracture characteristics. We hypothesized that recognition of specific tibial plateau fracture

  18. Fossil snail shells tell story about Tibetan Plateau

    Science.gov (United States)

    Wendel, JoAnna

    2014-09-01

    Ancient and modern snail shells have given scientists a unique look at the evolution of the Tibetan Plateau, confirming that parts of the plateau have actually lost elevation over time, despite its immense height. A new paper detailing the research was published on 29 August in the Geological Society of America Bulletin (doi:10.1130/B31000.1).

  19. Mass Media Agenda and Conflict Resolution in Jos, Plateau State ...

    African Journals Online (AJOL)

    In recent times, Plateau State, especially Jos, has been characterised by one form of crisis or the other. This, in turn leads to loss of lives and property. This paper therefore, attempts to examine the relevance of the agenda setting role of the mass media in resolving the lingering crisis in Plateau State. In addition, the paper ...

  20. Users Satisfaction with Library and Information Service in Plateau ...

    African Journals Online (AJOL)

    The study investigated Users Satisfaction with Library and Information Service in Plateau State Special Education Institution. Survey research method was adopted for the study and the population of the study consists of staff and students of the special educational institutions in Plateau State. The three selected institutions ...

  1. Plateau Waves of Intracranial Pressure and Multimodal Brain Monitoring.

    Science.gov (United States)

    Dias, Celeste; Maia, Isabel; Cerejo, Antonio; Smielewski, Peter; Paiva, José-Artur; Czosnyka, Marek

    2016-01-01

    The aim of this study was to describe multimodal brain monitoring characteristics during plateau waves of intracranial pressure (ICP) in patients with head injury, using ICM+ software for continuous recording. Plateau waves consist of an abrupt elevation of ICP above 40 mmHg for 5-20 min. This is a prospective observational study of patients with head injury who were admitted to a neurocritical care unit and who developed plateau waves. We analyzed 59 plateau waves that occurred in 8 of 18 patients (44 %). At the top of plateau waves arterial blood pressure remained almost constant, but cerebral perfusion pressure, cerebral blood flow, brain tissue oxygenation, and cerebral oximetry decreased. After plateau waves, patients with a previously better autoregulation status developed hyperemia, demonstrated by an increase in cerebral blood flow and brain oxygenation. Pressure and oxygen cerebrovascular reactivity indexes (pressure reactivity index and ORxshort) increased significantly during the plateau wave as a sign of disruption of autoregulation. Bedside multimodal brain monitoring is important to characterize increases in ICP and give differential diagnoses of plateau waves, as management of this phenomenon differs from that of regular ICP.

  2. 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.

  3. The quest for peace in Nigeria's Plateau | Odubajo | Africa Insight

    African Journals Online (AJOL)

    Jos, the capital of Plateau State, was the centre of attraction for locals and foreigners alike, as a consequence of its moderate weather, cosmopolitan outlook and tendency for accommodating diversity. For over a decade, however, Jos and various parts of rural Plateau State became theatres of war. The incessant violent ...

  4. An introduction to the Colorado Plateau Native Plant Initiative

    Science.gov (United States)

    Wayne Padgett; Peggy Olwell; Scott Lambert

    2010-01-01

    The Colorado Plateau Ecoregion is occupied by a variety of ecosystems requiring restoration activities following natural and human-caused disturbances. The Colorado Plateau Native Plant Initiative, included in the BLM Native Plant Materials Development Program, was established as a part of the Seeds of Success program. This program is a partnership between USDI Bureau...

  5. 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.

  6. 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.

  7. [Change of arbuscular mycorrhizal fungi community in response to elevational gradients on the Tibetan Plateau, China].

    Science.gov (United States)

    Cai, Xiao-bu; Peng, Yue-lin

    2015-09-01

    The community structure of arbuscular mycorrhizal fungi (AMF) and mycorrhizal infection in the main herbaceous plants were studied along the elevational gradients on the Tibetan Plateau, and AMF community was characterized based on spore morphology. Community of AMF at lower elevations (2200-3400 m) in southeast Tibetan Plateau included 11 genera, covering 31 species, whereas AMF at intermediate elevations (3400-3900 m) in central Tibet included 11 genera, covering 20 species, and that at higher elevations (4300-5300 m) in northern Tibet included 6 genera, covering 14 species. With the increase of elevation, both spore density (r = 0.978, P 0.05) tended to increase. The proportion of dominant species and endemic species increased substantially, while the Shannon index (r = -0.945, P elevations was significantly higher than that at lower elevations or higher elevations, while the latter two did not differ significantly. Within an altitude range, elevation had significant influence on AMF community and mycorrhizal infection, and the effect differed among the three elevational sites. The results demonstrated that AMF community on the Tibetan Plateau tends to be habitat specific. The water and thermal environment as well as soil environment are the driving forces for shaping AMF community assemblages.

  8. 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.

  9. 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...... European countries. Referral bias and classification differences may account for this disparity, in particular the age-intervals and the definition of onset....

  10. Ts1Cje Down syndrome model mice exhibit environmental stimuli-triggered locomotor hyperactivity and sociability concurrent with increased flux through central dopamine and serotonin metabolism.

    Science.gov (United States)

    Shimohata, Atsushi; Ishihara, Keiichi; Hattori, Satoko; Miyamoto, Hiroyuki; Morishita, Hiromasa; Ornthanalai, Guy; Raveau, Matthieu; Ebrahim, Abdul Shukkur; Amano, Kenji; Yamada, Kazuyuki; Sago, Haruhiko; Akiba, Satoshi; Mataga, Nobuko; Murphy, Niall P; Miyakawa, Tsuyoshi; Yamakawa, Kazuhiro

    2017-07-01

    Ts1Cje mice have a segmental trisomy of chromosome 16 that is orthologous to human chromosome 21 and display Down syndrome-like cognitive impairments. Despite the occurrence of affective and emotional impairments in patients with Down syndrome, these parameters are poorly documented in Down syndrome mouse models, including Ts1Cje mice. Here, we conducted comprehensive behavioral analyses, including anxiety-, sociability-, and depression-related tasks, and biochemical analyses of monoamines and their metabolites in Ts1Cje mice. Ts1Cje mice showed enhanced locomotor activity in novel environments and increased social contact with unfamiliar partners when compared with wild-type littermates, but a significantly lower activity in familiar environments. Ts1Cje mice also exhibited some signs of decreased depression like-behavior. Furthermore, Ts1Cje mice showed monoamine abnormalities, including increased extracellular dopamine and serotonin, and enhanced catabolism in the striatum and ventral forebrain. This study constitutes the first report of deviated monoamine metabolism that may help explain the basis for abnormal behaviors, including the environmental stimuli-triggered hyperactivity, increased sociability and decreased depression-like behavior in Ts1Cje mice. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Cretaceous plate interaction during the formation of the Colombian plateau, Northandean margin

    Science.gov (United States)

    Kammer, Andreas; Piraquive, Alejandro; Díaz, Sebastián

    2015-04-01

    The Cretaceous subduction cycle at the Northandean margin ends with an accretionary event that welds the plateau rocks of the present Western Cordillera to the continental margin. A suture between plateau and rock associations of the continental margin is well exposed at the western border of the Central Cordillera, but overprinted by intense block tectonics. Analyzed in detail, its evolution tracks an increased coupling between lower and upper plate, as may be accounted for by the following stages: 1) The Cretaceous plateau suite records at its onset passive margin conditions, as it encroaches on the continental margin and accounts for an extensional event that triggered the emplacement of ultramafic and mafic igneous rock suites along major faults. 2) An early subduction stage of a still moderate plate coupling is documented by the formation of a magmatic arc in an extensional setting that may have been prompted by slab retreat. Convergence direction was oblique, as attested the transfer of strike-slip displacements to the forearc region. 3) A phase of strong plate interaction entailed the delamination of narrow crustal flakes and their entrainment to depths below the petrologic Moho, as evidenced by their present association to serpentinites in a setting that bears characteristics of a subduction channel. 4) During the final collisional stage deformation is transferred to the lower plate, where the stacking of imbricate sheets, combined with their erosional unloading, led to the formation of an antiformal bulge that fed a foreland basin. - The life time of this Cretaceous subduction cycle was strictly synchronous to the construction of the Colombian plateau. With the final collisional stage magmatic activity vanished. This coincidence incites to explore a relationship between plume activity and subduction.

  12. Earliest tea as evidence for one branch of the Silk Road across the Tibetan Plateau

    Science.gov (United States)

    Lu, Houyuan; Zhang, Jianping; Yang, Yimin; Yang, Xiaoyan; Xu, Baiqing; Yang, Wuzhan; Tong, Tao; Jin, Shubo; Shen, Caiming; Rao, Huiyun; Li, Xingguo; Lu, Hongliang; Fuller, Dorian Q.; Wang, Luo; Wang, Can; Xu, Deke; Wu, Naiqin

    2016-01-01

    Phytoliths and biomolecular components extracted from ancient plant remains from Chang’an (Xi’an, the city where the Silk Road begins) and Ngari (Ali) in western Tibet, China, show that the tea was grown 2100 years ago to cater for the drinking habits of the Western Han Dynasty (207BCE-9CE), and then carried toward central Asia by ca.200CE, several hundred years earlier than previously recorded. The earliest physical evidence of tea from both the Chang’an and Ngari regions suggests that a branch of the Silk Road across the Tibetan Plateau, was established by the second to third century CE.

  13. 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.

  14. Three Dimensional Lithospheric Electrical Structure of the Tibetan Plateau as Revealed by SinoProbe Long Period Magnetotelluric Array Data

    Science.gov (United States)

    Wei, Wenbo; Zhang, Letian; Jin, Sheng; Ye, Gaofeng; Jing, Jianen; Dong, Hao; Xie, Chengliang; Yin, Yaotian

    2017-04-01

    The on-going continent-continent collision between the Indian and Eurasian plates since 55 Ma has created the spectacular topography of the Tibetan plateau. However, many first order questions remain to be answered as to the mechanisms behind this young orogenic process. Under the auspices of the SinoProbe Project, a three dimensional (3-D) Magnetotelluric (MT) array have been deployed on the Tibetan Plateau from 2010 to 2013 to better understand this orogeny. By the end of 2013, 1099 MT stations have been completed, including 102 combined broadband MT (BBMT) and long period MT (LMT) stations. In this study, MT data of these 102 combined stations have been used to investigate the deep lithospheric electrical structure of the Tibetan Plateau. MT impedances within the period range of 10 - 50000 s were extracted to be used for 3-D inversions with the ModEM code using the standard NLCG algorithm. The resulting lithospheric electrical structure of the Tibetan Plateau shows a distinct pattern of strong variation not only vertically, but also horizontally. Conductors are found to be widespread in the middle to lower crust. But their geometries are quite complex, and not obviously consistent with the hypothesis of continuous eastward channel flow. Instead, most crustal conductors in central and southern Tibet display a pattern of N-S extension. In the depth range of the upper mantle, two more conductive regions can be identified in the southern Qiangtang Terrane and in the central Lhasa Terrane. Resistor associated with the underthrust Inidan plate can be traced beneath the Bangong-Nujiang suture in western Tibet, but only beneath the central Lhasa terrane in central Tibet. * This work was jointly supported by the grants from Project SinoProbe-01 and National Natural Science Foundation of China (41404060).

  15. 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.

  16. 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.

  17. Full-waveform inversion for the Iranian plateau

    Science.gov (United States)

    Masouminia, N.; Fichtner, A.; Rahimi, H.

    2017-12-01

    We aim to obtain a detailed tomographic model for the Iranian plateau facilitated by full-waveform inversion. By using this method, we intend to better constrain the 3-D structure of the crust and the upper mantle in the region. The Iranian plateau is a complex tectonic area resulting from the collision of the Arabian and Eurasian tectonic plates. This region is subject to complex tectonic processes such as Makran subduction zone, which runs along the southeastern coast of Iran, and the convergence of the Arabian and- Eurasian plates, which itself led to another subduction under Central Iran. This continent-continent collision has also caused shortening and crustal thickening, which can be seen today as Zagros mountain range in the south and Kopeh Dagh mountain range in the northeast. As a result of such a tectonic activity, the crust and the mantle beneath the region are expected to be highly heterogeneous. To further our understanding of the region and its tectonic history, a detailed 3-D velocity model is required.To construct a 3-D model, we propose to use full-waveform inversion, which allows us to incorporate all types of waves recorded in the seismogram, including body waves as well as fundamental- and higher-mode surface waves. Exploiting more information from the observed data using this approach is likely to constrain features which have not been found by classical tomography studies so far. We address the forward problem using Salvus - a numerical wave propagation solver, based on spectral-element method and run on high-performance computers. The solver allows us to simulate wave field propagating in highly heterogeneous, attenuating and anisotropic media, respecting the surface topography. To improve the model, we solve the optimization problem. Solution of this optimization problem is based on an iterative approach which employs adjoint methods to calculate the gradient and uses steepest descent and conjugate-gradient methods to minimize the objective

  18. Pollen and plant macrofossils at Lac de Fully (2135 m a.s.l.): Holocene forest dynamics on a highland plateau in the Valais, Switzerland

    NARCIS (Netherlands)

    Finsinger, W.; Tinner, W.

    2007-01-01

    We use pollen, stomata and plant-macrofossil records to infer Holocene timberline fluctuations and changes in forest composition at Lac Supérieur de Fully (2135 m a.s.l.), a small lake located near the modern regional timberline on a highland plateau in the Central Alps. Our records suggest that

  19. 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...

  20. Geochemical Evolution of the Hikurangi Oceanic Plateau, New Zealand

    Science.gov (United States)

    Hoernle, K.; Hauff, F.; Werner, R.; Mortimer, N.; van den Bogaard, P.; Geldmacher, J.; Garbe-Schoenberg, D.

    2004-12-01

    The Hikurangi oceanic plateau or large igneous province (LIP), located east of the North Island of New Zealand, covers an area of 350,000 km3 and is located at a depth of 2,500-3,500 b.s.l. The Hikurangi plateau was possibly connected to the Manihiki LIP (now located 3000 km to the north) but may have been separated by Cretaceous seafloor spreading at the Osbourn Trough (Billen and Stock, 2000, J. Geophys. Res., 106, 13481-13489). Therefore it may have formed part of the "greater Ontong Java Plateau event" (Coffin and Eldholm, Geology, 21, 515-51), the largest magmatic event preserved on Earth. During the R/V Sonne SO168 ZEALANDIA cruise, 77 dredge hauls containing igneous samples were recovered from the Hikurangi Plateau. Volcanic rocks were obtained from 1) the plateau basement along the 1 km high Rapuhia Scarp, 2) large guyot-type seamounts within the plateau, and 3) ridge-type seamounts associated with rifting of the NE plateau margin (Hoernle et al., 2004, EOS). The recovered plateau rocks range from basalts, dolerites and gabbros with tholeiitic and alkali basaltic to trachybasaltic compositions. The seamount volcanic rocks have more Si-undersaturated compositions than the plateau rocks and range from alkali basalts through mugearites to basanites through tephrites to nephelinites. The plateau basement rocks have flat rare earth element (REE) patterns similar to enriched mid-ocean-ridge basalt (MORB) and basement rocks from other oceanic LIPs, such as Manihiki, Ontong-Java and the Caribbean. The late-stage seamount lavas show enrichment in the light REE and all strongly to moderately incompatible elements, having incompatible element characteristics similar to the HIMU (high time-integrated U/Pb) component in ocean island basalts (OIB). Although the Pb isotopic composition has been extensively effected by seawater alteration, the freshest samples have enriched (EM-type) Sr-Nd-Pb isotopic compositions similar to Ontong-Java and Manihiki basement rocks

  1. 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.

  2. 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

  3. A novel jig arm to measure tibial plateau angle during tibial plateau leveling osteotomy.

    Science.gov (United States)

    Restle, Kyle N; Biskup, Jeffery J

    2017-10-01

    To determine the ability of a novel device attached to the proximal tibial plateau leveling osteotomy (TPLO) jig pin to accurately predict intraoperative change in tibial plateau angle (TPA). In vitro cadaveric study. Left hindlimbs of adult dogs (n = 9). A modified Slocum tibial plateau leveling (TPL) jig with the Rotational Osteotomy Measuring Arm (ROMA) was placed on the tibia and a radial TPLO osteotomy was performed. Based on preoperative radiographic TPA measurements, the proximal segment was rotated using the traditional method of marking points on the osteotomy a specified distance apart. After rotation, the predicted TPA was recorded based on the ROMA. Postoperative TPA was measured on radiographs. The ability of the ROMA to predict postoperative TPA was compared to that of the traditional method. The average final TPA achieved with the traditional method was 6.4° (range, 3.0-10.0°). The ROMA predicted a final TPA of 5.8° (range, 3.8-10.1°). No significant difference was found between the TPA predicted based on the traditional method and ROMA method. The ROMA may be an alternative to the traditional method of measuring proximal segment rotation during TPLO procedure. Performing a TPLO with the ROMA may accurately predict the postoperative TPA while eliminating the need for measuring chord length, making reference marks, or referencing TPA charts for various osteotomy blade sizes. © 2017 The American College of Veterinary Surgeons.

  4. 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; Dicaudio, David J; Shinohara, Michi; Hong, Eric K; Horton, Bethany; Kim, Youn H

    2018-03-14

    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

  5. 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.

  6. Acute vestibular syndrome: a critical review and diagnostic algorithm concerning the clinical differentiation of peripheral versus central aetiologies in the emergency department.

    Science.gov (United States)

    Venhovens, J; Meulstee, J; Verhagen, W I M

    2016-11-01

    Almost 20 % of cerebral ischaemic strokes occur in the posterior circulation. Estimates are that 20 % of these patients present with isolated vertigo. In approximately one-sixth to one-third of these patients, this symptom is wrongly diagnosed to be peripheral vestibular in origin. As a result, these missed stroke patients are withheld from therapeutic and secondary prophylactic treatment, which may result in unnecessary morbidity and mortality. We therefore propose a diagnostic algorithm concerning the clinical differentiation of acute vestibular syndrome (AVS) patients based on a critical review of the available literature.

  7. 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

    , and central auditory pathway. Wf1 expression was also detected in numerous brainstem nuclei and in laminae VIII and IX of the spinal cord. Wfs1-positive nerve fibers were found in the medial forebrain bundle, reticular part of the substantia nigra, globus pallidus, posterior caudate putamen, lateral lemniscus...

  8. The syndrome of central hypothyroidism and macroorchidism: IGSF1 controls TRHR and FSHB expression by differential modulation of pituitary TGFβ and Activin pathways

    NARCIS (Netherlands)

    García, M. (Marta); R. Barrio (Raquel); García-Lavandeira, M. (Montserrat); Garcia-Rendueles, A.R. (Angela R.); Escudero, A. (Adela); Díaz-Rodríguez, E. (Esther); D. Gorbenko Del Blanco (Darya); Fernández, A. (Ana); Y.B. de Rijke (Yolanda); Vallespín, E. (Elena); J. Nevado (Julián); P. Lapunzina (Pablo); Matre, V. (Vilborg); Hinkle, P.M. (Patricia M.); A.C.S. Hokken-Koelega (Anita); De Miguel, M.P. (María P.); Cameselle-Teijeiro, J.M. (José Manuel); Nistal, M. (Manuel); Alvarez, C.V. (Clara V.); J.C. Moreno (José C.)

    2017-01-01

    textabstractIGSF1 (Immunoglobulin Superfamily 1) gene defects cause central hypothyroidism and macroorchidism. However, the pathogenic mechanisms of the disease remain unclear. Based on a patient with a full deletion of IGSF1 clinically followed from neonate to adulthood, we investigated a common

  9. Alpha-1 Adrenoceptor Hyperresponsiveness in Three Neuropathic Pain States: Complex Regional Pain Syndrome 1, Diabetic Peripheral Neuropathic Pain and Central Pain States Following Spinal Cord Injury

    Directory of Open Access Journals (Sweden)

    Robert W Teasell

    2004-01-01

    Full Text Available The pathophysiology of the pain associated with complex regional pain syndrome, spinal cord injury and diabetic peripheral neuropathy is not known. The pain of complex regional pain syndrome has often been attributed to abnormal sympathetic nervous system activity based on the presence of vasomotor instability and a frequently reported positive response, albeit a temporary response, to sympathetic blockade. In contrast, the pain below the level of spinal cord injury and diabetic peripheral neuropathy are generally seen as deafferentation phenomena. Each of these pain states has been associated with abnormal sympathetic nervous system function and increased peripheral alpha-1 adrenoceptor activity. This increased responsiveness may be a consequence of alpha-1 adrenoceptor postsynaptic hypersensitivity, or alpha-2 adrenoceptor presynaptic dysfunction with diminished noradrenaline reuptake, increased concentrations of noradrenaline in the synaptic cleft and increased stimulation of otherwise normal alpha-1 adrenoceptors. Plausible mechanisms based on animal research by which alpha-1 adrenoceptor hyperresponsiveness can lead to chronic neuropathic-like pain have been reported. This raises the intriguing possibility that sympathetic nervous system dysfunction may be an important factor in the generation of pain in many neuropathic pain states. Although results to date have been mixed, there may be a greater role for new drugs which target peripheral alpha-2 adrenoceptors (agonists or alpha-1 adrenoceptors (antagonists.

  10. Synaptogenesis and Myelination in the Nucleus/Tractus Solitarius: Potential Role in Apnea of Prematurity, Congenital Central Hypoventilation, and Sudden Infant Death Syndrome.

    Science.gov (United States)

    Sarnat, Harvey B; Flores-Sarnat, Laura

    2016-05-01

    Fetuses as early as 15 weeks' gestation exhibit rhythmical respiratory movements shown by real-time ultrasonography. The nucleus/tractus solitarius is the principal brainstem respiratory center; other medullary nuclei also participate. The purpose was to determine temporal maturation of synaptogenesis. Delayed synaptic maturation may explain neurogenic apnea or hypoventilation of prematurity and some cases of sudden infant death syndrome. Sections of medulla oblongata were studied from 30 human fetal and neonatal brains 9 to 41 weeks' gestation. Synaptophysin demonstrated the immunocytochemical sequence of synaptogenesis. Other neuronal markers and myelin stain also were applied. The nucleus/tractus solitarius was similarly studied in fetuses with chromosomopathies, metabolic encephalopathies, and brain malformations. Synapse formation in the nucleus solitarius begins at about 12 weeks' gestation and matures by 15 weeks; myelination initiated at 33 weeks. Synaptogenesis was delayed in 3 fetuses with different conditions, but was not specific for only nucleus solitarius. Delayed synaptogenesis or myelination in the nucleus solitarius may play a role in neonatal hypoventilation, especially in preterm infants and in some sudden infant death syndrome cases. © The Author(s) 2015.

  11. 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.

  12. 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.

  13. Preliminary models of 3-D oceanic plateau subduction: influence of the width ratio between plateau and slab

    Science.gov (United States)

    Arrial, P.; Billen, M. I.

    2012-12-01

    Subduction is driven by the negative buoyancy of the slab, which depends on both the temperature and composition of the lithospheric plate. Before subduction, the oceanic crust and underlying harzburgite layer have positive buoyancy. As a result an oceanic plateau or an over-thickened oceanic crust introduces an excess of buoyancy and decreases proportionally the driving forces. Previous 2-D numerical models have shown that an oceanic plateau subduction, associated to a young plate (30 My), can modify the slab behavior during the subduction (Arrial & Billen, in review). In a kinematically-driven model (convergence rate of 5 cm/yr), a partially eclogitized plateau can lead to a flat slab. However, eclogitization limits the depth extent of buoyant material and all plateaus eventually subduct regardless of thickness or width. In contrast, in dynamic models, oceanic plateau subduction does not lead to slab flattening, but we observe a decrease in the convergence rate proportional to the plateau geometry, and slab detachment and cessation of subduction for large plateaus. Extrapolation of the 2-D results to 3-D geometry predicts that sufficient slab buoyancy is available to sustain subduction for narrow plateaus with slab widths 6-7 times the plateau width (depending on plateau thickness and length). Here we show the preliminary results for 3-D models of oceanic plateau subduction investigating how the width ratio between the plateau and the slab affect subduction dynamics. We have modified the code CitcomS to introduce an eclogitization reaction and a composition dependent viscosity. Using particles the code track the three main compositions: basalt, harzburgite and lherzolite. The basalt/eclogite reaction is modeled as a progressive increasing of basaltic density. Furthermore, in order to maintain a free subduction and slab retreat, we impose a weaker viscosity for the basaltic composition.

  14. 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.

  15. 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 ...

  16. 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), ...

  17. Hunter Syndrome

    Science.gov (United States)

    ... in girls. There's no cure for Hunter syndrome. Treatment of Hunter syndrome involves management of symptoms and complications. Symptoms Hunter syndrome is one type of a group of inherited metabolic disorders called mucopolysaccharidoses (MPSs), and Hunter syndrome is ...

  18. 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.

  19. A plateau-valley separation method for multifunctional surfaces characterization

    DEFF Research Database (Denmark)

    Godi, Alessandro; Kühle, A.; De Chiffre, Leonardo

    2012-01-01

    Turned multifunctional surfaces are a new typology of textured surfaces presenting a flat plateau region and deterministically distributed lubricant reservoirs. Existing standards are not suitable for the characterization of such surfaces, providing at times values without physical meaning. A new...

  20. Management of Posterior Articular Depression in Tibial Plateau Fractures.

    Science.gov (United States)

    Adams, John David; Della Rocca, Gregory J

    2016-01-01

    Fractures involving the posterior aspect of the tibial plateau are challenging fractures to treat. Articular depression in tibial plateau fractures is usually addressed by elevation of the fragment(s), filling the residual defect with bone graft or bone substitute, and "raft" support of the articular fracture reduction with screws through a medially and/or laterally based plate. Posterior tibial plateau articular depression presents unique challenges for obtaining and maintaining fracture reduction. To obtain the goals of anatomic reduction and stable fixation, a thorough understanding of the fracture, specific approaches, reduction techniques, and stabilization strategies is needed. This article reviews the most current strategies for treating tibial plateau fracture patients with posterior articular depression. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  1. 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

  2. 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.

  3. 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

    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 Ride 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...

  4. 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...

  5. 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

  6. 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.)

  7. REACTIVE MULTIPHASE BEHAVIOR OF CO{sub 2} IN SALINE AQUIFERS BENEATH THE COLORADO PLATEAU

    Energy Technology Data Exchange (ETDEWEB)

    R.G. Allis; J. Moore; S. White

    2003-10-21

    Field and laboratory investigations of naturally occurring CO{sub 2}-reservoirs are being conducted to determine the characteristics of potential seal and reservoir units and the extent of the interactions that occur between the host rocks and the CO{sub 2} charged fluids. Efforts have focused on the Farnham Dome, located in central Utah, and the Springer-St. Johns field in Arizona and New Mexico. The Springer-St. Johns field is particularly significant because of the presence of extensive travertine deposits that document release of CO{sub 2} to the atmosphere. CO{sub 2} accumulations at both fields occur in sedimentary rocks typical of CO{sub 2} reservoirs occurring on the Colorado Plateau. The main achievements were: (1) to assess the possibility of CO{sub 2} leakage from the Farnham Dome of central Utah; and (2) prepare a paper for presentation at the 3rd Annual Conference on Carbon Sequestration.

  8. 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.

  9. 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

  10. 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...

  11. Atypical reproductive cycles in a population of Sceloporus grammicus (Squamata: Phrynosomatidae) from the Mexican Plateau

    Science.gov (United States)

    Ramírez-Bautista, Aurelio; Stephenson, Barry P; Lozano, Abraham; Uribe-Rodríguez, Héctor; Leyte Manrique, Adrian

    2012-01-01

    The spiny lizard Sceloporus grammicus (Squamata: Phrynosomatidae) is a small reptile from central México and the southern United States, occurring in a wide geographic area characterized by extensive variation in topographic and climatic regimes. Genetic variation among lineages from central México is substantial, though the extent to which this variation corresponds with life-history traits remains obscure. To address part of this puzzle, we studied a population of S. grammicus from Tepeapulco, Hidalgo, México. Male-biased sexual dimorphism was extensive in this population; males were larger than females overall, and expressed proportionately larger heads and longer limbs. Minimum size at sexual maturity was similar in the sexes (males: 43 mm; females: 42 mm). In contrast to other populations from the Central Plateau, reproductive activity of males and females was synchronous. Testicular recrudescence of adult males was initiated in October–November, and maximum testis size maintained from December to July. Female reproductive activity showed no clear seasonal pattern: females had vitellogenic follicles from October to July, and pregnant females were found throughout the year. Female body size was not related to litter size. Neither male nor female gonadal mass was correlated with any abiotic environmental variable examined. Differences in reproductive characteristics among populations of S. grammicus might be indicative of plasticity in response to local environmental conditions, local adaptation, or complex gene × environment interactions. We consider these results in the context of previously studied populations of S. grammicus from the Central Plateau and elsewhere, and propose directions for future research. PMID:22957191

  12. 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

  13. 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.

  14. In vitro comparison of tibial plateau leveling osteotomy with and without use of a tibial plateau leveling jig.

    Science.gov (United States)

    Schmerbach, Kay Ingo; Boeltzig, Christian Konrad Matthias; Reif, Ullrich; Wieser, Jan Carsten; Keller, Thomas; Grevel, Vera

    2007-02-01

    To evaluate the influence of a tibial plateau leveling jig on osteotomy orientation, fragment reduction, and postoperative tibial plateau angle (TPA) during tibial plateau leveling osteotomy (TPLO). In vitro experimental study. Large-breed canine cadavers (n=20). TPLO was performed on 40 hindlimbs using 4 methods. Group 1: Jig; dogs in dorsal recumbency with the osteotomy parallel to the distal jig pin. Groups 2-4: No jig; dogs in lateral recumbency with the osteotomy in a vertical orientation (group 2: tibia parallel to the table top; group 3: controlled superimposition of the femoral condyles; group 4: internal rotation of the tibia). Postoperative TPA, fragment reduction, and osteotomy orientation relative to the tibial plateau were compared. Positive or negative values denoted deviation from parallel relative to the tibial plateau. Postoperative TPA, fragment reduction, and proximodistal osteotomy orientation were not significantly different between groups. Craniocaudal osteotomy orientation was significantly different (Pjig is not essential for osteotomy orientation, tibial plateau rotation, or fragment reduction. Comparable results were achieved performing a vertical osteotomy with the tibia slightly internally rotated (10 degrees -15 degrees) and parallel to the table surface. TPLO without use of a jig reduces surgical trauma, is less time consuming, and reduces cost.

  15. A retrospective study of tibial plateau translation following tibial plateau levelling osteotomy stabilisation using three different plate types.

    Science.gov (United States)

    Woodbridge, N; Corr, S A; Grierson, J; Arthurs, G

    2011-01-01

    To retrospectively evaluate mediolateral translation of the proximal tibial segment (tibial plateau) after tibial plateau levelling osteotomy (TPLO), stabilised with three types of plate. Pre- and postoperative radiographs of 79 dogs that had TPLO surgery using three different types of plates were reviewed. Two plate types incorporated non-locking screws: Slocum (22 cases) and Orthomed Delta (33 cases) plates. The third plate type incorporated locking screws: Synthes TPLO Locking Compression Plate (LCP) (24 cases). The radiographs were viewed by three Diplomate surgeons who were blinded to the type of implant used. Medial or lateral translation of the proximal tibial plateau relative to the tibial diaphysis was assessed and measured at the lateral tibial cortex at the osteotomy site. Mean lateral translation of the tibial plateau was significantly greater when using the Synthes TPLO LCP with locking screws (+2.1 mm) compared to the non-locking Slocum (+0.4 mm) or Orthomed Delta (0.0 mm) plates. The use of the Synthes TPLO LCP will maintain a malalignment of the tibial plateau. Accurate alignment of the tibial plateau must be ensured prior to application of the Synthes TPLO LCP.

  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. Soil Moisture and Temperature Measuring Networks in the Tibetan Plateau and Their Hydrological Applications

    Science.gov (United States)

    Yang, Kun; Chen, Yingying; Qin, Jun; Lu, Hui

    2017-04-01

    Multi-sphere interactions over the Tibetan Plateau directly impact its surrounding climate and environment at a variety of spatiotemporal scales. Remote sensing and modeling are expected to provide hydro-meteorological data needed for these process studies, but in situ observations are required to support their calibration and validation. For this purpose, we have established two networks on the Tibetan Plateau to measure densely two state variables (soil moisture and temperature) and four soil depths (0 5, 10, 20, and 40 cm). The experimental area is characterized by low biomass, high soil moisture dynamic range, and typical freeze-thaw cycle. As auxiliary parameters of these networks, soil texture and soil organic carbon content are measured at each station to support further studies. In order to guarantee continuous and high-quality data, tremendous efforts have been made to protect the data logger from soil water intrusion, to calibrate soil moisture sensors, and to upscale the point measurements. One soil moisture network is located in a semi-humid area in central Tibetan Plateau (Naqu), which consists of 56 stations with their elevation varying over 4470 4950 m and covers three spatial scales (1.0, 0.3, 0.1 degree). The other is located in a semi-arid area in southern Tibetan Plateau (Pali), which consists of 25 stations and covers an area of 0.25 degree. The spatiotemporal characteristics of the former network were analyzed, and a new spatial upscaling method was developed to obtain the regional mean soil moisture truth from the point measurements. Our networks meet the requirement for evaluating a variety of soil moisture products, developing new algorithms, and analyzing soil moisture scaling. Three applications with the network data are presented in this paper. 1. Evaluation of Current remote sensing and LSM products. The in situ data have been used to evaluate AMSR-E, AMSR2, SMOS and SMAP products and four modeled outputs by the Global Land Data

  18. Gorlin syndrome: A case report

    Directory of Open Access Journals (Sweden)

    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.

  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 Outcropping Basement of the Demerara Marginal Plateau (French Guiana-Surinam): Results from DRADEM Dredges

    Science.gov (United States)

    Klingelhoefer, F.; Basile, C.; Girault, I.; Bernet, M.; Jean-Louis, P.; Agranier, A.; Loncke, L.; Heuret, A.; Poetisi, E.

    2017-12-01

    At the connection between the Central and the Equatorial Atlantic, the Demerara marginal plateau is a continental margin that resulted from both Jurassic and Cretaceous rifting. The DRADEM cruise (2016) dredged the northern continental slope from 4700 to 3500 m depths. Three dredges recovered magmatic rocks, six dredges recovered sedimentary rocks. In two adjacent dredges, magmatic rocks correspond to fresh basalts and rhyolites belonging to a calc-alcaline, Ti-rich suite. Zircons in rhyolites were dated at 173,4 ± 1,6 Ma. In a third dredge, magmatic rocks are trachy-basalts and basaltic trachy-andesites. All samples share similar patterns in trace elements. They are Light Rare Earth-enriched, and present positive anomalies in Nb, Ta, Zr and Hf, indicative of Ocean Island Basalt magmas, and consequently an hot spot-related magmatic origin. The trachy-basalts were altered, eroded, and sedimented in a carbonate platform forming clasts in a bioclastic and lithoclastic rudstone. Large aragonitic shells were dissolved, and the moldic porosity is partially filled by vadose silts, indicating post-sedimentation outcropping above sea-level. The other sites recovered sandstones : either coarse, or from a delta shoreface, or from an oolithic platform. Cooling ages of detrital zircons from three sites indicate in each site three main peaks interpreted as cooling ages of the detrital sources. They roughly coincide with (1) the lower Cretaceous Equatorial Atlantic rifting, (2) the Central Atlantic Magmatic Province event at the Trias-Jurassic boundary and the subsequent Central Atlantic Rifting and (3) the Panafrican exhumation, possibly in the Hercynian orogen. Cristallisation ages inferred from 206Pb/238U dating of detrital zircons are mainly distributed around 650 Ma and may indicate detrital source from the Panafrican belt in West Africa, prior to the opening of the Equatorial Atlantic. These findings allow to discuss the subsidence of the northern edge of the Demerara

  1. Atypical presentations of Wolframs syndrome

    Directory of Open Access Journals (Sweden)

    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.

  2. 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.

  3. Prader-Willi Critical Region, a Non-Translated, Imprinted Central Regulator of Bone Mass: Possible Role in Skeletal Abnormalities in Prader-Willi Syndrome.

    Directory of Open Access Journals (Sweden)

    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

  4. The high cost of motherhood: End-lactation syndrome in southern sea otters (Enhydra lutris nereis) on the central California, USA, coast

    Science.gov (United States)

    Chinn, Sarah S; Miller, Melissa A.; Tinker, M. Tim; Staedler, Michelle M.; Batac, Francesca I.; Dodd, Erin M.; Henkel, Laird A.

    2016-01-01

    Sea otters (Enhydra lutris) have exceptionally high energetic requirements, which nearly double during lactation and pup care. Thus, females are extremely vulnerable to caloric insufficiency. Despite a number of compensatory strategies, the metabolic challenge of reproduction culminates in numerous maternal deaths annually. Massive depletion of energy reserves results in a case presentation that we define as end-lactation syndrome (ELS), characterized by moderate to severe emaciation not attributable to a concurrent, independent disease process in females dying during late pup care or postweaning. We compiled detailed data for 108 adult female southern sea otters (Enhydra lutris nereis) examined postmortem that stranded in California, US, 2005–12, and assessed pathology, reproductive status, and the location and timing of stranding. We introduce simple, grossly apparent, standardized physical criteria to assess reproductive stage for female sea otters. We also describe ELS, examine associated risk factors, and highlight female life history strategies that likely optimize reproduction and survival. Our data suggest that females can reset both the timing and energetic demands of reproduction through fetal loss, pup abandonment, or early weaning as part of specific physiologic checkpoints during each reproductive cycle. Females appear to preload nutritionally during delayed implantation and gestation to increase fitness and reproductive success. We found that ELS was a major cause of death, affecting 56% of enrolled adult females. Peak ELS prevalence occurred in late spring, possibly reflecting the population trend toward fall/winter pupping. Increasing age and number of pregnancies were associated with a higher risk of ELS. Although the proportion of ELS females was highest in areas with dense sea otter populations, cases were recovered throughout the range, suggesting that death from ELS is associated with, but not solely caused by, population resource limitation.

  5. Outer shelf seafloor geomorphology along a carbonate escarpment: The eastern Malta Plateau, Mediterranean Sea

    Science.gov (United States)

    Micallef, Aaron; Georgiopoulou, Aggeliki; Mountjoy, Joshu; Huvenne, Veerle A. I.; Iacono, Claudio Lo; Le Bas, Timothy; Del Carlo, Paola; Otero, Daniel Cunarro

    2016-12-01

    Submarine carbonate escarpments, documented in numerous sites around the world, consist of thick exposures of Mesozoic shallow water carbonate sequences - primarily limestones and dolomites - with reliefs of >1 km and slope gradients of >70°. Whilst most research efforts have focused on the processes that shaped carbonate escarpments into complex and extreme terrains, little attention has been paid to the geomorphology of shelves upslope of carbonate escarpments. In this study we investigate high resolution geophysical, sedimentological and visual data acquired from the eastern Malta Plateau, central Mediterranean Sea, to demonstrate that the outer shelf of a carbonate escarpment is directly influenced by escarpment-forming processes. We document forty eight erosional scars, six long channels and numerous smaller-scale channels, three elongate mounds, and an elongate ridge across the eastern Malta Plateau. By analysing their morphology, seismic character, and sedimentological properties, we infer that the seafloor of the eastern Malta Plateau has been modified by three key processes: (i) Mass movements - in the form of translational slides, spreading and debris flows - that mobilised stratified Plio-Pleistocene hemipelagic mud along the shelf break and that were likely triggered by seismicity and loss of support due to canyon erosion across the upper Malta Escarpment; (ii) NNW-SSE trending sinistral strike-slip deformation in Cenozoic carbonates - resulting from the development of a mega-hinge fault system along the Malta Escarpment since the Late Mesozoic, and SE-NW directed horizontal shortening since the Late Miocene - which gave rise to NW-SE oriented extensional grabens and a NNW-SSE horst; (iii) Flow of bottom currents perpendicular and parallel to the Malta Escarpment, associated with either Modified Atlantic Water flows during sea level lowstands and/or Levantine Intermediate Water flows at present, which was responsible for sediment erosion and deposition

  6. A Younger Dryas plateau icefield in the Monadhliath, Scotland, and implications for regional palaeoclimate

    Science.gov (United States)

    Boston, Clare M.; Lukas, Sven; Carr, Simon J.

    2015-01-01

    A record of Younger Dryas glaciation in Scotland is well established. However, the role of the Monadhliath, a significant plateau area extending over 840 km2 in central Scotland, has never been investigated systematically. We present the first systematic glacial geomorphological mapping across the whole region, which has led to the identification of hitherto-unrecorded glacial and associated landforms. The spatial distribution of these landforms indicates that the last phase of glaciation in the area was that of a local plateau icefield. In addition, a clear morphostratigraphical signature provides a strong indication that the icefield dates to the Younger Dryas (12.9-11.7 ka), which is supported by numerical ages in the southeast of the study area. Based on the geomorphological evidence and 2D glacier surface profile modelling, a 280 km2 icefield is reconstructed. A novel approach is introduced to quantify plateau icefield thickness for equilibrium line altitude (ELA) and palaeoprecipitation calculations, resulting in greater overall data confidence compared to traditional reconstruction methods. The ELA for the whole icefield is calculated to be 714 ± 25 m, whilst the ELAs of individual outlet glaciers range from 560 m in the west to 816 m in the east, demonstrating a significant W-E precipitation gradient across the region during the Younger Dryas. These ELAs compare well with those calculated for Younger Dryas ice masses reconstructed in neighbouring regions and are in good agreement with overall precipitation patterns suggested for Scotland during this time. Whilst the total amount of precipitation calculated from these ELAs is highly dependent on the method used, irrespective of this, the study suggests a more arid Younger Dryas climate in the region compared to the present day.

  7. Paleolithic Y-haplogroup heritage predominates in a Cretan highland plateau.

    Science.gov (United States)

    Martinez, Laisel; Underhill, Peter A; Zhivotovsky, Lev A; Gayden, Tenzin; Moschonas, Nicholas K; Chow, Cheryl-Emiliane T; Conti, Simon; Mamolini, Elisabetta; Cavalli-Sforza, L Luca; Herrera, Rene J

    2007-04-01

    The island of Crete, credited by some historical scholars as a central crucible of western civilization, has been under continuous archeological investigation since the second half of the nineteenth century. In the present work, the geographic stratification of the contemporary Cretan Y-chromosome gene pool was assessed by high-resolution haplotyping to investigate the potential imprints of past colonization episodes and the population substructure. In addition to analyzing the possible geographic origins of Y-chromosome lineages in relatively accessible areas of the island, this study includes samples from the isolated interior of the Lasithi Plateau--a mountain plain located in eastern Crete. The potential significance of the results from the latter region is underscored by the possibility that this region was used as a Minoan refugium. Comparisons of Y-haplogroup frequencies among three Cretan populations as well as with published data from additional Mediterranean locations revealed significant differences in the frequency distributions of Y-chromosome haplogroups within the island. The most outstanding differences were observed in haplogroups J2 and R1, with the predominance of haplogroup R lineages in the Lasithi Plateau and of haplogroup J lineages in the more accessible regions of the island. Y-STR-based analyses demonstrated the close affinity that R1a1 chromosomes from the Lasithi Plateau shared with those from the Balkans, but not with those from lowland eastern Crete. In contrast, Cretan R1b microsatellite-defined haplotypes displayed more resemblance to those from Northeast Italy than to those from Turkey and the Balkans.

  8. 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

  9. 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.

  10. U-Pb ages of detrital zircon and provenances of Red Clay in the Chinese Loess Plateau

    Science.gov (United States)

    Gong, Hujun; Xie, Wenbin; Zhang, Rui; Zhang, Yunxiang

    2017-05-01

    The Chinese Loess Plateau (CLP), which is located in the central part of China, mainly contains two sequences: the Quaternary loess-paleosol sequence and the late Miocene-Pliocene Red Clay sequence. U-Pb ages of detrital zircon from the Quaternary loess-paleosol sequences indicate that the current spatial pattern of central Asian aridification was largely established during the early Quaternary. U-Pb ages of detrital zircon from the underlying Red Clay sequences demonstrate that the northern source regions were important contributors for the dust since the late Miocene, except for the periods of ∼8 Ma and ∼5.5 to ∼4 Ma. These two periods correspond to increased and decreased dust deposition in the North Pacific, respectively, ascribed to the late Miocene aridification of the Qaidam Basin (in the west of the CLP) and the early Pliocene aridification of the Tarim Basin (in the west of the CLP). We attribute the increase of the Qaidam Basin-derived North Pacific dust fluxes to the uplift of the NE Tibetan Plateau. Such uplift also controlled the climatic and environmental changes in central Asian during the late Miocene. This study highlights the dynamical process of the central Asian aridification during the late Miocene-Pliocene.

  11. Seismic wave speed structure of the Ontong Java Plateau

    Science.gov (United States)

    Covellone, Brian M.; Savage, Brian; Shen, Yang

    2015-06-01

    The Ontong Java Plateau (OJP) represents the result of a significant event in the Earth's geologic history. Limited geophysical and geochemical data, as well as the plateau's relative isolation in the Pacific ocean, have made interpretation of the modern day geologic structure and its 120 Ma formation history difficult. Here we present the highest resolution image to date of the wave speed structure of the OJP region. We use a data set that combines Rayleigh waves extracted from both ambient noise and earthquake waveforms and an iterative finite-frequency tomography methodology. The combination of datasets allow us to best exploit the limited station distribution in the Pacific and image wave speed structures between 35 km and 300 km into the Earth. We image a region of fast shear wave speeds, greater than 4.75 km/s, that extends to greater than 100 km beneath the plateau. The wave speeds are similar to as observed in cratonic environments and are consistent with a compositional anomaly that resulted from the residuum of eclogite entrainment during the plateau's formation. The combination of our imaged wave speed structure and previous geochemical work suggest that a surfacing plume head entrained eclogite from the deep mantle and accounts for the anomalous buoyancy characteristics of the plateau and observed fast wave speeds.

  12. 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

  13. Verçenik Plateau Alternative Tourism and Recreational Activities

    Directory of Open Access Journals (Sweden)

    İzzet İSLAMOĞLU

    2014-08-01

    Full Text Available In the last century working life become easier and result of this increased people free time, after that interest of tourism activities wide spread all over. Plateau tourism or highland places are not first choices of the tourism activities but plateau rec reation will give an application for potential activity place. Turkey have unmatched nature and rich environmental resources will able to give any kind of tourism activities. In that context city of Rize took place in Black Sea region with different capabi lities, one of the source areas that make up tourism and recreational activities. This research intended for Vercenik Plateau take place 60 km away from Camlihemsin district center and will determine potential tourism and recreational application. Research is based on field observation and studies. This information obtained as a result ofthis evaluationbeing associated toliterature data and that information determined which exercise can be done in the field. Vercenik Plateau; with pristine environment and ru ral locations, the fresh water supplies, unique flora for city of Rize has high recreational capacities.As a result of study; Vercenik Plateau has natural features with the great potential of the alternative tourism as it is suitable for areas but not asse ss enough potential tourism and recreational activities without prior review has been observed.

  14. Spontaneous collapse of the tibial plateau: radiological staging

    International Nuclear Information System (INIS)

    Carpintero, P.; Leon, F.; Zafra, M.; Montero, R.; Carreto, A.

    2005-01-01

    This paper proposes a radiological staging system for necrosis of the tibial plateau, similar to those already developed for the hip and the medial femoral condyle. We retrospectively studied the clinical case histories and radiographic findings of 14 patients (15 affected knees) with histologically proven osteonecrosis of the tibial plateau. Stage I was marked by normal radiograph, but increased uptake in bone scan and subchondral areas of abnormal marrow signal intensity in magnetic resonance imaging (MRI), as reported in other osteonecrosis sites. Stage II was characterised by cystic and sclerotic changes, and stage III fracture of the medial rim of the medial tibial plateau and tibial plateau collapse were present. Stage IV was marked by joint narrowing. These changes appeared earlier and were more pronounced when there was genu varum/valgum or involvement of the lateral tibial plateau. The radiological evolution of the disease appears to follow a four-stage course over a period of roughly one year from the onset of symptoms. (orig.)

  15. The fertility plateau in Costa Rica: a review of causes and remedies.

    Science.gov (United States)

    Holl, K D; Daily, G C; Ehrlich, P R

    1993-01-01

    Costa Rica achieved a substantial reduction in its overall fertility rate in a very short period of time. The halving of the fertility rate which occurred in less than ten years in Costa Rica transpired over the course of 100 years in France and 170 in Sweden. The level of contraceptive use in Costa Rica is twice that in other Central American nations. The authors summarize the recent demographic history of Costa Rica and review factors influencing its remarkable fertility decline. They then discuss possible explanations for the ensuing fertility plateau and conclude by suggesting strategies for affecting a further decrease in fertility rates. With regard to the reasons for the fertility plateau, cultural factors, socioeconomic factors, declining government commitment and family planning services, education, and the Church are considered. To reduce the level of fertility even further, the authors recommend that the government adopt a clear population policy which could serve as a basis for other changes such as increased support of family planning programs, improvements in the educational system, increased women's status and employment opportunities, and extensive education in schools and through the mass media on the socioeconomic and environmental effects of overpopulation. It is important to increase Costa Ricans' understanding of the negative impacts of continued population growth and the role of individual family planning decisions in that growth.

  16. Three decades of elevation change of the Geikie Plateau ice cap, East Greenland

    Science.gov (United States)

    Ahlstrom, A. P.; Forsberg, R.; Skourup, H.; Sandberg, L.; Citterio, M.; Kjaer, K.; Bjork, A. A.; Khan, S. A.; Andersen, S. B.

    2013-12-01

    The Geikie Plateau is a major marine-terminating local ice cap located in central East Greenland just south of Scoresby Sund, covering approx. 7,500 sqkm. South of this region, the Greenland ice sheet has experienced dramatic ice loss over the recent decade, whereas the response has been less prominent north of the region. For the Geikie Plateau itself, ICESat elevation measurements show a thinning of the ice margin and a slight thickening of the interior over the period 2002-2009 (Bolch et al., 2013). However, a longer time span is required to evaluate volume change in the context of climate change. In this work we will compare remotely sensed elevation data collected over more than three decades from the Geikie Ice Cap to evaluate volume change. Elevation data was obtained from aerial stereophotogrammetry based on orthophotos from 1981, spaceborne laser altimetry from ICESat over the period 2002-2009, aerial laser altimetry by the NASA IceBridge campaign 2010-2012 and aerial laser altimetry by the Technical University of Denmark and the Danish Geodata Agency covering 1996-2012. The comparison will facilitate an enhanced understanding of recent mass loss from ice caps and glaciers in East Greenland which is home to nearly half the local ice masses in Greenland.

  17. 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

  18. No evidence of widespread decline of snow cover on the Tibetan Plateau over 2000-2015.

    Science.gov (United States)

    Wang, Xiaoyue; Wu, Chaoyang; Wang, Huanjiong; Gonsamo, Alemu; Liu, Zhengjia

    2017-11-07

    Understanding the changes in snow cover is essential for biological and hydrological processes in the Tibetan Plateau (TP) and its surrounding areas. However, the changes in snow cover phenology over the TP have not been well documented. Using Moderate Resolution Imaging Spectroradiometer (MODIS) daily snow products and the Interactive Multi-sensor Snow and Ice Mapping System (IMS) data, we reported daily cloud-free snow cover product over the Tibetan Plateau (TP) for 2000-2015. Snow cover start (SCS), melt (SCM) and duration (SCD) dates were calculated for each hydrological year, and their spatial and temporal variations were analyzed with elevation variations. Our results show no widespread decline in snow cover over the past fifteen years and the trends of snow cover phenology over the TP has high spatial heterogeneity. Later SCS, earlier SCM, and thus decreased SCD mainly occurred in the areas with elevation below 3500 m a.s.l., while regions in central and southwestern edges of the TP showed advanced SCS, delayed SCM and consequently longer SCD. The roles of temperature and precipitation on snow cover penology varied in different elevation zones, and the impact of both temperature and precipitation strengthened as elevation increases.

  19. Pharmacology of Reye syndrome.

    Science.gov (United States)

    Pranzatelli, M R; De Vivo, D C

    1987-04-01

    Reye syndrome, a reversible metabolic encephalopathy and hepatopathy, offers a unique opportunity to investigate the pharmacologic mechanisms by which a toxic-metabolic insult to mitochondria is translated into neurochemical and neurologic dysfunction. Similarity of some clinical and metabolic abnormalities between certain inborn errors of organic acid, ammonia, and carbohydrate metabolism and Reye syndrome suggests a common pathophysiologic mechanism at some level. The primary metabolic aberration in Reye syndrome is unknown. Viral, drug, and toxic precipitants in a conductive host alter glial and neuronal function, possibly by direct toxic effects or by altered transmitter metabolism and signal transduction. These events translate into a rather stereotyped progression of the clinical syndrome. Increased ICP, which is a life-threatening epiphenomenon, is the focus of conventional therapy. Investigational treatments, still in preliminary stages, are aimed at early correction of instigating metabolic abnormalities or correction of their consequences on central neurotransmission. Our fragmentary knowledge of neurotransmitter abnormalities in this disorder, which have suggested disparate interpretations, does not allow a cohesive pharmacologic theory of Reye syndrome. The greatest difficulties in interpretation of possible central mechanisms from existing data, which derive largely from peripheral tissues, is in the differentiation of primary from compensatory changes. The unitarian notion that a single pharmacologic disturbance is the source of the encephalopathy is perhaps too simplistic. It is hoped that future studies of disorders such as Reye syndrome will elucidate the intricate relationships between biochemical pathways and neurotransmitter metabolism.

  20. Fraturas do planalto tibial Tibial plateau fractures

    Directory of Open Access Journals (Sweden)

    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

  1. Marfan Syndrome

    Science.gov (United States)

    Marfan syndrome is a disorder that affects connective tissue. Connective tissues are proteins that support skin, bones, blood ... fibrillin. A problem with the fibrillin gene causes Marfan syndrome. Marfan syndrome can be mild to severe, and ...

  2. WIEDEMANN SYNDROME

    African Journals Online (AJOL)

    hi-tech

    BILATERAL BENIGN HAEMORRHAGIC ADRENAL CYSTS IN BECKWITH - WIEDEMANN. SYNDROME: CASE REPORT. P. ANOOP and M. A. ANJAY. SUMMARY. Beckwith-Wiedemann syndrome is the most common overgrowth malformation syndrome. The classical features include macrosomia, macroglossia, ...

  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. 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 ...

  5. Piriformis Syndrome

    Science.gov (United States)

    ... the National Library of Medicine’s MedlinePlus Piriformis Syndrome Metabolic Syndrome Show More Show Less Search Disorders SEARCH SEARCH Definition Treatment Prognosis Clinical Trials Organizations Publications Definition Piriformis syndrome ...

  6. 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

  7. Fukushima nuclear accident recorded in Tibetan Plateau snow pits.

    Directory of Open Access Journals (Sweden)

    Ninglian Wang

    Full Text Available 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.

  8. 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)

  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. 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

  11. Does the climate warming hiatus exist over the Tibetan Plateau?

    OpenAIRE

    Duan, Anmin; Xiao, Zhixiang

    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...

  12. 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.

  13. 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

  14. Early Cenozoic Multiple Thrust in the Tibetan Plateau

    OpenAIRE

    Zhenhan Wu; Peisheng Ye; Patrick J. Barosh; Daogong Hu; Lu Lu

    2013-01-01

    Recently completed regional geological mapping at a scale of 1 : 250,000 or larger across all of the Tibetan Plateau coupled with deep seismic surveys reveals for the first time a comprehensive depiction of the major early Cenozoic thrust systems resulting from the northward subduction of the Indian Continental Plate. These systems define a series of overlapping north-dipping thrust sheets that thickened the Tibetan crust and lead to the rise of the plateau. The few south-dipping thrusts pres...

  15. 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...