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Sample records for two-stage epidemiological study

  1. Mental health problems in Austrian adolescents: a nationwide, two-stage epidemiological study applying DSM-5 criteria.

    Science.gov (United States)

    Wagner, Gudrun; Zeiler, Michael; Waldherr, Karin; Philipp, Julia; Truttmann, Stefanie; Dür, Wolfgang; Treasure, Janet L; Karwautz, Andreas F K

    2017-05-24

    This is a nationwide epidemiological study using DSM-5 criteria to assess the prevalence of mental disorders in a large sample of Austrian adolescents between 10 and 18 years including hard-to-reach samples. A sample of 3615 adolescents from four cohorts (school grades 5, 7, 9, 11; age range 10-18 years) was recruited from 261 schools, samples of unemployed adolescents (n = 39) and adolescents from mental health institutions (n = 137) were added. The Youth Self-Report and SCOFF were used to screen for mental health problems. In a second phase, the Childrens' Diagnostic Interview for Mental Disorders was used to make point and lifetime psychiatric diagnoses. Mental health service use was also assessed. Point prevalence and lifetime prevalence rates for at least one psychiatric disorder were 23.9% and 35.8%. The highest lifetime prevalence rates were found for anxiety disorders (15.6%), neurodevelopmental disorders (9.3%; ADHD 5.2%) and depressive disorders (6.2%). Forty-seven percent of adolescents with a lifetime psychiatric disorder had a second diagnosis. Internalising disorders were more prevalent in girls, while neurodevelopmental disorders and disruptive, impulse control and conduct disorders were more prevalent in boys. Of those with a lifetime psychiatric disorder, 47.5% had contacted mental health services. Of the residual 52.5% who had not contacted mental health services, 18.1% expressed an interest in treatment. DSM-5 mental health disorders are highly prevalent among Austrian adolescents. Over 50% had or were interested in accessing treatment. Early access to effective interventions for these problems is needed to reduce burden due to mental health disorders.

  2. Composite likelihood and two-stage estimation in family studies

    DEFF Research Database (Denmark)

    Andersen, Elisabeth Anne Wreford

    2002-01-01

    Composite likelihood; Two-stage estimation; Family studies; Copula; Optimal weights; All possible pairs......Composite likelihood; Two-stage estimation; Family studies; Copula; Optimal weights; All possible pairs...

  3. Composite likelihood and two-stage estimation in family studies

    DEFF Research Database (Denmark)

    Andersen, Elisabeth Anne Wreford

    2004-01-01

    In this paper register based family studies provide the motivation for linking a two-stage estimation procedure in copula models for multivariate failure time data with a composite likelihood approach. The asymptotic properties of the estimators in both parametric and semi-parametric models are d...

  4. PERFORMANCE STUDY OF A TWO STAGE SOLAR ADSORPTION REFRIGERATION SYSTEM

    Directory of Open Access Journals (Sweden)

    BAIJU. V

    2011-07-01

    Full Text Available The present study deals with the performance of a two stage solar adsorption refrigeration system with activated carbon-methanol pair investigated experimentally. Such a system was fabricated and tested under the conditions of National Institute of Technology Calicut, Kerala, India. The system consists of a parabolic solar concentrator,two water tanks, two adsorbent beds, condenser, expansion device, evaporator and accumulator. In this particular system the second water tank is act as a sensible heat storage device so that the system can be used during night time also. The system has been designed for heating 50 litres of water from 25oC to 90oC as well ascooling 10 litres of water from 30oC to 10oC within one hour. The performance parameters such as specific cooling power (SCP, coefficient of performance, solar COP and exergetic efficiency are studied. The dependency between the exergetic efficiency and cycle COP with the driving heat source temperature is also studied. The optimum heat source temperature for this system is determined as 72.4oC. The results show that the system has better performance during night time as compared to the day time. The system has a mean cycle COP of 0.196 during day time and 0.335 for night time. The mean SCP values during day time and night time are 47.83 and 68.2, respectively. The experimental results also demonstrate that the refrigerator has cooling capacity of 47 to 78 W during day time and 57.6 W to 104.4W during night time.

  5. Two-stage estimation in copula models used in family studies

    DEFF Research Database (Denmark)

    Andersen, Elisabeth Anne Wreford

    2005-01-01

    In this paper register based family studies provide the motivation for studying a two-stage estimation procedure in copula models for multivariate failure time data. The asymptotic properties of the estimators in both parametric and semi-parametric models are derived, generalising the approach by...

  6. On bi-criteria two-stage transportation problem: a case study

    Directory of Open Access Journals (Sweden)

    Ahmad MURAD

    2010-01-01

    Full Text Available The study of the optimum distribution of goods between sources and destinations is one of the important topics in projects economics. This importance comes as a result of minimizing the transportation cost, deterioration, time, etc. The classical transportation problem constitutes one of the major areas of application for linear programming. The aim of this problem is to obtain the optimum distribution of goods from different sources to different destinations which minimizes the total transportation cost. From the practical point of view, the transportation problems may differ from the classical form. It may contain one or more objective function, one or more stage to transport, one or more type of commodity with one or more means of transport. The aim of this paper is to construct an optimization model for transportation problem for one of mill-stones companies. The model is formulated as a bi-criteria two-stage transportation problem with a special structure depending on the capacities of suppliers, warehouses and requirements of the destinations. A solution algorithm is introduced to solve this class of bi-criteria two-stage transportation problem to obtain the set of non-dominated extreme points and the efficient solutions accompanied with each one that enables the decision maker to choose the best one. The solution algorithm mainly based on the fruitful application of the methods for treating transportation problems, theory of duality of linear programming and the methods of solving bi-criteria linear programming problems.

  7. The Application of Two-stage Structure Decomposition Technique to the Study of Industrial Carbon Emissions

    Institute of Scientific and Technical Information of China (English)

    Yanqiu HE

    2015-01-01

    The total carbon emissions control is the ultimate goal of carbon emission reduction, while industrial carbon emissions are the basic units of the total carbon emission. On the basis of existing research results, in this paper, a two-stage input-output structure decomposition method is creatively proposed for fully combining the input-output method with the structure decomposition technique. In this study, more comprehensive technical progress indicators were chosen in comparison with the previous studies and included the utilization efficiency of all kinds of intermediate inputs such as energy and non-energy products, and finally were positioned at the factors affecting the carbon emissions of different industries. Through analysis, the affecting rate of each factor on industrial carbon emissions was acquired. Thus, a theory basis and data support is provided for the total carbon emissions control of China from the perspective of industrial emissions.

  8. Parametric theoretical study of a two-stage solar organic Rankine cycle for RO desalination

    Energy Technology Data Exchange (ETDEWEB)

    Kosmadakis, G.; Manolakos, D.; Papadakis, G. [Department of Natural Resources and Agricultural Engineering, Agricultural University of Athens, 75 Iera Odos Street, 11855 Athens (Greece)

    2010-05-15

    The present work concerns the parametric study of an autonomous, two-stage solar organic Rankine cycle for RO desalination. The main goal of the current simulation is to estimate the efficiency, as well as to calculate the annual mechanical energy available for desalination in the considered cases, in order to evaluate the influence of various parameters on the performance of the system. The parametric study concerns the variation of different parameters, without changing actually the baseline case. The effect of the collectors' slope and the total number of evacuated tube collectors used, have been extensively examined. The total cost is also taken into consideration and is calculated for the different cases examined, along with the specific fresh water cost (EUR/m{sup 3}). (author)

  9. Experimental and modeling study of a two-stage pilot scale high solid anaerobic digester system.

    Science.gov (United States)

    Yu, Liang; Zhao, Quanbao; Ma, Jingwei; Frear, Craig; Chen, Shulin

    2012-11-01

    This study established a comprehensive model to configure a new two-stage high solid anaerobic digester (HSAD) system designed for highly degradable organic fraction of municipal solid wastes (OFMSW). The HSAD reactor as the first stage was naturally separated into two zones due to biogas floatation and low specific gravity of solid waste. The solid waste was retained in the upper zone while only the liquid leachate resided in the lower zone of the HSAD reactor. Continuous stirred-tank reactor (CSTR) and advective-diffusive reactor (ADR) models were constructed in series to describe the whole system. Anaerobic digestion model No. 1 (ADM1) was used as reaction kinetics and incorporated into each reactor module. Compared with the experimental data, the simulation results indicated that the model was able to well predict the pH, volatile fatty acid (VFA) and biogas production.

  10. Experimental and numerical studies on two-stage combustion of biomass

    Energy Technology Data Exchange (ETDEWEB)

    Houshfar, Eshan

    2012-07-01

    In this thesis, two-stage combustion of biomass was experimentally/numerically investigated in a multifuel reactor. The following emissions issues have been the main focus of the work: 1- NOx and N2O 2- Unburnt species (CO and CxHy) 3- Corrosion related emissions.The study had a focus on two-stage combustion in order to reduce pollutant emissions (primarily NOx emissions). It is well known that pollutant emissions are very dependent on the process conditions such as temperature, reactant concentrations and residence times. On the other hand, emissions are also dependent on the fuel properties (moisture content, volatiles, alkali content, etc.). A detailed study of the important parameters with suitable biomass fuels in order to optimize the various process conditions was performed. Different experimental studies were carried out on biomass fuels in order to study the effect of fuel properties and combustion parameters on pollutant emissions. Process conditions typical for biomass combustion processes were studied. Advanced experimental equipment was used in these studies. The experiments showed the effects of staged air combustion, compared to non-staged combustion, on the emission levels clearly. A NOx reduction of up to 85% was reached with staged air combustion using demolition wood as fuel. An optimum primary excess air ratio of 0.8-0.95 was found as a minimizing parameter for the NOx emissions for staged air combustion. Air staging had, however, a negative effect on N2O emissions. Even though the trends showed a very small reduction in the NOx level as temperature increased for non-staged combustion, the effect of temperature was not significant for NOx and CxHy, neither in staged air combustion or non-staged combustion, while it had a great influence on the N2O and CO emissions, with decreasing levels with increasing temperature. Furthermore, flue gas recirculation (FGR) was used in combination with staged combustion to obtain an enhanced NOx reduction. The

  11. SUCCESS FACTORS IN GROWING SMBs: A STUDY OF TWO INDUSTRIES AT TWO STAGES OF DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Tor Jarl Trondsen

    2002-01-01

    Full Text Available The study attempts to identify factors for growing SMBs. An evolutionary phase approach has been used. The study also aims to find out if there are common and different denominators for newer and older firms that can affect their profitability. The study selects a sampling frame that isolates two groups of firms in two industries at two stages of development. A variety of organizational and structural data was collected and analyzed. Amongst the conclusions that may be drawn from the study are that it is not easy to find a common definition of success, it is important to stratify SMBs when studying them, an evolutionary stage approach helps to compare firms with roughly the same external and internal dynamics and each industry has its own set of success variables.The study has identified three success variables for older firms that reflect contemporary strategic thinking such as crafting a good strategy and changing it only incrementally, building core competencies and outsourcing the rest, and keeping up with innovation and honing competitive skills.

  12. Two-stage case-control association study of dopamine-related genes and migraine

    Directory of Open Access Journals (Sweden)

    Pardo Julio

    2009-09-01

    Full Text Available Abstract Background We previously reported risk haplotypes for two genes related with serotonin and dopamine metabolism: MAOA in migraine without aura and DDC in migraine with aura. Herein we investigate the contribution to migraine susceptibility of eight additional genes involved in dopamine neurotransmission. Methods We performed a two-stage case-control association study of 50 tag single nucleotide polymorphisms (SNPs, selected according to genetic coverage parameters. The first analysis consisted of 263 patients and 274 controls and the replication study was composed by 259 cases and 287 controls. All cases were diagnosed according to ICHD-II criteria, were Spanish Caucasian, and were sex-matched with control subjects. Results Single-marker analysis of the first population identified nominal associations of five genes with migraine. After applying a false discovery rate correction of 10%, the differences remained significant only for DRD2 (rs2283265 and TH (rs2070762. Multiple-marker analysis identified a five-marker T-C-G-C-G (rs12363125-rs2283265-rs2242592-rs1554929-rs2234689 risk haplotype in DRD2 and a two-marker A-C (rs6356-rs2070762 risk haplotype in TH that remained significant after correction by permutations. These results, however, were not replicated in the second independent cohort. Conclusion The present study does not support the involvement of the DRD1, DRD2, DRD3, DRD5, DBH, COMT, SLC6A3 and TH genes in the genetic predisposition to migraine in the Spanish population.

  13. The impact of alcohol marketing on youth drinking behaviour: a two-stage cohort study.

    Science.gov (United States)

    Gordon, Ross; MacKintosh, Anne Marie; Moodie, Crawford

    2010-01-01

    To examine whether awareness of, and involvement with alcohol marketing at age 13 is predictive of initiation of drinking, frequency of drinking and units of alcohol consumed at age 15. A two-stage cohort study, involving a questionnaire survey, combining interview and self-completion, was administered in respondents' homes. Respondents were drawn from secondary schools in three adjoining local authority areas in the West of Scotland, UK. From a baseline sample of 920 teenagers (aged 12-14, mean age 13), in 2006, a cohort of 552 was followed up 2 years later (aged 14-16, mean age 15). Data were gathered on multiple forms of alcohol marketing and measures of drinking initiation, frequency and consumption. At follow-up, logistic regression demonstrated that, after controlling for confounding variables, involvement with alcohol marketing at baseline was predictive of both uptake of drinking and increased frequency of drinking. Awareness of marketing at baseline was also associated with an increased frequency of drinking at follow-up. Our findings demonstrate an association between involvement with, and awareness of, alcohol marketing and drinking uptake or increased drinking frequency, and we consider whether the current regulatory environment affords youth sufficient protection from alcohol marketing.

  14. A two-stage association study suggests BRAP as a susceptibility gene for schizophrenia.

    Directory of Open Access Journals (Sweden)

    Fuquan Zhang

    Full Text Available Schizophrenia (SZ is a neurodevelopmental disorder in which altered immune function typically plays an important role in mediating the effect of environmental insults and regulation of inflammation. The breast cancer suppressor protein associated protein (BRAP is suggested to exert vital effects in neurodevelopment by modulating the mitogen-activated protein kinase cascade and inflammation signaling. To explore the possible role of BRAP in SZ, we conducted a two-stage study to examine the association of BRAP polymorphisms with SZ in the Han Chinese population. In stage one, we screened SNPs in BRAP from our GWAS data, which detected three associated SNPs, with rs3782886 being the most significant one (P  =  2.31E-6, OR  =  0.67. In stage two, we validated these three SNPs in an independently collected population including 1957 patients and 1509 controls, supporting the association of rs3782886 with SZ (P  =  1.43E-6, OR  =  0.73. Furthermore, cis-eQTL analysis indicates that rs3782886 genotypes are associated with mRNA levels of aldehyde dehydrogenase 2 family (ALDH2 (P  =  0.0039 and myosin regulatory light chain 2 (MYL2 (P < 1.0E-4. Our data suggest that the BRAP gene may confer vulnerability for SZ in Han Chinese population, adding further evidence for the involvement of developmental and/or neuroinflammatory cascades in the illness.

  15. Electric and hybrid electric vehicles: A technology assessment based on a two-stage Delphi study

    Energy Technology Data Exchange (ETDEWEB)

    Vyas, A.D.; Ng, H.K.; Santini, D.J.; Anderson, J.L.

    1997-12-01

    To address the uncertainty regarding future costs and operating attributes of electric and hybrid electric vehicles, a two stage, worldwide Delphi study was conducted. Expert opinions on vehicle attributes, current state of the technology, possible advancements, costs, and market penetration potential were sought for the years 2000, 2010, and 2020. Opinions related to such critical components as batteries, electric drive systems, and hybrid vehicle engines, as well as their respective technical and economic viabilities, were also obtained. This report contains descriptions of the survey methodology, analytical approach, and results of the analysis of survey data, together with a summary of other factors that will influence the degree of market success of electric and hybrid electric vehicle technologies. Responses by industry participants, the largest fraction among all the participating groups, are compared with the overall responses. An evaluation of changes between the two Delphi stages is also summarized. An analysis of battery replacement costs for various types is summarized, and variable operating costs for electric and hybrid vehicles are compared with those of conventional vehicles. A market penetration analysis is summarized, in which projected market shares from the survey are compared with predictions of shares on the basis of two market share projection models that use the cost and physical attributes provided by the survey. Finally, projections of market shares beyond the year 2020 are developed by use of constrained logit models of market shares, statistically fitted to the survey data.

  16. Two-stage re-estimation adaptive design: a simulation study

    Directory of Open Access Journals (Sweden)

    Francesca Galli

    2013-10-01

    Full Text Available Background: adaptive clinical trial design has been proposed as a promising new approach to improve the drug discovery process. Among the many options available, adaptive sample size re-estimation is of great interest mainly because of its ability to avoid a large ‘up-front’ commitment of resources. In this simulation study, we investigate the statistical properties of two-stage sample size re-estimation designs in terms of type I error control, study power and sample size, in comparison with the fixed-sample study.Methods: we simulated a balanced two-arm trial aimed at comparing two means of normally distributed data, using the inverse normal method to combine the results of each stage, and considering scenarios jointly defined by the following factors: the sample size re-estimation method, the information fraction, the type of group sequential boundaries and the use of futility stopping. Calculations were performed using the statistical software SAS™ (version 9.2.Results: under the null hypothesis, any type of adaptive design considered maintained the prefixed type I error rate, but futility stopping was required to avoid the unwanted increase in sample size. When deviating from the null hypothesis, the gain in power usually achieved with the adaptive design and its performance in terms of sample size were influenced by the specific design options considered.Conclusions: we show that adaptive designs incorporating futility stopping, a sufficiently high information fraction (50-70% and the conditional power method for sample size re-estimation have good statistical properties, which include a gain in power when trial results are less favourable than anticipated. 

  17. Study on two stage activated carbon/HFC-134a based adsorption chiller

    Science.gov (United States)

    >K Habib,

    2013-06-01

    In this paper, a theoretical analysis on the performance of a thermally driven two-stage four-bed adsorption chiller utilizing low-grade waste heat of temperatures between 50°C and 70°C in combination with a heat sink (cooling water) of 30°C for air-conditioning applications has been described. Activated carbon (AC) of type Maxsorb III/HFC-134a pair has been examined as an adsorbent/refrigerant pair. FORTRAN simulation program is developed to analyze the influence of operating conditions (hot and cooling water temperatures and adsorption/desorption cycle times) on the cycle performance in terms of cooling capacity and COP. The main advantage of this two-stage chiller is that it can be operational with smaller regenerating temperature lifts than other heat-driven single-stage chillers. Simulation results shows that the two-stage chiller can be operated effectively with heat sources of 50°C and 70°C in combination with a coolant at 30°C.

  18. Study on the Control Algorithm of Two-Stage DC-DC Converter for Electric Vehicles

    Directory of Open Access Journals (Sweden)

    Changhao Piao

    2014-01-01

    Full Text Available The fast response, high efficiency, and good reliability are very important characteristics to electric vehicles (EVs dc/dc converters. Two-stage dc-dc converter is a kind of dc-dc topologies that can offer those characteristics to EVs. Presently, nonlinear control is an active area of research in the field of the control algorithm of dc-dc converters. However, very few papers research on two-stage converter for EVs. In this paper, a fixed switching frequency sliding mode (FSFSM controller and double-integral sliding mode (DISM controller for two-stage dc-dc converter are proposed. And a conventional linear control (lag is chosen as the comparison. The performances of the proposed FSFSM controller are compared with those obtained by the lag controller. In consequence, the satisfactory simulation and experiment results show that the FSFSM controller is capable of offering good large-signal operations with fast dynamical responses to the converter. At last, some other simulation results are presented to prove that the DISM controller is a promising method for the converter to eliminate the steady-state error.

  19. Study on a high capacity two-stage free piston Stirling cryocooler working around 30 K

    Science.gov (United States)

    Wang, Xiaotao; Zhu, Jian; Chen, Shuai; Dai, Wei; Li, Ke; Pang, Xiaomin; Yu, Guoyao; Luo, Ercang

    2016-12-01

    This paper presents a two-stage high-capacity free-piston Stirling cryocooler driven by a linear compressor to meet the requirement of the high temperature superconductor (HTS) motor applications. The cryocooler system comprises a single piston linear compressor, a two-stage free piston Stirling cryocooler and a passive oscillator. A single stepped displacer configuration was adopted. A numerical model based on the thermoacoustic theory was used to optimize the system operating and structure parameters. Distributions of pressure wave, phase differences between the pressure wave and the volume flow rate and different energy flows are presented for a better understanding of the system. Some characterizing experimental results are presented. Thus far, the cryocooler has reached a lowest cold-head temperature of 27.6 K and achieved a cooling power of 78 W at 40 K with an input electric power of 3.2 kW, which indicates a relative Carnot efficiency of 14.8%. When the cold-head temperature increased to 77 K, the cooling power reached 284 W with a relative Carnot efficiency of 25.9%. The influences of different parameters such as mean pressure, input electric power and cold-head temperature are also investigated.

  20. Study of a two-stage photobase generator for photolithography in microelectronics.

    Science.gov (United States)

    Turro, Nicholas J; Li, Yongjun; Jockusch, Steffen; Hagiwara, Yuji; Okazaki, Masahiro; Mesch, Ryan A; Schuster, David I; Willson, C Grant

    2013-03-01

    The investigation of the photochemistry of a two-stage photobase generator (PBG) is described. Absorption of a photon by a latent PBG (1) (first step) produces a PBG (2). Irradiation of 2 in the presence of water produces a base (second step). This two-photon sequence (1 + hν → 2 + hν → base) is an important component in the design of photoresists for pitch division technology, a method that doubles the resolution of projection photolithography for the production of microelectronic chips. In the present system, the excitation of 1 results in a Norrish type II intramolecular hydrogen abstraction to generate a 1,4-biradiacal that undergoes cleavage to form 2 and acetophenone (Φ ∼ 0.04). In the second step, excitation of 2 causes cleavage of the oxime ester (Φ = 0.56) followed by base generation after reaction with water.

  1. A characteristics study on the performance of a two-stage light gas gun

    Institute of Scientific and Technical Information of China (English)

    吴应湘; 郑之初; P.Kupschus

    1995-01-01

    In order to obtain an overall and systematic understanding of the performance of a two-stage light gas gun (TLGG), a numerical code to simulate the process occurring in a gun shot is advanced based on the quasi-one-dimensional unsteady equations of motion with the real gas effect, friction and heat transfer taken into account in a characteristic formulation for both driver and propellant gas. Comparisons of projectile velocities and projectile pressures along the barrel with experimental results from JET (Joint European Torus) and with computational data got by the Lagrangian method indicate that this code can provide results with good accuracy over a wide range of gun geometry and loading conditions.

  2. Effekt of a two-stage nursing assesment and intervention - a randomized intervention study

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    to the geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: Primary endpoints will be presented as unplanned readmission to ED; admission to nursing home; and death. Secondary endpoints will be presented as physical function; depressive symptoms......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80...... % of geriatric patients have complex and often unresolved caring needs. The objective was to examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective...

  3. Two-stage dental implants inserted in a one-stage procedure : a prospective comparative clinical study

    NARCIS (Netherlands)

    Heijdenrijk, Kees

    2002-01-01

    The results of this study indicate that dental implants designed for a submerged implantation procedure can be used in a single-stage procedure and may be as predictable as one-stage implants. Although one-stage implant systems and two-stage.

  4. Two-stage dental implants inserted in a one-stage procedure : a prospective comparative clinical study

    NARCIS (Netherlands)

    Heijdenrijk, Kees

    2002-01-01

    The results of this study indicate that dental implants designed for a submerged implantation procedure can be used in a single-stage procedure and may be as predictable as one-stage implants. Although one-stage implant systems and two-stage.

  5. Evaluation of a Two-Stage Approach in Trans-Ethnic Meta-Analysis in Genome-Wide Association Studies.

    Science.gov (United States)

    Hong, Jaeyoung; Lunetta, Kathryn L; Cupples, L Adrienne; Dupuis, Josée; Liu, Ching-Ti

    2016-05-01

    Meta-analysis of genome-wide association studies (GWAS) has achieved great success in detecting loci underlying human diseases. Incorporating GWAS results from diverse ethnic populations for meta-analysis, however, remains challenging because of the possible heterogeneity across studies. Conventional fixed-effects (FE) or random-effects (RE) methods may not be most suitable to aggregate multiethnic GWAS results because of violation of the homogeneous effect assumption across studies (FE) or low power to detect signals (RE). Three recently proposed methods, modified RE (RE-HE) model, binary-effects (BE) model and a Bayesian approach (Meta-analysis of Transethnic Association [MANTRA]), show increased power over FE and RE methods while incorporating heterogeneity of effects when meta-analyzing trans-ethnic GWAS results. We propose a two-stage approach to account for heterogeneity in trans-ethnic meta-analysis in which we clustered studies with cohort-specific ancestry information prior to meta-analysis. We compare this to a no-prior-clustering (crude) approach, evaluating type I error and power of these two strategies, in an extensive simulation study to investigate whether the two-stage approach offers any improvements over the crude approach. We find that the two-stage approach and the crude approach for all five methods (FE, RE, RE-HE, BE, MANTRA) provide well-controlled type I error. However, the two-stage approach shows increased power for BE and RE-HE, and similar power for MANTRA and FE compared to their corresponding crude approach, especially when there is heterogeneity across the multiethnic GWAS results. These results suggest that prior clustering in the two-stage approach can be an effective and efficient intermediate step in meta-analysis to account for the multiethnic heterogeneity.

  6. Study of high power, two-stage, TWT X-band amplifier

    Energy Technology Data Exchange (ETDEWEB)

    Wang, P.; Golkowski, C.; Hayashi, Y.; Ivers, J.D.; Nation, J.A.; Schachter, L.

    1999-07-01

    A disk loaded slow wave structure with a cold wave phase (without electron beam) velocity of the TM{sub 01} wave greater than the speed of light (1.05c) is used as the electron bunching stage of a two stage X-band amplifier. The high phase velocity section produces well defined electron bunches. The second section, where the cold wave phase velocity is (0.84c), i.e., less than beam velocity of 0.91c, is used to generate the high output power microwave radiation. The tightly bunched beam from the high phase velocity section enhances the beam energy conversion into microwave radiation compared to that obtained with a synchronous electron-wave bunches. The amplifier is driven by a 7mm diameter 750 kV, 500A pencil electron beam. The structure, which has a 4 GHz bandwidth, produces an amplified output with a power in the range of 20--60 MW. At higher output powers (>60MW) pulse shortening develops. The authors suspect that the pulse shortening is a result of excitation of the hybrid mode, HEM{sub 11}, which overlaps (about 0.5 GHz separation) with the frequency domain of the desired TM{sub 0.1} mode. A new amplifier with similar phase velocity characteristics but with a 1 GHz bandwidth and an HEM{sub 11}, TM{sub 01} mode frequency separation of 3.3 GHz has been designed and constructed. The interaction frequency for the HEM mode is above the passband of the TM mode. Testing is in progress. The performance of the new amplifier will be compared with results obtained using the earlier configuration.

  7. [Study on supply and demand relation based on two stages division of market of Chinese materia medica].

    Science.gov (United States)

    Yang, Guang; Guo, Lan-Ping; Wang, Nuo; Zeng, Yan; Huang, Lu-Qi

    2014-01-01

    The complex production processes and long industrial chain in traditional Chinese medicine (TCM) market result in difficulty in Chinese market microstructure research. Based on the defining the logical relationships among different concepts. This paper divides TCM market into two stages as Chinese materia medica resource market and traditional Chinese Patent Medicines market. Under this foundation, we investigated the supply capacity, approaching rules and motivation system of suppliers in TCM market, analyzed the demand situation in the perspective of demand side, and evaluated the purchasing power in terms of population profile, income, and insurance. Furthermore we also analyzed the price formation mechanism in two stages of TCM market. We hope this study can make a positive and promotion effect on TCM market related research.

  8. A Two-Stage Intercontinental Ballistic Missile (ICBM) Design Optimization Study and Life Cycle Cost Analysis

    Science.gov (United States)

    1992-12-01

    dollars. 6.5 Summary of Results - The System Performance Matriz The results of the NEMESIS systems engineering study are summarized in Table 6.12. Note...Edition. Boston , MA: PWS Engineering, 1984. 43. Hall, A.D. "Three-Dimensional Morphology of Systems Engineering." IEEE Transactions on Systems, Science and

  9. Two-stage study (1990-2002) of North African immigrants in Italy.

    Science.gov (United States)

    Toselli, S; Galletti, L; Pazzaglia, S; Gualdi-Russo, E

    2008-01-01

    The objective of the present study was to investigate the psycho-social health and weight status of two samples of North African immigrants measured in 1990 (166 males) and in 2000-2002 (173 males and females), respectively. In addition to the cross-sectional study, we conducted a repeated study on a sub-sample of 21 males measured both in 1990 and in 2000-2002. The study was carried out in Italian health and care dedicated centres spread all over the Bologna administrative areas, that belong to the AUSL (Azienda Unità Sanitaria Locale, Administrative Local Health Unit). To evaluate the health and weight status, we calculated the body mass index (BMI) and measured systolic and diastolic blood pressure. Questionnaires were used to assess the psycho-social status. The mean BMI increased significantly (p25) was higher after a decade. There was a significant increase (p<0.001) in stress-related factors and in the desire to return home. We also recorded an increase in weight disorders, as the length of time since immigration was an important risk factor for overweight. Therefore, immigrants may have a high risk of obesity-related co-morbidities. However, the factors related to malnutrition and stress had only weak effects on blood pressure.

  10. Two-Stage Experimental Design for Dose–Response Modeling in Toxicology Studies

    OpenAIRE

    Wang, Kai; Yang, Feng; Porter, Dale W; Wu, Nianqiang

    2013-01-01

    The efficient design of experiments (i.e., selection of experimental doses and allocation of animals) is important to establishing dose–response relationships in toxicology studies. The proposed procedure for design of experiments is distinct from those in the literature because it is able to adequately accommodate the special features of the dose–response data, which include non-normality, variance heterogeneity, possibly nonlinearity of the dose–response curve, and data scarcity. The design...

  11. Two stage study of wound microorganisms affecting burns and plastic surgery inpatients.

    Science.gov (United States)

    Miranda, Benjamin H; Ali, Syed N; Jeffery, Steven L A; Thomas, Sunil S

    2008-01-01

    This study was designed to identify wound microorganisms and the reasons for differing prevalence between the wards, burns unit and intensive care unit (ICU) in a regional centre for burns and plastic surgery. Antibiotic sensitivities of the 10 most prevalent microorganisms cultured from inpatient wound swabs were also investigated. Inpatient wound swab data were collected retrospectively using notes and departmental database information between January and June 2007. Data were analyzed using chi-squared tests and P-values. Eight hundred five positive wound swabs from 204 swab positive inpatients were analyzed. Stage 1 of this study demonstrated 917 positive swab episodes and 30 varieties of organism. The five most prevalent organisms cultured were Staphylococcus (23.9%), Acinetobacter (21.2%), Methicillin Resistant Staphylococcus aureus (MRSA) (20.8%), Pseudomonas (9.7%) and Enterococcus (5.2%). Stage 2 revealed that Acinetobacter baumanni (ABAU) was significantly more prevalent in military over civilian inpatients (P PAER) was significantly more prevalent in military inpatients over civilian inpatients (P PAER were significantly more prevalent in the ICU setting. Furthermore, military inpatient wounds grew more ABAU, MRSA, and PAER than civilians, probably due to the longer inpatient stay, dirty nature of wounds, site and complex mechanism of injury. Finally, this study suggests that ABAU was brought into the unit by military patients.

  12. Amyotrophic lateral sclerosis: a comparison of two staging systems in a population-based study.

    Science.gov (United States)

    Ferraro, D; Consonni, D; Fini, N; Fasano, A; Del Giovane, C; Mandrioli, J

    2016-09-01

    To compare two recently developed staging systems for amyotrophic lateral sclerosis (ALS) [King's College and Milano-Torino staging (MITOS) systems] in an incident, population-based cohort of patients with ALS. Since 2009, a prospective registry has been recording all incident cases of ALS in the Emilia Romagna region in Italy. For each patient, detailed clinical information, including the ALS functional rating scale score, is collected at each follow-up. Our study on 545 incident cases confirmed that King's College stages occurred at predictable times and were quite evenly spaced out throughout the disease course (occurring at approximately 40%, 60% and 80% of the disease course), whereas MITOS stages were mostly skewed towards later phases of the disease. In the King's College system there was a decrease in survival and an increase in deaths with escalating stages, whereas in the MITOS system survival curves pertaining to intermediate stages overlapped and the number of deaths was fairly homogenous throughout most stages. The King's College staging system had a higher homogeneity (i.e. smaller differences in survival among patients in the same stage) and a higher discriminatory ability (i.e. greater differences in survival among patients in different stages), being more suitable for individualized prognosis and for measuring efficacy of therapeutic interventions. © 2016 EAN.

  13. Two-Stage Nerve Graft in Severe Scar: A Time-Course Study in a Rat Model

    Directory of Open Access Journals (Sweden)

    Shayan Zadegan

    2015-04-01

    According to the EPT and WRL, the two-stage nerve graft showed significant improvement (P=0.020 and P =0.017 respectively. The TOA showed no significant difference between the two groups. The total vascular index was significantly higher in the two-stage nerve graft group (P

  14. A comprehensive study of task coalescing for selecting parallelism granularity in a two-stage bidiagonal reduction

    KAUST Repository

    Haidar, Azzam

    2012-05-01

    We present new high performance numerical kernels combined with advanced optimization techniques that significantly increase the performance of parallel bidiagonal reduction. Our approach is based on developing efficient fine-grained computational tasks as well as reducing overheads associated with their high-level scheduling during the so-called bulge chasing procedure that is an essential phase of a scalable bidiagonalization procedure. In essence, we coalesce multiple tasks in a way that reduces the time needed to switch execution context between the scheduler and useful computational tasks. At the same time, we maintain the crucial information about the tasks and their data dependencies between the coalescing groups. This is the necessary condition to preserve numerical correctness of the computation. We show our annihilation strategy based on multiple applications of single orthogonal reflectors. Despite non-trivial characteristics in computational complexity and memory access patterns, our optimization approach smoothly applies to the annihilation scenario. The coalescing positively influences another equally important aspect of the bulge chasing stage: the memory reuse. For the tasks within the coalescing groups, the data is retained in high levels of the cache hierarchy and, as a consequence, operations that are normally memory-bound increase their ratio of computation to off-chip communication and become compute-bound which renders them amenable to efficient execution on multicore architectures. The performance for the new two-stage bidiagonal reduction is staggering. Our implementation results in up to 50-fold and 12-fold improvement (∼130 Gflop/s) compared to the equivalent routines from LAPACK V3.2 and Intel MKL V10.3, respectively, on an eight socket hexa-core AMD Opteron multicore shared-memory system with a matrix size of 24000 x 24000. Last but not least, we provide a comprehensive study on the impact of the coalescing group size in terms of cache

  15. 'Check it out!' Decision-making of vulnerable groups about participation in a two-stage cardiometabolic health check: a qualitative study

    NARCIS (Netherlands)

    Groenenberg, I.; Crone, M.R.; Dijk, S. van; Gebhardt, W.A.; Meftah, J. Ben; Middelkoop, B.J.C.; Stiggelbout, A.M.; Assendelft, W.J.

    2015-01-01

    OBJECTIVE: Exploring determinants influencing vulnerable groups regarding (non-) participation in the Dutch two-stage cardiometabolic health check, comprising a health risk assessment (HRA) and prevention consultations (PCs) for high-risk individuals. METHODS: Qualitative study comprising 21 focus

  16. 'Check it out!' Decision-making of vulnerable groups about participation in a two-stage cardiometabolic health check: a qualitative study

    NARCIS (Netherlands)

    Groenenberg, I.; Crone, M.R.; Dijk, S. van; Gebhardt, W.A.; Meftah, J. Ben; Middelkoop, B.J.C.; Stiggelbout, A.M.; Assendelft, W.J.

    2015-01-01

    OBJECTIVE: Exploring determinants influencing vulnerable groups regarding (non-) participation in the Dutch two-stage cardiometabolic health check, comprising a health risk assessment (HRA) and prevention consultations (PCs) for high-risk individuals. METHODS: Qualitative study comprising 21 focus g

  17. A Two-Stage Penalized Logistic Regression Approach to Case-Control Genome-Wide Association Studies

    Directory of Open Access Journals (Sweden)

    Jingyuan Zhao

    2012-01-01

    Full Text Available We propose a two-stage penalized logistic regression approach to case-control genome-wide association studies. This approach consists of a screening stage and a selection stage. In the screening stage, main-effect and interaction-effect features are screened by using L1-penalized logistic like-lihoods. In the selection stage, the retained features are ranked by the logistic likelihood with the smoothly clipped absolute deviation (SCAD penalty (Fan and Li, 2001 and Jeffrey’s Prior penalty (Firth, 1993, a sequence of nested candidate models are formed, and the models are assessed by a family of extended Bayesian information criteria (J. Chen and Z. Chen, 2008. The proposed approach is applied to the analysis of the prostate cancer data of the Cancer Genetic Markers of Susceptibility (CGEMS project in the National Cancer Institute, USA. Simulation studies are carried out to compare the approach with the pair-wise multiple testing approach (Marchini et al. 2005 and the LASSO-patternsearch algorithm (Shi et al. 2007.

  18. A study of the process of two staged anaerobic fermentation as a possible method for purifying sewage

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, Y.; Kouama, K.; Matsuo, T.

    1983-01-01

    Great attention has recently been given to the study of the processes of anaerobic fermentation, which may become alternatives to the existing methods for purifying waste waters which use aerobic microorganisms. A series of experimentswere conducted with the use of an artificially prepared liquid (fermented milk and starch) which imitates the waste to be purified, in order to explain the capabilities of the process of two staged anaerobic fermentation (DAS) as a method for purifying waste waters. The industrial system of the process includes: a fermentation vat for acetic fermentation with recirculation of the sediment, a primary settler, a fermentation tank for methane fermentation and a secondary settler. The process was conducted at a loading speed (based on Carbon) from 0.15 to 0.4 kilograms per cubic meter per day at a temperature of 38C. The degree of conversion of the fermented organic substances into volatile organic acids was not a function of the loading speed and was 54 to 57 percent in the acetic fermentation tank, where 95 to 97 percent of the organic material was broken down with the production of methane and carbon dioxide.

  19. Accounting for selection and correlation in the analysis of two-stage genome-wide association studies.

    Science.gov (United States)

    Robertson, David S; Prevost, A Toby; Bowden, Jack

    2016-10-01

    The problem of selection bias has long been recognized in the analysis of two-stage trials, where promising candidates are selected in stage 1 for confirmatory analysis in stage 2. To efficiently correct for bias, uniformly minimum variance conditionally unbiased estimators (UMVCUEs) have been proposed for a wide variety of trial settings, but where the population parameter estimates are assumed to be independent. We relax this assumption and derive the UMVCUE in the multivariate normal setting with an arbitrary known covariance structure. One area of application is the estimation of odds ratios (ORs) when combining a genome-wide scan with a replication study. Our framework explicitly accounts for correlated single nucleotide polymorphisms, as might occur due to linkage disequilibrium. We illustrate our approach on the measurement of the association between 11 genetic variants and the risk of Crohn's disease, as reported in Parkes and others (2007. Sequence variants in the autophagy gene IRGM and multiple other replicating loci contribute to Crohn's disease susceptibility. Nat. Gen. 39: (7), 830-832.), and show that the estimated ORs can vary substantially if both selection and correlation are taken into account.

  20. A two-stage strategy to accommodate general patterns of confounding in the design of observational studies.

    Science.gov (United States)

    Haneuse, Sebastien; Schildcrout, Jonathan; Gillen, Daniel

    2012-04-01

    Accommodating general patterns of confounding in sample size/power calculations for observational studies is extremely challenging, both technically and scientifically. While employing previously implemented sample size/power tools is appealing, they typically ignore important aspects of the design/data structure. In this paper, we show that sample size/power calculations that ignore confounding can be much more unreliable than is conventionally thought; using real data from the US state of North Carolina, naive calculations yield sample size estimates that are half those obtained when confounding is appropriately acknowledged. Unfortunately, eliciting realistic design parameters for confounding mechanisms is difficult. To overcome this, we propose a novel two-stage strategy for observational study design that can accommodate arbitrary patterns of confounding. At the first stage, researchers establish bounds for power that facilitate the decision of whether or not to initiate the study. At the second stage, internal pilot data are used to estimate key scientific inputs that can be used to obtain realistic sample size/power. Our results indicate that the strategy is effective at replicating gold standard calculations based on knowing the true confounding mechanism. Finally, we show that consideration of the nature of confounding is a crucial aspect of the elicitation process; depending on whether the confounder is positively or negatively associated with the exposure of interest and outcome, naive power calculations can either under or overestimate the required sample size. Throughout, simulation is advocated as the only general means to obtain realistic estimates of statistical power; we describe, and provide in an R package, a simple algorithm for estimating power for a case-control study.

  1. Emilin1 gene and essential hypertension: a two-stage association study in northern Han Chinese population

    Directory of Open Access Journals (Sweden)

    Huang Jianfeng

    2009-11-01

    Full Text Available Abstract Background Elastogenesis of elastic extracellular matrix (ECM which was recognized as a major component of blood vessels has been believed for a long time to play only a passive role in the dynamic vascular changes of typical hypertension. Emilin1 gene participated in the transcription of ECM's formation and was recognized to modulate links TGF-β maturation to blood pressure homeostasis in animal study. Recently relevant advances urge further researches to investigate the role of Emilin1 gene in regulating TGF-β signals involved in elastogenesis and vascular cell defects of essential hypertension (EH. Methods We designed a two-stage case-control study and selected three single nucleotide polymorphisms (SNPs, rs3754734, rs2011616 and rs2304682 from the HapMap database, which covered Emilin1 gene. Totally 2,586 subjects were recruited from the International Collaborative Study of Cardiovascular Disease in Asia (InterASIA. In stage 1, all the three SNPs of the Emilin1 gene were genotyped and tested within a subsample including 503 cases and 490 controls, significant SNPs would enter into stage 2 including 814 cases with hypertension and 779 controls and analyze on the basis of testing total 2,586 subjects. Results In stage 1, single locus analyses showed that SNPs rs3754734 and rs2011616 had significant association with EH (P Conclusion Our findings don't support positive association of Emilin1 gene with EH, but the interaction of age and genotype variation of rs3754734 and rs2011616 might increase the risk to hypertension.

  2. Genetic variants at 1p11.2 and breast cancer risk: a two-stage study in Chinese women.

    Directory of Open Access Journals (Sweden)

    Yue Jiang

    Full Text Available BACKGROUND: Genome-wide association studies (GWAS have identified several breast cancer susceptibility loci, and one genetic variant, rs11249433, at 1p11.2 was reported to be associated with breast cancer in European populations. To explore the genetic variants in this region associated with breast cancer in Chinese women, we conducted a two-stage fine-mapping study with a total of 1792 breast cancer cases and 1867 controls. METHODOLOGY/PRINCIPAL FINDINGS: Seven single nucleotide polymorphisms (SNPs including rs11249433 in a 277 kb region at 1p11.2 were selected and genotyping was performed by using TaqMan® OpenArray™ Genotyping System for stage 1 samples (878 cases and 900 controls. In stage 2 (914 cases and 967 controls, three SNPs (rs2580520, rs4844616 and rs11249433 were further selected and genotyped for validation. The results showed that one SNP (rs2580520 located at a predicted enhancer region of SRGAP2 was consistently associated with a significantly increased risk of breast cancer in a recessive genetic model [Odds Ratio (OR  =  1.66, 95% confidence interval (CI  =  1.16-2.36 for stage 2 samples; OR  =  1.51, 95% CI  =  1.16-1.97 for combined samples, respectively]. However, no significant association was observed between rs11249433 and breast cancer risk in this Chinese population (dominant genetic model in combined samples: OR  =  1.20, 95% CI  =  0.92-1.57. CONCLUSIONS/SIGNIFICANCE: Genotypes of rs2580520 at 1p11.2 suggest that Chinese women may have different breast cancer susceptibility loci, which may contribute to the development of breast cancer in this population.

  3. A novel two-stage, transdisciplinary study identifies digoxin as a possible drug for prostate cancer treatment.

    Science.gov (United States)

    Platz, Elizabeth A; Yegnasubramanian, Srinivasan; Liu, Jun O; Chong, Curtis R; Shim, Joong Sup; Kenfield, Stacey A; Stampfer, Meir J; Willett, Walter C; Giovannucci, Edward; Nelson, William G

    2011-06-01

    Identification of novel indications for commonly prescribed drugs could accelerate translation of therapies. We investigated whether any clinically-used drugs might have utility for treating prostate cancer by coupling an efficient, high-throughput laboratory-based screen and a large, prospective cohort study. In stage 1, we conducted an in vitro prostate cancer cell cytotoxicity screen of 3,187 compounds. Digoxin emerged as the leading candidate given its potency in inhibiting proliferation in vitro (mean IC₅₀=163 nM) and common use. In stage 2, we evaluated the association between the leading candidate drug from stage 1 and prostate cancer risk in 47,884 men followed 1986-2006. Regular digoxin users (versus nonusers: RR=0.76, 95% CI 0.61-0.95), especially users for ≥ 10 years (RR=0.54, 95% CI 0.37-0.79, P-trendtransdisciplinary approach for drug repositioning provides compelling justification for further mechanistic and possibly clinical testing of the leading nonchemotherapy candidate, digoxin, a cardiac glycoside, as a drug for prostate cancer treatment. Perhaps of equal importance, our study illustrates the power of the transdisciplinary approach in translational cancer research. By coupling laboratory and epidemiologic methods and thinking, we reduced the probability of identifying false-positive candidate drugs for the next steps in testing.

  4. Epidemiological studies on syncope

    DEFF Research Database (Denmark)

    Ruwald, Martin Huth

    2013-01-01

    of the patients play an essential role. In epidemiology these factors have major impact on the outcome of the patients. Until recently, even the definition of syncope differed from one study to another which has made literature reviews difficult. Traditionally the data on epidemiology of syncope has been taken...... from smaller studies from different clinical settings with wide differences in patient morbidity. Through the extensive Danish registries we examined the characteristics and prognosis of the patients hospitalized due to syncope in a nationwide study. The aims of the present thesis were to investigate......, prevalence and cardiovascular factors associated with the risk of syncope, 4) the prognosis in healthy individuals discharged after syncope, and 5) the prognosis of patients after syncope and evaluation of the CHADS2 score as a tool for short- and long-term risk prediction. The first studies of the present...

  5. Numerical Study of a 10 K Two Stage Pulse Tube Cryocooler with Precooling Inside the Pulse Tube

    Science.gov (United States)

    Xiaomin, Pang; Xiaotao, Wang; Wei, Dai; Jianyin, Hu; Ercang, Luo

    2017-02-01

    High efficiency cryocoolers working below 10 K have many applications such as cryo-pump, superconductor cooling and cryogenic electronics. This paper presents a thermally coupled two-stage pulse tube cryocooler system and its numeric analysis. The simulation results indicate that temperature distribution in the pulse tube has a significant impact on the system performance. So a precooling heat exchanger is put inside the second stage pulse tube for a deep investigation on its influence on the system performance. The influences of operating parameters such as precooling temperature, location of the precooling heat exchanger are discussed. Comparison of energy losses apparently show the advantages of the configuration which leads to an improvement on the efficiency. Finally, the cryocooler is predicted to be able to reach a relative Carnot efficiency of 10.7% at 10 K temperature.

  6. Parametric study of two-stage hydropyrolysis of lignocellulosic biomass for production of gaseous and light aromatic hydrocarbons.

    Science.gov (United States)

    Zheng, Nan; Zhang, Jie; Wang, Jie

    2017-11-01

    Non-catalytic hydropyrolysis of pinewood and its components was carried out using a two-stage reactor. The main aim of this work is to investigate the hydrodeoxygenation and hydrogenation of volatile matter in the post hydrocracking reactor for oriented production of gaseous and light aromatic hydrocarbons. A portion of volatile matter, which evolved from hemicellulose, neutral extractives and lignin below 275°C, was found to be thoroughly hydrodeoxygenated preventing the release of CO2 and CO. Increasing hydrocracking temperature from 600°C to 750°C and pressure from 1.0MPa to 5.0MPa strongly facilitated the hydrogenation reactions to target products. The summed yield of CH4 and C2H6 (dry biomass basis) reached up to 33.2% at a hydrocracking temperature of 750°C and 5.0MPa, with a concomitant 5.1% yield of BTX. All components in pinewood significantly contributed to the production of CH4 and BTX by hydropyrolysis, differing from the case of pyrolysis. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Application of composite estimation in studies of animal population production with two-stage repeated sample designs.

    Science.gov (United States)

    Farver, T B; Holt, D; Lehenbauer, T; Greenley, W M

    1997-05-01

    This paper reports results from two example data sets of a two-stage sampling design where sampling (in panels) both farms and animals within selected farms increases the efficiency of parameter estimation from measurements recorded over time. With such a design, not only are farms replaced from time-to-time but also animals subsampled within retained farms are subject to replacement. Three general categories of parameters estimated for the population (the set of animals belonging to the universe of farms of interest) were (1) the total at each measurement occasion; (2) the difference between means or totals on successive measurement occasions; (3) the total over a sequence of successive measurement periods. Whereas several responses at the farm level were highly correlated over time (rho 1), the corresponding animal responses were less correlated over time (rho 2)-leading to only moderate gains in relative efficiency. Intraclass correlation values were too low in most cases to counteract the overall negative impact of rho 2. In general, sizeable gains in relative efficiency were observed for estimating change-confirming a previous result which showed this to be true provided that rho 1 was high (irrespective of rho 2).

  8. Genetic modifiers of Hb E/β0 thalassemia identified by a two-stage genome-wide association study

    Directory of Open Access Journals (Sweden)

    Winichagoon Pranee

    2010-03-01

    Full Text Available Abstract Background Patients with Hb E/β0 thalassemia display remarkable variability in disease severity. To identify genetic modifiers influencing disease severity, we conducted a two-stage genome scan in groups of 207 mild and 305 severe unrelated patients from Thailand with Hb E/β0 thalassemia and normal α-globin genes. Methods First, we estimated and compared the allele frequencies of approximately 110,000 gene-based single nucleotide polymorphisms (SNPs in pooled DNAs from different severity groups. The 756 SNPs that showed reproducible allelic differences at P Results After adjustment for age, gender and geographic region, logistic regression models showed 50 SNPs significantly associated with disease severity (P P = 2.6 × 10-13. Seven SNPs in two distinct LD blocks within a region centromeric to the β-globin gene cluster that contains many olfactory receptor genes were also associated with disease severity; rs3886223 had the strongest association (OR = 3.03, P = 3.7 × 10-11. Several previously unreported SNPs were also significantly associated with disease severity. Conclusions These results suggest that there may be an additional regulatory region centromeric to the β-globin gene cluster that affects disease severity by modulating fetal hemoglobin expression.

  9. Catalytic Two-Stage Liquefaction (CTSL) process bench studies with bituminous coal. Final report, [October 1, 1988--December 31, 1992

    Energy Technology Data Exchange (ETDEWEB)

    Comolli, A.G.; Johanson, E.S.; Karolkiewicz, W.F.; Lee, L.K.; Stalzer, R.H.; Smith, T.O.

    1993-03-01

    Reported herein are the details and results of Laboratory and Bench-Scale experiments using bituminous coal concluded at Hydrocarbon Research, Inc., under DOE contract during the period October 1, 1988 to December 31, 1992. The work described is primarily concerned with the application of coal cleaning methods and solids separation methods to the Catalytic Two-Stage Liquefaction (CTSL) Process. Additionally a predispersed catalyst was evaluated in a thermal/catalytic configuration, and an alternative nickel molybdenum catalyst was evaluated for the CTSL process. Three coals were evaluated in this program: Bituminous Illinois No. 6 Burning Star and Sub-bituminous Wyoming Black Thunder and New Mexico McKinley Mine seams. The results from a total of 16 bench-scale runs are reported and analyzed in detail. The tests involving the Illinois coal are reported herein, and the tests involving the Wyoming and New Mexico coals are described in Topical Report No. 1. On the laboratory scale, microautoclave tests evaluating coal, start-up oils, catalysts, thermal treatment, CO{sub 2} addition and sulfur compound effects are reported in Topical Report No. 3. Other microautoclave tests, such as tests on rejuvenated catalyst, coker liquids, and cleaned coals, are described in the Bench Run sections to which they refer. The microautoclave tests conducted for modelling the CTSL process are described in the CTSL Modelling section of Topical Report No. 3 under this contract.

  10. Determinants of participation in a longitudinal two-stage study of the health consequences of the Chornobyl nuclear power plant accident

    Directory of Open Access Journals (Sweden)

    Zakhozha Victoria

    2008-05-01

    Full Text Available Abstract Background The determinants of participation in long-term follow-up studies of disasters have rarely been delineated. Even less is known from studies of events that occurred in eastern Europe. We examined the factors associated with participation in a longitudinal two-stage study conducted in Kyiv following the 1986 Chornobyl nuclear power plant accident. Methods Six hundred child-mother dyads (300 evacuees and 300 classmate controls were initially assessed in 1997 when the children were 11 years old, and followed up in 2005–6 when they were 19 years old. A population control group (304 mothers and 327 children was added in 2005–6. Each assessment point involved home interviews with the children and mothers (stage 1, followed by medical examinations of the children at a clinic (stage 2. Background characteristics, health status, and Chornobyl risk perceptions were examined. Results The participation rates in the follow-up home interviews were 87.8% for the children (88.6% for evacuees; 87.0% for classmates and 83.7% for their mothers (86.4% for evacuees and 81.0% for classmates. Children's and mothers' participation was predicted by one another's study participation and attendance at the medical examination at time 1. Mother's participation was also predicted by initial concerns about her child's health, greater psychological distress, and Chornobyl risk perceptions. In 1997, 91.2% of the children had a medical examination (91.7% of evacuees and 90.7% of classmates; in 2005–6, 85.2% were examined (83.0% of evacuees, 87.7% of classmates, 85.0% of population controls. At both times, poor health perceptions were associated with receiving a medical examination. In 2005–6, clinic attendance was also associated with the young adults' risk perceptions, depression or generalized anxiety disorder, lower standard of living, and female gender. Conclusion Despite our low attrition rates, we identified several determinants of selective

  11. Two-stage revision surgery with preformed spacers and cementless implants for septic hip arthritis: a prospective, non-randomized cohort study

    Directory of Open Access Journals (Sweden)

    Logoluso Nicola

    2011-05-01

    Full Text Available Abstract Background Outcome data on two-stage revision surgery for deep infection after septic hip arthritis are limited and inconsistent. This study presents the medium-term results of a new, standardized two-stage arthroplasty with preformed hip spacers and cementless implants in a consecutive series of adult patients with septic arthritis of the hip treated according to a same protocol. Methods Nineteen patients (20 hips were enrolled in this prospective, non-randomized cohort study between 2000 and 2008. The first stage comprised femoral head resection, debridement, and insertion of a preformed, commercially available, antibiotic-loaded cement hip spacer. After eradication of infection, a cementless total hip arthroplasty was implanted in the second stage. Patients were assessed for infection recurrence, pain (visual analog scale [VAS] and hip joint function (Harris Hip score. Results The mean time between first diagnosis of infection and revision surgery was 5.8 ± 9.0 months; the average duration of follow up was 56.6 (range, 24 - 104 months; all 20 hips were successfully converted to prosthesis an average 22 ± 5.1 weeks after spacer implantation. Reinfection after total hip joint replacement occurred in 1 patient. The mean VAS pain score improved from 48 (range, 35 - 84 pre-operatively to 18 (range, 0 - 38 prior to spacer removal and to 8 (range, 0 - 15 at the last follow-up assessment after prosthesis implantation. The average Harris Hip score improved from 27.5 before surgery to 61.8 between the two stages to 92.3 at the final follow-up assessment. Conclusions Satisfactory outcomes can be obtained with two-stage revision hip arthroplasty using preformed spacers and cementless implants for prosthetic hip joint infections of various etiologies.

  12. Two-stage Case-control Study of DNMT-1 and DNMT-3B Gene Variants and Breast Cancer Risk

    OpenAIRE

    Ye, Chuanzhong; Beeghly-Fadiel, Alicia; Lu, Wei; Long, Jirong; Shu, Xiao Ou; Gao, Yu-Tang; Zheng, Wei; Cai, Qiuyin

    2009-01-01

    Aberrant DNA methylation of CpG islands is a common epigenetic alteration found in cancers. DNA methylation is typically mediated by DNA methyltransferases (DNMTs). Only two studies have evaluated DNMT-3B and/or DNMT-1 gene polymorphisms in relation to breast cancer risk, and results have been inconsistent. We comprehensively evaluated genetic variations in the DNMT-1 and DNMT-3B genes with breast cancer risk among the participants of the Shanghai Breast Cancer Study (SBCS), a large-scale, tw...

  13. A new powerful non-parametric two-stage approach for testing multiple phenotypes in family-based association studies

    NARCIS (Netherlands)

    Lange, C; Lyon, H; DeMeo, D; Raby, B; Silverman, EK; Weiss, ST

    2003-01-01

    We introduce a new powerful nonparametric testing strategy for family-based association studies in which multiple quantitative traits are recorded and the phenotype with the strongest genetic component is not known prior to the analysis. In the first stage, using a population-based test based on the

  14. An epidemiological study of histrionic personality disorder.

    Science.gov (United States)

    Nestadt, G; Romanoski, A J; Chahal, R; Merchant, A; Folstein, M F; Gruenberg, E M; McHugh, P R

    1990-05-01

    In conjunction with the Epidemiological Catchment Area (ECA) survey conducted in Baltimore, MD, a two-stage probability sample of community subjects was developed with a full psychiatric examination employing DSM-III criteria. This report details the observations on those subjects diagnosed with the DSM-III diagnosis Histrionic Personality Disorder. The results indicate that this condition can be diagnosed reliably and that it is a valid construct. It has a prevalence of 2.1% in a general population. Males and females are equally affected, suggesting that prior reports of an increased prevalence in females was an expression of ascertainment bias found in hospital-based studies. The diagnosis is associated with clear evidence of disturbance in the emotional, behavioural, and social realms. Individuals with this disorder tend to use health care facilities more frequently than others.

  15. Dynamic Modeling and Control Studies of a Two-Stage Bubbling Fluidized Bed Adsorber-Reactor for Solid-Sorbent CO{sub 2} Capture

    Energy Technology Data Exchange (ETDEWEB)

    Modekurti, Srinivasarao; Bhattacharyya, Debangsu; Zitney, Stephen E.

    2013-07-31

    A one-dimensional, non-isothermal, pressure-driven dynamic model has been developed for a two-stage bubbling fluidized bed (BFB) adsorber-reactor for solid-sorbent carbon dioxide (CO{sub 2}) capture using Aspen Custom Modeler® (ACM). The BFB model for the flow of gas through a continuous phase of downward moving solids considers three regions: emulsion, bubble, and cloud-wake. Both the upper and lower reactor stages are of overflow-type configuration, i.e., the solids leave from the top of each stage. In addition, dynamic models have been developed for the downcomer that transfers solids between the stages and the exit hopper that removes solids from the bottom of the bed. The models of all auxiliary equipment such as valves and gas distributor have been integrated with the main model of the two-stage adsorber reactor. Using the developed dynamic model, the transient responses of various process variables such as CO{sub 2} capture rate and flue gas outlet temperatures have been studied by simulating typical disturbances such as change in the temperature, flowrate, and composition of the incoming flue gas from pulverized coal-fired power plants. In control studies, the performance of a proportional-integral-derivative (PID) controller, feedback-augmented feedforward controller, and linear model predictive controller (LMPC) are evaluated for maintaining the overall CO{sub 2} capture rate at a desired level in the face of typical disturbances.

  16. Analisis Efisiensi Baitul Maal Wat Tamwil Dengan Pendekatan Two Stage Data Envelopment Analysis (Studi Kasus Kantor Cabang BMT MMU Dan BMT UGT Sidogiri

    Directory of Open Access Journals (Sweden)

    Muhammad Mahbubi Ali

    2014-03-01

    Full Text Available Penelitian ini bertujuan untuk mengukur tingkat efisiensi Baitul Maal Wat Tamwil (BMT dengan mengambil studi kasus BMT MMU dan BMT UGT Sidogiri Pasuruan tingkat cabang dengan total sampel 50 cabang. Metode yang digunakan dalam penelitian ini adalah Two Stage DEA. Tahap pertama mengukur tingkat efisiensi BMT MMU dan BMT UGT dengan menggunakan DEA. Tahap kedua menguji faktor-faktor internal dan eksternal, yang mempengaruhi tingkat efisiensi BMT MMU dan BMT UGT dengan menggunakan pendekatan Tobit. Hasil penghitungan DEA menunjukkan, efisiensi overall technical BMT MMU (0,84 dan BMT UGT (0,88 pada tahun 2008 masih kurang optimal. Penyebab utama inefisiensi untuk BMT MMU adalah penyaluran pembiayaan, sementara sumber utama inefisiensi BMT UGT adalah penghimpunan dana pihak ketiga yang kurang maksimal. Hasil pengolahan Tobit menunjukkan bahwa kekuatan modal dan ukuran BMT memiliki pengaruh positif secara signifikan terhadap efisiensi overall technical pada dua BMT. Sementara dari sisi eksternal, PDRB perkapita memiliki pengaruh negatif secara signifikan. Adapun pertumbuhan pengangguran, tingkat pendidikan, dan komitmen keberagamaan tidak berpengaruh secara signifikan.JEL Classification : G21, R15Keywords : Efisiensi, BMT, Two Stage DEA

  17. [High resolution laser transient spectroscopic technology under two-stage light gas-gun loading condition and stability study of shocked benzene].

    Science.gov (United States)

    Zhao, Bei-Jing; Liu, Fu-Sheng; Wang, Wen-Peng; Zhang, Ning-Chao; Feng, Li-Peng; Zhang, Ming-Jian; Xue, Xue-Dong

    2013-10-01

    The present paper reports the high resolution transient Raman laser testing technology under two-stage light gas-gun loading experiment, and its application to studying the Raman spectroscopy of shocked benzene. In the experiments, the frequency shift of C-C stretching vibration (992 cm(-1)) and C-H stretching vibration peak (3 061 cm(-1)) in the low pressure section (less than 8 GPa) varies linearly with the pressure, and the results agree well with reported data in the literature. The structural changes in liquid benzene about 13 GPa were clarified firstly by the Raman spectral technique; the experimental results show that at a pressure of 9.7 GPa, the structural change of liquid benzene has taken place, not reported in the literature about 13 GPa. But the composition in the production is not clear. The measurement system provides an effective means to study the microstructure changes of transparent and translucent material under dynamic loading experiment.

  18. Study of a two-stage growth of DHA-producing marine algae Schizochytrium limacinum SR21 with shifting dissolved oxygen level.

    Science.gov (United States)

    Chi, Zhanyou; Liu, Yan; Frear, Craig; Chen, Shulin

    2009-01-01

    The culture protocol of Schizochytrium limacinum SR 21, a known docosahexaenoic acid (DHA) producing marine algae was modified in this study to better fit fermentation parameters, particularly control of dissolved oxygen (DO) to the known reproductive and growth biology of the microorganism. The cultures controlled at 50% DO saturation produced a cell density of 181 million cells/ml, whereas cultures with 10% DO produced only 98.4 million cells/ml. A fixed-agitation rate of 150 rpm resulted in an even lower density of 22.5 million cells/ml. Fifty percent DO saturation level led to a decreased pH, as well as a negative correlation with lipid accumulation, while low oxygen concentration was obligatory for lipid accumulation. This study indicated that high DO was preferred for the cells' reproduction via release of zoospores. Thus, the culture of S. limacinum SR21 should be best divided into two stages: (1) a cell-number-increasing stage in which cell reproduction and cell number increase with little increase in the size and weight of each cell; and (2) a cell-size-increasing stage in which cells stop reproduction but cell size enlarges due to lipids accumulation. With such a protocol, the production of algae biomass and DHA was improved to levels of 37.9 g/L and 6.56 g/L, respectively. The two-stage culture process could be potentially used not only for omega-3 PUFA production, but also in other single cell oil (SCO)-producing processes, including biodiesel production from algae.

  19. An unsupervised two-stage clustering approach for forest structure classification based on X-band InSAR data - A case study in complex temperate forest stands

    Science.gov (United States)

    Abdullahi, Sahra; Schardt, Mathias; Pretzsch, Hans

    2017-05-01

    Forest structure at stand level plays a key role for sustainable forest management, since the biodiversity, productivity, growth and stability of the forest can be positively influenced by managing its structural diversity. In contrast to field-based measurements, remote sensing techniques offer a cost-efficient opportunity to collect area-wide information about forest stand structure with high spatial and temporal resolution. Especially Interferometric Synthetic Aperture Radar (InSAR), which facilitates worldwide acquisition of 3d information independent from weather conditions and illumination, is convenient to capture forest stand structure. This study purposes an unsupervised two-stage clustering approach for forest structure classification based on height information derived from interferometric X-band SAR data which was performed in complex temperate forest stands of Traunstein forest (South Germany). In particular, a four dimensional input data set composed of first-order height statistics was non-linearly projected on a two-dimensional Self-Organizing Map, spatially ordered according to similarity (based on the Euclidean distance) in the first stage and classified using the k-means algorithm in the second stage. The study demonstrated that X-band InSAR data exhibits considerable capabilities for forest structure classification. Moreover, the unsupervised classification approach achieved meaningful and reasonable results by means of comparison to aerial imagery and LiDAR data.

  20. A two-stage support-vector-regression optimization model for municipal solid waste management - a case study of Beijing, China.

    Science.gov (United States)

    Dai, C; Li, Y P; Huang, G H

    2011-12-01

    In this study, a two-stage support-vector-regression optimization model (TSOM) is developed for the planning of municipal solid waste (MSW) management in the urban districts of Beijing, China. It represents a new effort to enhance the analysis accuracy in optimizing the MSW management system through coupling the support-vector-regression (SVR) model with an interval-parameter mixed integer linear programming (IMILP). The developed TSOM can not only predict the city's future waste generation amount, but also reflect dynamic, interactive, and uncertain characteristics of the MSW management system. Four kernel functions such as linear kernel, polynomial kernel, radial basis function, and multi-layer perception kernel are chosen based on three quantitative simulation performance criteria [i.e. prediction accuracy (PA), fitting accuracy (FA) and over all accuracy (OA)]. The SVR with polynomial kernel has accurate prediction performance for MSW generation rate, with all of the three quantitative simulation performance criteria being over 96%. Two cases are considered based on different waste management policies. The results are valuable for supporting the adjustment of the existing waste-allocation patterns to raise the city's waste diversion rate, as well as the capacity planning of waste management system to satisfy the city's increasing waste treatment/disposal demands.

  1. Close-coupled Catalytic Two-Stage Liquefaction (CTSL{trademark}) process bench studies. Final report, [October 1, 1988--July 31, 1993

    Energy Technology Data Exchange (ETDEWEB)

    Comolli, A.G.; Johanson, E.S.; Karolkiewicz, W.F.; Lee, L.K.; Popper, G.A.; Stalzer, R.H.; Smith, T.O.

    1993-06-01

    This is the final report of a four year and ten month contract starting on October 1, 1988 to July 31, 1993 with the US Department of Energy to study and improve Close-Coupled Catalytic Two-Stage Direct Liquefaction of coal by producing high yields of distillate with improved quality at lower capital and production costs in comparison to existing technologies. Laboratory, Bench and PDU scale studies on sub-bituminous and bituminous coals are summarized and referenced in this volume. Details are presented in the three topical reports of this contract; CTSL Process Bench Studies and PDU Scale-Up with Sub-Bituminous Coal-DE-88818-TOP-1, CTSL Process Bench Studies with Bituminous Coal-DE-88818-TOP-2, and CTSL Process Laboratory Scale Studies, Modelling and Technical Assessment-DE-88818-TOP-3. Results are summarized on experiments and studies covering several process configurations, cleaned coals, solid separation methods, additives and catalysts both dispersed and supported. Laboratory microautoclave scale experiments, economic analysis and modelling studies are also included along with the PDU-Scale-Up of the CTSL processing of sub-bituminous Black Thunder Mine Wyoming coal. During this DOE/HRI effort, high distillate yields were maintained at higher throughput rates while quality was markedly improved using on-line hydrotreating and cleaned coals. Solid separations options of filtration and delayed coking were evaluated on a Bench-Scale with filtration successfully scaled to a PDU demonstration. Directions for future direct coal liquefaction related work are outlined herein based on the results from this and previous programs.

  2. Potential Susceptibility Mutations in C Gene for Hepatitis B-Related Hepatocellular Carcinoma Identified by a Two-Stage Study in Qidong, China

    Science.gov (United States)

    Qu, Lishuai; Zhang, Haifeng; Liu, Jinxia; Liu, Taotao; Shen, Xizhong; Chen, Taoyang; Ni, Zhengpin; Lu, Cuihua

    2016-01-01

    A two stage study was conducted to explore new potential mutations in the full genome of hepatitis B virus (HBV) on the progression of hepatocellular carcinoma (HCC) in Qidong, China. In stage 1, full genomes of HBV were compared between 30 HCC cases and 30 controls. In stage 2, an independent case–control study including 100 HCC cases and 100 controls was enrolled to verify the relationship between hot-spot mutations and HCC development. Furthermore, a longitudinal study was conducted on 11 HCC cases with serial serum samples available before HCC diagnosis. A total of 10 mutations (including pre-S2 start codon mutation and pre-S deletion in pre-S gene, G1613A, C1653T, A1762T, and G1764A mutations in X gene, A2159G, A2189Y, G2203W, and C2288R mutations in C gene) showed an increased risk of HCC. In the validation study, pre-S deletion, C1653T, A1762T/G1764A, A2159G, A2189Y, G2203W, and C2288R mutations were associated with increased HCC risk in univariate analysis. Multivariate analysis indicated that pre-S deletion, A1762T/G1764A, A2159G, and A2189Y mutations were independently related with HCC development. Moreover, a significant biological gradient of HCC risk by number of mutations in the C gene was observed. Longitudinal observation demonstrated a gradual combination of the above mutations accumulated during the progression of HCC. PMID:27727182

  3. Potential Susceptibility Mutations in C Gene for Hepatitis B-Related Hepatocellular Carcinoma Identified by a Two-Stage Study in Qidong, China

    Directory of Open Access Journals (Sweden)

    Lishuai Qu

    2016-10-01

    Full Text Available A two stage study was conducted to explore new potential mutations in the full genome of hepatitis B virus (HBV on the progression of hepatocellular carcinoma (HCC in Qidong, China. In stage 1, full genomes of HBV were compared between 30 HCC cases and 30 controls. In stage 2, an independent case–control study including 100 HCC cases and 100 controls was enrolled to verify the relationship between hot-spot mutations and HCC development. Furthermore, a longitudinal study was conducted on 11 HCC cases with serial serum samples available before HCC diagnosis. A total of 10 mutations (including pre-S2 start codon mutation and pre-S deletion in pre-S gene, G1613A, C1653T, A1762T, and G1764A mutations in X gene, A2159G, A2189Y, G2203W, and C2288R mutations in C gene showed an increased risk of HCC. In the validation study, pre-S deletion, C1653T, A1762T/G1764A, A2159G, A2189Y, G2203W, and C2288R mutations were associated with increased HCC risk in univariate analysis. Multivariate analysis indicated that pre-S deletion, A1762T/G1764A, A2159G, and A2189Y mutations were independently related with HCC development. Moreover, a significant biological gradient of HCC risk by number of mutations in the C gene was observed. Longitudinal observation demonstrated a gradual combination of the above mutations accumulated during the progression of HCC.

  4. Multiple Genes Related to Muscle Identified through a Joint Analysis of a Two-stage Genome-wide Association Study for Racing Performance of 1,156 Thoroughbreds.

    Science.gov (United States)

    Shin, Dong-Hyun; Lee, Jin Woo; Park, Jong-Eun; Choi, Ik-Young; Oh, Hee-Seok; Kim, Hyeon Jeong; Kim, Heebal

    2015-06-01

    Thoroughbred, a relatively recent horse breed, is best known for its use in horse racing. Although myostatin (MSTN) variants have been reported to be highly associated with horse racing performance, the trait is more likely to be polygenic in nature. The purpose of this study was to identify genetic variants strongly associated with racing performance by using estimated breeding value (EBV) for race time as a phenotype. We conducted a two-stage genome-wide association study to search for genetic variants associated with the EBV. In the first stage of genome-wide association study, a relatively large number of markers (~54,000 single-nucleotide polymorphisms, SNPs) were evaluated in a small number of samples (240 horses). In the second stage, a relatively small number of markers identified to have large effects (170 SNPs) were evaluated in a much larger number of samples (1,156 horses). We also validated the SNPs related to MSTN known to have large effects on racing performance and found significant associations in the stage two analysis, but not in stage one. We identified 28 significant SNPs related to 17 genes. Among these, six genes have a function related to myogenesis and five genes are involved in muscle maintenance. To our knowledge, these genes are newly reported for the genetic association with racing performance of Thoroughbreds. It complements a recent horse genome-wide association studies of racing performance that identified other SNPs and genes as the most significant variants. These results will help to expand our knowledge of the polygenic nature of racing performance in Thoroughbreds.

  5. Multiple Genes Related to Muscle Identified through a Joint Analysis of a Two-stage Genome-wide Association Study for Racing Performance of 1,156 Thoroughbreds

    Directory of Open Access Journals (Sweden)

    Dong-Hyun Shin

    2015-06-01

    Full Text Available Thoroughbred, a relatively recent horse breed, is best known for its use in horse racing. Although myostatin (MSTN variants have been reported to be highly associated with horse racing performance, the trait is more likely to be polygenic in nature. The purpose of this study was to identify genetic variants strongly associated with racing performance by using estimated breeding value (EBV for race time as a phenotype. We conducted a two-stage genome-wide association study to search for genetic variants associated with the EBV. In the first stage of genome-wide association study, a relatively large number of markers (~54,000 single-nucleotide polymorphisms, SNPs were evaluated in a small number of samples (240 horses. In the second stage, a relatively small number of markers identified to have large effects (170 SNPs were evaluated in a much larger number of samples (1,156 horses. We also validated the SNPs related to MSTN known to have large effects on racing performance and found significant associations in the stage two analysis, but not in stage one. We identified 28 significant SNPs related to 17 genes. Among these, six genes have a function related to myogenesis and five genes are involved in muscle maintenance. To our knowledge, these genes are newly reported for the genetic association with racing performance of Thoroughbreds. It complements a recent horse genome-wide association studies of racing performance that identified other SNPs and genes as the most significant variants. These results will help to expand our knowledge of the polygenic nature of racing performance in Thoroughbreds.

  6. Inhaled Pharmacotherapy and Stroke Risk in Patients with Chronic Obstructive Pulmonary Disease: A Nationwide Population Based Study Using Two-Stage Approach.

    Directory of Open Access Journals (Sweden)

    Hui-Wen Lin

    Full Text Available Patients with chronic obstructive pulmonary disease (COPD are at higher risk of stroke than those without COPD. This study aims to explore the impact of inhaled pharmacotherapy on stroke risk in COPD patients during a three-year follow-up, using a nationwide, population-based study and a matched cohort design.The study cohort comprised 10,413 patients who had received COPD treatment between 2004 and 2006; 41,652 randomly selected subjects comprised the comparison cohort. Cox proportional hazard regressions and two-stage propensity score calibration were performed to determine the impact of various inhaled therapies including short-acting muscarinic antagonists, long-acting muscarinic antagonists, short-acting β-agonists (SABAs, long-acting β-agonists (LABAs, and LABA plus inhaled corticosteroid (ICS, on the risk after adjustment for patient demographic characteristics and comorbid disorders.Of the 52,065 sampled patients, 2,689 (5.2% developed stroke during follow-up, including 727 (7.0% from the COPD cohort and 1,962 (4.7% from the comparison cohort (p < 0.001. Treatment with SABA was associated with 1.67-fold (95% CI 1.45-1.91; p < 0.001 increased risk of stroke in COPD patients. By contrast, the cumulative incidence of stroke was significantly lower in those treated with LABA plus ICS than those treated without (adjusted hazard ratio 0.75, 95% CI 0.60-0.94, p = 0.014.Among COPD patients, the use of inhaled SABA is associated with an increased risk of stroke, and combination treatment with inhaled LABA and ICS relates to a risk reduction. Further prospective research is needed to verify whether LABA plus ICS confers protection against stroke in patients with COPD.

  7. Studying feasibility and effects of a two-stage nursing staff training in residential geriatric care using a 30 month mixed-methods design [ISRCTN24344776

    Directory of Open Access Journals (Sweden)

    Hantikainen Virpi

    2011-05-01

    Full Text Available Abstract Background Transfer techniques and lifting weights often cause back pain and disorders for nurses in geriatric care. The Kinaesthetics care conception claims to be an alternative, yielding benefits for nurses as well as for clients. Starting a multi-step research program on the effects of Kinaesthetics, we assess the feasibility of a two-stage nursing staff training and a pre-post research design. Using quantitative and qualitative success criteria, we address mobilisation from the bed to a chair and backwards, walking with aid and positioning in bed on the staff level as well as on the resident level. In addition, effect estimates should help to decide on and to prepare a controlled trial. Methods/Design Standard basic and advanced Kinaesthetics courses (each comprising four subsequent days and an additional counselling day during the following four months are offered to n = 36 out of 60 nurses in a residential geriatric care home, who are in charge of 76 residents. N = 22 residents needing movement support are participating to this study. On the staff level, measurements include focus group discussions, questionnaires, physical strain self-assessment (Borg scale, video recordings and external observation of patient assistance skills using a specialised instrument (SOPMAS. Questionnaires used on the resident level include safety, comfort, pain, and level of own participation during mobilisation. A functional mobility profile is assessed using a specialised test procedure (MOTPA. Measurements will take place at baseline (T0, after basic training (T1, and after the advanced course (T2. Follow-up focus groups will be offered at T1 and 10 months later (T3. Discussion Ten criteria for feasibility success are established before the trial, assigned to resources (missing data, processes (drop-out of nurses and residents and science (minimum effects criteria. This will help to make rational decision on entering the next stage of the research

  8. RELEASE OF GENTAMICIN FROM CEMENT SPACERS IN TWO-STAGE PROCEDURES FOR HIP AND KNEE PROSTHETIC INFECTION: AN IN VIVO PHARMACOKINETIC STUDY WITH CLINICAL FOLLOW-UP.

    Science.gov (United States)

    Balato, G; Ascione, T; Rosa, D; Pagliano, P; Solarino, G; Moretti, B; Mariconda, M

    2015-01-01

    Eighteen patients undergoing two-stage exchange arthroplasty for infected total hip or knee arthroplasty using gentamicin-loaded bone cement spacers (80g bone cement, 2 g gentamicin and 2 g clindamycin) were studied. The concentration of gentamicin eluted from the spacers was assessed on samples of blood, urine, and drainage fluid that were collected from each patient at set intervals during the 48 hours following the first-stage surgery. The hip and knee cement spacers showed similar curve of release over the first postoperative hours (early peak followed by slow release), but the mean gentamicin concentration in the drainage fluid was higher in patients with hip spacers compared to patients with knee spacers (30.61±19.47 mg/L vs 17.43±13,63 mg/L, p less than 0.05). In patients with hip spacers, the mean, maximum, and minimum concentration of gentamicin was higher with respect to the minimum inhibitory concentration (MIC) break point for Staphylococcus spp, Pseudomonas Aeruginosa and Enterobacteriaceae throughout the first postoperative 48 h. Conversely, in 25% of patients with a knee spacer a drug concentration below the MIC break point for Gram negative bacteria was found in the drainage fluid after 12 h. Gentamicin levels in the blood samples were negligible over the entire time interval and were steadily well below the renal toxicity reference. The highest urinary concentration of gentamicin was observed between 4 and 9 h postoperatively. Subsequently, it gradually declined until 48 h. Clinically, the rate of cure was 100% at a mean follow-up of 113 weeks (range 90-182). Gentamicin-loaded cement spacers offer the advantage of achieving early high concentrations of the antibiotic directly at the site of infection but especially in the knee a systemic antibiotic therapy must be given as a complement to the spacer implantation to eradicate periprosthetic joint infection (PJI).

  9. Does psychological functioning mediate the relationship between bullying involvement and weight loss preoccupation in adolescents? A two-stage cross-sectional study.

    Science.gov (United States)

    Lee, Kirsty; Guy, Alexa; Dale, Jeremy; Wolke, Dieter

    2017-03-24

    Adolescent bullying is associated with a range of adversities for those who are bullied i.e., victims and bully-victims (e.g., those who bully others and get victimised), including reduced psychological functioning and eating disorder symptoms. Bullies are generally well-adjusted psychologically, but previous research suggests that bullies may also engage in problematic diet behaviours. This study investigates a) whether adolescents involved in bullying (bullies, victims, bully-victims) are at increased risk of weight loss preoccupation, b) whether psychological functioning mediates this relationship and c) whether sex is a key moderator. A two-stage design was used. In stage 1, adolescents (n = 2782) from five UK secondary schools were screened for bullying involvement using self and peer reports. In stage 2, a sample of bullies, victims, bully-victims and uninvolved adolescents (n = 767) completed a battery of assessments. The measures included the eating behaviours component of the Child and Adolescent Psychiatric Assessment, which was reduced to one factor (weight loss preoccupation) and used as the outcome variable. Measures of self-esteem, body-esteem and emotional problems were reduced to a latent (mediator) variable of psychological functioning. Multi-group analysis examined the effects of sex and all models were adjusted for covariates (BMI, pubertal stage, age, parental education and ethnicity). Bullies, victims and bully-victims were at increased risk of weight loss preoccupation compared to adolescents uninvolved in bullying. The mechanism by which bullying involvement related to increased weight loss preoccupation varied by bullying role: in bullies the effect was direct, in victims the effect was indirect (via reduced psychological functioning) and in bully-victims the effect was both direct and indirect. Sex significantly moderated the relationship in bullies: weight loss preoccupation was only statistically significant in bullies who were

  10. 5% lidocaine medicated plaster versus pregabalin in post-herpetic neuralgia and diabetic polyneuropathy: an open-label, non-inferiority two-stage RCT study.

    Science.gov (United States)

    Baron, Ralf; Mayoral, Victor; Leijon, Göran; Binder, Andreas; Steigerwald, Ilona; Serpell, Michael

    2009-07-01

    To compare efficacy and safety of 5% lidocaine medicated plaster with pregabalin in patients with post-herpetic neuralgia (PHN) or painful diabetic polyneuropathy (DPN). This was a two-stage adaptive, randomized, open-label, multicentre, non-inferiority study. Data are reported from the initial 4-week comparative phase, in which adults with PHN or painful DPN received either topical 5% lidocaine medicated plaster applied to the most painful skin area or twice-daily pregabalin capsules titrated to effect according to the Summary of Product Characteristics. The primary endpoint was response rate at 4 weeks, defined as reduction averaged over the last three days from baseline of > or = 2 points or an absolute value of plaster and 61.5% receiving pregabalin were considered responders (corresponding numbers for the per protocol set, PPS: 65.3% vs. 62.0%). In PHN more patients responded to 5% lidocaine medicated plaster treatment than to pregabalin (PPS: 62.2% vs. 46.5%), while response was comparable for patients with painful DPN (PPS: 66.7% vs 69.1%). 30% and 50% reductions in NRS-3 scores were greater with 5% lidocaine medicated plaster than with pregabalin. Both treatments reduced allodynia severity. 5% lidocaine medicated plaster showed greater improvements in QoL based on EQ-5D in both PHN and DPN. PGIC and CGIC scores indicated greater improvement for 5% lidocaine medicated plaster treated patients with PHN. Improvements were comparable between treatments in painful DPN. Fewer patients administering 5% lidocaine medicated plaster experienced AEs (safety set, SAF: 18.7% vs. 46.4%), DRAEs (5.8% vs. 41.2%) and related discontinuations compared to patients taking pregabalin. 5% lidocaine medicated plaster showed better efficacy compared with pregabalin in patients with PHN. Within DPN, efficacy was comparable for both treatments. 5% lidocaine medicated plaster showed a favourable efficacy/safety profile with greater improvements in patient satisfaction and Qo

  11. Studies of two stage gas turbine combustor for biomass powder. Part 1, Atmospheric cyclone gasification experiments with wood powder. Technical report

    Energy Technology Data Exchange (ETDEWEB)

    Degerman, Bengt; Hedin, Johan; Fredriksson, Christian; Kjellstroem, Bjoern; Salman, Hassan [Luleaa Univ. of Technology (Sweden). Dept. of Mechanical Engineering

    2000-10-01

    This report summarises the research and development work regarding development of a two stage gas turbine combustor for wood powder carried out at the Luleaa University of Technology from July 1993 to December 1996. The process being studied is based on cyclone gasification of the wood powder and combustion of the product gas in a suitably adapted gas turbine combustion chamber, without other gas cleaning than that obtained by the cyclone. A critical issue to be studied in the project is if the burned gases from such a cyclone gasifier lead to acceptably low deposition rates for K- and Na-compounds in a gas turbine with 850 deg C inlet temperature. The project strategy has been to study wood powder feeding and cyclone gasification first at atmospheric pressure, then run separate pressurised cyclone gasification tests for studies of the possibilities to achieve stable operation when the air flow is supplied by a separate compressor and finally to run integrated gasifier/gas turbine tests for studies of the deposition problem in practical operation. During the period covered by this report the atmospheric test facility has been designed, built and commissioned. It has been used mainly for studies of injector feeding of wood powder into a cyclone gasifier and for gasification experiments where in particular the fate of ash elements introduced with the wood powder has been studied. The results of these experiments have shown that steam injection of wood powder is possible with a steam consumption of about 0.3 kg steam/kg wood. The effects of injector geometry on the performance has also been studied. The gasification experiments show clearly that ash elements, including K and Na remain in the ash until very late in the thermal conversion process, also at gas temperatures exceeding 900 deg C. The separation of K with the cyclone bottom char has been 50 - 60% and the separation of Na about 80% with the cyclone geometry and the wood powder tested. The resulting load of K

  12. Catalytic Two-Stage Liquefaction (CTSL{trademark}) process bench studies and PDU scale-up with sub-bituminous coal. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Comolli, A.G.; Johanson, E.S.; Karolkiewicz, W.F.; Lee, L.K.T.; Stalzer, R.H.; Smith, T.O.

    1993-03-01

    Reported are the details and results of Laboratory and Bench-Scale experiments using sub-bituminous coal conducted at Hydrocarbon Research, Inc., under DOE Contract No. DE-AC22-88PC88818 during the period October 1, 1988 to December 31, 1992. The work described is primarily concerned with testing of the baseline Catalytic Two-Stage Liquefaction (CTSL{trademark}) process with comparisons with other two stage process configurations, catalyst evaluations and unit operations such as solid separation, pretreatments, on-line hydrotreating, and an examination of new concepts. In the overall program, three coals were evaluated, bituminous Illinois No. 6, Burning Star and sub-bituminous Wyoming Black Thunder and New Mexico McKinley Mine seams. The results from a total of 16 bench-scale runs are reported and analyzed in detail. The runs (experiments) concern process variables, variable reactor volumes, catalysts (both supported, dispersed and rejuvenated), coal cleaned by agglomeration, hot slurry treatments, reactor sequence, on-line hydrotreating, dispersed catalyst with pretreatment reactors and CO{sub 2}/coal effects. The tests involving the Wyoming and New Mexico Coals are reported herein, and the tests involving the Illinois coal are described in Topical Report No. 2. On a laboratory scale, microautoclave tests evaluating coal, start-up oils, catalysts, thermal treatment, CO{sub 2} addition and sulfur compound effects were conducted and reported in Topical Report No. 3. Other microautoclave tests are described in the Bench Run sections to which they refer such as: rejuvenated catalyst, coker liquids and cleaned coals. The microautoclave tests conducted for modelling the CTSL{trademark} process are described in the CTSL{trademark} Modelling section of Topical Report No. 3 under this contract.

  13. The construction of two-stage tests

    NARCIS (Netherlands)

    Adema, Jos J.

    1988-01-01

    Although two-stage testing is not the most efficient form of adaptive testing, it has some advantages. In this paper, linear programming models are given for the construction of two-stage tests. In these models, practical constraints with respect to, among other things, test composition, administrat

  14. Epidemiological studies of oral cancer.

    Science.gov (United States)

    Pindborg, J J

    1977-06-01

    The FDI has shown considerable interest in the oral cancer and has in recent years arranged three symposia on the subject. The incidence of oral cancer shows marked geographic differences mostly depending upon environmental factors. In the present paper the epidemiology of oral cancer is illustrated by the relative frequency to total number of cancers and incidence rates from a number of countries. Canada has the highest rate of cancer of the vermilion border, which is extremely rare among dark-skinned people. Even within one country differences may be found, a fact which is illustrated by findings from Czechoslovakia and India. In most of the studies dealing with the etiology of oral cancer tobacco usage in its various forms is shown to be the outstanding factor.

  15. Study of a transaugmented two-stage small circular-bore railgun for injection of hypervelocity hydrogen pellets as a fusion reactor refueling mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Tompkins, M.W.; Anderson, M.A.; Feng, Q.; Zhang, J.; Kim, K. [Univ. of Illinois, Urbana, IL (United States)

    1997-01-01

    Injection of hypervelocity hydrogen pellets has become widely accepted as the most effective means of refueling magnetically confined fusion reactors. Pellet velocities on the order of 10 km/s are desired and hydrogen pellet erosion during acceleration must be minimized. It is important to maintain uniform bore surfaces during repetitive shots, implying that, if a railgun is to be used to accelerate the pellets, damage to the sidewalls and rails of the railgun due to local heating must be limited. In order to reduce the amount of power dissipated within the bore and increase the propulsive force generated by the plasma-arc armature while minimizing losses due to pellet, rail, and sidewall ablation, the authors have employed a magnetic field transaugmentation mechanism consisting of a two-turn pulsed electromagnet. The two-stage gun consists of a light-gas gun which accelerates a 4- to 5-mg pellet to a speed around 1.2 km/s and injects it into the plasma-arc armature railgun. Currently, they have achieved a final output velocity for a hydrogen pellet of 2.11 km/s with a time-averaged acceleration of 4,850 km/s{sup 2} using a 58-cm railgun pulsed with a peak rail current of 9.2 kA and 28.0 kA of transaugmentation current. This paper will present a description of the hydrogen-pellet-injector railgun system, a discussion of the data on hydrogen pellet acceleration, and projections for future systems.

  16. Genetic epidemiological study of schizophrenia: reproduction behaviour.

    Science.gov (United States)

    Ritsner, M; Sherina, O; Ginath, Y

    1992-06-01

    Data from the Tomsk Epidemiological Register and epidemiological family sample were used to study the relationship between schizophrenics' reproductive behaviour (marital status and fertility rate), severity of ICD-9 schizophrenia and risk of illness among relatives of probands. The results are interpreted in terms of multifactorial threshold and single monolocus models. Their importance for the interpretation of epidemiological data (a change of prevalence rate, cohort effect and clinical polymorphism) is discussed.

  17. An open-label, two-stage, phase II study of bevacizumab and lapatinib in children with recurrent or refractory ependymoma: a collaborative ependymoma research network study (CERN).

    Science.gov (United States)

    DeWire, Mariko; Fouladi, Maryam; Turner, David C; Wetmore, Cynthia; Hawkins, Cynthia; Jacobs, Carmen; Yuan, Ying; Liu, Diane; Goldman, Stewart; Fisher, Paul; Rytting, Michael; Bouffet, Eric; Khakoo, Yasmin; Hwang, Eugene I; Foreman, Nicholas; Stewart, Clinton F; Gilbert, Mark R; Gilbertson, Richard; Gajjar, Amar

    2015-05-01

    Co-expression of ERBB2 and ERBB4, reported in 75% of pediatric ependymomas, correlates with worse overall survival. Lapatinib, a selective ERBB1 and ERBB2 inhibitor has produced prolonged disease stabilization in patients with ependymoma in a phase I study. Bevacizumab exposure in ependymoma xenografts leads to ablation of tumor self-renewing cells, arresting growth. Thus, we conducted an open-label, phase II study of bevacizumab and lapatinib in children with recurrent ependymomas. Patients ≤ 21 years of age with recurrent ependymoma received lapatinib orally twice daily (900 mg/m(2)/dose to the first 10 patients, and then 700 mg/m(2)/dose) and bevacizumab 10 mg/kg intravenously on days 1 and 15 of a 28-day course. Lapatinib serum trough levels were analyzed prior to each course. Total and phosphorylated VEGFR2 expression was measured in peripheral blood mononuclear cells (PBMCs) before doses 1 and 2 of bevacizumab and 24-48 h following dose 2 of bevacizumab. Twenty-four patients with a median age of 10 years (range 2-21 years) were enrolled; 22 were eligible and 20 evaluable for response. Thirteen had anaplastic ependymoma. There were no objective responses; 4 patients had stable disease for ≥ 4 courses (range 4-14). Grade 3 toxicities included rash, elevated ALT, and diarrhea. Grade 4 toxicities included peri-tracheostomy hemorrhage (n = 1) and elevated creatinine phosphokinase (n = 1). The median lapatinib pre-dose trough concentration was 3.72 µM. Although the combination of bevacizumab and lapatinib was well tolerated in children with recurrent ependymoma, it proved ineffective.

  18. Treatment of cadmium dust with two-stage leaching process

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The treatment of cadmium dust with a two-stage leaching process was investigated to replace the existing sulphation roast-leaching processes. The process parameters in the first stage leaching were basically similar to the neutralleaching in zinc hydrometallurgy. The effects of process parameters in the second stage leaching on the extraction of zincand cadmium were mainly studied. The experimental results indicated that zinc and cadmium could be efficiently recoveredfrom the cadmium dust by two-stage leaching process. The extraction percentages of zinc and cadmium in two stage leach-ing reached 95% and 88% respectively under the optimum conditions. The total extraction percentage of Zn and Cdreached 94%.

  19. Treatment of metastatic uveal melanoma with adoptive transfer of tumour-infiltrating lymphocytes: a single-centre, two-stage, single-arm, phase 2 study.

    Science.gov (United States)

    Chandran, Smita S; Somerville, Robert P T; Yang, James C; Sherry, Richard M; Klebanoff, Christopher A; Goff, Stephanie L; Wunderlich, John R; Danforth, David N; Zlott, Daniel; Paria, Biman C; Sabesan, Arvind C; Srivastava, Abhishek K; Xi, Liqiang; Pham, Trinh H; Raffeld, Mark; White, Donald E; Toomey, Mary Ann; Rosenberg, Steven A; Kammula, Udai S

    2017-06-01

    Uveal melanoma is a rare tumour with no established treatments once metastases develop. Although a variety of immune-based therapies have shown efficacy in metastatic cutaneous melanoma, their use in ocular variants has been disappointing. Recently, adoptive T-cell therapy has shown salvage responses in multiple refractory solid tumours. Thus, we sought to determine if adoptive transfer of autologous tumour-infiltrating lymphocytes (TILs) could mediate regression of metastatic uveal melanoma. In this ongoing single-centre, two-stage, phase 2, single-arm trial, patients (aged ≥16 years) with histologically confirmed metastatic ocular melanoma were enrolled. Key eligibility criteria were an Eastern Cooperative Oncology Group performance status of 0 or 1, progressive metastatic disease, and adequate haematological, renal, and hepatic function. Metastasectomies were done to procure tumour tissue to generate autologous TIL cultures, which then underwent large scale ex-vivo expansion. Patients were treated with lymphodepleting conditioning chemotherapy (intravenous cyclophosphamide [60 mg/kg] daily for 2 days followed by fludarabine [25 mg/m(2)] daily for 5 days, followed by a single intravenous infusion of autologous TILs and high-dose interleukin-2 [720 000 IU/kg] every 8 h). The primary endpoint was objective tumour response in evaluable patients per protocol using Response to Evaluation Criteria in Solid Tumors, version 1.0. An interim analysis of this trial is reported here. The trial is registered at ClinicalTrials.gov, number NCT01814046. From the completed first stage and ongoing expansion stage of this trial, a total of 21 consecutive patients with metastatic uveal melanoma were enrolled between June 7, 2013, and Sept 9, 2016, and received TIL therapy. Seven (35%, 95% CI 16-59) of 20 evaluable patients had objective tumour regression. Among the responders, six patients achieved a partial response, two of which are ongoing and have not reached maximum

  20. LOGISTICS SCHEDULING: ANALYSIS OF TWO-STAGE PROBLEMS

    Institute of Scientific and Technical Information of China (English)

    Yung-Chia CHANG; Chung-Yee LEE

    2003-01-01

    This paper studies the coordination effects between stages for scheduling problems where decision-making is a two-stage process. Two stages are considered as one system. The system can be a supply chain that links two stages, one stage representing a manufacturer; and the other, a distributor.It also can represent a single manufacturer, while each stage represents a different department responsible for a part of operations. A problem that jointly considers both stages in order to achieve ideal overall system performance is defined as a system problem. In practice, at times, it might not be feasible for the two stages to make coordinated decisions due to (i) the lack of channels that allow decision makers at the two stages to cooperate, and/or (ii) the optimal solution to the system problem is too difficult (or costly) to achieve.Two practical approaches are applied to solve a variant of two-stage logistic scheduling problems. The Forward Approach is defined as a solution procedure by which the first stage of the system problem is solved first, followed by the second stage. Similarly, the Backward Approach is defined as a solution procedure by which the second stage of the system problem is solved prior to solving the first stage. In each approach, two stages are solved sequentially and the solution generated is treated as a heuristic solution with respect to the corresponding system problem. When decision makers at two stages make decisions locally without considering consequences to the entire system,ineffectiveness may result - even when each stage optimally solves its own problem. The trade-off between the time complexity and the solution quality is the main concern. This paper provides the worst-case performance analysis for each approach.

  1. Residential Two-Stage Gas Furnaces - Do They Save Energy?

    Energy Technology Data Exchange (ETDEWEB)

    Lekov, Alex; Franco, Victor; Lutz, James

    2006-05-12

    Residential two-stage gas furnaces account for almost a quarter of the total number of models listed in the March 2005 GAMA directory of equipment certified for sale in the United States. Two-stage furnaces are expanding their presence in the market mostly because they meet consumer expectations for improved comfort. Currently, the U.S. Department of Energy (DOE) test procedure serves as the method for reporting furnace total fuel and electricity consumption under laboratory conditions. In 2006, American Society of Heating Refrigeration and Air-conditioning Engineers (ASHRAE) proposed an update to its test procedure which corrects some of the discrepancies found in the DOE test procedure and provides an improved methodology for calculating the energy consumption of two-stage furnaces. The objectives of this paper are to explore the differences in the methods for calculating two-stage residential gas furnace energy consumption in the DOE test procedure and in the 2006 ASHRAE test procedure and to compare test results to research results from field tests. Overall, the DOE test procedure shows a reduction in the total site energy consumption of about 3 percent for two-stage compared to single-stage furnaces at the same efficiency level. In contrast, the 2006 ASHRAE test procedure shows almost no difference in the total site energy consumption. The 2006 ASHRAE test procedure appears to provide a better methodology for calculating the energy consumption of two-stage furnaces. The results indicate that, although two-stage technology by itself does not save site energy, the combination of two-stage furnaces with BPM motors provides electricity savings, which are confirmed by field studies.

  2. Two-stage local M-estimation of additive models

    Institute of Scientific and Technical Information of China (English)

    JIANG JianCheng; LI JianTao

    2008-01-01

    This paper studies local M-estimation of the nonparametric components of additive models. A two-stage local M-estimation procedure is proposed for estimating the additive components and their derivatives. Under very mild conditions, the proposed estimators of each additive component and its derivative are jointly asymptotically normal and share the same asymptotic distributions as they would be if the other components were known. The established asymptotic results also hold for two particular local M-estimations: the local least squares and least absolute deviation estimations. However,for general two-stage local M-estimation with continuous and nonlinear ψ-functions, its implementation is time-consuming. To reduce the computational burden, one-step approximations to the two-stage local M-estimators are developed. The one-step estimators are shown to achieve the same efficiency as the fully iterative two-stage local M-estimators, which makes the two-stage local M-estimation more feasible in practice. The proposed estimators inherit the advantages and at the same time overcome the disadvantages of the local least-squares based smoothers. In addition, the practical implementation of the proposed estimation is considered in details. Simulations demonstrate the merits of the two-stage local M-estimation, and a real example illustrates the performance of the methodology.

  3. Two-stage local M-estimation of additive models

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    This paper studies local M-estimation of the nonparametric components of additive models.A two-stage local M-estimation procedure is proposed for estimating the additive components and their derivatives.Under very mild conditions,the proposed estimators of each additive component and its derivative are jointly asymptotically normal and share the same asymptotic distributions as they would be if the other components were known.The established asymptotic results also hold for two particular local M-estimations:the local least squares and least absolute deviation estimations.However,for general two-stage local M-estimation with continuous and nonlinear ψ-functions,its implementation is time-consuming.To reduce the computational burden,one-step approximations to the two-stage local M-estimators are developed.The one-step estimators are shown to achieve the same effciency as the fully iterative two-stage local M-estimators,which makes the two-stage local M-estimation more feasible in practice.The proposed estimators inherit the advantages and at the same time overcome the disadvantages of the local least-squares based smoothers.In addition,the practical implementation of the proposed estimation is considered in details.Simulations demonstrate the merits of the two-stage local M-estimation,and a real example illustrates the performance of the methodology.

  4. Two-Stage Modelling Of Random Phenomena

    Science.gov (United States)

    Barańska, Anna

    2015-12-01

    The main objective of this publication was to present a two-stage algorithm of modelling random phenomena, based on multidimensional function modelling, on the example of modelling the real estate market for the purpose of real estate valuation and estimation of model parameters of foundations vertical displacements. The first stage of the presented algorithm includes a selection of a suitable form of the function model. In the classical algorithms, based on function modelling, prediction of the dependent variable is its value obtained directly from the model. The better the model reflects a relationship between the independent variables and their effect on the dependent variable, the more reliable is the model value. In this paper, an algorithm has been proposed which comprises adjustment of the value obtained from the model with a random correction determined from the residuals of the model for these cases which, in a separate analysis, were considered to be the most similar to the object for which we want to model the dependent variable. The effect of applying the developed quantitative procedures for calculating the corrections and qualitative methods to assess the similarity on the final outcome of the prediction and its accuracy, was examined by statistical methods, mainly using appropriate parametric tests of significance. The idea of the presented algorithm has been designed so as to approximate the value of the dependent variable of the studied phenomenon to its value in reality and, at the same time, to have it "smoothed out" by a well fitted modelling function.

  5. Principles of study design in environmental epidemiology.

    OpenAIRE

    Morgenstern, H.; Thomas, D

    1993-01-01

    This paper discusses the principles of study design and related methodologic issues in environmental epidemiology. Emphasis is given to studies aimed at evaluating causal hypotheses regarding exposures to suspected health hazards. Following background sections on the quantitative objectives and methods of population-based research, we present the major types of observational designs used in environmental epidemiology: first, the three basic designs involving the individual as the unit of anal...

  6. The arcuate fold-and-thrust belt of northern Taiwan: Results of a two-stage rotation revealed from a paleomagnetic study

    Science.gov (United States)

    Sonnette, Lionel; Lee, Jian-Cheng; Horng, Chorng-Shern

    2017-10-01

    The Taiwan orogen is the result of the collision of the Luzon Volcanic Arc pushed northwestward by the Philippine Sea Plate against the Chinese Continental Margin since the Late Miocene and is still uplifting nowadays. The fold-and-thrust belt in northern Taiwan shows an arcuate shape from SW to NE: the strike of the main tectonic structures changes from N 0 ° E to N 70 ° E. Such curvature has not yet been properly interpreted so far. In this study we used paleomagnetic analyses to decipher the tectonic evolution along the fold-and-thrust belt in northern Taiwan, which reveals complex magnetization patterns both in ante-folding and post-folding formations. We also interpret that the fold-and-thrust belt in northern Taiwan has experienced two main rotational events: a 30 - 60 ± 14 ° clockwise rotation followed by a 30 ± 7 ° counterclockwise rotation during the ages of 4.6-1.5 Ma.

  7. Two-stage processing of sounds explains behavioral performance variations due to changes in stimulus contrast and selective attention: an MEG study.

    Directory of Open Access Journals (Sweden)

    Jaakko Kauramäki

    Full Text Available Selectively attending to task-relevant sounds whilst ignoring background noise is one of the most amazing feats performed by the human brain. Here, we studied the underlying neural mechanisms by recording magnetoencephalographic (MEG responses of 14 healthy human subjects while they performed a near-threshold auditory discrimination task vs. a visual control task of similar difficulty. The auditory stimuli consisted of notch-filtered continuous noise masker sounds, and of 1020-Hz target tones occasionally (p = 0.1 replacing 1000-Hz standard tones of 300-ms duration that were embedded at the center of the notches, the widths of which were parametrically varied. As a control for masker effects, tone-evoked responses were additionally recorded without masker sound. Selective attention to tones significantly increased the amplitude of the onset M100 response at ~100 ms to the standard tones during presence of the masker sounds especially with notches narrower than the critical band. Further, attention modulated sustained response most clearly at 300-400 ms time range from sound onset, with narrower notches than in case of the M100, thus selectively reducing the masker-induced suppression of the tone-evoked response. Our results show evidence of a multiple-stage filtering mechanism of sensory input in the human auditory cortex: 1 one at early (~100 ms latencies bilaterally in posterior parts of the secondary auditory areas, and 2 adaptive filtering of attended sounds from task-irrelevant background masker at longer latency (~300 ms in more medial auditory cortical regions, predominantly in the left hemisphere, enhancing processing of near-threshold sounds.

  8. Two-stage sampling for acceptance testing

    Energy Technology Data Exchange (ETDEWEB)

    Atwood, C.L.; Bryan, M.F.

    1992-09-01

    Sometimes a regulatory requirement or a quality-assurance procedure sets an allowed maximum on a confidence limit for a mean. If the sample mean of the measurements is below the allowed maximum, but the confidence limit is above it, a very widespread practice is to increase the sample size and recalculate the confidence bound. The confidence level of this two-stage procedure is rarely found correctly, but instead is typically taken to be the nominal confidence level, found as if the final sample size had been specified in advance. In typical settings, the correct nominal [alpha] should be between the desired P(Type I error) and half that value. This note gives tables for the correct a to use, some plots of power curves, and an example of correct two-stage sampling.

  9. Two-stage sampling for acceptance testing

    Energy Technology Data Exchange (ETDEWEB)

    Atwood, C.L.; Bryan, M.F.

    1992-09-01

    Sometimes a regulatory requirement or a quality-assurance procedure sets an allowed maximum on a confidence limit for a mean. If the sample mean of the measurements is below the allowed maximum, but the confidence limit is above it, a very widespread practice is to increase the sample size and recalculate the confidence bound. The confidence level of this two-stage procedure is rarely found correctly, but instead is typically taken to be the nominal confidence level, found as if the final sample size had been specified in advance. In typical settings, the correct nominal {alpha} should be between the desired P(Type I error) and half that value. This note gives tables for the correct a to use, some plots of power curves, and an example of correct two-stage sampling.

  10. Two Stage Gear Tooth Dynamics Program

    Science.gov (United States)

    1989-08-01

    cordi - tions and associated iteration prooedure become more complex. This is due to both the increased number of components and to the time for a...solved for each stage in the two stage solution . There are (3 + ntrrber of planets) degrees of freedom fcr eacb stage plus two degrees of freedom...should be devised. It should be noted that this is not minor task. In general, each stage plus an input or output shaft will have 2 times (4 + number

  11. Long-Term Follow-Up Study of Young Adults Treated for Unilateral Complete Cleft Lip, Alveolus, and Palate by a Treatment Protocol Including Two-Stage Palatoplasty: Speech Outcomes.

    Science.gov (United States)

    Kappen, Isabelle Francisca Petronella Maria; Bittermann, Dirk; Janssen, Laura; Bittermann, Gerhard Koendert Pieter; Boonacker, Chantal; Haverkamp, Sarah; de Wilde, Hester; Van Der Heul, Marise; Specken, Tom Fjmc; Koole, Ron; Kon, Moshe; Breugem, Corstiaan Cornelis; Mink van der Molen, Aebele Barber

    2017-05-01

    No consensus exists on the optimal treatment protocol for orofacial clefts or the optimal timing of cleft palate closure. This study investigated factors influencing speech outcomes after two-stage palate repair in adults with a non-syndromal complete unilateral cleft lip and palate (UCLP). This was a retrospective analysis of adult patients with a UCLP who underwent two-stage palate closure and were treated at our tertiary cleft centre. Patients ≥17 years of age were invited for a final speech assessment. Their medical history was obtained from their medical files, and speech outcomes were assessed by a speech pathologist during the follow-up consultation. Forty-eight patients were included in the analysis, with a mean age of 21 years (standard deviation, 3.4 years). Their mean age at the time of hard and soft palate closure was 3 years and 8.0 months, respectively. In 40% of the patients, a pharyngoplasty was performed. On a 5-point intelligibility scale, 84.4% received a score of 1 or 2; meaning that their speech was intelligible. We observed a significant correlation between intelligibility scores and the incidence of articulation errors (Ppalate closure at a mean age of 3 years old. We observed moderate long-term intelligibility scores, a relatively high incidence of persistent hypernasality, and a high pharyngoplasty incidence.

  12. Condensate from a two-stage gasifier

    DEFF Research Database (Denmark)

    Bentzen, Jens Dall; Henriksen, Ulrik Birk; Hindsgaul, Claus

    2000-01-01

    that the organic compounds and the inhibition effect are very low even before treatment with activated carbon. The moderate inhibition effect relates to a high content of ammonia in the condensate. The nitrifiers become tolerant to the condensate after a few weeks of exposure. The level of organic compounds......Condensate, produced when gas from downdraft biomass gasifier is cooled, contains organic compounds that inhibit nitrifiers. Treatment with activated carbon removes most of the organics and makes the condensate far less inhibitory. The condensate from an optimised two-stage gasifier is so clean...

  13. Two Stage Sibling Cycle Compressor/Expander.

    Science.gov (United States)

    1994-02-01

    vol. 5, p. 424. 11. L. Bauwens and M.P. Mitchell, " Regenerator Analysis: Validation of the MS*2 Stirling Cycle Code," Proc. XVIIIth International...PL-TR--94-1051 PL-TR-- 94-1051 TWO STAGE SIBLING CYCLE COMPRESSOR/EXPANDER Matthew P. Mitchell . Mitchell/ Stirling Machines/Systems, Inc. No\\ 1995...ty. THIS PAGE IS UNCLASSIFIED PL-TR-94-1051 This final report was prepared byMitchell/ Stirling Machines/Systems, Inc., Berkeley, CA under Contract

  14. A genetic epidemiologic study of hemochromatosis

    NARCIS (Netherlands)

    O.T. Njajou (Omer)

    2002-01-01

    textabstractThe goal of genetic epidemiology is to study the genetic etiology of diseases. There were t\\vo main aims for the present thesis. The first aim was to study the effects of the hemochromatosis gene (HFE) mutations on serum iron levels and disease associated conditions. Secondly, we aimed a

  15. Two-Stage Fuzzy Portfolio Selection Problem with Transaction Costs

    Directory of Open Access Journals (Sweden)

    Yanju Chen

    2015-01-01

    Full Text Available This paper studies a two-period portfolio selection problem. The problem is formulated as a two-stage fuzzy portfolio selection model with transaction costs, in which the future returns of risky security are characterized by possibility distributions. The objective of the proposed model is to achieve the maximum utility in terms of the expected value and variance of the final wealth. Given the first-stage decision vector and a realization of fuzzy return, the optimal value expression of the second-stage programming problem is derived. As a result, the proposed two-stage model is equivalent to a single-stage model, and the analytical optimal solution of the two-stage model is obtained, which helps us to discuss the properties of the optimal solution. Finally, some numerical experiments are performed to demonstrate the new modeling idea and the effectiveness. The computational results provided by the proposed model show that the more risk-averse investor will invest more wealth in the risk-free security. They also show that the optimal invested amount in risky security increases as the risk-free return decreases and the optimal utility increases as the risk-free return increases, whereas the optimal utility increases as the transaction costs decrease. In most instances the utilities provided by the proposed two-stage model are larger than those provided by the single-stage model.

  16. Classification in two-stage screening.

    Science.gov (United States)

    Longford, Nicholas T

    2015-11-10

    Decision theory is applied to the problem of setting thresholds in medical screening when it is organised in two stages. In the first stage that involves a less expensive procedure that can be applied on a mass scale, an individual is classified as a negative or a likely positive. In the second stage, the likely positives are subjected to another test that classifies them as (definite) positives or negatives. The second-stage test is more accurate, but also more expensive and more involved, and so there are incentives to restrict its application. Robustness of the method with respect to the parameters, some of which have to be set by elicitation, is assessed by sensitivity analysis.

  17. Two stage gear tooth dynamics program

    Science.gov (United States)

    Boyd, Linda S.

    1989-01-01

    The epicyclic gear dynamics program was expanded to add the option of evaluating the tooth pair dynamics for two epicyclic gear stages with peripheral components. This was a practical extension to the program as multiple gear stages are often used for speed reduction, space, weight, and/or auxiliary units. The option was developed for either stage to be a basic planetary, star, single external-external mesh, or single external-internal mesh. The two stage system allows for modeling of the peripherals with an input mass and shaft, an output mass and shaft, and a connecting shaft. Execution of the initial test case indicated an instability in the solution with the tooth paid loads growing to excessive magnitudes. A procedure to trace the instability is recommended as well as a method of reducing the program's computation time by reducing the number of boundary condition iterations.

  18. Twin studies: A unique epidemiological tool

    Directory of Open Access Journals (Sweden)

    Monalisha Sahu

    2016-01-01

    Full Text Available Twin studies are a special type of epidemiological studies designed to measure the contribution of genetics as opposed to the environment, to a given trait. Despite the facts that the classical twin studies are still being guided by assumptions made back in the 1920s and that the inherent limitation lies in the study design itself, the results suggested by earlier twin studies have often been confirmed by molecular genetic studies later. Use of twin registries and various innovative yet complex software packages such as the (SAS and their extensions (e.g., SAS PROC GENMOD and SAS PROC PHREG has increased the potential of this epidemiological tool toward contributing significantly to the field of genetics and other life sciences.

  19. Publication bias in epidemiological studies.

    Science.gov (United States)

    Siddiqi, Nazish

    2011-06-01

    Communication of research findings is the utmost responsibility of all scientists. Publication bias occurs if scientific studies with negative or null results fail to get published. This can happen due to bias in submitting, reviewing, accepting, publishing or aggregating scientific literature that fails to show positive results on a particular topic. Publication bias can make scientific literature unrepresentative of the actual research studies. This can give the reader a false impression about the beneficial effects of a particular treatment or intervention and can influence clinical decision making. Publication bias is more common than it is actually considered to be, but there are ways to detect and prevent it. This paper comments on the occurrence, types and consequences of publication bias and the strategies employed to detect and control it.

  20. EPIDEMIOLOGICAL STUDY OF CARCINOMA OESOPHAGUS

    Directory of Open Access Journals (Sweden)

    Shafi

    2016-05-01

    Full Text Available Oesophageal malignancies are not an uncommon disease entity in this part of India. It is observed in both the sexes. Patients present with progressive dysphagia for solids. The duration of symptoms varies from 6 months to 2 years. Among the various aetiological factors, smoking, alcohol intake, spicy hot food intake, industrial pollution and achalasia cardia are a few worth mentioning. AIM OF THE STUDY To evaluate the differences in the predisposing factors causing squamous cell carcinoma and adenocarcinoma of oesophagus in this part of India. MATERIALS AND METHODS The study is conducted in the Department of Surgery at Government Medical College Hospital, Kozhikode; Kerala. One hundred patients attending the Department with history of Dysphagia were included after thorough history taking, clinical and endoscopic examination and found to have malignant growths in the oesophagus which was confirmed by biopsy and histopathological examination. Various aetiological factors were elicited and analysed in both the histological varieties of malignancy of oesophagus. OBSERVATIONS AND RESULTS Significant number of patients with history of paan chewing presented with histological picture of squamous cell carcinoma as compared to patients who had adenocarcinoma. Gastroesophageal reflux disease was more commonly associated with adenocarcinoma. Out of 37 patients with adenocarcinoma, 31 patients had history of gastroesophageal reflux disease (83.8%. 6 patients had no history of gastroesophageal reflux disease (16.2% within histology. Consumption of hot drinks, tea and coffee more than 10 per day has been analysed. 52 were consuming, 48 were not consuming, P value 0.179 non-significant. CONCLUSIONS Squamous cell carcinoma is more prevalent as compared to adenocarcinoma in present study. The main factor that has emerged is lifestyle, dietary habit, smoking and alcohol, and environmental factor. Consumption of alcohol and smoking is known risk factors in

  1. Psoriasis and comorbidities. Epidemiological studies

    DEFF Research Database (Denmark)

    Egeberg, Alexander

    2016-01-01

    Psoriasis is a prevalent chronic inflammatory disease whose exact aetiology is not fully understood, but both genetic and environmental factors have been implicated in the onset and progression of the disease. At the skin level, psoriasis is characterized by localized or widespread thick raised...... silvery-white scaling and pruritic plaques and studies have shown that psoriasis negatively affects patients' quality of life, and depression occurs more often in patients with psoriasis. However, data have shown that psoriasis is a systemic disease which affects the joints, vasculature, and other tissues...... as well. Indeed, approximately one-third of patients with psoriasis develop psoriatic arthritis, and patients with severe psoriasis have a shortened life expectancy. Although our knowledge of the pathogenesis of psoriasis has advanced significantly in the past decade, as have the pharmacological treatment...

  2. Epidemiological studies of cancer in aircrew.

    Science.gov (United States)

    Hammer, Gaël P; Blettner, Maria; Zeeb, Hajo

    2009-10-01

    Exposure to cosmic ionising radiation, in addition to other specific occupational risks, is of concern to aircrew members. Epidemiological studies provide an objective way to assess the health of this occupational group. We systematically reviewed the epidemiological literature on health of aircrew members since 1990, focusing on cancer as the endpoint of interest. Sixty-five relevant publications were identified and reviewed. Whereas overall cancer incidence and mortality was generally lower than in the comparison population, consistently elevated risks were reported for breast cancer incidence in female aircrew members and for melanoma in both male and female aircrew members. Brain cancer was increased in some studies among pilots. Occasionally trends of increasing cancer mortality or incidence with increasing estimated radiation dose were reported. Ionising radiation is considered to contribute little if at all to the elevated risks for cancers among aircrew, whereas excess ultraviolet radiation is a probable cause of the increased melanoma risk.

  3. [Social inequality and epidemiological studies: a reflection].

    Science.gov (United States)

    Ferreira, Maria Angela Fernandes; Latorre, Maria do Rosário Dias de Oliveira

    2012-09-01

    Social indicators are now indispensable in the list of variables of epidemiological studies, based on the fact that the determination of health complaints is complex and multidimensional. From this perspective, social inequality has gained prominence as an explanatory factor for the health conditions of populations. The scope of this article is to discuss the different concepts that underpin the selection of the indicators used in epidemiological studies and examine the psychosocial effects on human beings caused by social inequality. A literature review of epidemiological studies that used social inequality and social capital indicators was conducted for a better understanding of health problems, as well as an investigation in the fields of sociology and social psychology. The research revealed that there is some controversy surrounding the effect of social inequality on health, possibly because these indicators are predominantly based on income and individual consumption capacity. Likewise, social capital indicators at cognitive and structural levels are too limited to understand the dynamism of social relations. Accordingly, further studies are needed for the construction of social indicators capable of examining the complexity of modern societies.

  4. A Two-stage Polynomial Method for Spectrum Emissivity Modeling

    OpenAIRE

    Qiu, Qirong; Liu, Shi; Teng, Jing; Yan, Yong

    2015-01-01

    Spectral emissivity is a key in the temperature measurement by radiation methods, but not easy to determine in a combustion environment, due to the interrelated influence of temperature and wave length of the radiation. In multi-wavelength radiation thermometry, knowing the spectral emissivity of the material is a prerequisite. However in many circumstances such a property is a complex function of temperature and wavelength and reliable models are yet to be sought. In this study, a two stages...

  5. Recommendations for epidemiological studies on COPD

    DEFF Research Database (Denmark)

    Bakke, P S; Rönmark, E; Eagan, T

    2011-01-01

    The prevalence of chronic obstructive pulmonary disease (COPD) has been extensively studied, especially in Western Europe and North America. Few of these data are directly comparable because of differences between the surveys regarding composition of study populations, diagnostic criteria...... for planning and performing an epidemiological study on COPD. The main message of the paper is that thorough planning is worth half the study. It is crucial to stick to standardised methods and good quality control during sampling. We recommend collecting biological markers, depending on the specific...

  6. A comparison study of toluene removal by two-stage DBD-catalyst systems loading with MnO(x), CeMnO(x), and CoMnO(x).

    Science.gov (United States)

    Huang, Yifan; Dai, Shaolong; Feng, Fada; Zhang, Xuming; Liu, Zhen; Yan, Keping

    2015-12-01

    This paper studies the toluene removal by a two-stage dielectric barrier discharge (DBD)-catalyst system with three catalysts: MnO(x)/ZSM-5, CoMnO(x)/ZSM-5, and CeMnO(x)/ZSM-5. V-Q Lissajous method, Brunauer-Emmett-Teller (BET) surface area, X-ray diffraction (XRD), and X-ray photoelectron (XPS) are used to characterize the DBD and catalysts. The DBD processing partially oxidizes the toluene, and the removal efficiency has a linear relationship with ozone generation. Three DBD-catalyst systems are compared in terms of their toluene removal efficiency, Fourier transform infrared (FTIR) spectra, carbon balance, CO selectivity, CO2 selectivity, and ozone residual. The results show that the DBD-catalyst system with CoMnO(x)/ZSM-5 performs better than the other two systems. It has the highest removal efficiency of about 93.7%, and the corresponding energy yield is 4.22 g/kWh. The carbon balance and CO2 selectivity of CoMnO(x)/ZSM-5 is also better than the other two catalysts. The measurements of two important byproducts including aerosols and ozone are also presented.

  7. The Efficiency Level in the Estimation of the Nigerian Population: A Comparison of One-Stage and Two-Stage Sampling Technique (A Case Study of the 2006 Census of Nigerians

    Directory of Open Access Journals (Sweden)

    T.J. Akingbade

    2014-09-01

    Full Text Available This research work compares the one-stage sampling technique (Simple Random Sampling and two-stage sampling technique for estimating the population total of Nigerians using the 2006 census result of Nigerians. A sample size of twenty (20 states was selected out of a population of thirty six (36 states at the Primary Sampling Unit (PSU and one-third of each state selected at the PSU was sample at the Secondary Sampling Unit (SSU and analyzed. The result shows that, with the same sample size at the PSU, one-stage sampling technique (Simple Random Sampling is more efficient than two-stage sampling technique and hence, recommended.

  8. Implementation epidemiology: The study of the frequency ...

    African Journals Online (AJOL)

    Campus, Kuala Lumpur, Malaysia .... of new epidemiological findings into policy action the American College of Epidemiology ..... The underlying contexts of seat belt wearing rates in a community relate to the economic, social, political and.

  9. On the robustness of two-stage estimators

    KAUST Repository

    Zhelonkin, Mikhail

    2012-04-01

    The aim of this note is to provide a general framework for the analysis of the robustness properties of a broad class of two-stage models. We derive the influence function, the change-of-variance function, and the asymptotic variance of a general two-stage M-estimator, and provide their interpretations. We illustrate our results in the case of the two-stage maximum likelihood estimator and the two-stage least squares estimator. © 2011.

  10. On Two-stage Seamless Adaptive Design in Clinical Trials

    Directory of Open Access Journals (Sweden)

    Shein-Chung Chow

    2008-12-01

    Full Text Available In recent years, the use of adaptive design methods in clinical research and development based on accrued data has become very popular because of its efficiency and flexibility in modifying trial and/or statistical procedures of ongoing clinical trials. One of the most commonly considered adaptive designs is probably a two-stage seamless adaptive trial design that combines two separate studies into one single study. In many cases, study endpoints considered in a two-stage seamless adaptive design may be similar but different (e.g. a biomarker versus a regular clinical endpoint or the same study endpoint with different treatment durations. In this case, it is important to determine how the data collected from both stages should be combined for the final analysis. It is also of interest to know how the sample size calculation/allocation should be done for achieving the study objectives originally set for the two stages (separate studies. In this article, formulas for sample size calculation/allocation are derived for cases in which the study endpoints are continuous, discrete (e.g. binary responses, and contain time-to-event data assuming that there is a well-established relationship between the study endpoints at different stages, and that the study objectives at different stages are the same. In cases in which the study objectives at different stages are different (e.g. dose finding at the first stage and efficacy confirmation at the second stage and when there is a shift in patient population caused by protocol amendments, the derived test statistics and formulas for sample size calculation and allocation are necessarily modified for controlling the overall type I error at the prespecified level.

  11. Two-stage replication of previous genome-wide association studies of AS3MT-CNNM2-NT5C2 gene cluster region in a large schizophrenia case-control sample from Han Chinese population.

    Science.gov (United States)

    Guan, Fanglin; Zhang, Tianxiao; Li, Lu; Fu, Dongke; Lin, Huali; Chen, Gang; Chen, Teng

    2016-10-01

    Schizophrenia is a devastating psychiatric condition with high heritability. Replicating the specific genetic variants that increase susceptibility to schizophrenia in different populations is critical to better understand schizophrenia. CNNM2 and NT5C2 are genes recently identified as susceptibility genes for schizophrenia in Europeans, but the exact mechanism by which these genes confer risk for schizophrenia remains unknown. In this study, we examined the potential for genetic susceptibility to schizophrenia of a three-gene cluster region, AS3MT-CNNM2-NT5C2. We implemented a two-stage strategy to conduct association analyses of the targeted regions with schizophrenia. A total of 8218 individuals were recruited, and 45 pre-selected single nucleotide polymorphisms (SNPs) were genotyped. Both single-marker and haplotype-based analyses were conducted in addition to imputation analysis to increase the coverage of our genetic markers. Two SNPs, rs11191419 (OR=1.24, P=7.28×10(-5)) and rs11191514 (OR=1.24, P=0.0003), with significant independent effects were identified. These results were supported by the data from both the discovery and validation stages. Further haplotype and imputation analyses also validated these results, and bioinformatics analyses indicated that CALHM1, which is located approximately 630kb away from CNNM2, might be a susceptible gene for schizophrenia. Our results provide further support that AS3MT, CNNM2 and CALHM1 are involved with the etiology and pathogenesis of schizophrenia, suggesting these genes are potential targets of interest for the improvement of disease management and the development of novel pharmacological strategies.

  12. Recommendations for epidemiological studies on COPD

    DEFF Research Database (Denmark)

    Bakke, P S; Rönmark, E; Eagan, T

    2011-01-01

    The prevalence of chronic obstructive pulmonary disease (COPD) has been extensively studied, especially in Western Europe and North America. Few of these data are directly comparable because of differences between the surveys regarding composition of study populations, diagnostic criteria...... of the disease and definitions of the risk factors. Few community studies have examined phenotypes of COPD and included other ways of characterising the disease beyond that of spirometry. The objective of the present Task Force report is to present recommendations for the performance of general population...... studies in COPD in order to facilitate comparable and valid estimates on COPD prevalence by various risk factors. Diagnostic criteria in epidemiological settings, and standardised methods to examine the disease and its potential risk factors are discussed. The paper also offers practical advice...

  13. NASA Remote Sensing Data for Epidemiological Studies

    Science.gov (United States)

    Maynard, Nancy G.; Vicente, G. A.

    2002-01-01

    In response to the need for improved observations of environmental factors to better understand the links between human health and the environment, NASA has established a new program to significantly improve the utilization of NASA's diverse array of data, information, and observations of the Earth for health applications. This initiative, lead by Goddard Space Flight Center (GSFC) has the following goals: (1) To encourage interdisciplinary research on the relationships between environmental parameters (e.g., rainfall, vegetation) and health, (2) Develop practical early warning systems, (3) Create a unique system for the exchange of Earth science and health data, (4) Provide an investigator field support system for customers and partners, (5) Facilitate a system for observation, identification, and surveillance of parameters relevant to environment and health issues. The NASA Environment and Health Program is conducting several interdisciplinary projects to examine applications of remote sensing data and information to a variety of health issues, including studies on malaria, Rift Valley Fever, St. Louis Encephalitis, Dengue Fever, Ebola, African Dust and health, meningitis, asthma, and filariasis. In addition, the NASA program is creating a user-friendly data system to help provide the public health community with easy and timely access to space-based environmental data for epidemiological studies. This NASA data system is being designed to bring land, atmosphere, water and ocean satellite data/products to users not familiar with satellite data/products, but who are knowledgeable in the Geographic Information Systems (GIS) environment. This paper discusses the most recent results of the interdisciplinary environment-health research projects and provides an analysis of the usefulness of the satellite data to epidemiological studies. In addition, there will be a summary of presently-available NASA Earth science data and a description of how it may be obtained.

  14. Two-Stage Heuristic Algorithm for Aircraft Recovery Problem

    Directory of Open Access Journals (Sweden)

    Cheng Zhang

    2017-01-01

    Full Text Available This study focuses on the aircraft recovery problem (ARP. In real-life operations, disruptions always cause schedule failures and make airlines suffer from great loss. Therefore, the main objective of the aircraft recovery problem is to minimize the total recovery cost and solve the problem within reasonable runtimes. An aircraft recovery model (ARM is proposed herein to formulate the ARP and use feasible line of flights as the basic variables in the model. We define the feasible line of flights (LOFs as a sequence of flights flown by an aircraft within one day. The number of LOFs exponentially grows with the number of flights. Hence, a two-stage heuristic is proposed to reduce the problem scale. The algorithm integrates a heuristic scoring procedure with an aggregated aircraft recovery model (AARM to preselect LOFs. The approach is tested on five real-life test scenarios. The computational results show that the proposed model provides a good formulation of the problem and can be solved within reasonable runtimes with the proposed methodology. The two-stage heuristic significantly reduces the number of LOFs after each stage and finally reduces the number of variables and constraints in the aircraft recovery model.

  15. Two-stage designs for cross-over bioequivalence trials.

    Science.gov (United States)

    Kieser, Meinhard; Rauch, Geraldine

    2015-07-20

    The topic of applying two-stage designs in the field of bioequivalence studies has recently gained attention in the literature and in regulatory guidelines. While there exists some methodological research on the application of group sequential designs in bioequivalence studies, implementation of adaptive approaches has focused up to now on superiority and non-inferiority trials. Especially, no comparison of the features and performance characteristics of these designs has been performed, and therefore, the question of which design to employ in this setting remains open. In this paper, we discuss and compare 'classical' group sequential designs and three types of adaptive designs that offer the option of mid-course sample size recalculation. A comprehensive simulation study demonstrates that group sequential designs can be identified, which show power characteristics that are similar to those of the adaptive designs but require a lower average sample size. The methods are illustrated with a real bioequivalence study example.

  16. VDTs: Field levels, epidemiology, and laboratory studies

    Energy Technology Data Exchange (ETDEWEB)

    Kavet, R.; Tell, R.A. (Richard Tell Associates, Inc., Las Vegas, NV (USA))

    1991-07-01

    As the use of video display terminals (VDTs) has expanded, questions have been raised as to whether working at a VDT affects the risk of adverse pregnancy outcome. A particular focus for these questions has been the very low frequency (VLF) magnetic field produced by a VDT's horizontal deflection coil. VDTs also produce VLF electric fields, extremely low frequency (ELF) electric and magnetic fields, and static electric fields, Ten studies of pregnancy outcome in VDT operators have been conducted in six countries, and with one exception, none has concluded that magnetic fields from VDTs may predispose pregnant operators to spontaneous abortion or congenital malformation. The epidemiologic studies conducted thus far do not provide a basis for concluding that VDT work and adverse pregnancy outcome are associated. Studies of fetal resorptions and malformations in rodents exposed to VLF magnetic fields have produced inconsistent findings. Two laboratories in Sweden that studied mice have reported positive results, one laboratory showing field-related malformations (but not resorptions) and the other showing field-related resorptions (but not malformations). Two Canadian laboratories have reported negative results in rats and mice. Studies of avian embryos have also yielded inconsistent results, but lacking a maternal-fetal placental interface, avian embryos are a questionable model for evaluating human reproductive risks. Finally, VLF electric and magnetic fields measured at the operator position are in compliance with field strength standards and guidelines that have been established around the world. 55 refs.

  17. Tea and cancer prevention: epidemiological studies.

    Science.gov (United States)

    Yuan, Jian-Min; Sun, Canlan; Butler, Lesley M

    2011-08-01

    Experimental studies have consistently shown the inhibitory activities of tea extracts on tumorigenesis in multiple model systems. Epidemiological studies, however, have produced inconclusive results in humans. A comprehensive review was conducted to assess the current knowledge on tea consumption and risk of cancers in humans. In general, consumption of black tea was not associated with lower risk of cancer. High intake of green tea was consistently associated with reduced risk of upper gastrointestinal tract cancers after sufficient control for confounders. Limited data support a protective effect of green tea on lung and hepatocellular carcinogenesis. Although observational studies do not support a beneficial role of tea intake on prostate cancer risk, phase II clinical trials have demonstrated an inhibitory effect of green tea extract against the progression of prostate pre-malignant lesions. Green tea may exert beneficial effects against mammary carcinogenesis in premenopausal women and recurrence of breast cancer. There is no sufficient evidence that supports a protective role of tea intake on the development of cancers of the colorectum, pancreas, urinary tract, glioma, lymphoma, and leukemia. Future prospective observational studies with biomarkers of exposure and phase III clinical trials are required to provide definitive evidence for the hypothesized beneficial effect of tea consumption on cancer formation in humans.

  18. Multicenter study of first-trimester screening for trisomy 21 in 75 821 pregnancies: results and estimation of the potential impact of individual risk-orientated two-stage first-trimester screening.

    Science.gov (United States)

    Nicolaides, K H; Spencer, K; Avgidou, K; Faiola, S; Falcon, O

    2005-03-01

    To evaluate the performance of first-trimester screening for trisomy 21 by a combination of maternal age, fetal nuchal translucency (NT) and maternal serum free beta-human chorionic gonadotropin (beta-hCG) and pregnancy-associated plasma protein-A (PAPP-A). In addition, the potential impact of a new individual risk-orientated two-stage approach to first-trimester screening was examined. First-trimester combined screening for trisomy 21 was carried out in 75 821 singleton pregnancies with live fetuses at 11 + 0 to 13 + 6 gestational weeks. The detection and false-positive rates for different risk cut-offs were calculated. To examine the potential impact of an individual risk-orientated two-stage approach to first-trimester screening it was assumed that, after first-trimester combined screening, chorionic villus sampling (CVS) would be performed in all patients with a risk estimate of 1 in 100 or more and in none of those with a risk estimate of less than 1 in 1000. Those in the intermediate-risk category, with a risk estimate of between 1 in 101 and 1 in 1000, would have further assessment of risk by first-trimester ultrasound examination to determine presence/absence of the nasal bone, presence/absence of tricuspid regurgitation or normal/abnormal Doppler velocity waveform in the ductus venosus, and CVS would be performed if their adjusted risk became 1 in 100 or more. Fetal NT and maternal serum free beta-hCG and PAPP-A were successfully measured in all cases. The median maternal age was 31 (range, 13-49) years, the median gestation at screening was 12 (range, 11 + 0 to 13 + 6) weeks and the median fetal crown-rump length was 62 (range, 45-84) mm. Chromosomal abnormalities were identified in 544 pregnancies, including 325 cases of trisomy 21. The estimated risk for trisomy 21 was 1 in 300 or greater in 5.2% of normal pregnancies, in 92.6% of those with trisomy 21, in 88.5% of those with trisomy 18 or 13 and in 85.6% of those with other chromosomal defects. The

  19. EPIDEMIOLOGICAL STUDY OF DRUG INTOXICATION IN CHILDREN

    Directory of Open Access Journals (Sweden)

    F. Cheraghali M. Taymori

    2006-05-01

    Full Text Available Unintentional drug intoxication is still a major cause of morbidity and mortality in young children. In order to study the epidemiological pattern of childhood drug poisoning in Golestan province, all cases diagnosed with poisoning from 1997 to 2002 in the only pediatric hospital in province were recruited. During this period 563 cases of poisoned children were hospitalized in Taleqani hospital, of these 305 cases were due to drug poisoning. Opium was responsible for more than half of the poisoning cases, and 91% of deaths, among drug intoxicated children. Metoclopramide, benzodiazepines, tricyclic antidepressants and anticonvulsants were among the other frequent causes of poisoning. Neurological symptoms were the most prominent symptoms of poisoning and more than 80% of cases showed some neurological symptoms. Mortality rate among the cases was 3.6% and of total of 11 deaths, 10 were poisoned with opium. About 61% of cases were hospitalized between 24-48 hrs. Most of the poisoning cases in young children were unintentional and in many cases, their parents played a critical role in their intoxication. This role specially is crucial in infants and children under one year of age. Parents in Golestan province use opium widely for symptomatic treatment of routine illnesses in their young children and overdose of opium may cause severe intoxication and even death of the child.

  20. Strengthening the Reporting of Observational Studies in Epidemiology-Nutritional Epidemiology (STROBE-nut: An Extension of the STROBE Statement.

    Directory of Open Access Journals (Sweden)

    Carl Lachat

    2016-06-01

    Full Text Available Concerns have been raised about the quality of reporting in nutritional epidemiology. Research reporting guidelines such as the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE statement can improve quality of reporting in observational studies. Herein, we propose recommendations for reporting nutritional epidemiology and dietary assessment research by extending the STROBE statement into Strengthening the Reporting of Observational Studies in Epidemiology-Nutritional Epidemiology (STROBE-nut.Recommendations for the reporting of nutritional epidemiology and dietary assessment research were developed following a systematic and consultative process, coordinated by a multidisciplinary group of 21 experts. Consensus on reporting guidelines was reached through a three-round Delphi consultation process with 53 external experts. In total, 24 recommendations for nutritional epidemiology were added to the STROBE checklist.When used appropriately, reporting guidelines for nutritional epidemiology can contribute to improve reporting of observational studies with a focus on diet and health.

  1. Clinico epidemiological study of pitted keratolysis

    Directory of Open Access Journals (Sweden)

    Naik Chandra

    2007-01-01

    Full Text Available Background: Pitted keratolysis is a common dermatological condition. However, very few studies are available on the clinical characteristics and epidemiological features of this disorder from India and abroad. Materials and Methods: Fifty patients from rural area of Kolar at Sri R.L.J.H. and S.N.R. Hospital, presenting with clinically distinctive lesions of pitted keratolysis were included in the study. Cases were interviewed with particular emphasis on triggering factors and findings were recorded. Investigations like Gram′s stain, culture studies, Wood′s ultraviolet light examination, histopathology etc, was done in selected cases to ascertain the clinical diagnosis. Results: Age of the patients varied from 20 to 40 years in 52% with male preponderance in 82% of cases. Duration of the disease varied from 15 days to five years, most of the patients were bare-footed farmers (62% of cases. Hyperhidrosis and pruritus were most frequently observed symptoms in 70% and 60% of patients. Most of the patients presented with the characteristic pits which varied from 1 to 50 in number in 56 % of cases, located predominantly on the pressure bearing areas in 92% of cases and depth of the pits varied from 1 to 2 mm in 60% of cases. Associated skin conditions recorded in present study were fissuring of soles in 38%, psoriasis 10%, dermatophyte infections in 6%, planter warts 6% and Corynebacterial triad and corn in 2% of patients each. Discussion: Affection of bare-footed individuals, male preponderance, presence of hyperhidrosis and occurrence of lesions over pressure bearing areas of soles, observed in the present study were consistent with earlier studies on the subject. However, pruritus as commonest presenting symptom reported by 60% patients in the present study, has not been documented in the previous studies. Conclusion: Pitted keratolysis is fairly common in bare footed male farmers of rural India. The condition is predominantly seen over the

  2. DEVELOPMENT OF COLD CLIMATE HEAT PUMP USING TWO-STAGE COMPRESSION

    Energy Technology Data Exchange (ETDEWEB)

    Shen, Bo [ORNL; Rice, C Keith [ORNL; Abdelaziz, Omar [ORNL; Shrestha, Som S [ORNL

    2015-01-01

    This paper uses a well-regarded, hardware based heat pump system model to investigate a two-stage economizing cycle for cold climate heat pump applications. The two-stage compression cycle has two variable-speed compressors. The high stage compressor was modelled using a compressor map, and the low stage compressor was experimentally studied using calorimeter testing. A single-stage heat pump system was modelled as the baseline. The system performance predictions are compared between the two-stage and single-stage systems. Special considerations for designing a cold climate heat pump are addressed at both the system and component levels.

  3. DEVELOPMENT OF COLD CLIMATE HEAT PUMP USING TWO-STAGE COMPRESSION

    Energy Technology Data Exchange (ETDEWEB)

    Shen, Bo [ORNL; Rice, C Keith [ORNL; Abdelaziz, Omar [ORNL; Shrestha, Som S [ORNL

    2015-01-01

    This paper uses a well-regarded, hardware based heat pump system model to investigate a two-stage economizing cycle for cold climate heat pump applications. The two-stage compression cycle has two variable-speed compressors. The high stage compressor was modelled using a compressor map, and the low stage compressor was experimentally studied using calorimeter testing. A single-stage heat pump system was modelled as the baseline. The system performance predictions are compared between the two-stage and single-stage systems. Special considerations for designing a cold climate heat pump are addressed at both the system and component levels.

  4. A Genetic Epidemiological Study of Behavioral Traits

    NARCIS (Netherlands)

    N. Amin (Najaf)

    2011-01-01

    textabstractHuman behavioural genetics aims to unravel the genetic and environmental contributions to variations in human behaviour. Behaviour is a complex trait, involving multiple genes that are affected by a variety of other factors. Genetic epidemiological research of behaviour goes back to Sir

  5. HOW TO DESCRIBE THE RESULTS OF OBSERVATIONAL EPIDEMIOLOGICAL STUDIES

    Directory of Open Access Journals (Sweden)

    S. A. Shal'nova

    2016-01-01

    Full Text Available Principles and fundamentals of proper presentation of observational epidemiological study results are focused. Principles of observational study publication developed by expert epidemiologists (STROBE statement are explained in detail.

  6. Kinetic study approach of remazol black-B use for the development of two-stage anoxic-oxic reactor for decolorization/biodegradation of azo dyes by activated bacterial consortium.

    Science.gov (United States)

    Dafale, Nishant; Wate, Satish; Meshram, Sudhir; Nandy, Tapas

    2008-11-30

    The laboratory-isolated strains Pseudomonas aeruginosa, Rhodobacter sphaeroides, Proteus mirabilis, Bacillus circulance, NAD 1 and NAD 6 were observed to be predominant in the bacterial consortium responsible for effective decolorization of the azo dyes. The kinetic characteristics of azo dye decolorization by bacterial consortium were determined quantitatively using reactive vinyl sulfonated diazo dye, remazol black-B (RB-B) as a model substrate. Effects of substrate (RB-B) concentration as well as different substrates (azo dyes), environmental parameters (temperature and pH), glucose and other electron donor/co-substrate on the rate of decolorization were investigated to reveal the key factor that determines the performance of dye decolorization. The activation energy (E(a)) and frequency factor (K(0)) based on the Arrhenius equation was calculated as 11.67 kcal mol(-1) and 1.57 x 10(7)mg lg MLSS(-1)h(-1), respectively. The Double-reciprocal or Lineweaver-Burk plot was used to evaluate V(max), 15.97 h(-1) and K(m), 85.66 mg l(-1). The two-stage anoxic-oxic reactor system has proved to be successful in achieving significant decolorization and degradation of azo dyes by specific developed bacterial consortium with a removal of 84% color and 80% COD for real textile effluents vis-à-vis >or=90% color and COD removal for synthetic dye solution.

  7. Meta-analysis of observational epidemiological studies: a review.

    OpenAIRE

    Jones, D R

    1992-01-01

    Meta-analyses (integration of findings by quantitative analyses of results of individual studies) are already widely used in the psychological and educational sciences and in the pooling of clinical trial results. Examples of the application of such techniques to the results of observational epidemiological studies are now proliferating. In this paper meta-analysis of the results of observational epidemiological studies is reviewed. Uncritical adoption of techniques used in pooled analyses of...

  8. Experiment research on two-stage dry-fed entrained flow coal gasifier

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The process flow and the main devices of a new two-stage dry-fed coal gasification pilot plant with a throughout of 36 t/d are introduced in this paper. For comparison with the traditional one-stage gasifiers, the influences of the coal feed ratio between two stages on the performance of the gasifier are detailedly studied by a series of experiments. The results reveal that the two-stage gasification decreases the temperature of the syngas at the outlet of the gasifier, simplifies the gasification process, and reduces the size of the syngas cooler. Moreover, the cold gas efficiency of the gasifier can be improved by using the two-stage gasification. In our experiments, the efficiency is about 3%-6% higher than the existing one-stage gasifiers.

  9. Study on Two-stage MBBR for Advanced Treatment of Domestic Sewage with High Ammonia Nitrogen%两级MBBR深度处理高氨氮生活污水的研究

    Institute of Scientific and Technical Information of China (English)

    刘建广; 黄传伟; 谢勇军; 王丹

    2011-01-01

    采用两级移动床生物膜反应器(MBBR)深度处理高氨氮生活污水,重点考察了水力停留时间(HRT)和气水比对其除污效果的影响.结果表明,当系统的总HRT为8h,MBBR1的气水比为25:1、MBBR2的曝气量为280 L/h时,系统的出水COD和氨氮分别为45 mg/L左右和5mg/L以下,平均去除率分别为65%和95%左右,达到了(GB18918-2002)的一级A标准;同时系统内存在同步硝化反硝化作用,对TN的去除率可达30%左右.%Two-stage moving bed biofilm reactor (MBBR) was used for advanced treatment of domestic sewage with high ammonia nitrogen.The influence of HRT and air/water ratio on the pollutant removal efficiency was investigated.The results show that when the total HRT is 8 h, the air/water ratio of MBBR1 is 25: 1, and the aeration rate of MBBR2 is 280 L/h, the effluent COD and ammonia nitrogen are about 45 mg/L and less than 5 mg/L, and their average removal rates are 65% and 95% respectively, meeting the first level A criteria specified in Discharge Standard of Pollutants for Municipal Wastewater Treatment Plant (CB 18918 -2002).Moreover, the simuhaneous nitrification and denitrification exists in the reactor, and the removal rate of TN is about 30%.

  10. Fraser syndrome : epidemiological study in a European population

    NARCIS (Netherlands)

    Barisic, Ingeborg; Odak, Ljubica; Loane, Maria; Garne, Ester; Wellesley, Diana; Calzolari, Elisa; Dolk, Helen; Addor, Marie-Claude; Arriola, Larraitz; Bergman, Jorieke; Bianca, Sebastiano; Boyd, Patricia A; Draper, Elizabeth S; Gatt, Miriam; Haeusler, Martin; Khoshnood, Babak; Latos-Bielenska, Anna; McDonnell, Bob; Pierini, Anna; Rankin, Judith; Rissmann, Anke; Queisser-Luft, Annette; Verellen-Dumoulin, Christine; Stone, David; Tenconi, Romano

    2013-01-01

    Fraser syndrome is a rare autosomal recessive disorder characterized by cryptophthalmos, cutaneous syndactyly, laryngeal, and urogenital malformations. We present a population-based epidemiological study using data provided by the European Surveillance of Congenital Anomalies (EUROCAT) network of bi

  11. [Hospital Infection Epidemiology Nederland (ZIEN): from club to study group].

    Science.gov (United States)

    Vandenbroucke-Grauls, C M; Kluytmans, J A; Voss, A

    1997-08-09

    Medical care is increasingly a technical business, and hospitalised patients are more and more susceptible to infections, notably due to the application of aggressive therapies for all kinds of disorders. As a consequence the epidemiology of hospital infections requires serious attention. Following the initiative of some medical microbiologists in the Netherlands, a study group was established to tackle this epidemiology and to initiate relevant research (Working party on Hospital Infections and Epidemiology of the Netherlands; WHEN). Recent subjects include fungemia in hospitalised patients, risk factors for acquiring methicillin-resistant Staphylococcus aureus during a stay abroad, and prevalence of vancomycin-resistant enterococci.

  12. Effect of Silica Fume on two-stage Concrete Strength

    Science.gov (United States)

    Abdelgader, H. S.; El-Baden, A. S.

    2015-11-01

    Two-stage concrete (TSC) is an innovative concrete that does not require vibration for placing and compaction. TSC is a simple concept; it is made using the same basic constituents as traditional concrete: cement, coarse aggregate, sand and water as well as mineral and chemical admixtures. As its name suggests, it is produced through a two-stage process. Firstly washed coarse aggregate is placed into the formwork in-situ. Later a specifically designed self compacting grout is introduced into the form from the lowest point under gravity pressure to fill the voids, cementing the aggregate into a monolith. The hardened concrete is dense, homogeneous and has in general improved engineering properties and durability. This paper presents the results from a research work attempt to study the effect of silica fume (SF) and superplasticizers admixtures (SP) on compressive and tensile strength of TSC using various combinations of water to cement ratio (w/c) and cement to sand ratio (c/s). Thirty six concrete mixes with different grout constituents were tested. From each mix twenty four standard cylinder samples of size (150mm×300mm) of concrete containing crushed aggregate were produced. The tested samples were made from combinations of w/c equal to: 0.45, 0.55 and 0.85, and three c/s of values: 0.5, 1 and 1.5. Silica fume was added at a dosage of 6% of weight of cement, while superplasticizer was added at a dosage of 2% of cement weight. Results indicated that both tensile and compressive strength of TSC can be statistically derived as a function of w/c and c/s with good correlation coefficients. The basic principle of traditional concrete, which says that an increase in water/cement ratio will lead to a reduction in compressive strength, was shown to hold true for TSC specimens tested. Using a combination of both silica fume and superplasticisers caused a significant increase in strength relative to control mixes.

  13. The Effects of Non-Maternal Care in the First Twelve Months of Life on Children in the First Year of School: Preliminary Findings from a Two Stage Study (The Australian Early Childhood Study).

    Science.gov (United States)

    Ochiltree, Gay; Edgar, Don

    This paper, which presents preliminary analysis of data from stage one of the Australian Early Childhood study, examined the effects of nonmaternal care in the first year of life on children in their first year of school. The author tested the hypothesis, proposed by John Bowlby and others, that long periods of nonmaternal care in the first 12…

  14. The Effects of Non-Maternal Care in the First Twelve Months of Life on Children in the First Year of School: Preliminary Findings from a Two Stage Study (The Australian Early Childhood Study).

    Science.gov (United States)

    Ochiltree, Gay; Edgar, Don

    This paper, which presents preliminary analysis of data from stage one of the Australian Early Childhood study, examined the effects of nonmaternal care in the first year of life on children in their first year of school. The author tested the hypothesis, proposed by John Bowlby and others, that long periods of nonmaternal care in the first 12…

  15. Maximally efficient two-stage screening: Determining intellectual disability in Taiwanese military conscripts

    Directory of Open Access Journals (Sweden)

    Chia-Chang Chien

    2009-01-01

    Full Text Available Chia-Chang Chien1, Shu-Fen Huang1,2,3,4, For-Wey Lung1,2,3,41Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan; 3Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan; 4Calo Psychiatric Center, Pingtung County, TaiwanObjective: The purpose of this study was to apply a two-stage screening method for the large-scale intelligence screening of military conscripts.Methods: We collected 99 conscripted soldiers whose educational levels were senior high school level or lower to be the participants. Every participant was required to take the Wisconsin Card Sorting Test (WCST and the Wechsler Adult Intelligence Scale-Revised (WAIS-R assessments.Results: Logistic regression analysis showed the conceptual level responses (CLR index of the WCST was the most significant index for determining intellectual disability (ID; FIQ ≤ 84. We used the receiver operating characteristic curve to determine the optimum cut-off point of CLR. The optimum one cut-off point of CLR was 66; the two cut-off points were 49 and 66. Comparing the two-stage window screening with the two-stage positive screening, the area under the curve and the positive predictive value increased. Moreover, the cost of the two-stage window screening decreased by 59%.Conclusion: The two-stage window screening is more accurate and economical than the two-stage positive screening. Our results provide an example for the use of two-stage screening and the possibility of the WCST to replace WAIS-R in large-scale screenings for ID in the future.Keywords: intellectual disability, intelligence screening, two-stage positive screening, Wisconsin Card Sorting Test, Wechsler Adult Intelligence Scale-Revised

  16. Studies on Adenosine Accumulation in Two-Stage Cultured Cordyceps sinensis Mycelium%两段培养冬虫夏草菌丝体中腺苷积累动态研究

    Institute of Scientific and Technical Information of China (English)

    沈伟; 胡玲玲; 李赫宇; 胡高升

    2015-01-01

    Two-stage culture process was applied in mycelium of Cordyceps sinensis. The contents of adenosine and cordycepin was determined using RP-HPLC method to investigate the effects of initiation static culture time on the accumulation of biomass and adenosine. The contents of two compounds in cultured mycelium and medicinal material of C. sinensis and artificial cultured C. militaris fruiting body was also determined and compared. Our results demonstrated that, when static culture was conducted on third day of culture and for 6 days, the content of adenosine was 1.5 times of samples obtained in shaking condition. When the static initiation time was 5th and 7th day after culture, the content of adenosine was both lower than that in 3rd day. Besides , content of adenosine in static cultured mycelium is about 7 times of that in medicinal material of C . sinensis. artificial cultured C. militaris fruiting body contains much lower adenosine but higher cordycepin than C. sinensis mycelium and medicinal material.%对冬虫夏草进行了两阶段培养,运用RP-HPLC法对菌丝体进行了腺苷和虫草素含量测定,重点考察起始静置培养时间对菌丝体中腺苷积累的影响,此外还比较了市售冬虫夏草药材和人工栽培北虫草子实体中腺苷和虫草素的含量.结果表明,当静置培养起始时间为第3天时,培养6 d得到的菌丝体中腺苷含量为全程振荡培养组的1.5倍,起始静置培养时间越长,菌丝体中腺苷含量越低.培养菌丝体中腺苷含量为市售冬虫夏草药材的7倍左右,但两者的虫草素含量均显著低于人工栽培的北虫草子实体.

  17. 两级臭氧一活性炭组合工艺净化太湖水中试研究%Pilot Study on Two-stage Ozonization and Activated Carbon Process for Taihu Lake Water Purification

    Institute of Scientific and Technical Information of China (English)

    刘洋; 崔云霞

    2011-01-01

    采用两级臭氧-活性炭组合工艺在以太湖水为水源的某水厂进行深度处理中试研究.结果表明:该组合处理工艺对有机污染物有稳定的去除效果,在预臭氧投加重为0.5 mg/L、主臭氧投加量为0.7 mg/L下,相对于原水对CODMn,UV254(紫外吸光度),DOC,THMEP,氨氮,亚硝酸盐氮和硝酸盐氨的平均去除率分别为47.06%,80%,31.92%,58.9%,65.5%,81.25%和9.1%,出永满足GB 5749-2006《生活饮用水卫生标准》的要求,炭滤池出水中臭氧消毒副产物均低于标准限值,组合工艺对有害物质冲击负荷有一定的抵抗能力.%The pilot experiments were carried out to investigate the advanced treatment by the combined process of two-stage ozonization and activated carbon in a plant using Taihu Lake water as raw water. The results showed that the removal of organic pollutants by the combined process was stable. Relative to the raw water, the average removal rates of CODmns UV254, DOC, THMEP, ammonia nitrogen, nitrite nitrogen and nitrate nitrogen were 47.06%, 80%, 31.92%, 58.9%, 65.3%, 81.25% and 9.1% respectively, when the pre-ozonizaiton dosage was 0.5mg/L and the main ozonization dosage was 0.7mg/L. The effluent could meet "Standards of Drinking Water Quality "(GB 5749-2006). The disinfection by-products of ozone were lower than the standard limit in the effluent from carbon filter. The combined process has some resistibility to the impact load of hazardous substances.

  18. Characterization of component interactions in two-stage axial turbine

    Directory of Open Access Journals (Sweden)

    Adel Ghenaiet

    2016-08-01

    Full Text Available This study concerns the characterization of both the steady and unsteady flows and the analysis of stator/rotor interactions of a two-stage axial turbine. The predicted aerodynamic performances show noticeable differences when simulating the turbine stages simultaneously or separately. By considering the multi-blade per row and the scaling technique, the Computational fluid dynamics (CFD produced better results concerning the effect of pitchwise positions between vanes and blades. The recorded pressure fluctuations exhibit a high unsteadiness characterized by a space–time periodicity described by a double Fourier decomposition. The Fast Fourier Transform FFT analysis of the static pressure fluctuations recorded at different interfaces reveals the existence of principal harmonics and their multiples, and each lobed structure of pressure wave corresponds to the number of vane/blade count. The potential effect is seen to propagate both upstream and downstream of each blade row and becomes accentuated at low mass flow rates. Between vanes and blades, the potential effect is seen to dominate the quasi totality of blade span, while downstream the blades this effect seems to dominate from hub to mid span. Near the shroud the prevailing effect is rather linked to the blade tip flow structure.

  19. Characterization of component interactions in two-stage axial turbine

    Institute of Scientific and Technical Information of China (English)

    Adel Ghenaiet; Kaddour Touil

    2016-01-01

    This study concerns the characterization of both the steady and unsteady flows and the analysis of stator/rotor interactions of a two-stage axial turbine. The predicted aerodynamic perfor-mances show noticeable differences when simulating the turbine stages simultaneously or sepa-rately. By considering the multi-blade per row and the scaling technique, the Computational fluid dynamics (CFD) produced better results concerning the effect of pitchwise positions between vanes and blades. The recorded pressure fluctuations exhibit a high unsteadiness characterized by a space–time periodicity described by a double Fourier decomposition. The Fast Fourier Transform FFT analysis of the static pressure fluctuations recorded at different interfaces reveals the existence of principal harmonics and their multiples, and each lobed structure of pressure wave corresponds to the number of vane/blade count. The potential effect is seen to propagate both upstream and downstream of each blade row and becomes accentuated at low mass flow rates. Between vanes and blades, the potential effect is seen to dominate the quasi totality of blade span, while down-stream the blades this effect seems to dominate from hub to mid span. Near the shroud the prevail-ing effect is rather linked to the blade tip flow structure.

  20. STARS A Two Stage High Gain Harmonic Generation FEL Demonstrator

    Energy Technology Data Exchange (ETDEWEB)

    M. Abo-Bakr; W. Anders; J. Bahrdt; P. Budz; K.B. Buerkmann-Gehrlein; O. Dressler; H.A. Duerr; V. Duerr; W. Eberhardt; S. Eisebitt; J. Feikes; R. Follath; A. Gaupp; R. Goergen; K. Goldammer; S.C. Hessler; K. Holldack; E. Jaeschke; Thorsten Kamps; S. Klauke; J. Knobloch; O. Kugeler; B.C. Kuske; P. Kuske; A. Meseck; R. Mitzner; R. Mueller; M. Neeb; A. Neumann; K. Ott; D. Pfluckhahn; T. Quast; M. Scheer; Th. Schroeter; M. Schuster; F. Senf; G. Wuestefeld; D. Kramer; Frank Marhauser

    2007-08-01

    BESSY is proposing a demonstration facility, called STARS, for a two-stage high-gain harmonic generation free electron laser (HGHG FEL). STARS is planned for lasing in the wavelength range 40 to 70 nm, requiring a beam energy of 325 MeV. The facility consists of a normal conducting gun, three superconducting TESLA-type acceleration modules modified for CW operation, a single stage bunch compressor and finally a two-stage HGHG cascaded FEL. This paper describes the faciliy layout and the rationale behind the operation parameters.

  1. Dynamic Modelling of the Two-stage Gasification Process

    DEFF Research Database (Denmark)

    Gøbel, Benny; Henriksen, Ulrik B.; Houbak, Niels

    1999-01-01

    A two-stage gasification pilot plant was designed and built as a co-operative project between the Technical University of Denmark and the company REKA.A dynamic, mathematical model of the two-stage pilot plant was developed to serve as a tool for optimising the process and the operating conditions...... of the gasification plant.The model consists of modules corresponding to the different elements in the plant. The modules are coupled together through mass and heat conservation.Results from the model are compared with experimental data obtained during steady and unsteady operation of the pilot plant. A good...

  2. Experimental study on tar destruction in a two stage fixed-bed reactor%两段式固定床反应器中焦油脱除的实验研究

    Institute of Scientific and Technical Information of China (English)

    吴文广; 罗永浩; 陈祎; 苏毅; 陈亮; 王芸

    2012-01-01

    通过两段式固定床反应器实验,研究了热裂解、部分氧化和炭层转化三种方法对焦油脱除的效果,并研究了生物质种类、反应温度、停留时间、生物质焦的粒径及种类等因素对热解焦油的脱除和转化规律.结果表明,随着温度的升高,三种脱除方法中焦油生成量下降,且降幅逐渐减小,实验过程中无论采取何种方法,都难以将焦油完全脱除;部分氧化和炭层转化对焦油的脱除效果都较相同温度条件下的热裂解要好,且在焦油脱除效果上,炭层转化>部分氧化>热裂解;联合部分氧化和炭层转化可达最高的焦油脱除效率,三种生物质热解焦油经1000℃联合脱除后产量分别为,稻秆0.43%、玉米秆0.61%和杉木屑1.15%,转化率分别达到98.28%、97.23%和96.29%;相同实验条件下稻秆的热解焦油最容易脱除,这与其物料中含氧量较高有关;生物质焦种类对焦油的脱除效果影响较小.%Methods of thermal cracking, partial oxidation and char bed conversion on tar destruction has been investigated by a two stage fixed-bed reactor, effects of fuel type, temperature, residence time, char particle size and char type on tar destruction are considered. The result indicates that tar conversion efficiency increase with the second stage reactor temperature increasing in all three kinds of conversion methods. Partial oxidation and char bed conversion is more effective in tar destruction compared to thermal cracking. Associated with partial oxidation and thermal cracking, char bed can get least tar yield. Three kinds of biomass tar yield in the experimental condition of 1 000℃ is: rice straw 0.43% , corn straw 0. 61% and fir sawdust 1. 15% , and the corresponding tar conversion efficiency is 98.28% , 97. 23% and 96.29% respectively. Tar yield content of each conversion methods are decreasing with reactor temperature increase. It is really difficult to removal all tar

  3. Epidemiologic study on penile cancer in Brazil

    Directory of Open Access Journals (Sweden)

    Luciano A. Favorito

    2008-10-01

    Full Text Available OBJECTIVES: To assess epidemiologic characteristics of penile cancer in Brazil. MATERIALS AND METHODS: From May 2006 to June 2007, a questionnaire was distributed to all Brazilian urologists. Their patients' clinical and epidemiological data was analyzed (age, race, place of residence, history of sexually transmitted diseases, tobacco smoking, performance of circumcision, type of hospital service, as well as the time between the appearance of the symptoms and the diagnosis, the pathological characteristics of the tumor (histological type, degree, localization and size of lesion, stage of disease, the type of treatment performed and the present state of the patient. RESULTS: 283 new cases of penile cancer in Brazil were recorded. The majority of these cases occurred in the north and northeast (53.02% and southeast (45.54% regions. The majority of patients (224, or 78.96% were more than 46 years of age while only 21 patients (7.41% were less than 35 years of age. Of the 283 patients presenting penile cancer, 171 (60.42% had phimosis with the consequent impossibility to expose the glans. A prior medical history positive for HPV infection was reported in 18 of the 283 cases (6.36%. In 101 patients (35.68% tobacco smoking was reported. The vast majority of the cases (n = 207; 73.14% presented with tumors localized in the glans and prepuce. In 48 cases (16.96% the tumor affected the glans, the prepuce and the corpus penis; in 28 cases (9.89% the tumor affected the entire penis. The majority of the patients (n = 123; 75.26% presented with T1 or T2; only 9 patients (3.18% presented with T4 disease. CONCLUSION: Penile cancer is a very frequent pathology in Brazil, predominantly affecting low income, white, uncircumcised patients, living in the north and northeast regions of the country.

  4. Efficient Two-Stage Group Testing Algorithms for DNA Screening

    CERN Document Server

    Huber, Michael

    2011-01-01

    Group testing algorithms are very useful tools for DNA library screening. Building on recent work by Levenshtein (2003) and Tonchev (2008), we construct in this paper new infinite classes of combinatorial structures, the existence of which are essential for attaining the minimum number of individual tests at the second stage of a two-stage disjunctive testing algorithm.

  5. High Performance Gasification with the Two-Stage Gasifier

    DEFF Research Database (Denmark)

    Gøbel, Benny; Hindsgaul, Claus; Henriksen, Ulrik Birk

    2002-01-01

    Based on more than 15 years of research and practical experience, the Technical University of Denmark (DTU) and COWI Consulting Engineers and Planners AS present the two-stage gasification process, a concept for high efficiency gasification of biomass producing negligible amounts of tars. In the ......Based on more than 15 years of research and practical experience, the Technical University of Denmark (DTU) and COWI Consulting Engineers and Planners AS present the two-stage gasification process, a concept for high efficiency gasification of biomass producing negligible amounts of tars....... In the two-stage gasification concept, the pyrolysis and the gasification processes are physical separated. The volatiles from the pyrolysis are partially oxidized, and the hot gases are used as gasification medium to gasify the char. Hot gases from the gasifier and a combustion unit can be used for drying...... a cold gas efficiency exceeding 90% is obtained. In the original design of the two-stage gasification process, the pyrolysis unit consists of a screw conveyor with external heating, and the char unit is a fixed bed gasifier. This design is well proven during more than 1000 hours of testing with various...

  6. FREE GRAFT TWO-STAGE URETHROPLASTY FOR HYPOSPADIAS REPAIR

    Institute of Scientific and Technical Information of China (English)

    Zhong-jin Yue; Ling-jun Zuo; Jia-ji Wang; Gan-ping Zhong; Jian-ming Duan; Zhi-ping Wang; Da-shan Qin

    2005-01-01

    Objective To evaluate the effectiveness of free graft transplantation two-stage urethroplasty for hypospadias repair.Methods Fifty-eight cases with different types of hypospadias including 10 subcoronal, 36 penile shaft, 9 scrotal, and 3 perineal were treated with free full-thickness skin graft or (and) buccal mucosal graft transplantation two-stage urethroplasty. Of 58 cases, 45 were new cases, 13 had history of previous failed surgeries. Operative procedure included two stages: the first stage is to correct penile curvature (chordee), prepare transplanting bed, harvest and prepare full-thickness skin graft, buccal mucosal graft, and perform graft transplantation. The second stage is to complete urethroplasty and glanuloplasty.Results After the first stage operation, 56 of 58 cases (96.6%) were successful with grafts healing well, another 2foreskin grafts got gangrened. After the second stage operation on 56 cases, 5 cases failed with newly formed urethras opened due to infection, 8 cases had fistulas, 43 (76.8%) cases healed well.Conclusions Free graft transplantation two-stage urethroplasty for hypospadias repair is a kind of effective treatment with broad indication, comparatively high success rate, less complicationsand good cosmatic results, indicative of various types of hypospadias repair.

  7. A two-stage rank test using density estimation

    NARCIS (Netherlands)

    Albers, Willem/Wim

    1995-01-01

    For the one-sample problem, a two-stage rank test is derived which realizes a required power against a given local alternative, for all sufficiently smooth underlying distributions. This is achieved using asymptotic expansions resulting in a precision of orderm −1, wherem is the size of the first

  8. The construction of customized two-stage tests

    NARCIS (Netherlands)

    Adema, Jos J.

    1990-01-01

    In this paper mixed integer linear programming models for customizing two-stage tests are given. Model constraints are imposed with respect to test composition, administration time, inter-item dependencies, and other practical considerations. It is not difficult to modify the models to make them use

  9. Epidemiological study air disaster in Amsterdam (ESADA: study design

    Directory of Open Access Journals (Sweden)

    Bramsen Inge

    2005-05-01

    Full Text Available Abstract Background In 1992, a cargo aircraft crashed into apartment buildings in Amsterdam, killing 43 victims and destroying 266 apartments. In the aftermath there were speculations about the cause of the crash, potential exposures to hazardous materials due to the disaster and the health consequences. Starting in 2000, the Epidemiological Study Air Disaster in Amsterdam (ESADA aimed to assess the long-term health effects of occupational exposure to this disaster on professional assistance workers. Methods/Design Epidemiological study among all the exposed professional fire-fighters and police officers who performed disaster-related task(s, and hangar workers who sorted the wreckage of the aircraft, as well as reference groups of their non-exposed colleagues who did not perform any disaster-related tasks. The study took place, on average, 8.5 years after the disaster. Questionnaires were used to assess details on occupational exposure to the disaster. Health measures comprised laboratory assessments in urine, blood and saliva, as well as self-reported current health measures, including health-related quality of life, and various physical and psychological symptoms. Discussion In this paper we describe and discuss the design of the ESADA. The ESADA will provide additional scientific knowledge on the long-term health effects of technological disasters on professional workers.

  10. The genetic study of three population microisolates in South Tyrol (MICROS: study design and epidemiological perspectives

    Directory of Open Access Journals (Sweden)

    Pinggera Gerd K

    2007-06-01

    Full Text Available Abstract Background There is increasing evidence of the important role that small, isolated populations could play in finding genes involved in the etiology of diseases. For historical and political reasons, South Tyrol, the northern most Italian region, includes several villages of small dimensions which remained isolated over the centuries. Methods The MICROS study is a population-based survey on three small, isolated villages, characterized by: old settlement; small number of founders; high endogamy rates; slow/null population expansion. During the stage-1 (2002/03 genealogical data, screening questionnaires, clinical measurements, blood and urine samples, and DNA were collected for 1175 adult volunteers. Stage-2, concerning trait diagnoses, linkage analysis and association studies, is ongoing. The selection of the traits is being driven by expert clinicians. Preliminary, descriptive statistics were obtained. Power simulations for finding linkage on a quantitative trait locus (QTL were undertaken. Results Starting from participants, genealogies were reconstructed for 50,037 subjects, going back to the early 1600s. Within the last five generations, subjects were clustered in one pedigree of 7049 subjects plus 178 smaller pedigrees (3 to 85 subjects each. A significant probability of familial clustering was assessed for many traits, especially among the cardiovascular, neurological and respiratory traits. Simulations showed that the MICROS pedigree has a substantial power to detect a LOD score ≥ 3 when the QTL specific heritability is ≥ 20%. Conclusion The MICROS study is an extensive, ongoing, two-stage survey aimed at characterizing the genetic epidemiology of Mendelian and complex diseases. Our approach, involving different scientific disciplines, is an advantageous strategy to define and to study population isolates. The isolation of the Alpine populations, together with the extensive data collected so far, make the MICROS study a

  11. Epidemiology.

    Science.gov (United States)

    Walsh, Kyle M; Ohgaki, Hiroko; Wrensch, Margaret R

    2016-01-01

    More than 250,000 new cases of primary malignant brain tumors are diagnosed annually worldwide, 77% of which are gliomas. A small proportion of gliomas are caused by the inheritance of rare high-penetrance genetic variants or high-dose radiation. Since 2009, inherited genetic variants in 10 regions near eight different genes have been consistently associated with glioma risk via genome-wide association studies. Most of these variants increase glioma risk by 20-40%, but two have higher relative risks. One on chromosome 8 increases risk of IDH-mutated gliomas sixfold and another that affects TP53 function confers a 2.5-fold increased risk of glioma. Functions of some of the other risk variants are known or suspected, but future research will determine functions of other risk loci. Recent progress also has been made in defining subgroups of glioma based on acquired alterations within tumors. Allergy history has been consistently associated with reduced glioma risk, though the mechanisms have not yet been clarified. Future studies will need to be large enough so that environmental and constitutive genetic risk factors can be examined within molecularly defined, etiologically homogeneous subgroups.

  12. High magnetostriction parameters for low-temperature sintered cobalt ferrite obtained by two-stage sintering

    Energy Technology Data Exchange (ETDEWEB)

    Khaja Mohaideen, K.; Joy, P.A., E-mail: pa.joy@ncl.res.in

    2014-12-15

    From the studies on the magnetostriction characteristics of two-stage sintered polycrystalline CoFe{sub 2}O{sub 4} made from nanocrystalline powders, it is found that two-stage sintering at low temperatures is very effective for enhancing the density and for attaining higher magnetostriction coefficient. Magnetostriction coefficient and strain derivative are further enhanced by magnetic field annealing and relatively larger enhancement in the magnetostriction parameters is obtained for the samples sintered at lower temperatures, after magnetic annealing, despite the fact that samples sintered at higher temperatures show larger magnetostriction coefficients before annealing. A high magnetostriction coefficient of ∼380 ppm is obtained after field annealing for the sample sintered at 1100 °C, below a magnetic field of 400 kA/m, which is the highest value so far reported at low magnetic fields for sintered polycrystalline cobalt ferrite. - Highlights: • Effect of two-stage sintering on the magnetostriction characteristics of CoFe{sub 2}O{sub 4} is studied. • Two-stage sintering is very effective for enhancing the density and the magnetostriction parameters. • Higher magnetostriction for samples sintered at low temperatures and after magnetic field annealing. • Highest reported magnetostriction of 380 ppm at low fields after two-stage, low-temperature sintering.

  13. Accuracy of the One-Stage and Two-Stage Impression Techniques: A Comparative Analysis

    Directory of Open Access Journals (Sweden)

    Ladan Jamshidy

    2016-01-01

    Full Text Available Introduction. One of the main steps of impression is the selection and preparation of an appropriate tray. Hence, the present study aimed to analyze and compare the accuracy of one- and two-stage impression techniques. Materials and Methods. A resin laboratory-made model, as the first molar, was prepared by standard method for full crowns with processed preparation finish line of 1 mm depth and convergence angle of 3-4°. Impression was made 20 times with one-stage technique and 20 times with two-stage technique using an appropriate tray. To measure the marginal gap, the distance between the restoration margin and preparation finish line of plaster dies was vertically determined in mid mesial, distal, buccal, and lingual (MDBL regions by a stereomicroscope using a standard method. Results. The results of independent test showed that the mean value of the marginal gap obtained by one-stage impression technique was higher than that of two-stage impression technique. Further, there was no significant difference between one- and two-stage impression techniques in mid buccal region, but a significant difference was reported between the two impression techniques in MDL regions and in general. Conclusion. The findings of the present study indicated higher accuracy for two-stage impression technique than for the one-stage impression technique.

  14. Epidemiological Study of Greek University Students' Mental Health

    Science.gov (United States)

    Kounenou, Kalliope; Koutra, Aikaterini; Katsiadrami, Aristea; Diacogiannis, Georgios

    2011-01-01

    In the present study, 805 Greek students participated by filling in self-report questionnaires studying depression (Center for Epidemiological Studies Depression Scale), general health status (General Health Questionnaire), general psychopathology (Symptom Checklist-90-R), and personal demographic features. Some of the more prevalent findings…

  15. The CSS and The Two-Staged Methods for Parameter Estimation in SARFIMA Models

    Directory of Open Access Journals (Sweden)

    Erol Egrioglu

    2011-01-01

    Full Text Available Seasonal Autoregressive Fractionally Integrated Moving Average (SARFIMA models are used in the analysis of seasonal long memory-dependent time series. Two methods, which are conditional sum of squares (CSS and two-staged methods introduced by Hosking (1984, are proposed to estimate the parameters of SARFIMA models. However, no simulation study has been conducted in the literature. Therefore, it is not known how these methods behave under different parameter settings and sample sizes in SARFIMA models. The aim of this study is to show the behavior of these methods by a simulation study. According to results of the simulation, advantages and disadvantages of both methods under different parameter settings and sample sizes are discussed by comparing the root mean square error (RMSE obtained by the CSS and two-staged methods. As a result of the comparison, it is seen that CSS method produces better results than those obtained from the two-staged method.

  16. Method of oxygen-enriched two-stage underground coal gasification

    Institute of Scientific and Technical Information of China (English)

    Liu Hongtao; Chen Feng; Pan Xia; Yao Kai; Liu Shuqin

    2011-01-01

    Two-stage underground coal gasification was studied to improve the caloric value of the syngas and to extend gas production times. A model test using the oxygen-enriched two-stage coal gasification method was carried out. The composition of the gas produced, the time ratio of the two stages, and the role of the temperature field were analysed. The results show that oxygen-enriched two-stage gasification shortens the time of the first stage and prolongs the time of the second stage. Feed oxygen concentrations of 30%,35%, 40%, 45%, 60%, or 80% gave time ratios (first stage to second stage) of 1:0.12, 1:0.21, 1:0.51, 1:0.64,1:0.90, and 1:4.0 respectively. Cooling rates of the temperature field after steam injection decreased with time from about 19.1-27.4 ℃/min to 2.3-6.8 ℃/min. But this rate increased with increasing oxygen concentrations in the first stage. The caloric value of the syngas improves with increased oxygen concentration in the first stage. Injection of 80% oxygen-enriched air gave gas with the highest caloric value and also gave the longest production time. The caloric value of the gas obtained from the oxygenenriched two-stage gasification method lies in the range from 5.31 MJ/Nm3 to 10.54 MJ/Nm3.

  17. Square Kilometre Array station configuration using two-stage beamforming

    CERN Document Server

    Jiwani, Aziz; Razavi-Ghods, Nima; Hall, Peter J; Padhi, Shantanu; de Vaate, Jan Geralt bij

    2012-01-01

    The lowest frequency band (70 - 450 MHz) of the Square Kilometre Array will consist of sparse aperture arrays grouped into geographically-localised patches, or stations. Signals from thousands of antennas in each station will be beamformed to produce station beams which form the inputs for the central correlator. Two-stage beamforming within stations can reduce SKA-low signal processing load and costs, but has not been previously explored for the irregular station layouts now favoured in radio astronomy arrays. This paper illustrates the effects of two-stage beamforming on sidelobes and effective area, for two representative station layouts (regular and irregular gridded tile on an irregular station). The performance is compared with a single-stage, irregular station. The inner sidelobe levels do not change significantly between layouts, but the more distant sidelobes are affected by the tile layouts; regular tile creates diffuse, but regular, grating lobes. With very sparse arrays, the station effective area...

  18. Two stage sorption type cryogenic refrigerator including heat regeneration system

    Science.gov (United States)

    Jones, Jack A.; Wen, Liang-Chi; Bard, Steven

    1989-01-01

    A lower stage chemisorption refrigeration system physically and functionally coupled to an upper stage physical adsorption refrigeration system is disclosed. Waste heat generated by the lower stage cycle is regenerated to fuel the upper stage cycle thereby greatly improving the energy efficiency of a two-stage sorption refrigerator. The two stages are joined by disposing a first pressurization chamber providing a high pressure flow of a first refrigerant for the lower stage refrigeration cycle within a second pressurization chamber providing a high pressure flow of a second refrigerant for the upper stage refrigeration cycle. The first pressurization chamber is separated from the second pressurization chamber by a gas-gap thermal switch which at times is filled with a thermoconductive fluid to allow conduction of heat from the first pressurization chamber to the second pressurization chamber.

  19. Recursive algorithm for the two-stage EFOP estimation method

    Institute of Scientific and Technical Information of China (English)

    LUO GuiMing; HUANG Jian

    2008-01-01

    A recursive algorithm for the two-stage empirical frequency-domain optimal param-eter (EFOP) estimation method Was proposed. The EFOP method was a novel sys-tem identificallon method for Black-box models that combines time-domain esti-mation and frequency-domain estimation. It has improved anti-disturbance perfor-mance, and could precisely identify models with fewer sample numbers. The two-stage EFOP method based on the boot-strap technique was generally suitable for Black-box models, but it was an iterative method and takes too much computation work so that it did not work well online. A recursive algorithm was proposed for dis-turbed stochastic systems. Some simulation examples are included to demonstrate the validity of the new method.

  20. Two-stage approach to full Chinese parsing

    Institute of Scientific and Technical Information of China (English)

    Cao Hailong; Zhao Tiejun; Yang Muyun; Li Sheng

    2005-01-01

    Natural language parsing is a task of great importance and extreme difficulty. In this paper, we present a full Chinese parsing system based on a two-stage approach. Rather than identifying all phrases by a uniform model, we utilize a divide and conquer strategy. We propose an effective and fast method based on Markov model to identify the base phrases. Then we make the first attempt to extend one of the best English parsing models i.e. the head-driven model to recognize Chinese complex phrases. Our two-stage approach is superior to the uniform approach in two aspects. First, it creates synergy between the Markov model and the head-driven model. Second, it reduces the complexity of full Chinese parsing and makes the parsing system space and time efficient. We evaluate our approach in PARSEVAL measures on the open test set, the parsing system performances at 87.53% precision, 87.95% recall.

  1. Income and Poverty across SMSAs: A Two-Stage Analysis

    OpenAIRE

    1993-01-01

    Two popular explanations of urban poverty are the "welfare-disincentive" and "urban-deindustrialization" theories. Using cross-sectional Census data, we develop a two-stage model to predict an SMSAs median family income and poverty rate. The model allows the city's welfare level and industrial structure to affect its median family income and poverty rate directly. It also allows welfare and industrial structure to affect income and poverty indirectly, through their effects on family structure...

  2. Measuring the Learning from Two-Stage Collaborative Group Exams

    CERN Document Server

    Ives, Joss

    2014-01-01

    A two-stage collaborative exam is one in which students first complete the exam individually, and then complete the same or similar exam in collaborative groups immediately afterward. To quantify the learning effect from the group component of these two-stage exams in an introductory Physics course, a randomized crossover design was used where each student participated in both the treatment and control groups. For each of the two two-stage collaborative group midterm exams, questions were designed to form matched near-transfer pairs with questions on an end-of-term diagnostic which was used as a learning test. For learning test questions paired with questions from the first midterm, which took place six to seven weeks before the learning test, an analysis using a mixed-effects logistic regression found no significant differences in learning-test performance between the control and treatment group. For learning test questions paired with questions from the second midterm, which took place one to two weeks prio...

  3. Analysis of health outcome time series data in epidemiological studies

    NARCIS (Netherlands)

    Touloumi, G; Atkinson, R; Le Tertre, A; Samoli, E; Schwartz, J; Schindler, C; Vonk, JM; Rossi, G; Saez, M; Rabszenko, D; Katsouyanni, K

    2004-01-01

    Several recent studies have reported significant health effects of air pollution even at low levels of air pollutants. These studies have been criticized for the statistical methods and for inconsistency in results between cities. An important development in air pollution epidemiology has come from

  4. Analysis of performance and optimum configuration of two-stage semiconductor thermoelectric module

    Institute of Scientific and Technical Information of China (English)

    Li Kai-Zhen; Liang Rui-Sheng; Wei Zheng-Jun

    2008-01-01

    In this paper, the theoretical analysis and simulating calculation were conducted for a basic two-stage semiconductor thermoelectric module, which contains one thermocouple in the second stage and several thermocouples in the first stage. The study focused on the configuration of the two-stage semiconductor thermoelectric cooler, especially investigating the influences of some parameters, such as the current I1 of the first stage, the area A1 of every thermocouple and the number n of thermocouples in the first stage, on the cooling performance of the module. The obtained results of analysis indicate that changing the current I1 of the first stage, the area A1 of thcrmocouples and the number n of thermocouples in the first stage can improve the cooling performance of the module. These results can be used to optimize the configuration of the two-stage semiconductor thermoelectric module and provide guides for the design and application of thermoelectric cooler.

  5. Effects of earthworm casts and zeolite on the two-stage composting of green waste.

    Science.gov (United States)

    Zhang, Lu; Sun, Xiangyang

    2015-05-01

    Because it helps protect the environment and encourages economic development, composting has become a viable method for organic waste disposal. The objective of this study was to investigate the effects of earthworm casts (EWCs) (at 0.0%, 0.30%, and 0.60%) and zeolite (clinoptilolite, CL) (at 0%, 15%, and 25%) on the two-stage composting of green waste. The combination of EWCs and CL improved the conditions of the composting process and the quality of the compost products in terms of the thermophilic phase, humification, nitrification, microbial numbers and enzyme activities, the degradation of cellulose and hemicellulose, and physico-chemical characteristics and nutrient contents of final composts. The compost matured in only 21days with the optimized two-stage composting method rather than in the 90-270days required for traditional composting. The optimal two-stage composting and the best quality compost were obtained with 0.30% EWCs and 25% CL.

  6. Two-Stage Revision Anterior Cruciate Ligament Reconstruction: Bone Grafting Technique Using an Allograft Bone Matrix.

    Science.gov (United States)

    Chahla, Jorge; Dean, Chase S; Cram, Tyler R; Civitarese, David; O'Brien, Luke; Moulton, Samuel G; LaPrade, Robert F

    2016-02-01

    Outcomes of primary anterior cruciate ligament (ACL) reconstruction have been reported to be far superior to those of revision reconstruction. However, as the incidence of ACL reconstruction is rapidly increasing, so is the number of failures. The subsequent need for revision ACL reconstruction is estimated to occur in up to 13,000 patients each year in the United States. Revision ACL reconstruction can be performed in one or two stages. A two-stage approach is recommended in cases of improper placement of the original tunnels or in cases of unacceptable tunnel enlargement. The aim of this study was to describe the technique for allograft ACL tunnel bone grafting in patients requiring a two-stage revision ACL reconstruction.

  7. Sample size calculation for meta-epidemiological studies.

    Science.gov (United States)

    Giraudeau, Bruno; Higgins, Julian P T; Tavernier, Elsa; Trinquart, Ludovic

    2016-01-30

    Meta-epidemiological studies are used to compare treatment effect estimates between randomized clinical trials with and without a characteristic of interest. To our knowledge, there is presently nothing to help researchers to a priori specify the required number of meta-analyses to be included in a meta-epidemiological study. We derived a theoretical power function and sample size formula in the framework of a hierarchical model that allows for variation in the impact of the characteristic between trials within a meta-analysis and between meta-analyses. A simulation study revealed that the theoretical function overestimated power (because of the assumption of equal weights for each trial within and between meta-analyses). We also propose a simulation approach that allows for relaxing the constraints used in the theoretical approach and is more accurate. We illustrate that the two variables that mostly influence power are the number of trials per meta-analysis and the proportion of trials with the characteristic of interest. We derived a closed-form power function and sample size formula for estimating the impact of trial characteristics in meta-epidemiological studies. Our analytical results can be used as a 'rule of thumb' for sample size calculation for a meta-epidemiologic study. A more accurate sample size can be derived with a simulation study.

  8. Forty-five-degree two-stage venous cannula: advantages over standard two-stage venous cannulation.

    Science.gov (United States)

    Lawrence, D R; Desai, J B

    1997-01-01

    We present a 45-degree two-stage venous cannula that confers advantage to the surgeon using cardiopulmonary bypass. This cannula exits the mediastinum under the transverse bar of the sternal retractor, leaving the rostral end of the sternal incision free of apparatus. It allows for lifting of the heart with minimal effect on venous return and does not interfere with the radially laid out sutures of an aortic valve replacement using an interrupted suture technique.

  9. Epidemiological study of venous thromboembolism in a big Danish cohort

    DEFF Research Database (Denmark)

    Severinsen, Marianne Tang; Kristensen, Søren Risom; Overvad, Kim

    Introduction: Epidemiological data on venous thromboembolism (VT), i.e. pulmonary emboli (PE) and deep venous thrombosis (DVT) are sparse. We have examined VT-diagnoses registered in a big Danish Cohort study.  Methods: All first-time VT diagnoses in The Danish National Patient Register were...

  10. Polyphenols and disease risk in epidemiologic studies 1-4

    NARCIS (Netherlands)

    Arts, I.C.W.; Hollman, P.C.H.

    2005-01-01

    Plant polyphenols, a large group of natural antioxidants, are serious candidates in explanations of the protective effects of vegetables and fruits against cancer and cardiovascular diseases. Epidemiologic studies are useful for evaluation of the human health effects of long-term exposure to physiol

  11. Epidemiological studies on the relation between diet and COPD

    NARCIS (Netherlands)

    Tabak, C.

    2000-01-01

    Chronic Obstructive Pulmonary Disease (COPD) is an important cause of morbidity and mortality around the world. In the early 1990's several dietary factors were suggested to protect against COPD, based on proposed biological mechanisms and a small number of epidemiological studies. Antioxidants (e.g

  12. International epidemiological studies on HIV, HCV and STI

    NARCIS (Netherlands)

    van der Helm, J.J.

    2014-01-01

    This thesis comprises international epidemiological studies on HIV, Hepatitis C (HCV) and sexually transmitted infections (STI) and the evaluation of STI diagnostic tests with the ultimate goal to decrease spread and disease burden of these infections. The main conclusions are: 1. Without the use of

  13. Convergence study for the ILU factorization in two-stage multi-splitting iterations%ILU分解的两步多重分裂迭代法的收敛性研究

    Institute of Scientific and Technical Information of China (English)

    江山

    2012-01-01

    Studying tile multi-splitting iterative method for solving the sparse linear algebraic equations, and discussing the convergence theory as taking incomplete LU factorization A = LU - N as outer split and taking LU = LD - LT as inner split, and through the theorem and numerical example, we demonstrate the effectiveness of our method.%研究求解线性代数方程组的多重分裂迭代法,讨论了以基于不完全三角分解A=LU—N作为外分裂,再以Lu=LD—LT作为内分裂的两步多重分裂迭代法的收敛性,给出了相关定理和数值算例,验证了方法的收敛性和正确性.

  14. 农村连锁超市两阶段多配送中心的选址优化模型%Study on Two-stage Location Optimization Model for Multiple Distribution Centers of Chain Supermarkets in Rural Areas

    Institute of Scientific and Technical Information of China (English)

    周涛; 苏春江; 滕兴乐; 付光成

    2014-01-01

    分两阶段对农村连锁超市多配送中心选址问题进行研究。第一阶段,根据连锁超市分布状况划分区域,并在各区域内运用模型优化法,分别确立各分配送中心;第二阶段,运用粗糙集理论和多目标规划理论,在多个分配送中心中,确定总配送中心。运用逆向分析法,在局部区域确定分配送中心的基础上,以整体最优化为目标确定总配送中心,具有较强的操作性。%In this paper, we divided the location problem of the multiple distribution centers of the chain supermarkets in rural areas into two parts and studied them successively. For the first part, we divided the market area in accordance with the situation of the chain supermarkets and determined the location of the distribution centers for each of the divisions;and for the second part, we used the rough set theory and the multi-objective programming theory to identify the headquarters of and from among the distribution centers.

  15. Two stage treatment of dairy effluent using immobilized Chlorella pyrenoidosa.

    Science.gov (United States)

    Yadavalli, Rajasri; Heggers, Goutham Rao Venkata Naga

    2013-12-19

    Dairy effluents contains high organic load and unscrupulous discharge of these effluents into aquatic bodies is a matter of serious concern besides deteriorating their water quality. Whilst physico-chemical treatment is the common mode of treatment, immobilized microalgae can be potentially employed to treat high organic content which offer numerous benefits along with waste water treatment. A novel low cost two stage treatment was employed for the complete treatment of dairy effluent. The first stage consists of treating the diary effluent in a photobioreactor (1 L) using immobilized Chlorella pyrenoidosa while the second stage involves a two column sand bed filtration technique. Whilst NH4+-N was completely removed, a 98% removal of PO43--P was achieved within 96 h of two stage purification processes. The filtrate was tested for toxicity and no mortality was observed in the zebra fish which was used as a model at the end of 96 h bioassay. Moreover, a significant decrease in biological oxygen demand and chemical oxygen demand was achieved by this novel method. Also the biomass separated was tested as a biofertilizer to the rice seeds and a 30% increase in terms of length of root and shoot was observed after the addition of biomass to the rice plants. We conclude that the two stage treatment of dairy effluent is highly effective in removal of BOD and COD besides nutrients like nitrates and phosphates. The treatment also helps in discharging treated waste water safely into the receiving water bodies since it is non toxic for aquatic life. Further, the algal biomass separated after first stage of treatment was highly capable of increasing the growth of rice plants because of nitrogen fixation ability of the green alga and offers a great potential as a biofertilizer.

  16. Two-stage series array SQUID amplifier for space applications

    Science.gov (United States)

    Tuttle, J. G.; DiPirro, M. J.; Shirron, P. J.; Welty, R. P.; Radparvar, M.

    We present test results for a two-stage integrated SQUID amplifier which uses a series array of d.c. SQUIDS to amplify the signal from a single input SQUID. The device was developed by Welty and Martinis at NIST and recent versions have been manufactured by HYPRES, Inc. Shielding and filtering techniques were employed during the testing to minimize the external noise. Energy resolution of 300 h was demonstrated using a d.c. excitation at frequencies above 1 kHz, and better than 500 h resolution was typical down to 300 Hz.

  17. A Two Stage Classification Approach for Handwritten Devanagari Characters

    CERN Document Server

    Arora, Sandhya; Nasipuri, Mita; Malik, Latesh

    2010-01-01

    The paper presents a two stage classification approach for handwritten devanagari characters The first stage is using structural properties like shirorekha, spine in character and second stage exploits some intersection features of characters which are fed to a feedforward neural network. Simple histogram based method does not work for finding shirorekha, vertical bar (Spine) in handwritten devnagari characters. So we designed a differential distance based technique to find a near straight line for shirorekha and spine. This approach has been tested for 50000 samples and we got 89.12% success

  18. Two-Stage Aggregate Formation via Streams in Myxobacteria

    Science.gov (United States)

    Alber, Mark; Kiskowski, Maria; Jiang, Yi

    2005-03-01

    In response to adverse conditions, myxobacteria form aggregates which develop into fruiting bodies. We model myxobacteria aggregation with a lattice cell model based entirely on short range (non-chemotactic) cell-cell interactions. Local rules result in a two-stage process of aggregation mediated by transient streams. Aggregates resemble those observed in experiment and are stable against even very large perturbations. Noise in individual cell behavior increases the effects of streams and result in larger, more stable aggregates. Phys. Rev. Lett. 93: 068301 (2004).

  19. Straw Gasification in a Two-Stage Gasifier

    DEFF Research Database (Denmark)

    Bentzen, Jens Dall; Hindsgaul, Claus; Henriksen, Ulrik Birk

    2002-01-01

    Additive-prepared straw pellets were gasified in the 100 kW two-stage gasifier at The Department of Mechanical Engineering of the Technical University of Denmark (DTU). The fixed bed temperature range was 800-1000°C. In order to avoid bed sintering, as observed earlier with straw gasification...... residues were examined after the test. No agglomeration or sintering was observed in the ash residues. The tar content was measured both by solid phase amino adsorption (SPA) method and cold trapping (Petersen method). Both showed low tar contents (~42 mg/Nm3 without gas cleaning). The particle content...

  20. Two-Stage Fan I: Aerodynamic and Mechanical Design

    Science.gov (United States)

    Messenger, H. E.; Kennedy, E. E.

    1972-01-01

    A two-stage, highly-loaded fan was designed to deliver an overall pressure ratio of 2.8 with an adiabatic efficiency of 83.9 percent. At the first rotor inlet, design flow per unit annulus area is 42 lbm/sec/sq ft (205 kg/sec/sq m), hub/tip ratio is 0.4 with a tip diameter of 31 inches (0.787 m), and design tip speed is 1450 ft/sec (441.96 m/sec). Other features include use of multiple-circular-arc airfoils, resettable stators, and split casings over the rotor tip sections for casing treatment tests.

  1. Two-Stage Eagle Strategy with Differential Evolution

    CERN Document Server

    Yang, Xin-She

    2012-01-01

    Efficiency of an optimization process is largely determined by the search algorithm and its fundamental characteristics. In a given optimization, a single type of algorithm is used in most applications. In this paper, we will investigate the Eagle Strategy recently developed for global optimization, which uses a two-stage strategy by combing two different algorithms to improve the overall search efficiency. We will discuss this strategy with differential evolution and then evaluate their performance by solving real-world optimization problems such as pressure vessel and speed reducer design. Results suggest that we can reduce the computing effort by a factor of up to 10 in many applications.

  2. Two-Stage Sampling Procedures for Comparing Means When Population Distributions Are Non-Normal.

    Science.gov (United States)

    Luh, Wei-Ming; Olejnik, Stephen

    Two-stage sampling procedures for comparing two population means when variances are heterogeneous have been developed by D. G. Chapman (1950) and B. K. Ghosh (1975). Both procedures assume sampling from populations that are normally distributed. The present study reports on the effect that sampling from non-normal distributions has on Type I error…

  3. High rate treatment of terephthalic acid production wastewater in a two-stage anaerobic bioreactor

    NARCIS (Netherlands)

    Kleerebezem, R.; Beckers, J.; Pol, L.W.H.; Lettinga, G.

    2005-01-01

    The feasibility was studied of anaerobic treatment of wastewater generated during purified terephthalic acid (PTA) production in two-stage upflow anaerobic sludge blanket (UASB) reactor system. The artificial influent of the system contained the main organic substrates of PTA-wastewater: acetate, be

  4. ADM1-based modeling of methane production from acidified sweet sorghum extractin a two stage process

    DEFF Research Database (Denmark)

    Antonopoulou, Georgia; Gavala, Hariklia N.; Skiadas, Ioannis

    2012-01-01

    The present study focused on the application of the Anaerobic Digestion Model 1 οn the methane production from acidified sorghum extract generated from a hydrogen producing bioreactor in a two-stage anaerobic process. The kinetic parameters for hydrogen and volatile fatty acids consumption were...

  5. Two-stage bargaining with coverage extension in a dual labour market

    DEFF Research Database (Denmark)

    Roberts, Mark A.; Stæhr, Karsten; Tranæs, Torben

    2000-01-01

    This paper studies coverage extension in a simple general equilibrium model with a dual labour market. The union sector is characterized by two-stage bargaining whereas the firms set wages in the non-union sector. In this model firms and unions of the union sector have a commonality of interest...

  6. Clinical and Epidemiological Studies on Rickettsial Infections.

    Science.gov (United States)

    1980-06-01

    EPIDEMOLOGICAL STUDIES ON RICKETTSIAL INFECTI011-"- APPLICATION FOR RENEWAL FOR TEAR-7 (1979-1980) Pase 2 Repor Page 11 effective control of the infection were...34CLINICAL AND EPIDEMOLOGICAL STUDIES ON RICKETTSIAL INFECTIONS" ANINUAL REPORT. YFAR-7(1979-1980) Page 62 Report Page 31 OFFICE OF NAVAL RESEARCH

  7. A Theoretical Study of Two Stage Thrust Augmenting Ejectors,

    Science.gov (United States)

    1984-11-01

    been found to increase the availability of thrust experimentally (Morrison 1942), and analitically (Nagaraja et al. 1973), no further work to the best...Applied Mechanics Reviews The John Crerar Library The Chemical Abstracts Service Allis Chalmers Corporation, Library Kentex Research Library United

  8. Epidemiological and clinicopathological study of oral leukoplakia

    Directory of Open Access Journals (Sweden)

    Mishra Minati

    2005-01-01

    Full Text Available BACKGROUND: Oral white lesions that cannot be clinically or pathologically characterized by any specific disease are referred to as leukoplakia. Such lesions are well known for their propensity for malignant transformation to the extent of 10-20%.Exfoliative cytology is a simple and useful screening tool for detection of malignant or dysplastic changes in such lesions. AIMS: A clinicoepidemiological and cytological study of oral leukoplakia was undertaken to detect their malignant potential and value of cytology in diagnosis. METHODS: This 2 year duration multicentre study was undertaken on all patients presenting with oral white lesions to the out patient department of the two institutions. Those cases in which a specific cause (infective, systemic disease or specific disease entity for the white lesions were elicited were excluded from the study. The group with idiopathic white lesions was included in the study and was subjected to periodic exfoliative cytological study at three monthly intervals to detect any malignant change. Patients presenting less than two times for follow up were excluded from the final analysis of the study. RESULTS: Out of total 2920 patients studied, 89.53% showed benign, 9.93% showed dysplastic and, 0.72% showed malignant cells on exfoliative cytological study. All the dysplastic and malignant lesions were subjected to histopathological study by incisional biopsy. Among the dysplastic lesions 13.79% proved benign and the rest true dysplastic. Among the cytologically malignant group 4.76% showed dysplasia and the rest true malignant lesions. CONCLUSION: Persistent leukoplakia has a potential for malignant transformation and exfoliative cytology could be a simple method for early detection of dysplastic and malignant changes.

  9. Two-stage unilateral versus one-stage bilateral single-port sympathectomy for palmar and axillary hyperhidrosis†

    Science.gov (United States)

    Ibrahim, Mohsen; Menna, Cecilia; Andreetti, Claudio; Ciccone, Anna Maria; D'Andrilli, Antonio; Maurizi, Giulio; Poggi, Camilla; Vanni, Camilla; Venuta, Federico; Rendina, Erino Angelo

    2013-01-01

    OBJECTIVES Video-assisted thoracoscopic sympathectomy is currently the best treatment for palmar and axillary hyperhidrosis. It can be performed through either one or two stages of surgery. This study aimed to evaluate the operative and postoperative results of two-stage unilateral vs one-stage bilateral thoracoscopic sympathectomy. METHODS From November 1995 to February 2011, 270 patients with severe palmar and/or axillary hyperhidrosis were recruited for this study. One hundred and thirty patients received one-stage bilateral, single-port video-assisted thoracoscopic sympathectomy (one-stage group) and 140, two-stage unilateral, single-port video-assisted thoracoscopic sympathectomy, with a mean time interval of 4 months between the procedures (two-stage group). RESULTS The mean postoperative follow-up period was 12.5 (range: 1–24 months). After surgery, hands and axillae of all patients were dry and warm. Sixteen (12%) patients of the one-stage group and 15 (11%) of the two-stage group suffered from mild/moderate pain (P = 0.8482). The mean operative time was 38 ± 5 min in the one-stage group and 39 ± 8 min in the two-stage group (P = 0.199). Pneumothorax occurred in 8 (6%) patients of the one-stage group and in 11 (8%) of the two-stage group. Compensatory sweating occurred in 25 (19%) patients of the one-stage group and in 6 (4%) of the two-stage group (P = 0.0001). No patients developed Horner's syndrome. CONCLUSIONS Both two-stage unilateral and one-stage bilateral single-port video-assisted thoracoscopic sympathectomies are effective, safe and minimally invasive procedures. Two-stage unilateral sympathectomy can be performed with a lower occurrence of compensatory sweating, improving permanently the quality of life in patients with palmar and axillary hyperhidrosis. PMID:23442937

  10. Two-stage unilateral versus one-stage bilateral single-port sympathectomy for palmar and axillary hyperhidrosis.

    Science.gov (United States)

    Ibrahim, Mohsen; Menna, Cecilia; Andreetti, Claudio; Ciccone, Anna Maria; D'Andrilli, Antonio; Maurizi, Giulio; Poggi, Camilla; Vanni, Camilla; Venuta, Federico; Rendina, Erino Angelo

    2013-06-01

    Video-assisted thoracoscopic sympathectomy is currently the best treatment for palmar and axillary hyperhidrosis. It can be performed through either one or two stages of surgery. This study aimed to evaluate the operative and postoperative results of two-stage unilateral vs one-stage bilateral thoracoscopic sympathectomy. From November 1995 to February 2011, 270 patients with severe palmar and/or axillary hyperhidrosis were recruited for this study. One hundred and thirty patients received one-stage bilateral, single-port video-assisted thoracoscopic sympathectomy (one-stage group) and 140, two-stage unilateral, single-port video-assisted thoracoscopic sympathectomy, with a mean time interval of 4 months between the procedures (two-stage group). The mean postoperative follow-up period was 12.5 (range: 1-24 months). After surgery, hands and axillae of all patients were dry and warm. Sixteen (12%) patients of the one-stage group and 15 (11%) of the two-stage group suffered from mild/moderate pain (P = 0.8482). The mean operative time was 38 ± 5 min in the one-stage group and 39 ± 8 min in the two-stage group (P = 0.199). Pneumothorax occurred in 8 (6%) patients of the one-stage group and in 11 (8%) of the two-stage group. Compensatory sweating occurred in 25 (19%) patients of the one-stage group and in 6 (4%) of the two-stage group (P = 0.0001). No patients developed Horner's syndrome. Both two-stage unilateral and one-stage bilateral single-port video-assisted thoracoscopic sympathectomies are effective, safe and minimally invasive procedures. Two-stage unilateral sympathectomy can be performed with a lower occurrence of compensatory sweating, improving permanently the quality of life in patients with palmar and axillary hyperhidrosis.

  11. CLINICAL AND EPIDEMIOLOGICAL STUDIES ON VASECTOMY

    Institute of Scientific and Technical Information of China (English)

    TANGGuang-Hua

    1989-01-01

    In order to ascertain whether vasectomy presented any increased risk of diseases or long-term sequelae, we conducted from 1981 to 82 a large scale cross sectional prevalence study on coronary heart disease, hypertension and other diseases following

  12. Epidemiological studies on cutaneous leishmaniasis in Ad ...

    African Journals Online (AJOL)

    Methods: Data from the patients included in this retrospective study were collected from the ... Tropical Journal of Pharmaceutical Research is indexed by Science Citation Index (SciSearch), .... features of the last four years (1997-2000). Int J.

  13. Smile line and occlusion: An epidemiological study

    Directory of Open Access Journals (Sweden)

    Mahsa Harati

    2013-01-01

    Conclusion: Within the limitations of such studies, it might be concluded that there is a significant and important relation between some occlusal parameters and smile design, which must be considered.

  14. Two-stage perceptual learning to break visual crowding.

    Science.gov (United States)

    Zhu, Ziyun; Fan, Zhenzhi; Fang, Fang

    2016-01-01

    When a target is presented with nearby flankers in the peripheral visual field, it becomes harder to identify, which is referred to as crowding. Crowding sets a fundamental limit of object recognition in peripheral vision, preventing us from fully appreciating cluttered visual scenes. We trained adult human subjects on a crowded orientation discrimination task and investigated whether crowding could be completely eliminated by training. We discovered a two-stage learning process with this training task. In the early stage, when the target and flankers were separated beyond a certain distance, subjects acquired a relatively general ability to break crowding, as evidenced by the fact that the breaking of crowding could transfer to another crowded orientation, even a crowded motion stimulus, although the transfer to the opposite visual hemi-field was weak. In the late stage, like many classical perceptual learning effects, subjects' performance gradually improved and showed specificity to the trained orientation. We also found that, when the target and flankers were spaced too finely, training could only reduce, rather than completely eliminate, the crowding effect. This two-stage learning process illustrates a learning strategy for our brain to deal with the notoriously difficult problem of identifying peripheral objects in clutter. The brain first learned to solve the "easy and general" part of the problem (i.e., improving the processing resolution and segmenting the target and flankers) and then tackle the "difficult and specific" part (i.e., refining the representation of the target).

  15. Runway Operations Planning: A Two-Stage Heuristic Algorithm

    Science.gov (United States)

    Anagnostakis, Ioannis; Clarke, John-Paul

    2003-01-01

    The airport runway is a scarce resource that must be shared by different runway operations (arrivals, departures and runway crossings). Given the possible sequences of runway events, careful Runway Operations Planning (ROP) is required if runway utilization is to be maximized. From the perspective of departures, ROP solutions are aircraft departure schedules developed by optimally allocating runway time for departures given the time required for arrivals and crossings. In addition to the obvious objective of maximizing throughput, other objectives, such as guaranteeing fairness and minimizing environmental impact, can also be incorporated into the ROP solution subject to constraints introduced by Air Traffic Control (ATC) procedures. This paper introduces a two stage heuristic algorithm for solving the Runway Operations Planning (ROP) problem. In the first stage, sequences of departure class slots and runway crossings slots are generated and ranked based on departure runway throughput under stochastic conditions. In the second stage, the departure class slots are populated with specific flights from the pool of available aircraft, by solving an integer program with a Branch & Bound algorithm implementation. Preliminary results from this implementation of the two-stage algorithm on real-world traffic data are presented.

  16. AN EPIDEMIOLOGICAL PROSPECTIVE STUDY OF POSTCHOLECYSTECTOMY SYNDROME

    Directory of Open Access Journals (Sweden)

    Sumit

    2015-11-01

    Full Text Available BACKGROUND AND AIMS Cholecystectomy is the standard treatment for symptomatic gall stone disease. This study is aimed to assess the effect of the surgery on patients' symptoms. MATERIALS AND METHODS Eighty patients undergoing Cholecystectomy between September 2013 to February 2015 were evaluated using standard questionnaires in Study conducted on patients admitted in Surgical units in Maharaja Yashwantrao Hospital and MGM Medical College, a tertiary level care centre in Central India. RESULTS In this prospective study of 80 symptomatic gallstone disease patients with two or more symptoms pre-operatively the incidence of Postcholecystectomy Syndrome was found out to be 30%. All pain and non-pain symptoms were significantly reduced post-operatively except diarrhea.

  17. Coffee and cardiovascular risk; an epidemiological study

    NARCIS (Netherlands)

    A.A.A. Bak (Annette)

    1990-01-01

    textabstractThis thesis comprises several studies on the effect of coffee and caffeine on cardiovascular risk in general, and the effect on serum lipids, blood pressure and selected hemostatic variables in particular. The association between coffee use and cardiovascular morbidity and mortality was

  18. Epidemiologic Studies of Isoflavones & Mammographic Density

    Directory of Open Access Journals (Sweden)

    Jeffrey A. Tice

    2010-01-01

    Full Text Available Isoflavones, phytoestrogens in soy beans with estrogen-like properties, have been examined for their cancer protective effects. Mammographic density is a strong predictor of breast cancer. This review summarizes studies that have examined the association between isoflavones and breast density. Observational investigations in Hawaii and Singapore suggest slightly lower breast density among women of Asian descent with regular soy intake, but two larger studies from Japan and Singapore did not observe a protective effect. The findings from seven randomized trials with primarily Caucasian women indicate that soy or isoflavones do not modify mammographic density. Soy foods and isoflavone supplements within a nutritional range do not appear to modify breast cancer risk as assessed by mammographic density.

  19. Epidemiologic studies of isoflavones & mammographic density.

    Science.gov (United States)

    Maskarinec, Gertraud; Verheus, Martijn; Tice, Jeffrey A

    2010-01-01

    Isoflavones, phytoestrogens in soy beans with estrogen-like properties, have been examined for their cancer protective effects. Mammographic density is a strong predictor of breast cancer. This review summarizes studies that have examined the association between isoflavones and breast density. Observational investigations in Hawaii and Singapore suggest slightly lower breast density among women of Asian descent with regular soy intake, but two larger studies from Japan and Singapore did not observe a protective effect. The findings from seven randomized trials with primarily Caucasian women indicate that soy or isoflavones do not modify mammographic density. Soy foods and isoflavone supplements within a nutritional range do not appear to modify breast cancer risk as assessed by mammographic density.

  20. Tinnitus: an epidemiologic study in Iranian population.

    Directory of Open Access Journals (Sweden)

    Maryam Jalessi

    2013-12-01

    Full Text Available A wide range of population, 4% to 30%, suffers from tinnitus that is defined as perception of sound without apparent acoustic stimulus. We conducted the present study to determine the prevalence of tinnitus in Iranian population; Tehran province. This cross-sectional study was conducted from January 2009 to December 2009, recruiting 3207 individuals (age range, 7-98 who were residing in Tehran province, Iran. Participants were asked to fill two questionnaires; the validated Persian version of Tinnitus Questionnaire (TQ and another one that was specifically designed for this study. Prevalence of tinnitus and its association factors were evaluated. 3207 participants enrolled into our study comprising 1429 (44.7% male and 1765 (55.3% female with mean age of 55.01±17.85. Of total of 3207 participants, 146 (4.6% had tinnitus consisting of 80 male (54.8% and 66 (45.2% female participants. It showed a rising trend with increasing age that was especially significant after the sixth decade of life (P=0.001. The analysis showed mean TQ global score of 35.96±25.52 that was significantly different between male and female participants (P=0.051 and had no significant correlation with increasing age (Spearman's r=0.1, P=0.10. The tinnitus intensity was moderate to very severe in 95 (56.1% of the participants. Its severity level was not significantly different between men and women (P=0.09. Tinnitus intensity had no significant association with increasing age (Spearman's r=0.1, P=0.31. Patients with higher TQ global score had higher tinnitus intensities (P=0.001. The annoyance level was significantly different between men and women (P=0.04 and its impact on the participants daily routine functions were significantly higher in men (P=0.003. Given the results of the study, demonstrating that prevalence of tinnitus in Iranian population (Tehran province was lower than the other countries and had a direct correlation with increasing age only after the sixth

  1. Hodgkin's disease: case control epidemiological study in Yorkshire.

    OpenAIRE

    Bernard, S.M.; Cartwright, R. A.; Darwin, C. M.; Richards, I D; Roberts, B; O'Brien, C; Bird, C. C.

    1987-01-01

    This is the first report of a case-control epidemiological study on lymphomas and leukaemias occurring in Yorkshire during 1979-84. This paper deals with the results of the Hodgkin's disease analysis comprising 248 cases and 489 controls. The results indicate support for previous work with respect to small family size and past history of infectious mononucleosis. Positive observations made in a previous pilot study are also confirmed and extended with respect to associations with certain chro...

  2. Chapter 8. Tea and Cancer Prevention: Epidemiological Studies

    OpenAIRE

    Yuan, Jian-Min; Sun, Canlan; Butler, Lesley M

    2011-01-01

    Experimental studies have consistently shown the inhibitory activities of tea extracts on tumorigenesis in multiple model systems. Epidemiologic studies, however, have produced inconclusive results in humans. A comprehensive review was conducted to assess the current knowledge on tea consumption and risk of cancers in humans. In general, consumption of black tea was not associated with lower risk of cancer. High intake of green tea was consistently associated with reduced risk of upper gastro...

  3. Degenerative lumbar spondylolisthesis: an epidemiological perspective: the Copenhagen Osteoarthritis Study

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig; Rovsing, Hans;

    2007-01-01

    STUDY DESIGN: A cross-sectional epidemiological survey of 4151 participants of the Copenhagen Osteoarthritis Study. OBJECTIVE: To identify prevalences and individual risk factors for degenerative lumbar spondylolisthesis. SUMMARY OF BACKGROUND DATA: The Copenhagen Osteoarthritis Study has...... registered health parameters since 1976. In 1993, standardized, lateral radiographs of the lumbar spine were recorded. There were 1533 men and 2618 women. METHODS: Statistical correlations were made between degenerative spondylolisthesis, and physical, occupational, and general epidemiological data. RESULTS......: A total of 254 cases of lumbar slip were found (males 2.7%, females 8.4%). In females, no significant relationship between age at menopause or childbirths and the presence of degenerative spondylolisthesis were found. In women, relationships between body mass index (BMI) in 1976 and L4 olisthesis (P = 0...

  4. Vitamin D and cancer: an overview on epidemiological studies.

    Science.gov (United States)

    Ordóñez Mena, José Manuel; Brenner, Hermann

    2014-01-01

    In recent years, a rapidly increasing number of studies have investigated the relationship of vitamin D with total cancer and site-specific cancer obtaining diverse findings. In this chapter we provide an overview of epidemiological studies of vitamin D intake, 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D serum levels and vitamin D associated polymorphisms in relation to total and site-specific cancer risk. Overall, epidemiological evidence for total cancer is inconclusive. However, a large number of studies support a relationship of vitamin D with colorectal cancer and to a lesser extent with breast cancer. Findings are inconsistent for other cancers including all other gastrointestinal cancers and prostate cancer. Different vitamin D associated polymorphisms were found to be significantly associated to colorectal, breast and prostate cancer risk.

  5. Treatment of corn ethanol distillery wastewater using two-stage anaerobic digestion.

    Science.gov (United States)

    Ráduly, B; Gyenge, L; Szilveszter, Sz; Kedves, A; Crognale, S

    In this study the mesophilic two-stage anaerobic digestion (AD) of corn bioethanol distillery wastewater is investigated in laboratory-scale reactors. Two-stage AD technology separates the different sub-processes of the AD in two distinct reactors, enabling the use of optimal conditions for the different microbial consortia involved in the different process phases, and thus allowing for higher applicable organic loading rates (OLRs), shorter hydraulic retention times (HRTs) and better conversion rates of the organic matter, as well as higher methane content of the produced biogas. In our experiments the reactors have been operated in semi-continuous phase-separated mode. A specific methane production of 1,092 mL/(L·d) has been reached at an OLR of 6.5 g TCOD/(L·d) (TCOD: total chemical oxygen demand) and a total HRT of 21 days (5.7 days in the first-stage, and 15.3 days in the second-stage reactor). Nonetheless the methane concentration in the second-stage reactor was very high (78.9%); the two-stage AD outperformed the reference single-stage AD (conducted at the same reactor loading rate and retention time) by only a small margin in terms of volumetric methane production rate. This makes questionable whether the higher methane content of the biogas counterbalances the added complexity of the two-stage digestion.

  6. An intracooling system for a novel two-stage sliding-vane air compressor

    Science.gov (United States)

    Murgia, Stefano; Valenti, Gianluca; Costanzo, Ida; Colletta, Daniele; Contaldi, Giulio

    2017-08-01

    Lube-oil injection is used in positive-displacement compressors and, among them, in sliding-vane machines to guarantee the correct lubrication of the moving parts and as sealing to prevent air leakage. Furthermore, lube-oil injection allows to exploit lubricant also as thermal ballast with a great thermal capacity to minimize the temperature increase during the compression. This study presents the design of a two-stage sliding-vane rotary compressor in which the air cooling is operated by high-pressure cold oil injection into a connection duct between the two stages. The heat exchange between the atomized oil jet and the air results in a decrease of the air temperature before the second stage, improving the overall system efficiency. This cooling system is named here intracooling, as opposed to intercooling. The oil injection is realized via pressure-swirl nozzles, both within the compressors and inside the intracooling duct. The design of the two-stage sliding-vane compressor is accomplished by way of a lumped parameter model. The model predicts an input power reduction as large as 10% for intercooled and intracooled two-stage compressors, the latter being slightly better, with respect to a conventional single-stage compressor for compressed air applications. An experimental campaign is conducted on a first prototype that comprises the low-pressure compressor and the intracooling duct, indicating that a significant temperature reduction is achieved in the duct.

  7. Innovative two-stage anaerobic process for effective codigestion of cheese whey and cattle manure.

    Science.gov (United States)

    Bertin, Lorenzo; Grilli, Selene; Spagni, Alessandro; Fava, Fabio

    2013-01-01

    The valorisation of agroindustrial waste through anaerobic digestion represents a significant opportunity for refuse treatment and renewable energy production. This study aimed to improve the codigestion of cheese whey (CW) and cattle manure (CM) by an innovative two-stage process, based on concentric acidogenic and methanogenic phases, designed for enhancing performance and reducing footprint. The optimum CW to CM ratio was evaluated under batch conditions. Thereafter, codigestion was implemented under continuous-flow conditions comparing one- and two-stage processes. The results demonstrated that the addition of CM in codigestion with CW greatly improved the anaerobic process. The highest methane yield was obtained co-treating the two substrates at equal ratio by using the innovative two-stage process. The proposed system reached the maximum value of 258 mL(CH4) g(gv(-1), which was more than twice the value obtained by the one-stage process and 10% higher than the value obtained by the two-stage one.

  8. Extraoral implants for orbit rehabilitation: a comparison between one-stage and two-stage surgeries.

    Science.gov (United States)

    de Mello, M C L M P; Guedes, R; de Oliveira, J A P; Pecorari, V A; Abrahão, M; Dib, L L

    2014-03-01

    The aim of the study was to compare the osseointegration success rate and time for delivery of the prosthesis among cases treated by two-stage or one-stage surgery for orbit rehabilitation between 2003 and 2011. Forty-five patients were included, 31 males and 14 females; 22 patients had two-stage surgery and 23 patients had one-stage surgery. A total 138 implants were installed, 42 (30.4%) on previously irradiated bone. The implant survival rate was 96.4%, with a success rate of 99.0% among non-irradiated patients and 90.5% among irradiated patients. Two-stage patients received 74 implants with a survival rate of 94.6% (four implants lost); one-stage surgery patients received 64 implants with a survival rate of 98.4% (one implant lost). The median time interval between implant fixation and delivery of the prosthesis for the two-stage group was 9.6 months and for the one-stage group was 4.0 months (P < 0.001). The one-stage technique proved to be reliable and was associated with few risks and complications; the rate of successful osseointegration was similar to those reported in the literature. The one-stage technique should be considered a viable procedure that shortens the time to final rehabilitation and facilitates appropriate patient follow-up treatment.

  9. Thermal design of two-stage evaporative cooler based on thermal comfort criterion

    Science.gov (United States)

    Gilani, Neda; Poshtiri, Amin Haghighi

    2017-04-01

    Performance of two-stage evaporative coolers at various outdoor air conditions was numerically studied, and its geometric and physical characteristics were obtained based on thermal comfort criteria. For this purpose, a mathematical model was developed based on conservation equations of mass, momentum and energy to determine heat and mass transfer characteristics of the system. The results showed that two-stage indirect/direct cooler can provide the thermal comfort condition when outdoor air temperature and relative humidity are located in the range of 34-54 °C and 10-60 %, respectively. Moreover, as relative humidity of the ambient air rises, two-stage evaporative cooler with the smaller direct and larger indirect cooler will be needed. In building with high cooling demand, thermal comfort may be achieved at a greater air change per hour number, and thus an expensive two-stage evaporative cooler with a higher electricity consumption would be required. Finally, a design guideline was proposed to determine the size of required plate heat exchangers at various operating conditions.

  10. Thermal design of two-stage evaporative cooler based on thermal comfort criterion

    Science.gov (United States)

    Gilani, Neda; Poshtiri, Amin Haghighi

    2016-09-01

    Performance of two-stage evaporative coolers at various outdoor air conditions was numerically studied, and its geometric and physical characteristics were obtained based on thermal comfort criteria. For this purpose, a mathematical model was developed based on conservation equations of mass, momentum and energy to determine heat and mass transfer characteristics of the system. The results showed that two-stage indirect/direct cooler can provide the thermal comfort condition when outdoor air temperature and relative humidity are located in the range of 34-54 °C and 10-60 %, respectively. Moreover, as relative humidity of the ambient air rises, two-stage evaporative cooler with the smaller direct and larger indirect cooler will be needed. In building with high cooling demand, thermal comfort may be achieved at a greater air change per hour number, and thus an expensive two-stage evaporative cooler with a higher electricity consumption would be required. Finally, a design guideline was proposed to determine the size of required plate heat exchangers at various operating conditions.

  11. The Bracka two-stage repair for severe proximal hypospadias: A single center experience

    Directory of Open Access Journals (Sweden)

    Rakesh S Joshi

    2015-01-01

    Full Text Available Background: Surgical correction of severe proximal hypospadias represents a significant surgical challenge and single-stage corrections are often associated with complications and reoperations. Bracka two-stage repair is an attractive alternative surgical procedure with superior, reliable, and reproducible results. Purpose: To study the feasibility and applicability of Bracka two-stage repair for the severe proximal hypospadias and to analyze the outcomes and complications of this surgical technique. Materials and Methods: This prospective study was conducted from January 2011 to December 2013. Bracka two-stage repair was performed using inner preputial skin as a free graft in subjects with proximal hypospadias in whom severe degree of chordee and/or poor urethral plate was present. Only primary cases were included in this study. All subjects received three doses of intra-muscular testosterone 3 weeks apart before first stage. Second stage was performed 6 months after the first stage. Follow-up ranged from 6 months to 24 months. Results: A total of 43 patients operated for Bracka repair, out of which 30 patients completed two-stage repair. Mean age of the patients was 4 years and 8 months. We achieved 100% graft uptake and no revision was required. Three patients developed fistula, while two had metal stenosis. Glans dehiscence, urethral stricture and the residual chordee were not found during follow-up and satisfactory cosmetic results with good urinary stream were achieved in all cases. Conclusion: The Bracka two-stage repair is a safe and reliable approach in select patients in whom it is impractical to maintain the axial integrity of the urethral plate, and, therefore, a full circumference urethral reconstruction become necessary. This gives good results both in terms of restoration of normal function with minimal complication.

  12. Landscape-epidemiological study design to investigate an environmentally based disease.

    Science.gov (United States)

    Tabor, Joseph A; O'rourke, Mary Kay; Lebowitz, Michael D; Harris, Robin B

    2011-01-01

    Cost-effective approaches for identifying and enrolling subjects in community-based epidemiological studies face many challenges. Additional challenges arise when a neighborhood scale of analysis is required to distinguish between individual- and group-level risk factors with strong environmental determinants. A stratified, two-stage, cross-sectional, address-based telephone survey of Greater Tucson, Arizona, was conducted in 2002-2003. Subjects were recruited from direct marketing data at neighborhood resolution using a geographic information system (GIS). Three geomorphic strata were divided into two demographic units. Households were randomly selected within census block groups, selected using the probability proportional to size technique. Purchased direct marketing lists represented 45.2% of Census 2000 households in the surveyed block groups. Survey design effect (1.6) on coccidioidomycosis prevalence (88 per 100,000 per year) was substantially reduced in four of the six strata (0.3-0.9). Race-ethnicity was more robust than age and gender to compensate for significant selection bias using poststratification. Clustered, address-based telephone surveys provide a cost-effective, valid method for recruiting populations from address-based lists using a GIS to design surveys and population survey statistical methods for analysis. Landscape ecology provides effective methods for identifying scales of analysis and units for stratification that will improve sampling efficiency when environmental variables of interest are strong predictors.

  13. Overview of Recent Marine and Freshwater Recreational Epidemiology Studies and Their Findings

    Science.gov (United States)

    Overview of Recent Marine and Freshwater Recreational Epidemiology Studies and Their Findings Timothy J. Wade, Elizabeth A. Sams, Rich Haugland, Alfred P. Dufour The National Epidemiologic and Environmental Assessment of Recreational Water Study was conducted to address aspects...

  14. Two-Stage Part-Based Pedestrian Detection

    DEFF Research Database (Denmark)

    Møgelmose, Andreas; Prioletti, Antonio; Trivedi, Mohan M.

    2012-01-01

    Detecting pedestrians is still a challenging task for automotive vision system due the extreme variability of targets, lighting conditions, occlusions, and high speed vehicle motion. A lot of research has been focused on this problem in the last 10 years and detectors based on classifiers has...... gained a special place among the different approaches presented. This work presents a state-of-the-art pedestrian detection system based on a two stages classifier. Candidates are extracted with a Haar cascade classifier trained with the DaimlerDB dataset and then validated through part-based HOG...... of several metrics, such as detection rate, false positives per hour, and frame rate. The novelty of this system rely in the combination of HOG part-based approach, tracking based on specific optimized feature and porting on a real prototype....

  15. A two-stage method for inverse medium scattering

    KAUST Repository

    Ito, Kazufumi

    2013-03-01

    We present a novel numerical method to the time-harmonic inverse medium scattering problem of recovering the refractive index from noisy near-field scattered data. The approach consists of two stages, one pruning step of detecting the scatterer support, and one resolution enhancing step with nonsmooth mixed regularization. The first step is strictly direct and of sampling type, and it faithfully detects the scatterer support. The second step is an innovative application of nonsmooth mixed regularization, and it accurately resolves the scatterer size as well as intensities. The nonsmooth model can be efficiently solved by a semi-smooth Newton-type method. Numerical results for two- and three-dimensional examples indicate that the new approach is accurate, computationally efficient, and robust with respect to data noise. © 2012 Elsevier Inc.

  16. Laparoscopic management of a two staged gall bladdertorsion

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Gall bladder torsion (GBT) is a relatively uncommonentity and rarely diagnosed preoperatively. A constantfactor in all occurrences of GBT is a freely mobilegall bladder due to congenital or acquired anomalies.GBT is commonly observed in elderly white females.We report a 77-year-old, Caucasian lady who wasoriginally diagnosed as gall bladder perforation butwas eventually found with a two staged torsion of thegall bladder with twisting of the Riedel's lobe (partof tongue like projection of liver segment 4A). Thistogether, has not been reported in literature, to thebest of our knowledge. We performed laparoscopiccholecystectomy and she had an uneventful postoperativeperiod. GBT may create a diagnostic dilemmain the context of acute cholecystitis. Timely diagnosisand intervention is necessary, with extra care whileoperating as the anatomy is generally distorted. Thefundus first approach can be useful due to alteredanatomy in the region of Calot's triangle. Laparoscopiccholecystectomy has the benefit of early recovery.

  17. Lightweight Concrete Produced Using a Two-Stage Casting Process

    Directory of Open Access Journals (Sweden)

    Jin Young Yoon

    2015-03-01

    Full Text Available The type of lightweight aggregate and its volume fraction in a mix determine the density of lightweight concrete. Minimizing the density obviously requires a higher volume fraction, but this usually causes aggregates segregation in a conventional mixing process. This paper proposes a two-stage casting process to produce a lightweight concrete. This process involves placing lightweight aggregates in a frame and then filling in the remaining interstitial voids with cementitious grout. The casting process results in the lowest density of lightweight concrete, which consequently has low compressive strength. The irregularly shaped aggregates compensate for the weak point in terms of strength while the round-shape aggregates provide a strength of 20 MPa. Therefore, the proposed casting process can be applied for manufacturing non-structural elements and structural composites requiring a very low density and a strength of at most 20 MPa.

  18. TWO-STAGE OCCLUDED OBJECT RECOGNITION METHOD FOR MICROASSEMBLY

    Institute of Scientific and Technical Information of China (English)

    WANG Huaming; ZHU Jianying

    2007-01-01

    A two-stage object recognition algorithm with the presence of occlusion is presented for microassembly. Coarse localization determines whether template is in image or not and approximately where it is, and fine localization gives its accurate position. In coarse localization, local feature, which is invariant to translation, rotation and occlusion, is used to form signatures. By comparing signature of template with that of image, approximate transformation parameter from template to image is obtained, which is used as initial parameter value for fine localization. An objective function, which is a function of transformation parameter, is constructed in fine localization and minimized to realize sub-pixel localization accuracy. The occluded pixels are not taken into account in objective function, so the localization accuracy will not be influenced by the occlusion.

  19. The hybrid two stage anticlockwise cycle for ecological energy conversion

    Directory of Open Access Journals (Sweden)

    Cyklis Piotr

    2016-01-01

    Full Text Available The anticlockwise cycle is commonly used for refrigeration, air conditioning and heat pumps applications. The application of refrigerant in the compression cycle is within the temperature limits of the triple point and the critical point. New refrigerants such as 1234yf or 1234ze have many disadvantages, therefore natural refrigerants application is favourable. The carbon dioxide and water can be applied only in the hybrid two stages cycle. The possibilities of this solutions are shown for refrigerating applications, as well some experimental results of the adsorption-compression double stages cycle, powered with solar collectors are shown. As a high temperature cycle the adsorption system is applied. The low temperature cycle is the compression stage with carbon dioxide as a working fluid. This allows to achieve relatively high COP for low temperature cycle and for the whole system.

  20. Mendelian randomization: genetic anchors for causal inference in epidemiological studies

    Science.gov (United States)

    Davey Smith, George; Hemani, Gibran

    2014-01-01

    Observational epidemiological studies are prone to confounding, reverse causation and various biases and have generated findings that have proved to be unreliable indicators of the causal effects of modifiable exposures on disease outcomes. Mendelian randomization (MR) is a method that utilizes genetic variants that are robustly associated with such modifiable exposures to generate more reliable evidence regarding which interventions should produce health benefits. The approach is being widely applied, and various ways to strengthen inference given the known potential limitations of MR are now available. Developments of MR, including two-sample MR, bidirectional MR, network MR, two-step MR, factorial MR and multiphenotype MR, are outlined in this review. The integration of genetic information into population-based epidemiological studies presents translational opportunities, which capitalize on the investment in genomic discovery research. PMID:25064373

  1. [Teratology and epidemiology in the study of environmental teratogens].

    Science.gov (United States)

    Cayré, R; Sánchez-Gómez, C; Moreno-Rodríguez, R A; de la Cruz, M V

    1992-07-01

    The processes of cellular migration, cellular differentiation and cellular multiplication are studied, since these are the basic developmental processes upon which teratogenic agents act resulting in congenital malformations. We also carefully analyze the interactions between teratogen-embryo in order to establish adequate parameters for analysis of environmental teratogens, as well as experimental teratogenesis and epidemiology. Information on the pathogenesis of congenital malformations obtained from experimental teratology in an adequate biological model, can be extrapolated to the human. The etiology of congenital malformations resulting from environmental teratogens can only be elucidated through epidemiology, since there is species specificity. Such a study must fulfill the following prerequisites: diagnosis of the congenital malformation, ruling out genetic factors in the family tree and determination of the exact time of exposure to the possible teratogen during the pregnancy.

  2. Two Stage Assessment of Thermal Hazard in An Underground Mine

    Science.gov (United States)

    Drenda, Jan; Sułkowski, Józef; Pach, Grzegorz; Różański, Zenon; Wrona, Paweł

    2016-06-01

    The results of research into the application of selected thermal indices of men's work and climate indices in a two stage assessment of climatic work conditions in underground mines have been presented in this article. The difference between these two kinds of indices was pointed out during the project entitled "The recruiting requirements for miners working in hot underground mine environments". The project was coordinated by The Institute of Mining Technologies at Silesian University of Technology. It was a part of a Polish strategic project: "Improvement of safety in mines" being financed by the National Centre of Research and Development. Climate indices are based only on physical parameters of air and their measurements. Thermal indices include additional factors which are strictly connected with work, e.g. thermal resistance of clothing, kind of work etc. Special emphasis has been put on the following indices - substitute Silesian temperature (TS) which is considered as the climatic index, and the thermal discomfort index (δ) which belongs to the thermal indices group. The possibility of the two stage application of these indices has been taken into consideration (preliminary and detailed estimation). Based on the examples it was proved that by the application of thermal hazard (detailed estimation) it is possible to avoid the use of additional technical solutions which would be necessary to reduce thermal hazard in particular work places according to the climate index. The threshold limit value for TS has been set, based on these results. It was shown that below TS = 24°C it is not necessary to perform detailed estimation.

  3. GESDB: a platform of simulation resources for genetic epidemiology studies.

    Science.gov (United States)

    Yao, Po-Ju; Chung, Ren-Hua

    2016-01-01

    Computer simulations are routinely conducted to evaluate new statistical methods, to compare the properties among different methods, and to mimic the observed data in genetic epidemiology studies. Conducting simulation studies can become a complicated task as several challenges can occur, such as the selection of an appropriate simulation tool and the specification of parameters in the simulation model. Although abundant simulated data have been generated for human genetic research, currently there is no public database designed specifically as a repository for these simulated data. With the lack of such a database, for similar studies, similar simulations may have been repeated, which resulted in redundant work. Thus, we created an online platform, the Genetic Epidemiology Simulation Database (GESDB), for simulation data sharing and discussion of simulation techniques for genetic epidemiology studies. GESDB consists of a database for storing simulation scripts, simulated data and documentation from published articles as well as a discussion forum, which provides a platform for discussion of the simulated data and exchanging simulation ideas. Moreover, summary statistics such as the simulation tools that are most commonly used and datasets that are most frequently downloaded are provided. The statistics will be informative for researchers to choose an appropriate simulation tool or select a common dataset for method comparisons. GESDB can be accessed at http://gesdb.nhri.org.twDatabase URL: http://gesdb.nhri.org.tw.

  4. Assessing the first wave of epidemiological studies of nanomaterial workers

    Energy Technology Data Exchange (ETDEWEB)

    Liou, Saou-Hsing, E-mail: shliou@nhri.org.tw [National Health Research Institutes, National Institute of Environmental Health Sciences (China); Tsai, Candace S. J. [Colorado State University, Department of Environmental and Radiological Health Science (United States); Pelclova, Daniela [Charles University in Prague, Department of Occupational Medicine, First Faculty of Medicine (Czech Republic); Schubauer-Berigan, Mary K.; Schulte, Paul A. [National Institute for Occupational Safety and Health (United States)

    2015-10-15

    The results of early animal studies of engineered nanomaterials (ENMs) and air pollution epidemiology suggest that it is important to assess the health of ENM workers. Initial epidemiological studies of workers’ exposure to ENMs (<100 nm) are reviewed and characterized for their study designs, findings, and limitations. Of the 15 studies, 11 were cross-sectional, 4 were longitudinal (1 was both cross-sectional and longitudinal in design), and 1 was a descriptive pilot study. Generally, the studies used biologic markers as the dependent variables. All 11 cross-sectional studies showed a positive relationship between various biomarkers and ENM exposures. Three of the four longitudinal studies showed a negative relationship; the fourth showed positive findings after a 1-year follow-up. Each study considered exposure to ENMs as the independent variable. Exposure was assessed by mass concentration in 10 studies and by particle count in six studies. Six of them assessed both mass and particle concentrations. Some of the studies had limited exposure data because of inadequate exposure assessment. Generally, exposure levels were not very high in comparison to those in human inhalation chamber studies, but there were some exceptions. Most studies involved a small sample size, from 2 to 258 exposed workers. These studies represent the first wave of epidemiological studies of ENM workers. They are limited by small numbers of participants, inconsistent (and in some cases inadequate) exposure assessments, generally low exposures, and short intervals between exposure and effect. Still, these studies are a foundation for future work; they provide insight into where ENM workers are experiencing potentially adverse effects that might be related to ENM exposures.

  5. Epidemiological aspects of studying work-related musculoskeletal disorders.

    Science.gov (United States)

    Driscoll, Tim

    2011-02-01

    There are many challenges to conducting valid epidemiological research of work-related musculoskeletal disorders and interpreting reports describing the results. In particular, these concern the basic study design, selection of subjects, measurement of exposure and outcome, control of confounding and the limitations of workers' compensation data systems. Researchers and people interested in the research results need to be aware of the major potential problems and pay careful attention to them when designing, conducting and using the results of such research.

  6. Colorectal Cancer Epidemiology in the Nurses' Health Study.

    Science.gov (United States)

    Lee, Dong Hoon; Keum, NaNa; Giovannucci, Edward L

    2016-09-01

    To review the contribution of the Nurses' Health Study (NHS) to identifying risk and protective factors for colorectal adenomas and colorectal cancer (CRC). We performed a narrative review of the publications using the NHS between 1976 and 2016. Existing epidemiological studies using the NHS have reported that red and processed meat, alcohol, smoking, and obesity were associated with an increased risk of CRC, whereas folate, calcium, vitamin D, aspirin, and physical activity were associated with decreased risk of CRC. Moreover, modifiable factors, such as physical activity, vitamin D, folate, insulin and insulin-like growth factor binding protein-1, and diet quality, were identified to be associated with survival among CRC patients. In recent years, molecular pathological epidemiological studies have been actively conducted and have shown refined results by molecular subtypes of CRC. The NHS has provided new insights into colorectal adenomas, CRC etiology, and pathogenic mechanisms. With its unique strengths, the NHS should continue to contribute to the field of CRC epidemiology and play a major role in public health.

  7. Genotyping of Giardia isolates in Scotland: a descriptive epidemiological study.

    Science.gov (United States)

    Alexander, C; Jones, B; Inverarity, D; Pollock, K G J

    2014-08-01

    Giardiasis, caused by the intestinal protozoan parasite Giardia intestinalis (synonyms: G. lamblia, G. duodenalis), is one of the most frequent parasites to infect the Scottish population. Transmission of the infective cysts in faecal matter is commonly via food and/or water. Giardia is subdivided into assemblages, where clinical and epidemiological differences have been described between assemblages A and B. This snapshot descriptive epidemiological study examines 30 positive cases of Giardia of which 72% (n = 21) were shown to be assemblage A, 14% (n = 4) assemblage B and 10% (n = 3) mixed assemblages (A and B). There was a 2:3 female:male ratio of affected individuals with foreign travel recorded in 22 of these cases. The commonest symptom was diarrhoea which was reported in 80% of cases followed by tiredness. Five cases required hospitalization emphasizing the importance of gaining a greater understanding of how Giardia assemblages influence clinical outcomes to assist in formulating guidelines to manage potential Giardia outbreaks.

  8. Influence of radiation exposure on our society and epidemiological study

    Energy Technology Data Exchange (ETDEWEB)

    Yoshimoto, Yasuhiko [National Inst. of Radiological Sciences, Chiba (Japan)

    1997-03-01

    A brief epidemiological review of risk assessment of radiation was discussed with respect to two periods; before and after the establishment of the United Nations Scientific Committee on the Effects of Atomic Radiation. Selected topics were the studies of atomic bomb survivors and people living in the contaminated areas due to Chernobyl nuclear power plant accident. An ethical view to ensure that potential social benefits of epidemiology are maximized was emphasized as well as a scientific view. On the other hand it should be recognized that there are the limitations of epidemiological studies on the basis of the observations on man in which the animal-experimental setting generally cannot be controlled over. Informing people about the professional confidence and caution of radiation exposure is needed to resolve social concern associated with low dose, low dose rate of radiation. Also there are guidelines for the investigation of clusters of adverse health events. In the future an appropriate strategy for decontamination might be expected to unusual radiation exposure as a consequence of a nuclear power plant accident. Justification for the implementations can be determined only through the assessment of the effects both on the environment and health of humans after the accident. (author)

  9. Chlorine dioxide water disinfection: a prospective epidemiology study

    Energy Technology Data Exchange (ETDEWEB)

    Michael, G.E.; Miday, R.K.; Bercz, J.P.; Miller, R.G.; Greathouse, D.G.; Kraemer, D.F.; Lucas, J.B.

    1981-01-01

    An epidemiologic study of 198 persons exposed for 3 months to drinking water disinfected with chlorine dioxide was conducted in a rural village. A control population of 118 nonexposed persons was also studied. Pre-exposure hematologic and serum chemical parameters were compared with test results after 115 days of exposure. Chlorite ion levels in the water averaged approximately 5 ppM during the study period. Statistical analysis (ANOVA) of the data failed to identify any significant exposure-related effects. This study suggests that future evaluations of chlorine dioxide disinfection should be directed toward populations with potentially increased sensitivity to hemolytic agents.

  10. Consensus statement on assessment of waterpipe smoking in epidemiological studies.

    Science.gov (United States)

    Maziak, Wasim; Ben Taleb, Ziyad; Jawad, Mohammed; Afifi, Rima; Nakkash, Rima; Akl, Elie A; Ward, Kenneth D; Salloum, Ramzi G; Barnett, Tracey E; Primack, Brian A; Sherman, Scott; Cobb, Caroline O; Sutfin, Erin L; Eissenberg, Thomas

    2016-05-10

    Numerous epidemiological accounts suggest that waterpipe smoking (aka hookah, shisha, narghile) has become a global phenomenon, especially among youth. The alarming spread of waterpipe and accumulating evidence of its addictive and harmful effects represent a new threat in the global fight to limit tobacco-related morbidity and mortality. In response to waterpipe's alarming trends, major public health and tobacco control organisations have started or are considering systematic collection of data about waterpipe smoking to monitor its trends and assess its harmful effects in different societies. Such plans require coordination and agreement on epidemiological measurement tools that reflect the uniqueness of this tobacco use method, and at the same time allow comparison of waterpipe trends across time and place, and with other tobacco use methods. We started a decade ago our work to develop standardised measures and definitions for the assessment of waterpipe smoking in epidemiological studies. In this communication, we try to expand and update these assessment tools in light of our increased knowledge and understanding of waterpipe use patterns, its context and marketing, as well as the need for evidence-guided policies and regulations to curb its spread. We have assembled for this purpose a group of leading waterpipe researchers worldwide, and worked through an iterative process to develop the suggested instruments and definitions based on what we know currently about the waterpipe epidemic. While the suggested measures are by no means comprehensive, we hope that they can provide the building blocks for standard and comparable surveillance of waterpipe smoking globally.

  11. Performance of Combined Water Turbine Darrieus-Savonius with Two Stage Savonius Buckets and Single Deflector

    OpenAIRE

    Sahim, Kaprawi; Santoso, Dyos; Sipahutar, Riman

    2016-01-01

    The objective of this study is to show the effect of single deflector plate on the performance of combined Darrieus-Savonius water turbine. In order to overcome the disadvantages of low torque of solo Darrieus turbine, a plate deflector mounted in front of returning Savonius bucket of combined water turbine composing of Darrieus and Savonius rotor has been proposed in this study. Some configurations of combined turbines with two stage Savonius rotors were experimentally tested in a river of c...

  12. A continuous two stage solar coal gasification system

    Science.gov (United States)

    Mathur, V. K.; Breault, R. W.; Lakshmanan, S.; Manasse, F. K.; Venkataramanan, V.

    The characteristics of a two-stage fluidized-bed hybrid coal gasification system to produce syngas from coal, lignite, and peat are described. Devolatilization heat of 823 K is supplied by recirculating gas heated by a solar receiver/coal heater. A second-stage gasifier maintained at 1227 K serves to crack remaining tar and light oil to yield a product free from tar and other condensables, and sulfur can be removed by hot clean-up processes. CO is minimized because the coal is not burned with oxygen, and the product gas contains 50% H2. Bench scale reactors consist of a stage I unit 0.1 m in diam which is fed coal 200 microns in size. A stage II reactor has an inner diam of 0.36 m and serves to gasify the char from stage I. A solar power source of 10 kWt is required for the bench model, and will be obtained from a central receiver with quartz or heat pipe configurations for heat transfer.

  13. Two stages kinetics of municipal solid waste inoculation composting processes

    Institute of Scientific and Technical Information of China (English)

    XI Bei-dou1; HUANG Guo-he; QIN Xiao-sheng; LIU Hong-liang

    2004-01-01

    In order to understand the key mechanisms of the composting processes, the municipal solid waste(MSW) composting processes were divided into two stages, and the characteristics of typical experimental scenarios from the viewpoint of microbial kinetics was analyzed. Through experimentation with advanced composting reactor under controlled composting conditions, several equations were worked out to simulate the degradation rate of the substrate. The equations showed that the degradation rate was controlled by concentration of microbes in the first stage. The degradation rates of substrates of inoculation Run A, B, C and Control composting systems were 13.61 g/(kg·h), 13.08 g/(kg·h), 15.671 g/(kg·h), and 10.5 g/(kg·h), respectively. The value of Run C is around 1.5 times higher than that of Control system. The decomposition rate of the second stage is controlled by concentration of substrate. Although the organic matter decomposition rates were similar to all Runs, inoculation could reduce the values of the half velocity coefficient and could be more efficient to make the composting stable. Particularly. For Run C, the decomposition rate is high in the first stage, and is low in the second stage. The results indicated that the inoculation was efficient for the composting processes.

  14. Gas loading system for LANL two-stage gas guns

    Science.gov (United States)

    Gibson, Lee; Bartram, Brian; Dattelbaum, Dana; Lang, John; Morris, John

    2015-06-01

    A novel gas loading system was designed for the specific application of remotely loading high purity gases into targets for gas-gun driven plate impact experiments. The high purity gases are loaded into well-defined target configurations to obtain Hugoniot states in the gas phase at greater than ambient pressures. The small volume of the gas samples is challenging, as slight changing in the ambient temperature result in measurable pressure changes. Therefore, the ability to load a gas gun target and continually monitor the sample pressure prior to firing provides the most stable and reliable target fielding approach. We present the design and evaluation of a gas loading system built for the LANL 50 mm bore two-stage light gas gun. Targets for the gun are made of 6061 Al or OFHC Cu, and assembled to form a gas containment cell with a volume of approximately 1.38 cc. The compatibility of materials was a major consideration in the design of the system, particularly for its use with corrosive gases. Piping and valves are stainless steel with wetted seals made from Kalrez and Teflon. Preliminary testing was completed to ensure proper flow rate and that the proper safety controls were in place. The system has been used to successfully load Ar, Kr, Xe, and anhydrous ammonia with purities of up to 99.999 percent. The design of the system, and example data from the plate impact experiments will be shown. LA-UR-15-20521

  15. Enhancement of bioenergy production from organic wastes by two-stage anaerobic hydrogen and methane production process

    DEFF Research Database (Denmark)

    Luo, Gang; Xie, Li; Zhou, Qi

    2011-01-01

    The present study investigated a two-stage anaerobic hydrogen and methane process for increasing bioenergy production from organic wastes. A two-stage process with hydraulic retention time (HRT) 3d for hydrogen reactor and 12d for methane reactor, obtained 11% higher energy compared to a single......-stage methanogenic process (HRT 15d) under organic loading rate (OLR) 3gVS/(Ld). The two-stage process was still stable when the OLR was increased to 4.5gVS/(Ld), while the single-stage process failed. The study further revealed that by changing the HRThydrogen:HRTmethane ratio of the two-stage process from 3...

  16. Cohort profile: Epidemiological Clinicopathological studies in Europe (EClipSE).

    Science.gov (United States)

    2009-01-01

    Epidemiological Clinicopathological Studies in Europe (EClipSE) is the harmonization of neuropathological and longitudinal clinical data from three population-based prospective longitudinal studies of aging. The EClipSE database (Version 1.0) comprises data from the first 970 people who donated their brain at death and this number will increase. EClipSE enables sociodemographic, health, cognitive, and genetic measures collected during life to be related to neuropathology at death, testing hypotheses which require more power than has been previously possible. EClipSE aims to help throw light on relationships between biological, health and psychological factors underlying ageing and the manifestation of clinical dementia.

  17. Some applications of categorical data analysis to epidemiological studies.

    Science.gov (United States)

    Grizzle, J E; Koch, G G

    1979-10-01

    Several examples of categorized data from epidemiological studies are analyzed to illustrate that more informative analysis than tests of independence can be performed by fitting models. All of the analyses fit into a unified conceptual framework that can be performed by weighted least squares. The methods presented show how to calculate point estimate of parameters, asymptotic variances, and asymptotically valid chi 2 tests. The examples presented are analysis of relative risks estimated from several 2 x 2 tables, analysis of selected features of life tables, construction of synthetic life tables from cross-sectional studies, and analysis of dose-response curves.

  18. Considerations Regarding Age at Surgery and Fistula Incidence Using One- and Two-stage Closure for Cleft Palate

    OpenAIRE

    Simona Stoicescu; Dm Enescu

    2013-01-01

    Introduction: Although cleft lip and palate (CLP) is one of the most common congenital malformations, occurring in 1 in 700 live births, there is still no generally accepted treatment protocol. Numerous surgical techniques have been described for cleft palate repair; these techniques can be divided into one-stage (one operation) cleft palate repair and two-stage cleft palate closure. The aim of this study is to present our cleft palate team experience in using the two-stage cleft palate closu...

  19. A covariate adjusted two-stage allocation design for binary responses in randomized clinical trials.

    Science.gov (United States)

    Bandyopadhyay, Uttam; Biswas, Atanu; Bhattacharya, Rahul

    2007-10-30

    In the present work, we develop a two-stage allocation rule for binary response using the log-odds ratio within the Bayesian framework allowing the current allocation to depend on the covariate value of the current subject. We study, both numerically and theoretically, several exact and limiting properties of this design. The applicability of the proposed methodology is illustrated by using some data set. We compare this rule with some of the existing rules by computing various performance measures.

  20. Exergy analysis of vapor compression refrigeration cycle with two-stage and intercooler

    Science.gov (United States)

    Kılıç, Bayram

    2012-07-01

    In this study, exergy analyses of vapor compression refrigeration cycle with two-stage and intercooler using refrigerants R507, R407c, R404a were carried out. The necessary thermodynamic values for analyses were calculated by Solkane program. The coefficient of performance, exergetic efficiency and total irreversibility rate of the system in the different operating conditions for these refrigerants were investigated. The coefficient of performance, exergetic efficiency and total irreversibility rate for alternative refrigerants were compared.

  1. Exergy analysis of vapor compression refrigeration cycle with two-stage and intercooler

    Energy Technology Data Exchange (ETDEWEB)

    Kilic, Bayram [Mehmet Akif Ersoy University, Bucak Emin Guelmez Vocational School, Bucak, Burdur (Turkey)

    2012-07-15

    In this study, exergy analyses of vapor compression refrigeration cycle with two-stage and intercooler using refrigerants R507, R407c, R404a were carried out. The necessary thermodynamic values for analyses were calculated by Solkane program. The coefficient of performance, exergetic efficiency and total irreversibility rate of the system in the different operating conditions for these refrigerants were investigated. The coefficient of performance, exergetic efficiency and total irreversibility rate for alternative refrigerants were compared. (orig.)

  2. Rehabilitation outcomes in patients with early and two-stage reconstruction of flexor tendon injuries.

    Science.gov (United States)

    Sade, Ilgin; İnanir, Murat; Şen, Suzan; Çakmak, Esra; Kablanoğlu, Serkan; Selçuk, Barin; Dursun, Nigar

    2016-08-01

    [Purpose] The primary aim of this study was to assess rehabilitation outcomes for early and two-stage repair of hand flexor tendon injuries. The secondary purpose of this study was to compare the findings between treatment groups. [Subjects and Methods] Twenty-three patients were included in this study. Early repair (n=14) and two-stage repair (n=9) groups were included in a rehabilitation program that used hand splints. This retrospective evaluated patients according to their demographic characteristics, including age, gender, injured hand, dominant hand, cause of injury, zone of injury, number of affected fingers, and accompanying injuries. Pain, range of motion, and grip strength were evaluated using a visual analog scale, goniometer, and dynamometer, respectively. [Results] Both groups showed significant improvements in pain and finger flexion after treatment compared with baseline measurements. However, no significant differences were observed between the two treatment groups. Similar results were obtained for grip strength and pinch grip, whereas gross grip was better in the early tendon repair group. [Conclusion] Early and two-stage reconstruction of patients with flexor tendon injuries can be performed with similarly favorable responses and effective rehabilitation programs.

  3. Epidemiological studies of esophageal cancer in the era of genome-wide association studies

    Institute of Scientific and Technical Information of China (English)

    An-Hui; Wang; Yuan; Liu; Bo; Wang; Yi-Xuan; He; Ye-Xian; Fang; Yong-Ping; Yan

    2014-01-01

    Esophageal cancer(EC) caused about 395000 deaths in 2010. China has the most cases of EC and EC is the fourth leading cause of cancer death in China. Esophageal squamous cell carcinoma(ESCC) is the predominant histologic type(90%-95%), while the incidence of esophageal adenocarcinoma(EAC) remains extremely low in China. Traditional epidemiological studies have revealed that environmental carcinogens are risk factors for EC. Molecular epidemiological studies revealed that susceptibility to EC is influenced by both environmental and genetic risk factors. Of all the risk factors for EC, some are associated with the risk of ESCC and others with the risk of EAC. However, the details and mechanisms of risk factors involved in the process for EC are unclear. The advanced methods and techniques used in human genome studies bring a great opportunity for researchers to explore and identify the details of those risk factors or susceptibility genes involved inthe process of EC. Human genome epidemiology is a new branch of epidemiology, which leads the epidemiology study from the molecular epidemiology era to the era of genome wide association studies(GWAS). Here we review the epidemiological studies of EC(especially ESCC) in the era of GWAS, and provide an overview of the general risk factors and those genomic variants(genes, SNPs, miRNAs, proteins) involved in the process of ESCC.

  4. Toward Improving Electrocardiogram (ECG) Biometric Verification using Mobile Sensors: A Two-Stage Classifier Approach.

    Science.gov (United States)

    Tan, Robin; Perkowski, Marek

    2017-02-20

    Electrocardiogram (ECG) signals sensed from mobile devices pertain the potential for biometric identity recognition applicable in remote access control systems where enhanced data security is demanding. In this study, we propose a new algorithm that consists of a two-stage classifier combining random forest and wavelet distance measure through a probabilistic threshold schema, to improve the effectiveness and robustness of a biometric recognition system using ECG data acquired from a biosensor integrated into mobile devices. The proposed algorithm is evaluated using a mixed dataset from 184 subjects under different health conditions. The proposed two-stage classifier achieves a total of 99.52% subject verification accuracy, better than the 98.33% accuracy from random forest alone and 96.31% accuracy from wavelet distance measure algorithm alone. These results demonstrate the superiority of the proposed algorithm for biometric identification, hence supporting its practicality in areas such as cloud data security, cyber-security or remote healthcare systems.

  5. Performance measurement of insurance firms using a two-stage DEA method

    Directory of Open Access Journals (Sweden)

    Raha Jalili Sabet

    2013-01-01

    Full Text Available Measuring the relative performance of insurance firms plays an important role in this industry. In this paper, we present a two-stage data envelopment analysis to measure the performance of insurance firms, which were active over the period of 2006-2010. The proposed study of this paper performs DEA method in two stages where the first stage considers five inputs and three outputs while the second stage considers the outputs of the first stage as the inputs of the second stage and uses three different outputs for this stage. The results of our survey have indicated that while there were 4 efficient insurance firms most other insurances were noticeably inefficient. This means market was monopolized mostly by a limited number of insurance firms and competition was not fare enough to let other firms participate in economy, more efficiently.

  6. Syme's two-stage amputation in insulin-requiring diabetics with gangrene of the forefoot.

    Science.gov (United States)

    Pinzur, M S; Morrison, C; Sage, R; Stuck, R; Osterman, H; Vrbos, L

    1991-06-01

    Thirty-five insulin-requiring adult diabetic patients underwent 38 Syme's Two-Stage amputations for gangrene of the forefoot with nonreconstructible peripheral vascular insufficiency. All had a minimum Doppler ischemic index of 0.5, serum albumin of 3.0 gm/dl, and total lymphocyte count of 1500. Thirty-one (81.6%) eventually healed and were uneventfully fit with a prosthesis. Regional anesthesia was used in all of the patients, with 22 spinal and 16 ankle block anesthetics. Twenty-seven (71%) returned to their preamputation level of ambulatory function. Six (16%) had major, and fifteen (39%) minor complications following the first stage surgery. The results of this study support the use of the Syme's Two-Stage amputation in adult diabetic patients with gangrene of the forefoot requiring amputation.

  7. Experiment and surge analysis of centrifugal two-stage turbocharging system

    Institute of Scientific and Technical Information of China (English)

    Yituan HE; Chaochen MA

    2008-01-01

    To study a centrifugal two-stage turbocharging system's surge and influencing factors, a special test bench was set up and the system surge test was performed. The test results indicate that the measured parameters such as air mass flow and rotation speed of a high pressure (HP) stage compressor can be converted into corrected para-meters under a standard condition according to the Mach number similarity criterion, because the air flow in a HP stage compressor has entered the Reynolds number (Re) auto-modeling range. Accordingly, the reasons leading to a two-stage turbocharging system's surge can be analyzed according to the corrected mass flow characteristic maps and actual operating conditions of HP and low pressure (LP) stage compressors.

  8. Epidemiology, etiology and study of clinical findings of headache

    Directory of Open Access Journals (Sweden)

    Ghaffarpoor M

    1998-09-01

    Full Text Available In a cross-sectional epidemiological study of headache disorders in neurology clinic of Fatemieh hospital of Semnan (August 22-November 20.1996, information on types of headaches, quality, severity, location, duration, frequency, precipitating factors, age of onset, influence of menstruation and pregnancy, positive familial history, use of oral contraceptive pills and other epidemiological factors including socioeconomic and age/sex composition was collected. The presence of any types of headaches was ascertained by a clinical interview and examination using the operational diagnostic criteria of the International Headaches Society. The prevalence of migraine and tension type headache was also analysed in relation to variables of life style (physical activity and sleep pattern and associated signs and symptoms (nausea, vomiting, photophobia and phonophobia. In this study migraine and tension headache were also compared in variable aspects with each other. 1 Headache was more prevalent in women than men (F/M=3/1. 2 The most common types of headache included: tension type headache (41.4%, migraine (31.2% and unclassified headaches (17.2%. 3 Migraine and T.T.H were more prevalent in early adult life and middle ages. 4 In both migraine and tension type headache the time profiles (duration, frequency, age of onset, quality and location were like that noted in textbook and previous studies. 5 In both migraine and tension type headache the most conspicuous precipitating factor was stress and mental tension and frequent headaches were accompanied with psychiatric problems (e.g depression and or anxiety. 6 Nausea, vomiting, phonophobia and photophobia were the most common associated symptoms in both of them. 7 Positive familial history and aggravation of headache in perimenstual period were more commonly seen in patients with migraine than tension type headache. In conclusion using the operational diagnostic criteria of International Headache Society in

  9. [The Strengthening the Reporting of Observational Studies in Epidemiology [STROBE] statement: guidelines for reporting observational studies

    DEFF Research Database (Denmark)

    Elm, E. von; Altman, D.G.; Egger, M.

    2008-01-01

    Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed rec...

  10. The household contact study design for genetic epidemiological studies of infectious diseases

    Directory of Open Access Journals (Sweden)

    Catherine eStein

    2013-04-01

    Full Text Available Most genetic epidemiological study designs fall into one of two categories: family-based and population-based (case-control. However, recent advances in statistical genetics call for study designs that combine these two approaches. We describe the household contact study design as we have applied it in our several years of study of the epidemiology of tuberculosis. Though we highlight its applicability for genetic epidemiological studies of infectious diseases, there are many facets of this design that are appealing for modern genetic studies, including the simultaneous enrollment of related and unrelated individuals, closely and distantly related individuals, collection of extensive epidemiologic and phenotypic data, and evaluation of effects of shared environment and gene by environment interaction. These study design characteristics are particularly appealing for current sequencing studies.

  11. Epidemiological studies on syncope--a register based approach

    DEFF Research Database (Denmark)

    Ruwald, Martin Huth

    2013-01-01

    : 1) the use, validity and accuracy of the ICD-10 diagnosis of syncope R55.9 in the National Patient Registry for the use of this diagnosis in the epidemiology of syncope, 2) diagnostics used and etiology of a random selection of patients who had a discharge diagnosis of R55.9, 3) the incidence...... thesis demonstrated that the ICD-10 discharge diagnosis could reliably identify a cohort of patients admitted for syncope and that the discharge code carried a high number of unexplained cases despite use of numerous tests. The last studies showed that syncope is a common cause for hospital contact...

  12. Epidemiological study on feline gastric Helicobacter spp. in Japan

    OpenAIRE

    KUBOTA-AIZAWA, Sanae; OHNO, Koichi; KANEMOTO, Hideyuki; NAKASHIMA, Ko; FUKUSHIMA, Kenjiro; UCHIDA, Kazuyuki; CHAMBERS, James K.; GOTO-KOSHINO, Yuko; Mimuro, Hitomi; Watanabe, Takayasu; Sekizaki, Tsutomu; TSUJIMOTO, Hajime

    2017-01-01

    Epidemiological and pathological studies on Helicobacter spp. in feline stomachs in Japan were conducted using genus- and species-specific (H. felis, H. bizzozeronii, H. heilmannii sensu stricto [s.s.] and H. pylori) polymerase chain reactions (PCRs), ureAB gene sequencing and histopathology. PCR results showed that 28 of 56 cats were infected with Helicobacter spp., and H. heilmannii s.s. was the most prevalent species by both PCR (28/28) and ureAB gene sequencing (26/28). Some of the sequen...

  13. Two-staged management for all types of congenital pouch colon

    Directory of Open Access Journals (Sweden)

    Rajendra K Ghritlaharey

    2013-01-01

    Full Text Available Background: The aim of this study was to review our experience with two-staged management for all types of congenital pouch colon (CPC. Patients and Methods: This retrospective study included CPC cases that were managed with two-staged procedures in the Department of Paediatric Surgery, over a period of 12 years from 1 January 2000 to 31 December 2011. Results: CPC comprised of 13.71% (97 of 707 of all anorectal malformations (ARM and 28.19% (97 of 344 of high ARM. Eleven CPC cases (all males were managed with two-staged procedures. Distribution of cases (Narsimha Rao et al.′s classification into types I, II, III, and IV were 1, 2, 6, and 2, respectively. Initial operative procedures performed were window colostomy (n = 6, colostomy proximal to pouch (n = 4, and ligation of colovesical fistula and end colostomy (n = 1. As definitive procedures, pouch excision with abdomino-perineal pull through (APPT of colon in eight, and pouch excision with APPT of ileum in three were performed. The mean age at the time of definitive procedures was 15.6 months (ranges from 3 to 53 months and the mean weight was 7.5 kg (ranges from 4 to 11 kg. Good fecal continence was observed in six and fair in two cases in follow-up periods, while three of our cases lost to follow up. There was no mortality following definitive procedures amongst above 11 cases. Conclusions: Two-staged procedures for all types of CPC can also be performed safely with good results. The most important fact that the definitive procedure is being done without protective stoma and therefore, it avoids stoma closure, stoma-related complications, related cost of stoma closure and hospital stay.

  14. Reducing the risk of foaming and decreasing viscosity by two-stage anaerobic digestion of sugar beet pressed pulp.

    Science.gov (United States)

    Stoyanova, Elitza; Forsthuber, Boris; Pohn, Stefan; Schwarz, Christian; Fuchs, Werner; Bochmann, Günther

    2014-04-01

    Anaerobic digestion (AD) of sugar beet pressed pulp (SBPP) is a promising treatment concept. It produces biogas as a renewable energy source making sugar production more energy efficient and it turns SBPP from a residue into a valuable resource. In this study one- and two-stage mono fermentation at mesophilic conditions in a continuous stirred tank reactor were compared. Also the optimal incubation temperature for the pre-acidification stage was studied. The fastest pre-acidification, with a hydraulic retention time (HRT) of 4 days, occurred at a temperature of 55 °C. In the methanogenic reactor of the two-stage system stable fermentation at loading rate of 7 kg VS/m³ d was demonstrated. No artificial pH adjustment was necessary to maintain optimum levels in both the pre-acidification and the methanogenic reactor. The total HRT of the two-stage AD was 36 days which is considerably lower compared to the one-stage AD (50 days). The frequently observed problem of foaming at high loading rates was less severe in the two-stage reactor. Moreover the viscosity of digestate in the methanogenic stage of the two-stage fermentation was in average tenfold lower than in the one-stage fermentation. This decreases the energy input for the reactor stirring about 80 %. The observed advantages make the two-stage process economically attractive, despite higher investments for a two reactor system.

  15. A Comparison of Direct and Two-Stage Transportation of Patients to Hospital in Poland

    Directory of Open Access Journals (Sweden)

    Anna Rosiek

    2015-04-01

    Full Text Available Background: The rapid international expansion of telemedicine reflects the growth of technological innovations. This technological advancement is transforming the way in which patients can receive health care. Materials and Methods: The study was conducted in Poland, at the Department of Cardiology of the Regional Hospital of Louis Rydygier in Torun. The researchers analyzed the delay in the treatment of patients with acute coronary syndrome. The study was conducted as a survey and examined 67 consecutively admitted patients treated invasively in a two-stage transport system. Data were analyzed statistically. Results: Two-stage transportation does not meet the timeframe guidelines for the treatment of patients with acute myocardial infarction. Intervals for the analyzed group of patients were statistically significant (p < 0.0001. Conclusions: Direct transportation of the patient to a reference center with interventional cardiology laboratory has a significant impact on reducing in-hospital delay in case of patients with acute coronary syndrome. Perspectives: This article presents the results of two-stage transportation of the patient with acute coronary syndrome. This measure could help clinicians who seek to assess time needed for intervention. It also shows how time from the beginning of pain in chest is important and may contribute to patient disability, death or well-being.

  16. Two-stage residual inclusion estimation: addressing endogeneity in health econometric modeling.

    Science.gov (United States)

    Terza, Joseph V; Basu, Anirban; Rathouz, Paul J

    2008-05-01

    The paper focuses on two estimation methods that have been widely used to address endogeneity in empirical research in health economics and health services research-two-stage predictor substitution (2SPS) and two-stage residual inclusion (2SRI). 2SPS is the rote extension (to nonlinear models) of the popular linear two-stage least squares estimator. The 2SRI estimator is similar except that in the second-stage regression, the endogenous variables are not replaced by first-stage predictors. Instead, first-stage residuals are included as additional regressors. In a generic parametric framework, we show that 2SRI is consistent and 2SPS is not. Results from a simulation study and an illustrative example also recommend against 2SPS and favor 2SRI. Our findings are important given that there are many prominent examples of the application of inconsistent 2SPS in the recent literature. This study can be used as a guide by future researchers in health economics who are confronted with endogeneity in their empirical work.

  17. Is bioelectrical impedance accurate for use in large epidemiological studies?

    Directory of Open Access Journals (Sweden)

    Merchant Anwar T

    2008-09-01

    Full Text Available Abstract Percentage of body fat is strongly associated with the risk of several chronic diseases but its accurate measurement is difficult. Bioelectrical impedance analysis (BIA is a relatively simple, quick and non-invasive technique, to measure body composition. It measures body fat accurately in controlled clinical conditions but its performance in the field is inconsistent. In large epidemiologic studies simpler surrogate techniques such as body mass index (BMI, waist circumference, and waist-hip ratio are frequently used instead of BIA to measure body fatness. We reviewed the rationale, theory, and technique of recently developed systems such as foot (or hand-to-foot BIA measurement, and the elements that could influence its results in large epidemiologic studies. BIA results are influenced by factors such as the environment, ethnicity, phase of menstrual cycle, and underlying medical conditions. We concluded that BIA measurements validated for specific ethnic groups, populations and conditions can accurately measure body fat in those populations, but not others and suggest that for large epdiemiological studies with diverse populations BIA may not be the appropriate choice for body composition measurement unless specific calibration equations are developed for different groups participating in the study.

  18. Genetic epidemiology of tuberculosis susceptibility: impact of study design.

    Science.gov (United States)

    Stein, Catherine M

    2011-01-20

    Several candidate gene studies have provided evidence for a role of host genetics in susceptibility to tuberculosis (TB). However, the results of these studies have been very inconsistent, even within a study population. Here, we review the design of these studies from a genetic epidemiological perspective, illustrating important differences in phenotype definition in both cases and controls, consideration of latent M. tuberculosis infection versus active TB disease, population genetic factors such as population substructure and linkage disequilibrium, polymorphism selection, and potential global differences in M. tuberculosis strain. These considerable differences between studies should be accounted for when examining the current literature. Recommendations are made for future studies to further clarify the host genetics of TB.

  19. Serum Biomarkers of (AntiOxidant Status for Epidemiological Studies

    Directory of Open Access Journals (Sweden)

    Eugène Jansen

    2015-11-01

    Full Text Available In this review, we disclose a selection of serum/plasma biomarkers of (antioxidant status related to nutrition, which can be used for measurements in large-scale epidemiological studies. From personal experience, we have come to the following proposal of a set of biomarkers for nutritional intake, (antioxidant status, and redox status. We have selected the individual antioxidant vitamins E and A, and the carotenoids which can be measured in large series by HPLC. In addition, vitamin C was selected, which can be measured by an auto-analyzer or HPLC. As a biomarker for oxidative stress, the ROM assay (reactive oxygen metabolites was selected; for the redox status, the total thiol assay; and for the total antioxidant status the BAP assay (biological antioxidant potential. All of these biomarkers can be measured in large quantities by an auto-analyzer. Critical points in biomarker validation with respect to blood sampling, storage conditions, and measurements are discussed. With the selected biomarkers, a good set is presented for use in the risk assessment between nutrition and (chronic diseases in large-scale epidemiological studies. Examples of the successful application of these biomarkers in large international studies are presented.

  20. Epidemiologic study of Phenylketonuria disease in Lorestan province

    Directory of Open Access Journals (Sweden)

    Azita Zafar Mohtashami

    2016-12-01

    Full Text Available Background : Phenylketonuria (PKU is a metabolic disease with autosomal recessive pattern of inheritance caused by a deficiency or absence of the enzyme phenylalanine hydroxylase in the liver. Phenylketonuria incidence is 1 in 10,000 births. This study aimed to determine the epidemiological characteristics of phenylketonuria in Lorestan province. Materials and Methods: All 81 phenylketonuria patients known in Lorestan province up to winter 2014 were considered in this descriptive epidemiologic study. Based on the goals and variables of the study, a complete questionnaire was developed to collect data through interviews with parents and the records and they were analyzed by use of SPSS v.16 software with preparing tables and graphs and using chi-square and t-test. Results: Results showed that phenylketonuria prevalence is 4.3 out of 100,000 people in Lorestan province. Twenty of the patients (24.7% were identified through screening and 61 patients (75.3% through other methods. Forty-six of the samples (56.8% were female and 35 cases (43.2% were male. Nearly 75% of PKU patients had a positive history of consanguinity marriage in their parents. The prevalence of the disease was significantly different from other cities. Conclusion: Neonatal screening for phenylketonuria is necessary and should be done within 3-5 days of birth. In families with children suffering from PKU, prenatal diagnosis is necessary for other pregnancies.

  1. First molecular epidemiological study of cutaneous leishmaniasis in Libya.

    Science.gov (United States)

    Amro, Ahmad; Gashout, Aisha; Al-Dwibe, Hamida; Zahangir Alam, Mohammad; Annajar, Badereddin; Hamarsheh, Omar; Shubar, Hend; Schönian, Gabriele

    2012-01-01

    Cutaneous leishmaniasis (CL) is a major public health problem in Libya. The objective of this study was to investigate, for the first time, epidemiological features of CL outbreaks in Libya including molecular identification of parasites, the geographical distribution of cases and possible scenarios of parasite transmission. We studied 450 patients that came from 49 areas distributed in 12 districts in north-west Libya. The patients' ages ranged from 9 months to 87 years (median age 25 years); 54% of the cases were males. Skin scrapings spotted on glass slides were collected for molecular identification of causative agent. The ribosomal internal transcribed spacer 1 (ITS1) was amplified and subsequently characterized by restriction fragment length polymorphism (RFLP) analysis. In total, 195 samples were successfully identified of which 148 (75.9%) were Leishmania major, and 47 (24.1%) Leishmania tropica. CL cases infected with L. major were found in all CL areas whereas L. tropica cases came mainly from Al Jabal Al Gharbi (46.4%), Misrata (17.8%) and Tarhuna districts (10.7%). A trend of seasonality was noticed for the infections with L. major which showed a clear peak between November and January, but was less pronounced for infections by L. tropica. The first molecular study on CL in Libya revealed that the disease is caused by L. major and L. tropica and the epidemiological patterns in the different foci were the same as in other Mediterranean foci of CL.

  2. High quantum efficiency mid-wavelength interband cascade infrared photodetectors with one and two stages

    Science.gov (United States)

    Zhou, Yi; Chen, Jianxin; Xu, Zhicheng; He, Li

    2016-08-01

    In this paper, we report on mid-wavelength infrared interband cascade photodetectors grown on InAs substrates. We studied the transport properties of the photon-generated carriers in the interband cascade structures by comparing two different detectors, a single stage detector and a two-stage cascade detector. The two-stage device showed quantum efficiency around 19.8% at room temperature, and clear optical response was measured even at a temperature of 323 K. The two detectors showed similar Johnson-noise limited detectivity. The peak detectivity of the one- and two-stage devices was measured to be 2.15 × 1014 cm·Hz1/02/W and 2.19 × 1014 cm·Hz1/02/W at 80 K, 1.21 × 109 cm·Hz1/02/W and 1.23 × 109 cm·Hz1/02/W at 300 K, respectively. The 300 K background limited infrared performance (BLIP) operation temperature is estimated to be over 140 K.

  3. Continuous removal of endocrine disruptors by versatile peroxidase using a two-stage system.

    Science.gov (United States)

    Taboada-Puig, Roberto; Lu-Chau, Thelmo A; Eibes, Gemma; Feijoo, Gumersindo; Moreira, Maria T; Lema, Juan M

    2015-01-01

    The oxidant Mn(3+) -malonate, generated by the ligninolytic enzyme versatile peroxidase in a two-stage system, was used for the continuous removal of endocrine disrupting compounds (EDCs) from synthetic and real wastewaters. One plasticizer (bisphenol-A), one bactericide (triclosan) and three estrogenic compounds (estrone, 17β-estradiol, and 17α-ethinylestradiol) were removed from wastewater at degradation rates in the range of 28-58 µg/L·min, with low enzyme inactivation. First, the optimization of three main parameters affecting the generation of Mn(3+) -malonate (hydraulic retention time as well as Na-malonate and H2 O2 feeding rates) was conducted following a response surface methodology (RSM). Under optimal conditions, the degradation of the EDCs was proven at high (1.3-8.8 mg/L) and environmental (1.2-6.1 µg/L) concentrations. Finally, when the two-stage system was compared with a conventional enzymatic membrane reactor (EMR) using the same enzyme, a 14-fold increase of the removal efficiency was observed. At the same time, operational problems found during EDCs removal in the EMR system (e.g., clogging of the membrane and enzyme inactivation) were avoided by physically separating the stages of complex formation and pollutant oxidation, allowing the system to be operated for a longer period (∼8 h). This study demonstrates the feasibility of the two-stage enzymatic system for removing EDCs both at high and environmental concentrations.

  4. Industrial demonstration plant for the gasification of herb residue by fluidized bed two-stage process.

    Science.gov (United States)

    Zeng, Xi; Shao, Ruyi; Wang, Fang; Dong, Pengwei; Yu, Jian; Xu, Guangwen

    2016-04-01

    A fluidized bed two-stage gasification process, consisting of a fluidized-bed (FB) pyrolyzer and a transport fluidized bed (TFB) gasifier, has been proposed to gasify biomass for fuel gas production with low tar content. On the basis of our previous fundamental study, an autothermal two-stage gasifier has been designed and built for gasify a kind of Chinese herb residue with a treating capacity of 600 kg/h. The testing data in the operational stable stage of the industrial demonstration plant showed that when keeping the reaction temperatures of pyrolyzer and gasifier respectively at about 700 °C and 850 °C, the heating value of fuel gas can reach 1200 kcal/Nm(3), and the tar content in the produced fuel gas was about 0.4 g/Nm(3). The results from this pilot industrial demonstration plant fully verified the feasibility and technical features of the proposed FB two-stage gasification process.

  5. Effects of earthworm casts and zeolite on the two-stage composting of green waste

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Lu, E-mail: zhanglu1211@gmail.com; Sun, Xiangyang, E-mail: xysunbjfu@gmail.com

    2015-05-15

    Highlights: • Earthworm casts (EWCs) and clinoptilolite (CL) were used in green waste composting. • Addition of EWCs + CL improved physico-chemical and microbiological properties. • Addition of EWCs + CL extended the duration of thermophilic periods during composting. • Addition of EWCs + CL enhanced humification, cellulose degradation, and nutrients. • Combined addition of 0.30% EWCs + 25% CL reduced composting time to 21 days. - Abstract: Because it helps protect the environment and encourages economic development, composting has become a viable method for organic waste disposal. The objective of this study was to investigate the effects of earthworm casts (EWCs) (at 0.0%, 0.30%, and 0.60%) and zeolite (clinoptilolite, CL) (at 0%, 15%, and 25%) on the two-stage composting of green waste. The combination of EWCs and CL improved the conditions of the composting process and the quality of the compost products in terms of the thermophilic phase, humification, nitrification, microbial numbers and enzyme activities, the degradation of cellulose and hemicellulose, and physico-chemical characteristics and nutrient contents of final composts. The compost matured in only 21 days with the optimized two-stage composting method rather than in the 90–270 days required for traditional composting. The optimal two-stage composting and the best quality compost were obtained with 0.30% EWCs and 25% CL.

  6. Right Axillary Sweating After Left Thoracoscopic Sypathectomy in Two-Stage Surgery

    Directory of Open Access Journals (Sweden)

    Berkant Ozpolat

    2013-06-01

    Full Text Available One stage bilateral or two stage unilateral video assisted thoracoscopic sympathectomy could be performed in the treatment of primary focal hyperhidrosis. Here we present a case with compensatory sweating of contralateral side after a two stage operation.

  7. The Two-stage Constrained Equal Awards and Losses Rules for Multi-Issue Allocation Situation

    NARCIS (Netherlands)

    Lorenzo-Freire, S.; Casas-Mendez, B.; Hendrickx, R.L.P.

    2005-01-01

    This paper considers two-stage solutions for multi-issue allocation situations.Characterisations are provided for the two-stage constrained equal awards and constrained equal losses rules, based on the properties of composition and path independence.

  8. Epidemiologic study of ankle fractures in a tertiary hospital.

    Science.gov (United States)

    Sakaki, Marcos Hideyo; Matsumura, Bruno Akio Rodrigues; Dotta, Thiago De Angelis Guerra; Pontin, Pedro Augusto; Dos Santos, Alexandre Leme Godoy; Fernandes, Tulio Diniz

    2014-01-01

    To evaluate the epidemiology of ankle fractures surgically treated at the Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo. Medical records of patients admitted with foot and ankle fractures between 2006 and 2011 were revised. Seventy three ankle fractures that underwent surgical treatment were identified. The parameters analyzed included age, gender, injured side, AO and Gustilo & Anderson classification, associated injuries, exposure, need to urgent treatment, time to definitive treatment and early post-operative complications. retrospective epidemiological study. Male gender was predominant among subjects and the mean age was 27.5 years old. Thirty nine fractures resulted from traffic accidents and type B fracture according to AO classification was the most common. Twenty one were open fractures and 22 patients had associated injuries. The average time to definitive treatment was 6.5 days. Early post-operative complications were found in 21.3% of patients. Ankle fractures treated in a tertiary hospital of a large city in Brazil affect young people victims of high-energy accidents and present significant rates of associated injuries and post-operative complications. Level of Evidence IV, Cases Series.

  9. Epidemiological study of epilepsy by monitoring prescriptions of antiepileptic drugs.

    Science.gov (United States)

    Banfi, R; Borselli, G; Marinai, C; Borgheresi, A; Cavalieri, A

    1995-07-28

    The aim of this study is to evaluate a simple and effective method of acquiring epidemiological information about epilepsy. Data on antiepileptic drug prescriptions was collected, the utilization pattern being based on defined daily doses (DDDs). Antiepileptic drugs are epidemiological tracers of epilepsy due to their chronic and highly specific usage. Consequently, a prevalence rate for the whole population may be obtained by using DDDs. Data on antiepileptic drug prescriptions for a period of 6 months in 1992 and 6 months in 1993 indicate a utilization of approximately 7 DDDs of antiepileptic drugs per 1,000 inhabitants. The prevalence of epilepsy was estimated by correcting the exposure calculated in DDDs by a factor of 0.68. In our sample, the prevalence of the disease was 5.2 per 1,000 inhabitants in 1992 and 4.9 per 1,000 in 1993. Physician prescriptions were concentrated on four compounds, namely phenobarbital, carbamazepine, valproic acid and phenytoin, which together represented 90% of total antiepileptic drug prescriptions.

  10. Suicide in Sorocaba-SP: an epidemiological study

    Directory of Open Access Journals (Sweden)

    Melissa Nobrega Vasques de Freitas

    2013-09-01

    Introduction: suicide is a major worldwide public health issue and appears as one of the ten most frequent causes of death in all ages. Objective: to perform an epidemiological analysis of suicide rates recorded between 2000 and 2009 in the city of Sorocaba-SP and compare them to national epidemiological data. Methods: We performed a descriptive analysis of suicide data in Sorocaba-SP in the period 2000 to 2009 collected by the Surveillance of Violence and Injuries (VIVA and the Municipal Health Secretariat of Sorocaba-SP. Results: a total of 229 suicide cases were recorded between 2000 and 2009. Total suicide rate suffered an increase of 3.8% in 2005, as compared to previous years, and remained constant in subsequent years. The highest average rates were recorded in 2005 and 2007. Men are more likely to commit suicide. The highest rates of suicide were recorded in the age group 35-44 years. Being single was the most common sociodemographic characteristic of suicides during the study period. The most common methods of suicide were hanging and firearms. Conclusion: The rate of suicide in Sorocaba-SP, despite low, is consistent with the national and international growth trends. Members of the younger population are killing themselves with increasing frequency, although the highest rates of suicide are still found among those aged 35 - 44 years

  11. Myasthenia Gravis: a population-based epidemiological study.

    LENUS (Irish Health Repository)

    Rutledge, S

    2016-02-01

    Myasthenia Gravis (MG) is a disorder affecting components of the neuromuscular junction. Epidemiological studies show rising incidence and prevalence rates. The aim of this study was to determine the incidence and prevalence of MG in the Republic of Ireland. Data sources included patient lists from consultant neurologists and ophthalmologists, a neuroimmunology laboratory, general practitioners and the Myasthenia Gravis Association. A total of 1,715 cases were identified, of which 706 definite, probable or possible autoimmune and congenital MG cases were included. The overall prevalence rate from the data obtained is 15.38\\/100,000. The study demonstrated a female preponderance (female:male of 1.3: 1) and some geographical variation within Ireland. The average incidence rate for the years 2000 to 2009 was 11.3 per year; the rate for the current decade is 18 per year. The increasing number of diagnoses may be due to improved access to diagnostic investigations and increasing awareness of the clinical manifestations.

  12. Asymptomatic infection with American cutaneous leishmaniasis: epidemiological and immunological studies

    Science.gov (United States)

    Andrade-Narvaez, Fernando J; Loría-Cervera, Elsy Nalleli; Sosa-Bibiano, Erika I; Van Wynsberghe, Nicole R

    2016-01-01

    American cutaneous leishmaniasis (ACL) is a major public health problem caused by vector-borne protozoan intracellular parasites from the genus Leishmania, subgenera Viannia and Leishmania. Asymptomatic infection is the most common outcome after Leishmania inoculation. There is incomplete knowledge of the biological processes explaining the absence of signs or symptoms in most cases while other cases present a variety of clinical findings. Most studies of asymptomatic infection have been conducted in areas of endemic visceral leishmaniasis. In contrast, asymptomatic ACL infection has been neglected. This review is focused on the following: (1) epidemiological studies supporting the existence of asymptomatic ACL infection and (2) immunological studies conducted to understand the mechanisms responsible for controlling the parasite and avoiding tissue damage. PMID:27759762

  13. Asymptomatic infection with American cutaneous leishmaniasis: epidemiological and immunological studies

    Directory of Open Access Journals (Sweden)

    Fernando J Andrade-Narvaez

    Full Text Available American cutaneous leishmaniasis (ACL is a major public health problem caused by vector-borne protozoan intracellular parasites from the genus Leishmania, subgenera Viannia and Leishmania. Asymptomatic infection is the most common outcome after Leishmania inoculation. There is incomplete knowledge of the biological processes explaining the absence of signs or symptoms in most cases while other cases present a variety of clinical findings. Most studies of asymptomatic infection have been conducted in areas of endemic visceral leishmaniasis. In contrast, asymptomatic ACL infection has been neglected. This review is focused on the following: (1 epidemiological studies supporting the existence of asymptomatic ACL infection and (2 immunological studies conducted to understand the mechanisms responsible for controlling the parasite and avoiding tissue damage.

  14. Methodological issues of confounding in analytical epidemiologic studies.

    Science.gov (United States)

    Hajian Tilaki, Karimollah

    2012-01-01

    Confounding can be thought of as mixing the effect of exposure on the risk of disease with a third factor which distorts the measure of association such as risk ratio or odds ratio. This bias arises because of complex functional relationship of confounder with both exposure and disease (outcome). In this article, we provided a conceptual framework review of confounding issues in epidemiologic studies, in particular in observational studies and nonrandomized experimental studies. We have shown in 2 by 2 tables with analytical examples how the index of association will be distorted when confounding is present. The criteria, source of confounding and several points in confounding issues have been addressed. The advantages and disadvantages of several strategies for control of confounding have been discussed.

  15. Epidemiological studies of the respiratory effects of air pollution.

    Science.gov (United States)

    Lebowitz, M D

    1996-05-01

    Environmental epidemiological studies of the health effects of air pollution have been major contributors to the understanding of such effects. The chronic effects of atmospheric pollutants have been studied, but, except for the known respiratory effects of particulate matter (PM), they have not been studied conclusively. There are ongoing studies of the chronic effects of certain pollutant classes, such as ozone, acid rain, airborne toxics, and the chemical form of PM (including diesel exhaust). Acute effects on humans due to outdoor and indoor exposures to several gases/fumes and PM have been demonstrated in epidemiological studies. However, the effects of these environmental factors on susceptible individuals are not known conclusively. These acute effects are especially important because they increase the human burden of minor illnesses, increase disability, and are thought to decrease productivity. They may be related to the increased likelihood of chronic disease as well. Further research is needed in this latter area, to determine the contributions of the time-related activities of individuals in different microenvironments (outdoors, in homes, in transit). Key elements of further studies are the assessment of total exposure to the different pollutants (occurring from indoor and outdoor source) and the interactive effects of pollutants. Major research areas include determination of the contributions of indoor sources and of vehicle emissions to total exposure, how to measure such exposures, and how to measure human susceptibility and responses (including those at the cellular and molecular level). Biomarkers of exposures, doses and responses, including immunochemicals, biochemicals and deoxyribonucleic acid (DNA) adducts, are beginning to promote some basic knowledge of exposure-response, especially the mechanisms. These will be extremely useful additions to standard physiological, immunological, and clinical instruments, and the understanding of biological

  16. STrengthening the Reporting of OBservational studies in Epidemiology - Molecular Epidemiology (STROBE-ME): An extension of the STROBE statement

    NARCIS (Netherlands)

    Gallo, V.; Egger, M.; McCormack, V.; Farmer, P.B.; Ioannidis, J.P.; Kirsch-Volders, M.; Matullo, G.; Phillips, D.H.; Schoket, B.; Stromberg, U.; Vermeulen, R.; Wild, C.; Porta, M.; Vineis, P.

    2012-01-01

    Eur J Clin Invest 2012; 42 (1): 1-16 SUMMARY POINTS: Advances in laboratory techniques have led to a rapidly increasing use of biomarkers in epidemiological studies. Biomarkers of internal dose, early biological change, susceptibility and clinical outcomes are used as proxies for investigating inter

  17. STrengthening the Reporting of OBservational studies in Epidemiology - Molecular Epidemiology (STROBE-ME): An extension of the STROBE statement

    NARCIS (Netherlands)

    Gallo, V.; Egger, M.; McCormack, V.; Farmer, P.B.; Ioannidis, J.P.; Kirsch-Volders, M.; Matullo, G.; Phillips, D.H.; Schoket, B.; Stromberg, U.; Vermeulen, R.; Wild, C.; Porta, M.; Vineis, P.

    2012-01-01

    Advances in laboratory techniques have led to a rapidly increasing use of biomarkers in epidemiological studies. Biomarkers of internal dose, early biological change, susceptibility and clinical outcomes are used as proxies for investigating interactions between external and / or endogenous agents a

  18. STrengthening the Reporting of OBservational studies in Epidemiology - Molecular Epidemiology (STROBE-ME): An extension of the STROBE statement

    NARCIS (Netherlands)

    Gallo, V.; Egger, M.; McCormack, V.; Farmer, P.B.; Ioannidis, J.P.; Kirsch-Volders, M.; Matullo, G.; Phillips, D.H.; Schoket, B.; Stromberg, U.; Vermeulen, R.; Wild, C.; Porta, M.; Vineis, P.

    2012-01-01

    Advances in laboratory techniques have led to a rapidly increasing use of biomarkers in epidemiological studies. Biomarkers of internal dose, early biological change, susceptibility, and clinical outcomes are used as proxies for investigating the interactions between external and/or endogenous agent

  19. Two-Stage Exams Improve Student Learning in an Introductory Geology Course: Logistics, Attendance, and Grades

    Science.gov (United States)

    Knierim, Katherine; Turner, Henry; Davis, Ralph K.

    2015-01-01

    Two-stage exams--where students complete part one of an exam closed book and independently and part two is completed open book and independently (two-stage independent, or TS-I) or collaboratively (two-stage collaborative, or TS-C)--provide a means to include collaborative learning in summative assessments. Collaborative learning has been shown to…

  20. Magnetic field effects on humans: epidemiological study design

    Energy Technology Data Exchange (ETDEWEB)

    Budinger, T.F.; Wong, P.; Yen, C.K.

    1978-10-01

    This report presents details of the study design and methods for a retrospective epidemiological study on the health effects, if any, of stationary and alternating magnetic fields produced by man-made devices such as cyclotrons, controlled thermonuclear reactors (CTR), high voltage-high current transmission lines, magnetohydrodynamic devices (MHD), energy storage systems, and isotope separation facilities. The magnetic fields to which the workers can be exposed are as high as 10,000 gauss and the anticipated increase in magnetic fields associated with the environment and transmission lines near these devices is a few times the natural earth magnetic field. Thus the objectives include acquisition of low exposure data which can be used to evaluate any risks to the population incidentally exposed to environmental increases in magnetic fields, as well as an acquisition of high exposure data to be used in determining allowable exposure standards for the technical personnel working at CTR and MHD facilities. From the present status of knowledge on biological effects of magnetic fields, it is not possible to extrapolate or rationally conclude maximum permissible exposure levels for magnetic device workers and the population at large. There are no known previous studies of the effects of long-term exposure to magnetic fields involving large samples and matched controls. Thus this human epidemiological study was commenced in 1977 in parallel with experimental studies on biological and medical effects of magnetic fields being conducted by Dr. T. Tenforde and co-workers at LBL, by investigators at Battelle Northwest, and smaller projects at a number of laboratories around the world. The data base for the exposed population is comprised of approximately 1,000 cyclotron and bubble chamber workers.

  1. Hodgkin's disease: case control epidemiological study in Yorkshire.

    Science.gov (United States)

    Bernard, S M; Cartwright, R A; Darwin, C M; Richards, I D; Roberts, B; O'Brien, C; Bird, C C

    1987-01-01

    This is the first report of a case-control epidemiological study on lymphomas and leukaemias occurring in Yorkshire during 1979-84. This paper deals with the results of the Hodgkin's disease analysis comprising 248 cases and 489 controls. The results indicate support for previous work with respect to small family size and past history of infectious mononucleosis. Positive observations made in a previous pilot study are also confirmed and extended with respect to associations with certain chronic skin lesions, dental anaesthesia and familial factors. Negative associations are described with respect to X-ray exposures and cigarette smoking. It is proposed that these results fit into a general hypothesis that these conditions are the result of interaction between infectious agents and altered immunity in those persons genetically predisposed.

  2. Quality control for exposure assessment in epidemiological studies

    DEFF Research Database (Denmark)

    Bornkessel, C; Blettner, M; Breckenkamp, J

    2010-01-01

    In the framework of an epidemiological study, dosemeters were used for the assessment of radio frequency electromagnetic field exposure. To check the correct dosemeter's performance in terms of consistency of recorded field values over the entire study period, a quality control strategy...... was developed. In this paper, the concept of quality control and its results is described. From the 20 dosemeters used, 19 were very stable and reproducible, with deviations of a maximum of +/-1 dB compared with their initial state. One device was found to be faulty and its measurement data had to be excluded...... from the analysis. As a result of continuous quality control procedures, the confidence in the measurements obtained during the field work was strengthened significantly....

  3. Considerations Regarding Age at Surgery and Fistula Incidence Using One- and Two-stage Closure for Cleft Palate

    Directory of Open Access Journals (Sweden)

    Simona Stoicescu

    2013-12-01

    Full Text Available Introduction: Although cleft lip and palate (CLP is one of the most common congenital malformations, occurring in 1 in 700 live births, there is still no generally accepted treatment protocol. Numerous surgical techniques have been described for cleft palate repair; these techniques can be divided into one-stage (one operation cleft palate repair and two-stage cleft palate closure. The aim of this study is to present our cleft palate team experience in using the two-stage cleft palate closure and the clinical outcomes in terms of oronasal fistula rate. Material and methods: A retrospective analysis was performed on medical records of 80 patients who underwent palate repair over a five-year period, from 2008 to 2012. All cleft palate patients were incorporated. Information on patient’s gender, cleft type, age at repair, one- or two-stage cleft palate repair were collected and analyzed. Results: Fifty-three (66% and twenty-seven (34% patients underwent two-stage and one-stage repair, respectively. According to Veau classification, more than 60% of them were Veau III and IV, associating cleft lip to cleft palate. Fistula occurred in 34% of the two-stage repairs versus 7% of one-stage repairs, with an overall incidence of 24%. Conclusions: Our study has shown that a two-stage cleft palate closure has a higher rate of fistula formation when compared with the one-stage repair. Two-stage repair is the protocol of choice in wide complete cleft lip and palate cases, while one-stage procedure is a good option for cleft palate alone, or some specific cleft lip and palate cases (narrow cleft palate, older age at surgery

  4. An epidemiological study of dengue in Delhi, India.

    Science.gov (United States)

    Vikram, Kumar; Nagpal, B N; Pande, Veena; Srivastava, Aruna; Saxena, Rekha; Anvikar, Anup; Das, Aparup; Singh, Himmat; Anushrita; Gupta, Sanjeev K; Tuli, N R; Telle, Olivier; Yadav, N K; Valecha, Neena; Paul, Richard

    2016-01-01

    Delhi, the capital of India, is an important metropolitan hub for major financial and sociocultural exchanges, offering challenging threats to current public health infrastructure. In recent past, an upsurge of dengue cases in Delhi posed a significant menace to the existing dengue control policies. To reform the control strategies and take timely intervention to prevent future epidemics, an epidemiological study on the proportion of both asymptomatic and symptomatic dengue infections in selected population was conducted. The aim of the study was to investigate and assess the epidemiology of dengue infection and to estimate the proportion of asymptomatic and symptomatic dengue infections in Delhi. In this study, around 50 confirmed dengue cases, a total of 2125 individuals as household and neighbourhood contacts, with or without dengue febrile illness, were finger pricked and serologically detected as dengue positive or negative using SD Duo Bioline Rapid Diagnostic Test (SD Inc, Korea) with NS1, IgM & IgG combo test, which detected dengue virus antigen and antibodies to dengue virus in human blood. Out of 2125 individuals, 768 (36.1%) individuals showed positive dengue test with past (25.5%), primary (1.88%) or secondary (8.8%) dengue infections. Higher percentage of IgG was found in age groups 15-24 years and 25-50 years (36% each). Infants (dengue infection was either primary or secondary. On the basis of these results, it may be hypothesized that there are large number of asymptomatic dengue infections in the community as compared to reported symptomatic cases in Delhi. For the effective control of dengue transmission in such community like Delhi where dengue epidemics have frequently been encountered, it is essential to ascertain the proportion of asymptomatic dengue infections which may act as a reservoir for dengue transmission, as well as threat for developing dengue haemorrhagic fever (DHF).

  5. Epidemiological study of multiple sclerosis in La Rioja.

    Science.gov (United States)

    Bártulos Iglesias, M; Marzo Sola, M E; Estrella Ruiz, L A; Bravo Anguiano, Y

    2015-01-01

    Multiple sclerosis is a demyelinating disease that causes severe disability in younger patients. Many epidemiology studies have confirmed a variable prevalence. The objective of this study was to analyse the prevalence of this disease in La Rioja (Spain), using such variables as age and sex; type of progression, initial form of the disease, EDSS and number of relapses; disease-modifying treatment and reasons for treatment withdrawal; personal and family history of cancer; and incidence and mortality. Analysis of patients in La Rioja diagnosed with MS (according to Poser criteria or the 2005 McDonald criteria) during a 10-year period (2001-2011). Data were collected from hospital records, multiple sclerosis associations, and personal records kept by neurologists. The MS prevalence rate in La Rioja is 65 patients/100 000 inhabitants with an incidence rate of 3.5 cases/100 000 residents per year. Relapsing-remitting MS is present in 67.6% of the patient total. Mean age of onset is 20-29 years (range, 12 to 70). Most EDSS scores were mostly ≤ 2. Untreated MS cases account for 47.6% of the total and the most commonly used therapy is interferon. We detected 4 haematological tumours and 7 families with multiple members affected by MS. Prevalence and incidence are similar to those found in other regions Spain. The average age at onset age for primary progressive MS is slightly higher than in other papers (40-49 years). In families with multiple patients, MS may be more aggressive. Disability in these patients remains very severe. We require more epidemiology studies with a variety of data gathering methods to support findings for prevalence obtained in different provinces. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.

  6. Epidemiological studies on ethylene oxide and cancer: an updating.

    Science.gov (United States)

    Hogstedt, L C

    1988-01-01

    In 1959, Dr Lars Ehrenberg and a coworker warned the Swedish authorities that ethylene oxide, a common chemical, constituted a potential cancer hazard. Twenty years later, the first epidemiological study and case reports were published indicating an increased cancer risk after occupational exposure to ethylene oxide. An updating of three small Swedish cohorts comprising 709 employees revealed 33 deaths from cancer whereas 20 were expected from national average rates. The excess was due mainly to an increased risk of stomach cancer in one production plant and an excess of blood and lymphatic malignancies in all three cohorts. The results are in accordance with the results of clastogenic, animal and short-term tests and support Professor Ehrenberg's hypothesis, formulated 28 years ago.

  7. Effect of two-stage coagulant addition on coagulation-ultrafiltration process for treatment of humic-rich water.

    Science.gov (United States)

    Liu, Ting; Chen, Zhong-lin; Yu, Wen-zheng; Shen, Ji-min; Gregory, John

    2011-08-01

    A novel two-stage coagulant addition strategy applied in a coagulation-ultrafiltration (UF) process for treatment of humic-rich water at neutral pH was investigated in this study. When aluminum sulfate (alum) doses were set at a ratio of 3:1 added during rapid mix stage and half way through flocculation stage, the integrated process of two-stage alum addition achieved almost the same organic matter removal as that of conventional one-stage alum addition at the same overall dose. Whereas membrane fouling could be effectively mitigated by the two-stage addition exhibited by trans-membrane pressure (TMP) developments. The TMP developments were found to be primarily attributed to external fouling on membrane surface, which was closely associated with floc characteristics. The results of jar tests indicated that the average size of flocs formed in two-stage addition mode roughly reached one half larger than that in one-stage addition mode, which implied a beneficial effect on membrane fouling reduction. Moreover, the flocs with more irregular structure and lower effective density resulted from the two-stage alum addition, which caused higher porosity of cake layer formed by such flocs on membrane surface. Microscopic observations of membrane surface demonstrated that internal fouling in membrane pores could be also remarkably limited by two-stage alum addition. It is likely that the freshly formed hydroxide precipitates were distinct in surface characteristics from the aged precipitates due to formation of more active groups or adsorption of more labile aluminum species. Consequently, the flocs could further connect and aggregate to contribute to preferable properties for filtration performance of the coagulation-UF process. As a simple and efficient approach, two-stage coagulant addition strategy could have great practical significance in coagulation-membrane processes.

  8. Current state of epidemiological studies in Belarus about Chernobyl sufferers

    Energy Technology Data Exchange (ETDEWEB)

    Matsko, V.P. [Institute of Radiobiology, Academy Sciences of Belarus, Minsk (Belarus)

    1998-03-01

    The present paper is an analysis of the results of epidemiological studies in Belarus about the after-effects of the accident at the Chernobyl atomic power station (ChAPS), based on published data at scientific institutes, organs and institutions of Ministry of Health. In the last years the affected population showed thereby more significant - as compared with republican indices - growth of incidence in the majority of diseases (first of all: digestion, urogenital, nervous, endocrine systems, diseases of ear, throat, nose both among adults and among children). Aggravation of health state continues in the participants of liquidation of the ChAPS accident consequences and the evacuees from the alienation zone which have obtained considerable radiation load to organism (rise of incidence of diseases of endocrine, cardiovascular, nervous system etc.). Considerable growth of thyroid cancer incidence is registered in Belarus children and adolescents, especially in the Gomel and Brest regions. This is conditioned by dose commitments on thyroid gland due to iodine radionuclides in first period after the accident, incorrect iodine prophylaxy, and goitre endemic. The rise of hereditary pathology is registered too. An expressed increase of oncological diseases is observed therewith mainly in the Gomel region, especially in the districts with high level of radiocontamination and, consequently, significant radiation load. First of all, this relates to the growth of incidence of cancer of lungs, mammary gland, bladder. The analysis of epidemiological studies performed in Belarus after the ChAPS catastrophe and comparison of them with data obtained in the pre-Chernobyl period testify to the aggravation of health state of Belarus population. The specialists unambiguously recognize the direct influence of radioactive pollution in the environment on rise of thyroid pathologies, hereditary and congenial diseases, and cancers of different localizations. There is no unique opinion

  9. Pontiac fever: an operational definition for epidemiological studies

    Directory of Open Access Journals (Sweden)

    Mathieu Laurence

    2006-04-01

    Full Text Available Abstract Background Pontiac fever is usually described in epidemic settings. Detection of Pontiac fever is a marker of an environmental contamination by Legionella and should thereby call for prevention measures in order to prevent outbreak of Legionnaire's disease. The objective of this study is to propose an operational definition of Pontiac fever that is amenable to epidemiological surveillance and investigation in a non epidemic setting. Methods A population of 560 elderly subjects residing in 25 nursing homes was followed during 4 months in order to assess the daily incidence of symptoms associated, in the literature, with Pontiac fever. The water and aerosol of one to 8 showers by nursing home were characterized combining conventional bacterial culture of Legionella and the Fluorescence In Situ Hybridization (FISH technique that used oligonucleotides probes specific for Legionellaceae. A definition of Pontiac fever was devised based on clinical symptoms described in epidemic investigations and on their timing after the exposure event. The association between incidence of Pontiac fever and shower contamination levels was evaluated to test the relevance of this definition. Results The proposed definition of Pontiac fever associated the following criteria: occurrence of at least one symptom among headache, myalgia, fever and shivers, possibly associated with other 'minor' symptoms, within three days after a shower contaminated by Legionella, during a maximum of 8 days (minimum 2 days. 23 such cases occurred during the study (incidence rate: 0.125 cases per person-year [95% CI: 0.122–0.127]. A concentration of Legionella in water equal to or greater than 104.L-1 (FISH method was associated with a significant increase of incidence of Pontiac fever (p = 0.04. Conclusion Once validated in other settings, the proposed definition of Pontiac fever might be used to develop epidemiological surveillance and help draw attention on sources of

  10. Bat Rabies in France: A 24-Year Retrospective Epidemiological Study

    Science.gov (United States)

    Picard-Meyer, Evelyne; Robardet, Emmanuelle; Arthur, Laurent; Larcher, Gérald; Harbusch, Christine; Servat, Alexandre; Cliquet, Florence

    2014-01-01

    Since bat rabies surveillance was first implemented in France in 1989, 48 autochthonous rabies cases without human contamination have been reported using routine diagnosis methods. In this retrospective study, data on bats submitted for rabies testing were analysed in order to better understand the epidemiology of EBLV-1 in bats in France and to investigate some epidemiological trends. Of the 3176 bats submitted for rabies diagnosis from 1989 to 2013, 1.96% (48/2447 analysed) were diagnosed positive. Among the twelve recognised virus species within the Lyssavirus genus, two species were isolated in France. 47 positive bats were morphologically identified as Eptesicus serotinus and were shown to be infected by both the EBLV-1a and the EBLV-1b lineages. Isolation of BBLV in Myotis nattereri was reported once in the north-east of France in 2012. The phylogenetic characterisation of all 47 French EBLV-1 isolates sampled between 1989 and 2013 and the French BBLV sample against 21 referenced partial nucleoprotein sequences confirmed the low genetic diversity of EBLV-1 despite its extensive geographical range. Statistical analysis performed on the serotine bat data collected from 1989 to 2013 showed seasonal variation of rabies occurrence with a significantly higher proportion of positive samples detected during the autumn compared to the spring and the summer period (34% of positive bats detected in autumn, 15% in summer, 13% in spring and 12% in winter). In this study, we have provided the details of the geographical distribution of EBLV-1a in the south-west of France and the north-south division of EBLV-1b with its subdivisions into three phylogenetic groups: group B1 in the north-west, group B2 in the centre and group B3 in the north-east of France. PMID:24892287

  11. Enhancement of bioenergy production from organic wastes by two-stage anaerobic hydrogen and methane production process.

    Science.gov (United States)

    Luo, Gang; Xie, Li; Zhou, Qi; Angelidaki, Irini

    2011-09-01

    The present study investigated a two-stage anaerobic hydrogen and methane process for increasing bioenergy production from organic wastes. A two-stage process with hydraulic retention time (HRT) 3d for hydrogen reactor and 12d for methane reactor, obtained 11% higher energy compared to a single-stage methanogenic process (HRT 15 d) under organic loading rate (OLR) 3 gVS/(L d). The two-stage process was still stable when the OLR was increased to 4.5 gVS/(Ld), while the single-stage process failed. The study further revealed that by changing the HRT(hydrogen):HRT(methane) ratio of the two-stage process from 3:12 to 1:14, 6.7%, more energy could be obtained. Microbial community analysis indicated that the dominant bacterial species were different in the hydrogen reactors (Thermoanaerobacterium thermosaccharolyticum-like species) and methane reactors (Clostridium thermocellum-like species). The changes of substrates and HRT did not change the dominant species. The archaeal community structures in methane reactors were similar both in single- and two- stage reactors, with acetoclastic methanogens Methanosarcina acetivorans-like organisms as the dominant species.

  12. Epidemiological study on acute cutaneous leishmaniasis in Morocco

    Institute of Scientific and Technical Information of China (English)

    Kholoud Kahime; Samia Boussaa; Haddou Nhammi; Ali Boumezzough

    2016-01-01

    Objective: To describe and compare the epidemiological features of anthroponotic cutaneous leishmaniasis (ACL) caused by Leishmania tropica, and zoonotic cutaneous leishmaniasis (ZCL) due to Leishmania major in Morocco. Methods: We performed a retrospective study of ZCL and ACL cases reported during the last ten years in Morocco (2004–2013). Epidemiological data were analyzed by using Pearson's correlation method as well as Tukey test and digital maps were produced for incidence repartition calculated by using ArcMap GIS version 10. Results: A total of 41 656 cases of cutaneous leishmaniasis were notified between 2004 and 2013 in Morocco. The mean incidence was 139 cases/100 000 population/10 years and it was significantly higher in 2010. In the spatial context, ACL form was the most common in Morocco, while ZCL was the most important in terms of the number of reported cases. For both forms, the highest incidence occurred in females and children (0–14 years). When analyzed according to the number of cases in each province, Errachidia (8 728 cases) and Azilal (3 523 cases) were the most affected by ZCL and ACL, respectively, while the highest incidence was noted in Zagora (231 cases/100 000 pop-ulation/10 years) and in Chichaoua (97 cases/100 000 population/10 years), for ZCL and ACL, respectively. Maps of incidence repartition were performed to identify the risk area of ZCL and ACL. Conclusions: ZCL and ACL are still major health problems in Morocco. We highlight the spatiotemporal change of cutaneous leishmaniasis incidence through the country during the last ten years and we underline the correlation between ZCL incidence and the percentage of rural population in Morocco.

  13. Two-stage bargaining with coverage extension in a dual labour market

    DEFF Research Database (Denmark)

    Roberts, Mark A.; Stæhr, Karsten; Tranæs, Torben

    2000-01-01

    in extending coverage of a minimum wage to the non-union sector. Furthermore, the union sector does not seek to increase the non-union wage to a level above the market-clearing wage. In fact, it is optimal for the union sector to impose a market-clearing wage on the non-union sector. Finally, coverage......This paper studies coverage extension in a simple general equilibrium model with a dual labour market. The union sector is characterized by two-stage bargaining whereas the firms set wages in the non-union sector. In this model firms and unions of the union sector have a commonality of interest...

  14. The global stability of a delayed predator-prey system with two stage-structure

    Energy Technology Data Exchange (ETDEWEB)

    Wang Fengyan [College of Science, Jimei University, Xiamen Fujian 361021 (China)], E-mail: wangfy68@163.com; Pang Guoping [Department of Mathematics and Computer Science, Yulin Normal University, Yulin Guangxi 537000 (China)

    2009-04-30

    Based on the classical delayed stage-structured model and Lotka-Volterra predator-prey model, we introduce and study a delayed predator-prey system, where prey and predator have two stages, an immature stage and a mature stage. The time delays are the time lengths between the immature's birth and maturity of prey and predator species. Results on global asymptotic stability of nonnegative equilibria of the delay system are given, which generalize and suggest that good continuity exists between the predator-prey system and its corresponding stage-structured system.

  15. Accuracy of the One-Stage and Two-Stage Impression Techniques: A Comparative Analysis

    OpenAIRE

    Ladan Jamshidy; Hamid Reza Mozaffari; Payam Faraji; Roohollah Sharifi

    2016-01-01

    Introduction. One of the main steps of impression is the selection and preparation of an appropriate tray. Hence, the present study aimed to analyze and compare the accuracy of one- and two-stage impression techniques. Materials and Methods. A resin laboratory-made model, as the first molar, was prepared by standard method for full crowns with processed preparation finish line of 1 mm depth and convergence angle of 3-4°. Impression was made 20 times with one-stage technique and 20 times with ...

  16. An Investigation on the Formation of Carbon Nanotubes by Two-Stage Chemical Vapor Deposition

    Directory of Open Access Journals (Sweden)

    M. S. Shamsudin

    2012-01-01

    Full Text Available High density of carbon nanotubes (CNTs has been synthesized from agricultural hydrocarbon: camphor oil using a one-hour synthesis time and a titanium dioxide sol gel catalyst. The pyrolysis temperature is studied in the range of 700–900°C at increments of 50°C. The synthesis process is done using a custom-made two-stage catalytic chemical vapor deposition apparatus. The CNT characteristics are investigated by field emission scanning electron microscopy and micro-Raman spectroscopy. The experimental results showed that structural properties of CNT are highly dependent on pyrolysis temperature changes.

  17. FORMATION OF HIGHLY RESISTANT CARBIDE AND BORIDE COATINGS BY A TWO-STAGE DEPOSITION METHOD

    Directory of Open Access Journals (Sweden)

    W. I. Sawich

    2011-01-01

    Full Text Available A study was made of the aspects of forming highly resistant coatings in the surface zone of tool steels and solid carbide inserts by a two-stage method. at the first stage of the method, pure Ta or Nb coatings were electrodeposited on samples of tool steel and solid carbide insert in a molten salt bath containing Ta and Nb fluorides. at the second stage, the electrodeposited coating of Ta (Nb was subjected to carburizing or boriding to form carbide (TaC, NbC or boride (TaB, NbB cladding layers.

  18. Atopy and Specific Cancer Sites: a Review of Epidemiological Studies.

    Science.gov (United States)

    Cui, Yubao; Hill, Andrew W

    2016-12-01

    Mounting evidence appears to link asthma and atopy to cancer susceptibility. This review presents and discusses published epidemiological studies on the association between site-specific cancers and atopy. PubMed was searched electronically for publications between 1995 and 2015, and cited references were researched manually. Quantitative studies relating to atopy, allergy, or asthma and cancer were identified and tabulated. Despite many exposure-related limitations, patterns in the studies were observed. Asthma, specifically, has been observed to be a risk factor for lung cancer. A protective effect of atopic diseases against pancreatic cancer has been shown consistently in case-control studies but not in cohort studies. Allergy of any type appears to be protective against glioma and adult acute lymphoblastic leukemia. Most studies on atopic diseases and non-Hodgkin lymphoma or colorectal cancer reported an inverse association. The other sites identified had varying and non-significant outcomes. Further research should be dedicated to carefully defined exposure assessments of "atopy" as well as the biological plausibility in the association between atopic diseases and cancer.

  19. Two-stage earth-to-orbit vehicles with dual-fuel propulsion in the Orbiter

    Science.gov (United States)

    Martin, J. A.

    1982-01-01

    Earth-to-orbit vehicle studies of future replacements for the Space Shuttle are needed to guide technology development. Previous studies that have examined single-stage vehicles have shown advantages for dual-fuel propulsion. Previous two-stage system studies have assumed all-hydrogen fuel for the Orbiters. The present study examined dual-fuel Orbiters and found that the system dry mass could be reduced with this concept. The possibility of staging the booster at a staging velocity low enough to allow coast-back to the launch site is shown to be beneficial, particularly in combination with a dual-fuel Orbiter. An engine evaluation indicated the same ranking of engines as did a previous single-stage study. Propane and RP-1 fuels result in lower vehicle dry mass than methane, and staged-combustion engines are preferred over gas-generator engines. The sensitivity to the engine selection is less for two-stage systems than for single-stage systems.

  20. An Epidemiological Study of Psychiatric Disorders in Hamadan Province , 2001

    Directory of Open Access Journals (Sweden)

    M.R. Mohammadi

    2004-10-01

    Full Text Available The burden of psychiatric disorders in the developed countries has been identified by the screening questionnaires and standard clinical interviews at a high level, but the epidemiological studies of psychiatric disorders in our country are brief and their numbers are few. Planning for providing essential mental health services to the people requires us to be knowledgeable about the present status of psychiatric disorders in the society. The objective of this research was to carry out the epidemiological study of the psychiatric disorders in the individuals 18 years and above in urban and rural areas of Hamadan province. 664 individuals selected through randomized clustered and systematic sampling methods among the existing families of Hamadan province and the Schedule for Affective Disorders and Schizophrenia (SADS questionnaires completed by the clinical psychologist. The diagnosis of the disorders was based on DSM-IV classification criteria.The results of the study showed that the overall prevalence of psychiatric disorders in the province was 11.28% (17.2% in women , 5.8% in men. The anxiety and mood disorders with 5.87 and 2.71% respectively had the highest prevalence in the province. The prevalence of psychotic disorders in this study was 0.60% , neuro- cognitive disorders 1.35% and dissociative disorders 0.75%. In the group of mood disorders, major depression with 2.56% and in the group of anxiety disorders, phobia with 2.56% had the higher prevalence. This study showed that 8.13% of studied individuals suffered from at least one of the psychiatric disorders. The prevalence of psychiatric disorders in the province among the individuals in the age group of 66 years and above was 13.33%, individuals whose spouses had passed away 18.75%, urban residents of province 9.81%, illiterate individuals 12.80% and housewife individuals 12.31% was more than other individuals in the sample. Being aware of this matter reveals the responsibility of the

  1. Adverse reproductive outcomes in families of atomic veterans: the feasibility of epidemiologic studies

    National Research Council Canada - National Science Library

    Institute of Medicine Staff

    1995-01-01

    ... Veterans: The Feasibility of Epidemiologic Studies Committee to Study the Feasibility of, and Need for, Epidemiologic Studies of Adverse Reproductive Outcomes in the Families of Atomic Veterans Medical Follow-up Agency INSTITUTE OF MEDICINE NATIONAL ACADEMY PRESS Washington, D.C. 1995 i Copyrightoriginal retained, the be not from cannot book, ...

  2. Survey Definitions of Gout for Epidemiologic Studies: Comparison With Crystal Identification as the Gold Standard

    NARCIS (Netherlands)

    Dalbeth, N.; Schumacher, H.R.; Fransen, J.; Neogi, T.; Jansen, T.L; Brown, M.; Louthrenoo, W.; Vazquez-Mellado, J.; Eliseev, M.; McCarthy, G.; Stamp, L.K.; Perez-Ruiz, F.; Sivera, F.; Ea, H.K.; Gerritsen, M.; Scire, C.A.; Cavagna, L.; Lin, C.; Chou, Y.Y.; Tausche, A.K.; Rocha Castelar-Pinheiro, G. da; Janssen, M; Chen, J.H.; Cimmino, M.A.; Uhlig, T.; Taylor, W.J.

    2016-01-01

    OBJECTIVE: To identify the best-performing survey definition of gout from items commonly available in epidemiologic studies. METHODS: Survey definitions of gout were identified from 34 epidemiologic studies contributing to the Global Urate Genetics Consortium (GUGC) genome-wide association study.

  3. Two-stage estimation for multivariate recurrent event data with a dependent terminal event.

    Science.gov (United States)

    Chen, Chyong-Mei; Chuang, Ya-Wen; Shen, Pao-Sheng

    2015-03-01

    Recurrent event data arise in longitudinal follow-up studies, where each subject may experience the same type of events repeatedly. The work in this article is motivated by the data from a study of repeated peritonitis for patients on peritoneal dialysis. Due to the aspects of medicine and cost, the peritonitis cases were classified into two types: Gram-positive and non-Gram-positive peritonitis. Further, since the death and hemodialysis therapy preclude the occurrence of recurrent events, we face multivariate recurrent event data with a dependent terminal event. We propose a flexible marginal model, which has three characteristics: first, we assume marginal proportional hazard and proportional rates models for terminal event time and recurrent event processes, respectively; second, the inter-recurrences dependence and the correlation between the multivariate recurrent event processes and terminal event time are modeled through three multiplicative frailties corresponding to the specified marginal models; third, the rate model with frailties for recurrent events is specified only on the time before the terminal event. We propose a two-stage estimation procedure for estimating unknown parameters. We also establish the consistency of the two-stage estimator. Simulation studies show that the proposed approach is appropriate for practical use. The methodology is applied to the peritonitis cohort data that motivated this study. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  4. A CLINICAL AND EPIDEMIOLOGICAL STUDY OF MENINGEAL TUMORS

    Directory of Open Access Journals (Sweden)

    Channappa

    2016-01-01

    Full Text Available INTRODUCTION The meninges surround and protect the central nervous system. They are composed of connective tissue proper and comprise three membranes the dura mater, the arachnoid and the pia mater. These membranes are composed of collagen fibres, a small number of elastic fires and endothelial cells. The incidence of intracranial tumors depends on the sources and methods used to collect the data. The general consensus is that the annual incidence rate of primary intracranial neoplasm is between 10 and 12 per 100,000 and these constitute approximately 9% of all primary cancers. AIMS AND OBJECTIVES The aim is to study the most common signs that the patient presents in the clinic and to study the epidemiology of the disease. The material used in this study was obtained from 100 cases of intracranial tumours in various colleges of South of India, which I have worked. The sample was obtained over a period of 5 years from May 2007 to May 2012. The most common symptoms that were found in the present study was consistent headache and projectile vomiting. There were 9 grade 1 meningiomas, out of which 5 were meningothelial, microscopically composed of meningothelial cells with ovoid large pale nuclei with vacuoles of cytoplasmic invagination and inconspicuous cytoplasmic borders, the cells are arranged concentrically around calcified blood vessels or connective tissue.

  5. [Oral contraceptive pill and thrombotic risk: epidemiological studies].

    Science.gov (United States)

    Fruzzetti, F; Perini, D; Spirito, N; Manca, R

    2012-12-01

    The venous thromboembolism (VTE) is a rare event during childbearing age and during the assumption of combined oral contraceptive. The absolute risk of VTE in users of combined oral contraceptives is 20-30 per 100000 women years. A number of case-control studies published in recent years have shown an apparent increase in the risk of VTE among users of oral contraceptives (OCs) containing desogestrel, gestodene, drospirenone and cyproterone, relative to the use of levonorgestrel. The data derived from these recent studies is of borderline statistical significance because any important factors are not considered to evaluate the real correlation between the assumption of OCs and risk of venous thromboembolism. Among the factors that should be considered, there are: EE dose, duration of use, coexistance of other risk factors of venous thromboembolism (age, BMI, familiarity, surgical interventions) and other prescription bias. The lack of these factors is likely to contribute to the increased risk of venous thromboembolism observed in users of third-generation OCs when compared to that in users of second-generation OCs. To date, because of the inadequacy of epidemiological studies, the data about the correlation between OCs and TVE, are not conclusive and it will be necessary to carry out other studies to clarify this debating point, definitively.

  6. Cancer prevention by green tea: evidence from epidemiologic studies.

    Science.gov (United States)

    Yuan, Jian-Min

    2013-12-01

    In contrast to the consistent results of an inhibitory effect of green tea extracts and tea polyphenols on the development and growth of carcinogen-induced tumors in experimental animal models, results from human studies are mixed. Both observational and intervention studies have provided evidence in support of a protective role of green tea intake in the development of oral-digestive tract cancer or an inhibitory role of oral supplementation of green tea extract on a precancerous lesion of oral cavity. Evidence in support of green tea intake against the development of liver cancer risk is limited and inconsistent. An inverse association between green tea intake and lung cancer risk has been observed among never smokers but not among smokers. Although observational studies do not support a beneficial role of tea intake against the development of prostate cancer, several phase 2 clinical trials have shown an inhibitory effect of green tea extract against the progression of prostate premalignant lesions to malignant tumors. Prospective epidemiologic studies so far have not provided evidence for a protective effect of green tea consumption on breast cancer development. Current data neither confirm nor refute a definitive cancer-preventive role of green tea intake. Large randomized intervention trials on the efficacy of green tea polyphenols or extracts are required before a recommendation for green tea consumption for cancer prevention should be made.

  7. Invited commentary: recruiting for epidemiologic studies using social media.

    Science.gov (United States)

    Allsworth, Jenifer E

    2015-05-15

    Social media-based recruitment for epidemiologic studies has the potential to expand the demographic and geographic reach of investigators and identify potential participants more cost-effectively than traditional approaches. In fact, social media are particularly appealing for their ability to engage traditionally "hard-to-reach" populations, including young adults and low-income populations. Despite their great promise as a tool for epidemiologists, social media-based recruitment approaches do not currently compare favorably with gold-standard probability-based sampling approaches. Sparse data on the demographic characteristics of social media users, patterns of social media use, and appropriate sampling frames limit our ability to implement probability-based sampling strategies. In a well-conducted study, Harris et al. (Am J Epidemiol. 2015;181(10):737-746) examined the cost-effectiveness of social media-based recruitment (advertisements and promotion) in the Contraceptive Use, Pregnancy Intention, and Decisions (CUPID) Study, a cohort study of 3,799 young adult Australian women, and the approximate representativeness of the CUPID cohort. Implications for social media-based recruitment strategies for cohort assembly, data accuracy, implementation, and human subjects concerns are discussed.

  8. Biomass waste gasification - can be the two stage process suitable for tar reduction and power generation?

    Science.gov (United States)

    Sulc, Jindřich; Stojdl, Jiří; Richter, Miroslav; Popelka, Jan; Svoboda, Karel; Smetana, Jiří; Vacek, Jiří; Skoblja, Siarhei; Buryan, Petr

    2012-04-01

    A pilot scale gasification unit with novel co-current, updraft arrangement in the first stage and counter-current downdraft in the second stage was developed and exploited for studying effects of two stage gasification in comparison with one stage gasification of biomass (wood pellets) on fuel gas composition and attainable gas purity. Significant producer gas parameters (gas composition, heating value, content of tar compounds, content of inorganic gas impurities) were compared for the two stage and the one stage method of the gasification arrangement with only the upward moving bed (co-current updraft). The main novel features of the gasifier conception include grate-less reactor, upward moving bed of biomass particles (e.g. pellets) by means of a screw elevator with changeable rotational speed and gradual expanding diameter of the cylindrical reactor in the part above the upper end of the screw. The gasifier concept and arrangement are considered convenient for thermal power range 100-350 kW(th). The second stage of the gasifier served mainly for tar compounds destruction/reforming by increased temperature (around 950°C) and for gasification reaction of the fuel gas with char. The second stage used additional combustion of the fuel gas by preheated secondary air for attaining higher temperature and faster gasification of the remaining char from the first stage. The measurements of gas composition and tar compound contents confirmed superiority of the two stage gasification system, drastic decrease of aromatic compounds with two and higher number of benzene rings by 1-2 orders. On the other hand the two stage gasification (with overall ER=0.71) led to substantial reduction of gas heating value (LHV=3.15 MJ/Nm(3)), elevation of gas volume and increase of nitrogen content in fuel gas. The increased temperature (>950°C) at the entrance to the char bed caused also substantial decrease of ammonia content in fuel gas. The char with higher content of ash leaving the

  9. Suicide in Sorocaba-SP: an epidemiological study

    OpenAIRE

    2013-01-01

    ABSTRACT Introduction: suicide is a major worldwide public health issue and appears as one of the ten most frequent causes of death in all ages. Objective: to perform an epidemiological analysis of suicide rates recorded between 2000 and 2009 in the city of Sorocaba-SP and compare them to national epidemiological data. Methods: We performed a descriptive analysis of suicide data in Sorocaba-SP in the period 2000 to 2009 collected by the Surveillance of Violence and Injuries (VIVA) and the ...

  10. The influence of partial oxidation mechanisms on tar destruction in TwoStage biomass gasification

    DEFF Research Database (Denmark)

    Ahrenfeldt, Jesper; Egsgaard, Helge; Stelte, Wolfgang

    2013-01-01

    TwoStage gasification of biomass results in almost tar free producer gas suitable for multiple end-use purposes. In the present study, it is investigated to what extent the partial oxidation process of the pyrolysis gas from the first stage is involved in direct and in-direct tar destruction and ...... tar destruction and a high moisture content of the biomass enhances the decomposition of phenol and inhibits the formation of naphthalene. This enhances tar conversion and gasification in the char-bed, and thus contributes in-directly to the tar destruction.......TwoStage gasification of biomass results in almost tar free producer gas suitable for multiple end-use purposes. In the present study, it is investigated to what extent the partial oxidation process of the pyrolysis gas from the first stage is involved in direct and in-direct tar destruction...... and conversion. The study identifies the following major impact factors regarding tar content in the producer gas: oxidation temperature, excess air ratio and biomass moisture content. In a experimental setup, wood pellets were pyrolyzed and the resulting pyrolysis gas was transferred in a heated partial...

  11. Characteristics of primary nocturnal enuresis in adults: an epidemiological study.

    Science.gov (United States)

    Yeung, C K; Sihoe, J D Y; Sit, F K Y; Bower, W; Sreedhar, B; Lau, J

    2004-02-01

    To evaluate the prevalence and characteristics of primary nocturnal enuresis (PNE) in adults in Hong Kong, as there are currently limited epidemiological data in adults. After a telephone survey, 8534 respondents (3996 males and 4538 females) aged 16-40 years were selected for the study and stratified in age groups. The questionnaire used comprised two parts; the first started with questions mainly about the general demographic background to decrease the sensitivity of the study and to establish rapport. The second part was conducted through an automated telephone interview service, with the questions being asked by recorded messages and the respondents then keying in their responses with no need to converse with an interviewer. This part included questions about enuretic symptoms and a subjective assessment of social and psychological effects of bedwetting, and measurements of the individual's self-esteem (Rosenberg Self-esteem Scale) and depression (The Centre for Epidemiological Studies Depression Scale). Of the 8534 subjects interviewed, 196 had PNE, giving an overall prevalence of 2.3% (2.7% males and 2.0% females); of these 196, 36 (18.4%) also had daytime urinary incontinence. Hence, 1.9% of adults (2.2% males and 1.7% females) had monosymptomatic PNE. Of these, 53% wet >3 nights/week and 26% wet every night. Prevalence rates remained relatively stable among different age groups, with no apparent trend of a reduction with age. Compared with nonenuretic normal controls, significantly fewer enuretics reached tertiary education (33.4% vs 17.8%, P self-esteem, and a higher incidence of sleep disturbances than the control group. Among bedwetters, 32-40% felt that there was some effect on their choice of job, work performance and social activities, whilst 23% felt the condition affected their family life and in making friends of either sex. However, there was no significant difference in the marital status. Interestingly, only 34.5% of females and half of males

  12. Epidemiological Assessments of Skin Outcomes in the Nurses’ Health Studies

    Science.gov (United States)

    Li, Wen-Qing; Cho, Eunyoung; Weinstock, Martin A.; Mashfiq, Hasan

    2016-01-01

    Objectives. To review the contribution of the Nurses’ Health Studies (NHSs) to identifying epidemiological factors associated with multiple skin diseases, including skin cancer, psoriasis, and other inflammatory and autoimmune skin diseases. Methods. We carried out a narrative review of NHS articles published between 1976 and 2016. Results. The NHSs have identified environmental and lifestyle factors related to psoriasis, supporting obesity and smoking as psoriasis risk factors; associations between psoriasis and diabetes, myocardial infarction, and Crohn’s disease, supporting psoriasis as a systemic disorder; and associations of pigmentary traits, ultraviolet radiation, and lifestyle factors such as citrus consumption with risk of skin cancer. Genetic studies have identified novel genetic loci for skin pigmentation (e.g., IRF4, SLC24A4, NID1, and EDNRB) and skin cancer (e.g., TET2 and HERC2-OCA2). Work continues on highly prevalent but less studied skin conditions such as rosacea, acne, and atopic dermatitis. The NHS results have influenced public health policies on indoor tanning devices. Conclusions. The NHSs have provided invaluable resources on skin disease population science and contributed to the etiological understanding of multiple skin disorders. PMID:27459457

  13. Epidemiological studies on postpartum thyroid dysfunction and thyroid cancer in Southeastern Netherlands

    NARCIS (Netherlands)

    J.L.P. Kuijpens (Hans)

    1998-01-01

    textabstractThe studies described in this thesis concentrate OIl epidemiological and pathogenetic aspects of postpartum thyroid dysfunction (PPTD) and related topics, and on epidemiological and treatment aspects of thyroid cancer. The studies were petfonned in the southeastern part of the Netherland

  14. Sequencing Strategies for Population and Cancer Epidemiology Studies (SeqSPACE) Webinar Series

    Science.gov (United States)

    The Sequencing Strategies for Population and Cancer Epidemiology Studies (SeqSPACE) Webinar Series provides an opportunity for our grantees and other interested individuals to share lessons learned and practical information regarding the application of next generation sequencing to cancer epidemiology studies.

  15. Sequencing Strategies for Population and Cancer Epidemiology Studies (SeqSPACE) Webinar Series

    Science.gov (United States)

    The Sequencing Strategies for Population and Cancer Epidemiology Studies (SeqSPACE) Webinar Series provides an opportunity for our grantees and other interested individuals to share lessons learned and practical information regarding the application of next generation sequencing to cancer epidemiology studies.

  16. Aerobic and two-stage anaerobic-aerobic sludge digestion with pure oxygen and air aeration.

    Science.gov (United States)

    Zupancic, Gregor D; Ros, Milenko

    2008-01-01

    The degradability of excess activated sludge from a wastewater treatment plant was studied. The objective was establishing the degree of degradation using either air or pure oxygen at different temperatures. Sludge treated with pure oxygen was degraded at temperatures from 22 degrees C to 50 degrees C while samples treated with air were degraded between 32 degrees C and 65 degrees C. Using air, sludge is efficiently degraded at 37 degrees C and at 50-55 degrees C. With oxygen, sludge was most effectively degraded at 38 degrees C or at 25-30 degrees C. Two-stage anaerobic-aerobic processes were studied. The first anaerobic stage was always operated for 5 days HRT, and the second stage involved aeration with pure oxygen and an HRT between 5 and 10 days. Under these conditions, there is 53.5% VSS removal and 55.4% COD degradation at 15 days HRT - 5 days anaerobic, 10 days aerobic. Sludge digested with pure oxygen at 25 degrees C in a batch reactor converted 48% of sludge total Kjeldahl nitrogen to nitrate. Addition of an aerobic stage with pure oxygen aeration to the anaerobic digestion enhances ammonium nitrogen removal. In a two-stage anaerobic-aerobic sludge digestion process within 8 days HRT of the aerobic stage, the removal of ammonium nitrogen was 85%.

  17. A cause and effect two-stage BSC-DEA method for measuring the relative efficiency of organizations

    Directory of Open Access Journals (Sweden)

    Seyed Esmaeel Najafi

    2011-01-01

    Full Text Available This paper presents an integration of balanced score card (BSE with two-stage data envelopment analysis (DEA. The proposed model of this paper uses different financial and non-financial perspectives to evaluate the performance of decision making units in different BSC stages. At each stage, a two-stage DEA method is implemented to measure the relative efficiency of decision making units and the results are monitored using the cause and effect relationships. An empirical study for a banking sector is also performed using the method developed in this paper and the results are briefly analyzed.

  18. Cycloplegic refraction is the gold standard for epidemiological studies.

    Science.gov (United States)

    Morgan, Ian G; Iribarren, Rafael; Fotouhi, Akbar; Grzybowski, Andrzej

    2015-09-01

    Many studies on children have shown that lack of cycloplegia is associated with slight overestimation of myopia and marked errors in estimates of the prevalence of emmetropia and hyperopia. Non-cycloplegic refraction is particularly problematic for studies of associations with risk factors. The consensus around the importance of cycloplegia in children left undefined at what age, if any, cycloplegia became unnecessary. It was often implicitly assumed that cycloplegia is not necessary beyond childhood or early adulthood, and thus, the protocol for the classical studies of refraction in older adults did not include cycloplegia. Now that population studies of refractive error are beginning to fill the gap between schoolchildren and older adults, whether cycloplegia is required for measuring refractive error in this age range, needs to be defined. Data from the Tehran Eye Study show that, without cycloplegia, there are errors in the estimation of myopia, emmetropia and hyperopia in the age range 20-50, just as in children. Similar results have been reported in an analysis of data from the Beaver Dam Offspring Eye Study. If the only important outcome measure of a particular study is the prevalence of myopia, then cycloplegia may not be crucial in some cases. But, without cycloplegia, measurements of other refractive categories as well as spherical equivalent are unreliable. In summary, the current evidence suggests that cycloplegic refraction should be considered as the gold standard for epidemiological studies of refraction, not only in children, but in adults up to the age of 50. © 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  19. Cognition and Vascular Risk Factors: An Epidemiological Study

    Directory of Open Access Journals (Sweden)

    Augusto Vicario

    2012-01-01

    Full Text Available We conducted an epidemiological approach to identify the negative impact of the vascular risk factors (such as hypertension, diabetes and hypercholesterolemia over cognition. The interesting aspect of this study was that the survey was conducted in all age groups through a voluntary call (n=1365; ≥18 years old, both sexes; age 49 ± 15 y, female 75.7%. Thus, we demonstrated that the use of a Minimum Cognitive Examination (MCE, a brief, simple, and easy managed neuropsychological evaluation, detected a greater number of people with cognitive decline surpassing to the Minimal Mental Statement Examination alone (14.5% of the participants showed MMSE ≤24, 34,6% showed dys-executive function, and 45,8% memory impairment. Out of the 4 studied RF, the only one that was not related to cognitive impairment was dyslipemia. Finally, we noted the importance of cognitive state early detection in all age groups, even in the youngest group. Acting in the middle of the life stages, we can prevent or delay the onset of a disease in adults, nowadays incurable: dementia.

  20. Two-stage melting of Au-Pd nanoparticles.

    Science.gov (United States)

    Mejía-Rosales, Sergio J; Fernandez-Navarro, Carlos; Pérez-Tijerina, Eduardo; Montejano-Carrizales, Juan Martín; José-Yacamán, Miguel

    2006-07-06

    Several series of molecular dynamics runs were performed to simulate the melting transition of bimetallic cuboctahedral nanoparticles of gold-palladium at different relative concentrations to study their structural properties before, in, and after the transition. The simulations were made in the canonical ensemble, each series covering a range of temperatures from 300 to 980 K, using the Rafii-Tabar version of the Sutton and Chen interatomic potential for metallic alloys. We found that the melting transition temperature has a strong dependence on the relative concentrations of the atomic species. We also found that, previous to the melting transition, the outer layer of the nanoparticle gets disordered in what can be thought as a premelting stage, where Au atoms near the surface migrate to the surface and remain there after the particle melts as a whole. The melting of the surface below Tm is consistent with studies of the interaction of a TEM electron beam with Au and Au-Pd nanoparticles.

  1. Efficiency assessment of wind farms: a two-stage approach

    OpenAIRE

    Vaz, Clara B.; Ferreira, Ângela P.

    2015-01-01

    This study proposes an integrated methodology to provide insights regarding the efficiency of wind farms of two major promoters in the Portuguese energy sector. The focus of the wind farms performance assessment is on the operating stage which corresponds to the electrical energy production process. In a first stage, Data Envelopment Analysis is used to measure the efficiency of wind farms in producing electrical energy from the resources available and exogenous variables. This me...

  2. TWO-STAGE DECISION MODEL OF SOY FOOD CONSUMPTION BEHAVIOR

    OpenAIRE

    Rimal, Arbindra; Balasubramanian, Siva K.; Moon, Wanki

    2004-01-01

    Our study examined the role of soy health benefits in consumers' soy consumption decision. Given the large number of respondents who reported no consumption of soy products per month, it was important to model the decision of whether or not to participate in soy market separately from the consumption intensity decision. Estimation results demonstrate that knowledge of health benefits affects both the likelihood of participation and consumption intensity. That is, consumers with higher soy hea...

  3. Complex Dynamical Behavior of a Two-Stage Colpitts Oscillator with Magnetically Coupled Inductors

    Directory of Open Access Journals (Sweden)

    V. Kamdoum Tamba

    2014-01-01

    Full Text Available A five-dimensional (5D controlled two-stage Colpitts oscillator is introduced and analyzed. This new electronic oscillator is constructed by considering the well-known two-stage Colpitts oscillator with two further elements (coupled inductors and variable resistor. In contrast to current approaches based on piecewise linear (PWL model, we propose a smooth mathematical model (with exponential nonlinearity to investigate the dynamics of the oscillator. Several issues, such as the basic dynamical behaviour, bifurcation diagrams, Lyapunov exponents, and frequency spectra of the oscillator, are investigated theoretically and numerically by varying a single control resistor. It is found that the oscillator moves from the state of fixed point motion to chaos via the usual paths of period-doubling and interior crisis routes as the single control resistor is monitored. Furthermore, an experimental study of controlled Colpitts oscillator is carried out. An appropriate electronic circuit is proposed for the investigations of the complex dynamics behaviour of the system. A very good qualitative agreement is obtained between the theoretical/numerical and experimental results.

  4. Optimization of Two-Stage Peltier Modules: Structure and Exergetic Efficiency

    Directory of Open Access Journals (Sweden)

    Cesar Ramirez-Lopez

    2012-08-01

    Full Text Available In this paper we undertake the theoretical analysis of a two-stage semiconductor thermoelectric module (TEM which contains an arbitrary and different number of thermocouples, n1 and n2, in each stage (pyramid-styled TEM. The analysis is based on a dimensionless entropy balance set of equations. We study the effects of n1 and n2, the flowing electric currents through each stage, the applied temperatures and the thermoelectric properties of the semiconductor materials on the exergetic efficiency. Our main result implies that the electric currents flowing in each stage must necessarily be different with a ratio about 4.3 if the best thermal performance and the highest temperature difference possible between the cold and hot side of the device are pursued. This fact had not been pointed out before for pyramid-styled two stage TEM. The ratio n1/n2 should be about 8.

  5. Planning an Agricultural Water Resources Management System: A Two-Stage Stochastic Fractional Programming Model

    Directory of Open Access Journals (Sweden)

    Liang Cui

    2015-07-01

    Full Text Available Irrigation water management is crucial for agricultural production and livelihood security in many regions and countries throughout the world. In this study, a two-stage stochastic fractional programming (TSFP method is developed for planning an agricultural water resources management system under uncertainty. TSFP can provide an effective linkage between conflicting economic benefits and the associated penalties; it can also balance conflicting objectives and maximize the system marginal benefit with per unit of input under uncertainty. The developed TSFP method is applied to a real case of agricultural water resources management of the Zhangweinan River Basin China, which is one of the main food and cotton producing regions in north China and faces serious water shortage. The results demonstrate that the TSFP model is advantageous in balancing conflicting objectives and reflecting complicated relationships among multiple system factors. Results also indicate that, under the optimized irrigation target, the optimized water allocation rate of Minyou Channel and Zhangnan Channel are 57.3% and 42.7%, respectively, which adapts the changes in the actual agricultural water resources management problem. Compared with the inexact two-stage water management (ITSP method, TSFP could more effectively address the sustainable water management problem, provide more information regarding tradeoffs between multiple input factors and system benefits, and help the water managers maintain sustainable water resources development of the Zhangweinan River Basin.

  6. Two-Stage Single-Compartment Models to Evaluate Dissolution in the Lower Intestine.

    Science.gov (United States)

    Markopoulos, Constantinos; Vertzoni, Maria; Symillides, Mira; Kesisoglou, Filippos; Reppas, Christos

    2015-09-01

    The purpose was to propose two-stage single-compartment models for evaluating dissolution characteristics in distal ileum and ascending colon, under conditions simulating the bioavailability and bioequivalence studies in fasted and fed state by using the mini-paddle and the compendial flow-through apparatus (closed-loop mode). Immediate release products of two highly dosed active pharmaceutical ingredients (APIs), sulfasalazine and L-870,810, and one mesalamine colon targeting product were used for evaluating their usefulness. Change of medium composition simulating the conditions in distal ileum (SIFileum ) to a medium simulating the conditions in ascending colon in fasted state and in fed state was achieved by adding an appropriate solution in SIFileum . Data with immediate release products suggest that dissolution in lower intestine is substantially different than in upper intestine and is affected by regional pH differences > type/intensity of fluid convection > differences in concentration of other luminal components. Asacol® (400 mg/tab) was more sensitive to type/intensity of fluid convection. In all the cases, data were in line with available human data. Two-stage single-compartment models may be useful for the evaluation of dissolution in lower intestine. The impact of type/intensity of fluid convection and viscosity of media on luminal performance of other APIs and drug products requires further exploration.

  7. Metamodeling and Optimization of a Blister Copper Two-Stage Production Process

    Science.gov (United States)

    Jarosz, Piotr; Kusiak, Jan; Małecki, Stanisław; Morkisz, Paweł; Oprocha, Piotr; Pietrucha, Wojciech; Sztangret, Łukasz

    2016-06-01

    It is often difficult to estimate parameters for a two-stage production process of blister copper (containing 99.4 wt.% of Cu metal) as well as those for most industrial processes with high accuracy, which leads to problems related to process modeling and control. The first objective of this study was to model flash smelting and converting of Cu matte stages using three different techniques: artificial neural networks, support vector machines, and random forests, which utilized noisy technological data. Subsequently, more advanced models were applied to optimize the entire process (which was the second goal of this research). The obtained optimal solution was a Pareto-optimal one because the process consisted of two stages, making the optimization problem a multi-criteria one. A sequential optimization strategy was employed, which aimed for optimal control parameters consecutively for both stages. The obtained optimal output parameters for the first smelting stage were used as input parameters for the second converting stage. Finally, a search for another optimal set of control parameters for the second stage of a Kennecott-Outokumpu process was performed. The optimization process was modeled using a Monte-Carlo method, and both modeling parameters and computed optimal solutions are discussed.

  8. Numerical simulation of municipal solid waste combustion in a novel two-stage reciprocating incinerator.

    Science.gov (United States)

    Huai, X L; Xu, W L; Qu, Z Y; Li, Z G; Zhang, F P; Xiang, G M; Zhu, S Y; Chen, G

    2008-01-01

    A mathematical model was presented in this paper for the combustion of municipal solid waste in a novel two-stage reciprocating grate furnace. Numerical simulations were performed to predict the temperature, the flow and the species distributions in the furnace, with practical operational conditions taken into account. The calculated results agree well with the test data, and the burning behavior of municipal solid waste in the novel two-stage reciprocating incinerator can be demonstrated well. The thickness of waste bed, the initial moisture content, the excessive air coefficient and the secondary air are the major factors that influence the combustion process. If the initial moisture content of waste is high, both the heat value of waste and the temperature inside incinerator are low, and less oxygen is necessary for combustion. The air supply rate and the primary air distribution along the grate should be adjusted according to the initial moisture content of the waste. A reasonable bed thickness and an adequate excessive air coefficient can keep a higher temperature, promote the burnout of combustibles, and consequently reduce the emission of dioxin pollutants. When the total air supply is constant, reducing primary air and introducing secondary air properly can enhance turbulence and mixing, prolong the residence time of flue gas, and promote the complete combustion of combustibles. This study provides an important reference for optimizing the design and operation of municipal solid wastes furnace.

  9. Dynamics of installation way for the actuator of a two-stage active vibration-isolator

    Institute of Scientific and Technical Information of China (English)

    HU Li; HUANG Qi-bai; HE Xue-song; YUAN Ji-xuan

    2008-01-01

    We investigated the behaviors of an active control system of two-stage vibration isolation with the actuator installed in parallel with either the upper passive mount or the lower passive isolation mount. We revealed the relationships between the active control force of the actuator and the parameters of the passive isolators by studying the dynamics of two-stage active vibration isolation for the actuator at the foregoing two positions in turn. With the actuator installed beside the upper mount, a small active force can achieve a very good isolating effect when the frequency of the stimulating force is much larger than the natural frequency of the upper mount; a larger active force is required in the low-frequency domain; and the active force equals the stimulating force when the upper mount works within the resonance region, suggesting an approach to reducing wobble and ensuring desirable installation accuracy by increasing the upper-mount stiffness. In either the low or the high frequency region far away from the resonance region, the active force is smaller when the actuator is beside the lower mount than beside the upper mount.

  10. Hydrogen and methane production from household solid waste in the two-stage fermentation process

    DEFF Research Database (Denmark)

    Lui, D.; Liu, D.; Zeng, Raymond Jianxiong

    2006-01-01

    A two-stage process combined hydrogen and methane production from household solid waste was demonstrated working successfully. The yield of 43 mL H-2/g volatile solid (VS) added was generated in the first hydrogen production stage and the methane production in the second stage was 500 mL CH4/g VS....... Furthermore, this study also provided direct evidence in the dynamic fermentation process that, hydrogen production increase was reflected by acetate to butyrate ratio increase in liquid phase. (c) 2006 Elsevier Ltd. All rights reserved.......A two-stage process combined hydrogen and methane production from household solid waste was demonstrated working successfully. The yield of 43 mL H-2/g volatile solid (VS) added was generated in the first hydrogen production stage and the methane production in the second stage was 500 mL CH4/g VS...... added. This figure was 21% higher than the methane yield from the one-stage process, which was run as control. Sparging of the hydrogen reactor with methane gas resulted in doubling of the hydrogen production. PH was observed as a key factor affecting fermentation pathway in hydrogen production stage...

  11. Waste-gasification efficiency of a two-stage fluidized-bed gasification system.

    Science.gov (United States)

    Liu, Zhen-Shu; Lin, Chiou-Liang; Chang, Tsung-Jen; Weng, Wang-Chang

    2016-02-01

    This study employed a two-stage fluidized-bed gasifier as a gasification reactor and two additives (CaO and activated carbon) as the Stage-II bed material to investigate the effects of the operating temperature (700°C, 800°C, and 900°C) on the syngas composition, total gas yield, and gas-heating value during simulated waste gasification. The results showed that when the operating temperature increased from 700 to 900°C, the molar percentage of H2 in the syngas produced by the two-stage gasification process increased from 19.4 to 29.7mol% and that the total gas yield and gas-heating value also increased. When CaO was used as the additive, the molar percentage of CO2 in the syngas decreased, and the molar percentage of H2 increased. When activated carbon was used, the molar percentage of CH4 in the syngas increased, and the total gas yield and gas-heating value increased. Overall, CaO had better effects on the production of H2, whereas activated carbon clearly enhanced the total gas yield and gas-heating value. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  12. Selective capsulotomies of the expanded breast as a remodelling method in two-stage breast reconstruction.

    Science.gov (United States)

    Grimaldi, Luca; Campana, Matteo; Brandi, Cesare; Nisi, Giuseppe; Brafa, Anna; Calabrò, Massimiliano; D'Aniello, Carlo

    2013-06-01

    The two-stage breast reconstruction with tissue expander and prosthesis is nowadays a common method for achieving a satisfactory appearance in selected patients who had a mastectomy, but its most common aesthetic drawback is represented by an excessive volumetric increment of the superior half of the reconstructed breast, with a convexity of the profile in that area. A possible solution to limit this effect, and to fulfil the inferior pole, may be obtained by reducing the inferior tissue resistance by means of capsulotomies. This study reports the effects of various types of capsulotomies, performed in 72 patients after removal of the mammary expander, with the aim of emphasising the convexity of the inferior mammary aspect in the expanded breast. According to each kind of desired modification, possible solutions are described. On the basis of subjective and objective evaluations, an overall high degree of satisfaction has been evidenced. The described selective capsulotomies, when properly carried out, may significantly improve the aesthetic results in two-stage reconstructed breasts, with no additional scars, with minimal risks, and with little lengthening of the surgical time.

  13. Bovine Brucellosis: An Epidemiological Study at Chittagong, Bangladesh

    Directory of Open Access Journals (Sweden)

    Suchandan Sikder*, AKM Anisur Rahman1, Mohammad Rayhan Faruque, Mohammad Abdul Alim2, Shubhagata Das2, Aungshuman Das Gupta3, Bhajan Chandra Das, Mohammad Inkeyas Uddin4 and Mohammad Abdul Matin Prodhan

    2012-10-01

    Full Text Available An epidemiological survey was conducted to identify probable risk factors and prevalence of brucellosis in commercial and backyard dairy cows at Chittagong, Bangladesh. A total of 500 milk samples were collected (250 commercial and 250 backyards for Milk Ring Test (MRT. The MRT positive cows were subjected to sera collection and Rose Bengal Plate Test (RBPT and indirect ELISA were done for confirmatory diagnosis. The overall seroprevalence of brucellosis in cattle was 5% (7.6% in commercial and 2.4% in backyard. Significantly higher (P<0.05 prevalence was found in the zero grazing (5.74%, pregnant cows (7.53% and cows with history of retained placenta (7.89% or abortion (5.88% or both (11.76% than non-pregnant (2.68% and without any reproductive disorder (4.44%. A total of 420 farm attendants and owners were interviewed where 93.55 and 99.08% commercial and backyard personnel were found to have no knowledge of brucellosis and 9.67 and 87.77% consumed raw milk and yogurt respectively were highly vulnerable to zoonotic brucellosis. The results showed that brucellosis is widely distributed locally, underscoring the need for further studies including biovar determination.

  14. Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study

    Directory of Open Access Journals (Sweden)

    Mohammad M. Khater

    2014-01-01

    Full Text Available Purpose. This work aims to study the problems encountered with and the different epidemiological features of patients with fungal keratitis. Patients and Methods. All cases with keratitis attending the Outpatient Clinic of Ophthalmology Department at Tanta University Hospital during three years from the first of January 2011 to the end of December 2013 were selected and carefully examined and cases with mycotic keratitis were further examined and investigated. Results. From 66303 attendants during this period with different complaints, there were 361 cases (0.54% with mycotic keratitis and 473 cases (0.71% of nonmycotic origin. Mycotic keratitis is common between 40 and 60 years, more in farmers (64%, families with large number and large crowding index, rural than urban residence, and patients with outdoor water sources and insanitary sewage disposal. Positive fungal cultures were obtained in 84.5% and were negative in 15.5% of cases in spite of their typical clinical findings for diagnosis and their improvement with antifungal therapy. Conclusion. Mycotic keratitis is more frequent in farmers, rural areas, outdoor water supply, insanitary sewage disposal, and patients preceded with organic trauma. Atypical clinical findings were found in some cases and not all cases improved with specific antifungal therapy.

  15. [Linburg-Comstock syndrome. Epidemiologic and anatomic study, clinical applications].

    Science.gov (United States)

    Hamitouche, K; Roux, J L; Baeten, Y; Allieu, Y

    2000-05-01

    The Linburg-Comstock (LC) syndrome is distinguished by the inability to actively flex the interphalangeal (IP) joint of the thumb without simultaneously flexing the distal IP joint of the index finger. Any resistance to this 'parasitic' reaction causes pain on the palmar side of the wrist or in the distal part of the forearm; this is due to an anomalous tendinous connection between the flexor pollicus longus (FPL) and the flexor digitorum profundus (FDP). An epidemiological study was carried out on 264 individuals (a total of 528 hands were examined), and the LC syndrome was found in 98 subjects (37%); women were more frequently affected than men, and bilaterally rather than unilaterally. In addition, we dissected 26 fresh cadaver upper limbs, and in seven cases found an anomalous connection between FPL and FDP. We also examined the case of a young violinist with bilateral LC syndrome, who complained of pain in the distal part of the left forearm after prolonged musical exercises. Surgical investigation determined a complete fusion between FPL and FDP of the index with a common tendon. Treatment consisted of splitting this common tendon to form two separate tendons, thereby permitting a certain degree of independence between the thumb and index finger, and which considerably improved the violinist's musical performance. A review of the literature showed that there was a large quantity of anatomical descriptions available on these types of connection. Certain publications also provide an extremely precise report on the anthropological significance of these anomalies.

  16. Properties of a two stage adiabatic demagnetization refrigerator

    Science.gov (United States)

    Fukuda, H.; Ueda, S.; Arai, R.; Li, J.; Saito, A. T.; Nakagome, H.; Numazawa, T.

    2015-12-01

    Currently, many space missions using cryogenic temperatures are being planned. In particular, high resolution sensors such as Transition Edge Sensors need very low temperatures, below 100 mK. It is well known that the adiabatic demagnetization refrigerator (ADR) is one of most useful tools for producing ultra-low temperatures in space because it is gravity independent. We studied a continuous ADR system consisting of 4 stages and demonstrated it could provide continuous temperatures around 100 mK. However, there was some heat leakage from the power leads which resulted in reduced cooling power. Our efforts to upgrade our ADR system are presented. We show the effect of using the HTS power leads and discuss a cascaded Carnot cycle consisting of 2 ADR units.

  17. External Fixation versus two-stage Open Reduction Internal Fixation of distal intra-articular Tibia fractures; a Systematic Review

    DEFF Research Database (Denmark)

    Ladeby Erichsen, Julie; Jensen, Carsten; Damborg, Frank Lindhøj

    Internal Fixation (ORIF) or External Fixation (EF). Method : A search was conducted using PUBMED, Embase, Cochrane Central, Open Grey, Orthopaedic Proceedings and WHO International Clinical Trials Registry Platform. Studies with level of evidence I-IV comparing EF with two-stage ORIF of DIATF in patients...

  18. Melasma: A clinico-epidemiological study of 312 cases

    Directory of Open Access Journals (Sweden)

    Arun Achar

    2011-01-01

    Full Text Available Background: Melasma is an acquired increased pigmentation of the skin, characterized by gray-brown symmetrical patches, mostly in the sun-exposed areas of the skin. The pathogenesis is unknown, but genetic or hormonal influences with UV radiation are important. Aims: Our present research aims to study the clinico-epidemiological pattern and the precipitating or provocation factors in melasma. Materials and Methods: A total of 312 patients were enrolled for the study over a period of one year. Results: The mean age of patients with melasma was 33.45 years, ranging from 14 to 54 years. There was female preponderance with a female to male ratio of approximately 4 : 1. The mean age of onset was 29.99 years, with the youngest and oldest being 11 and 49 years, respectively. The patients sought medical treatment on an average of 3.59 years after appearance of melasma. About 55.12% of our patients reported that their disease exacerbated during sun exposure. Among 250 female patients, 56 reported pregnancy and 46 reported oral contraceptive as the precipitating factors. Only 34 patients had given history of exacerbation of melasma during pregnancy. A positive family history of melasma was observed in 104 (33.33% patients. Centrofacial was the most common pattern (55.44% observed in the present study. Wood light examination showed the dermal type being the most common in 54.48% and epidermal and mixed were seen in 21.47% and 24.03% of the cases, respectively. We tried to find an association with endocrinal diseases and observed that 20 of them had hypothyroidism. Conclusion: The exact cause of melasma is unknown. However, many factors have been implicated in the etiopathogenesis of this disorder. Here we try to identify the causative factors and provocation to develop melasma.

  19. MELASMA: A CLINICO-EPIDEMIOLOGICAL STUDY OF 312 CASES

    Science.gov (United States)

    Achar, Arun; Rathi, Sanjay K

    2011-01-01

    Background: Melasma is an acquired increased pigmentation of the skin, characterized by gray-brown symmetrical patches, mostly in the sun-exposed areas of the skin. The pathogenesis is unknown, but genetic or hormonal influences with UV radiation are important. Aims: Our present research aims to study the clinico-epidemiological pattern and the precipitating or provocation factors in melasma. Materials and Methods: A total of 312 patients were enrolled for the study over a period of one year. Results: The mean age of patients with melasma was 33.45 years, ranging from 14 to 54 years. There was female preponderance with a female to male ratio of approximately 4 : 1. The mean age of onset was 29.99 years, with the youngest and oldest being 11 and 49 years, respectively. The patients sought medical treatment on an average of 3.59 years after appearance of melasma. About 55.12% of our patients reported that their disease exacerbated during sun exposure. Among 250 female patients, 56 reported pregnancy and 46 reported oral contraceptive as the precipitating factors. Only 34 patients had given history of exacerbation of melasma during pregnancy. A positive family history of melasma was observed in 104 (33.33%) patients. Centrofacial was the most common pattern (55.44%) observed in the present study. Wood light examination showed the dermal type being the most common in 54.48% and epidermal and mixed were seen in 21.47% and 24.03% of the cases, respectively. We tried to find an association with endocrinal diseases and observed that 20 of them had hypothyroidism. Conclusion: The exact cause of melasma is unknown. However, many factors have been implicated in the etiopathogenesis of this disorder. Here we try to identify the causative factors and provocation to develop melasma. PMID:21965843

  20. Descriptive Epidemiology of Somatising Tendency: Findings from the CUPID Study

    Science.gov (United States)

    Vargas-Prada, Sergio; Coggon, David; Ntani, Georgia; Walker-Bone, Karen; Palmer, Keith T.; Felli, Vanda E.; Harari, Raul; Barrero, Lope H.; Felknor, Sarah A.; Gimeno, David; Cattrell, Anna; Bonzini, Matteo; Solidaki, Eleni; Merisalu, Eda; Habib, Rima R.; Sadeghian, Farideh; Kadir, M. Masood; Warnakulasuriya, Sudath S. P.; Matsudaira, Ko; Nyantumbu, Busisiwe; Sim, Malcolm R.; Harcombe, Helen; Cox, Ken; Sarquis, Leila M. M.; Marziale, Maria H.; Harari, Florencia; Freire, Rocio; Harari, Natalia; Monroy, Magda V.; Quintana, Leonardo A.; Rojas, Marianela; Harris, E. Clare; Serra, Consol; Martinez, J. Miguel; Delclos, George; Benavides, Fernando G.; Carugno, Michele; Ferrario, Marco M.; Pesatori, Angela C.; Chatzi, Leda; Bitsios, Panos; Kogevinas, Manolis; Oha, Kristel; Freimann, Tiina; Sadeghian, Ali; Peiris-John, Roshini J.; Sathiakumar, Nalini; Wickremasinghe, A. Rajitha; Yoshimura, Noriko; Kelsall, Helen L.; Hoe, Victor C. W.; Urquhart, Donna M.; Derrett, Sarah; McBride, David; Herbison, Peter; Gray, Andrew; Vega, Eduardo J. Salazar

    2016-01-01

    Somatising tendency, defined as a predisposition to worry about common somatic symptoms, is importantly associated with various aspects of health and health-related behaviour, including musculoskeletal pain and associated disability. To explore its epidemiological characteristics, and how it can be specified most efficiently, we analysed data from an international longitudinal study. A baseline questionnaire, which included questions from the Brief Symptom Inventory about seven common symptoms, was completed by 12,072 participants aged 20–59 from 46 occupational groups in 18 countries (response rate 70%). The seven symptoms were all mutually associated (odds ratios for pairwise associations 3.4 to 9.3), and each contributed to a measure of somatising tendency that exhibited an exposure-response relationship both with multi-site pain (prevalence rate ratios up to six), and also with sickness absence for non-musculoskeletal reasons. In most participants, the level of somatising tendency was little changed when reassessed after a mean interval of 14 months (75% having a change of 0 or 1 in their symptom count), although the specific symptoms reported at follow-up often differed from those at baseline. Somatising tendency was more common in women than men, especially at older ages, and varied markedly across the 46 occupational groups studied, with higher rates in South and Central America. It was weakly associated with smoking, but not with level of education. Our study supports the use of questions from the Brief Symptom Inventory as a method for measuring somatising tendency, and suggests that in adults of working age, it is a fairly stable trait. PMID:27128094

  1. Descriptive Epidemiology of Somatising Tendency: Findings from the CUPID Study.

    Directory of Open Access Journals (Sweden)

    Sergio Vargas-Prada

    Full Text Available Somatising tendency, defined as a predisposition to worry about common somatic symptoms, is importantly associated with various aspects of health and health-related behaviour, including musculoskeletal pain and associated disability. To explore its epidemiological characteristics, and how it can be specified most efficiently, we analysed data from an international longitudinal study. A baseline questionnaire, which included questions from the Brief Symptom Inventory about seven common symptoms, was completed by 12,072 participants aged 20-59 from 46 occupational groups in 18 countries (response rate 70%. The seven symptoms were all mutually associated (odds ratios for pairwise associations 3.4 to 9.3, and each contributed to a measure of somatising tendency that exhibited an exposure-response relationship both with multi-site pain (prevalence rate ratios up to six, and also with sickness absence for non-musculoskeletal reasons. In most participants, the level of somatising tendency was little changed when reassessed after a mean interval of 14 months (75% having a change of 0 or 1 in their symptom count, although the specific symptoms reported at follow-up often differed from those at baseline. Somatising tendency was more common in women than men, especially at older ages, and varied markedly across the 46 occupational groups studied, with higher rates in South and Central America. It was weakly associated with smoking, but not with level of education. Our study supports the use of questions from the Brief Symptom Inventory as a method for measuring somatising tendency, and suggests that in adults of working age, it is a fairly stable trait.

  2. A Two-Stage Diagnosis Framework for Wind Turbine Gearbox Condition Monitoring

    Directory of Open Access Journals (Sweden)

    Janet M. Twomey

    2013-01-01

    Full Text Available Advances in high performance sensing technologies enable the development of wind turbine condition monitoring system to diagnose and predict the system-wide effects of failure events. This paper presents a vibration-based two stage fault detection framework for failure diagnosis of rotating components in wind turbines. The proposed framework integrates an analytical defect detection method and a graphical verification method together to ensure the diagnosis efficiency and accuracy. The efficacy of the proposed methodology is demonstrated with a case study with the gearbox condition monitoring Round Robin study dataset provided by the National Renewable Energy Laboratory (NREL. The developed methodology successfully picked five faults out of seven in total with accurate severity levels without producing any false alarm in the blind analysis. The case study results indicated that the developed fault detection framework is effective for analyzing gear and bearing faults in wind turbine drive train system based upon system vibration characteristics.

  3. Epidemiological studies on radiation carcinogenesis in human populations following acute exposure: nuclear explosions and medical radiation

    Energy Technology Data Exchange (ETDEWEB)

    Fabrikant, J.I.

    1982-08-01

    The present review provides an understanding of our current knowledge of the carcinogenic effect of low-dose radiation in man, and surveys the epidemiological studies of human populations exposed to nuclear explosions and medical radiation. Discussion centers on the contributions of quantitative epidemiology to present knowledge, the reliability of the dose-incidence data, and those relevant epidemiological studies that provide the most useful information for risk estimation of cancer-induction in man. Reference is made to dose-incidence relationships from laboratory animal experiments where they may obtain for problems and difficulties in extrapolation from data obtained at high doses to low doses, and from animal data to the human situation. The paper describes the methods of application of such epidemiological data for estimation of excess risk of radiation-induced cancer in exposed human populations, and discusses the strengths and limitations of epidemiology in guiding radiation protection philosophy and public health policy.

  4. Epidemiological studies on radiation carcinogenesis in human populations following acute exposure: nuclear explosions and medical radiation

    Energy Technology Data Exchange (ETDEWEB)

    Fabrikant, J.I.

    1982-08-01

    The present review provides an understanding of our current knowledge of the carcinogenic effect of low-dose radiation in man, and surveys the epidemiological studies of human populations exposed to nuclear explosions and medical radiation. Discussion centers on the contributions of quantitative epidemiology to present knowledge, the reliability of the dose-incidence data, and those relevant epidemiological studies that provide the most useful information for risk estimation of cancer-induction in man. Reference is made to dose-incidence relationships from laboratory animal experiments where they may obtain for problems and difficulties in extrapolation from data obtained at high doses to low doses, and from animal data to the human situation. The paper describes the methods of application of such epidemiological data for estimation of excess risk of radiation-induced cancer in exposed human populations, and discusses the strengths and limitations of epidemiology in guiding radiation protection philosophy and public health policy.

  5. Poliomyelitis, measles and neonatal tetanus: a hospital based epidemiological study.

    Science.gov (United States)

    El Shazly, M K; Atta, H Y; Kishk, N A

    1997-01-01

    Vaccine-preventable diseases constitute a major health problem contributing to the morbidity and mortality in many developing countries including Egypt. WHO adopted resolutions to eradicate poliomyelitis by the year 2000, eliminate neonatal tetanus by the year 1995, and reduce measles mortality by 95% and morbidity by 90%, compared to the pre-immunization levels by 1995. Evaluation of preventive programs for these diseases necessitates availability of up to date information on their occurrence. The present study was undertaken to determine the current epidemiological features of poliomyelitis, neonatal tetanus and measles, to identify the trends of these diseases as well as to determine their outcomes and hospital loads. Data about the admitted cases of poliomyelitis, neonatal tetanus and measles were collected from the hospital register of Alexandria fever hospital for five successive years (1992-96). Available information on age, sex, residence, diagnosis, outcome of treatment, dates of admission and discharge were collected. The total number of cases of the three diseases admitted to the hospital during the period 1992-96 were 1406, measles represented 85.4%, neonatal tetanus 13.9% and poliomyelitis 0.7%. The results revealed that in the year 1994 only one case of poliomyelitis was admitted and since then no other cases were reported. The number of measles cases increased gradually in the latter years and about 78% of them were older than five years of age. A significant increase in the age of measles occurrence was observed. A gradual decline in the number of neonatal tetanus cases was observed. These cases were more apt to occur among early neonates but still clustered in certain geographical areas. The results of the study pinpoint the long term impact of the well run program aiming at eradicating poliomyelitis in Alexandria. However, for elimination of neonatal tetanus and controlling measles morbidity, further activities are required including strengthening

  6. Epidemiological study on food intake and Helicobacter pylori infection.

    Science.gov (United States)

    Toyonaga, A; Okamatsu, H; Sasaki, K; Kimura, H; Saito, T; Shimizu, S; Fukuizumi, K; Tsuruta, O; Tanikawa, K; Sata, M

    2000-01-01

    We conducted an epidemiological study to investigate the relation of food intake to Helicobacter pylori (H. pylori) infection in an area endemic for H. pylori. In this study, 365 subjects, 104 men and 261 women, were randomly selected from 7,389 adult (over age 20) inhabitants of town A, Japan. The prevalence of immunoglobulin G (IgG) class antibody to H. pylori (anti-H. pylori) was 83.7% and the prevalence of anti-H. pylori increased with age significantly (P gastritis, gastroduodenal ulcer and gastric cancer tended to have a higher anti-H. pylori positive ratio (93.5%) than those without (81.0%). But there was no relationship between anti-H. pylori prevalence and sex, blood type, smoking or drinking habits. Daily intake of foods by food groups, nutrients and the concentrations of serum ingredients were compared between 37 anti-H. pylori-positive and 40 negative subjects selected from 365 inhabitants by matching up according to sex and age. The daily intake of cereals, potatoes and starches, and milks tended to be higher in positive than negative subjects, while the daily intake of algae and tea appeared to be a little higher in negative than in positive subjects. The daily zinc intake of antibody-positive subjects was significantly higher (P < 0.05) than in antibody negative subjects. On the other hand, the daily iron intake in negative subjects was significantly higher (P < 0.05) than in positive subjects. The serum concentrations of copper, zinc, and vitamin E tended to be higher in positive than negative subjects. But there were no significant differences in serum ingredients concentrations between antibody negative and positive subjects. Our findings suggest that iron and zinc intakes may effect on H. pylori infection.

  7. True Vertigo Patients in Emergency Department; an Epidemiologic Study

    Directory of Open Access Journals (Sweden)

    Ali Shahrami

    2016-01-01

    Full Text Available Introduction: Vertigo prevalence is estimated to be 1.8% among young adults and more than 30% in the elderly. 13-38% of the referrals of patients over 65 years old in America are due to vertigo. Vertigo does not increase the risk of mortality but it can affect the patient’s quality of life. Therefore, this study was designed to evaluate the epidemiologic characteristics of vertigo patients referred to the emergency department (ED. Methods: In this 6-month retrospective cross-sectional study, the profiles of all vertigo patients referred to the ED of Imam Hossein Hospital, Tehran, Iran, from October 2013 to March 2014 were evaluated. Demographic data and baseline characteristics of the patients were recorded and then patients were divided into central and peripheral vertigo. The correlation of history and clinical examination with vertigo type was evaluated and screening performance characteristics of history and clinical examination in differentiating central and peripheral vertigo were determined. Results: 379 patients with the mean age of 50.69 ± 11.94 years (minimum 18 and maximum 86 were enrolled (58.13% female. There was no sex difference in vertigo incidence (p = 0.756. A significant correlation existed between older age and increase in frequency of central cases (p < 0.001. No significant difference was detected between the treatment protocols regarding ED length of stay (p = 0.72. There was a significant overlap between the initial diagnosis and the final decision based on imaging and neurologist’s final opinion (p < 0.001. In the end, 361 (95.3% patients were discharged from ED, while 18 were disposed to the neurology ward. No case of mortality was reported. Conclusion: Sensitivity and specificity of history and clinical examination in differentiating central and peripheral vertigo were 99 (95% CI: 57-99 and 99 (95% CI: 97-99, respectively.

  8. EPIDEMIOLOGICAL STUDY OF LOW ENERGY FRACTURES IN REPUBLIC OF ARMENIA

    Directory of Open Access Journals (Sweden)

    S. Saakyan

    2017-01-01

    Full Text Available Until present no data was available inArmeniain respect of incidence of low energy fractures that are typical of osteoporotic locations which consequently did not allow to evaluate the scope of this problem across the country.Purpose of the study – to identify the incidence of low energy fractures in proximal femur, in distal forearm, in proximal humerus and in distal tibia across population ofArmenia aged 50 years and older.Materials and methods. An observing population study was performed in two regions of Armenia during 2011-2013 where the frequency of selected locations in cases of moderate trauma was identified. During 2011-2012 the information was collected based on traumatology service records adding in 2013 other sources including primary level of healthcare due to observed infrequent applications for medical help in cases of trauma. Results. In 2013 the incidence of proximal femur fractures in men was reported as 136 cases per 100 000 of population aged 50 years and older, in women – 201 cases per 100 000. At the same time only 57.7% of patients with proximal femur fractures were admitted to hospital. Distal forearm fractures incidence in men and women was observed correspondingly 56/100 000 and 176/100 000 cases, proximal humerus fractures – 39/100 000 and 86/100 000 cases and distal tibia fractures – 39/100 000 and 86/100 000 cases. The predicted annual number of proximal femur fracture in Armenia amounts to 2067 cases, distal forearm fractures – 1205, proximal humerus fractures – 640.Conclusion. Epidemiological data that was collected for the first time on low energy fractures incidence confirmed the acute osteoporosis issue inArmenia and revealed the problems in organization of medical care for the group of senior patients with injuries.

  9. Preemptive scheduling in a two-stage supply chain to minimize the makespan

    NARCIS (Netherlands)

    Pei, Jun; Fan, Wenjuan; Pardalos, Panos M.; Liu, Xinbao; Goldengorin, Boris; Yang, Shanlin

    2015-01-01

    This paper deals with the problem of preemptive scheduling in a two-stage supply chain framework. The supply chain environment contains two stages: production and transportation. In the production stage jobs are processed on a manufacturer's bounded serial batching machine, preemptions are allowed,

  10. The Netherlands Epidemiology of Obesity (NEO) study: study design and data collection

    NARCIS (Netherlands)

    Mutsert, R. de; Heijer, M. den; Rabelink, T.J.; Smit, J.W.A.; Romijn, J.A.; Jukema, J.W.; Roos, A. de; Cobbaert, C.M.; Kloppenburg, M.; Cessie, S. le; Middeldorp, S.; Rosendaal, F.R.

    2013-01-01

    Obesity is a well-established risk factor for many chronic diseases. Incomplete insight exists in the causal pathways responsible for obesity-related disorders and consequently, in the identification of obese individuals at risk of these disorders. The Netherlands Epidemiology of Obesity (NEO) study

  11. Epidemiological studies on Brassica vegetables and cancer risk

    NARCIS (Netherlands)

    Verhoeven, D.T.H.; Goldbohm, R.A.; Poppel, G. van; Verhagen, H.; Brandt, P.A. van den

    1996-01-01

    This paper gives an overview of the epidemiological data concerning the cancer-preventive effect of brassica vegetables, including cabbage, kale, broccoli, Brussels sprouts, and cauliflower. The protective effect of brassicas against cancer may be due to their relatively high content of glucosinolat

  12. Retrospective epidemiological study of the X-Ray exposure

    Energy Technology Data Exchange (ETDEWEB)

    Ivanov, E. V.; Kalnitsky, S. A.; Shubic, V. M.

    2004-07-01

    There are a large amount of epidemiological studies nowadays in the world which are devoted to the analysis of the medical effects and the radiation risk. But a few of them deal with the analysis of the medical diagnostic radiation influence on health. It is appropriate, for the large compared contingent of the patients and the possibility of comparing them in several decades after the exposure are necessary for the evaluation of the influence of small doses on health. Meanwhile the X-ray exposure of the population is one of the most important types of radiation influence among all the kinds and sources of radiation. It is characterized by high dose rate and the possibility of multiple influence on a weakened and diseased organism. In connection with that, the eleven of the indices of population health was analyzed for the first time in Russia. The population was influenced by different levels of X-ray exposure 10-50 years ago. The research was carried out in the two groups of the Tumen (Siberia) regions. These regions are more or less equal in the climatic; ecologic, social-economic and demographic conditions. Nevertheless, they are different even only in the value of accumulated doses of X-ray exposure of the population (mostly in 50-70s) more than three times. Disease and mortality cancer of population of the last ten years in the regions were analyzed. The regions were selected taking into account the absence of the influence of other possible negative environmental factors. The data are found as the result of the dosimetric and epidemiological studies, and the processing of the archive statistic information. These researches demonstrated that on the whole there is the considerable statistically proved rise of disease cancer in the regions with high level of long term accumulated doses of X-ray exposure of population. Inter-district differences in disease and mortality cancer run up to three times among people aged 60 and older. There are no statistically

  13. Modelling of two-stage anaerobic digestion using the IWA Anaerobic Digestion Model No. 1 (ADM1).

    Science.gov (United States)

    Blumensaat, F; Keller, J

    2005-01-01

    The aim of the study presented was to implement a process model to simulate the dynamic behaviour of a pilot-scale process for anaerobic two-stage digestion of sewage sludge. The model implemented was initiated to support experimental investigations of the anaerobic two-stage digestion process. The model concept implemented in the simulation software package MATLAB/Simulink is a derivative of the IWA Anaerobic Digestion Model No.1 (ADM1) that has been developed by the IWA task group for mathematical modelling of anaerobic processes. In the present study the original model concept has been adapted and applied to replicate a two-stage digestion process. Testing procedures, including balance checks and 'benchmarking' tests were carried out to verify the accuracy of the implementation. These combined measures ensured a faultless model implementation without numerical inconsistencies. Parameters for both, the thermophilic and the mesophilic process stage, have been estimated successfully using data from lab-scale experiments described in literature. Due to the high number of parameters in the structured model, it was necessary to develop a customised procedure that limited the range of parameters to be estimated. The accuracy of the optimised parameter sets has been assessed against experimental data from pilot-scale experiments. Under these conditions, the model predicted reasonably well the dynamic behaviour of a two-stage digestion process in pilot scale.

  14. 网络市场商标权侵权问题研究--基于一个两期动态交易模型%Study on Trademark Right Infringement in Network Market---Based on a Two-stage Dynamic Trading Model

    Institute of Scientific and Technical Information of China (English)

    韩沈超; 吴雯

    2014-01-01

    构建一个两期动态交易模型,分析在销售与不销售商标权侵权商品的情形下,网络市场三方主体网商平台、消费者和卖家如何权衡效用最大化,并结合“1号店”案例深入研究网络市场商标权侵权问题。结论表明:当网商平台的监管力度、惩罚成本控制在一定范围内,有助于抑制侵权行为发生;商标的品牌价值越高,侵权发生的可能性也相应增加;卖家商业道德的提升对于侵权活动发生亦有抑制作用。据此,提出了如何构建和谐网络市场、开展诚信交易活动的政策建议。%A two-stage dynamic trading model is built in this paper, to analyze how the three sides of main bodies in network mar-ket environment -online business platforms, consumers and sellers maximize their utilities in two different scenarios ( whether to sell goods that infringes the trademark right or not). Besides, a case study concerned with“the 1st Shop” is also adopted to do some dee-per analyses about trademark right infringement in network market. The result reflects that:in network market, the online platform will contribute to restrain infringing activities by controlling regulations as well as penalty cost to a certain level;the higher the trademark of the brand value is, the more chances that infringing activities occur;the improvement of business morality also helps the decreasing of infringing activities. On the basis, the paper puts forward some policy suggestions which are concerned with how to build a harmonious network market and to do honest trading online.

  15. International Biological Engagement Programs Facilitate Newcastle Disease Epidemiological Studies

    Science.gov (United States)

    Miller, Patti J.; Dimitrov, Kiril M.; Williams-Coplin, Dawn; Peterson, Melanie P.; Pantin-Jackwood, Mary J.; Swayne, David E.; Suarez, David L.; Afonso, Claudio L.

    2015-01-01

    Infections of poultry species with virulent strains of Newcastle disease virus (NDV) cause Newcastle disease (ND), one of the most economically significant and devastating diseases for poultry producers worldwide. Biological engagement programs between the Southeast Poultry Research Laboratory (SEPRL) of the United States Department of Agriculture and laboratories from Russia, Pakistan, Ukraine, Kazakhstan, and Indonesia collectively have produced a better understanding of the genetic diversity and evolution of the viruses responsible for ND, which is crucial for the control of the disease. The data from Kazakhstan, Russia, and Ukraine identified possible migratory routes for birds that may carry both virulent NDV (vNDV) and NDV of low virulence into Europe. In addition, related NDV strains were isolated from wild birds in Ukraine and Nigeria, and from birds in continental USA, Alaska, Russia, and Japan, identifying wild birds as a possible mechanism of intercontinental spread of NDV of low virulence. More recently, the detection of new sub-genotypes of vNDV suggests that a new, fifth, panzootic of ND has already originated in Southeast Asia, extended to the Middle East, and is now entering into Eastern Europe. Despite expected challenges when multiple independent laboratories interact, many scientists from the collaborating countries have successfully been trained by SEPRL on molecular diagnostics, best laboratory practices, and critical biosecurity protocols, providing our partners the capacity to further train other employes and to identify locally the viruses that cause this OIE listed disease. These and other collaborations with partners in Mexico, Bulgaria, Israel, and Tanzania have allowed SEPRL scientists to engage in field studies, to elucidate more aspects of ND epidemiology in endemic countries, and to understand the challenges that the scientists and field veterinarians in these countries face on a daily basis. Finally, new viral characterization tools

  16. Epidemiology of small intestinal atresia in Europe: a register-based study.

    LENUS (Irish Health Repository)

    Best, Kate E

    2012-09-01

    The epidemiology of congenital small intestinal atresia (SIA) has not been well studied. This study describes the presence of additional anomalies, pregnancy outcomes, total prevalence and association with maternal age in SIA cases in Europe.

  17. Meta-analysis using individual participant data: one-stage and two-stage approaches, and why they may differ.

    Science.gov (United States)

    Burke, Danielle L; Ensor, Joie; Riley, Richard D

    2017-02-28

    Meta-analysis using individual participant data (IPD) obtains and synthesises the raw, participant-level data from a set of relevant studies. The IPD approach is becoming an increasingly popular tool as an alternative to traditional aggregate data meta-analysis, especially as it avoids reliance on published results and provides an opportunity to investigate individual-level interactions, such as treatment-effect modifiers. There are two statistical approaches for conducting an IPD meta-analysis: one-stage and two-stage. The one-stage approach analyses the IPD from all studies simultaneously, for example, in a hierarchical regression model with random effects. The two-stage approach derives aggregate data (such as effect estimates) in each study separately and then combines these in a traditional meta-analysis model. There have been numerous comparisons of the one-stage and two-stage approaches via theoretical consideration, simulation and empirical examples, yet there remains confusion regarding when each approach should be adopted, and indeed why they may differ. In this tutorial paper, we outline the key statistical methods for one-stage and two-stage IPD meta-analyses, and provide 10 key reasons why they may produce different summary results. We explain that most differences arise because of different modelling assumptions, rather than the choice of one-stage or two-stage itself. We illustrate the concepts with recently published IPD meta-analyses, summarise key statistical software and provide recommendations for future IPD meta-analyses. © 2016 The Authors. Statistics in Medicine published by John Wiley & Sons Ltd.

  18. Focused ultrasound simultaneous irradiation/MRI imaging, and two-stage general kinetic model.

    Directory of Open Access Journals (Sweden)

    Sheng-Yao Huang

    Full Text Available Many studies have investigated how to use focused ultrasound (FUS to temporarily disrupt the blood-brain barrier (BBB in order to facilitate the delivery of medication into lesion sites in the brain. In this study, through the setup of a real-time system, FUS irradiation and injections of ultrasound contrast agent (UCA and Gadodiamide (Gd, an MRI contrast agent can be conducted simultaneously during MRI scanning. By using this real-time system, we were able to investigate in detail how the general kinetic model (GKM is used to estimate Gd penetration in the FUS irradiated area in a rat's brain resulting from UCA concentration changes after single FUS irradiation. Two-stage GKM was proposed to estimate the Gd penetration in the FUS irradiated area in a rat's brain under experimental conditions with repeated FUS irradiation combined with different UCA concentrations. The results showed that the focal increase in the transfer rate constant of Ktrans caused by BBB disruption was dependent on the doses of UCA. Moreover, the amount of in vivo penetration of Evans blue in the FUS irradiated area in a rat's brain under various FUS irradiation experimental conditions was assessed to show the positive correlation with the transfer rate constants. Compared to the GKM method, the Two-stage GKM is more suitable for estimating the transfer rate constants of the brain treated with repeated FUS irradiations. This study demonstrated that the entire process of BBB disrupted by FUS could be quantitatively monitored by real-time dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI.

  19. Risk of Cancer in relation to Natural Radiation, including Radon: Evidence from Epidemiological Studies

    Science.gov (United States)

    Baysson, Hélène; Tirmarche, Margot; Laurier, Dominique

    2008-08-01

    A review of recently published epidemiological studies on populations exposed to natural background ionizing radiation is proposed. The advantages and disadvantages of different types of epidemiological studies as well as the uncertainty linked to multiple exposures are discussed. As radon is the greatest source of natural radiation, particular attention is given to quantification of risk obtained through cohort studies of uranium miners and after joint analysis of case-control studies on lung cancer and residential radon.

  20. Two-stage vs single-stage management for concomitant gallstones and common bile duct stones

    Institute of Scientific and Technical Information of China (English)

    Jiong Lu; Yao Cheng; Xian-Ze Xiong; Yi-Xin Lin; Si-Jia Wu; Nan-Sheng Cheng

    2012-01-01

    AIM:To evaluate the safety and effectiveness of two-stage vs single-stage management for concomitant gallstones and common bile duct stones.METHODS:Four databases,including PubMed,Embase,the Cochrane Central Register of Controlled Trials and the Science Citation Index up to September 2011,were searched to identify all randomized controlled trials (RCTs).Data were extracted from the studies by two independent reviewers.The primary outcomes were stone clearance from the common bile duct,postoperative morbidity and mortality.The secondary outcomes were conversion to other procedures,number of procedures per patient,length of hospital stay,total operative time,hospitalization charges,patient acceptance and quality of life scores.RESULTS:Seven eligible RCTs [five trials (n =621)comparing preoperative endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) + laparoscopic cholecystectomy (LC) with LC +laparoscopic common bile duct exploration (LCBDE);two trials (n =166) comparing postoperative ERCP/EST + LC with LC + LCBDE],composed of 787 patients in total,were included in the final analysis.The metaanalysis detected no statistically significant difference between the two groups in stone clearance from the common bile duct [risk ratios (RR) =-0.10,95% confidence intervals (CI):-0.24 to 0.04,P =0.17],postoperative morbidity (RR =0.79,95% CI:0.58 to 1.10,P =0.16),mortality (RR =2.19,95% CI:0.33 to 14.67,P =0.42),conversion to other procedures (RR =1.21,95% CI:0.54 to 2.70,P =0.39),length of hospital stay (MD =0.99,95% CI:-1.59 to 3.57,P =0.45),total operative time (MD =12.14,95% CI:-1.83 to 26.10,P =0.09).Two-stage (LC + ERCP/EST) management clearly required more procedures per patient than single-stage (LC + LCBDE) management.CONCLUSION:Single-stage management is equivalent to two-stage management but requires fewer procedures.However,patient's condition,operator's expertise and local resources should be taken into account in

  1. Two-Stage Over-the-Air (OTA Test Method for LTE MIMO Device Performance Evaluation

    Directory of Open Access Journals (Sweden)

    Ya Jing

    2012-01-01

    Full Text Available With MIMO technology being adopted by the wireless communication standards LTE and HSPA+, MIMO OTA research has attracted wide interest from both industry and academia. Parallel studies are underway in COST2100, CTIA, and 3GPP RAN WG4. The major test challenge for MIMO OTA is how to create a repeatable scenario which accurately reflects the MIMO antenna radiation performance in a realistic wireless propagation environment. Different MIMO OTA methods differ in the way to reproduce a specified MIMO channel model. This paper introduces a novel, flexible, and cost-effective method for measuring MIMO OTA using a two-stage approach. In the first stage, the antenna pattern is measured in an anechoic chamber using a nonintrusive approach, that is without cabled connections or modifying the device. In the second stage, the antenna pattern is convolved with the chosen channel model in a channel emulator to measure throughput using a cabled connection.

  2. The Sources of Efficiency of the Nigerian Banking Industry: A Two- Stage Approach

    Directory of Open Access Journals (Sweden)

    Frances Obafemi

    2013-11-01

    Full Text Available The paper employed a two-stage Data Envelopment Analysis (DEA approach to examine the sources oftechnical efficiency in the Nigerian banking sub-sector. Using a cross sectionof commercial and merchant banks, the study showed that the Nigerian bankingindustry was not efficient both in the pre-and-post-liberalization era. Thestudy further revealed that market share was the strongest determinant oftechnical efficiency in the Nigerian banking Industry. Thus, appropriatemacroeconomic policy, institutional development and structural reforms mustaccompany financial liberalization to create the stable environment requiredfor it to succeed. Hence, the present bank consolidation and reforms by theCentral Bank of Nigeria, which started with Soludo and continued with Sanusi,are considered necessary, especially in the areas of e banking and reorganizingthe management of banks.

  3. ADM1-based modeling of methane production from acidified sweet sorghum extractin a two stage process

    DEFF Research Database (Denmark)

    Antonopoulou, Georgia; Gavala, Hariklia N.; Skiadas, Ioannis

    2012-01-01

    The present study focused on the application of the Anaerobic Digestion Model 1 οn the methane production from acidified sorghum extract generated from a hydrogen producing bioreactor in a two-stage anaerobic process. The kinetic parameters for hydrogen and volatile fatty acids consumption were...... estimated through fitting of the model equations to the data obtained from batch experiments. The simulation of the continuous reactor performance at all HRTs tested (20, 15 and 10d) was very satisfactory. Specifically, the largest deviation of the theoretical predictions against the experimental data...... was 12% for the methane production rate at the HRT of 20d while the deviation values for the 15 and 10 d HRT were 1.9% and 1.1%, respectively. The model predictions regarding pH, methane percentage in the gas phase and COD removal were in very good agreement with the experimental data with a deviation...

  4. Nitrification and microalgae cultivation for two-stage biological nutrient valorization from source separated urine.

    Science.gov (United States)

    Coppens, Joeri; Lindeboom, Ralph; Muys, Maarten; Coessens, Wout; Alloul, Abbas; Meerbergen, Ken; Lievens, Bart; Clauwaert, Peter; Boon, Nico; Vlaeminck, Siegfried E

    2016-07-01

    Urine contains the majority of nutrients in urban wastewaters and is an ideal nutrient recovery target. In this study, stabilization of real undiluted urine through nitrification and subsequent microalgae cultivation were explored as strategy for biological nutrient recovery. A nitrifying inoculum screening revealed a commercial aquaculture inoculum to have the highest halotolerance. This inoculum was compared with municipal activated sludge for the start-up of two nitrification membrane bioreactors. Complete nitrification of undiluted urine was achieved in both systems at a conductivity of 75mScm(-1) and loading rate above 450mgNL(-1)d(-1). The halotolerant inoculum shortened the start-up time with 54%. Nitrite oxidizers showed faster salt adaptation and Nitrobacter spp. became the dominant nitrite oxidizers. Nitrified urine as growth medium for Arthrospira platensis demonstrated superior growth compared to untreated urine and resulted in a high protein content of 62%. This two-stage strategy is therefore a promising approach for biological nutrient recovery.

  5. Lossless and near-lossless digital angiography coding using a two-stage motion compensation approach.

    Science.gov (United States)

    dos Santos, Rafael A P; Scharcanski, Jacob

    2008-07-01

    This paper presents a two-stage motion compensation coding scheme for image sequences in hemodynamics. The first stage of the proposed method implements motion compensation, and the second stage corrects local pixel intensity distortions with a context adaptive linear predictor. The proposed method is robust to the local intensity distortions and the noise that often degrades these image sequences, providing lossless and near-lossless quality. Our experiments with lossless compression of 12bits/pixel studies indicate that, potentially, our approach can perform 3.8%, 2% and 1.6% better than JPEG-2000, JPEG-LS and the method proposed by Scharcanski [1], respectively. The performance tends to improve for near-lossless compression. Therefore, this work presents experimental evidence that for coding image sequences in hemodynamics, an adequate motion compensation scheme can be more efficient than the still-image coding methods often used nowadays.

  6. A Two-Stage LGSM for Three-Point BVPs of Second-Order ODEs

    Directory of Open Access Journals (Sweden)

    Chein-Shan Liu

    2008-08-01

    Full Text Available The study in this paper is a numerical integration of second-order three-point boundary value problems under two imposed nonlocal boundary conditions at t=t0, t=ξ, and t=t1 in a general setting, where t0<ξtwo-stage Lie-group shooting method for finding unknown initial conditions, which are obtained through an iterative solution of derived algebraic equations in terms of a weighting factor r∈(0,1. The best r is selected by matching the target with a minimal discrepancy. Numerical examples are examined to confirm that the new approach has high efficiency and accuracy with a fast speed of convergence. Even for multiple solutions, the present method is also effective to find them.

  7. A Two-Stage LGSM for Three-Point BVPs of Second-Order ODEs

    Directory of Open Access Journals (Sweden)

    Liu Chein-Shan

    2008-01-01

    Full Text Available Abstract The study in this paper is a numerical integration of second-order three-point boundary value problems under two imposed nonlocal boundary conditions at , , and in a general setting, where . We construct a two-stage Lie-group shooting method for finding unknown initial conditions, which are obtained through an iterative solution of derived algebraic equations in terms of a weighting factor . The best is selected by matching the target with a minimal discrepancy. Numerical examples are examined to confirm that the new approach has high efficiency and accuracy with a fast speed of convergence. Even for multiple solutions, the present method is also effective to find them.

  8. A Two-stage Tuning Method of Servo Parameters for Feed Drives in Machine Tools

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Based on the evaluation of dynamic performance for feed drives in machine tools, this paper presents a two-stage tuning method of servo parameters. In the first stage, the evaluation of dynamic performance, parameter tuning and optimization on a mechatronic integrated system simulation platform of feed drives are performed. As a result, a servo parameter combination is acquired. In the second stage, the servo parameter combination from the first stage is set and tuned further in a real machine tool whose dynamic performance is measured and evaluated using the cross grid encoder developed by Heidenhain GmbH. A case study shows that this method simplifies the test process effectively and results in a good dynamic performance in a real machine tool.

  9. Epidemiological studies on forestomach disorders in cattle and buffaloes

    Directory of Open Access Journals (Sweden)

    A. K. Sharma

    2015-09-01

    Full Text Available Aim: To study epidemiology of forestomach (reticuloruminal, omasal, and abomasal disorders in cattle and buffaloes. Materials and Methods: The 106 buffaloes and 32 cattle referred for treatment to the university large animals teaching hospital with the complaint of gastrointestinal diseases constituted the study material. The cases were diagnosed based on history, clinical examination, hematology, biochemistry, radiography, peritoneal fluid analysis and ultrasonography, rumenotomy, and postmortem. A questionnaire was prepared containing important information on housing, husbandry practices, including feeding practices and individual animal information viz. age, species, month of the year, parity, gestation (month, and recent parturition. The animals were divided into eight groups and analysis of variance was performed to study risk factors associated with each condition. Results: The forestomach disorders are widely prevalent in cattle and buffaloes between April and October, during summer and rainy season (90% and constituted a significant proportion of diseased cows and buffaloes (138/1840 at the hospital. Different forestomach disorders and their prevalence was: Diaphragmatic hernia (DH 17%, traumatic reticuloperitonitis (TRP 14%, idiopathic motility disorder or vagus indigestion (VI 22%, adhesive peritonitis (AP 13%, frank exudative peritonitis (FEP 12%, reticular abscess (RA 8%, ruminal and omasal impaction (RI 5%, and abomaso duodenal ulceration (ADU 9%. DH and RA were significantly more common in buffaloes as compared to cattle. Similarly, impactions were more in buffaloes but its incidence was very low (5%. ADU was present in buffalo as commonly as in cows. Exclusive feeding of wheat straw was present in an abysmally low number of animals and hence could not be considered the cause of these disorders. DH was significantly higher in buffaloes (>5 years of 5-8 years of age and TRP, VI and AP were observed in cattle and buffalo of 2-8 years

  10. An unit cost adjusting heuristic algorithm for the integrated planning and scheduling of a two-stage supply chain

    Directory of Open Access Journals (Sweden)

    Jianhua Wang

    2014-10-01

    Full Text Available Purpose: The stable relationship of one-supplier-one-customer is replaced by a dynamic relationship of multi-supplier-multi-customer in current market gradually, and efficient scheduling techniques are important tools of the dynamic supply chain relationship establishing process. This paper studies the optimization of the integrated planning and scheduling problem of a two-stage supply chain with multiple manufacturers and multiple retailers to obtain a minimum supply chain operating cost, whose manufacturers have different production capacities, holding and producing cost rates, transportation costs to retailers.Design/methodology/approach: As a complex task allocation and scheduling problem, this paper sets up an INLP model for it and designs a Unit Cost Adjusting (UCA heuristic algorithm that adjust the suppliers’ supplying quantity according to their unit costs step by step to solve the model.Findings: Relying on the contrasting analysis between the UCA and the Lingo solvers for optimizing many numerical experiments, results show that the INLP model and the UCA algorithm can obtain its near optimal solution of the two-stage supply chain’s planning and scheduling problem within very short CPU time.Research limitations/implications: The proposed UCA heuristic can easily help managers to optimizing the two-stage supply chain scheduling problems which doesn’t include the delivery time and batch of orders. For two-stage supply chains are the most common form of actual commercial relationships, so to make some modification and study on the UCA heuristic should be able to optimize the integrated planning and scheduling problems of a supply chain with more reality constraints.Originality/value: This research proposes an innovative UCA heuristic for optimizing the integrated planning and scheduling problem of two-stage supply chains with the constraints of suppliers’ production capacity and the orders’ delivering time, and has a great

  11. Anti-kindling Induced by Two-Stage Coordinated Reset Stimulation with Weak Onset Intensity

    Science.gov (United States)

    Zeitler, Magteld; Tass, Peter A.

    2016-01-01

    Abnormal neuronal synchrony plays an important role in a number of brain diseases. To specifically counteract abnormal neuronal synchrony by desynchronization, Coordinated Reset (CR) stimulation, a spatiotemporally patterned stimulation technique, was designed with computational means. In neuronal networks with spike timing–dependent plasticity CR stimulation causes a decrease of synaptic weights and finally anti-kindling, i.e., unlearning of abnormally strong synaptic connectivity and abnormal neuronal synchrony. Long-lasting desynchronizing aftereffects of CR stimulation have been verified in pre-clinical and clinical proof of concept studies. In general, for different neuromodulation approaches, both invasive and non-invasive, it is desirable to enable effective stimulation at reduced stimulation intensities, thereby avoiding side effects. For the first time, we here present a two-stage CR stimulation protocol, where two qualitatively different types of CR stimulation are delivered one after another, and the first stage comes at a particularly weak stimulation intensity. Numerical simulations show that a two-stage CR stimulation can induce the same degree of anti-kindling as a single-stage CR stimulation with intermediate stimulation intensity. This stimulation approach might be clinically beneficial in patients suffering from brain diseases characterized by abnormal neuronal synchrony where a first treatment stage should be performed at particularly weak stimulation intensities in order to avoid side effects. This might, e.g., be relevant in the context of acoustic CR stimulation in tinnitus patients with hyperacusis or in the case of electrical deep brain CR stimulation with sub-optimally positioned leads or side effects caused by stimulation of the target itself. We discuss how to apply our method in first in man and proof of concept studies. PMID:27242500

  12. Anti-kindling induced by two-stage coordinated reset stimulation with weak onset intensity

    Directory of Open Access Journals (Sweden)

    Magteld eZeitler

    2016-05-01

    Full Text Available Abnormal neuronal synchrony plays an important role in a number of brain diseases. To specifically counteract abnormal neuronal synchrony by desynchronization, Coordinated Reset (CR stimulation, a spatiotemporally patterned stimulation technique, was designed with computational means. In neuronal networks with spike timing–dependent plasticity CR stimulation causes a decrease of synaptic weights and finally anti-kindling, i.e. unlearning of abnormally strong synaptic connectivity and abnormal neuronal synchrony. Long-lasting desynchronizing aftereffects of CR stimulation have been verified in pre-clinical and clinical proof of concept studies. In general, for different neuromodulation approaches, both invasive and non-invasive, it is desirable to enable effective stimulation at reduced stimulation intensities, thereby avoiding side effects. For the first time, we here present a two-stage CR stimulation protocol, where two qualitatively different types of CR stimulation are delivered one after another, and the first stage comes at a particularly weak stimulation intensity. Numerical simulations show that a two-stage CR stimulation can induce the same degree of anti-kindling as a single-stage CR stimulation with intermediate stimulation intensity. This stimulation approach might be clinically beneficial in patients suffering from brain diseases characterized by abnormal neuronal synchrony where a first treatment stage should be performed at particularly weak stimulation intensities in order to avoid side effects. This might, e.g., be relevant in the context of acoustic CR stimulation in tinnitus patients with hyperacusis or in the case of electrical deep brain CR stimulation with sub-optimally positioned leads or side effects caused by stimulation of the target itself. We discuss how to apply our method in first in man and proof of concept studies.

  13. 氯化钙与氯化钡的二级吸附式制冷性能%Performance Study of Two-Stage Adsorption Refrigeration Cycle Based on CaCl_2/BaCl_2-NH_3 Working Pair

    Institute of Scientific and Technical Information of China (English)

    胡远扬; 王丽伟; 王健; 罗伟莉; 王如竹

    2011-01-01

    To utilize low-grade heat energy below 100℃,a two-stage adsorption refrigeration cycle was proposed and adsorption performance testing unit was also established.CaCl_2 and BaCl_2 were chosen as middle-temperature salt and low-temperature salt,respectively.Cycle adsorption quantities of the adsorbents under different heating and evaporating temperatures were tested,based on which COP and SCP of the two-stage adsorption system were obtained.Results showed that the two-stage adsorption refrigeration cycle is apt for utilization of low-grade heat energy on freezing application. Cycle adsorption quantity of CaCl_2,COP and SCP of the two-stage adsorption refrigeration system are 0.490 kg/kg,0.24 and 85.6 W/kg,respectively,when heating temperature,cooling temperature and evaporating temperature are 80,30 and-20℃,respectively.%针对100℃以下温度低品位热能的利用,提出二级吸附式制冷循环,建立吸附性能测试实验台。分别以氯化钙与氯化钡作中温盐与低温盐,测试当冷却温度为30℃时,不同热源温度与不同蒸发温度条件下吸附剂的循环吸附量,并在此基础上,分析二级吸附式制冷系统的性能。研究表明,二级吸附式制冷循环能够满足全年冷冻工况的应用,并且当热源温度、冷却温度及蒸发温度分别为80℃、30℃及-20℃时,氯化钙的循环吸附量、二级吸附式制冷系统的COP与SCP分别为0.490 kg/kg,0.24与85.6 W/kg。

  14. A clinical and epidemiological study on spider bites in Turkey

    Institute of Scientific and Technical Information of China (English)

    Yildirim Cesaretli; Ozcan Ozkan

    2011-01-01

    Objective:To classify and characterize spider bites among inquiries to the National Poison Information Center (NPIC) between1995 and2004, in terms of the epidemiology and clinical symptomatology.Methods: Clinical and epidemiological data were obtained from theNPIC’s patient records. The following information was recorded for each spider bite: demographics, circumstances of the bite, and local and systemic effects.Results: A total of82 cases were reported. The accidents were mostly seen during August. The gender distribution was59.76%male, 37.20% female, and2.44% unknown and the20-29 age group presented more spider bites. Most of the cases were in the Central Anatolia, Marmara, Mediterranean, and Black Sea regions. Local symptoms were observed in60.87% of the cases, including local pain, edema, redness, itching, debris, burning, and numbness. Systemic symptoms were observed such as nausea, vomiting, abdominal pain, lethargy, anxiety, weakness, somnolence, dyspnea, hypertension, hypotension, and hyperthermia.Conclusions: In conclusion, these findings emphasize the presence of medically important spider species in Turkey. All patients and especially pediatric patients should be admitted to the hospital. Identification of spider species may be considered a useful clinical and epidemiological tool in determining the incidence and risk of spider bites.

  15. Melanocortin-1 receptor, skin cancer and phenotypic characteristics (M-SKIP) project: study design and methods for pooling results of genetic epidemiological studies

    Science.gov (United States)

    2012-01-01

    Background For complex diseases like cancer, pooled-analysis of individual data represents a powerful tool to investigate the joint contribution of genetic, phenotypic and environmental factors to the development of a disease. Pooled-analysis of epidemiological studies has many advantages over meta-analysis, and preliminary results may be obtained faster and with lower costs than with prospective consortia. Design and methods Based on our experience with the study design of the Melanocortin-1 receptor (MC1R) gene, SKin cancer and Phenotypic characteristics (M-SKIP) project, we describe the most important steps in planning and conducting a pooled-analysis of genetic epidemiological studies. We then present the statistical analysis plan that we are going to apply, giving particular attention to methods of analysis recently proposed to account for between-study heterogeneity and to explore the joint contribution of genetic, phenotypic and environmental factors in the development of a disease. Within the M-SKIP project, data on 10,959 skin cancer cases and 14,785 controls from 31 international investigators were checked for quality and recoded for standardization. We first proposed to fit the aggregated data with random-effects logistic regression models. However, for the M-SKIP project, a two-stage analysis will be preferred to overcome the problem regarding the availability of different study covariates. The joint contribution of MC1R variants and phenotypic characteristics to skin cancer development will be studied via logic regression modeling. Discussion Methodological guidelines to correctly design and conduct pooled-analyses are needed to facilitate application of such methods, thus providing a better summary of the actual findings on specific fields. PMID:22862891

  16. Epidemiology, severity classification, and outcome of moderate and severe traumatic brain injury: a prospective multicenter study

    NARCIS (Netherlands)

    Andriessen, T.M.J.C.; Horn, J.; Franschman, G.; Naalt, J. van der; Haitsma, I.; Jacobs, B.; Steyerberg, E.W.; Vos, P.E.

    2011-01-01

    Changes in the demographics, approach, and treatment of traumatic brain injury (TBI) patients require regular evaluation of epidemiological profiles, injury severity classification, and outcomes. This prospective multicenter study provides detailed information on TBI-related variables of 508 moderat

  17. Epidemiology, Severity Classification, and Outcome of Moderate and Severe Traumatic Brain Injury: A Prospective Multicenter Study

    NARCIS (Netherlands)

    T.M.J.C. Andriessen; J. Horn; G. Franschman; J. van der Naalt; I. Haitsma; B. Jacobs; E.W. Steyerberg; P.E. Vos

    2011-01-01

    Changes in the demographics, approach, and treatment of traumatic brain injury (TBI) patients require regular evaluation of epidemiological profiles, injury severity classification, and outcomes. This prospective multicenter study provides detailed information on TBI-related variables of 508 moderat

  18. Webinar Presentation: Epidemiologic Studies of the Effects of Toxic Exposures on Brain and Behavior: Neuropsychological Assessment

    Science.gov (United States)

    This presentation, Epidemiologic Studies of the Effects of Toxic Exposures on Brain and Behavior: Neuropsychological Assessment, was given at the NIEHS/EPA Children's Centers 2015 Webinar Series: Interdisciplinary Approaches to Neurodevelopment.

  19. [Kolsky register of births as an instrument of epidemiologic studies of female reproductive health].

    Science.gov (United States)

    Vaktstold, A; Talykova, L V; Chashchin, V P; Nieboer, E; Zotov, A M; Nikanov, A N; Romanova, N P; Udland, Iu Io

    2006-01-01

    The authors evaluate possible use of Monchegorsk retrospective birth database for demographic and epidemiologic studies of various female reproductive health parameters, newborn health parameters, as well as their connections with occupational and other environmental factors.

  20. Epidemiology, Severity Classification, and Outcome of Moderate and Severe Traumatic Brain Injury : A Prospective Multicenter Study

    NARCIS (Netherlands)

    Andriessen, Teuntje M. J. C.; Horn, Janneke; Franschman, Gaby; van der Naalt, Joukje; Haitsma, Iain; Jacobs, Bram; Steyerberg, Ewout W.; Vos, Pieter E.

    2011-01-01

    Changes in the demographics, approach, and treatment of traumatic brain injury (TBI) patients require regular evaluation of epidemiological profiles, injury severity classification, and outcomes. This prospective multicenter study provides detailed information on TBI-related variables of 508 moderat

  1. An epidemiological study of mental disorders at Pune, Maharashtra

    Directory of Open Access Journals (Sweden)

    Balbir S Deswal

    2012-01-01

    Full Text Available Background: The WHO Global Burden of Disease study estimates that mental and addictive disorders are among the most burdensome in the world, and their burden will increase over the next decades. The mental and behavioral disorders account for about 12% of the global burden of disease. However, these estimates and projections are based largely on literature review rather than cross-national epidemiological surveys. In India, little is known about the extent, severity and unmet need of treatment mental disorders. Thus, there was a need to carry out rigorously implemented general population surveys that estimate the prevalence of mental disorders among urban population at Pune, Maharashtra. The study attempted to address unmet need and to form a basis for formulating the mental health need of the community. Objective: The study was undertaken to estimate the lifetime prevalence and 12 month prevalence of specific mental disorders in urban population, socio-demographic correlates of mental disorders and to assess the service utilization in individuals with mental disorders. Materials and Methods: The study was undertaken among adults aged 18 years and above living in house hold and in geographical area of Pune , Maharashtra. A minimum sample of 3000 completed interviews was planned using representative probabilities to population size (PPS sampling method which ensured equal probability for every eligible member. Data listing was obtained from Census Office from recent census of 2001 data. The face to face interviews were undertaken in homes using fully structured interview schedule of World Mental Health Survey Initiative duly revised Version of WHO- Composite International Diagnostic Interview (CIDI 3.0 by trained investigators. Clinical reappraisal was carried out using Schedules for Clinical Assessment in Neuropsychiatry (SCAN among ten percent of diagnosed cases selected randomly. Data were entered into DDE (Blaize Software and analyzed using

  2. AN EPIDEMIOLOGICAL STUDY OF TUBERCULOSIS IN FOOTHI LLS OF UTTARAKHAND.

    Directory of Open Access Journals (Sweden)

    Amit

    2012-12-01

    Full Text Available ABSTRACT: INTRODUCTION: The international tuberculosis situation is complic ated by the growing impression that tuberculosis is no longer a major public health problem’. Zaki MH in 1968 had short listed the following factors: chroni city, ability of bacilli to stay alive in body for years, increase in life expectancy, high level of e ndemicity in ethnic groups even in the midst of affluence in the western world, the frequent occurr ences of isolated epidemics in certain parts of the world and the emergence of MDRTB. The 1990 World Health Organization (WHO report on the Global Burden of Disease ranked TB as the se venth most morbidity-causing disease in the world and expected it to continue in the same positio0 n up to 2020 [2]. MATERIAL & METHODS: The present study was conducted among all the famili es registered with the Rural & Urban Health Training Centers (RHTC & UHTC under the jur isdiction of Field practice areas of the Department of Community Medicine, Himalayan Institut e of Medical Sciences, Dehradun, Uttrakhand. It was Community based survey, Cross - sectional (Observational study. Entire study population (10 years & above with 100% enume ration (census of households. House to house survey was conducted on all the families regi stered with the Rural & Urban Health Training Centers (RHTC & UHTC under the jurisdicti on of Field practice areas of the Department of Community Medicine, Himalayan Institut e of Medical Sciences, and socio- demographic profile of each house-hold was recorded. RESULTS: It can be observed from the table that a total of 399(1.68% symptomatic were s creened out of a total study population of 23,618 from 10 different peri-urban field practice locations; 73(0.30% symptomatics turned out to be cases of Tuberculosis confirmed either as sputum positive cases by Microscopy or by other criteria. It is evident that overall (mean p revalence of the disease was 3.09 per 1000 study population; notably, the prevalence was

  3. EPIDEMIOLOGICAL STUDY OF HOMICIDE BY FIREARMS AND EXPLOSIVES

    Directory of Open Access Journals (Sweden)

    Rajeev

    2013-10-01

    Full Text Available ABSTRACT: BACKGROUND: Murderers have often been the focous of sociological and psychological studies and several types of offenders have been identified. OBJECTIVE : Epidemiological study of homicide by firearms and explosives . METHODS : The present study comprised of 100 (one hundred cases of homicidal firearms and explosives deaths drawn from the medicolegal autopsies. The various data relating to the cases were collected from examination of inquest reports and connected pap ers, interviewing the police personnel accompanying the cases, interviewing the relatives, friends and neighbors of the deceased, and the autopsy examination paper. RESULTS: Two third( 66% of victims were n ormal followed by irritable victims 17%, neuroti c 8%, psychotic 5% and intoxicated 4%.It was found that 35 % were pan eater followed by 30 % who had no habit, cigarette 16% bidi 15%, tobacco 14%, pan masala 11%.However misxed/combine habit was seen in 16 % and it could not be known in 7 %. It was observ ed that that max no (52 of victims no drug habit was seen. This was followed by ganja 22, alcohol 16, Bhang 14, Opium 5, sleeping pill 2.Mixed drug habit was seen in 10 victim. However it could not be known in 12 victims. It was found that majority 57% o f victims came from joint family followed by those from nuclear family type 28%. However, 15 % victims were loner. Findings on personal income of victims shows that max 37% had income upto Rs. 2000 PM followed by non earning Victims 24%, 2001 - 4000 15.1 %, 8001 and above 9%, 4001 - 6000 8%, 6001 - 8000(6% and in one % it could not be known. Study shows that max 30% victim were killed in night hours between 8 PM to 2AM followed by 25 % in the afternoon and evening hrs between 2 PM to 8PM.16 % victims were attac ked during day hrs between 8AM to 2PM and 12 %victims time of incidence was between 2 AM to 8AM.Time of incidence could not be known in 17 % victims as only dead body was recovered. It is observed that over

  4. Muscle reinnervation in one or two stages?: experimental study in rats with end-to-side nerve graft Reinervação muscular em um ou dois estágios?: estudo experimental em ratos com enxerto de nervo término-lateral

    Directory of Open Access Journals (Sweden)

    Joseli Assem Bersaneti

    2012-12-01

    Full Text Available PURPOSE: To compare muscle reinnervation in one and two surgical stages using end-to-side neurorrhaphy (ESN without donor nerve injury. METHODS: The experiment was performed on four groups of 20 rats. Group 1 (G1, one stage, received the graft which was sutured to the tibial nerve, with ESN, and its free stump was sutured end-to-end to the distal stump of the sectioned peroneal nerve (PN, all in the same operation. In Group 2 (G2, two stages, the nerve graft was sutured to the tibial nerve, with ESN. Two months later the PN was sectioned and its distal stump connected to the distal stump of the graft as in G1. Normal control group (Gn received the graft only sutured to the tibial nerve, with ESN. Denervated control group (Gd, as well received the graft and had the PN sectioned and its two stumps buried in adjacent musculature, with the aim of denervating the cranial tibial muscle (CTM, the target of this study. The parameters used to evaluate CTM reinnervation were muscle mass, muscle fiber's minimum diameter and area. RESULTS: The mean CTM mass, the average of the muscular fibers areas and the average of the muscular fiber minimum diameters was higher (all pOBJETIVO: Comparar a reinervação muscular com enxerto de nervo em um e dois tempos operatórios, utilizando a neurorrafia término-lateral (NTL sem lesão do nervo doador. MÉTODOS: Vinte ratos foram distribuídos em quatro grupos. O grupo 1 (G1, um estágio, recebeu o enxerto que foi suturado ao nervo tibial (NT, por meio de NTL, e seu coto livre foi suturado por NTL ao coto distal do nervo peroneal (NP, seccionado a um centímetro do NT, na mesma cirurgia. O grupo 2 (G2, dois estágios, recebeu o enxerto de nervo na primeira cirurgia, como já descrito. Dois meses depois, na segunda cirurgia, o NP foi seccionado e seu coto distal ligado ao coto distal do enxerto como em G1. O grupo controle de normalidade (Gn recebeu o enxerto da mesma forma, apenas. E o grupo controle de denerva

  5. Numerical simulation of a step-piston type series two-stage pulse tube refrigerator

    Science.gov (United States)

    Zhu, Shaowei; Nogawa, Masafumi; Inoue, Tatsuo

    2007-09-01

    A two-stage pulse tube refrigerator has a great advantage in that there are no moving parts at low temperatures. The problem is low theoretical efficiency. In an ordinary two-stage pulse tube refrigerator, the expansion work of the first stage pulse tube is rather large, but is changed to heat. The theoretical efficiency is lower than that of a Stirling refrigerator. A series two-stage pulse tube refrigerator was introduced for solving this problem. The hot end of the regenerator of the second stage is connected to the hot end of the first stage pulse tube. The expansion work in the first stage pulse tube is part of the input work of the second stage, therefore the efficiency is increased. In a simulation result for a step-piston type two-stage series pulse tube refrigerator, the efficiency is increased by 13.8%.

  6. Theory and calculation of two-stage voltage stabilizer on zener diodes

    Directory of Open Access Journals (Sweden)

    G. S. Veksler

    1966-12-01

    Full Text Available Two-stage stabilizer is compared with one-stage. There have been got formulas, which give the possibility to make an engineering calculation. There is an example of the calculation.

  7. Two-stage fungal pre-treatment for improved biogas production from sisal leaf decortication residues

    National Research Council Canada - National Science Library

    Muthangya, Mutemi; Mshandete, Anthony Manoni; Kivaisi, Amelia Kajumulo

    2009-01-01

    .... Pre-treatment of the residue prior to its anaerobic digestion (AD) was investigated using a two-stage pre-treatment approach with two fungal strains, CCHT-1 and Trichoderma reesei in succession in anaerobic batch bioreactors...

  8. TWO-STAGE CHARACTER CLASSIFICATION : A COMBINED APPROACH OF CLUSTERING AND SUPPORT VECTOR CLASSIFIERS

    NARCIS (Netherlands)

    Vuurpijl, L.; Schomaker, L.

    2000-01-01

    This paper describes a two-stage classification method for (1) classification of isolated characters and (2) verification of the classification result. Character prototypes are generated using hierarchical clustering. For those prototypes known to sometimes produce wrong classification results, a

  9. A Two-Stage Waste Gasification Reactor for Mars In-Situ Resource Utilization Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to design, build, and test a two-stage waste processing reactor for space applications. Our proposed technology converts waste from space missions into...

  10. Design and analysis of metabolomics studies in epidemiologic research: a primer on -omic technologies.

    Science.gov (United States)

    Tzoulaki, Ioanna; Ebbels, Timothy M D; Valdes, Ana; Elliott, Paul; Ioannidis, John P A

    2014-07-15

    Metabolomics is the field of "-omics" research concerned with the comprehensive characterization of the small low-molecular-weight metabolites in biological samples. In epidemiology, it represents an emerging technology and an unprecedented opportunity to measure environmental and other exposures with improved precision and far less measurement error than with standard epidemiologic methods. Advances in the application of metabolomics in large-scale epidemiologic research are now being realized through a combination of improved sample preparation and handling, automated laboratory and processing methods, and reduction in costs. The number of epidemiologic studies that use metabolic profiling is still limited, but it is fast gaining popularity in this area. In the present article, we present a roadmap for metabolomic analyses in epidemiologic studies and discuss the various challenges these data pose to large-scale studies. We discuss the steps of data preprocessing, univariate and multivariate data analysis, correction for multiplicity of comparisons with correlated data, and finally the steps of cross-validation and external validation. As data from metabolomic studies accumulate in epidemiology, there is a need for large-scale replication and synthesis of findings, increased availability of raw data, and a focus on good study design, all of which will highlight the potential clinical impact of metabolomics in this field. © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. A new multi-motor drive system based on two-stage direct power converter

    OpenAIRE

    Kumar, Dinesh

    2011-01-01

    The two-stage AC to AC direct power converter is an alternative matrix converter topology, which offers the benefits of sinusoidal input currents and output voltages, bidirectional power flow and controllable input power factor. The absence of any energy storage devices, such as electrolytic capacitors, has increased the potential lifetime of the converter. In this research work, a new multi-motor drive system based on a two-stage direct power converter has been proposed, with two motors c...

  12. Two-Stage Conversion of Land and Marine Biomass for Biogas and Biohydrogen Production

    OpenAIRE

    Nkemka, Valentine

    2012-01-01

    The replacement of fossil fuels by renewable fuels such as biogas and biohydrogen will require efficient and economically competitive process technologies together with new kinds of biomass. A two-stage system for biogas production has several advantages over the widely used one-stage continuous stirred tank reactor (CSTR). However, it has not yet been widely implemented on a large scale. Biohydrogen can be produced in the anaerobic two-stage system. It is considered to be a useful fuel for t...

  13. Two-stage comprehensive evaluation of genetic susceptibility of common variants in FBXO38, AP3B2 and WHAMM to severe chronic periodontitis.

    Science.gov (United States)

    Shang, Dong; Dong, Li; Zeng, Lingfang; Yang, Rui; Xu, Jing; Wu, Yue; Xu, Ran; Tao, Hong; Zhang, Nan

    2015-12-08

    Chronic periodontitis is an oral disorder characterized with gingival inflammation and bone destruction. As the sixth-most prevalent condition affecting more than 743 million people around the world, it is classified as one of the seven destructive oral disorders. Early genetic epidemiological evidence indicated a major role for genetics in periodontal disease development. In this study, we conducted a two-stage comprehensive evaluation of the genetic susceptibility of FBXO38, AP3B2 and WHAMM with the diagnosis of severe chronic periodontitis. A total of 5,065 study subjects from the Han Chinese population consisting of 1,264 cases and 3,801 healthy controls were recruited, and 65 single nucleotide markers related to the three candidate genes were genotyped to investigate the susceptibility of patients with these polymorphisms to severe chronic periodontitis. To increase the coverage of genetic markers, we implemented imputation techniques to extend the number of tested makers to 416. Single marker and haplotype-based analyses were performed, and significant results were obtained for FBXO38 (rs10043775, P = 0.0009) and AP3B2 (rs11631963-rs11637433, CA, P = 9.98 × 10(-5); rs1864699-rs2099259-rs2278355, ATC, P = 3.84 × 10(-8)). Our findings provide direct evidence for the association of FBXO38 and AP3B2 with severe chronic periodontitis in the Han Chinese population.

  14. A nationwide study of the epidemiology of relapsing polychondritis

    Directory of Open Access Journals (Sweden)

    Horváth A

    2016-06-01

    Full Text Available Anna Horváth,1 Nóra Páll,2 Katalin Molnár,1 Tamás Kováts,3 György Surján,3 Tamás Vicsek,4,5 Péter Pollner2,4 13rd Department of Internal Medicine, Semmelweis University, 2Regional Science Center, Faculty of Science, Eötvös Loránd University, 3National Healthcare Service Center, 4MTA-ELTE Statistical and Biological Physics Research Group, 5Department of Biological Physics, Eötvös Loránd University Budapest, HungaryObjective: Relapsing polychondritis (RP is a rare autoimmune inflammatory disease that attacks mainly cartilaginous structures or causes serious damage in proteoglycan-rich structures (the eyes, heart, blood vessels, inner ear. This study shows results regarding the epidemiology, progression, and associations of this highly variable disease by collecting all cases from a 124-million-person-year Central European nationwide cohort.Methods: We used the Hungarian Health Care Database to identify all persons with possible RP infection. We followed patients who had International Classification of Diseases 10th edition code M94.1 at least once in their inpatient or outpatient records between January 1, 2002 and December 31, 2013 in Hungary. We classified these patients into disease severity groups by their drug consumption patterns between January 1, 2010 and December 31, 2013. We analyzed the regional distribution of RP incidences as well. Overall maps of comorbidity are presented with network layouts.Results: We identified 256 patients with RP among cumulatively 11.5 million registered inhabitants. We classified these patients into four severity classes as "extremely mild" (n=144, "mild" (n=22, "moderate" (n=41, and "severe" (n=4. Two additional groups were defined for patients without available drug data as "suspected only" (n=23 and "confirmed but unknown treatment" (n=22. The age and sex distributions of patients were similar to worldwide statistics. Indeed, the overall survival was good (95% confidence interval for 5

  15. The false-positive to false-negative ratio in epidemiologic studies.

    Science.gov (United States)

    Ioannidis, John P A; Tarone, Robert; McLaughlin, Joseph K

    2011-07-01

    The ratio of false-positive to false-negative findings (FP:FN ratio) is an informative metric that warrants further evaluation. The FP:FN ratio varies greatly across different epidemiologic areas. In genetic epidemiology, it has varied from very high values (possibly even >100:1) for associations reported in candidate-gene studies to very low values (1:100 or lower) for associations with genome-wide significance. The substantial reduction over time in the FP:FN ratio in human genome epidemiology has corresponded to the routine adoption of stringent inferential criteria and comprehensive, agnostic reporting of all analyses. Most traditional fields of epidemiologic research more closely follow the practices of past candidate gene epidemiology, and thus have high FP:FN ratios. Further, FP and FN results do not necessarily entail the same consequences, and their relative importance may vary in different settings. This ultimately has implications for what is the acceptable FP:FN ratio and for how the results of published epidemiologic studies should be presented and interpreted.

  16. Reporting of Human Genome Epidemiology (HuGE association studies: An empirical assessment

    Directory of Open Access Journals (Sweden)

    Gwinn Marta

    2008-05-01

    Full Text Available Abstract Background Several thousand human genome epidemiology association studies are published every year investigating the relationship between common genetic variants and diverse phenotypes. Transparent reporting of study methods and results allows readers to better assess the validity of study findings. Here, we document reporting practices of human genome epidemiology studies. Methods Articles were randomly selected from a continuously updated database of human genome epidemiology association studies to be representative of genetic epidemiology literature. The main analysis evaluated 315 articles published in 2001–2003. For a comparative update, we evaluated 28 more recent articles published in 2006, focusing on issues that were poorly reported in 2001–2003. Results During both time periods, most studies comprised relatively small study populations and examined one or more genetic variants within a single gene. Articles were inconsistent in reporting the data needed to assess selection bias and the methods used to minimize misclassification (of the genotype, outcome, and environmental exposure or to identify population stratification. Statistical power, the use of unrelated study participants, and the use of replicate samples were reported more often in articles published during 2006 when compared with the earlier sample. Conclusion We conclude that many items needed to assess error and bias in human genome epidemiology association studies are not consistently reported. Although some improvements were seen over time, reporting guidelines and online supplemental material may help enhance the transparency of this literature.

  17. Molecular and epidemiological studies of Porcine rubulavirus infection - an overview.

    Science.gov (United States)

    Cuevas-Romero, Julieta Sandra; Blomström, Anne-Lie; Berg, Mikael

    2015-01-01

    Porcine rubulavirus-La Piedad-Michoacan-Mexico virus (PorPV-LPMV) was identified as the causative agent of a viral disease that emerged spontaneously in Mexican swine in the 1980s. Since the report of the initial outbreak of the disease, only one full-length genome from a strain isolated in 1984 (PorPV-LPMV/1984) has been sequenced; sequence data are scarce from other isolates. The genetic variation of this virus that has spread throughout the main endemic region of Mexico is almost a complete mystery. The development of molecular techniques for improved diagnostics and to investigate the persistence, molecular epidemiology, and the possible reservoirs of PorPV are needed. Together, this will provide greater knowledge regarding the molecular genetic changes and useful data to establish new strategies in the control of this virus in Mexico.

  18. Decentralized combined heat and power production by two-stage biomass gasification and solid oxide fuel cells

    DEFF Research Database (Denmark)

    Bang-Møller, Christian; Rokni, Masoud; Elmegaard, Brian

    2013-01-01

    To investigate options for increasing the electrical efficiency of decentralized combined heat and power (CHP) plants fuelled with biomass compared to conventional technology, this research explored the performance of an alternative plant design based on thermal biomass gasification and solid oxide...... fuel cells (SOFC). Based on experimental data from a demonstrated 0.6 MWth two-stage gasifier, a model of the gasifier plant was developed and calibrated. Similarly, an SOFC model was developed using published experimental data. Simulation of a 3 MWth plant combining two-stage biomass gasification......, carbon conversion factor in the gasifier and the efficiency of the DC/AC inverter were the most influential parameters in the model. Thus, a detailed study of the practical values of these parameters was conducted to determine the performance of the plant with the lowest possible uncertainty. The SOFC...

  19. The Production of High Purity Phycocyanin by Spirulina platensis Using Light-Emitting Diodes Based Two-Stage Cultivation.

    Science.gov (United States)

    Lee, Sang-Hyo; Lee, Ju Eun; Kim, Yoori; Lee, Seung-Yop

    2016-01-01

    Phycocyanin is a photosynthetic pigment found in photosynthetic cyanobacteria, cryptophytes, and red algae. In general, production of phycocyanin depends mainly on the light conditions during the cultivation period, and purification of phycocyanin requires expensive and complex procedures. In this study, we propose a new two-stage cultivation method to maximize the quantitative content and purity of phycocyanin obtained from Spirulina platensis using red and blue light-emitting diodes (LEDs) under different light intensities. In the first stage, Spirulina was cultured under a combination of red and blue LEDs to obtain the fast growth rate until reaching an absorbance of 1.4-1.6 at 680 nm. Next, blue LEDs were used to enhance the concentration and purity of the phycocyanin in Spirulina. Two weeks of the two-stage cultivation of Spirulina yielded 1.28 mg mL(-1) phycocyanin with the purity of 2.7 (OD620/OD280).

  20. A queuing-theory-based interval-fuzzy robust two-stage programming model for environmental management under uncertainty

    Science.gov (United States)

    Sun, Y.; Li, Y. P.; Huang, G. H.

    2012-06-01

    In this study, a queuing-theory-based interval-fuzzy robust two-stage programming (QB-IRTP) model is developed through introducing queuing theory into an interval-fuzzy robust two-stage (IRTP) optimization framework. The developed QB-IRTP model can not only address highly uncertain information for the lower and upper bounds of interval parameters but also be used for analysing a variety of policy scenarios that are associated with different levels of economic penalties when the promised targets are violated. Moreover, it can reflect uncertainties in queuing theory problems. The developed method has been applied to a case of long-term municipal solid waste (MSW) management planning. Interval solutions associated with different waste-generation rates, different waiting costs and different arriving rates have been obtained. They can be used for generating decision alternatives and thus help managers to identify desired MSW management policies under various economic objectives and system reliability constraints.

  1. The Brazilian Football Association (CBF model for epidemiological studies on professional soccer player injuries

    Directory of Open Access Journals (Sweden)

    Gustavo Goncalves Arliani

    2011-01-01

    Full Text Available OBJECTIVE: This study aims to establish a national methodological model for epidemiological studies on professional soccer player injuries and to describe the numerous relevant studies previously published on this topic. INTRODUCTION: The risk of injury in professional soccer is high. However, previous studies of injury risk in Brazil and other countries have been characterized by large variations in study design and data collection methods as well as definitions of injury, standardized diagnostic criteria, and recovery times. METHODS: A system developed by the Union of European Football for epidemiological studies on professional soccer players is being used as a starting point to create a methodological model for the Brazilian Football Association. To describe the existing studies on professional soccer player injuries, we developed a search strategy to identify relevant epidemiological studies. We included the Latin American and Caribbean Center on Health Sciences and Medline databases in our study. RESULTS: We considered 60 studies from Medline and 16 studies from the Latin American and Caribbean Center on Health Sciences in the final analysis. Twelve studies were selected for final inclusion in this review: seven from the Latin American and Caribbean Center on Health Sciences and five from Medline. We identified a lack of uniformity in the study design, data collection methods, injury definitions, standardized diagnostic criteria, and the definition of recovery time. Based on the information contained within these articles, we developed a model for epidemiological studies for the Brazilian Football Association. CONCLUSIONS: There is no uniform model for epidemiological studies of professional soccer injuries. Here, we propose a novel model to be applied for epidemiological studies of professional soccer player injuries in Brazil and throughout the world.

  2. Two-stage categorization in brand extension evaluation: electrophysiological time course evidence.

    Directory of Open Access Journals (Sweden)

    Qingguo Ma

    Full Text Available A brand name can be considered a mental category. Similarity-based categorization theory has been used to explain how consumers judge a new product as a member of a known brand, a process called brand extension evaluation. This study was an event-related potential study conducted in two experiments. The study found a two-stage categorization process reflected by the P2 and N400 components in brand extension evaluation. In experiment 1, a prime-probe paradigm was presented in a pair consisting of a brand name and a product name in three conditions, i.e., in-category extension, similar-category extension, and out-of-category extension. Although the task was unrelated to brand extension evaluation, P2 distinguished out-of-category extensions from similar-category and in-category ones, and N400 distinguished similar-category extensions from in-category ones. In experiment 2, a prime-probe paradigm with a related task was used, in which product names included subcategory and major-category product names. The N400 elicited by subcategory products was more significantly negative than that elicited by major-category products, with no salient difference in P2. We speculated that P2 could reflect the early low-level and similarity-based processing in the first stage, whereas N400 could reflect the late analytic and category-based processing in the second stage.

  3. Assessing vanadium and arsenic exposure of people living near a petrochemical complex with two-stage dispersion models

    Energy Technology Data Exchange (ETDEWEB)

    Chio, Chia-Pin; Yuan, Tzu-Hsuen [Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, Taiwan (China); Shie, Ruei-Hao [Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, Taiwan (China); Green Energy and Environment Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan (China); Chan, Chang-Chuan, E-mail: ccchan@ntu.edu.tw [Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, Taiwan (China)

    2014-04-01

    Highlights: • Two-stage dispersion models can estimate exposures to hazardous air pollutants. • Spatial distribution of V levels is derived for sources without known emission rates. • A distance-to-source gradient is found for V levels from a petrochemical complex. • Two-stage dispersion is useful for modeling air pollution in resource-limited areas. - Abstract: The goal of this study is to demonstrate that it is possible to construct a two-stage dispersion model empirically for the purpose of estimating air pollution levels in the vicinity of petrochemical plants. We studied oil refineries and coal-fired power plants in the No. 6 Naphtha Cracking Complex, an area of 2,603-ha situated on the central west coast of Taiwan. The pollutants targeted were vanadium (V) from oil refineries and arsenic (As) from coal-fired power plants. We applied a backward fitting method to determine emission rates of V and As, with 192 PM{sub 10} filters originally collected between 2009 and 2012. Our first-stage model estimated emission rates of V and As (median and 95% confidence intervals at 0.0202 (0.0040–0.1063) and 0.1368 (0.0398–0.4782) g/s, respectively. In our second stage model, the predicted zone-average concentrations showed a strong correlation with V, but a poor correlation with As. Our findings show that two-stage dispersion models are relatively precise for estimating V levels at residents’ addresses near the petrochemical complex, but they did not work as well for As levels. In conclusion, our model-based approach can be widely used for modeling exposure to air pollution from industrial areas in countries with limited resources.

  4. Two-stage biofilter for effective NH3 removal from waste gases containing high concentrations of H2S.

    Science.gov (United States)

    Chung, Ying-Chien; Ho, Kuo-Ling; Tseng, Ching-Ping

    2007-03-01

    A high H2S concentration inhibits nitrification when H2S and NH3 are simultaneously treated in a single biofilter. To improve NH3 removal from waste gases containing concentrated H2S, a two-stage biofilter was designed to solve the problem. In this study, the first biofilter, inoculated with Thiobacillus thioparus, was intended mainly to remove H2S and to reduce the effect of H2S concentration on nitrification in the second biofilter, and the second biofilter, inoculated with Nitrosomonas europaea, was to remove NH3. Extensive studies, which took into account the characteristics of gas removal, the engineering properties of the two biofilters, and biological parameters, were conducted in a 210-day operation. The results showed that an average 98% removal efficiency for H2S and a 100% removal efficiency for NH3 (empty bed retention time = 23-180 sec) were achieved after 70 days. The maximum degradation rate for NH3 was measured as 2.35 g N day(-1) kg of dry granular activated carbon(-1). Inhibition of nitrification was not found in the biofilter. This two-stage biofilter also exhibited good adaptability to shock loading and shutdown periods. Analysis of metabolic product and observation of the bacterial community revealed no obvious acidification or alkalinity phenomena. In addition, a lower moisture content (approximately 40%) for microbial survival and low pressure drop (average 24.39 mm H2O m(-1)) for system operation demonstrated that the two-stage biofilter was energy saving and economic. Thus, the two-stage biofilter is a feasible system to enhance NH3 removal in the concentrated coexistence of H2S.

  5. Evaluation of aeration pretreatment to prepare an inoculum for the two-stage hydrogen and methane production process.

    Science.gov (United States)

    Giordano, Andrea; Sarli, Valentina; Lavagnolo, Maria Cristina; Spagni, Alessandro

    2014-08-01

    This study evaluates the effect of aeration pretreatment to prepare an inoculum for H₂ and CH₄ production in a two-stage process. Moreover, the biochemical hydrogen potential and biochemical methane potential of waste from the food industry in a two-stage process was assessed. The results confirmed the possibility of using an aerobic stress for selecting a hydrogen-producing inoculum. The inoculum was fairly stable since no hydrogenotrophic-methanogenic activity was observed in 25 days. The yields measured using glucose as substrate were of approximately 160 and 280 N mL(H₂) g(COD⁻¹) of glucose for hydrogen and methane, respectively, which are in agreement with other studies using heat-shock for the pretreatment of the inoculum. When waste of the food industry (wheat milling) was used as substrate, a lower H₂ yield was achieved by the aerobically-pretreated inoculum if compared to heat-shock; however, when combined with methane production in a two-stage process, much higher CH₄ yield was achieved.

  6. A farm-scale pilot plant for biohydrogen and biomethane production by two-stage fermentation

    Directory of Open Access Journals (Sweden)

    R. Oberti

    2013-09-01

    Full Text Available Hydrogen is considered one of the possible main energy carriers for the future, thanks to its unique environmental properties. Indeed, its energy content (120 MJ/kg can be exploited virtually without emitting any exhaust in the atmosphere except for water. Renewable production of hydrogen can be obtained through common biological processes on which relies anaerobic digestion, a well-established technology in use at farm-scale for treating different biomass and residues. Despite two-stage hydrogen and methane producing fermentation is a simple variant of the traditional anaerobic digestion, it is a relatively new approach mainly studied at laboratory scale. It is based on biomass fermentation in two separate, seuqential stages, each maintaining conditions optimized to promote specific bacterial consortia: in the first acidophilic reactorhydrogen is produced production, while volatile fatty acids-rich effluent is sent to the second reactor where traditional methane rich biogas production is accomplished. A two-stage pilot-scale plant was designed, manufactured and installed at the experimental farm of the University of Milano and operated using a biomass mixture of livestock effluents mixed with sugar/starch-rich residues (rotten fruits and potatoes and expired fruit juices, afeedstock mixture based on waste biomasses directly available in the rural area where plant is installed. The hydrogenic and the methanogenic reactors, both CSTR type, had a total volume of 0.7m3 and 3.8 m3 respectively, and were operated in thermophilic conditions (55 2 °C without any external pH control, and were fully automated. After a brief description of the requirements of the system, this contribution gives a detailed description of its components and of engineering solutions to the problems encountered during the plant realization and start-up. The paper also discusses the results obtained in a first experimental run which lead to production in the range of previous

  7. Two-stage induced differentiation of OCT4+/Nanog+ stem-like cells in lung adenocarcinoma.

    Science.gov (United States)

    Li, Rong; Huang, Jinsu; Ma, Meili; Lou, Yuqing; Zhang, Yanwei; Wu, Lixia; Chang, David W; Zhao, Picheng; Dong, Qianggang; Wu, Xifeng; Han, Baohui

    2016-10-18

    Stem-like cells in solid tumors are purported to contribute to cancer development and poor treatment outcome. The abilities to self-renew, differentiate, and resist anticancer therapies are hallmarks of these rare cells, and steering them into lineage commitment may be one strategy to curb cancer development or progression. Vitamin D is a prohormone that can alter cell growth and differentiation and may induce the differentiation cancer stem-like cells. In this study, octamer-binding transcription factor 4 (OCT4)-positive/Nanog homeobox (Nanog)- positive lung adenocarcinoma stem-like cells (LACSCs) were enriched from spheroid cultured SPC-A1 cells and differentiated by a two-stage induction (TSI) method, which involved knockdown of hypoxia-inducible factor 1-alpha (HIF1α) expression (first stage) followed by sequential induction with 1alpha,25-dihydroxyvitamin D3 (1,25(OH)2D3, VD3) and suberoylanilide hydroxamic acid (SAHA) treatment (second stage). The results showed the HIF1α-knockdowned cells displayed diminished cell invasion and clonogenic activities. Moreover, the TSI cells highly expressed tumor suppressor protein p63 (P63) and forkhead box J1 (FOXJ1) and lost stem cell characteristics, including absent expression of OCT4 and Nanog. These cells regained sensitivity to cisplatin in vitro while losing tumorigenic capacity and decreased tumor cell proliferation in vivo. Our results suggest that induced transdifferentiation of LACSCs by vitamin D and SAHA may become novel therapeutic avenue to alter tumor cell phenotypes and improve patient outcome.The development and progression of lung cancer may involve rare population of stem-like cells that have the ability to grow, differentiate, and resist drug treatment. However, current therapeutic strategies have mostly focused on tumor characteristics and neglected the potential source of cells that may contribute to poor clinical outcome. We generated lung adenocarcinoma stem-like cells from spheroid culture and

  8. Adaptive Urban Stormwater Management Using a Two-stage Stochastic Optimization Model

    Science.gov (United States)

    Hung, F.; Hobbs, B. F.; McGarity, A. E.

    2014-12-01

    In many older cities, stormwater results in combined sewer overflows (CSOs) and consequent water quality impairments. Because of the expense of traditional approaches for controlling CSOs, cities are considering the use of green infrastructure (GI) to reduce runoff and pollutants. Examples of GI include tree trenches, rain gardens, green roofs, and rain barrels. However, the cost and effectiveness of GI are uncertain, especially at the watershed scale. We present a two-stage stochastic extension of the Stormwater Investment Strategy Evaluation (StormWISE) model (A. McGarity, JWRPM, 2012, 111-24) to explicitly model and optimize these uncertainties in an adaptive management framework. A two-stage model represents the immediate commitment of resources ("here & now") followed by later investment and adaptation decisions ("wait & see"). A case study is presented for Philadelphia, which intends to extensively deploy GI over the next two decades (PWD, "Green City, Clean Water - Implementation and Adaptive Management Plan," 2011). After first-stage decisions are made, the model updates the stochastic objective and constraints (learning). We model two types of "learning" about GI cost and performance. One assumes that learning occurs over time, is automatic, and does not depend on what has been done in stage one (basic model). The other considers learning resulting from active experimentation and learning-by-doing (advanced model). Both require expert probability elicitations, and learning from research and monitoring is modelled by Bayesian updating (as in S. Jacobi et al., JWRPM, 2013, 534-43). The model allocates limited financial resources to GI investments over time to achieve multiple objectives with a given reliability. Objectives include minimizing construction and O&M costs; achieving nutrient, sediment, and runoff volume targets; and community concerns, such as aesthetics, CO2 emissions, heat islands, and recreational values. CVaR (Conditional Value at Risk) and

  9. 13 K thermally coupled two-stage Stirling-type pulse tube refrigerator

    Institute of Scientific and Technical Information of China (English)

    TANG Ke; CHEN Guobang; THUMMES Günter

    2005-01-01

    Stirling-type pulse tube refrigerators have attracted academic and commercial interest in recent years due to their more compact configuration and higher efficiency than those of G-M type pulse tube refrigerators. In order to achieve a no-load cooling temperature below 20 K, a thermally coupled two-stage Stirling-type pulse tube refrigerator has been built. The thermally coupled arrangement was expected to minimize the interference between the two stages and to simplify the adjustment and optimization of the phase shifters. A no-load cooling temperature of 14.97 K has been realized with the two-stage cooler driven by one linear compressor of 200 W electric input. When the two stages are driven by two compressors respectively, with total electric input of 400 W, the prototype has attained a no-load cooling temperature of 12.96 K, which is the lowest temperature ever reported with two-stage Stirling-type pulse tube refrigerators.

  10. Two stage enucleation and deflation of a large unicystic ameloblastoma with mural invasion in mandible.

    Science.gov (United States)

    Sasaki, Ryo; Watanabe, Yorikatsu; Ando, Tomohiro; Akizuki, Tanetaka

    2014-06-01

    A treatment for strategy of unicystic ameloblastoma (UA) should be decided by its pathology type including luminal or mural type. Luminal type of UA can be treated only by enucleation alone, but UA with mural invasion should be treated aggressively like conventional ameloblastomas. However, it is difficult to diagnose the subtype of UA by an initial biopsy. There is a possibility that the lesion is an ordinary cyst or keratocystic odontogenic tumor, leading to a possible overtreatment. Therefore, this study performed the enucleation of the cyst wall and deflation at first, and the pathological finding confirmed mural invasion into the cystic wall, leading to the second surgery. The second surgery enucleated scar tissue, bone curettage, and deflation, and was able to contribute to the reduction of the recurrence rate by removing tumor nest in scar tissue or new bone, enhancing new bone formation, and shrinking the mandibular expanding by fenestration. In this study, a large UA with mural invasion including condyle was treated by "two-stage enucleation and deflation" in a 20-year-old patient.

  11. CO removal by two-stage methanation for polymer electrolyte fuel cell

    Institute of Scientific and Technical Information of China (English)

    Zhiyuan Li; Wanliang Mi; Juan Gong; Zhenlong Lu; Lihao Xu; Qingquan Su

    2008-01-01

    In order to remove CO to achieve lower CO content of below 10 ppm in the CO removal step of reformer for polymer electrolyte fuel cell (PEFC) co-generation systems, CO preferential methanation under various conditions were studied in this paper. Results showed that, with a single kind of catalyst, it was difficult to reach both CO removal depth and CO2 conversion ratio of below 5%. Thus, a two-stage methanation process applying two kinds of catalysts is proposed in this study, that is, one kind of catalyst with relatively low activity and high selectivity for the first stage at higher temperature, and another kind of catalyst with relatively high activity and high selectivity for the second stage at lower temperature. Experimental results showed that at the first stage CO content was decreased from 1% to below 0.1% at 250-300 ℃, and at the second stage to below 10 ppm at 150-185 ℃. CO2 conversion was kept less than 5%. At the same time, influence of inlet CO content and GHSV on CO removal depth was also discussed in this paper.

  12. Solar Impulsive Hard X-Ray Emission and Two-Stage Electron Acceleration

    Institute of Scientific and Technical Information of China (English)

    Tian-Xi Zhang; Arjun Tan; Shi Tsan Wu

    2006-01-01

    Heating and acceleration of electrons in solar impulsive hard X-ray (HXR) flares are studied according to the two-stage acceleration model developed by Zhang for solar 3Herich events. It is shown that electrostatic H-cyclotron waves can be excited at a parallel phase velocity less than about the electron thermal velocity and thus can significantly heat the electrons (up to 40 MK) through Landau resonance. The preheated electrons with velocities above a threshold are further accelerated to high energies in the flare-acceleration process. The flareproduced electron spectrum is obtained and shown to be thermal at low energies and power law at high energies. In the non-thermal energy range, the spectrum can be double power law if the spectral power index is energy dependent or related. The electron energy spectrum obtained by this study agrees quantitatively with the result derived from the Reuven Ramaty High Energy Solar Spectroscopic Imager (RHESSI) HXR observations in the flare of 2002 July 23. The total flux and energy flux of electrons accelerated in the solar flare also agree with the measurements.

  13. Fleet Planning Decision-Making: Two-Stage Optimization with Slot Purchase

    Directory of Open Access Journals (Sweden)

    Lay Eng Teoh

    2016-01-01

    Full Text Available Essentially, strategic fleet planning is vital for airlines to yield a higher profit margin while providing a desired service frequency to meet stochastic demand. In contrast to most studies that did not consider slot purchase which would affect the service frequency determination of airlines, this paper proposes a novel approach to solve the fleet planning problem subject to various operational constraints. A two-stage fleet planning model is formulated in which the first stage selects the individual operating route that requires slot purchase for network expansions while the second stage, in the form of probabilistic dynamic programming model, determines the quantity and type of aircraft (with the corresponding service frequency to meet the demand profitably. By analyzing an illustrative case study (with 38 international routes, the results show that the incorporation of slot purchase in fleet planning is beneficial to airlines in achieving economic and social sustainability. The developed model is practically viable for airlines not only to provide a better service quality (via a higher service frequency to meet more demand but also to obtain a higher revenue and profit margin, by making an optimal slot purchase and fleet planning decision throughout the long-term planning horizon.

  14. A two-stage heuristic method for vehicle routing problem with split deliveries and pickups

    Institute of Scientific and Technical Information of China (English)

    Yong WANG; Xiao-lei MA; Yun-teng LAO; Hai-yan YU; Yong LIU

    2014-01-01

    The vehicle routing problem (VRP) is a well-known combinatorial optimization issue in transportation and logistics network systems. There exist several limitations associated with the traditional VRP. Releasing the restricted conditions of traditional VRP has become a research focus in the past few decades. The vehicle routing problem with split deliveries and pickups (VRPSPDP) is particularly proposed to release the constraints on the visiting times per customer and vehicle capacity, that is, to allow the deliveries and pickups for each customer to be simultaneously split more than once. Few studies have focused on the VRPSPDP problem. In this paper we propose a two-stage heuristic method integrating the initial heuristic algorithm and hybrid heuristic algorithm to study the VRPSPDP problem. To validate the proposed algorithm, Solomon benchmark datasets and extended Solomon benchmark datasets were modified to compare with three other popular algorithms. A total of 18 datasets were used to evaluate the effectiveness of the proposed method. The computational results indicated that the proposed algorithm is superior to these three algorithms for VRPSPDP in terms of total travel cost and average loading rate.

  15. Beneficiation of low grade graphite ore of eastern India by two-stage grinding and flotation

    Directory of Open Access Journals (Sweden)

    Vasumathi N.

    2014-01-01

    Full Text Available A low grade graphite run-of-mine (r.o.m ore from eastern India was studied for its amenability to beneficiation by flotation technique. The petrography studies indicate that the ore primarily consists of quartz and graphite with minor quantity of mica. It analyzed 89.89% ash and 8.59% fixed carbon. The ore was crushed in stages followed by primary coarse wet grinding to 212 μm (d80. Rougher flotation was carried out in Denver flotation cell to eliminate gangue as much as possible in the form of primary tailings with minimal loss of carbon. Diesel & pine oil were used as collector and frother respectively. Regrinding of rougher concentrate to150 μm (d80 was resorted to further liberate the graphite values and was followed by multi-stage cleaning. This two-stage grinding approach involving a primary coarse grinding and regrinding of rougher float followed by its multi-stage cleaning was found to yield required grade of concentrate for applications such as refractories, batteries and high temperature lubricants. This approach is supposed to retain the flake size of coarse, free and liberated graphite, if available, during primary coarse grinding and rougher flotation stage with minimal grinding energy costs as against the usual practice of single stage grinding in the case of many ores. A final concentrate of 8.97% weight recovery with 5.80% ash and 92.13% fixed carbon could be achieved.

  16. A Risk-Based Interval Two-Stage Programming Model for Agricultural System Management under Uncertainty

    Directory of Open Access Journals (Sweden)

    Ye Xu

    2016-01-01

    Full Text Available Nonpoint source (NPS pollution caused by agricultural activities is main reason that water quality in watershed becomes worse, even leading to deterioration. Moreover, pollution control is accompanied with revenue’s fall for agricultural system. How to design and generate a cost-effective and environmentally friendly agricultural production pattern is a critical issue for local managers. In this study, a risk-based interval two-stage programming model (RBITSP was developed. Compared to general ITSP model, significant contribution made by RBITSP model was that it emphasized importance of financial risk under various probabilistic levels, rather than only being concentrated on expected economic benefit, where risk is expressed as the probability of not meeting target profit under each individual scenario realization. This way effectively avoided solutions’ inaccuracy caused by traditional expected objective function and generated a variety of solutions through adjusting weight coefficients, which reflected trade-off between system economy and reliability. A case study of agricultural production management with the Tai Lake watershed was used to demonstrate superiority of proposed model. Obtained results could be a base for designing land-structure adjustment patterns and farmland retirement schemes and realizing balance of system benefit, system-failure risk, and water-body protection.

  17. Two-staged operation on C2 neoplastic lesions: anterior excision and posterior stabilization.

    Science.gov (United States)

    Colak, Ahmet; Kutlay, Murat; Kibici, Kenan; Demircan, M Nusret; Akin, Osman N

    2004-07-01

    This retrospective study included eight consecutive cases with C2 vertebral body neoplastic lesions. The anterior retropharyngeal approach was used to remove the lesions and decompress the spinal cord. Spinal stabilization with occipitocervical plating in a second-stage operation makes the treatment more tolerable for patients. The object of this study was to determine the effectiveness of a two-stage operation strategy for these lesions. Eight patients were operated on via anterior retropharyngeal approach and then stabilized with occipitocervical plates posteriorly in a second sitting. All neck pain and all dysphagia problems resolved. Partial neurologic improvement was achieved in three out of four patients. No postoperative infection was seen. The retropharyngeal approach to the upper cervical spine and anterior foramen magnum lesions is an effective alternative to transoral surgery because of low complication rates. Neoplastic lesions in the upper cervical spine can safely and effectively be operated with this technique. The general medical status of patients with malignancies does not permit too long, time-consuming operations. Stabilization of the spine in a separate operation increases patient tolerability without any morbidity.

  18. Thermodynamic Investigation of Two-Stage Absorption Refrigeration System Connected by a Compressor

    Directory of Open Access Journals (Sweden)

    L. Kairouani

    2005-01-01

    Full Text Available The present work is to analyze a two-stage cycle based on the ammonia-water absorption system, with intermediate compression. The two generators of the system are heated by geothermal energy at low temperature. The study shows that this system makes it possible at lower generator temperature, under the limits permitted by the systems suggested up to now. For Tg = 335 K, Tc = Ta = 308 K and Te = 263 K, based on the electric consumption, the system efficiency is 8.2. The comparative study of the hybrid system and vapor compression systems shows the superiority of the proposed system. Supplied by the geothermal sources of the Tunisian south, the system makes it possible to obtain for a pilot geothermal station, a production of 75 tons of ice per day. The greenhouse gas emissions should thus be reduced by about 2.38 tons of CO2 per day. Therefore, based on the typical geothermal energy sources in Tunisia which present a global refrigeration potential of 4.4 MW, the daily quantity of ice that could be produced is about 865 tons. The greenhouse gas emissions should thus be reduced by about 10,000 tons of CO2 per year.

  19. A two-stage cascade model of BOLD responses in human visual cortex.

    Directory of Open Access Journals (Sweden)

    Kendrick N Kay

    Full Text Available Visual neuroscientists have discovered fundamental properties of neural representation through careful analysis of responses to controlled stimuli. Typically, different properties are studied and modeled separately. To integrate our knowledge, it is necessary to build general models that begin with an input image and predict responses to a wide range of stimuli. In this study, we develop a model that accepts an arbitrary band-pass grayscale image as input and predicts blood oxygenation level dependent (BOLD responses in early visual cortex as output. The model has a cascade architecture, consisting of two stages of linear and nonlinear operations. The first stage involves well-established computations-local oriented filters and divisive normalization-whereas the second stage involves novel computations-compressive spatial summation (a form of normalization and a variance-like nonlinearity that generates selectivity for second-order contrast. The parameters of the model, which are estimated from BOLD data, vary systematically across visual field maps: compared to primary visual cortex, extrastriate maps generally have larger receptive field size, stronger levels of normalization, and increased selectivity for second-order contrast. Our results provide insight into how stimuli are encoded and transformed in successive stages of visual processing.

  20. The role of the upper sample size limit in two-stage bioequivalence designs.

    Science.gov (United States)

    Karalis, Vangelis

    2013-11-01

    Two-stage designs (TSDs) are currently recommended by the regulatory authorities for bioequivalence (BE) assessment. The TSDs presented until now rely on an assumed geometric mean ratio (GMR) value of the BE metric in stage I in order to avoid inflation of type I error. In contrast, this work proposes a more realistic TSD design where sample re-estimation relies not only on the variability of stage I, but also on the observed GMR. In these cases, an upper sample size limit (UL) is introduced in order to prevent inflation of type I error. The aim of this study is to unveil the impact of UL on two TSD bioequivalence approaches which are based entirely on the interim results. Monte Carlo simulations were used to investigate several different scenarios of UL levels, within-subject variability, different starting number of subjects, and GMR. The use of UL leads to no inflation of type I error. As UL values increase, the % probability of declaring BE becomes higher. The starting sample size and the variability of the study affect type I error. Increased UL levels result in higher total sample sizes of the TSD which are more pronounced for highly variable drugs.

  1. Beyond two-stage models for lung carcinogenesis in the Mayak workers: implications for plutonium risk.

    Directory of Open Access Journals (Sweden)

    Sascha Zöllner

    Full Text Available Mechanistic multi-stage models are used to analyze lung-cancer mortality after Plutonium exposure in the Mayak-workers cohort, with follow-up until 2008. Besides the established two-stage model with clonal expansion, models with three mutation stages as well as a model with two distinct pathways to cancer are studied. The results suggest that three-stage models offer an improved description of the data. The best-fitting models point to a mechanism where radiation increases the rate of clonal expansion. This is interpreted in terms of changes in cell-cycle control mediated by bystander signaling or repopulation following cell killing. No statistical evidence for a two-pathway model is found. To elucidate the implications of the different models for radiation risk, several exposure scenarios are studied. Models with a radiation effect at an early stage show a delayed response and a pronounced drop-off with older ages at exposure. Moreover, the dose-response relationship is strongly nonlinear for all three-stage models, revealing a marked increase above a critical dose.

  2. Complex Dynamics of a Continuous Bertrand Duopoly Game Model with Two-Stage Delay

    Directory of Open Access Journals (Sweden)

    Junhai Ma

    2016-07-01

    Full Text Available This paper studies a continuous Bertrand duopoly game model with two-stage delay. Our aim is to investigate the influence of delay and weight on the complex dynamic characteristics of the system. We obtain the bifurcation point of the system respect to delay parameter by calculating. In addition, the dynamic properties of the system are simulated by power spectrum, attractor, bifurcation diagram, the largest Lyapunov exponent, 3D surface chart, 4D Cubic Chart, 2D parameter bifurcation diagram, and 3D parameter bifurcation diagram. The results show that the stability of the system depends on the delay and weight, in order to maintain stability of price and ensure the firm profit, the firms must control the parameters in the reasonable region. Otherwise, the system will lose stability, and even into chaos, which will cause fluctuations in prices, the firms cannot be profitable. Finally, the chaos control of the system is carried out by a control strategy of the state variables’ feedback and parameter variation, which effectively avoid the damage of chaos to the economic system. Therefore, the results of this study have an important practical significance to make decisions with multi-stage delay for oligopoly firms.

  3. A genome-wide association study for venous thromboembolism: the extended cohorts for heart and aging research in genomic epidemiology (CHARGE) consortium.

    Science.gov (United States)

    Tang, Weihong; Teichert, Martina; Chasman, Daniel I; Heit, John A; Morange, Pierre-Emmanuel; Li, Guo; Pankratz, Nathan; Leebeek, Frank W; Paré, Guillaume; de Andrade, Mariza; Tzourio, Christophe; Psaty, Bruce M; Basu, Saonli; Ruiter, Rikje; Rose, Lynda; Armasu, Sebastian M; Lumley, Thomas; Heckbert, Susan R; Uitterlinden, André G; Lathrop, Mark; Rice, Kenneth M; Cushman, Mary; Hofman, Albert; Lambert, Jean-Charles; Glazer, Nicole L; Pankow, James S; Witteman, Jacqueline C; Amouyel, Philippe; Bis, Joshua C; Bovill, Edwin G; Kong, Xiaoxiao; Tracy, Russell P; Boerwinkle, Eric; Rotter, Jerome I; Trégouët, David-Alexandre; Loth, Daan W; Stricker, Bruno H Ch; Ridker, Paul M; Folsom, Aaron R; Smith, Nicholas L

    2013-07-01

    Venous thromboembolism (VTE) is a common, heritable disease resulting in high rates of hospitalization and mortality. Yet few associations between VTE and genetic variants, all in the coagulation pathway, have been established. To identify additional genetic determinants of VTE, we conducted a two-stage genome-wide association study (GWAS) among individuals of European ancestry in the extended cohorts for heart and aging research in genomic epidemiology (CHARGE) VTE consortium. The discovery GWAS comprised 1,618 incident VTE cases out of 44,499 participants from six community-based studies. Genotypes for genome-wide single-nucleotide polymorphisms (SNPs) were imputed to approximately 2.5 million SNPs in HapMap and association with VTE assessed using study-design appropriate regression methods. Meta-analysis of these results identified two known loci, in F5 and ABO. Top 1,047 tag SNPs (P ≤ 0.0016) from the discovery GWAS were tested for association in an additional 3,231 cases and 3,536 controls from three case-control studies. In the combined data from these two stages, additional genome-wide significant associations were observed on 4q35 at F11 (top SNP rs4253399, intronic to F11) and on 4q28 at FGG (rs6536024, 9.7 kb from FGG; P FGG locus were not completely explained by previously reported variants. Loci at or near SUSD1 and OTUD7A showed borderline yet novel associations (P FGG loci for VTE. Future studies are warranted to better characterize the associations with F11 and FGG and to replicate the new candidate associations.

  4. Comparative study between the normal concrete mixing and two-stage mixing approach with different consistency%不同稠度状态混凝土采用二次搅拌工艺与普通搅拌工艺的对比研究

    Institute of Scientific and Technical Information of China (English)

    方东; 周明凯; 李北星

    2012-01-01

    采用混凝土立方体抗压标准试件的强度平均值和离散系数随搅拌时间的变化表征混凝土的搅拌均匀性,当离散系数随搅拌时间变化稳定时,则认为搅拌完成.通过调整配合比改变混凝土稠度,在普通搅拌工艺下,所需搅拌时间大致为大流态混凝土>干硬性混凝土>普通塑性混凝土.水分的减少、砂率的增大、粉料的增多,均不利于混合料的混合,在一定程度上延长了搅拌时间;而先拌合砂浆30s+混凝土拌合30s的二次搅拌工艺下,与普通搅拌工艺对比,不仅对强度性能有一定的提高,降低离散系数,改善混凝土的均匀性,而且有效增加混凝土的拌合效率,提高混凝土的单位产量,解决某些混凝土拌合难度较大、生产效率低的问题.%Concerning the definition of terms characterize the concrete mixing uniformity:the average value and coefficient of dispersion which decided by the standard concrete compressive strength. The time when the coefficient of dispersion stabled regarded as the mixing complete. The consistency varied by changing the composition of concrete. In the condition of using the normal mixing way, measuring the concrete with different consistency, the mixing time needed was nearly obey- pasty concrete >stiff concrete >plastic concrete. The result also indicating that reducing water content, increasing sand ratio, increasing powder content prolong the mixing time. In the condition of using two-stage mixing approach (mortar mixing 30s + concrete mixing 30s), the strength increased, coefficient of dispersion reduced and the efficiency of concrete mixing have improved. So that the two-stage mixing approach will increase the specific yield of concrete, solve the problem of low production of concrete which was difficult to mix.

  5. Durable infection control and function with the PROSTALAC spacer in two-stage revision for infected knee arthroplasty.

    Science.gov (United States)

    Gooding, Christopher R; Masri, Bassam A; Duncan, Clive P; Greidanus, Nelson V; Garbuz, Donald S

    2011-04-01

    A two-stage revision total knee arthroplasty is recognized as the gold standard in the treatment of infection. However, traditional spacers limit function in the interval between the two stages and may cause instability, scarring, and bone erosion. The PROSTALAC knee spacer is an antibiotic-loaded cement articulating spacer that allows some movement of the knee between stages. Whether motion enhances long-term function is unknown. We therefore identify the rate of control of infection using the PROSTALAC exchange spacer and to assess the clinical outcome after implantation with a definitive implant. We retrospectively reviewed 115 knees that underwent two-stage exchange with the PROSTALAC spacer. Forty-eight of these had a minimum followup of 5 years (mean, 9 years; range, 5-12 years). At last review, 101 of the 115 knees (88%) had no evidence of infection. Of the 14 knees that became reinfected, four were from the same organism and 10 were with a different organism. After further intervention, using the two-stage approach again, the infection was controlled in 12 of the 14 initially reinfected cases, resulting in a failure to cure in only two cases. We observed improvements in mean WOMAC, Oxford, UCLA, and Patient Satisfaction scores at last review. The PROSTALAC functional spacer was associated with a 98% rate of control of infection and improvements in the quality-of-life outcomes in the treatment of chronically infected total knee arthroplasties. Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

  6. The Framingham Heart Study, on its way to becoming the gold standard for Cardiovascular Genetic Epidemiology?

    Directory of Open Access Journals (Sweden)

    Jaquish Cashell E

    2007-10-01

    Full Text Available Abstract The Framingham Heart Study, founded in 1948 to examine the epidemiology of cardiovascular disease in a small town outside of Boston, has become the worldwide standard for cardiovascular epidemiology. It is among the longest running, most comprehensively characterized multi-generational studies in the world. Such seminal findings as the effects of smoking and high cholesterol on heart disease came from the Framingham Heart Study. At the time of publication these were novel cardiovascular disease (CVD risk factors, now they are the basis of treatment and prevention in the US. Is the Framingham study now on it's way to becoming the gold standard for genetic epidemiology of CVD? Will the novel genetic findings of today become the health care standards of tomorrow? The accompanying articles summarizing the results of genome-wide association studies (GWAS give the reader a first glimpse into the possibilities.

  7. [Bibliometric analysis of scientific articles on epidemiological study of burns in China].

    Science.gov (United States)

    Cheng, W F; Shen, Z A; Zhao, D X; Li, D W; Shang, Y R

    2017-04-20

    Objective: To analyze the current status of epidemiological study of burns in China, and to explore the related strategies. Methods: Retrospective or cross-sectional scientific articles in Chinese or English on epidemiological study of burns in China published from January 2005 to December 2015 were systemically retrieved from 4 databases. The databases include PubMed, Embase, China Biology Medicine disc, and Chinese Journals Full-text Database. From the results retrieved, data with regard to publication year, journal distribution, number of institutions participated in the study, affiliation of the first author and its location, and admission time span and age of patients in all the scientific articles were collected. Furthermore, the definition of age range and the grouping method of age of pediatric patients in English articles on epidemiological study of pediatric burns of China were recorded. Data were processed with descriptive statistical analysis. Results: A total of 256 scientific articles conforming to the study criteria were retrieved, among which 214 (83.59%) articles were in Chinese, and 42 (16.41%) articles were in English; 242 (94.53%) articles were retrospective studies, and 14 (5.47%) articles were cross-sectional studies. During the 11 years, the number of the relevant articles was fluctuant on the whole. The scientific articles were published in 130 journals, with 42 English articles in source journals for SCIENCE CITATION INDEX EXPANDED-JOURNAL LIST, accounting for 16.41%, and 116 Chinese articles in Source Journal for Chinese Scientific and Technical Papers, accounting for 45.31%. Totally 215 (83.98%) articles were single-center studies, and 29 (11.33%) articles were multicenter studies which were conducted by three or more centers. The number of affiliations of the first author of articles was 161 in total. The top 10 institutions regarding the article publishing number published 58 articles, accounting for 22.66%. Scientific articles on

  8. The response rate in postal epidemiological studies in the context of national cultural behaviour

    DEFF Research Database (Denmark)

    Angelova, Radostina A.; Naydenov, Kiril; Hägerhed-Engman, Linda

    2012-01-01

    The purpose of this study was to analyse the effect of national cultural differences on the response rate, obtained in questionnaire based epidemiological studies on allergy and asthma, performed in Sweden (DBH) and Bulgaria (ALLHOME). The two studies used one and the same methodology...... of people in Sweden and Bulgaria. It was found that national culture could strongly influence the response behaviour of people in epidemiological studies and Hofstede’s indexes can be useful tool when designing and performing epidemiological studies, and in particular – questionnaire surveys......., but the obtained response rate was different: 78.8% in DBH and 34.5% in ALLHOME. The differences in the obtained response rate and the reasons for these differences were analyzed on the basis of the Hofstede’s cultural dimensions’ indexes, which clearly show the distinction in the national cultural behaviour...

  9. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE statement: guidelines for reporting observational studies.

    Directory of Open Access Journals (Sweden)

    Erik von Elm

    2007-10-01

    Full Text Available Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE Initiative developed recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September 2004, with methodologists, researchers, and journal editors to draft a checklist of items. This list was subsequently revised during several meetings of the coordinating group and in e-mail discussions with the larger group of STROBE contributors, taking into account empirical evidence and methodological considerations. The workshop and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE Statement that relate to the title, abstract, introduction, methods, results, and discussion sections of articles. 18 items are common to all three study designs and four are specific for cohort, case-control, or cross-sectional studies. A detailed Explanation and Elaboration document is published separately and is freely available on the Web sites of PLoS Medicine, Annals of Internal Medicine, and Epidemiology. We hope that the STROBE Statement will contribute to improving the quality of reporting of observational studies.

  10. Influence of bulking agents on physical, chemical, and microbiological properties during the two-stage composting of green waste.

    Science.gov (United States)

    Zhang, Lu; Sun, Xiangyang

    2016-02-01

    A recyclable organic bulking agent (BA) that can be screened and was developed to optimize green waste (GW) composting. This study investigated the use of wood chips (WC) (at 0%, 15%, and 25%) and/or composted green waste (CGW) (at 0%, 25%, and 35%) as the BAs in the two-stage composting of GW. The combined addition of WC and CGW improved the conditions of composting process and the quality of compost product in terms of composting temperature, porosity, water retention, particle-size distribution, pH, electrical conductivity (EC), cation exchange capacity (CEC), nitrogen losses, humification indices, microbial numbers, enzyme activities, macro- and micro-nutrient contents, and toxicity to germinating seeds. The compost matured in only 22days with the optimized two-stage composting method rather than in the 90-270days typically required for traditional composting. The optimal two-stage composting process and the best quality of compost product were obtained with the combined addition of 15% WC and 35% CGW.

  11. Two-stage pervaporation process for effective in situ removal acetone-butanol-ethanol from fermentation broth.

    Science.gov (United States)

    Cai, Di; Hu, Song; Miao, Qi; Chen, Changjing; Chen, Huidong; Zhang, Changwei; Li, Ping; Qin, Peiyong; Tan, Tianwei

    2017-01-01

    Two-stage pervaporation for ABE recovery from fermentation broth was studied to reduce the energy cost. The permeate after the first stage in situ pervaporation system was further used as the feedstock in the second stage of pervaporation unit using the same PDMS/PVDF membrane. A total 782.5g/L of ABE (304.56g/L of acetone, 451.98g/L of butanol and 25.97g/L of ethanol) was achieved in the second stage permeate, while the overall acetone, butanol and ethanol separation factors were: 70.7-89.73, 70.48-84.74 and 9.05-13.58, respectively. Furthermore, the theoretical evaporation energy requirement for ABE separation in the consolidate fermentation, which containing two-stage pervaporation and the following distillation process, was estimated less than ∼13.2MJ/kg-butanol. The required evaporation energy was only 36.7% of the energy content of butanol. The novel two-stage pervaporation process was effective in increasing ABE production and reducing energy consumption of the solvents separation system. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. A Decomposition-Based Two-Stage Optimization Algorithm for Single Machine Scheduling Problems with Deteriorating Jobs

    Directory of Open Access Journals (Sweden)

    Yueyue Liu

    2015-01-01

    Full Text Available This paper studies a production scheduling problem with deteriorating jobs, which frequently arises in contemporary manufacturing environments. The objective is to find an optimal sequence of the set of jobs to minimize the total weighted tardiness, which is an indicator of service quality. The problem belongs to the class of NP-hard. When the number of jobs increases, the computational time required by an optimization algorithm to solve the problem will increase exponentially. To tackle large-scale problems efficiently, a two-stage method is presented in this paper. We partition the set of jobs into a few subsets by applying a neural network approach and thereby transform the large-scale problem into a series of small-scale problems. Then, we employ an improved metaheuristic algorithm (called GTS which combines genetic algorithm with tabu search to find the solution for each subproblem. Finally, we integrate the obtained sequences for each subset of jobs and produce the final complete solution by enumeration. A fair comparison has been made between the two-stage method and the GTS without decomposition, and the experimental results show that the solution quality of the two-stage method is much better than that of GTS for large-scale problems.

  13. Bayesian and frequentist two-stage treatment strategies based on sequential failure times subject to interval censoring.

    Science.gov (United States)

    Thall, Peter F; Wooten, Leiko H; Logothetis, Christopher J; Millikan, Randall E; Tannir, Nizar M

    2007-11-20

    For many diseases, therapy involves multiple stages, with the treatment in each stage chosen adaptively based on the patient's current disease status and history of previous treatments and clinical outcomes. Physicians routinely use such multi-stage treatment strategies, also called dynamic treatment regimes or treatment policies. We present a Bayesian framework for a clinical trial comparing two-stage strategies based on the time to overall failure, defined as either second disease worsening or discontinuation of therapy. Each patient is randomized among a set of treatments at enrollment, and if disease worsening occurs the patient is then re-randomized among a set of treatments excluding the treatment received initially. The goal is to select the two-stage strategy having the largest average overall failure time. A parametric model is formulated to account for non-constant failure time hazards, regression of the second failure time on the patient's first worsening time, and the complications that the failure time in either stage may be interval censored and there may be a delay between first worsening and the start of the second stage of therapy. Four different criteria, two Bayesian and two frequentist, for selecting a best strategy are considered. The methods are applied to a trial comparing two-stage strategies for treating metastatic renal cancer, and a simulation study in the context of this trial is presented. Advantages and disadvantages of this design compared to standard methods are discussed.

  14. Two-Stage Robust Security-Constrained Unit Commitment with Optimizable Interval of Uncertain Wind Power Output

    Directory of Open Access Journals (Sweden)

    Dayan Sun

    2017-01-01

    Full Text Available Because wind power spillage is barely considered, the existing robust unit commitment cannot accurately analyze the impacts of wind power accommodation on on/off schedules and spinning reserve requirements of conventional generators and cannot consider the network security limits. In this regard, a novel double-level robust security-constrained unit commitment formulation with optimizable interval of uncertain wind power output is firstly proposed in this paper to obtain allowable interval solutions for wind power generation and provide the optimal schedules for conventional generators to cope with the uncertainty in wind power generation. The proposed double-level model is difficult to be solved because of the invalid dual transform in solution process caused by the coupling relation between the discrete and continuous variables. Therefore, a two-stage iterative solution method based on Benders Decomposition is also presented. The proposed double-level model is transformed into a single-level and two-stage robust interval unit commitment model by eliminating the coupling relation, and then this two-stage model can be solved by Benders Decomposition iteratively. Simulation studies on a modified IEEE 26-generator reliability test system connected to a wind farm are conducted to verify the effectiveness and advantages of the proposed model and solution method.

  15. On Simon's two-stage design for single-arm phase IIA cancer clinical trials under beta-binomial distribution.

    Science.gov (United States)

    Liu, Junfeng; Lin, Yong; Shih, Weichung Joe

    2010-05-10

    Simon (Control. Clin. Trials 1989; 10:1-10)'s two-stage design has been broadly applied to single-arm phase IIA cancer clinical trials in order to minimize either the expected or the maximum sample size under the null hypothesis of drug inefficacy, i.e. when the pre-specified amount of improvement in response rate (RR) is not expected to be observed. This paper studies a realistic scenario where the standard and experimental treatment RRs follow two continuous distributions (e.g. beta distribution) rather than two single values. The binomial probabilities in Simon's (Control. Clin. Trials 1989; 10:1-10) design are replaced by prior predictive Beta-binomial probabilities that are the ratios of two beta functions and domain-restricted RRs involve incomplete beta functions to induce the null hypothesis acceptance probability. We illustrate that Beta-binomial mixture model based two-stage design retains certain desirable properties for hypothesis testing purpose. However, numerical results show that such designs may not exist under certain hypothesis and error rate (type I and II) setups within maximal sample size approximately 130. Furthermore, we give theoretical conditions for asymptotic two-stage design non-existence (sample size goes to infinity) in order to improve the efficiency of design search and to avoid needless searching.

  16. 难浸含砷金精矿两段生物氧化—氰化提金工艺试验研究%Study on the two-stage biooxidation-cyanidation process in leaching refractory arsenious gold concentrates

    Institute of Scientific and Technical Information of China (English)

    郑艳平; 祁玉海; 赵禧民

    2013-01-01

    某难浸含砷金精矿中金矿物嵌布粒度极细,有92.00%呈次显微金(不可见)的形式存在,且金矿物嵌存状态以包裹金为主,占94.58%.对金精矿进行常规氰化浸出,金的浸出率仅为3.41%.通过采用两段生物氧化预处理—氰化提金工艺,金的浸出率提高到95.02%,比常规氰化提高了91.61%.%The dissemination of gold mineral existing in the refractory arsenious gold concentrates is so fine that there are 92. 00 % of them taking the form of submicroscopic gold( not visible) ,and 94. 58 % of them are embedded inclusion gold. Conventional cyanide leaching of the concentrates only achieves a leaching rate of 3. 41 %. However, gold leaching rate can reach 95. 02 % after applying the two-stage biooxidation-cyanidation process, which is 91. 61% higher than conventional cyanide leaching process.

  17. Modified landfill gas generation rate model of first-order kinetics and two-stage reaction

    Institute of Scientific and Technical Information of China (English)

    Jiajun CHEN; Hao WANG; Na ZHANG

    2009-01-01

    This investigation was carried out to establish a new domestic landfill gas (LFG) generation rate model that takes into account the impact ofleachate recirculation. The first-order kinetics and two-stage reaction (FKTSR) model of the LFG generation rate includes mechanisms of the nutrient balance for biochemical reaction in two main stages. In this study, the FKTSR model was modified by the introduction of the outflow function and the organic acid conversion coefficient in order to represent the in-situ condition of nutrient loss through leachate. Laboratory experiments were carried out to simulate the impact of leachate recirculation and verify the modified FKTSR model. The model calibration was then calculated by using the experimental data. The results suggested that the new model was in line with the experimental data. The main parameters of the modified FKTSR model, including the LFG production potential (L0), the reaction rate constant in the first stage (K1), and the reaction rate constant in the second stage (K2) of 64.746 L, 0.202 d-1, and 0.338 d-1,respectively, were comparable to the old ones of 42.069 L,0.231 d-1, and 0.231 d-1. The new model is better able to explain the mechanisms involved in LFG generation.

  18. Two-stage light-gas magnetoplasma accelerator for hypervelocity impact simulation

    Science.gov (United States)

    Khramtsov, P. P.; Vasetskij, V. A.; Makhnach, A. I.; Grishenko, V. M.; Chernik, M. Yu; Shikh, I. A.; Doroshko, M. V.

    2016-11-01

    The development of macroparticles acceleration methods for high-speed impact simulation in a laboratory is an actual problem due to increasing of space flights duration and necessity of providing adequate spacecraft protection against micrometeoroid and space debris impacts. This paper presents results of experimental study of a two-stage light- gas magnetoplasma launcher for acceleration of a macroparticle, in which a coaxial plasma accelerator creates a shock wave in a high-pressure channel filled with light gas. Graphite and steel spheres with diameter of 2.5-4 mm were used as a projectile and were accelerated to the speed of 0.8-4.8 km/s. A launching of particle occurred in vacuum. For projectile velocity control the speed measuring method was developed. The error of this metod does not exceed 5%. The process of projectile flight from the barrel and the process of a particle collision with a target were registered by use of high-speed camera. The results of projectile collision with elements of meteoroid shielding are presented. In order to increase the projectile velocity, the high-pressure channel should be filled with hydrogen. However, we used helium in our experiments for safety reasons. Therefore, we can expect that the range of mass and velocity of the accelerated particles can be extended by use of hydrogen as an accelerating gas.

  19. Human Cough as a Two-Stage Jet and Its Role in Particle Transport

    Science.gov (United States)

    Li, Yuguo

    2017-01-01

    The human cough is a significant vector in the transmission of respiratory diseases in indoor environments. The cough flow is characterized as a two-stage jet; specifically, the starting jet (when the cough starts and flow is released) and interrupted jet (after the source supply is terminated). During the starting-jet stage, the flow rate is a function of time; three temporal profiles of the exit velocity (pulsation, sinusoidal and real-cough) were investigated in this study, and our results showed that the cough flow’s maximum penetration distance was in the range of a 50.6–85.5 opening diameter (D) under our experimental conditions. The real-cough and sinusoidal cases exhibited greater penetration ability than the pulsation cases under the same characteristic Reynolds number (Rec) and normalized cough expired volume (Q/AD, with Q as the cough expired volume and A as the opening area). However, the effects of Rec and Q/AD on the maximum penetration distances proved to be more significant; larger values of Rec and Q/AD reflected cough flows with greater penetration distances. A protocol was developed to scale the particle experiments between the prototype in air, and the model in water. The water tank experiments revealed that although medium and large particles deposit readily, their maximum spread distance is similar to that of small particles. Moreover, the leading vortex plays an important role in enhancing particle transport. PMID:28046084

  20. Quantum treatment of two-stage sub-Doppler laser cooling of magnesium atoms

    CERN Document Server

    Brazhnikov, D V; Taichenachev, A V; Yudin, V I; Bonert, A E; Il'enkov, R Ya; Goncharov, A N

    2015-01-01

    The problem of deep laser cooling of $^{24}$Mg atoms is theoretically studied. We propose two-stage sub-Doppler cooling strategy using electro-dipole transition $3^3P_2$$\\to$$3^3D_3$ ($\\lambda$=383.9 nm). The first stage implies exploiting magneto-optical trap with $\\sigma^+$ and $\\sigma^-$ light beams, while the second one uses a lin$\\perp$lin molasses. We focus on achieving large number of ultracold atoms (T$_{eff}$ < 10 $\\mu$K) in a cold atomic cloud. The calculations have been done out of many widely used approximations and based on quantum treatment with taking full account of recoil effect. Steady-state average kinetic energies and linear momentum distributions of cold atoms are analysed for various light-field intensities and frequency detunings. The results of conducted quantum analysis have revealed noticeable differences from results of semiclassical approach based on the Fokker-Planck equation. At certain conditions the second cooling stage can provide sufficiently lower kinetic energies of atom...

  1. Two-stage Hydrolysis of Invasive Algal Feedstock for Ethanol Fermentation

    Institute of Scientific and Technical Information of China (English)

    Xin Wang; Xianhua Liu; Guangyi Wang

    2011-01-01

    The overall goal of this work was to develop a saccharification method for the production of third generation biofuel(i.e.bioethanol) using feedstock of the invasive marine macroalga Gracilaria salicornia.Under optimum conditions(120℃ and 2% sulfuric acid for 30 min), dilute acid hydrolysis of the homogenized invasive plants yielded a low concentration of glucose(4.1mM or 4.3g glucose/kg fresh algal biomass). However, two-stage hydrolysis of the homogenates (combination of dilute acid hydrolysis with enzymatic hydrolysis) produced 13.8g of glucose from one kilogram of fresh algal feedstock. Batch fermentation analysis produced 79.1g EtOH from one kilogram of dried invasive algal feedstock using the ethanologenic strain Escherichia coli K011. Furthermore, ethanol production kinetics indicated that the invasive algal feedstock contained different types of sugar, including C5-sugar. This study represents the first report on third generation biofuel production from invasive macroalgae, suggesting that there is great potential for the production of renewable energy using marine invasive biomass.

  2. Design and Analysis of a Split Deswirl Vane in a Two-Stage Refrigeration Centrifugal Compressor

    Directory of Open Access Journals (Sweden)

    Jeng-Min Huang

    2014-09-01

    Full Text Available This study numerically investigated the influence of using the second row of a double-row deswirl vane as the inlet guide vane of the second stage on the performance of the first stage in a two-stage refrigeration centrifugal compressor. The working fluid was R134a, and the turbulence model was the Spalart-Allmaras model. The parameters discussed included the cutting position of the deswirl vane, the staggered angle of two rows of vane, and the rotation angle of the second row. The results showed that the performance of staggered angle 7.5° was better than that of 15° or 22.5°. When the staggered angle was 7.5°, the performance of cutting at 1/3 and 1/2 of the original deswirl vane length was slightly different from that of the original vane but obviously better than that of cutting at 2/3. When the staggered angle was 15°, the cutting position influenced the performance slightly. At a low flow rate prone to surge, when the second row at a staggered angle 7.5° cutting at the half of vane rotated 10°, the efficiency was reduced by only about 0.6%, and 10% of the swirl remained as the preswirl of the second stage, which is generally better than other designs.

  3. Two stage thermophilic sludge digestion - solids degradation, heat and energy considerations

    Energy Technology Data Exchange (ETDEWEB)

    Zupancic, Gregor Drago; Ros, Milenko

    2003-07-01

    The conventional process for solids treatment is mesophilic anaerobic sludge digestion (at about 35{sup o}C). In this process about 44% of volatile solids (VSS) are removed at about 40-50 days retention time with the specific biogas production of about 400 L/kg of VSS inserted. At the National Institute of Chemistry Ljubljana, thermophilic sludge digestion at 50 to 60{sup o}C was studied. As the result of research two-stage anaerobic-aerobic process was developed and patented. A case of 3+12 days retention time (anaerobic + aerobic stage) gave specific biogas production equal to mesophilic process (about 400 L/kg of VSS inserted) and VSS removal of 62% in 15 days of total retention time. A case of 3+6 days retention time gave the same biogas production of 400 L/kg and VSS removal of 49% in 9 days of total retention time. The main problem at thermophilic sludge digestion is the heat requirements for sustaining the process. The biogas produced is not sufficient for covering the heat requirements. This problem was resolved with heat regeneration between outflow and inflow sludge. Such regeneration brought the process equal to mesophilic process. With 80 to 95% excess heat of power production from produced biogas all heat requirements were covered. (author)

  4. Stepwise encapsulation and controlled two-stage release system for cis-Diamminediiodoplatinum

    Directory of Open Access Journals (Sweden)

    Chen Y

    2014-06-01

    Full Text Available Yun Chen,1,* Qian Li,1,2,* Qingsheng Wu1 1Department of Chemistry, Key Laboratory of Yangtze River Water Environment, Ministry of Education, Tongji University, Shanghai; 2Shanghai Institute of Quality Inspection and Technical Research, Shanghai, People’s Republic of China *These authors contributed equally to this work Abstract: cis-Diamminediiodoplatinum (cis-DIDP is a cisplatin-like anticancer drug with higher anticancer activity, but lower stability and price than cisplatin. In this study, a cis-DIDP carrier system based on micro-sized stearic acid was prepared by an emulsion solvent evaporation method. The maximum drug loading capacity of cis-DIDP-loaded solid lipid nanoparticles was 22.03%, and their encapsulation efficiency was 97.24%. In vitro drug release in phosphate-buffered saline (pH =7.4 at 37.5°C exhibited a unique two-stage process, which could prove beneficial for patients with tumors and malignancies. MTT (3-[4,5-dimethylthiazol-2-yl]-2, 5-diphenyltetrazolium bromide assay results showed that cis-DIDP released from cis-DIDP-loaded solid lipid nanoparticles had better inhibition activity than cis-DIDP that had not been loaded. Keywords: stearic acid, emulsion solvent evaporation method, drug delivery, cis-DIDP, in vitro

  5. Hydrogen and methane production from household solid waste in the two-stage fermentation process.

    Science.gov (United States)

    Liu, Dawei; Liu, Dapeng; Zeng, Raymond J; Angelidaki, Irini

    2006-06-01

    A two-stage process combined hydrogen and methane production from household solid waste was demonstrated working successfully. The yield of 43 mL H(2)/g volatile solid (VS) added was generated in the first hydrogen production stage and the methane production in the second stage was 500 mL CH(4)/g VS added. This figure was 21% higher than the methane yield from the one-stage process, which was run as control. Sparging of the hydrogen reactor with methane gas resulted in doubling of the hydrogen production. pH was observed as a key factor affecting fermentation pathway in hydrogen production stage. The optimum pH range for hydrogen production in this system was in the range from 5 to 5.5. The short hydraulic retention time (2 days) applied in the first stage was enough to separate acidogenesis from methanogenesis. No additional control for preventing methanogenesis in the first stage was necessary. Furthermore, this study also provided direct evidence in the dynamic fermentation process that, hydrogen production increase was reflected by acetate to butyrate ratio increase in liquid phase.

  6. Antioxidant activity and total phenolic content of Moringa oleifera leaves in two stages of maturity.

    Science.gov (United States)

    Sreelatha, S; Padma, P R

    2009-12-01

    Antioxidants play an important role in inhibiting and scavenging free radicals, thus providing protection to human against infections and degenerative diseases. Current research is now directed towards natural antioxidants originated from plants due to safe therapeutics. Moringa oleifera is used in Indian traditional medicine for a wide range of various ailments. To understand the mechanism of pharmacological actions, antioxidant properties of the Moringa oleifera leaf extracts were tested in two stages of maturity using standard in vitro models. The successive aqueous extract of Moringa oleifera exhibited strong scavenging effect on 2, 2-diphenyl-2-picryl hydrazyl (DPPH) free radical, superoxide, nitric oxide radical and inhibition of lipid per oxidation. The free radical scavenging effect of Moringa oleifera leaf extract was comparable with that of the reference antioxidants. The data obtained in the present study suggests that the extracts of Moringa oleifera both mature and tender leaves have potent antioxidant activity against free radicals, prevent oxidative damage to major biomolecules and afford significant protection against oxidative damage.

  7. Precision and cost considerations for two-stage sampling in a panelized forest inventory design.

    Science.gov (United States)

    Westfall, James A; Lister, Andrew J; Scott, Charles T

    2016-01-01

    Due to the relatively high cost of measuring sample plots in forest inventories, considerable attention is given to sampling and plot designs during the forest inventory planning phase. A two-stage design can be efficient from a field work perspective as spatially proximate plots are grouped into work zones. A comparison between subsampling with units of unequal size (SUUS) and a simple random sample (SRS) design in a panelized framework assessed the statistical and economic implications of using the SUUS design for a case study in the Northeastern USA. The sampling errors for estimates of forest land area and biomass were approximately 1.5-2.2 times larger with SUUS prior to completion of the inventory cycle. Considerable sampling error reductions were realized by using the zones within a post-stratified sampling paradigm; however, post-stratification of plots in the SRS design always provided smaller sampling errors in comparison. Cost differences between the two designs indicated the SUUS design could reduce the field work expense by 2-7 %. The results also suggest the SUUS design may provide substantial economic advantage for tropical forest inventories, where remote areas, poor access, and lower wages are typically encountered.

  8. Food behavior change in late-life widowhood: A two-stage process.

    Science.gov (United States)

    Vesnaver, Elisabeth; Keller, Heather H; Sutherland, Olga; Maitland, Scott B; Locher, J L

    2015-12-01

    Widowhood is a common life event for married older women. Prior research has found disruptions in eating behaviors to be common among widows. Little is known about the process underlying these disruptions. The aim of this study was to generate a theoretical understanding of the changing food behaviors of older women during the transition of widowhood. Qualitative methods based on constructivist grounded theory guided by a critical realist worldview were used. Individual active interviews were conducted with 15 community-living women, aged 71-86 years, living alone, and widowed six months to 15 years at the time of the interview. Participants described a variety of educational backgrounds and levels of health, were mainly white and of Canadian or European descent, and reported sufficient income to meet their needs. The loss of regular shared meals initiated a two-stage process whereby women first fall into new patterns and then re-establish the personal food system, thus enabling women to redirect their food system from one that satisfied the couple to one that satisfied their personal food needs. Influences on the trajectory of the change process included the couple's food system, experience with nutritional care, food-related values, and food-related resources. Implications for research and practice are discussed.

  9. Artificial trachea reconstruction with two-stage approach using memory-alloy mesh

    Institute of Scientific and Technical Information of China (English)

    赵凤瑞; 张银合; 刘世民; 余建军

    2003-01-01

    @@ Artificial tracheal prosthesis is now a challenge to the entire surgical field all over the world. Previously, all kinds of prosthesis were "inner stent" that could not be integrated with native trachea. Since there is an interface between smooth surface of the prosthesis and living tissues, and the inner side of the prosthesis is not covered with living membrane, infections always happen around the prosthesis. We then developed a new technique, which combined memory-alloy mesh with traditional operative procedures. Memory-alloy mesh is extensible, flexible and can maintain the shape of a tube. It has very good compatibility with tissues and no antigenicity. Thus, it is the most desirable material nowadays that can be found to make the frame of an artificial trachea by using a two-stage approach. That is imbedding a pre-shaped memory-alloy mesh under skin or endothelium (pleura or peritoneum), and then making the "sandwich" pedicle skin and muscle flap to a pedicled artificial trachea anastomosed with native trachea. After a two-year experimental study, a patient received the artificial trachea replacement on April 18, 2002, with a good result.

  10. A Two-Stage Compression Method for the Fault Detection of Roller Bearings

    Directory of Open Access Journals (Sweden)

    Huaqing Wang

    2016-01-01

    Full Text Available Data measurement of roller bearings condition monitoring is carried out based on the Shannon sampling theorem, resulting in massive amounts of redundant information, which will lead to a big-data problem increasing the difficulty of roller bearing fault diagnosis. To overcome the aforementioned shortcoming, a two-stage compressed fault detection strategy is proposed in this study. First, a sliding window is utilized to divide the original signals into several segments and a selected symptom parameter is employed to represent each segment, through which a symptom parameter wave can be obtained and the raw vibration signals are compressed to a certain level with the faulty information remaining. Second, a fault detection scheme based on the compressed sensing is applied to extract the fault features, which can compress the symptom parameter wave thoroughly with a random matrix called the measurement matrix. The experimental results validate the effectiveness of the proposed method and the comparison of the three selected symptom parameters is also presented in this paper.

  11. Performance assessment of two-stage anaerobic digestion of kitchen wastes.

    Science.gov (United States)

    Bo, Zhang; Pin-Jing, He

    2014-01-01

    This study is aimed at investigating the performance of the two-phase anaerobic digestion of kitchen wastes in a lab-scale setup. The semi-continuous experiment showed that the two-phase anaerobic digestion of kitchen wastes had a bioconversion rate of 83%, biogas yield of 338 mL x (g chemical oxygen demand (COD))(-1) and total solid conversion of 63% when the entire two-phase anaerobic digestion process was subjected to an organic loading rate (OLR) of 10.7 g x (L d)(-1). In the hydrolysis-acidogenesis process, the efficiency of solubilization decreased from 72.6% to 41.1%, and the acidogenesis efficiency decreased from 31.8% to 17.8% with an increase in the COD loading rate. On the other hand, the performance of the subsequent methanogenic process was not susceptible to the increase in the feeding COD loading rate in the hydrolysis-acidogenesis stage. Lactic acid was one of the main fermentation products, accounting for over 40% of the total soluble COD in the fermentation liquid. The batch experiments indicated that the lactic acid was the earliest predominant fermentation product, and distributions of fermentation products were pH dependent. Results showed that increasing the feeding OLR of kitchen wastes made the two-stage anaerobic digestion process more effective. Moreover, there was a potential improvement in the performance of anaerobic digestion of kitchen wastes with a corresponding improvement in the hydrolysis process.

  12. Treatment of Ammonia Nitrogen Wastewater in Low Concentration by Two-Stage Ozonization

    Science.gov (United States)

    Luo, Xianping; Yan, Qun; Wang, Chunying; Luo, Caigui; Zhou, Nana; Jian, Chensheng

    2015-01-01

    Ammonia nitrogen wastewater (about 100 mg/L) was treated by two-stage ozone oxidation method. The effects of ozone flow rate and initial pH on ammonia removal were studied, and the mechanism of ammonia nitrogen removal by ozone oxidation was discussed. After the primary stage of ozone oxidation, the ammonia removal efficiency reached 59.32% and pH decreased to 6.63 under conditions of 1 L/min ozone flow rate and initial pH 11. Then, the removal efficiency could be over 85% (the left ammonia concentration was lower than 15 mg/L) after the second stage, which means the wastewater could have met the national discharge standards of China. Besides, the mechanism of ammonia removal by ozone oxidation was proposed by detecting the products of the oxidation: ozone oxidation directly and ·OH oxidation; ammonia was mainly transformed into NO3−-N, less into NO2−-N, not into N2. PMID:26404353

  13. TWO-STAGE PRODUCTION SCHEDULING WITH AN OPTION OF OUTSOURCING FROM A REMOTE SUPPLIER

    Institute of Scientific and Technical Information of China (English)

    Xiangtong QI

    2009-01-01

    This paper studies a two-stage production system with n job orders where each job needs two sequential operations. In addition to the two in-house production facilities, the manufacturer has another option of outsourcing some stage-one operations to a remote outside supplier. The jobs with their stage-one operations outsourced are subject to a batch transportation delay from the outside supplier before their respective stage-two operations can be started in-house. The problem is to design an integrated schedule that considers both the in-house production and the outsourcing with the aim of optimally balancing the outsourcing cost and the makespan. The problem is NP-hard. We have developed an optimal algorithm and a heuristic algorithm to solve the problem, and conducted computational experiments to validate our model and algorithms. Our modeling and algorithm framework can be extended to handle other more general cases such as when the outside supplier has a production facility with a different processing efficiency and when there are many outside suppliers on a spot market.

  14. Two-stage removal of nitrate from groundwater using biological and chemical treatments.

    Science.gov (United States)

    Ayyasamy, Pudukadu Munusamy; Shanthi, Kuppusamy; Lakshmanaperumalsamy, Perumalsamy; Lee, Soon-Jae; Choi, Nag-Choul; Kim, Dong-Ju

    2007-08-01

    In this study, we attempted to treat groundwater contaminated with nitrate using a two-stage removal system: one is biological treatment using the nitrate-degrading bacteria Pseudomonas sp. RS-7 and the other is chemical treatment using a coagulant. For the biological system, the effect of carbon sources on nitrate removal was first investigated using mineral salt medium (MSM) containing 500 mg l(-1) nitrate to select the most effective carbon source. Among three carbon sources, namely, glucose, starch and cellulose, starch at 1% was found to be the most effective. Thus, starch was used as a representative carbon source for the remaining part of the biological treatment where nitrate removal was carried out for MSM solution and groundwater samples containing 500 mg l(-1) and 460 mg l(-1) nitrate, respectively. About 86% and 89% of nitrate were removed from the MSM solution and groundwater samples, respectively at 72 h. Chemical coagulants such as alum, lime and poly aluminium chloride were tested for the removal of nitrate remaining in the samples. Among the coagulants, lime at 150 mg l(-1) exhibited the highest nitrate removal efficiency with complete disappearance for the MSM solutions. Thus, a combined system of biological and chemical treatments was found to be more effective for the complete removal of nitrate from groundwater.

  15. Design and construction of the X-2 two-stage free piston driven expansion tube

    Science.gov (United States)

    Doolan, Con

    1995-01-01

    This report outlines the design and construction of the X-2 two-stage free piston driven expansion tube. The project has completed its construction phase and the facility has been installed in the new impulsive research laboratory where commissioning is about to take place. The X-2 uses a unique, two-stage driver design which allows a more compact and lower overall cost free piston compressor. The new facility has been constructed in order to examine the performance envelope of the two-stage driver and how well it couple to sub-orbital and super-orbital expansion tubes. Data obtained from these experiments will be used for the design of a much larger facility, X-3, utilizing the same free piston driver concept.

  16. Assessing the reporting of categorised quantitative variables in observational epidemiological studies.

    Science.gov (United States)

    Mabikwa, Onkabetse V; Greenwood, Darren C; Baxter, Paul D; Fleming, Sarah J

    2017-03-14

    One aspect to consider when reporting results of observational studies in epidemiology is how quantitative risk factors are analysed. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines recommend that researchers describe how they handle quantitative variables when analysing data. For categorised quantitative variables, the authors are required to provide reasons and justifications informing their practice. We investigated and assessed the practices and reporting of categorised quantitative variables in epidemiology. The assessment was based on five medical journals that publish epidemiological research. Observational studies published between April and June 2015 and investigating the relationships between quantitative exposures (or risk factors) and the outcomes were considered for assessment. A standard form was used to collect the data, and the reporting patterns amongst eligible studies were quantified and described. Out of 61 articles assessed for eligibility, 23 observational studies were included in the assessment. Categorisation of quantitative exposures occurred in 61% of these studies and reasons informing the practice were rarely provided. Only one article explained the choice of categorisation in the analysis. Transformation of quantitative exposures into four or five groups was common and dominant amongst studies using equally spaced categories. Dichotomisation was not popular; the practice featured in one article. Overall, the majority (86%) of the studies preferred ordered or arbitrary group categories. Other criterions used to decide categorical boundaries were based on established guidelines such as consensus statements and WHO standards. Categorisation of continuous variables remains a dominant practice in epidemiological studies. The reasons informing the practice of categorisation within published work are limited and remain unknown in most articles. The existing STROBE guidelines could provide stronger

  17. A two-stage subsurface vertical flow constructed wetland for high-rate nitrogen removal.

    Science.gov (United States)

    Langergraber, Guenter; Leroch, Klaus; Pressl, Alexander; Rohrhofer, Roland; Haberl, Raimund

    2008-01-01

    By using a two-stage constructed wetland (CW) system operated with an organic load of 40 gCOD.m(-2).d(-1) (2 m2 per person equivalent) average nitrogen removal efficiencies of about 50% and average nitrogen elimination rates of 980 g N.m(-2).yr(-1) could be achieved. Two vertical flow beds with intermittent loading have been operated in series. The first stage uses sand with a grain size of 2-3.2 mm for the main layer and has a drainage layer that is impounded; the second stage sand with a grain size of 0.06-4 mm and a drainage layer with free drainage. The high nitrogen removal can be achieved without recirculation thus it is possible to operate the two-stage CW system without energy input. The paper shows performance data for the two-stage CW system regarding removal of organic matter and nitrogen for the two year operating period of the system. Additionally, its efficiency is compared with the efficiency of a single-stage vertical flow CW system designed and operated according to the Austrian design standards with 4 m2 per person equivalent. The comparison shows that a higher effluent quality could be reached with the two-stage system although the two-stage CW system is operated with the double organic load or half the specific surface area requirement, respectively. Another advantage is that the specific investment costs of the two-stage CW system amount to 1,200 EUR per person (without mechanical pre-treatment) and are only about 60% of the specific investment costs of the singe-stage CW system. IWA Publishing 2008.

  18. Methane production from sweet sorghum residues via a two-stage process

    Energy Technology Data Exchange (ETDEWEB)

    Stamatelatou, K.; Dravillas, K.; Lyberatos, G. [University of Patras (Greece). Department of Chemical Engineering, Laboratory of Biochemical Engineering and Environmental Technology

    2003-07-01

    The start-up of a two-stage reactor configuration for the anaerobic digestion of sweet sorghum residues was evaluated. The sweet sorghum residues were a waste stream originating from the alcoholic fermentation of sweet sorghum and the subsequent distillation step. This waste stream contained high concentration of solid matter (9% TS) and thus could be characterized as a semi-solid, not easily biodegradable wastewater with high COD (115 g/l). The application of the proposed two-stage configuration (consisting of one thermophilic hydrolyser and one mesophilic methaniser) achieved a methane production of 16 l/l wastewater under a hydraulic retention time of 19 d. (author)

  19. Two Stage Fully Differential Sample and Hold Circuit Using .18µm Technology

    Directory of Open Access Journals (Sweden)

    Dharmendra Dongardiye

    2014-05-01

    Full Text Available This paper presents a well-established Fully Differential sample & hold circuitry, implemented in 180-nm CMOS technology. In this two stage method the first stage give us very high gain and second stage gives large voltage swing. The proposed opamp provides 149MHz unity-gain bandwidth , 78 degree phase margin and a differential peak to peak output swing more than 2.4v. using the improved fully differential two stage operational amplifier of 76.7dB gain. Although the sample and hold circuit meets the requirements of SNR specifications.

  20. One-stage and two-stage penile buccal mucosa urethroplasty

    Directory of Open Access Journals (Sweden)

    G. Barbagli

    2016-03-01

    Full Text Available The paper provides the reader with the detailed description of current techniques of one-stage and two-stage penile buccal mucosa urethroplasty. The paper provides the reader with the preoperative patient evaluation paying attention to the use of diagnostic tools. The one-stage penile urethroplasty using buccal mucosa graft with the application of glue is preliminary showed and discussed. Two-stage penile urethroplasty is then reported. A detailed description of first-stage urethroplasty according Johanson technique is reported. A second-stage urethroplasty using buccal mucosa graft and glue is presented. Finally postoperative course and follow-up are addressed.

  1. Development of a linear compressor for two-stage pulse tube cryocoolers

    Institute of Scientific and Technical Information of China (English)

    Peng-da YAN; Wei-li GAO; Guo-bang CHEN

    2009-01-01

    A valveless linear compressor was built up to drive a self-made two-stage pulse tube cryocooler. With a designed maximum swept volume of 60 cm~3, the compressor can provide the cryocooler with a pressure volume (PV) power of 400 W.Preliminary measurements of the compressor indicated that both an efficiency of 35%~55% and a pressure ratio of 1.3~1.4 could be obtained. The two-stage pulse tube cryocooler driven by this compressor achieved the lowest temperature of 14.2 K.

  2. Terephthalic acid wastewater treatment by using two-stage aerobic process

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    Based on the tests between anoxic and aerobic process, the two-stage aerobic process with a biological selector was chosen to treat terephthalic acid wastewater (PTA). By adopting the two- stage aerobic process, the CODCr in PTA wastewater could be reduced from 4000-6000 mg/L to below 100 mg/L; the COD loading in the first aerobic tank could reach 7.0-8.0 kgCODCr/(m3.d) and that of the second stage was from 0.2 to 0.4 kgCODCr/(m3.d). Further researches on the kinetics of substrate degradation were carried out.

  3. First Law Analysis of a Two-stage Ejector-vapor Compression Refrigeration Cycle working with R404A

    National Research Council Canada - National Science Library

    Feiza Memet; Daniela-Elena Mitu

    2011-01-01

    The traditional two-stage vapor compression refrigeration cycle might be replaced by a two-stage ejector-vapor compression refrigeration cycle if it is aimed the decrease of irreversibility during expansion...

  4. 影响战略性新兴产业演化的四维度因素分析——以中国风机制造业为例的研究%Influential factors of strategic emerging industries evolution: an analysis framework of two stage - four dimensions empirical studies based on wind turbine industry in China

    Institute of Scientific and Technical Information of China (English)

    陈衍泰; 程鹏; 梁正

    2012-01-01

    This paper firstly put forward the theoretical framework of Two - stage Analysis for the evolution of Strategic Emerging Industries, to explore the influential factors from four dimensions, which consists of technological - Open innovation vs. Indigenous innovation, Market Demand - Domestic market creation vs. international market, Industry players - Incumbents vs. entrants, Institutional - Policy - driven or market - driven. Based on this theoretical model, this research utilizes the case of Wind Turbine Manufacturing Industry, to analyze the evolution process of Chinese case from 1980 to 2011, and explore the influential factors. In the last part, this paper draws some conclusions and provides policy suggestions.%首先提出战略性新兴产业演化的两阶段分析框架,探析影响新兴产业演化的四维度因素,分别为“技术维度”-自主创新与开放创新的选择、“市场需求维度”-本土市场需求与国际市场的协调;“产业主体维度”-在位企业与新创立企业培育的选择;“制度维度”-政府主导与市场主导的平衡。基于此,以风机制造产业为例,分析中国1980—2011年风机制造产业的成长演化过程,并探析影响产业发展轨迹的“两阶段四维度”因素。以风机制造产业为例的研究,论文最后提出对中国战略性新兴产业发展的主要启示。

  5. Analysis of Factors Influencing Telephone Call Response Rate in an Epidemiological Study

    Directory of Open Access Journals (Sweden)

    Jorge Matías-Guiu

    2014-01-01

    Full Text Available Descriptive epidemiology research involves collecting data from large numbers of subjects. Obtaining these data requires approaches designed to achieve maximum participation or response rates among respondents possessing the desired information. We analyze participation and response rates in a population-based epidemiological study though a telephone survey and identify factors implicated in consenting to participate. Rates found exceeded those reported in the literature and they were higher for afternoon calls than for morning calls. Women and subjects older than 40 years were the most likely to answer the telephone. The study identified geographical differences, with higher RRs in districts in southern Spain that are not considered urbanized. This information may be helpful for designing more efficient community epidemiology projects.

  6. Mixed effect regression analysis for a cluster-based two-stage outcome-auxiliary-dependent sampling design with a continuous outcome.

    Science.gov (United States)

    Xu, Wangli; Zhou, Haibo

    2012-09-01

    Two-stage design is a well-known cost-effective way for conducting biomedical studies when the exposure variable is expensive or difficult to measure. Recent research development further allowed one or both stages of the two-stage design to be outcome dependent on a continuous outcome variable. This outcome-dependent sampling feature enables further efficiency gain in parameter estimation and overall cost reduction of the study (e.g. Wang, X. and Zhou, H., 2010. Design and inference for cancer biomarker study with an outcome and auxiliary-dependent subsampling. Biometrics 66, 502-511; Zhou, H., Song, R., Wu, Y. and Qin, J., 2011. Statistical inference for a two-stage outcome-dependent sampling design with a continuous outcome. Biometrics 67, 194-202). In this paper, we develop a semiparametric mixed effect regression model for data from a two-stage design where the second-stage data are sampled with an outcome-auxiliary-dependent sample (OADS) scheme. Our method allows the cluster- or center-effects of the study subjects to be accounted for. We propose an estimated likelihood function to estimate the regression parameters. Simulation study indicates that greater study efficiency gains can be achieved under the proposed two-stage OADS design with center-effects when compared with other alternative sampling schemes. We illustrate the proposed method by analyzing a dataset from the Collaborative Perinatal Project.

  7. Overcoming the bottlenecks of anaerobic digestion of olive mill solid waste by two-stage fermentation.

    Science.gov (United States)

    Stoyanova, Elitza; Lundaa, Tserennyam; Bochmann, Günther; Fuchs, Werner

    2017-02-01

    Two-stage anaerobic digestion (AD) of two-phase olive mill solid waste (OMSW) was applied for reducing the inhibiting factors by optimizing the acidification stage. Single-stage AD and co-fermentation with chicken manure were conducted coinstantaneous for direct comparison. Degradation of the polyphenols up to 61% was observed during the methanogenic stage. Nevertheless the concentration of phenolic substances was still high; the two-stage fermentation remained stable at OLR 1.5 kgVS/m³day. The buffer capacity of the system was twice as high, compared to the one-stage fermentation, without additives. The two-stage AD was a combined process - thermophilic first stage and mesophilic second stage, which pointed out to be the most profitable for AD of OMSW for the reduced hydraulic retention time (HRT) from 230 to 150 days, and three times faster than the single-stage and the co-fermentation start-up of the fermentation. The optimal HRT and incubation temperature for the first stage were determined to four days and 55°C. The performance of the two-stage AD concerning the stability of the process was followed by the co-digestion of OMSW with chicken manure as a nitrogen-rich co-substrate, which makes them viable options for waste disposal with concomitant energy recovery.

  8. The Design, Construction and Operation of a 75 kW Two-Stage Gasifier

    DEFF Research Database (Denmark)

    Henriksen, Ulrik Birk; Ahrenfeldt, Jesper; Jensen, Torben Kvist

    2003-01-01

    The Two-Stage Gasifier was operated for several weeks (465 hours) and of these 190 hours continuously. The gasifier is operated automatically unattended day and night, and only small adjustments of the feeding rate were necessary once or twice a day. The operation was successful, and the output a...... of the reactor had to be constructed in some other material....

  9. A two-stage ethanol-based biodiesel production in a packed bed reactor

    DEFF Research Database (Denmark)

    Xu, Yuan; Nordblad, Mathias; Woodley, John

    2012-01-01

    A two-stage enzymatic process for producing fatty acid ethyl ester (FAEE) in a packed bed reactor is reported. The process uses an experimental immobilized lipase (NS 88001) and Novozym 435 to catalyze transesterification (first stage) and esterification (second stage), respectively. Both stages...

  10. Two-Stage MAS Technique for Analysis of DRA Elements and Arrays on Finite Ground Planes

    DEFF Research Database (Denmark)

    Larsen, Niels Vesterdal; Breinbjerg, Olav

    2007-01-01

    A two-stage Method of Auxiliary Sources (MAS) technique is proposed for analysis of dielectric resonator antenna (DRA) elements and arrays on finite ground planes (FGPs). The problem is solved by first analysing the DRA on an infinite ground plane (IGP) and then using this solution to model the FGP...... problem....

  11. Use a Log Splitter to Demonstrate Two-Stage Hydraulic Pump

    Science.gov (United States)

    Dell, Timothy W.

    2012-01-01

    The two-stage hydraulic pump is commonly used in many high school and college courses to demonstrate hydraulic systems. Unfortunately, many textbooks do not provide a good explanation of how the technology works. Another challenge that instructors run into with teaching hydraulic systems is the cost of procuring an expensive real-world machine…

  12. Some design aspects of a two-stage rail-to-rail CMOS op amp

    NARCIS (Netherlands)

    Gierkink, S.L.J.; Holzmann, Peter J.; Wiegerink, R.J.; Wassenaar, R.F.

    1999-01-01

    A two-stage low-voltage CMOS op amp with rail-to-rail input and output voltage ranges is presented. The circuit uses complementary differential input pairs to achieve the rail-to-rail common-mode input voltage range. The differential pairs operate in strong inversion, and the constant transconductan

  13. Capacity Analysis of Two-Stage Production lines with Many Products

    NARCIS (Netherlands)

    M.B.M. de Koster (René)

    1987-01-01

    textabstractWe consider two-stage production lines with an intermediate buffer. A buffer is needed when fluctuations occur. For single-product production lines fluctuations in capacity availability may be caused by random processing times, failures and random repair times. For multi-product producti

  14. Kinetics analysis of two-stage austenitization in supermartensitic stainless steel

    DEFF Research Database (Denmark)

    Nießen, Frank; Villa, Matteo; Hald, John

    2017-01-01

    The martensite-to-austenite transformation in X4CrNiMo16-5-1 supermartensitic stainless steel was followed in-situ during isochronal heating at 2, 6 and 18 K min−1 applying energy-dispersive synchrotron X-ray diffraction at the BESSY II facility. Austenitization occurred in two stages, separated...

  15. Development of a heavy-duty diesel engine with two-stage turbocharging

    NARCIS (Netherlands)

    Sturm, L.; Kruithof, J.

    2001-01-01

    A mean value model was developed by using Matrixx/ Systembuild simulation tool for designing real-time control algorithms for the two-stage engine. All desired characteristics are achieved, apart from lower A/F ratio at lower engine speeds and Turbocharger matches calculations. The CANbus is used to

  16. Two-stage, dilute sulfuric acid hydrolysis of wood : an investigation of fundamentals

    Science.gov (United States)

    John F. Harris; Andrew J. Baker; Anthony H. Conner; Thomas W. Jeffries; James L. Minor; Roger C. Pettersen; Ralph W. Scott; Edward L Springer; Theodore H. Wegner; John I. Zerbe

    1985-01-01

    This paper presents a fundamental analysis of the processing steps in the production of methanol from southern red oak (Quercus falcata Michx.) by two-stage dilute sulfuric acid hydrolysis. Data for hemicellulose and cellulose hydrolysis are correlated using models. This information is used to develop and evaluate a process design.

  17. Two-stage data envelopment analysis technique for evaluating internal supply chain efficiency

    Directory of Open Access Journals (Sweden)

    Nisakorn Somsuk

    2014-12-01

    Full Text Available A two-stage data envelopment analysis (DEA which uses mathematical linear programming techniques is applied to evaluate the efficiency of a system composed of two relational sub-processes, by which the outputs from the first sub-process (as the intermediate outputs of the system are the inputs for the second sub-process. The relative efficiencies of the system and its sub-processes can be measured by applying the two-stage DEA. According to the literature review on the supply chain management, this technique can be used as a tool for evaluating the efficiency of the supply chain composed of two relational sub-processes. The technique can help to determine the inefficient sub-processes. Once the inefficient sub-process was improved its efficiency, it would result in better aggregate efficiency of the supply chain. This paper aims to present a procedure for evaluating the efficiency of the supply chain by using the two-stage DEA, under the assumption of constant returns to scale, with an example of internal supply chain efficiency measurement of insurance companies by applying the two-stage DEA for illustration. Moreover, in this paper the authors also present some observations on the application of this technique.

  18. Validation of Continuous CHP Operation of a Two-Stage Biomass Gasifier

    DEFF Research Database (Denmark)

    Ahrenfeldt, Jesper; Henriksen, Ulrik Birk; Jensen, Torben Kvist

    2006-01-01

    The Viking gasification plant at the Technical University of Denmark was built to demonstrate a continuous combined heat and power operation of a two-stage gasifier fueled with wood chips. The nominal input of the gasifier is 75 kW thermal. To validate the continuous operation of the plant, a 9-d...

  19. A Two-Stage Exercise on the Binomial Distribution Using Minitab.

    Science.gov (United States)

    Shibli, M. Abdullah

    1990-01-01

    Describes a two-stage experiment that was designed to explain binomial distribution to undergraduate statistics students. A manual coin flipping exercise is explained as the first stage; a computerized simulation using MINITAB software is presented as stage two; and output from the MINITAB exercises is included. (two references) (LRW)

  20. The rearrangement process in a two-stage broadcast switching network

    DEFF Research Database (Denmark)

    Jacobsen, Søren B.

    1988-01-01

    The rearrangement process in the two-stage broadcast switching network presented by F.K. Hwang and G.W. Richards (ibid., vol.COM-33, no.10, p.1025-1035, Oct. 1985) is considered. By defining a certain function it is possible to calculate an upper bound on the number of connections to be moved...

  1. Two-stage laparoscopic resection of colon cancer and metastatic liver tumour

    Directory of Open Access Journals (Sweden)

    Yukio Iwashita

    2012-01-01

    Full Text Available We report herein the case of 70-year-old woman in whom colon cancer and a synchronous metastatic liver tumour were successfully resected laparoscopically. The tumours were treated in two stages. Both post-operative courses were uneventful, and there has been no recurrence during the 8 months since the second procedure.

  2. Two-stage laparoscopic resection of colon cancer and metastatic liver tumour

    Directory of Open Access Journals (Sweden)

    Iwashita Yukio

    2005-01-01

    Full Text Available We report herein the case of 70-year-old woman in whom colon cancer and a synchronous metastatic liver tumour were successfully resected laparoscopically. The tumours were treated in two stages. Both postoperative courses were uneventful, and there has been no recurrence during the 8 months since the second procedure.

  3. Exposure profiles of pesticides among greenhouse workers: Implications for epidemiological studies

    NARCIS (Netherlands)

    Tielemans, E.; Bretveld, R.; Schinkel, J.; Wendel van - Joode, B. de; Kromhout, H.; Gerritsen-Ebben, R.; Roeleveld, N.; Preller, L.

    2007-01-01

    The aim of this study was to assess exposure to pesticides for a longitudinal epidemiological study on adverse reproduction effects among greenhouse workers. Detailed information on pesticide use among greenhouse workers was obtained on a monthly basis through self-administered questionnaires and su

  4. Epidemiological studies of the relationship between occupational exposures and chronic non-specific lung disease.

    NARCIS (Netherlands)

    Heederik, D.

    1990-01-01

    In this thesis the relationship between occupational exposures, lung function and Chronic Non-Specific Lung Disease is studied. The study comprises an epidemiological analysis of data from the British Pneumoconiosis Field Research among coal miners and an analysis of data gathered in the Zutphen

  5. Exposure profiles of pesticides among greenhouse workers: Implications for epidemiological studies

    NARCIS (Netherlands)

    Tielemans, E.; Bretveld, R.; Schinkel, J.; Wendel van - Joode, B. de; Kromhout, H.; Gerritsen-Ebben, R.; Roeleveld, N.; Preller, L.

    2007-01-01

    The aim of this study was to assess exposure to pesticides for a longitudinal epidemiological study on adverse reproduction effects among greenhouse workers. Detailed information on pesticide use among greenhouse workers was obtained on a monthly basis through self-administered questionnaires and

  6. The Mystery of the Blue Death: A Case Study in Epidemiology and the History of Science

    Science.gov (United States)

    Muench, Susan Bandoni

    2009-01-01

    This case study introduces students to John Snow, considered to be one of the founders of both epidemiology and anesthesiology, and a remarkable figure in the history of science. Although historical case studies are often less popular with students than contemporary issues (Herreid 1998), a number of aspects of this case make it attractive to…

  7. Menopausal hormone use and ovarian cancer risk : individual participant meta-analysis of 52 epidemiological studies

    NARCIS (Netherlands)

    Gapstur, S. M.; Patel, A. V.; Banks, E.; Dal Maso, L.; Talamini, R.; Chetrit, A.; Hirsh-Yechezkel, G.; Lubin, F.; Sadetzki, S.; Beral, V.; Bull, D.; Cairns, B.; Crossley, B.; Gaitskell, K.; Goodill, A.; Green, J.; Hermon, C.; Key, T.; Moser, K.; Reeves, G.; Sitas, F.; Collins, R.; Peto, R.; Gonzalez, C. A.; Lee, N.; Marchbanks, P.; Ory, H. W.; Peterson, H. B.; Wingo, P. A.; Martin, N.; Silpisornkosol, S.; Theetranont, C.; Boosiri, B.; Chutivongse, S.; Jimakorn, P.; Virutamasen, P.; Wongsrichanalai, C.; Goodman, M. T.; Lidegaard, O.; Kjaer, S. K.; Morch, L. S.; Kjaer, S. K.; Tjonneland, A.; Byers, T.; Rohan, T.; Mosgaard, B.; Vessey, M.; Yeates, D.; Freudenheim, J. L.; Titus, L. J.; Chang-Claude, J.; Kaaks, R.; Anderson, K. E.; Lazovich, D.; Robien, K.; Hampton, J.; Newcomb, P. A.; Rossing, M. A.; Thomas, D. B.; Weiss, N. S.; Lokkegaard, E.; Riboli, E.; Clavel-Chapelon, F.; Cramer, D.; Hankinson, S. E.; Tamimi, R. M.; Tworoger, S. S.; Franceschi, S.; La Vecchia, C.; Negri, E.; Adami, H. O.; Magnusson, C.; Riman, T.; Weiderpass, E.; Wolk, A.; Schouten, L. J.; van den Brandt, P. A.; Chantarakul, N.; Koetsawang, S.; Rachawat, D.; Palli, D.; Black, A.; Brinton, L. A.; Freedman, D. M.; Hartge, P.; Hsing, A. W.; Jnr, J. V. Lacey; Lissowska, J.; Hoover, R. N.; Schairer, C.; Babb, C.; Urban, M.; Graff-Iversen, S.; Selmer, R.; Bain, C. J.; Green, A. C.; Purdie, D. M.; Siskind, V.; Webb, P. M.; Moysich, K.; McCann, S. E.; Hannaford, P.; Kay, C.; Binns, C. W.; Lee, A. H.; Zhang, M.; Ness, R. B.; Nasca, P.; Coogan, P. F.; Palmer, J. R.; Rosenberg, L.; Whittemore, A.; Katsouyanni, K.; Trichopoulou, A.; Trichopoulos, D.; Tzonou, A.; Dabancens, A.; Martinez, L.; Molina, R.; Salas, O.; Lurie, G.; Carney, M. E.; Wilkens, L. R.; Hartman, L.; Manjer, J.; Olsson, H.; Kumle, M.; Grisso, J. A.; Morgan, M.; Wheeler, J. E.; Edwards, R. P.; Kelley, J. L.; Modugno, F.; Onland-Moret, N. C.; Peeters, P. H. M.; Casagrande, J.; Pike, M. C.; Wu, A. H.; Canfell, K.; Miller, A. B.; Gram, I. T.; Lund, E.; McGowan, L.; Shu, X. O.; Zheng, W.; Farley, T. M. M.; Holck, S.; Meirik, O.; Risch, H. A.

    2015-01-01

    Background Half the epidemiological studies with information about menopausal hormone therapy and ovarian cancer risk remain unpublished, and some retrospective studies could have been biased by selective participation or recall. We aimed to assess with minimal bias the effects of hormone therapy on

  8. Optimisation of two-stage screw expanders for waste heat recovery applications

    Science.gov (United States)

    Read, M. G.; Smith, I. K.; Stosic, N.

    2015-08-01

    It has previously been shown that the use of two-phase screw expanders in power generation cycles can achieve an increase in the utilisation of available energy from a low temperature heat source when compared with more conventional single-phase turbines. However, screw expander efficiencies are more sensitive to expansion volume ratio than turbines, and this increases as the expander inlet vapour dryness fraction decreases. For singlestage screw machines with low inlet dryness, this can lead to under expansion of the working fluid and low isentropic efficiency for the expansion process. The performance of the cycle can potentially be improved by using a two-stage expander, consisting of a low pressure machine and a smaller high pressure machine connected in series. By expanding the working fluid over two stages, the built-in volume ratios of the two machines can be selected to provide a better match with the overall expansion process, thereby increasing efficiency for particular inlet and discharge conditions. The mass flow rate though both stages must however be matched, and the compromise between increasing efficiency and maximising power output must also be considered. This research uses a rigorous thermodynamic screw machine model to compare the performance of single and two-stage expanders over a range of operating conditions. The model allows optimisation of the required intermediate pressure in the two- stage expander, along with the rotational speed and built-in volume ratio of both screw machine stages. The results allow the two-stage machine to be fully specified in order to achieve maximum efficiency for a required power output.

  9. Two-Stage Multi-Objective Collaborative Scheduling for Wind Farm and Battery Switch Station

    Directory of Open Access Journals (Sweden)

    Zhe Jiang

    2016-10-01

    Full Text Available In order to deal with the uncertainties of wind power, wind farm and electric vehicle (EV battery switch station (BSS were proposed to work together as an integrated system. In this paper, the collaborative scheduling problems of such a system were studied. Considering the features of the integrated system, three indices, which include battery swapping demand curtailment of BSS, wind curtailment of wind farm, and generation schedule tracking of the integrated system are proposed. In addition, a two-stage multi-objective collaborative scheduling model was designed. In the first stage, a day-ahead model was built based on the theory of dependent chance programming. With the aim of maximizing the realization probabilities of these three operating indices, random fluctuations of wind power and battery switch demand were taken into account simultaneously. In order to explore the capability of BSS as reserve, the readjustment process of the BSS within each hour was considered in this stage. In addition, the stored energy rather than the charging/discharging power of BSS during each period was optimized, which will provide basis for hour-ahead further correction of BSS. In the second stage, an hour-ahead model was established. In order to cope with the randomness of wind power and battery swapping demand, the proposed hour-ahead model utilized ultra-short term prediction of the wind power and the battery switch demand to schedule the charging/discharging power of BSS in a rolling manner. Finally, the effectiveness of the proposed models was validated by case studies. The simulation results indicated that the proposed model could realize complement between wind farm and BSS, reduce the dependence on power grid, and facilitate the accommodation of wind power.

  10. Hearing sensitivity in adults with a unilateral cleft lip and palate after two-stage palatoplasty.

    Science.gov (United States)

    Kappen, I F P M; Schreinemakers, J B S; Oomen, K P Q; Bittermann, D; Kon, M; Breugem, C C; Mink van der Molen, A B

    2017-03-01

    To evaluate long-term hearing and middle ear status in patients treated for a unilateral complete cleft lip and palate (UCLP) by two-stage palatoplasty. Forty-nine UCLP patients aged 17 years and older were included in this retrospective study. Patients were invited for a multidisciplinary long-term follow-up of their treatment at a tertiary center for craniofacial surgery in the Netherlands. ENT assessment included tympanometry and pure-tone audiometry. Medical files were searched for medical and surgical history. In total, 19.4% of the patients had significant long-term hearing loss (PTA > 20 dB), comprising conductive hearing loss in 21.5% of the patients. In the majority (70%), this hearing loss was more pronounced at higher frequencies. In 25% the high fletcher index showed hearing thresholds above 20 dB. Ventilation tubes were placed at least once in 78.7% of the patients. The frequency of tube insertion was positively correlated with the incidence of reduced tympanic compliance (tympanogram type B) and the need for a pharyngoplasty. The present study reports long-term hearing outcomes in UCLP patients with hard palate closure at 3 years of age. Persistent hearing loss was observed in 19.4% of our patients (PTA > 20 dB), mainly at the higher frequencies. Ventilation tube placement was associated with reduced tympanic compliance and higher risk on hearing loss (PTA air conduction). Our high incidence of velopharyngeal incompetence during early childhood, which is likely associated with Eustachian tube dysfunction, might have contributed to these results. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Application of Epidemiology and Statistical methods in understanding disease aetiology-study on Vitiligo.

    Directory of Open Access Journals (Sweden)

    Bharat Bhavsar

    2010-07-01

    Full Text Available The disease results from the interaction between the person’s genetic make up and his outer environment.1 The proportionate role of both the factors varies from disease to disease. There are some diseases with unclear aetiology; Vitiligo is one of them. The purpose of this paper is to show the application of Epidemiology and the statistical methods to understand the disease causation. The epidemiological study of skin conditions among school children in Urban and Rural areas of Surat district carried out by the author 2,3 brought out following observations........

  12. A study on the life-cycle and epidemiology of Pseudanoplocephala crawfordi Baylis, 1927.

    Science.gov (United States)

    Jiang, T J; Jin, Z H; Wu, H; Cui, C Q

    1990-03-01

    A study of the life-cycle and epidemiology of Pseudanoplocephala crawfordi Baylis, 1927 is reported. Intermediate hosts are Tenebrio obscurus, T. molitor, Carpophilus dimidiatus and Tribolium castaneum. The first three species are new host records. Development in the intermediate host takes 1-1.5 months. The completion of the life-cycle takes 2-2.5 months. Surveys of intermediate hosts, pigs, humans and rats were carried out. In Rattus norvegicus, the prevalence was as high as 22%. Epidemiological factors and suggestions for control measures are discussed.

  13. Developmental origins of adult diseases and neurotoxicity: Epidemiological and experimental studies

    DEFF Research Database (Denmark)

    Fox, Donald A; Grandjean, Philippe; de Groot, Didima

    2012-01-01

    and the development of metabolic-related diseases and neurotoxicity later in life. The four speakers at this symposium presented their research results on different neurotoxic chemicals relating to the developmental origins of health and adult disease (DOHaD). Philippe Grandjean presented epidemiological data......To date, only a small number of commercial chemicals have been tested and documented as developmental neurotoxicants. Moreover, an increasing number of epidemiological, clinical and experimental studies suggest an association between toxicant or drug exposure during the perinatal period...

  14. Rationale and design of the Japan molecular epidemiology for lung cancer study.

    Science.gov (United States)

    Kawaguchi, Tomoya; Ando, Masahiko; Ito, Norimasa; Isa, Shun-Ichi; Tamiya, Akihiro; Shimizu, Shigeki; Saka, Hideo; Kubo, Akihito; Koh, Yasuhiro; Matsumura, Akihide

    2013-09-01

    We present the rationale for the Japan Molecular Epidemiology for Lung Cancer study designed to elucidate molecular mechanisms of carcinogenesis in smokers and never-smokers with non-small-cell lung cancer. This prospective, ongoing, multicenter study is being conducted nationwide in Japan. Although there is no doubt that active smoking is the major cause of lung cancer, the contribution of other possible factors, including environmental tobacco or wood smoke, human papilloma virus, radon, occupational exposures, and genetic susceptibility, is highly likely, based on studies of never-smokers with non-small-cell lung cancer. Because of the predominance of women in the never-smoker subgroup, the role of female hormones in lung cancer development has also been considered. We hypothesize that driver mutations, which are critical for the development of lung cancer, are triggered by the environmental factors with or without the influence of the hormone. The SWOG-led intergroup molecular epidemiology study S0424 was conducted to focus on these issues by using a detailed questionnaire and specimen collection in statistically significant cohorts of smokers and never-smokers from both sexes. The Japan Molecular Epidemiology for Lung Cancer study follows and extends the S0424 molecular epidemiology concept in principle by using a similar approach that will facilitate future comparisons between the studies but with a greater focus on more recently defined driver mutations and broad genomic sequencing.

  15. Mechanistic and Technical Challenges in Studying the Human Microbiome and Cancer Epidemiology.

    Science.gov (United States)

    Verma, Mukesh

    2017-04-01

    This article reviews the significance of the microbiome in cancer epidemiology, mechanistic and technical challenges in the field, and characterization of the microbiome in different tumor types to identify biomarkers of risk, progression, and prognosis. Publications on the microbiome and cancer epidemiology were reviewed to analyze sample collection and processing, microbiome taxa characterization by 16S ribosomal RNA sequencing, and microbiome metabolite characterization (metabotyping) by nuclear magnetic resonance and mass spectrometry. The analysis identified methodology types, research design, sample types, and issues in integrating data from different platforms. Aerodigestive cancer epidemiology studies conducted by different groups demonstrated the significance of microbiome information in developing approaches to improve health. Challenges exist in sample preparation and processing (eg, standardization of methods for collection and analysis). These challenges relate to technology, data integration from "omics" studies, inherent bias in primer selection during 16S ribosomal RNA sequencing, the need for large consortia with well-characterized biospecimens, cause and effect issues, resilience of microbiota to exposure events (requires longitudinal studies), and expanding studies for fungal and viral diversity (most studies used bacterial 16S ribosomal RNA sequencing for microbiota characterization). Despite these challenges, microbiome and cancer epidemiology studies are significant and may facilitate cancer risk assessment, diagnosis, and prognosis. In the future, clinical trials likely will use microbiota modifications to improve the efficacy of existing treatments.

  16. Study on technological efficiency of listed companies in coal industry based on two-stage DEA model%基于两阶段 DEA 模型的煤炭行业上市公司科技效率研究∗

    Institute of Scientific and Technical Information of China (English)

    颜伟

    2015-01-01

    将煤炭行业的科技创新过程分解为科技研发和科技转化两个子过程,构建链式两阶段数据包络分析(DEA)模型,针对每个子过程设置具体的投入产出观测指标,收集煤炭行业上市公司2013年数据,计算其整体科技创新效率及分阶段的科技研发效率和科技转化效率,并与经典的数据包络分析 CCR 模型结果进行对比分析。结果表明,尽管科技转化效率较高,但是由于低效的科技研发投入使得科技资源运用仍然处于无效状态,因此,煤炭行业上市公司的整体科技效率比较低。%The process of technology innovation is decomposed into two sub-processes,in-cluding process of technology research & development (R&D)and process of technology trans-formation,based on the existing research results,in order to build two-stage tandem data enve-lope analysis model.Then the specific inputs and outputs are set up corresponding to each stage to calculate efficiency of the whole system and the two sub-processes independently including effi-ciency of technology R&D as well as efficiency of technology transformation,after collecting the datum from annual reports of listed companies.The results are also made a comparative analysis with those from the classical data envelope analysis CCR model,which shows that although tech-nology transformation efficiencies of listed companiesare generally high,consumption of technol-ogy resources are still in invalid state due to inefficient technology R&D inputs.As a result,the overall technology efficiency of coal industry is still low.

  17. Neural mechanisms of human perceptual learning: electrophysiological evidence for a two-stage process.

    Science.gov (United States)

    Hamamé, Carlos M; Cosmelli, Diego; Henriquez, Rodrigo; Aboitiz, Francisco

    2011-04-26

    Humans and other animals change the way they perceive the world due to experience. This process has been labeled as perceptual learning, and implies that adult nervous systems can adaptively modify the way in which they process sensory stimulation. However, the mechanisms by which the brain modifies this capacity have not been sufficiently analyzed. We studied the neural mechanisms of human perceptual learning by combining electroencephalographic (EEG) recordings of brain activity and the assessment of psychophysical performance during training in a visual search task. All participants improved their perceptual performance as reflected by an increase in sensitivity (d') and a decrease in reaction time. The EEG signal was acquired throughout the entire experiment revealing amplitude increments, specific and unspecific to the trained stimulus, in event-related potential (ERP) components N2pc and P3 respectively. P3 unspecific modification can be related to context or task-based learning, while N2pc may be reflecting a more specific attentional-related boosting of target detection. Moreover, bell and U-shaped profiles of oscillatory brain activity in gamma (30-60 Hz) and alpha (8-14 Hz) frequency bands may suggest the existence of two phases for learning acquisition, which can be understood as distinctive optimization mechanisms in stimulus processing. We conclude that there are reorganizations in several neural processes that contribute differently to perceptual learning in a visual search task. We propose an integrative model of neural activity reorganization, whereby perceptual learning takes place as a two-stage phenomenon including perceptual, attentional and contextual processes.

  18. Neuroscience and approach/avoidance personality traits: a two stage (valuation-motivation) approach.

    Science.gov (United States)

    Corr, Philip J; McNaughton, Neil

    2012-11-01

    Many personality theories link specific traits to the sensitivities of the neural systems that control approach and avoidance. But there is no consensus on the nature of these systems. Here we combine recent advances in economics and neuroscience to provide a more solid foundation for a neuroscience of approach/avoidance personality. We propose a two-stage integration of valuation (loss/gain) sensitivities with motivational (approach/avoidance/conflict) sensitivities. Our key conclusions are: (1) that valuation of appetitive and aversive events (e.g. gain and loss as studied by behavioural economists) is an independent perceptual input stage--with the economic phenomenon of loss aversion resulting from greater negative valuation sensitivity compared to positive valuation sensitivity; (2) that valuation of an appetitive stimulus then interacts with a contingency of presentation or omission to generate a motivational 'attractor' or 'repulsor', respectively (vice versa for an aversive stimulus); (3) the resultant behavioural tendencies to approach or avoid have distinct sensitivities to those of the valuation systems; (4) while attractors and repulsors can reinforce new responses they also, more usually, elicit innate or previously conditioned responses and so the perception/valuation-motivation/action complex is best characterised as acting as a 'reinforcer' not a 'reinforcement'; and (5) approach-avoidance conflict must be viewed as activating a third motivation system that is distinct from the basic approach and avoidance systems. We provide examples of methods of assessing each of the constructs within approach-avoidance theories and of linking these constructs to personality measures. We sketch a preliminary five-element reinforcer sensitivity theory (RST-5) as a first step in the integration of existing specific approach-avoidance theories into a coherent neuroscience of personality.

  19. Combustion of coked sand in a two-stage fluidized bed system

    Energy Technology Data Exchange (ETDEWEB)

    Coronella, C.J.; Seader, J.D. (University of Utah, Salt Lake City, UT (USA). Dept. of Chemical Engineering)

    1992-02-01

    An advanced multiple-stage fluidized bed reactor system has been devised for the energy-efficient extraction and conversion, from tar sand, of bitumen into synthetic crude oil. The reactor consists of four fluidized beds arranged as stages in series with respect to flow of sand. In the first stage, tar sands are heated, causing the bitumen to pyrolyse into coke, which is deposited on the sand, and gas, which is mostly condensed into oil. The coke is partially combusted with air or enriched oxygen in the second stage, which is thermally coupled to the first stage by multiple vertical heat pipes. Combustion is completed adiabatically in the third stage and heat recovery from the sand is carried out in the fourth stage. By conducting the coke combustion in two stages in this manner, the overall reactor residence time to produce clean sand is greatly reduced from that for a single combustion stage. Laboratory experimental studies have confirmed the ability to operate and control the two thermally coupled stages. The two-phase bubbling bed model of Grace, amended to account for bubble growth in the axial direction, has been adopted to model the mass transfer and fluid mechanics of the fluidized beds. The model for the first and second combustion stages is complete. Predictions for exit reactor conditions at various operating conditions are in reasonable agreement with experimental observations. The operating parameters have been found to exert a much greater influence on the predictions of the model than do the values of the physical parameters, indicating a desirable degree of reactor stability. Extension of the model to the pyrolysis and heat recovery stages will permit the optimization of the reactor configuration and operating conditions. 26 refs., 6 figs.

  20. Neural mechanisms of human perceptual learning: electrophysiological evidence for a two-stage process.

    Directory of Open Access Journals (Sweden)

    Carlos M Hamamé

    Full Text Available BACKGROUND: Humans and other animals change the way they perceive the world due to experience. This process has been labeled as perceptual learning, and implies that adult nervous systems can adaptively modify the way in which they process sensory stimulation. However, the mechanisms by which the brain modifies this capacity have not been sufficiently analyzed. METHODOLOGY/PRINCIPAL FINDINGS: We studied the neural mechanisms of human perceptual learning by combining electroencephalographic (EEG recordings of brain activity and the assessment of psychophysical performance during training in a visual search task. All participants improved their perceptual performance as reflected by an increase in sensitivity (d' and a decrease in reaction time. The EEG signal was acquired throughout the entire experiment revealing amplitude increments, specific and unspecific to the trained stimulus, in event-related potential (ERP components N2pc and P3 respectively. P3 unspecific modification can be related to context or task-based learning, while N2pc may be reflecting a more specific attentional-related boosting of target detection. Moreover, bell and U-shaped profiles of oscillatory brain activity in gamma (30-60 Hz and alpha (8-14 Hz frequency bands may suggest the existence of two phases for learning acquisition, which can be understood as distinctive optimization mechanisms in stimulus processing. CONCLUSIONS/SIGNIFICANCE: We conclude that there are reorganizations in several neural processes that contribute differently to perceptual learning in a visual search task. We propose an integrative model of neural activity reorganization, whereby perceptual learning takes place as a two-stage phenomenon including perceptual, attentional and contextual processes.