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Sample records for torn jonne kotta

  1. Leegitsev torn - kaasaegne katastrooffilm / Timo Diener

    Index Scriptorium Estoniae

    Diener, Timo

    2004-01-01

    Kuidas sündis Hollywoodi esimene suur katastrooffilm "Leegitsev torn" ("The Towering Inferno") : produtsent Irwin Allen : stsenarist Stirling Silliphant : režissöör John Guillermin : peaosades Paul Newman ja Steve McQueen : Ameerika Ühendriigid 1974. Järgneb 6., 13., 20. sept. 2004, lk. 38

  2. RECOVERY OF DOCUMENT TEXT FROM TORN FRAGMENTS USING IMAGE PROCESSING

    OpenAIRE

    C.Prasad; Dr.Mahesh; Dr.S.A.K. Jilani

    2016-01-01

    Recovery of document from its torn or damaged fragments play an important role in the field of forensics and archival study. Reconstruction of the torn papers manually with the help of glue and tapes etc., is tedious, time consuming and not satisfactory. For torn images reconstruction we go for image mosaicing, where we reconstruct the image using features (corners) and RANSAC with homography.But for the torn fragments there is no such similarity portion between fragments. Hence we propose a ...

  3. MRI characteristics of torn and untorn post-operative menisci

    Energy Technology Data Exchange (ETDEWEB)

    Kijowski, Richard; Rosas, Humberto; Liu, Fang [University of Wisconsin School of Medicine and Public Health, Department of Radiology, Madison, WI (United States); Williams, Adam [Radiology and Imaging Consultants, Colorado Springs (United States)

    2017-10-15

    To compare magnetic resonance imaging (MRI) characteristics of torn and untorn post-operative menisci. The study group consisted of 140 patients with 148 partially resected menisci who were evaluated with a repeat knee MRI examination and subsequent repeat arthroscopic knee surgery. Two musculoskeletal radiologists retrospectively assessed the following MRI characteristics of the post-operative meniscus: contour (smooth or irregular), T2 line through the meniscus (no line, intermediate signal line, intermediate-to-high signal line, and high fluid-like signal line), displaced meniscus fragment, and change in signal pattern through the meniscus compared with baseline MRI. Positive predictive values (PPV) and negative predictive values (NPV) were calculated using arthroscopy as the reference standard. All 36 post-operative menisci with no T2 line were untorn at surgery (100% NPV), whereas 46 of the 79 post-operative menisci with intermediate T2 line, 16 of the 18 post-operative menisci with intermediate-to-high T2 line, and 14 of the 15 post-operative menisci with high T2 line were torn at surgery (58.2%, 88.9%, and 93.3% PPV respectively). Additional MRI characteristics associated with torn post-operative meniscus at surgery were irregular meniscus contour (PPV 85.7%), displaced meniscus fragment (PPV 100%), and change in signal pattern through the meniscus (PPV 99.4%). Post-operative menisci with no T2 signal line were untorn at surgery. The most useful MRI characteristics for predicting torn post-operative menisci at surgery were change in signal pattern through the meniscus compared with baseline MRI, and displaced meniscus fragment followed by high T2 line through the meniscus, intermediate-to-high T2 line through the meniscus, and irregular meniscus contour. (orig.)

  4. MRI characteristics of torn and untorn post-operative menisci

    International Nuclear Information System (INIS)

    Kijowski, Richard; Rosas, Humberto; Liu, Fang; Williams, Adam

    2017-01-01

    To compare magnetic resonance imaging (MRI) characteristics of torn and untorn post-operative menisci. The study group consisted of 140 patients with 148 partially resected menisci who were evaluated with a repeat knee MRI examination and subsequent repeat arthroscopic knee surgery. Two musculoskeletal radiologists retrospectively assessed the following MRI characteristics of the post-operative meniscus: contour (smooth or irregular), T2 line through the meniscus (no line, intermediate signal line, intermediate-to-high signal line, and high fluid-like signal line), displaced meniscus fragment, and change in signal pattern through the meniscus compared with baseline MRI. Positive predictive values (PPV) and negative predictive values (NPV) were calculated using arthroscopy as the reference standard. All 36 post-operative menisci with no T2 line were untorn at surgery (100% NPV), whereas 46 of the 79 post-operative menisci with intermediate T2 line, 16 of the 18 post-operative menisci with intermediate-to-high T2 line, and 14 of the 15 post-operative menisci with high T2 line were torn at surgery (58.2%, 88.9%, and 93.3% PPV respectively). Additional MRI characteristics associated with torn post-operative meniscus at surgery were irregular meniscus contour (PPV 85.7%), displaced meniscus fragment (PPV 100%), and change in signal pattern through the meniscus (PPV 99.4%). Post-operative menisci with no T2 signal line were untorn at surgery. The most useful MRI characteristics for predicting torn post-operative menisci at surgery were change in signal pattern through the meniscus compared with baseline MRI, and displaced meniscus fragment followed by high T2 line through the meniscus, intermediate-to-high T2 line through the meniscus, and irregular meniscus contour. (orig.)

  5. Cartilage Delamination Flap Mimicking a Torn Medial Meniscus

    Directory of Open Access Journals (Sweden)

    Gan Zhi-Wei Jonathan

    2016-01-01

    Full Text Available We report a case of a chondral delamination lesion due to medial parapatellar plica friction syndrome involving the medial femoral condyle. This mimicked a torn medial meniscus in clinical and radiological presentation. Arthroscopy revealed a chondral delamination flap, which was debrided. Diagnosis of chondral lesions in the knee can be challenging. Clinical examination and MRI have good accuracy for diagnosis and should be used in tandem. Early diagnosis and treatment of chondral lesions are important to prevent progression to early osteoarthritis.

  6. Keda peetakse hullumajas? / Kristel Kotta

    Index Scriptorium Estoniae

    Kotta, Kristel

    2009-01-01

    Hullusekäsitlusest filmides Milos Formani "Lendas üle käopesa" (USA, 1975), Andrei Kontšalovski "Hullumaja" (Venemaa - Prantsusmaa, 2002) ja Petri Kotwica "Koduigatsus" (Soome, 2005). Artikli lõpus M. Formani, A. Kontšalovski ja P. Kotwica filmograafia ning lühidalt artikli autorist

  7. MR imaging features of chronically torn anterior cruciate ligament

    International Nuclear Information System (INIS)

    Niitsu, Mamoru; Kuramochi, Masashi; Ikeda, Kotaroh; Fukubayashi, Tohru; Anno, Izumi; Itai, Yuji

    1995-01-01

    Magnetic resonance (MR) images of 40 knee joints with arthroscopically proved chronic anterior cruciate ligament (ACL) tears were retrospectively evaluated. MRI demonstrated various features of chronic ACL tears: 19 knees revealed with no identifiable ligamentous structure, and 21 had residual ligamentous structures. These pseudoligaments, 14 discontinuous bands and seven continuous bands with elongation, were residual torn ligamentous fibers and/or synovial tissues. All the discontinuous bands were disrupted from the femoral attachment and were likely to traverse the lower intercondylar space. Six disrupted ligaments were attached to the lateral aspect of the posterior cruciate ligament (PCL). Coronal T2 * -weighted gradient echo images showed better delineation of the disrupted femoral attachment and adhesion to the PCL. A chronic ACL tear with minimal elongation or with PCL attachment at a higher position may occasionally be difficult to distinguish from an intact ligament. (author)

  8. Repair of the torn distal biceps tendon by endobutton fixation

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    Ravi K Gupta

    2012-01-01

    Full Text Available Background: A number of techniques have been described to reattach the torn distal biceps tendon to the bicipital tuberosity. We report a retrospective analysis of single incision technique using an endobutton fixation in sports persons. Materials and Methods: The present series include nine torn distal biceps tendons in eight patients, fixed anatomically to the radial tuberosity with an endobutton by using a single incision surgical technique; seven patients had suffered the injuries during contact sports. The passage of the endobutton was facilitated by using a blunt tipped pin in order to avoid injury to the posterior interosseous nerve. The patients were evaluated by Disabilities of the Arm, Shoulder and Hand (DASH score and Mayo elbow score. Results: The average age of the patients was 27.35 years (range 21-42 years. Average follow-up was 41.5 months (range 24-102 months. The final average flexion extension arc was 0°-143°, while the average pronation and supination angles were 77° (range 70°-82° and 81° (range 78°-85°, respectively at the last followup. All the patients had a Disabilities of the Arm, Shoulder and Hand (DASH score of 0 and a Mayo elbow score of 100 each. All the seven active sports persons were able to get back to their respective game. There was no nerve injury or any other complication. Conclusions: The surgical procedure used by us is a simple, safe and reproducible technique giving minimal morbidity and better cosmetic results.

  9. Physical Therapy to Treat Torn Meniscus Comparable to Surgery for Many Patients

    Science.gov (United States)

    ... to Surgery for Many Patients Spotlight on Research Physical Therapy to Treat Torn Meniscus Comparable to Surgery ... to avoid surgery and achieve comparable relief from physical therapy, according to a recent, multisite study funded ...

  10. Hollywood lõikab filmidest purunenud torne välja / Malle Pajula

    Index Scriptorium Estoniae

    Pajula, Malle, 1971-

    2001-01-01

    Seoses 11. septembri terrorirünnakuga lõigatakse ekraanile tulevatest filmidest välja lõike, mis kujutavad tänaseks kokku varisenud Kaubanduskeskuse torne ning hoitakse kinni esilinastusi, mis võiksid olla liiga valusad hukkunute omastele

  11. Trump Is the Mask Torn off of Who We White People Are and Have Been

    Science.gov (United States)

    Scheurich, James Joseph

    2017-01-01

    Currently, most white people seem to think that Trump and his values are some cruel, insane, accidental distortion of US society. In counterpoint to this view, I argue that he is not. Instead, Trump is mainly the "liberal" or "conservative" mask torn off of who we white people have been and what we have allowed in our name.…

  12. Eesti Kunstiakadeemia üliõpilaste ehitised Pedaspeal - Giik (2006) ja Torn (2007) / Jaan Tiidemann

    Index Scriptorium Estoniae

    Tiidemann, Jaan

    2007-01-01

    Andres Alveri ja Jaan Tiidemanni juhendatud arhitektuuri üliõpilaste workshop'ides valminud ehitised Pedaspeal - Giik (projekti peaarhitekt Anu Arm) ja Torn (projekti peaarhitekt Ivan Sergejev) märgiti ära konkursil "Eesti parim puitehitis 2007". 15 vaadet

  13. Cost effectiveness of meniscal allograft for torn discoid lateral meniscus in young women.

    Science.gov (United States)

    Ramme, Austin J; Strauss, Eric J; Jazrawi, Laith; Gold, Heather T

    2016-09-01

    A discoid meniscus is more prone to tears than a normal meniscus. Patients with a torn discoid lateral meniscus are at increased risk for early onset osteoarthritis requiring total knee arthroplasty (TKA). Optimal management for this condition is controversial given the up-front cost difference between the two treatment options: the more expensive meniscal allograft transplantation compared with standard partial meniscectomy. We hypothesize that meniscal allograft transplantation following excision of a torn discoid lateral meniscus is more cost-effective compared with partial meniscectomy alone because allografts will extend the time to TKA. A decision analytic Markov model was created to compare the cost effectiveness of two treatments for symptomatic, torn discoid lateral meniscus: meniscal allograft and partial meniscectomy. Probability estimates and event rates were derived from the scientific literature, and costs and benefits were discounted by 3%. One-way sensitivity analyses were performed to test model robustness. Over 25 years, the partial meniscectomy strategy cost $10,430, whereas meniscal allograft cost on average $4040 more, at $14,470. Partial meniscectomy postponed TKA an average of 12.5 years, compared with 17.30 years for meniscal allograft, an increase of 4.8 years. Allograft cost $842 per-year-gained in time to TKA. Meniscal allografts have been shown to reduce pain and improve function in patients with discoid lateral meniscus tears. Though more costly, meniscal allografts may be more effective than partial meniscectomy in delaying TKA in this model. Additional future long term clinical studies will provide more insight into optimal surgical options.

  14. Knee extension and flexion: MR delineation of normal and torn anterior cruciate ligaments

    Energy Technology Data Exchange (ETDEWEB)

    Niitsu, Mamoru; Ikeda, Kotaroh; Fukubayashi, Tohru; Anno, Izumi; Itai, Yuji [Univ. of Tsukuba, Ibaraki (Japan)

    1996-03-01

    Our goal was to assess the effect of joint position of semiflexed and extended knees in MR delineation of the anterior cruciate ligament (ACL). With a mobile knee brace and a flexible surface coil, the knee joint was either fully extended or bent to a semiflexed position (average 45{degrees} of flexion) within the magnet bore. Sets of oblique sagittal MR images were obtained for both extended and flexed knee positions. Thirty-two knees with intact ACLs and 43 knees with arthroscopically proven ACL tears were evaluated. Two observers compared paired MR images of both extended and flexed positions and rated them by a relative three point scale. Anatomic correlation in MR images was obtained by a cadaveric knee with incremental flexion. The MR images of flexed knees were more useful than of extended knees in 53% of the case reviews of femoral attachments and 36% of reviews of midportions of normal ACLs. Compared with knee extensions, the MR images for knee flexion provided better clarity in 48% of reviews of disrupted sites and 52% of residual bundles of torn ACLs. Normal ACL appeared taut in the knee extension and lax in semiflexion. Compared with MR images of knees in extension, MR images of knees in flexion more clearly delineate the femoral side of the ligament with wider space under the intercondylar roof and with decreased volume-averaging artifacts, providing superior visualization of normal and torn ACLs. 13 refs., 7 figs., 1 tab.

  15. Facilitating mental health screening of war-torn populations using mobile applications.

    Science.gov (United States)

    Hashemi, Bahar; Ali, Sara; Awaad, Rania; Soudi, Laila; Housel, Lawrence; Sosebee, Stephen J

    2017-01-01

    War-torn populations are often hard to screen for mental health disorders. Classical data collection approaches, such as paper-based, online, or SMS-operated, are either infeasible or lack accuracy due to a variety of challenges associated with dynamics and consequences of war. In this paper, we introduce a novel approach for accurate and fast screening using free open-source software, Open Data Kit (ODK) mobile application. This approach was developed by the Palestine Children's Relief Fund (PCRF) to assess the mental health symptoms of 986 Palestinian children (age 6-18) in the aftermath of Israel's Operation Protective Edge (OPE) in 2014. The organization developed assessment questionnaires and trained local field workers on the use of the mobile application, and on recruiting and interviewing war victims. War-affected children were found to suffer from several alarming symptoms associated with post-traumatic stress disorder (PTSD), depression, and somatic symptoms. Children with highest number of psychological symptoms were referred for further evaluation and treatment. The use of ODK mobile technologies facilitated efficient screening of affected children in war zones. The offline data collection capability was crucial for handling the difficult conditions associated with war-torn areas, enabling timely intervention for urgent cases. Further applications of the novel mobile technology are to be explored.

  16. LABORATORY PROTECTION RATE OF TORN BEDNETS TREATED WITH THREE DOSAGES OF PYRETHROIDE AGAINST ANOPHELES CULICIFACIES

    Directory of Open Access Journals (Sweden)

    G. Babaee

    2007-05-01

    Full Text Available Evaluated under laboratory condition. The objective of the present study was to observe the effect of impregnated torn bednets on the number of bites by An. culicifacies A glass made tunnel test was designed to The effect of torn bednets treated with three dosages of cyfluthrin 5% EW, were induce hungry female mosquitoes to pass through holes cut in the pyrethroid treated nets. A guinea pig used as bait to attract mosquitoes through circular holes in the netting. With untreated netting, 72-87% of laboratory-reared females passed through the holes overnight, 64-92% blood-fed successfully and 0.3/9-4/3% died. When the netting was treated with cyfluthrin at doses of 25, 50 and 100 mg a.i./m2, the entry Index (the proportions that passed through the holes overnight were 43.37%, 42.82% and 24.72%; mortality rates were 66.31%, 81.45% and 95.99%; and the feeding rate were 45%, 27% and 3%. In conclusion it should be stressed that efficacy of pyrethroid impregnated bednets using “Tunnel Tests” showing acceptable protection rate both in lower and higher dosages as well as cause dead in the blood-fed mosquitoes. In addition, the higher dosages of these three dosages pyrethroid provided good levels of protection against An. culicifacies.

  17. Sit Down with Sabin: Margaret Torn: The Carbon Cycle Like You've Never Seen It (LBNL Summer Lecture Series)

    Energy Technology Data Exchange (ETDEWEB)

    Russell, Sabin; Torn, Margaret

    2011-07-06

    Lawrence Berkeley National Laboratory soil scientist Margaret Torn appears July 6, 2011 on "Sit Down with Sabin," a weekly conversation in which former reporter Sabin Russell chats with Berkeley Lab staff about innovative science. Torn discusses how she travels the world to learn more about soil's huge role in the global carbon cycle. Brought to you by Berkeley Lab Public Affairs.

  18. Ultrasonographic findings of healing of torn tendon in the patients with lateral epicondylitis after prolotherapy

    International Nuclear Information System (INIS)

    Park, Jae Hyung; Song, In Sup; Lee, Jong Beom; Lee, Hea Yeon; Yoo, Seung Min; Yang, Sung Joon; Seo, Kyung Muk; Kim, Don Gyu

    2003-01-01

    The purpose of this study was to describe the sonographic findings of healing in torn common extensor tendon of elbow after prolotherapy and to evaluate the value of US in the course of management of lateral epicondylitis. 12 common extensor tendons in eleven patients were examined by sonography before and after prolotherapy. On initial US examination, 11 tendons showed a partial tear and one tendon showed a full thickness but incomplete width tear. All patients were managed with prolotherapy several times(2 to 6 times). The time interval between the initial US and follow up US examination after treatment was from 4.5 to 6.5 months(mean ; 5.8 months). The findings of healing were evaluated with respect to the change of echogenicity(anechoic focus, hypoechoic focus), presence or absence of fibrillar pattern in the tendon on gray scale US, and focus of hypervascularity on color Doppler image. We used the visual analogue scale(VAS) of pain to assess the response to the treatment. All patients showed symptom improvement as the points drop on VAS in a range between 1.5 and 6.5(mean ; 4.5). In one tendon, a few echogenic lines were seen within the initially anechoic lesion(pattern I). In three tendons, most of the anechoic lesion(tear) was filled with fibrillar echogenicity except for a small focus of anechogenicity(pattern II). In two tendons, initial anechoic lesion in common extensor tendon was changed to same sized hypoechoic lesion with diffuse fibrillar pattern within the initial anechoic lesion (pattern III). In 6 tendons, initial anechoic lesion became smaller with diffuse fibrillar pattern were seen(pattern IV). Color Doppler examination was performed in 11 tendons after therapy and six of 11 tendons showed hypervascularity. Most important finding of healing in torn tendon is reappearance of fibrillar pattern in initial anechoic lesion(tear). The follow up sonography of the common extensor tendon in the course of treatment can be useful to evaluate the effects

  19. Ultrasonographic findings of healing of torn tendon in the patients with lateral epicondylitis after prolotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jae Hyung; Song, In Sup; Lee, Jong Beom; Lee, Hea Yeon; Yoo, Seung Min; Yang, Sung Joon; Seo, Kyung Muk; Kim, Don Gyu [Chungang University Hospital, Seoul (Korea, Republic of)

    2003-09-15

    The purpose of this study was to describe the sonographic findings of healing in torn common extensor tendon of elbow after prolotherapy and to evaluate the value of US in the course of management of lateral epicondylitis. 12 common extensor tendons in eleven patients were examined by sonography before and after prolotherapy. On initial US examination, 11 tendons showed a partial tear and one tendon showed a full thickness but incomplete width tear. All patients were managed with prolotherapy several times(2 to 6 times). The time interval between the initial US and follow up US examination after treatment was from 4.5 to 6.5 months(mean ; 5.8 months). The findings of healing were evaluated with respect to the change of echogenicity(anechoic focus, hypoechoic focus), presence or absence of fibrillar pattern in the tendon on gray scale US, and focus of hypervascularity on color Doppler image. We used the visual analogue scale(VAS) of pain to assess the response to the treatment. All patients showed symptom improvement as the points drop on VAS in a range between 1.5 and 6.5(mean ; 4.5). In one tendon, a few echogenic lines were seen within the initially anechoic lesion(pattern I). In three tendons, most of the anechoic lesion(tear) was filled with fibrillar echogenicity except for a small focus of anechogenicity(pattern II). In two tendons, initial anechoic lesion in common extensor tendon was changed to same sized hypoechoic lesion with diffuse fibrillar pattern within the initial anechoic lesion (pattern III). In 6 tendons, initial anechoic lesion became smaller with diffuse fibrillar pattern were seen(pattern IV). Color Doppler examination was performed in 11 tendons after therapy and six of 11 tendons showed hypervascularity. Most important finding of healing in torn tendon is reappearance of fibrillar pattern in initial anechoic lesion(tear). The follow up sonography of the common extensor tendon in the course of treatment can be useful to evaluate the effects

  20. Hunger influenced life expectancy in war-torn Sub-Saharan African countries.

    Science.gov (United States)

    Uchendu, Florence N

    2018-04-27

    Malnutrition is a global public health problem especially in developing countries experiencing war/conflicts. War might be one of the socio-political factors influencing malnutrition in Sub-Saharan African (SSA) countries. This study aims at determining the influence of war on corruption, population (POP), number of population malnourished (NPU), food security and life expectancy (LE) in war-torn SSA countries (WTSSA) by comparing their malnutrition indicators. Fourteen countries in WTSSA were stratified into zones according to war incidences. Countries' secondary data on population (POP), NPU, Food Security Index (FSI), corruption perceptions index (CPI), Global Hunger Index (GHI) and LE were obtained from global published data. T test, multivariate and Pearson correlation analyses were performed to determine the relationship between CPI, POP, GHI, FSI, NPU, male LE (MLE) and female LE (FLE) in WTSSA at p Malnutrition indicators were similarly affected in WTSSA. Hunger influenced life expectancy. Policies promoting good governance, equity, peaceful co-existence, respect for human right and adequate food supply will aid malnutrition eradication and prevent war occurrences in Sub-Saharan African countries.

  1. Stock-outs, uncertainty and improvisation in access to healthcare in war-torn Northern Uganda.

    Science.gov (United States)

    Muyinda, Herbert; Mugisha, James

    2015-12-01

    Stock-outs, also known as shortages or complete absence of a particular inventory, in public health facilities have become a hallmark in Uganda's health system making the notions of persistent doubt in access to healthcare - uncertainty, and doing more with less - 'improvisation', very pronounced. The situation becomes more critical in post-conflict areas with an over whelming burden of preexisting and conflict-related ailments amidst weak health systems. Particularly in the war-torn Northern Uganda, the intersection between the effects of violent conflict and shortage of medications is striking. There are problems getting the right type of medications to the right people at the right time, causing persistent shortages and uncertainty in access to healthcare. With reference to patients on Antiretroviral Therapy (ART), we present temporal trends in access to healthcare in the context of medication shortages in conflict-affected areas. We examine uncertainties in access to care, and how patients, medical practitioners, and the state - the key actors in the domain of supplying and utilizing medicines, respond. Our observation is that, while improvisation is a feature of biomedicine and facilitates problem solving in daily life, it is largely contextual. Given the rapidly evolving contexts and social and professional sensitivities that characterize war affected areas, there is a need for deliberate healthcare programs tailored to the unique needs of people and to the shaping of appropriate policies in post-conflict settings, which call for more North-South collaboration on equal terms. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Paediatric in-patient care in a conflict-torn region of Somalia: are hospital outcomes of acceptable quality?

    Science.gov (United States)

    Zachariah, R.; Hinderaker, S. G.; Khogali, M.; Manzi, M.; van Griensven, J.; Ayada, L.; Jemmy, J. P.; Maalim, A.; Amin, H.

    2013-01-01

    Setting: A district hospital in conflict-torn Somalia. Objective: To report on in-patient paediatric morbidity, case fatality and exit outcomes as indicators of quality of care. Design: Cross-sectional study. Results: Of 6211 children, lower respiratory tract infections (48%) and severe acute malnutrition (16%) were the leading reasons for admission. The highest case-fatality rate was for meningitis (20%). Adverse outcomes occurred in 378 (6%) children, including 205 (3.3%) deaths; 173 (2.8%) absconded. Conclusion: Hospital exit outcomes are good even in conflict-torn Somalia, and should boost efforts to ensure that such populations are not left out in the quest to achieve universal health coverage. PMID:26393014

  3. Epidemiology and Clinical Burden of Malaria in the War-Torn Area, Orakzai Agency in Pakistan.

    Directory of Open Access Journals (Sweden)

    Asad Mustafa Karim

    2016-01-01

    Full Text Available Military conflict has been a major challenge in the detection and control of emerging infectious diseases such as malaria. It poses issues associated with enhancing emergence and transmission of infectious diseases by destroying infrastructure and collapsing healthcare systems. The Orakzai agency in Pakistan has witnessed a series of intense violence and destruction. Military conflicts and instability in Afghanistan have resulted in the migration of refugees into the area and possible introduction of many infectious disease epidemics. Due to the ongoing violence and Talibanization, it has been a challenge to conduct an epidemiological study.All patients were sampled within the transmission season. After a detailed clinical investigation of patients, data were recorded. Baseline venous blood samples were taken for microscopy and nested polymerase chain reaction (nPCR analysis. Plasmodium species were detected using nested PCR (nPCR and amplification of the small subunit ribosomal ribonucleic acid (ssrRNA genes using the primer pairs. We report a clinical assessment of the epidemic situation of malaria caused by Plasmodium vivax (86.5% and Plasmodium falciparum (11.79% infections with analysis of complications in patients such as decompensated shock (41%, anemia (8.98%, hypoglycaemia (7.3%, multiple convulsions (6.7%, hyperpyrexia (6.17%, jaundice (5%, and hyperparasitaemia (4.49%.This overlooked distribution of P. vivax should be considered by malaria control strategy makers in the world and by the Government of Pakistan. In our study, children were the most susceptible population to malaria infection while they were the least expected to use satisfactory prevention strategies in such a war-torn deprived region. Local health authorities should initiate malaria awareness programs in schools and malaria-related education should be further promoted at the local level reaching out to both children and parents.

  4. UNDP supports HIV / AIDS / STD project for war-torn south Sudan -- a special report.

    Science.gov (United States)

    Del Viso, N

    1997-01-01

    This article describes a UN HIV/AIDS and sexually transmitted disease (STD) project in war-torn south Sudan. The 3-year project relies on collaboration between adversaries and implementation in government-held and rebel-controlled areas. The project aims to reduce the risk and vulnerability to HIV/AIDS/STDs and to foster dialogue among adversaries as a means of conflict resolution. The World Health Organization will contribute technical assistance. Local partners including the government, the Southern Sudan Independence Movement, and the Sudanese People's Liberation Movement will contribute resources valued at about $100,000. The total UN contribution is about $300,000. HIV transmission has increased due to a high concentration of military personnel and population displacement. Available information suggests that the south has the highest HIV prevalence and 46% of known AIDS cases. STDs increased from 2.3% in 1989 to 14.1% in 1994. The project focuses on women, youth, and other vulnerable groups. The project is in its 9-month preparatory phase. The preparatory phase includes analysis of the HIV/AIDS/STD situation, design of a sustainable program, assessment of causative factors, and establishment of a mechanism for effectively coordinating the project. The civil war will affect priorities, strategies, and activities. In government-controlled areas, the Sudan National AIDS program will conduct activities. In non-government areas, the Sudan Rehabilitation and Relief Association, the Relief Association for South Sudan, and health and humanitarian authorities of the liberation groups will conduct programs. The UN Office of Special Projects will provide oversight during the preparatory phase. Sudan's UN Country Theme Group on HIV/AIDS will be the coordinating group.

  5. Texture analysis of torn rotator cuff on preoperative magnetic resonance arthrography as a predictor of postoperative tendon status

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Yeon Ah; Lee, Guen Young; Lee, Joon Woo; Lee, Eugene; Kim, Boh Young; Kim, Su Jin; Ahn, Joong Mo; Kang, Heung Sik [Dept. of Radiology, Seoul National University Bundang Hospital, Seongnam (Korea, Republic of)

    2017-08-01

    To evaluate texture data of the torn supraspinatus tendon (SST) on preoperative T2-weighted magnetic resonance arthrography (MRA) using the gray-level co-occurrence matrix (GLCM) for prediction of post-operative tendon state. Fifty patients who underwent arthroscopic rotator cuff repair for full-thickness tears of the SST were included in this retrospective study. Based on 1-year follow-up, magnetic resonance imaging showed that 30 patients had intact SSTs, and 20 had rotator cuff retears. Using GLCM, two radiologists measured independently the highest signal intensity area of the distal end of the torn SST on preoperative T2-weighted MRA, which were compared between two groups.The relationships with other well-known prognostic factors, including age, tear size (anteroposterior dimension), retraction size (mediolateral tear length), grade of fatty degeneration of the SST and infraspinatus tendon, and arthroscopic fixation technique (single or double row), also were evaluated. Of all the GLCM features, the retear group showed significantly higher entropy (p < 0.001 and p = 0.001), variance (p = 0.030 and 0.011), and contrast (p = 0.033 and 0.012), but lower angular second moment (p < 0.001 and p = 0.002) and inverse difference moment (p = 0.027 and 0.027), as well as larger tear size (p = 0.001) and retraction size (p = 0.002) than the intact group. Retraction size (odds ratio [OR] = 3.053) and entropy (OR = 17.095) were significant predictors. Texture analysis of torn SSTs on preoperative T2-weighted MRA using the GLCM may be helpful to predict postoperative tendon state after rotator cuff repair.

  6. Texture analysis of torn rotator cuff on preoperative magnetic resonance arthrography as a predictor of postoperative tendon status

    International Nuclear Information System (INIS)

    Kang, Yeon Ah; Lee, Guen Young; Lee, Joon Woo; Lee, Eugene; Kim, Boh Young; Kim, Su Jin; Ahn, Joong Mo; Kang, Heung Sik

    2017-01-01

    To evaluate texture data of the torn supraspinatus tendon (SST) on preoperative T2-weighted magnetic resonance arthrography (MRA) using the gray-level co-occurrence matrix (GLCM) for prediction of post-operative tendon state. Fifty patients who underwent arthroscopic rotator cuff repair for full-thickness tears of the SST were included in this retrospective study. Based on 1-year follow-up, magnetic resonance imaging showed that 30 patients had intact SSTs, and 20 had rotator cuff retears. Using GLCM, two radiologists measured independently the highest signal intensity area of the distal end of the torn SST on preoperative T2-weighted MRA, which were compared between two groups.The relationships with other well-known prognostic factors, including age, tear size (anteroposterior dimension), retraction size (mediolateral tear length), grade of fatty degeneration of the SST and infraspinatus tendon, and arthroscopic fixation technique (single or double row), also were evaluated. Of all the GLCM features, the retear group showed significantly higher entropy (p < 0.001 and p = 0.001), variance (p = 0.030 and 0.011), and contrast (p = 0.033 and 0.012), but lower angular second moment (p < 0.001 and p = 0.002) and inverse difference moment (p = 0.027 and 0.027), as well as larger tear size (p = 0.001) and retraction size (p = 0.002) than the intact group. Retraction size (odds ratio [OR] = 3.053) and entropy (OR = 17.095) were significant predictors. Texture analysis of torn SSTs on preoperative T2-weighted MRA using the GLCM may be helpful to predict postoperative tendon state after rotator cuff repair

  7. Characterization of progenitor cells derived from torn human rotator cuff tendons by gene expression patterns of chondrogenesis, osteogenesis, and adipogenesis.

    Science.gov (United States)

    Nagura, Issei; Kokubu, Takeshi; Mifune, Yutaka; Inui, Atsuyuki; Takase, Fumiaki; Ueda, Yasuhiro; Kataoka, Takeshi; Kurosaka, Masahiro

    2016-03-31

    It is important to regenerate the tendon-to-bone interface after rotator cuff repair to prevent re-tears. The cells from torn human rotator cuff were targeted, and their capacity for multilineage differentiation was investigated. The edges of the rotator cuff were harvested during arthroscopic rotator cuff repair from nine patients, minced into pieces, and cultured on dishes. Adherent cells were cultured, phenotypically characterized. Then expandability, differentiation potential and gene expression were analyzed. Flow cytometry revealed that the mesenchymal stem cells (MSC)-related markers CD29, CD44, CD105, and CD166 were positive. However, CD14, CD34, and CD45 were negative. On RT-PCR analyses, the cells showed osteogenic, adipogenic, and chondrogenic potential after 3 weeks of culture under the respective differentiation conditions. In addition, SOX9, type II collagen, and type X collagen expression patterns during chondrogenesis were similar to those of endochondral ossification at the enthesis. The cells derived from torn human rotator cuff are multipotent mesenchymal stem cells with the ability to undergo multilineage differentiation, suggesting that MSCs form this tissue could be regenerative capacity for potential self-repair.

  8. Quantitative analysis of the difference between an intact complete discoid lateral meniscus and a torn complete discoid meniscus on MR imaging: a feasibility study for a new classification

    International Nuclear Information System (INIS)

    Lee, Mi Hee; Choi, Sang-Hee; Woo, Sook Young

    2010-01-01

    To determine the quantitative difference between an intact complete discoid lateral meniscus (CDLM) and a torn CDLM on MR imaging. Between May 2005 to November 2009, 137 patients with a CDLM (107 intact CDLM and 30 torn CDLM) and 92 patients with a normal meniscus were included in this study. The evaluated parameters were the height of the posterior horn of the lateral and medial menisci on the sagittal images and their ratio as assessed by two observers twice at an interval of 1 month. Each parameter was analyzed based on the Kruskal Wallis test, and the analysis using the mixed model. Intraclass correlation coefficient (ICC) was used to determine the interobserver reliabilities at session 2. The mean heights of the posterior horn of the lateral and medial menisci on the sagittal images for an intact CDLM, a torn CLDM, and a normal meniscus were 6.5, 7.3, 5.7 and 6.6, 6.4, 6.7 mm at session 1, respectively. The mean heights of the posterior horn of the lateral and medial menisci on the sagittal images for an intact CDLM, a torn CDLM, and a normal meniscus for both observers were 6.5, 7.2, 5.7 and 6.6, 6.3, 6.8 mm at session 2, respectively. The ratio of the height of the lateral to the height of the medial meniscus for an intact CDLM at both sessions for both observers was 1.0. The ratios were 1.2 and 0.8 for a torn CDLM and for a normal meniscus, respectively, at both sessions for observer 1. The ratios were 1.2 and 0.9 for a torn CDLM and for a normal meniscus, respectively, at session 2 for observer 2. The heights of the posterior horn of the lateral meniscus on the sagittal images and the ratios of the heights of the lateral to the medial menisci in all three groups were statistically significantly different for both sessions (p < 0.0001). The interobserver ICCs for each parameter of both an intact CDLM and a torn CDLM at session 2 showed high correlations (p < 0.0001). The height of the lateral meniscus and the ratio of the height of the lateral to the height

  9. Tintinnabuli-muusika mõjust filmikeelele / Kerri Kotta

    Index Scriptorium Estoniae

    Kotta, Kerri, 1969-

    2009-01-01

    Kairi Maimets-Voldi doktoritööst "Mediating the 'idea of One' : Arvo Pärt's pre-existing music in film = Vahendades 'Üht(sust)' : Arvo Pärdi valmismuusikast filmis" / Tallinn : Eesti Muusika- ja Teatriakadeemia, 2009

  10. Muusikaanalüüs kui kuulamine / Kerri Kotta

    Index Scriptorium Estoniae

    Kotta, Kerri, 1969-

    2009-01-01

    Artikli eesmärgiks on visandada ühe võimaliku formaalse kuulamisviisi ehk analüüsimeetodi piirjooned. Käsitletud on kuulaja/analüüsija dialoogi teosega peamiselt muusikalise lauseehituse seisukohalt. Analüüsi aluseks on võetud W. A. Mozarti klaverisonaadi C-duur, K 278 I osa

  11. Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories

    Directory of Open Access Journals (Sweden)

    Janelle M. Jones

    2017-10-01

    Full Text Available In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth and management of conflict on a newly developed scale assessing four strategies: reconciliation, where identities are integrated, realignment, where one identity is chosen over another, retreat, where both identities are avoided, and reflection, where fit (with others, situation determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts (Study 3 only and participants endorsed the use of more realignment for role conflicts (Study 2 and more retreat for relational conflicts (Study 3 relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict.

  12. Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories

    Science.gov (United States)

    Jones, Janelle M.; Hynie, Michaela

    2017-01-01

    In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation, where identities are integrated, realignment, where one identity is chosen over another, retreat, where both identities are avoided, and reflection, where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts (Study 3 only) and participants endorsed the use of more realignment for role conflicts (Study 2) and more retreat for relational conflicts (Study 3) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict. PMID:29051744

  13. Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories.

    Science.gov (United States)

    Jones, Janelle M; Hynie, Michaela

    2017-01-01

    In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation , where identities are integrated, realignment , where one identity is chosen over another, retreat , where both identities are avoided, and reflection , where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts ( Study 3 only ) and participants endorsed the use of more realignment for role conflicts ( Study 2 ) and more retreat for relational conflicts ( Study 3 ) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict.

  14. Feeling trapped and being torn: Physicians' narratives about ethical dilemmas in hemodialysis care that evoke a troubled conscience

    Science.gov (United States)

    2011-01-01

    Background This study is part of a major study about difficulties in communicating ethical problems within and among professional groups working in hemodialysis care. Describing experiences of ethically difficult situations that induce a troubled conscience may raise consciousness about ethical problems and thereby open the way to further reflection. The aim of this study was to illuminate the meanings of being in ethically difficult situations that led to the burden of a troubled conscience, as narrated by physicians working in dialysis care. Method A phenomenological hermeneutic method was used to analyze the transcribed narrative interviews with five physicians who had varying lengths of experience in nephrology. Results The analysis shows that physicians working in hemodialysis care suffered from a troubled conscience when they felt torn by conflicting demands and trapped in irresolution. They faced ethical dilemmas where they were forced to make crucial decisions about life or death, or to prioritize when squeezed between time restraints and professional and personal demands. In these ethical dilemmas the physicians avoided arousing conflicts, were afraid of using their authority, were burdened by moral responsibility and felt devalued and questioned about their way of handling the situation. The findings point to another way of encountering ethical dilemmas, being guided by their conscience. This mean sharing the agony of deciding how to act, being brave enough to bring up the crucial problem, feeling certain that better ways of acting have not been overlooked, being respected and confirmed regarding decisions made. Conclusion The meanings of being in ethically difficult situations that led to the burden of a troubled conscience in those working in hemodialysis care, indicate the importance of increasing the level of communication within and among various professional groups - to transform being burdened by a troubled conscience into using conscience as a

  15. Paabeli torn / Aivar Sõrm

    Index Scriptorium Estoniae

    Sõrm, Aivar

    2008-01-01

    Autori hinnangul võib tänapäeva majandust võrrelda Paabeli torni ehitamisega, milles osaleb kogu maakera rahvastik, kuid ühisprojekti ehitusmaterjale ja -viise kasutatakse vastavalt omaenese tarkusele

  16. Paabeli torn / Andri Maimets

    Index Scriptorium Estoniae

    Maimets, Andri, 1979-

    2007-01-01

    Europarlamendi esimene filmipreemia Lux, mille materiaalseks ekvivalendiks on Paabeli torni kujutav kujuke ning filmi subtitreerimine 23 Euroopa keelde (lisaks üks koopia kurtidele). Sellise preemia otstarbekusest

  17. Kolm plaati eesti klassikast : Cyrillus Kreegi "Requiemi" kaks ettekanet ja "Eesti heliloojad V" / Kerri Kotta

    Index Scriptorium Estoniae

    Kotta, Kerri, 1969-

    2009-01-01

    Arvustus : Kreek, Cyrillus. Requiem. Musica sacra. Tampere : Alba, 2007. Kreek, Cyrillus. Requiem. Tõnu Kõrvits. Kreegi vihik. [Tallinn] : Eesti Filharmoonia Kammerkoor, 2008. Eesti heliloojad V. Tallinn : Eesti Rahvusringhääling, 2008

  18. Girl's Schooling in War-Torn Somalia

    Science.gov (United States)

    Moyi, Peter

    2012-01-01

    A civil war has raged in Somalia since 1991. The civil war was the final blow to an already collapsed education system. Somalia has received little research and policy attention yet children, especially girls, are very vulnerable during times of conflict. The different gender roles, activities, and status in society create gender differentiated…

  19. Retinal Detachment: Torn or Detached Retina Diagnosis

    Science.gov (United States)

    ... Feb 20, 2018 Gene Therapy May Be a Game-Changer for People With Inherited Retinal Disease Dec 19, 2017 ... the Academy Jobs at the Academy Financial Relationships with Industry Medical Disclaimer Privacy Policy Terms of Service For ...

  20. Retinal Detachment: Torn or Detached Retina Treatment

    Science.gov (United States)

    ... Feb 20, 2018 Gene Therapy May Be a Game-Changer for People With Inherited Retinal Disease Dec 19, 2017 ... the Academy Jobs at the Academy Financial Relationships with Industry Medical Disclaimer Privacy Policy Terms of Service For ...

  1. Retinal Detachment: Torn or Detached Retina Symptoms

    Science.gov (United States)

    ... Feb 20, 2018 Gene Therapy May Be a Game-Changer for People With Inherited Retinal Disease Dec 19, 2017 ... the Academy Jobs at the Academy Financial Relationships with Industry Medical Disclaimer Privacy Policy Terms of Service For ...

  2. Skelleftea lennujaama puidust torn / Alar Just

    Index Scriptorium Estoniae

    Just, Alar

    2005-01-01

    16. 09 2004 avatud lennujuhtimistorn, mille kandekonstruktsioonid on puidust. Arhitekt Ingemar Sjöstrand, inseneriarvutused tegi SP Trätek. Torni puitkonstruktsioonid valmisid AB-s Martinsons. 5 värv. ill

  3. Kindlustuspakett kui Lego torn / Liina Leiten

    Index Scriptorium Estoniae

    Leiten, Liina

    1999-01-01

    Koduse vara kindlustamise tingimused. Tabelid: 1999.a. 1. kvartali usaldusreiting varakindlustuse osas, valik koduse vara kindlustamise hinnapakkumisi. Kommenteerivad maaklerfirma In Bro & Partners kindlustusdirektor Jaak Rikson ja Kindlustusabi OÜ direktor Toivo Voit

  4. Occurrence and distribution of the exotic lizard Hemidactylus mabouia Moreau de Jonnès, 1818 in Ilha Grande, RJ, Brazil

    Directory of Open Access Journals (Sweden)

    CFD Rocha

    Full Text Available The gekkonid lizard Hemidactylus mabouia is an exotic species in Brazil and is found in different ecosystems. This species was recorded at Ilha Grande, RJ, one of the largest insular remains of the Atlantic Rainforest in Brazil. In this study, the occurrence of H. mabouia was determined throughout the island, including the rain forest, restinga and anthropic environments. We used the active search method in points along 19 trails that surround Ilha Grande. At each regular interval of 100 m, we searched for the presence of H. mabouia. The species was recorded in a total of 100 points among the 719 sampled and, in all cases, the occurrence of the lizard corresponded to points located in anthropic or perianthropic areas. As most of Ilha Grande is covered by dense tropical rain forest, we believe this has restricted the invasion of H. mabouia in natural environments within the island.

  5. Feeding ecology of a nocturnal invasive alien lizard species, Hemidactylus mabouia Moreau de Jonnès, 1818 (Gekkonidae, living in an outcrop rocky area in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    CFD. Rocha

    Full Text Available We studied in fieldwork, the feeding ecology of a Hemidactylus mabouia population from southeastern Brazil throughout one year in a region with marked climatic seasonality. A sampling of availability of arthropods in the environment was carried out, which evidenced that the availability of food resources influenced the composition of the diet of H. mabouia. There were no seasonal differences on diet composition, which may be due to the relatively constant availability on prey throughout the year. In general, this population can be classified as generalist and opportunistic regarding diet. There was a high food niche overlap among juveniles and adults, although juvenile lizards tend to eat higer number of prey (but in lower volume when compared to adult lizards. The ability to exploit a wide array of prey in an efficient way, maintaining a positive energetic balance, may be a factor determining the efficiency of this exotic species to occupy invaded areas.

  6. Communal nests of Hemidactylus mabouia (Moreau de Jonnès, 1818 (Squamata: Gekkonidae in a remnant of Atlantic Forest in northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Pablo Augusto Gurgel de Sousa

    2010-09-01

    Full Text Available Communal nesting has been registered for several species of lizards. The egg aggregations offer potential advantages such as protection, predator-satiation and thermoregulation. Hemidactylus mabouia is a successful colonizing species with continuous reproduction and a fixed size of two eggs each time. Here, we report two communal nests of Hemidactylus mabouia for the Parque Estadual Mata da Pipa, Atlantic Forest of northeastern Brazil.

  7. TTÜ arendab Mustamäel Tallinna Tehnopoli / Vilve Torn

    Index Scriptorium Estoniae

    Torn, Vilve

    2003-01-01

    Tallinna Tehnikaülikooli kui Eesti ainsa tehnilist kõrgharidust andva ülikooli arengukava näeb järgnevateks aastateks ette laiemat haaret, kui on seda senine õppe- ja teadustegevus. Tallinna Tehnopoli egiidi all on käivitatud ettevalmistused nelja tasakaalustatud funktsiooni (rahvusvaheliselt: live, learn, work and play) ühendamiseks

  8. Tornáda v České republice

    OpenAIRE

    Šáfrová, Martina

    2014-01-01

    The Bachelor work is devoted to the task of occurance the tornado over our territory. The goal of the work is on the basis of available czech and foreing literature to make acquaintance with the pesent physique knowledge of organised convection rise and tornado formation. The second goal was to show overview of tornado rise during the last ten years and introduct several tornado rise studyings. There were calculated precursors of strong convection for these rise studyings and there values wer...

  9. Oil flow resumes in war torn onshore Neutral Zone

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    Oil production has resumed in the war ravaged onshore fields of the Neutral Zone between Saudi Arabia and Kuwait 1 year after the end of Persian Gulf War. Initial production of about 40,000 b/d is expected to rise to 60,000 b/d by year end. This paper reports that prior to the January-February 1991 war to oust occupying Iraqi military forces from Kuwait, the Neutral Zone's Wafra, South Umm Gudair, and South Fuwaris onshore fields produced about 135,000 b/d

  10. Dead wood for biodiversity - foresters torn between mistrust and commitment

    International Nuclear Information System (INIS)

    Deuffic, Philippe

    2010-01-01

    Dead wood is a key element in forest biodiversity, which is used as one of the indicators for sustainable development of forests. A survey was conducted among foresters and users in the Landes de Gascogne and ile-de-France areas so as to assess practises and social representations associated with dead wood. From the results of the survey, it appears that there is a diversity of practices and divergences about the implications connected with dead wood. The 64 respondents can be divided into roughly six groups (G1: 'industrial foresters', G2: the 'silvicultural foresters', G3: the 'remote foresters', G4: the 'environmentalist foresters', G5: the 'naturalists' and G6: the 'users'). Among other things, they can be differentiated by their management practises, their degree of knowledge about and concern with ecology, their social networks, their aesthetic judgment, their perception of risks and their economic requirements. While underscoring the scarce popularity on average of the biodiversity-related issues, this sociological survey also highlights: the need for a minimal regulatory framework to achieve integrated retention of dead wood, the serious concern of forest managers in the Landes with plant health risks associated with dead wood, and the need for a functional justification for keeping dead wood in the ecosystem. (authors)

  11. Hiiglaslik Vabaduse torn New Yorgis sai nurgakivi / Tõnis Erilaid

    Index Scriptorium Estoniae

    Erilaid, Tõnis, 1943-

    2004-01-01

    4. VII pandi New Yorgis nurgakivi pilvelõhkujale, mis kerkib hävinud Maailma Kaubanduskeskuse kaksiktorni asemele. Vabaduse torni projekteerisid David Childs ja Daniel Libeskind. 2009. a. valmiva hoone kõrgus on 541 meetrit

  12. Muscle Progenitor Cell Regenerative Capacity in the Torn Rotator Cuff

    Science.gov (United States)

    Meyer, Gretchen A.; Farris, Ashley L.; Sato, Eugene; Gibbons, Michael; Lane, John G.; Ward, Samuel R.; Engler, Adam J.

    2014-01-01

    Chronic rotator cuff (RC) tears affect a large portion of the population and result in substantial upper extremity impairment, shoulder weakness, pain and limited range of motion. Regardless of surgical or conservative treatment, persistent atrophic muscle changes limit functional restoration and may contribute to surgical failure. We hypothesized that deficits in the skeletal muscle progenitor (SMP) cell pool could contribute to poor muscle recovery following tendon repair. Biopsies were obtained from patients undergoing arthroscopic RC surgery. The SMP population was quantified, isolated and assayed in culture for its ability to proliferate and fuse in-vitro and in-vivo. The SMP population was larger in muscles from cuffs with partial tears compared with no tears or full thickness tears. However, SMPs from muscles in the partial tear group also exhibited reduced proliferative ability. Cells from all cuff states were able to fuse robustly in culture and engraft when injected into injured mouse muscle, suggesting that when given the correct signals, SMPs are capable of contributing to muscle hypertrophy and regeneration regardless of tear severity. The fact that this does not appear to happen in-vivo helps focus future therapeutic targets for promoting muscle recovery following rotator cuff repairs and may help improve clinical outcomes. PMID:25410765

  13. The ‘torn curriculum’ in globalised doctoral education

    DEFF Research Database (Denmark)

    Bengtsen, Søren Smedegaard

    of future researchers, mainly through doctoral education, has become of heightened interest. In this process several global trends and related drivers of such changes can be identified, e.g. professionalization and quality assurance of doctoral education, and researcher mobility. With the European...... for students during the PhD – when at the same time political fractions state that “[o]verregulation of doctoral programs should be avoided” as doctoral education is seen as “a source for human capital for research but is also an extremely important part of the research itself” (Gudmundsson, 2008, p. 77). Also...... the PhD to not only international disciplinary arenas, but also to a world beyond the campus made manifest through a culturally diverse and existentially enhanced PhD process and learning environment. I argue that we should acknowledge that globalisation does not only make possible ‘standardisation...

  14. Keeping Faith with our War-Torn: Rebuilding Broken Spirits

    Science.gov (United States)

    2012-03-22

    classic literature to describe the sprit and the soul and how it is damaged by combat trauma. He quotes Aristotle, Shakespeare , and Heraclites. The...seem to be particularly good at helping rebuild trust and reduce the stress related to serving in combat. Several companion dog organizations...including Canine Companions International, have paired dogs with the wounded including PTSD diagnosed warriors. This has resulted in a warrior having a

  15. La Piscine - spaahõnguline muuseum / Vilve Torn

    Index Scriptorium Estoniae

    Torn, Vilve

    2009-01-01

    Andre Diligent'i kunsti- ja tööstusmuuseumist La Piscine Põhja-Prantsusmaal Roubaix's. 1932. a. valminud art deco interjööriga bassein (arhitekt Albert Baert) rekonstrueeriti arhitekt Jean-Paul Philipponi projekti põhjal. Enamik hoonest säilitati algsel kujul. Muuseum avati 2001. aastal

  16. Lihtsas säilitusnõus on mõtted ja tunded / Vilve Torn

    Index Scriptorium Estoniae

    Torn, Vilve

    2007-01-01

    Frankfurdis toimunud sisustusmessil Ambiente 2007 sai Soome Iittala kaks Design Plusi auhinda. Esimene auhind anti agentuurile Pentagon Design teose " Jars" eest, teise auhinna sai Alfredo Häberli küünlaalus "Tris"

  17. Torn ACL: A New Bioengineered Substitute Brought from the Laboratory to the Knee Joint

    Directory of Open Access Journals (Sweden)

    Francine Goulet

    2004-01-01

    Full Text Available Anterior cruciate ligament (ACL injuries occur at an annual rate of 120 000 in the USA, and many need reconstructive surgery. We report successful results at 1–13 months following implantation of bioengineered ACL (bACL in goats. A bACL has been developed using autologous ACL cells, a collagen matrix and bone plugs. The extremities of the bACL were fully integrated into the femur and tibia of the host. Vascularisation of the grafts was extensive 1 month post-surgery and improved with time. At 6 months post-grafting, histological and ultrastructural observations demonstrated a highly organised ligamentous structure, rich in type I collagen fibres and fibroblasts. At the implants' insertion sites, characteristic fibrocartilage was observed having well aligned chondrocytes and collagen fibrils. After a year, mechanical rupture of the grafts demonstrated a major gain in strength. Eventual applications of this new technology in humans include multiple uses in orthopaedic, dental and reconstructive surgeries.

  18. Two war-torn soldiers: combat-related trauma through an intersubjective lens.

    Science.gov (United States)

    Carr, Russell B

    2013-01-01

    The author, himself an Iraq war veteran, presents a contemporary psychodynamic understanding, known as intersubjective therapy, of combat-related Post-traumatic Stress Disorder (PTSD). At the onset of this case example, the patient was highly suicidal and his PTSD symptoms had not responded to a first-line treatment: manualized cognitive processing therapy. Robert Stolorow's intersubjective, psychodynamic approach to traumatic emotional experiences was then selected for treatment, and illustrates how combat in Afghanistan shattered this soldier's world and self experience. Therapeutic action arises from this intersubjective perspective by providing a relational home so that unendurable emotions can be borne, processed, and integrated to achieve a more constant and individualized sense of self. Being a two-person model of therapy, the author also describes how his work with this traumatized soldier affected him, ultimately contributing to his own sense of authentic existing. The author discusses the need for therapists to recognize and acknowledge to traumatized patients their shared finitude and the ubiquity of trauma. In the Postscript, the patient describes what he felt was therapeutic and contrasts this to his previous experiences with manualized cognitive processing therapy.

  19. Transitive Business Model of Management in Central Europe – Torn between East and West

    Directory of Open Access Journals (Sweden)

    Artur K. MODLIŃSKI

    2013-06-01

    Full Text Available The objective of the article is to present the internal and external model of management and how it is connected to the political system and national culture among the Visegrad countries.  The  paper  presents  several  examples  of  transitive models of management. It aims to indicate which advantages and disadvantages can be  identified  in  the  transitive  groups,  how  they  can  influences  the  international investment potential and image of the company. Qualitative research on asample of Polish, German and Ukrainian companies combined with secondary data. Polish business culture can be regarded as transitive –the influence of two bordering civilization (Western and Orthodox is noticeable. This phenomenon has shaped the business values and it is still present in the international context. The  transitive  business  model  of  management allows  to  predict  and  avoid  the  problems  occurring  in  the  internal  and  external relationships  in  the  companies  from  Central  Europe  who  are  involved  into international projects. The  paper  enables  the  clarification  of  the  transitive management  culture;  the  juxtaposition  of  differences  and  similarities  and  their impacts  of  the  internal  and  external  business  relationships;  the  explicitness  of dichotomy and its influence on international business image of Visegrad countries.

  20. Determinants of Children's Mental Health in War-Torn Settings: Translating Research Into Action.

    Science.gov (United States)

    Miller, Kenneth E; Jordans, Mark J D

    2016-06-01

    Research on the mental health and psychosocial wellbeing of children in conflict-affected settings has undergone a significant paradigm shift in recent years. Earlier studies based on a war exposure model primarily emphasized the effects of direct exposure to armed conflict; this has gradually given way to a broader understanding of the diverse pathways by which organized violence affects children. A robustly supported comprehensive model includes risk factors at multiple points in time (prior war exposure, ongoing daily stressors) and at all levels of the social ecology. In particular, findings suggest that material deprivation and a set of family variables, including harsh parenting, parental distress, and witnessing intimate partner violence, are important mediators of the relationship between armed conflict and children's wellbeing. To date, however, interventions aimed at supporting war-affected children's wellbeing, both preventive and treatment-focused, have focused primarily on direct work with children, while paying only modest attention to ongoing risk factors in their families and broader environments. Possible reasons for the ongoing prioritization of child-focused interventions are considered, and examples are provided of recent evidence-based interventions that have reduced toxic stressors (harsh parenting and the use of violent discipline by teachers) in conflict-affected communities.

  1. A 76-year old man with a torn Freedom SOLO bioprosthesis.

    Science.gov (United States)

    Wollersheim, Laurens W; Li, Wilson W; van der Meulen, Jan; de Mol, Bas A

    2014-01-01

    We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical reintervention, a partial tear of the left coronary cusp was seen from the commissure of the right coronary cusp to its base. After radiographic and microscopic examination, no clear cause was found for the failure of this Freedom SOLO bioprosthesis. To our knowledge, this is the third failure of a Freedom SOLO bioprosthesis reported in the literature. When the long-term follow-up of the Freedom SOLO bioprosthesis is available, it has to be compared with other bioprosthesis for long-term durability.

  2. A 76-year old man with a torn Freedom SOLO bioprosthesis

    NARCIS (Netherlands)

    Wollersheim, Laurens W.; Li, Wilson W.; van der Meulen, Jan; de Mol, Bas A.

    2014-01-01

    We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical

  3. Nõmme ja Kristiine piirikünkale Järvel kerkib sihvakas torn / Askur Alas

    Index Scriptorium Estoniae

    Alas, Askur, 1973-

    2005-01-01

    Järve keskuse naabrusesse ehitatavast 15-korruselisest büroohoonest, Böckleri majast. Autorid Studio Paralleeli arhitektid Jaak Huimerind ja Indrek Saarepera. Lisaks "Kõrghoonete katusevaated võiksid olla avalikud"

  4. Torn between war and peace: Critiquing the use of war to mobilize peaceful climate action

    International Nuclear Information System (INIS)

    Kester, Johannes; Sovacool, Benjamin K.

    2017-01-01

    Notable studies have suggested the potentiality of the WWII wartime mobilization as a model for climate change adaptation and/or mitigation. The argument being that we need a similar rapid and total shift in our industrial social and economic environment to prevent or at least address the pending impacts of climate change. This argument and these studies have inspired us to think with them on what it means to use the WWII war analogy as a security claim in energy and climate change debates. Here, we would like to use this opportunity to draw attention to some of the implicit dangers of a call to war in such discussions. Among others we observe, first, the absence of any attention to the actual mobilization policies, in terms of garnishing public support. Second, based on the insights from Critical Security Studies, we question the historical incongruence of the case study especially by comparing the perceived enemy in both cases. Lastly, building on that same security literature, we point to some undesirable and perhaps unintended consequences of the use of war analogies in climate change debates. - Highlights: • The WWII war analogy with its policy focus extends the war metaphor in climate change debates. • As a mobilization technique the analogy draws attention to the WWII policies that “sold” the war. • We provide several reasons why the war analogy is incongruent with climate change. • The war analogy remains subject to the dangers that accompany the use of a war metaphor.

  5. The Fantasy of Oil in War-torn Countries: A Geopolitical Analysis

    International Nuclear Information System (INIS)

    Perouse de Montclos, Marc-Antoine

    2014-01-01

    A highly symbolic resource, oil is often seen as a curse and a source of armed conflicts. It is of course a reason for competition and a strategic asset to conduct a war. But its role should not obscure other factors of armed conflicts. From various examples in Africa, Asia and Latin America, this article thus shows how the fantasy of oil can stimulate the imagination and confuse the geopolitical analysis of war, especially in countries without oil

  6. Maryland physicians on a humanitarian mission to war-torn Croatia.

    Science.gov (United States)

    Laukenmann, B

    1993-04-01

    Six physicians from Maryland, California, and Utah participated in a 10-day humanitarian mission to Croatia. They spent long hours in antiquated operating rooms performing maxillofacial and extremity reconstructive procedures; most patients were young or war-injured males. Though not a third world country, Croatia urgently needs finances to acquire drugs, supplies, textbooks, and equipment.

  7. Torn apart by Divorce: When a Family Is Shattered to Pieces.

    Science.gov (United States)

    Conklin, Gigi; Kamps, Brian; Lopez, Kate; McAlister, Christine; Wright, Cheri

    This brief handout set begins with a scenario that has a teacher discover that one of the best students in the class is facing the breakup of her parent's marriage. The student thinks it is "all my fault." A fact sheet on divorce and its effects on children follows. Psychological and economic effects of divorce on children are listed. Facts about…

  8. Perspective: A Pull in Two Directions--Mothers Torn between Work and Home

    Science.gov (United States)

    Murphy, Anne Pleshette

    2004-01-01

    This article was excerpted from the author's "The 7 Stages of Motherhood: Making the Most of Your Life as a Mom," published by Alfred A. Knopf in 2004. The author describes the experiences of several professional women, including herself, returning to work from maternity leave. The article examines the varied and sometimes ambivalent responses…

  9. Synovialisation of the torn anterior cruciate ligament of the knee: comparison between magnetic resonance and arthroscopy

    International Nuclear Information System (INIS)

    Higueras Guerrero, V.; Torregrosa Andres, A.; Marti-Bonmati, L.; Casillas, C.; Sanfeliu, M.

    1999-01-01

    The aim of this study was to assess the accuracy of MR in the diagnosis of synovialisation of the anterior cruciate ligament (ACL) compared with arthroscopy. One hundred and forty-nine patients were examined with MR imaging and arthroscopy of the knee. The MR sign used to consider a synovialised ACL consisted of hypointense fibrillar tracts, disrupted and wavily, in its expected course. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), comparison of proportions (McNemar test) and Kappa values for agreement between MR imaging and arthroscopy were calculated. Of the 133 (89.3 %) ligaments without synovialisation at arthroscopy, 130 accorded with the MR results. Of the 16 (10.7 %) synovialised ligaments, 13 accorded with the MR results. Three false-positive and three false-negative MR diagnoses were identified. The agreement between both techniques was excellent (Kappa = 0.79; p = 0.000), without differences (McNemar test; p = 1). Sensitivity was 0.81, specificity 0.98, PPV 0.98 and NPV 0.81. Magnetic resonance imaging is highly reliability for synovialisation diagnosis. The imaging sign used to diagnose synovialised ACL (hypointense comma-like tracts in its expected course) is reliable. As this reparative process can simulate an intact ligament, knowledge of this sign is important in diagnosing synovialisation of ACL tears so as not to confuse it with normal ACL. (orig.)

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

    Science.gov (United States)

    Moughrabieh, Anas; Weinert, Craig

    2016-02-01

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

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

    Science.gov (United States)

    Moughrabieh, Anas

    2016-01-01

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

  12. Torn between Study and Leisure: How Motivational Conflicts Relate to Students' Academic and Social Adaptation

    Science.gov (United States)

    Grund, Axel; Brassler, Nina K.; Fries, Stefan

    2014-01-01

    Research on motivational conflicts indicates that students' difficulties during studying may result from tempting alternatives in the leisure domain. In the present set of studies, we addressed the question of whether academic motivation inversely has negative spillover effects on students' leisure-related functioning, too. In the first 2 studies…

  13. Sexual violence toward children and youth in war-torn eastern Democratic Republic of Congo.

    Directory of Open Access Journals (Sweden)

    Luc Malemo Kalisya

    Full Text Available BACKGROUND: The epidemic of gender-based violence in the Democratic Republic of the Congo (DRC has garnered popular media attention, but is incompletely described in the medical literature to date. In particular, the relative importance of militarized compared to civilian rape and the impact on vulnerable populations merits further study. We describe a retrospective case series of sexual abuse among children and youth in eastern DRC. METHODS: Medical records of patients treated for sexual assault at HEAL Africa Hospital, Goma, DRC between 2006 and 2008 were reviewed. Information extracted from the chart record was summarized using descriptive statistics, with comparative statistics to examine differences between pediatric (≤ 18 yrs and adult patients. FINDINGS: 440 pediatric and 54 adult sexual abuse cases were identified. Children and youth were more often assaulted by someone known to the family (74% vs 30%, OR 6.7 [95%CI 3.6-12], p72 hours after the assault was more common in pediatric patients (53% vs 33%, OR 2.2 [95%CI 1.2-4.0], p = 0.007. Physical signs of sexual abuse, including lesions of the posterior fourchette, hymeneal tears, and anal lesions, were more commonly observed in children and youth (84% vs 69%, OR 2.3 [95%CI 1.3-4.4], p = 0.006. Nine (2.9% pediatrics patients were HIV-positive at presentation, compared to 5.3% of adults (p = 0.34. INTERPRETATION: World media attention has focused on violent rape as a weapon of war in the DRC. Our data highlight some neglected but important and distinct aspects of the ongoing epidemic of sexual violence: sexual abuse of children and youth.

  14. Human Integration through Olympism Education: A Pragmatic Engagement of Youths in a War-Torn Society

    Science.gov (United States)

    Nanayakkara, Samantha

    2016-01-01

    This paper delineates the findings of a mixed methods study that investigated how Olympism education could strengthen competencies of human integration through delivery of physical, social, and critical literacy and conflict resolution literacy. The study introduced a curriculum model integrating Olympism values and conflict resolution strategies…

  15. Rauno Pukonen : Turule tulevad vaid oma klassi parimad rohud / Rauno Pukonen ; interv. Vilve Torn

    Index Scriptorium Estoniae

    Pukonen, Rauno

    2006-01-01

    Rahvusvahelise Ravimitootjate Liidu juhatuse esimees ja Eli Lilly Balti regiooni direktor vastab küsimustele, mis puudutavad innovatiivsusest ja kvaliteedist lähtumise põhimõtet ravimitootmises, ravimihindade teket, firma 70 miljoni dollari suurust toetust tuberkuloosiprogrammile, firma tulevikku. Lisad: Eli Lilly & Co 130; Ajalugu

  16. [Instances of alienation: portrait of the torn patient. 2. Medical apparatus and dominant discourses].

    Science.gov (United States)

    Stiefel, Friedrich; Bourquin, Céline; Saraga, Michael

    2014-02-12

    The first part of the article focused on the individual mechanisms--body, psyche and relational context--alienating the patient. The second part addresses alienating mechanisms related to the medical apparatus and the dominant discourses produced within and by society. The aim is not to comprehensively list possible mechanisms, but to discuss some of them using illustrative examples.

  17. [Instances of alienation: portrait of the torn patient. I. Individual and context].

    Science.gov (United States)

    Stiefel, Friedrich; Bourquin, Céline; Saraga, Michael

    2014-02-12

    While the past decades were marked by an increased interest for the existential situation of man suffering from disease, the mechanisms alienating the patient from himself and from his context have been poorly investigated. These mechanisms, though operating in a dynamic interaction, will be discussed here sequentially. The first part of this article focuses on individual mechanisms of alienation emerging from the relationship the patient establishes with his body and psyche and on those related to his relational context. The aim is not to comprehensively describe these phenomena, but to discuss--based on clinical vignettes--some examples and their implications. The second part of the article describes some mechanisms of alienation that are incorporated in the medical apparatus and the dominant discourses.

  18. Retained Myogenic Potency of Human Satellite Cells from Torn Rotator Cuff Muscles Despite Fatty Infiltration.

    Science.gov (United States)

    Koide, Masashi; Hagiwara, Yoshihiro; Tsuchiya, Masahiro; Kanzaki, Makoto; Hatakeyama, Hiroyasu; Tanaka, Yukinori; Minowa, Takashi; Takemura, Taro; Ando, Akira; Sekiguchi, Takuya; Yabe, Yutaka; Itoi, Eiji

    2018-01-01

    Rotator cuff tears (RCTs) are a common shoulder problem in the elderly that can lead to both muscle atrophy and fatty infiltration due to less physical load. Satellite cells, quiescent cells under the basal lamina of skeletal muscle fibers, play a major role in muscle regeneration. However, the myogenic potency of human satellite cells in muscles with fatty infiltration is unclear due to the difficulty in isolating from small samples, and the mechanism of the progression of fatty infiltration has not been elucidated. The purpose of this study was to analyze the population of myogenic and adipogenic cells in disused supraspinatus (SSP) and intact subscapularis (SSC) muscles of the RCTs from the same patients using fluorescence-activated cell sorting. The microstructure of the muscle with fatty infiltration was observed as a whole mount condition under multi-photon microscopy. Myogenic differentiation potential and gene expression were evaluated in satellite cells. The results showed that the SSP muscle with greater fatty infiltration surrounded by collagen fibers compared with the SSC muscle under multi-photon microscopy. A positive correlation was observed between the ratio of muscle volume to fat volume and the ratio of myogenic precursor to adipogenic precursor. Although no difference was observed in the myogenic potential between the two groups in cell culture, satellite cells in the disused SSP muscle showed higher intrinsic myogenic gene expression than those in the intact SSC muscle. Our results indicate that satellite cells from the disused SSP retain sufficient potential of muscle growth despite the fatty infiltration.

  19. Torn between Two Worlds: Hybridity and In-Between Identity Recognition in Goli Taraqqi's "Two Worlds"

    Science.gov (United States)

    Shabankare, Nasser Najafi; Mehrabi, Bahar

    2014-01-01

    As one of the contemporary Iranian women writers living in the U.S, Goli Taraqqi's fiction is mostly concerned with pains and difficulties of migrant Iranian women in other countries. Bearing a biographical resemblance, her sequence collection to "Scattered Memories," entitled "Two Worlds" retells interrelated short stories of…

  20. Magnetic Resonance Imaging Findings in Symptomatic Patients After Arthroscopic Partial Meniscectomy for Torn Discoid Lateral Meniscus.

    Science.gov (United States)

    Lee, Chang-Rack; Bin, Seong-Il; Kim, Jong-Min; Kim, Nam-Ki

    2016-11-01

    To evaluate the change in the thickness and width of the residual meniscus using magnetic resonance imaging (MRI) in patients who underwent arthroscopic partial meniscectomy for discoid lateral meniscus (DLM), to assess whether the degeneration of the articular cartilage in the lateral compartment of the knee progressed, and to evaluate clinical results. Among the patients who underwent arthroscopic partial meniscectomy for DLM between January 1997 and December 2011, those who were aged 40 or below at surgery were followed up for at least 3 years, and received at least 2 follow-up MRIs that were retrospectively reviewed. MRIs were done in symptomatic knees. Using MRI, the relative thickness and width were measured in the anterior horn, midportion, and posterior horn. To determine whether the degeneration of the lateral compartment would progress, the articular cartilage was graded based on the Outerbridge classification in MRIs. The clinical results were evaluated using the Lysholm score. A total of 20 patients (21 knees) were included. The average follow-up period was 6.8 years. In residual meniscus, the relative thickness of the midportion decreased from 9.0% ± 2.4% to 7.3% ± 2.3% (P meniscus. A progression of degeneration in the lateral compartment was observed. However, the clinical results did not present significant changes. In symptomatic patients after arthroscopic partial meniscectomy for DLM, the thickness and width of the residual meniscus decreases over time. The arthritic change of the lateral compartment of the knee progressed. However, the change in the size of the residual meniscus was of unknown clinical significance. Level IV, therapeutic case series. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  1. Kuidas Orissaare näitering Tuulikute festivaliks valmistus / Ellen Teemus

    Index Scriptorium Estoniae

    Teemus, Ellen

    2009-01-01

    Ellen Teemuse meenutus sellest, kuidas Orissaare näitetrupp Jüri Tuuliku novelli "Haab" ainetel valminud lühietenduseni "Jonn" jõudis, ning mis vendadele Tuulikutele pühendatud festivalil "Meretagune asi" publiku ette toodi

  2. Use and limitations of malaria rapid diagnostic testing by community health workers in war-torn Democratic Republic of Congo.

    Science.gov (United States)

    Hawkes, Michael; Katsuva, Jean Paul; Masumbuko, Claude K

    2009-12-23

    Accurate and practical malaria diagnostics, such as immunochromatographic rapid diagnostic tests (RDTs), have the potential to avert unnecessary treatments and save lives. Volunteer community health workers (CHWs) represent a potentially valuable human resource for expanding this technology to where it is most needed, remote rural communities in sub-Saharan Africa with limited health facilities and personnel. This study reports on a training programme for CHWs to incorporate RDTs into their management strategy for febrile children in the Democratic Republic of Congo, a tropical African setting ravaged by human conflict. Prospective cohort study, satisfaction questionnaire and decision analysis. Twelve CHWs were trained to safely and accurately perform and interpret RDTs, then successfully implemented rapid diagnostic testing in their remote community in a cohort of 357 febrile children. CHWs were uniformly positive in evaluating RDTs for their utility and ease of use. However, high malaria prevalence in this cohort (93% by RDTs, 88% by light microscopy) limited the cost-effectiveness of RDTs compared to presumptive treatment of all febrile children, as evidenced by findings from a simplified decision analysis. CHWs can safely and effectively use RDTs in their management of febrile children; however, cost-effectiveness of RDTs is limited in zones of high malaria prevalence.

  3. Use and limitations of malaria rapid diagnostic testing by community health workers in war-torn Democratic Republic of Congo

    Directory of Open Access Journals (Sweden)

    Katsuva Jean

    2009-12-01

    Full Text Available Abstract Background Accurate and practical malaria diagnostics, such as immunochromatographic rapid diagnostic tests (RDTs, have the potential to avert unnecessary treatments and save lives. Volunteer community health workers (CHWs represent a potentially valuable human resource for expanding this technology to where it is most needed, remote rural communities in sub-Saharan Africa with limited health facilities and personnel. This study reports on a training programme for CHWs to incorporate RDTs into their management strategy for febrile children in the Democratic Republic of Congo, a tropical African setting ravaged by human conflict. Methods Prospective cohort study, satisfaction questionnaire and decision analysis. Results Twelve CHWs were trained to safely and accurately perform and interpret RDTs, then successfully implemented rapid diagnostic testing in their remote community in a cohort of 357 febrile children. CHWs were uniformly positive in evaluating RDTs for their utility and ease of use. However, high malaria prevalence in this cohort (93% by RDTs, 88% by light microscopy limited the cost-effectiveness of RDTs compared to presumptive treatment of all febrile children, as evidenced by findings from a simplified decision analysis. Conclusions CHWs can safely and effectively use RDTs in their management of febrile children; however, cost-effectiveness of RDTs is limited in zones of high malaria prevalence.

  4. A multi-state weather generator for daily precipitation for the Torne River basin, northern Sweden/western Finland

    Directory of Open Access Journals (Sweden)

    David Rayner

    2016-03-01

    Results showed that the 10-state empirical model represented accumulated 2- to 14-day precipitation most realistically. Further, the distribution of precipitation on wet days in the catchment is related to the placement of a wet day within a wet-spell, and the 10-state models represented this realistically, while the wet/dry models did not. Although all four models accurately reproduced the annual and monthly averages in the training data, all models underestimated inter-annual and inter-seasonal variance. Even so, the 10-state empirical model performed best. We conclude that the multi-state model is a promising candidate for hydrological applications, as it simulates multi-day precipitation well, but that further development is required to improve the simulation of interannual variation.

  5. Acute infratentorial traumatic subdural hematoma associated with a torn tentorium cerebelli in a one-year-old boy

    International Nuclear Information System (INIS)

    Vielvoye, G.J.; Peters, A.C.B.; Dulken, H. van; Rijksuniversiteit Leiden

    1982-01-01

    The case of a 1-year-old boy with an acute infratentorial subdural hematoma is presented. Surgical intervention revealed a bleeding vein at the edge of a right-sided tentorial tear. Traumatic tentorial tearing has been demonstrated previously only in neonates. Although computed tomography is the most effective method for recognition of this lesion, vertebral angiography may be mandatory for more accurate localization. (orig.)

  6. Torn Between Two Worlds: Hybridity and In-between Identity Recognition in Goli Taraqqi’s Two Worlds

    Directory of Open Access Journals (Sweden)

    Nasser Najafi Shabankare

    2014-10-01

    Full Text Available As one of the contemporary Iranian women writers living in the U.S, Goli Taraqqi’s fiction is mostly concerned with pains and difficulties of migrant Iranian women in other countries. Bearing a biographical resemblance, her sequence collection to Scattered Memories, entitled Two Worlds retells interrelated short stories of a woman writer narrator, entangled in an asylum in Paris, who digs into her past, writes stories about it, and is able to regain her sanity in the end, as she gets ready to enter the brave new world. The process of identity recognition is to be approached with an eye on Homi K, Bhabha’s assertions about ‘hybridity’ and ‘in-between’ as explained in his 1994 Location and Culture, to see to what degree the newly gained identity, which is resembled to a resurrection, is in fact a hybrid one.

  7. Supporting 'medicine at a distance' for delivery of hospital services in war-torn Somalia: how well are we doing?

    Science.gov (United States)

    Maalim, Abdisalan M; Zachariah, Rony; Khogali, Mohamed; Van Griensven, Johan; Van den Bergh, Rafael; Tayler-Smith, Katherine; Kizito, Walter; Baruani, Bienvenu; Osoble, Abdirahman; Abdirahman, Faiza; Ayada, Latifa; Mohamed, Abdinoor H

    2014-03-01

    We describe an innovative strategy implemented to support national staff at Istarlin Hospital in the conflict setting of Somalia; and report on inpatient morbidities, mortality and adverse hospital exit outcomes. This was a retrospective analysis of hospital data for 2011. Of 8584 admitted patients, the largest numbers were for lower respiratory tract infections (LRTI) (2114; 25%), normal deliveries (1355; 16%) and diarrhoeal diseases (715; 8%). The highest contributors to mortality were gunshot wounds in surgery (18/30; 60%), LRTIs in internal medicine (6/32; 19%) and malnutrition in paediatrics (30/81; 37%). Adverse hospital exit outcomes (deaths and absconded) were well within thresholds set by Médecins Sans Frontières. With a support package, satisfactory standards of care were met for hospital care in Somalia.

  8. Foreign awakenings: rig work in war-torn Sudan convinces Canadians their civilized version of industry is needed

    International Nuclear Information System (INIS)

    Lorenz, A.

    2000-01-01

    Experiences of some Canadian geologists working in Sudan are described. Glad to be back in Canada after several years of exploration work for various international exploration companies, they have fond memories of the people, who for the most part live under very primitive conditions, and constant exposure to the ravages of tribal wars. They characterize the attitude of Canadians working in Sudan towards the native population as one that puts high values on human rights, safety, work ethics, and individual responsibility. They defend Canadian presence in these far-off regions as beneficial to the native population, by bringing Canadian standards and a civilized version of industry to an area that has seen very little of that in the past. In contrast to the situation on Canadian rigs, on Chinese oil rigs favoritism and racism are the rule; the Chinese do not see that humanitarian issues are any of their concerns

  9. A silver lining in strife torn camps of Bodoland, Assam: a case study intersecting gender, disaster, and mental health

    Directory of Open Access Journals (Sweden)

    Budhiswatya Shankar Das

    2016-07-01

    Full Text Available A case of a 40-year-old, Muslim woman, educated up to class IV, homemaker by profession, hailing from a lower socioeconomic background of Chirang district of Assam was referred to medical camp, with symptoms of reduced interest in daily activities, increased tension, fearfulness, with decreased amount of sleep and appetite. Psychiatric social work assessment showed that she had a frictional and conflicting relationship with her husband. Due to which her quality of life was compromised. On further assessment it was found that the client was having moderate level of functioning. Impact of Event Scale score suggested cutoff for a probable diagnosis of posttraumatic stress disorder (PTSD, consider consulting a mental health professional. The client was referred to a psychiatrist for further assessment and treatment, and she was diagnosed as PTSD. Later individual, marital, and group interventions were provided and moderate improvement in terms of self-esteem, reducing anxiety, and enhancing coping mechanism. The present case study prompts us to look at the intersection of mental health, disaster, and gender. Disasters have been taking place since time immemorial and will continue to occur. A significant percentage of survivors develop profound, debilitating posttraumatic stress reactions requiring extended mental health intervention. These extreme stress reactions include fear and irrational behaviour, shock, immobilisation, withdrawal, denial and intrusive thoughts, hyper-vigilance, easy startle, insomnia, decreased attention and concentration, and psycho-physiological reactions. The social work professionals have long been involved with disaster relief work, both at individual and community level.

  10. Providing surgery in a war-torn context: the Médecins Sans Frontières experience in Syria.

    Science.gov (United States)

    Trelles, Miguel; Dominguez, Lynette; Tayler-Smith, Katie; Kisswani, Katrin; Zerboni, Alberto; Vandenborre, Thierry; Dallatomasina, Silvia; Rahmoun, Alaa; Ferir, Marie-Christine

    2015-01-01

    Since 2011, civil war has crippled Syria leaving much of the population without access to healthcare. Various field hospitals have been clandestinely set up to provide basic healthcare but few have been able to provide quality surgical care. In 2012, Medecins Sans Frontieres (MSF) began providing surgical care in the Jabal al-Akrad region of north-western Syria. Based on the MSF experience, we describe, for the period 5th September 2012 to 1st January 2014: a) the volume and profile of surgical cases, b) the volume and type of anaesthetic and surgical procedures performed, and c) the intraoperative mortality rate. A descriptive study using routinely collected MSF programme data. Quality surgical care was assured through strict adherence to the following minimum standards: adequate infrastructure, adequate water and sanitation provisions, availability of all essential disposables, drugs and equipment, strict adherence to hygiene requirements and universal precautions, mandatory use of sterile equipment for surgical and anaesthesia procedures, capability for blood transfusion and adequate human resources. During the study period, MSF operated on 578 new patients, of whom 57 % were male and median age was 25 years (Interquartile range: 21-32 years). Violent trauma was the most common surgical indication (n-254, 44 %), followed by obstetric emergencies (n-191, 33 %) and accidental trauma (n-59, 10 %). In total, 712 anaesthetic procedures were performed. General anaesthesia without intubation was the most common type of anaesthesia (47 % of all anaesthetics) followed by spinal anaesthesia (25 %). A total of 831 surgical procedures were performed, just over half being minor/wound care procedures and nearly one fifth, caesarean sections. There were four intra-operative deaths, giving an intra-operative mortality rate of 0.7 %. Surgical needs in a conflict-afflicted setting like Syria are high and include both combat and non-combat indications, particularly obstetric emergencies. Provision of quality surgical care in a complex and volatile setting like this is possible providing appropriate measures, supported by highly experienced staff, can be implemented that allow a specific set of minimum standards of care to be adhered to. This is particularly important when patient outcomes - as a reflection of quality of care - are difficult to assess.

  11. PROFILE OF WOMEN ENTREPRENEURS IN A WAR-TORN AREA: CASE STUDY OF NORTH EAST SRI LANKA

    OpenAIRE

    SELVALAMAR AYADURAI; M. SADIQ SOHAIL

    2006-01-01

    This study examines the demographic profile of "Tamil" women entrepreneurs in the North East of Sri Lanka who became entrepreneurs as a result of war. Five main areas of interest were examined, namely, (i) characteristics of these women; (ii) factors that spurred them into entrepreneurship; (iii) their challenges; (iv) their measures of success; and (v) their demographic profile. Findings indicate that a large percentage of these women were highly entrepreneurial who were motivated into busin...

  12. War is the Enemy of Health. Pulmonary, Critical Care, and Sleep Medicine in War-Torn Syria.

    Science.gov (United States)

    Sahloul, Mohammed Z; Monla-Hassan, Jaber; Sankari, Abdulghani; Kherallah, Mazen; Atassi, Bassel; Badr, Safwan; Abbara, Aula; Sparrow, Annie

    2016-02-01

    The Syrian crisis, now in its fifth year, has created an unprecedented strain on health services and systems due to the protracted nature of the warfare, the targeting of medics and health care infrastructure, the exodus of physicians and nurses, the shortage of medical supplies and medications, and the disruption of medical education and training. Within a few short years, the life expectancy of resident Syrians has declined by 20 years. Over the first 4 years of the conflict, more than 75,000 civilians died from injuries incurred in the violence. More than twice as many civilians, including many women and children, have died prematurely of infectious and noninfectious chronic diseases for want of adequate health care. Doctors, local administrators, and nongovernmental organizations are struggling to manage the consequences of the conflict under substandard conditions, often using unorthodox methods of health care delivery in field hospitals and remotely by telehealth communication. Much-needed medical supplies are channeled through dangerous routes across the borders from Lebanon, Jordan, and Turkey. Physicians in the United States and other western nations have helped Syrian physicians make the most of the situation by providing training on introducing innovations in technology and treatment. Portable ultrasound machines have been introduced and are being used extensively in the management of trauma and shock. This report, prepared by members of the Syrian American Medical Society, documents current needs for health care relief within Syria, focusing on pulmonary, critical care, and sleep medicine, and some of the efforts currently underway to meet those needs.

  13. Foreign awakenings: rig work in war-torn Sudan convinces Canadians their civilized version of industry is needed

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, A.

    2000-05-01

    Experiences of some Canadian geologists working in Sudan are described. Glad to be back in Canada after several years of exploration work for various international exploration companies, they have fond memories of the people, who for the most part live under very primitive conditions, and constant exposure to the ravages of tribal wars. They characterize the attitude of Canadians working in Sudan towards the native population as one that puts high values on human rights, safety, work ethics, and individual responsibility. They defend Canadian presence in these far-off regions as beneficial to the native population, by bringing Canadian standards and a civilized version of industry to an area that has seen very little of that in the past. In contrast to the situation on Canadian rigs, on Chinese oil rigs favoritism and racism are the rule; the Chinese do not see that humanitarian issues are any of their concerns.

  14. Quality and marketable characteristics of highbush blueberry (Vaccinium corym- bosum L. under the Kyiv region conditions

    Directory of Open Access Journals (Sweden)

    В. О. Сіленко

    2013-08-01

    Full Text Available In the article the authors present the results of the study biometric and qualitative characteristics of berries highbush blueberry varieties (Vaccinium corymbosum L. in a specific soil and climatic conditions Forest-steppe of Ukraine (Kiev. Investigations were carried out on 11 varieties of American highbush blueberry. Phenological observations, biometric surveys, tasting score and biochemical analysis of the berries have been conducted during the growing season. By results of researches the group of early-ripening varieties includes Bluestar, Earliblue, Patriot, the middle-ripening – Jonne, Atlantis, Bluegold, Bluecrop, Chyk and late-ripening varieties – Amanda, Darrow, Toro. Duration of collecting period of ripe berries was lower (16 days in varieties Bluestar, Earliblue, Jonne and Darrow. Berries were large sizes in the varieties of Darrow, Amanda, Jonne, in other varieties berries were medium size. By tasting score the berry of varieties Toro, Earliblue, Jonne and Darrow were the best. For biochemical parameters the better varieties were Amanda, Jonne and Earliblue.

  15. Purustatud tornide asemele kerkivad uued hiigelhooned / Siim Trumm

    Index Scriptorium Estoniae

    Trumm, Siim

    2006-01-01

    Maailma Kaubanduskeskuse kaksiktornide asemele New Yorgis ehitatakse neli pilvelõhkujat - Vabaduse torn (peaarhitekt David Childs, s. 1941), Torn Kaks (arhitekt Norman Foster), Torn Kolm (arhitekt Richard Rogers), Torn Neli (arhitekt Fumihiko Maki) ja memoriaalmuuseum

  16. „Nová“ historická tornáda a tromby v českých zemích

    Czech Academy of Sciences Publication Activity Database

    Lacinová, M.; Munzar, Jan

    2007-01-01

    Roč. 60, č. 5 (2007), s. 153-156 ISSN 0026-1173 Institutional research plan: CEZ:AV0Z30860518 Keywords : tornado * funnel cloud/spout * dangerous phenomenon * history of Czech Lands Subject RIV: DG - Athmosphere Sciences, Meteorology

  17. SADC and the war in the Democratic republic of Congo : a critical view on the role of a regional organization in a conflict-torn memberstate

    OpenAIRE

    Dahlen, Inger Anette Sandvand

    2005-01-01

    During the last decade we have seen a great increase in regional integration projects around the world. Several of them are found within the African continent; the continent holds one of the highest densities of regional organisations in the world. Southern African Development Community (SADC) represents one of the more enduring efforts of regional cooperation in southern Africa. With its 13 member countries SADC covers a vast area in southern Africa . The economic- and political situations i...

  18. Torn between dual roles: the experiences of nurse-family members when a loved one is hospitalised in a critical condition.

    Science.gov (United States)

    Giles, Tracey M; Williamson, Victoria

    2015-11-01

    To understand and interpret the experiences of nurse-family members when a family member or loved one is hospitalised in a critical condition. Having a family member hospitalised with a critical illness is a traumatic stressor, often with long-term sequelae. Providing holistic care for family members who are also nurses makes the provision of care more complex because of their professional expertise; yet few studies have explored this issue. In this descriptive study, qualitative data were collected using a questionnaire and analysed using van Manen's (Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, 1990, State University of New York Press, London, ON) six-step approach. Twenty nurse-family members completed an online questionnaire in June 2013. Qualitative findings from 19 participants were included in the analysis. The phenomenological analysis approach described by van Manen (Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, 1990, State University of New York Press, London, ON) was used to describe and interpret nurse-family member experiences. Nurse-family members experience significant dual role conflicts between their personal and professional personas due to their specialised knowledge, need for watchfulness and competing expectations. Our findings describe how dual role conflicts developed and were managed, and reveal the resultant emotional toll and psychological distress as nurse-family members struggled to resolve these conflicts. Nurse-family members require a different type of care than general public family members, yet their unique needs are often unmet, leading to increased anxiety and distress that could potentially be minimised. An increased awareness and emphasis on the nurse-family member experience can ensure health care professionals are better placed to provide appropriate and targeted care to minimise distressing dual role conflicts. There is a need for targeted and specialised communication appropriate to each nurse-family members' needs and level of understanding, and to clarify expectations to ensure nurse-family members' professional knowledge and skills are recognised and respected without being exploited. © 2015 John Wiley & Sons Ltd.

  19. Simulation of High-Latitude Hydrological Processes in the Torne-Kalix Basin: PILPS Phase 2(e). 3; Equivalent Model Representation and Sensitivity Experiments

    Science.gov (United States)

    Bowling, Laura C.; Lettenmaier, Dennis P.; Nijssen, Bart; Polcher, Jan; Koster, Randal D.; Lohmann, Dag; Houser, Paul R. (Technical Monitor)

    2002-01-01

    The Project for Intercomparison of Land Surface Parameterization Schemes (PILPS) Phase 2(e) showed that in cold regions the annual runoff production in Land Surface Schemes (LSSs) is closely related to the maximum snow accumulation, which in turn is controlled in large part by winter sublimation. To help further explain the relationship between snow cover, turbulent exchanges and runoff production, a simple equivalent model-(SEM) was devised to reproduce the seasonal and annual fluxes simulated by 13 LSSs that participated in PILPS Phase 2(e). The design of the SEM relates the annual partitioning of precipitation and energy in the LSSs to three primary parameters: snow albedo, effective aerodynamic resistance and evaporation efficiency. Isolation of each of the parameters showed that the annual runoff production was most sensitive to the aerodynamic resistance. The SEM was somewhat successful in reproducing the observed LSS response to a decrease in shortwave radiation and changes in wind speed forcings. SEM parameters derived from the reduced shortwave forcings suggested that increased winter stability suppressed turbulent heat fluxes over snow. Because winter sensible heat fluxes were largely negative, reductions in winter shortwave radiation imply an increase in annual average sensible heat.

  20. Is maternal education a social vaccine for childhood malaria infection? A cross-sectional study from war-torn Democratic Republic of Congo.

    Science.gov (United States)

    Ma, Cary; Claude, Kasereka Masumbuko; Kibendelwa, Zacharie Tsongo; Brooks, Hannah; Zheng, Xiaonan; Hawkes, Michael

    2017-03-01

    In zones of violent conflict in the tropics, social disruption leads to elevated child mortality, of which malaria is the leading cause. Understanding the social determinants of malaria transmission may be helpful to optimize malaria control efforts. We conducted a cross-sectional study of healthy children aged 2 months to 5 years attending well-child and/or immunization visits in the Democratic Republic of Congo (DRC). Six hundred and forty-seven children were tested for malaria antigenemia by rapid diagnostic test and the accompanying parent or legal guardian simultaneously completed a survey questionnaire related to demographics, socioeconomic status, maternal education, as well as bednet use and recent febrile illness. We examined the associations between variables using multivariable logistic regression analysis, chi-squared statistic, Fisher's exact test, and Spearman's rank correlation, as appropriate. One hundred and twenty-three out of the 647 (19%) children in the study tested positive for malaria. Higher levels of maternal education were associated with a lower risk of malaria in their children. The prevalence of malaria in children of mothers with no education, primary school, and beyond primary was 41/138 (30%), 41/241 (17%), and 39/262 (15%), respectively (p = 0.001). In a multivariable logistic regression model adjusting for the effect of a child's age and study site, the following remained significant predictors of malaria antigenemia: maternal education, number of children under five per household, and HIV serostatus. Higher maternal education, through several putative causal pathways, was associated with lower malaria prevalence among children in the DRC. Our findings suggest that maternal education might be an effective 'social vaccine' against malaria in the DRC and globally.

  1. Life satisfaction and trauma in clinical and non-clinical children living in a war-torn environment: A discriminant analysis.

    Science.gov (United States)

    Veronese, Guido; Pepe, Alessandro

    2017-07-01

    The aim of this work was to discriminate between healthy children and children at risk of developing mental impairments by evaluating the impact on contextual and individual factors of a context characterized by war. We tested the hypothesis that a linear discriminant function composed of trauma, life satisfaction, and affect balance has the power to classify the children as community or clinical referred. Membership of the clinical-referred group was associated with poorer life satisfaction and higher levels of trauma. Community-referred profiles were associated with lesser trauma. Perceived life satisfaction regarding family and school was the main contributor to the discriminant function.

  2. Na meste razrushennõh bashen-bliznetsov postrojat novõi torgovõi tsentr

    Index Scriptorium Estoniae

    2007-01-01

    Maailma Kaubanduskeskuse kaksiktornide asemele New Yorgis ehitatakse Vabaduse torni kõrvale veel kolm pilvelõhkujat: Torn Kaks (arhitekt Norman Foster), Torn Kolm (arhitekt Richard Rogers), Torn Neli (arhitekt Fumihiko Maki)

  3. Kirjakaapeista asiakkaan pöydälle : Tampereen yliopiston kirjasto 1925-2005

    OpenAIRE

    LINDSTRÖM, ARI

    2005-01-01

    Hakutermit: kirjastot, kirjastonhoito, kirjastonkäyttö, yliopistot, korkeakoulut Vuonna 2005 Tampereen yliopisto ja samalla myös sen kirjasto täyttävät 80 vuotta. Tuona aikana käsitys kirjastosta on merkittävästi muuttunut. Aluksi kirjasto koostui vain muutamasta kirjakaapeista ja niissä olleista kirjoista. Nykyisin käsitys kirjastosta sisältää ajatuksen kirjastosta sekä kokoelmina että fyysisenä tilana ja verkkopohjaisena tiedonhankintakanavana, jonne ei erikseen tarvitse mennä vaan ...

  4. A Further Examination of Potential Observation Network Design with Mesoscale Ensemble Sensitivities in Complex Terrain

    Science.gov (United States)

    2013-03-01

    a successful means of determining forecast error in synoptic storms (Hakim and Torn 2008), storms undergoing extratropical transition (Torn and...677. Torn, R. D., and G. J. Hakim, 2009: Initial condition sensitivity of Western-Pacific extratropical transitions determined using ensemble-based

  5. The Bio-accessibility of Synthetic Fe-Organo Complexes in Subsurface Soil with Elevated Temperature: a Proxy for the Vulnerability of Mineral Associated Carbon to Warming Rachel C. Porras, Peter S. Nico, and Margaret Torn Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA

    Science.gov (United States)

    Porras, R. C.; Hicks Pries, C.

    2015-12-01

    Globally, subsurface soils (>30 cm) represent an important reservoir of soil organic carbon (SOC). However, the vulnerability of this deep SOC and, in particular mineral-associated SOC, to warming, and its potential to amplify the effects of climate change is highly uncertain. To gain insight into the bio-accessibility and temperature sensitivity of mineral-associated organic C, we conducted a series of incubations using soils collected from three depths (0-10, 50-60, and 80-90 cm) under coniferous forest. The soils are moderately acidic (mean pH=6.5) sandy, mixed, mesic Ultic Haploxeralfs. To understand how mechanisms controlling SOC bio-accessibilty or temperature sensitivity differ with depth and with the properties of Fe-organo complexes (i.e.,degree of crystallinity, amount of reactive surface area, or surface saturation), we used a 13C labeled glucose substrate to prepare synthetic Fe-organo complexes spanning a range of crystallinity and mineral surface saturation. The synthetic Fe-organo complexes were then added to soil from three depths. The soils containing the 13C labeled Fe-organo adduct were incubated at two temperatures (ambient and +4°C) and respired 13CO2 was measured and used to estimate flux rates. Differences in measured 13CO2 fluxes as a function of depth, surface loading, and mineral properties are discussed in terms of their implications for the temperature sensitivity of mineral protected organic carbon in subsurface soils.

  6. Enhancing Human Resource Capability in the Tanzania Peoples Defense Force (TPDF)

    National Research Council Canada - National Science Library

    Kingazi, Lilian

    2006-01-01

    .... Refugees from conflict torn areas, poaching, small arms proliferation, political fundamentalism, drug trafficking, transnational terrorism, and environmental degradation threaten internal security...

  7. 40 CFR 63.11468 - What are the monitoring requirements for new and existing sources?

    Science.gov (United States)

    2010-07-01

    ... baghouse, including but not limited to air leaks, torn or broken bags or filter media, or any other... install the bag leak detection sensor downstream of the fabric filter. (viii) Where multiple detectors are...) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other condition that...

  8. The Potential Observation Network Design with Mesoscale Ensemble Sensitivities in Complex Terrain

    Science.gov (United States)

    2012-03-01

    in synoptic storms , extratropical transition and developing hurricanes. Because they rely on lagged covariances from a finite-sized ensemble, they...diagnose predictors of forecast error in synoptic storms , extratropical transition and developing hurricanes. Because they rely on lagged covariances...sensitivities can be used successfully to diagnose predictors of forecast error in synoptic storms (Torn and Hakim 2008), extratropical transition (Torn and

  9. Control of Vascular Streak Dieback Disease of Cocoa with Flutriafol Fungicides

    Directory of Open Access Journals (Sweden)

    Febrilia Nur'aini

    2014-12-01

    Full Text Available Vascular streak dieback caused by the fungus Oncobasidium theobromae is one of the important diseases in cocoa crop in Indonesia. One approach to control the disease is by using fungicides. The aim of this research was to determine the effect of class triazole fungicides to the intensity of the vascular streak dieback disease on cocoa seedling phase, immature and mature cocoa. Experiments were conducted in Kotta Blater, PTPN XII and Kaliwining, Indonesian  Coffee and Cocoa Research Institute. Flutriafol 250 g/l with a concentration 0,05%, 0,1% and 0,15% foliar sprayed on cocoa seedlings, immature and mature cocoa. Active compound combination of Azoxystrobin and Difenoconazole with 0,1% concentration used as a comparation fungicides. The result showed that Flutriafol with 0,05%, 0,1% and 0,15% concentration and Azoxystrobin & Difenoconazol with 0,1% concentration could suppress the vascular streak dieback disease on seedlings. On immature plants, the application of Flutriafol was not effectively suppress the vascular streak dieback disease whereas the fungicide comparison could suppress with the efficacy level of 46.22%. On mature plants,both of fungicides could not suppress the vascular streak dieback disease. Key words: Fungicide, cocoa, vascular streak dieback, triazole, flutriafol, azoxystrobin+difenoconazol

  10. Ecomorphometric structure of Restinga da Marambaia lizard community, Rio de Janeiro, southeastern Brazil Estrutura ecomorfométrica da comunidade de lagartos da Restinga da Marambaia, Rio de Janeiro, sudeste do Brasil

    Directory of Open Access Journals (Sweden)

    André L. G. de Carvalho

    2007-01-01

    Full Text Available In restinga areas of Marambaia, Rio de Janeiro, we recorded nine species of lizards, grouped in four families. The morphometric analysis suggested an invasion-structured pattern, with two distinct groups of species in the community: the "ground-runners", composed of animals with robust bodies and long limbs, represented by Tropidurus torquatus (Wied, 1820, Ameiva ameiva (Linnaeus, 1758, Liolaemus lutzae Mertens, 1938, Cnemidophorus littoralis Rocha, Araujo, Vrcibradic & Costa, 2000 and Tupinambis merianae (Duméril & Bibron, 1839; and the "hiders", composed of small-bodied animals with short limbs, represented by Hemidactylus mabouia (Moreau de Jonnès, 1818, Gymnodactylus darwinii (Gray, 1845, Mabuya agilis (Raddi, 1823 and M. macrorhyncha Hoge, 1947. The morphological relationships within the restinga lizard community reflect the influence of the habitat physical structure: bromeliad availability and other refugia, used by the "hiders", and the distribution of open areas, used by the "ground-runners". Our results also indicate that the restingas hold "ecomorphological spaces" (vacant niches available for occupation by additional lizard species.Em áreas de restinga da Marambaia, Rio de Janeiro, foram registradas nove espécies de lagartos, pertencentes a quatro famílias. A análise morfométrica sugeriu um padrão de estruturação por invasão, com dois grupos distintos de espécies compondo a comunidade: os "corredores de chão", formado pelos animais de corpo mais robusto e membros mais longos, representados por Tropidurus torquatus (Wied, 1820, Ameiva ameiva (Linnaeus, 1758, Liolaemus lutzae Mertens, 1938,Cnemidophorus littoralis Rocha, Araujo, Vrcibradic & Costa, 2000 e Tupinambis merianae (Duméril & Bibron, 1839; e os "escondedores", reunindo lagartos de menor tamanho e membros mais curtos, representados por Hemidactylus mabouia (Moreau de Jonnès, 1818, Gymnodactylus darwinii (Gray, 1845, Mabuya agilis (Raddi, 1823 e M. macrorhyncha

  11. Store Front Lawyers in San Francisco

    Science.gov (United States)

    Carlin, Jerome E.

    1970-01-01

    Describes how "a highly successful program of legal services for the poor is torn between community control advocates in the neighborhoods and radical intellectuals in the central office of the Neighborhood Legal Assistance Foundation. (Author)

  12. Refugee scientists under the spotlight

    Science.gov (United States)

    Extance, Andy

    2017-07-01

    Thousands of people are forced to flee war-torn regions every year, but the struggles of scientists who have to leave their homeland often goes under the radar. Andy Extance reports on initiatives to help

  13. 14. X avati graafikatriennaali noortenäituse [tingimisi olemas][tingimisi olematu] neljas ehk viimane alanäitus Viljandis Kilpkonna galeriis

    Index Scriptorium Estoniae

    2001-01-01

    Kuraator Rael Artel. Väljas on Laura Kallasvee "I love labels", Maiu Kurvitsa kontseptuaalne projekt "Odav jutt", Peeter Lauritsa "Paabeli torn" (1991), tundmatu kunstniku tekstiilist käsitöötoode.

  14. Mir ne silno priros tshudesami

    Index Scriptorium Estoniae

    2007-01-01

    7. juulil 2007 valitakse Lissabonis 7 uut maailmaimet. Finaalis on 21 objekti, nende hulgas Egiptuse püramiidid, Ateena Akropol, Rooma Colosseum, Sydney ooperimaja, Eiffeli torn, Angkor Wat Kambodzhas. Valikukriteeriumidest, esitatud objektidest

  15. Tumedad ained kirjanduses ja päriselt / Mare Müürsepp

    Index Scriptorium Estoniae

    Müürsepp, Mare

    2007-01-01

    Analüüsitud on Philip Pullmani triloogiasse "Tema tumedad ained" kuuluvaid romaane : Pullman, Philip. Kuldne kompass. Tallinn : Tiritamm, 2002; Pullman, Philip. Inglite torn. Tallinn : Tiritamm, 2004; Pullman, Philip. Vaigust kiiker. Tallinn : Tiritamm, 2005

  16. Knee arthroscopy - discharge

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000199.htm Knee arthroscopy - discharge To use the sharing features on this ... surgery to treat problems in your knee (knee arthroscopy). You may have been checked for: Torn meniscus. ...

  17. IDPs from Kosovo still awaiting durable solutions

    Directory of Open Access Journals (Sweden)

    Anika Krstic

    2007-01-01

    Full Text Available As the Balkans anxiously await delayed UN recommendations on the final status of the Serbian province of Kosovo, displaced persons from Kosovo remain torn between uncertain return prospects and denial of local integration.

  18. Knee Problems

    Science.gov (United States)

    ... the pain. Start OverDiagnosisYou may have a TORN HAMSTRING MUSCLE. Self CareApply ice to the area and ... Healthy Living Travel Occupational Health First Aid and Injury Prevention Crisis Situations Pets and Animals myhealthfinder Food ...

  19. 78 FR 32535 - National Hurricane Preparedness Week, 2013

    Science.gov (United States)

    2013-05-30

    ... supply kit with food, water, and medicine; taking time now to learn evacuation routes, and how workplaces... with the tide, families whose worlds were torn apart with the loss of a loved one. But in the aftermath...

  20. Stephen Kingi tee tumeda tornini võttis 30 aastat / Raul Sulbi

    Index Scriptorium Estoniae

    Sulbi, Raul

    2007-01-01

    Stephen Kingi triloogiast "Tume torn" (Tallinn : Pegasus, 2006-2007) : Laskur : [romaan] / tõlkija Mart Kalvet ; Kolm saatusekaarti / [tõlkinud Kaido Haavandi] ; Ahermaad / [tõlkinud Matti Piirimaa] ;

  1. Korea - 1950: The Decision to Invade the North...(What Would Carl Have Thought?)

    National Research Council Canada - National Science Library

    Moseley, T. M

    1989-01-01

    Sunday, 0400 hours, 25 June 1950...the assault came without warning. Eight North Korean infantry divisions exploded across the 38th Parallel into South Korea through gaps torn by armor and artillery...

  2. Tõnu Talve teeb üle Eesti talvetuure / Ants Juske

    Index Scriptorium Estoniae

    Juske, Ants, 1956-2016

    2009-01-01

    Tõnu Talve maalinäitus "Kaev, tuhk ja torn" Keila Kultuurikeskuses. Külalisesinejad: Kohtla-Järve Kunstide Kooli õpilased ja nende juhendaja Aarne Hanni ning Harjumaa koolide õpetajad ja õpilased

  3. Isolated medial meniscal tear in a Border Collie.

    Science.gov (United States)

    Ridge, P A

    2006-01-01

    A three-year-old, female Border Collie was successfully treated for an isolated, torn, medial meniscus by arthroscopic meniscal tear resection. The dog returned to agility competition without recurrence of lameness.

  4. Finite Element Modelling of a Novel Anterior Cruciate Ligament Repairing Device

    OpenAIRE

    A.Vairis; M.Petousis; N.Vidakis; G.Stefanoudakis; B.Kandyla

    2014-01-01

    The knee anterior cruciate ligament which connects the femur to the tibia is often torn during sudden twisting motions resulting in knee instability with surgery being an effective treatment where the torn ligament is replaced with a graft. This study provides qualitative stress information on a restored knee which has been repaired using a novel device. This device has been designed to reduce graft damage and to minimize post-surgery complications. The device as well as the intac...

  5. A-B Hourglass Technique in Anterior Cruciate Ligament (ACL) Reconstruction

    International Nuclear Information System (INIS)

    Abuhamella, Tamer M.; Batterjee, Khaled A.

    2006-01-01

    Within a period of 2 years starting from April 2000 to November 2002, fifty (50) cases of torn anterior cruciate ligament (ACL) were treated and followed up using our simple modified technique in a retrospective non-randomized study conducted in Saudi-German Hospital, Saudi Arabia. All of which had torn ACL either isolated or associated with meniscal tear. Some of our study group was subjected arthroscopic interference in the same knee before either in the form of ACL reconstruction using P-T-B graft or for menisectomy. During this study per-operative evaluation, intra-operative technique and post-operative follow-up were standardized, with maximum follow-up period of 19 months and minimum follow-up period of 9 month. The final outcome was graded according to Lyshom knee score (1982). The mean age at surgery was 26.5 (from 17 to 36 years). The study group included 11 isolated torn ACL, 29 torn ACL with tear in the medial meniscus, 4 torn ACL with lateral meniscus tear and 6 cases with torn ACL associated with tear in both menisci. All of the cases were treated using the same technique. (author)

  6. First reports of ectoparasites collected from wild-caught exotic reptiles in Florida.

    Science.gov (United States)

    Corn, Joseph L; Mertins, James W; Hanson, Britta; Snow, Skip

    2011-01-01

    We collected ectoparasites from 27 of 51 wild-caught, free-ranging exotic reptiles examined in Florida from 2003 to 2008. Sampled animals represented eight species, five of which yielded ectoparasites. Reported new parasite distribution records for the United States include the following: the first collection of the African tick Amblyomma latum (Koch) from a wild-caught animal [ball python, Python regius (Shaw)] in the United States; the first collection of the lizard scale mite Hirstiella stamii (Jack) from any wild-caught animal [green iguana, Iguana iguana (L.)]; and the first collection of the lizard scale mite Geckobia hemidactyli (Lawrence) in the continental United States from a wild-caught tropical house gecko, Hemidactylus mabouia (Moreau de Jonnès). We also report the first collections of the Neotropical ticks Amblyomma rotundatum (Koch) and Amblyomma dissimile (Koch) from wild-caught Burmese pythons, Python molurus bivittatus (Kuhl); the first collections of A. dissimile from a wild-caught African savannah monitor, Varanus exanthematicus (Bosc); and from wild-caught green iguanas in the United States; and the first collections of the native chiggers Eutrombicula splendens (Ewing) and Eutrombicula cinnabaris (Ewing) from wild-caught Burmese pythons. These reports may only suggest the diversity of reptile ectoparasites introduced and established in Florida and the new host-parasite relationships that have developed among exotic and native ectoparasites and established exotic reptiles.

  7. Diagnosis of radial tear of posterior horn of medial meniscus by MR imaging. Prospective study

    International Nuclear Information System (INIS)

    Motoyama, Tatsuo; Ihara, Hidetoshi; Kawashima, Mahito

    2002-01-01

    It is not easy to detect radial tears of the posterior horn of the medial meniscus (torn posterior horn) under arthroscopy if the surgeon does not notice the tear before arthroscopy. Occasionally the tear goes undetected or is missed during arthroscopy. The sagittal view of MR imaging is very useful for diagnosing torn posterior horns. The normal posterior horn of the medial meniscus appears as an image of low intensity triangle of the sagittal MRI medial slice next to the PCL. On the contrary, the image of the torn posterior horn shows a high intensity triangle, so we refer to the feature as a white meniscus sign. We prospectively examined the accuracy of white meniscus sign of MRI. Forty-two knees in 41 patients were studied. They were over 40 years of age, diagnosed with medial meniscus tear and had undergone MRI before arthroscopy. Before arthroscopy, we predicted the existence of torn posterior horn by the white meniscus sign and examined the accuracy of the MRI after arthroscopy. Total accuracy rate was 90.5%, sensitivity was 94.1%, and specificity was 88.0%. We concluded that the white meniscus sign on MRI is very useful for defecting torn posterior horn of the medial meniscus. (author)

  8. Patterns of Age-Associated Degeneration Differ in Shoulder Muscles

    Science.gov (United States)

    Raz, Yotam; Henseler, Jan F.; Kolk, Arjen; Riaz, Muhammad; van der Zwaal, Peer; Nagels, Jochem; Nelissen, Rob G. H. H.; Raz, Vered

    2015-01-01

    Shoulder complaints are common in the elderly and hamper daily functioning. These complaints are often caused by tears in the muscle-tendon units of the rotator cuff (RC). The four RC muscles stabilize the shoulder joint. While some RC muscles are frequently torn in shoulder complaints others remain intact. The pathological changes in RC muscles are poorly understood. We investigated changes in RC muscle pathology combining radiological and histological procedures. We measured cross sectional area (CSA) and fatty infiltration from Magnetic Resonance Imaging with Arthrography (MRA) in subjects without (N = 294) and with (N = 109) RC-tears. Normalized muscle CSA of the four RC muscles and the deltoid shoulder muscle were compared and age-associated patterns of muscle atrophy and fatty infiltration were constructed. We identified two distinct age-associated patterns: in the supraspinatus and subscapularis RC muscles CSAs continuously declined throughout adulthood, whereas in the infraspinatus and deltoid reduced CSA was prominent from midlife onwards. In the teres minor, CSA was unchanged with age. Most importantly, age-associated patterns were highly similar between subjects without RC tear and those with RC-tears. This suggests that extensive RC muscle atrophy during aging could contribute to RC pathology. We compared muscle pathology between torn infraspinatus and non-torn teres minor and the deltoid in two patients with a massive RC-tear. In the torn infraspinatus we found pronounced fatty droplets, an increase in extracellular collagen-1, a loss of myosin heavy chain-1 expression in myofibers and an increase in Pax7-positive cells. However, the adjacent intact teres minor and deltoid exhibited healthy muscle features. This suggests that satellite cells and the extracellular matrix may contribute to extensive muscle fibrosis in torn RC. We suggest that torn RC muscles display hallmarks of muscle aging whereas the teres minor could represent an aging

  9. Patterns of age-associated degeneration differ in shoulder muscles

    Directory of Open Access Journals (Sweden)

    Yotam eRaz

    2015-12-01

    Full Text Available Shoulder complaints are common in the elderly and hamper daily functioning. These complaints are often caused by tears in the muscle-tendon units of the rotator cuff (RC. The four RC muscles stabilize the shoulder joint. While some RC muscles are frequently torn in shoulder complaints others remain intact. The pathological changes in RC muscles are poorly understood. We investigated changes in RC muscle pathology combining radiological and histological procedures. We measured cross sectional area (CSA and fatty infiltration from Magnetic Resonance Imaging with Arthrography in subjects without (N=294 and with (N=109 RC-tears. Normalized muscle CSA of the four RC muscles and the deltoid shoulder muscle were compared and age-associated patterns of muscle atrophy and fatty infiltration were constructed. We identified two distinct age-associated patterns: in the supraspinatus and subscapularis RC muscles CSAs continuously declined throughout adulthood, whereas in the infraspinatus and deltoid reduced CSA was prominent from midlife onwards. In the teres minor, CSA was unchanged with age. Most importantly, age-associated patterns were highly similar between subjects without RC tear and those with RC-tears. This suggests that extensive RC muscle atrophy during aging could contribute to RC pathology. We compared muscle pathology between torn infraspinatus and non-torn teres minor and the deltoid in two patients with a massive RC-tear. In the torn infraspinatus we found pronounced fatty droplets, an increase in extracellular collagen-1, a loss of myosin heavy chain-1 expression in myofibers and an increase in Pax7-positive cells. However, the adjacent intact teres minor and deltoid exhibited healthy muscle features. This suggests that satellite cells and the extracellular matrix may contribute to extensive muscle fibrosis in torn RC. We suggest that torn RC muscles display hallmarks of muscle aging whereas the teres minor could represent an aging

  10. Visibility of Anterolateral Ligament Tears in Anterior Cruciate Ligament-Deficient Knees With Standard 1.5-Tesla Magnetic Resonance Imaging.

    Science.gov (United States)

    Hartigan, David E; Carroll, Kevin W; Kosarek, Frank J; Piasecki, Dana P; Fleischli, James F; D'Alessandro, Donald F

    2016-10-01

    To attempt to visualize the ligament with standard 1.5-tesla magnetic resonance imaging (MRI) in the acute anterior cruciate ligament (ACL)-torn knee, and if it is visible, attempt to characterize it as torn or intact at its femoral, meniscal, and tibial attachment sites. This was a retrospective MRI study based on arthroscopic findings of a known ACL tear in 72 patients between the years 2006 and 2010. Patients all had hamstring ACL reconstructions, no concomitant lateral collateral ligament, or posterolateral corner injury based on imaging and physical examination, and had a preoperative 1.5-tesla MRI scan with standard sequences performed within 3 weeks of the injury. Two fellowship-trained musculoskeletal radiologists retrospectively reviewed the preoperative MRI for visualization of the anterolateral ligament (ALL) for concomitant tears. Inter- and intraobserver reliability was calculated. Learning effect was analyzed to determine if radiologists' agreement improved as reads progressed. Both radiologists were able to visualize the ALL in 100% of the scans. Overall, ALL tears were noted in 26% by radiologist 1 and in 62% by radiologist 2. The agreement between the ligament being torn or not had a kappa of 0.54 between radiologists. The agreements in torn or not torn between radiologists in the femoral, meniscal, and tibial sites were 0.14, 0.15, and 0.31. The intraobserver reliability by radiologist 1 for femoral, meniscal, and tibial tears was 0.04, 0.57, and 0.54 respectively. For radiologist 2, they were 0.75, 0.61, and 0.55. There was no learning effect noted. ALL tears are currently unable to be reliably identified as torn or intact on standard 1.5-tesla MRI sequences. Proper imaging sequences are of crucial importance to reliably follow these tears to determine their clinical significance. Level IV, therapeutic case series study. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  11. Curls of My Dreams.

    Science.gov (United States)

    Greenman, Geri

    2001-01-01

    Describes an art activity in which students draw ribbons (thin watercolor paper that, when torn, will stand up in a curling fashion). Explains in detail the assignment in which students used pencil rendering or charcoal pencil depending on the type of paper used for the assignment. (CMK)

  12. Of people, particles and prejudice

    Science.gov (United States)

    Jackson, Penny; Greene, Anne; Mears, Matt; Spacecadet1; Green, Christian; Hunt, Devin J.; Berglyd Olsen, Veronica K.; Ilya, Komarov; Pierpont, Elaine; Gillman, Matthew

    2016-05-01

    In reply to Louise Mayor's feature article “Where people and particles collide”, about the experiences of researchers at CERN who are lesbian, gay, bisexual or transgender (LGBT), efforts to make LGBT CERN an officially recognized club, and incidents where posters advertising the club have been torn down or defaced (March pp31-36, http://ow.ly/YVP2Z).

  13. Interpeace: local solutions, lasting peace | IDRC - International ...

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

    2010-10-27

    Oct 27, 2010 ... With funding from IDRC, a UN pilot initiative, the War-torn Societies Project, sought durable, locally rooted solutions to the conflicts in four test countries: Somalia ... "The issues the projects were working on were defined by the ...

  14. Tootedisaineri töö peenmehaanika ja olemise jaatus / Ene Läkk

    Index Scriptorium Estoniae

    Läkk, Ene, 1957-

    2011-01-01

    Tootjate ja riskikapitalistide huvist tootedisaineri teenuse vastu. Eesti disainibüroodest MaDis-Stuudio (Matti Õunapuu), Ten Twelve (asutaja: Jukka Halttunen), Keha3 (Margus Triibmann, Tarmo Luisk, Pavel Sidorenko, juht: Ville Jehe) ja Iseasi (Martin Pärn, Sven Sõrmus, Edina Dufala-Pärn, Pent Talvet, Kaspar Torn), pakutavatest teenustest ja töödest

  15. Picture Books and the Art of Collage.

    Science.gov (United States)

    Prudhoe, Catherine M.

    2003-01-01

    Explores how teachers can use picture book illustrations to teach children the art of collage. Focuses on three children's picture books and offers art activities showcasing three collage techniques: (1) cut and torn paper collage; (2) photomontage; and (3) texture collages and collage constructions. Relates each activity to the National Standards…

  16. Who Cares about One Blood in This Global Society? A Qualitative Study of South Korea's Reunification Curriculum

    Science.gov (United States)

    Chung, Yoo Jin

    2010-01-01

    This qualitative study examined South Korean teenagers' views on North Korea and possible reunification. In-depth interviews conducted with fourteen (14) South Korean high school students reported that these teenagers were torn about whether or not they should support reunification. While students acknowledged the lack of dialogue and discussion…

  17. A Community of Caring: Reaching Out to the Children of Kosovo.

    Science.gov (United States)

    Mason, Linda

    2000-01-01

    Reports on an educator's mission to examine the status of young children and early childhood education in war-torn Kosovo. Relates the story of a 10-year-old girl and her family during and after the hostilities. Describes relief efforts of Americans and American organizations, particularly Mercy Corps International, Children's Resources…

  18. 76 FR 6448 - Taking and Importing Marine Mammals; Taking Marine Mammals Incidental to Space Vehicle and Test...

    Science.gov (United States)

    2011-02-04

    ... launch satellites into polar orbit: Delta II; Taurus; Atlas V; Delta IV; Falcon; and Minotaur. Also a... HTV-2A 22-Apr-10 SLC-8 VAFB. Atlas V NRO L-41 17-Sept-10 SLC-3E No. Minotaur IV 25-Sept-10 SLC-8 No... observed to be ``torn open.'' This was an unusually high number of pup mortalities, as previous counts...

  19. Täpp torni i-l / Ele Pajula

    Index Scriptorium Estoniae

    Pajula, Ele

    2011-01-01

    Tallinnas Kultuurikatlas 8.-10 juunini etendatavast tantsulavastusest "Tantsiv torn". Lavastus, kontseptsioon, koreograafia, stsenograafia: Šaša Pepeljajev. Torni konstruktsioon: Pavel Pepeljajev. Helilooja Ülo Krigul. Esitajad: Aurinkobaletti - AB Dance Company (Soome), Apparatus Theatre Group (Venemaa), insenerteater AKHE (Venemaa)

  20. WTO Accession: Tough love or a heavy hand? | IDRC - International ...

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

    2011-01-31

    Jan 31, 2011 ... Thirty-one countries from war-torn Afghanistan to Yemen are ... the body created to consider would-be members' applications. .... For a poor country the size of Cambodia, market access is the key to attracting the foreign ...

  1. Destination Syria : An Exploratory Study into the Daily Lives of Dutch 'Syria Travellers'

    NARCIS (Netherlands)

    Weggemans, D.; Peters, R.; Bakker, E.; Bont, de R.

    2016-01-01

    Destination Syria is an exploratory study providing insights on the daily lives of western citizens that have travelled to the area, torn by conflict to join jihadist groups like ISIS and Jabhat al-Nusra. Specific attention has been paid to daily life in ISIS territories and in areas controlled by

  2. Terrorism and governance crisis: The Boko Haram experience in ...

    African Journals Online (AJOL)

    more enabling environment for the growth of resistance from below. Thus, it .... (4) Unstable and divided population, suffering from a torn social fabric, minimum ..... conflict by groups such as BH, but that they are more of a smoke screen for .... in heavy fire power such as anti-aircraft weapons mounted on four-wheel-drive.

  3. 40 CFR 63.11552 - What are my monitoring requirements?

    Science.gov (United States)

    2010-07-01

    ... the bag leak detection sensor downstream of the fabric filter. (viii) Where multiple detectors are... filter for air leaks, torn or broken bags or filter media, or any other condition that may cause an...? 63.11552 Section 63.11552 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR...

  4. 40 CFR 63.1383 - Monitoring requirements.

    Science.gov (United States)

    2010-07-01

    ... baghouse for air leaks, torn or broken bags or filter media, or any other conditions that may cause an... clean pilot sensor, as necessary; (ii) Ensure proper adjustment of combustion air and adjust, as... Section 63.1383 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

  5. 40 CFR 60.674 - Monitoring of operations.

    Science.gov (United States)

    2010-07-01

    ..., but are not limited to the following: (i) Inspecting the fabric filter for air leaks, torn or broken... Section 60.674 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS....00044 grains per actual cubic foot) or less. (ii) The bag leak detection system sensor must provide...

  6. Utilization of Alternative Medical Services In An Urban Centre Of ...

    African Journals Online (AJOL)

    Alasia Datonye

    Safety of AT Use by Respondents. Out of the 312 ... target population, their behaviour and safety of practice .... herbs still being sold in soft drink/beer bottles or wrapped in torn old ... traditional and alternative medicine in the management of.

  7. Den postmoderna stadens två paradigm

    DEFF Research Database (Denmark)

    Nielsen, Tom

    2005-01-01

    the attention of politicians, planners and architects today is focused on the individual, not the collective. But the policy of the third way has no counterpart in an urbanism torn between two paradigms. Tom Nielsen paints the picture of what has to urban development since the welfare state...

  8. Active Learning Methods and Technology: Strategies for Design Education

    Science.gov (United States)

    Coorey, Jillian

    2016-01-01

    The demands in higher education are on the rise. Charged with teaching more content, increased class sizes and engaging students, educators face numerous challenges. In design education, educators are often torn between the teaching of technology and the teaching of theory. Learning the formal concepts of hierarchy, contrast and space provide the…

  9. Resisting State Iconoclasm Among the Loma of Guinea

    DEFF Research Database (Denmark)

    Højbjerg, Christian Kordt

    -term suppression, including the exposure of secrecy, by the postcolonial authorities. In recent years the famous male ritual association known as Poro has even taken on new significance in the context of political upheaval in the war-torn border area between Guinea and Liberia. Drawing on extensive fieldwork...

  10. Väikeelamine suureks - normaalpere konteinersüsteemis = Small living space made bigger - container system for a typical family

    Index Scriptorium Estoniae

    2009-01-01

    Tutvustatakse Tallinna Tehnikakõrgkooli Arhitektuuri Instituudi arhitektuuri eriala üliõpilaste töid teemal "Väikeelamine suureks - normaalpere konteinersüsteemis". Idee: rahuldada ühesuuruste "konteinerite" baasil ehitatud torn- või ridamajadega väikekorterite nõudlust. Juhendaja: sisearhitekt Mait Summatavet (lk. 60 andmeid M. Summataveti elu ja loomingu kohta)

  11. Out of a Clear Blue Sky? FOM, The Bomb, and The Boost in Dutch Physics Funding after World War II

    NARCIS (Netherlands)

    Hoeneveld, F; van Dongen, J.A.E.F.

    2013-01-01

    Soon after the end of World War II, Dutch science was reconstituted by novel funding agencies with well-filled coffers. The currently received view is that in a vulnerable and war-torn society the new institutions were created on the basis of technocratic ideals that date back to pre-war years. One

  12. Out of a clear blue sky? FOM, the bomb and the boost in Dutch physics funding after World War II

    NARCIS (Netherlands)

    Hoeneveld, F.; van Dongen, J.

    2013-01-01

    Soon after the end of World War II, Dutch science was reconstituted by novel funding agencies with well-filled coffers. The currently received view is that in a vulnerable and war-torn society the new institutions were created on the basis of technocratic ideals that date back to pre-war years. One

  13. Susi hotelli kõrvale kerkib 30-meetrine tuletorn / Erki Varma

    Index Scriptorium Estoniae

    Varma, Erki

    2002-01-01

    Sõjaväearhitekt Johann Ostrat (1894-1979) kavandas 1936. a. Tallinna Sõjamäele viie hektari suuruse pargi, mille kohal oleks kõrgunud 130 m lift ja igavese tulega torn. Jüriöö Pargi Fond kavatseb planeeritud tuletorni valmis ehitada

  14. Black Bodies, White Rural Spaces: Disturbing Practices of Unbelonging for "Refugee" Students

    Science.gov (United States)

    Edgeworth, Kathryn

    2015-01-01

    In global times, when the forced migration of refugees from war-torn countries like Sudan impacts the demography of once ethnically homogenous schooling spaces, I consider the need to better understand the geographical making of racism. This article explores the lived experience of two newly arrived Sudanese students studying at a rural high…

  15. Consumers and Producers

    NARCIS (Netherlands)

    E. Maira (Elisa)

    2018-01-01

    markdownabstractIn the last few decades, advances in information and communication technology have dramatically changed the way consumers and producers interact in the marketplace. The Internet and social media have torn down the information barrier between producers and consumers, leading to

  16. 77 FR 57003 - Airworthiness Directives; Airbus Airplanes

    Science.gov (United States)

    2012-09-17

    ... Airworthiness Directives; Airbus Airplanes AGENCY: Federal Aviation Administration (FAA), Department of... Airbus Model A318, A319, and A320 series airplanes. This AD was prompted by a report of a torn out.... The FAA amends Sec. 39.13 by adding the following new AD: 2012-18-12 Airbus: Amendment 39-17189...

  17. Semitendinosus Tendon for Solitary Use in Anterior Cruciate ...

    African Journals Online (AJOL)

    The ANNALS of AFRICAN SURGERY | www.annalsofafricansurgery.com. The ANNALS of ... knee instability. Tendon allografts and autografts have been used successfully to reconstruct a torn. ACL. However, allografts have been associated with a higher rate of failure .... Semitendinosus Tendon to Prevent a. Postoperative ...

  18. The Russian Federation Islamic Republic of Dagestan: Curricular Decentralization, Social Cohesion, and Stability

    Science.gov (United States)

    Eaton, Jana Sackman

    2005-01-01

    This article focuses on the curricular decentralization-sociopolitical stability nexus in the predominantly Muslim Russian Federation Republic of Dagestan, adjacent to war-torn Chechnya. Concomitant with the metamorphoses taking place in the economic and political sectors of society is the overhaul of institutionalized education. A major reform…

  19. Audru Püha Risti kirik / Jürgen Grablings, Jacob Greisson, Matthias Woywoden...[jt.

    Index Scriptorium Estoniae

    2007-01-01

    välisvaade, altar; kivikirik pühitseti 1680 (ehitusmeistrid Jürgen Grablings, Jacob Greisson, Matthias Woywoden), torn valmis pärast 1695. aastat; neogooti stiilis tornikiiver ja sisustus XIX sajandil; altarimaal "Kristus ristil" (Gustav Biermann, 1872)

  20. Posttraumatic Psychological Distress and Resettlement: The Need for a Different Practice in Assisting Refugee Families

    Science.gov (United States)

    Lacroix, Marie; Sabbah, Charlotte

    2011-01-01

    Social work practitioners are increasingly confronted with couples and families who have come from war-torn countries. Refugees may have experienced genocide, organized violence, ethnic wars, displacement, and losses of various kinds. Such experiences will often be carried through the post-migratory period and obscure legitimate individual and…

  1. The Role Of African Women In Peace Building And Conflict Resolution

    African Journals Online (AJOL)

    Africa nations over the years have been ravaged by conflict which has torn apart the social fabric and also weakened the solidarity and human characteristics of the Africa society. This has resulted in destabilization, displacement and infrastructural destruction which have gender-specific impact on the affected population.

  2. Education in North Yemen: Problems and Hopes.

    Science.gov (United States)

    Saif, Philip S.

    The background of the educational system in North Yemen is reviewed and some of the problems facing the system are described. The findings from examining documents and on-site visitations are summarized as follows: (1) the view is confirmed that developing countries with long history and cultural heritage are torn between keeping their traditions…

  3. Kodust kehakinnitust Amanda Puhvetist / Vivika Veski

    Index Scriptorium Estoniae

    Veski, Vivika

    2007-01-01

    Psühhiaater Tiina Keldrimale kuuluvast Amanda Puhvetist Üdruma külas Läänemaal. Endisele kauplusehoonele ehitati juurde torn, mille I korrusel on ehtekunstnik Maarja Jõevee Käsitöökuur. Ruumid sisustati vana mööbli ja vanavaraga. Sisearhitekt Martti Ruus. 6 värv. vaadet

  4. 77 FR 11651 - Hybrid III 10-Year-Old Child Test Dummy

    Science.gov (United States)

    2012-02-27

    ... words, chin-to- chest contact often caused HIC to exceed the injury assessment reference value (HIC 36... bag tests).\\19\\ \\19\\ The computation of HIC applies a higher signal filter class (CFC 1000 vs. CFC 180... Dorel provided a picture of a torn bib assembly, without further discussion, in its response to the Part...

  5. Kultuurilehe kolleegiumlased

    Index Scriptorium Estoniae

    2004-01-01

    B. Lukats (1945), E. Einmann (1955), M. Port (1963), J. Vares (1963), I. Torn (1969), J. Kangilaski (1979), V. Herkel (1981), E. Põldroos (1988), I. Raud (1988), H. Valk (1988), S. Helme (1991), I. Volkov (1991), K. Hallas (1998), H. Soans (2002), R. Varblane (2003) jpt.

  6. Conflicts between On-Task and Off-Task Behaviors in the Classroom: The Influences of Parental Monitoring, Peer Value Orientations, Students' Goals, and Their Value Orientations

    Science.gov (United States)

    Kilian, Britta; Hofer, Manfred; Kuhnle, Claudia

    2013-01-01

    Students in class are sometimes torn between following the lesson and engaging in off-task behavior. In this paper, instead of classifying it as a form of deviant behavior, off-task behavior is reconstructed as a manifestation of students multiple motivations in the classroom. The study examines whether parental monitoring, peer value…

  7. A Role for English Language Teachers in Trauma Healing

    Science.gov (United States)

    Medley, Michael

    2012-01-01

    Because English language teachers should take into account the social-psychological situation of the students they teach, they must be sensitive to the effects of traumatic stress among learners. Refugee and immigrant children are frequently survivors of trauma, along with their peers in crisis-torn English as a foreign language settings around…

  8. The wellbeing of foster children and their relationship with foster parents and biological parents : a child’s perspective

    NARCIS (Netherlands)

    Maaskant, A.M.; van Rooij, F.B.; Bos, H.M.W.; Hermanns, J.M.A.

    2016-01-01

    Most Dutch foster children live permanently in foster families. It is often assumed that foster children have ambivalent loyalties and attachments to their birth parents and foster parents and are torn between the two. In this study 59 children between 10 and 18 years placed in long term foster care

  9. Balfour's Mission to Palestine: Science, Strategy, and the Inauguration of the Hebrew University in Jerusalem

    Science.gov (United States)

    Macleod, Roy

    2008-01-01

    In 1925, A.J. Balfour, first Earl Balfour and author of the famous "Balfour Declaration", attended the inauguration of the Hebrew University in Jerusalem. His education and experience of foreign policy equipped him to take a prominent role. However, the conditions of strife-torn Palestine weighed heavily upon him, and raised wider…

  10. The paradoxes of legitimate EU leadership. An analysis of the multi-level leadership of Angela Merkel and Alexis Tsipras during the euro crisis

    NARCIS (Netherlands)

    Van Esch, F. A W J

    2017-01-01

    In times of crisis, political leaders are torn between calls for strong leadership and the need to maintain their license to operate amongst their constituents. The predicament of European Heads of State and Government (HSG) during crises provides a particularly strong example of this. For on top of

  11. Anterior cruciate ligament- and hamstring tendon- derived cells: in vitro differential properties of cells involved in ACL reconstruction

    NARCIS (Netherlands)

    Ghebes, C.A.; Kelder, C.; Schot, T.; Renard, A.J.S.; Pakvis, D.F.M.; Fernandes, H.; Saris, Daniël B.F.

    2015-01-01

    Anterior cruciate ligament (ACL) reconstruction involves the replacement of the torn ligament with a new graft, often a hamstring tendon (HT). Described as similar, the ACL and HT have intrinsic differences related to their distinct anatomical locations. From a cellular perspective, identifying

  12. ACL Graft Healing and Biologics

    NARCIS (Netherlands)

    Muller, Bart; Bowman, Karl F.; Bedi, Asheesh

    2013-01-01

    Operative reconstruction of a torn anterior cruciate ligament (ACL) has become the most broadly accepted treatment. An important, but underreported, outcome of ACL reconstruction is graft failure, which poses a challenge for the orthopedic surgeon. An understanding of the tendon-bone healing and the

  13. Pelvic fracture urethral injuries revisited: A systematic review ...

    African Journals Online (AJOL)

    In children, the urethra and bladder neck may be directly torn by the sharp edge of bone fragments. Retrograde urethrography remains the cornerstone for the diagnostic appraisal of posterior urethral injury. Of the three conventional treatment methods primary suturing has the greatest complication rates of incontinence and ...

  14. Recovery of a broken inspection lance from the reactor vessel of the German sodium cooled fast breeder reactor SNR 300

    International Nuclear Information System (INIS)

    Menck, J.W.; Hoeft, E.; Kirchner, G.

    1988-01-01

    An inspection lance for flow and vibration measurements was installed into the SNR-300 rotating plug. Centering and guiding of the lower end of the lance was effected in the central grid plate insert. The lance was torn off due to handling problems. The task consisted in recovering all defective parts from the reactor vessel and re-establishing the intact initial state. (author)

  15. Kas Peterburi on ohus? / Eda Post

    Index Scriptorium Estoniae

    Post, Eda, 1983-

    2007-01-01

    Maailma Monumentide Fond (World Monuments Fund) avaldas järjekordse nimekirja maailma sajast kõige suuremas ohus olevast mälestusmärgist. Nimekirjas on Peterburi siluett, Mendelejevi Instituudi torn Peterburis, Ljunbergi hall Rootsis jt. Täielik nimekiri aadressil www.WorldMonumentsWatch.org

  16. Community survey of childhood injuries in North-Central Nigeria

    African Journals Online (AJOL)

    Received 9 November 2012 accepted 10 March 2015. Introduction. Every day, worldwide, the lives of more than 2000 families are torn apart by the loss of a child to unintentional injuries [1]. Child injuries are a growing health problem and although data of incidence are available for most parts of the developed world, there ...

  17. The active abduction view: A new maneuvre in the diagnosis of rotator cuff tears

    International Nuclear Information System (INIS)

    Bloom, R.A.

    1991-01-01

    A new projection is described, the active abduction view of the shoulder, where in many patients with a comlete rotator cuff tear the humeral head is closely apposed to the acromion, obliterating the subacromial space. In such a situation,the medial portion of the torn rotator cuff retracts during active abduction, allowing approximation of the two bones. (orig./GDG)

  18. Hispaania romanss / Klaarika Kaldjärv

    Index Scriptorium Estoniae

    Kaldjärv, Klaarika

    2008-01-01

    Ain Kaalepi tõlketeoreetilistest seisukohtadest. Tema Federico GarcÍa Lorca luule tõlgete analüüs (kogud "Kaneelist torn" ja "Mu kätes on tuli") ning F. GarcÍa Lorca luuletuse "Romance son{u00E1mbulo" tõlke analüüs. Bibl. lk. 74

  19. Publications | Page 268 | IDRC - International Development ...

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

    “It's my job as a journalist to broadcast the story of Afghanistan to the world. ... the words and a stereotype comes to mind — a system of education that is “second best. ... Thirty-one countries from war-torn Afghanistan to Yemen are queued for ...

  20. Publications | Page 268 | IDRC - International Development ...

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

    Is the developing world healthier, wealthier, better fed. ... Thirty-one countries from war-torn Afghanistan to Yemen are queued for membership ... Just say the words and a stereotype comes to mind — a system of education that is “second best.

  1. Kõlakoda - inimene õpib kuulama kosmilist kõlakoda / Tiit Kändler

    Index Scriptorium Estoniae

    Kändler, Tiit, 1948-

    2006-01-01

    Universumi kõlakojast. Pilvelõhkujate võimalikust muutumisest kõlakodadeks. Näiteks toodud Manchesteris valmiv Beehtham Tower, Viini peahaigla, New Yorgi Cityspire'i torn Manhattanil. Kavakindlalt on uuritud Hollandis Hooke'is asuva näitusepaviljoni kõla

  2. Pop / Mart Kuldkepp

    Index Scriptorium Estoniae

    Kuldkepp, Mart

    2008-01-01

    Heliplaatidest: James "Hey Ma", Kelder "Vikerkaar ja latimeeria", David Torn "Lars and the Real Girl. Music from the motion picture", Tanel Ruben "Kogutud rikkus", Neon Neon "Stainless Style", 3 Doors Down "3 Doors Down", Winston Tong "In a Manner Of Speaking (Best Of)", Witch "Paralyzed"

  3. Leg pain

    Science.gov (United States)

    ... in the blood Medicines (such as diuretics and statins) Muscle fatigue or strain from overuse, too much exercise, or holding a muscle in the same position for a long time An injury can also cause leg pain from: A torn or overstretched muscle ( strain ) Hairline ...

  4. Keeping the Bar Low: Why Russia's Nonresident Fathers Accept Narrow Fatherhood Ideals

    Science.gov (United States)

    Utrata, Jennifer

    2008-01-01

    Although most Russian nonresident fathers feel torn between old and new ideals of fatherhood, they end up accepting older, narrow ideals. Fathers reproduce the dominant gender discourse, which deems men irresponsible and infantile and diminishes the importance of fathers. On the basis of extensive fieldwork, including in-depth interviews (N = 21)…

  5. Overcoming bordering practices through the arts

    DEFF Research Database (Denmark)

    Pace, Michelle

    2017-01-01

    During 2014, Denmark received nearly 15,000 asylum seekers, almost twice the number from the previous year as more people fleeing Syria’s war fled to Europe. By 2016, Denmark succeeded in making the country highly unattractive as a destination for refugees fleeing war torn countries. The country ...

  6. From El Wak to Sidi Rezegh: The Union Defence Force's First ...

    African Journals Online (AJOL)

    While Hitler's armies conquered. Western Europe the Springboks prepared to go North and in spite of trepidations about the might of Mussolini's East African Empire the First South African Infantry Division set sail for East Africa in mid-July 1940. In five short months, Mussolini's East African Empire had been torn to shreds.

  7. Karl Marx and the Paris Commune of 1871: Tracing Traditions of Critical Pedagogy

    Science.gov (United States)

    McGray, Robert

    2014-01-01

    In 1871, citizens of the war torn arrondissements of Paris, in the face of traumatic political and military turmoil, established a new local form of government. The Paris Commune, as this government became known as in the English world, attracted attention for its alternative political-economic organization. One notable commentator was Karl Marx…

  8. Preparing Pre-Service Teachers for Multicultural Classrooms

    Science.gov (United States)

    Premier, Jessica Aimee; Miller, Jenny

    2010-01-01

    Cultural diversity is evident throughout schools in Victoria, Australia. Many students are new arrivals from war-torn countries including Sudan, Afghanistan and Iraq. To what extent do teacher training courses in Victoria prepare pre-service teachers to cater for the needs of culturally and linguistically diverse (CALD) students? This paper…

  9. Prescription Stimulants and the Development of Post-Traumatic Stress Disorder among U.S. Service Members

    Science.gov (United States)

    2013-08-13

    Medina-Torne, M.P.H.; Anna Nagel, M.P.H.; Roy Nesbitt, M.A.; Christopher Phillips, M.D., M.P.H.; Roy Nesbitt, M.A.; Toni Rush, M.P.H.; Kari Sausedo...RJ, Robbins BW, Caiola E, Joynt M, Halterman JS. Prescribing of controlled medications to adolescents and young adults in the United States

  10. The Red Shoes : Motion picture (1948)

    OpenAIRE

    Lauri Lucente, Gloria; Buhagiar, Celaine

    2011-01-01

    Black Swan : A ballet dancer wins the lead in "Swan Lake" and is perfect for the role of the delicate White Swan - Princess Odette - but slowly loses her mind as she becomes more and more like Odile, the Black Swan. The Red Shoes : A young ballet dancer is torn between the man she loves and her pursuit to become a prima ballerina.

  11. Kunst eluetenduste inspireerijana / Raivo Kelomees

    Index Scriptorium Estoniae

    Kelomees, Raivo, 1960-

    2005-01-01

    Kunstnikuetenduste põhilised tundemärgid. Inglise kirjaniku John Fowlesi novellist "Eebenipuust torn" ja selle põhjal tehtud lavastusest. Novellile sarnaselt käitusid Valdur Ohakas ja tema kaks kaaslast 1980. aastate alguses Kütioru talus

  12. Prevention of unintentional injuries in early childhood: Using an E-health4Uth home safety intervention to promote parents’ child safety behaviours

    NARCIS (Netherlands)

    M.E.J. van Scholing-van Beelen (Mirjam)

    2013-01-01

    textabstractEvery day around the world the lives of more than two thousand families are torn apart by the loss of a child due to an unintentional injury [1]. Such tragedy can change lives irrevocably. It is a major public health problem that requires urgent attention. “Unintentional injury” is

  13. Clinicoradiological Diagnosis of Cough-Induced Intercostal Hernia

    African Journals Online (AJOL)

    Additional CT of the abdomen was performed, and it showed the eighth rib fracture, the torn intercostal muscles, and no diaphragmatic defect [Figure 2]. Physical examination revealed an obese patient who had a soft, nontender, reducible mass on the lateral aspect. (midclavicular line to the midaxillary line) of the left-sided.

  14. bite ofthe face

    African Journals Online (AJOL)

    1992-12-09

    Dec 9, 1992 ... orbicularis oris muscle were obtained. SAfrMedJ1994; 84: 37-39. Case report. A 46-year-old ... the left cheek, including facial muscle, tissue loss from the left alar rim of the nose, and a severely tom nasal ... This artery was badly torn and partially avulsed. (4). FIG. 3. Identification of the vessels. The wound ...

  15. Activity and pharmacology of the venom of Proxylocopa rufa, a ...

    African Journals Online (AJOL)

    The heart muscle appeared paralysed by the venom, but the lungs remained primarily unaffected. ... After the desired number of reservoirs are collected into the final droplet, all are gently torn with forceps, the venom ... peritoneal muscles in what appeared to be an attempt to move air in and out of the lungs. When these ...

  16. We have to eat, right? : food safety concerns and shopping for daily vegetables in modernizing Vietnam

    NARCIS (Netherlands)

    Wertheim-Heck, S.C.O.

    2015-01-01

    This thesis analyses how people during everyday life confront real food safety risks that are difficult to influence and come to grips with and focuses on food safety risks in modernizing Vietnam.

    Over the past 40 years Vietnam has developed from war torn country with a highly centralized

  17. Tocqueville's Christian Citizen

    NARCIS (Netherlands)

    Ossewaarde, Marinus R.R.

    2005-01-01

    Tocqueville's Christian Citizen Marinus Ossewaarde Introduction Alexis De Tocqueville is well known for his critique of democracy. A French statesman, he was left with the legacy of the French Revolution that had torn his fatherland and had changed the course of human history for good. Tocqueville,

  18. Vikergallup : eesti kirjandus 2010 / Peeter Helme, Sandra Jõgeva, Mihkel Kaevats ... [jt.

    Index Scriptorium Estoniae

    2011-01-01

    24 arvustaja vastus küsimusele, milline oli 2010. aasta parim uudisteos ja debüüt. Parima uudisteosena nimetati enim Kalju Kruusa luulekogu "Tühhja", Ene Mihkelsoni luulekogu "Torn" ning Lauri Sommeri proosaraamatut "Kolm yksiklast". Parimaks debüüdiks peeti Siim Nurkliku näidendit "Kas ma olen nüüd elus".

  19. Rootsi seitse betooniimet

    Index Scriptorium Estoniae

    2009-01-01

    Rootsi betooniajakiri Tidskriften Betong korraldas 2008. a. küsitluse, leidmaks seitse Rootsi olulisimat betoonehitist. Rootsi kõige tähtsamad betoonehitised selgusid rahvahääletusel: Öresundi sild, Sandö sild, Turning Torso (arhitekt Santiago Calatrava) Malmös, Arlanda lennujuhtimistorn, Örebro veetorn, Svinesundi sild, Kaknäsi torn

  20. Ainult kaks küsimust / Taavet Jansen

    Index Scriptorium Estoniae

    Jansen, Taavet, 1978-

    2011-01-01

    14. aprillil Turus esietendunud Euroopa kultuuripealinnade Turu ja Tallinna ühisprojektist, Saša Pepeljajevi tantsulavastusest "Tantsiv torn" (Aurinkobaletti). Interaktiivsest energiasõltumatust lavastusest "MIM goes sustainable", mis etendub 5.-9. mail Tallinnas Kultuurikilomeetri lõpus ja mida näidatakse Turus

  1. Peacekeepers against ethnic and criminal violence : Unintended consequences of UN peacekeeping

    NARCIS (Netherlands)

    Di Salvatore, J.

    2017-01-01

    This dissertation examines the unintended and collateral effects of third-party interventions in war-torn countries. Building on the most recent findings in peacekeeping literature that suggests an overall conflict-reducing effect of military interventions, this thesis explores ways in which this

  2. Informed Questions on Angolan Political-Military Issues

    National Research Council Canada - National Science Library

    Davidson, Terry R

    2003-01-01

    ... of 5.4 billion barrels and daily production close to 1 million barrels, what has to date been a strife-torn problem could become a major supplier of oil to the United States and an important player in sub-Saharan Africa...

  3. Anterior Cruciate Reconstruction Using Bone-patellar Ligament ...

    African Journals Online (AJOL)

    A few complications occurred with one infection and calcification of ligament in two patients, arthrofibrosis in two patients. Conclusion: This study is of clinical relevance as it shows alleviation of pain after surgical treatment of the torn ACL which has been described as the stabiliser of the knee and guardian of the Meniscus.

  4. Attitude to nuclear energy problems

    International Nuclear Information System (INIS)

    Danzmann, H.J.

    1975-01-01

    Two methods are dealt with which show the dialectic shrewdness of some of the active nuclear energy opponents in their attempt to influence opinions. By means of examples of quotations from lectures of recognized scientists (v. Weizsaecker, Teller, Heisenberg, Winnacker) which are torn out of their context, the public are deliberately misled by a few demagogic nuclear power critics. (HP/LH) [de

  5. Lahkunud 1999

    Index Scriptorium Estoniae

    2000-01-01

    Ilmar Torn (10. I), Leopold Ennosaar (21. I), Voldemar Vaga (23. II), Ilmar Laasi (15. VIII), Voldemar Peil (17. X), Ludvig Kruusmaa (7. XII), Aksel Vallaste (13. XII), Aldo van Eyck (1919-14. I 1999), Bernard Buffet (1928-4. X 1999), Tibor Kalman (1950-5. V 1999).

  6. Isolated gallbladder rupture following blunt abdominal trauma

    African Journals Online (AJOL)

    2011-11-03

    Nov 3, 2011 ... Road traffic accidents. (RTA) that are on the increase are now the primary causes of .... motor vehicular incidents from road traffic accidents[2,4] followed by significant falls[1,3,4,6] and direct kicks or blows ... torn from the liver bed but with intact cystic duct and artery; and total avulsion also termed “traumatic ...

  7. Tornid, millest pilved jäävad allapoole / Eda Post

    Index Scriptorium Estoniae

    Post, Eda, 1983-

    2008-01-01

    Maailma kõrgeimatest hoonetest alates Frank Lloyd Wrighti kavandatud tornist The Illinois. Burj Dubai ja Al Burj Araabia Ühendemiraatides, Abraj Al Bait Saudi Araabias, Chicago Spire (arhitekt Santiago Calatrava) ja Moskva rahvusvahelise ärikeksuse torn (Briti arhitektuuribüroo Foster and Partners)

  8. Medial versus lateral supraspinatus tendon properties: implications for double-row rotator cuff repair.

    Science.gov (United States)

    Wang, Vincent M; Wang, Fan Chia; McNickle, Allison G; Friel, Nicole A; Yanke, Adam B; Chubinskaya, Susan; Romeo, Anthony A; Verma, Nikhil N; Cole, Brian J

    2010-12-01

    Rotator cuff repair retear rates range from 25% to 90%, necessitating methods to improve repair strength. Although numerous laboratory studies have compared single-row with double-row fixation properties, little is known regarding regional (ie, medial vs lateral) suture retention properties in intact and torn tendons. A torn supraspinatus tendon will have reduced suture retention properties on the lateral aspect of the tendon compared with the more medial musculotendinous junction. Controlled laboratory study. Human supraspinatus tendons (torn and intact) were randomly assigned for suture retention mechanical testing, ultrastructural collagen fibril analysis, or histologic testing after suture pullout testing. For biomechanical evaluation, sutures were placed either at the musculotendinous junction (medial) or 10 mm from the free margin (lateral), and tendons were elongated to failure. Collagen fibril assessments were performed using transmission electron microscopy. Intact tendons showed no regional differences with respect to suture retention properties. In contrast, among torn tendons, the medial region exhibited significantly higher stiffness and work values relative to the lateral region. For the lateral region, work to 10-mm displacement (1592 ± 261 N-mm) and maximum load (265 ± 44 N) for intact tendons were significantly higher (P .05). Regression analyses for the intact and torn groups revealed generally low correlations between donor age and the 3 biomechanical indices. For both intact and torn tendons, the mean fibril diameter and area density were greater in the medial region relative to the lateral (P ≤ .05). In the lateral tendon, but not the medial region, torn specimens showed a significantly lower fibril area fraction (48.3% ± 3.8%) than intact specimens (56.7% ± 3.6%, P row after double-row repair. Larger diameter collagen fibrils as well as greater fibril area fraction in the medial supraspinatus tendon may provide greater resistance to

  9. Combined Gravimetric-Seismic Crustal Model for Antarctica

    Science.gov (United States)

    Baranov, Alexey; Tenzer, Robert; Bagherbandi, Mohammad

    2018-01-01

    The latest seismic data and improved information about the subglacial bedrock relief are used in this study to estimate the sediment and crustal thickness under the Antarctic continent. Since large parts of Antarctica are not yet covered by seismic surveys, the gravity and crustal structure models are used to interpolate the Moho information where seismic data are missing. The gravity information is also extended offshore to detect the Moho under continental margins and neighboring oceanic crust. The processing strategy involves the solution to the Vening Meinesz-Moritz's inverse problem of isostasy constrained on seismic data. A comparison of our new results with existing studies indicates a substantial improvement in the sediment and crustal models. The seismic data analysis shows significant sediment accumulations in Antarctica, with broad sedimentary basins. According to our result, the maximum sediment thickness in Antarctica is about 15 km under Filchner-Ronne Ice Shelf. The Moho relief closely resembles major geological and tectonic features. A rather thick continental crust of East Antarctic Craton is separated from a complex geological/tectonic structure of West Antarctica by the Transantarctic Mountains. The average Moho depth of 34.1 km under the Antarctic continent slightly differs from previous estimates. A maximum Moho deepening of 58.2 km under the Gamburtsev Subglacial Mountains in East Antarctica confirmed the presence of deep and compact orogenic roots. Another large Moho depth in East Antarctica is detected under Dronning Maud Land with two orogenic roots under Wohlthat Massif (48-50 km) and the Kottas Mountains (48-50 km) that are separated by a relatively thin crust along Jutulstraumen Rift. The Moho depth under central parts of the Transantarctic Mountains reaches 46 km. The maximum Moho deepening (34-38 km) in West Antarctica is under the Antarctic Peninsula. The Moho depth minima in East Antarctica are found under the Lambert Trench (24

  10. Parallel Object Oriented MD Simulation Program for Long Time Simulations of Metallic Glasses and Undercooled Liquids

    Science.gov (United States)

    Böddeker, B.; Teichler, H.

    The MD simulation program TABB is motivated by the need of long time simulations for the investigation of slow processes near the glass transition of glass forming alloys. TABB is written in C++ with a high degree of flexibility: TABB allows the use of any short ranged pair potentials or EAM potentials, by generating and using a spline representation of all functions and their derivatives. TABB supports several numerical integration algorithms like the Runge-Kotta or the modified Gear-predictor-corrector algorithm of order five. The boundary conditions can be chosen to resemble the geometry of bulk materials or films. The simulation box length or the pressure can be fixed for each dimension separately. TABB may be used in isokinetic, isoenergeric or canonic (with random forces) mode. TABB contains a simple instruction interpreter to easily control the parameters and options during the simulation. The same source code can be compiled either for workstations or for parallel computers. The main optimization goal of TABB is to allow long time simulations of medium or small sized systems. To make this possible, much attention is spent on the optimized communication between the nodes. TABB uses a domain decomposition procedure. To use many nodes with a small system, the domain size has to be small compared to the range of particle interactions. In the limit of many nodes for only few atoms, the bottle neck of communication is the latency time. TABB minimizes the number of pairs of domains containing atoms that interact between these domains. This procedure minimizes the need of communication calls between pairs of nodes. TABB decides automatically, to how many, and to which directions the decomposition shall be applied. E.g., in the case of one dimensional domain decomposition, the simulation box is only split into "slabs" along a selected direction. The three dimensional domain decomposition is best with respect to the number of interacting domains only for simulations

  11. Magnetic resonance imaging of anterior cruciate ligament of the knee: a comparison of four sequences

    International Nuclear Information System (INIS)

    Casillas, C.; Marti-Bonmati, L.; Molla, E.; Ferrer, P.; Dosda, R.

    1999-01-01

    To compare the diagnostic efficacy of the four magnetic resonance imaging (MRI) sequences that compose the standard protocol for the study of the knee in our center when employed in the examination of anterior cruciate ligament (ACL). A prospective study was carried out based on MRI findings in the knees of 326 consecutive patients. Sagittal [proton density (PD w eighted turbo-spin-echo and T2*-weighted gradient echo], coronal (PD-weighted turbo-spin-echo with fat suppression) and transverse (T2*-weighted gradient echo with magnetization transfer) images were evaluated. Each sequence was analyzed independently by two radiologists, while another two assessed all the sequences together with the clinical findings. Four categories were established: normal ACL, partially torn, completely torn and synovialized. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) with respect to the definitive diagnosis were calculated for each sequence. The statistical analysis of the findings for each category was done using the chi-squared test and the Kappa test was employed to assess the degree of agreement. According to the final diagnosis, 263 ACL were normal, 29 were partially torn, 33 were completely torn and there was 1 case of synovialization associated with a completely torn ACL. The relationship between the analysis of the ACL according to each sequence and the definitive diagnosis was very significant (p<0.001) and the agreement was excellent. All the sequences presented similar levels of diagnostic precision. The coronal sequence had least number of diagnostic errors (2.1%). The combinations of imaging techniques that resulted in the lowest error rate with respect to the definitive diagnosis were coronal PD-weighted turbo-spin-echo with fat suppression and sagittal PD-weighted turbo-spin-echo. Coronal images are highly precise in the evaluation of ACL. Sagittal sequences are the most valid for diagnosis of torn ACL. Transverse

  12. Magnetic resonance imaging of anterior cruciate ligament of the knee: a comparison of four sequences; Valoracion del ligamento cruzado anterior de la rodilla con RM: comparacion de cuatro secuencias

    Energy Technology Data Exchange (ETDEWEB)

    Casillas, C.; Marti-Bonmati, L.; Molla, E.; Ferrer, P.; Dosda, R. [Clinical Quiron-ATQ. Valencia (Spain)

    1999-07-01

    To compare the diagnostic efficacy of the four magnetic resonance imaging (MRI) sequences that compose the standard protocol for the study of the knee in our center when employed in the examination of anterior cruciate ligament (ACL). A prospective study was carried out based on MRI findings in the knees of 326 consecutive patients. Sagittal [proton density (PD{sub w}eighted turbo-spin-echo and T2*-weighted gradient echo], coronal (PD-weighted turbo-spin-echo with fat suppression) and transverse (T2*-weighted gradient echo with magnetization transfer) images were evaluated. Each sequence was analyzed independently by two radiologists, while another two assessed all the sequences together with the clinical findings. Four categories were established: normal ACL, partially torn, completely torn and synovialized. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) with respect to the definitive diagnosis were calculated for each sequence. The statistical analysis of the findings for each category was done using the chi-squared test and the Kappa test was employed to assess the degree of agreement. According to the final diagnosis, 263 ACL were normal, 29 were partially torn, 33 were completely torn and there was 1 case of synovialization associated with a completely torn ACL. The relationship between the analysis of the ACL according to each sequence and the definitive diagnosis was very significant (p<0.001) and the agreement was excellent. All the sequences presented similar levels of diagnostic precision. The coronal sequence had least number of diagnostic errors (2.1%). The combinations of imaging techniques that resulted in the lowest error rate with respect to the definitive diagnosis were coronal PD-weighted turbo-spin-echo with fat suppression and sagittal PD-weighted turbo-spin-echo. Coronal images are highly precise in the evaluation of ACL. Sagittal sequences are the most valid for diagnosis of torn ACL

  13. Pen Rearing and Imprinting of Fall Chinook Salmon, 1986 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Novotny, Jerry F.; Macy, Thomas L.; Gardenier, James T.; Beeman, John W.

    1986-12-01

    Pen rearing studies during 1986 completed the second of three years intended for rearing and releasing upriver bright fall chinook salmon (Oncorhynchus tshawytscha) from two study sites, a backwater and a pond, adjacent to the Columbia River; both areas are located in the Jonn Day Reservoir. Results of this study in 1984 and 1985 showed that fish could be successfully reared in net pens and that growth and physiological development of the off-station reared fish proceeded at a faster rate than in fish reared at a hatchery. Transfer of fish from the hatchery to off-station sites at Social Security Pond (pond) and Rock Creek (backwater) during early March increased the period of rearing in 1986 by about four weeks. The increased period of rearing allowed all treatments of fed fish to reach a minimum weight of YU fish/lb by release. Differences in growth of fed fish between regular density treatments and additional, high density treatments (double and triple the regular densities) were not significantly different (P > 0.05), but growth of all fed fish reared off-station was again significantly better than that of hatchery reared fish (P < 0.05), Mortalities in all groups of fed fish were low. Physiological development of fed fish was similar in all treatments. At release, development of fish at Social Security Pond appeared to be somewhat ahead of fish at Rock Creek on the same dates however, none of the groups of fed fish achieved a high state of smoltification by release. Unfed fish grew poorly over the redring period, and at release were significantly smaller than either fed groups at the off-station sites, or the control groups reared at the hatchery (P < 0.05). Development of unfed fish toward smoltification was much slower than of fed fish. Mortality of all groups of unfed fish, including the barrier net, was relatively low. Health of all fish reared off-station remained good over the rearing period, and no outbreaks of disease were noted. On-site marking and

  14. Mitral valve plasty for mitral regurgitation after blunt chest trauma.

    Science.gov (United States)

    Kumagai, H; Hamanaka, Y; Hirai, S; Mitsui, N; Kobayashi, T

    2001-06-01

    A 21 year-old woman was admitted to our hospital because of chest and back pain after blunt chest trauma. On admission, consciousness was clear and a physical examination showed labored breathing. Her vital signs were stable, but her breathing gradually worsened, and artificial respiration was started. The chest roentgenogram and a subsequent chest computed tomographic scans revealed contusions, hemothorax of the left lung and multiple rib fractures. A transthoracic echocardiography (TTE) revealed normal left ventricular wall motion and mild mitral regurgitation (MR). TTE was carried out repeatedly, and revealed gradually progressive MR and prolapse of the posterior medial leaflet, although there was no congestive heart failure. After her general condition had recovered, surgery was performed. Intraoperative transesophageal echocardiography (TEE) revealed torn chordae at the posterior medial leaflet. The leaflet where the chorda was torn was cut and plicated, and posterior mitral annuloplasty was performed using a prosthetic ring. One month later following discharge, the MR had disappeared on TTE.

  15. Women, war, and reproductive health in developing countries.

    Science.gov (United States)

    Pillai, Vijayan; Wang, Ya-Chien; Maleku, Arati

    2017-01-01

    Globally, millions of people are affected by war and conflicts every year. However, women have increasingly suffered the greatest harm by war in more different ways than men. We conceptualize a reproductive rights approach toward examining the effects of war on women's reproductive health in developing countries. Given the rising concerns of exclusion to adequately address women's rights, sexual and gender-based violence, and post-conflict accountability, we specifically focus on the limitations of the Minimum Initial Service Package, a UN-sponsored reproductive health service program in conflict zones while offering a broad reproductive rights-based conceptual lens for examining reproductive health care services in war-torn areas. In addition, we discuss the roles social workers may play at both micro and macro levels in war-torn areas to bring about both short term and long term gains in women's reproductive health.

  16. Use of intravoxel incoherent motion diffusion-weighted imaging in identifying the vascular and avascular zones of human meniscus.

    Science.gov (United States)

    Guo, Tan; Chen, Juan; Wu, Bing; Zheng, Dandan; Jiao, Sheng; Song, Yan; Chen, Min

    2017-04-01

    To investigate the hypothesis that the intravoxel incoherent motion (IVIM) diffusion-weighted imaging may depict microcirculation of meniscus and the perfusion changes in meniscal disorder. Fifty patients received diffusion-weighted MRI with multiple b-values ranging from 0 to 400 s/mm 2 . The four horns of the menisci were divided into normal, degenerated, and torn groups. IVIM parameters including perfusion fraction (f), pseudo-diffusion coefficient (D*), true diffusion coefficient (D), and the product of f and D* (f D*) of normal meniscal red zone and white zone were derived and compared for microcirculation changes of normal, degenerated, and torn posterior horn of the medial meniscus (PMM). The parameters between red and white zones among the groups were compared. Significant differences were considered when P meniscus and the perfusion changes in meniscal disorder. 3 J. Magn. Reson. Imaging 2017;45:1090-1096. © 2016 International Society for Magnetic Resonance in Medicine.

  17. Confusion about a little observatory: the history of the first high school observatory (German Title: Verwirrung um eine kleine Sternwarte: Die Geschichte der ersten Chemnitzer Schulsternwarte )

    Science.gov (United States)

    Pfitzner, Elvira

    By means of a small watercolor, painted by a musicologist, the existence of the highschool observatory of Chemnitz was rediscovered. The small observatory was build in 1893 by means of funds and a donation: after WW I it was also used for popular education. During Nazi times, the observatory fell into neglect, and the mechanical damage made it impossible to put it back into operation after WW II The building was torn down in 1964 and forgotten.

  18. Trauma and Second Language Learning among Laotian Refugees

    OpenAIRE

    Gordon, Daryl

    2015-01-01

    Unprecedented numbers of adult refugee learners are entering ESL classes, many of whom escaped war-torn countries and endured long stays in refugee camps. Research in public health and psychology has documented high levels of depression, anxiety, and posttraumatic stress disorder in refugee populations. Drawing on ethnographic research with Laotian refugee women who experienced pre-settlement trauma during the Vietnam War and interviews with bilingual mental health professionals, this article...

  19. Phantom energy accretion onto black holes in a cyclic universe

    International Nuclear Information System (INIS)

    Sun Chengyi

    2008-01-01

    Black holes pose a serious problem in cyclic or oscillating cosmology. It is speculated that, in the cyclic universe with phantom turnarounds, black holes will be torn apart by phantom energy prior to turnaround before they can create any problems. In this paper, using the mechanism of phantom accretion onto black holes, we find that black holes do not disappear before phantom turnaround. But the remanent black holes will not cause any problems due to Hawking evaporation.

  20. China`s quest for security in the post cold war world. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, S.S.

    1996-07-29

    The author argues that despite all the estimates that the post-Tiananmen People`s Republic of China is about to take the stage as a world power, the reality is far different. He believes that China, in fact, is a weak nation torn by internal economic and environmental problems. The author asserts that its communist leadership is desperately trying to put the democracy genie back in its bottle even while supporting a Leninist-capitalist economic approach which, ultimately, cannot succeed.

  1. What Next for Wood Construction/Demolition Debris?

    OpenAIRE

    Martin A. Hubbe

    2014-01-01

    Residents in localities throughout the world voluntarily participate in the routine recycling of household wastes, such as paper, metals, and plastics containers. But when a house in their neighborhood gets built or torn down, most of the debris – including wood waste – gets landfilled. Such a waste of material suggests that there are opportunities to add value to these under-utilized resources. The great variability, as well as contamination, pose major challenges. It is recommended that rec...

  2. JPRS Report, Soviet Union KOMMUNIST No 3, February 1988.

    Science.gov (United States)

    1988-05-02

    maternal caress, something very personal and eternal. JPRS-UKO-88-008 2 May 1988 But when the heart is torn by bitterness, hurt and hatred, as in...34power" and authoritative management methods? In 1987 200 people telephoned the ispolkom in answer to the invitation to participate in discussing the...with equal enthusiasm he fought intuitivism, con- sidering it the foundation and justification of dogmatic and authoritarian thinking. We can

  3. GLOBAL REFUGEE CRISIS: A STUDY OF MOHSIN HAMID'S NOVEL EXIT WEST

    OpenAIRE

    Manzoor Ahmad Mir

    2018-01-01

    Refugee crisis in the last few years of the present century has assumed such vast proportions which find parallels only during the World War II. The world is witnessing millions of people undertaking arduous journeys to escape their war torn countries of origin. Economic instability and deadly conflicts are forcing innumerable people to leave their homes in search of better lives. Mohsin Hamid’s novel Exit West (2017) is a modern take on the inevitable migration of people across countries, ev...

  4. The Next Generation: Students Discuss Archaeology in the 21st Century

    OpenAIRE

    Sands, Ashley; Butler, Kristin

    2010-01-01

    The Next Generation Project is a multi-agent, multi-directional cultural diplomacy effort. The need for communication among emerging archaeologists has never been greater. Increasingly, archaeological sites are impacted by military activity, destroyed through the development of dams and building projects, and torn apart through looting. The Next Generation Project works to develop communication via social networking sites online and through in-person meetings at international conferences. As ...

  5. Väike juveel Euroopa veere pääl / Thea Karin

    Index Scriptorium Estoniae

    Karin, Thea

    2012-01-01

    Küprose ajaloost, seal viibinud kuulsustest (Guido von Lusignan, Leonardo da Vinci, William Shakespeare, Lala Mustafa Paşa, Namik Kemal, Lawrence Durrell, Francis II Rakoczi) ning vaatamisväärsustest UNESCO pärandinimekirja kuuluvas Afroditele pühendatud Paphoses, pealinnas Nikosias, Girnes ja Famagustas, kus asuvad ka Shakespeare'i inspireerinud Othello torn ja Püha Nikolause katedraal, mis nüüd on Lala-Mustafa-Pasha mošee

  6. Periodismo ecológico: propuestas

    Directory of Open Access Journals (Sweden)

    Blasco Fernando Checa Montúfar

    2015-01-01

    Full Text Available La educación ambiental busca generar conocimientos, y conductas que replanteen las relaciones entre seres humanos, y entre estos y su medio ambiente, tornándolas más armoniosas con las leyes de la naturaleza. En este sentido, los medios pueden cumplir un papel importante por su rol educativo y de influencia en la llamada opinión pública.

  7. A current perspective on leishmaniasis

    Directory of Open Access Journals (Sweden)

    Angela Clem

    2010-01-01

    Full Text Available There are many challenges facing the successful control and eradication of cutaneous and visceral leishmaniasis. Leishmaniasis is still endemic in many poverty stricken and war torn areas. Through the use of an extensive literature review, this article examined the global disease burden of cutaneous and visceral leishmaniasis. Surveillance and control measures for leishmaniasis being used by the World Health Organization were also discussed in this article. Finally, potential new treatments and possible vaccines for leishmaniasis were reviewed in this article.

  8. Defense Scrap Yard Handbook

    Science.gov (United States)

    1985-06-01

    Shall consist of brass castings, rolled brass, rod brass, tubing and 26 Honey . miscellaneous yellow brasses, including plated brass. Must be free of...surveillance. (See torns include: dry cough , irritation of throat and OSHA 1910.1025) tightness of chest leading to difficulty in breath- (1) Lead...selected conditions, e.g., styrene- up the cure of a compound when added in minor acrylonitrile copolymer resins blended with butadi- quantity as compared

  9. Biological Inspiration for Agile Autonomous Air Vehicles

    Science.gov (United States)

    2007-11-01

    half of one wing, bees with legs packed with pollen , butterflies or moths with torn and frayed wings likewise are capable of apparently normal flight...technologies. To appreciate this, consider a not unreasonable extension of a wide area autonomous search (WAAS) munition operational scenario. Here...detect and destroy missile launchers that are operating in the back alleys of an urban areas or search Evers, J.H. (2007) Biological Inspiration for Agile

  10. Three-Tesla magnetic resonance imaging of the meniscus of the knee: What about equivocal errors?

    International Nuclear Information System (INIS)

    Dyck, Pieter van; Vanhoenacker, Filip M.; Gielen, Jan L.; Parizel, Paul M.; Dossche, Lieven; Weyler, Joost

    2010-01-01

    Background: The significance of borderline magnetic resonance (MR) findings that are equivocal for a tear of the knee meniscus remains uncertain. Given their higher signal-to-noise ratio (SNR) and greater spatial resolution, these equivocal meniscal tears could be expected to be less frequent using a 3.0T MR system. Purpose: To investigate the prevalence of equivocal meniscal tears using 3.0T MR, and to study their impact on MR accuracy compared with arthroscopy in the detection of meniscal tears. Material and Methods: The medical records of 100 patients who underwent 3.0T MR imaging and subsequent arthroscopy of the knee were retrospectively reviewed. Two observers interpreted MR images in consensus, and menisci were diagnosed as torn (abnormality on two or more images), equivocal for a tear (abnormality on one image), or intact, using arthroscopy as the standard of reference. The prevalence of equivocal meniscal tears was assessed, and MR accuracy was calculated as follows: first, considering both torn menisci and equivocal diagnoses as positive for a tear; and second, considering only torn menisci as positive for a tear. Results: Evidence of meniscal tears on MR images was equivocal in 12 medial (12%) and three lateral (3%) menisci. Of these equivocal MR diagnoses, tears were found at arthroscopy in eight medial and one lateral meniscus. In our study, the specificity and positive predictive value increased for both the medial and lateral meniscus when only menisci with two or more abnormal images were considered to be torn: from 80% and 89% to 91% and 94% for the medial meniscus, and from 91% and 73% to 93% and 78% for the lateral meniscus, respectively. Conclusion: Subtle findings that are equivocal for a tear of the knee meniscus still make MR diagnosis difficult, even at 3.0T. We recommend that radiologists should rather be descriptive in reporting subtle or equivocal MR findings, alerting the clinician of possible meniscal tear

  11. Bazaar of the 21st century. The roof of a covered market in Madrid provides both shade and power; Basar des 21. Jahrhunderts. Das Dach einer Markthalle in Madrid spendet Schatten und liefert Energie

    Energy Technology Data Exchange (ETDEWEB)

    Diaz Lopez, Blanca; Siemer, Jochen; Franco de Saravia, Cristina

    2011-04-15

    In the Chueca district at the center of Madrid, a covered market constructed in 1945 was torn down, and a new building was constructed. The new 'Mercado de San Anton' has a typically Spanish architecture, with a central courtyard. The glass roof over this patio is both a reminiscence of historical buildings and an ultramodern power generation system. The power generated by the roof is used for operating the building.

  12. Kõik kohad olid kunsti täis / Kati Ilves, Maria Juur

    Index Scriptorium Estoniae

    Ilves, Kati, 1984-

    2007-01-01

    Eesti Kunstiakadeemia 2007. a. vabade kunstide ja meediateaduskonna lõputööd Kumus. Autorite duo Johnson&Johnson videost "Orkestriproov", Reimo Võsa Tangsoo fotoseeriast "Milleks tallinlasele SUV?", Siiri Taimla joonistustest sarjast "Ignalina: Ei!", Signe-Fideelia Rootsi videost "Naiselik vaist", Rait Rosina magistritööst (video "Peace on Earth", kolm maali "Peace on Moon"), Rauno Teideri videotest "Paabeli torn, "A ja O" ning "Sinepiiva", Alvar Reisneri kontseptuaalse maali seeriast "10x1"

  13. JPRS Report, Near East & South Asia

    Science.gov (United States)

    1991-05-01

    and being torn, splin- smoke obscuring the horizon and cutting off the oxygen. tered, and marginalized, staggering between poverty, The blood covering...and the countries of battle. Despite our abstinence from citing examples, we Southern Europe, based on an exchange of information remind the Arabs that...that 23 legal claims were filed against the technical school graduate to the IDF. Because of the Board and that "our goal is to end this season in the

  14. Medial collateral ligament tear entrapped within a proximal tibial physeal separation: imaging findings and operative reduction

    Energy Technology Data Exchange (ETDEWEB)

    McAnally, James L.; Eberhardt, Steven C.; Mlady, Gary W. [University of New Mexico, Department of Radiology, Albuquerque, NM (United States); Fitzpatrick, Jennifer; Bosch, Patrick [University of New Mexico, Department of Orthopaedics and Rehabilitation, Albuquerque, NM (United States)

    2008-10-15

    Entrapped soft tissues such as periosteum and tendons have been described within joints and physeal fractures in the literature and frequently result in irreducible fractures and posttraumatic growth disturbances. We believe this case represents a novel presentation of acute, preoperative, magnetic resonance (MR) imaging diagnosis of a torn medial collateral ligament entrapped within a proximal tibial physeal separation. This case is presented with MR imaging and operative correlation of the findings. (orig.)

  15. Medial collateral ligament tear entrapped within a proximal tibial physeal separation: imaging findings and operative reduction

    International Nuclear Information System (INIS)

    McAnally, James L.; Eberhardt, Steven C.; Mlady, Gary W.; Fitzpatrick, Jennifer; Bosch, Patrick

    2008-01-01

    Entrapped soft tissues such as periosteum and tendons have been described within joints and physeal fractures in the literature and frequently result in irreducible fractures and posttraumatic growth disturbances. We believe this case represents a novel presentation of acute, preoperative, magnetic resonance (MR) imaging diagnosis of a torn medial collateral ligament entrapped within a proximal tibial physeal separation. This case is presented with MR imaging and operative correlation of the findings. (orig.)

  16. Composite Material from By-products and Its Properties

    Science.gov (United States)

    Šeps, K.; Broukalová, I.; Vodička, J.

    2017-09-01

    The paper shows an example of utilization of specific textile admixture - fluffs of torn textiles from waste cars in production of composite with aggregate consisting entirely of unsorted recycled concrete. The admixture in the mixture of recycled concrete and cement binder fills the pores and voids in composite. The elaborated composite has working title STEREDconcrete. In the article, basic mechanical-physical properties of the composite are presented also the fire resistance of STEREDconcrete, which was determined in tests.

  17. Els Darrers cinc anys de l'Associació de càmpings de Girona a les guies: ACSI, ADAC i ANWB

    OpenAIRE

    Casanueva Bernal, Ana María

    2017-01-01

    El tema d'aquest Treball final de Grau gira en torn a l'evolució dels càmpings que integren l'Associació de càmpings durant els darrers cinc anys. Per a poder estudiar aquesta evolució, és essencial conèixer primerament què són i que aporten les tres guies de càmping europees de referència: ACSI, ADAC i ANWB

  18. Liver hanging maneuver for right hemiliver in situ donation – anatomical considerations

    OpenAIRE

    Trotovšek, B.; Gadžijev, E.M.; Ravnik, D.; Hribernik, M.

    2006-01-01

    Background. An anatomical study was carried out to evaluate the safety of the liver hanging maneuver for the right hemiliver in living donor and in situ splitting transplantation. During this procedure a 4–6 cm blind dissection is performed between the inferior vena cava and the liver. Short subhepatic veins entering the inferior vena cava from segments 1 and 9 could be torn with consequent hemorrhage. Materials and methods. One hundred corrosive casts of livers were evaluated to establish th...

  19. Arthroscopic intra- and extra-articular anterior cruciate ligament reconstruction with gracilis and semitendinosus tendons: a review

    OpenAIRE

    Marcacci, Maurilio; Zaffagnini, Stefano; Marcheggiani Muccioli, Giulio Maria; Neri, Maria Pia; Bondi, Alice; Nitri, Marco; Bonanzinga, Tommaso; Grassi, Alberto

    2011-01-01

    The purposes of this paper are to summarize the concepts relating to the use of a combined intra-articular and extra-articular reconstructive procedure in the arthroscopic treatment of a torn ACL and to review several operative techniques utilizing gracilis and semitendinosus tendons that are currently in use to treat this instability. The highly satisfactory results obtained over the time show that a combination of intra- and extra-articular procedures for ACL reconstruction is a valid surgi...

  20. Three-Tesla magnetic resonance imaging of the meniscus of the knee: What about equivocal errors?

    Energy Technology Data Exchange (ETDEWEB)

    Dyck, Pieter van; Vanhoenacker, Filip M.; Gielen, Jan L.; Parizel, Paul M. (Dept. of Radiology, Univ. Hospital Antwerp and Univ. of Antwerp, Antwerp (Edegem) (Belgium)), e-mail: pieter.van.dyck@uza.be; Dossche, Lieven (Dept. of Orthopedics, Univ. Hospital Antwerp and Univ. of Antwerp, Antwerp (Edegem) (Belgium)); Weyler, Joost (Dept. of Epidemiology and Social Medicine, Univ. of Antwerp, Antwerp (Wilrijk) (Belgium))

    2010-04-15

    Background: The significance of borderline magnetic resonance (MR) findings that are equivocal for a tear of the knee meniscus remains uncertain. Given their higher signal-to-noise ratio (SNR) and greater spatial resolution, these equivocal meniscal tears could be expected to be less frequent using a 3.0T MR system. Purpose: To investigate the prevalence of equivocal meniscal tears using 3.0T MR, and to study their impact on MR accuracy compared with arthroscopy in the detection of meniscal tears. Material and Methods: The medical records of 100 patients who underwent 3.0T MR imaging and subsequent arthroscopy of the knee were retrospectively reviewed. Two observers interpreted MR images in consensus, and menisci were diagnosed as torn (abnormality on two or more images), equivocal for a tear (abnormality on one image), or intact, using arthroscopy as the standard of reference. The prevalence of equivocal meniscal tears was assessed, and MR accuracy was calculated as follows: first, considering both torn menisci and equivocal diagnoses as positive for a tear; and second, considering only torn menisci as positive for a tear. Results: Evidence of meniscal tears on MR images was equivocal in 12 medial (12%) and three lateral (3%) menisci. Of these equivocal MR diagnoses, tears were found at arthroscopy in eight medial and one lateral meniscus. In our study, the specificity and positive predictive value increased for both the medial and lateral meniscus when only menisci with two or more abnormal images were considered to be torn: from 80% and 89% to 91% and 94% for the medial meniscus, and from 91% and 73% to 93% and 78% for the lateral meniscus, respectively. Conclusion: Subtle findings that are equivocal for a tear of the knee meniscus still make MR diagnosis difficult, even at 3.0T. We recommend that radiologists should rather be descriptive in reporting subtle or equivocal MR findings, alerting the clinician of possible meniscal tear

  1. Dragonfly : an implementation of the expand–maximize–compress algorithm for single-particle imaging

    OpenAIRE

    Ayyer, Kartik; Lan, Ti-Yen; Elser, Veit; Loh, N. Duane

    2016-01-01

    Single-particle imaging (SPI) with X-ray free-electron lasers has the potential to change fundamentally how biomacromolecules are imaged. The structure would be derived from millions of diffraction patterns, each from a different copy of the macromolecule before it is torn apart by radiation damage. The challenges posed by the resultant data stream are staggering: millions of incomplete, noisy and un-oriented patterns have to be computationally assembled into a three-dimensional intensity map...

  2. Eesti täispikad dokumentaalfilmid 2005. aastal / Marianne Kõrver

    Index Scriptorium Estoniae

    Kõrver, Marianne, 1980-

    2006-01-01

    Portreefilmid : Priit Pärnast "Pärnograafia" (Hardi Volmer), Ivar Heinmaast "Kutse" (Peep Puks), Veljo Tormisest "Tormise regi" (Sulev Keedus), Rein Tammikust "Teekond ruudulisel laudlinal" (Peeter Urbla), "Afanassi" (Liina Trishkina) ; probleemfilmid : "Parema elu nimel" (Märt Sildvee), "Piisa torn" (Arko Okk) ; sõjateemalised dokumentaalid : "Afganistani armid" (Ivar Heinmaa), "Hauka grupp" (Rene Vilbre), "Tõrjutud mälestused" (Imbi Paju) ; loodusfilm "Eesti kotkad" (Rein Maran)

  3. What Corporate Social Responsibility Activities are Valued by the Market?

    OpenAIRE

    Ron Bird; Anthony D. Hall; Francesco Momente'; Francesco Reggiani

    2007-01-01

    Corporate management is torn between either focusing solely on the interests of stockholders (the neo-classical view) or taking into account the interests of a wide spectrum of stakeholders (the stakeholder theory view). Of course, there need be no conflict where taking the wider view is also consistent with maximising stockholder wealth. In this paper, we examine the extent to which a conflict actually exists by examining the relationship between a company’s positive (strengths) and negative...

  4. Settlement wars : an historical analysis of displacement and return in the Kurdistan region of Turkey at the turn of the 21st century

    NARCIS (Netherlands)

    Jongerden, J.P.

    2006-01-01

    The return of the population and the reorganisation of rural areas are current topics in war-torn countries. In the 1990s, southeastTurkeywas the scene of a war between the Turkish army and the Kurdistan Worker's

  5. Quantification of Hydrogen Cyanide Generated at Low Temperature O-Chlorobenzylidene Malononitrile (CS) Dispersal

    Science.gov (United States)

    2013-05-10

    set on highest setting), paper was torn up and placed inside the coffee can (Figure 3-3) and the CS capsules are opened up and the granules are...Placed Into Coffee Can CS capsules being opened and emptied into coffee can on hot plate.   22   Figure 3-6 CS Hand Held Fan CS...Downwind”  Towards  Exit  ........................................  20   Figure 3-3 Coffee Can on Hotplate

  6. The United States Air Force in Southeast Asia. The Advisory Years to 1965

    Science.gov (United States)

    1981-01-01

    Improved govcinmiental financial procedui s: border and coastal patrols to stop infiltra- tion and outside support of thle antr-government guerrillas...if the South Vietnamese economy could sustain enlaiged military forces. Kennedy sent a financial survey group headed by Dr. Eugene Staley to Saigon...ell Air IorcelBase. Ala Aerospace Studies Instituite . 1964 P’artner. J.. and Strirms’er. NI J The Evoluition of i/u’ Airborne torn tard ’hr Controller

  7. In Defence of Seneca's Phaedra

    DEFF Research Database (Denmark)

    Bloch, David Kristian

    2007-01-01

    In this article I present two arguments concerning Seneca's tragedy Phaedra: (1) The character Phaedra is not simply a scheming, manipulative and evil woman, but rather a woman torn apart by love and fear; (2) Phaedra in the play is not a badly and incoherently portrayed character, but a convincing...... and realistically drawn character. The two arguments are independent, but they combine to show Phaedra as one of Seneca's best tragic creations....

  8. CuO-Nanoparticles Catalyzed Synthesis of 1,4-Disubstituted-1,2,3 ...

    Indian Academy of Sciences (India)

    John Paul Raj

    2018-04-13

    Apr 13, 2018 ... has been developed for the synthesis of 1,2,3-triazoles. A library of 1 ... Kuang et al., described Cu-catalyzed synthesis of 1H-. 1,2,3-triazoles from 1 ..... Tornøe C W, Christensen C and Meldal M 2002 Peptido- triazoles on solid ... 2015 Copper-catalyzed [3+2] cycloaddition/oxidation reactions between ...

  9. Application of Ensemble Sensitivity Analysis to Observation Targeting for Short-term Wind Speed Forecasting in the Tehachapi Region Winter Season

    Energy Technology Data Exchange (ETDEWEB)

    Zack, John [AWS Truepower, LLC, Albany, NY (United States); Natenberg, Eddie [AWS Truepower, LLC, Albany, NY (United States); Young, Steve [AWS Truepower, LLC, Albany, NY (United States); Van Knowe, Glenn [AWS Truepower, LLC, Albany, NY (United States); Waight, Ken [AWS Truepower, LLC, Albany, NY (United States); Manobainco, John [AWS Truepower, LLC, Albany, NY (United States); Kamath, Chandrika [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2010-10-20

    This study extends the wind power forecast sensitivity work done by Zack et al. (2010a, b) in two prior research efforts. Zack et al. (2010a, b) investigated the relative predictive value and optimal combination of different variables/locations from correlated sensitivity patterns. Their work involved developing the Multiple Observation Optimization Algorithm (MOOA) and applying the algorithm to the results obtained from the Ensemble Sensitivity Analysis (ESA) method (Ancell and Hakim 2007; Torn and Hakim 2008).

  10. Be Afraid: Sarah Palin and the Emergence of a Neoconservative Feminist Standpoint

    OpenAIRE

    Farrell Kelly, John

    2009-01-01

    In August 2008, U.S. Republican presidential candidate John McCain chose Alaska Governor Sarah Palin to be the vice presidential candidate. Palin’s selection evoked a range of passionate responses. Many people were shocked: some were shocked and elated, some were shocked and appalled, and some were shocked and emotionally torn. In addition to evoking passionate responses, Palin’s selection foregrounded a wide range of issues relating to gender: the historical gender disparity in candidates, t...

  11. The accuracy of MRI in assessing graft integrity after anterior cruciate ligament reconstruction

    International Nuclear Information System (INIS)

    Nakayama, Yoshihito; Shirai, Yasumasa; Narita, Tetsuya; Mori, Atsushi; Kobayashi, Kaoru

    2001-01-01

    To evaluate the efficacy of MRI in assessing anterior cruciate ligament (ACL) reconstruction graft integrity, we compared MRI findings with arthroscopic findings in 52 patients who had undergone arthroscopically assisted ACL reconstruction using semitendinosus and gracilis tendons augmented by woven polyester. MRI and arthroscopy were carried out 12 months after the operation. The MR appearance of ACL grafts was categorized into 3 types by signal intensity and continuity of the ligament according to Rak's method: well-defined type: the graft was visualized as a smoothly continuous band with low signal over the entire course; intermediate type: signal intensity increased and a low-signal band was visualized only in part of the graft; indiscernible type: the graft was not identified through the joint cavity due to markedly increased signal intensity. When the MR appearance of intermediate or indiscernible types was defined as torn, the grafts were presumed to be torn in 9 patients whose arthroscopic findings were 7 intact and 2 torn grafts. All cases with intact MRI findings were intact on arthroscopic examination. Thus, the sensitivity, specificity and accuracy of MRI as an evaluative tool for ACL graft tears were 100%, 86% and 86.5%, respectively. (author)

  12. The potential of optical coherence tomography for diagnosing meniscal pathology

    Science.gov (United States)

    Hang-Yin Ling, Carrie; Pozzi, Antonio; Thieman, Kelley M.; Tonks, Catherine A.; Guo, Shuguang; Xie, Huikai; Horodyski, MaryBeth

    2010-04-01

    Meniscal tears are often associated with anterior cruciate ligament (ACL) injury and may lead to pain and discomfort in humans. Maximal preservation of meniscal tissue is highly desirable to mitigate the progression of osteoarthritis. Guidelines of which meniscal tears are amenable to repair and what part of damaged tissues should be removed are elusive and lacking consensus. Images of microstructural changes in meniscus would potentially guide the surgeons to manage the meniscal tears better, but the resolution of current diagnostic techniques is limited for this application. In this study, we demonstrated the feasibility of using optical coherence tomography (OCT) for the diagnosis of meniscal pathology. Torn medial menisci were collected from dogs with ACL insufficiency. The torn meniscus was divided into three tissue samples and scanned by OCT and scanning electron microscopy (SEM). OCT and SEM images of torn menisci were compared. Each sample was evaluated for gross and microstructural abnormalities and reduction or loss of birefringence from the OCT images. The abnormalities detected with OCT were described for each type of tear. OCT holds promise in non-destructive and fast assessment of microstructural changes and tissue birefringence of meniscal tears. Future development of intraoperative OCT may help surgeons in the decision making of meniscal treatment.

  13. The potential of optical coherence tomography for diagnosing meniscal pathology

    International Nuclear Information System (INIS)

    Ling, Carrie Hang-Yin; Horodyski, MaryBeth; Pozzi, Antonio; Thieman, Kelley M; Tonks, Catherine A; Guo, Shuguang; Xie, Huikai

    2010-01-01

    Meniscal tears are often associated with anterior cruciate ligament (ACL) injury and may lead to pain and discomfort in humans. Maximal preservation of meniscal tissue is highly desirable to mitigate the progression of osteoarthritis. Guidelines of which meniscal tears are amenable to repair and what part of damaged tissues should be removed are elusive and lacking consensus. Images of microstructural changes in meniscus would potentially guide the surgeons to manage the meniscal tears better, but the resolution of current diagnostic techniques is limited for this application. In this study, we demonstrated the feasibility of using optical coherence tomography (OCT) for the diagnosis of meniscal pathology. Torn medial menisci were collected from dogs with ACL insufficiency. The torn meniscus was divided into three tissue samples and scanned by OCT and scanning electron microscopy (SEM). OCT and SEM images of torn menisci were compared. Each sample was evaluated for gross and microstructural abnormalities and reduction or loss of birefringence from the OCT images. The abnormalities detected with OCT were described for each type of tear. OCT holds promise in non-destructive and fast assessment of microstructural changes and tissue birefringence of meniscal tears. Future development of intraoperative OCT may help surgeons in the decision making of meniscal treatment

  14. Direct observations of ice seasonality reveal changes in climate over the past 320–570 years

    Science.gov (United States)

    Sharma, Sapna; Magnuson, John J.; Batt, Ryan D.; Winslow, Luke; Korhonen, Johanna; Yasuyuki Aono,

    2016-01-01

    Lake and river ice seasonality (dates of ice freeze and breakup) responds sensitively to climatic change and variability. We analyzed climate-related changes using direct human observations of ice freeze dates (1443–2014) for Lake Suwa, Japan, and of ice breakup dates (1693–2013) for Torne River, Finland. We found a rich array of changes in ice seasonality of two inland waters from geographically distant regions: namely a shift towards later ice formation for Suwa and earlier spring melt for Torne, increasing frequencies of years with warm extremes, changing inter-annual variability, waning of dominant inter-decadal quasi-periodic dynamics, and stronger correlations of ice seasonality with atmospheric CO2 concentration and air temperature after the start of the Industrial Revolution. Although local factors, including human population growth, land use change, and water management influence Suwa and Torne, the general patterns of ice seasonality are similar for both systems, suggesting that global processes including climate change and variability are driving the long-term changes in ice seasonality.

  15. The adductor magnus ''mini-hamstring'': MRI appearance and potential pitfalls

    International Nuclear Information System (INIS)

    Broski, Stephen M.; Murthy, Naveen S.; Collins, Mark S.; Krych, Aaron J.; Obey, Mitchel R.

    2016-01-01

    To examine the anatomic MRI characteristics of the adductor magnus mini hamstring (AMMH) and explore its involvement in cases of hamstring avulsion. An IRB-approved retrospective review of patients undergoing ''hamstring protocol'' MRI between March 2009 and June 2014 was performed. Two musculoskeletal radiologists recorded multiple AMMH anatomic characteristics and involvement in cases of hamstring avulsion. Seventy-six AMMHs were analyzed in 66 patients [35 females and 31 males, mean age 49.3 ± 15.2 years (range 17-81)]. Eleven percent of AMMHs were poorly visualized, 51 % visualized, and 37 % well visualized. Seven percent demonstrated round, 73 % ovoid, and 21 % flat/lenticular tendon morphologies. Most (88 %) demonstrated typical origins. Average cross-sectional area (CSA) was 22.4 ± 10.6 mm 2 (range 6-56), diameter was 7.2 ± 2.5 mm (range 2.9-15), medial distance from the semimembranosus tendon was 7.5 ± 2.5 mm (range 3-14), and tendon length was 6.8 ± 3.3 cm (range 1.2-14.1). There was no gender difference in AMMH anatomic measurements or correlation between age and CSA or diameter. Of 17 complete hamstring avulsion cases, the AMMH was intact in 13, partially torn in 3, and completely torn in 1. The AMMH is a constant finding with variable anatomic characteristics. It is visualized or well visualized by MRI in 88 % of cases and is a sizable tendon located in close proximity to the semimembranosus tendon. Because it is uncommonly completely torn (6 %) in cases of complete hamstring avulsion, radiologists should be aware of its presence and appearance to avoid diagnostic confusion. (orig.)

  16. Tears of anterior cruciate ligament and associated injury in the knee joint: MR imaging

    International Nuclear Information System (INIS)

    Kim, Eui Jong; Ryu, Kyung Nam; Ahn, Jin Whan; Yoon, Yup

    1994-01-01

    The objective of the study was to evaluate the characteristic findings in tears of the anterior cruciate ligament(ACL) and associated injury at MR imaging. We reviewed the findings of MR images and the corresponding arthroscopic results of 32 patients with ACL tears. We evaluated the signal intensity and contour of ACL surrounding bony structures, menisci and associated injury of the knee joint. Complete ACL tears were present in 25 patients and partial ACL tears were in 7 patients. Complete ACL tears showed heterogenously increased signal intensity with contour bulging of the ACL in 14 patients (56%) and without bulging or absence in 11 patients(44%). Most patients torn ACL with contour bulging(12/14) had bone bruise, but only one patient torn ACL without bulging contour had bone bruise. ACL with thin continuous low signal band surrounding heterogenously increased signal intensity suggests partial tear which was seen in three patients of seven proved partial ACL tears. Combined bone injury in ACL tear were in 23 patients (73%) and most of these(22/23) were at midportion of lateral notch of femur and/or posterior portion of lateral tibial plateu. Deepening of lateral notch of femur were noted in 17 patients(53%). Associated injuries of the other ligaments of knee joint were buckling of the posterior cruciate ligament(16/32, 50%) and tears of the medial collateral ligament(11/32, 34%). Posterior horns of menisci were more frequent site of combined injury within menisci in patients with ACL tear. Acute tearing of ACL in MRI is seen as heterogenously increased signal intensity with contour bulging of ACL and combined bone bruises. Patients with torn ACL frequently have various combined injury. In patient with knee injury, these associated or ancillary findings suggest that ACL tear is present

  17. The adductor magnus ''mini-hamstring'': MRI appearance and potential pitfalls

    Energy Technology Data Exchange (ETDEWEB)

    Broski, Stephen M.; Murthy, Naveen S.; Collins, Mark S. [Department of Radiology, Mayo Clinic, Rochester, MN (United States); Krych, Aaron J. [Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN (United States); Obey, Mitchel R. [Mayo School of Graduate Medical Education, Rochester, MN (United States)

    2016-02-15

    To examine the anatomic MRI characteristics of the adductor magnus mini hamstring (AMMH) and explore its involvement in cases of hamstring avulsion. An IRB-approved retrospective review of patients undergoing ''hamstring protocol'' MRI between March 2009 and June 2014 was performed. Two musculoskeletal radiologists recorded multiple AMMH anatomic characteristics and involvement in cases of hamstring avulsion. Seventy-six AMMHs were analyzed in 66 patients [35 females and 31 males, mean age 49.3 ± 15.2 years (range 17-81)]. Eleven percent of AMMHs were poorly visualized, 51 % visualized, and 37 % well visualized. Seven percent demonstrated round, 73 % ovoid, and 21 % flat/lenticular tendon morphologies. Most (88 %) demonstrated typical origins. Average cross-sectional area (CSA) was 22.4 ± 10.6 mm{sup 2} (range 6-56), diameter was 7.2 ± 2.5 mm (range 2.9-15), medial distance from the semimembranosus tendon was 7.5 ± 2.5 mm (range 3-14), and tendon length was 6.8 ± 3.3 cm (range 1.2-14.1). There was no gender difference in AMMH anatomic measurements or correlation between age and CSA or diameter. Of 17 complete hamstring avulsion cases, the AMMH was intact in 13, partially torn in 3, and completely torn in 1. The AMMH is a constant finding with variable anatomic characteristics. It is visualized or well visualized by MRI in 88 % of cases and is a sizable tendon located in close proximity to the semimembranosus tendon. Because it is uncommonly completely torn (6 %) in cases of complete hamstring avulsion, radiologists should be aware of its presence and appearance to avoid diagnostic confusion. (orig.)

  18. Increased levels of interleukin-22 in thoracic aorta and plasma from patients with acute thoracic aortic dissection.

    Science.gov (United States)

    Ye, Jing; Wang, Menglong; Jiang, Huimin; Ji, Qingwei; Huang, Ying; Liu, Jianfang; Zeng, Tao; Xu, Yao; Wang, Zhen; Lin, Yingzhong; Wan, Jun

    2017-11-03

    Interleukin (IL)-22 plays important roles in the development of arterial disease, including atherosclerosis and hypertension. However, the relationship between IL-22 and acute thoracic aortic dissection (TAD) remains unknown. Blood samples were collected from patients with chest pain who underwent computed tomography angiography of the thoracic aorta but had no known preoperative diagnosis of coronary artery disease, peripheral artery disease, arthritis, and/or membranous nephropathy. Patients were divided into non-AD (NAD) and TAD groups, and the plasma concentrations of IL-22, IL-6 and tumor necrosis factor (TNF)-α were measured. In addition, aortic tissue samples from acute TAD patients and normal donors were collected, and the expression levels of IL-22 and IL-22 receptor 1 (IL-22R1) were measured. IL-22, IL-6 and TNF-α levels were significantly higher in acute TAD patients than in NAD patients (IL-22, NAD group: 27.0 (19.1, 38.6) pg/ml vs. TAD group: 32.9 (20.6, 58.3) pg/ml, pTAD (OR 1.169, 95% CI 1.069 to 1.277; p=0.001). In addition, compared with aortic tissue of normal controls, TAD aortas showed increased expression of IL-22 and IL-22R1, especially in the torn section (IL-22, non-torn section: 2.8±0.5/HPF vs. torn section 2.8±0.5/HPF, pTAD. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. Chondromalacia patellae: Bone scintigraphy correlated with arthroscopic findings

    International Nuclear Information System (INIS)

    Kohn, H.S.; Guten, G.N.; Collier, B.D.; Veluvolu, P.; Whalen, J.P.

    1987-01-01

    Fifty adult sports medicine patients with anterior knee pain and other clinical findings of chondromalacia patellae unresponsive to more than 3 months of conservative therapy were evaluated with bone scintigraphy with subsequent arthroscopic correlation. There was significant correlation (Sperman rank correlation = .545, P < .001) between the intensity of increased patellar scintigraphic activity and the Metcalf grade of chondromalacia seen at arthroscopy. Bone scintigraphy also disclosed clinically unsuspected torn menisci. Bone scintigraphy contributes to accurate diagnostic evaluation and appropriate surgical planning for adult sports medicine patients with chronic anterior knee pain

  20. Método de diagnóstico e análise do S&OP: uma ferramenta para mapeamento do nível de integração do processo e identificação de oportunidades de melhoria

    OpenAIRE

    Silva, Rafael Bernardes da

    2015-01-01

    A integração entre os planos estratégico, tático e operacional é um relevante desafio para as organizações. Visando otimizar o alinhamento organizacional, empresas vêm implementando processos de Sales and Operations Planning (S&OP) e desenvolvendo ações para torná-lo robusto. Entende-se o S&OP como um processo de consolidação dos diversos planos organizacionais e direcionamento estratégico do negócio, permitindo o alcance de vantagem competitiva de modo contínuo e integrando os planos de mark...

  1. INDICADORES COMO FERRAMENTAS PARA ANÁLISE DE ADITIVOS EM ALIMENTOS INDUSTRIALIZADOS

    OpenAIRE

    Silva, Rafaela; Programa de Pós-Graduação em Ciência da Propriedade Intelectual- PPGPI Universidade Federal de Sergipe – UFS – São Cristóvão/SE – Brasil; Góes, Catherine Almeida de; Universidade Federal de Sergipe – UFS – São Cristóvão/SE – Brasil; Rodrigues, Tassiana; Programa de Pós-Graduação em Ciência da Propriedade Intelectual- PPGPI Universidade Federal de Sergipe – UFS – São Cristóvão/SE – Brasil; Santos, João Antonio Belmino dos; Programa de Pós-Graduação em Ciência da Propriedade Intelectual- PPGPI Universidade Federal de Sergipe – UFS – São Cristóvão/SE – Brasil

    2015-01-01

    Os produtos industrializados ocupam uma parcela cada vez maior do mercado de alimentos. Eles são práticos e possuem mais prazo de validade que produtos in natura, facilitando o armazenamento. Entretanto, para que o prolongamento de sua vida útil seja bem sucedido, é feita a adição de múltiplos aditivos para torná-lo com prazo de validade compatível à mercantilização. Considerando a vida moderna, cada vez mais aditivos têm sido empregados e, atualmente, é quase impossível encontrar um alimento...

  2. Critical Places Beyond the Psychology of Well-Being and Competitiveness

    DEFF Research Database (Denmark)

    Chemi, Tatiana

    2018-01-01

    approach to learning and creativity. Looking beyond dichotomous discourses in educational practices is harder than ever, in a world where globalisation demands high standards of competitiveness and neoliberalism denies all but economic growth targets. Approaches that envision different solutions......The purpose of the present contribution is to look beyond the limits evident in dualistic discourses in educational practices. Torn between the promises of well-being or the hard facts of competitiveness, educational institutions at all levels of instruction might miss the point of a more holistic...

  3. Kurdistan Region, Asia as seen from STS-58

    Science.gov (United States)

    1993-01-01

    Lake Urmia (Orumiyeh) in the high desert palteau of northwest Iran dominates the center of the northeast-looking view. The left edge of the view cuts Lake Van in eastern Turkey. The Caucasus mountains in war-torn Georgia appear just beyond. Mount Ararat is a major peak north of Lake Van. The Caspian Sea, an international body of water, stretches across the top right of the view. Countries bordering the Caspian are Iran in the south, Kazakhstan in the west, and Russia and Azerbaijan in the west. The shuttle stabilizer, OMS pods and open payload bay can also be seen just above the horizon.

  4. Cultural Resources Intensive Survey and Testing of Mississippi River Levee Berms Crittenden and Desha Counties, Arkansas and Mississippi, Scott, Cape Girardeau and Pemiscot Counties, Missouri. Item R-846 Caruthersville, Pemiscot County, Missouri

    Science.gov (United States)

    1983-08-01

    Houses of brick, stone and log were torn to pieces and those of frame tossed on their sides. Many citizens fled to the mountains . In 1812, the five...especially because of the many bands of guerrillas and Union troops who were ranging the countryside. No battles were fought in the projczt aLea ...to the economy of the state, were adamant about the need to build railroads. I 4-3 I Although one railroad, the St. Louis and Iron Mountain , ran from

  5. El concepto de identidad en la novela "El africano" de Le Clézio

    OpenAIRE

    Margueliche, Juan Cruz Ramón

    2018-01-01

    En las últimas décadas, la problemática de las identidades se tornó recurrente en diversos dominios académicos. La novela El africano del escritor francés Le Clézio por ser una autobiografía novelada, nos permite analizar el concepto de identidad a partir de la vida del autor sobre algunos tópicos que se interrelacionan a lo largo de la obra. La novela presenta un interesante ejemplo de cómo el concepto de identidad se emparenta más con las perspectivas constructivistas ya que inicia un recor...

  6. Directory of Open Access Journals (Sweden)

    Magda Sepúlveda Eriz

    2009-01-01

    Full Text Available The travelling spectrum of Poema de Chile refl ects on the adoption of the name Mistral. Thecauses of this choice go from coming back to a previous intimacy -the original scene of the country- to the rejection of the urban society. The name she gives herself is a conscious act and therefore , a modern one, which is used as a response to the damage she received when she was in a previous situation. As a result, the ghost calls for the places, the language and the goods that were stolen, and she demands to recover the bodies that were torn by the white and ethnocentric discourse.

  7. A Man Caught Between Bad Anthropology and Good Theology?

    DEFF Research Database (Denmark)

    Pedersen, Else Marie Wiberg

    2010-01-01

    that obscures his purportedly universal principles. This article uncovers some of the ambiguities in luther's approaches to women, theoretically teaching men's authority over women yet simultaneously teaching the mutuality and equality of women and men, and practising such mutuality and equality in his everyday......Martin Luther's view of women is as complex as his authorship is vast, encompassing a diversity of gneres and purposes. Luther seems ambivalent toward women like the tradition before and after him. In his reformation enterprise he appears as torn between his good theology and a bad anthropology...

  8. MRI of displaced meniscal fragments

    International Nuclear Information System (INIS)

    Dunoski, Brian; Zbojniewicz, Andrew M.; Laor, Tal

    2012-01-01

    A torn meniscus frequently requires surgical fixation or debridement as definitive treatment. Meniscal tears with associated fragment displacement, such as bucket handle and flap tears, can be difficult to recognize and accurately describe on MRI, and displaced fragments can be challenging to identify at surgery. A displaced meniscal fragment can be obscured by synovium or be in a location not usually evaluated at arthroscopy. We present a pictorial essay of meniscal tears with displaced fragments in patients referred to a pediatric hospital in order to increase recognition and accurate interpretation by the radiologist, who in turn can help assist the surgeon in planning appropriate therapy. (orig.)

  9. Crisis of governance in South Sudan : electoral politics and violence in the world's newest nation

    OpenAIRE

    Brosché, Johan; Höglund, Kristine

    2016-01-01

    Since mid-December 2013, thousands of people have been killed in armed conflict in South Sudan. The fighting is entrenched in a power struggle between the main political contenders ahead of elections which were scheduled for 2015. This article examines the violence in South Sudan since the North-South war ended with a focus on the consequences of the introduction of electoral politics. Our research contributes to the literature on state-building and peace-building in war-torn societies, by ex...

  10. Sedução, rivalidade e danação em noite na taverna

    Directory of Open Access Journals (Sweden)

    Alessandra Accorsi Trindade

    2012-10-01

    Full Text Available The text is an analysis of the novel Night in the Tavern by Álvares de Azevedo, approaching the characters´ torn experiences, which are the same lived by the hero Don Juan in El Burlador de Sevilla by Tirso de Molina. Beginning with the issue of the duplicity in the romanticism, we find in Tirso de Molina and Álvares de Azevedo the representation of rivalry present in the donjuanesque theme, the search for the hero identity with the rival and the seduction of the wife of the rival as something valuable. However, the damnation traces the destiny of the romantic hero.

  11. Determination of Optimum Vitamin D Nutrition in Young Women

    Science.gov (United States)

    2012-10-01

    60050 celiac disease 4/7/2010 No 60052 flu/upper respiratory infection 10/1/2009 10/1/2009 No 60052 UTI 3/14/2010 3/23/2010 No 60052 hot...other diseases (3,4). The different recommendation between these two opinions has an unusually large impact for two reasons. Firstly, studies such...5/12/2010 No 60401 allergy symptoms 3/20/2008 No 60401 right knee - torn medial meniscus 8/28/2008 1/29/2009 No 60402 sleepy 5/1/2008

  12. Inmoralidad de la prisión preventiva

    OpenAIRE

    Jorge W. Álvarez

    2014-01-01

    El título no me pertenece; por eso lo pongo entre comillas, corno corresponde en rigor gramatical. Lo torné prestado de un precioso trabajo del maestro pisano Francesco Carrara, recién aparecido en una revista de criminología y que manos dilectas pusieron en las mías, conociendo mi vieja pasión por el tema. Y me dije, esto tiene que conocerse por todos los medios posibles para que la voz del viejo maestro resuene con potencia renovada.He aquí, estimado lector, el propósito de esta glosa que h...

  13. Realtors granted exemption for nondisclosure of AIDS.

    Science.gov (United States)

    1998-05-15

    Idaho enacted legislation protecting real estate agents in situations where they are asked to violate an HIV patient's privacy. Would-be buyers often ask for a psychological impact statement, including whether the home has been a crime site or whether the owners have HIV, about a property in which they are interested. Senate Bill 1313 has guidelines for realtors, who in the past were torn between disclosure and privacy. If buyers request the information in writing, the agent must ask for the owner's consent to release the information. The buyers must be told if the owner declines. The law shields realtors from legal liability once the requirements are met.

  14. Gormsson - En symaskin för nybörjare

    OpenAIRE

    Löf, Anton

    2014-01-01

    We are getting smarter. Our knowledge of the world around us is increasing rapidly and our population spend a big portion of their time in school studying it. But art and craft are moving out to give room for more theoretical subjects. Today many of us can not even fix a torn shirt without help. We buy new ones, they are cheap enough. Sewing used to be a way of self expression. We created out of need and joy. We are losing what used to be common knowledge. So how do you learn a new craft? Thi...

  15. [Lung Abscess with Acute Empyema Which Improved after Performing by Video Assissted Thoracic Surgery( Including Pneumonotomy and Lung Abscess Drainage);Report of a Case].

    Science.gov (United States)

    Gabe, Atsushi; Nagamine, Naoji

    2017-05-01

    We herein report the case of a patient demonstrating a lung abscess with acute empyema which improved after performing pnemumonotomy and lung abscess drainage. A 60-year-old male was referred to our hospital to receive treatment for a lung abscess with acute empyema. At surgery, the lung parenchyma was slightly torn with pus leakage. After drainage of lung abscess by enlarging the injured part, curettage in the thoracic cavity and decortication were performed. The postoperative course was uneventful. Direct drainage of an abscess into the thoracic cavity is thought to be a choice for the treatment of lung abscesses.

  16. Prácticas contables en cooperativas rurales

    OpenAIRE

    Stig Westerdahl

    2001-01-01

    A rural co-op in the north of Sweden has grown from a tiny development-group to a small business venture with houses, a shop and an old-age home. This progress is here described focusing the accounting practice. Field-studies, including participatory methods and interviews, depicts a co-op torn between their founding ideas on shaping a good life in the area, and an increasing focus on business. This tension is also reflected in their usage of accounting. The conclusion of the study is that id...

  17. Editorial

    Directory of Open Access Journals (Sweden)

    Wong-Riley M

    2011-04-01

    Full Text Available Margaret Wong-RileyMedical College of Wisconsin, Milwaukee, WI, USAThere is no doubt that we have long entered into an information explosion age, and the pace is escalating by the minute. Not only have the borders between disciplines been torn down, but there are no longer any barriers between counties, states, regions, countries, and continents. Knowledge is no longer reserved for a privileged few, but indeed can be shared by all. This freedom of information is what we cherish as scientists, but this information is much more valuable when screened first by experts before dissemination.

  18. The Poster As a Curatorial Challenge

    DEFF Research Database (Denmark)

    Christensen, Line Hjorth

    This paper investigates the poster media from a curatorial perspective, focusing on the shift that occurs when posters are torn loose of their original living context and exhibited in museums. The shift is of a general museological relevance, however, is reinforced by posters’ distinct...... counterability to be a viable option for curatorial work. The concept is unfolded in a case study of a recent exhibition on British posters of the interwar years, held in 2015/16 at the Danish Poster Museum in the open air museum Den Gamle By in Aarhus, which I curated in collaboration with graphic designer...

  19. Time variant layer control in atmospheric pressure chemical vapor deposition based growth of graphene

    KAUST Repository

    Qaisi, Ramy M.; Smith, Casey; Hussain, Muhammad Mustafa

    2013-01-01

    Graphene is a semi-metallic, transparent, atomic crystal structure material which is promising for its high mobility, strength and transparency - potentially applicable for radio frequency (RF) circuitry and energy harvesting and storage applications. Uniform (same number of layers), continuous (not torn or discontinuous), large area (100 mm to 200 mm wafer scale), low-cost, reliable growth are the first hand challenges for its commercialization prospect. We show a time variant uniform (layer control) growth of bi- to multi-layer graphene using atmospheric chemical vapor deposition system. We use Raman spectroscopy for physical characterization supported by electrical property analysis. © 2013 IEEE.

  20. Transformative immersion weekend : mindfulness as a leadership tool: business plan

    OpenAIRE

    Cruz, Maria da Assunção Ventura Gomes Ribeiro da

    2016-01-01

    O trabalho desenvolvido neste Projeto de Tese visa propor uma formação anual de dois dias em liderança, que conta com o Mindfulness como ferramenta no desenvlvimento de uma maior solidez na liderança para que esta se torne mais motivacional. O projeto apresentado conta com o Mindfulness como nova ferramenta de desenvolvimento. Mindfulness é o nome dado à habilidade de estar presente e consciente no momento, permitindo responder da melhor forma perante diversas possibilidades emocionais, lógic...

  1. Entre o delito e a loucura : a enfermagem em manicômio judiciário

    OpenAIRE

    Dayane de Aguiar Cicolella

    2014-01-01

    Os manicômios judiciários são instituições responsáveis pelo cuidado dos incapazes, destinados à proteção do todo social. Possuem o duplo objetivo de custodiar e tratar pessoas com doenças mentais declaradas perigosas, podendo ser considerados uma fusão entre hospital psiquiátrico e presídio. Essa instituição utiliza técnicas e procedimentos disciplinares com objetivo de normalizar loucos criminosos para torná-los aptos ao convívio social. A pesquisa propõe estudar os dispositivos disciplinar...

  2. JPRS Report. Soviet Union, EKO: Economics & Organization of Industrial Production No. 7, July 1987.

    Science.gov (United States)

    1987-12-03

    hand a pair of panty hose with the mesh part torn off, stands a girl . "Sew it while she waits!" suggests Rita. Dmitriy takes it. But where is that...very long for a separate apartment: in 1986, people whose names were placed on the list in 1978-79 were receiving apartments. If a girl comes to...would not put you on, my girl ! I put them on the shelf yesterday." "Aha," she says, expressing gratitude. She finds them and disappears. "Oh, oh, oh

  3. Modelo de decisão em grupo para gerenciar perdas de água

    OpenAIRE

    Morais, Danielle Costa; Almeida, Adiel Teixeira de

    2006-01-01

    O planejamento de ações em sistemas de abastecimento, especialmente quanto à redução de perdas e desperdícios de água, normalmente envolve grupos ou instituições com diferentes objetivos, responsabilidades e interesses. Inclui também uma grande variedade de alternativas para minimização do problema, principalmente em termos de custo e desempenho, fazendo com que a escolha se torne uma tarefa bastante complexa, requerendo uma metodologia específica para tratamento dos conflitos. Com o intuito ...

  4. Performance and Cost Trade-off in Tracking Area Reconfiguration: A Pareto-optimization Approach

    OpenAIRE

    Modarres Razavi, Sara; Yuan, Di; Gunnarsson, Fredrik; Moe, Johan

    2012-01-01

    Tracking Area (TA) design is one of the key tasks in location management of Long Term Evolution (LTE) networks. TA enables to trace and page User Equipments (UEs). As UEs distribution and mobility patterns change over time, TA design may have to undergo revisions. For revising the TA design, the cells to be reconfigured typically have to be temporary torn down. Consequently, this will result in service interruption and “cost”. There is always a trade-off between the performance in terms of th...

  5. Stump entrapment of the anterior cruciate ligament in late childhood and adolescence

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, Arthur B.; Laor, Tal; Zbojniewicz, Andrew M. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

    2011-08-15

    Displacement of a portion of the torn anterior cruciate ligament (ACL) into the intercondylar notch can cause a focal fibrotic reaction similar to that seen following ACL reconstruction. This displacement, which can result in locking or limitation of knee extension, is termed stump entrapment and is described in adult MR imaging literature. We present a pictorial essay of the etiology and appearance of stump entrapment on MR imaging of the knee in an older child and adolescents and review the significance of this finding. (orig.)

  6. Interrelaciones del perfil osteomineral y la obesidad en la edad pediátrica

    OpenAIRE

    Romero Urrutia, Alicia

    2014-01-01

    1. Introducción o motivación de la tesis Desde una perspectiva epidemiológica, la obesidad se está convirtiendo en el principal enemigo de la salud pública en la mayoría de los países occidentales. Supone el trastorno nutricional más frecuente en los pueblos desarrollados, tornándose el concepto de bienestar y salud al que antes se correspondía, hasta llegar a constituir la enfermedad crónica no trasmisible más frecuentes en nuestros días. Desde una perspectiva biológica, en...

  7. Estrutura funcional e conservação de assembleias de peixes de riachos na Amazônia Brasileira

    OpenAIRE

    Leitão, Rafael Pereira

    2015-01-01

    Os ecossistemas da Terra estão enfrentando níveis de perturbações antropogênicas sem precedentes. As florestas tropicais, que sustentam enorme diversidade de espécies, sofrem as mais severas alterações de paisagem na atualidade. Essas florestas abrigam uma elevada proporção de espécies raras, que tendem a ser as primeiras a se extinguir em decorrência dos impactos ambientais. Diante desse cenário, quantificações precisas das respostas bióticas frente às mudanças ambientais torn...

  8. Considerações sobre o conceito de temperatura e de temperatura absoluta

    OpenAIRE

    Leal Ferreira, G.F.

    2006-01-01

    Discute-se o conceito de temperatura que emerge da ação de contato, e a conveniência de torná-lo menos abstrato levando em conta a quantidade de matéria envolvida. Mostra-se que o conceito de 'energia térmica molar', numericamente igual ao produto da constante dos gases pela temperatura absoluta, preenche aquele fim, expressando o conteúdo cinético da energia molar, além de permitir desonerar a entropia de inadequada dimensionalidade. The concept of temperature acquired by means of our con...

  9. La producción de enfermedad en el paradigma de la salud del siglo XXI

    OpenAIRE

    Rodríguez Zoya, Paula G.

    2013-01-01

    Este trabajo pone en relación el imperativo de cuidado del cuerpo y la salud paraalcanzar una salud perfecta y el fenómeno de expansión de la medicalización a travésde la invención de enfermedades. La tesis central sostiene que la imbricación de ambosfenómenos constituye los fundamentos del paradigma sanitario que se arraiga en lassociedades occidentales del siglo XXI. La investigación problematiza la articulaciónde dichos fenómenos a partir de la circulación social de significaciones en torn...

  10. Endoscopic treatment of Morel-Lavallee lesion.

    Science.gov (United States)

    Kim, Sunghoon

    2016-05-01

    Morel-Lavallee lesion is a closed degloving soft tissue injury in which subcutaneous tissue is torn from the underlying muscular fascia. The tear leads to venolymphatic leak, and concomitant adipose tissue necrosis from the force of the trauma causes swelling and possible infection at the site of injury. The traditional treatment for the lesion is surgical drainage and debridement. In this report, an endoscopic method is described, which achieves the goal of an open surgical debridement but minimizes surgical morbidity. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Computed tomography of the menisci

    International Nuclear Information System (INIS)

    Wagner-Manslau, C.; Rupp, N.; Paar, O.; Rodammer, G.

    1988-01-01

    Thirty patients were examined with CT of the menisci. All findings were confirmed by arthroscopy. One false positive diagnosis of a torn meniscus was made, caused by partial volume effect. In seven patients with irregular degenerative changes of the menisci, the abnormality could be clearly demonstrated. One meniscus ganglion was shown. Seven meniscus lesions, which were not shown by arthrography or arthroscopy, were clearly demonstrated by CT. The computer tomographic demonstration of menisci can replace knee arthrography as the examination of choice and should be performed before carrying out arthroscopy. (orig.) [de

  12. MRI of displaced meniscal fragments

    Energy Technology Data Exchange (ETDEWEB)

    Dunoski, Brian [University of Cincinnati College of Medicine, Department of Radiology, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States); Children' s Hospital of Michigan, Department of Radiology, Detroit, MI (United States); Zbojniewicz, Andrew M.; Laor, Tal [University of Cincinnati College of Medicine, Department of Radiology, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States)

    2012-01-15

    A torn meniscus frequently requires surgical fixation or debridement as definitive treatment. Meniscal tears with associated fragment displacement, such as bucket handle and flap tears, can be difficult to recognize and accurately describe on MRI, and displaced fragments can be challenging to identify at surgery. A displaced meniscal fragment can be obscured by synovium or be in a location not usually evaluated at arthroscopy. We present a pictorial essay of meniscal tears with displaced fragments in patients referred to a pediatric hospital in order to increase recognition and accurate interpretation by the radiologist, who in turn can help assist the surgeon in planning appropriate therapy. (orig.)

  13. Using grid computing for large scale fuzzing

    OpenAIRE

    Xie, Yan

    2010-01-01

    Tese de mestrado, Segurança Informática, Universidade de Lisboa, Faculdade de Ciências, 2010 Neste projeto, o nosso objetivo é usar a técnica de teste de fuzzing, que fornece dados inválidos, inesperados ou aleatórios para a entrada de um programa para nele tentar encontrar vulnerabilidades. Os resultados do teste fornecem ao programador informações para melhorar o programa, nomedamente para torná-lo mais seguro. Um ambiente de computação em grade é usado para suportar o fuzzing das aplica...

  14. Time variant layer control in atmospheric pressure chemical vapor deposition based growth of graphene

    KAUST Repository

    Qaisi, Ramy M.

    2013-04-01

    Graphene is a semi-metallic, transparent, atomic crystal structure material which is promising for its high mobility, strength and transparency - potentially applicable for radio frequency (RF) circuitry and energy harvesting and storage applications. Uniform (same number of layers), continuous (not torn or discontinuous), large area (100 mm to 200 mm wafer scale), low-cost, reliable growth are the first hand challenges for its commercialization prospect. We show a time variant uniform (layer control) growth of bi- to multi-layer graphene using atmospheric chemical vapor deposition system. We use Raman spectroscopy for physical characterization supported by electrical property analysis. © 2013 IEEE.

  15. KENIZÉ MOURAD AND EARLY MIDDLE EASTERN FEMINISM

    Directory of Open Access Journals (Sweden)

    Irina Armianu

    2012-12-01

    Full Text Available This article explores the waning days of the Ottoman Empire and emergence of the modern state system in the early twentieth century Levant from the purview of Kenizé Mourad's self-narrative Regards from the Dead Princess: Novel of a Life.  A work of history and literary fiction, Mourad's novel is an account of the last remnants of a secular Levantine culture, the story of a crumbling empire, and the personal tale of a young woman and her exiled imperial family strewn about the continents, torn between Lebanon, Europe, and the Indian subcontinent.

  16. Traumatic displacement of stomach - a case report.

    Science.gov (United States)

    Janardhanan, Joshima; Tarvadi, Pratik Vijay; Manipady, Shahnavaz; Shetty, Mahabalesh; Somashekar, C

    2014-01-01

    These days we have fast paced traffic on our roads to help us keep up with our fast paced life. But every boon has a down side and our high velocity traffic is no exception. Here is a case report of a blunt abdominal injury following a road traffic accident. Externally the deceased had only a few grazed abrasions on the forehead and right forearm. But on internal examination of abdomen, it was noticed that the left hemi-diaphragm was torn and the stomach and intestines were found displaced into the left thoracic cavity. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  17. Mitmest pilvelõhkujast piisab 9/11 mälestamiseks? / Eda Post

    Index Scriptorium Estoniae

    Post, Eda, 1983-

    2009-01-01

    New Yorgis terroristide hävitatud Maailma Kaubanduskeskuse kaksiktornide alale uue projekti leidmiseks korraldatud võistlusel valiti 2003. a. välja arhitekt Daniel Libeskindi kavand "Memory Foundation", mis nägi ette mälestuskompleksi hukkunutele tornide asukohas ja selle ümber viie uue pilvelõhkuja ehitamise. Tornid projekteerisid David Childs, Norman Foster, Richard Rogers, Fumihiko Maki ja arhitektuuribüroo Kohn Pedersen Fox. Valminud on torn Seitse, 2006. a. algas ehitus peaväljakul. Vaidlusest selle üle, kas on mõistlik viis torni välja ehitada

  18. Usage of radiography techniques for restoration of Cizre Mardin Ulucami door

    International Nuclear Information System (INIS)

    Tugrul, B.; Sungur, F.; Gorkem, A.; Olcer, N.

    1986-01-01

    In this study, one of the two sections of Cizre-Mardin Ulucami door is investigated by x-ray radiography technique whether it has some patterns similar to those which were discovered during the restoration of the first section of the door. Some painted and traced parts have been fixed and torn down, cleared and investigated. In the study, many pieces of the first part of the door including the second door have been investigated by x-ray radiography technique and have been evaluated. Furthermore, neutrography has been applied on some painted parts for the investigation of traces of painting. (author)

  19. Detection Of Moisture In Commercial And Industrial Built-Up Roofing Systems

    Science.gov (United States)

    Sopko, Victor

    1982-03-01

    The roof has always been one of the most important portions of a building envelope. It is, however, one of the most overlooked areas with respect to building maintenance. As long as the roof is not leaking into the building, it is thought to be functioning properly. This is an erroneous assumption as many problems occur long before they are evident as leaks into the building. Early location and repair of roof problems can mean the difference between a roof which must be completely torn off and replaced and one which will give years of service to the building owner.

  20. Título da página eletrónica: Criaticidades – Cidades criativas no Brasil

    Directory of Open Access Journals (Sweden)

    Paulo Peixoto

    2013-09-01

    Full Text Available Criaticidades é um exemplo concreto, no universo da lusofonia, que demonstra a tendência para que a economia criativa se torne uma área de negócio, onde emergem serviços especializados e diversificados. Criaticidades presta alguns desses serviços. Trata‑se de um projeto empresarial, desenvolvido pela “Garimpo de Soluções” e pela “Umana”, que procura identificar oportunidades e fornecer serviços que permitam que o setor da economia criativa contribua para o desenvolvimento socioeconómico das c...

  1. Extração e estabilidade do corante azul de jenipapo (Genipa americana L.)

    OpenAIRE

    Renhe, Isis Rodrigues Toledo

    2008-01-01

    O presente trabalho teve por objetivo a avaliação da potencialidade do fruto do jenipapo como fonte de corante azul natural, objetivando torná-lo tecnicamente viável, bem como identificar o solvente adequado para a extração dos pigmentos do jenipapo, avaliar o efeito do pH e da temperatura na produção do corante, e estudar a estabilidade dos pigmentos obtidos por diferentes solventes. Para a obtenção do corante o experimento foi conduzido para três níveis de solvente (água, solução aquosa de ...

  2. ARTHROSCOPIC MENISCUS REPAIR WITH BIOABSORBABLE ARROWS IN LOCAL ANESTHESIA

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    Vladimir Senekovič

    2004-11-01

    Full Text Available Background. The menisci have important function in the knee joint. Because of this it is universally accepted that we have to preserve them as much as possible. After open and partially arthroscopic suture techniques new methods of all-inside meniscus repair with bioabsorbable arrows have been developed in the last decade. The meniscus repair using these arrows represents an easy task for a skilled surgeon. In addition, it can be performed in local anesthesia. We have evaluated the results of the first group of patients who were treated by this method.Methods. From February 2001 to August 2002 15 patients with torn meniscuses have been treated at the Clinical Department for Traumatology, University Medical centre, Ljubljana. We repaired their torn menisci arthroscopically with bioabsorbable arrows in local anesthesia. We divided patients in three groups: a group with isolated meniscus injury, a group with meniscus injury and anterior cruciate ligament injury and a group with associated pathology. Four patients had incarcerated meniscuses. Preoperative Lysholm score in the first group was 38, in the second 42 and in the third group 48. We repaired 12 medial and 3 lateral meniscuses. On average we need 45 minutes for therapeutic arthroscopy. Torn meniscus was fixated with minimum of 1 and maximum of 5 bioabsorbable arrows. All patients except one had the affected knee immobilized with cylinder plaster for 15 days on average.Results. At least three months after the arthroscopic fixation of the torn meniscus in local anesthesia another clinical evaluation was made. In all groups significant improvement was observed regarding the range of motions and absence of pain. Postoperative Lysholm score in the first group was 89, in the second 75 and in the third 71. Average deficit of flexion was 3 degrees while extension was full. One patient complained about the same pain in the joint, he underwent another arthroscopy which showed that the meniscus was

  3. Case report 483: Discoid lateral meniscus (DLM), medially displaced, with complex tear

    International Nuclear Information System (INIS)

    Howe, M.A.; Buckwalter, K.A.; Braunstein, E.M.; Wojtys, E.M.

    1988-01-01

    A case of a 9-year-old girl who presented with persistent pain in the left knee was demonstrated to have a discoid lateral meniscus (DLM). The sagittal MR images demonstrated the oval shape of the meniscus, consistent with the typical arthrographic appearance. The coronal images showed that the main substance of the meniscus was displaced medially, with overgrowth of the articular cartilage at the lateral aspect of the joint. The medial aspect of the lateral femoral condyle was concave to accommodate the abnormal meniscus. These findings are consistent with long-standing, medial displacement of the torn meniscus. The literature concerning DLM, an uncommon variant, was reviewed and discussed. (orig.)

  4. Alameda Glette, 463, sede do Curso de Química da Universidade de São Paulo no período 1939-1965 463 Glette Street, headquarters of the School of Chemistry of the University of São Paulo from 1939 to 1965

    Directory of Open Access Journals (Sweden)

    Viktoria Klara Lakatos Osorio

    2009-01-01

    Full Text Available As the foundation of the University of São Paulo completes 75 years, this article describes the history of a mansion at 463 Glette Boulevard, in São Paulo city, where several undergraduate courses of the University's Philosophy, Sciences and Letters Faculty operated until 1969. The first building of the school of Chemistry was erected there, 70 years ago. A brief retrospective of the Department of Chemistry at that place is given. The mansion was torn down by the middle of the 1970s, but it remained as a symbol of the school identity in the memory of all those who studied there.

  5. Flight to America

    Directory of Open Access Journals (Sweden)

    Güneli Gün

    2011-01-01

    Full Text Available Güneli Gün’s memoir piece truly combines the excitement of the young traveler with the humor of the mature narrator. Born in Izmir, Turkey, she breaks her engagement to a young but conservative Turkish architect and overcomes her father’s concerns to eventually study at Hollins College, Virginia. Addressing topics such as breaking out of a traditional society, being torn between the home country and the imagined new home, and finding comfort in the arts, “Flight to America” compellingly reflects Güneli Gün’s mastery as a storyteller.

  6. Virtualización y formación médica: reflexiones pedagógicas

    OpenAIRE

    Solano-Murcia, Martha; Pontificia Universidad Javeriana

    2015-01-01

    Este artículo, derivado del proyecto de investigación De las relaciones próximas a las interacciones virtuales: caso Facultad de Medicina, desarrollado en la Pontificia Universidad Javeriana de Bogotá, se propuso analizar las implicaciones pedagógicas de la incorporación de tecnologías de la información y la comunicación (TIC) en la formación médica, a partir de entrevistas con los distintos implicados en el escenario educativo de una facultad de medicina. La experiencia se interpretó en torn...

  7. Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

    Directory of Open Access Journals (Sweden)

    Zenteno M.

    2014-03-01

    Full Text Available Anatomical variations of the internal carotid artery are diverse. Abnormalities in their geometry and paths are commonly identified by ultrasonography and angiography. The surgical correction of symptomatic CAs is better in preventing stroke compared with best medical therapy, as well as it completely eliminates the symptoms in patients with nonhemispheric symptoms. The ICA anomalies may be dangerous and represent a risk factor for massive bleeding. Suture ligatures can penetrate and occlude torn vessels, scalpels or biting instruments can lacerate vessels, and indirectly conducted electric cauterization can burn the soft of bony tissues

  8. Vertical tears of the cranial horn of the meniscus and its cranial ligament in the equine femorotibial joint: 7 cases and their treatment by arthroscopic surgery.

    Science.gov (United States)

    Walmsley, J P

    1995-01-01

    Five horses with a vertical tear in the cranial horn and cranial ligament of the medial meniscus and 2 horses with a similar injury in the lateral meniscus were diagnosed from a series of 126 horses which were examined arthroscopically for stifle lameness. All the lesions had similar characteristics. The tear was about 1 cm from the axial border of the meniscus and its ligament and, in all but one case in which it was incomplete, much of the torn tissue was loosely attached in the axial part of the joint from where it was removed. The remaining meniscus, abaxial to the tear, was displaced cranially and abaxially and its torn edges were debrided. Radiographically, 6 cases had proliferative new bone on the cranial aspect of the intercondylar eminence of the tibia and 3 had calcified soft tissue densities in the cranial, medial or lateral femorotibial joint. Following surgery and a 6 month period of rest and controlled exercise, 3 horses returned to full competition work, one was usable for hacking, 2 are convalescing and one is lame after one year. It is postulated that this could be a characteristic meniscal injury in horses which can benefit from arthroscopic surgery. Better techniques for accessing the body and caudal pole of the menisci are needed if a more complete diagnosis and treatment of meniscal injuries are to be achieved.

  9. Vertical tears of the cranial horn of the meniscus and its cranial ligament in the equine femorotibial joint: 7 cases and their treatment by arthroscopic surgery

    International Nuclear Information System (INIS)

    Walmsley, J.P.

    1995-01-01

    Five horses with a vertical tear in the cranial horn and cranial ligament of the medial meniscus and 2 horses with a similar injury in the lateral meniscus were diagnosed from a series of 126 horses which were examined arthroscopically for stifle lameness. All the lesions had similar characteristics. The tear was about 1 cm from the axial border of the meniscus and its ligament and, in all but one case in which it was incomplete, much of the torn tissue was loosely attached in the axial part of the joint from where it was removed. The remaining meniscus, abaxial to the tear, was displaced cranially and abaxially and its torn edges were debrided. Radiographically, 6 cases had proliferative new bone on the cranial aspect of the intercondylar eminence of the tibia and 3 had calcified soft tissue densities in the cranial, medial or lateral femorotibial joint. Following surgery and a 6 month period of rest and controlled exercise, 3 horses returned to full competition work, one was usable for hacking, 2 are convalescing and one is lame after one year. It is postulated that this could be a characteristic meniscal injury in horses which can benefit from arthroscopic surgery. Better techniques for accessing the body and caudal pole of the menisci are needed if a more complete diagnosis and treatment of meniscal injuries are to be achieved

  10. Finite Element Modelling of a Novel Anterior Cruciate Ligament Repairing Device

    Directory of Open Access Journals (Sweden)

    A.Vairis

    2014-07-01

    Full Text Available The knee anterior cruciate ligament which connects the femur to the tibia is often torn during sudden twisting motions resulting in knee instability with surgery being an effective treatment where the torn ligament is replaced with a graft. This study provides qualitative stress information on a restored knee which has been repaired using a novel device. This device has been designed to reduce graft damage and to minimize post-surgery complications. The device as well as the intact knee have been modelled in 3D and studied using finite elements to assess the mechanical behaviour of the device under different loads. Results are evaluated and compared to equivalent published works. They showed that high stresses appear where tendons wrap around objects like the securing pin of the knee ligament repair device, while the highest stresses are away from the repair device components indicating that the device design does not affect the graft. Developed stresses were within the tendon elastic range, and load case direction does not affect significantly the developed stresses on the circumference of tendons in the most stressed region.

  11. Amputation of finger by horse bite with complete avulsion of both flexor tendons.

    Science.gov (United States)

    Koren, Lior; Stahl, Shalom; Rovitsky, Alexey; Peled, Eli

    2011-08-08

    Amputation of fingers with tendon avulsion occurs through a traction injury, and most occur through a ring avulsion mechanism. Usually the flexor digitorum profundus is torn out with the amputated finger. Replantation usually is recommended only when the amputation is distal to the flexor digitorum superficialis insertion. Animal bites are relatively common, with a decreasing order of frequency of dogs, cats, and humans. Horse bites are relatively infrequent but are associated with crush injuries and tissue loss when they occur. This article describes a 23-year-old man with amputation of his middle finger at the level of the proximal phalanx after being bitten by a horse. The amputated stump was avulsed with the middle finger flexor digitorum profundus and flexor digitorum superficialis torn from the muscle-tendon junction from approximately the middle of the forearm. The patient had no other injuries, and he was able to move his other 4 fingers with only mild pain. As the amputated digit was not suitable for replantation, the wound was irrigated and debrided. The edges of the phalanx were trimmed, and the edges of the wound were sutured. Tetanus toxoid and rabies vaccine were administered, along with intravenous amoxicillin and clavulanic acid. The patient was discharged from the hospital 2 days later, with no sign of infection of the wound or compartment syndrome of the forearm. This case demonstrates the weakest point in the myotendinous junction and emphasizes the importance of a careful physical examination in patients with a traumatic amputation. Copyright 2011, SLACK Incorporated.

  12. Provenance of whitefish in the Gulf of Bothnia determined by elemental analysis of otolith cores

    Science.gov (United States)

    Lill, J.-O.; Finnäs, V.; Slotte, J. M. K.; Jokikokko, E.; Heimbrand, Y.; Hägerstrand, H.

    2018-02-01

    The strontium concentration in the core of otoliths was used to determine the provenance of whitefish found in the Gulf of Bothnia, Baltic Sea. To that end, a database of strontium concentration in fish otoliths representing different habitats (sea, river and fresh water) had to be built. Otoliths from juvenile whitefish were therefore collected from freshwater ponds at 5 hatcheries, from adult whitefish from 6 spawning sites at sea along the Finnish west coast, and from adult whitefish ascending to spawn in the Torne River, in total 67 otoliths. PIXE was applied to determine the elemental concentrations in these otoliths. While otoliths from the juveniles raised in the freshwater ponds showed low but varying strontium concentrations (194-1664 μg/g,), otoliths from sea-spawning fish showed high uniform strontium levels (3720-4333 μg/g). The otolith core analysis of whitefish from Torne River showed large variations in the strontium concentrations (1525-3650 μg/g). These otolith data form a database to be used for provenance studies of wild adult whitefish caught at sea. The applicability of the database was evaluated by analyzing the core of polished otoliths from 11 whitefish from a test site at sea in the Larsmo archipelago. Our results show that by analyzing strontium in the otolith core, we can differentiate between hatchery-origin and wild-origin whitefish, but not always between river and sea spawning whitefish.

  13. Anterolateral ligament injuries in knees with an anterior cruciate ligament tear. Contribution of ultrasonography and MRI

    International Nuclear Information System (INIS)

    Faruch Bilfeld, Marie; Constans, Olivia; Lapegue, Franck; Chiavassa Gandois, Helene; Sans, Nicolas; Cavaignac, Etienne; Wytrykowski, Karine; Larbi, Ahmed

    2018-01-01

    To describe the pathological appearance of the anterolateral ligament (ALL) on US and MRI in knees with an anterior cruciate ligament (ACL) tear. This prospective study included 30 patients who had a suspected acute ACL tear. Their injured and contralateral knees were evaluated with radiography, US and MRI. Two radiologists evaluated the ALL on the MRI and US examinations. Agreement between these examiners' findings was evaluated with Cohen's kappa. On US examination, the ALL was found to be injured in 63% of cases (19/30; k = 0.93). The enthesis was found to be torn in 50% of cases (15/30; k = 1), with the tear located at the tibial attachment in all instances. On the MRI exam, the ALL was found to be injured in 53% of cases (16/30; k = 0.93). The enthesis was found to be torn in 13% of cases (4/30; k = 0.76), with the tear located at the tibial attachment in all instances (k = 0.93). ALL injuries that occur with ACL tears are located at the tibial enthesis. They are often associated with bone avulsion at the enthesis and are better viewed on US. (orig.)

  14. Anterolateral ligament abnormalities in patients with acute anterior cruciate ligament rupture are associated with lateral meniscal and osseous injuries

    Energy Technology Data Exchange (ETDEWEB)

    Dyck, Pieter van; Smet, Eline de; Gielen, Jan L.; Parizel, Paul M. [Antwerp University Hospital and University of Antwerp, Department of Radiology, Antwerp (Belgium); Clockaerts, Stefan [University College Hospitals, Department of Orthopaedics, London (United Kingdom); Vanhoenacker, Filip M. [Antwerp University Hospital and University of Antwerp, Department of Radiology, Antwerp (Belgium); Ghent University Hospital and University of Ghent, Department of Radiology, Ghent (Belgium); AZ St-Maarten, Department of Radiology, Antwerp (Belgium); Lambrecht, Valerie [Ghent University Hospital and University of Ghent, Department of Radiology, Ghent (Belgium); Wouters, Kristien [Antwerp University Hospital and University of Antwerp, Department of Biostatistics, Antwerp (Belgium)

    2016-10-15

    To determine the frequency of anterolateral ligament (ALL) injury in patients with acute anterior cruciate ligament (ACL) rupture and to analyse its associated injury patterns. Ninety patients with acute ACL rupture for which MRI was obtained within 8 weeks after the initial trauma were retrospectively identified. Two radiologists assessed the status of the ALL on MRI by consensus. The presence or absence of an ALL abnormality was compared with the existence of medial and lateral meniscal tears diagnosed during arthroscopy. Associated collateral ligament and osseous injuries were documented with MRI. Forty-one of 90 knees (46 %) demonstrated ALL abnormalities on MRI. Of 49 knees with intact ALL, 15 (31 %) had a torn lateral meniscus as compared to 25 torn lateral menisci in 41 knees (61 %) with abnormal ALL (p = 0.008). Collateral ligament (p ≤ 0.05) and osseous injuries (p = 0.0037) were more frequent and severe in ALL-injured as compared with ALL-intact knees. ALL injuries are fairly common in patients with acute ACL rupture and are statistically significantly associated with lateral meniscal, collateral ligament and osseous injuries. (orig.)

  15. Anterolateral ligament injuries in knees with an anterior cruciate ligament tear. Contribution of ultrasonography and MRI

    Energy Technology Data Exchange (ETDEWEB)

    Faruch Bilfeld, Marie; Constans, Olivia; Lapegue, Franck; Chiavassa Gandois, Helene; Sans, Nicolas [CHU Toulouse-Purpan, Service de Radiologie, Toulouse (France); Cavaignac, Etienne; Wytrykowski, Karine [CHU Toulouse-Purpan, Service d' Orthopedie, Toulouse (France); Larbi, Ahmed [Hopital Universitaire Caremeau, Service de Radiologie, Nimes (France)

    2018-01-15

    To describe the pathological appearance of the anterolateral ligament (ALL) on US and MRI in knees with an anterior cruciate ligament (ACL) tear. This prospective study included 30 patients who had a suspected acute ACL tear. Their injured and contralateral knees were evaluated with radiography, US and MRI. Two radiologists evaluated the ALL on the MRI and US examinations. Agreement between these examiners' findings was evaluated with Cohen's kappa. On US examination, the ALL was found to be injured in 63% of cases (19/30; k = 0.93). The enthesis was found to be torn in 50% of cases (15/30; k = 1), with the tear located at the tibial attachment in all instances. On the MRI exam, the ALL was found to be injured in 53% of cases (16/30; k = 0.93). The enthesis was found to be torn in 13% of cases (4/30; k = 0.76), with the tear located at the tibial attachment in all instances (k = 0.93). ALL injuries that occur with ACL tears are located at the tibial enthesis. They are often associated with bone avulsion at the enthesis and are better viewed on US. (orig.)

  16. Medial collateral ligament healing one year after a concurrent medial collateral ligament and anterior cruciate ligament injury: an interdisciplinary study in rabbits.

    Science.gov (United States)

    Yamaji, T; Levine, R E; Woo, S L; Niyibizi, C; Kavalkovich, K W; Weaver-Green, C M

    1996-03-01

    The optimal treatment for concurrent injuries to the medial collateral and anterior cruciate ligaments has not been determined, despite numerous clinical and laboratory studies. The objective of this study was to examine the effect of surgical repair of the medial collateral ligament on its biomechanical and biochemical properties 52 weeks after such injuries. In the left knee of 12 skeletally mature New Zealand White rabbits, the medial collateral ligament was torn and the anterior cruciate ligament was transected and then reconstructed. This is an experimental model previously developed in our laboratory. In six rabbits, the torn ends of the medial collateral ligament were repaired, and in the remaining six rabbits, the ligament was not repaired. Fifty-two weeks after injury, we examined varus-valgus and anterior-posterior knee stability; structural properties of the femur-medial collateral ligament-tibia complex; and mechanical properties, collagen content, and mature collagen crosslinking of the medial collateral ligament. We could not detect significant differences between repair and nonrepair groups for any biomechanical or biochemical property. Our data support clinical findings that when the medial collateral and anterior cruciate ligaments are injured concurrently and the anterior cruciate ligament is reconstructed, conservative treatment of the ruptured medial collateral ligament can result in successful healing.

  17. Hoffa's fat pad injuries and their relationship with anterior cruciate ligament tears: new observations based on MR imaging in patients and MR imaging and anatomic correlation in cadavers

    Energy Technology Data Exchange (ETDEWEB)

    Abreu, Marcelo R. [University of California San Diego, VA Health Care System, San Diego, CA (United States); Chung, Christine B.; Trudell, Debra; Resnick, Donald [University of California San Diego, VA Health Care System, San Diego, CA (United States); Hospital Mae de Deus, Porto Alegre, RS (Brazil)

    2008-04-15

    To determine the normal anatomic relationships of Hoffa's fat pad with the anterior cruciate ligament (ACL) and with the frequency of Hoffa's fat pad abnormalities in ACL-deficient knees. Retrospective clinical study on patients and observational anatomic study on cadavers. The study was approved by the Institutional Review Board. MR imaging studies of the knees of 100 patients (21-48 years old) with or without arthroscopically proven tears of the ACL, performed at a single institution, were reviewed by two readers for abnormalities of Hoffa's fat pad. Ten cadaveric knee specimens were studied with MR imaging and Faxitron radiographs, and by inspection of sections and histology. Alterations in Hoffa's fat pad on MR imaging were present in 64% (32/50) of patients with torn ACLs, and in 24% (12/50) of patients without a tear of the ACL (P < 0.05). Hoffa's fat pad inserted into the intercondylar notch in 50% (5/10) of cadaveric specimens, four in conjunction with the ligamentum mucosum and in one in an isolated fashion. Histological study demonstrated the composition of the ligamentum mucosum and Hoffa's fat pad and their course and insertion sites in the intercondylar notch. Abnormalities of Hoffa's fat pad, such as focal and diffuse edema, tears, scars and synovial proliferation, are more common in knees with torn ACLs than in knees with intact ACLs. (orig.)

  18. Hoffa's fat pad injuries and their relationship with anterior cruciate ligament tears: new observations based on MR imaging in patients and MR imaging and anatomic correlation in cadavers

    International Nuclear Information System (INIS)

    Abreu, Marcelo R.; Chung, Christine B.; Trudell, Debra; Resnick, Donald

    2008-01-01

    To determine the normal anatomic relationships of Hoffa's fat pad with the anterior cruciate ligament (ACL) and with the frequency of Hoffa's fat pad abnormalities in ACL-deficient knees. Retrospective clinical study on patients and observational anatomic study on cadavers. The study was approved by the Institutional Review Board. MR imaging studies of the knees of 100 patients (21-48 years old) with or without arthroscopically proven tears of the ACL, performed at a single institution, were reviewed by two readers for abnormalities of Hoffa's fat pad. Ten cadaveric knee specimens were studied with MR imaging and Faxitron radiographs, and by inspection of sections and histology. Alterations in Hoffa's fat pad on MR imaging were present in 64% (32/50) of patients with torn ACLs, and in 24% (12/50) of patients without a tear of the ACL (P < 0.05). Hoffa's fat pad inserted into the intercondylar notch in 50% (5/10) of cadaveric specimens, four in conjunction with the ligamentum mucosum and in one in an isolated fashion. Histological study demonstrated the composition of the ligamentum mucosum and Hoffa's fat pad and their course and insertion sites in the intercondylar notch. Abnormalities of Hoffa's fat pad, such as focal and diffuse edema, tears, scars and synovial proliferation, are more common in knees with torn ACLs than in knees with intact ACLs. (orig.)

  19. Three tesla magnetic resonance imaging of the anterior cruciate ligament of the knee: can we differentiate complete from partial tears?

    Energy Technology Data Exchange (ETDEWEB)

    Dyck, Pieter van; Gielen, Jan L.; Parizel, Paul M. [University Hospital Antwerp and University of Antwerp, Department of Radiology, Antwerp (Edegem) (Belgium); Vanhoenacker, Filip M. [University Hospital Antwerp and University of Antwerp, Department of Radiology, Antwerp (Edegem) (Belgium); AZ St-Maarten Duffel/Mechelen, Department of Radiology, Duffel (Belgium); Dossche, Lieven; Gestel, Jozef van [University Hospital Antwerp and University of Antwerp, Department of Orthopedics, Antwerp (Edegem) (Belgium); Wouters, Kristien [University Hospital Antwerp and University of Antwerp, Department of Scientific Coordination and Biostatistics, Antwerp (Edegem) (Belgium)

    2011-06-15

    To determine the ability of 3.0T magnetic resonance (MR) imaging to identify partial tears of the anterior cruciate ligament (ACL) and to allow distinction of complete from partial ACL tears. One hundred seventy-two patients were prospectively studied by 3.0T MR imaging and arthroscopy in our institution. MR images were interpreted in consensus by two experienced reviewers, and the ACL was diagnosed as being normal, partially torn, or completely torn. Diagnostic accuracy of 3.0T MR for the detection of both complete and partial tears of the ACL was calculated using arthroscopy as the standard of reference. There were 132 patients with an intact ACL, 17 had a partial, and 23 had a complete tear of the ACL seen at arthroscopy. Sensitivity, specificity, and accuracy of 3.0T MR for complete ACL tears were 83, 99, and 97%, respectively, and, for partial ACL tears, 77, 97, and 95%, respectively. Five of 40 ACL lesions (13%) could not correctly be identified as complete or partial ACL tears. MR imaging at 3.0T represents a highly accurate method for identifying tears of the ACL. However, differentiation between complete and partial ACL tears and identification of partial tears of this ligament remains difficult, even at 3.0T. (orig.)

  20. Three tesla magnetic resonance imaging of the anterior cruciate ligament of the knee: can we differentiate complete from partial tears?

    International Nuclear Information System (INIS)

    Dyck, Pieter van; Gielen, Jan L.; Parizel, Paul M.; Vanhoenacker, Filip M.; Dossche, Lieven; Gestel, Jozef van; Wouters, Kristien

    2011-01-01

    To determine the ability of 3.0T magnetic resonance (MR) imaging to identify partial tears of the anterior cruciate ligament (ACL) and to allow distinction of complete from partial ACL tears. One hundred seventy-two patients were prospectively studied by 3.0T MR imaging and arthroscopy in our institution. MR images were interpreted in consensus by two experienced reviewers, and the ACL was diagnosed as being normal, partially torn, or completely torn. Diagnostic accuracy of 3.0T MR for the detection of both complete and partial tears of the ACL was calculated using arthroscopy as the standard of reference. There were 132 patients with an intact ACL, 17 had a partial, and 23 had a complete tear of the ACL seen at arthroscopy. Sensitivity, specificity, and accuracy of 3.0T MR for complete ACL tears were 83, 99, and 97%, respectively, and, for partial ACL tears, 77, 97, and 95%, respectively. Five of 40 ACL lesions (13%) could not correctly be identified as complete or partial ACL tears. MR imaging at 3.0T represents a highly accurate method for identifying tears of the ACL. However, differentiation between complete and partial ACL tears and identification of partial tears of this ligament remains difficult, even at 3.0T. (orig.)

  1. Partial tearing of the anterior cruciate ligament: diagnosis and treatment

    Directory of Open Access Journals (Sweden)

    Eduardo Frois Temponi

    2015-02-01

    Full Text Available Partial tears of the anterior cruciate ligament (ACL are common and represent 10-27% of the total. The main reasons for attending to cases of non-torn bundles are biomechanical, vascular and proprioceptive. Continued presence of the bundle also serves as protection during the healing process. There is controversy regarding the definition of these injuries, which is based on anatomy, clinical examination, translation measurements, imaging examinations and arthroscopy. The way in which it is treated will depend on the existing laxity and instability. Conservative treatment is optional for cases without instability, with a focus on motor rehabilitation. Surgical treatment is a challenge, since it requires correct positioning of the bone tunnels and conservation of the remnants of the torn bundle. The pivot shift test under anesthesia, the magnetic resonance findings, the previous level and type of sports activity and the arthroscopic appearance and mechanical properties of the remnants will aid the orthopedist in the decision-making process between conservative treatment, surgical treatment with strengthening of the native ACL (selective reconstruction and classical (anatomical reconstruction.

  2. Management of acute unstable acromioclavicular joint injuries.

    Science.gov (United States)

    Cisneros, Luis Natera; Reiriz, Juan Sarasquete

    2016-12-01

    Surgical management of acute unstable acromioclavicular joint injuries should be focused on realigning the torn ends of the ligaments to allow for healing potential. The most widely utilized treatment methods incorporate the use of metal hardware, which can alter the biomechanics of the acromioclavicular joint. This leads to a second surgical procedure for hardware removal once the ligaments have healed. Patients with unstable acromioclavicular joint injuries managed with arthroscopy-assisted procedures have shown good and excellent clinical outcomes, without the need for a second operation. These procedures incorporate a coracoclavicular suspension device aimed to function as an internal brace, narrowing the coracoclavicular space thus allowing for healing of the torn coracoclavicular ligaments. The lesser morbidity of a minimally invasive approach and the possibility to diagnose and treat concomitant intraarticular injuries; no obligatory implant removal, and the possibility of having a straight visualization of the inferior aspect of the base of the coracoid (convenient when placing coracoclavicular fixation systems) are the main advantages of the arthroscopic approach over classic open procedures. This article consists on a narrative review of the literature in regard to the management of acute acromioclavicular joint instability.

  3. Can MR appearance performed a few days after injury predict the morphological recovery of the anterior cruciate ligament treated by early protective motion?

    International Nuclear Information System (INIS)

    Ihara, Hidetoshi; Kawano, Tsutomu

    2011-01-01

    The aim of this study was to determine whether early MRI after anterior cruciate ligament (ACL) injury can predict the morphological recovery of the torn ACL treated by early protective motion. Consecutive acute ruptures of the ACL in 35 patients (mean age; 27.2 years) who were allowed to be healed without surgery were evaluated by repeated MRI. MR images were compared for a few days after injury (initial MRI), approximately one month after treatment (second MRI), and at an average follow-up of 8.5 months (follow-up MRI). The average time from injury to the initial MRI was 7.3 days. The initial MR appearance of the torn ligament was classified into five types of visualized ligament contours. The emergence of restoration signs such as straight band and/or verticalization was examined in the second MRI. The follow-up MR appearance of the treated ACL was categorized into four grades depending on homogeneity, straight band, and size. Relationships between the initial MRI and the follow-up MRI, the restoration signs on the second MRI and the follow-up MRI were analyzed using the Spearman rank correlation coefficient. As a result, the contour of the initial MRI was found to correlate with morphological recovery on the follow-up MRI (r s =0.565, p<0.001). There was no correlation between the emergence of restoration signs on the second MRI and morphological recovery on the follow-up MRI. (author)

  4. Atelocollagen Enhances the Healing of Rotator Cuff Tendon in Rabbit Model.

    Science.gov (United States)

    Suh, Dong-Sam; Lee, Jun-Keun; Yoo, Ji-Chul; Woo, Sang-Hun; Kim, Ga-Ram; Kim, Ju-Won; Choi, Nam-Yong; Kim, Yongdeok; Song, Hyun-Seok

    2017-07-01

    Failure of rotator cuff healing is a common complication despite the rapid development of surgical repair techniques for the torn rotator cuff. To verify the effect of atelocollagen on tendon-to-bone healing in the rabbit supraspinatus tendon compared with conventional cuff repair. Controlled laboratory study. A tear of the supraspinatus tendon was created and repaired in 46 New Zealand White rabbits. They were then randomly allocated into 2 groups (23 rabbits per group; 15 for histological and 8 for biomechanical test). In the experimental group, patch-type atelocollagen was implanted between bone and tendon during repair; in the control group, the torn tendon was repaired without atelocollagen. Each opposite shoulder served as a sham (tendon was exposed only). Histological evaluation was performed at 4, 8, and 12 weeks. Biomechanical tensile strength was tested 12 weeks after surgery. Histological evaluation scores of the experimental group (4.0 ± 1.0) were significantly superior to those of the control group (7.7 ± 2.7) at 12 weeks ( P = .005). The load to failure was significantly higher in the experimental group (51.4 ± 3.9 N) than in the control group (36.4 ± 5.9 N) ( P = .001). Histological and biomechanical studies demonstrated better results in the experimental group using atelocollagen in a rabbit model of the supraspinatus tendon tear. Atelocollagen patch could be used in the cuff repair site to enhance healing.

  5. MRI of double-bundle ACL reconstruction: evaluation of graft findings

    Energy Technology Data Exchange (ETDEWEB)

    Kiekara, Tommi; Paakkala, Antti [Tampere University Hospital, Medical Imaging Centre, Tampere (Finland); Jaervelae, Timo [Sports Clinic and Hospital Mehilaeinen, Tampere (Finland); Huhtala, Heini [University of Tampere, School of Health Sciences, Tampere (Finland)

    2012-07-15

    To demonstrate the magnetic resonance imaging (MRI) findings of double-bundle (DB) anterior cruciate ligament (ACL) reconstruction grafts. Sixty-six patients with DB ACL reconstruction were evaluated with MRI 2 years postoperatively. Graft thickness was measured separately by two musculoskeletal radiologists. The MRI findings of graft disruption, signal intensity (SI) changes, cystic degeneration, arthrofibrosis, and impingement were analyzed. The statistical significance of the association between MRI findings was calculated. The mean anteromedial (AM) graft thickness was reduced 9% and the mean posterolateral (PL) graft thickness was reduced 18% from the original graft thickness. Disruption was seen in 3% of AM grafts and 6% of PL grafts and a partial tear in 8 and 23%, respectively. Both grafts were disrupted in 3% of patients. Increased SI was seen in 14% of intact AM grafts and in 60% of partially torn AM grafts (p = 0.032). In PL grafts the increased SI was seen in 51% of the intact grafts and in 93% of the partially torn grafts (p = 0.005). Cystic degeneration was seen in 8% of AM grafts and in 5% of PL grafts. Diffuse arthrofibrosis was seen in 5% of patients and a localized cyclops lesion in 3% of patients. Impingement of the AM graft was seen in 8% of patients. Both grafts were disrupted in 3% of patients. Also, the frequencies of other complications were low. The use of orthogonal sequences in the evaluation of the PL graft SI seems to cause volume-averaging artefacts. (orig.)

  6. Document reconstruction by layout analysis of snippets

    Science.gov (United States)

    Kleber, Florian; Diem, Markus; Sablatnig, Robert

    2010-02-01

    Document analysis is done to analyze entire forms (e.g. intelligent form analysis, table detection) or to describe the layout/structure of a document. Also skew detection of scanned documents is performed to support OCR algorithms that are sensitive to skew. In this paper document analysis is applied to snippets of torn documents to calculate features for the reconstruction. Documents can either be destroyed by the intention to make the printed content unavailable (e.g. tax fraud investigation, business crime) or due to time induced degeneration of ancient documents (e.g. bad storage conditions). Current reconstruction methods for manually torn documents deal with the shape, inpainting and texture synthesis techniques. In this paper the possibility of document analysis techniques of snippets to support the matching algorithm by considering additional features are shown. This implies a rotational analysis, a color analysis and a line detection. As a future work it is planned to extend the feature set with the paper type (blank, checked, lined), the type of the writing (handwritten vs. machine printed) and the text layout of a snippet (text size, line spacing). Preliminary results show that these pre-processing steps can be performed reliably on a real dataset consisting of 690 snippets.

  7. Factors Determining Availability, Utilization and Retention of Child Health Card in Western Nepal.

    Science.gov (United States)

    Paudel, K P; Bajracharya, D C; Karki, K; K C, A

    2016-05-01

    The immunization card is revised with addition of general information about child health and is later called as child health card. This card is a tool used by Health Management Information System in Nepal. It is important for tracking the records of immunization. Aim is to identify the factors determining the availability, utilization and retention of the child health card in Western Nepal. A cross sectional study was conducted among mothers having children education. Retention of the card was found to be 82.2%. 90.3% retention was seen among 0-12 months children age group whereas it was 74 % among12 to 24 months age group. The reasons for less retention were torn by the child/played by child (54.6%) followed by lack of proper place,unaware about importance and poor quality of card.The new child health cards were insufficient, compelling use of both new and old cards which created problem in consistency. Regarding utilization of child health card, it was found to be used for birth registration and for further studies in abroad. The areas of utilization of child health card should be broadened so that the retention of card can be increased. The main reasons for less retention of the card are torn by children and lack of the proper place.

  8. Knee dislocations: a magnetic resonance imaging study correlated with clinical and operative findings

    Energy Technology Data Exchange (ETDEWEB)

    Bui, Kimmie L. [Cleveland Clinic, Department of Radiology, Cleveland, OH (United States); Cleveland Clinic, Department of Radiology, HB6, Cleveland, OH (United States); Ilaslan, Hakan; Sundaram, Murali [Cleveland Clinic, Department of Radiology, Cleveland, OH (United States); Parker, Richard D. [Cleveland Clinic, Department of Orthopaedics, Cleveland, OH (United States)

    2008-07-15

    Our objectives were to determine retrospectively the prevalence, patients' demographics, mechanism of injury, combination of torn ligaments, associated intra-articular and extra-articular injuries, fractures, bone bruises, femoral-tibial alignment and neurovascular complications of knee dislocations as evaluated by magnetic resonance (MR) imaging. From 17,698 consecutive knee examinations by magnetic resonance imaging (MRI) over a 6-year period, 20 patients with knee dislocations were identified. The medical records of these patients were subsequently reviewed for relevant clinical history, management and operative findings. The prevalence of knee dislocations was 0.11% [95% confidence interval (95% CI) 0.06-0.16]. There were 16 male patients and four female patients, with ages ranging from 15 years to 76 years (mean 31 years). Fifteen patients had low-velocity injuries (75%), of which 11 were amateur sports related and four were from falls. Four patients (20%) had suffered high-velocity trauma (motor vehicle accidents). One patient had no history available. Anatomic alignment was present at imaging in 16 patients (80%). Eighteen patients had three-ligament tears, two had four-ligament tears. The four-ligament tears occurred with low-velocity injuries. The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) were torn in every patient; the lateral collateral ligament (LCL) was torn in 50%, and the medial collateral ligament (MCL) in 60%. Intra-articular injuries included meniscal tears (five in four patients), fractures (eight in seven patients), bone bruises (15 patients), and patellar retinaculum tears (eight partial, two complete). The most common extra-articular injury was a complete biceps femoris tendon tear (five, 25%). There were two popliteal tendon tears and one iliotibial band tear. One patient had received a vascular injury following a motor vehicle accident (MVA) and had been treated prior to undergoing MRI. Bone bruises

  9. The Materiality of a Contemporary Avant-Garde?

    DEFF Research Database (Denmark)

    Paldam, Camilla Skovbjerg

    2013-01-01

    of the elements rather than on material ones. The surrealists of the 1920s had an extended and metaphorical use of the word collage, which depended less on technique than on structure: Elements that were at the wrong place, in the wrong context, in surprising constellations. Max Ernst thus writes about...... collage quality by means of disturbing clashes of elements from different contexts, as for instance the grotesque, chimerical china figurines (2007-2009) of Danish artist Louise Hindsgavl. Another that clings to the reality fragment, but uses it in a new digitized way. Here the Danish artist Peter Holst...... of graffiti, tags and torn posters. The latter is set free as paste-ups where the original photos were taken, thus making small poetic changes in the city (2009-2011). And finally “mock collages” that confronts the concept of collage through a play with materials by making objects that look like collages made...

  10. O “CASO SIMONE ANDRÉ DINIZ” E A LUTA CONTRA O RACISMO ESTRUTURAL NO BRASIL

    OpenAIRE

    Lugon Arantes, Paulo de Tarso

    2007-01-01

    A discriminação racial no Brasil é um problema endêmico que permeia todas as suas instituições públicas e privadas. A decisão no caso Simone André Diniz, proferida pela Comissão Interamericana, representa um marco na luta contra a insensibilidade do judiciário às questões raciais no País. Este artigo tem o objetivo de traçar comentários à referida decisão, aportando as teorias do Direito Internacional dos Direitos Humanos, referente ao caso, para que se torne uma contribuição ao esclareciment...

  11. Estrutura a termo da taxa de juros e imunização: novas perspectivas na gestão do risco de taxa de juros em fundo de pensão

    OpenAIRE

    Machado,Sérgio Jurandyr; Motta,Luis Felipe Jacques da

    2007-01-01

    O termo imunização denota a construção de uma carteira de títulos de forma a torná-la imune a variações nas taxas de juros. No caso dos fundos de pensão, o objetivo da imunização é distribuir os recebimentos intermediários e finais dos ativos de acordo com a previsão para o fluxo de pagamentos dos benefícios. Nesse sentido, o artigo busca comparar o desempenho de duas alternativas de imunização ao método tradicional que restringe o gerenciamento do risco de taxa de juros à compatibilização da...

  12. Dynamic forces on agglomerated particles caused by high-intensity ultrasound.

    Science.gov (United States)

    Knoop, Claas; Fritsching, Udo

    2014-03-01

    In this paper the acoustic forces on particles and agglomerates caused by high-intensity ultrasound in gaseous atmosphere are derived by means of computational fluid dynamics (CFD). Sound induced forces cause an oscillating stress scenario where the primary particles of an agglomerate are alternatingly pressed together and torn apart with the frequency of the applied wave. A comparison of the calculated acoustic forces with respect to the inter particle adhesion forces from Van-der-Waals and liquid bridge interactions reveals that the separation forces may reach the same order of magnitude for 80 μm sized SiO2-particles. Hence, with finite probability acoustically agitated gases may de-agglomerate/disperse solid agglomerate structures. This effect is confirmed by dispersion experiments in an acoustic particle levitation setup. Copyright © 2013 Elsevier B.V. All rights reserved.

  13. Kryptorchismus bei Hund und Katze - Definition, Prävalenz, Diagnose und Therapie

    DEFF Research Database (Denmark)

    Goericke-Pesch, Sandra Kathrin; Wehrend, Axel

    2013-01-01

    Cryptorchidism is defined as maldescensus testis. This means that one or both testicles are not located in the scrotum at six months of age, but abdominal, inguinal or ectopic. Ectopic testes can be localised suprafascially, perineally or crurally. Physiologically, descensus testis is finished...... about 35-40 days after birth in the dog and at the time of birth in the torn. Delayed descent is diagnosed when testis are located in the scrotum at a later point of time. Whereas cryptorchidism in the dog is undoubtedly multifactorial with breed-specific involvement of one or more genes (mono......-/polygenic), epigenetic and environment-associated factors, heredity in the cat is still unclear although an increased incidence is reported in Persians, Ragdolls and European Shorthair. The diagnosis can be confirmed by palpation (in case of inguinal testes) or by ultrasound. GnRH and hCG stimulation tests can be used...

  14. O farmacêutico e a promoção de saúde: uma união possível na prática?

    OpenAIRE

    Carolina Couto Herculano CASTRO; Michele Peixoto QUEVEDO

    2014-01-01

    Desde a consolidação do SUS, o farmacêutico integra o sistema público de saúde. Observa-se a necessidade de profissionais com atuação ampliada, o que, na prática, inicia-se com a introdução do conceito de atenção farmacêutica. O foco do serviço, antes centralizado no medicamento, passa a se voltar para o paciente, mudança esta que implica em diversas estratégias para que o farmacêutico torne parte de seu contexto profissional. O presente trabalho pretendeu identificar e compreende...

  15. Trauma and Second Language Learning among Laotian Refugees

    Directory of Open Access Journals (Sweden)

    Daryl Gordon

    2011-01-01

    Full Text Available Unprecedented numbers of adult refugee learners are entering ESL classes, many of whom escaped war-torn countries and endured long stays in refugee camps. Research in public health and psychology has documented high levels of depression, anxiety, and posttraumatic stress disorder in refugee populations. Drawing on ethnographic research with Laotian refugee women who experienced pre-settlement trauma during the Vietnam War and interviews with bilingual mental health professionals, this article examines current second language acquisition theories to consider how they elucidate the effect of trauma on second language learning. The article offers cross-cultural perspectives about the impact of trauma and recommendations for working with adult refugee learners who have experienced trauma. Research findings have implications for ESL instructors and second language researchers concerned with the impact of pre-resettlement experiences on second language acquisition and implications for classroom instruction.

  16. One way and the other: the bidirectional relationship between ambivalence and body movement.

    Science.gov (United States)

    Schneider, Iris K; Eerland, Anita; van Harreveld, Frenk; Rotteveel, Mark; van der Pligt, Joop; van der Stoep, Nathan; Zwaan, Rolf A

    2013-03-01

    Prior research exploring the relationship between evaluations and body movements has focused on one-sided evaluations. However, people regularly encounter objects or situations about which they simultaneously hold both positive and negative views, which results in the experience of ambivalence. Such experiences are often described in physical terms: For example, people say they are "wavering" between two sides of an issue or are "torn." Building on this observation, we designed two studies to explore the relationship between the experience of ambivalence and side-to-side movement, or wavering. In Study 1, we used a Wii Balance Board to measure movement and found that people who are experiencing ambivalence move from side to side more than people who are not experiencing ambivalence. In Study 2, we induced body movement to explore the reverse relationship and found that when people are made to move from side to side, their experiences of ambivalence are enhanced.

  17. Research on the Bond Anchorage Properties of Alkali-Activated Slag Cementitious Material

    Science.gov (United States)

    Zhu, J.; Zheng, W. Z.; Leng, Y. F.; Qin, C. Z.; Xu, Z. Z.

    2017-12-01

    By bond-anchorage property tests at 20°C ∼500°C, the distribution of shear stress between carbon fiber sheets and concrete at all levels of loading and anchorage lengths were measured, which means the bond lengths during CFRP sheets are pulled off at the same time when the concrete is torn and stripped were gotten. The failure modes were obtained. In addition, the failure loads were measured, and the calculated formulas of anchorage lengths were identified by fitting at high temperature. It can be seen that the anchorage lengths of carbon fiber sheets increase with increasing temperature at 20°C ∼100°C, the anchorage lengths of carbon fiber sheets decrease with increasing temperature at 100°C ∼500°C. Tests prove that AASCM has favorable high-temperature resistant and bond anchorage properties.

  18. OPPORTUNITIES OF RIO DE JANEIRO MEETING PLANNERS ALLIANCES FOR TOURISM FROM THE PERSPECTIVE OF THE DESTINATION S SOCIO-ECONOMIC DEVELOPMENT

    OpenAIRE

    FABIO EHRLICH

    2011-01-01

    A indústria do turismo iniciou seu processo de profissionalização no Brasil no início da década de 1990. Desde então, o setor vem buscando o aprimoramento das ações de planejamento estratégico e de marketing, assim como a melhoria da infraestrutura de localidades específicas no país, com o intuito de torná-las destinos turísticos indutores para o país. A cidade do Rio de Janeiro é vista como destino referência, tanto para o turismo de lazer quanto para o turismo de negócios,...

  19. Blogging 9/11 and Memory Discourse

    Directory of Open Access Journals (Sweden)

    Maria Cristina Paganoni

    2011-09-01

    This article highlights a few of the salient discursive and linguistic patterns that recur in the 9/11 narratives that have multiplied online on several dedicated websites and investigates the evolution of 9/11 cultural memory practices, torn between the discourse of the unrepresentable and the imperative to remember. It claims that blogging 9/11, immediately after the attacks and over the years, well illustrates how the logic of memory and its interpretation of the past follow different criteria from history writing. It shows how memorialization practices, dictated by the fear of forgetting the vanishing present, contribute to that excess of memory that lies at the core of the instability and mutual competition of sources retrieved on the Internet and that might ultimately lead to a rethinking of what is the contribution of collective memory to historiography.

  20. Hurricane Val in American Samoa: A case study

    International Nuclear Information System (INIS)

    Weaver, D.A.; Henderson, H.

    1993-01-01

    On Monday, December 9, 1991, Hurricane Val hit American Samoa. Along with the many homes and buildings that had been destroyed, nine abandoned fishing vessels were torn from their mooring and washed up onto the reef in Pago Pago Harbor. Several hundred gallons of diesel fuel were released into the water; about 12,000 gallons remained onboard the vessels. The efforts of the US Coast Guard (USCG), Federal Emergency Management Agency (FEMA), Samoa Environmental Protection Agency (SEPA), and local contractors helped mitigate the damage. The USCG Pacific Strike Team (PST) was tasked with monitoring, removing, and disposing of the petroleum products that remained onboard the vessels. The strike team also investigated reports of chemical spills throughout the island

  1. A imersão orgânica no Templo de Consumo

    Directory of Open Access Journals (Sweden)

    Renato Nunes Bittencourt

    2015-02-01

    Full Text Available Neste artigo abordamos a relação funcional e afetiva que o sujeito de consumo da sociedade administrada estabelece para com um dos mais bem-sucedidos modelos comerciais da tecnocracia capitalista, o Shopping Center, evidenciando uma espécie de simbiose entre o humano e o material, circunstância que demonstra o efeito sedutor que a estrutura assimiladora do Shopping Center, um genuíno templo de consumo, exerce sobre a subjetividade pessoal do frequentador, dando-lhe a sensação de conforto e segurança que não encontra no mundo exterior. Contudo, por reconhecermos que a sociedade de consumo se fundamenta na alienação da consciência do ser humano, propomos a ressignificação do Shopping Center, de modo a torná-lo um espaço social de politização.

  2. Identification of a starting point of breast skin tears during chicken plucking.

    Science.gov (United States)

    Pitcovski, J; Ohana, N; Amzaleg, L; Krispel, S; Bercovich, D; Pinchasov, Y

    1997-02-01

    A site (STP) was identified on the skin of the chicken, during defeathering in the slaughter house, at which about 90% of breast skin tears started. This site is on the ventral side of the pectoral tract area. There was no difference in location of this site with respect to different commercial lines, sexes, flocks, or time of the day. In order to demonstrate the importance of a small skin tear to ultimate damage, defeathered chickens with a minor tear at a particular site and undamaged defeathered chickens were passed through the defeathering machine a second time. Thirty-six percent of the STP chickens were torn further, but only a small percentage (about 4%) of the undamaged chickens were harmed.

  3. Chernobyl risk reduction via ventilation stack repair: a successful international project

    International Nuclear Information System (INIS)

    Gore, B.F.; Glukhov, A.Y.; Schmidt, J.P.; Vargo, G.I.; Osterloh, J.V.; Kupny, V.I.; Korneev, A.A.; Matvejev, Y.A.

    1999-01-01

    The recently completed project to repair the ChNPP Unit 3/4 ventilation stack is the first international project providing a direct physical improvement and safety upgrade at the Shelter (Ukrytie) facility. The 1986 explosion at Chernobyl NPP Unit 4 severely damaged the ventilation stack framework of bracing and its foundation. At one node, where six elements of the framework joined together, one element was completely missing one element was torn from the node and left hanging from its other end, and one element was badly bent and dented. Foundation supports were knocked measurably off plumb. Repair of the ChNPP ventilation stack is the first international project providing direct physical improvement and safety upgrade at the Shelter facility. The repairs have restored the stack to full design strength, from an emergency condition with a high probability of collapse

  4. MRI findings in bucket-handle tears of the triangular fibrocartilage complex

    International Nuclear Information System (INIS)

    Jose, Jean; Arizpe, Azael; Chen, David; Barrera, Carlos M.; Ezuddin, Nisreen Shabbir

    2018-01-01

    The triangular fibrocartilage complex (TFCC) is an intricate ligamentous and cartilaginous structure that helps transmit axial load across the wrist, and provide stability to the ulnocarpal and distal radioulnar joints (DRUJ). Because the blood supply to the TFCC varies depending on location, certain types of tears are more amenable to surgical repair than others. Since Palmer proposed his classification system of TFCC tears in 1989, only 1 case of a ''bucket-handle'' type tear has been reported. In this article, we describe two new cases of bucket-handle tears of the TFCC. In both cases, the torn fragment was displaced into a previously undescribed location (intra-articular DRUJ and prestyloid recess). Because this type of injury pattern has not been previously well characterized in the literature and such cases rarely reported, MRI findings have not been fully described and its implications on clinical management have largely yet to be determined. (orig.)

  5. Introduction

    International Nuclear Information System (INIS)

    Attansi, E.D.; DeYoung, J.H. Jr.

    1991-01-01

    This paper reports that the outlook for exploration depends on the economic health of the mining industry and, in turn, general economic conditions. It is too early to determine the overall impact of the cessation of hostilities in the Persian Gulf War. Its conclusion would allow funds to be redirected to individual country's economies. The rebuilding of the war-damaged countries will probably translate into net increases in demand for the minerals industry. A return to stability in energy costs will also benefit the mining industry. Alternatively, the capital requirements to rebuild war-torn countries could put some strain on capital markets and affect the funds available for private commercial investment. Along with increasing the cost of capital to mining operations, a capital shortage could stall recovery of western industrialized economies that are currently in recession

  6. On the behavior of crack surface ligaments

    International Nuclear Information System (INIS)

    Nilsson, P.; Staahle, P.; Sundin, K.G.

    1998-01-01

    Small ligaments connecting the fracture surfaces just behind a moving crack front are assumed to exist under certain conditions. The ligaments are rapidly torn as the crack advances. Inelastic straining of such ligaments influences the energy balance in the fracture process. The rapid tearing of a single ligament is studied both numerically and experimentally. An elastic visco-plastic material model is adopted for finite-element calculations. The results show that relatively large amounts of energy are dissipated during the tearing process. Further, the energy needed to tear a ligament increases rapidly with increasing tearing rate. The computed behavior is partly verified in a few preliminary experiments. The implications for slow stable crack tip speeds during dynamic fracture are discussed. (orig.)

  7. Three-Dimensional Engineered Bone–Ligament–Bone Constructs for Anterior Cruciate Ligament Replacement

    Science.gov (United States)

    Ma, Jinjin; Smietana, Michael J.; Kostrominova, Tatiana Y.; Wojtys, Edward M.; Larkin, Lisa M.

    2012-01-01

    The anterior cruciate ligament (ACL), a major stabilizer of the knee, is commonly injured. Because of its intrinsic poor healing ability, a torn ACL is usually reconstructed by a graft. We developed a multi-phasic, or bone–ligament–bone, tissue-engineered construct for ACL grafts using bone marrow stromal cells and sheep as a model system. After 6 months in vivo, the constructs increased in cross section and exhibited a well-organized microstructure, native bone integration, a functional enthesis, vascularization, innervation, increased collagen content, and structural alignment. The constructs increased in stiffness to 52% of the tangent modulus and 95% of the geometric stiffness of native ACL. The viscoelastic response of the explants was virtually indistinguishable from that of adult ACL. These results suggest that our constructs after implantation can obtain physiologically relevant structural and functional characteristics comparable to those of adult ACL. They present a viable option for ACL replacement. PMID:21902608

  8. CT in the evaluation of pelvic trauma

    International Nuclear Information System (INIS)

    Federle, M.P.

    1986-01-01

    Pelvic fractures from motor vehicle accidents are a cause of substantial morbidity and permanent disability, and are the third leading cause of death following blunt trauma. Associated extremity fractures are common, and injury to abdominal and pelvic viscera may occur. Difficulty in establishing the source of hemorrhage may be encountered, especially since pelvic fractures with extraperitoneal bleeding may result in intraperitoneal bleeding through torn fascial planes. The difficulty in properly diagnosing and managing complex fractures of the pelvis and acetabulum is well documented. Prognosis is influenced by the type and extent of pelvic fracture and associated soft tissue injuries. Computed tomography (CT) has proved to be a valuable tool in evaluation of these complex and life-threatening injuries

  9. IMAGINARIOS SOBRE INMIGRACIÓN Y CONOCIMIENTO EXPERTO EN EL CONTEXTO ESPAÑOL

    Directory of Open Access Journals (Sweden)

    Débora Betrisey Nadali

    2011-01-01

    Full Text Available En décadas pasadas, la inmigración se tornó un "problema social" para el gobierno español, lo que le requirió generar mecanismos para detectar, clasificar y organizar dicho fenómeno. Hoy se capacitan profesionales cuyo conocimiento experto los convierte en referencia. El objetivo aquí es analizar cómo los saberes expertos intervienen en la identificación de la "inmigración" en algunos sectores de la sociedad española. Se reflexiona sobre cómo conceptos de cultura se mezclan con el "sentido común", construyendo un marco significativo hegemónico que marca los límites del debate social sobre "inmigración" y recrea parámetros de distinción entre los diferentes grupos sociales.

  10. The role of the family in a lonely life and works of the modern writer – Jan Rybowicz [Rola rodziny w samotnym życiu i twórczości współczesnego pisarza – Jana Rybowicza

    Directory of Open Access Journals (Sweden)

    Paulina LITWICKA

    2017-11-01

    Full Text Available The biographical and historical-literary analysis of works of the modern writer Jan Rybowicz indicates that having a family of one’s own was an unreachable dream for the artist, which affected his self-esteem and was a chance for his complete fulfillment. Letters to Elisabeth are showing problems of a sensitive artist in his contacts with women. The selected literary works draw attention at the issues of a lonely man missing a wife and children which he has never had. Autobiographical prose points to the passing time and difficult reality that made having a family impossible for the writer. Jan Rybowicz’s works show a man torn between his wishes and reality. A desire of having his own family gave him the strength to write, but, on the other hand, it made him suffer.

  11. O PROCESSO DE DECISÃO DE COMPRA EM SUPERMERCADOS ON-LINE: UMA PESQUISA QUALITATIVA COM CLIENTES DO ZONA SUL ATENDE

    Directory of Open Access Journals (Sweden)

    André Barcelos Moreira

    2013-04-01

    Full Text Available O Zona Sul foi o primeiro supermercado no Rio de Janeiro a oferecer serviços de venda pela Internet e é líder nesse segmento na cidade. Assim, foi escolhido como objeto deste estudo, que buscou descrever e analisar o processo de decisão dos consumidores que utilizam a Internet para fazer compras de supermercado. Foram realizadas 20 entrevistas em profundidade com esses consumidores. As entrevistas foram feitas durante a realização da compra e a navegação dos entrevistados foi gravada com o uso de um software. Os resultados apontaram que os entrevistados buscam conveniência, rapidez e facilidade para comprar. Foram identificados aspectos do site que comprometem parcialmente esse objetivo. As conclusões trazem sugestões para facilitar o processo de compra e torná-lo mais ágil.

  12. Felicitas Pauss - Physics without borders

    CERN Document Server

    2009-01-01

    With the goal of turning CERN into a truly global laboratory, the Director-General has appointed Felcitas Pauss to the newly created position of Co-ordinator for External Relations. In this interview with the Bulletin she explains how external relations will shape the future of CERN. "At CERN there is already an excellent atmosphere of international collaboration, of working together beyond political boundaries," says Felicitas Pauss, the newly appointed Co-ordinator for External Relations. "This is indeed a remarkable feature of scientific collaborations." When it was founded over 50 years ago CERN had the seemingly impossible task of stitching together a united European particle physics community from countries torn apart by the Second World War. Today this goal of collaboration is just as important, not only within Europe but worldwide. "The particle physics landscape has really changed over the past years," Pauss points out. "As...

  13. Weldon Spring Site Remedial Action Project approach to building dismantlement and demolition

    Energy Technology Data Exchange (ETDEWEB)

    Spittler, F.J.

    1996-01-01

    When remediation began at the Weldon Spring Site Remedial Action Project (WSSRAP), there were 41 buildings on site. Twenty-nine of these buildings were ancillary structures and were not used for processing radioactive material. Most of these have been torn down. The remaining 12 buildings were used for uranium and thorium processing or were major support structures, such as the laboratory. Two of the buildings were major processing operations occurred were successfully demolished in February of this year. Demolition of all structures will be complete in September of this year. To give an understanding of the magnitude of the work, the following is a description of the physical characteristics of the green salt building. This building was used to convert brown oxide (UO3) to green salt (UF4), which is the last intermediate step in purifying the mostly yellow cake feed material into uranium metal.

  14. Myositis ossificans within the intercondylar notch treated arthroscopically

    International Nuclear Information System (INIS)

    Leung, Allen H.; Desai, Panna; Rybak, Leon D.; Rose, Donald J.

    2010-01-01

    We present a case of intraarticular myositis ossificans in the right knee of a child. Myositis ossificans (MO), though relatively rare in childhood and even more uncommon within a joint, should be included in the differential diagnosis of an intra-articular mass when indicated by the typical clinical, radiographic, and histologic findings. An 11-year-old male presented with a history of trauma to his right knee. Four weeks after the initial injury, an MRI demonstrated evidence of an ACL rupture with a ''cystic mass'' within the intercondylar notch along the anterior surface of the torn ligament. At subsequent arthroscopy, the mass noted on MRI was removed. The histology was consistent with MO. The authors believe this to be the first case of MO in the intercondylar notch detected by MRI, treated by arthroscopy, and confirmed by histology. (orig.)

  15. Myositis ossificans within the intercondylar notch treated arthroscopically

    Energy Technology Data Exchange (ETDEWEB)

    Leung, Allen H.; Desai, Panna [Hospital for Joint Diseases/New York University, Department of Pathology, New York, NY (United States); Rybak, Leon D. [Hospital for Joint Diseases/New York University, Department of Radiology, New York, NY (United States); Rose, Donald J. [Hospital for Joint Diseases/New York University, Department of Orthopedic Surgery, New York, NY (United States)

    2010-09-15

    We present a case of intraarticular myositis ossificans in the right knee of a child. Myositis ossificans (MO), though relatively rare in childhood and even more uncommon within a joint, should be included in the differential diagnosis of an intra-articular mass when indicated by the typical clinical, radiographic, and histologic findings. An 11-year-old male presented with a history of trauma to his right knee. Four weeks after the initial injury, an MRI demonstrated evidence of an ACL rupture with a ''cystic mass'' within the intercondylar notch along the anterior surface of the torn ligament. At subsequent arthroscopy, the mass noted on MRI was removed. The histology was consistent with MO. The authors believe this to be the first case of MO in the intercondylar notch detected by MRI, treated by arthroscopy, and confirmed by histology. (orig.)

  16. Education as a Factor in Globalization through Academic Mobility

    Directory of Open Access Journals (Sweden)

    Pârgaru Ion

    2017-01-01

    Full Text Available Globalization is not a new concept, as it would be. It has a torn history of acceptances andrejections, starting with the nineteenth century. Globaphobia and globaphilia are two terms thateloquently justify the pro and anti struggle against this phenomenon, which is not yet understoodby many politicians, but which takes full advantage of it, as economist Guillermo de la Dehesasays. In order to understand the principles of globalization and its effects, we must judge in termsof benefits and losses in the historical and economic context of the last decades, struck by wars, bythe cultural and social decline, by the closure of some states in the communist blocs. It is only afterunderstanding the events that we can dissect what is happening today in Europe and globally. Atthe end of the 20th century and the 21st century, humankind continues globalization on segments,allocating the greatest tribute to education through continuous training, study and practice.

  17. Questioning the role of Facebook in maintaining Syrian social capital during the Syrian crisis

    Directory of Open Access Journals (Sweden)

    Reem Ramadan

    2017-12-01

    Full Text Available The Syrian crisis is considered the ‘world’s single largest crisis for almost a quarter of a century that has the biggest refugee population from a single conflict in a generation’ (UN High Commissioner for Refugees, 2016. The rapid adoption of Facebook among Syrians questions whether it helps in maintaining the social capital of a war-torn nation and a dispersed Syrian population worldwide. Data was collected by means of a Facebook survey from 964 Syrian users. Results indicated that Facebook enhanced social identity and social capital through facilitating communication, collaboration and resource sharing among dispersed Syrians inside and outside the country. However, the offline rift of the nation was extended to Facebook through promoting hate speech among opposed parties. Results of this study may advance the understanding of the role of Facebook on social capital in countries going through similar crisis situations.

  18. Floating knee injury associated with patellar tendon rupture: a case report and review of literature.

    Science.gov (United States)

    Vaidyanathan, Singaravadivelu; Panchanathan Ganesan, Jagannath; Moongilpatti Sengodan, Mugundhan

    2012-01-01

    Floating knee injuries are frequently associated with other concomitant injuries to the ipsilateral limb or other parts of body of which injury to the ipsilateral knee ligaments carries significance for various reasons. A middle-aged man sustained a floating knee injury following RTA. DCS fixation by bridge plating technique for the distal femur and lateral buttress plating by MIPO technique for proximal tibia were planned and executed under spinal anesthesia with image intensifier. In addition, there were patellar tendon rupture along with avulsion of VMO from the medial border of patella and torn MPFL, which we have missed initially. To the best of our knowledge no similar case has been reported in English literature so far. We have reviewed the literature and proposed a different interpretation of Blake and McBride classification.

  19. Floating Knee Injury Associated with Patellar Tendon Rupture: A Case Report and Review of Literature

    Directory of Open Access Journals (Sweden)

    Singaravadivelu Vaidyanathan

    2012-01-01

    Full Text Available Floating knee injuries are frequently associated with other concomitant injuries to the ipsilateral limb or other parts of body of which injury to the ipsilateral knee ligaments carries significance for various reasons. A middle-aged man sustained a floating knee injury following RTA. DCS fixation by bridge plating technique for the distal femur and lateral buttress plating by MIPO technique for proximal tibia were planned and executed under spinal anesthesia with image intensifier. In addition, there were patellar tendon rupture along with avulsion of VMO from the medial border of patella and torn MPFL, which we have missed initially. To the best of our knowledge no similar case has been reported in English literature so far. We have reviewed the literature and proposed a different interpretation of Blake and McBride classification.

  20. The Ideological and Political Dimensions of the Anti-Smoking and Anti-Drinking Video Advertisements in the Republic of Moldova.

    Science.gov (United States)

    Stanchevici, Dmitri

    2017-06-01

    Based on the critical approach in health communication, along with Habermas's theory of legitimation and Ellul's theory of propaganda, this qualitative study analyzes the political and ideological dimensions of the video advertisements used in the 2012 anti-smoking and 2014 anti-drinking campaigns in the Republic of Moldova. This analysis shows that these health videos support male domination and exclusion of the poor and legitimate the current political leadership with its declared pro-European orientation. This study uniquely contributes to the critical approach in health communication by focusing on the post-Soviet context in which statehood and national identity are unstable and societies are torn between the Russian and (post-)Soviet influences on one hand and European aspirations on the other. Drawing on critical scholarship in global health communication, this article calls for greater respect and recognition of Moldova's local culture and definition of health.

  1. Use of platelet-rich plasma for bioplastic processes stimulation after arthroscopic reconstruction of anterior cruciate ligament (review

    Directory of Open Access Journals (Sweden)

    A. V. Rybin

    2015-01-01

    Full Text Available Based on the analysis of the scientific publications, the authors analyzed the possibilities and effectiveness of platelet- rich plasma (PRP application as a stimulator of engraftment and biological transformation of tendinous autografts and allografts after arthroscopic reconstruction of knee anterior cruciate ligament. The topic of impossibility of spontaneous recovery of torn anterior cruciate ligament of knee, and describe the staging of biological incorporation of tendinous transplant in a bone wall was discussed. The authors presented methods and techniques of accelerating engraftment of free tendinous graft into bone channels described in the literature and the difference of terms of remodeling the autografts and allografts. The effect of different techniques of sterilization and preservation of tendinous allografts on the change of their biological properties was disclosed.

  2. 'SoftPower' y Televisión Digital en Sudamérica: la campaña brasileña de promoción del ISDB-Tb según los relatos de sus realizadores

    OpenAIRE

    Brandão, Angela S.

    2015-01-01

    Resumen En 2006, Brasil se tornó el primer país del mundo en importar el estándar japonés de Televisión Digital Terrestre. Su decisión fue seguida por casi todos los países de Sudamérica. Desde un enfoque interdisciplinario entre Comunicación y Relaciones Internacionales, este artículo investiga el rol de Brasil en el proceso de adopción de ISDB-Tb por los países vecinos. Con base en métodos cualitativos (entrevistas semiestructuradas con una muestra intencional), se analizan aquí los discurs...

  3. The thread of depression throughout the life and works of Leo Tolstoy.

    Science.gov (United States)

    Anargyros-Klinger, Annie

    2002-04-01

    Tolstoy, the author of two masterpieces, War and Peace and Anna Karenina, remains a writer of genius. Yet, after writing War and Peace, his existence had been torn apart by a serious depression. This depression, which was melancholic in character, almost destroyed him and, once he had finished Anna Karenina, led him to want to renounce not only sexuality but also literary creation and material possessions. Through examining Tolstoy's life and work, the author tries to uncover the underground paths of this depression, which emerged brutally in the middle of his life, and to understand why his creative genius dried up. Like Leonardo da Vinci, Tolstoy turned away from his artistic work, declaring that 'art is not only useless but even harmful', and thereafter devoted himself to philosophical, political and religious writings. These new sublimations would help him to recover his health.

  4. Whistleblowing--is it really worth the consequences?

    Science.gov (United States)

    Delk, Kayla L

    2013-02-01

    This article explores general principles of state whistleblower laws and alerts nurses to considerations when deciding whether to report an employer violation. Reporting an employer violation can be difficult for any employee but especially for nurses because nurses are torn between their desire and duty to advocate for clients' safety and their desire to maintain employment. The author suggests questions to consider when deciding to "blow the whistle" and alerts nurses to statutes of limitations that may affect when nurses must report violations. The article also illuminates policy and procedural issues for various states that affect how and to whom nurses report violations to protect themselves under whistleblower protection laws. Finally, this article explores personal and professional consequences that nurses should consider before reporting violations. Copyright 2013, SLACK Incorporated.

  5. Una ridiscussione dei concetti di home e identity nell’Asia globalizzata: il caso di These Foolish Things (2004 e How to Get Filthy Rich in Rising Asia (2013

    Directory of Open Access Journals (Sweden)

    Alessia Polatti

    2018-02-01

    The aim of the paper is to analyze these topics from a cultural and literary standpoint through the examination of the two different kinds of migrant flows and postcolonial scenarios depicted in These Foolish Things (2004 by the English author Deborah Moggach, and How to Get Filthy Rich in Rising Asia (2013 by the Pakistan novelist Mohsin Hamid. In these novels, the chaotic Indian framework – the former margin of the British empire – is torn between its colonial past and the current effects of the permeability of its borders. It is, therefore, a perfect global context, wherein the experiences and the feelings of the modern Indian identities are reinterpreted by the two authors.

  6. The Design of Mobile Application for Teacher and Parents Communication in Indonesian School

    Directory of Open Access Journals (Sweden)

    Setyawan Sholeh Hadi

    2016-01-01

    Full Text Available One of the success factor to achieve education goals is the good communication between the student’s parents and the school. Most of Indonesian schools use written communication in form of communicator book, renewed yearly when the student move to the new grade. All of the important information contained in the conversation will be lost if the book is missing, torn, damaged or replaced by the new book. The response time of the conversation is very slow, parent should wait the answer from the school until the student goes home. A mobile application is designed to replace the communicator book electronically. The application is hybrid, enables the parent to communicate easily to the class teacher, counselors, health services and also the school managements. The design has been reviewed dan feedback given from the users.

  7. HIV/AIDS, childhood and governance: sundering the bonds of human society.

    Science.gov (United States)

    Barnett, Tony

    2005-12-01

    There is a disharmonious resonance between the length of HIV infection in the individual human host and the length of a human generation. In brief, an infected person may have children, these may be orphaned and grow up to become infected, and afterwards they themselves may have children, who can be orphaned in turn. Hence, a basic unit of social structure in most human societies, the three-generation bond between grandparents, parents and the current generation - and on into the future - is repeatedly torn apart in the absence of treatment, a vaccine or behaviour change. This situation should be read against the threat of growing viral resistance. Certain implications of these processes for the future are outlined and discussed. The paper notes the uncertain future confronting societies that already have a relatively high number of orphans, and considers some otherwise unexpected possibilities, as well as the dangers of assuming that large-scale orphaning necessarily leads to social unrest and disorder.

  8. LAS ASOCIACIONES DE MIGRANTES HAITIANOS EN EL ECUADOR: ENTRE DEBILIDAD Y RESISTENCIA

    Directory of Open Access Journals (Sweden)

    Mauricio Burbano Alarcón

    Full Text Available Resumen Las iniciativas asociativas haitianas en Ecuador hay que verlas dentro del contexto generado por el terremoto del año 2010 en Haití. Se trata de una población que se ha visto forzada a migrar, pero que no se la considera dentro de los parámetros de protección de acuerdo a la Convención sobre el Estatuto de los Refugiados de 1951, por lo que permanecen en situación de desprotección por su irregularidad migratoria. En este contexto, hay dos asociaciones haitianas en Quito que han jugado un importante rol especialmente en el ámbito de la asesoría y comunicación, tornándose en espacios de participación cívica. Al ser iniciativas asociativas débiles, peligran su existencia al contar con pocas redes de apoyo institucional.

  9. Critical Places Beyond the Psychology of Well-Being and Competitiveness.

    Science.gov (United States)

    Chemi, Tatiana

    2018-05-14

    The purpose of the present contribution is to look beyond the limits evident in dualistic discourses in educational practices. Torn between the promises of well-being or the hard facts of competitiveness, educational institutions at all levels of instruction might miss the point of a more holistic approach to learning and creativity. Looking beyond dichotomous discourses in educational practices is harder than ever, in a world where globalisation demands high standards of competitiveness and neoliberalism denies all but economic growth targets. Approaches that envision different solutions are necessarily imaginative, critical and alternative to rigid discourses. In order to find foundational evidence for alternative ways of thinking and talking about learning, I will look at how Dewian and Vygotskyan conceptualisations walk the same paths and go towards holistic suggestions. Concluding remarks will address the disruptive potential of critical thinking in schools for the future.

  10. Benefits of an inclusive US education system.

    Science.gov (United States)

    Gantt, Elisabeth

    2013-01-01

    Presented is a historical perspective of one scientist's journey from war-torn Europe to the opportunities presented by a flexible US educational system. It celebrates the opening of the science establishment that began in the 1950s and its fostering of basic research, and recognizes individuals who were instrumental in guiding the author's education as well as those with whom she later participated in collaborative algal plant research. The initial discovery and later elucidation of phycobilisome structure are elaborated, including the structural connection with photosystem II. Furthermore, she summarizes some of her laboratory's results on carotenoids and its exploration of the isoprenoid pathway in cyanobacteria. Finally, she comments on the gender gap and how her generation benefited when opportunities for women scientists were enlarged.

  11. A produção das desigualdades: análise da relação entre trabalho infantil e indicadores sociais

    OpenAIRE

    Silveira, Natércia Janine Dantas da

    2014-01-01

    A Organização Internacional do Trabalho (OIT) estima que haja cerca de 118 milhões de crianças em todo o mundo submetidas ao trabalho infantil. No Brasil, há 3,5 milhões de trabalhadores entre 5 e 17 anos. Esse exercício de exploração constitui um grave problema da sociedade, inclusive de Saúde Pública, já que esses trabalhadores estão expostos a uma gama de riscos, quais sejam à saúde, à integridade física e até à vida, podendo torná-los adultos doentes e/ou interrompendo precocemente suas v...

  12. Splenic injury after colonoscopy

    DEFF Research Database (Denmark)

    Petersen, C.R.; Adamsen, S.; Gocht-Jensen, P.

    2008-01-01

    the colonoscopy, ranging from 4 hours to 7 days, before presenting with signs of splenic injury. In all cases the spleen was torn, and the amount of blood in the peritoneal cavity ranged from 1500 mL to 5000 mL. Two patients died postoperatively. The number of cases reported after 2000 indicates......Splenic injury is a rare and serious complication of colonoscopy. The most likely mechanism is tension on the splenocolic ligament and adhesions. Eight cases were identified among claims for compensation submitted to the Danish Patient Insurance Association during the period 1992-2006, seven...... that this potentially lethal complication might be more common than was previously assumed, and it is possibly under-reported. Preventive measures include good colonoscopic technique to avoid loop formation and the use of excessive force; and it is possible that emerging endoscopic technologies will lead to a reduced...

  13. District heating in Flensburg

    Energy Technology Data Exchange (ETDEWEB)

    Prinz, W.

    1981-01-01

    The majority of our population, but also of our authorities, are still skeptical or even disapproving towards district heating. The reasons of this negative attitude are partly psychological - e.g. the individualism of the Swiss and their dislike for too centralised structures and ''forced connections'' - but also the existence of finished gas supply networks and the fear of considerable pre-investments and torn streets over years. The following article - held as a speech on the information meeting ''District heating and the possible contribution of nuclear energy'' organised by the Swiss Association for Atomic Energy in Bern shows a practical problem solving at the example of the district heating in Flensburg and deals with these questions.

  14. Review: Modelling of meniscus of knee joint during soccer kicking

    Science.gov (United States)

    Azrul Hisham Mohd Adib, Mohd; Firdaus Jaafar, Mohd

    2013-12-01

    Knee is a part of the body that located between thigh and shank is one of the most complicated and largest joints in the human body. The common injuries that occur are ligaments, meniscus or bone fracture. During soccer games, the knee is the most critical part that will easily injure due to the shock from an external impact. Torn meniscus is one of the effects. This study will investigate the effect towards the meniscus within the knee joint during soccer ball kicking. We conduct a literary review of 14 journals that discuss the general view of meniscus and also soccer kicking. The selected topics for this review paper are meniscal function, meniscal movement, meniscal tears and also instep kick. As a finding, statistics show that most meniscal tears (73%) occurred in athletes who were soccer players, basketball players or skiers. The tear is frequently happening at the medial side rather than lateral side with a percentage of 70%.

  15. The Witness in Contempt: Reflections on Overfamiliarity, Pain and Desecration

    Directory of Open Access Journals (Sweden)

    Maria Tumarkin

    2013-08-01

    Full Text Available There are many opportunities for lying and cheating in engaging with, what Susan Sontag called, ‘the pain of others’. One of them is the gradual emergence of the feeling that you know what happened, what it was like to go through it. Yet overfamiliarity can, at times, injure more than contempt or blatant disregard. With so many recent tragedies, the experts who know how it feels and what it’s like, send tropical medications to war-torn continental countries, offer free art therapy classes in place of bread and water, write reports about the ‘atmosphere of fear and uncertainty’ that can neither produce the most negligible of changes nor console even the most naive of souls. It’s possible to counter contempt and indifference with knowledge, laughter and moral courage, but what is the defence against the thick web of assumptions?

  16. State density of valence-band tail and photoconductivity amorphous hydrogenated silicon

    International Nuclear Information System (INIS)

    Golikova, O.A.; Domashevskaya, Eh.P.; Mezdrogina, M.M.; Sorokina, K.L.; Terekhov, V.A.; Trostyanskij, S.N.

    1991-01-01

    Relation between photoconductivity and g(ε) mobility gap within the range adjoining to the top (mobility end) of valent zone (VZ tail) in a-Si:H film is studied. Stationary photoconductivity within spectral maximum range (χ=0.63μm) at Φ=10 17 photxcm -2 s -1 flow is measured. Density of g(ε) states are controlled using ultrasoft X-ray emission spectroscopy. It is shown, that correlation between photoconductivity and width of VZ tail may reflect the fact of their similar dependence o film heterogeneity: at the increase of share of microholes there occur both expansion of VZ tail and growth of number of respective hydrogen complexes and torn relations which results in drop of photoconductivity

  17. Meniscus tears of the knee: Postarthrogram high resolution CT

    International Nuclear Information System (INIS)

    Kim, Jae Hyoung; Do, Young Soo; You, Jin Jong; Gong, Jae Chul; Kim, Hyung Jin; Chung, Sung Hoon

    1990-01-01

    Thirty-eight knees with clinically suspected meniscal tears were examined with high resolution computed tomography(HRCT) immediately following double contrast arthrography. All subsequently underwent arthroscopy. The findings of postarthrogram HRCT and arthroscopy were compared to evaluated the usefulness of postarthrogram HRCT in diagnosis of the meniscal tears. The sensitivity, specificity and accuracy of HRCT were 96.2%. 83.3% and 92.1% respectively. The anatomic details of the meniscal tears were clearly visible on the HRCT scans. Sagittal and coronal reformation views well visualized the horizontal tears and the relationship of torn meniscal fragments, and well differential the peripheral tears from the synovial recess. Our result indicate that postarthrogram HRCT not only is a sensitive and effective method for the detection and characterization of the meniscal tears, but also provides arthroscopists with the appropriate surgical plans

  18. Tularemia Outbreak Investigation in Kosovo: Case Control and Environmental Studies

    Science.gov (United States)

    Dedushaj, Isuf; Gjini, Ardiana; Jorgensen, Tine Rikke; Cotter, Benvon; Lieftucht, Alfons; D’Ancona, Fortunato; Dennis, David T.; Kosoy, Michael A.; Mulliqi-Osmani, Gjyle; Grunow, Roland; Kalaveshi, Ariana; Gashi, Luljeta; Humolli, Isme

    2002-01-01

    A large outbreak of tularemia occurred in Kosovo in the early postwar period, 1999-2000. Epidemiologic and environmental investigations were conducted to identify sources of infection, modes of transmission, and household risk factors. Case and control status was verified by enzyme-linked immunosorbent assay, Western blot, and microagglutination assay. A total of 327 serologically confirmed cases of tularemia pharyngitis and cervical lymphadenitis were identified in 21 of 29 Kosovo municipalities. Matched analysis of 46 case households and 76 control households suggested that infection was transmitted through contaminated food or water and that the source of infection was rodents. Environmental circumstances in war-torn Kosovo led to epizootic rodent tularemia and its spread to resettled rural populations living under circumstances of substandard housing, hygiene, and sanitation. PMID:11749751

  19. [A case of hemorrhagic cholecystitis associated with Churg-Strauss syndrome].

    Science.gov (United States)

    Koizumi, Satomi; Kamisawa, Terumi; Kuruma, Sawako; Chiba, Kazuro; Tabata, Taku; Koizumi, Koichi; Kurata, Masanao; Horiguchi, Shinichiro; Hishima, Tsunekazu

    2016-01-01

    A woman in her 70s with Churg-Strauss syndrome presented with epigastric pain. She was being treated with steroids at the time of admission. Computed tomography showed swelling of the gallbladder, and percutaneous transhepatic cholangiography revealed bloody secretion. On duodenoscopy, bleeding was observed from the orifice of the major duodenal papilla. Emergency cholecystectomy was performed under a diagnosis of hemorrhagic cholecystitis;intraoperatively, extensive hematoma was detected in the thickened wall of the gallbladder. Subsequent histopathological examination revealed mucosal ulceration with infiltration of inflammatory cells, torn small vessels, and extensive transmural bleeding and abscess formation in the thickened wall of the gallbladder. We considered that the hemorrhagic cholecystitis was induced by either vasculitis or corticosteroid therapy. To the best of our knowledge, this is the first report of hemorrhagic cholecystitis associated with Churg-Strauss syndrome.

  20. Radial head button holing: a cause of irreducible anterior radial head dislocation

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Su-Mi; Chai, Jee Won; You, Ja Yeon; Park, Jina [Seoul National University Seoul Metropolitan Government Boramae Medical Center, Department of Radiology, Seoul (Korea, Republic of); Bae, Kee Jeong [Seoul National University Seoul Metropolitan Government Boramae Medical Center, Department of Orthopedic Surgery, Seoul (Korea, Republic of)

    2016-10-15

    ''Buttonholing'' of the radial head through the anterior joint capsule is a known cause of irreducible anterior radial head dislocation associated with Monteggia injuries in pediatric patients. To the best of our knowledge, no report has described an injury consisting of buttonholing of the radial head through the annular ligament and a simultaneous radial head fracture in an adolescent. In the present case, the radiographic findings were a radial head fracture with anterior dislocation and lack of the anterior fat pad sign. Magnetic resonance imaging (MRI) clearly demonstrated anterior dislocation of the fractured radial head through the torn annular ligament. The anterior joint capsule and proximal portion of the annular ligament were interposed between the radial head and capitellum, preventing closed reduction of the radial head. Familiarity with this condition and imaging findings will aid clinicians to make a proper diagnosis and fast decision to perform an open reduction. (orig.)

  1. O uso de instrumentos de análise ergonômica no processo de trabalho agrícola: o caso da colheita mecanizada da cana-de-açúcar

    OpenAIRE

    Ana Lucy Rodrigues Ferreira

    2014-01-01

    A mudança na dinâmica de trabalho no processo de colheita da cana-de-açúcar, através da crescente inserção de colhedoras mecânicas, tem submetido os trabalhadores a novas condições de trabalho, que inclui a interação com máquinas e equipamentos, ocasionando doenças ocupacionais. Para melhoria das condições de realização do trabalho de forma que esse se torne menos destrutivo das capacidades humanas, é necessária a utilização de instrumentos que permitam a identificação de riscos provenientes ...

  2. Diálogo em Preto e Branco: A Experiência Moderna na Fotografia Brasileira

    OpenAIRE

    Marcelo Eduardo Leite; Carla Adelina Craveiro Silva

    2012-01-01

    No início do século XX, o campo das artes vive uma saudável reconfiguração e, nas artes brasileiras, a Semana de Arte Moderna, em 1922, evidencia a necessidade de absorção de novos valores estéticos, porém estas reformulações deveriam torná-las autenticamente nacionais. A fotografia não fez parte da semana, e, sua ausência é um indicativo de certo distanciamento que ela teve durante sua evolução dentro do campo das artes. Mais tarde, porém, com o advento dos fotoclubes, ela pode se inserir em...

  3. O PAPEL DA ÁFRICA NA NOVA ROTA DA SEDA MARÍTIMA

    Directory of Open Access Journals (Sweden)

    Diego Pautasso

    2017-01-01

    Full Text Available O objetivo do presente artigo é analisar o lugar da África na construção da Nova Rota da Seda Marítima. Este é justamente um dos vetores do ambicioso projeto chinês de integração da Ásia, Europa e África, lançada em 2013 sob título de Iniciativa OBOR (One Belt, One Road. Na medida que os desafios da reconstrução nacional são superados, a China torna-se mais assertiva e dá forma à sua estratégia de inserção mundial. Nesse sentido, a Nova Rota da Seda agrega os objetivos centrais da diplomacia da China para o século XXI, reservando à África a condição de trampolim para que o projeto se torne global.

  4. Dynamic Mechanical Properties and Fracture Surface Morphologies of Core-Shell Rubber (CSR) Toughened Epoxy at Liquid Nitrogen (Ln2) Temperatures

    Science.gov (United States)

    Wang, J.; Magee, D.; Schneider, J. A.

    2009-01-01

    The dynamic mechanical properties and fracture surface morphologies were evaluated for a commercial epoxy resin toughened with two types of core-shell rubber (CSR) toughening agents (Kane Ace(Registered TradeMark) MX130 and MX960). The impact resistance (R) was evaluated by the resulting breaking energy measured in Charpy impact tests conducted on an instrumented drop tower. The resulting fracture surface morphologies were examined using Scanning Electron Microscopy (SEM). Fractographic observations of the CSR toughened epoxy tested at ambient temperature, showed a fracture as characterized by slender dendrite textures with large voids. The increasing number of dendrites and decreasing size of scale-like texture with more CSR particles corresponded with increased R. As the temperature decreased to Liquid Nitrogen (LN 2), the fracture surfaces showed a fracture characterized by a rough, torn texture containing many river markings and deep furrows.

  5. The struggle of giving up personal goals: affective, physiological, and cognitive consequences of an action crisis.

    Science.gov (United States)

    Brandstätter, Veronika; Herrmann, Marcel; Schüler, Julia

    2013-12-01

    A critical phase in goal striving occurs when setbacks accumulate and goal disengagement becomes an issue. This critical phase is conceptualized as an action crisis and assumed to be characterized by an intrapsychic conflict in which the individual becomes torn between further goal pursuit and goal disengagement. Our theorizing converges with Klinger's conceptualization of goal disengagement as a process, rather than a discrete event. Two longitudinal field studies tested and found support for the hypothesis that an action crisis not only compromises an individual's psychological and physiological well-being, but also dampens the cognitive evaluation of the respective goal. In Study 3, marathon runners experiencing an action crisis in their goal of running marathons showed a stronger cortisol secretion and a lower performance in the race 2 weeks later. Results are interpreted in terms of action-phase-specific mindsets with a focus on self-regulatory processes in goal disengagement.

  6. Gloves against mineral oils and mechanical hazards: composites of carboxylated acrylonitrile-butadiene rubber latex.

    Science.gov (United States)

    Krzemińska, Sylwia; Rzymski, Władysław M; Malesa, Monika; Borkowska, Urszula; Oleksy, Mariusz

    2016-09-01

    Resistance to permeation of noxious chemical substances should be accompanied by resistance to mechanical factors because the glove material may be torn, cut or punctured in the workplace. This study reports on glove materials, protecting against mineral oils and mechanical hazards, made of carboxylated acrylonitrile-butadiene rubber (XNBR) latex. The obtained materials were characterized by a very high resistance of the produced materials to oil permeation (breakthrough time > 480 min). The mechanical properties, and especially tear resistance, of the studied materials were improved after the addition of modified bentonite (nanofiller) to the XNBR latex mixture. The nanocomposite meets the requirements in terms of parameters characterizing tear, abrasion, cut and puncture resistance. Therefore, the developed material may be used for the production of multifunctional protective gloves.

  7. Gloves against mineral oils and mechanical hazards: composites of carboxylated acrylonitrile–butadiene rubber latex

    Science.gov (United States)

    Krzemińska, Sylwia; Rzymski, Władysław M.; Malesa, Monika; Borkowska, Urszula; Oleksy, Mariusz

    2016-01-01

    Resistance to permeation of noxious chemical substances should be accompanied by resistance to mechanical factors because the glove material may be torn, cut or punctured in the workplace. This study reports on glove materials, protecting against mineral oils and mechanical hazards, made of carboxylated acrylonitrile–butadiene rubber (XNBR) latex. The obtained materials were characterized by a very high resistance of the produced materials to oil permeation (breakthrough time > 480 min). The mechanical properties, and especially tear resistance, of the studied materials were improved after the addition of modified bentonite (nanofiller) to the XNBR latex mixture. The nanocomposite meets the requirements in terms of parameters characterizing tear, abrasion, cut and puncture resistance. Therefore, the developed material may be used for the production of multifunctional protective gloves. PMID:26757889

  8. Dragonfly: an implementation of the expand-maximize-compress algorithm for single-particle imaging.

    Science.gov (United States)

    Ayyer, Kartik; Lan, Ti-Yen; Elser, Veit; Loh, N Duane

    2016-08-01

    Single-particle imaging (SPI) with X-ray free-electron lasers has the potential to change fundamentally how biomacromolecules are imaged. The structure would be derived from millions of diffraction patterns, each from a different copy of the macromolecule before it is torn apart by radiation damage. The challenges posed by the resultant data stream are staggering: millions of incomplete, noisy and un-oriented patterns have to be computationally assembled into a three-dimensional intensity map and then phase reconstructed. In this paper, the Dragonfly software package is described, based on a parallel implementation of the expand-maximize-compress reconstruction algorithm that is well suited for this task. Auxiliary modules to simulate SPI data streams are also included to assess the feasibility of proposed SPI experiments at the Linac Coherent Light Source, Stanford, California, USA.

  9. Online supervision at the university - A comparative study of supervision on student assignments face-to-face and online

    Directory of Open Access Journals (Sweden)

    Søren Smedegaard Bengtsen

    2015-09-01

    Full Text Available Through an empirical study of supervision on student assignments at the university across face-to-face and online settings, we show firstly the limiting implications of traditional dichotomies between face-to-face and online supervision. Secondly we show that more attention must be given to the way different digital tools influence the supervisory dialogue. These findings illustrate a form of ‘torn pedagogy’; that online tools and platforms destabilize and tear traditional understandings of supervision pedagogy apart. Also we forge a new concept of “format supervision” that enables supervisors to understand and reflect their supervision practice as a deliberate choice between face-to-face and online formats.

  10. Online supervision at the university - A comparative study of supervision on student assignments face-to-face and online

    Directory of Open Access Journals (Sweden)

    Søren Smedegaard Bengtsen

    2015-02-01

    Full Text Available Through an empirical study of supervision on student assignments at the university across face-to-face and online settings, we show firstly the limiting implications of traditional dichotomies between face-to-face and online supervision. Secondly we show that more attention must be given to the way different digital tools influence the supervisory dialogue. These findings illustrate a form of ‘torn pedagogy’; that online tools and platforms destabilize and tear traditional understandings of supervision pedagogy apart. Also we forge a new concept of “format supervision” that enables supervisors to understand and reflect their supervision practice as a deliberate choice between face-to-face and online formats.

  11. Uncommon Dorsal Radiocarpal Fracture Dislocation Complicated With Median Nerve Palsy: Case Report, Review of the Literature, and a New Classification System Guiding the Management

    Directory of Open Access Journals (Sweden)

    Hing-Cheong Wong

    2012-06-01

    Full Text Available We report the case of a 36-year-old lorry driver who sustained left dorsal radiocarpal fracture dislocation and left median nerve injury in a traffic accident in 2010. Emergency operation of closed reduction, cross-wrist-bridging external fixation, percutaneous transradial styloid Kirschner wire fixation, decompression of left median nerve, and repair of the partially torn palmar radiocarpal ligament were performed under general anaesthesia. Because of the persistent depressed dorsal articular rim fracture of left distal radius, another operation of open reduction, corticocancellous bone grafting, and dorsal buttress plating was performed 5 days after the initial operation. Six months after the operation, the patient enjoyed good range of wrist motion but weak twisting power, especially in supination. There was no radiological feature of radiocarpal subluxation.

  12. Prioritizing Healthcare Delivery in a Conflict Zone Comment on "TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo".

    Science.gov (United States)

    Wood, Robin; Richardson, Eugene T

    2013-09-01

    Nowhere are the barriers to a functional health infrastructure more clearly on display than in the Goma region of Democratic Republic of Congo. Kaboru et al. report poorly integrated services for HIV and TB in this war-torn region. Priorities in conflict zones include provision of security, shelter, food, clean water and prevention of sexual violence. In Goma, immediate health priorities include emergency treatment of cholera, malaria, respiratory illnesses, provision of maternal care, millions of measles vaccinations, and management of an ongoing rabies epidemic. It is a daunting task to determine an essential package of medical services in a setting where there are so many competing priorities, where opportunity costs are limited and epidemiologic information is scarce. Non-governmental agencies sometimes add to the challenge via an insidious reduction of state sovereignty and the creation of new levels of income inequality. Kaboru et al. have successfully highlighted many of the complexities of rebuilding and prioritizing healthcare in a conflict zone.

  13. Surgical repair of rectovaginal fistula using gracilis muscular flap. A case report

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, Yasuhiro; Ooi, Masataka; Takeuchi, Kenji; Honzumi, Makoto [Nabari City Hospital, Mie (Japan); Fukunishi, Shigeji

    1999-07-01

    A 78 year-old female suffered from vaginal discharge of flatus and stool for 20 years after the radiation therapy for cervical cancer. Digital and endoscopic examination of the rectum and the vagina disclosed a large, short rectovaginal fistula at the level of the cervix. Since laparotomy and low anterior resection of the rectum were impossible, a perineal approach was adopted. After perineal skin incision, the fistula was resected and the defects of the rectum and the vagina were closed. Gracilis muscular flap was anchored between the two closures. Though the closure of the rectal side was torn, her postoperative course was uneventful. Endoscopic examination 24 days after the operation confirmed healing of the dehiscence. The results verified the usefulness of the perineal approach using the gracilis muscular flap as an alternative method to low anterior resection for troublesome radiation induced rectovaginal fistula. (author)

  14. Management of chronic unstable acromioclavicular joint injuries.

    Science.gov (United States)

    Cisneros, Luis Natera; Reiriz, Juan Sarasquete

    2017-12-01

    The acromioclavicular joint represents the link between the clavicle and the scapula, which is responsible for the synchronized dynamic of the shoulder girdle. Chronic acromioclavicular joint instability involves changes in the orientation of the scapula, which provokes cinematic alterations that might result in chronic pain. Several surgical strategies for the management of patients with chronic and symptomatic acromioclavicular joint instability have been described. The range of possibilities includes anatomical and non-anatomical techniques, open and arthroscopy-assisted procedures, and biological and synthetic grafts. Surgical management of chronic acromioclavicular joint instability should involve the reconstruction of the torn ligaments because it is accepted that from three weeks after the injury, these structures may lack healing potential. Here, we provide a review of the literature regarding the management of chronic acromioclavicular joint instability. Expert opinion, Level V.

  15. Weldon Spring Site Remedial Action Project approach to building dismantlement and demolition

    International Nuclear Information System (INIS)

    Spittler, F.J.

    1996-01-01

    When remediation began at the Weldon Spring Site Remedial Action Project (WSSRAP), there were 41 buildings on site. Twenty-nine of these buildings were ancillary structures and were not used for processing radioactive material. Most of these have been torn down. The remaining 12 buildings were used for uranium and thorium processing or were major support structures, such as the laboratory. Two of the buildings were major processing operations occurred were successfully demolished in February of this year. Demolition of all structures will be complete in September of this year. To give an understanding of the magnitude of the work, the following is a description of the physical characteristics of the green salt building. This building was used to convert brown oxide (UO3) to green salt (UF4), which is the last intermediate step in purifying the mostly yellow cake feed material into uranium metal

  16. A more rugged ZnS(Ag) alpha scintillation detector

    International Nuclear Information System (INIS)

    McElhaney, S.A.; Ramsey, J.A.; Bauer, M.L.; Chiles, M.M.

    1990-01-01

    Conventional alpha scintillation detectors comprise a phosphor-coated light-pipe covered by a thin aluminized Mylar layer. This opaque radiation entrance window serves as a shield against ambient light entering the detector with minimum alpha attenuation. Unfortunately, Mylar is extremely fragile and easily punctured or torn by sticks, stones, and screws encountered during regular radiation surveys. The authors have been developing an alpha scintillation detector more rugged and durable than conventional models. This paper presents the scintillator assembly, which consists of a mixture of silver-activated zinc sulfide [ZnS(Ag)] and clear epoxy. The ZnS(Ag) scintillation powder is mixed with a low-viscosity, optically transparent epoxy and poured into a glass-smooth mold of desired shape and size

  17. B-52E CCV Flight Test Data Applicable to Parameter Estimation

    Science.gov (United States)

    1975-12-01

    N N 4i N’ 1 4% mf tf mo kh. 1(0 II .40 ( fli N m M N cc 4 In fnN 𔃺 00m1 N M~ m o IONm4 000 00 ?Of? 0N. TOO? 0 0 0. ?TT 0-T ?IT 0-4.404, NN r- toco ...rNLIPAC O.𔃾 *.4- rn 000 000 oa P r 099 mN& O - NV ONf Oli O-e iar o rn Wi 0󈧈 . tO toCO O 0f-rnt CO gt..- t t-Orn CO- rn0~ rnrrn rn-t 0 04’ t- 10

  18. Questioning the role of Facebook in maintaining Syrian social capital during the Syrian crisis.

    Science.gov (United States)

    Ramadan, Reem

    2017-12-01

    The Syrian crisis is considered the 'world's single largest crisis for almost a quarter of a century that has the biggest refugee population from a single conflict in a generation' (UN High Commissioner for Refugees, 2016). The rapid adoption of Facebook among Syrians questions whether it helps in maintaining the social capital of a war-torn nation and a dispersed Syrian population worldwide. Data was collected by means of a Facebook survey from 964 Syrian users. Results indicated that Facebook enhanced social identity and social capital through facilitating communication, collaboration and resource sharing among dispersed Syrians inside and outside the country. However, the offline rift of the nation was extended to Facebook through promoting hate speech among opposed parties. Results of this study may advance the understanding of the role of Facebook on social capital in countries going through similar crisis situations.

  19. The New and the Future Look of the Economy

    Directory of Open Access Journals (Sweden)

    Liliana CRĂCIUN

    2012-01-01

    Full Text Available The global financial situation and our future economy remain vital concerns for us all. As a result, the government and the business community have to stimulate the economy and give it new dimensions. Virtually everyone agrees on the importance of the economy, but no consensus has or is expected to be reached soon as to the definition of the economy. Economy as a “discipline”' is a concept torn apart by current economic crisis, where fierce competition, greed and consumerism will neither solve the crisis in progress nor will they rehabilitate the economy. It is true that the current economic crisis and the times of slower economic growth that will inevitably follow are old system-related symptoms of the excesses and the recklessness accumulated in time at global level, for which reason we see ourselves forced now to reconsider the options that are lay ahead and outline a clear future perspective.

  20. O PERFIL DO PROFISSIONAL DE HOTELARIA: UM ESTUDO A PARTIR DAS DIRETRIZES CURRICULARES NACIONAIS DO ENSINO SUPERIOR EM HOTELARIA

    OpenAIRE

    Mieldazis, Alessandra Aparecida de Souza

    2010-01-01

    Com oferta crescente e concorrência acirrada, o setor hoteleiro vive em constante preocupação com o desenvolvimento de estratégias que o torne mais competitivo. Desponta nessa área uma profissão em total ascensão. Trata se da profissão de hotelaria. Faz-se necessário superar o enfoque tradicional enraizado na educação profissional com olhar exclusivo ao treinamento e capacitação técnica de ostos de trabalho. Aprender a fazer não é mais suficiente. A ação profissional deverá embasar-se em sóli...

  1. COMPETITIVIDADE EM ARRANJOS PRODUTIVOS LOCAIS: UM ANÁLISE DO ARRANJO PRODUTIVO LOCAL DE SOFTWARE DA CIDADE DE JOÃO PESSOA – PB

    OpenAIRE

    Santos, Jailma Araújo; Amorim, Bartira Pereira; Cândido, Gesinaldo Ataíde; Costa, Ivani

    2009-01-01

    Diante da complexidade inerente aos sistemas econômico, político e social vigentes, tais como: crescimento dos níveis de consumo, incremento da população mundial, integração global e avanços tecnológicos nos mais diversos setores, um dos desafios das organizações está em sua capacidade de encontrar caminhos para o desenvolvimento, por meio da formulação de estratégias que ofereçam as devidas condições para torná-las mais competitividas e mais especificamente, através das suas participações em...

  2. LE PÈRE INVISIBLE ET SILENCIEUX CHEZ GISÈLE FOURNIER (The Invisible and Silent Father by Gisèle Fournier

    Directory of Open Access Journals (Sweden)

    Julie Crohas Commans

    2015-06-01

    Full Text Available The game of visible and invisible led by the paternal character in the novel Non-dits (2000 of Gisèle Fournier betrays the threat which presses on the story of a family torn by the secrets of the past. The father keeps out of the oppressive closed world he is sentenced to, using silence. Far from losing him, this attitude allows him to be marked out. And actually in the slow succession of the novel’s monologues, his image and his presence persist even after his suicide. The look of both character and reader is thus headed towards this paternal figure. Once narrativized, this vision allows us to question the contemporary illness which affects the transmission.

  3. Trauma and Second Language Learning Among Laotian Refugees

    Directory of Open Access Journals (Sweden)

    Daryl Gordon

    2011-01-01

    Full Text Available Unprecedented numbers of adult refugee learners are entering ESL classes, many of whom escaped war-torn countries and endured long stays in refugee camps. Research in public health and psychology has documented high levels of depression, anxiety, and posttraumatic stress disorder in refugee populations. Drawing on ethnographic research with Laotian refugee women who experienced pre-settlement trauma during the Vietnam War and interviews with bilingual mental health professionals, this article examines current second language acquisition theories to consider how they elucidate the effect of trauma on second language learning. The article offers cross-cultural perspectives about the impact of trauma on learning and recommendations for working with adult refugee learners who have experienced trauma. Findings have implications for ESL instructors and second language researchers concerned with the impact of pre- settlement experiences on second language acquisition and implications for classroom instruction.

  4. DESIGUALDADES EN EL DESARROLLO GEOPOLÍTICO DE GÉNERO EN ESPAÑA 1980-2005. UN DETERMINANTE ESTRUCTURAL DE LA SALUD

    Directory of Open Access Journals (Sweden)

    Mercedes Carrasco-Portiño

    2010-01-01

    los valores de los hombres superan a los de las mujeres en los primeros años, tornándose más altos para estas a partir de 1985, e Índice ingresos: el valorglobal de las mujeres en España en 2005 (0,814 es inferior al de los hombres 25 años antes (1980:0,867. Conclusiones: Las diferencias entre hombres y mujeres en los valores de los componentes del Índice de Desarrollo de Género se redujeron entre 1980-2005. Pese a la mejoría del desarrollo de género en España persisten las desigualdades interregionales norte-sur.

  5. The Places of Memory in a Square of Monuments: Conceptions of Past, Freedom and History at Szabadság Tér

    Directory of Open Access Journals (Sweden)

    Erik Thorstensen

    2012-01-01

    Full Text Available In this paper I try to approach contemporary Hungarian political culture through an analysis of the history of changing monuments at Szabadság Tér in Budapest. The paper has as its point of origin a protest/irredentist monument facing the present Soviet liberation monument. In order to understand this irredentist monument, I look into the meaning of the earlier irredentist monuments under Horthy and try to see what monuments were torn down under Communism and which ones remained. I further argue that changes in the other monuments also affect the meaning of the others. From this background I enter into a brief interpretation of changes in memory culture in relation to changes in political culture. The conclusions point toward the fact that Hungary is actively pursuing a cleansing of its past in public spaces, and that this process is reflected in an increased acceptance of political authoritarianism.

  6. Peacebuilding: assumptions, practices and critiques

    Directory of Open Access Journals (Sweden)

    Cravo, Teresa Almeida

    2017-05-01

    Full Text Available Peacebuilding has become a guiding principle of international intervention in the periphery since its inclusion in the Agenda for Peace of the United Nations in 1992. The aim of creating the conditions for a self-sustaining peace in order to prevent a return to armed conflict is, however, far from easy or consensual. The conception of liberal peace proved particularly limited, and inevitably controversial, and the reality of war-torn societies far more complex than anticipated by international actors that today assume activities in the promotion of peace in post-conflict contexts. With a trajectory full of contested successes and some glaring failures, the current model has been the target of harsh criticism and widespread scepticism. This article critically examines the theoretical background and practicalities of peacebuilding, exploring its ambition as well as the weaknesses of the paradigm adopted by the international community since the 1990s.

  7. Kidnapping and Mental Health in Iraqi Refugees: The Role of Resilience.

    Science.gov (United States)

    Wright, A Michelle; Talia, Yousif R; Aldhalimi, Abir; Broadbridge, Carissa L; Jamil, Hikmet; Lumley, Mark A; Pole, Nnamdi; Arnetz, Bengt B; Arnetz, Judith E

    2017-02-01

    Although kidnapping is common in war-torn countries, there is little research examining its psychological effects. Iraqi refugees (N = 298) were assessed upon arrival to the U.S. and 1 year later. At arrival, refugees were asked about prior trauma exposure, including kidnapping. One year later refugees were assessed for posttraumatic stress disorder (PTSD) and major depression disorder (MDD) using the SCID-I. Individual resilience and narratives of the kidnapping were also assessed. Twenty-six refugees (9 %) reported being kidnapped. Compared to those not kidnapped, those who were had a higher prevalence of PTSD, but not MDD, diagnoses. Analyses examining kidnapping victims revealed that higher resilience was associated with lower rates of PTSD. Narratives of the kidnapping were also discussed. This study suggests kidnapping is associated with PTSD, but not MDD. Additionally, kidnapping victims without PTSD reported higher individual resilience. Future studies should further elucidate risk and resilience mechanisms.

  8. Magical Realism in the Holocaust Literature of the Postwar Generations

    DEFF Research Database (Denmark)

    Ortner, Jessica

    2014-01-01

    This article investigates the use of magical realism in two Holocaust novels written by the contemporary Austrian writers Doron Rabinovici and Robert Schindel, who both are descendants of Holocaust survivors. I will argue that Rabinovici and Schindel not only use the narrative technique of magic...... Schindel’s novel Born-Where (Gebürtig, 1994) visualize the situation of being torn between two contradictory perceptions of the world: on the one hand, the “normal” perception of the world, based on the present norms of society, and on the other hand, a perception of the traumatic world bestowed by family...... history, which clearly subverts those present norms. Whereas the magical element in The Search for M. is inherent in the contradictions of the story line, it is shown in a bewildering narrative structure in Born-Where (Genette, 1980)....

  9. Statement of nuclear incidents at nuclear installations

    International Nuclear Information System (INIS)

    1993-10-01

    Three incidents were reported in April-June 1993. The first was on the British Nuclear Fuel plc (BNFL) site at Sellafield and concerned leakage of 0.5 TBq of alpha activity from plutonium contaminated waste stored in a steel drum. This was subsequently double contained and moved so it could be inspected regularly. No contamination of personnel occurred. The second concerned the leakage of thorium liquor from a pipe at the UKAEA's Thorium reprocessing plant at Dounreay. Two temporary repairs were made and no personnel were contaminated. The third was at the Sellafield site where a small quantity (5 mls) of plutonium containing liquor had leaked from a package and released alpha activity. The bags were temporary containment of engineering debris which may have had sharp edges. The bags had been piled up and one of the bags had torn. Recommendations were made following inquiries into each of the incidents to improve procedures and prevent similar incidents occurring. (UK)

  10. Surgical repair of rectovaginal fistula using gracilis muscular flap. A case report

    International Nuclear Information System (INIS)

    Inoue, Yasuhiro; Ooi, Masataka; Takeuchi, Kenji; Honzumi, Makoto; Fukunishi, Shigeji

    1999-01-01

    A 78 year-old female suffered from vaginal discharge of flatus and stool for 20 years after the radiation therapy for cervical cancer. Digital and endoscopic examination of the rectum and the vagina disclosed a large, short rectovaginal fistula at the level of the cervix. Since laparotomy and low anterior resection of the rectum were impossible, a perineal approach was adopted. After perineal skin incision, the fistula was resected and the defects of the rectum and the vagina were closed. Gracilis muscular flap was anchored between the two closures. Though the closure of the rectal side was torn, her postoperative course was uneventful. Endoscopic examination 24 days after the operation confirmed healing of the dehiscence. The results verified the usefulness of the perineal approach using the gracilis muscular flap as an alternative method to low anterior resection for troublesome radiation induced rectovaginal fistula. (author)

  11. The Problem of Humanism in M. Gorky’s Essay “A. A. Blok”

    Directory of Open Access Journals (Sweden)

    Natalia N. Primochkina

    2016-09-01

    Full Text Available The article examines one of the most important problems of Gorky’s work — a problem of humanism. It relates the history of creation of Gorky’s essay “A.A.Blok” (1923 to the author’s reflections about deformation of the old and the birth of the new humanism in post-revolutionary era. Gorky was one of the few Blok’s contemporaries who understood the poet’s concern about the collapse of the old humanism in the world torn by wars and revolutions. It was Gorky who listen- ing to Blok’s presentation “Heine in Russia” was so affected by it that proposed to devote a special seminar related to this theme in the department of the publishing house “World Literature.” This seminar prompted Blok to write his famous article, “The Collapse of Humanism” (1919.

  12. Estudar, trabalhar e ficar rico: a teoria do capital humano e a fábula da ascensão social

    Directory of Open Access Journals (Sweden)

    Alípio de Souza Filho

    1989-06-01

    Full Text Available "Quanto mais a ciência é incorporada no, processo de trabalho, tanto menos o trabalhador compreende o processo; quanto mais um complicado produto intelectual se torne a máquina, tanto menos controle e compreensão da máquina tem o trabalhador. Em outras palavras, quanto mais o trabalhador precisa de saber a fim de continuar sendo um ser humano no trabalho, menos ele ou ela conhece. Este é o abismo que a noção de "qualificação média" oculta. (... O trabalhador pode continuar uma criatura sem conhecimento, mas tão logo ele ou ela seja apropriada às necessidades do capital o trabalhador já não mais pode ser considerado ou chamado não-qualificado".

  13. The Dominicans, The Third Order and a social order. Santafé de Bogotá. XVI-XIX centuries

    Directory of Open Access Journals (Sweden)

    William Elvis Plata

    2015-01-01

    Full Text Available Since their arrival in New Granada, the dominicans promoted the so called “Third Order”, which brought a number of lay organizations such as fraternities, sororities and devouts groups. This article analyzes such organizations as key nodes of colonial society, through a symbiotic relationship with the colonial elite, which continued until the dawn of republican era. This link were favored by institutions such as chaplaincies and pious deeds. It allowed, among other things, the provision of many of the new members of the order and endowed convents of movable and immovable property and capital necessary for its functioning, in exchange for ensuring social order and provide prestige for this life and salvation for the other. This successful model was torn apart with the advent of the Enlightenment and will fall precipitously shortly after Independence.

  14. KIPS GDS teardown

    International Nuclear Information System (INIS)

    1979-01-01

    Phase I of the Kilowatt Isotope Power System Program required a 1000 endurance test on the Ground Demonstration System (GDS). This report covers the teardown and inspection of the GDS after completion of over 1000 accumulated hr. After 1124.1 hours of operation, the GDS was torn down and inspected. The longest continuous run was 573.9 hr. With one exception, all shutdowns were intentional. The unintentional shutdown was not related to system operation, terminating a 447.8 hr run. The unit was restarted and the 573.9 hr run was completed. The minimum time component in the GDS, the NaK filled thermal sensor, accumulated 1043.1 operating hr. In general, the hardware was in excellent condition. Cases where discrepancies were noted are listed

  15. Condicionantes da qualidade do ensino fundamental das escolas públicas dos municípios da Região metropolitana do Recife - RMR

    OpenAIRE

    Barbosa, Antônio Maria Pereira

    2012-01-01

    A importância da educação é inquestionável para o desenvolvimento de um país e de seus cidadãos; tendo-a como geradora de oportunidades mínimas, a própria inserção do indivíduo na sociedade depende do seu nível educacional. Quanto aos países, compete a tarefa de introduzir o maior número possível de sua população, dentro de um sistema de ensino público com qualidade suficiente a fim de torná-la impulsionadora do crescimento econômico. Atualmente o Brasil tem desenvolvido inovaç...

  16. An 11-Year-Old Girl Presenting with Chronic Knee Pain: A Case Report with Diagnostic Dilemma

    Directory of Open Access Journals (Sweden)

    Muhammad Kamal Maj

    2010-01-01

    Full Text Available Discoid meniscus is the commonest anatomical aberration of the knee joint, among rare cases such as bilateral separated lateral meniscus, accessory lateral meniscus, partial deficiency of the lateral meniscus and double-layered lateral meniscus. An 11-year- old girl presented with history of chronic pain in her right knee for the last 6 months. The problem disturbed her involvement in the sport activities at school. Clinical examination revealed a clicking sensation on knee extension with lateral joint line tenderness. Magnetic resonance imaging (MRI of her right knee showed torn posterior horn of lateral meniscus. Arthroscopy examination revealed a discoid meniscus with absence posterior horn. Posterior horn deficient discoid meniscus is a rare form of a congenital meniscus anomaly. We as clinicians believe that the abnormal shaped meniscus may pose a diagnostic challenge clinically and radiologically. Presentation of this case may be beneficial for orthopaedicians in their daily clinical practice.

  17. Caracterização das propriedades funcionais e probióticas de bactérias láticas isoladas de cães para uso em vacinas orais contra leptospirose como adjuvante imune ou carreador antigênico

    OpenAIRE

    Lenice Roteia Cardoso Jung

    2013-01-01

    A leptospirose canina tem aumentado significativamente nos últimos anos. No Brasil alguns estudos têm demonstrado o caráter endêmico dessa zoonose em cães e que estes animais podem exibir o status de portadores renais crônicos da Leptospira. A exposição e o convívio do homem com os cães poderão torná-lo vulnerável à infecção por Leptospira. Na intenção de desenvolver uma vacia oral contra a leptospirose canina busca-se avaliar a possibilidade de usar lactobacilos autóctones como veículos ou a...

  18. Use of crop water stress index for monitoring water stress in some sinanthropic plant species

    Directory of Open Access Journals (Sweden)

    Marinela Roxana ROŞESCU

    2010-11-01

    Full Text Available The water stress indicator (crop water stress index, CWSI is a measure of the transpiration rate of a plant, influenced by the leaf and air temperature difference from the plant’s vicinity and the air pressure deficit of the water vapors from the atmosphere. The experiments were realized in July-August 2008 and 2009 for six species in the cities Pitesti, Mioveni and Maracineni: Cichorium intybus L., Conyza canadensis (L. Cronq., Erigeron annuus L. (Pers., Lactuca serriola Torn., Polygonum aviculare L. and Echinochloa crus-galli (L. Beauv. For those species we calculated the CWSI to estimate the water stress on the selected plants in the urban environment conditions. The analyzed species were exposed to a less accentuated water stress while vegetating in the soil and to a more intense one they were grown in the asphalt cracks. Cichorium intybus had the smallest CWSI value (0.26 while Lactuca serriola the highest one (0.44.

  19. MRI findings in bucket-handle tears of the triangular fibrocartilage complex

    Energy Technology Data Exchange (ETDEWEB)

    Jose, Jean [University of Miami Miller School of Medicine, Department of Radiology, Jackson Memorial Hospital, Miami, FL (United States); University of Miami Miller School of Medicine, Department of Orthopedic Surgery, Uhealth Sports Medicine Institute, Miami, FL (United States); Arizpe, Azael; Chen, David [University of Miami Miller School of Medicine, Department of Orthopedic Surgery, Jackson Memorial Hospital, Miami, FL (United States); Barrera, Carlos M.; Ezuddin, Nisreen Shabbir [University of Miami, Miller School of Medicine, Coral Gables, FL (United States)

    2018-03-15

    The triangular fibrocartilage complex (TFCC) is an intricate ligamentous and cartilaginous structure that helps transmit axial load across the wrist, and provide stability to the ulnocarpal and distal radioulnar joints (DRUJ). Because the blood supply to the TFCC varies depending on location, certain types of tears are more amenable to surgical repair than others. Since Palmer proposed his classification system of TFCC tears in 1989, only 1 case of a ''bucket-handle'' type tear has been reported. In this article, we describe two new cases of bucket-handle tears of the TFCC. In both cases, the torn fragment was displaced into a previously undescribed location (intra-articular DRUJ and prestyloid recess). Because this type of injury pattern has not been previously well characterized in the literature and such cases rarely reported, MRI findings have not been fully described and its implications on clinical management have largely yet to be determined. (orig.)

  20. Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen

    Directory of Open Access Journals (Sweden)

    Hemant A Saraiya

    2015-01-01

    Full Text Available Introduction: Over centuries, virginity has been given social, religious and moral importance. It is widely believed as a state of a female who has never engaged in sexual intercourse, and her hymen is intact. Hymenoplasty for torn hymen is carried out not only for the sake of cultural and religious traditions but also for the social status and interpersonal relationships. Materials and Methods: 2.5 cm long and 1 cm wide four vaginal mucosal flaps were raised from the anterior vaginal wall just behind labia minora. Two flaps were based proximally, and their two opposing flaps were based distally. These flaps were overlapped in a crisscross fashion and were sutured with 5/0 Polyglactin (Vicryl® sutures leaving no area raw. The donor area was closed primarily. When some remains of a torn hymen were found, one to three vaginal mucosal flaps were added to its remains as per the need for reconstruction. Results: We operated upon 11 patients. In nine cases, the hymen was reconstructed with four flaps. In remaining two, it was reconstructed from the remains using vaginal mucosal flaps. All flaps healed without any infection or disruption. Sutures got absorbed in 25-35 days. In all cases, this newly constructed barrier broke with only moderate pressure at the time of penetrative sex serving the purpose of the surgery completely. Conclusion: Erasing evidence of the sexual history simply by ′Surgical Revirgination′ is extremely important to women contemplating marriage in cultures where a high value is placed on virginity.

  1. MRI of broken bioabsorbable crosspin fixation in hamstring graft reconstruction of the anterior cruciate ligament

    International Nuclear Information System (INIS)

    Bakhru, Prashant; Park, Brian; Umans, Hilary; DiFelice, Gregory S.; Tobin, Keith

    2011-01-01

    To report seven cases of broken bioabsorbable femoral crosspins identified by MRI in evaluation of hamstring grafts of the anterior cruciate ligament. Seven cases of broken bioabsorbable crosspins utilized in femoral fixation of ACL hamstring grafts were identified prospectively and retrospectively from our PACs database during a period from 9/1/08 to 8/31/09. All imaging was performed using 1.5 or 3.0 Tesla MRI and were evaluated for T2 signal within and surrounding the crosspin, osteolysis surrounding the fragments, displacement of fragments, and graft integrity. Time from surgery was also recorded. Seven cases of hamstring grafts with broken bioabsorbable crosspins were imaged 4 months to 3 years following grafting. There was osteolysis surrounding the crosspin in all but one case in which the graft was intact but a pin fragment was displaced into the joint. One graft failed due to aseptic foreign-body reaction to the fixation with aggressive osteolysis at 9 months post surgery. In the remaining five, the ACL graft was either completely torn, partially torn, lax, or degenerative and frayed. Of these, the crosspins were broken and angulated with osteolysis surrounding the apex of the angulated fragment or demonstrated lateral extrusion of the peripheral fragment. Bioabsorbable crosspins utilized in femoral fixation of hamstring graft reconstruction of the ACL may become fractured. While the natural history of osteo-integration of these devices as demonstrated by MRI has not been defined, osteolysis surrounding the fragments, extrusion or displacement of the fragments, and graft laxity or failure would suggest that these are abnormal findings that should be reported. (orig.)

  2. Case-control study to estimate the performance of dual-energy computed tomography for anterior cruciate ligament tears in patients with history of knee trauma

    Energy Technology Data Exchange (ETDEWEB)

    Glazebrook, Katrina N.; Leng, Shuai; Murthy, Naveen S.; Howe, B.M.; Ringler, Michael D.; McCollough, Cynthia H.; Fletcher, J.G. [Mayo Clinic, Department of Radiology, Rochester, MN (United States); Brewerton, Lee J. [Alberta Health Services South Zone, Department of Radiology, Lethbridge, Alberta (Canada); Carter, Rickey E. [Mayo Clinic, Department of Biostatistics, Rochester, MN (United States); Rhee, Peter C.; Dahm, Diane L.; Stuart, Michael J. [Mayo Clinic, Department of Orthopedics, Rochester, MN (United States)

    2014-03-15

    Computed tomography (CT) is used to assess for fracture after knee trauma, but identification of ligamentous injuries may also be beneficial. Our purpose is to assess the potential of dual-energy computed tomography (DECT) for the detection of complete anterior cruciate ligament (ACL) disruption. Sixteen patients with unilateral traumatic ACL disruption (average of 58 days following trauma) confirmed by MRI, and 11 control patients without trauma, underwent DECT of both knees. For each knee, axial, sagittal, and oblique sagittal images (with DECT bone removal, single-energy (SE) bone removal, and DECT tendon-specific color mapping) were reconstructed. Four musculoskeletal radiologists randomly evaluated the 324 DECT reconstructed series (54 knees with 6 displays) separately, to assess for ACL disruption using a five-point scale (1 = definitely not torn, to 5 = definitely torn). ROC analysis was used to compare performance across readers and displays. Sagittal oblique displays (mixed kV soft tissue, SE bone removal, and DECT bone removal) demonstrated higher areas under the curve for ACL disruption (AUC = 0.95, 0.93 and 0.95 respectively) without significant differences in performance between readers (p > 0.23). Inter-reader agreement was also better for these display methods (ICC range 0.62-0.69) compared with other techniques (ICC range 0.41-0.57). Mean sensitivity for ACL disruption was worst for DECT tendon-specific color map and axial images (24 % and 63 % respectively). DECT knee images with oblique sagittal reconstructions using either mixed kV or bone removal displays (either DECT or SE) depict ACL disruption in the subacute or chronic setting with reliable identification by musculoskeletal radiologists. (orig.)

  3. Population stochastic modelling (PSM)--an R package for mixed-effects models based on stochastic differential equations.

    Science.gov (United States)

    Klim, Søren; Mortensen, Stig Bousgaard; Kristensen, Niels Rode; Overgaard, Rune Viig; Madsen, Henrik

    2009-06-01

    The extension from ordinary to stochastic differential equations (SDEs) in pharmacokinetic and pharmacodynamic (PK/PD) modelling is an emerging field and has been motivated in a number of articles [N.R. Kristensen, H. Madsen, S.H. Ingwersen, Using stochastic differential equations for PK/PD model development, J. Pharmacokinet. Pharmacodyn. 32 (February(1)) (2005) 109-141; C.W. Tornøe, R.V. Overgaard, H. Agersø, H.A. Nielsen, H. Madsen, E.N. Jonsson, Stochastic differential equations in NONMEM: implementation, application, and comparison with ordinary differential equations, Pharm. Res. 22 (August(8)) (2005) 1247-1258; R.V. Overgaard, N. Jonsson, C.W. Tornøe, H. Madsen, Non-linear mixed-effects models with stochastic differential equations: implementation of an estimation algorithm, J. Pharmacokinet. Pharmacodyn. 32 (February(1)) (2005) 85-107; U. Picchini, S. Ditlevsen, A. De Gaetano, Maximum likelihood estimation of a time-inhomogeneous stochastic differential model of glucose dynamics, Math. Med. Biol. 25 (June(2)) (2008) 141-155]. PK/PD models are traditionally based ordinary differential equations (ODEs) with an observation link that incorporates noise. This state-space formulation only allows for observation noise and not for system noise. Extending to SDEs allows for a Wiener noise component in the system equations. This additional noise component enables handling of autocorrelated residuals originating from natural variation or systematic model error. Autocorrelated residuals are often partly ignored in PK/PD modelling although violating the hypothesis for many standard statistical tests. This article presents a package for the statistical program R that is able to handle SDEs in a mixed-effects setting. The estimation method implemented is the FOCE(1) approximation to the population likelihood which is generated from the individual likelihoods that are approximated using the Extended Kalman Filter's one-step predictions.

  4. Comparison of spin echo T1-weighted sequences versus fast spin-echo proton density-weighted sequences for evaluation of meniscal tears at 1.5 T

    International Nuclear Information System (INIS)

    Wolff, Andrew B.; Pesce, Lorenzo L.; Wu, Jim S.; Smart, L.R.; Medvecky, Michael J.; Haims, Andrew H.

    2009-01-01

    At our institution, fast spin-echo (FSE) proton density (PD) imaging is used to evaluate articular cartilage, while conventional spin-echo (CSE) T1-weighted sequences have been traditionally used to characterize meniscal pathology. We sought to determine if FSE PD-weighted sequences are equivalent to CSE T1-weighted sequences in the detection of meniscal tears, obviating the need to perform both sequences. We retrospectively reviewed the records of knee arthroscopies performed by two arthroscopy-focused surgeons from an academic medical center over a 2-year period. The preoperative MRI images were interpreted independently by two fellowship-trained musculoskeletal radiologists who graded the sagittal CSE T1 and FSE PD sequences at different sittings with grades 1-5, where 1 = normal meniscus, 2 = probable normal meniscus, 3 indeterminate, 4 = probable torn meniscus, and 5 = torn meniscus. Each meniscus was divided into an anterior and posterior half, and these halves were graded separately. Operative findings provided the gold standard. Receiver operating characteristic (ROC) analysis was performed to compare the two sequences. There were 131 tears in 504 meniscal halves. Using ROC analysis, the reader 1 area under curve for FSE PD was significantly better than CSE T1 (0.939 vs. 0.902, >95% confidence). For reader 2, the difference met good criteria for statistical non-inferiority but not superiority (0.913 for FSE PD and 0.908 for CSE T1; >95% non-inferiority for difference at most of -0.027). FSE PD-weighted sequences, using our institutional protocol, are not inferior to CSE T1-weighted sequences for the detection of meniscal tears and may be superior. (orig.)

  5. MRI of broken bioabsorbable crosspin fixation in hamstring graft reconstruction of the anterior cruciate ligament

    Energy Technology Data Exchange (ETDEWEB)

    Bakhru, Prashant [Department of Radiology Jacobi Medical Center, Bronx, NY (United States); Park, Brian [Albert Einstein College of Medicine, Bronx, NY (United States); Umans, Hilary [Department of Radiology Jacobi Medical Center, Bronx, NY (United States); Lenox Hill Radiology and Imaging Associates, P.C., New York, NY (United States); DiFelice, Gregory S. [Hospital for Special Surgery, New York, NY (United States); Tobin, Keith [Lenox Hill Radiology and Imaging Associates, P.C., New York, NY (United States)

    2011-06-15

    To report seven cases of broken bioabsorbable femoral crosspins identified by MRI in evaluation of hamstring grafts of the anterior cruciate ligament. Seven cases of broken bioabsorbable crosspins utilized in femoral fixation of ACL hamstring grafts were identified prospectively and retrospectively from our PACs database during a period from 9/1/08 to 8/31/09. All imaging was performed using 1.5 or 3.0 Tesla MRI and were evaluated for T2 signal within and surrounding the crosspin, osteolysis surrounding the fragments, displacement of fragments, and graft integrity. Time from surgery was also recorded. Seven cases of hamstring grafts with broken bioabsorbable crosspins were imaged 4 months to 3 years following grafting. There was osteolysis surrounding the crosspin in all but one case in which the graft was intact but a pin fragment was displaced into the joint. One graft failed due to aseptic foreign-body reaction to the fixation with aggressive osteolysis at 9 months post surgery. In the remaining five, the ACL graft was either completely torn, partially torn, lax, or degenerative and frayed. Of these, the crosspins were broken and angulated with osteolysis surrounding the apex of the angulated fragment or demonstrated lateral extrusion of the peripheral fragment. Bioabsorbable crosspins utilized in femoral fixation of hamstring graft reconstruction of the ACL may become fractured. While the natural history of osteo-integration of these devices as demonstrated by MRI has not been defined, osteolysis surrounding the fragments, extrusion or displacement of the fragments, and graft laxity or failure would suggest that these are abnormal findings that should be reported. (orig.)

  6. Diakoptical reliability analysis of transistorized systems

    International Nuclear Information System (INIS)

    Kontoleon, J.M.; Lynn, J.W.; Green, A.E.

    1975-01-01

    Limitations both on high-speed core availability and computation time required for assessing the reliability of large-sized and complex electronic systems, such as used for the protection of nuclear reactors, are very serious restrictions which continuously confront the reliability analyst. Diakoptic methods simplify the solution of the electrical-network problem by subdividing a given network into a number of independent subnetworks and then interconnecting the solutions of these smaller parts by a systematic process involving transformations based on connection-matrix elements associated with the interconnecting links. However, the interconnection process is very complicated and it may be used only if the original system has been cut in such a manner that a relation can be established between the constraints appearing at both sides of the cut. Also, in dealing with transistorized systems, one of the difficulties encountered is that of modelling adequately their performance under various operating conditions, since their parameters are strongly affected by the imposed voltage and current levels. In this paper a new interconnection approach is presented which may be of use in the reliability analysis of large-sized transistorized systems. This is based on the partial optimization of the subdivisions of the torn network as well as on the optimization of the torn paths. The solution of the subdivisions is based on the principles of algebraic topology, with an algebraic structure relating the physical variables in a topological structure which defines the interconnection of the discrete elements. Transistors, and other nonlinear devices, are modelled using their actual characteristics, under normal and abnormal operating conditions. Use of so-called k factors is made to facilitate accounting for use of electrical stresses. The approach is demonstrated by way of an example. (author)

  7. Trabecular microstructure and surface changes in the greater tuberosity in rotator cuff tears

    International Nuclear Information System (INIS)

    Jiang, Yebin; Zhao, Jenny; Ouyang, Xiaolong; Genant, Harry K.; Holsbeeck, Marnix T. van; Flynn, Michael J.

    2002-01-01

    Abstract Objective. When planning surgery in patients with rotator cuff tear, strength of bone at the tendon insertion and trabecular bone structure in the greater tuberosity are usually taken into consideration. We investigated radiographic changes in bone structure of the greater tuberosity in rotator cuff tears.Design. Twenty-two human cadaveric shoulders from subjects ranging from 55 to 75 years of age were obtained. The integrity of the rotator cuff was examined by sonography to determine if it is intact without any tear, or torn partially or completely. The humeral head was sectioned in 3 mm thick coronal slab sections and microradiographed. After digitization of the microradiographs and imaging processing with in-house semi-automated image processing software tools developed using software interfaces on a Sun workstation, the trabecular histomorphometrical structural parameters and connectivity in the greater tuberosity were quantified. The degenerative changes on the surface of the greater tuberosity were interpreted blindly by 2 independent readers.Results. Among the 22 shoulder specimens, the rotator cuff was found intact in 10 shoulders, partially in 7 and fully torn in 5. Statistically significant loss in apparent trabecular bone volume fraction, number of trabecular nodes, and number of trabecular branches, and a statistically significant increase in apparent trabecular separation and number of trabecular free ends were found in the greater tuberosity of the shoulders with tears. The loss was greater in association with full tear than in partial tear. Thickening of the cortical margin of the enthesis, irregularity of its surface, and calcification beyond the tidemark were observed in 2 (20%) shoulders with intact rotator cuff, in 6 (86%) shoulders with partial tear, and in 5 (100%) shoulders with full tear.Conclusions. Rotator cuff tears are associated with degenerative changes on the bone surface and with disuse osteopenia of the greater tuberosity

  8. Reconstruction versus conservative treatment after rupture of the anterior cruciate ligament: cost effectiveness analysis

    Directory of Open Access Journals (Sweden)

    Farshad Mazda

    2011-11-01

    Full Text Available Abstract Background The decision whether to treat conservatively or reconstruct surgically a torn anterior cruciate ligament (ACL is an ongoing subject of debate. The high prevalence and associated public health burden of torn ACL has led to continuous efforts to determine the best therapeutic approach. A critical evaluation of benefits and expenditures of both treatment options as in a cost effectiveness analysis seems well-suited to provide valuable information for treating physicians and healthcare policymakers. Methods A literature review identified four of 7410 searched articles providing sufficient outcome probabilities for the two treatment options for modeling. A transformation key based on the expert opinions of 25 orthopedic surgeons was used to derive utilities from available evidence. The cost data for both treatment strategies were based on average figures compiled by Orthopaedic University Hospital Balgrist and reinforced by Swiss national statistics. A decision tree was constructed to derive the cost-effectiveness of each strategy, which was then tested for robustness using Monte Carlo simulation. Results Decision tree analysis revealed a cost effectiveness of 16,038 USD/0.78 QALY for ACL reconstruction and 15,466 USD/0.66 QALY for conservative treatment, implying an incremental cost effectiveness of 4,890 USD/QALY for ACL reconstruction. Sensitivity analysis of utilities did not change the trend. Conclusion ACL reconstruction for reestablishment of knee stability seems cost effective in the Swiss setting based on currently available evidence. This, however, should be reinforced with randomized controlled trials comparing the two treatment strategies.

  9. Radiological classification of meniscocapsular tears of the anterolateral portion of the lateral meniscus of the knee

    International Nuclear Information System (INIS)

    George, J.; Packya, N.; Tan, A.H.; Paul, G.

    2000-01-01

    In an arthroscopic-MRI correlation study of acute injuries to the knee it was found that anterolateral meniscocapsular separations of the lateral aspect of the knee were missed on MRI reporting. Eighty sports-related injuries of the knee were seen by experienced orthopaedic surgeons at the University of Malaya Medical Centre and at the National Sports Centre, Malaysia from January 1996 to July 1997. Fifty of the patients were suspected to have meniscal tears that were either lateral or medial on clinical examination and they were sent for MRI. Many of these patients were tertiary referrals. Magnetic resonance imaging examinations in 27 of the 50 patients were reported as not showing any intrasubstance or obvious meniscocapsular tears, but arthroscopy performed on them revealed anterolateral meniscocapsular tears of the lateral meniscus of varying degrees in nine of these patients. In retrospect the tears could be seen on MRI, and a pattern to the tears was noted and classified as follows. Type 0, normal; type 1, torn inferior or superior meniscocapsular attachment; type 2, both meniscofemoral and meniscotibial ligaments torn but with minimal separation of meniscus and capsule by fluid or synovitis; and type 3, marked separation of meniscus and capsule by fluid (> 3 mm). Ten patients who did not undergo arthroscopy for various personal and financial reasons underwent MRI which showed type 1 and type 2 tears, and were treated conservatively. These patients were all asymptomatic after 4-6 weeks with regard to clinical signs, suggesting a lateral meniscal tear. Magnetic resonance imaging therefore does reveal minor degrees of meniscocapsular tears anterolaterally when one understands the normal anatomy in this region. Copyright (1999) Blackwell Science Pty Ltd

  10. Tendon retraction with rotator cuff tear causes a decrease in cross-sectional area of the supraspinatus muscle on magnetic resonance imaging.

    Science.gov (United States)

    Fukuta, Shoji; Tsutsui, Takahiko; Amari, Rui; Wada, Keizo; Sairyo, Koichi

    2016-07-01

    Muscle atrophy and fatty degeneration of the rotator cuff muscles have been reported as negative prognostic indicators after rotator cuff repair. Although the Y-shaped view is widely used for measuring the cross-sectional area of the supraspinatus muscle, the contribution of retraction of the torn tendon as well as muscle atrophy must be considered. The purpose of this study was to clarify the relationship between cross-sectional area and tendon retraction or size of the tear. This study included 76 shoulders that were evaluated arthroscopically for the presence and size of tears. Cross-sectional areas of rotator cuff muscles were measured from the Y-shaped view to 3 more medial slices. The occupation ratio and tangent sign were evaluated on the Y-shaped view. The retraction of torn tendon was also measured on the oblique coronal images. On the Y-shaped view, the cross-sectional area of the supraspinatus and the occupation ratio decreased in conjunction with the increase in tear size. A significant decrease in cross-sectional area was noted only in large and massive tears on more medial slices from the Y-shaped view. Significant decreases in the cross-sectional area of the infraspinatus were observed in large and massive tears on all images. A negative correlation was found between tendon retraction and cross-sectional area, which was strongest on the Y-shaped view. To avoid the influence of retraction of the supraspinatus tendon, sufficient medial slices from the musculotendinous junction should be used for evaluation of muscle atrophy. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  11. Reduced muscle fiber force production and disrupted myofibril architecture in patients with chronic rotator cuff tears.

    Science.gov (United States)

    Mendias, Christopher L; Roche, Stuart M; Harning, Julie A; Davis, Max E; Lynch, Evan B; Sibilsky Enselman, Elizabeth R; Jacobson, Jon A; Claflin, Dennis R; Calve, Sarah; Bedi, Asheesh

    2015-01-01

    A persistent atrophy of muscle fibers and an accumulation of fat, collectively referred to as fatty degeneration, commonly occur in patients with chronic rotator cuff tears. The etiology of fatty degeneration and function of the residual rotator cuff musculature have not been well characterized in humans. We hypothesized that muscles from patients with chronic rotator cuff tears have reduced muscle fiber force production, disordered myofibrils, and an accumulation of fat vacuoles. The contractility of muscle fibers from biopsy specimens of supraspinatus muscles of 13 patients with chronic full-thickness posterosuperior rotator cuff tears was measured and compared with data from healthy vastus lateralis muscle fibers. Correlations between muscle fiber contractility, American Shoulder and Elbow Surgeons (ASES) scores, and tear size were analyzed. Histology and electron microscopy were also performed. Torn supraspinatus muscles had a 30% reduction in maximum isometric force production and a 29% reduction in normalized force compared with controls. Normalized supraspinatus fiber force positively correlated with ASES score and negatively correlated with tear size. Disordered sarcomeres were noted, along with an accumulation of lipid-laden macrophages in the extracellular matrix surrounding supraspinatus muscle fibers. Patients with chronic supraspinatus tears have significant reductions in muscle fiber force production. Force production also correlates with ASES scores and tear size. The structural and functional muscle dysfunction of the residual muscle fibers is independent of the additional area taken up by fibrotic tissue. This work may help establish future therapies to restore muscle function after the repair of chronically torn rotator cuff muscles. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  12. Meniscal tears: comparison of half-Fourier technique and conventional MR imaging

    International Nuclear Information System (INIS)

    Shabana, Wael; Maeseneer, Michel de; Machiels, Freddy; Ridder, Filip de; Osteaux, Michel

    2003-01-01

    Purpose: To determine whether half-Fourier MR image acquisition technique can provide similar information to that of conventional MR acquisition technique for evaluation of meniscal tears. Materials and methods: We studied 101 menisci in 52 patients who were referred for evaluation of meniscal tears. Sagittal MR images of the knee were obtained for all patients by using proton density and T2-weighted SE sequences on a 1-T clinical system. The half-Fourier technique and conventional technique were used for all patients. All other imaging parameters were identical for both sequences (TR/TE=2400/20,70; 3 mm slice thickness; 200x256 matrix; field of view, 200; one signal acquired). Both sets of images were filmed with standard window and level settings. Images were randomised and interpreted independently by two radiologists for the presence of meniscal tears. Images were also subjectively assessed for image quality using a five-point grading scale. Results: On half-Fourier images, Reader 1 interpreted 23 menisci as torn, compared to 28 for Reader 2. On conventional images, Reader 1 interpreted 24 menisci as torn, compared to 26 for Reader 2. Agreement between interpretation of the conventional and that of the half-Fourier images was 99% for Reader 1, and 98% for Reader 2. Agreement between readers for the half-Fourier images was 95%, and for the conventional images 96%. No statistically significant difference was found in the subjective evaluation of image quality between the conventional and half-Fourier images. Conclusion: The half-Fourier acquisition technique compares favourably with the conventional technique for the evaluation of meniscal tears

  13. Degeneration of the long biceps tendon: comparison of MRI with gross anatomy and histology.

    Science.gov (United States)

    Buck, Florian M; Grehn, Holger; Hilbe, Monika; Pfirrmann, Christian W A; Manzanell, Silvana; Hodler, Jürg

    2009-11-01

    The objective of our study was to relate alterations in biceps tendon diameter and signal on MR images to gross anatomy and histology. T1-weighted, T2-weighted fat-saturated, and proton density-weighted fat-saturated spin-echo sequences were acquired in 15 cadaveric shoulders. Biceps tendon diameter (normal, flattened, thickened, and partially or completely torn) and signal intensity (compared with bone, fat, muscle, and joint fluid) were graded by two readers independently and in a blinded fashion. The distance of tendon abnormalities from the attachment at the glenoid were noted in millimeters. MRI findings were related to gross anatomic and histologic findings. On the basis of gross anatomy, there were six normal, five flattened, two thickened, and two partially torn tendons. Reader 1 graded nine diameter changes correctly, missed two, and incorrectly graded four. The corresponding values for reader 2 were seven, one, and five, respectively, with kappa = 0.75. Histology showed mucoid degeneration (n = 13), lipoid degeneration (n = 7), and fatty infiltration (n = 6). At least one type of abnormality was found in each single tendon. Mucoid degeneration was hyperintense compared with fatty infiltration on T2-weighted fat-saturated images and hyperintense compared with magic-angle artifacts on proton density-weighted fat-saturated images. MRI-based localization of degeneration agreed well with histologic findings. Diameter changes are specific but not sensitive in diagnosing tendinopathy of the biceps tendon. Increased tendon signal is most typical for mucoid degeneration but should be used with care as a sign of tendon degeneration.

  14. Acromioclavicular joint separation

    Directory of Open Access Journals (Sweden)

    Devan Pandya, BS

    2018-04-01

    forearm.1,9 Type II injuries involve a torn AC ligament, disrupting the AC joint. The AC joint appears widened on radiographs.1,9 The AC and CC ligaments are disrupted in type III injuries with an increased CC distance of 25%-100% on plain films.1,10 In addition to torn AC and CC ligaments, the clavicle is posteriorly displaced in a type IV injury. Because the AP film may not reveal the posterior displacement of the clavicle, the axillary view is vital for correct classification of type IV injuries.1 A type V injury involves disruption of the AC and CC ligaments as well as torn muscle attachments of the trapezius and deltoid on the clavicle and scapula, leading to greater AC joint displacement on radiographs. The CC distance appears 100%-300% greater than normal.1,10 Type VI injuries are caused by a direct blow to the superior surface of the clavicle resulting in inferior displacement. On X-ray, the lateral end of the clavicle is inferior to the acromion and coracoid processes in Type VI injuries.1 Treatment for types I, II, and III is conservative, which consist of analgesics, non-steroidal anti-inflammatory drugs (NSAIDs, and progressive range of motion exercises.11 Patients with type III injuries who fail conservative management are referred for operative repair.11,12 Type IV, V, and VI injuries require orthopedic consult and surgical management. Type IV injuries are treated with closed reduction to type III, followed by the treatment regimen for type III injuries.11 Like type III injuries, if conservative management of type IV injuries is unsuccessful, surgical management should follow.11 Topics: Acromioclavicular joint, Rockwood classification, shoulder injury

  15. Modified suture-bridge technique to prevent a marginal dog-ear deformity improves structural integrity after rotator cuff repair.

    Science.gov (United States)

    Ryu, Keun Jung; Kim, Bang Hyun; Lee, Yohan; Lee, Yoon Seok; Kim, Jae Hwa

    2015-03-01

    The arthroscopic suture-bridge technique has proved to provide biomechanically firm fixation of the torn rotator cuff to the tuberosity by increasing the footprint contact area and pressure. However, a marginal dog-ear deformity is encountered not infrequently when this technique is used, impeding full restoration of the torn cuff. To evaluate the structural and functional outcomes of the use of a modified suture-bridge technique to prevent a marginal dog-ear deformity compared with a conventional suture-bridge method in rotator cuff repair. Cohort study; Level of evidence 2. A consecutive series of 71 patients aged 50 to 65 years who underwent arthroscopic rotator cuff repair for full-thickness medium-sized to massive tears was evaluated. Patients were divided into 2 groups according to repair technique: a conventional suture-bridge technique (34 patients; group A) versus a modified suture-bridge technique to prevent a marginal dog-ear deformity (37 patients; group B). Radiographic evaluations included postoperative cuff integrity using MRI. Functional evaluations included pre- and postoperative range of motion (ROM), pain visual analog scale (VAS), the University of California, Los Angeles (UCLA) shoulder rating scale, the Constant score, and the American Shoulder and Elbow Surgeons (ASES) score. All patients were followed up clinically at a minimum of 1 year. When the 2 surgical techniques were compared, postoperative structural integrity by Sugaya classification showed the distribution of types I:II:III:IV:V to be 4:20:2:4:4 in group A and 20:12:4:0:1 in group B. More subjects in group B had a favorable Sugaya type compared with group A (P bridge technique repairs were found in the retear group (P = .03). There were significant differences between healed and retear groups in functional outcome scores, with worse results in the retear group. A modified suture-bridge technique to prevent a marginal dog-ear deformity provided better structural outcomes than a

  16. Osteoarthritis after rotator cuff repair: A 10-year follow-up study.

    Science.gov (United States)

    Flurin, P-H; Hardy, P; Valenti, P; Meyer, N; Collin, P; Kempf, J-F

    2017-06-01

    Joint surgery is often complicated by gradual bone and cartilage deterioration that eventually leads to secondary osteoarthritis. The primary objective of this study was to identify preoperative risk factors for gleno-humeral osteoarthritis after rotator cuff repair. The secondary objectives were to assess whether the risk of gleno-humeral osteoarthritis was influenced by the operative technique, occurrence of postoperative complications, cuff healing, and muscle degeneration and to determine whether gleno-humeral osteoarthritis affected the clinical outcome. The development of gleno-humeral osteoarthritis affects the postoperative clinical outcome. A retrospective multicentre study of patients who underwent rotator cuff repair in 2003 and were re-evaluated at least 10 years later was conducted under the aegis of the Société française de chirurgie orthopédique et traumatique (SOFCOT). Osteoarthritis severity was graded according to the Samilson-Prieto classification. Four hundred and one patients were included. At last follow-up, at least 10 years after surgery, the radiological Samilson-Prieto grades were distributed as follows: 0, n=181 (45%); 1, n=142 (n=35%); 2, n=57 (14%); 3, n=14 (4%); and 4, n=7 (2%). The mean Constant score was significantly higher in the patients without than with osteoarthritis at last follow-up (79/100 vs. 73/100, Posteoarthritis was significantly higher in the group with unhealed or re-torn cuffs (Sugaya type 4 or 5) than in the group with healed cuffs (Sugaya type 1, 2, or 3) (46% vs. 25%, P=0.012). Our study showed no associations linking the risk of gleno-humeral osteoarthritis to the patient activity profile, history of shoulder injury, or preoperative symptom duration. In contrast, statistically significant associations were identified between gleno-humeral osteoarthritis and age, male gender, initial tear severity, and the pain and mobility components of the preoperative Constant score. Decreased invasiveness of the

  17. Morphological changes in skeletal muscle after irradiation with nano- and microsecond laser pulses

    International Nuclear Information System (INIS)

    Gratzl, T.

    1995-09-01

    For therapeutic application of laser light it is necessary to minimize defects in the nonirradiated tissue. These defects depend on the primary mechanism of interaction between tissue and laser light. Three experiments were performed to distinguish between mechanical and thermal effects of nano- and microsecond laser pulses in skeletal muscle of the rat. The light, transmission and scanning electron microscopes were used. Laser pulses were applied to unfixed muscle immediately after dissection. A Nd-YAG laser (wavelength 1064 nm; pulse repetition rate 10s -1 ; beam diameter 9 mm; pulse-energy 340 mJ) was used in the flashlamp-pulsed mode (pulse duration 100 μs) and the Q-switched mode (pulse duration 8 ns). When focused 2 mm below the tissue surface in the μs-experiments (100 μs) 200 laser pulses produced a small crater. The defective region after irradiation can be divided under the light microscope into four zones surrounding the crater. The innermost zone I showed vacuoles in the intensively stained muscle cells. In the next zone II the myofibrils were displaced and torn apart. Zone III is a sharply bordered, intensively stained region. The muscle cells in zone IV are contracted. All these tissue effects were thermally induced. When focused 4 mm below the tissue surface, the μs-pulses produced an expansion of the irradiated region, while leaving the surface intact. Here, only the features of zones II to IV were seen. In the spallation experiments muscle samples were placed on metal foil. The foil itself was dipped into water. A single laser pulse (8 ns) was directed at the underside of the foil. Only the pressure wave passed through the sample and was reflected on the muscle surface in a stretch wave. Tissue damage by mechanical action occurs inside the sample. Muscle fibers are torn apart and myofibrils are displaced. In the ns-experiments the mechanical action of a single ns pulse (8 ns) produced a crater. Only zones I and IV developed. With 50 to 100

  18. The 'bridging sign', a MR finding for combined full-thickness tears of the subscapularis tendon and the supraspinatus tendon

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Jin Young [Dept. of Radiology, Saint Paul' s Hospital, The Catholic Univ. of Korea, Seoul (Korea, Republic of); Yoon, Young Cheol; Cha, Dong Ik [Dept. of Radiology, Samsung Medical Center, Sungkyunkwan Univ, School of Medicine, Seoul (Korea, Republic of)], e-mail: ycyoon@skku.edu; Yoo, Jae-Chul [Dept. of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan Univ. School of Medicine, Seoul (Korea, Republic of); Jung, Jee Young [Dept. of Radiology, School of Medicine, Chung-Ang Univ., Seoul (Korea, Republic of)

    2013-02-15

    Background: In daily practice, we discovered one of the secondary magnetic resonance (MR) findings of the subscapularis (SSC) tendon tear, the 'bridging sign', which has not been previously described. Purpose: To describe the 'bridging sign' on shoulder MR imaging and its radiological and clinical significance in patients with SSC tendon tear. Material and Methods: Twenty-nine patients who had undergone shoulder arthroscopy and had full-thickness tear of the subscapularis tendon were enrolled. The medical records of the 29 patients were retrospectively reviewed for the duration of shoulder pain, rotator cuff tears, and associated arthroscopic findings: biceps tendon abnormality and superior glenoid labral tear. Then, preoperative shoulder MR images were retrospectively reviewed for the presence or absence of the 'bridging sign' and associated MR findings: periarticular fluid and fatty atrophy of the supraspinatus and subscapularis muscles. The type of rotator cuff tear associated with the 'bridging sign' was assessed and the sensitivity, specificity, and accuracy of the 'bridging sign' for the diagnosis of a certain type of rotator cuff tear were calculated. Associated arthroscopic and MR findings and mean duration of the shoulder pain between the patients with and without the 'bridging sign' were compared. Results: The 'bridging sign' was seen in 17 of 29 patients and corresponded to a complex of the torn and superomedially retracted subscapularis tendon, coracohumeral ligament, and superior glenohumeral ligament, adhered to the anterior margin of the torn supraspinatus (SSP) tendon on arthroscopy. All patients with the 'bridging sign' had combined full-thickness tear (FTT) of the cranial 1/2 portion of the subscapularis tendon and anterior 1/2 portion of the SSP tendon. The sensitivity, specificity, and accuracy of the 'bridging sign' for the diagnosis of combined FTTs of

  19. Conhecimento em HIV/AIDS de 1998 a 2005: estudos publicados em períodicos de Enfermagem Conocimiento en HIV/SIDA de 1998 a 2005: estudios publicados en Periódicos de Enfermería Knowledge in HIV/AIDS from 1998 to 2005: studies published in Nursing Periodicals

    Directory of Open Access Journals (Sweden)

    Maria Alix Leite Araújo

    2006-04-01

    Full Text Available A pesquisa em enfermagem contribui para o fortalecimento da profissão e para a elaboração de um corpo de conhecimentos especializados, específicos e atualizados, buscando torná-la de relevância social. Deve ser analisada visando refletir sobre o conhecimento de maneira a torná-lo mais adequado. Teve-se por objetivo analisar pesquisas publicadas em seis periódicos de enfermagem Qualis internacional no período de 1998 a 2005. Foram encontrados 40 estudos, realizados predominantemente na Região Sudeste, derivados de teses e dissertações e de autoria de docentes. A temática privilegiada foi a vivência e convivência dos portadores de HIV/AIDS. Conclui-se pela necessidade de expansão da abrangência das pesquisas, buscando atender as exigências da área.La investigación en enfermería contribuye para el fortalecimiento de la profesión y para la elaboración de un cuerpo de conocimientos especializados, específicos y actualizados, buscando tornala de importancia social. Debe ser analizada con vistas a reflexionar el conocimiento para tornarlo más adecuado. Se tuvo por objetivo analisar investigaciones publicadas en seis periódicos de enfermería internacional, en el período de 1998 a 2005. Fueron encontrados 40 estudios, realizados predominantemente en la región sureste, derivados de tesis y disertaciones de autoría de docentes. La temática privilegiada fué experiencia y convivencia de los portadores de VIH/SIDA. Se concluye por la necesidad de expansión de la abrangencia de las investigaciones, buscanco atender a los requisitos del área.The research in nursing contributes for the profession strengthening and for the elaboration of specialized, specific and updated knowledge body, turning it to social relevance. It must be analyzed to ponder about knowledge in a way to make it more suitable. The goal was to analyze researches published in six nursing periodicals - Qualis International - from 1998 to 2005. 40 studies were

  20. The 'bridging sign', a MR finding for combined full-thickness tears of the subscapularis tendon and the supraspinatus tendon

    International Nuclear Information System (INIS)

    Jung, Jin Young; Yoon, Young Cheol; Cha, Dong Ik; Yoo, Jae-Chul; Jung, Jee Young

    2013-01-01

    Background: In daily practice, we discovered one of the secondary magnetic resonance (MR) findings of the subscapularis (SSC) tendon tear, the 'bridging sign', which has not been previously described. Purpose: To describe the 'bridging sign' on shoulder MR imaging and its radiological and clinical significance in patients with SSC tendon tear. Material and Methods: Twenty-nine patients who had undergone shoulder arthroscopy and had full-thickness tear of the subscapularis tendon were enrolled. The medical records of the 29 patients were retrospectively reviewed for the duration of shoulder pain, rotator cuff tears, and associated arthroscopic findings: biceps tendon abnormality and superior glenoid labral tear. Then, preoperative shoulder MR images were retrospectively reviewed for the presence or absence of the 'bridging sign' and associated MR findings: periarticular fluid and fatty atrophy of the supraspinatus and subscapularis muscles. The type of rotator cuff tear associated with the 'bridging sign' was assessed and the sensitivity, specificity, and accuracy of the 'bridging sign' for the diagnosis of a certain type of rotator cuff tear were calculated. Associated arthroscopic and MR findings and mean duration of the shoulder pain between the patients with and without the 'bridging sign' were compared. Results: The 'bridging sign' was seen in 17 of 29 patients and corresponded to a complex of the torn and superomedially retracted subscapularis tendon, coracohumeral ligament, and superior glenohumeral ligament, adhered to the anterior margin of the torn supraspinatus (SSP) tendon on arthroscopy. All patients with the 'bridging sign' had combined full-thickness tear (FTT) of the cranial 1/2 portion of the subscapularis tendon and anterior 1/2 portion of the SSP tendon. The sensitivity, specificity, and accuracy of the 'bridging sign' for the diagnosis of combined FTTs of the SSC tendon and anterior portion of the SSP tendon were 81.0%, 100%, and 86

  1. Knee stabiligy after ACL reconstruction through graft fixation in femoral tunnel: transfemoral pinning versus endobutton techniques

    Directory of Open Access Journals (Sweden)

    Tahmasebi MN

    2011-05-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 st1":*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: One of the most common orthopedic complaints is direct or indirect trauma to the knee with torn anterior cruciate ligament (ACL. Reconstruction of the torn ACL is emphatically offered in active individuals as by this operation, we prevent osteoarthritis, knee instability and injury to the meniscus. There are numerous methods for graft fixation in the femoral tunnel in ACL reconstruction. If the graft proves to be stable after the operation, patients would not complain of giving way knee joints. In this clinical trial, we compared transfemoral pinning with endobutton fixation of hamstring graft in arthroscopic ACL reconstruction by examining knee stability and use of other relevant functional tests. "n"nMethods : Fourteen Patients who had undergone arthroscopic ACL reconstruction in Shariati Hospital during the years 2008-2009 and were being followed up were evaluated at least 15 months post-operatively by physical examination and the use of an arthrometer made by the Faculty of Mechanics of Sharif Technical University."n"nResults : The results showed that two out of seven patients in which their ACL had been reconstructed by hamstring graft fixation by endobutton technique, and

  2. Failed healing of rotator cuff repair correlates with altered collagenase and gelatinase in supraspinatus and subscapularis tendons.

    Science.gov (United States)

    Robertson, Catherine M; Chen, Christopher T; Shindle, Michael K; Cordasco, Frank A; Rodeo, Scott A; Warren, Russell F

    2012-09-01

    histological examination. From a general linear model, the upregulation of MMP-1 and MMP-9 was highly correlated with failed healing of the rotator cuff (R(2) = .656). The upregulation of tissue remodeling genes in the torn rotator cuff at the time of surgery provides a snapshot of the biological environment surrounding the torn rotator cuff that is closely related to the healing of repaired rotator cuffs.

  3. MR imaging of delamination tears of the rotator cuff tendons

    International Nuclear Information System (INIS)

    Walz, Daniel M.; Chen, Steven; Miller, Theodore T.; Hofman, Josh

    2007-01-01

    The objective was to describe the imaging appearances and location of delamination tears of the rotator cuff tendons on non-contrast conventional MR imaging. This study was reviewed and approved by our Institutional Review Board. The reports of 548 consecutive MR examinations of the shoulder were reviewed, looking for mention or description of delamination tears of the rotator cuff. The images of the identified cases were then reviewed by two radiologists to confirm the findings. Correlation with surgical and arthroscopic information was then performed. Delamination tears were defined as horizontal retraction of either the bursal or articular surface of the tendon, manifest as thickening of the torn retracted edge, and/or interstitial splitting of the tendon, manifest as fluid-like high signal intensity on fat-suppressed T2-weighted oblique coronal images. Fourteen cases of delamination tears were identified in 13 patients. Ten of the cases involved the supraspinatus tendon, all with articular surface involvement. Nine of these supraspinatus cases were isolated tears and one occurred as part of a full thickness tear. All 10 of these supraspinatus cases showed medial retraction of the articular surface of the tendon, with thickening of the retracted edge, and 5 of the 10 had a demonstrable horizontal cleft in the interstitium. Four cases involved the subscapularis tendon, with articular surface disruption in three and pure interstitial delamination in one. Medial subluxation of the tendon of the long head of the biceps was present in all four cases. No delamination tears occurred on the bursal surface. Only three of the 14 shoulders underwent surgical repair with one confirmation of supraspinatus delamination, one confirmation of a subscapularis tear that had become a full thickness tear 10 months after initial imaging and another interstitial subscapularis delamination that was not identified arthroscopically. Delamination tears occur most often in the

  4. MR imaging of delamination tears of the rotator cuff tendons

    Energy Technology Data Exchange (ETDEWEB)

    Walz, Daniel M.; Chen, Steven [North Shore University Hospital, Department of Radiology, Manhasset, NY (United States); Miller, Theodore T. [Hospital for Special Surgery, Department of Radiology and Imaging, New York, NY (United States); Hofman, Josh [Long Island Jewish Medical Center, New Hyde Park, NY (United States)

    2007-05-15

    The objective was to describe the imaging appearances and location of delamination tears of the rotator cuff tendons on non-contrast conventional MR imaging. This study was reviewed and approved by our Institutional Review Board. The reports of 548 consecutive MR examinations of the shoulder were reviewed, looking for mention or description of delamination tears of the rotator cuff. The images of the identified cases were then reviewed by two radiologists to confirm the findings. Correlation with surgical and arthroscopic information was then performed. Delamination tears were defined as horizontal retraction of either the bursal or articular surface of the tendon, manifest as thickening of the torn retracted edge, and/or interstitial splitting of the tendon, manifest as fluid-like high signal intensity on fat-suppressed T2-weighted oblique coronal images. Fourteen cases of delamination tears were identified in 13 patients. Ten of the cases involved the supraspinatus tendon, all with articular surface involvement. Nine of these supraspinatus cases were isolated tears and one occurred as part of a full thickness tear. All 10 of these supraspinatus cases showed medial retraction of the articular surface of the tendon, with thickening of the retracted edge, and 5 of the 10 had a demonstrable horizontal cleft in the interstitium. Four cases involved the subscapularis tendon, with articular surface disruption in three and pure interstitial delamination in one. Medial subluxation of the tendon of the long head of the biceps was present in all four cases. No delamination tears occurred on the bursal surface. Only three of the 14 shoulders underwent surgical repair with one confirmation of supraspinatus delamination, one confirmation of a subscapularis tear that had become a full thickness tear 10 months after initial imaging and another interstitial subscapularis delamination that was not identified arthroscopically. Delamination tears occur most often in the

  5. MR imaging of posttraumatic spinal ligament injury

    International Nuclear Information System (INIS)

    Pathria, M.N.; Emery, S.; Masaryk, T.J.; Wilber, R.G.; Bohlman, H.

    1988-01-01

    The accuracy of MR imaging in the detection of ligamentous injury was evaluated in 29 patients (24 male, five female) with spinal injury resulting in fractures (n=27), evidence of instability (n=11), or neurologic deficit (n=2). MR examinations were performed acutely (average, 7.5 days posttrauma) with T1- and T2-weighted imaging and were blindly evaluated. Subsequently, plain films (n=27), tomograms (n=10), and CT scans (n=22) were evaluated. Eighteen patients underwent surgery. Fourteen patients had torn ligaments as indicated by clinical and surgical findings. MR imaging demonstrated ligament damage in 13. One case imaged 40 days following trauma was not detected. No patients with intact ligaments had evidence of ligamentous damage on MR images. MR imaging demonstrated retropulsed fractures in six patients in whom the posterior longitudinal ligament was intact but displaced from the vertebra. MR imaging was more reliable than radiography and CT for detection of ligamentous injury, and T2- weighted sequences are essential in such cases

  6. The wall as witness-surface or, the Reichstag graffiti and paradoxes of writing over history

    Directory of Open Access Journals (Sweden)

    Ella Chmielewska

    2008-06-01

    Full Text Available Wall writing occupies a conflicted position in the urban space and in the public discourse as a political act and as an aesthetic phenomenon. Ever more present in the contemporary visual and conceptual vocabulary, it is increasingly deployed by the world of high art and politics, commerce and academia. Torn off the wall, taken as a photogenic empty sign, its potent meanings abstracted from its material surface, wall writing becomes a powerful rhetorical tool. Paris graffiti of‘68, NewYork subway art of the 70s and the pre-89 writing on the Berlin wall combine into an amalgam of aesthetic protest, graphically raw and resolutely awkward idiom that transforms an image of writing into a potent new text. The messiness of its lines, the untamed styles and the rebellious attitude towards the material surface all conspire to create the graffiti’s myth of freedom and unrestrained individual expression, further extended to associations with democratic ambitions. Supported by the popularity of hip-hop culture and the contemporary urban cool, graffiti becomes a handy implement to evoke the individual voice, endorse place identity or authenticity.

  7. Warfare in biodiversity hotspots.

    Science.gov (United States)

    Hanson, Thor; Brooks, Thomas M; Da Fonseca, Gustavo A B; Hoffmann, Michael; Lamoreux, John F; Machlis, Gary; Mittermeier, Cristina G; Mittermeier, Russell A; Pilgrim, John D

    2009-06-01

    Conservation efforts are only as sustainable as the social and political context within which they take place. The weakening or collapse of sociopolitical frameworks during wartime can lead to habitat destruction and the erosion of conservation policies, but in some cases, may also confer ecological benefits through altered settlement patterns and reduced resource exploitation. Over 90% of the major armed conflicts between 1950 and 2000 occurred within countries containing biodiversity hotspots, and more than 80% took place directly within hotspot areas. Less than one-third of the 34 recognized hotspots escaped significant conflict during this period, and most suffered repeated episodes of violence. This pattern was remarkably consistent over these 5 decades. Evidence from the war-torn Eastern Afromontane hotspot suggests that biodiversity conservation is improved when international nongovernmental organizations support local protected area staff and remain engaged throughout the conflict. With biodiversity hotspots concentrated in politically volatile regions, the conservation community must maintain continuous involvement during periods of war, and biodiversity conservation should be incorporated into military, reconstruction, and humanitarian programs in the world's conflict zones. ©2009 Society for Conservation Biology.

  8. Flex Sensor Based Biofeedback Monitoring for Post-Stroke Fingers Myopathy Patients

    Science.gov (United States)

    Garda, Y. R.; Caesarendra, W.; Tjahjowidodo, T.; Turnip, A.; Wahyudati, S.; Nurhasanah, L.; Sutopo, D.

    2018-04-01

    Hands are one of the crucial parts of the human body in carrying out daily activities. Accidents on the hands decreasing in motor skills of the hand so that therapy is necessary to restore motor function of the hand. In addition to accidents, hand disabilities can be caused by certain diseases, e.g. stroke. Stroke is a partial destruction of the brain. It occurs if the arteries that drain blood to the brain are blocked, or if torn or leak. The purpose of this study to make biofeedback monitoring equipment for post-stroke hands myopathy patients. Biofeedback is an alternative method of treatment that involves measuring body functions measured subjects such as skin temperature, sweat activity, blood pressure, heart rate and hand paralysis due to stroke. In this study, the sensor used for biofeedback monitoring tool is flex sensor. Flex sensor is a passive resistive device that changes its resistance as the sensor is bent. Flex sensor converts the magnitude of the bend into electrical resistance, the greater the bend the greater the resistance value. The monitoring used in this biofeedback monitoring tool uses Graphical User Interface (GUI) in C# programming language. The motivation of the study is to monitor and record the progressive improvement of the hand therapy. Patients who experienced post-stroke can see the therapy progress quantitatively.

  9. How Traumatic Violence Permanently Changes Shopping Behavior.

    Science.gov (United States)

    Sigirci, Ozge; Rockmore, Marc; Wansink, Brian

    2016-01-01

    Traumatic experiences - such as combat, living in a conflict country or war-torn nation, or experiencing a violent crime or natural disaster - change social relationships and may also influence a life-time of consumer relationships with brands and shopping. Our focus on this previously overlooked area is centered on an analysis of the long-term shopping habits of 355 combat veterans. We show that those who experienced heavy trauma (e.g., heavy combat) exhibited similar disconnection from brands as others have experienced in social relationships. They became more transactional in that they were more open to switching brands, to trying new products, and buying the least expensive alternative (p buying brands even when they cost more (p < 0.00). Trauma, such as combat, may change one's decision horizon. Functionality and price become more important, which is consistent with the idea that they are more focused on the present moment than on building on the past or saving for the future.

  10. REPEATING FAST RADIO BURSTS FROM HIGHLY MAGNETIZED PULSARS TRAVELING THROUGH ASTEROID BELTS

    International Nuclear Information System (INIS)

    Dai, Z. G.; Wang, J. S.; Huang, Y. F.; Wu, X. F.

    2016-01-01

    Very recently, Spitler et al. and Scholz et al. reported their detections of 16 additional bright bursts in the direction of the fast radio burst (FRB) 121102. This repeating FRB is inconsistent with all of the catastrophic event models put forward previously for hypothetically non-repeating FRBs. Here, we propose a different model, in which highly magnetized pulsars travel through the asteroid belts of other stars. We show that a repeating FRB could originate from such a pulsar encountering a large number of asteroids in the belt. During each pulsar-asteroid impact, an electric field induced outside of the asteroid has such a large component parallel to the stellar magnetic field that electrons are torn off the asteroidal surface and accelerated to ultra-relativistic energies instantaneously. The subsequent movement of these electrons along magnetic field lines will cause coherent curvature radiation, which can account for all of the properties of an FRB. In addition, this model can self-consistently explain the typical duration, luminosity, and repetitive rate of the 17 bursts of FRB 121102. The predicted occurrence rate of repeating FRB sources may imply that our model would be testable in the next few years.

  11. Effects of irradiation on epidermis ultrastructure of fresh day-lily flowers

    International Nuclear Information System (INIS)

    Yang, M.-S.; Chyau, C.-C.; Horng, D.-T.; Yang, J.-S.

    2002-01-01

    Effects of gamma irradiation on epidermis ultrastructure of fresh day-lily (Hemerocallis fulva L.) flowers were studied by scanning electron microscopy. Damaged cells of petal epidermis were found in the day-lily flowers irradiated with 1.0 or more kGy. The cells damaged by irradiation broke and lost cytoplasm, and therefore, showed a serious shrinkage. The compartment of the cells disappeared in injury. With 1.0 or more kGy irradiation, the damaged cells were also observed on the epidermis of the sepal and receptacle cells. The injury was found in a small spot or area on the epidermis of the sepal as well as the petal. The injury spot of the sepal epidermis was shown to resemble ashes and no cell wall of the epidermis was found. On the other hand, the epidermis of the receptacle was torn away with 1.0 or more kGy irradiation. The damaged spots of the receptacle epidermis also appeared after irradiation. Irradiation was not recommended for treating the fresh day-lily flowers as vegetables since the dosage (2.0 or more kGy) needed for inhibiting the flower blooming as shown in our previous works, caused injury on the epidermis of the flowers

  12. Pili torti and multiple facial milia as an expression of ectodermal dysplasia in monozygotic twins

    Directory of Open Access Journals (Sweden)

    Monika Sikorska

    2014-03-01

    Full Text Available Introduction . Genodermatoses – congenital diseases with diverse clinical presentation – are caused by ectodermal defects. pili torti and milia may be features of these defects. Concomitantly these symptoms are present in rare genodermatoses: Bazex-Dupre-Christol syndrome and Jackson-Lawler syndrome. Objective. Presentation of monozygotic twins with identical hair structure disturbances typical for pili torti and multiple facial milia and review of syndromes and diseases with pili torti and/or milia, with particular reference to Bazex-Dupre-Christol syndrome. Case report . Three-year-old monozygotic twins with identical disturbances of the hair, which was dry, brittle, torn and showed in microscopic examination features typical for pili torti – twisting of the hair shaft by 180 ° . The scalp was overdried and scaly. Numerous milia on the face of both girls appeared at the age of 2 years and were noticed during the examination. The remaining structures derived from the ectoderm were normal. The patients were treated with adapalene cream applied once a day with partial improvement of follicular lesions on the face in both sisters. Conclusions . Coexistence of pili torti and multiple milia in twins indicates the genetic background of these disturbances. Due to potential risk of development of skin carcinoma in future, the patients require close follow-up.

  13. Visualization of interfacial behavior of liquid jet in pool

    International Nuclear Information System (INIS)

    Uchiyama, Yuta; Abe, Yutaka; Fujiwara, Akiko; Nariai, Hideki; Matsuo, Eiji; Chitose, Keiko; Koyama, Kazuya; Itoh, Kazuhiro

    2008-01-01

    For the safety design of the Fast Breeder Reactor (FBR), it is strongly required that the post accident heat removal (PAHR) is achieved after a postulated core disruptive accident (CDA). In the PAHR, it is important that the molten core material is quenched (breakup) in sodium coolant. In the previous studies, it is pointed out that the jet breakup behavior is significantly influenced by the fragmentation behavior on the jet surface in the coolant. However, the process from interfacial instability to fragmentation on the jet surface to jet breakup is not elucidated in detail yet. In the present study, the jet breakup behavior is observed to obtain the fragmentation behavior on the jet surface in coolant in detail. The transparent fluid is used as the core material and is injected into the water as the coolant. The velocity distribution of internal flow of the jet is measured by PIV technique and shear stress is calculated from PIV results. From experimental results, unstable interfacial wave is confirmed as upstream and grown up toward downstream. The fragments are torn apart at the end of developed wave. Shear stress is strongly acted on jet surface. From the results, the correlation between the interfacial behavior of the jet and the generation process of fragments are discussed. (author)

  14. Deactivation completed at historic Hanford Fuels Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, M.S.

    1994-03-01

    This report discusses deactivation work which was completed as of March 31, 1994 at the 308 Fuels Development Laboratory (FDL) at the Hanford Site near Richland, Washington. The decision to deactivate the structure, formerly known as the Plutonium Fabrication Pilot Plant (PFPP), was driven by a 1980s Department of Energy (DOE) decision that plutonium fuels should not be fabricated in areas near the Site`s boundaries, as well as by changing facility structural requirements. Inventory transfer has been followed by the cleanout and stabilization of plutonium oxide (PuO{sub 2}) and enriched uranium oxide (UO{sub 2}) residues and powders in the facility`s equipment and duct work. The Hanford Site, located in southeastern Washington state, was one of America`s primary arsenals of nuclear defense production for nearly 50 years beginning in World War II. Approximately 53 metric tons of weapons grade plutonium, over half of the national supply and about one quarter of the world`s supply, were produced at Hanford between 1944 and 1989. Today, many Site buildings are undergoing deactivation, a precursor phase to decontamination and decommissioning (D&D). The primary difference between the two activities is that equipment and structural items are not removed or torn down in deactivation. However, utilities are disconnected, and special nuclear materials (SNM) as well as hazardous and pyrophoric substances are removed from structures undergoing this process.

  15. Deactivation completed at historic Hanford Fuels Laboratory

    International Nuclear Information System (INIS)

    Gerber, M.S.

    1994-03-01

    This report discusses deactivation work which was completed as of March 31, 1994 at the 308 Fuels Development Laboratory (FDL) at the Hanford Site near Richland, Washington. The decision to deactivate the structure, formerly known as the Plutonium Fabrication Pilot Plant (PFPP), was driven by a 1980s Department of Energy (DOE) decision that plutonium fuels should not be fabricated in areas near the Site's boundaries, as well as by changing facility structural requirements. Inventory transfer has been followed by the cleanout and stabilization of plutonium oxide (PuO 2 ) and enriched uranium oxide (UO 2 ) residues and powders in the facility's equipment and duct work. The Hanford Site, located in southeastern Washington state, was one of America's primary arsenals of nuclear defense production for nearly 50 years beginning in World War II. Approximately 53 metric tons of weapons grade plutonium, over half of the national supply and about one quarter of the world's supply, were produced at Hanford between 1944 and 1989. Today, many Site buildings are undergoing deactivation, a precursor phase to decontamination and decommissioning (D ampersand D). The primary difference between the two activities is that equipment and structural items are not removed or torn down in deactivation. However, utilities are disconnected, and special nuclear materials (SNM) as well as hazardous and pyrophoric substances are removed from structures undergoing this process

  16. CONHECIMENTO DA EQUIPE DE ENFERMAGEM DE UNIDADES MATERNO-INFANTIS FRENTE AOS DISTÚRBIOS GENÉTICOS

    Directory of Open Access Journals (Sweden)

    Valquiria Maria de Paula Cunha

    2010-01-01

    Full Text Available Los avances en el área de Genética Humana están revolucionando el entendimiento de salud-enfermedad, tornándose un reto y un impacto en la expansión del papel de la enfermería. El objetivo del presente estudio fue identificar el conocimiento del equipo de enfermería para hacer frente a las anomalías genéticas. Se trata de un estudio exploratorio-descriptivo y transversal, realizado a través de entrevista realizada con 171 profesionales del equipo de enfermería de sectores maternoinfantiles. La mayoría de los entrevistados informó que es capaz de reconocer un síndrome genético, siendo el síndrome de Down el más conocido. Sin embargo, la mayoría no supo informar correctamente cuál sería el apoyo necesario en estos casos. Se observa que el equipo no está preparado para tratar este asunto con familiares de niños portadores de anomalías genéticas. Frente a lo expuesto, es necesaria la capacitación en este campo.

  17. Comparison of job and career satisfaction between women physicians and women academicians at the American University of Beirut.

    Science.gov (United States)

    Zgheib, Nathalie; Zgheib, Philippe W; Usta, Jinan

    2006-01-01

    This study assesses the level of job and career satisfaction, work, social life and child care conflict of full time female academic physicians, and compares it with full time female non medical academicians at the American University of Beirut. The authors show that female physicians were significantly more satisfied with resources and income than non physicians. Both groups were satisfied with their job in general, yet less of the non medical academicians were satisfied with the career progress. Furthermore, despite the fact that both categories, if given the choice, would go again for the same major and the same career, yet less of the physicians would advise a friend to follow the same career. There is minimal conflict between social life and work; and being married and having children did not affect the satisfaction level except for the fact of feeling more torn between the demands of work and personal life. Several interpretations are exposed in order to explain the findings, as well as the implications of the study.

  18. Violencia y ética práctica

    Directory of Open Access Journals (Sweden)

    Fermin Roland Schramm

    2009-01-01

    Full Text Available El texto parte de la constatación de que el fenómeno de la violencia es un tema poco estudiado en bioética y se propone delinear las condiciones de posibilidad de tal estudio a partir de un doble desafío: a el epistemológico, de inteligibilidad y comprensión de la violencia como fenómeno real y "complejo"; b el normativo y ético, del control y tratamiento de este fenómeno "oscuro". Comienza con un breve análisis conceptual del término violencia, destacando las características consideradas pertinentes para la bioética. En un segundo momento, aborda su historia conceptual, distinguiendo tres momentos de la historia de la filosofía: I la fase arcaica o mitopoiética; II la fase filosófica o racional y III la fase contemporánea o híbrida, en la cual se presentan las contribuciones de René Girard, Emmanuel Lévinas y Judith Butler. Concluye señalando la necesidad de una definición adecuada de la categoría violencia para que se torne un objeto de la bioética, como son los actos humanos voluntarios de agentes morales competentes que usan una fuerza injustificada para imponer a pacientes morales sufrimientos evitables y no consentidos.

  19. Innerarity and Immunology: Difference and Identity in selves, bodies and communities

    Directory of Open Access Journals (Sweden)

    Germán Bula

    2013-06-01

    Full Text Available Daniel Innerarity’s Ethics of Hospitality highlights a tension in both communities and individuals between embracing difference and protecting identity, while recognizing that difference is constitutive of identity (the fear that dominates contemporary society is above all a fear of difference, of contamination. This dynamical relation between difference and identity can be seen in the workings of the human immune system, as explained by Chilean biologist and philosopher Francisco Varela: the immune system is a process of perpetual construction of bodily identity through self-referential cognition and distinction between self and non-self. This similarity allows for interesting analogies: for example, a society torn apart by xenophobia and chauvinism can be seen as analogous to a body ravaged by an autoimmune disease such as lupus. With the working hypothesis that the similarities respond to what Stafford Beer calls “systemic invariance”,   this paper explores the similarities between the activity of the immune system and the relation between identity and difference in the work of Innerarity.

  20. A new beginning

    Directory of Open Access Journals (Sweden)

    John A Martignetti

    2011-03-01

    Full Text Available John A MartignettiMount Sinai School of Medicine, Departments of Genetics and Genomic Science, Pediatrics, and Oncological Sciences, New York, USAIf you, as Oedipus was, were a traveler in ancient Thebes you may have been met by a perched chimeric interrogator posing a question only slightly more foreboding than “Why a new genetics journal?” The mythical Sphinx, literally interpreted as representing the old pre-Olympian culture on the precipice of replacement, guarded the entrance to Thebes, and asked a riddle of all travelers prior to granting them entry.“Which creature is it that in the morning goes on four legs, at midday on two, and in the evening upon three?”Similarly, as you question why submit your work to, or review for, and indeed, even become the Editor-in-Chief of a new online access journal a sense of fear may overwhelm. While the Sphnix’s punishment of being torn asunder and devoured may at least seem quick and to the point, would the efforts of being part of a new endeavor somehow be more inhumane.

  1. Guilty but good: defending voluntary active euthanasia from a virtue perspective.

    Science.gov (United States)

    Begley, Ann Marie

    2008-07-01

    This article is presented as a defence of voluntary active euthanasia from a virtue perspective and it is written with the objective of generating debate and challenging the assumption that killing is necessarily vicious in all circumstances. Practitioners are often torn between acting from virtue and acting from duty. In the case presented the physician was governed by compassion and this illustrates how good people may have the courage to sacrifice their own security in the interests of virtue. The doctor's action created huge tensions for the nurse, who was governed by the code of conduct and relevant laws. Appraising active euthanasia from a virtue perspective can offer a more compassionate approach to the predicament of practitioners and clients. The tensions arising from the virtue versus rules debate generates irreconcilable difficulties for nurses. A shift towards virtue would help to resolve this problem and support the call for a change in the law. The controversial nature of this position is acknowledged. The argument is put forward on the understanding that many practitioners will not agree with the conclusions reached.

  2. Diversos usos instrumentales del aparato masticatorio en restos humanos de la Patagonia Argentina

    Directory of Open Access Journals (Sweden)

    Kozameh, Livia Febes

    2005-01-01

    Full Text Available Desgastes dentarios atípicos y disarmónicos, asociados a patologías sugirieron la posibilidad que los mismos se hubieran producido por una actividad masticatoria excesiva y no alimentaria. La variedad de rastros registrados sugiere el uso de la boca con fines instrumentales, como recurso posiblemente constante. Los casos seleccionados son seis y sus rasgos predominantes se describen sucintamente. 1 Muestra dentaria de canoeros fueguinos. Fracturas cuspídeas pulimentadas únicamente en denticiones femeninas.2Resto de cazador canoero del Beagle. Notables desgastes dentarios con distintas angulaciones a modo de zigzag. Raíces en función oclusal con procesos alveolares concomitantes. 3Resto de cazador pedestre de Tierra del Fuego. Disminución del tamaño coronal de los dientes anteriores y primeros premolares, con pérdida completa de su morfología. Los bordes incisales exhiben tres planos de desgaste con diferentes direcciones. 4 y 5Cazadores de Santa Cruz. En uno de ellos los desgastes coronales son convexos en todos sus dientes. Patologías alveolares. En el otro ejemplar el desgaste tornó cilíndricas las coronas de las piezas anteriores. 6Resto femenino de Chubut. Pérdida prematura de los cuatro dientes anteriores con compromiso óseo y canino transpuesto.

  3. A Case of Extragonadal Teratoma in the Pouch of Douglas and Literature Review.

    Science.gov (United States)

    Kakuda, Mamoru; Matsuzaki, Shinya; Kobayashi, Eiji; Yoshino, Kiyoshi; Morii, Eiichi; Kimura, Tadashi

    2015-01-01

    Mature cystic teratoma is a germ cell tumor of the ovaries and is often observed in clinical practice. However, extragonadal teratomas are rare tumors and have been reported outside the ovaries, (e.g., in the greater omentum). The mechanism underlying the development of extragonadal teratomas remains unknown. We encountered a case of extragonadal teratoma in the pouch of Douglas that appeared to be a parasitic dermoid cyst. From our experience and the literature review, we discuss the potential mechanism leading to the development of extragonadal teratomas. A 41-year-old nonpregnant woman was referred to our department due to myoma and anemia. A 4-cm asymptomatic mass in the pouch of Douglas was observed, and the patient was diagnosed with ovarian mature cystic teratoma. She underwent laparoscopic surgery, and intraoperative findings revealed that the fallopian tube was injured and torn, and a residual small ovary was observed in the left side of the ovary. A tumor measuring approximately 4 cm observed in the pouch of Douglas was extracted without rupturing. The tumor was diagnosed as a parasitic dermoid cyst by macroscopic and histopathological findings. Auto-amputation could be the underlying mechanism that leads to an isolated parasitic dermoid cyst in the pouch of Douglas. Copyright © 2015 AAGL. Published by Elsevier Inc. All rights reserved.

  4. [Health system reforms, economic constraints and ethical and legal values].

    Science.gov (United States)

    Caillol, Michel; Le Coz, Pierre; Aubry, Régis; Bréchat, Pierre-Henri

    2010-01-01

    Health system and hospital reforms have led to important and on-going legislative, structural and organizational changes. Is there any logic at work within the health system and hospitals that could call into question the principle of solidarity, the secular values of ethics that govern the texts of law and ethics? In order to respond, we compared our experiences to a review of the professional and scientific literature from 1992 to 2010. Over the course of the past eighteen years, health system organization was subjected to variations and significant tensions. These variations are witnesses to a paradigm shift: although a step towards the regionalization of the health system integrating the choice of public health priorities, consultation and participatory democracy has been implemented, nevertheless the system was then re-oriented towards the trend of returning to centralization on the basis of uniting economics, technical modernization and contracting. This change of doctrine may undermine the social mission of hospitals and the principle of solidarity. Progress, the aging population and financial constraints would force policy-makers to steer the health system towards more centralized control. Hospitals, health professionals and users may feel torn within a system that tends to simplify and minimize what is becoming increasingly complex and global. Benchmarks on values, ethics and law for the hospitals, healthcare professionals and users are questioned. These are important elements to consider when the law on the reform of hospitals, patients, health care and territories and regional health agencies is implemented.

  5. STUDY OF ANTERIOR CRUCIATE LIGAMENT INJURY AND ITS MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Tummala Venkata

    2016-03-01

    Full Text Available BACKGROUND The anterior cruciate ligament is the weaker of the two cruciate ligaments stabilizing the knee joint, and therefore gets torn easier than the posterior cruciate ligament. OBJECTIVE To determine pattern of anterior cruciate ligament injury and its management in a tertiary care center. MATERIALS AND METHODS A prospective study was carried out for two years, 28 patients with ACL injury were included. A detailed history regarding the pattern of injury was noted and ACL reconstruction was done using BT Bautograft with mini-arthrotomy and arthroscopic assisted ACL reconstruction. RESULTS The mean age of the study subjects was 30.6±7.3 years & majority were males. Majority of the ACL injury was sports related & was on the right knee. 64% underwent arthroscopic assisted ACL reconstruction & majority of them had normal range of motion of the knee. CONCLUSION Our present study concludes that most common age group involved was 20-30 years & ACL injury was more common among males. Patients with an early ACL reconstruction were more satisfied with the end result. Also, ACL reconstruction techniques using BTB auto graft leads to good ligamentous stability and function of the knee.

  6. Utility of Online Communities – Ways One Can Benefit From One’s Online Life

    Directory of Open Access Journals (Sweden)

    Ioana Cărtărescu

    2010-10-01

    Full Text Available As many of today’s social scientists (such as Beck, Giddens, Howard, Vlăsceanu etc have remarked, the modern age has brought with itself a great series of fast-paced changes in the average man’s lifestyle. Nothing is safe or can be taken for granted anymore. Families disintegrate, traditions become obsolete and professional re-qualifications are necessary every few years just to keep upwith the younger, tougher competition on the labour market. Forced to constantly changed ones place of residence, ones entourage, work and habits leads to a feeling of loneliness, of not really being a part of modern society and its communities, of being left out to fend for yourself. Luckily, modernity has also brought with itself a never seen before technological boom which instantly permitted not only the improvement of one’s biological life, but also provided society with the opportunity to bridge the gap between people. One of the most significant of these innovations is the Internet, a non-geographical space that people, in just a few short years, have colonized andmade their own, projected their identities into and created solid and durable communities that, which were less subjected to being torn apart by distance and time. This paper’s object is to show how and why being part of an online community is a great way for one to get a stronger feeling of social integration and be part of a somewhat more fair, less prejudiced world.

  7. Cross Roads, Wrong Tracks, or New Goals in Globalized Europe?

    Directory of Open Access Journals (Sweden)

    Zoltán Suti

    2015-10-01

    Full Text Available A variety of motivations are needed to make people move house but, an even more profound determination is necessary to leave one’s home country. It is not simple to replant an old walnut tree but, sometimes, owing to the fertile soil and the new, favourable environment, replanting can bring richer harvest. True, in the 21st century the continuously changing and, at times, revolting Europe is opening up for new migrants. Yet, a modern-age adventure-seeking Ulysses has to face many challenges; the Great Unknown might hide good and bad as well, meaning, that the migrants’ knowledge and experience is often not enough: they often need much luck to succeed, too. In a globalized European Union migration processes are organic parts of life but, due to the intensifying nature of the trend a sensitive question needs to be asked from time to time. Is migration a chance or a danger? In consumer societies interpersonal relationships transform lifestyle, as well as people’s opinion concerning social mobility. Thus original social roots are being torn off, traditional relationships are fading and this is how a phenomenon called chameleon migration is established. As a result of the formerly mentioned processes temporary migration of work force is replaced by a new type of migration, aimed at uniting families. Thus the question inevitably arises: who stays at home and how do they cope?

  8. Brighter than a thousand suns; Heller als tausend Sonnen

    Energy Technology Data Exchange (ETDEWEB)

    Jungk, Robert

    2016-07-01

    This fascinating tangible report applies to all, who live face to face with the greatest danger of the 20th century. It describes the history of the atomic bomb as ''a history of real men'', who were in the summer 1939 yet able to prevent the construction of atomic bombs and the opportunity pass unused: They were moralically and politically out of touch with the threatening new invention. Jungk spreads an overwhelming material, opens up hitherto inaccessible sources, and explains in exciting way the dilemma of famous scientists, who fluctuate between the urge to research and moral distress. What has begun in the the twenties as collegial team work of young scientists, developed to a tragedy. Researchers, who felt committed alone to the scientific progress, saw very soon torn into the tension of power politics, and many of them begun to recognize that they have, how the American atomic physicists Oppenheimer expresses himself, done ''the work of the devil''. Despite sharp attacks Jungk is no moral damnation judgement. He wants to know his book understood as contribution to the large conversation, ''which may perhaps prepare a future without fear''.

  9. Multidetector-row CT of right hemidiaphragmatic rupture caused by blunt trauma: a review of 12 cases

    International Nuclear Information System (INIS)

    Rees, O.; Mirvis, S.E.; Shanmuganathan, K.

    2005-01-01

    AIM: To determine the usefulness of multidetector-row CT (MDCT) with multiplanar reformatted (MPR) images in the sagittal and coronal plane in diagnosing acute right hemidiaphragmatic rupture. MATERIALS AND METHODS: Twelve patients were identified who received chest and abdominal MDCT after major blunt trauma diagnosed with right diaphragmatic injury. Sagittal and coronal reformations were performed in all cases. The images were retrospectively reviewed by two experienced radiologists for signs of right diaphragm injury, such as direct diaphragm discontinuity, the 'collar sign', the 'dependent viscera sign', and intra-thoracic location of herniated abdominal contents. RESULTS: Of the 12 cases of right hemidiaphragm rupture, diaphragm discontinuity was seen in seven (58%) cases, the collar sign in five (42%), the dependent viscera sign in four (33%), and transdiaphragmatic herniation of the right colon and fat in another. Two variants of the collar sign were apparent on high-quality sagittal and coronal reformations. The first, termed the 'hump sign', describes a rounded portion of liver herniating through the diaphragm forming a hump-shaped mass, and the second, termed the 'band sign,' is a linear lucency across the liver along the torn edges of the hemidiaphragm. The hump sign occurred in 10 (83%) patients and the band sign in four (33%). CONCLUSION: MDCT is very useful in the diagnosis of right hemidiaphragm injury caused by blunt trauma when sagittal and coronal reformatted images are obtained, and should allow more frequent preoperative diagnosis

  10. The nature of ethical conflicts and the meaning of moral community in oncology practice.

    Science.gov (United States)

    Pavlish, Carol; Brown-Saltzman, Katherine; Jakel, Patricia; Fine, Alyssa

    2014-03-01

    To explore ethical conflicts in oncology practice and the nature of healthcare contexts in which ethical conflicts can be averted or mitigated. Ethnography. Medical centers and community hospitals with inpatient and outpatient oncology units in southern California and Minnesota. 30 oncology nurses, 6 ethicists, 4 nurse administrators, and 2 oncologists. 30 nurses participated in six focus groups that were conducted using a semistructured interview guide. Twelve key informants were individually interviewed. Coding, sorting, and constant comparison were used to reveal themes. Most ethical conflicts pertained to complex end-of-life situations. Three factors were associated with ethical conflicts: delaying or avoiding difficult conversations, feeling torn between competing obligations, and the silencing of different moral perspectives. Moral communities were characterized by respectful team relationships, timely communication, ethics-minded leadership, readily available ethics resources, and provider awareness and willingness to use ethics resources. Moral disagreements are expected to occur in complex clinical practice. However, when they progress to ethical conflicts, care becomes more complicated and often places seriously ill patients at the epicenter. Practice environments as moral communities could foster comfortable dialogue about moral differences and prevent or mitigate ethical conflicts and the moral distress that frequently follows.

  11. Methods of modeling TCO residential real estate in the life cycles of buildings as a promising energy efficiency management tool

    Directory of Open Access Journals (Sweden)

    Kulakov Kirill

    2017-01-01

    Full Text Available Building and developing an affordable housing market is a huge challenge for Russia’s national economy. Today, the housing construction industry finds itself in a situation torn by a conflict caused by the simultaneous needs to minimize the housing construction costs in order to make housing more affordable for Russians and to increase the energy efficiency of the housing projects, which is associated with additional costs for developers. To find solutions to this contradictory situation, one needs new theoretical and practical approaches and economic tools. The global economic trend of managing goods and services on the basis of the value of goods and services over the life cycle is also manifested in the construction industry in Russia. The problem of forming a new economic thinking in the housing sector predetermines the perception of the value of housing not only as the price of purchased real estate, but as the equivalent of the total cost of ownership of real estate throughout its life cycle. This approach allows to compensate the initial rise in the cost of construction resulting from the introduction of energy-efficient technologies by savings in the operational phase of the life cycle of the property. In this regard, management of the total cost of real estate ownership based on energy modeling is of high research and practical relevance.

  12. Quan la justícia és venjança, contra un jueu

    Directory of Open Access Journals (Sweden)

    Garcia-Oliver, Ferran

    2013-12-01

    Full Text Available In Valencia, in the year 1380, the death of a child aged six unleashes hatred and fear. A Jewish man is accused of throwing a stone at him from his window. The Criminal Justice immediately opens a suit against him and, with amazing speed, pronounces sentence in less than three months. The prosecution, the defence and the witnesses provide a short but splendid picture of the lives of subordinate people in the lower classes, a picture that speaks of values, sociability and solidarity, unsteady roots and the always delicate relationship between Jews and Christians.[ca] La mort d’un nen de sis anys, a la València de 1380, desferma odis i temors. Un jueu és acusat d’haver-li llançat una pedrada des de la finestra de casa seua. D’immediat, el justícia criminal obre el procés i amb una rapidesa sorprenent, en menys de tres mesos, pronuncia la sentencia. L’acusació, la defensa i els testimonis proporcionen un breu però formidable fresc de la vida dels sectors subalterns, en torn dels valors, la sociabilitat i les solidaritats, les arrels inestables i les sempre difícils relacions entre jueus i cristians.

  13. Research into topology optimization and the FDM method for a space cracked membrane

    Science.gov (United States)

    Hu, Qingxi; Li, Wanyuan; Zhang, Haiguang; Liu, Dali; Peng, Fujun; Duan, Yongchao

    2017-07-01

    The problem that the space membranes are easily torn open is the main focus in this paper, and a bionic strengthening-ribs structure is proposed for a space membrane based on interdisciplinary strengths, such as topology optimization, composite materials, and rapid prototyping. The optimization method and modeling method of membranes with bionic strengthening-ribs was studied. The PEEK and SCF/PEEK composite material which are applied to the space environment are chosen, and FDM technology is used. Through topology optimization, bionic strengthening-ribs with good tensile and tear capacities were obtained. Cracked membranes, cracked membranes with PEEK strengthening-ribs and SCF/PEEK strengthening-ribs were tested and test data were obtained. An extension situation and tension fracture were compared for three cases. The experimental results showed that membranes with the bionic strengthening-ribs structure have better mechanical properties, and the strength of the membranes with PEEK and SCF/PEEK strengthening-ribs were raised, respectively, up to 266.9% and 185.9%. The strengthening-ribs structure greatly improves the capacity to halt membrane crack-growth, which has an important significance to avoid membrane tear, and to ensure the spacecraft orbital lifetime.

  14. Genesis of the constitutionality and statehood of the Republic of Srpska: Constitutional acts in Bosnia and Herzegovina in 1990 and 1991

    Directory of Open Access Journals (Sweden)

    Nešković Radomir

    2012-01-01

    Full Text Available Constitutional (statehood or foundation acts are those on which the establishment of a state is founded. These acts determine its statehood entities (part-owners of the state in which the foundations of state organization are defined. All other authorities (legislative, executive and administrative, and judicial are extracted from constitutional acts which are synthesized in the Constitution as the highest political and legal act. Constitutional acts in Bosnia and Herzegovina in the abovementioned period influenced each other as the domino effect, since one act caused the adoption of another, thus, each state-building act had the cause and consequence feature. Constitutional act of representatives of a nation caused the adoption of a similar act among representatives of another nation, which resulted in the statehood authority losing its unique character and being 'torn apart' into three national state-building authorities. In this text we mention the basic constitutional acts preceding the establishment of the Assembly of the Serb People in Bosnia and Herzegovina.

  15. Subendocardial hemorrhages in a case of extrapercardial cardiac tamponade: A possible mechanism of appearance

    Directory of Open Access Journals (Sweden)

    Nikolić Slobodan

    2016-01-01

    Full Text Available Introduction. Subendocardial hemorrhages are grossly visible bleedings in the inner surface of the left ventricle, the interventricular septum, and the opposing papillary muscles and adjacent columnae carneae of the free wall of the ventricle. These are commonly seen in sudden profound hypotension either from severe blood loss from “shock” in the widest sense and, even more often, in combination with brain injuries. Case Outline. We present a case of a 38-year-old man, injured as a car driver in a frontal collision, who died c. 45 minutes after the accident. The autopsy revealed severe chest trauma, including multiple right-sided direct rib fractures with the torn parietal pleura and right-sided pneumothorax, several right lung ruptures, and a rupture of one of the lobar bronchi with pneumomediastinum, and prominent subcutaneous emphysema of the trunk, shoulders, neck and face. The patchy subendocardial hemorrhage of the left ventricle was observed. The cause of death is attributed to severe blunt force chest trauma. Conclusion. We postulate pneumomediastinum leading to extrapericardial tamponade as the underlying mechanism of this subendocardial hemorrhage. [Projekat Ministarstva nauke Republike Srbije, br. 45005

  16. Chest wall – underappreciated structure in sonography. Part II: Non-cancerous lesions

    Directory of Open Access Journals (Sweden)

    Andrzej Smereczyński

    2017-12-01

    Full Text Available The chest wall is a vast and complex structure, hence the wide range of pathological conditions that may affect it. The aim of this publication is to discuss the usefulness of ultrasound for the diagnosis of benign lesions involving the thoracic wall. The most commonly encountered conditions include sternal and costal injuries and thoracic lymphadenopathy. Ultrasound is very efficient in identifying the etiology of pain experienced in the anterior chest wall following CPR interventions. Both available literature and the authors’ own experience prompt us to propose ultrasound evaluation as the first step in the diagnostic workup of chest trauma, as it permits far superior visualization of the examined structures compared with conventional radiography. Sonographic evaluation allows correct diagnosis in the case of various costal and chondral defects suspicious for cancer. It also facilitates diagnosis of such conditions as degenerative lesions, subluxation of sternoclavicular joints (SCJs and inflammatory lesions of various etiology and location. US may be used as the diagnostic modality of choice in conditions following thoracoscopy or thoracotomy. It may also visualize the fairly common sternal wound infection, including bone inflammation. Slipping rib syndrome, relatively little known among clinicians, has also been discussed in the study. A whole gamut of benign lesions of thoracic soft tissues, such as enlarged lymph nodes, torn muscles, hematomas, abscesses, fissures, scars or foreign bodies, are all easily identified on ultrasound, just like in other superficially located organs.

  17. Weeping in the Playtime of Others: The Obama Administration's Failed Reform of ICE Family Detention Practices

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    Dora Schriro

    2017-05-01

    The paper concludes with a discussion of reasons for the rapid reversal of its previous reforms and provides recommendations to achieve a civil, civil system of immigration enforcement for families and all others, which means nothing less than the transformation of the immigrant detention system from a criminal to a civil paradigm, consistent with the population and legal authorities.[1] The need for such an effort is all the more urgent in light of executive actions taken in the early days of the Trump administration and their initial outcomes. Among those thwarting admissions are  orders to Customs and Border Protection (CBP and US Citizenship and Immigration Services (USCIS to seal the US borders, shun refugees fleeing from war-torn regions until “extreme vetting” measures are put into place, and reassess others who have already been issued visas.  Additional orders issued to ICE expanded and expedited the removal of persons whose conduct could result in charges or convictions as well as those with criminal charges or convictions, resulting in a 38 percent increase in arrests by ICE agents within the first 100 days of the Trump administration (Dickerson 2017b; Duara 2017.         [1] For further discussion of the concept of a civil, civil system of immigration enforcement, see Schriro (2009.

  18. How much Takfir is too much Takfir? The Evolution of Boko Haram’s Factionalization

    Directory of Open Access Journals (Sweden)

    Jacob Zenn

    2017-06-01

    Full Text Available This article explores the ways in which the doctrine of takfir has been a central component in causing the Boko Haram movement to factionalize. The paper considers the historical origins of the concept of takfir and then turns to looking at how this concept has been (reinterpreted in the contemporary period among jihadist groups such as Boko Haram. Contemporary usage of takfirism as an ideology has often led to lethal consequences for civilians on the ground who are labeled “Kafir”, and devastating consequences for the internal cohesion of groups who use takfir as disagreements arise over who is or is not “Kafir”. The concept is highly controversial, and has torn jihadist movements apart. The priority given to this concept in Boko Haram factions provides an illustrative case study of takfirism in contemporary jihadist movements. In the conclusion, the article provides recommendations on how this concept can be incorporated into CVE programs and especially de-radicalization of both leaders and foot soldiers of Boko Haram.

  19. O PATRIMÔNIO HISTÓRICO E CULTURAL SOB A PERSPECTIVA DE SEU USO TURÍSTICO

    Directory of Open Access Journals (Sweden)

    Rosângela Custodio Cortez Thomaz

    2014-09-01

    Full Text Available Este artigo tem por intuito apresentar os aspectos referentes à educação patrimonial, ao turismo cultural e aos museus, como forma de estabelecer uma proposta de ação educacional voltada ao patrimônio. O interesse social pelo patrimônio cultural, a partir da perspectiva mais antropológica, tem despertado a curiosidade de milhares de potenciais turistas que em número crescente decidem destinar uma parte de seu tempo para conhecer os recursos culturais disponíveis e a buscar outros novos destinos não valorados até o momento e que tem aberto um amplo campo de atividade turística nova.  Os acervos dos museus constituem-se em um elemento riquíssimo e a apresentação de seus bens culturais por meio de processos educativos pode torná-lo um recurso turístico em potencial, na medida em que os turistas possam vir a ter o interesse de conhecer um pouco mais sobre a história da localidade onde estão inseridos. Ao mesmo tempo, se a comunidade pertencente ao local valorizar e apropriar-se desse patrimônio, têm-se então cidadãos multiplicadores dos conhecimentos adquiridos na educação patrimonial e difusores da história regional, ou seja, mantenedores de uma identidade cultural.

  20. Metallurgical failure investigation of a pipe connector fracture of an expansion vessel; Werkstofftechnische Schadensuntersuchung des Abrisses einer Rohrverschraubung eines Ausgleichsbehaelters

    Energy Technology Data Exchange (ETDEWEB)

    Neidel, Andreas [Siemens AG, Power and Gas, Gas Turbines and Generators, Gasturbinenwerk Berlin (Germany). Werkstoffprueflabor

    2016-08-15

    A pipe connector of an expansion vessel of a safety heat exchanger was torn off in a test facility's natural gas compressor. From a material point of view, the cause of the damage is a fatigue fracture induced by pulsating bending stress. The fatigue fracture originated from both, the pipe's outer surface as well as from its inner surface, which is consistent with the given stress situation (pulsating bending stress). Material defects or welding-induced flaws were not observed. Corrosion, wear, or thermal overload which may have promoted the damage, were not observed either. The primary cause was a major design error. Cases of dynamic load were obviously not duly taken into account during designing, so that the free-swinging mass of the expansion vessel which was mounted to a pipe of a diameter of only half an inch and, furthermore, installed in an angle of 45 (additional static preload.), could cause the fatigue failure induced by pulsating bending stress in the zone of highest stresses at the transition of the expansion vessel and the the pipe connector due to dynamic operating loads which always occur in plants like these.

  1. MR imaging of the flexed knee: comparison to the extended knee in delineation of meniscal lesions

    International Nuclear Information System (INIS)

    Niitsu, M.; Itai, Y.; Endo, H.; Ikeda, K.

    2000-01-01

    The aim of this study was to obtain MR images in the flexed-knee position and to compare the diagnostic value to the extended position in delineation of the menisci. With a mobile knee brace and a flexible surface coil, the knee joint was either fully extended or bent to a semi-flexed position (average 45 of flexion) within a 1.5-T superconducting magnet. Sets of sagittal MR images were obtained for both the extended- and flexed-knee positions. Using the arthroscopic results as gold standards, 97 menisci were evaluated. Two observers interpreted each MR image of the extended and flexed positions independently without knowledge of the arthroscopic results. Flexed-knee MR images revealed 22 of the 27 arthroscopically proven torn menisci and 69 of the 70 intact menisci, for a sensitivity of 81.5 %, a specificity of 98.6 %, and an accuracy of 93.8 %. Extended-knee MR images indicated a sensitivity of 81.5 %, a specificity of 92.9 %, and an accuracy of 89.7 %. No statistically significant difference was found between the two positions. To enhance MR visualization of all the knee components, we recommend examining the knee in a flexed position within the magnet. (orig.)

  2. Multiple half-second acquisition method of the moving knee joint. Kinematic MR imaging of the anterior cruciate ligament

    Energy Technology Data Exchange (ETDEWEB)

    Niitsu, Mamoru; Ikeda, Kotaroh; Fukubayashi, Tohru; Echigo, Junko; Itai, Yuji [Tsukuba Univ., Ibaraki (Japan). Inst. of Clinical Medicine

    1996-10-01

    The objective of this study was to delineate the moving anterior cruciate ligament (ACL) with multiple rapid magnetic resonance (MR) imaging. Rapid gradient echo MR images with an one-shot acquisition time of a half-second were accomplished by short repetition time and phase encoding reduction. Using a mobile knee brace and a flexible surface coil, half-second acquisitions were sequentially acquired during active, constant knee movement. Sixteen knees with intact ACLs and 27 knees with arthroscopically proven ACL tears were examined. Normal ACLs were identified as moving linear low-intensities. The ligaments were readily identified as straight or minimally curved structures when the knee was in semi-flexion compared to the knee extension. Torn ACLs were demonstrated as moving fragments or an amorphous configuration. Intermittent appearances of joint fluid interrupted the ligamentous continuities. Compared to the static images, no significant superiority of the kinematic imaging was found in diagnosis of ACL tears. However, this instant kinematic imaging is feasible with a standard MR system and can provide morphological information for functional analysis of the knee. (author)

  3. MR imaging of the flexed knee: comparison to the extended knee in delineation of meniscal lesions

    Energy Technology Data Exchange (ETDEWEB)

    Niitsu, M.; Itai, Y. [Dept. of Radiology, Institute of Clinical Medicine, University of Tsukuba Tennodai, Tsukuba, Ibaraki (Japan); Endo, H. [Tsukuba Medical Center Hospital, Ibaraki (Japan); Ikeda, K. [Dept. of Orthopedic Surgery, University of Tsukuba Tennodai, Tsukuba (Japan)

    2000-11-01

    The aim of this study was to obtain MR images in the flexed-knee position and to compare the diagnostic value to the extended position in delineation of the menisci. With a mobile knee brace and a flexible surface coil, the knee joint was either fully extended or bent to a semi-flexed position (average 45 of flexion) within a 1.5-T superconducting magnet. Sets of sagittal MR images were obtained for both the extended- and flexed-knee positions. Using the arthroscopic results as gold standards, 97 menisci were evaluated. Two observers interpreted each MR image of the extended and flexed positions independently without knowledge of the arthroscopic results. Flexed-knee MR images revealed 22 of the 27 arthroscopically proven torn menisci and 69 of the 70 intact menisci, for a sensitivity of 81.5 %, a specificity of 98.6 %, and an accuracy of 93.8 %. Extended-knee MR images indicated a sensitivity of 81.5 %, a specificity of 92.9 %, and an accuracy of 89.7 %. No statistically significant difference was found between the two positions. To enhance MR visualization of all the knee components, we recommend examining the knee in a flexed position within the magnet. (orig.)

  4. Enamel matrix derivative enhances tissue formation around scaffolds used for tissue engineering of ligaments.

    Science.gov (United States)

    Messenger, Michael P; Raïf, El M; Seedhom, Bahaa B; Brookes, Steven J

    2010-02-01

    The following in vitro translational study investigated whether enamel matrix derivative (EMD), an approved biomimetic treatment for periodontal disease (Emdogain) and hard-to-heal wounds (Xelma), enhanced synovial cell colonization and protein synthesis around a scaffold used clinically for in situ tissue engineering of the torn anterior cruciate ligament (ACL). Synovial cells were enzymatically extracted from bovine synovium and dynamically seeded onto polyethylene terephthalate (PET) scaffolds. The cells were cultured in low-serum medium (0.5% FBS) for 4 weeks with either a single administration of EMD at the start of the 4 week period or multiple administrations of EMD at regular intervals throughout the 4 weeks. Samples were harvested and evaluated using the Hoechst DNA assay, BCA protein assay, cresolphthalein complexone calcium assay, SDS-PAGE, ELISA and electron microscopy. A significant increase in cell number (DNA) (p < 0.01), protein content (p < 0.01) and TGFbeta1 synthesis (p < 0.01) was observed with multiple administrations of EMD. Additionally, SDS-PAGE showed an increase in high molecular weight proteins, characteristic of the fibril-forming collagens. Electron microscopy supported these findings, showing that scaffolds treated with multiple administrations of EMD were heavily coated with cells and extracellular matrix (ECM) that enveloped the fibres. Multiple administrations of EMD to synovial cell-seeded scaffolds enhanced the formation of tissue in vitro. Additionally, it was shown that EMD enhanced TGFbeta1 synthesis of synovial cells, suggesting a potential mode of action for EMD's capacity to stimulate tissue regeneration.

  5. Should anorectal ultrasonography be included as a diagnostic tool for chronic anal pain?

    Directory of Open Access Journals (Sweden)

    M. J. García-Montes

    Full Text Available Objective: to assess the efficiency of endorectal ultrasound (ERUS in the study of chronic idiopathic anal pain (CIAP. Material and method: this is a prospective and descriptive study in which 40 patients, 18 men and 22 women with an average of 47 years, were included. They had chronic anal pain of at least 3 months' duration. A complete colonoscopy was performed in all patients, which found no abnormalities to explain clinical symptoms. Patients with anal fissure and internal hemorrhoids of any degree, perianal suppurative processes, and pelvic surgery were excluded from the study. An ALOKA ProSound SSD-4000 ultrasound console attached to a multifrequency radial transductor ASU-67 (7.5 and 10 MHz was used. Results: one patient could not tolerate the examination. In 8 patients (20% of cases alterations were detected during ultrasonography: in 4 patients (10% of the cases; 1 man and 3 women internal anal sphincter (IAS hypertrophy, and in 5 patients (4 women and 1 man a torn sphincter complex. A tear in the upper IAS canal and hypertrophy of the middle anal canal were observed in one patient (1 woman. Conclusions: ERUS is a simple, economic and useful test to study anorectal pathologies. Although in most studied cases no damage to the anal canal or rectal wall was detected, in a considerable number of patients we observed a thickening of the IAS, a probable cause of anal pain. Therefore, we understand that ERUS should be included in the study of CIAP.

  6. Repairs in 104 Gy/h?

    International Nuclear Information System (INIS)

    Anon.

    1994-01-01

    In 1989 it was found that in each unit of the MAPS Candu nuclear power station in India the centre portion of the heavy water inlet manifold opposite the 300 mm inlet pipe had torn away. Equipment for remote inspection, repair and removal of debris in an area with constricted and difficult access and radiation fields of about 10 4 Gy/h was developed by Ricardo Hitec of the United Kingdom. This consists of a work performing manipulator, TV viewing systems and a posting tube manipulator for insertion of tools and debris containers into the calandria. A variety of special end effector and tools were also developed jointly with AEA Technology. A first repair campaign was carried out on Unit 1 in 1991. Following a detailed TV survey of the damage a reappraisal of the situation was undertaken and a programme of equipment enhancement carried out. In July 1992 a second repair campaign took place on Unit 2. The difficulties encountered and the degree of success achieved are described. Work proceeded at an intensive level for 14 days when the campaign was ended in view of the exhaustion both of personnel and the equipment. Although more work could have been done a major improvement had been achieved. (UK)

  7. Fractured Identity: A Framework for Understanding Young Asian American Women's Self-harm and Suicidal Behaviors.

    Science.gov (United States)

    Hahm, Hyeouk Chris; Gonyea, Judith G; Chiao, Christine; Koritsanszky, Luca Anna

    2014-01-01

    Despite the high suicide rate among young Asian American women, the reasons for this phenomenon remain unclear. This qualitative study explored the family experiences of 16 young Asian American women who are children of immigrants and report a history of self-harm and/or suicidal behaviors. Our findings suggest that the participants experienced multiple types of "disempowering parenting styles" that are characterized as: abusive, burdening, culturally disjointed, disengaged, and gender-prescriptive parenting. Tied to these family dynamics is the double bind that participants suffer. Exposed to multiple types of negative parenting, the women felt paralyzed by opposing forces, caught between a deep desire to satisfy their parents' expectations as well as societal expectations and to simultaneously rebel against the image of "the perfect Asian woman." Torn by the double bind, these women developed a "fractured identity," which led to the use of "unsafe coping" strategies. Trapped in a "web of pain," the young women suffered alone and engaged in self-harm and suicidal behaviors.

  8. Post-mortem findings in Irish culled hounds.

    Science.gov (United States)

    Jahns, H; Callanan, J J; McElroy, M C; Sammin, D J; Bassett, H F

    2011-07-01

    Little is known of the common diseases of hunting dogs or of the reasons why they are culled. To address these questions, necropsy examinations were conducted on 52 hounds aged 1.5-12 years (mean 6.5 ± 2.5 years) and culled from 10 Irish hunting kennels over a 3-year period. Progressive systemic disease was seen in six dogs only and encompassed individual cases of tuberculosis caused by Mycobacterium bovis, bronchioalveolar carcinoma with metastasis to regional lymph nodes, renal amyloidosis, suppurative pneumonia, extramedullary plasmacytoma in the atrial wall of the heart and foreign body-induced hepatitis with focal peritonitis. Single or multiple localized tumours were identified in five dogs and, apart from the aforementioned, included two cutaneous haemangiomas, a trichoepithelioma, a lipoma and a mammary ductal adenoma. Three dogs were culled for lameness; one of these dogs had torn musculature, another had cellulitis and the third had a healed fracture of the tibia and fibula. Chronic renal changes were present in 48% of the dogs and included focal proliferative, exudative or crescentic glomerulonephritis (33%) or low-grade interstitial inflammatory changes (50%). The most frequently diagnosed skin lesions reported in this study were mild healed decubitus ulcers (33%), scars (33%) and stereotypic dermatitis (13%). These findings indicate that hounds are likely to be culled for reasons other than the presence of disease in most cases. In addition, this survey highlights different disease patterns in hounds than are typically observed in pet dogs. Copyright © 2010 Elsevier Ltd. All rights reserved.

  9. U Tingiutu. Ajax in Calabria. Political Fissures in the Theatre of Scena Verticale

    Directory of Open Access Journals (Sweden)

    Angela Albanese

    2015-11-01

    Full Text Available The curse of Calabria is collusion. Collusion between the law of the state and the hidden law, between the power of public institutions and mafia power, between upright citizens and "la mala carne", the "evil flesh" of the criminal underworld. Director, actor and playwright Dario De Luca, guiding spirit with Saverio La Ruina of the Scena Verticale theatre company, shines a light on the criminal state within the state in his new play, U Tingiutu. Ajax in Calabria, in which he also performs along with four other actors. De Luca has transformed Sophocles's tragedy to illuminate the daily tragedy of gang warfare, street killings, and blood spilled in the name of honor, in the face of the cowardly inertia of those who pretend not to see. De Luca's Calabria is beseiged by 'ndrangheta power and drained by an ineffectual, often complicit political sector, its social fabric muddied and torn. The dynamics by which mafia violence insinuates itself into the shadowy corners of politics to seize control of the law are acutely revealed in the shadow zones of language, in the harsh, archaic dialect of the region, full of allusion, meaningful silence and glances.

  10. The Political Party Phenomenon as the Major Underpinning and at Times a Conduit for the Demise of Democracy&Rechtstaat

    Directory of Open Access Journals (Sweden)

    Mik STRMECKI

    2007-06-01

    Full Text Available Political parties are torn between the Scylla of their over-incorporation into the State mechanism with the ensuing possible impairment of their independence from the State and the Charybdis of their under-regulation, resulting in legal and/or constitutional lacunae iuris leading to anomalies detrimental to the public interest in maintaining the survival of a viable parliamentarian democracy imbued with the principles of freedom, fairness, equality and the Rule of Law. In my article I presented a historical and comparative insight into the so-called Four-phase theory, spearheaded by Heinrich Triepel on the treatment of the political party phenomenon by the State, namely: oppression, ignorement, legalization and constitutionalisation. I also presented a survey of individual countries constitutional and legal approaches in regulating the political party phenomenon by citing definitions along with typical functions, which I then analyzed by discerning private ones from public ones. I then went on and gave an insight and description of the so-called syndrome of the political market quagmire and concluded my article by illuminating the problem of surveying legitimate legal grounds for banishment of political parties under German and Slovenian law.

  11. Re-design of apple pia packaging using quality function deployment method

    Science.gov (United States)

    Pulungan, M. H.; Nadira, N.; Dewi, I. A.

    2018-03-01

    This study was aimed to identify the attributes for premium apple pia packaging, to determine the technical response to be carried out by Permata Agro Mandiri Small and Medium Enterprise (SME) and to design a new apple pie packaging acceptable by the SME. The Quality Function Deployment (QFD) method was employed to improve the apple pia packaging design, which consisted of seven stages in data analysis. The results indicated that whats attribute required by the costumers include graphic design, dimensions, capacity, shape, strength, and resistance of packaging. While, the technical responses to be conducted by the SMEs were as follows: attractive visual packaging designs, attractive colors, clear images and information, packaging size dimensions, a larger capacity packaging (more product content), ergonomic premium packaging, not easily torn, and impact resistant packaging materials. The findings further confirmed that the design of premium apple pia packaging accepted by the SMES was the one with the capacity of ten apple pia or 200 g weight, and with rectangular or beam shape form. The packaging material used was a duplex carton with 400 grammage (g/m2), the outer part of the packaging was coated with plastic and the inside was added with duplex carton. The acceptable packaging dimension was 30 cm x 5 cm x 3 cm (L x W x H) with a mix of black and yellow color in the graphical design.

  12. Atomism and holism in the understanding of society and social systems

    Directory of Open Access Journals (Sweden)

    D.F.M. Strauss

    2008-07-01

    Full Text Available Throughout its history, reflection on human society has been torn apart by the opposing views of atomism and holism. Traditional societies, the city state of ancient Greece as well as the medieval perfect society apparently resemble a whole with its parts. Early modernity continued this holistic inclination for a while, but soon reverted to atomistic theories of the (hypothetical social contract. Modern humanism dominated the subsequent views articulated in terms of the dialectical tension between nature and freedom (science ideal and personality ideal – including mechanistic and vitalistic approaches as well as the more recent acknowledgment of irreducibly complex systems (Behe, 2003. In Wiener’s (1954; 1956 “technologicism” human responsibility and freedom are sacrificed. An alternative view is advanced in terms of the normativity of societal life as well as its many-sidedness. It is shown that theories of social systems increasingly tend to explore avenues transcending the limitations of the atomistic additive approach and the boundary-leveling whole-parts scheme entailed in social systems theory. This development is used as a starting point for the classification of social interaction and for underscoring the scope of the principle of sphere-sovereignty for a multidisciplinary understanding of social systems.

  13. Traditsiooniliselt ja pluralistlikult / Epp Annus

    Index Scriptorium Estoniae

    Annus, Epp, 1969-

    1996-01-01

    Nüpli kevadkool (seminari 'Traditsioon ja pluralism' järg põhirõhuga kirjandusloole), korraldajateks Underi ja Tuglase Kirjanduskeskus, Eesti Kirjandusmuuseum ja Tartu Ülikooli eesti kirjandusloo uurimisgrupp. Ettekanded: Loone Ots. Kuninganna jalad ehk Non sciunt, se scient. Eesti kirjandust välistudengitele; Kristi Metste. Tubli pioneer Kampmaa; Peep Ehasalu. 'Kiired' ja soomlased; Sirje Olesk. Kodu- ja väliseesti kahekõne 1950.-1960. aastatel; Marin Laak. Kriitikateos kirjandusloos : näide 1924. aastast (Valmar Adamsi arvustus Jaan Kärneri romaani 'Bianka ja Ruth' puhul); Ene-Reet Soovik. Koed, põimed ja takerdused : Ants Orase tõlkekriitikast ja -praktikast; Epp Annus. Anakroonilised võitlused romaanis 'Tõde ja õigus'; Luule Epner. Kahe 'Libahundi' vahel : draama ja teater 1960.-70ndate vahetusel, põikega proosasse; Toomas Liivamägi. Mõned vulgariseeringud (20. sajandi modernism energia jäävuse seadusest lähtudes); Toomas Muru. Paabeli torn ja Gooti katedraal; Aare Pilv. Kirjandusloolisus kui hoiak; Indrek Särg - Sven Kivisildnik. Eesti gayluule järjekordne algus; Rutt Hinrikus. Reed Morn, andekas parasiit; Kajar Pruul. Ühe kunstiteose analüüs (Sven Kivisildniku luuletus 'Eesti Nõukogude Kirjanike Liit'); Ele Süvalep. Modernist Jaan Oks

  14. Development of a water separator for steam drying in nuclear power plants

    International Nuclear Information System (INIS)

    Kall, H.

    1979-01-01

    In the wet steam of nuclear power plants with light water cooling the content of liquid phase before entering the high- and low-pressure turbine or at the inlet of the reheater connected in between is limited to a few parts per thousand. For the mechanical drying necessary to maintain this moisture limit there is suited the socalled lamellar separator, in which the vertical laminae, arranged one beside the other, confine a great number of separating ducts, bended in periodically changing sequence, through which wet steam is flowing. In the development of such a lamellar separator with internal drain channels described in this paper the droplet motion in the carrier gas stream and the discharge of the separated liquid is treated independently from each other. The mathematical and experimental study of the first-mentioned partial process leads to its complete description in a dimensionless separation diagram. During the subsequent discharge of the primarily separated droplet fluid there may be torn off droplets by the steam flow and carried away from the separator.The limit for the draining capacity reached with the occurrence of this phenomenon was determined in preliminary experiments with air and water and in experiments with wet steam carried out close to operating conditions. (orig.) 891 GL/orig. 892 RRD [de

  15. Tendències en el disseny metodològic de recerca sobre l’avaluació de competències a l’educació superior

    Directory of Open Access Journals (Sweden)

    Karina Angélica Villegas Sandoval

    2017-01-01

    Full Text Available L’article té com a finalitat descriure i analitzar les metodologies d'investigació utilitzades per estudis recents que aborden el tema de l’avaluació per competències a l’educació superior i la formació docent, per tal de detectar les tendències en el disseny metodològic i orientar futurs projectes d'investigació sobre aquest tema. El mètode de treball que s'ha seguit per dur a terme aquest estudi és l’anàlisi de contingut de 22 documents trobats a Dialnet. Els resultats mostren que les investigacions que tracten el tema assenyalat han anat en augment en els últims tretze anys, i es destaca el canvi de metodologia utilitzada, amb dissenys majoritàriament descriptius i avaluatius. Al seu torn, però, crida l'atenció que un gran nombre d'estudis no expliquen ni el mètode ni el disseny d'investigació que han aplicat. Es conclou que és important que les investigacions presentin un apartat que al·ludeixi al disseny metodològic a fi d’afavorir la comprensió del lector dels processos d'indagació que s'han dut a terme.

  16. Tadeus Reichstein, co-winner of the Nobel Prize for Physiology or Medicine: on the occasion of the 110th anniversary of his birth in Poland.

    Science.gov (United States)

    Wincewicz, Andrzej; Sulkowska, Mariola; Sulkowski, Stanislaw

    2007-01-01

    Tadeus Reichstein (1897-1996) was the first scientist born in Poland to receive the Nobel Prize in Medicine or Physiology (1950) for the "discovery of hormones of the adrenal cortex, their structure and biological effects", as stated by the Nobel Prize Committee. His family being deeply devoted to Polish cultural and historical heritage, his first name was given to him after Tadeus Kosciuszko, a chief commander of the 18th century Polish uprising named the Kosciuszko Insurrection. As a child, he emigrated with his family to Switzerland, where he was much later to become involved in numerous research studies on steroids on an international scale. It was Tadeus Reichstein who isolated and synthesized desoxycorticosterone, which still remains the drug of first choice in the treatment of Addison's disease. Additionally, thanks to his strategy for the mass production of Vitamin C, the cost of this agent was drastically reduced thus enabling its widespread therapeutic use. In our divided world so often torn by tremendous conflicts, there is a great need to both remember and commemorate such distinguished people as Tadeus Reichstein who, despite the apparent "borders" between different nationalities and cultures, have demonstrated through their work the huge need for harmonious collaboration in the development of science.

  17. MRI of anterior cruciate ligament repair with patellar and hamstring tendon autografts

    International Nuclear Information System (INIS)

    Jansson, K.A.; Karjalainen, P.T.; Harilainen, A.; Sandelin, J.; Tallroth, K.; Soila, K.; Aronen, H.J.

    2001-01-01

    Objective. Several MRI sequences were used to evaluate the 2-year postoperative appearance of asymptomatic knee with a torn anterior cruciate ligament (ACL) reconstructed with bone-patellar tendon-bone (BTB) and semitendinosus and gracilis (STG) tendon autografts.Design and patients. Two groups with successful repair of ACL tear with BTB (n=10) or STG (n=10) autografts were imaged at 1.5 T with sagittal and oblique coronal proton density-, T2-weighted and sagittal STIR sequences and plain and contrast-enhanced oblique coronal T1-weighted sequences. The appearance of the graft and periligamentous tissues was evaluated.Results. In all 20 cases, the ACL graft showed homogeneous, low signal intensity with periligamentous streaks of intermediate signal intensity on T2-weighted images. In 10 cases, localised areas of intermediate signal intensity were seen in the intra-articular segment of the graft on proton density- and T1-weighted images. The graft itself did not show enhancement in either of the two groups, but mild to moderate periligamentous enhancement was detected in 10 cases.Conclusion. The MRI appearance of ACL autograft is variable on proton density- and T1-weighted images. Periligamentous tissue showing contrast enhancement is a typical MRI finding after clinically successful ACL reconstruction. (orig.)

  18. Organização dos serviços urbanos de saúde frente à mudança do clima e ao risco de desastres na América Latina

    Directory of Open Access Journals (Sweden)

    Carlos Alexandre Rodrigues Pereira

    Full Text Available Países da América Latina que sofreram com eventos extremos e desastres nas últimas décadas têm buscado alternativas para melhorar a organização e a capacidade de resposta dos serviços de saúde, evitando o impacto que a população sofreria no caso de tais serviços serem afetados. Neste artigo são relatadas experiências de países da América Latina no que se refere à preparação e adaptação às mudanças do clima no setor saúde, que poderiam ser replicadas em outros locais. Espera-se, por meio desta revisão crítica da literatura, que se possa motivar o setor saúde a se reorganizar para que se torne menos vulnerável aos efeitos das mudanças do clima.

  19. Personal Wounds, National Scars. Reflections on Individual and Cultural Trauma in Anne Enright’s The Gathering"

    Directory of Open Access Journals (Sweden)

    Ilaria Oddenino

    2011-08-01

    Full Text Available In her 2007 novel, Enright presents her readers with a complex network of disturbing, ambiguous narratives, woven together – however tentatively – by the grief-stricken voice of Veronica Hegarty. What emerges is a painful chapter of the moral history of contemporary Ireland, one in which  ‘family’ and ‘religion’, the country’s traditional cornerstones, seem to have equally fallen from grace. Indeed, Veronica’s late recollection of the sexual violence that her suicidal brother Liam underwent as a child in a ‘protected’ domestic environment, is mirrored, on a larger scale, by the progressive awakening of her society to a shocking reality of child abuse, not only in people’s homes, but also in the bosom of the Irish Catholic church. Veronica’s personal wounds become thus metonymical of the cultural trauma that has torn her country’s social fabric, and it is precisely the public exposure of those facts that triggers her memories of what went on in her own childhood. Therefore, if the gathering of the title certainly is the coming together of the Hegarthy family for Liam’s wake, it is also and most importantly Veronica’s gathering of distant images of her family’s life, in an attempt to rediscover the long-lost tassels of the puzzle, break the spell of paralysis and, perhaps, let the healing process begin.

  20. They starved so that others be better fed: remembering Ancel Keys and the Minnesota experiment.

    Science.gov (United States)

    Kalm, Leah M; Semba, Richard D

    2005-06-01

    During World War II, 36 conscientious objectors participated in a study of human starvation conducted by Ancel Keys and his colleagues at the University of Minnesota. The Minnesota Starvation Experiment, as it was later known, was a grueling study meant to gain insight into the physical and psychologic effects of semistarvation and the problem of refeeding civilians who had been starved during the war. During the experiment, the participants were subjected to semistarvation in which most lost >25% of their weight, and many experienced anemia, fatigue, apathy, extreme weakness, irritability, neurological deficits, and lower extremity edema. In 2003-2004, 18 of the original 36 participants were still alive and were interviewed. Many came from the Historic Peace Churches (Mennonite, Brethren, and Quaker), and all expressed strong convictions about nonviolence and wanting to make a meaningful contribution during the war. Despite ethical issues about subjecting healthy humans to starvation, the men interviewed were unanimous in saying that they would do it all over again, even after knowing the suffering that they had experienced. After the experiment ended, many of the participants went on to rebuilding war-torn Europe, working in the ministries, diplomatic careers, and other activities related to nonviolence.