WorldWideScience

Sample records for type international joint

  1. Influence of abutment materials on the implant-abutment joint stability in internal conical connection type implant systems

    OpenAIRE

    Jo, Jae-Young; Yang, Dong-Seok; Huh, Jung-Bo; Heo, Jae-Chan; Yun, Mi-Jung; Jeong, Chang-Mo

    2014-01-01

    PURPOSE This study evaluated the influence of abutment materials on the stability of the implant-abutment joint in internal conical connection type implant systems. MATERIALS AND METHODS Internal conical connection type implants, cement-retained abutments, and tungsten carbide-coated abutment screws were used. The abutments were fabricated with commercially pure grade 3 titanium (group T3), commercially pure grade 4 titanium (group T4), or Ti-6Al-4V (group TA) (n=5, each). In order to assess ...

  2. MRI STUDY OF TYPES AND INCIDENCE OF INTERNAL DERANGEMENTS OF TRAUMATIC KNEE JOINT

    Directory of Open Access Journals (Sweden)

    Bomidi Sudha Rani

    2016-12-01

    Full Text Available BACKGROUND MRI has been accepted as the best imaging modality for noninvasive evaluation of knee injuries and it has proved reliable, safe and offers advantages over diagnostic arthroscopy, which is currently regarded as the reference standard for the diagnosis of internal derangements of the knee. 1 METHODS AND MATERIALS A prospective study of fifty patients who underwent MRI for the diagnosis of internal derangement of knee was conducted between the period of January 2015 to January 2016 in Government General Hospital, Kakinada. All the patients with history of knee joint pain following trauma and clinically suspected to have meniscal and ligament tears are included in the study. Patients were evaluated using GE 1.5 T MRI machine with pulsar gradient system using a sensor extremity coil. RESULTS Commonest lesion detected in our study was ACL tear followed by medial meniscal tear and medial collateral ligament injury. The most common sign of cruciate ligament injury was hyperintensity in the ligament. Grade 3 was the most common grade of meniscal tear. CONCLUSION MRI is an excellent, noninvasive, radiation free imaging modality and is unique in its ability to evaluate the internal structure as well as soft tissue delineation. Many anatomical variants can mimic a tear on MRI. MRI is an excellent noninvasive modality for imaging the knee and helps in arriving at a correct anatomical diagnosis there by guiding further management of the patient.

  3. Joint International Accelerator School

    CERN Multimedia

    CERN Accelerator School

    2014-01-01

    The CERN and US Particle Accelerator Schools recently organised a Joint International Accelerator School on Beam Loss and Accelerator Protection, held at the Hyatt Regency Hotel, Newport Beach, California, USA from 5-14 November 2014. This Joint School was the 13th in a series of such schools, which started in 1985 and also involves the accelerator communities in Japan and Russia.   Photo courtesy of Alfonse Pham, Michigan State University.   The school attracted 58 participants representing 22 different nationalities, with around half from Europe and the other half from Asia and the Americas. The programme comprised 26 lectures, each of 90 minutes, and 13 hours of case study. The students were given homework each day and had an opportunity to sit a final exam, which counted towards university credit. Feedback from the participants was extremely positive, praising the expertise and enthusiasm of the lecturers, as well as the high standard and quality of their lectures. Initial dis...

  4. International joint ventures

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig

    2001-01-01

    The article analysis problems connected with corporate joint ventures. Among others the possible conflicts between the joint venture agreement and the statutes of the companies is examined, as well as certain problems connected to the fact that the joint venture partners have created commen control...... over their joint company....

  5. Influence of abutment materials on the implant-abutment joint stability in internal conical connection type implant systems.

    Science.gov (United States)

    Jo, Jae-Young; Yang, Dong-Seok; Huh, Jung-Bo; Heo, Jae-Chan; Yun, Mi-Jung; Jeong, Chang-Mo

    2014-12-01

    This study evaluated the influence of abutment materials on the stability of the implant-abutment joint in internal conical connection type implant systems. Internal conical connection type implants, cement-retained abutments, and tungsten carbide-coated abutment screws were used. The abutments were fabricated with commercially pure grade 3 titanium (group T3), commercially pure grade 4 titanium (group T4), or Ti-6Al-4V (group TA) (n=5, each). In order to assess the amount of settlement after abutment fixation, a 30-Ncm tightening torque was applied, then the change in length before and after tightening the abutment screw was measured, and the preload exerted was recorded. The compressive bending strength was measured under the ISO14801 conditions. In order to determine whether there were significant changes in settlement, preload, and compressive bending strength before and after abutment fixation depending on abutment materials, one-way ANOVA and Tukey's HSD post-hoc test was performed. Group TA exhibited the smallest mean change in the combined length of the implant and abutment before and after fixation, and no difference was observed between groups T3 and T4 (P>.05). Group TA exhibited the highest preload and compressive bending strength values, followed by T4, then T3 (Pabutment material can influence the stability of the interface in internal conical connection type implant systems. The strength of the abutment material was inversely correlated with settlement, and positively correlated with compressive bending strength. Preload was inversely proportional to the frictional coefficient of the abutment material.

  6. [Case-control study on measurement of coracoclavicular and acromioclavicular ligament injuries during internal fixation operation for the treatment of fresh acromioclavicular joint dislocation of Tossy type III].

    Science.gov (United States)

    Guan, Ting-Jin; Sun, Peng; Zheng, Liang-Guo; Qi, Xiang-Yang

    2014-01-01

    To study measurement methods of acromioclavicular and coracoclavicular ligament injuries,its therapeutic effects and complications during internal fixation operation for the treatment of fresh acromioclavicular joint dislocations of Tossy type III. From July 2003 to May 2012,127 patients with acromioclavicular joint dislocations of Tossy type III were treated with wire fixation from coracoid process to clavicle or hook-plate fixation. The patients were divided into group A (63 cases) and group B (64 cases) according to whether acromioclavicular ligament and coracoclavicular ligament were repaired or not. In group A (ligaments repaired), there were 39 males and 24 females with an average age of (33.25 +/- 8.46) years old (ranged from 17 to 59 years). And in group B (no ligaments repaired), there were 41 males and 23 females with an average age of (34.10 +/- 7.19) years (ranged from 19 to 57 years). The operation times, intraoperative blood loss, postoperative infections, internal fixation failure, recurrence and other complications, together with therapeutic effects were compared between two groups. The outcome was analyzed according to Karlsson standard. In group A, 54 patients got an excellent result and 9 good according to Karlsson standard;the average operative time was (55.90 +/- 26.56) min; the average intraoperative bleeding amount was (99.80 +/- 50.30) ml; 1 patient had wire broken without re-dislocation at 16 weeks after operation, 3 patients got wound fat liquefaction and recovered after treatment, 1 patient had pain after shoulder joint motion and pain disappeared after implants were taken out. In group B, 52 patients got an excellent result and 12 good according to Karlsson standard; the average operative time was (49.50 +/- 23.14) min; the average intraoperative bleeding amount was (87.30 +/- 46.41) ml; 2 patients got wound fat liquefaction, and 2 patients had pain after shoulder joint motion. All the patients were followed up, and the duration ranged

  7. Computational Intelligence : International Joint Conference

    CERN Document Server

    Rosa, Agostinho; Cadenas, José; Dourado, António; Madani, Kurosh; Filipe, Joaquim

    2016-01-01

    The present book includes a set of selected extended papers from the sixth International Joint Conference on Computational Intelligence (IJCCI 2014), held in Rome, Italy, from 22 to 24 October 2014. The conference was composed by three co-located conferences:  The International Conference on Evolutionary Computation Theory and Applications (ECTA), the International Conference on Fuzzy Computation Theory and Applications (FCTA), and the International Conference on Neural Computation Theory and Applications (NCTA). Recent progresses in scientific developments and applications in these three areas are reported in this book. IJCCI received 210 submissions, from 51 countries, in all continents. After a double blind paper review performed by the Program Committee, 15% were accepted as full papers and thus selected for oral presentation. Additional papers were accepted as short papers and posters. A further selection was made after the Conference, based also on the assessment of presentation quality and audience in...

  8. Computational Intelligence : International Joint Conference

    CERN Document Server

    Dourado, António; Rosa, Agostinho; Filipe, Joaquim; Kacprzyk, Janusz

    2016-01-01

    The present book includes a set of selected extended papers from the fifth International Joint Conference on Computational Intelligence (IJCCI 2013), held in Vilamoura, Algarve, Portugal, from 20 to 22 September 2013. The conference was composed by three co-located conferences:  The International Conference on Evolutionary Computation Theory and Applications (ECTA), the International Conference on Fuzzy Computation Theory and Applications (FCTA), and the International Conference on Neural Computation Theory and Applications (NCTA). Recent progresses in scientific developments and applications in these three areas are reported in this book. IJCCI received 111 submissions, from 30 countries, in all continents. After a double blind paper review performed by the Program Committee, only 24 submissions were accepted as full papers and thus selected for oral presentation, leading to a full paper acceptance ratio of 22%. Additional papers were accepted as short papers and posters. A further selection was made after ...

  9. Designing an International Joint Venture Negotiation Game.

    Science.gov (United States)

    Kenkel, Phil; And Others

    1996-01-01

    Evaluates a simulation game that models management problems encountered in negotiating and managing international joint ventures. Designed to instruct executives of state-owned agribusinesses in Indonesia in abstract concepts such as partner rapport, transfer price conflicts, and marketing disagreements, its success suggests that simulation games…

  10. Trust in international joint venture relationships

    NARCIS (Netherlands)

    Boersma, Margreet Francina; Ghauri, Pervez N.; Buckley, Peter J.

    2004-01-01

    International joint ventures (IJVs) are frequently stated to be increasingly popular but with significant managerial dissatisfaction in their operations (Madhok, 1995a). Therefore, a great deal of attention has been paid to the performance of IJVs (e.g. Contractor and Lorange, 1988; special issue of

  11. Report on the project on the researcher dispatch type international joint research survey. International joint research for creation of new industries; Kenkyusha hakengata kokusai kyodo kenkyu chosa jigyo. Shinki sangyo soshutsu kokusai kyodo kenkyu hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    For the purpose of digging up themes of the joint research which develop the R and D in the industrial field in Japan to a new stage, researchers were dispatched to the world representing research institutes to make the research study. As to the survey of the trend of bio-informatics research, visits for survey were paid by 8 researchers to 19 research institutes in the U.S., Australia, France and Germany, and survey was made of the state of new researches such as the genetic network analysis by DNA chip data. Relating to the survey of the trend of the plan for ape genomic DNA sequence, visits for survey were paid by 6 researchers to 12 research institutes in Japan, Germany, France and the U.K. Concerning the research survey with aim of developing the selective reversible expression technology of target genes, researchers were dispatched to St. Jude Children's Research Hospital in the U.S. to conduct the following: construction of basic expression vectors, functional evaluation using cultured cells, making of the transgenic mice to which medicine dependent and cell peculiar expression control genes were introduced, analytical study of the situation of expression control, etc. (NEDO)

  12. Functional disorders of the temporomandibular joints: Internal derangement of the temporomandibular joint.

    Science.gov (United States)

    Chang, Chih-Ling; Wang, Ding-Han; Yang, Mu-Chen; Hsu, Wun-Eng; Hsu, Ming-Lun

    2018-04-01

    Temporomandibular joint (TMJ) is one of the most complex joints of the human body. Due to its unique movement, in terms of combination of rotation and translator movement, disc of the joint plays an important role to maintain its normal function. In order to sustain the normal function of the TMJ, disc must be kept in proper position as well as maintain normal shape in all circumstances. Once the disc is not any more in its normal position during function of the joint, disturbance of the joint can be occurred which will lead to subsequent distortion of the disc. Shape of the disc can be influenced by many factors i.e.: abnormal function or composition of the disc itself. Etiology of the internal derangement of the disc remains controversial. Multifactorial theory has been postulated in most of previous manuscripts. Disc is composed of mainly extracellular matrix. Abnormal proportion of collagen type I & III may also leads to joint hypermobility which may be also a predisposing factor of this disorder. Thus it can be recognized as local manifestation of a systemic disorder. Different treatment modalities with from conservative treatment to surgical intervention distinct success rate have been reported. Recently treatment with extracellular matrix injection becomes more and more popular to strengthen the joint itself. Since multifactorial in character, the best solution of the treatment modalities should be aimed to resolve possible etiology from different aspects. Team work may be indication to reach satisfied results. Copyright © 2018. Published by Elsevier Taiwan.

  13. Designing and Managing Successful International Joint Development Programs

    Science.gov (United States)

    2016-04-30

    joint development programs are important because of their potential to reduce costs and increase partnership benefits such as interoperability, economies ...have actualized by discussing what characteristics research has shown as crucial to international joint development program outcomes. The study team... characteristics of international joint development programs that result in positive or negative cost, scheduling, and end-product outcomes, such as a final

  14. International joint research of the Danube radioactivity

    International Nuclear Information System (INIS)

    Szerbin, P.; Szabo, G.; Guczi, J.; Koblinger-Bokori, E.; Kurtacs, E.; Dovlete, C.; Ruzsa, G.; Major, V.; Maringer, F.J.

    1998-01-01

    A PHARE (Poland Hungary Aid for Reconstruction of Economy) subsidized study was initiated in 1995 with coordination of Vituki Innosystem (Hungary) and with participation of Austrian, Romanian, and Hungarian research institutes to reveal and investigate in detail hot spots of radioactivity and sources of contamination in the Danube catchment area. The general objective of the project was to assess whether or not potential upstream radionuclide sources in the countries in the upper part of the Danube basin have resulted in evidential downstream accumulation of radionuclides and have a potential impact into the Black sea contamination. The presentation summarizes the results of the international joint research study, and some other data obtained in the framework of cooperation between monitoring institutes of the riparian states

  15. Estimation of Joint types and Joint Limits from Motion capture data

    DEFF Research Database (Denmark)

    Engell-Nørregård, Morten Pol; Erleben, Kenny

    2009-01-01

    It is time-consuming for an animator to explicitly model joint types and joint limits of articulated figures. In this paper we describe a simple and fast approach to automated joint estimation from motion capture data of articulated figures. Our method will make the joint modeling more efficient ...

  16. The International Criminal Court: Considerations for the Joint Force Commander

    National Research Council Canada - National Science Library

    Sutton, Michael

    2003-01-01

    An analysis of the issues and remedies a Joint Force Commander should be concerned about because of the relationship between the United States and the newly-created International Criminal Court (ICC...

  17. The post-formation management of international joint ventures

    DEFF Research Database (Denmark)

    Dao, Li

    2014-01-01

    International joint venture (IJV) is not a new organizational phenomenon in international business. Existing research in IJVs has provided a well-established body of knowledge informing much of the joint venture process from parent firms’ strategic consideration to implementation phase...... a sensemaking approach to IJV post-formation management in search of capturing such ‘soft’, invisible managerial processes in a visible conceptualization that contributes to a better understanding of this complex organizational phenomenon. Empirical insights from cases of Danish – Vietnamese joint ventures...

  18. RILEM International Symposium on Materials and Joints in Timber Structures

    CERN Document Server

    Reinhardt, H-W; Garrecht, Harald

    2014-01-01

    This book contains the contributions from the RILEM International Symposium on Materials and Joints in Timber Structures that was held in Stuttgart, Germany from October 8 to 10, 2013. It covers recent developments in the materials and the joints used in modern timber structures. Regarding basic wooden materials, the contributions highlight the widened spectrum of products comprising cross-laminated timber, glulam and LVL from hardwoods and block glued elements. Timber concrete compounds, cement bonded wood composites and innovative light-weight constructions represent increasingly employed alternatives for floors, bridges and facades. With regard to jointing technologies, considerable advances in both mechanical connections and glued joints are presented. Self-tapping screws have created unprecedented options for reliable, strong as well as ductile joints and reinforcement technologies. Regarding adhesives, which constitute the basis of the jointing/laminating technology of modern timber products, extended o...

  19. IMPLEMENTATION OF ESG FOR INTERNATIONAL JOINT EDUCATION PROGRAMMES

    Directory of Open Access Journals (Sweden)

    Vera I. Zabotkina

    2016-12-01

    Full Text Available Introduction: joint international programmes stimulate staff and student mobility, provide joint studies, provide development of joint study programmes of excellence, and open up new possibilities for cooperation between countries. Promotion and development of joint international programmes depend on effective quality assurance system which is high on the universities` priority list. ESG provide solid basis for the quality assurance system development at both institutional and programme levels. The problems of ESG interpretation in compliance with national legislative systems and education traditions in the countries participating in Bologna process are paid much attention to. Our emphases are on the practical aspects of ESG (2015 version implementation. The article concentrates on one of the most acute problems facing Russian Higher Education Institutions in the field of development and promotion of joint international programs: the problem of setting up modern quality assurance systems compatible with those in European HEIs is closely correlating with the profile of the journal “Integration of Education”. The journal centers around the publications on the enhancement and dissemination of the best practices on integration of regional education in Russia and abroad. Materials and Methods: methodical and practical aspects of the implementation of the ESG provisions for international joint educational programs on the basis of the European approach to education quality are the materials of study. The descriptive method, analysis of documents about education quality, and synthesis were used as research methods. Results: the authors come up with concrete recommendations for the implementation of the ESG renewed version (2015 in Quality Assurance systems of joint international programmes. This approach enhances the practical value of ESG. Modern Quality Assurance system is one of the main prerequisites for the successful collaboration among higher

  20. Proceedings of the Third International Workshop on Jointed Structures.

    Energy Technology Data Exchange (ETDEWEB)

    Starr, Michael James; Brake, Matthew Robert; Segalman, Daniel Joseph; Bergman, Lawrence A.; Ewins, David J.

    2013-08-01

    The Third International Workshop on Jointed Structures was held from August 16th to 17th, 2012, in Chicago Illinois, following the ASME 2012 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. Thirty two researchers from both the United States and international locations convened to discuss the recent progress of mechanical joints related research and associated efforts in addition to developing a roadmap for the challenges to be addressed over the next five to ten years. These proceedings from the workshop include the minutes of the discussions and follow up from the 2009 workshop [1], presentations, and outcomes of the workshop. Specifically, twelve challenges were formulated from the discussions at the workshop, which focus on developing a better understanding of uncertainty and variability in jointed structures, incorporating high fidelity models of joints in simulations that are tractable/efficient, motivating a new generation of researchers and funding agents as to the importance of joint mechanics research, and developing new insights into the physical phenomena that give rise to energy dissipation in jointed structures. The ultimate goal of these research efforts is to develop a predictive model of joint mechanics.

  1. 'Soft' human resource management in small international joint ventures

    DEFF Research Database (Denmark)

    Dao, Li

    2012-01-01

    This paper examines the value creation aspects of HRM in international joint ventures of a relatively small size and their implications for strategic management. We assume that HRM in this context is rather a process than a function, and a ‘soft’ – humanistic rather than a ‘hard’, instrumentalist...... of joint venture autonomy. A conceptual framework developed from these empirical insights invites further generalizing efforts, and more importantly, contributes to a dynamic understanding of HRM in small IJVs....

  2. Third International Joint Conference on Computational Intelligence (IJCCI 2011)

    CERN Document Server

    Dourado, António; Rosa, Agostinho; Filipe, Joaquim; Computational Intelligence

    2013-01-01

    The present book includes a set of selected extended papers from the third International Joint Conference on Computational Intelligence (IJCCI 2011), held in Paris, France, from 24 to 26 October 2011. The conference was composed of three co-located conferences:  The International Conference on Fuzzy Computation (ICFC), the International Conference on Evolutionary Computation (ICEC), and the International Conference on Neural Computation (ICNC). Recent progresses in scientific developments and applications in these three areas are reported in this book. IJCCI received 283 submissions, from 59 countries, in all continents. This book includes the revised and extended versions of a strict selection of the best papers presented at the conference.

  3. 7th International Joint Conference on Computational Intelligence

    CERN Document Server

    Rosa, Agostinho; Cadenas, José; Correia, António; Madani, Kurosh; Ruano, António; Filipe, Joaquim

    2017-01-01

    This book includes a selection of revised and extended versions of the best papers from the seventh International Joint Conference on Computational Intelligence (IJCCI 2015), held in Lisbon, Portugal, from 12 to 14 November 2015, which was composed of three co-located conferences: The International Conference on Evolutionary Computation Theory and Applications (ECTA), the International Conference on Fuzzy Computation Theory and Applications (FCTA), and the International Conference on Neural Computation Theory and Applications (NCTA). The book presents recent advances in scientific developments and applications in these three areas, reflecting the IJCCI’s commitment to high quality standards.

  4. The characteristics and performance of international joint ventures in Thailand

    OpenAIRE

    Suwannarat, P

    2010-01-01

    The importance of strategic alliances in the form of international joint ventures (IJVs) is growing in the present international business environment where competition is on a global scale. A review of the IJV literature, especially in developing countries, shows an over-emphasis on China and the NIEs (the first tier newly-industrialising economies: Taiwan, Singapore, Hong Kong, and South Korea). To date, relatively little attention has been paid to the ASEAN4 countries (the high-performing e...

  5. Cultural Distance and the Performance of International Joint Ventures

    DEFF Research Database (Denmark)

    Christoffersen, Jeppe; Globerman, Steven; Nielsen, Bo Bernhard

    2013-01-01

    This study provides a critical summary and assessment of the empirical literature on the relationship between cultural distance and the performance of international joint ventures (IJVs) based on studies published over the period 1993-2008. The existing literature reports inconsistent and largely...

  6. Managing international joint venture relationships - A longitudinal perspective

    NARCIS (Netherlands)

    Hyder, A.; Ghauri, P.N.

    The purpose of the study is to describe and analyse the formation and development of international joint venture processes and relationships between the partners over time. Moreover, the study analyzes how far foreign partners have been successful in developing new contacts and in expanding their

  7. Individual learning effects on knowledge transfer in international joint ventures

    DEFF Research Database (Denmark)

    Dao, Li Thuy; Napier, Nancy

    2016-01-01

    This paper examines micro (individual-level) aspects of knowledge transfer and learning in international joint ventures in an emerging economy context. Learning by expatriate and local managers appears far more complex, mutually dependent, and significant to the knowledge transfer process than...... suggested in existing literature. Building upon conceptualizations of individual learning and cognitive – behavioural effects in an organisational context while drawing evidence from two cases of Danish – Vietnamese joint ventures, we propose a model of individual-level knowledge transfer and learning...

  8. Dynamic analysis of cross shaft type universal joint with clearance

    International Nuclear Information System (INIS)

    Lu, Jian Wei; Wang, Gong Cheng; Chen, Hao; Vakakis, Alexander F.; Bergman, Lawrence A.

    2013-01-01

    Cross shaft type universal joint is widely used in ground vehicles to transfer torque between two intersecting axes, and its transmission feature can make a great contribution to NVH performance of the vehicle. We looked at the assembling clearance at cross shaft neck, and presented a dynamic model of cross shaft type universal joint with clearance at cross shaft neck. Two-state model is applied to describe the contact force between the cross shaft and driving joint fork based on Hertz theorem, and lumped mass method is applied to build up the dynamic model of the universal joint. Based on this model, numerical analysis is carried out to discuss the transmission feature of the universal joint with clearance at cross shaft neck, and the influence of clearance on the dynamic behavior of the system is evaluated with numerical results based on time history, power spectrum, and phase portrait. The method and conclusions presented are helpful to improvement of the transmission feature of cross shaft type universal joint.

  9. Controlled thermonuclear fusion in TOKAMAK type reactors, the European example: Joint European Torus (JET)

    International Nuclear Information System (INIS)

    Paris, P.J.; Yassen, F.; Assis, A.S. de; Raposo, C.

    1988-07-01

    The development of controlled thermonuclear reaction in TOKAMAK type reactors, and the main projects in the world are presented. The main characteristics of the JET (Joint European Torus) program, the perspectives for energy production, and the international cooperation for viable use of the TOKAMAK are analysed. (M.C.K.) [pt

  10. Micromechanical and internal discontinuity aspects in fusion welded joints

    International Nuclear Information System (INIS)

    Nur Azida Che Lah; Aidy Ali

    2009-01-01

    Full text: This paper deals with characterization of macrostructure, microstructure, hardness, elemental compositions and internal discontinuities of ASTM A516 grade 70 fusion welded joints. The welded joints of ASTM A516 grade 70 carbon steel, which are widely used in pressure vessel fabrication were prepared using welding procedures of Manual Metal Arc (MMA), Metal Inert Gas (MIG) and Tungsten Inert Gas (TIG). Local microstructural condition and elemental composition of the welds were characterised using scanning electron microscopy (SEM) in association with energy dispersive X-ray (EDX). Radiography testing was applied to study the common internal weld defects. This comprehensive information provides a practical guide in order to determine the most adequate welding procedure and assisting in understanding the behaviour of the weld zones. (author)

  11. TARGETING THE HUMAN DOMAIN: REACHING INTERNAL, JOINT, AND ADVERSARIAL AUDIENCES

    Science.gov (United States)

    2017-04-06

    86th Medical Support Squadron, Ramstein Air Base, Germany . In this capacity, she commanded a 197-person unit providing health care support services to...religion, illustrated via such military- specific rites as the Uniformed Code of Military Justice as a moral compass. This holds for smaller groupings...within a service, as well as for larger joint and international allied warfighting. Correspondingly, service history , rhetoric and literature must focus

  12. Proceedings of the 1991 Joint International Waste Management Conference

    International Nuclear Information System (INIS)

    1991-01-01

    This proceedings contains articles of 1991 joint international waste management conference. It was held on October 21-23, 1991 in Seoul, Korea. The main subject titles are as follows: national waste management programs, waste management in developing countries, incineration - development and experience, site characterization and performance assessment, waste disposal, decontamination and decommissioning, waste solidification and waste form, radioactive waste processing, mixed waste and others (Yi, J. H.)

  13. Optimized and practical electrical joints for CORC type HTS cables

    CERN Document Server

    Mulder, T; van der Laan, D C; Mentink, M G T; Dhallé, M; ten Kate, H H J

    2015-01-01

    Within CERN the development of REBCO-CORC (Conductor On Round Core) type cables is pursued in view of possible application in future detector and accelerator magnets. An important issue is the design and qualification of terminations for connecting CORC cables mutually or to bus-bars. A termination design is envisaged that combines a simple manufacturing process with a lowest possible joint terminal resistance in the few nΩ range at 4.2 K, first for a single CORC cable and subsequently for CORC based Cable-in-Conduit Conductors. The investigation concerns the effect of tapering the CORC cable within the joint to form a staircase like geometry, which allows current to pass more directly from the copper joint casing to the inner REBCO layers of the CORC cable. Simulations have shown a substantial decrease in joint resistance at operating current in the case both CORC cable and joint casing are tapered. The CORC cable and new joint were tested at CERN. In this paper, some details of the new joint design, fabric...

  14. Optimized and practical electrical joints for CORC type HTS cables

    International Nuclear Information System (INIS)

    Mulder, T; Dudarev, A; Mentink, M G T; Ten Kate, H H J; Van der Laan, D C; Dhallé, M

    2015-01-01

    Within CERN the development of REBCO-CORC (Conductor On Round Core) type cables is pursued in view of possible application in future detector and accelerator magnets. An important issue is the design and qualification of terminations for connecting CORC cables mutually or to bus-bars. A termination design is envisaged that combines a simple manufacturing process with a lowest possible joint terminal resistance in the few nΩ range at 4.2 K, first for a single CORC cable and subsequently for CORC based Cable-in-Conduit Conductors. The investigation concerns the effect of tapering the CORC cable within the joint to form a staircase like geometry, which allows current to pass more directly from the copper joint casing to the inner REBCO layers of the CORC cable. Simulations have shown a substantial decrease in joint resistance at operating current in the case both CORC cable and joint casing are tapered. The CORC cable and new joint were tested at CERN. In this paper, some details of the new joint design, fabrication process, and model are presented and the results are summarized. (paper)

  15. 4th International Joint Conference on Computational Intelligence

    CERN Document Server

    Correia, António; Rosa, Agostinho; Filipe, Joaquim

    2015-01-01

    The present book includes extended and revised versions of a set of selected papers from the Fourth International Joint Conference on Computational Intelligence (IJCCI 2012)., held in Barcelona, Spain, from 5 to 7 October, 2012. The conference was sponsored by the Institute for Systems and Technologies of Information, Control and Communication (INSTICC) and was organized in cooperation with the Association for the Advancement of Artificial Intelligence (AAAI). The conference brought together researchers, engineers and practitioners in computational technologies, especially those related to the areas of fuzzy computation, evolutionary computation and neural computation. It is composed of three co-located conferences, each one specialized in one of the aforementioned -knowledge areas. Namely: - International Conference on Evolutionary Computation Theory and Applications (ECTA) - International Conference on Fuzzy Computation Theory and Applications (FCTA) - International Conference on Neural Computation Theory a...

  16. Second International Joint Conference on Computational Intelligence (IJCCI 2010)

    CERN Document Server

    Correia, António; Rosa, Agostinho; Filipe, Joaquim; Computational Intelligence

    2012-01-01

    The present book includes a set of selected extended papers from the second International Joint Conference on Computational Intelligence (IJCCI 2010), held in Valencia, Spain, from 24 to 26 October 2010. The conference was composed by three co-located conferences:  The International Conference on Fuzzy Computation (ICFC), the International Conference on Evolutionary Computation (ICEC), and the International Conference on Neural Computation (ICNC). Recent progresses in scientific developments and applications in these three areas are reported in this book. IJCCI received 236 submissions, from 49 countries, in all continents. After a double blind paper review performed by the Program Committee, only 30 submissions were accepted as full papers and thus selected for oral presentation, leading to a full paper acceptance ratio of 13%. Additional papers were accepted as short papers and posters. A further selection was made after the Conference, based also on the assessment of presentation quality and audience inte...

  17. The effects of temporomandibular joint internal derangement and degenerative joint disease on tomographic and arthrotomographic images.

    Science.gov (United States)

    Brand, J W; Whinery, J G; Anderson, Q N; Keenan, K M

    1989-02-01

    In a blind study, 243 arthrograms were interpreted as showing normal disk position, anterior disk displacement with reduction, or anterior disk displacement without reduction. The presence or absence of a perforation of the posterior attachment or disk was recorded. Later, tomograms of the same patient were interpreted. The presence or absence of evidence of temporomandibular degenerative joint disease (TMDJD) was recorded. The condyle-to-fossa relationship was characterized as retropositioned or not retropositioned. O the 106 cases with tomographic evidence of TMDJD, 100 (94%) had arthrographic evidence of internal derangement (p less than 0.0001), whereas 47% of the cases with internal derangement (211) had evidence of TMDJD. Perforations were seen in 29 (27%) of the cases with degenerative joint disease and in none (0%) of the cases without TMDJD (p less than 0.001). In cases without TMDJD, 90% of the cases with internal derangement revealed condylar retropositioning (p less than 0.0001). With tomographic evidence of TMDJD present, the relationship between condylar position and disk position was not significant.

  18. [effectiveness of open reduction and internal fixation without opening joint capsule on tibial plateau fracture].

    Science.gov (United States)

    Chen, Qi; Xu, Xiaofeng; Huang, Yonghui; Cao, Xingbing; Meng, Chen; Cao, Xueshu; Wei, Changbao

    2014-12-01

    To introduce the surgery method to reset and fix tibial plateau fracture without opening joint capsule, and evaluate the safety and effectiveness of this method. Between July 2011 and July 2013, 51 patients with tibial plateau fracture accorded with the inclusion criteria were included. All of 51 patients, 17 cases underwent open reduction and internal fixation without opening joint capsule in trial group, and 34 cases underwent traditional surgery method in control group. There was no significant difference in gender, age, cause of injury, time from injury to admission, side of injury, and types of fracture between 2 groups (P > 0.05). The operation time, intraoperative blood loss, incision length, incision healing, and fracture healing were compared between 2 groups. The tibial-femoral angle and collapse of joint surface were measured on X-ray film. At last follow-up, joint function was evaluated with Hospital for Special Surgery (HSS) knee function scale. The intraoperative blood loss in trial group was significantly less than that in control group (P time and the rate of incision healing between 2 groups (P > 0.05). The patients were followed up 12-30 months (mean, 20.4 months) in trial group and 12-31 months (mean, 18.2 months) in control group. X-ray films indicated that all cases in 2 groups obtained fracture healing; there was no significant difference in the fracture healing time between 2 groups (t=1.382, P=0.173). On X-ray films, difference was not significant in tibial-femoral angle and collapse of joint surface between 2 groups (P > 0.05). HSS score of the knee in trial group was significantly higher than that of control group (t=3.161, P=0.003). It can reduce the intraoperative blood loss and shorten the incision length to use open reduction and internal fixation without opening joint capsule for tibial plateau fracture. Traction of joint capsule is helpful in the reduction and good recovery of joint surface collapse. In addition, the surgery without

  19. Knowledge Creation in International Joint Ventures in Emerging Economies

    DEFF Research Database (Denmark)

    Nielsen, Ulrik B.

    Entering and developing presence in emerging economies often require foreign firms to set up International Joint Ventures (IJVs) with local partners, especially when the prime motive of the operation is to capture opportunities in the local markets (Mohr & Puck, 2005). IJVs have therefore become...... an important way for firms to enter these markets and a significant force in shaping a firm’s global strategy in expanding international activities abroad. However, research has shown that IJVs in emerging economies are unstable, and firms have experienced that performance of their IJVs in these emerging...... economies often does not meet their expectations (Fang & Zou, 2010). Extant research has shown that, in general, management of IJVs appears to be a difficult issue. 60-70% of all partnerships are not successful (Lambe, Spekman, & Hunt, 2002). Inter-partner learning has been proposed in the literature...

  20. Joint international conference ICIEOM-CIO-IIE 2015

    CERN Document Server

    Ferreira, Carlos; Junior, Milton; Prado, Carlos

    2017-01-01

    This book gathers a selection of the best papers presented at the joint international conference ICIEOM-CIO-IIE 2015, offering recent research on industrial engineering, management and operations from an international and interdisciplinary perspective. It includes contributions from different fields, such as operations research, modeling and simulation, production and service management and logistics, information systems and quality, and as such is of interest to both researchers and practitioners. Reflecting the interconnected nature of today’s production systems, characterized by intense flows of goods, information and individuals between companies and nations, it is a valuable resource for anyone wanting an in-depth understanding of the field to guide managerial practice in order to take full advantage of existing opportunities.

  1. CLASSIFICATION OF TEMPOROMANDIBULAR-JOINT OSTEOARTHROSIS AND INTERNAL DERANGEMENT .2. SPECIFIC DIAGNOSTIC-CRITERIA

    NARCIS (Netherlands)

    STEGENGA, B; DEBONT, LGM; BOERING, G

    Separate entities of temporomandibular joint osteoarthrosis and internal derangement are operationally defined. Criteria are based on an analysis of the diagnostic significance of symptoms and signs, principles of synovial joint pathology in general, and on therapeutic considerations. The primary

  2. Types of international petroleum contracts

    International Nuclear Information System (INIS)

    Katz, S.B.

    1992-01-01

    This paper reports on history and development of International Petroleum Contracts. The emphasis in petroleum exploration has steadily shifted away from the domestic oil patch and toward the international arena. Today an estimated 577.3 billion bbl, or approximately 83% of the world's proven oil reserves, lie outside the western hemisphere. The distribution of these proven oil reserves can be broken down into three major socioeconomic categories - developed market economies, centrally planned economies, and developing countries - indicating that fully 76.7% of the world's proven oil reserves occur in developing countries. As multinational oil companies come into contact with the various host countries around the world, their course of action, and the course of the host country's reaction to them, are unfortunately colored by events that proceeded the initial contact

  3. IAEA/UNESCO Joint International Isotopes in Hydrology Programme

    International Nuclear Information System (INIS)

    Oezgueler, H.

    2002-01-01

    International Hydrology Programme (IHP) of UNESCO was established in 1965 as International Hydrological Decade. This programme was transformed to the IHP having the phases of 6-year duration. Presently, IHP-VI Phase (2002-2007) is based on the fundamental principle that freshwater is as essential to sustainable development as it is to life and that water, beyond its geophysical, chemical, biological function in the hydrological cycle, has social, economic and environmental values that are inter-linked and mutually supportive. The international Programme for Isotopes in the Hydrological Cycle 'proposal was presented by IAEA to the Fifth UNESCO-WMO International Conference on Hydrology' held in Geneva in 1999. The Conference noted the proposal and invited UNESCO and IAEA to develop the proposal further in collaboration with WMO, in order to submit it to the relevant bodies of the organizations concerned. At the end of this study, the IAEA / UNESCO Joint International Isotopes in Hydrology Programme (JIIHP) was formed in 2001. The JIIHP will service a number of international needs including the dissemination of research and application results in isotope methodologies through a global infrastructure network. This is foreseen primarily through an appropriate expansion of the IHP National Committees to include experts in isotope methods in hydrology in order to facilitate a more efficient dialogue and mainstreaming of isotope methods in member states of UNESCO. Main areas for co-operation have already been incorporated within the IHP-VI plans. In this paper, with some brief information on the studies to be realised in the near future under the framework of this programme JIIHP, the isotop related priorities of the Turkish hydrology community are explained herewith

  4. International Joint Conference on Mechanics, Design Engineering & Advanced Manufacturing

    CERN Document Server

    Nigrelli, Vincenzo; Oliveri, Salvatore; Peris-Fajarnes, Guillermo; Rizzuti, Sergio

    2017-01-01

    This book gathers papers presented at the International Joint Conference on Mechanics, Design Engineering and Advanced Manufacturing (JCM 2016), held on 14-16 September, 2016, in Catania, Italy. It reports on cutting-edge topics in product design and manufacturing, such as industrial methods for integrated product and process design; innovative design; and computer-aided design. Further topics covered include virtual simulation and reverse engineering; additive manufacturing; product manufacturing; engineering methods in medicine and education; representation techniques; and nautical, aeronautics and aerospace design and modeling. The book is divided into eight main sections, reflecting the focus and primary themes of the conference. The contributions presented here will not only provide researchers, engineers and experts in a range of industrial engineering subfields with extensive information to support their daily work; they are also intended to stimulate new research directions, advanced applications of t...

  5. Joint Radiation Emergency Management Plan of the International Organizations of the International Organizations. Date Effective: 1 March 2017

    International Nuclear Information System (INIS)

    2017-01-01

    This Joint Emergency Management Plan of the International Organizations (Joint Plan) describes the interagency framework of preparedness for and response to an actual, potential or perceived nuclear or radiological emergency independent of whether it arises from an accident, natural disaster, negligence, nuclear security event or any other cause. The IAEA is the main coordinating body for development and maintenance of the Joint Plan. The Joint Plan is intended to support and underpin the efforts of national governments and seeks to ensure a coordinated and harmonized international response to nuclear or radiological emergencies. It is not intended to interfere with or replace the emergency preparedness and response arrangements of international organizations (or States).

  6. The Cultural Context of Learning in International Joint Ventures.

    Science.gov (United States)

    Liu, Shimin; Vince, Russ

    1999-01-01

    A study of Chinese-Western joint business ventures showed that cultural context and different modes of managing and organizing must be considered. Successful joint ventures involve a process of collective, two-way learning. (SK)

  7. PATHOLOGY OF TEMPOROMANDIBULAR-JOINT INTERNAL DERANGEMENT AND OSTEOARTHROSIS

    NARCIS (Netherlands)

    DEBONT, LGM; STEGENGA, B

    Temporomandibular joint (TMJ) osteoarthrosis and disk displacement seem to be strongly related, but they may also represent mutually independent temporomandibular disorders. This paper presents relevant aspects of normal physiology and degeneration of synovial joints, aspects of normal

  8. What differences in the cultural backgrounds of partners are detrimental for international joint ventures?

    NARCIS (Netherlands)

    H.G. Barkema (Harry); G.A.M. Vermeulen (Freek)

    1997-01-01

    textabstractAn international joint venture implies that a firm has to cooperate with a partner with a different cultural background. In this study, hypotheses about which differences in national culture are most disruptive for international joint ventures were developed and tested using Hofstede's

  9. PREFACE: Joint Varenna-Lausanne International Workshop 2014

    Science.gov (United States)

    2014-11-01

    The 2014 joint Varenna-Lausanne international workshop on the theory of fusion plasmas was once more a great meeting. The programme covers a wide variety of topics, namely turbulence, MHD, edge physics and RF wave heating. The broad spectrum of skills involved in this meeting, from fundamental to applied physics, is striking. The works published in this special issue combine mathematics, numerics and physics at various levels - confirming the increasing integration of expertise in our community. As an incentive to read this cluster, let us mention a few outstanding results. Several papers address fundamental issues in turbulent transport, in particular the dynamics of structures. It is quite remarkable that this subject is now mature enough to propose signatures that can be tested by measurements. Linear and non linear MHD was also at the forefront. Several works illustrate the increasing level of realistic description of a fusion device, in particular by implementing complicated wall geometries. Moreover some noticeable progress has been made in the understanding of reconnection processes in collisionless regimes. The activity on radio-frequency heating and current drive is well represented, driven by the future operation of W7-X, ITER, and DEMO on a longer time scale. Finally the development of innovative numerical techniques, an old tradition of the conference, has driven several nice articles. The programme committee is traditionally keen in promoting young scientists. A number of senior scientists also attend the meeting on a regular basis, so that the attendance was nicely balanced. We believe that these efforts have been particularly fruitful this year. The number of young (and less young) faces was particularly impressive and this special issue illustrates this feature. The success of the 2014 edition brings evidence that the joint Varenna-Lausanne is the right place for presenting th The quality and size of the scientific production is illustrated by the

  10. Design and analysis of push pipe joint under internal pressure and temperature loading

    International Nuclear Information System (INIS)

    Abid, M.; Alam, K.

    2005-01-01

    Pipe joints flanged or welded are commonly used in industry for different applications ranging from sewerage to the high pressure and temperature applications. However, with the rapidly changing technological trends, for optimized space such as for heat exchanger applications, pipe joint design needs special consideration, especially for the internal pipe where no flanged/bolted joint due to space constraint can be used. In addition, where joint opening/closing is the requirement for maintenance or other functional purposes, it becomes inevitable to use some special design. In this paper, a push joint proposed is designed, analyzed, optimized and tested for safe stress and operating conditions. An experimental test rig is designed and tests are performed for internal pressure and temperature separately and joint's behaviour is analyzed in detail for any leaks. FEA results are compared and verified with the mathematical results. Based on the experimental observations, the joint is safe as no leaks are observed. (author)

  11. The joint choice of tenure, dwelling type and size

    DEFF Research Database (Denmark)

    Frenkel, Amnon; Bendit, Eduard; Kaplan, Sigal

    Real-estate market trends regarding housing preferences for tenure, dwelling type and size carry long term implications for cities’ spatial development and compactness. Much attention have been given to the impact of household demographics and socio-economic characteristics on joint housing choices...... not ignore the ordered nature of apartment size. To the best of our knowledge, first application of the MNL-OR model in the context of housing preferences. The model is applied to a data sample of 833 knowledge-workers in the Tel-Aviv metropolitan region in Israel. The effect of lifestyle on housing...... preferences is particularly interesting in the case of knowledge-workers due to their high income and car ownership which allow high residential mobility, and due to the importance they attribute to lifestyle. The data were collected by means of a revealed-preference web-based survey that elicited information...

  12. Evaluation of body posture in individuals with internal temporomandibular joint derangement.

    Science.gov (United States)

    Munhoz, Wagner Cesar; Marques, Amélia Pasqual; de Siqueira, José Tadeu Tesseroli

    2005-10-01

    Temporomandibular dysfunctions (TMD) comprise a great number of disruptions that may affect the temporomandibular joint (TMJ), the masticatory muscles, or both. TMJ internal derangement is a specific type of TMD, of which the etiology and physiopathology are broadly unknown, but have been suggested to be linked to head, neck, and body posture factors. This study aimed at verifying possible relationships between body posture and TMJ internal derangements (TMJ-id), by comparing 30 subjects presenting typical TMJ-id signs to 20 healthy subjects. Subjects' clinical evaluations included anamnesis, stomatognatic system evaluation, and plotting analysis on body posture photographs. No statistically significant differences were found between the groups. Results do not support the assertion that body posture plays a role in causing or enhancing TMD; however, these results should be cautiously considered because of the small number of subjects evaluated and the many posture variables submitted to statistical procedures that lead to high standard deviations.

  13. Consideration on evaluation of internal pressure creep rupture for tube with circumferential joint

    International Nuclear Information System (INIS)

    Nagato, Kotaro; Satoh, Keisuke

    1983-01-01

    The behavior of internal pressure creep rupture of the thin-walled cylinders with circumferential joints is affected by the combination of creep characteristics of parent materials and weld metals. In particular, the compatibility of the creep strain rate of parent materials and weld metals becomes an important controlling factor. The behavior of internal pressure creep of the welded parts in circumferential joint cylinders can be evaluated simply with the uniaxial creep data of parent materials and weld metals, considering it by approximately substituting with the creep behavior of a uniaxial longitudinal joint. The method of evaluation is, first, to analyze the breaking behavior of uniaxial longitudinal joints using the uniaxial creep characteristic values of parent materials and weld metals, and next, by combining the equation for the relation between the rupture times of uniaxial creep and internal pressure creep with the analyzed breaking behavior of uniaxial joints, the internal pressure creep rupture behavior of the cylinders with circumferential joints can be evaluated. The internal pressure creep behavior of the thin-walled cylinders with circumferential joints, their rupture life and the uniaxial creep rupture life of longitudinal joints, and the examination of Hastelloy X cylinders are reported. (Kako, I.)

  14. Learning from Success & Failure: International Joint Ventures in Emerging Markets

    DEFF Research Database (Denmark)

    Nielsen, Ulrik B.

    their expectations. Inter-partner learning has been proposed in the literature as a major cause of IJV instability. However, current research indicates that when IJV partners engage in joint learning to create new IJV-specific knowledge that benefits both partners it stabilizes and sustains the IJV. Yet, joint......, especially when the prime motive of the operation is to capture opportunities in the local markets. However, the performance of IJVs generally turns out to be quite poor whether measured in economic value added, parent organization’s satisfaction or survival. For instance, termination rates of IJVs...

  15. TRANSFER OF MARKETING KNOWLEDGE IN THAI INTERNATIONAL JOINT VENTURE FIRMS

    Directory of Open Access Journals (Sweden)

    Osman Mohamad

    2010-07-01

    Full Text Available The focus of this study is the transfer of marketing knowledge within Thai joint venture firms. The perspectives of Thai managers were surveyed using a structured instrument. The analysis identifies seven dimensions of marketing management knowledge: promotion management, price management, logistics management, product innovation management, strategic marketing management, cross-cultural management, and target marketing management. The incidence of transfer is highest for activities in strategic marketing management, followed by price management. Transfer in product innovation management and target marketing management tends to vary with the age of the joint venture. Joint venture firms with foreign partners originating from Western, advanced, industrialised nations recorded the highest incidence of knowledge transfer occurring within product innovation management. This trend also holds true for the management of promotion activities. The incidence of transfer in target marketing management is lowest among firms with foreign partners from neighbouring nations. The incidence of knowledge transfer within product innovation and target marketing also tends to vary with the age of the joint venture. An analysis based on industry classification revealed that the transfer of knowledge regarding logistics management occurs most for firms in the manufacturing sector. In the service sector, the highest incidence of knowledge transfer within the areas of promotion management and target marketing management occurred in the agricultural sector.

  16. Cooperation and conflict in international joint venture relationship

    NARCIS (Netherlands)

    Kemp, Ron

    1999-01-01

    This article reports the results of an empirical study focusing on the relationship between the relative dependence asymmetry of partners in a joint venture, the level and intensity of conflict between the partners, the level of trust and norms of exchange between the partners, and the performance

  17. Predicting the Functional Roles of Knee Joint Muscles from Internal Joint Moments

    DEFF Research Database (Denmark)

    Flaxman, Teresa E; Alkjær, Tine; Simonsen, Erik B

    2017-01-01

    INTRODUCTION: Knee muscles are commonly labeled as flexors or extensors and aptly stabilize the knee against sagittal plane loads. However, how these muscles stabilize the knee against adduction-abduction and rotational loads remains unclear. Our study sought 1) to classify muscle roles as they r...... on its role in maintaining knee joint stability in the frontal and transverse loading planes. This is useful for delineating the roles of biarticular knee joint muscles and could have implications in robotics, musculoskeletal modeling, sports sciences, and rehabilitation....

  18. International trade shows: Structure, strategy and performance of exhibitors at individual booths vs. joint booths

    DEFF Research Database (Denmark)

    Hansen, Kåre

    2000-01-01

    This paper examines differences in exhibitors who participate at international trade shows at joint booths and those who participate at individual booths. The structure, strategy, and trade show performance of exhibitors at joint booths and those at individual booths are analysed. The analysis...... implications for exhibitors at interna-tional trade shows and export marketing programmes and other marketing programmes offering services to international trade show exhibitors....... of exhibitors at the international food shows SIAL (Paris) and ANUGA (Cologne) showed several significant differences with regard to structure and strategy. However, no significant differences in the performance assessments between the two partici-pation modes were found. The findings have important...

  19. Magnetic resonance imaging signal intensity of temporomandibular joint disk and posterior attachment in patients with internal derangement

    International Nuclear Information System (INIS)

    Jeong, Yeon Hwa; Cho, Bong Hae

    2001-01-01

    To analyze the possible association between magnetic resonance imaging signal intensity of temporomandibular joint disk and posterior attachment, and the type and extent of disk displacement, disk donfiguration, effusion and clinical signs in patients with internal derangement. Magnetic resonance images of the 132 temporomandibular joints of 66 patients with temporomandibular joint displacement were analyzed. The clinical findings were obtained by retrospective review of the patients' records. The type and extent of disk displacement, disk configuration and effusion were evaluated on the proton density MR images. The signal intensity from the anterior band, posterior band and posterior attachment were measured on MR images. The associations between the type and extent of disk displacement, disk configuration, effusion and clinical signs and the MR signal intensity of disk and posterior attachment were statistically analyzed by student's t-test. Of 132 joints, 87 (65.9%) showed anterior disk displacement with reduction (ADR) and 45 (34.1%) showed anterior disk displacement without reduction (ADnR). This signals from posterior attachments were lower in joints with ADnR than those of ADR (p<0.05). The results showed statistically significant (p<0.05) association between the type and extent of disk displacement and disk configuration, and decreased signal intensity of posterior attachment. There were no statistical associations between pain, noise and limited mouth opening, and signal intensity of disk and posterior attachment. The average signal from posterior attachment was lower in joints with ADnR than that of ADR. The type and extent of disk displacement and disk configuration appeared to be correlated with the signal intensity from posterior attachment

  20. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

    OpenAIRE

    Sultan, A. H.; Monga, A.; Lee, J.; Emmanuel, A.; Norton, C.; Santoro, G.; Hull, T.; Berghmans, B.; Brody, S.; Haylen, B. T.

    2017-01-01

    INTRODUCTION AND HYPOTHESIS: The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. METHODS: This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal...

  1. An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for Female Anorectal Dysfunction

    OpenAIRE

    Sultan, A. H.; Monga, A.; Lee, J.; Emmanuel, A.; Norton, C.; Santoro, G.; Hull, T.; Berghmans, B.; Brody, S.; Haylen, B. T.

    2017-01-01

    INTRODUCTION: The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. METHODS: This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal Termi...

  2. Comparison of MRI findings with clinical symptoms in temporomandibular joint internal derangement

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Ki Jeong [Chonbuk National University College of Medicine, Gwangju (Korea, Republic of)

    2005-06-15

    To determine the clinical correlation of magnetic resonance imaging (MRI) findings of temporomandibular joint internal derangements. The MR images of 150 TMJs in 75 patients were analyzed. The clinical symptoms were pain in the pre auricular area and masticatory muscles and TMJ sounds. There was a statistically significant relationship between the MRI diagnoses of different types of disc displacements and clinical findings of pain, clicking, and crepitus. The risk of TMJ pain was increased when the disc displacement without reduction occurred at the same time in combination with the osteoarthrosis and effusion. Regardless of the results, the data indicate that each of these MR imaging variables may not be regarded as the unique and dominant factor in defining TMJ pain occurrence.

  3. International Joint Conference CISIS’15 and ICEUTE’15

    CERN Document Server

    Baruque, Bruno; Sedano, Javier; Quintián, Héctor; Corchado, Emilio

    2015-01-01

    This volume of Advances in Intelligent and Soft Computing contains accepted papers presented at the 8th International Conference on Computational Intelligence in Security for Information Systems (CISIS 2015) and the 6th International Conference on EUropean Transnational Education (ICEUTE 2015). These conferences were held in the beautiful and historic city of Burgos (Spain), in June 2015. The aim of the 8th CISIS conference is to offer a meeting opportunity for academic and industry-related researchers belonging to the various, vast communities of Computational Intelligence, Information Security, and Data Mining. The need for intelligent, flexible behaviour by large, complex systems, especially in mission-critical domains, is intended to be the catalyst and the aggregation stimulus for the overall event. After a through peer-review process, the CISIS 2015 International Program Committee selected 43 papers, written by authors from 16 different countries. In the case of 6th ICEUTE conference, the International ...

  4. 76 FR 45311 - International Joint Commission Public Hearings on Binational Management of Lake of the Woods and...

    Science.gov (United States)

    2011-07-28

    ... DEPARTMENT OF STATE [Public Notice 7537] International Joint Commission Public Hearings on Binational Management of Lake of the Woods and Rainy River Watershed The International Joint Commission (IJC) will hold public hearings on the final report of its International Lake of the Woods and Rainy River...

  5. Research of the Resistance of Contact Welding Joint of R65 Type Rail

    Directory of Open Access Journals (Sweden)

    Kęstutis Dauskurdis

    2015-03-01

    Full Text Available In the article the R65 type rail joints that were welded by resistance welding are analysed. Survey methodology of the research consists of the following parts: visual inspection of welded joint, ultrasonic rail inspection, hardness test of upper part of the rail, fusion area research, the measurement hardness test of heat-softened area, the measurement microhardness test, microstructure research of the welded joint, impact strength experiments, chemical analysis of welded joint, wheel-rail interaction research using the finite element method (FEM. The results of the research are analysed and the quality of weld is evaluated. The conclusion is based on the results of this research.

  6. IMPACTS OF DIFFERENT JOINT ANGLES AND ADHESIVES ON DIAGONAL TENSION PERFORMANCES OF BOX-TYPE FURNITURE

    Directory of Open Access Journals (Sweden)

    Musa Atar

    2010-02-01

    Full Text Available The goal of this study was to determine the effects of different joint angles and adhesives on diagonal tension performances of the box-type furniture made from solid wood and medium density fiberboard (MDF. After drilling joints of 75º, 78º, 81º, 84º, and 87º degrees on Oriental beech, European oak, Scotch pine, and MDF samples, a diagonal tensile test was applied on corners glued with polyvinyl acetate (PVAc and polyurethane (D-VTKA = Desmodur-Vinyl Trieketonol Acetate according to ASTM D 1037 standard. With reference to the obtained results, the highest tensile strength was obtained in European oak with PVAc glue and joint angle of 84º, while the lowest value was obtained in MDF with D-VTKA glue and joint angle of 75º. Considering the interaction of wood, adhesive, and joint angle, the highest tensile strength was obtained in European oak with joint angle of 81º and D-VTKA glue (1.089 N.mm-2, whereas the lowest tensile strength was determined in MDF with joint angle of 75º and PVAc glue (0.163 N.mm-2. Therefore, PVAc as glue and 81º as joint angle could be suggested to obtain some advantageous on the dovetail joint process for box-type furniture made from both solid wood and MDF.

  7. Special features of embrittlement of welded joints in shells of VVER-type reactors

    International Nuclear Information System (INIS)

    Kasatkin, O.G.

    1999-01-01

    At present, the atomic power engineering of Russia and Ukraine is based on water-water energy reactors of the VVER-440 and VVER-1000 type, with the electric power of 440 and 1000 MW, respectively. The majority of the VVER-440 reactors are installed in Russia, and VVER-1000 reactors operate in Ukraine. The reactors' shell (RS) is produced from cylindrical shells and a dished end welded together by circular joints under a flux. The RS of the VVER-440 reactor is produced from 15Kh3MFA steel, and the VVER-1000 reactors are produced from 15Kh2NMFA steel. The shell of the VVER-1000 reactor has an internal austenite coating. The condition of the RS metal is determined mainly by the critical brittleness temperature T b at which the impact toughness of specimens with a sharp notch reaches 60 J/cm 2 . The energy reactors, working in western countries, are characterised by a service life of 40 years and discussion is being carried out to extend this lifetime to 60 years. The design service life of the domestic reactors varies from 30 (RS VVER-440) to 40 (RS VVER-1000) years. According to investigations, the service life of the shells of these reactors is restricted by the properties of welded joints which are characterised by higher susceptibility to embrittlement than that of the parent metal, especially due to a higher content in the weld of phosphorus (RS VVER-440) or nickel (RS VVER-1000). Therefore, some experts believe that the actual service life of the RS is shorter than the design life. The accurate evaluation of the service life of welded joints in the RS is very important for the safety of service and also in the economic aspects, because the unjustified decrease of the permissible service life and premature shutdown of units of the nuclear power station result in huge losses

  8. Theoretical and experimental studies on bellows type expansion joints behaviour of Chinon 3 primary coolant system

    International Nuclear Information System (INIS)

    Vrillon, B.; Jeanpierre, F.; Copin, A.; Gregoire, J.P.

    1975-01-01

    The vibration study of the bellows was performed in two stages. A series of vibration tests was performed on a real bellow joint. By comparing the experimental results with calculations using the finite elements method for revolution shells it was possible to qualify the representation of the waves and reinforcement rings. The resonant frequencies and modes were calculated for the various joints under reactor conditions. According to the excitation sources considered, the amplitude of the displacements and stresses can be determined from these characteristic modes. The corrugations are protected internally from the aerodynamic effects of the gas flow by an inner sleeve welded to the primary piping upstream and free downstream. The annular space between this sleeve and the corrugations forms a resonant volume liable to be excited by flow-induced pressure fluctuations. It was possible to calculate the characteristic resonance frequencies and modes of this gas column (air at normal temperature and pressure). A full-scale mock-up test under conditions corresponding to the calculation hypotheses gave experimental proof of the calculation results. Owing to the good correlation between the results of these two studies an attempt was made to calculate the acoustical behaviour of these cavities for nominal running conditions (temperature and pressure) as a function of the known excitation sources. The results obtained from all these tests show that the use of bellows type expansion joints on a primary reactor circuit offers the same guarantees of reliability and resistance as any other circuit component under pressure, as long as the strains they undergo remain within the limits specified by the regulations and nuclear codifications

  9. Desmoid type fibromatosis in the facet joint of lumbar spine: Case report and review of literature

    Energy Technology Data Exchange (ETDEWEB)

    Kim, So Jung; Ha, Doo Hoe; Lee, Sang Min; Kang, Hae Youn [CHA Bundang Medical Center, CHA University, Seongnam (Korea, Republic of)

    2013-10-15

    Desmoid type fibromatosis is a benign fibroblastic tumor arising from the fascia or musculoaponeurosis. It may occur in various locations, but most commonly in the shoulder girdle and neck; to our knowledge, there has been no reported case originating from a facet joint of the spine. We report CT and MR imaging findings of a desmoid type fibromatosis, involving the facet joint of the L3-4 spine with bone involvement.

  10. Fiscal 1993 international research cooperation project. Feasibility study of finding out the seeds of international joint research (technology for environmental preservation using biotechnology, technology for effective use of unused hydrocarbon resource, technology for development of environmental harmony type catalyst); 1995 nendo kokusai kyoryoku jigyo. Kokusai kyodo kenkyu seeds hakkutsu no tame no FS chosa (biotechnology ni yoru kankyo taisaku gijutsu, miriyo tanka suiso shigen no yuko riyo gijutsu, kankyo chowagata shokubai kaihatsu gijutsu)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    This project is aimed at internationally cooperating in the R and D of industrial technology and improving industrial technology of Japan. For it, the following three technologies were investigated: 1) environmental preservation technology using biotechnology, 2) technology for effective use of unused hydrocarbon resource, 3) technology for development of environmental harmony type catalyst. In 1), a survey was conducted of applicability of biological surfactant to prevention measures of pollution by heavy distillate. It showed that part of the biological surfactants is reaching a stage of its being industrially produced by gene recombination bacteria, but as a whole, biosynthetic genes have hardly been elucidated. In 2), a survey of high-grade treatment technology of petroleum coke was made. It pointed out that it is necessary to develop a technology which makes the most of features of petroleum coke and allows defects. In 3), scientists and engineers of Japan and Europe searched for themes on which they can jointly study in the fields of NOx removal catalyst, up-grading of fuel, and development of catalyst combustion of fuel. 287 refs., 136 figs., 128 tabs.

  11. International Joint Conference SOCO’13-CISIS’13-ICEUTE’13

    CERN Document Server

    Baruque, Bruno; Klett, Fanny; Abraham, Ajith; Snášel, Václav; Carvalho, André; Bringas, Pablo; Zelinka, Ivan; Quintián, Héctor; Corchado, Emilio

    2014-01-01

    This volume of Advances in Intelligent and Soft Computing contains accepted papers presented at SOCO 2013, CISIS 2013 and ICEUTE 2013, all conferences held in the beautiful and historic city of Salamanca (Spain), in September 2013. Soft computing represents a collection or set of computational techniques in machine learning, computer science and some engineering disciplines, which investigate, simulate, and analyze very complex issues and phenomena.   After a through peer-review process, the 8th SOCO 2013 International Program Committee selected 40 papers which are published in these conference proceedings, and represents an acceptance rate of 41%. In this relevant edition a special emphasis was put on the organization of special sessions. Four special sessions were organized related to relevant topics as: Systems, Man, and Cybernetics, Data Mining for Industrial and Environmental Applications, Soft Computing Methods in Bioinformatics, and Soft Computing Methods, Modelling and Simulation in Electrical Engine...

  12. International Joint Conference SOCO’14-CISIS’14-ICEUTE’14

    CERN Document Server

    Ferreira, Iván; Bringas, Pablo; Klett, Fanny; Abraham, Ajith; Carvalho, André; Herrero, Álvaro; Baruque, Bruno; Quintián, Héctor; Corchado, Emilio

    2014-01-01

    This volume of Advances in Intelligent and Soft Computing contains accepted papers presented at SOCO 2014, CISIS 2014 and ICEUTE 2014, all conferences held in the beautiful and historic city of Bilbao (Spain), in June 2014. Soft computing represents a collection or set of computational techniques in machine learning, computer science and some engineering disciplines, which investigate, simulate, and analyze very complex issues and phenomena.   After a through peer-review process, the 9th SOCO 2014 International Program Committee selected 31 papers which are published in these conference proceedings. In this relevant edition a special emphasis was put on the organization of special sessions. One special session was organized related to relevant topics as: Soft Computing Methods in Manufacturing and Management Systems.   The aim of the 7th CISIS 2014 conference is to offer a meeting opportunity for academic and industry-related researchers belonging to the various, vast communities of Computational Intelligen...

  13. International Joint Conference SOCO’16-CISIS’16-ICEUTE’16

    CERN Document Server

    López-Guede, José; Etxaniz, Oier; Herrero, Álvaro; Quintián, Héctor; Corchado, Emilio

    2017-01-01

    This volume of Advances in Intelligent and Soft Computing contains accepted papers presented at SOCO 2016, CISIS 2016 and ICEUTE 2016, all conferences held in the beautiful and historic city of San Sebastián (Spain), in October 2016. Soft computing represents a collection or set of computational techniques in machine learning, computer science and some engineering disciplines, which investigate, simulate, and analyze very complex issues and phenomena. After a through peer-review process, the 11th SOCO 2016 International Program Committee selected 45 papers. In this relevant edition a special emphasis was put on the organization of special sessions. Two special session was organized related to relevant topics as: Optimization, Modeling and Control Systems by Soft Computing and Soft Computing Methods in Manufacturing and Management Systems. The aim of the 9th CISIS 2016 conference is to offer a meeting opportunity for academic and industry-related researchers belonging to the various, vast communities of Compu...

  14. Effects of joint alignment and type on mechanical properties of thermoplastic articulated ankle-foot orthosis.

    Science.gov (United States)

    Gao, Fan; Carlton, William; Kapp, Susan

    2011-06-01

    Articulated or hinged ankle-foot orthosis (AFO) allow more range of motion. However, quantitative investigation on articulated AFO is still sparse. The objective of the study was to quantitatively investigate effects of alignment and joint types on mechanical properties of the thermoplastic articulated AFO. Tamarack dorsiflexion assist flexure joints with three durometers (75, 85 and 95) and free motion joint were tested. The AFO joint was aligned with the center of the motor shaft (surrogate ankle joint), 10 mm superior, inferior, anterior and posterior with respect to the motor shaft center. The AFO was passively moved from 20° plantar flexion to 15° dorsiflexion at a speed of 10°/s using a motorized device. Mechanical properties including index of hysteresis, passive resistance torque and quasi-static stiffness (at neutral, 5°, 10° and 15° in plantar flexion) were quantified. Significant effects of joint types and joint alignment on the mechanical properties of an articulated thermoplastic AFO were revealed. Specifically, center alignment showed minimum resistance and stiffness while anterior and posterior alignment showed significantly higher resistance and stiffness. The dorsiflexion assist torques at neutral position ranged from 0.69 ± 0.09 to 1.88 ± 0.10 Nm. Anterior and posterior alignment should be avoided as much as possible. The current study suggested that anterior and posterior alignment be avoided as much as possible in clinical practice due to potential skin irritation and increase in stress around the ankle joint.

  15. Temporomandibular joint arthrocentesis for internal derangement with disc displacement without reduction.

    Science.gov (United States)

    Bhargava, Darpan; Jain, Megha; Deshpande, Ashwini; Singh, Ajita; Jaiswal, Jagdish

    2015-06-01

    Temporomandibular joint (TMJ) disc derangement is defined as a malpositioning of the articular disc relative to the condyle and eminence. Arthrocentesis of the TMJ is a minimally invasive chair side procedure for the patients with TMJ internal derangement. This case report presents convincing results to keep arthrocentesis as an imperative procedure to relieve such patients of their acute symptoms. TMJ dynamics has also been discussed for an in-depth understanding of the pathology in cases with internal derangement.

  16. Software Technologies - 8th International Joint Conference, ICSOFT 2013 : Revised Selected Papers

    NARCIS (Netherlands)

    Cordeiro, José; van Sinderen, Marten J.

    2014-01-01

    The present book includes extended and revised versions of a set of selected papers from the 8th International Joint Conference on Software Technologies (ICSOFT 2013), which was co-organized by the Reykjavik University (RU) and sponsored by the Institute for Systems and Technologies of Information,

  17. Working abroad, working with others: How firms learn to operate international joint ventures

    NARCIS (Netherlands)

    H.G. Barkema (Harry); O. Shenkar (Oded); G.A.M. Vermeulen (Freek); J.H.J. Bell (John)

    1997-01-01

    textabstractSuccessful international joint ventures entail both learning to operate across national boundaries and learning to cooperate. Hypotheses grounded in organizational learning theory were tested with event-history analysis and data on 1,493 expansions of 25 large Dutch firms between 1966

  18. Personnel decision-making in wholly-owned foreign subsidiaries and in international joint ventures.

    OpenAIRE

    Zeira Y; Shenkar O

    1986-01-01

    ILO pub. Working paper, research report on personnel management decision making in foreign owned subsidiarys of multinational enterprises and international joint ventures - discusses legal aspects, the role of absentee top management, host country employers organizations and other interest groups, etc.; examines employees attitudes, management attitudes, trade union attitudes government attitude, particularly regarding workers participation, recruitment and promotion. References, statistical ...

  19. El Control y la Confianza: dos rivales en las "International Joint Ventures"

    Directory of Open Access Journals (Sweden)

    Francisco Puig Blanco

    2013-02-01

    Full Text Available Las empresas conjuntas internacionales(International Joint Ventures se caracterizan pordos factores íntimamente relacionados: el control y eloportunismo. En este trabajo, trataremos de analizarla relación entre ambos factores y estudiaremos quétipos de control ayudarían a prevenir o a reducirel oportunismo en este tipo de empresas. Además,trataremos de identificar las ventajas e inconvenientesasociados al control y analizaremos el caso de unaInternational Joint Venture formada por dos empresas,una española y la otra americana, cuyo fracaso se debió,en gran parte, a la ausencia de control (confianza y aloportunismo.   ABSTRACT International Joint Ventures are distinguished bytwo closely related factors: control and opportunism.In this paper we will try to analyze the relationshipbetween both factors and we will study what controlswould help prevent or reduce opportunism in thisclass of enterprises. Besides, we will attempt to identifythe advantages and inconveniences associated withcontrol, and analyze one case of an International JointVenture comprised by two companies, a Spanish and anAmerican one whose failure was largely due to lack ofcontrol (trust and opportunism.

  20. Joint International Workshop on Professional Learning, Competence Development and Knowledge Management - LOKMOL and L3NCD

    NARCIS (Netherlands)

    Memmel, Martin; Ras, Eric; Weibelzahl, Stephan; Burgos, Daniel; Olmedilla, Daniel; Wolpers, Martin

    2006-01-01

    Memmel, M., Ras, E., Weibelzahl, S., Burgos, D., Olmedilla, D., & Wolpers, M. (2006). Joint International Workshop on Professional Learning, Competence Development and Knowledge Management - LOKMOL and L3NCD. Proceedings of ECTEL 2006. October 2nd-4th, Crete, Greece. Retrieved October 2nd, 2006,

  1. Joint Radiation Emergency Management Plan of the International Organizations. Date Effective: 1 July 2013

    International Nuclear Information System (INIS)

    2013-01-01

    European Commission) are party to legally binding treaties and have directives and regulations which have a bearing on the emergency response arrangements in their Member States. There are also bilateral agreements between some international organizations that also have relevance to preparedness and response arrangements. In 2002, the IAEA issued Preparedness and Response for a Nuclear or Radiological Emergency (IAEA Safety Standards Series No. GS-R-2), jointly sponsored by the FAO, the International Labour Organization (ILO), the OECD Nuclear Energy Agency (OECD/NEA), the Pan American Health Organization (PAHO), the United Nations Office for the Co-ordination of Humanitarian Affairs (OCHA) and WHO. The requirements established therein imply additional expectations with regard to operational emergency preparedness and response arrangements. It is recognized by the participating organizations, and reflected in the above requirements, that good planning in advance of an emergency can substantially improve the response. With this in mind, international organizations that participate in the IACRNE develop, maintain and co-sponsor this Joint Radiation Emergency Management Plan of the International Organizations (the 'Joint Plan'). The IAEA is the main coordinating body for the development and maintenance of the Joint Plan. The Joint Plan does not prescribe arrangements between the participating organizations, but describes a common understanding of how each organization acts during a response and in making preparedness arrangements. Nothing in the Joint Plan should be construed as superseding the arrangements in place in the international organizations (or States). However, all international organizations (and States), irrespective of whether they are members of IACRNE, are invited to consider these arrangements in their own emergency management plans. This publication is the sixth edition of the Joint Plan. It includes new arrangements/initiatives which were introduced after

  2. Joint Radiation Emergency Management Plan of the International Organizations. Date Effective: 1 July 2013

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-07-01

    European Commission) are party to legally binding treaties and have directives and regulations which have a bearing on the emergency response arrangements in their Member States. There are also bilateral agreements between some international organizations that also have relevance to preparedness and response arrangements. In 2002, the IAEA issued Preparedness and Response for a Nuclear or Radiological Emergency (IAEA Safety Standards Series No. GS-R-2), jointly sponsored by the FAO, the International Labour Organization (ILO), the OECD Nuclear Energy Agency (OECD/NEA), the Pan American Health Organization (PAHO), the United Nations Office for the Co-ordination of Humanitarian Affairs (OCHA) and WHO. The requirements established therein imply additional expectations with regard to operational emergency preparedness and response arrangements. It is recognized by the participating organizations, and reflected in the above requirements, that good planning in advance of an emergency can substantially improve the response. With this in mind, international organizations that participate in the IACRNE develop, maintain and co-sponsor this Joint Radiation Emergency Management Plan of the International Organizations (the 'Joint Plan'). The IAEA is the main coordinating body for the development and maintenance of the Joint Plan. The Joint Plan does not prescribe arrangements between the participating organizations, but describes a common understanding of how each organization acts during a response and in making preparedness arrangements. Nothing in the Joint Plan should be construed as superseding the arrangements in place in the international organizations (or States). However, all international organizations (and States), irrespective of whether they are members of IACRNE, are invited to consider these arrangements in their own emergency management plans. This publication is the sixth edition of the Joint Plan. It includes new arrangements/initiatives which were introduced after

  3. International joint research of medical and walfare appliances; Iryo fukushi kiki kokusai kyodo kenkyu jigyo

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-03-01

    To further elevate the medical level and to actively enhance Japan`s contribution to the world in its effort to properly meet the task of advancing longevity of men common to all the advanced countries, investigations were made to study how international joint research should be conducted in the field of medical and welfare appliances. Candidate projects in international joint research and investigations up to fiscal 1993 were arranged, and explanation was made about the strategic and long-term research and development projects (started in fiscal 1995) about medical and welfare appliances undertaken by the Ministry of Trade and Industry of Japan. The two are quite similar to each other, the Ministry of Trade and Industry program comprising six projects that are micropores collection of blood/microdose analysis, high precision three dimensional image assisted diagnosis, less invasive surgery, artificial organs, care assisting intelligent equipment, and welfare equipment for care at home, centering about which international joint research should be propelled. Visits were made to the scenes of research and development of advanced medical and welfare appliances in the U.S. and Canada and their actual state was studied in search for possible joint researches. Further, research and development institutions in Europe were visited and information was exchanged. 25 figs., 15 tabs.

  4. Tensile Test of Welding Joint Parts for a Plate-type Fuel Assembly

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, K. H.; Kim, J. Y.; Kim, H. J.; Yim, J. S. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2013-05-15

    The tensile tests were performed using an INSTRON 4505 (universal tensile) testing machine. These welding joints are composed of two parts for the soundness of the fuel assembly; one is the side plate with a fixing bar and the other is a side plate with an end fitting. These two joint parts are fabricated by TIG welding method. The tensile tests of the welding joints of a plate-type FA are executed by a tensile test. The fixture configurations for the specimen are very important to obtain the strict test results. The maximum strength has an approximately linear correlation with the unit bonding length of the welding joints. In spite of these results, the maximum strengths of the welding joints are satisfied according to the minimum requirement. These tensile tests of the joint parts for a plate-type fuel assembly (FA) have to be executed to evaluate the structural strength. For the tensile test, the joint parts of a FA used in the test are made of aluminum alloy (Al6061-T6)

  5. Tensile Test of Welding Joint Parts for a Plate-type Fuel Assembly

    International Nuclear Information System (INIS)

    Yoon, K. H.; Kim, J. Y.; Kim, H. J.; Yim, J. S.

    2013-01-01

    The tensile tests were performed using an INSTRON 4505 (universal tensile) testing machine. These welding joints are composed of two parts for the soundness of the fuel assembly; one is the side plate with a fixing bar and the other is a side plate with an end fitting. These two joint parts are fabricated by TIG welding method. The tensile tests of the welding joints of a plate-type FA are executed by a tensile test. The fixture configurations for the specimen are very important to obtain the strict test results. The maximum strength has an approximately linear correlation with the unit bonding length of the welding joints. In spite of these results, the maximum strengths of the welding joints are satisfied according to the minimum requirement. These tensile tests of the joint parts for a plate-type fuel assembly (FA) have to be executed to evaluate the structural strength. For the tensile test, the joint parts of a FA used in the test are made of aluminum alloy (Al6061-T6)

  6. A novel multi-item joint replenishment problem considering multiple type discounts.

    Directory of Open Access Journals (Sweden)

    Ligang Cui

    Full Text Available In business replenishment, discount offers of multi-item may either provide different discount schedules with a single discount type, or provide schedules with multiple discount types. The paper investigates the joint effects of multiple discount schemes on the decisions of multi-item joint replenishment. In this paper, a joint replenishment problem (JRP model, considering three discount (all-unit discount, incremental discount, total volume discount offers simultaneously, is constructed to determine the basic cycle time and joint replenishment frequencies of multi-item. To solve the proposed problem, a heuristic algorithm is proposed to find the optimal solutions and the corresponding total cost of the JRP model. Numerical experiment is performed to test the algorithm and the computational results of JRPs under different discount combinations show different significance in the replenishment cost reduction.

  7. Report for fiscal 1995 on simple operation type CAD/CAM system development through international cooperation. Cooperation for joint researches; 1995 nendo 'kan'i sosagata denshi sekkei seisan shien system no kaihatsu ni kansuru kenkyu kyoryoku' ni kansuru hokokusho. Kyodo kenkyu kyoryoku

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    Reported herein are the joint research results of the project (manufacturing technology supported by advanced and integrated information system through international cooperation (MATIC)), implemented in China, Indonesia, Malaysia, Singapore and Thailand by Center of International Cooperation for Computerization, commissioned by NEDO. Japan invited researchers from each country to explain the research themes, and discussed construction of the systems in each country. Japanese experts visited the research institutes and cooperative works in these countries, to discuss the research cooperation themes, and survey the conditions and technical levels of these research institutes, and information infrastructures. The oversea researchers were invited to Japan for the MATIC international seminar, discussions for research cooperation themes, and MATIC cooperation promotion committee. Textile and apparel researchers were also invited from China. Japanese experts visited China, Indonesia, Malaysia, Singapore and Thailand for the on-the-spot surveys for each working group. (NEDO)

  8. Report for fiscal 1995 on simple operation type CAD/CAM system development through international cooperation. Cooperation for joint researches; 1995 nendo 'kan'i sosagata denshi sekkei seisan shien system no kaihatsu ni kansuru kenkyu kyoryoku' ni kansuru hokokusho. Kyodo kenkyu kyoryoku

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    Reported herein are the joint research results of the project (manufacturing technology supported by advanced and integrated information system through international cooperation (MATIC)), implemented in China, Indonesia, Malaysia, Singapore and Thailand by Center of International Cooperation for Computerization, commissioned by NEDO. Japan invited researchers from each country to explain the research themes, and discussed construction of the systems in each country. Japanese experts visited the research institutes and cooperative works in these countries, to discuss the research cooperation themes, and survey the conditions and technical levels of these research institutes, and information infrastructures. The oversea researchers were invited to Japan for the MATIC international seminar, discussions for research cooperation themes, and MATIC cooperation promotion committee. Textile and apparel researchers were also invited from China. Japanese experts visited China, Indonesia, Malaysia, Singapore and Thailand for the on-the-spot surveys for each working group. (NEDO)

  9. Refining patterns of joint hypermobility, habitus, and orthopedic traits in joint hypermobility syndrome and Ehlers-Danlos syndrome, hypermobility type.

    Science.gov (United States)

    Morlino, Silvia; Dordoni, Chiara; Sperduti, Isabella; Venturini, Marina; Celletti, Claudia; Camerota, Filippo; Colombi, Marina; Castori, Marco

    2017-04-01

    Joint hypermobility syndrome (JHS) and Ehlers-Danlos syndrome, hypermobility type (EDS-HT) are two overlapping heritable disorders (JHS/EDS-HT) recognized by separated sets of diagnostic criteria and still lack a confirmatory test. This descriptive research was aimed at better characterizing the clinical phenotype of JHS/EDS-HT with focus on available diagnostic criteria, and in order to propose novel features and assessment strategies. One hundred and eighty-nine (163 females, 26 males; age: 2-73 years) patients from two Italian reference centers were investigated for Beighton score, range of motion in 21 additional joints, rate and sites of dislocations and sprains, recurrent soft-tissue injuries, tendon and muscle ruptures, body mass index, arm span/height ratio, wrist and thumb signs, and 12 additional orthopedic features. Rough rates were compared by age, sex, and handedness with a series of parametric and non-parametric tools. Multiple correspondence analysis was carried out for possible co-segregations of features. Beighton score and hypermobility at other joints were influenced by age at diagnosis. Rate and sites of joint instability complications did not vary according to age at diagnosis except for soft-tissue injuries. No major difference was registered by sex and dominant versus non-dominant body side. At multiple correspondence analysis, selected features tend to co-segregate in a dichotomous distribution. Dolichostenomelia and arachnodactyly segregated independently. This study pointed out a more protean musculoskeletal phenotype than previously considered according to available diagnostic criteria for JHS/EDS-HT. Our findings corroborated the need for a re-thinking of JHS/EDS-HT on clinical grounds in order to find better therapeutic and research strategies. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  10. Whole-body patterns of the range of joint motion in young adults: masculine type and feminine type.

    Science.gov (United States)

    Moromizato, Keiichi; Kimura, Ryosuke; Fukase, Hitoshi; Yamaguchi, Kyoko; Ishida, Hajime

    2016-10-01

    Understanding the whole-body patterns of joint flexibility and their related biological and physical factors contributes not only to clinical assessments but also to the fields of human factors and ergonomics. In this study, ranges of motion (ROMs) at limb and trunk joints of young adults were analysed to understand covariation patterns of different joint motions and to identify factors associated with the variation in ROM. Seventy-eight healthy volunteers (42 males and 36 females) living on Okinawa Island, Japan, were recruited. Passive ROM was measured at multiple joints through the whole body (31 measurements) including the left and right side limbs and trunk. Comparisons between males and females, dominant and non-dominant sides, and antagonistic motions indicated that body structures influence ROMs. In principal component analysis (PCA) on the ROM data, the first principal component (PC1) represented the sex difference and a similar covariation pattern appeared in the analysis within each sex. Multiple regression analysis showed that this component was associated with sex, age, body fat %, iliospinale height, and leg extension strength. The present study identified that there is a spectrum of "masculine" and "feminine" types in the whole-body patterns of joint flexibility. This study also suggested that body proportion and composition, muscle mass and strength, and possibly skeletal structures partly explain such patterns. These results would be important to understand individual variation in susceptibility to joint injuries and diseases and in one's suitable and effective postures and motions.

  11. Corrosion and microstructural aspects of dissimilar joints of titanium and type 304L stainless steel

    International Nuclear Information System (INIS)

    Mudali, U. Kamachi.; Ananda Rao, B.M.; Shanmugam, K.; Natarajan, R.; Raj, Baldev

    2003-01-01

    To link titanium and zirconium metal based (Ti, Zr-2, Ti-5%Ta, Ti-5%Ta-1.8Nb) dissolver vessels containing highly radioactive and concentrated corrosive nitric acid solution to other nuclear fuel reprocessing plant components made of AISI type 304L stainless steel (SS), high integrity and corrosion resistant dissimilar joints between them are necessary. Fusion welding processes produce secondary precipitates which dissolve in nitric acid, and hence solid-state processes are proposed. In this work, various dissimilar joining processes available for producing titanium-304L SS joints with adequate strength, ductility and corrosion resistance for this critical application are highlighted. Developmental efforts made at IGCAR, Kalpakkam are outlined. The possible methods and the microstructural-metallurgical properties of the joints along with corrosion results obtained with three phase (liquid, vapour, condensate) corrosion testing are discussed. Based on the results, dissimilar joint produced by the explosive joining process was adopted for plant application

  12. Joint Radiation Emergency Management Plan of the International Organizations. Date Effective: 1 January 2010

    International Nuclear Information System (INIS)

    2010-01-01

    The purpose of this Plan is to describe the inter-agency framework for preparedness for and response to a radiation5 incident or emergency irrespective of its cause. In particular, its objectives are: 1. To provide a common understanding of the emergency preparedness and response roles and responsibilities, objectives, authorities, capabilities and arrangements of each participating international organization, and any relevant inter-agency arrangements; 2. To provide an overall concept of operations between the international organizations based on the emergency response objectives, responsibilities, authorities, capabilities and arrangements of each participating international organization, and any existing inter-agency arrangements, in order to facilitate a timely, effective and co-ordinated response; 3. To facilitate development of agreements among the participating international organizations on practical issues, if appropriate; 4. To provide a common understanding of the process for improving and changing the inter-agency response arrangements; 5. To provide a common understanding of roles and responsibilities of the participating international organizations with respect to: international standards, supporting national capabilities through provision of guidance and training, relevant research, emergency exercises and other preparedness considerations; 6. To guide the managers in each participating organization who need to ensure that all appropriate arrangements are given the necessary support within their organization; 7. To facilitate the well founded development, maintenance and training of plans and procedures for each organization; 8. To draw the attention of personnel in States and international organizations6 to these arrangements and to facilitate the development of compatible arrangements, if appropriate. The Joint Plan describes the arrangements of the participating international organizations7 for responding to a radiation incident or emergency

  13. Multiple Observation Types Jointly Constrain Terrestrial Carbon and Water Cycles

    Science.gov (United States)

    Raupach, M. R.; Haverd, V.; Briggs, P. R.; Canadell, J.; Davis, S. J.; Isaac, P. R.; Law, R.; Meyer, M.; Peters, G. P.; Pickett Heaps, C.; Roxburgh, S. H.; Sherman, B.; van Gorsel, E.; Viscarra Rossel, R.; Wang, Z.

    2012-12-01

    Information about the carbon cycle potentially constrains the water cycle, and vice versa. This paper explores the utility of multiple observation sets to constrain carbon and water fluxes and stores in a land surface model, and a resulting determination of the Australian terrestrial carbon budget. Observations include streamflow from 416 gauged catchments, measurements of evapotranspiration (ET) and net ecosystem production (NEP) from 12 eddy-flux sites, litterfall data, and data on carbon pools. The model is a version of CABLE (the Community Atmosphere-Biosphere-Land Exchange model), coupled with CASAcnp (a biogeochemical model) and SLI (Soil-Litter-Iso, a soil hydrology model including liquid and vapour water fluxes and the effects of litter). By projecting observation-prediction residuals onto model uncertainty, we find that eddy flux measurements provide a significantly tighter constraint on Australian continental net primary production (NPP) than the other data types. However, simultaneous constraint by multiple data types is important for mitigating bias from any single type. Results emerging from the multiply-constrained model are as follows (with all values applying over 1990-2011 and all ranges denoting ±1 standard error): (1) on the Australian continent, a predominantly semi-arid region, over half (0.64±0.05) of the water loss through ET occurs through soil evaporation and bypasses plants entirely; (2) mean Australian NPP is 2200±400 TgC/y, making the NPP/precipitation ratio about the same for Australia as the global land average; (3) annually cyclic ("grassy") vegetation and persistent ("woody") vegetation respectively account for 0.56±0.14 and 0.43±0.14 of NPP across Australia; (4) the average interannual variability of Australia's NEP (±180 TgC/y) is larger than Australia's total anthropogenic greenhouse gas emissions in 2011 (149 TgCeq/y), and is dominated by variability in desert and savannah regions. The mean carbon budget over 1990

  14. [Development and clinical application of a new type of anatomical locking plate for sternoclavicular joint fracture and dislocation].

    Science.gov (United States)

    Sun, Yuanlin; Yang, Yunkang; Ge, Jianhua; Yang, Kun; Xiang, Feifan; Zhou, Ju; Liang, Jie

    2018-03-01

    To report a new type of anatomical locking plate for sternocalvicular joint, and investigate its effectiveness in treatment of sternoclavicular joint fracture and dislocation. A new type of anatomical locking plate for sternoclavicular joint was developed, which accorded with the anatomical features and biomechanical characteristics of Chinese sternoclavicular joint. By adopting the method of clinical randomized controlled study, 32 patients with the sternoclavicular joint fracture and dislocation who met the selection criteria between June 2008 and May 2015 were randomly divided into groups A and B ( n =16), and the patients were treated with new anatomic locking plate and distal radial T locking plate internal fixation, respectively. There was no significant difference between 2 groups in gender, age, injured side, body mass index, cause of injury, type of injury, the time from injury to operation, and preoperative Rockwood grading score ( P >0.05). The operation time, intraoperative blood loss, incision length, hospitalization time, and postoperative complications in 2 groups were recorded, and the effectiveness was evaluated by Rockwood grading score. The operations of 2 groups completed successfully. The operation time, intraoperative blood loss, and hospitalization time in group A were significantly less than those in group B ( P case of sternoclavicular joint pain and 2 cases of wound infection; in group B, there were 1 case of sternoclavicular joint pain, 1 case of internal fixation loosening, and 1 case of sternoclavicular joint re-dislocation; there was no significant difference in complication incidence between 2 groups ( P =1.000). The Rockwood grading scores at each time point after operation in 2 groups were significantly higher than those before operation. At 1 month after operation, the Rockwood grading score in group A was significantly higher than that in group B ( t= 2.270, P =0.031); but there was no significant difference in the Rockwood

  15. Posterior treatment of delayed traumatic atlantoaxial joint dislocation with apofix internal fixation

    International Nuclear Information System (INIS)

    Qing Wei; Jiang Weimin; Shi Jinhui; Li Xuefeng; Yang Huilin; Tang Tiansi

    2010-01-01

    Objective: To assess the effect of posterior fixation and fusion with Apofix device for the treatment of delayed traumatic atlantoaxial joint dislocation. Methods: Eighteen patients with delayed traumatic atlantoaxial joint dislocation were included. Posterior fixation and fusion with Apofix device were performed. First step was one or two week skull traction. After the atlantoaxial joint dislocation had been reduced, the posterior fixation and fusion with Apofix was performed. Using local anaesthesia, atlantoaxial interval and posterior structure of atlas and dentata were exposed by midline operative approach. Apofix interlaminar clamps were placed at posterior arch of atlas and odontoid vertebral laminae, autologous iliac bone graft was placed for fusion. Then the device to proper position was pressurized and items locked. Results: All of the patients were followed up, the mean follow-up period was 38 months (13 ∼ 84 months). Fifteen patients obtained complete reduction, the others were partial reduction. Seventeen patients had successful fusion after 3 or 4 months, only 1 patient who had partial reduction had internal fixation loose and nonfusion, leading to recurrence of atlantoaxial joint dislocation. An occipitocervical fusion surgery was performed on this patient. As to neurological assessment, 16 patients had neurological deficit before operation, while 6 of them recovered completely after operation, another 10 patients' neurological status improved significantly. JOA score was improved from 9.5 pre-operative to 15.8 post-operative. Conclusion: Apofix internal fixation and fusion seems to be feasible in treatment of delayed traumatic atlantoaxial joint dislocation. Successful reduction before operation and proper treatment after operation is also important. (authors)

  16. Effects of hand grip exercise on shoulder joint internal rotation and external rotation peak torque.

    Science.gov (United States)

    Lee, Dong-Rour; Jong-Soon Kim, Laurentius

    2016-08-10

    The goal of this study is to analyze the effects of hand grip training on shoulder joint internal rotation (IR)/external rotation (ER) peak torque for healthy people. The research was conducted on 23 healthy adults in their 20 s-30 s who volunteered to participate in the experiment. Hand grip power test was performed on both hands of the research subjects before/after the test to study changes in hand grip power. Isokinetic machine was used to measure the concentric IRPT (internal rotation peak torque) and concentric ERPT (external rotation peak torque) at the velocity of 60°/sec, 90°/sec, and 180°/sec before/after the test. Hand grip training was performed daily on the subject's right hand only for four weeks according to exercise program. Finally, hand grip power of both hands and the maximum torque values of shoulder joint IR/ER were measured before/after the test and analyzed. There was a statistically significant difference in the hand grip power of the right hand, which was subject to hand grip training, after the experiment. Also, statistically significant difference for shoulder ERPT was found at 60°/sec. Hand grip training has a positive effect on shoulder joint IRPT/ERPT and therefore can help strengthen muscles around the shoulder without using weight on the shoulder. Consequently, hand grip training would help maintain strengthen the muscles around the shoulder in the early phase of rehabilitation process after shoulder surgery.

  17. Internal Universes in Models of Homotopy Type Theory

    DEFF Research Database (Denmark)

    Licata, Daniel R.; Orton, Ian; Pitts, Andrew M.

    2018-01-01

    We show that universes of fibrations in various models of homotopy type theory have an essentially global character: they cannot be described in the internal language of the presheaf topos from which the model is constructed. We get around this problem by extending the internal language with a mo...... that the interval in cubical sets does indeed have. This leads to a completely internal development of models of homotopy type theory within what we call crisp type theory.......We show that universes of fibrations in various models of homotopy type theory have an essentially global character: they cannot be described in the internal language of the presheaf topos from which the model is constructed. We get around this problem by extending the internal language...

  18. Pierre Auger Observatory and Telescope Array: Joint Contributions to the 33rd International Cosmic Ray Conference (ICRC 2013)

    NARCIS (Netherlands)

    Telescope Array, The; Pierre Auger Collaborations,; Abu-Zayyad, T.; Allen, M.; Anderson, R.; Azuma, R.; Barcikowski, E.; Belz, J. W; Bergman, D. R.; Blake, S. A.; Cady, R.; Chae, M. J.; Cheon, B. G.; Chiba, J.; Chikawa, M.; Cho, W. R.; Fujii, T.; Fukushima, M.; Goto, K.; Hanlon, W.; Hayashi, Y.; Hayashida, N.; Hibino, K.; Honda, K.; Ikeda, D.; Inoue, N.; Ishii, T.; Ishimori, R.; Ito, H.; Ivanov, D.; Jui, C. C. H.; Kadota, K.; Kakimoto, F.; Kalashev, O.; Kasahara, K.; Kawai, H.; Kawakami, S.; Kawana, S.; Kawata, K.; Kido, E.; Kim, H. B.; Kim, J. H.; Kim, J. H.; Kitamura, S.; Kitamura, Y.; Kuzmin, V.; Kwon, Y. J.; Lan, J.; Lundquist, J. P.; Machida, K.; Martens, K.; Matsuda, T.; Matsuyama, T.; Matthews, J. N.; Minamino, M.; Mukai, K.; Myers, I.; Nagasawa, K.; Nagataki, S.; Nakamura, T.; Nanpei, H.; Nonaka, T.; Nozato, A.; Ogio, S.; Oh, S.; Ohnishi, M.; Ohoka, H.; Oki, K.; Okuda, T.; Ono, M.; Oshima, A.; Ozawa, S.; Park, I. H.; Pshirkov, M. S.; Rodriguez, D. C.; Rubtsov, G.; Ryu, D.; Sagawa, H.; Sakurai, N.; Sampson, A. L.; Scott, L. M.; Shah, P. D.; Shibata, F.; Shibata, T.; Shimodaira, H.; Shin, B. K.; Shirahama, T.; Smith, J. D.; Sokolsky, P.; Springer, R. W.; Stokes, B. T.; Stratton, S. R.; Stroman, T. A.; Takamura, M.; Takeda, M.; Taketa, A.; Takita, M.; Tameda, Y.; Tanaka, H.; Tanaka, K.; Tanaka, M.; Thomas, S. B.; Thomson, G. B.; Tinyakov, P.; Tkachev, I.; Tokuno, H.; Tomida, T.; Troitsky, S.; Tsunesada, Y.; Tsutsumi, K.; Uchihori, Y.; Udo, S.; Urban, F.; Vasiloff, G.; Wada, Y.; Wong, T.; Yamaoka, H.; Yamazaki, K.; Yang, J.; Yashiro, K.; Yoneda, Y.; Yoshida, S.; Yoshii, H.; Zollinger, R.; Zundel, Z.; Aab, A.; Abreu, P.; Aglietta, M.; Ahlers, M.; Ahn, E. J.; Albuquerque, I. F. M.; Allekotte, I.; Allen, J.; Allison, P.; Almela, A.; Alvarez Castillo, J.; Alvarez-Muniz, J.; Alves Batista, R.; Ambrosio, M.; Aminaei, A.; Anchordoqui, L.; Andringa, S.; Antivcic, T.; Aramo, C.; Arqueros, F.; Asorey, H.; Assis, P.; Aublin, J.; Ave, M.; Avenier, M.; Avila, G.; Badescu, A. M.; Barber, K. B.; Bardenet, R.; Baeuml, J.; Baus, C.; Beatty, J. J.; Becker, K. H.; Belletoile, A.; Bellido, J. A.; BenZvi, S.; Berat, C.; Bertou, X.; Biermann, P. L.; Billoir, P.; Blanco, F.; Blanco, M.; Bleve, C.; Blumer, H.; Bohacova, M.; Boncioli, D.; Bonifazi, C.; Bonino, R.; Borodai, N.; Brack, J.; Brancus, I.; Brogueira, P.; Brown, W. C.; Buchholz, P.; Bueno, A.; Burton, R. E.; Buscemi, M.; Caballero-Mora, K. S.; Caccianiga, B.; Caccianiga, L.; Candusso, M.; Caramete, L.; Caruso, R.; Castellina, A.; Cataldi, G.; Cazon, L.; Cester, R.; Cheng, S. H.; Chiavassa, A.; Chinellato, J. A.; Chudoba, J.; Cilmo, M.; Clay, R. W.; Cocciolo, G.; Colalillo, R.; Collica, L.; Coluccia, M. R.; Conceicao, R.; Contreras, F.; Cook, H.; Cooper, M. J.; Coutu, S.; Covault, C. E.; Criss, A.; Cronin, J.; Curutiu, A.; Dallier, R.; Daniel, B.; Dasso, S.; Daumiller, K.; Dawson, B. R.; de Almeida, R. M.; De Domenico, M.; de Jong, S. J.; De La Vega, G.; de Mello Junior, W. J. M.; de Mello Neto, J. R. T.; De Mitri, I.; de Souza, V.; de Vries, K. D.; del Peral, L.; Deligny, O.; Dembinski, H.; Dhital, N.; Di Giulio, C.; Diaz, J. C.; Diaz Castro, M. L.; Diep, P. N.; Diogo, F.; Dobrigkeit, C.; Docters, W.; D'Olivo, J. C.; Dong, P. N.; Dorofeev, A.; dos Anjos, J. C.; Dova, M. T.; Ebr, J.; Engel, R.; Erdmann, M.; Escobar, C. O.; Espadanal, J.; Etchegoyen, A.; Facal San Luis, P.; Falcke, H.; Fang, K.; Farrar, G.; Fauth, A. C.; Fazzini, N.; Ferguson, A. P.; Fick, B.; Figueira, J. M.; Filevich, A.; Filipcic, A.; Foerster, N.; Fox, B. D.; Fracchiolla, C. E.; Fraenkel, E. D.; Fratu, O.; Frohlich, U.; Fuchs, B.; Gaior, R.; Gamarra, R. F.; Gambetta, S.; Garcia, B.; Garcia Roca, S. T.; Garcia-Gamez, D.; Garcia-Pinto, D.; Garilli, G.; Gascon Bravo, A.; Gemmeke, H.; Ghia, P. L.; Giller, M.; Gitto, J.; Glaser, C.; Glass, H.; Gomez Albarracin, F.; Gomez Berisso, M.; Gomez Vitale, P. F.; Goncalves, P.; Gonzalez, J. G.; Gookin, B.; Gorgi, A.; Gorham, P.; Gouffon, P.; Grebe, S.; Griffith, N.; Grillo, A. F.; Grubb, T. D.; Guardincerri, Y.; Guarino, F.; Guedes, G. P.; Hansen, P.; Harari, D.; Harrison, T. A.; Harton, J. L.; Haungs, A.; Hebbeker, T.; Heck, D.; Herve, A. E.; Hill, G. C.; Hojvat, C.; Hollon, N.; Homola, P.; Hoerandel, J. R.; Horvath, P.; Hrabovsky, M.; Huber, D.; Huege, T.; Insolia, A.; Isar, P. G.; Jansen, S.; Jarne, C.; Josebachuili, M.; Kadija, K.; Kambeitz, O.; Kampert, K. H.; Karhan, P.; Kasper, P.; Katkov, I.; Kegl, B.; Keilhauer, B.; Keivani, A.; Kemp, E.; Kieckhafer, R. M.; Klages, H. O.; Kleifges, M.; Kleinfeller, J.; Knapp, J.; Krause, R.; Krohm, N.; Kroemer, O.; Kruppke-Hansen, D.; Kuempel, D.; Kunka, N.; La Rosa, G.; LaHurd, D.; Latronico, L.; Lauer, R.; Lauscher, M.; Lautridou, P.; Le Coz, S.; Leao, M. S. A. B.; Lebrun, D.; Lebrun, P.; Leigui de Oliveira, M. A.; Letessier-Selvon, A.; Lhenry-Yvon, I.; Link, K.; Lopez, R.; Lopez Aguera, A.; Louedec, K.; Lozano Bahilo, J.; Lu, L.; Lucero, A.; Ludwig, M.; Lyberis, H.; Maccarone, M. C.; Macolino, C.; Malacari, M.; Maldera, S.; Maller, J.; Mandat, D.; Mantsch, P.; Mariazzi, A. G.; Marin, V.; Maris, I. C.; Marquez Falcon, H. R.; Marsella, G.; Martello, D.; Martinez, H.; Martinez Bravo, O.; Martraire, D.; Masias Meza, J. J.; Mathes, H. J.; Matthews, J.; Matthews, J. A. J.; Matthiae, G.; Maurel, D.; Maurizio, D.; Mayotte, E.; Mazur, P. O.; Medina, C.; Medina-Tanco, G.; Melissas, M.; Melo, D.; Menichetti, E.; Menshikov, A.; Messina, S.; Meyhandan, R.; Micanovic, S.; Micheletti, M. I.; Middendorf, L.; Minaya, I. A.; Miramonti, L.; Mitrica, B.; Molina-Bueno, L.; Mollerach, S.; Monasor, M.; Monnier Ragaigne, D.; Montanet, F.; Morales, B.; Morello, C.; Moreno, J. C.; Mostafa, M.; Moura, C. A.; Muller, M. A.; Muller, G.; Munchmeyer, M.; Mussa, R.; Navarra, G.; Navarro, J. L.; Navas, S.; Necesal, P.; Nellen, L.; Nelles, A.; Neuser, J.; Nhung, P. T.; Niechciol, M.; Niemietz, L.; Niggemann, T.; Nitz, D.; Nosek, D.; Novzka, L.; Oehlschlager, J.; Olinto, A.; Oliveira, M.; Ortiz, M.; Pacheco, N.; Pakk Selmi-Dei, D.; Palatka, M.; Pallotta, J.; Palmieri, N.; Parente, G.; Parra, A.; Pastor, S.; Paul, T.; Pech, M.; Pekala, J.; Pelayo, R.; Pepe, I. M.; Perrone, L.; Pesce, R.; Petermann, E.; Petrera, S.; Petrolini, A.; Petrov, Y.; Piegaia, R.; Pierog, T.; Pieroni, P.; Pimenta, M.; Pirronello, V.; Platino, M.; Plum, M.; Pontz, M.; Porcelli, A.; Preda, T.; Privitera, P.; Prouza, M.; Quel, E. J.; Querchfeld, S.; Quinn, S.; Rautenberg, J.; Ravel, O.; Ravignani, D.; Revenu, B.; Ridky, J.; Riggi, S.; Risse, M.; Ristori, P.; Rivera, H.; Rizi, V.; Roberts, J.; Rodrigues de Carvalho, W.; Rodriguez Cabo, I.; Rodriguez Fernandez, G.; Rodriguez Martino, J.; Rodriguez Rojo, J.; Rodriguez-Frias, M. D.; Ros, G.; Rosado, J.; Rossler, T.; Roth, M.; Rouille-d'Orfeuil, B.; Roulet, E.; Rovero, A. C.; Ruhle, C.; Saffi, S. J.; Saftoiu, A.; Salamida, F.; Salazar, H.; Salesa Greus, F.; Salina, G.; Sanchez, F.; Sanchez-Lucas, P.; Santo, C. E.; Santos, E.; Santos, E. M.; Sarazin, F.; Sarkar, B.; Sato, R.; Scharf, N.; Scherini, V.; Schieler, H.; Schiffer, P.; Schmidt, A.; Scholten, O.; Schoorlemmer, H.; Schovanek, P.; Schroeder, F. G.; Schulz, A.; Schulz, J.; Sciutto, S. J.; Scuderi, M.; Segreto, A.; Settimo, M.; Shadkam, A.; Shellard, R. C.; Sidelnik, I.; Sigl, G.; Sima, O.; Smialkowski, A.; Smida, R.; Snow, G. R.; Sommers, P.; Sorokin, J.; Spinka, H.; Squartini, R.; Srivastava, Y. N.; Stanic, S.; Stapleton, J.; Stasielak, J.; Stephan, M.; Straub, M.; Stutz, A.; Suarez, F.; Suomijarvi, T.; Supanitsky, A. D.; Susa, T.; Sutherland, M. S.; Swain, J.; Szadkowski, Z.; Szuba, M.; Tapia, A.; Tartare, M.; Tacscuau, O.; Tcaciuc, R.; Thao, N. T.; Tiffenberg, J.; Timmermans, C.; Tkaczyk, W.; Todero Peixoto, C. J.; Toma, G.; Tomankova, L.; Tome, B.; Tonachini, A.; Torralba Elipe, G.; Torres Machado, D.; Travnicek, P.; Tridapalli, D. B.; Trovato, E.; Tueros, M.; Ulrich, R.; Unger, M.; Valdes Galicia, J. F.; Valino, I.; Valore, L.; van Aar, G.; van den Berg, A. M.; van Velzen, S.; van Vliet, A.; Varela, E.; Vargas Cardenas, B.; Varner, G.; Vazquez, J. R.; Vazquez, R. A.; Veberic, D.; Verzi, V.; Vicha, J.; Videla, M.; Villasenor, L.; Wahlberg, H.; Wahrlich, P.; Wainberg, O.; Walz, D.; Watson, A. A.; Weber, M.; Weidenhaupt, K.; Weindl, A.; Werner, F.; Westerhoff, S.; Whelan, B. J.; Widom, A.; Wieczorek, G.; Wiencke, L.; Wilczynska, B.; Wilczynski, H.; Will, M.; Williams, C.; Winchen, T.; Wundheiler, B.; Wykes, S.; Yamamoto, T.; Yapici, T.; Younk, P.; Yuan, G.; Yushkov, A.; Zamorano, B.; Zas, E.; Zavrtanik, D.; Zavrtanik, M.; Zaw, I.; Zepeda, A.; Zhou, J.; Zhu, Y.; Zimbres Silva, M.; Ziolkowski, M.; Martin, L.

    2013-01-01

    Joint contributions of the Pierre Auger and Telescope Array Collaborations to the 33rd International Cosmic Ray Conference, Rio de Janeiro, Brazil, July 2013: cross-calibration of the fluorescence telescopes, large scale anisotropies and mass composition.

  19. Pierre Auger Observatory and Telescope Array: Joint Contributions to the 33rd International Cosmic Ray Conference (ICRC 2013)

    Energy Technology Data Exchange (ETDEWEB)

    Abu-Zayyad, T.; et al.

    2013-10-02

    Joint contributions of the Pierre Auger and Telescope Array Collaborations to the 33rd International Cosmic Ray Conference, Rio de Janeiro, Brazil, July 2013: cross-calibration of the fluorescence telescopes, large scale anisotropies and mass composition.

  20. Joint nuclear safety research projects between the US and Russian Federation International Nuclear Safety Centers

    International Nuclear Information System (INIS)

    Bougaenko, S.E.; Kraev, A.E.; Hill, D.L.; Braun, J.C.; Klickman, A.E.

    1998-01-01

    The Russian Federation Ministry for Atomic Energy (MINATOM) and the US Department of Energy (USDOE) formed international Nuclear Safety Centers in October 1995 and July 1996, respectively, to collaborate on nuclear safety research. Since January 1997, the two centers have initiated the following nine joint research projects: (1) INSC web servers and databases; (2) Material properties measurement and assessment; (3) Coupled codes: Neutronic, thermal-hydraulic, mechanical and other; (4) Severe accident management for Soviet-designed reactors; (5) Transient management and advanced control; (6) Survey of relevant nuclear safety research facilities in the Russian Federation; (8) Advanced structural analysis; and (9) Development of a nuclear safety research and development plan for MINATOM. The joint projects were selected on the basis of recommendations from two groups of experts convened by NEA and from evaluations of safety impact, cost, and deployment potential. The paper summarizes the projects, including the long-term goals, the implementing strategy and some recent accomplishments for each project

  1. Root Cause Investigation of the Starboard Solar Alpha Rotary Joint Anomaly on the International Space Station

    Science.gov (United States)

    Taylor, Deneen; Enriquez, Carlos; McCann, David; McFatter, Justin

    2010-01-01

    The Solar Alpha Rotary Joint (SARJ) is a single-axis pointing mechanism used to orient the solar power generating arrays relative to the sun for the International Space Station (ISS). Approximately 83 days after its on-orbit installation, one of the two SARJ mechanisms aboard the ISS began to exhibit high current draw. Later inspections via Extravehicular Activity (EVA) discovered that the case hardened steel race ring on the outboard side of the joint had extensive damage to one of its three rolling surfaces. A far-reaching investigation of the anomaly was undertaken, comprising metallurgical inspections, coupon tests, traction kinematics tests, detailed bearing measurements, and thermal and structural analyses. The investigation found that the race ring damage had been caused by high bearing edge stresses that resulted from inadequate lubrication of the rolling contact. The profile of the roller bearings and the metallurgical properties of the race ring were also found to be significant contributing factors.

  2. Correlation between internal derangement and osteoarthrosis in the temporomandibular joint using magnetic resonance imaging

    Energy Technology Data Exchange (ETDEWEB)

    Song, Haeng Un; Choi, Sun Young; Koh, Kwang Joon [School of Dentistry, Chonbuk National University, Jeonju (Korea, Republic of)

    2002-12-15

    To evaluate the relationship between internal derangement and osteoarthrosis in the temporomandibular joint (TMJ) using magnetic resonance imaging (MRI). One hundred and six MR images of TMJs in 53 patients were evaluated. Disc displacements and osseous changes of the TMJs were assessed. Lateral and rotational disc displacements were also evaluated on coronal images. No significant differences in the frequency of osseous changes of the TMJs between disc displacement with reduction and disc displacement without reduction groups were found. The erosion of the condylar head and the sclerosis of the articular eminence were more frequent in the internal derangement group than in the no disc displacement group. The flattening was the most frequently observed osseous change of both the condylar head and articular eminence. The relationship between internal derangement and osteoarthrosis is obscure, but it is thought that both disorders adversely affect each other.

  3. Correlation between internal derangement and osteoarthrosis in the temporomandibular joint using magnetic resonance imaging

    International Nuclear Information System (INIS)

    Song, Haeng Un; Choi, Sun Young; Koh, Kwang Joon

    2002-01-01

    To evaluate the relationship between internal derangement and osteoarthrosis in the temporomandibular joint (TMJ) using magnetic resonance imaging (MRI). One hundred and six MR images of TMJs in 53 patients were evaluated. Disc displacements and osseous changes of the TMJs were assessed. Lateral and rotational disc displacements were also evaluated on coronal images. No significant differences in the frequency of osseous changes of the TMJs between disc displacement with reduction and disc displacement without reduction groups were found. The erosion of the condylar head and the sclerosis of the articular eminence were more frequent in the internal derangement group than in the no disc displacement group. The flattening was the most frequently observed osseous change of both the condylar head and articular eminence. The relationship between internal derangement and osteoarthrosis is obscure, but it is thought that both disorders adversely affect each other.

  4. Success factors for international HTA projects: evaluating EUnetHTA Joint Action as an exemplar.

    Science.gov (United States)

    Guegan, Eleanor Woodford; Cook, Andrew

    2014-11-01

    Evaluation is essential for the management of international projects or networks in health technology assessment (HTA). It extends beyond the normal process of project management by incorporating qualitative dimensions and provides information about a project's effectiveness and achievements. This article aimed to identify the factors that are important for the success of international HTA projects. The European network for Health Technology Assessment Joint Action (EUnetHTA JA) is presented as an exemplar. METHODS for the evaluation of international HTA projects include interviews, focus groups, questionnaires, observations and documentary review, and the key points of these approaches have been summarized. The impact and effectiveness of the EUnetHTA JA was evaluated by questionnaires of project participants and external stakeholders, and by documentary review. The response rate for the three annual questionnaires sent to project participants ranged from 86 percent to 88 percent and for external stakeholders ranged from 65 percent to 88 percent. Key factors for project success included production of deliverables according to the workplan, achievement of objectives, added value generated, effective communication, involvement of external stakeholders, workstream management and progress from the preceding EUnetHTA 2006-2008 project. The experience of this project can inform the evaluation of future international HTA collaborations, such as the EUnetHTA 2nd Joint Action and HTAsiaLink. A high response rate was achieved to the self-completion questionnaires and the strategy followed is recommended for evaluation of international HTA projects. Future assessments of international HTA projects should strive to measure outcomes and impact, not just outputs and process.

  5. Prevalence of the types of the petrotympanic fissure in the temporomandibular joint dysfunction

    International Nuclear Information System (INIS)

    Cakur, Binali; Sumbullu, Muhammed Akif; Durna, Dogan; Akgul, Hayati Murat

    2011-01-01

    Background Petrotympanic fissure (PTF) is a fissure in the temporal bone that runs from the temporomandibular joint (TMJ) to the tympanic cavity (TC). In PTF, the discomallear ligament (DML) connects the malleus in the tympanic cavity and the articular disc and capsule of the temporomandibular joint. PTF with the DML is a possible cause of aural symptoms related to temporomandibular joint dysfunction (TMD). Purpose To investigate the prevalence of different types of PTF in TMD using dental volumetric tomography (DVT) and determine whether PTF type correlates with age. Material and Methods DVT scans in the sagittal planes of PTFs of 134 patients with TMD were examined for the types of PTF present. Three main PTF types were described: wide, tunnel-shaped structure (type 1); tunnel-shaped structure that is wide open in the PTF entrance to the mandibular fossa and gradually thins out in the tympanic cavity (type 2), tunnel-shaped structure that is wide open in the entrance of the mandibular fossa, with a middle region with a flat-shaped tunnel structure and a narrow exit in the tympanic cavity (type 3). Results In DVT scans, PTF types 1, 2 and 3 were seen in 67.2%, 1.5%, and 31.3% of cases, respectively. We found no significant relationship between age or gender and PTF type. Conclusion The low percentage of type 2 PTF and high percentage of type 1 PTF must be taken into consideration during pre-surgical planning related to TMD. However, future well-designed clinical studies involving larger numbers of subjects will be necessary to confirm the findings of this study

  6. Prevalence of the types of the petrotympanic fissure in the temporomandibular joint dysfunction

    Energy Technology Data Exchange (ETDEWEB)

    Cakur, Binali; Sumbullu, Muhammed Akif; Durna, Dogan; Akgul, Hayati Murat (Dept. of Oral Diagnosis and Oral Radiology, Faculty of Dentistry, Ataturk Univ., Erzurum (Turkey)), email: bcakur@atauni.edu.tr

    2011-06-15

    Background Petrotympanic fissure (PTF) is a fissure in the temporal bone that runs from the temporomandibular joint (TMJ) to the tympanic cavity (TC). In PTF, the discomallear ligament (DML) connects the malleus in the tympanic cavity and the articular disc and capsule of the temporomandibular joint. PTF with the DML is a possible cause of aural symptoms related to temporomandibular joint dysfunction (TMD). Purpose To investigate the prevalence of different types of PTF in TMD using dental volumetric tomography (DVT) and determine whether PTF type correlates with age. Material and Methods DVT scans in the sagittal planes of PTFs of 134 patients with TMD were examined for the types of PTF present. Three main PTF types were described: wide, tunnel-shaped structure (type 1); tunnel-shaped structure that is wide open in the PTF entrance to the mandibular fossa and gradually thins out in the tympanic cavity (type 2), tunnel-shaped structure that is wide open in the entrance of the mandibular fossa, with a middle region with a flat-shaped tunnel structure and a narrow exit in the tympanic cavity (type 3). Results In DVT scans, PTF types 1, 2 and 3 were seen in 67.2%, 1.5%, and 31.3% of cases, respectively. We found no significant relationship between age or gender and PTF type. Conclusion The low percentage of type 2 PTF and high percentage of type 1 PTF must be taken into consideration during pre-surgical planning related to TMD. However, future well-designed clinical studies involving larger numbers of subjects will be necessary to confirm the findings of this study

  7. Kinematics and Dynamics Analysis of a 3-DOF Upper-Limb Exoskeleton with an Internally Rotated Elbow Joint

    OpenAIRE

    Xin Wang; Qiuzhi Song; Xiaoguang Wang; Pengzhan Liu

    2018-01-01

    The contradiction between self-weight and load capacity of a power-assisted upper-limb exoskeleton for material hanging is unresolved. In this paper, a non-anthropomorphic 3-degree of freedom (DOF) upper-limb exoskeleton with an internally rotated elbow joint is proposed based on an anthropomorphic 5-DOF upper-limb exoskeleton for power-assisted activity. The proposed 3-DOF upper-limb exoskeleton contains a 2-DOF shoulder joint and a 1-DOF internally rotated elbow joint. The structural parame...

  8. FLANGE-ORNL, Flanged Pipe Joint Stress Analysis, Internal Pressure, Moment Loads, Temperature

    International Nuclear Information System (INIS)

    Rodabaugh, E.C.; Moore, S.E.

    1979-01-01

    1 - Description of problem or function: FLANGE-ORNL calculates appropriate loads, stresses, and displacements for the flanges, bolts, and gaskets that comprise a flanged piping joint for internal pressure or moment loading on the pipe, temperature difference between the flange hub and ring, and variations in bolt load that result from pressure, hub-ring temperature gradient and/or bolt-ring temperature differences. Flanges considered may be tapered-hub, straight or blind. 2 - Method of solution: The solution is based on discontinuity analysis and the theory of plates and shells

  9. Fiscal 2000 project of inviting proposals for international joint research - invitation for international proposal (Power generation No.1). Achievement report on development of novel high-performance dry type desulfurization agent made from coal ash; 2000 nendo kokusai kyodo kenkyu teian kobo jigyo - kokusai teian kobo (hatsuden No.1). Sekitanbai wo genryo to suru shinki koseino kanshiki datsuryuzai no kaihatsu to riyo seika hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    Efforts are made to develop a technology of using quicklime instead of slaked lime for a reduction in desulfurization cost, based on the technology of the coal ash utilizing dry type desulfurization device operating on coal ash, slaked lime, and gypsum, as hardened by hydration. Activities are conducted in the three fields of (1) basic study, (2) desulfurization agent bench-scale manufacturing test, and (3) study for putting the technology to practical application. In field (1), the basics are studied of the lime slaking process in the manufacture of a dry type desulfurization agent from quicklime, the mechanism is elucidated of the generation of active desulfurization substances, and effective utilization is studied of the desulfurization agent after use. In field (3), conceptual designs are prepared, cost efficiency of desulfurization systems are evaluated, simplified absorption systems are studied, and the trends of dry type desulfurization systems are surveyed. The cost of desulfurization under development is equivalent to that of the wet type method (limestone-gypsum system) when the used desulfurization agent is discarded, and is approximately 60% of the wet type method when the whole amount is effectively utilized. (NEDO)

  10. Comorbidity of internal derangement of the temporomandibular joint and silent dysfunction of the cervical spine.

    Science.gov (United States)

    Stiesch-Scholz, M; Fink, M; Tschernitschek, H

    2003-04-01

    The aim of this evaluation was to examine correlations between internal derangement of the temporomandibular joint (TMJ) and cervical spine disorder (CSD). A prospective controlled clinical study was carried out. Thirty patients with signs and symptoms of internal derangement but without any subjective neck problems and 30 age- and gender-matched control subjects without signs and symptoms of internal derangement were examined. The investigation of the temporomandibular system was carried out using a 'Craniomandibular Index'. Afterwards an examiner-blinded manual medical investigation of the craniocervical system was performed. This included muscle palpation of the cervical spine and shoulder girdle as well as passive movement tests of the cervical spine, to detect restrictions in the range of movement as well as segmental intervertebral dysfunction. The internal derangement of the TMJ was significantly associated with 'silent' CSD (t-test, P temporomandibular system exhibited significantly more often pain on pressure of the neck muscles than patients without muscle tenderness of the temporomandibular system (t-test, P < 0.05). As a result of the present study, for patients with internal derangement of the TMJ an additional examination of the craniocervical system should be recommended.

  11. Internal derangements of the temporomandibular joint: findings in the pediatric age group

    International Nuclear Information System (INIS)

    Katzberg, R.W.; Tallents, R.H.; Hayakawa, K.; Miller, T.L.; Goske, M.J.; Wood, B.P.

    1985-01-01

    Findings in 31 pediatric patients with pain and dysfunction of the temporomandibular joint (TMJ) are reported. The average age was 14 years and the average duration of symptoms was 21.4 months. Internal derangements were found in 29 patients (94%) and degenerative arthritis in 13 (42%). In 12 patients (39%), the problem could be traced to an injury to the jaw. Secondary condylar hypoplasia was associated with the meniscal abnormality in 3 patients (10%). Further awareness of internal derangements of the TMJ in the pediatric population should permit greater recognition of their etiology. It is important that threatment be initiated as soon as possible, not only to minimize the development of osseous disease in young adults but also to prevent facial growth deformities

  12. Internal derangements of the temporomandibular joint: A review of the anatomy, diagnosis, and management

    Directory of Open Access Journals (Sweden)

    Andrew L Young

    2015-01-01

    Full Text Available Internal derangements of the temporomandibular joint are conditions in which the articular disc has become displaced from its original position the condylar head. Relevant anatomic structures and their functional relationships are briefly discussed. The displacement of the disc can result in numerous presentations, with the most common being disc displacement with reduction (with or without intermittent locking, and disc displacement without reduction (with or without limited opening. These are described in this article according to the standardized Diagnostic Criteria for Temporomandibular Disorders, as well as the less common posterior disc displacement. Appropriate management usually ranges from patient education and monitoring to splints, physical therapy, and medications. In rare and select cases, surgery may be necessary. However, in for the majority of internal derangements, the prognosis is good, particularly with conservative care.

  13. The 3rd International Joint Conference ICIEOM-ADINGOR-IISE-AIM-ASEM (IJC2017) PROCEEDINGS - “New Global Perspectives on Industrial Engineering and Management”

    OpenAIRE

    Poler Escoto, Raúl; Mula Bru, Josefa; Díaz-Madroñero Boluda, Francisco Manuel; Sanchis Gisbert, Raquel

    2017-01-01

    The IJC2017 Proceedings contains the contributions presented in the 3rd International Joint Conference ICIEOM – ADINGOR – IISE – AIM - ASEM : “XXIII International Conference on Industrial Engineering and Operations Management”, “International ADINGOR Conference 2017”, “International IISE Conference 2017”, “International AIM Conference 2017” and “International ASEM Conference 2017”. This International Joint Conference is a result of an agreement among ADINGOR (Asociación para el Desarrollo ...

  14. Association of bone marrow edema with temporomandibular joint (TMJ) osteoarthritis and internal derangements.

    Science.gov (United States)

    Wahaj, Aiyesha; Hafeez, Kashif; Zafar, Muhammad Sohail

    2017-01-01

    This study reviewed the dental literature in order to determine the association of bone marrow edema with osteoarthritis and temporomandibular joint (TMJ) internal derangement disorders. A literature search was performed using electronic databases PubMed/Medline (National Library of Medicine, Bethesda, Maryland) and Cochrane for articles published during the last 15 years (January 2000-December 2014). A predetermined inclusion and exclusion criteria were used for filtering the scientific papers. Research articles fulfilling the basic inclusion criteria were included in the review. The reviewed studies showed that bone marrow edema is found in painful joints with osteoarthritis in a majority of cases. A few cases with no pain or significant degenerative changes are reported to have a bone marrow edema pattern as well. Bone marrow edema, increased fluid level, and pain are associated with osteoarthritis in the majority of patients reporting TMJ arthritis. Degenerative and disc displacement conditions are multifactorial and require further investigations. Magnetic resonance imaging can be employed to detect bone marrow edema even in the absence of pain and clinical symptoms in the patients of internal derangements.

  15. Manual for IRS Coding. Joint IAEA/NEA International Reporting System for Operating Experience

    International Nuclear Information System (INIS)

    2011-01-01

    The International Reporting System for Operating Experience (IRS) is jointly operated by the International Atomic Energy Agency (IAEA) and the Nuclear Energy Agency of the Organisation for Economic Co-operation and Development (OECD/NEA). In early 2010, the IAEA and OECD/NEA jointly issued the IRS Guidelines, which described the reporting system and process and gave users the necessary elements to enable them to produce IRS reports to a high standard of quality while retaining the effectiveness of the system expected by all Member States operating nuclear power plants. The purpose of the present Manual for IRS Coding is to provide supplementary guidance specifically on the coding element of IRS reports to ensure uniform coding of events that are reported through IRS. This Coding Manual does not supersede the IRS Guidelines, but rather, supports users and preparers in achieving a consistent and high level of quality in their IRS reports. Consistency and high quality in the IRS reports allow stakeholders to search and retrieve specific event information with ease. In addition, well-structured reports also enhance the efficient management of the IRS database. This Coding Manual will give specific guidance on the application of each section of the IRS codes, with examples where necessary, of when and how these codes are to be applied. As this reporting system is owned by the Member States, this manual has been developed and approved by the IRS National Coordinators with the assistance of the IAEA and NEA secretariats

  16. Adaptive Shape Functions and Internal Mesh Adaptation for Modelling Progressive Failure in Adhesively Bonded Joints

    Science.gov (United States)

    Stapleton, Scott; Gries, Thomas; Waas, Anthony M.; Pineda, Evan J.

    2014-01-01

    Enhanced finite elements are elements with an embedded analytical solution that can capture detailed local fields, enabling more efficient, mesh independent finite element analysis. The shape functions are determined based on the analytical model rather than prescribed. This method was applied to adhesively bonded joints to model joint behavior with one element through the thickness. This study demonstrates two methods of maintaining the fidelity of such elements during adhesive non-linearity and cracking without increasing the mesh needed for an accurate solution. The first method uses adaptive shape functions, where the shape functions are recalculated at each load step based on the softening of the adhesive. The second method is internal mesh adaption, where cracking of the adhesive within an element is captured by further discretizing the element internally to represent the partially cracked geometry. By keeping mesh adaptations within an element, a finer mesh can be used during the analysis without affecting the global finite element model mesh. Examples are shown which highlight when each method is most effective in reducing the number of elements needed to capture adhesive nonlinearity and cracking. These methods are validated against analogous finite element models utilizing cohesive zone elements.

  17. Surgical treatment of a concurrent type 5 acromioclavicular joint dislocation and a failed anterior glenohumeral joint stabilization

    OpenAIRE

    Rashid, Abbas; Lawrence, Christopher; Tytherleigh-Strong, Graham

    2016-01-01

    Traumatic glenohumeral joint dislocation and acromioclavicular joint subluxations tend to occur in young active males. Use of the coracoid process either as a transfer in recurrent instability or in suspensory reconstructions of the coracoclavicular ligaments have gained popularity. However this requires careful consideration in the event of concomitant injuries if they both require surgery.

  18. The Joint International Conference of the XII International Conference on Mechanisms and Mechanical Transmissions (MTM) and the XXIII International Conference on Robotics (Robotics ’16)

    CERN Document Server

    Lovasz, Erwin-Christian; Hüsing, Mathias; Maniu, Inocentiu; Gruescu, Corina

    2017-01-01

    This volume presents the proceedings of the Joint International Conference of the XII International Conference on Mechanisms and Mechanical Transmissions (MTM) and the XXIII International Conference on Robotics (Robotics ’16), that was held in Aachen, Germany, October 26th-27th, 2016. It contains applications of mechanisms and transmissions in several modern technical fields such as mechatronics, biomechanics, machines, micromachines, robotics and apparatus. In connection with these fields, the work combines the theoretical results with experimental testing. The book presents reviewed papers developed by researchers specialized in mechanisms analysis and synthesis, dynamics of mechanisms and machines, mechanical transmissions, biomechanics, precision mechanics, mechatronics, micromechanisms and microactuators, computational and experimental methods, CAD in mechanism and machine design, mechanical design of robot architecture, parallel robots, mobile robots, micro and nano robots, sensors and actuators in ro...

  19. Optimal Joint Detection and Estimation That Maximizes ROC-Type Curves.

    Science.gov (United States)

    Wunderlich, Adam; Goossens, Bart; Abbey, Craig K

    2016-09-01

    Combined detection-estimation tasks are frequently encountered in medical imaging. Optimal methods for joint detection and estimation are of interest because they provide upper bounds on observer performance, and can potentially be utilized for imaging system optimization, evaluation of observer efficiency, and development of image formation algorithms. We present a unified Bayesian framework for decision rules that maximize receiver operating characteristic (ROC)-type summary curves, including ROC, localization ROC (LROC), estimation ROC (EROC), free-response ROC (FROC), alternative free-response ROC (AFROC), and exponentially-transformed FROC (EFROC) curves, succinctly summarizing previous results. The approach relies on an interpretation of ROC-type summary curves as plots of an expected utility versus an expected disutility (or penalty) for signal-present decisions. We propose a general utility structure that is flexible enough to encompass many ROC variants and yet sufficiently constrained to allow derivation of a linear expected utility equation that is similar to that for simple binary detection. We illustrate our theory with an example comparing decision strategies for joint detection-estimation of a known signal with unknown amplitude. In addition, building on insights from our utility framework, we propose new ROC-type summary curves and associated optimal decision rules for joint detection-estimation tasks with an unknown, potentially-multiple, number of signals in each observation.

  20. The role of molecular pain biomarkers in temporomandibular joint internal derangement.

    Science.gov (United States)

    Ernberg, M

    2017-06-01

    There is evidence that low-grade inflammation may be responsible for pain and development of degenerative changes in temporomandibular joint internal derangement. This article reviews the current knowledge of the molecular mechanisms behind TMJ internal derangements. A non-systematic search was carried out in PubMed, Embase and the Cochrane library for studies regarding pathophysiological mechanisms behind internal derangements focusing on pain-mediating inflammatory and cartilage-degrading molecules. Recent data suggest that release of cytokines may be the key event for pain and cartilage destruction in TMJ internal derangements. Cytokines promote the release of matrix metalloproteinases (MMPs), and due to hypoxia, vascular endothelial growth factor (VEGF) is released. This activates chondrocytes to produce MMPs and reduce their tissue inhibitors (TIMPs) as well as the recruitment of osteoclasts, ultimately leading to cartilage and bone resorption. Also, proteoglycans have an important role in this process. Several cytokines, MMPs, TIMPs and VEGF have been identified in higher concentrations in the TMJ synovial fluid of patients with painful internal derangements and shown to be associated with the degree of degeneration. Other molecules that show elevated levels include hyaluronic acid synthase, disintegrin and metalloproteinase with thrombospondin motifs (ADAMTs), aggrecan, fibromodulin, biglycan and lumican. Taken together, more or less pronounced inflammation of TMJ structures with release of cytokines, MMPs and other molecular markers that interact in a complex manner may be responsible for tissue degeneration in internal derangements. As internal derangements may be symptom-free, the degree of inflammation, but also other mechanisms, may be important for pain development. © 2017 John Wiley & Sons Ltd.

  1. IRS Guidelines: Joint IAEA/NEA International Reporting System for Operating Experience

    International Nuclear Information System (INIS)

    2010-01-01

    The International Reporting System for Operating Experience (IRS) is an international system jointly operated by the International Atomic Energy Agency (IAEA) and the OECD Nuclear Energy Agency (OECD/NEA). The fundamental objective of the IRS is to contribute to improving the safety of commercial nuclear power plants which are operated worldwide. This objective can be achieved by providing timely and detailed information on lessons learned from operating and construction experience at the international level. This information could be related to issues and events that are related to safety. The purpose of these guidelines is to describe the system and to give users the necessary background and guidance to enable them to produce IRS reports meeting a high standard of quality while retaining the effectiveness of the system expected by all Member States operating nuclear power plants. As this system is owned by the Member States, the IRS Guidelines have been developed and approved by the IRS National Co-ordinators with the assistance of both Secretariats (IAEA/NEA).

  2. Features that exacerbate fatigue severity in joint hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type.

    Science.gov (United States)

    Krahe, Anne Maree; Adams, Roger David; Nicholson, Leslie Lorenda

    2018-08-01

    To assess the prevalence, severity and impact of fatigue on individuals with joint hypermobility syndrome (JHS)/Ehlers-Danlos syndrome - hypermobility type (EDS-HT) and establish potential determinants of fatigue severity in this population. Questionnaires on symptoms and signs related to fatigue, quality of life, mental health, physical activity participation and sleep quality were completed by people with JHS/EDS-HT recruited through two social media sites. Multiple regression analysis was performed to identify predictors of fatigue in this population. Significant fatigue was reported by 79.5% of the 117 participants. Multiple regression analysis identified five predictors of fatigue severity, four being potentially modifiable, accounting for 52.3% of the variance in reported fatigue scores. Predictors of fatigue severity were: the self-perceived extent of joint hypermobility, orthostatic dizziness related to heat and exercise, levels of participation in personal relationships and community, current levels of physical activity and dissatisfaction with the diagnostic process and management options provided for their condition. Fatigue is a significant symptom associated with JHS/EDS-HT. Assessment of individuals with this condition should include measures of fatigue severity to enable targeted management of potentially modifiable factors associated with fatigue severity. Implications for rehabilitation Fatigue is a significant symptom reported by individuals affected by joint hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type. Potentially modifiable features that contribute to fatigue severity in this population have been identified. Targeted management of these features may decrease the severity and impact of fatigue in joint hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type.

  3. Temporomandibular joint and muscle disorder-type pain and comorbid pains in a national US sample.

    Science.gov (United States)

    Plesh, Octavia; Adams, Sally H; Gansky, Stuart A

    2011-01-01

    To compare prevalences of self-reported comorbid headache, neck, back, and joint pains in respondents with temporomandibular joint and muscle disorder (TMJMD)-type pain in the 2000-2005 US National Health Interview Survey (NHIS), and to analyze these self-reported pains by gender and age for Non-Hispanic (NH) Whites (Caucasians), Hispanics, and NH Blacks (African Americans). Data from the 2000-2005 NHIS included information on gender, age, race, ethnicity, education, different common types of pain (specifically TMJMD-type, severe headache/migraine, neck, and low back pains), changes in health status, and health care utilization. Estimates and test statistics (ie, Pearson correlations, regressions, and logistic models) were conducted using SAS survey analysis and SUDAAN software that take into account the complex sample design. A total of 189,977 people (52% female and 48% males, 73% NH Whites, 12% Hispanic, 11% NH Blacks, and 4% "Other") were included. A total of 4.6% reported TMJMD-type pain, and only 0.77% overall reported it without any comorbid headache/migraine, neck, or low back pains; also 59% of the TMJMD-type pain (n = 8,964) reported ⋝ two comorbid pains. Females reported more comorbid pain than males (odds ratio [OR] = 1.41, P neck pain, 64% low back pain, and 62% joint pain. Differences in gender and race by age patterns were detected. For females, headache/migraine pain with TMJMD-type pain peaked around age 40 and decreased thereafter regardless of race/ethnicity. Neck pain continued to increase up to about age 60, with a higher prevalence for Hispanic women at younger ages, and more pronounced in males, being the highest in the non-Whites. Low back pain was higher in Black and Hispanic females across the age span, and higher among non-White males after age 60. Joint pain demonstrated similar patterns by race/ethnicity, with higher rates for Black females, and increased with age regardless of gender. TMJMD-type pain was most often associated with

  4. Damage mechanism of piping welded joints made from austenitic Steel for the type RBMK reactor

    International Nuclear Information System (INIS)

    Karzov, G.; Timofeev, B.; Gorbakony, A.; Petrov, V.; Chernaenko, T.

    1999-01-01

    In the process of operation of RBMK reactors the damages were taking place on welded piping, produced from austenitic stainless steel of the type 08X18H10T. The inspection of damaged sections in piping has shown that in most cases crack-like defects are of corrosion and mechanical character. The paper considers in details the reasons of damages appearance and their development for this type of welded joints of downcomers 325xl6 mm, which were fabricated from austenitic stainless steel using TlG and MAW welding methods. (author)

  5. Neurodevelopmental attributes of joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type: Update and perspectives.

    Science.gov (United States)

    Ghibellini, Giulia; Brancati, Francesco; Castori, Marco

    2015-03-01

    In the last decade, increasing attention has been devoted to the extra-articular and extra-cutaneous manifestations of joint hypermobility syndrome, also termed Ehlers-Danlos syndrome, hypermobility type (i.e., JHS/EDS-HT). Despite the fact that the current diagnostic criteria for both disorders remain focused on joint hypermobility, musculoskeletal pain and skin changes, medical practice and research have started investigating a wide spectrum of visceral, neurological and developmental complications, which represent major burdens for affected individuals. In particular, children with generalized joint hypermobility often present with various neurodevelopmental issues and can be referred for neurological consultation. It is common that investigations in these patients yield negative or inconsistent results, eventually leading to the exclusion of any structural neurological or muscle disorder. In the context of specialized clinics for connective tissue disorders, a clear relationship between generalized joint hypermobility and a characteristic neurodevelopmental profile affecting coordination is emerging. The clinical features of these patients tend to overlap with those of developmental coordination disorder and can be associated with learning and other disabilities. Physical and psychological consequences of these additional difficulties add to the chief manifestations of the pre-existing connective tissue disorder, affecting the well-being and development of children and their families. In this review, particular attention is devoted to the nature of the link between joint hypermobility, coordination difficulties and neurodevelopmental issues in children. Presumed pathogenesis and management issues are explored in order to attract more attention on this association and nurture future clinical research. © 2015 Wiley Periodicals, Inc.

  6. Surgical treatment for diffused-type giant cell tumor (pigmented villonodular synovitis) about the ankle joint.

    Science.gov (United States)

    Li, Xingchen; Xu, Yang; Zhu, Yuan; Xu, Xiangyang

    2017-11-14

    Diffused-type giant cell tumor(Dt-GCT) is a rare, aggressive disorder of the joint synovium, bursa and tendon sheaths. Osseous erosions and subchondral cysts may develop as the result of synovium infiltration in Dt-GCT. We present a retrospective study of a series of patients who are diagnosed with Dt-GCT about the ankle joint, there clinical outcome is evaluated in this study. Fifteen patients with radiologically and histologically confirmed Dt-GCT about the ankle joint were identified in our foot and ankle department. Patients were managed with open synovectomy for the tumor tissue and bone grafting for bony erosions. X-rays and MRI scans were used for evaluation of the tumor and bony erosions pre- and post-operatively. Pre- and post-operative ankle function was assessed using the American Orthopedic Foot and Ankle Society -Ankle and Hindfoot (AOFAS-AH) score and the Muscularskeletal Tumor Society (MSTS) score. The mean follow-up duration was 37.4 months (range 25 to 50 months). There were 6 males and 9 females, with a mean age of 35 years old (range 18 to 65 years). All patients had talar erosion with the average size of 10.1*9.1*8.2 mm, distal tibia was affected in 5 patients with the average size of 6.2*5.6*5.8 mm. 7 patients had tendon involvement, 2 patients had recurrence and progression of ankle osteoarthritis. Both of them underwent ankle fusion. At the time of last follow-up, the mean AOFAS-AH score increased from 49 to 80 points (p ankle joint. Fusion is recommended for failed and severe cartilage destruction of the ankle joint.

  7. 'Soft' human resource management in small international joint ventures:Cases from the Danish-Vietnamese context

    OpenAIRE

    Dao, Li

    2012-01-01

    This paper examines the value creation aspects of HRM in international joint ventures of a relatively small size and their implications for strategic management. We assume that HRM in this context is rather a process than a function, and a ‘soft’ – humanistic rather than a ‘hard’, instrumentalist managerial approach. Using cases from a modest sample of Danish – Vietnamese joint ventures, we propose that HRM is significantly associated with creating a healthy and adaptive environment for mutua...

  8. FY 2000 report on the project on the researcher dispatch type international joint research survey. Survey of the internationalization of research on the effective utilization technology for energy resources; 2000 nendo kenkyusha hakengata kokusai kyodo kenkyu chosa jigyo hokokusho. Energy shigen yukoriyo gijutsu kenkyu kokusaika chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    As to themes of the research survey which contribute to upgrading/diversification of the effective utilization of energy resources and are important in increasing cooperative relations with overseas countries, survey research was conducted by dispatching investigators. Relating to long-life Si solar cells, research survey was made on the reduction in deterioration of solar cell. Concerning the hydrogen carbonless energy system, the economical efficiency of a natural energy/hydrogen combined system was studied for all areas of Aomori prefecture. About the development of the multiple chamber type artificial pancreas for patients with serious diabetes, study using model dogs was investigated. As to the processing of PVC waste, the mechano-chemical method was discussed in the U.S. The paper further surveyed the following: PDE application to the aerospace field, joint developmental study of the reuse type space transport system by Japan and Russia, treatment/recycling of the electric/electronic equipment waste including toxic substances, technology of the manufacture of nano-particles and evaluation of optical characteristics of nano-structures, etc. (NEDO)

  9. Kinematics and Dynamics Analysis of a 3-DOF Upper-Limb Exoskeleton with an Internally Rotated Elbow Joint

    Directory of Open Access Journals (Sweden)

    Xin Wang

    2018-03-01

    Full Text Available The contradiction between self-weight and load capacity of a power-assisted upper-limb exoskeleton for material hanging is unresolved. In this paper, a non-anthropomorphic 3-degree of freedom (DOF upper-limb exoskeleton with an internally rotated elbow joint is proposed based on an anthropomorphic 5-DOF upper-limb exoskeleton for power-assisted activity. The proposed 3-DOF upper-limb exoskeleton contains a 2-DOF shoulder joint and a 1-DOF internally rotated elbow joint. The structural parameters of the 3-DOF upper-limb exoskeleton were determined, and the differences and singularities of the two exoskeletons were analyzed. The workspace, the joint torques and the power consumption of two exoskeletons were analyzed by kinematics and dynamics, and an exoskeleton prototype experiment was performed. The results showed that, compared with a typical anthropomorphic upper-limb exoskeleton, the non-anthropomorphic 3-DOF upper-limb exoskeleton had the same actual workspace; eliminated singularities within the workspace; improved the elbow joint force situation; and the maximum elbow joint torque, elbow external-flexion/internal-extension and shoulder flexion/extension power consumption were significantly reduced. The proposed non-anthropomorphic 3-DOF upper-limb exoskeleton can be applied to a power-assisted upper-limb exoskeleton in industrial settings.

  10. Difficulty eating and significant weight loss in joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type.

    Science.gov (United States)

    Baeza-Velasco, Carolina; Van den Bossche, Thomas; Grossin, Daniel; Hamonet, Claude

    2016-06-01

    Joint Hypermobility Syndrome, also known as Ehlers-Danlos Syndrome Hypermobility Type (JHS/EDS-HT), is a heritable disorder of connective tissue, common but poorly known by the medical community. Although generalized joint hypermobility and fragility of tissues have been described as core features, recent research highlights the multisystemic nature of JHS/EDS-HT, which presents with a wide range of articular and extra-articular symptoms. Among these, gastrointestinal problems, temporomandibular disorders, and smell and taste abnormalities are common among those affected, having significant implications for eating. The present work reviews the literature linking JHS/EDS-HT and eating problems. Two illustrative case reports, in which JHS/EDS-HT manifestations contribute to developing and maintaining disturbed eating behaviors and significant weight loss, are presented.

  11. Statistical inferences with jointly type-II censored samples from two Pareto distributions

    Science.gov (United States)

    Abu-Zinadah, Hanaa H.

    2017-08-01

    In the several fields of industries the product comes from more than one production line, which is required to work the comparative life tests. This problem requires sampling of the different production lines, then the joint censoring scheme is appeared. In this article we consider the life time Pareto distribution with jointly type-II censoring scheme. The maximum likelihood estimators (MLE) and the corresponding approximate confidence intervals as well as the bootstrap confidence intervals of the model parameters are obtained. Also Bayesian point and credible intervals of the model parameters are presented. The life time data set is analyzed for illustrative purposes. Monte Carlo results from simulation studies are presented to assess the performance of our proposed method.

  12. Chewing movements altered in the presence of temporomandibular joint internal derangements.

    Science.gov (United States)

    Radke, John C; Kull, Robert S; Sethi, Manminder S

    2014-07-01

    The objectives were to find specific factors that are mathematically distinct between the chewing timings, movement pattern shapes, variability, and movement velocities of: (1) normal asymptomatic subjects and (2) a group of subjects with verified temporomandibular joint (TMJ) internal derangements. Left- and right-sided chewing movement recordings of 28 subjects (34.5 ± 14.0 years) were randomly selected from a large database of patients exhibiting verified unilateral or bilateral TMJ internal derangements. The chewing movements of an age- and gender-matched control group of 20 asymptomatic subjects (32.5 ± 11.6 years, P>0.60) with verified normal TMJ function were also recorded. Means and standard deviations of the opening, closing, turning point, terminal chewing position, and velocity patterns were calculated. A two-tailed Student's t-test with unequal variances was used to compare the parameters between the two groups (alpha = 0.05). The dysfunctional group functioned significantly slower and with greater variability than the control group. The vertical dimension was consistently smaller in the dysfunctional group (Pchewing position was significantly less precise in the dysfunctional group (vertical: Pchewing patterns than the control group. The functional pattern of mastication appears to be significantly altered in the presence of an internal derangement of the TMJ.

  13. Radiographic evaluation of cervical spine of subjects with temporomandibular joint internal disorder.

    Science.gov (United States)

    Munhoz, Wagner Cesar; Marques, Amélia Pasqual; Siqueira, José Tadeu Tesseroli de

    2004-01-01

    Although the etiopathophysiology of internal temporomandibular joint internal disorders (TMJ ID) is still unknown, it has been suggested that head and body posture could be related to its initial onset, development and perpetuation. The purpose of the present study was to observe the relationship between cervical spine X-ray abnormalities and TMJ ID. This investigation evaluated 30 subjects with internal TMJ disorder symptoms (test group) and 20 healthy subjects (control group). Subjects were submitted to clinical and radiographic evaluation. Clinical evaluation comprised anamnesis and stomatognathic system physical examination. Radiographic evaluation comprised analysis of lateral cervical spine X-rays by three physical therapists and tracing on the same images. The test group presented twice as much cervical spine hyperlordosis as the control group (20.7% versus 10.5%), but almost half of rectification prevalence (41.4 versus 79.0%, p = 0.03). After that, the test group was divided into three subgroups according to TMJ dysfunction severity, evaluated by Helkimo's index. These subgroups were not significantly different, but the subgroup with more severe TMD showed a tendency to cervical spine hyperlordosis prevalence. Results showed a tendency for subjects with more severe TMD to exhibit cervical spine hyperlordosis. Nevertheless, studies with a larger number of subjects suffering from severe TMD are encouraged in order to corroborate the present findings.

  14. Quantification of disc displacement in internal derangement of the temporomandibular joint using magnetic resonance imaging.

    Science.gov (United States)

    Arayasantiparb, Raweewan; Tsuchimochi, Makoto

    2010-02-01

    Many measures have been developed to determine the extent of disc displacement in internal derangements of the temporomandibular joint (TMJ) using magnetic resonance imaging. The purpose of this study was to develop a quantitative method of analyzing disc position and to evaluate the positions of the disc in internal derangements of the TMJ (group 1, with reduction; group 2, without reduction). Magnetic resonance images of 150 TMJs in 20 healthy volunteers and 55 patients with internal derangements were evaluated. The anatomical points of interest of the TMJ, including the anterior (DA) and posterior (DP) points of the disc, were marked on parasagittal magnetic resonance images of the TMJ disc taken in both the closed- and the open-mouth positions. All points were recorded using an x-y coordinate system, with reference to a referral line. In the closed-mouth position, the DP in patients in group 1 was situated in a more-anterior direction than the DP in volunteers. The DP in group 2 was located further anterior and inferior than the DP in group 1. However, the position of the DA did not differ between group 1 and group 2. In the open-mouth position, the DP was displaced anteroinferiorly to a greater extent in group 2 than in group 1 (one-way ANOVA, followed by Scheffe's test; P displaced TMJ discs revealed no significant difference. In conclusion, most of our results quantitatively support previously reported findings in imaging, surgical, and histopathological studies of TMJ internal derangement. We suggest that our measure of disc position of the TMJ would be useful to assess the status and response to treatment of internal derangements of the TMJ.

  15. Effect of welding processes on the impression creep resistance of type 316 LN stainless steel weld joints

    International Nuclear Information System (INIS)

    Vasudevan, M.; Vasantharaja, P.; Sisira, P.; Divya, K.; Ganesh Sundara Raman, S.

    2016-01-01

    Type 316 LN stainless steel is the major structural material used in the construction of fast breeder reactors. Activated Tungsten Inert Gas (A-TIG) welding , a variant of the TIG welding process has been found to enhance the depth of penetration significantly during autogenous welding and also found to enhance the creep rupture life in stainless steels. The present study aims at comparing the effect of TIG and A-TIG welding processes on the impression creep resistance of type 316 LN stainless steel base metal, fusion zone and heat affected zone (HAZ) of weld joints. Optical and TEM have been used to correlate the microstructures with the observed creep rates of various zones of the weld joints. Finer microstructure and higher ferrite content was observed in the TIG weld joint fusion zone. Coarser grain structure was observed in the HAZ of the weld joints. Impression creep rate of A-TIG weld joint fusion zone was almost equal to that of the base metal and lower than that of the TIG weld joint fusion zone. A-TIG weld joint HAZ was found to have lower creep rate compared to that of conventional TIG weld joint HAZ due to higher grain size. HAZ of the both the weld joints exhibited lower creep rate than the base metal. (author)

  16. Evaluation of Patient-Oriented Standards of Joint Commission International in Gilan and Mazandaran Teaching Hospitals

    Directory of Open Access Journals (Sweden)

    Ghaseminejhad

    2016-08-01

    Full Text Available Background Medical tourism, a multi-million-dollar industry, has had a significant effect in economic flourishing, creating jobs, and preventing the outflow of currency. Objectives The aim of this study was to evaluate teaching hospitals affiliated to Gilan and Mazandaran University of Medical Sciences, according to joint commission international (JCI standards. Methods This was a descriptive cross sectional study conducted among teaching hospitals affiliated to Gilan and Mazandaran University of Medical Sciences during year 2015. To collect data and evaluate the hospitals, patient-oriented standards of JCI was applied. Results Amongst the eight standards, international patient safety goals (IPSG (with a score of 87.5% had the highest, and patient and family education (PFE (with a score of 53.75% had the lowest score. Hospital “4” with a score of 90.41%, had the highest, and hospital “7” with 58.90%, had the lowest rate of compliance to the standards. According to the Mann-Whitney test, the observed statistics considering a P value of ≤ 0.05 level, was not significant, therefore on a 95% certainty level, there was no significant difference between hospitals in Gilan and Mazandaran, regarding compliance with standards. Overall, the hospitals under study were relatively prepared for attracting medical tourists. Conclusions According to the results, it seems that more planning and implementation of projects is required to strengthen the axes of the joint commission regarding accreditation of hospitals and attraction of medical tourists to these centers, especially foreign tourists. Researchers are recommended to pay special attention to the university of medical sciences of two provinces for the establishment of standards and utilization of professional consultants.

  17. Pneumatic-type dynamic traction and flexion splint for treating patients with extension contracture of the metacarpophalangeal joint.

    Science.gov (United States)

    Nakayama, Jun; Horiki, Mituru; Denno, Kakurou; Ogawa, Kazunori; Oka, Hisao; Domen, Kazuhisa

    2016-02-01

    Collateral ligament shortening causes extension contractures of the metacarpophalangeal joint, and dynamic flexion splinting has been widely used to treat these contractures; however, there are various problems with these approaches. We developed a novel, pneumatic-type dynamic traction and flexion splint to solve these problems. A total of 25 fingers were treated with the dynamic traction and flexion splint for 8 weeks. Every 2 weeks, the average metacarpophalangeal joint flexion angle, total active motion, grasp strength, and pain scores were assessed. The finger flexion angle was significantly greater at the final evaluation, starting after 6 weeks of treatment (p < 0.05), than prior to treatment. Similarly, the total active motion results improved significantly over 8 weeks. Our results show that use of the dynamic traction and flexion splint improves patient finger functioning and flexural angle. The dynamic traction and flexion (DTF) splint appears to be effective for treating patients. © The International Society for Prosthetics and Orthotics 2015.

  18. Simulation Study on Multipassed Welding Distortion of Combined Joint Types using Thermo-Elastic-Plastic FEM

    Directory of Open Access Journals (Sweden)

    RN Lidam

    2012-12-01

    Full Text Available This paper investigates the angular distortion induced by the gas metal arc welding (GMAW process on the combined butt and T-joint with a thickness of 9 mm. The material used in this study was low manganese carbon steel S355J2G3. A 2-D and 3-D thermo-elastic-plastic finite element (FE analysis has been developed to simulate the induced distortion of multipassed welding. In this research, SYSWELD 2010 with its computation management tool, known as multipassed welding advisor (MPA, was applied to analyze the distortion behavior of combined joint types. To model the heat source of GMAW, Goldak's double ellipsoid representation, which is available within this finite element analysis (FEA code was selected. Prior to the results discussion, this paper also shows the step-bystep procedures to simulate combined jointing which begins with metallurgical and customized heat source modeling, and is followed by creating geometrical mesh using Visual-Mesh 6.5 for analyzing and processing the results. Apart from 2-D and 3-D comparison analysis, the final objective of this research is also aimed to be a baseline study to provide preliminary information in preparing the tools and equipment for experimental investigation.

  19. Synovial deposition of wild-type transthyretin-derived amyloid in knee joint osteoarthritis patients.

    Science.gov (United States)

    Takanashi, Tetsuo; Matsuda, Masayuki; Yazaki, Masahide; Yamazaki, Hideshi; Nawata, Masashi; Katagiri, Yoshiki; Ikeda, Shu-Ichi

    2013-09-01

    To investigate histological features of deposited amyloid in the synovial tissue and its clinical significance in knee joint osteoarthritis (OA) patients. We prospectively enrolled 232 consecutive patients who underwent arthroplasty or total replacement of the knee joint for treatment of OA. Congo red staining and immunohistochemistry were performed in the synovial tissue obtained at surgery. When transthyretin (TTR)-derived amyloid was positive, we analyzed all 4 exons of the TTR gene using the direct DNA sequencing method in order to detect mutations. We analyzed 322 specimens in this study. Twenty-six specimens (8.1%) obtained from 21 patients (5 men and 16 women; mean, 79.0 ± 4.6 years) showed deposition of amyloid, which was positively stained with the anti-TTR antibody. Eighteen patients showed inhomogeneous accumulations of amyloid in the loose connective tissue under the synovial epithelia sometimes with nodule formation, while in the remaining three, small vessels in the adipose tissue were involved. Medical records of these patients revealed nothing remarkable in the clinical course, laboratory data or macroscopic intraarticular findings at surgery. No mutations were detectable in the TTR gene analysis. Wild-type TTR-derived amyloid may affect the synovial tissue as a result of long-term mechanical stress or as a part of senile systemic amyloidosis in approximately 8% of knee joint OA patients. No obvious clinical significance was found in synovial deposition of amyloid.

  20. PANCREATIC DIABETES TYPE 2 IN CHILDREN AND ADOLESCENTS: INTERNATIONAL RECOMMENDATIONS

    Directory of Open Access Journals (Sweden)

    O.V. Vasyukova

    2009-01-01

    Full Text Available Violent growth of type 2 diabetes mellitus (DM morbidity in children and adolescents is spread all around the world. Peculiarities of DM type 2 in this age group are: absence of determined diagnostic criteria, difficulty of differential diagnosis with DM type 1, early development of complications. International Society of Pediatric and Adolescent Diabetes propose Guideline of DM type 2 management, which consider main questions of diagnostics, treatment and prophylaxis of this disease. The agent of choice for treatment of DM type 2 in children upwards 10 years is metformin.Key words: children, diabetes mellitus type 2, diagnostics, treatment.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(2:49-53

  1. Three types of communication on internal social media:

    DEFF Research Database (Denmark)

    Madsen, Vibeke Thøis

    The aim of this paper is to explore to what extend internal social media introduces a new kind of participatory communication in organizations. The paper is based on two explorative studies: A multiple case study in ten Danish organizations and a single case study in a Danish bank. Based on the two...... studies it is proposed that it is possible to distinguish between three different types of communication arenas created by internal social media: A quiet arena, a knowledge sharing arena and a participatory communication arena. Internal social media does not in itself introduce participatory communication....... Different levels of communication might be reached in different types of organizations, and it is only when coworkers perceive a license to critique that organizations will actually develop participatory communication that has the ability to move the organization....

  2. Achievement report for fiscal 1999. FS surveys to excavate international joint research seeds; 1999 nendo kokusai kyodo kenky seeds hakkutsu no tame no FS chosa seika hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    The FS surveys to excavate international joint research seeds are intended to promote international joint researches, whereas surveys have been carried out in fiscal 1999 on eight themes covering as wide scope as new energies, resource conservation, energy conservation, environment preservation, functional materials, information communication technologies, and bio-technologies. The eight themes are: researches on energy conservation in petroleum and petrochemical industries by using advanced distillation processes (to develop an internal heat exchange type distillation column, and realize energy conservation exceeding the minimum reflux status being the limitation of conventional energy saving means), researches on treatment of hard-to-decompose chemical substances by utilizing surface reformation by means of discharge, a new process monitoring technology (process tomography), establishment of human immortalization cells due to co-manifestation of mortalin and telomerase and elucidation of their structure, a remote maintenance technology using integrated type sensors, application of new heat resistant plastics to photo and electronic materials, preparation processes of petroleum catalysts utilizing in situ XAFS, elucidation and design of the structure of the ultra-micro metal activation point in the reaction process, and surveys on necessity of developing a continuous and massive separation system of high-level energy and resource saving type using liquid-liquid distribution. (NEDO)

  3. Paired organs--Should they be treated jointly or separately in internal dosimetry?

    Energy Technology Data Exchange (ETDEWEB)

    Parach, Ali-Asghar; Rajabi, Hossein; Askari, Mohammad-Ali [Department of Medical Physics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran-Iran (Iran, Islamic Republic of)

    2011-10-15

    Purpose: Size, shape, and the position of paired organs are different in abdomen. However, the counterpart organs are conventionally treated jointly together in internal dosimetry. This study was performed to quantify the difference of specific absorbed fraction of organs in considering paired organs jointly like single organs or as two separate organs. Methods: Zubal phantom and GATE Monte Carlo package were used to calculate the SAF for the self-absorption and cross-irradiation of the lungs, kidneys, adrenal glands (paired organs), liver, spleen, stomach, and pancreas (single organs). The activity was assumed uniformly distributed in the organs, and simulation was performed for monoenergetic photons of 10, 50, 100, 500, 1000 keV and mono-energetic electrons of 350, 500, 690, 935, 1200 keV. Results: The results demonstrated that self-absorption of left and right counterpart organs may be different depending upon the differences in their masses. The cross-irradiations between left-to-right and right-to-left counterpart organs are always equal irrespective of difference in their masses. Cross-irradiation from the left and right counterpart organs to other organs are different (4-24 times in Zubal phantom) depending on the photon energy and organs. The irradiation from a single source organ to the left and right counterpart paired organs is always different irrespective of activity concentration. Conclusions: Left and right counterpart organs always receive different absorbed doses from target organs and deliver different absorbed doses to target organs. Therefore, in application of radiopharmaceuticals in which the dose to the organs plays a role, counterpart organs should be treated separately as two separate organs.

  4. Paired organs--Should they be treated jointly or separately in internal dosimetry?

    International Nuclear Information System (INIS)

    Parach, Ali-Asghar; Rajabi, Hossein; Askari, Mohammad-Ali

    2011-01-01

    Purpose: Size, shape, and the position of paired organs are different in abdomen. However, the counterpart organs are conventionally treated jointly together in internal dosimetry. This study was performed to quantify the difference of specific absorbed fraction of organs in considering paired organs jointly like single organs or as two separate organs. Methods: Zubal phantom and GATE Monte Carlo package were used to calculate the SAF for the self-absorption and cross-irradiation of the lungs, kidneys, adrenal glands (paired organs), liver, spleen, stomach, and pancreas (single organs). The activity was assumed uniformly distributed in the organs, and simulation was performed for monoenergetic photons of 10, 50, 100, 500, 1000 keV and mono-energetic electrons of 350, 500, 690, 935, 1200 keV. Results: The results demonstrated that self-absorption of left and right counterpart organs may be different depending upon the differences in their masses. The cross-irradiations between left-to-right and right-to-left counterpart organs are always equal irrespective of difference in their masses. Cross-irradiation from the left and right counterpart organs to other organs are different (4-24 times in Zubal phantom) depending on the photon energy and organs. The irradiation from a single source organ to the left and right counterpart paired organs is always different irrespective of activity concentration. Conclusions: Left and right counterpart organs always receive different absorbed doses from target organs and deliver different absorbed doses to target organs. Therefore, in application of radiopharmaceuticals in which the dose to the organs plays a role, counterpart organs should be treated separately as two separate organs.

  5. Carbon and prospective: international colloquium jointly organized by the prospective modeling chair and ETSAP

    International Nuclear Information System (INIS)

    Maizi, N.; Hourcade, J.Ch.; Selosse, S.

    2009-01-01

    The inauguration of the prospective modeling chair in favour of sustainable development is the result of the joint effort of several schools, organizations and companies, in particular: Mines ParisTech, Ponts ParisTech, Agro ParisTech, the higher education and research pole of ParisTech, the Ecole des Ponts foundation, the mineral, mining and metallurgic industries foundation (FI3M), with the partnership of Ademe, EdF, Renault, Schneider Electric and Total. The main goal of this chair is to perpetuate modeling tools with sustainable development stakes. The scientific program and the expertise of this chair are based on the joint and complementary experience of its two co-founder research teams in the domain of long-term prospective of energy, economy and environment-related questions: the applied mathematics centre (CMA - Mines ParisTech) and the international centre of environment and sustainable development research (CIRED). An inaugural colloquium was organized at the occasion of the launching of this chair. During round tables, representatives of the different intervening parties explained the stakes of this huge project and their expectations, in particular from the scientific, economical and societal point of view. A workshop on the topic 'carbon and prospective' followed the round tables. Six presentations were given about the following topics: energy policy scenarios for 2050 (Moncomble, J.E.), the shadow price of carbon (Chambolle T.), mitigation targets and carbon values: insights from TIMES-FR (Assoumou E.), climate protection and infrastructures (Sassi O.), China's energy and carbon options (Wenying C.), EU 20-20 policy implications on the energy system of Germany - an analysis with TIMES PanEU (Blesl M.). This book gathers the proceedings of both parts of this colloquium, the debates during the round tables (in French) and the presentations given during the workshop (in English). (J.S.)

  6. MRI of the internal derangement of temporomandibular joint: Comparison with arthrographic and operation

    International Nuclear Information System (INIS)

    Kim, Mi Hye; Kim, Dong Ik; Kim, Hyung Gon; Suh, Jung Ho; Jung, Tae Sub

    1993-01-01

    We retrospectively reviewed the MRI findings of 100 temporomandibular joints in 78 patients who had complained temporomandibular joint dysfunction. MRI findings were classified according to Wilke's staging criteria. And these findings were compared with arthographic findings in 22 joint and surgical findings in 44 joints. According to Wilke's staging, they were classified into 6 stages of abnormality: stage 0 (33 cases), stage I (19 cases), stage II (10 cases), stage III (18 cases), stage IV (6 cases), stage V (14 cases). Among the 22 cases in which arthography and MRI were done, both studies were well correlated in 10 joints. In 7 joints, MRI was superior to arthography, which correctly demonstrated the meniscal displacement in 2 joints and meniscal deformity in 5 joints. In 5 joints, arthography was superior to MR, which demonstrated the perforation (1 joint), adhesion (2 joints) and recapture of meniscus (2 joints). Compared with surgical findings, MRI correctly demonstrated the displacement of meniscus in all 44 joints. However, in case of the 10 meniscal perforation, MRI demonstrated the meniscal discontinuity in only 4 joints. Retrospective MR findings in 10 proven cases were the defect in posterior attachment in 4, far anterior meniscal displacement without recapture in 8, condylar spur in 4, and close bone to bone contact in 1. In conclusion, MRI as a primary diagnostic modality of temporomandibular joint derangement, is superior for the grading of displacement and deformity of meniscus but inferior for the evaluation of perforation, adhesion and recapture of meniscus to conventional arthrography. In case of the suspected meniscal perforation, arthrographic correlation is recommended preoperatively

  7. Intra-articular calcaneal fractures: effect of open reduction and internal fixation on the contact characteristics of the subtalar joint.

    Science.gov (United States)

    Mulcahy, D M; McCormack, D M; Stephens, M M

    1998-12-01

    Intra-articular calcaneal fractures are associated with significant long-term morbidity, and considerable controversy exists regarding the optimum method of treating them. The contact characteristics in the intact subtalar joint were determined at known loads and for different positions of the ankle and subtalar joint, using pressure-sensitive film (Super Low; Fuji, Itochu Canada Ltd, Montreal, Quebec). We measured the contact area to joint area ratio (pressure > 5 kg force/cm2 [kgf/cm2]) which normalizes for differences in joint size and the ratio of high pressure zone (>20 kgf/cm2) as a reflection of overall increase in joint pressure. Three simulated fracture patterns were then created and stabilized with either 1 or 2 mm of articular incongruity. Eight specimens were prepared with a primary fracture line through the posterior facet, eight with a joint depression-type fracture, and six with a central joint depression fracture. A measure of 1 to 2 mm of incongruity in the posterior facet for all three fracture patterns produced significant unloading of the depressed fragment, with a redistribution of the overall pattern of pressure distribution to parts of the facet that were previously unloaded.

  8. Machined and plastic copings in three-element prostheses with different types of implantabutment joints: a strain gauge comparative analysis

    Directory of Open Access Journals (Sweden)

    Renato Sussumu Nishioka

    2010-06-01

    Full Text Available OBJECTIVE: Using strain gauge (SG analysis, the aim of this in vitro study was quantify the strain development during the fixation of three-unit screw implant-supported fixed partial dentures, varying the types of implant-abutment joints and the type of prosthetic coping. The hypotheses were that the type of hexagonal connection would generate different microstrains and the type of copings would produce similar microstrains after prosthetic screws had been tightened onto microunit abutments. MATERIALS AND METHODS: Three dental implants with external (EH and internal (IH hexagonal configurations were inserted into two polyurethane blocks. Microunit abutments were screwed onto their respective implant groups, applying a torque of 20 Ncm. Machined Co-Cr copings (M and plastic prosthetic copings (P were screwed onto the abutments, which received standard wax patterns. The wax patterns were cast in Co-Cr alloy (n=5, forming four groups: G1 EH/M; G2 EH/P; G3 IH/M and G4 IH/P. Four SGs were bonded onto the surface of the block tangentially to the implants, SG 1 mesially to implant 1, SG 2 and SG 3 mesially and distally to implant 2, respectively, and SG 4 distally to implant 3. The superstructure's occlusal screws were tightened onto microunit abutments with 10 Ncm torque using a manual torque driver. The magnitude of microstrain on each SG was recorded in units of microstrain (µε. The data were analyzed statistically by ANOVA and Tukey's test (p0.05. The hypotheses were partially accepted. CONCLUSIONS: It was concluded that the type of hexagonal connection and coping presented similar mechanical behavior under tightening conditions.

  9. Reactive arthritis in relation to internal derangements of the temporomandibular joint: a case control study.

    Science.gov (United States)

    Lund, Bodil; Holmlund, Anders; Wretlind, Bengt; Jalal, Shah; Rosén, Annika

    2015-09-01

    The aim of this study was to find out if reactive arthritis was involved in the aetiology of chronic closed lock of the temporomandibular joint (TMJ) by looking for bacterial antigens in the synovial membrane of the TMJ, and by studying the antibody serology and carriage of human leucocyte antigen (HLA) B27 in patients with chronic closed lock. Patients with reciprocal clicking and healthy subjects acted as controls. We studied a total of 43 consecutive patients, 15 with chronic closed lock, 13 with reciprocal clicking, and 15 healthy controls with no internal derangements of the TMJ. Venous blood samples were collected from all subjects for measurement of concentrations of HLA tissue antigen and serology against Chlamydia trachomatis, Yersinia enterocolitica, Salmonella spp., Campylobacter jejuni, and Mycoplasma pneumoniae. Samples of synovial tissue from patients with closed lock and reciprocal clicking were obtained during discectomy and divided into two pieces, the first of which was tested by strand displacement amplification for the presence of C trachomatis, and the second of which was analysed for the presence of species-specific bacterial DNA using 16s rRNA pan-polymerase chain reaction (PCR). There were no significant differences between the groups in the incidence of antibodies against M pneumoniae, Salmonella spp. or Y enterocolitica. No patient had antibodies towards C trachomatis or C jejuni. We found no bacterial DNA in the synovial fluid from any patient. The HLA B27 antigen was present in 2/15 subjects in both the closed lock and control groups, and none in the reciprocal clicking group. In conclusion, reactive arthritis does not seem to be the mechanism of internal derangement of the TMJ. Copyright © 2015. Published by Elsevier Ltd.

  10. Treatment of Rockwood type III acromioclavicular joint dislocation using autogenous semitendinosus tendon graft and endobutton technique

    Directory of Open Access Journals (Sweden)

    Ye G

    2016-01-01

    Full Text Available Gang Ye, Chao-An Peng, Hua-Bin Sun, Jing Xiao, Kang Zhu Department of Orthopedics, the People’s Hospital of Huangpi District, Wuhan City, People’s Republic of China Background: The aim of this study was to evaluate the therapeutic effect of autogenous semitendinosus graft and endobutton technique, and compare with hook plate in treatment of Rockwood type III acromioclavicular (AC joint dislocation.Methods: From April 2012 to April 2013, we treated 46 patients with Rockwood type III AC joint dislocation. Patients were randomly divided into two groups: Group A was treated using a hook plate and Group B with autogenous semitendinosus graft and endobutton technique. All participants were followed up for 12 months. Radiographic examinations were performed every 2 months postoperatively, and clinical evaluation was performed using the Constant–Murley score at the last follow-up.Results: Results indicated that patients in Group B showed higher mean scores (90.3±5.4 than Group A (80.4±11.5 in terms of Constant–Murley score (P=0.001. Group B patients scored higher in terms of pain (P=0.002, activities (P=0.02, range of motion (P<0.001, and strength (P=0.004. In Group A, moderate pain was reported by 2 (8.7% and mild pain by 8 (34.8% patients. Mild pain was reported by 1 (4.3% patient in Group B. All patients in Group B maintained complete reduction, while 2 (8.7% patients in Group A experienced partial reduction loss. Two patients (8.7% encountered acromial osteolysis on latest radiographs, with moderate shoulder pain and limited range of motion.Conclusion: Autogenous semitendinosus graft and endobutton technique showed better results compared with the hook plate method and exhibited advantages of fewer complications such as permanent pain and acromial osteolysis. Keywords: Rockwood type III acromioclavicular joint dislocation, autogenous semitendinosus graft, endobutton, hook plate

  11. Mixed models approaches for joint modeling of different types of responses.

    Science.gov (United States)

    Ivanova, Anna; Molenberghs, Geert; Verbeke, Geert

    2016-01-01

    In many biomedical studies, one jointly collects longitudinal continuous, binary, and survival outcomes, possibly with some observations missing. Random-effects models, sometimes called shared-parameter models or frailty models, received a lot of attention. In such models, the corresponding variance components can be employed to capture the association between the various sequences. In some cases, random effects are considered common to various sequences, perhaps up to a scaling factor; in others, there are different but correlated random effects. Even though a variety of data types has been considered in the literature, less attention has been devoted to ordinal data. For univariate longitudinal or hierarchical data, the proportional odds mixed model (POMM) is an instance of the generalized linear mixed model (GLMM; Breslow and Clayton, 1993). Ordinal data are conveniently replaced by a parsimonious set of dummies, which in the longitudinal setting leads to a repeated set of dummies. When ordinal longitudinal data are part of a joint model, the complexity increases further. This is the setting considered in this paper. We formulate a random-effects based model that, in addition, allows for overdispersion. Using two case studies, it is shown that the combination of random effects to capture association with further correction for overdispersion can improve the model's fit considerably and that the resulting models allow to answer research questions that could not be addressed otherwise. Parameters can be estimated in a fairly straightforward way, using the SAS procedure NLMIXED.

  12. Critical temperature gradient length signatures in heat wave propagation across internal transport barriers in the Joint European Torus

    International Nuclear Information System (INIS)

    Casati, Alessandro; Mantica, P.; Eester, D. van; Hawkes, N.; De Vries, P.; Imbeaux, F.; Joffrin, E.; Marinoni, A.; Ryter, F.; Salmi, A.; Tala, T.

    2007-01-01

    New results on electron heat wave propagation using ion cyclotron resonance heating power modulation in the Joint European Torus (JET) [P. H. Rebut et al., Nucl. Fusion 25, 1011 (1985)] plasmas characterized by internal transport barriers (ITBs) are presented. The heat wave generated outside the ITB, and traveling across it, always experiences a strong damping in the ITB layer, demonstrating a low level of transport and loss of stiffness. In some cases, however, the heat wave is strongly inflated in the region just outside the ITB, showing features of convective-like behavior. In other cases, a second maximum in the perturbation amplitude is generated close to the ITB foot. Such peculiar types of behavior can be explained on the basis of the existence of a critical temperature gradient length for the onset of turbulent transport. Convective-like features appear close to the threshold (i.e., just outside the ITB foot) when the value of the threshold is sufficiently high, with a good match with the theoretical predictions for the trapped electron mode threshold. The appearance of a second maximum is due to the oscillation of the temperature profile across the threshold in the case of a weak ITB. Simulations with an empirical critical gradient length model and with the theory based GLF23 [R. E. Waltz et al., Phys. Plasmas, 4, 2482 (1997)] model are presented. The difference with respect to previous results of cold pulse propagation across JET ITBs is also discussed

  13. GREEN DIPLOMACY-A NEW TYPE OF INTERNATIONAL COOPERATION (II

    Directory of Open Access Journals (Sweden)

    Elena IFTIME

    2014-07-01

    Full Text Available We mention our attempt in a broader context reserved to a generous theme, of a great complexity and of a strict actuality that aims the planet’s health, of human and of other forms of living and nonliving forms of life. Particularly insisting on legal international coordinates of environmental protection and conservation, through which are being accomplished the valences of human’s right to a prosperous, healthy and ecologically balanced environment. This right occupies a central place among human rights, one of those essential gifts of nature to which no one should be detrimental to. It is considered to be a law of human solidarity consecrated by international and internal regulations, which involves in its content: the right to live in an unpolluted environment, which is not degraded by activities that can affect the environment, health, human welfare, sustainable development of society; the right to the highest medical care, unaffected by environmental degradation; right to a healthy working environment; right to benefit of durable usage of nature and its resources, the right to adequate water resources and food. This valences exercise of this right in the context of each state’s internal affairs, but especially in the life of international community, involves a new type of international cooperation suggestively called green diplomacy. It is a special form of the classical diplomacy, adapted to the specific and universality of environmental problems, particularly in the second half of the second century onwards. A diplomacy that seeks to harmonize the interests of a state and other’s interests along with the interests of every human being on the Planet, concerning the conservation and development of natural conditions of life. The major objective of this modern type of diplomacy is highlighted to empower the human beings, the micro and macro human community towards protecting, conserving and sustainable development of the Earth

  14. Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome Hypermobility Type: a revision of the rehabilitative approach

    Directory of Open Access Journals (Sweden)

    Claudia Celletti

    2016-09-01

    Full Text Available Joint hypermobility syndrome (JHS and Ehlers-Danlos syndrome, hypermobility type (EDS-HT are two clinically overlapping heritable connective tissue disorders strongly associating with pain, fatigue and other secondary aspects. No specific treatment exist for this syndrome and rehabilitation play a role in the management of these patients. The aim of this paper is to evaluate what are the evidence in literature about rehabilitation. Research was done using database PUBMED and consist in a revision of the studies published in the last 15 years. All studies agree to the beneficial role of the rehabilitative treatment and physical therapy but it’s necessary to add more further studies to establish a high quality, evidence-based physical therapy for this specific population.

  15. Internal Flow Structures in Columnar Jointed Basalt from HREPPHÓLAR, Iceland

    Science.gov (United States)

    Mattsson, H. B.; Bosshard, S. A.; Hetenyi, G.; Almqvist, B.; Hirt, A. M.; Caricchi, L.; Caddick, M.

    2010-12-01

    Columnar jointed basalt from Hrepphólar in southern Iceland display spectacular internal structures when cut. These structures follow the overall orientation of the columns and display semi-circular to circular features when cross-cut. It was previously believed that these internal structures formed as a result of alteration due to circulation of meteoric water within the column-bounding fractures after emplacement. However, new field observations of viscous fingering within the columns and the fact that approximately 80% of the semi-circular features are found within the column whereas the remaining 20% are cut by the column-bounding fractures clearly shows that these internal structures must have formed prior to crack-propagation (and are thus primary features). Here we present the results of textural and petrological analyses through a cross-section of a column, in combination with magnetic susceptibility and anisotropy measurements of the same samples. The variation in textures and geochemistry can be attributed to the presence of diffuse banding caused by variations in the modal proportions of the main phenocryst phases (i.e., plagioclase, clinopyroxene, olivine and titanomagnetite/ilmenite). Orientation of plagioclase laths and titanomagnetite crystals (based on measurements in thin sections and AMS-measurements) are consistent with vertical flow alignment. Nowhere in the column can evidence for downwards flow be found (excluding the possibility of small-scale convection cells generating these features). It is proposed here, that the volume decrease associated with solidification (typically 10-15 vol.% for basaltic systems) and the increasing weight of the overlying crust results in upwelling of partially crystallized material into the centre of the columns. Preliminary numerical modeling indicates that the isotherms within individual columns become steeper with increasing depth in a lava flow (allowing for larger displacement distances). We propose that

  16. [Surgery of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws].

    Science.gov (United States)

    Zhang, P; Dong, Q R; Wang, Z Y; Chen, B; Wan, J H; Wang, L

    2016-11-08

    Objective: To explore the manual operation skills of operative treatment of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws, and to study the clinical results. Method: From Jan 2009 to Dec 2014, the clinical data of 13 patients with ipsilateral Hawkins Ⅲ talus neck and ankle joint fractres via internal and lateral approaches with Herbert screws were retrospectively analyzed in our department.There were 10 males and 3 female, ranging in age from 20 to 60 years with an average age of 31.5 years.The fractures occurred on the right side in 9 patients and on the left side in 4 patients.Three cases had the complication of medial malleolar fracture.Ten cases had the complication of medial and lateral malleolar fracture. Totally 11 cases were made calcaneal skeletal traction, and all the were made CT with three-dimensional image reconstruction.Two cases were treated with emergency operation.Eleven cases were treated with selective operation.The operation time was 5 hours-10 days after injury. The functional results were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS). Result: The average duration of follow-up was 22.6 months (range, 14-65 months). There was skin necrosis in one cases, no incision infection, malunion and nonunion of the fractures and loss of reduction. At final follow-up, AOFAS ankle score was 75.2 (range, 42 to 93), higher than preoperative 39.2 (range, 23 to 60), the difference was statistically significant ( P =0.023). The result was excellent in 4 cases, good in 5 cases, fair in 3 cases and 1 cases in poor, and the overall excellent or good rate was 69.2%. Avascular necrosis occurred in 3 cases (23.1%, 3/13). Traumatic arthritis was found in 5 cases (38.5%, 5/13), involved tibial astragaloid joint in 2 cases, involved subtalar joint in 1 case, involved tibial astragaloid joint and subtalar joint in 2 cases. Conclusion: The effect of surgical treatment for ipsilateral

  17. Exercise beliefs and behaviours of individuals with Joint Hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type.

    Science.gov (United States)

    Simmonds, Jane V; Herbland, Anthony; Hakim, Alan; Ninis, Nelly; Lever, William; Aziz, Qasim; Cairns, Mindy

    2017-11-10

    To explore exercise beliefs and behaviours of individuals with Joint Hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type and to explore patient experiences of physiotherapy. A cross sectional questionnaire survey design was used to collect quantitative and qualitative data from adult members of the Hypermobility Syndromes Association and Ehlers-Danlos Syndrome Support UK. Descriptive and inferential statistics were used to analyse the data. Qualitative data was analysed thematically. 946 questionnaires were returned and analysed. Participants who received exercise advice from a physiotherapist were 1.75 more likely to report high volumes of weekly exercise (odds ratio [OR] = 1.75, 95% confidence interval [CI] = 1.30-2.36, p Ehlers-Danlos syndrome - hypermobility type in this survey. Implications for rehabilitation Exercise is a cornerstone of treatment for Ehlers-Danlos syndrome/Ehlers-Danlos syndrome - hypermobility type. Pain, fatigue and fear of injury are frequently reported barriers to exercise. Advice from physiotherapists may significantly influence exercise behaviour. Physiotherapists with condition specific knowledge and good verbal and non-verbal communication facilitate a positive therapeutic experience.

  18. How do country risk and national cultural differences between partners affect the survival of international alliances in emerging countries? Longitudinal analysis of 165 international joint ventures in Brazil 1974 to 2005

    Directory of Open Access Journals (Sweden)

    Pierre-Xavier Meschi

    2007-06-01

    Full Text Available This article aims at identifying the individual and joint impact of two « country-level variables », namely national distance and country risk, on the survival of international joint ventures in emerging countries. Research hypotheses predicting the negative impact of national distance and country risk on survival are formulated in this article. These research hypotheses are tested in a sample of 165 international joint ventures that were formed in Brazil between 1974 and 2003. These joint ventures were subjected to an event history analysis over a period of time ranging from 1974 to 2005. The empirical results show that the intercultural dynamics increases the instability of international joint ventures whereas the survival of these alliances does not seem to be affected by the economic and political uncertainty of Brazil. Furthermore, the national distance between local and foreign partners has effects on survival that are variable according to the life cycle of international joint ventures.

  19. The efficiency of botulinum toxin type A for the treatment of masseter muscle pain in patients with temporomandibular joint dysfunction and tension-type headache.

    Science.gov (United States)

    Pihut, Malgorzata; Ferendiuk, Ewa; Szewczyk, Michal; Kasprzyk, Katarzyna; Wieckiewicz, Mieszko

    2016-01-01

    Temporomandibular joint dysfunction are often accompanied by symptoms of headache such as tension-type headache which is the most frequent spontaneous primary headache. Masseter muscle pain is commonly reported in this group. The purpose of the study was to assess the efficiency of intramuscular botulinum toxin type A injections for treating masseter muscle pain in patients with temporomandibular joint dysfunction and tension-type headache. This prospective outcome study consisted of 42 subjects of both genders aged 19-48 years diagnosed with masseter muscle pain related to temporomandibular joint dysfunction and tension-type headache. The subjects were treated by the intramuscular injection of 21 U (mice units) of botulinum toxin type A (Botox, Allergan) in the area of the greatest cross-section surface of both masseter bellies. Pain intensity was evaluated using visual analogue scale (VAS) and verbal numerical rating scale (VNRS) 1 week before the treatment and 24 weeks after the treatment. The obtained data were analyzed using the Wilcoxon matched pairs test (p ≤ 0,005). The results of this study showed a decrease in the number of referred pain episodes including a decrease in pain in the temporal region bilaterally, a reduction of analgesic drugs intake as well as a decrease in reported values of VAS and VNRS after injections (p = 0,000). The intramuscular botulinum toxin type A injections have been an efficient method of treatment for masseter muscle pain in patients with temporomandibular joint dysfunction and tension-type headache.

  20. Three types of communication on internal social media:

    DEFF Research Database (Denmark)

    Madsen, Vibeke Thøis

    The aim of this paper is to explore to what extend internal social media introduces a new kind of participatory communication in organizations. The paper is based on two explorative studies: A multiple case study in ten Danish organizations and a single case study in a Danish bank. Based on the t....... Different levels of communication might be reached in different types of organizations, and it is only when coworkers perceive a license to critique that organizations will actually develop participatory communication that has the ability to move the organization....

  1. Clinical study of internal derangement of the temporomandibular joint with closed lock, 2

    International Nuclear Information System (INIS)

    Moriya, Yoshiyuki; Murakami, Ken-ichiro; Fujimura, Kazuma; Yokoyama, Tadaaki; Nose, Masahiro; Miyaki, Katsuaki; Segami, Natsuki; Iizuka, Tadahiko

    1990-01-01

    Fifty-three closed lock cases of internal derangement of the temporomandibular joint (TMJ) were studied on the correlation between disk configuration at MR imaging and nine clinical parameters composed of opening degree, age, clicking and locking duration, visual analogue scale of pain (VAS), pain score, jaw dysfunction score, life activity limited score, and TMJ X-ray photo findings. Disk configuration and degree of anterior disk displacement were assessed on MR imaging in closed mouth position: the antero-posterior length of disk and the distance from condyle to anterior and posterior portion of disk were measured, respectively. Duration of clicking and locking were not correlated with MR index except that there was a strong correlation between clicking duration and the distance from condyle to anterior portion of the disk at MR imaging. Opening degree was related to the disk deformity and the access of posterior portion of the disk to condyle. Disk configuration and degree of anterior disk displacement were not correlated with TMJ pain, but jaw dysfunction was related to the disk deformity and the distance from posterior portion of the disk to condyle. TMJ X-ray photo findings were not correlated with clicking duration (below 3 years), locking duration (below 30 weeks), opening degree and disk configuration at MR imaging. In evaluation of factors related to opening degree in 53 patients with closed lock by means of multiple regression analysis, age, locking and clicking duration, TMJ pain, life activity limited score were more strongly correlated to opening degree than the others. (author)

  2. Diagnostic studies on the internal derangement of temporomandibular joint in MR imaging (MRI)

    International Nuclear Information System (INIS)

    Tange, Kazuhisa

    1991-01-01

    The T1 and T2 relaxation times of the phantom were measured in the magnetic resonance imaging (MRI) using the headcoil and the surface coil for the temporomandibular joint (TMJ). The purpose of this study on the phantom was to investigate the feature of the surface coil for TMJ (TMJ-coil). Two spin echo (TR=2,000 msec, TE=30 msec and TR=2,000 msec, TE=80 msec) and one inversion recovery (TR=2,000 msec, TI=500 msec) pulse sequence with a 256 x 256 matrix and two excitations were used, and the T1 and T2 values were obtained by the ROI (region of interest) in the maps of T1 and T2. As a result of the phantom study, I acquired the knowledge that I have to set an object on the center of the TMJ-coil with a distance more than 3 cm. With the TMJ-coil, measurements of T1 and T2 relaxation times of meniscus and lateral pterygoid muscle were performed on 30 normal volunteers and 30 patients who had been diagnosed internal derangement of the TMJ. The 30 patients were classified into two groups; one composed of 15 patients diagnosed as meniscal displacement with reduction (group MDWR) and the other was of 15 patients diagnosed as meniscal displacement without reduction (group MDWOR). Between the volunteers and patients, there was a significant decrease in T1 and T2 relaxation times of meniscus and T1 relaxation times of lateral pterygoid muscle. There was no significant difference between group MDWR and group MDWOR. There was no significant difference in sex or age, either. The more long-term the patients were, the more the T1 relaxation times decreased. The decrease in T1 and T2 relaxation times of meniscus probably represented water loss. The decrease in T1 and T2 relaxation times of lateral pterygoid muscle was slight compared with that of meniscus. (author)

  3. Results of Operative and Nonoperative Treatment of Rockwood Types III and V Acromioclavicular Joint Dislocation

    Science.gov (United States)

    Joukainen, Antti; Kröger, Heikki; Niemitukia, Lea; Mäkelä, E. Antero; Väätäinen, Urho

    2014-01-01

    Background: The optimal treatment of acute, complete dislocation of the acromioclavicular joint (ACJ) is still unresolved. Purpose: To determine the difference between operative and nonoperative treatment in acute Rockwood types III and V ACJ dislocation. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: In the operative treatment group, the ACJ was reduced and fixed with 2 transarticular Kirschner wires and ACJ ligament suturing. The Kirschner wires were extracted after 6 weeks. Nonoperatively treated patients received a reduction splint for 4 weeks. At the 18- to 20-year follow-up, the Constant, University of California at Los Angeles Shoulder Rating Scale (UCLA), Larsen, and Simple Shoulder Test (SST) scores were obtained, and clinical and radiographic examinations of both shoulders were performed. Results: Twenty-five of 35 potential patients were examined at the 18- to 20-year follow-up. There were 11 patients with Rockwood type III and 14 with type V dislocations. Delayed surgical treatment for ACJ was used in 2 patients during follow-up: 1 in the operatively treated group and 1 in the nonoperatively treated group. Clinically, ACJs were statistically significantly less prominent or unstable in the operative group than in the nonoperative group (normal/prominent/unstable: 9/4/3 and 0/6/3, respectively; P = .02) and in the operative type III (P = .03) but not type V dislocation groups. In operatively and nonoperatively treated patients, the mean Constant scores were 83 and 85, UCLA scores 25 and 27, Larsen scores 11 and 11, and SST scores 11 and 12 at follow-up, respectively. There were no statistically significant differences in type III and type V dislocations. In the radiographic analysis, the ACJ was wider in the nonoperative than the operative group (8.3 vs 3.4 mm; P = .004), and in the type V dislocations (nonoperative vs operative: 8.5 vs 2.4 mm; P = .007). There was no statistically significant difference between study groups in

  4. The interaction between internal R&D and different types of external knowledge sourcing: an empirical study of Chinese innovative firms

    NARCIS (Netherlands)

    Chen, Y.; Vanhaverbeke, W.; Du, J.

    2016-01-01

    This paper investigates to what extent internal R&D efforts and different types of external knowledge sources jointly affect innovation performance of firms in emerging economies. Based on a survey about external knowledge sourcing activities of Chinese innovative firms, we categorize external

  5. Introduction to the special issue on the 2011 Joint IEEE International Frequency Control Symposium and European Frequency and Time Forum.

    Science.gov (United States)

    Burt, Eric; Gill, Patrick

    2012-03-01

    The 8 invited and 17 contributed papers in this special issue focus on the following topical areas covered at the 2011 Joint IEEE International Frequency Control Symposium and European Frequency and Time Forum, held in San Francisco, California: 1) Materials and Resonators; 2) Oscillators, Synthesizers, and Noise; 3) Microwave Frequency Standards; 4) Sensors and Transducers; 5) Timekeeping and Time and Frequency Transfer; and 6) Optical Frequency Standards.

  6. Student perspectives on the development and evaluation of a joint international education to promote employability in Europe.

    Science.gov (United States)

    Craig, Claire; Piškur, Barbara

    2012-01-01

    This article presents a student evaluation of a joint international education developed as part of a European project which sought to equip health care practitioners with the skills to support employability of individuals furthest removed from the labour market, disadvantaged on account of age, gender, migration or ethnicity. Thirty eight students out of the forty one students that participated in the pilot of four modules (NL, UK, SE, DE) returned completed digital questionnaires (92.6% response rate). The study is descriptive by nature. A questionnaire was used to collect the data from students. Additionally students attending the module in the UK also took part in a series of qualitative interviews which sought to explore their experiences in more detail. These were recorded, transcribed and analyzed. Students reported that joint education facilitates competence development. The competencies they identified (Information Communications Technology) were recognised as being key to enhancing employability of disadvantaged groups. The joint international education exemplified by EEE4all offers one model of how to build a responsive international curriculum to ensure that the workforce of the future is well placed to meet the needs of this changing world.

  7. Tightening unit EZ 250 for VVER 1000 type reactor pressure vessel head flange joints

    International Nuclear Information System (INIS)

    Ruchar, Miloslav; Nadenik, Tomas; Kroj, Ludek

    2010-01-01

    The programme of flange joints tightening by seals made of expanded graphite for VVER 440 and VVER 1000 reactor head flange joints is highlighted, and tightening units of row EZ 650 and EZ 650 TK and KNI for VVER 440 reactor head flange joints and EZ 250 tightening unit for VVER 1000 reactor head flange joints are described in detail. The main advantages of electronically controlled tightening units include: Precise and uniform compression of the gasket during the tightening procedure; Automated solution to the graphite relaxing problem during tightening; Possibility of diagnosis of the thread status of the joints being tightened; Alleviation of operator's tough work; Shorter time of tensioning associated with a lower collective doses; Quick preparation of tightening procedure report from the data measured; Calibration renewal is possible in advance at time of unit storage without the need to place it on a real joint. (P.A.)

  8. Joint degrees and engaging with a Europe of Knowledge: lessons ...

    African Journals Online (AJOL)

    This case study of staff perspectives and quality assurance assessment of joint degrees offers insights into the challenges and the lessons that can be learned and the lived reality of this type of international curriculum development from the practitioner perspective. Keywords: international joint degrees, international ...

  9. Joint implementation, clean development mechanism and Tradable Permits. International regulation of greenhouse gases

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, L.; Rose Olsen, K.

    2000-06-01

    A 'correct' accreditation is a key issue when evaluating Joint Implementation as a global environmental instrument. Problems mentioned in the literature on Joint Implementation - including the problem of additionality - are often relating to the problem of defining a correct accreditation. This paper lists some of these problems and lists some of the tools available to solve the reported problems of accreditation. The paper concludes that the institutional framework is crucial in defining what a correct accreditation is. It also concludes that different groups may have different interests in Joint Implementation, and that each of the reported problems may be a problem to some of the Joint Implementation interests groups but not to others. In designing the institutional framework for JI it is important to know the incentives and motivations of the different groups. The main part of the paper is an analysis of the basic incentives and motivations of the different Joint Implementation interest groups. This analysis can be used to weight the problems of Joint Implementation from an environmental perspective and from the perspective of cost effectiveness. (au)

  10. Joint implementation, clean development mechanism and Tradable Permits. International regulation of greenhouse gases

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, L; Rose Olsen, K

    2000-06-01

    A 'correct' accreditation is a key issue when evaluating Joint Implementation as a global environmental instrument. Problems mentioned in the literature on Joint Implementation - including the problem of additionality - are often relating to the problem of defining a correct accreditation. This paper lists some of these problems and lists some of the tools available to solve the reported problems of accreditation. The paper concludes that the institutional framework is crucial in defining what a correct accreditation is. It also concludes that different groups may have different interests in Joint Implementation, and that each of the reported problems may be a problem to some of the Joint Implementation interests groups but not to others. In designing the institutional framework for JI it is important to know the incentives and motivations of the different groups. The main part of the paper is an analysis of the basic incentives and motivations of the different Joint Implementation interest groups. This analysis can be used to weight the problems of Joint Implementation from an environmental perspective and from the perspective of cost effectiveness. (au)

  11. Joint Varenna-Lausanne International Workshop on the Theory of Fusion Plasmas 2016

    International Nuclear Information System (INIS)

    2016-01-01

    The joint Varenna-Lausanne international workshop on the theory of fusion plasmas took place in Varenna from August 29 to September 2 2016. Several issues of interest for fusion plasmas were addressed, namely MHD stability, RF heating, collisional and turbulent transport, plasma wall interaction, and physics of burning plasmas. The articles published in this special issue illustrate nicely the well balanced combination of physics, applied mathematics, and computer sciences that characterizes this workshop. Let us mention several attractive topics, which are addressed in this issue. The question of 3D MHD equilibrium in tokamaks has received a great deal of attention, in connection with external resonant magnetic perturbations in tokamaks, and also stochastic edge in stellarators. The reader will also find some recent developments related to the effect of current drive and heating on the stability of tearing modes. As usual, turbulent transport is addressed in much detail. Several papers address specific numerical aspects of fluid and gyrokinetic codes, including code optimisation. Physics issues are abundantly dealt with, such as the impact of fast particles on turbulence, and particle transport. New numerical techniques to model wave propagation are presented, which provide significant advances in the field. Refinements such as the effect of density fluctuation on wave propagation, or the interaction between particles and the electromagnetic field near antennas, have also been studied in depth. Finally, specific issues such as nonlocal transport, decay of zonal flows, and the effect of neutrals on rotation have been investigated. A striking feature of the 2016 edition was the large number of young faces among the participants. This is a great satisfaction for the organizers since a new generation of scientists is certainly needed whilst several devices come to operation, or will do so in a foreseeable future. The diversity and quality of the papers published in

  12. An Audit of Emergency Department Accreditation Based on Joint Commission International Standards (JCI

    Directory of Open Access Journals (Sweden)

    Behrooz Hashemi

    2014-08-01

    Full Text Available Introduction: Despite thousands of years from creation of medical knowledge, it not much passes from founding the health care systems. Accreditation is an effective mechanism for performance evaluation, quality enhancement, and the safety of health care systems. This study was conducted to assess the results of emergency department (ED accreditation in Shohadaye Tajrish Hospital, Tehran, Iran, 2013 in terms of domesticated standards of joint commission international (JCI standards. Methods: This is a cohort study with a four months follow up which was conducted in the ED of Shohadaye Tajrish hospital in December 2013. The standard evaluation check list of Iran hospitals (based on JCI standards included 24 heading and 337 subheading was used for this purpose. The effective possible causes of weak spots were found and their solutions considered. After correction, assessment of accreditation were repeated again. Finally, the achieved results of two periods were analyzed using SPSS version 20. Results: Quality improvement, admission in department and patient assessment, competency and capability test for staffs, collection and analysis of data, training of patients, and facilities had the score of below 50%. The mean of total score for accreditation in ED in the first period was 60.4±30.15 percent and in the second period 68.9±22.9 (p=0.005. Strategic plans, head of department, head nurse, resident physician, responsible nurse for the shift, and personnel file achieved the score of 100%. Of total headings below 50% in the first period just in two cases, collection and analysis of data with growth of 40% as well as competency and capability test for staffs with growth of 17%, were reached to more than 50%. Conclusion: Based on findings of the present study, the ED of Shohadaye Tajrish hospital reached the score of below 50% in six heading of quality improvement, admission in department and patient assessment, competency and capability test for

  13. An Audit of Emergency Department Accreditation Based on Joint Commission International Standards (JCI).

    Science.gov (United States)

    Hashemi, Behrooz; Motamedi, Maryam; Etemad, Mania; Rahmati, Farhad; Forouzanfar, Mohammad Mehdi; Kaghazchi, Fatemeh

    2014-01-01

    Despite thousands of years from creation of medical knowledge, it not much passes from founding the health care systems. Accreditation is an effective mechanism for performance evaluation, quality enhancement, and the safety of health care systems. This study was conducted to assess the results of emergency department (ED) accreditation in Shohadaye Tajrish Hospital, Tehran, Iran, 2013 in terms of domesticated standards of joint commission international (JCI) standards. This cohort study with a four-month follow up was conducted in the ED of Shohadaye Tajrish Hospital in 2013. The standard evaluation checklist of Iran hospitals (based on JCI standards) included 24 heading and 337 subheading was used for this purpose. The effective possible causes of weak spots were found and their solutions considered. After correction, assessment of accreditation were repeated again. Finally, the achieved results of two periods were analyzed using SPSS version 20. Quality improvement, admission in department and patient assessment, competency and capability test for staffs, collection and analysis of data, training of patients, and facilities had the score of below 50%. The mean of total score for accreditation in ED in the first period was 60.4±30.15 percent and in the second period 68.9±22.9 (p=0.005). Strategic plans, head of department, head nurse, resident physician, responsible nurse for the shift, and personnel file achieved the score of 100%. Of total headings below 50% in the first period just in two cases, collection and analysis of data with growth of 40% as well as competency and capability test for staffs with growth of 17%, were reached to more than 50%. Based on findings of the present study, the ED of Shohadaye Tajrish hospital reached the score of below 50% in six heading of quality improvement, admission in department and patient assessment, competency and capability test for staffs, collection and analysis of data, training of patients, and facilities. While

  14. Metallurgical and mechanical characterization of a submerged arc welded joint in a 316 type stainless steel

    International Nuclear Information System (INIS)

    Piatti, G.; Vedani, M.

    1990-01-01

    The tensile (deformation and fracture) behaviour of a multipass submerged arc welded joint Type 316 stainless steel is investigated by tests at room temperature and at 400 0 C on all-weld metal and transverse to weld (composite) specimens as well as by microstructural and compositional analyses (optical, scanning electron and transmission electron microscopy). The as-deposited metal is characterised by a systematic variation in the tensile properties across the thickness with the higher strength and the lower ductility in the weld centre. These variations are related to material variability (mainly in dislocation density) because of local dissimilarities in thermal and mechanical histories occurring during the welding process. However, the material variability in the fusion zone, although important is not so large in the present weld and it does not influence the tensile properties of the weld as a whole. Moreover, the tensile behaviour concerning the transverse to weld specimens is characterized by a supporting effect from the higher yield strength material zone (fusion zone) to the lower yield strength material zone (parent metal) justified by the different contribution of the parent metal and of the weld-deposit metal to the integral plastic strain of the specimens. (author)

  15. Impact of Fuel Type on the Internal Combustion Engine Condition

    Directory of Open Access Journals (Sweden)

    Zdravko Schauperl

    2012-07-01

    Full Text Available The paper studies the influence of liquefied petroleum gas as alternative fuel on the condition of the internal combustion engine. The traffic, energy, economic and ecological influence as well as the types of fuel are studied and analyzed in an unbiased manner, objectively, and in detail, and the obtained results are compared with the condition of the engine of a vehicle powered by the stipulated fuel, petrol Eurosuper 95. The study was carried out on two identical passenger cars with one being fitted with gas installation. The obtained results show that properly installed gas installations in vehicles and the usage of LPG have no significant influence on the driving performances, but they affect significantly the ecological and economic parameters of using passenger cars.

  16. [International classification of various types of monoclonal antibodies].

    Science.gov (United States)

    Scheen, A J

    2009-01-01

    Significant advances in the development of monoclonal antibodies ("mabs") have been acknowledged during the last two decades. Successive developments led to the marketing of murine antibodies ("o-mab" first, followed by chimeric antibodies ("xi-mab"), humanised antibodies ("zu-mab") and, finally, human monoclonal antibodies ("u-mab"). In order to facilitate the distinction between the various monoclonal antibodies used in clinical practice, an international nomenclature has been proposed with the use of a specific suffix corresponding to the origine/source of "mabs" preceded by an infix referring to the medicine's target. The efforts in developing new types of monoclonal antibodies aimed at improving their pharmacokinetics (longer half-life), pharmacodynamics (better efficacy because of stronger affinity to human receptor), and safety profile (less antigenic and immunogenic reactions). These progresses could be obtained thanks to the remarkable development of molecular biotechnology.

  17. Simultaneous of Mid Third Clavicle Fracture and Type 3 Acromioclavicular Joint Dislocation; A Case Report

    Directory of Open Access Journals (Sweden)

    Saeed Solooki

    2014-03-01

    Full Text Available Simultaneous mid third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. We report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. The patient wanted to get back to work as soon as possible, so the fracture was fixed with reconstruction plate after open reduction and plate contouring; and acromioclavicular joint dislocation was reduced and fixed with two full threaded cancellous screws. One screw was inserted through the plate to the coracoid process. Clinical and radiographic finding revealed complete union of clavicle fracture and anatomical reduction of acromioclavicular joint with pain free full joint range of motion one year after operation.

  18. Simultaneous of Mid Third Clavicle Fracture and Type 3 Acromioclavicular Joint Dislocation; A Case Report

    Directory of Open Access Journals (Sweden)

    Saeed Solooki

    2014-03-01

    Full Text Available   Simultaneous mid third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. We report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. The patient wanted to get back to work as soon as possible, so the fracture was fixed with reconstruction plate after open reduction and plate contouring; and acromioclavicular joint dislocation was reduced and fixed with two full threaded cancellous screws. One screw was inserted through the plate to the coracoid process. Clinical and radiographic finding revealed complete union of clavicle fracture and anatomical reduction of acromioclavicular joint with pain free full joint range of motion one year after operation.

  19. Simultaneous Middle Third Clavicle Fracture and Type 3 Acromioclavicular Joint Dislocation; A Case Report

    Science.gov (United States)

    Solooki, Saeed; Azad, Ali

    2014-01-01

    Simultaneous middle third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. We report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. The patient wanted to get back to work as soon as possible, so the fracture was fixed with reconstruction plate after open reduction and plate contouring; and acromioclavicular joint dislocation was reduced and fixed with two full threaded cancellous screws. One screw was inserted through the plate to the coracoid process. Clinical and radiographic finding revealed complete union of clavicle fracture and anatomical reduction of acromioclavicular joint with pain free full joint range of motion one year after operation. PMID:25207318

  20. Efficacy of Arthrocentesis with Injection of Hyaluronic Acid in the Treatment of Internal Derangement of Temporomandibular Joint

    Directory of Open Access Journals (Sweden)

    Pramila Shakya

    2010-07-01

    Full Text Available This cross-sectional study was designed to find out the effect of arthrocentesis with injection hyaluronic acid in thetreatment of internal derangement of temporomandibular joint (TMJ ID for the restoration of TMJ function. The studyincluded 25 patients, aged 13 to 50 years with symptoms of TMJ pain and clicking during function and limited mouthopening. TMJ ID was assessed with clinical examination and conformed with MRI. Arthrocentesis was done withinsertion of two 21gauze needles in the upper joint compartment and joint lavaged with 200 ml of ringer’s lactate solutionand at the end 1ml of hyaluronic acid was injected. Intensity of TMJ pain and clicking was assessed using visual analogscale, maximum mouth opening, lateral jaw movement and protrusion were assessed with millimeter scale. All theparameters were measured before the procedure , immediately after the procedure then after 2 weeks, 1 month , 3 monthsand 6 months procedure. During 6 months follow-up, clinical examination and comparison of the results showed 84%reduction in TMJ pain, 92% improvement in mouth opening and clicking disappear in 80% of patients.Key words: TMJ pain; clicking; internal derangement; arthrocentesis; hyaluronic acid.DOI: 10.3329/bsmmuj.v3i1.5509BSMMU J 2010; 3(1: 18-22

  1. Type 1 diabetes, sport practiced, and ankle joint mobility in young patients: What is the relationship?

    Science.gov (United States)

    Francia, Piergiorgio; Toni, Sonia; Iannone, Giulia; Seghieri, Giuseppe; Piccini, Barbara; Vittori, Alessandro; Santosuosso, Ugo; Casalini, Emilio; Gulisano, Massimo

    2018-03-01

    It is known that patients with diabetes can develop limited joint mobility (LJM) and that this can depend on the metabolic control maintained and the duration of the disease. The aims of this study were to verify the presence of ankle joint mobility (AJM) deficits in both plantar and dorsiflexion in young type 1 diabetic patients (T1D) considering also the possible role of sport practiced as a further factor, able to modify AJM. AJM was evaluated by an inclinometer in 82 T1D patients (M/F: 48/34), mean age 12.9 ± 2.6 years, body mass index (BMI) 19.7 ± 3.6 kg/m 2 , duration of diabetes 5.6 ± 3.3 years, mean HbA1c 7.5 ± 1.0% and in 226 healthy controls (M/F: 146/80), age-, gender-, and BMI-matched practicing different sports (soccer, volleyball, basketball, and dance). The patients' ankle range of motion was significantly lower than that in controls (132.7 ± 22.3° vs 126.1 ± 17.9°; P Soccer players showed lower AJM in both groups: patients (120.1 ± 15.9° vs 127.3 ± 18.1) and controls (119.4 ± 21.1° vs 142.0 ± 18.1; P < .0001) than subjects practicing other sports or who were sedentary. In both groups, patients and controls, age, sex, duration of disease, hemoglobin 1Ac, and BMI have not been shown to be correlated to the mobility assessed. The results of this study, in addition to confirming the negative effect of diabetes on AJM of young T1D patients, suggest that during these evaluations the sport-related effect should be considered because it can induce significant changes of AJM. © 2018 The Authors. Pediatric Diabetes published by John Wiley & Sons Ltd.

  2. Joint simulation of stationary grade and non-stationary rock type for quantifying geological uncertainty in a copper deposit

    Science.gov (United States)

    Maleki, Mohammad; Emery, Xavier

    2017-12-01

    In mineral resources evaluation, the joint simulation of a quantitative variable, such as a metal grade, and a categorical variable, such as a rock type, is challenging when one wants to reproduce spatial trends of the rock type domains, a feature that makes a stationarity assumption questionable. To address this problem, this work presents methodological and practical proposals for jointly simulating a grade and a rock type, when the former is represented by the transform of a stationary Gaussian random field and the latter is obtained by truncating an intrinsic random field of order k with Gaussian generalized increments. The proposals concern both the inference of the model parameters and the construction of realizations conditioned to existing data. The main difficulty is the identification of the spatial correlation structure, for which a semi-automated algorithm is designed, based on a least squares fitting of the data-to-data indicator covariances and grade-indicator cross-covariances. The proposed models and algorithms are applied to jointly simulate the copper grade and the rock type in a Chilean porphyry copper deposit. The results show their ability to reproduce the gradual transitions of the grade when crossing a rock type boundary, as well as the spatial zonation of the rock type.

  3. Research Status and Feasibility Analysis on the Participation in International Joint Studies for Radionuclide and Colloid Migration Using Foreign Underground Research Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Baik, Min Hoon; Park, Chung Kyun; Lee, Jae Kwang; Choi, Jong Won

    2007-12-15

    The research status of the potential international joint projects that we can join were analyzed by investigating world-wide underground research facilities. Based upon the investigations, we visited Aspo in Sweden and GTS in Switzerland, discussed about the participation in the international joint projects and mutual cooperation, and then discussed in detail about time and method for the participation by inviting an expert from Nagra. It is resulted from the investigations and discussions that it is most relevant to participate in the following two international joint projects. 1) Task Force on Modelling of Groundwater Flow and Transport of Solutes in Aspo, 2) CFM project in GTS. We also summarized the on-going current status for the participation in the two international joint projects.

  4. Invited and contributed papers presented by the theory group at the joint Varenna-Lausanne international workshop 'theory of fusion plasmas'

    International Nuclear Information System (INIS)

    1996-09-01

    In this report eight invited and contributed papers of the theory group are included which were presented at joint Varenna-Lausanne international workshop on 'theory of fusion plasmas'. (author) figs., tabs., refs

  5. Joint radiation emergency management plan of the international organizations. Emergency preparedness and response. Date effective: 1 December 2002

    International Nuclear Information System (INIS)

    2002-11-01

    directives and regulations that bear on emergency response arrangements among some States. There are also bilateral agreements between some international organizations that also have relevance to preparedness and response arrangements. In March 2002, the IAEA Board of Governors approved a Safety Requirements document to be issued according to the IAEA's statutory function 'to establish ... standards of safety for protection of health and minimization of danger to life and property'. These Safety Requirements, entitled 'Preparedness and Response for a Nuclear or Radiological Emergency' (GS-R-2), are being jointly sponsored by the FAO, IAEA, the International Labour Organisation (ILO), the OECD Nuclear Energy Agency (NEA/OECD), the United Nations Office for the Co-ordination of Humanitarian Affairs (OCHA), the Pan American Health Organization (PAHO) and WHO. These safety standards imply additional expectations with regard to operational emergency response arrangements. It has been recognized by the organizations responsible for emergency response, and reflected in the above requirements, that good planning in advance of an emergency can substantially improve the response. Moreover, one of the most important features of emergency response plans is to have clear lines of responsibility and authority. With this in mind, the IAEA, the organizations party to the Conventions, and some other international organizations that participate in the activities of the IACRNA develop and maintain this 'Joint Radiation Emergency Management Plan of the International Organizations' (the Joint Plan), which describes: the objectives of response; the organizations involved in response, their roles and responsibilities, and the interfaces among them and between them and States; operational concepts; and preparedness arrangements. These practical arrangements are reflected in the various organizations own emergency plans. The IAEA is the main co-ordinating body for development and maintenance of the

  6. The impaired proprioception in Ehlers-Danlos Syndrome-Hypermobility Type/Joint hypermobility Syndrome: the rehabilitation role

    Directory of Open Access Journals (Sweden)

    Filippo Camerota

    2015-10-01

    Full Text Available Ehlers-Danlos Syndrome Hypermobility Type/Joint Hypermobility Syndrome (JHS/EDS-HT is an hereditary disorder of the connective tissue mainly manifesting with generalized joint hypermobility and skin hyperextensibility with an involvement of the connective tissue matrix proteins. Collagen alterations may influence the quality of movement in these patients but also movement has a role for the collagen quality: motion has a prevention role in the formation of contractures and adhesions. A poor sense of proprioception correlated with the collagenous connective tissues alterations could explain why people with JHS/EDS-HT become injured, having a lack of sensation of the joint at the end of the range. Rehabilitation approach may consider all these aspects.

  7. Differential contributions of specimen types, culturing, and 16S rRNA sequencing in diagnosis of prosthetic joint infections

    DEFF Research Database (Denmark)

    Larsen, Lone Heimann; Khalid, Vesal; Xu, Yijuan

    2018-01-01

    Prosthetic joint failure is mainly caused by infection, aseptic failure (AF), and mechanical problems. Infection detection has been improved with modified culture methods and molecular diagnostics. However, comparisons between modified and conventional microbiology methods are difficult due...... to variations in specimen sampling. In this prospective, multidisciplinary study of hip or knee prosthetic failures, we assessed the contributions of different specimen types, extended culture incubations, and 16S rRNA sequencing for diagnosing prosthetic joint infections (PJI). Project specimens included joint...... fluid (JF), bone biopsy specimens (BB), soft-tissue biopsy specimens (STB), and swabs (SW) from the prosthesis, collected in situ, and sonication fluid collected from prosthetic components (PC). Specimens were cultured for 6 (conventional) or 14 days, and 16S rRNA sequencing was performed at study...

  8. RADIOGRAPHIC SIGNS OF TEMPOROMANDIBULAR-JOINT OSTEOARTHROSIS AND INTERNAL DERANGEMENT 30 YEARS AFTER NONSURGICAL TREATMENT

    NARCIS (Netherlands)

    DELEEUW, R; BOERING, G; STEGENGA, B; DEBONT, LGM

    The aim of this study was to evaluate with radiographs the long-term status of temporomandibular joints that were treated nonsurgically for reducing disk displacement (group 1) or permanent disk displacement (group 2) 30 years ago. Transcranial and transpharyngeal radiographs were made before (T1),

  9. Research on compliance coefficient calculation for heterogeneity material bolted joints of reactor internal

    International Nuclear Information System (INIS)

    Li Qing; Ren Xin; Zhang Kangda

    2009-01-01

    Using the finite element method, calculation and test are conducted on the bolted joints of four different diameters, and the existing calculation method for bolt compliance coefficient is analyzed. The results indicate that the calculated and test results by finite element method are agreed well, and value D/t f and β have a linear relation. (authors)

  10. Acromioclavicular joint separation

    Directory of Open Access Journals (Sweden)

    Devan Pandya, BS

    2018-04-01

    Full Text Available History of present illness: A 30-year-old male was brought in by ambulance to the emergency department as a trauma activation after a motorcycle accident. The patient was the helmeted rider of a motorcycle traveling at an unknown speed when he lost control and was thrown off his vehicle. He denied loss of consciousness, nausea, or vomiting. The patient’s vital signs were stable and his only complaint was pain around his left shoulder. On exam, the patient had a prominent left clavicle without skin compromise. He had adequate range of motion in the left shoulder with moderate pain, and his left upper extremity was neurovascularly intact. Significant findings: Plain films of the left shoulder showed elevation of the left clavicle above the acromion. There was an increase in the acromioclavicular (AC and coracoclavicular (CC distances (increased joint distances marked with red and blue arrows, respectively. A normal AC joint measures 1-3 mm whereas a normal CC distance measures 11-13 mm.1 The injury was classified as a Rockwood type III AC joint separation. Discussion: The AC joint is a synovial joint between an oval facet on the acromion and a similar facet on the distal end of the clavicle. Horizontal stability is provided by the AC joint while axial stability is provided by the CC joint.2,3 AC joint injuries account for about 9%-12% of shoulder girdle injuries, and the most common mechanism is direct trauma.4,5 Initial evaluation with imaging includes plain films with three views: the anterior-posterior (AP view with the shoulder in internal and external rotation as well as an axillary, or scapula-Y view (sensitivity 40%, specificity 90% for all films.6,7 AC joint injuries are classified by the Rockwood system.8 Type I involves a sprain or incomplete tear of the AC ligaments with an intact CC ligament. The AC joint appears normal on X-ray, but can become widened with stress, achieved by having the patient hold a 10-15 pound weight from each

  11. Report for fiscal 1997 on simple operation type CAD/CAM system development through international cooperation. Joint research cooperation; 1997 nendo 'kan'i sosagata denshi sekkei seisan shien system no kaihatsu ni kansuru kenkyu kyoryoku' ni kansuru hokokusho. Kyodo kenkyu kyoryoku

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    This report describes Japan's joint researches with China, Indonesia, Malaysia, Singapore, and Thailand under the above-named project (MATIC) which were carried out in fiscal 1997. Scientists are invited to Japan from the above-named countries, to whom Japan's status of researches is explained and with whom discussion is conducted about progress in general and system development in those countries, and about verification tests. Japanese scientists visit research institutes of those countries so as to appraise the progress of researches and technological levels and to install computers for verification tests. Scientists visiting this country upon Japan's invitation and workshop held in Japan are enumerated below. Accepted by Working Group I (automobile and parts) are scientists from Indonesia and China and workshops from two countries; accepted by Working Group II (electrical home appliance) are scientists from Malaysia and workshops from five countries and then from four countries; and accepted by Working Group III (fiber and apparel) are scientists from China. Visits are made by the Working Groups to Thailand, Indonesia, Malaysia, Singapore, and China. (NEDO)

  12. Report for fiscal 1997 on simple operation type CAD/CAM system development through international cooperation. Joint research cooperation; 1997 nendo 'kan'i sosagata denshi sekkei seisan shien system no kaihatsu ni kansuru kenkyu kyoryoku' ni kansuru hokokusho. Kyodo kenkyu kyoryoku

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    This report describes Japan's joint researches with China, Indonesia, Malaysia, Singapore, and Thailand under the above-named project (MATIC) which were carried out in fiscal 1997. Scientists are invited to Japan from the above-named countries, to whom Japan's status of researches is explained and with whom discussion is conducted about progress in general and system development in those countries, and about verification tests. Japanese scientists visit research institutes of those countries so as to appraise the progress of researches and technological levels and to install computers for verification tests. Scientists visiting this country upon Japan's invitation and workshop held in Japan are enumerated below. Accepted by Working Group I (automobile and parts) are scientists from Indonesia and China and workshops from two countries; accepted by Working Group II (electrical home appliance) are scientists from Malaysia and workshops from five countries and then from four countries; and accepted by Working Group III (fiber and apparel) are scientists from China. Visits are made by the Working Groups to Thailand, Indonesia, Malaysia, Singapore, and China. (NEDO)

  13. Relationship between limited joint mobility of the hand and diabetic foot risk in patients with type 2 diabetes.

    Science.gov (United States)

    Mineoka, Yusuke; Ishii, Michiyo; Tsuji, Akiko; Komatsu, Yoriko; Katayama, Yuko; Yamauchi, Mitsuko; Yamashita, Aki; Hashimoto, Yoshitaka; Nakamura, Naoto; Katsumi, Yasukazu; Isono, Motohide; Fukui, Michiaki

    2017-06-01

    Foot ulceration is a serious problem for patients with type 2 diabetes (T2D), and the early detection of risks for this condition is important to prevent complications. The present cross-sectional study in T2D patients determined the relationship between limited joint mobility (LJM) of the hand and diabetic foot risk classified using the criteria of the International Working Group on the Diabetic Foot (IWGDF). Relationships between LJM of the hand and foot risk according to IWGDF category, HbA1c, age, body mass index, blood pressure, estimated glomerular filtration (eGFR), and diabetic complications (including diabetic peripheral neuropathy [DPN] and peripheral arterial disease [PAD]) were evaluated in 528 consecutive T2D patients. Poor glycemic control was defined as HbA1c ≥ 7%. Patients with LJM of the hand were older and had a longer duration of diabetes, a higher prevalence of diabetic complications, including DPN and PAD, and a higher IWDGF category (all P foot risk assessed with IWDGF category was correlated with age (odds ratio [OR] 1.04; 95% confidence interval [CI] 1.01-1.06; P = 0.001), poor glycemic control (OR 1.66; 95% CI 1.00-2.77; P = 0.04), eGFR (OR 0.98; 95% CI 0.97-0.99; P = 0.02), and the presence of LJM of the hand (OR 3.86; 95% CI 2.21-6.86; P foot risk. Diagnosis of diabetic hand is simple and non-invasive, and is thus a useful method for assessing the risk of diabetic foot in T2D patients. © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

  14. International co-operation guaranteeing of nuclear facilities operation: joint venture DECOM experience

    International Nuclear Information System (INIS)

    Kremnev, V.; Gavrilov, S.; Fedunina, A.; Hladky, E.

    1993-01-01

    High technology, science and capital intensive productions of nuclear power and industry have considerable possibilities for developing by cooperation with different countries, corporations and firms, especially on plant life extension, decommissioning, and radioactive waste treatment. One of the first joint ventures is JV DECOM set up in 1989. JD VECOM is a multinational firm whose main activities are concerned with plant life extension and decommissioning. Issues which favor this development and have contributed to the success of JD VECOM are described

  15. Changes in the internal structure of the human crystalline lens with diabetes mellitus type 1 and type 2

    NARCIS (Netherlands)

    Wiemer, N.G.M.; Dubbelman, M.; Hermans, E.A.; Ringens, P.J.; Polak, B.C.P.

    2008-01-01

    Purpose: To investigate the effect of diabetes mellitus (DM) type 1 and type 2 on the internal structure of the lens. Design: Observational cross-sectional study. Participants and Controls: One hundred seven patients with DM type 1, 106 patients with DM type 2, and 75 healthy control subjects.

  16. Joint radiation emergency management plan of the international organizations. Emergency preparedness and response. Date effective: 1 January 2007

    International Nuclear Information System (INIS)

    2007-01-01

    binding treaties and have directives and regulations that bear on emergency response arrangements among some States. There are also bilateral agreements between some international organizations that also have relevance to preparedness and response arrangements. In March 2002, the IAEA issued Safety Requirements, entitled 'Preparedness and Response for a Nuclear or Radiological Emergency' (GS-R-2), jointly sponsored by the FAO, IAEA, the International Labour Organization (ILO), the OECD Nuclear Energy Agency (OECD/NEA), the United Nations Office for the Coordination of Humanitarian Affairs (OCHA), the Pan American Health Organization (PAHO) and WHO. These safety standards imply additional expectations with regard to operational emergency response arrangements. It is recognized by the participating organizations, and reflected in the above requirements, that good planning in advance of an emergency can substantially improve the response. With this in mind, the IAEA, the organizations party to the Conventions, and some other international organizations that participate in the activities of the IACRNA develop and maintain this 'Joint Radiation Emergency Management Plan of the International Organizations' (the Joint Plan), which describes: the objectives of response; the organizations involved in response, their roles and responsibilities, and the interfaces among them and between them and States; operational concepts; and preparedness arrangements. The various organizations reflect these arrangements in their own emergency plans. The IAEA is the main co-ordinating body for development and maintenance of the Joint Plan. All States irrespective whether they are party to one or other of the two Conventions are invited to adopt arrangements that are compatible with those described here when providing relevant information about nuclear or radiological emergencies to relevant international organizations, in order to minimize the radiological consequences and to facilitate the

  17. Psychopathological manifestations of joint hypermobility and joint hypermobility syndrome/ Ehlers-Danlos syndrome, hypermobility type: The link between connective tissue and psychological distress revised.

    Science.gov (United States)

    Sinibaldi, Lorenzo; Ursini, Gianluca; Castori, Marco

    2015-03-01

    Psychological distress is a known feature of generalized joint hypermobility (gJHM), as well as of its most common syndromic presentation, namely Ehlers-Danlos syndrome, hypermobility type (a.k.a. joint hypermobility syndrome - JHS/EDS-HT), and significantly contributes to the quality of life of affected individuals. Most published articles dealt with the link between gJHM (or JHS/EDS-HT) and anxiety-related conditions, and a novel generation of studies is emerging aimed at investigating the psychopathologic background of such an association. In this paper, literature review was carried out with a semi-systematic approach spanning the entire spectrum of psychopathological findings in gJHM and JHS/EDS-HT. Interestingly, in addition to the confirmation of a tight link between anxiety and gJHM, preliminary connections with depression, attention deficit (and hyperactivity) disorder, autism spectrum disorders, and obsessive-compulsive personality disorder were also found. Few papers investigated the relationship with schizophrenia with contrasting results. The mind-body connections hypothesized on the basis of available data were discussed with focus on somatotype, presumed psychopathology, and involvement of the extracellular matrix in the central nervous system. The hypothesis of positive Beighton score and alteration of interoceptive/proprioceptive/body awareness as possible endophenotypes in families with symptomatic gJHM or JHS/EDS-HT is also suggested. Concluding remarks addressed the implications of the psychopathological features of gJHM and JHS/EDS-HT in clinical practice. © 2015 Wiley Periodicals, Inc.

  18. An internalization approach to joint ventures: the case of Coca-Cola in China

    OpenAIRE

    Mok, Vincent; Dai, Xiudian; Yeung, Godfrey

    2002-01-01

    In the presence of high transaction costs due to market imperfections, it is normally less expensive for multinational corporations (MNCs) to conduct their business activities in new markets through their internal corporate structures rather than by relying on the markets. Based on a case study of Coca-Cola's entry into the Chinese market, this paper tests the applicability of internalization theory to explaining the entry mode choices of MNCs in developing countries. Internalization theory r...

  19. Surgical treatment of acute type V acromioclavicular joint dislocations in professional athletes: an anatomic ligament reconstruction with synthetic implant augmentation.

    Science.gov (United States)

    Triantafyllopoulos, Ioannis K; Lampropoulou-Adamidou, Kalliopi; Schizas, Nikitas P; Karadimas, Eleftherios V

    2017-12-01

    Most acromioclavicular (AC) joint injuries occur in men in their third decade of life during high-speed or high-impact body contact sports. The management of acute complete AC joint dislocation is surgical. Current surgical techniques include anatomic reconstruction of the main restraints of the AC joint and aim to improve functional outcomes and to reduce the complication rate. We present 10 cases of acute type V AC joint dislocation in professional athletes treated surgically with anatomic reconstruction of the coracoclavicular and AC ligaments and augmentation with the use of a synthetic polyester tape. The minimum follow-up of the patients was 2 years (mean, 48 months; range, 24-86 months). The postoperative functional outcome was assessed at 1 year and 2 years using the Constant-Murley, American Shoulder and Elbow Surgeons, and modified University of California-Los Angeles scoring systems. In all cases, the postoperative scores were significantly improved (P < .005 in all comparisons with the preoperative scores), and all patients returned to their preinjury high level of activity 6 months postoperatively. Radiographs at 1 month and 6 months revealed the maintenance of reduction. There were no complications. According to the results of our series of patients, demanding cases of acute AC joint dislocation Rockwood type V, in professional athletes, require anatomic fixation of both coracoclavicular and AC ligaments for return to sports as soon as possible and at the preinjury level of performance. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  20. [Inferior hemiarthroplasty of the temporo-mandibular joint with articulated condylar prosthesis type Stryker].

    Science.gov (United States)

    Bucur, A; Dincă, O; Totan, C; Ghită, V

    2007-01-01

    The optimal reconstruction of the mandible and of the temporo-mandibular joint after mandibular hemi-resection with disarticulation is still controversial in literature. This paperwork presents our experience on four cases in the reconstruction of the mandible together with the inferior arthroplasty of the temporo-mandibular joint, after the resection of extended benign tumors of the mandible, based on fibular free vascularized grafts having attached a Stryker titanium condylar prosthesis reconstructing the inferior segment of the temporo-mandibular joint. Our results for the this technique were excellent, with a functional rehabilitation very close to normal. After reviewing the various techniques and their arguments in literature, with accent on the TMJ reconstruction, we consider this method to be optimal for the reconstruction of mandibular defects in patients with neoplastic conditions.

  1. What Variables Are Associated With the Outcome of Arthroscopic Lysis and Lavage Surgery for Internal Derangement of the Temporomandibular Joint?

    Science.gov (United States)

    Haeffs, Tyler H; D'Amato, Lindsay N; Khawaja, Shehryar N; Keith, David A; Scrivani, Steven J

    2018-04-26

    Arthroscopic lysis and lavage surgery (AS) is an effective modality that can decrease pain and increase maximum interincisal opening (MIO) in patients with internal derangement (ID) of the temporomandibular joint (TMJ). However, some patients remain in pain or have limited mandibular range of motion despite AS. The purpose of this study was to determine the effectiveness, prevalence of adverse effects, and predictors of response to TMJ AS in patients with TMJ arthralgia and ID. A retrospective cohort study was conducted using data of patients who had undergone AS by a single surgeon (D.A.K.) from September 2010 to April 2015 in the Department of Oral and Maxillofacial Surgery at Massachusetts General Hospital (Boston, MA). Variables, including demographic data, medical history, and clinical presentation, were extracted and analyzed. Criteria for surgical success were defined as a postoperative MIO of at least 35 mm and a postoperative pain level no higher than 3 on an 11-point Likert-type numeric verbal pain rating scale. Appropriate descriptive and analytic statistics were computed and significance was set at a P value less than .05. Of the 247 participants, 226 (91.5%) were women. The mean age of the sample was 38 ± 15.4 years. Successful surgical outcome was achieved in 62.3% of patients. Based on logistic regression analysis, higher initial mean pain score and concurrent use of benzodiazepines were the only variables that predicted an unsuccessful surgical outcome (P < .001; P = .005). Adverse effects were reported by 13.4% of patients, the most common being postoperative increase in pain (13.4%), temporary malocclusion (1.2%), and temporary paresthesia in the preauricular region (0.4%). The results from this study indicate that in patients with ID of the TMJ unresponsive to noninvasive treatments, high initial pain scores and concurrent use of benzodiazepines are correlated with an unsuccessful outcome after AS. Copyright © 2018. Published by

  2. The Zeitgeist of Challenging the Evidence. A Perspective on the International Consensus Meeting on Periprosthetic Joint Infection

    Directory of Open Access Journals (Sweden)

    Hangama C. Fayaz

    2017-01-01

    Full Text Available Background: The economic burden of the treatment of periprosthetic joint infection (PJI is high and the treatment of PJI has a high degree of international controversy. Several papers have declared the International Consensus Meeting on Periprosthetic Joint Infection (ICMPJI to be the "flawless pledge of international academics" to overcome the challenges of musculoskeletal infections. The purpose of this paper is to highlight for the first time some essential insights into the key dilemmas that are associated with this international consensus process. Methods: The proceedings of the ICMPJI was reviewed, and the critical consensus agreements that were reached were communicated via e-mail to 48 leading orthopaedic surgeons, microbiologists and statisticians around the world. Of these, 30 responded, 8 did not, and 10 of respondents were not aware of the ICMPJI. Results: A thorough review of the ICMPJI proceedings identified a clear need to resolve some of the dilemmas that we highlight in this paper. The Delphi procedure has been described as a survey technique that enables a group dynamic-based practice. Although there have been several published reports on this procedure, its scientific merit is still being debated. Several challenges and questions have been raised regarding the application of the Delphi technique, but there is no doubt that it is a vital approach for achieving consensus on subjects where none currently exists. Conclusion: Performing prospective clinical studies in this area is currently the best and only option to overcome this challenge. In the long term, this approach will not only incorporate the standard of clinical evidence but also adopt regional mores for treating infection, which include patient values, cultural differences and local financial resources.

  3. A distinct form of spondyloepimetaphyseal dysplasia with joint laxity (SEMDJL)-leptodactylic type: radiological characteristics in seven new patients

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ok-Hwa [Ajou University Hospital, Department of Radiology, Suwon (Korea); Cho, Tae-Joon [Seoul National University Children' s Hospital, Department of Orthopaedic Surgery, Seoul (Korea); Song, Hae-Ryong [Korea University Guro Hospital, Department of Othopaedic Surgery, Seoul (Korea); Chung, Chin Youb [Seoul National University Bundang Hospital, Department of Orthopaedic Surgery, Gyeonggi (Korea); Miyagawa, Shin-Ichiro [National Hospital Organization Kure Medical center, Department of Pediatrics, Hiroshima (Japan); Nishimura, Gen [Kiyose Children' s Hospital, Department of Radiology, Tokyo (Japan); Superti-Furga, Andrea [University of Freiburg, Departement of Pediatrics, Freiburg (Germany); Unger, Sheila [Institute of Human Genetics, University of Freiburg, Freiburg (Germany)

    2009-08-15

    This study presents seven cases of a rare but distinctive form of spondyloepimetaphyseal dysplasia with joint laxity-leptodactylic or Hall type to emphasize the characteristic clinical and radiological findings. A multiinstitutional retrospective review was performed on seven patients. The patient population consisted of one family with an affected mother and two siblings and four unrelated patients; there were one adult, aged 40 years, and six children, ranging in age from 3 to 12 years. The gender ratio of females to males was 5 to 2. We reviewed the clinical data and skeletal surveys and focused on radiographs of the pelvis, knees, hands, and spine. The outstanding clinical features were short stature, midface hypoplasia, and multiple dislocations and/or ligamentous laxity of the large joints, particularly at the knees with a genu valgum or varum deformity. Of seven patients, six patients showed normal intellect but one patient had mild mental retardation. The main radiological features included small, irregular epiphyses, metaphyseal irregularity with vertical striations that was a constant finding at the knees, constricted femoral necks, delayed ossification of the carpal bones, and slender metacarpals. Progressive thoracolumbar scoliosis was evident with aging; however, the vertebral bodies appeared normal in height or mild platyspondyly was noted. In view of the orthopedic management of multiple joint dislocations and ligamentous laxity of the large joints, awareness of this disease entity and diagnostic precision solely based on radiological findings is of importance, particularly as the disorder is currently more common than initially reported. (orig.)

  4. A distinct form of spondyloepimetaphyseal dysplasia with joint laxity (SEMDJL)-leptodactylic type: radiological characteristics in seven new patients

    International Nuclear Information System (INIS)

    Kim, Ok-Hwa; Cho, Tae-Joon; Song, Hae-Ryong; Chung, Chin Youb; Miyagawa, Shin-Ichiro; Nishimura, Gen; Superti-Furga, Andrea; Unger, Sheila

    2009-01-01

    This study presents seven cases of a rare but distinctive form of spondyloepimetaphyseal dysplasia with joint laxity-leptodactylic or Hall type to emphasize the characteristic clinical and radiological findings. A multiinstitutional retrospective review was performed on seven patients. The patient population consisted of one family with an affected mother and two siblings and four unrelated patients; there were one adult, aged 40 years, and six children, ranging in age from 3 to 12 years. The gender ratio of females to males was 5 to 2. We reviewed the clinical data and skeletal surveys and focused on radiographs of the pelvis, knees, hands, and spine. The outstanding clinical features were short stature, midface hypoplasia, and multiple dislocations and/or ligamentous laxity of the large joints, particularly at the knees with a genu valgum or varum deformity. Of seven patients, six patients showed normal intellect but one patient had mild mental retardation. The main radiological features included small, irregular epiphyses, metaphyseal irregularity with vertical striations that was a constant finding at the knees, constricted femoral necks, delayed ossification of the carpal bones, and slender metacarpals. Progressive thoracolumbar scoliosis was evident with aging; however, the vertebral bodies appeared normal in height or mild platyspondyly was noted. In view of the orthopedic management of multiple joint dislocations and ligamentous laxity of the large joints, awareness of this disease entity and diagnostic precision solely based on radiological findings is of importance, particularly as the disorder is currently more common than initially reported. (orig.)

  5. Joint development of China's medium/small hydropower projects with international investment

    International Nuclear Information System (INIS)

    Xiaozhang, Z.

    1991-01-01

    A general profile of development of small and medium hydropower in China, is described at first. The socio-economic impacts as well as direct financial benefit will then be analyzed. A prospective view of medium/small hydro development for year 2,000 leads to a description of needs for foreign investment in this field. Following the adoption of open policy, a series of regulations for joint venture with foreign investment have been stipulated by the government, and are briefly illustrated. Future prospect is predicted on the basis of past experiences and planning for the next decade. 3 tabs

  6. MR image findings on advanced internal derangement of the temporomandibular joints. Cases of disc position changed from anterior disc displacement with reduction to without reduction

    International Nuclear Information System (INIS)

    Igarashi, Chinami; Kobayashi, Kaoru; Yuasa, Masao; Imanaka, Masahiro; Yamamoto, Akira

    2005-01-01

    This study was designed to evaluate the suggestion that the clinical findings and MR image findings of anterior disc displacement with reduction cases could not reduce the disc displacement within the follow-up period. We selected 26 joints without remarkable bone changes in the condylar head or glenoid fossa in which reduction disappeared during follow-up. Clinical evaluation focused on temporomandibular pain, trismus, and joint sound. MR imaging was targeted for configuration of articular disc, degree of disc displacement, and condylar head position. Clinical signs observed with progression of the condition were disappearance of joint sound in 12/26 joints (46.1%), temporomandibular pain in 15/26 joints (57.6%), and decreased distance of opening mouth in 19/26 joints (73%). MR image findings were disc configuration changes in 12/26 joints (46.1%), increased degree of anterior displacement of disc in 20/26 joints (76.9%), and condylar head position changes in 9/26 joints (34.6%). It is suggested that the advanced stage of internal derangement is closely associated with the degree of disc displacement. (author)

  7. Relationship between Fatigue and Gait Abnormality in Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome Hypermobility Type

    Science.gov (United States)

    Celletti, Claudia; Galli, Manuela; Cimolin, Veronica; Castori, Marco; Albertini, Giorgio; Camerota, Filippo

    2012-01-01

    Ehlers-Danlos syndrome (EDS) is a clinically and genetically heterogeneous group of inherited connective tissue disorders characterised by joint hypermobility, skin hyperextensibility and tissue fragility. It has recently been shown that muscle weakness occurs frequently in EDS, and that fatigue is a common and clinically important symptom. The…

  8. Force-Sensing Actuator with a Compliant Flexure-Type Joint for a Robotic Manipulator

    Directory of Open Access Journals (Sweden)

    Mathieu Grossard

    2015-12-01

    Full Text Available This paper deals with the mechatronic design of a novel self-sensing motor-to-joint transmission to be used for the actuation of robotic dexterous manipulators. Backdrivability, mechanical simplicity and efficient flexure joint structures are key concepts that have guided the mechanical design rationale to provide the actuator with force sensing capabilities. Indeed, a self-sensing characteristic is achieved by the specific design of high-resolution cable-driven actuators based on a DC motor, a ball-screw and a monolithic compliant anti-rotation system together with a novel flexure pivot providing a frictionless mechanical structure. That novel compliant pivot with a large angular range and a small center shift has been conceived of to provide the inter-phalangeal rotational degree of freedom of the fingers’ joints to be used for integration in a multi-fingered robotic gripper. Simultaneously, it helps to remove friction at the joint level of the mechanism. Experimental tests carried out on a prototype show an accurate matching between the model and the real behavior. Overall, this mechatronic design contributes to the improvement of the manipulation skills of robotic grippers, thanks to the combination of high performance mechanics, high sensitivity to external forces and compliance control capability.

  9. Plug and play type joints in steel and steel-concrete composite constructions

    NARCIS (Netherlands)

    Bijlaard, F.S.K.; Brekelmans, J.W.P.M.

    2007-01-01

    Traditionally for Western Europe countries, joints in steel frame structures are realised using bolts and welds. In the workshop the components are made using welding and drilling of the bolt holes. On site these structural components are connected together using bolts and nuts. The actions on site

  10. Condylar position on the lateral individualized corrected tomography in internal derangement of temporomandibular joint

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Keun Min; Hwang, Eui Hwan; Lee, Sang Rae [College of Dentistry, Kyung Hee University, Seoul (Korea, Republic of)

    2002-06-15

    To examine the possible relationship between condylar position and disk displacement in the temporomandibular joint. 79 temporomandibular joints in 40 patients having temporomandibular disorders were classified into three categories: no disk displacement (NDD), disk displacement with reduction (DDWR), and disk displacement without reduction (DDWOR). Disk positions were assessed from clinical and MRI findings. The relationship between the three categories and condylar positions was evaluated using lateral individualized corrected tomography. Clinical findings regarding the relationship between condyle and disk positions having anterior, centric, and posterior positions were 27%, 27%, and 46%, respectively, in NDD, 43%, 17%, and 40%, respectively, in DDWR, and 44%, 22%, and 34%, respectively, in DDWOR. There were no significant differences in condylar positions between each of the groups (P>0.05). In the relationship between condyle and disk positions with MRI findings, anterior, centric, and posterior positions were 38%, 38%, and 24%, respectively, in NDD, 29%, 21%, and 50%, respectively, in DDWR, and 44%, 9%, and 47% respectively, in DDWOR. There were significant differences in the condylar positions when MRI was utilized (P<0.05). There was a significant correlation between the condyle and disk positions with MRI findings on lateral individualized corrected tomography.

  11. Joint Criminal Enterprise: The ICTY’s Contentious Addition to International Law

    DEFF Research Database (Denmark)

    Carlson, Kerstin Bree

    2008-01-01

    The ICTY does not merely represent a historical stage in the development of international criminal justice which can now be put aside and left to legal historians. It also has a lasting impact, due to the fact that its Rules of Procedure and Evidence are judge-made law, tested in the fire of court...... practice and frequently amended to take the latest developments into account. Finally, with the arrest of Slobodan Karadžić, a new chapter has been opened for the Court. This volume thus provides not only an account of all the debates revolving around the proper role of international criminal justice...... and a contribution to the developing academic discipline of “transitional justice”; it also opens up a perspective to the International Criminal Court and asks what procedural legacy the ad hoc tribunals for Yugoslavia and Ruanda provide for the future of international criminal procedure....

  12. Blended Learning Crossing Borders, Creating an Online Platform for a Joint International Course

    NARCIS (Netherlands)

    Esther van der Stappen

    2015-01-01

    Presented at the Essence International Conference, Alcoi – Sept 22 2015. The link refers to a youtube video recording of the presentation. This presentation describes a project for online and blended learning.

  13. Joint conference of 17th international Toki conference on physics of flows and turbulence in plasmas and 16th international stellarator/heliotron workshop 2007. Proceedings (2)

    International Nuclear Information System (INIS)

    2008-01-01

    The Joint Conference of 16th International Stellarator/Heliotron Workshop (ISHW) and 17th International Toki Conference (ITC) was held in Toki (Japan) October 15-19 2007 and organized by the National Institute for Fusion Science (NIFS). More than 200 experts in stellarator/heliotron research from Australia, Austria, Belgium, Germany, Japan, Russia, Serbia, Spain, Ukraine and the United States of America gathered at the conference. The International Advisory committee chaired by O. Motojima, the International Program Committee (IPC) chaired by C. Hidalgo and the Local Organizing Committee (LOC) chaired by H. Yamada have played the leading role in the elaboration of the scientific programme of the joint conference. This series of Stellarator Workshops is organized biennially in the framework of the International Energy Agency (IEA) Implementing Agreement on the Stellarator Concept. NIFS has organized the ITC as an annual meeting for fusion related sciences since its establishment in 1989. The IPC arranged 2 plenary talks, 1 review talk, 2 tutorial talks, 23 invited talks in addition to 201 contributed presentations. The driving force behind magnetically confined fusion research is the design of magnetic traps to confine high temperature plasmas of deuterium and tritium in reactor relevant conditions (i.e. to produce self-sustaining fusion reactions to release useful energy). Although next step magnetic confinement devices, such as ITER, will be based on the tokamak idea, it is not clear that a unique magnetic configuration will be the answer to the various possible applications of fusion energy and hence other magnetic confinement concepts should be explored. The stellarator is an alternative magnetic confinement concept, with the specific advantages of an intrinsically steady state magnetic field an disruption free operation. The 3D magnetic field geometry in stellarators needs an elaborate optimization to guarantee confinement properties which meet the basic

  14. Joint conference of 17th international Toki conference on physics of flows and turbulence in plasmas and 16th international stellarator/heliotron workshop 2007. Proceedings (1)

    International Nuclear Information System (INIS)

    2008-01-01

    The Joint Conference of 16th International Stellarator/Heliotron Workshop (ISHW) and 17th International Toki Conference (ITC) was held in Toki (Japan) October 15-19 2007 and organized by the National Institute for Fusion Science (NIFS). More than 200 experts in stellarator/heliotron research from Australia, Austria, Belgium, Germany, Japan, Russia, Serbia, Spain, Ukraine and the United States of America gathered at the conference. The International Advisory committee chaired by O. Motojima, the International Program Committee (IPC) chaired by C. Hidalgo and the Local Organizing Committee (LOC) chaired by H. Yamada have played the leading role in the elaboration of the scientific programme of the joint conference. This series of Stellarator Workshops is organized biennially in the framework of the International Energy Agency (IEA) Implementing Agreement on the Stellarator Concept. NIFS has organized the ITC as an annual meeting for fusion related sciences since its establishment in 1989. The IPC arranged 2 plenary talks, 1 review talk, 2 tutorial talks, 23 invited talks in addition to 201 contributed presentations. The driving force behind magnetically confined fusion research is the design of magnetic traps to confine high temperature plasmas of deuterium and tritium in reactor relevant conditions (i.e. to produce self-sustaining fusion reactions to release useful energy). Although next step magnetic confinement devices, such as ITER, will be based on the tokamak idea, it is not clear that a unique magnetic configuration will be the answer to the various possible applications of fusion energy and hence other magnetic confinement concepts should be explored. The stellarator is an alternative magnetic confinement concept, with the specific advantages of an intrinsically steady state magnetic field an disruption free operation. The 3D magnetic field geometry in stellarators needs an elaborate optimization to guarantee confinement properties which meet the basic

  15. Evaluation of Outcomes of Open Reduction and Internal Fixation Surgery in Patients with Type C Distal Humeral Fractures

    Directory of Open Access Journals (Sweden)

    Mohammadhadi Nouraei

    2018-01-01

    Full Text Available Background: In this study, functional state of patients with Type C distal humerus fractures undergone surgical plating was evaluated 6 and 12 months after the surgery in order to record postsurgical factors such as pain level and job/performance satisfaction. Materials and Methods: In this cross-sectional study, 46 patients with humerus fractures were recruited and their ability to do daily tasks, presence of degenerative changes, stability of elbow joint, and range of motion was evaluated. For assessment of response to surgery, Mayo score was used. Results: Among 46 patients, 45 (97.8% of them had joint stability. Evaluation of postsurgical complications showed that six subjects (13% had no complications, but superficial infection was observed in 12 (26.1% subjects. Neuromuscular disorders in ulnar nerve were present in 11 subjects (23.9%, recurrent articular bursitis of elbow joint in 6 subjects (13%, stiffness of elbow joint in 29 subjects (63%, nonunion of fracture in 3 subjects (6.5%, and myositis ossification in 4 (8.7% subjects. Furthermore, 18 (39.1% patients presented with more than one (2–4 complications. Conclusion: Open reduction and internal fixation surgery with dual plating is the method of choice for treatment of Type C distal humeral fractures. Evaluation of long-term outcomes of this surgery could be done via several different questionnaires as many studies suggest. This study demonstrated that the outcomes of this surgery in Isfahan, Iran, have been noticeably inferior compared to results of the studies in other parts of the world.

  16. The prevalence of erosive osseous changes of the articular eminence in the temporomandibular joint in patients with mandibular prognathism without internal derangement. MR and helical CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Hayashi, Takafumi; Ito, Jusuke; Tanaka, Rei; Koyama, Jun-ichi; Kobayashi, Fukiko [Niigata Univ. (Japan). Graduate School of Medical and Dental Sciences

    2002-06-01

    The aim of this study was to assess the prevalence of erosive osseous changes of the articular eminence in the temporomandibular joint without internal derangement. Sixty joints of 30 consecutive patients with mandibular prognathism were evaluated with both MR imaging and helical CT. On MPR images obtained with helical CT, erosive osseous changes of the articular eminence were observed in 18 joints (30%) of 13 patients. None of the joints studied demonstrated an osseous change in the mandibular condyle. MR imaging failed to detect erosive osseous changes of the articular eminence in all of the joints studied. In conclusion, MPR images obtained with helical CT were of value to detect erosive osseous changes of the articular eminence. (author)

  17. The prevalence of erosive osseous changes of the articular eminence in the temporomandibular joint in patients with mandibular prognathism without internal derangement. MR and helical CT findings

    International Nuclear Information System (INIS)

    Hayashi, Takafumi; Ito, Jusuke; Tanaka, Rei; Koyama, Jun-ichi; Kobayashi, Fukiko

    2002-01-01

    The aim of this study was to assess the prevalence of erosive osseous changes of the articular eminence in the temporomandibular joint without internal derangement. Sixty joints of 30 consecutive patients with mandibular prognathism were evaluated with both MR imaging and helical CT. On MPR images obtained with helical CT, erosive osseous changes of the articular eminence were observed in 18 joints (30%) of 13 patients. None of the joints studied demonstrated an osseous change in the mandibular condyle. MR imaging failed to detect erosive osseous changes of the articular eminence in all of the joints studied. In conclusion, MPR images obtained with helical CT were of value to detect erosive osseous changes of the articular eminence. (author)

  18. Joint radiation emergency management plan of the international organizations. Emergency preparedness and response. Date effective: 1 December 2004

    International Nuclear Information System (INIS)

    2004-11-01

    directives and regulations that bear on emergency response arrangements among some States. The IAEA is the main co-ordinating body for development and maintenance of the Joint Plan. All States irrespective whether they are party to one or other of the two Conventions are invited to adopt arrangements that are compatible with those described here when providing relevant information about nuclear or radiological emergencies to relevant international organizations, in order to minimize the radiological consequences and to facilitate the prompt provision of information and assistance. This document is the third edition of the Joint Plan

  19. Comparison of the Tight Rope Technique and Clavicular Hook Plate for the Treatment of Rockwood Type III Acromioclavicular Joint Dislocation.

    Science.gov (United States)

    Cai, Leyi; Wang, Te; Lu, Di; Hu, Wei; Hong, Jianjun; Chen, Hua

    2018-06-01

    Acromioclavicular joint dislocation is one of the most common shoulder problems and may lead to instability or degenerative changes. The aim of this study was to compare the clinical outcomes of the Tight Rope system and clavicular hook plate for Rockwood type III acromioclavicular joint dislocation in adults. This was a prospective, randomized study in a hospital setting. From January 2012 to December 2014, 69 patients with type III injury were reviewed. Patients were randomly divided into two groups: Group A was treated using the TightRope system and Group B with the clavicular hook plate. All participants were followed up for 12 months. Clinical outcomes, radiological results and postoperative complications were recorded. The length of incision was significantly shorter in Goup A than that in Group B. The blood loss of surgery was significantly less in the Group A. Significant difference could be found between the two groups regarding the Visual Analogue Scale scores one day after surgery, at the 3 and 12 months follow-up. There were no differences according to the improvement of the Constant-Murley score and the coracoclavicular distance between the groups. The two groups have similar clinical and radiological outcomes. Both treatments could relieve the pain of dislocation, improve the function of Acromioclavicular joint and rectify the coracoclavicular distance measured in plain films. However, the TightRope system exhibited some advantages in terms of length of incision, blood loss of surgery, the pain postoperatively and no need for a second surgery.

  20. Report on surveys and researches to excavate international joint researches related to industrial technologies; Sangyo gijutsu ni kansuru kokusai kyodo kenkyu hakkutsu no tame no chosa kenkyu hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    Five themes were taken up for a project of the 'surveys and researches to excavate international joint researches related to industrial technologies'. Investigation groups were organized and dispatched for each theme toperform domestic and overseas surveys. Discussions were given on eachtheme for the possibilities of structuring international joint researches. The five themes are as follows: 'wearable information network related technologies', wherein technologies to micronize information devices have been advanced rapidly, and the technologies are entering the age from personalizing and mobilizing the information into the wearable computing; this theme is intended to develop systems to unify these technologies by means of international joint researches: 'surveys on using unutilized animal oils and fats as chemical raw materials', which are intended to make clear possibilities and problems in utilizing animal oils and fats as raw materials for the chemical industry that can substitute fossil resources: 'international joint researches on new glasses' and 'processes to manufacture semiconductors using glassy carbon' to develop glassy carbon having excellent chemical resistance substituting quartz: and 'international joint researches on the Russian project which places environment and energy in its center'. (NEDO)

  1. Gastrointestinal disorders in joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type: A review for the gastroenterologist.

    Science.gov (United States)

    Beckers, A B; Keszthelyi, D; Fikree, A; Vork, L; Masclee, A; Farmer, A D; Aziz, Q

    2017-08-01

    Joint hypermobility syndrome (JHS)/Ehlers-Danlos syndrome hypermobility type (EDS-HT) is the most common hereditary non-inflammatory disorder of connective tissue, characterized by a wide range of symptoms, mainly joint hyperextensibility and musculoskeletal symptoms. A majority of patients also experiences gastrointestinal (GI) symptoms. Furthermore, JHS/EDS-HT has specifically been shown to be highly prevalent in patients with functional GI disorders, such as functional dyspepsia and irritable bowel syndrome. The aim of this review was to examine the nature of GI symptoms and their underlying pathophysiology in JHS/EDS-HT. In addition, we consider the clinical implications of the diagnosis and treatment of JHS/EDS-HT for practicing clinicians in gastroenterology. Observations summarized in this review may furthermore represent the first step toward the identification of a new pathophysiological basis for a substantial subgroup of patients with functional GI disorders. © 2017 John Wiley & Sons Ltd.

  2. Differential contributions of specimen types, culturing, and 16S rRNA sequencing in diagnosis of prosthetic joint infections

    DEFF Research Database (Denmark)

    Larsen, Lone Heimann; Khalid, Vesal; Xu, Yijuan

    2018-01-01

    to variations in specimen sampling. In this prospective, multidisciplinary study of hip or knee prosthetic failures, we assessed the contributions of different specimen types, extended culture incubations, and 16S rRNA sequencing for diagnosing prosthetic joint infections (PJI). Project specimens included joint...... fluid (JF), bone biopsy specimens (BB), soft-tissue biopsy specimens (STB), and swabs (SW) from the prosthesis, collected in situ, and sonication fluid collected from prosthetic components (PC). Specimens were cultured for 6 (conventional) or 14 days, and 16S rRNA sequencing was performed at study...... completion. Of the 156 patients enrolled, 111 underwent 114 surgical revisions (cases) due to indications of either PJI (n = 43) or AF (n = 71). Conventional tissue biopsy cultures confirmed PJI in 28/43 (65%) cases and refuted AF in 3/71 (4%) cases; one case was not evaluable. Based on these results, minor...

  3. Neglected chaos in international stock markets: Bayesian analysis of the joint return-volatility dynamical system

    Science.gov (United States)

    Tsionas, Mike G.; Michaelides, Panayotis G.

    2017-09-01

    We use a novel Bayesian inference procedure for the Lyapunov exponent in the dynamical system of returns and their unobserved volatility. In the dynamical system, computation of largest Lyapunov exponent by traditional methods is impossible as the stochastic nature has to be taken explicitly into account due to unobserved volatility. We apply the new techniques to daily stock return data for a group of six countries, namely USA, UK, Switzerland, Netherlands, Germany and France, from 2003 to 2014, by means of Sequential Monte Carlo for Bayesian inference. The evidence points to the direction that there is indeed noisy chaos both before and after the recent financial crisis. However, when a much simpler model is examined where the interaction between returns and volatility is not taken into consideration jointly, the hypothesis of chaotic dynamics does not receive much support by the data ("neglected chaos").

  4. MR imaging of medial collateral ligament injury and associated internal knee joint injury

    International Nuclear Information System (INIS)

    Lim, Chae Ha; Lee, Sun Kyoung; Lim, Dong Hun; Kim, Young Sook; Byun, Ju Nam; Kim, Young Chul; Oh, Jae Hee

    1996-01-01

    To assess the value of MR imaging in the diagnosis of medial collateral ligament injury of the knee, we used MR imaging to evaluate the characteristic findings in MCL tears and the frequency of associated knee joint injury. We retrospectively reviewed 26 patients within four weeks of MCL injury, analysed MR findings and correlated them with surgical findings. We evaluated discontinuity, heterogeneous signal intensity of MCL, thin band- like low signal intensity at MCL, facial edema, loss of clear demarcation of adjacent fat also combined bone injury, meniscus injury and other ligament injury. Complete MCL tears were present in 14 patients and partial tears in 12. Complete tears showed discontinuity of MCL, fascial edema and loss of clear demarcation from adjacent fat in 11 patients(79%);proximal MCL tears are more common than distal tears. Partial tears showed thin band-like low signal intensity within MCL, fascial edema and loss of clear demarcation from adjacent fat in seven patients (58%);all patient s with MCL injury showed fascial edema;in 12 patients there was loss of clear demarcation from adjacent fat. We could not, however, distinguish between complete tears and partial tears when MCL showed heterogeneous high signal intensity. Combined bone injury in MCL tears was found in eight patients(62%);the most common sites of this were the lateral femoral condyle and lateral tibial plateau. There was associated injury involving other ligaments(ACL:50%;PCL:27%). Combined meniscus injury in MCL tears was present in 17 patients and the most common meniscus site(50%) is the posterior horn of the medial meniscus. Complete MCL tears showed discontinuity of MCL and partial tears showed a thin band-like low signal intensity within MCL. All patients with MCL injury showed fascial edema, and loss of clear demarcation from adjacent fat. Various other injuries combine with MCL tears. MR imaging is therefore useful in the evaluation of medial collateral ligament injury and

  5. A variant neglected Type IIIA dorsal dislocation of first metatarsophalangeal joint. A case report.

    Science.gov (United States)

    Ainhoa, Toro-Ibarguen; Moreno-Beamud, Jose Alberto; Martínez-Leocadio, Miguel-Ángel; Candel-García, Luciano; Díaz-Martín, Andrés; Delgado-Díaz, Emilio

    2015-03-01

    We present a rare injury consisting of a neglected, irreducible, dislocation of the first metatarsophalangeal joint that was diagnosed 4 months after the injury. An open reduction was necessary from the beginning. Patient returned to full activity without pain or disability, so a good prognosis despite the delayed diagnosis was achieved. We are unaware of previous reports in the literature describing this unusual variant. Copyright © 2014 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

  6. Intercomparison exercise on internal dose assessment. Final report of a joint IAEA-IDEAS project

    International Nuclear Information System (INIS)

    2007-09-01

    There have been several intercomparison exercises organized already at national and international levels for the assessment of occupational exposure due to intakes of radionuclides. These intercomparison exercises revealed significant differences in approaches, methods and assumptions, and consequently in the results. Because of the relevance of the issue for internal dosimetrists, the IAEA organized a new intercomparison exercise in cooperation with the IDEAS project General Guidelines for the Evaluation of Incorporation Monitoring Data, launched under the 5th EU Framework Programme (EU Contract No. FIKR-CT2001-00160). This new intercomparison exercise focused especially on the effect of the guidelines for harmonization of internal dosimetry. It also considered the following aspects: - to provide possibilities for the participating laboratories to check the quality of their internal dose assessment methods in applying the recent ICRP recommendations (e.g. for the new respiratory tract model); - to compare different approaches in interpretation of internal contamination monitoring data; - to quantify the differences in internal dose assessments based on the new guidelines or on other procedures, respectively; - to provide some figures for the influence of the input parameters on the monitoring results; and - to provide a broad forum for information exchange. Several cases have been selected for this exercise with the aim of covering a wide range of practices in the nuclear fuel cycle and in medical applications. The cases were: 1. Acute intake of HTO; 2. Acute inhalation of fission products 137 Cs and 90 Sr; 3. Intake of 60 Co; 4. Repeated intakes of 131 I; 5. Intake of enriched uranium; 6. Single intake of plutonium radionuclides and 241 Am. An Internet based approach had been used for the presentation of the cases, collection of responses and potential discussion of the results. Solutions to these cases were reported by 80 participants worldwide. This report

  7. An ex vivo study on immunohistochemical localization of MMP-7 and MMP-9 in temporomandibular joint discs with internal derangement

    Directory of Open Access Journals (Sweden)

    C. Loreto

    2013-04-01

    Full Text Available Internal derangement (ID is among the most common disorders of the temporomandibular joint (TMJ. Previous research by our group highlighted a correlation between apoptosis and TMJ ID. Metalloproteinases (MMP-7 and -9 have been shown to play an important role in extracellular matrix ECM homeostasis and, through it, in joint disc remodelling. The immunohistochemical expression of MMP-7 and -9 was investigated in discs from patients with TMJ ID and from healthy donors and compared with the degree of histological tissue degeneration. The collagen fibre arrangement in pathological discs exhibited varying degrees of disruption. New vessels were consistently detected; endothelial cells from these vessels were immunolabelled with both MMP-7 and MMP-9. More or less intense MMP-7 and MMP-9 immunolabelling was detected in the cytoplasm of disc cells from all patients. MMP-7 and MMP-9 immunostaining was significantly different between pathological and normal discs and correlated with the extent of histopathological degeneration. MMP-7 and MMP-9 upregulation in discs from patients with TMJ ID demonstrates their involvement in disc damage in this disorder. A greater understanding of these processes could help identify ways to curb MMP overproduction without affecting their tissue remodelling action. The design of specific inhibitors for these MMPs would not only help to gain insights into the biological roles of MMPs, but would also aid in developing therapeutic interventions for diseases associated with abnormal ECM degradation.

  8. Application of numerical method in calculating the internal rate of return of joint venture investment using diminishing musyarakah model

    Science.gov (United States)

    Ruslan, Siti Zaharah Mohd; Jaffar, Maheran Mohd

    2017-05-01

    Islamic banking in Malaysia offers variety of products based on Islamic principles. One of the concepts is a diminishing musyarakah. The concept of diminishing musyarakah helps Muslims to avoid transaction which are based on riba. The diminishing musyarakah can be defined as an agreement between capital provider and entrepreneurs that enable entrepreneurs to buy equity in instalments where profits and losses are shared based on agreed ratio. The objective of this paper is to determine the internal rate of return (IRR) for a diminishing musyarakah model by applying a numerical method. There are several numerical methods in calculating the IRR such as by using an interpolation method and a trial and error method by using Microsoft Office Excel. In this paper we use a bisection method and secant method as an alternative way in calculating the IRR. It was found that the diminishing musyarakah model can be adapted in managing the performance of joint venture investments. Therefore, this paper will encourage more companies to use the concept of joint venture in managing their investments performance.

  9. International Students at Chinese Joint Venture Universities: Factors Influencing Decisions to Enrol

    Science.gov (United States)

    Onsman, Andrys

    2013-01-01

    The People's Republic of China has determined to assume a respected place amongst the world's foremost higher education providers. Its short term strategy is multi-pronged: attracting world-class scholars; attracting international students and encouraging Chinese universities to run branches overseas. As well, a small number of select foreign…

  10. Temporomandibular joint

    International Nuclear Information System (INIS)

    Westesson, P.L.; Hatala, M.; Tallents, R.H.; Katzberg, R.W.; Musgrave, M.; Levitt, S.

    1990-01-01

    This paper determines the frequency of MR signs of abnormal temporomandibular joints (TMJs) in asymptomatic volunteers. Forty-two volunteers with 84 clinically normal TMJs were imaged in the sagittal and coronal planes with surface coil MR imaging. Sagittal closed and open and coronal closed views were obtained bilaterally in all volunteers. The images were classified as normal (superior disk position) or abnormal (disk displacement of degenerative joint disease). Eighteen joints in 11 volunteers were abnormal; 12 had disk displacement with reduction and six had disk displacement without reduction, with associated degenerative joint disease in three of the six. Asymptomatic internal derangement and degenerative joint disease occur in about one-fourth of asymptomatic volunteers

  11. Joint thesaurus Part I (A-L) + II (M-Z)[International Nuclear Information System. Energy Technology Data Exchange

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-04-15

    This is the second revision of the ETDE/INIS Joint Thesaurus, including all updates up to September 2006. It contains 21 147 valid descriptors and 9 114 forbidden terms. The Joint Thesaurus contains the controlled terminology for indexing all information within the subject scopes of the International Nuclear Information System (INIS) and the Energy Technology Data Exchange (ETDE). The terminology is intended for use in subject descriptions for input or retrieval of information in these systems. The thesaurus is a terminological control device used in translating from the natural language of documents, indexers or users into a more constrained system language It is also a controlled and dynamic vocabulary of semantically and generically related terms which covers a specific domain of knowledge. The basic terminology in this thesaurus goes back to the 1969 edition of the EURATOM Thesaurus. The structure subsequently given to that terminology was the result of a systematic study performed by INIS subject specialists. Further expansion of the thesaurus terminology was done by ETDE to incorporate information on all forms of energy. The ETDE/INIS Joint Thesaurus is the result of continued editing, carried out in parallel to the processing of the INIS and ETDE databases. The domain of knowledge covered by the Joint Thesaurus includes physics (in particular, plasma physics, atomic and molecular physics, and especially nuclear and high-energy physics), chemistry, materials science, earth sciences, radiation biology, radioisotope effects and kinetics, applied life sciences, radiology and nuclear medicine, isotope and radiation source technology, radiation protection, radiation applications, engineering, instrumentation, fossil fuels, synthetic fuels, renewable energy sources, advanced energy systems, fission and fusion reactor technology, safeguards and inspection, waste management, environmental aspects of the production and consumption of energy from nuclear and non

  12. Diagnostic accuracy of imaging modalities for internal derangements of temporomandibular joint

    International Nuclear Information System (INIS)

    Kobayashi, Kaoru; Igarashi, Chinami; Yuasa, Masao; Imanaka, Masahiro; Kondoh, Toshirou

    1998-01-01

    The purpose of this study was to evaluate and review the diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive value of imaging diagnosis for temporomandibular disorders. The role of diagnostic imaging is to detect and document specific anatomic abnormalities associated with the signs and symptoms in the temporomandibular joint. Magnetic resonance imaging (MR imaging) can accurately depict disc displacement and disc deformity. MR imaging is our first choice among the various imaging modalities for the patients with clinical signs and symptoms. However, it has been shown that intra-capsular adhesions and perforations of the disc and retrodiscal tissue are sometimes not detected by MR imaging. To improve the diagnostic technique for adhesions and perforations, double-contrast arthrotomography with fluoroscopy should be employed. The irregular surface of the eminences and the glenoid fossae shown by MR imaging and tomography are correlated with subchondral bone exposure by arthroscopy. Erosion of the condyles detected by MR imaging, tomography and rotational panoramic radiography is correlated with subchondral bone exposure detected by arthroscopy. (author). 69 refs

  13. Effect of welding processes and joint configuration on the residual stresses and distortion in type 316 LN stainless steel weld joints

    International Nuclear Information System (INIS)

    Vasantharaja, P.; Vasudevan, M.; Palanichamy, P.

    2012-01-01

    Fabrication by welding introduces significant residual stresses in the welded structure/component due to non-uniform heat distribution during heating and cooling cycle. To control, reduce, or beneficially redistribute the residual stresses in weld joints, the stress distribution needs to be known. In the present study, weld joints of 16 mm thick 316LN stainless steel were made by multi-pass TIG, A-TIG welding and combination of TIG and A-TIG welding processes with various joint configurations. While V-groove edge preparation was required for making multi-pass TIG weld joint, square-edge preparation was sufficient for making A-TIG weld joint. Ultrasonic nondestructive technique based on the critically refracted longitudinal waves (LCR waves) has been used for the quantitative surface/sub-surface residual stress measurements in the weld joints. Distortion measurements were carried out before and after welding using height gauge. A-TIG weld joint was found to exhibit significant reduction in tensile residual stresses and distortion in comparison to that of other joints. (author)

  14. Against which human papillomavirus types shall we vaccinate and screen? The international perspective.

    NARCIS (Netherlands)

    Munoz, N.; Bosch, F.X.; Castellsague, X; Diaz, M; Sanjose, de S; Hammouda, D; Shah, K.V.; Meijer, C.J.L.M.

    2004-01-01

    At least 15 types of HPV have been associated with cervical cancer, but current HPV vaccines confer only type-specific immunity. To determine geographic variations in the HPV type distribution in cervical cancer, we carried out a pooled analysis of data from an international survey of HPV types in

  15. Joint implementation, clean development mechanism and tradable permits. International regulation of greenhouse gases

    DEFF Research Database (Denmark)

    Nielsen, L.; Olsen, K.R.

    2000-01-01

    ). The report describes the background for the international co-operation on reducing the greenhouse gases and the background for the instruments. How the instruments work in theory and what the practical problemsmay be. What agents' incentives are when they engage in JI or CDM, and how the initiation...... the developing countries incentives to participate in the coalition of committed countries. In the concludingchapter some recommendations on the use of JI, TP and CDM are given. The recommendations are a kind of dialog with especially the Norwegian and Swedish reports on tradable permits. Some of the issues...

  16. [COMPARISON OF EFFECTIVENESS BETWEEN TWO OPERATIVE TECHNIQUES OF CORACOCLAVICULAR LIGAMENT RECONSTRUCTION FOR TREATMENT OF Tossy TYPE III ACROMIOCLAVICULAR JOINT DISLOCATION].

    Science.gov (United States)

    Tang, Hongwei; Gao, Sheng; Yin, Yong; Li, Yunfei; Han, Qingtian; Li, Huizhang

    2015-11-01

    To evaluate and compare the effectiveness of double Endobutton technique and suture anchor combined Endobutton plate in the treatment of Tossy type III acromioclavicular joint dislocation. Between May 2010 and March 2014, a retrospective study was preformed on 56 patients with Tossy type III acromioclavicular joint dislocation. The coracoclavicular ligament was reconstructed with double Endobutton technique in 31 cases (Endobutton group), and with suture anchor combined Endobutton plate in 25 cases (Anchor group). There was no significant difference in age, gender, injury causes, injury side, associated injury, medical comorbidities, and disease duration between 2 groups (P>0.05). The operation time, medical device expenses, postoperative complications, preoperative and postoperative Constant-Murley scores, and postoperative Karlsson grading of the injured shoulder were compared between 2 groups. The average operation time in Endobutton group was significantly greater than that in Anchor group (t = 4.285, P = 0.000); there was no significant difference in the medical device expenses between 2 groups (t = 1.555, P = 0.126). Primary healing of incision was obtained in all patients of 2 groups; no early complications of infection and skin necrosis occurred. All patients were followed up 15.6 months on average (range, 11-35 months). During follow-up, some loss of reduction and ectopic ossification in the coracoclavicular gap were observed in 1 case and 6 cases of Endobutton group, respectively. No recurrence of acromioclavicular joint dislocation, implant fixation loosening and broken, and secondary fractures occurred in the other patients. There was significant difference in the incidence of postoperative complications between 2 groups (P = 0.013). Constant-Murley scores of the injured shoulder significantly increased at 9 months after operation when compared with preoperative values in 2 groups (P 0.05). At last follow-up, there was no significant difference in

  17. Report on the SNL/AWE/NSF international workshop on joint mechanics, Dartington, United Kingdom, 2729 April 2009.

    Energy Technology Data Exchange (ETDEWEB)

    Ewins, David J. (University of Bristol, UK); Bergman, Lawrence A. (University of Illinois, Urbana, IL); Segalman, Daniel Joseph

    2010-08-01

    The SNL/AWE joint mechanics workshop, held in Dartington Hall, Totnes, Devon, UK 26-29 April 2009 was a follow up to another international joints workshop held in Arlington, Virginia, in October 2006. The preceding workshop focused on identifying what length scales and interactions would be necessary to provide a scientific basis for analyzing and understanding joint mechanics from the atomistic scale on upward. In contrast, the workshop discussed in this report, focused much more on identification and development of methods at longer length scales that can have a nearer term impact on engineering analysis, design, and prediction of the dynamics of jointed structures. Also, the 2009 meeting employed less technical presentation and more break out sessions for developing focused strategies than was the case with the early workshop. Several 'challenges' were identified and assignments were made to teams to develop approaches to address those challenges.

  18. Evaluation of a joint Bioinformatics and Medical Informatics international course in Peru.

    Science.gov (United States)

    Curioso, Walter H; Hansen, Jacquelyn R; Centurion-Lara, Arturo; Garcia, Patricia J; Wolf, Fredric M; Fuller, Sherrilynne; Holmes, King K; Kimball, Ann Marie

    2008-01-14

    New technologies that emerge at the interface of computational and biomedical science could drive new advances in global health, therefore more training in technology is needed among health care workers. To assess the potential for informatics training using an approach designed to foster interaction at this interface, the University of Washington and the Universidad Peruana Cayetano Heredia developed and assessed a one-week course that included a new Bioinformatics (BIO) track along with an established Medical/Public Health Informatics track (MI) for participants in Peru. We assessed the background of the participants, and measured the knowledge gained by track-specific (MI or BIO) 30-minute pre- and post-tests. Participants' attitudes were evaluated both by daily evaluations and by an end-course evaluation. Forty-three participants enrolled in the course - 20 in the MI track and 23 in the BIO track. Of 20 questions, the mean % score for the MI track increased from 49.7 pre-test (standard deviation or SD = 17.0) to 59.7 (SD = 15.2) for the post-test (P = 0.002, n = 18). The BIO track mean score increased from 33.6 pre-test to 51.2 post-test (P < 0.001, n = 21). Most comments (76%) about any aspect of the course were positive. The main perceived strength of the course was the quality of the speakers, and the main perceived weakness was the short duration of the course. Overall, the course acceptability was very good to excellent with a rating of 4.1 (scale 1-5), and the usefulness of the course was rated as very good. Most participants (62.9%) expressed a positive opinion about having had the BIO and MI tracks come together for some of the lectures. Pre- and post-test results and the positive evaluations by the participants indicate that this first joint Bioinformatics and Medical/Public Health Informatics (MI and BIO) course was a success.

  19. Gd-DTPA (gadolinium diethylenetriamine pentaacetic acid) in MR imaging of the internal derangement of temporomandibular joint

    International Nuclear Information System (INIS)

    Tange, Kazuhisa; Mihara, Manabu; Maeda, Sanae; Iwata, Hiroyuki; Ito, Noboru; Fukaya, Masahiko.

    1990-01-01

    Magnetic resonance (MR) imaging was performed in five internal derangement of temporomandibular joint (TMJ) patients, before and after intravenous administration of gadolinium-DTPA (Gd-DTPA) as a contrast agent. MR imaging was performed with a 0.5 tesla unit (VISTA MR; PICKER INTERNATIONAL) using a surface coil. We obtained multiple 5 mm sagital images with open and closed jaw positions. Precontrast proton density images were obtained with a repetition time (TR) of 1,000 msec and an echo time (TE) of 40 msec (TR/TE=1,000/40). Gd-DTPA was administered intravenously in a dose of 0.2 ml per kilogram of body weight. After the injection, postcontrast T1 weighted images (500/20) or postcontrast proton density images (1,000/40) were obtained. In the postcontrast T1 weighted images, the soft tissue surrounding the articular disk was enhanced and it provided helpful information for assessing the disk position. On the other hand, there was no effect of the contrast agent in the postcontrast proton density images. None of the patients experienced allergic reactions or other side effects. Gd-DTPA appeared to be a safe and effective contrast agent for MR imaging with T1 weighted images. However, compared with our usual imaging of the TMJ, the imaging did not indicate greater MR sensitivity for detecting the articular disk by means of Gd-DTPA enhancement. (author)

  20. Joint study on activation of international nuclear information use through implementation INIS DB server with IAEA

    International Nuclear Information System (INIS)

    Lee, H. C.; Yi, J. H.; Kim, T. W.; Chun, Y. C.; Yoo, A. N.

    2003-03-01

    In order to install the INIS DB host site in Korea, the Korea INIS national center has cooperated with KAERI and organizations concerned, contacted the INIS secretariat participated in the consultative meeting of INIS liaison officers, and strengthened the relationship with Asian and Oceanian countries. And KAERI staff and a maintenance engineer participated training seminar on INIS DB installation and maintenance. The Korea national center obtained the INIS DB server code and data by international cooperation activity. Based these code and data, hardware and software for INIS DB server are purchased. INIS DB server system was installed the software and INIS database(2,347,302) was constructed. In 2003 INIS host DB site started to provide web service in Korea. Also It enables the users in the member countries in Asia as well as domestic users to get quick information. It will also bring the active use of the domestic INIS DB and the increase of the productivity of domestic research activities

  1. An Unexplored Facet of International Business in Greece: Foreign and Diaspora Shareholders in Joint Stock Company Start-Ups, 1833-1920

    Directory of Open Access Journals (Sweden)

    Ioanna Sapfo Pepelasis

    2016-07-01

    Full Text Available This paper focuses on an unexplored aspect of the history of international business in Greece, the presence of international shareholders in Greek Joint stock company start-ups. Our main findings are that these investors participated in numerous such firms usually as minority shareholders in capital and or knowledge intensive firms. Rarely did they opt for the exclusive international ownership of a joint stock company in Greece and the dividing line  between foreign direct investment and foreign portfolio investment was not always clear. It is also the case that international capital inflow into the nascent corporate sector involved a mosaic of collaborating actors including not only the foreign but also the diasporic.

  2. Differential diagnosis and diagnostic flow chart of joint hypermobility syndrome/ehlers-danlos syndrome hypermobility type compared to other heritable connective tissue disorders.

    Science.gov (United States)

    Colombi, Marina; Dordoni, Chiara; Chiarelli, Nicola; Ritelli, Marco

    2015-03-01

    Joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT) is an evolving and protean disorder mostly recognized by generalized joint hypermobility and without a defined molecular basis. JHS/EDS-HT also presents with other connective tissue features affecting a variety of structures and organs, such as skin, eye, bone, and internal organs. However, most of these signs are present in variable combinations and severity in many other heritable connective tissue disorders. Accordingly, JHS/EDS-HT is an "exclusion" diagnosis which needs the absence of any consistent feature indicative of other partially overlapping connective tissue disorders. While both Villefranche and Brighton criteria include such an exclusion as a mandatory item, a systematic approach for reaching a stringent clinical diagnosis of JHS/EDS-HT is still lacking. The absence of a consensus on the diagnostic approach to JHS/EDS-HT concerning its clinical boundaries with similar conditions contribute to limit our actual understanding of the pathologic and molecular bases of this disorder. In this review, we revise the differential diagnosis of JHS/EDS-HT with those heritable connective tissue disorders which show a significant overlap with the former and mostly include EDS classic, vascular and kyphoscoliotic types, osteogenesis imperfecta, Marfan syndrome, Loeys-Dietz syndrome, arterial tortuosity syndrome, and lateral meningocele syndrome. A diagnostic flow chart is also offered with the attempt to support the less experienced clinician in stringently recognizing JHS/EDS-HT and stimulate the debate in the scientific community for both management and research purposes. © 2015 Wiley Periodicals, Inc.

  3. Joint Thesaurus. Part I (A-L) + Part II (M-Z)[International Nuclear Information System. Energy Technology Data Exchange

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-04-01

    This is the 1st revision of the INIS/ETDE Joint Thesaurus. It contains 20 953 valid descriptors and 8 600 forbidden terms. It was last updated in December 2003. The Joint Thesaurus contains the controlled terminology for indexing all information within the subject scope of both INIS (International Nuclear Information System) and ETDE (Energy Technology Data Exchange) information systems. The terminology is intended for use in subject description for input or retrieval of information in those systems. The thesaurus is a terminological control device used in translating from the natural language of documents, indexers or users into a more constrained system language It is also a controlled and dynamic vocabulary of semantically and generically related terms which covers a specific domain of knowledge. The domain of knowledge covered by this Thesaurus includes physics (in particular, plasma physics, atomic and molecular physics, and especially nuclear and high-energy physics), chemistry, materials, earth sciences, radiation biology, radioisotope effects and kinetics, applied life sciences, radiology and nuclear medicine, isotope and radiation source technology, radiation protection, radiation applications, engineering, instrumentation, fossil fuels, synthetic fuels, renewable energy sources, advanced energy systems, fission and fusion reactor technology, safeguards and inspection, waste management, environmental aspects of the production and consumption of energy from nuclear and non-nuclear sources, energy efficiency and energy conservation, economics and sociology of energy production and use, energy policy, and nuclear law. The terms in the Thesaurus are listed alphabetically, and with each alphabetic entry a word block containing the terms associated with the particular entry is displayed. In the word block, terms that have a hierarchical relationship to the entry are identified by the symbols BT and NT, for Broader Term and Narrower Term. Those with an affinitive

  4. International scientific seminar «Chronicle of Nature – a common database for scientific analysis and joint planning of scientific publications»

    Directory of Open Access Journals (Sweden)

    Juri P. Kurhinen

    2016-05-01

    Full Text Available Provides information about the results of the international scienti fic seminar «Сhronicle of Nature – a common database for scientific analysis and joint planning of scientific publications», held at Findland-Russian project «Linking environmental change to biodiversity change: large scale analysis оf Eurasia ecosystem».

  5. BioSTEC 2017: 10th International Joint Conference on Biomedical Engineering Systems and Technologies : Proceedings Volume 5: HealthInf

    NARCIS (Netherlands)

    2017-01-01

    This book contains the proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2017). This conference is sponsored by the Institute for Systems and Technologies of Information, Control and Communication (INSTICC), in cooperation with the ACM

  6. Development of new type of silicon detector with internal amplification

    International Nuclear Information System (INIS)

    Schuster, K.F.

    1988-11-01

    The first test version of a new type of silicon detector made of extremely pure material was designed and manufactured. Numerical simulation provided great assistance in selecting the process parameters. The principle of operation aimed at of a radiation deflector consisting of an MOS transistor with more than fully depleted base area was confirmed. The energy resolution of the detectors was determined at 300 0 K and 6 keV (Mn K α ) to be 250 eV half width and is therefore considerably better than the conventional uncooled detectors. The detector principle permits the realisation of a two-dimensional detector matrix which can be addressed, with non-destructive triggering. With a measured signal/noise ratio of the individual detectors of better than 400 for minimum ionised particles, new types of fast triggering processes can be achieved in high energy physics with good local resolution (≅ 50 μm). (orig.) [de

  7. Validation of a new pediatric joint scoring system from the International Hemophilia Prophylaxis Study Group: validity of the hemophilia joint health score

    NARCIS (Netherlands)

    Feldman, Brian M.; Funk, Sharon M.; Bergstrom, Britt-Marie; Zourikian, Nichan; Hilliard, Pamela; van der Net, Janjaap; Engelbert, Raoul; Petrini, Pia; van den Berg, H. Marijke; Manco-Johnson, Marilyn J.; Rivard, Georges E.; Abad, Audrey; Blanchette, Victor S.

    2011-01-01

    Repeated hemarthrosis in hemophilia causes arthropathy with pain and dysfunction. The Hemophilia Joint Health Score (HJHS) was developed to be more sensitive for detecting arthropathy than the World Federation of Hemophilia (WFH) physical examination scale, especially for children and those using

  8. Tensile properties of four types of austenitic stainless steel welded joints

    International Nuclear Information System (INIS)

    Balladon, P.

    1990-01-01

    In the field of an LMFBR research programme on austenitic stainless steel welds in a Shared Cost Action Safety, Research Area 8, coordinated by JRC-Ispra, four cooperating laboratories (ECN, IKE/MPA, the Welding Institute and UNIREC) have been involved in the fabrication and extensive characterization of welded joints made from one plate of ICL 167 stainless steel. The materials included parent metal, four vacuum electron beam welds, one non vacuum electron beam weld, one submerged arc weld, one gas metal arc weld and one manual metal arc weld. This report summarizes the 106 tensile tests performed at room temperature and 550 0 C, including the influence of strain rate, specimen orientation and welding procedure. Main results are that electron beam welds have tensile properties close to those of parent metal with higher values of yield strength in longitudinal orientation and lower values of total elongation in transverse orientation but with a similar reduction of area, that filler metal welds own the highest values of yield strength and lowest values of ductility. Most of the welds properties are higher than the minimum specified for parent metal, except for some values of total elongation, mainly in transverse orientation. In view of using electron beam welding for production of components used in LMFBR, results obtained show that tensile properties of electron beam welds compare well to those of classical welds. (author)

  9. Transcriptome-Wide Expression Profiling in Skin Fibroblasts of Patients with Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome Hypermobility Type.

    Science.gov (United States)

    Chiarelli, Nicola; Carini, Giulia; Zoppi, Nicoletta; Dordoni, Chiara; Ritelli, Marco; Venturini, Marina; Castori, Marco; Colombi, Marina

    2016-01-01

    Joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT), is likely the most common systemic heritable connective tissue disorder, and is mostly recognized by generalized joint hypermobility, joint instability complications, minor skin changes and a wide range of satellite features. JHS/EDS-HT is considered an autosomal dominant trait but is still without a defined molecular basis. The absence of (a) causative gene(s) for JHS/EDS-HT is likely attributable to marked genetic heterogeneity and/or interaction of multiple loci. In order to help in deciphering such a complex molecular background, we carried out a comprehensive immunofluorescence analysis and gene expression profiling in cultured skin fibroblasts from five women affected with JHS/EDS-HT. Protein study revealed disarray of several matrix structural components such as fibrillins, tenascins, elastin, collagens, fibronectin, and their integrin receptors. Transcriptome analysis indicated perturbation of different signaling cascades that are required for homeostatic regulation either during development or in adult tissues as well as altered expression of several genes involved in maintenance of extracellular matrix architecture and homeostasis (e.g., SPON2, TGM2, MMP16, GPC4, SULF1), cell-cell adhesion (e.g., CDH2, CHD10, PCDH9, CLDN11, FLG, DSP), immune/inflammatory/pain responses (e.g., CFD, AQP9, COLEC12, KCNQ5, PRLR), and essential for redox balance (e.g., ADH1C, AKR1C2, AKR1C3, MAOB, GSTM5). Our findings provide a picture of the gene expression profile and dysregulated pathways in JHS/EDS-HT skin fibroblasts that correlate well with the systemic phenotype of the patients.

  10. Formation of Exfoliation Joints

    Science.gov (United States)

    Martel, S. J.

    2004-12-01

    The Earth's internal stresses interact with the topographic surface to affect many phenomena. Exfoliation joints, or sheeting joints, are widespread manifestations of this interaction. These opening-mode fractures form subparallel to the Earth's surface, bounding roughly concentric slabs of rock that resemble the layers of an onion. They occur worldwide in all major bedrock types, attain in-plane dimensions of hundreds of meters, exert a strong influence on groundwater flow, and help produce spectacular scenery, as in Yosemite National Park. The mechanism that causes them has been enigmatic. They are widely regarded as forming in response to "removal of overburden", but large fractures do not open in rocks merely by relieving a compressive stress. High fluid pressures, thermal effects, rock heterogeneity, and weathering also are rejected as primary causes of these fractures. Tensile stresses normal to the surface are required for large exfoliation fractures to open. Intriguingly, high surface-parallel compressive stresses are widely documented where exfoliation joints occur. Both numerical and analytical solutions for two-dimensional elastic bodies show that localized tensile stresses perpendicular to the ground surface must develop beneath certain topographies subject to strong compressive stresses parallel to the surface. This highly non-intuitive effect reflects the profound influence that topography can have on stresses near the surface of the Earth, and it can explain how exfoliation joints open. The theoretical results also indicate that exfoliation joint distributions could be used to infer the horizontal stresses near the Earth's surface.

  11. Development of Joint Climate and Discharge Projections for the International Rhine River Basin - the CHR RheinBlick2050 Project

    Science.gov (United States)

    Görgen, K.; Pfister, L.

    2008-12-01

    The anticipated climate change will lead to modified hydro-meteorological regimes that influence discharge behaviour and hydraulics of rivers. This has variable impacts on managed (anthropogenic) and unmanaged (natural) systems, depending on their sensitivity and vulnerability (ecology, economy, infrastructure, transport, energy production, water management, etc.). Decision makers in these contexts need adequate adaptation strategies to minimize adverse effects of climate change, i.e. an improved knowledge on the potential impacts including uncertainties means an extension of the informed options open to users. The goal of the highly applied study presented here is the development of joint, consistent climate and discharge projections for the international Rhine River catchments (Switzerland, France, Germany, Netherlands) in order to assess future changes of hydro-meteorological regimes in the meso- and macroscale Rhine River catchments and to derive and improve the understanding of such impacts on hydrologic and hydraulic processes. The RheinBlick2050 project is an international effort initiated by the International Commission for the Hydrology of the Rhine Basin (CHR) in close cooperation with the International Commission for the Protection of the Rhine. The core experiment design foresees a data-synthesis, multi-model approach where (transient) (bias- corrected) regional climate change projections are used as forcing data for existing calibrated hydrological (and hydraulic) models at a daily temporal resolution over mesoscale catchments of the Rhine River. Mainly for validation purposes, hydro-meteorological observations from national weather services are compiled into a new consistent 5 km x 5 km reference dataset from 1961 to 2005. RCM data are mainly used from the ENSEMBLES project and other existing dynamical downscaling model runs to derive probabilistic ensembles and thereby also access uncertainties on a regional scale. A benchmarking is helping to

  12. Evaluation of Kinesiophobia and Its Correlations with Pain and Fatigue in Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome Hypermobility Type

    Directory of Open Access Journals (Sweden)

    Claudia Celletti

    2013-01-01

    Full Text Available Ehlers-Danlos syndrome hypermobility type a. k. a. joint hypermobility syndrome (JHS/EDS-HT is a hereditary musculoskeletal disorder associating generalized joint hypermobility with chronic pain. Anecdotal reports suggest a prominent role for kinesiophobia in disease manifestations, but no study has systematically addressed this point. Objective. To investigate the impact of kinesiophobia and its relationship with pain, fatigue, and quality of life in JHS/EDS-HT. Design. Cross-sectional study. Subjects/Patients. 42 patients (40 female and 2 male with JHS/EDS-HT diagnosis following standardized diagnostic criteria were selected. Methods. Disease features were analyzed by means of specific questionnaires and scales evaluating kinesiophobia, pain, fatigue, and quality of life. The relationships among variables were investigated using the Spearman bivariate analysis. Results. Kinesiophobia resulted predominantly in the patients’ sample. The values of kinesiophobia did not correlate with intensity of pain, quality of life, and (or the single component of fatigue. A strong correlation was discovered between kinesiophobia and general severity of fatigue. Conclusions. In JHS/EDS-HT, the onset of pain-avoiding strategies is related to the presence of pain but not to its intensity. The clear-cut correlation between kinesiophobia and severity of fatigue suggests a direct link between musculoskeletal pain and fatigue. In JHS/EDS-HT, the underlying mechanism is likely to be facilitated by primary disease characteristics, including hypotonia.

  13. Clinical value of the joint measurement of serum concentrations of type IV collagen and laminin in patients with diabetic nephropathy

    International Nuclear Information System (INIS)

    Wang Lu; Wang Ping; Li Yongpei

    2004-01-01

    Objective: To study clinical value of the joint measurement of serum concentrations of type IV collagen (IV C) and laminin (LN) in patients with diabetic nephropathy (DN) by radioimmunoassay (RIA). Methods: Serum concentrations of IV C, LN were measured by RIA in 35 diabetic patients with normalbuminuria (group A), 28 cases of microalbuminuria (group B), 15 cases of macroalbuminuria (group C) and 30 normal subjects as control . Results: The serum concentrations of IV C, LN in total 78 diabetic patients [(97.6 ± 19.2), (132.4 ± 31.5) μg/L] were higher than that of the controls [(77.4 ± 8.2), (101.5 ± 17.6) μg/L, P<0.05], especially in group B and C, it was remarkably higher compared with the controls (P<0.05, P<0.01). There was significant positive correlation of serum IV C, LN to diabetic duration and the levels of blood urea nitrogen (BUN), creatinine (Cr), urinary albumin excretion rate (UAER). Conclusions: The results suggest that the joint measurement of serum levels of IV C, LN and UAER in DN patients might better evaluate the development process of DN, and be of help for early diagnosis and treatment of DN. Serum levels of IV C, LN and UAER in DN patients may become the reliable clinical markers for assessing the severity and predicting the prognosis of DN

  14. Increase in Total Joint Arthroplasty Projected from 2014 to 2046 in Australia: A Conservative Local Model With International Implications.

    Science.gov (United States)

    Inacio, Maria C S; Graves, Stephen E; Pratt, Nicole L; Roughead, Elizabeth E; Nemes, Szilard

    2017-08-01

    The incidence of joint arthroplasty is increasing worldwide. International estimates of future demand for joint arthroplasty have used models that propose either an exponential future increase, despite obvious system constraints, or static increases, which do not account for past trends. Country-specific projection estimates that address limitations of past projections are necessary. In Australia, a high-income country with the 7th highest incidence of TKA and 15th highest incidence of THA of the Organization for Economic Cooperation and Development (OECD) countries, the volume of TKAs and THAs increased 198% between 1994 and 2014. To determine the projected incidence and volume of primary TKAs and THAs from 2014 to 2046 in the Australian population older than 40 years. Australian State and Territory Health Department data were used to identify TKAs and THAs performed between 1994 and 1995 and 2013 and 2014. The Australian Bureau of Statistics was the source of the population estimates for the same periods and population-projected estimates until 2046. The incidence rate (IR), 95% CI, and prediction interval (PI) of TKAs and THAs per 100,000 Australian citizens older than 40 years were calculated. Future IRs were estimated using a logistic model, and volume was calculated from projected IR and population. The logistic growth model assumes the existence of an upper limit of the TKA and THA incidences and a growth rate directly related to this incidence. At the beginning, when the observed incidence is much lower than the asymptote, the increase is exponential, but it decreases as it approaches the upper limit. A 66% increase in the IR of primary THAs between 2013 and 2046 is projected for Australia (2013: IR = 307 per 100,000, [95% CI, 262-329 per 100,000] compared with 2046: IR= 510 per 100,000, [95% PI, 98-567 per 100,000]), which translates to a 219% increase in the volume during this period. For TKAs the IR is expected to increase by 26% by 2046 (IR = 575 per

  15. Internal-bore-welding of 2 1/4 Cr--1 Mo steel tube-to-tubesheet joints

    International Nuclear Information System (INIS)

    Moorhead, A.J.; Slaughter, G.M.

    1976-01-01

    In order to avoid the disadvantages of the conventional face-side tube-to-tubesheet weld, the steam generators for the Clinch River Breeder Reactor Plant (a power-producing demonstration LMFBR) will be built using a relatively new technique known as internal-bore-welding (IBW). In IBW the tube does not pass through the tubesheet but rather is welded to a short stub machined on the tube side of the tubesheet. This joint has the important advantages of being inspectable by radiography and eliminating the crevice; however, it is much more difficult to weld than is the face-side design. Because of the close proximity of the tubes, there is not room for an orbiting-arc welding head on the outside of the tube. Consequently, this weld must be made by welding from the inside- or bore-side of the tube. The results are presented of the initial phases of a program undertaken at ORNL to develop improved bore-side welding equipment, to gain further understanding of this technique, and to develop mechanical property data for autogeneous welds in 2 1/4 Cr-1 Mo steel tube and tubesheet materials

  16. A cross-sectional study of the relationship between serum sexual hormone levels and internal derangement of temporomandibular joint.

    Science.gov (United States)

    Madani, A S; Shamsian, A A; Hedayati-Moghaddam, M R; Fathi-Moghadam, F; Sabooni, M R; Mirmortazavi, A; Golmohamadi, M

    2013-08-01

    Temporomandibular disorders (TMD) are defined as clinical conditions that involve the masticatory muscles, temporomandibular joint (TMJ) or both. The aim of this study was to evaluate serum 17β-oestradiol and progesterone levels in menstruating women affected by internal derangement of the TMJ. A total of 142 women (mean age 30·2 ± 6·7) who referred to medical diagnostic laboratory of Iranian Academic Centre for Education, Culture and Research (ACECR), Mashhad Branch, were enrolled during 2007 and 2008. Forty-seven individuals had disc displacement with reduction (Group IIa) according to Research Diagnostic Criteria (RDC)/TMD Axis I diagnosis. Radioimmunoassay was used for the detection of serum 17β-oestradiol and progesterone levels in all 142 subjects. The mean progesterone level was significantly higher in control group (11·6 ± 10·4 ng mL(-1) ) compared to women with TMD (8·4 ± 6·8 ng mL(-1) , P = 0·03). No significant difference was found in two groups regarding 17β-oestradiol level. Lower progesterone level in women with TMD can suggest the more important role of this hormone in the development of the disorder. © 2013 John Wiley & Sons Ltd.

  17. Radiographic Evaluation of Ankle Joint Stability After Calcaneofibular Ligament Elevation During Open Reduction and Internal Fixation of Calcaneus Fracture.

    Science.gov (United States)

    Wang, Chien-Shun; Tzeng, Yun-Hsuan; Lin, Chun-Cheng; Huang, Ching-Kuei; Chang, Ming-Chau; Chiang, Chao-Ching

    2016-09-01

    The aim of this prospective study was to evaluate the influence of sectioning the calcaneofibular ligament (CFL) during an extensile lateral approach during open reduction and internal fixation (ORIF) of calcaneal fractures on ankle joint stability. Forty-two patients with calcaneal fractures that received ORIF were included. Talar tilt stress and anterior drawer radiographs were performed on the operative and contralateral ankles 6 months postoperatively. The average degree of talar tilt on stress radiographs was 3.4 degrees (range, 0-12 degrees) on the operative side and 3.2 degrees (range, 0-14 degrees) on the contralateral side. The mean anterior drawer on stress radiographs of the CFL incised ankle was 6.1 mm (range, 2.4-11.8 mm) and on the contralateral ankle was 5.7 mm (range, 2.6-8.6 mm). There was no statistically significant difference of talar tilt and anterior drawer between the CFL incised side and the contralateral side (P = .658 and .302, respectively). The results suggest that sectioning of the CFL without any repair during ORIF of a calcaneal fracture does not have a negative effect on stability of the ankle. Repair of the CFL is, thus, probably not necessary following extended lateral approach for ORIF of calcaneal fractures. Level II, comparative study. © The Author(s) 2016.

  18. Comparison of implant component fractures in external and internal type: A 12-year retrospective study.

    Science.gov (United States)

    Yi, Yuseung; Koak, Jai-Young; Kim, Seong-Kyun; Lee, Shin-Jae; Heo, Seong-Joo

    2018-04-01

    The aim of this study was to compare the fracture of implant component behavior of external and internal type of implants to suggest directions for successful implant treatment. Data were collected from the clinical records of all patients who received WARANTEC implants at Seoul National University Dental Hospital from February 2002 to January 2014 for 12 years. Total number of implants was 1,289 and an average of 3.2 implants was installed per patient. Information about abutment connection type, implant locations, platform sizes was collected with presence of implant component fractures and their managements. SPSS statistics software (version 24.0, IBM) was used for the statistical analysis. Overall fracture was significantly more frequent in internal type. The most frequently fractured component was abutment in internal type implants, and screw fracture occurred most frequently in external type. Analyzing by fractured components, screw fracture was the most frequent in the maxillary anterior region and the most abutment fracture occurred in the maxillary posterior region and screw fractures occurred more frequently in NP (narrow platform) and abutment fractures occurred more frequently in RP (regular platform). In external type, screw fracture occurred most frequently, especially in the maxillary anterior region, and in internal type, abutment fracture occurred frequently in the posterior region. placement of an external type implant rather than an internal type is recommended for the posterior region where abutment fractures frequently occur.

  19. International reference reagents: antihuman globulin. An ISBT/ICSH joint working party report. International Society of Blood Transfusion. International Committee for Standardization in Haematology.

    Science.gov (United States)

    Case, J; Ford, D S; Chung, A; Collins, R; Kochman, S; Mazda, T; Overbeeke, M; Perera, R; Sakuldamrongpanich, T; Scott, M; Voak, D; Zupańska, B

    1999-01-01

    An international working party has conducted a study designed to select a suitable reference reagent for antihuman globulin, to replace those first made available in 1987. The chosen preparation contains levels of anti-IgG and anti-C3 (anti-C3c and anti-C3d) potency that are considered suitable to serve for reference when evaluating either polyspecific antihuman globulin reagents or those containing their separate monospecific components. The reference material is available in 2-ml freeze-dried aliquots from seven assigned distribution centres.

  20. Text of the agreement between the International Atomic Energy Agency and the United Nations Educational, Scientific and Cultural Organization concerning the joint operation of the International Centre for Theoretical Physics at Trieste

    International Nuclear Information System (INIS)

    1996-02-01

    The text of the Agreement between the International Atomic Energy Agency and the United Nations Educational, Scientific and Cultural Organization concerning the Joint Operation of the International Centre for Theoretical Physics at Trieste is reproduced in this document for the information of all Members. The Agreement was approved by the Agency's Board of Governors on 25 February 1993 and by the UNESCO General Conference on 16 November 1993

  1. The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain

    Directory of Open Access Journals (Sweden)

    Vestri Anna R

    2009-12-01

    Full Text Available Abstract Background This study was aimed at evaluating whether or not patients with chronic type III acromioclavicular dislocation develop cervical spine pain and degenerative changes more frequently than normal subjects. Methods The cervical spine of 34 patients with chronic type III AC dislocation was radiographically evaluated. Osteophytosis presence was registered and the narrowing of the intervertebral disc and cervical lordosis were evaluated. Subjective cervical symptoms were investigated using the Northwick Park Neck Pain Questionnaire (NPQ. One-hundred healthy volunteers were recruited as a control group. Results The rate and distribution of osteophytosis and narrowed intervertebral disc were similar in both of the groups. Patients with chronic AC dislocation had a lower value of cervical lordosis. NPQ score was 17.3% in patients with AC separation (100% = the worst result and 2.2% in the control group (p Conclusions Our study shows that chronic type III AC dislocation does not interfere with osteophytes formation or intervertebral disc narrowing, but that it may predispose cervical hypolordosis. The higher average NPQ values were observed in patients with chronic AC dislocation, especially in those that developed cervical hypolordosis.

  2. FLANGE: a computer program for the analysis of flanged joints with ring-type gaskets

    International Nuclear Information System (INIS)

    Rodabaugh, E.C.; O'Hara, F.M. Jr.; Moore, S.E.

    1976-01-01

    The computer program FLANGE was written to calculate not only the stresses due to moment loads on the flange ring but also stresses due to internal pressure; stresses due to a temperature difference between the hub and ring; and stresses due to the variations in bolt load that result from pressure, hub-ring temperature gradient, and/or bolt-ring temperature difference. The program FLANGE is applicable to tapered-hub, straight, and blind flanges. The analysis method is based on the differential equations for thin plates and shells. The stresses due to moment loading calculated by the two methods are essentially identical for identical boundary conditions. A description of the general model of flanges used in the theoretical development of the computer code is provided. The actual mathematical expressions for calculating stresses and displacements due to moment and pressure loads are derived. Example calculations, listings, and flowcharts of the program and its subroutines are included as appendices

  3. 45 CFR 2516.820 - What types of internal evaluation activities are required of programs?

    Science.gov (United States)

    2010-10-01

    ... required to: (a) Continuously assess management effectiveness, the quality of services provided, and the satisfaction of both participants and service recipients. Internal evaluations should seek frequent feedback... 45 Public Welfare 4 2010-10-01 2010-10-01 false What types of internal evaluation activities are...

  4. [Joint diagnostic value of four temperature sensation tests in elderly patients with type 2 diabetic peripheral neuropathy].

    Science.gov (United States)

    Guo, Wei; Li, Yun-Ming; Ai, Zhi-Hua; You, Zhi-Qing; Wan, Yong; Cheng, Ying; Lang, Hong-Mei

    2013-07-01

    To explore the joint diagnostic value of four temperature sensation tests in elderly patients with type 2 diabetic peripheral neuropathy. Thermal sensory analyzer-II were applied to measure cool sensation (CS), warm sensation (WS), cold pain sensation (CP)and heat pain sensation (HP) of 308 elderly patients with type 2 diabetes. Logistic regression model was adopted to create the new variable Temp4 from four temperature sensation tests to diagnose type 2 diabetic peripheral neuropathy. The ROC curve analysis was used to determine the best cut-off points of the four temperature sensation and Temp4, and the diagnostic value of it was evaluated. The means of temperature sensation tests of the diabetic peripheral neuropathy (DPN) group were significantly different from those of the non-DPN group (P sensation tests to diagnose the DPN, the sensitivity of WS test was the highest, and the value was 0.710; but the specificity, positive predictive value, negative predictive value, Youden index, diagnostic accuracy and Kappa value of cold sensation test were the highest, and the values were 0.842, 0.746, 0.799, 0.528, 77.92% and 0.535, respectively; the Kappa values of the other three temperature sensation tests were all greater than 0.4 (P sensation tests (P sensation quantitative tests were in good agreementand could be applied to diagnose DPN; the new variable Temp4 could be used for diagnosis of DPN with a higher diagnostic accuracy.

  5. [Disseminated cutaneous sporotrichosis with joint involvement in a woman with type 2 diabetes].

    Science.gov (United States)

    Solorzano, Sendy; Ramirez, Renán; Cabada, Miguel M; Montoya, Manuel; Cazorla, Ernesto

    2015-01-01

    Disseminated sporotrichosis is a rare presentation of this mycosis. Although it has been described in immunocompetent individuals, there is often T cell-mediated immune compromise. We report the case of a woman with uncontrolled Type 2 diabetes who developed disseminated cutaneous sporotrichosis. The course of the disease presented several complications including hepatitis secondary to itraconazole and knee arthritis with culture positive for Sporothrix schenckii during treatment with saturated solution of potassium iodide. The case discussion includes aspects of the pathogenesis of disseminated sporotrichosis and management of the infection and its complications.

  6. Preliminary reports on fiscal 2000 results of project for subsidizing international joint research; 2000 nendo kokusai kyodo kenkyu josei jigyo seika hokoku kai yokoshu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-12-01

    This paper presents preliminary reports on fiscal 2000 results of project for subsidizing international joint research sponsored by NEDO. For international joint research teams doing excellent studies, their research expenses are subsidized, thereby promoting international research exchange, enhancing international level of industrial technology and contributing to the formation of basis for innovative industrial technology. The projects relating to the global environmental field are implemented jointly with RITE. The contents of the report to be published are, in the global environmental field (practicability study), development of oil substitute resources, reproducible resources, and technologies for producing polymeric and plastic materials benign to the earth by microorganism using carbon dioxide. In the substance/material field, the contents of the report are innovative production and device application of tunable photonic crystals using electronic penetration network; development of new synthesis process of innovative nitride, creation and theoretical calculation of electromagnetic function; studies on quantum transportation in superconductor and semiconductor bonding structures; and studies on quantum liquid and solid, and application to materials science and technology. (NEDO)

  7. Analysis of stress- strain distribution of dowel and glue line in L-type furniture joint by means of finite element method

    Directory of Open Access Journals (Sweden)

    mossayeb dalvand

    2017-08-01

    Full Text Available In this study 3D stress-strain distribution of dowel and glue line on L-type joints made of plywood doweled was investigated. Members of joints made of 11-ply hardwood plywood (Hornbeam, Beech and Alder that were 19 mm in thickness. In this study effect of beech dowels in three levels diameters (6, 8 and 10 mm and penetration of depth (9, 13 and 17 mm on bending moment capacity of L-type joints under compression loading was investigated as experimental test, then stress-strain distribution of wood dowel and glue line in specimens were simulated by means of ANSYS 15 software with finite element method (FEM.Results have shown that bending moment resistance increased with increasing dowel diameter from 6 to 8 mm, but downward trend was observed with increasing 8 to 10 mm in dowel diameter. Bending moment resistance increased with increasing penetration depth. Also, result obtained of simulation by means of ANSYS software have shown that stress-strain in dowel and glue line increased with increasing diameter of dowel and Increasing stress in joints made of diameter dowel 10 mm due to fracture in joints and decrease in resistance once. According to results obtained of model analysis, the ultimate stress of dowel and glue line occurred in the area that joints were contacted.

  8. Is coracoclavicular stabilisation alone sufficient for the endoscopic treatment of severe acromioclavicular joint dislocation (Rockwood types III, IV, and V)?

    Science.gov (United States)

    Barth, J; Duparc, F; Andrieu, K; Duport, M; Toussaint, B; Bertiaux, S; Clavert, P; Gastaud, O; Brassart, N; Beaudouin, E; De Mourgues, P; Berne, D; Bahurel, J; Najihi, N; Boyer, P; Faivre, B; Meyer, A; Nourissat, G; Poulain, S; Bruchou, F; Ménard, J F

    2015-12-01

    The primary objective was to evaluate correlations linking anatomical to functional outcomes after endoscopically assisted repair of acute acromioclavicular joint dislocation (ACJD). Combined acromioclavicular and coracoclavicular stabilisation improves radiological outcomes compared to coracoclavicular stabilisation alone. A prospective multicentre study was performed. Clinical outcome measures were pain intensity on a visual analogue scale (VAS), subjective functional impairment (QuickDASH score), and Constant's score. Anatomical outcomes were assessed on standard radiographs (anteroposterior view of the acromioclavicular girdle and bilateral axillary views) obtained preoperatively and postoperatively and on postoperative dynamic radiographs taken as described by Tauber et al. Of 116 patients with acute ACJD included in the study, 48% had type III, 30% type IV, and 22% type V ACJD according to the Rockwood classification. Coracoclavicular stabilisation was achieved using a double endobutton in 93% of patients, and concomitant acromioclavicular stabilisation was performed in 50% of patients. The objective functional outcome was good, with an unweighted Constant's score ≥ 85/100 and a subjective QuickDASH functional disability score ≤ 10 in 75% of patients. The radiographic analysis showed significant improvements from the preoperative to the 1-year postoperative values in the vertical plane (decrease in the coracoclavicular ratio from 214 to 128%, p=10(-6)) and in the horizontal plane (decrease in posterior displacement from 4 to 0mm, p=5×10(-5)). The anatomical outcome correlated significantly with the functional outcome (absolute R value=0.19 and p=0.045). We found no statistically significant differences across the various types of constructs used. Intra-operative control of the acromioclavicular joint did not improve the result. Implantation of a biological graft significantly improved both the anatomical outcome in the vertical plane (p=0.04) and

  9. Are greenhouse gas emissions from international shipping a type of marine pollution?

    Science.gov (United States)

    Shi, Yubing

    2016-12-15

    Whether greenhouse gas emissions from international shipping are a type of marine pollution is a controversial issue and is currently open to debate. This article examines the current treaty definitions of marine pollution, and applies them to greenhouse gas emissions from ships. Based on the legal analysis of treaty definitions and relevant international and national regulation on this issue, this article asserts that greenhouse gas emissions from international shipping are a type of 'conditional' marine pollution. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

    Science.gov (United States)

    Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil

    2014-01-01

    Background: Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. Materials and Methods: This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Results: Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. Conclusion: AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality. PMID:25250364

  11. Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique.

    Science.gov (United States)

    Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil

    2014-01-01

    Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality.

  12. Biodegradation of international jet A-1 aviation fuel by microorganisms isolated from aircraft tank and joint hydrant storage systems.

    Science.gov (United States)

    Itah, A Y; Brooks, A A; Ogar, B O; Okure, A B

    2009-09-01

    Microorganisms contaminating international Jet A-1 aircraft fuel and fuel preserved in Joint Hydrant Storage Tank (JHST) were isolated, characterized and identified. The isolates were Bacillus subtillis, Bacillus megaterium, Flavobacterium oderatum, Sarcina flava, Micrococcus varians, Pseudomonas aeruginosa, Bacillus licheniformis, Bacillus cereus and Bacillus brevis. Others included Candida tropicalis, Candida albicans, Saccharomyces estuari, Saccharomyces cerevisiae, Schizosaccharomyces pombe, Aspergillus flavus, Aspergillus niger, Aspergillus fumigatus, Cladosporium resinae, Penicillium citrinum and Penicillium frequentans. The viable plate count of microorganisms in the Aircraft Tank ranged from 1.3 (+/-0.01) x 104 cfu/mL to 2.2 (+/-1.6) x 104 cfu/mL for bacteria and 102 cfu/mL to 1.68 (+/-0.32) x 103 cfu/mL for fungi. Total bacterial counts of 1.79 (+/-0.2) x 104 cfu/mL to 2.58 (+/-0.04) x 104 cfu/mL and total fungal count of 2.1 (+/-0.1) x 103 cfu/mL to 2.28 (+/-0.5) x 103 cfu/mL were obtained for JHST. Selected isolates were re-inoculated into filter sterilized aircraft fuels and biodegradation studies carried out. After 14 days incubation, Cladosporium resinae exhibited the highest degradation rate with a percentage weight loss of 66 followed by Candida albicans (60.6) while Penicillium citrinum was the least degrader with a weight loss of 41.6%. The ability of the isolates to utilize the fuel as their sole source of carbon and energy was examined and found to vary in growth profile between the isolates. The results imply that aviation fuel could be biodegraded by hydrocarbonoclastic microorganisms. To avert a possible deterioration of fuel quality during storage, fuel pipe clogging and failure, engine component damage, wing tank corrosion and aircraft disaster, efficient routine monitoring of aircraft fuel systems is advocated.

  13. Prevention of unrecognized joint penetration during internal fixation of hip fractures: a geometric model based on Steinmetz Solid.

    Science.gov (United States)

    Mao, Yujiang; Song, Jie; Wei, Jie; Wang, Manyi

    2010-01-01

    Unrecognized joint penetration (UJP) by screw penetration through the articular surface undetectable on routine anteroposterior (AP) and lateral radiographs can cause serious complications. We have developed a geometric model to analyze UJP, and methods for the prevention of the problem. A Steinmetz Solid (SS) is the overlapping portion between two identical, vertically intersecting cylinders. The AP and lateral radiographs of a femoral head (simplified as a sphere) are projections of two cylinder-shaped images. A screw that appears to be within the femoral head in fact only lies within the cylinder. A screw apparently within the femoral head on both AP and lateral images is only confined to the SS generated by two cylinders, but not necessarily confined to the femoral head itself. We have therefore analyzed UJP using a geometric model based on SS. The geometric basis of UJP lies in the fact that the SS is larger than the sphere (femoral head) with a volume ratio of 4: π. The theoretical risk of UJP for any screw therefore can be as high as 21.5% ((4-π)/4). In reality, screws are always carefully placed to ensure a distance between the screw's tip and the edge of femoral head (tip-to-edge distance, or TED). This TED effectively lowers the risk of UJP by reducing the size of the screw-confining SS. When the SS entirely fits into (internally tangential to) the femoral head, the risk of UJP approaches zero. A TED fulfilling this requirement can be regarded as safe (approximately 0.29 x femoral head radius). With a femoral head diameter of 5 cm, the safe TED is approximately 7 mm.

  14. Are greenhouse gas emissions from international shipping a type of marine pollution?

    International Nuclear Information System (INIS)

    Shi, Yubing

    2016-01-01

    Whether greenhouse gas emissions from international shipping are a type of marine pollution is a controversial issue and is currently open to debate. This article examines the current treaty definitions of marine pollution, and applies them to greenhouse gas emissions from ships. Based on the legal analysis of treaty definitions and relevant international and national regulation on this issue, this article asserts that greenhouse gas emissions from international shipping are a type of ‘conditional’ marine pollution. - Highlights: • Greenhouse gas (GHG) emissions from international shipping are a type of ‘conditional’ marine pollution. • Shipping CO 2 may be treated as marine pollution under the 1972 London Dumping Convention. • Countries have adopted different legislation concerning the legal nature of GHG emissions from ships. • Regulating CO 2 emissions from ships as marine pollution may expedite global GHG emissions reduction.

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

    Science.gov (United States)

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

    2016-09-01

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

  16. Knowledge, assessment, and management of adults with joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type among Flemish physiotherapists.

    Science.gov (United States)

    Rombaut, Lies; Deane, Janet; Simmonds, Jane; De Wandele, Inge; De Paepe, Anne; Malfait, Fransiska; Calders, Patrick

    2015-03-01

    Physiotherapy plays a fundamental role in managing adults with the joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT). However, it is a challenge for both the patient and the physiotherapist as the condition is poorly understood and treatment for JHS/EDS-HT is currently undefined. Insight into current practice is, therefore, necessary in order to establish baseline knowledge in this area and in the long term to improve the standard of patient care. Therefore, the purpose of this study was to evaluate current physiotherapists' knowledge of JHS/EDS-HT and to gain insight into current physiotherapy practice with emphasis on assessment, management, and treatment efficacy. Three hundred twenty-five Flemish physiotherapists participated in the study by filling out electronically a modified version of the "Hypermobility and Hypermobility Syndrome Questionnaire" (HHQ), which covered theoretical constructs such as general knowledge, assessment, management, and learning in relation to generalized joint hypermobility and JHS/EDS-HT. The results show that physiotherapists report a low level of confidence with regard to assessment and management of JHS/EDS-HT. Knowledge of hypermobility and JHS/EDS-HT is weak, especially regarding the features associated with JHS/EDS-HT. Many treatment approaches are used by physiotherapists with the majority showing preference for education, reassurance, muscle strengthening, proprioceptive and core stability training. Almost all approaches were perceived as being clinically effective by the physiotherapists, highlighting a lack of consensus. In conclusion, this study in Flemish physiotherapists confirms that JHS/EDS-HT is under-recognized, not well known and deemed difficult to treat. Further education is required and sought by the physiotherapists surveyed, and future research is needed. © 2015 Wiley Periodicals, Inc.

  17. Multiple Observation Types Jointly Constrain Australian Terrestrial Carbon and Water Cycles

    Science.gov (United States)

    Haverd, Vanessa; Raupach, Michael; Briggs, Peter; Canadell, Pep; Davis, Steven; Isaac, Peter; Law, Rachel; Meyer, Mick; Peters, Glenn; Pickett-Heaps, Christopher; Roxburgh, Stephen; Sherman, Bradford; van Gorsel, Eva; Viscarra Rossel, Raphael; Wang, Ziyuan

    2013-04-01

    Information about the carbon cycle potentially constrains the water cycle, and vice versa. This paper explores the utility of multiple observation sets to constrain carbon and water fluxes and stores in a land surface model, and a resulting determination of the Australian terrestrial carbon budget. Observations include streamflow from 416 gauged catchments, measurements of evapotranspiration (ET) and net ecosystem production (NEP) from 12 eddy-flux sites, litterfall data, and data on carbon pools. The model is a version of CABLE (the Community Atmosphere-Biosphere-Land Exchange model), coupled with CASAcnp (a biogeochemical model) and SLI (Soil-Litter-Iso, a soil hydrology model including liquid and vapour water fluxes and the effects of litter). By projecting observation-prediction residuals onto model uncertainty, we find that eddy flux measurements provide a significantly tighter constraint on Australian continental net primary production (NPP) than the other data types. However, simultaneous constraint by multiple data types is important for mitigating bias from any single type. Results emerging from the multiply-constrained model are as follows (with all values applying over 1990-2011 and all ranges denoting ±1 standard error): (1) on the Australian continent, a predominantly semi-arid region, over half (0.64±0.05) of the water loss through ET occurs through soil evaporation and bypasses plants entirely; (2) mean Australian NPP is 2200±400 TgC/y, making the NPP/precipitation ratio about the same for Australia as the global land average; (3) annually cyclic ("grassy") vegetation and persistent ("woody") vegetation respectively account for 0.56±0.14 and 0.43±0.14 of NPP across Australia; (4) the average interannual variability of Australia's NEP (±180 TgC/y) is larger than Australia's total anthropogenic greenhouse gas emissions in 2011 (149 TgCeq/y), and is dominated by variability in desert and savannah regions. The mean carbon budget over 1990

  18. Agreement on the establishment of the ITER International Fusion Energy Organization for the Joint Implementation of the ITER Project. Latest status. Declarations/reservations

    International Nuclear Information System (INIS)

    2007-01-01

    The Agreement on the Establishment of the ITER International Fusion Energy Organization for the Joint Implementation of the ITER Project, for which the Director General of the IAEA is depositary, was done in Paris on 21 November 2006. Pursuant to Article 22 thereof, the Agreement on the Establishment of the ITER International Fusion Energy Organization for the Joint Implementation of the ITER Project 'shall enter into force thirty days after the deposit of instruments of ratification, acceptance or approval of this Agreement by the People's Republic of China, EURATOM, the Republic of India, Japan, the Republic of Korea, the Russian Federation and the United States of America. The text of the Agreement is reproduced in the Annex hereto for the information of all Member States

  19. Agreement on the privileges and immunities of the ITER International Fusion Energy Organization for the Joint Implementation of the ITER Project. Latest status. Declarations/reservations

    International Nuclear Information System (INIS)

    2007-01-01

    The Agreement on the Privileges and Immunities of the ITER International Fusion Energy Organization for the Joint Implementation of the ITER Project, for which the Director General of the IAEA is depositary, was done in Paris on 21 November 2006. Pursuant to Article 25 thereof, the Agreement on the Privileges and Immunities of the ITER International Fusion Energy Organization for the Joint Implementation of the ITER Project 'shall enter into force thirty days after the deposit of instruments of ratification, acceptance or approval of this Agreement by the People's Republic of China, EURATOM, the Republic of India, Japan, the Republic of Korea and the Russian Federation.' The text of the Agreement is reproduced in the Annex hereto for the information of all Member States

  20. The Text of the Agency's Agreement with the United Nations Educational, Scientific and Cultural Organization Concerning the Joint Operation of the International Centre for Theoretical Physics at Trieste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1969-10-20

    The text of the agreement between the Agency and the United Nations Educational, Scientific and Cultural Organization (UNESCO) concerning the joint operation of the International Centre for Theoretical Physics at Trieste, which was signed by the Director General of the Agency on 3 July and by the Director General of UNESCO on 15 July 1969, is reproduced in this document for the information of all Members of the Agency. The agreement will enter into force on 1 January 1970.

  1. Improvement of Internal Audit Planning Method through Application of Risk Card by the Indices of Value-Based Management System of Joint-Stock Company

    OpenAIRE

    Oleksandr Smetanko

    2014-01-01

    The Article deals with issues of improving methods of planning and carrying out internal audit in conditions of risk-oriented approach to audit according to the indices of value-based management system - VBM (Value Based Management) using the risk card (risk matrix). A risk card (risk matrix) method has been disclosed taking into account risk level of each of the key factors influencing joint-stock company value rates. Recommendations have been given and abstract of working document has been ...

  2. The Text of the Agency's Agreement with the United Nations Educational, Scientific and Cultural Organization Concerning the Joint Operation of the International Centre for Theoretical Physics at Trieste

    International Nuclear Information System (INIS)

    1969-01-01

    The text of the agreement between the Agency and the United Nations Educational, Scientific and Cultural Organization (UNESCO) concerning the joint operation of the International Centre for Theoretical Physics at Trieste, which was signed by the Director General of the Agency on 3 July and by the Director General of UNESCO on 15 July 1969, is reproduced in this document for the information of all Members of the Agency. The agreement will enter into force on 1 January 1970.

  3. Analyzing Internal Fragmentation of Electrosprayed Ubiquitin Ions During Beam-Type Collisional Dissociation

    Science.gov (United States)

    Durbin, Kenneth R.; Skinner, Owen S.; Fellers, Ryan T.; Kelleher, Neil L.

    2015-05-01

    Gaseous fragmentation of intact proteins is multifaceted and can be unpredictable by current theories in the field. Contributing to the complexity is the multitude of precursor ion states and fragmentation channels. Terminal fragment ions can be re-fragmented, yielding product ions containing neither terminus, termed internal fragment ions. In an effort to better understand and capitalize upon this fragmentation process, we collisionally dissociated the high (13+), middle (10+), and low (7+) charge states of electrosprayed ubiquitin ions. Both terminal and internal fragmentation processes were quantified through step-wise increases of voltage potential in the collision cell. An isotope fitting algorithm matched observed product ions to theoretical terminal and internal fragment ions. At optimal energies for internal fragmentation of the 10+, nearly 200 internal fragments were observed; on average each of the 76 residues in ubiquitin was covered by 24.1 internal fragments. A pertinent finding was that formation of internal ions occurs at similar energy thresholds as terminal b- and y-ion types in beam-type activation. This large amount of internal fragmentation is frequently overlooked during top-down mass spectrometry. As such, we present several new approaches to visualize internal fragments through modified graphical fragment maps. With the presented advances of internal fragment ion accounting and visualization, the total percentage of matched fragment ions increased from approximately 40% to over 75% in a typical beam-type MS/MS spectrum. These sequence coverage improvements offer greater characterization potential for whole proteins with no needed experimental changes and could be of large benefit for future high-throughput intact protein analysis.

  4. Fiscal 1998 international research cooperation project. Feasibility study report on excavation of international joint research seeds; 1998 nendo kokusai kyoryoku jigyo seika hokokusho. Kokusai kyodo kenkyu seeds hakkutsu no tame no FS chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    Feasibility study (FS) was made on excavation of international joint research seeds for developed countries. As FS themes, 6 themes were selected among applied 11 ones. China was interested in the joint research on improvement of a cetane number by ring-opening of LCO from fluid catalytic crackers through hydrogenation for Arabian crude oil, although China has an experience for domestic one. Since France and the USA are in the early developmental stage of practical atmospheric temperature and pressure conversion technology of lower hydrocarbon after the basic research stage, study was made on the possibility of a joint research. The other themes are as follows: Oil resource and energy conservation technology by recycling general plastics and industrial synthetic resins, advanced solid catalyst regulating technology by physicochemical technique and its application to next-generation oil refining processes, structure analysis of asphaltene and reaction mechanism analysis of heavy oil by computer simulation, and production technology of ultra-precisely controlled catalytic materials. (NEDO)

  5. Shoulder function, pain and health related quality of life in adults with joint hypermobility syndrome/Ehlers-Danlos syndrome-hypermobility type

    DEFF Research Database (Denmark)

    Johannessen, Elise Christine; Reiten, Helle Sundnes; Løvaas, Helene

    2016-01-01

    Purpose To investigate shoulder function, pain and Health-Related Quality of life (HRQoL) among adults with joint hypermobility syndrome/Ehlers-Danlos syndrome-hypermobility type (JHS/EDS-HT), compared with the general population (controls). Method In a cross-sectional study using postal survey...

  6. A Study on Fatigue Design Automation of Plug- and Ring-type Gas-welded Joints of STS301L Taking Welded Residual Stress into Account

    International Nuclear Information System (INIS)

    Baek, Seung yeb; Yun, Ki Ho

    2010-01-01

    This paper presents a fatigue design method for plug- and ring-type gas-welded joints, which takes into account the effects of welding residual stress. To develop this method, we simulated the gas-welding process by performing nonlinear finite element analysis (FEA) To validate the FEA results, numerically calculated residual stresses in the gas welds were then compared with experimental results obtained by the hole-drilling method. To evaluate the fatigue strength of plug- and ring-type gas-welded joints influenced by welding residual stresses, the use of stress amplitude (σ a )R, which includes the welding residual stress in gas welds, is proposed (σ a )R on the basis of a modified Goodman equation that includes the residual stress effects. Using the stress amplitude (σ a )R at the hot spot point of gas weld, the relations obtained as the fatigue test results for plug and ring type gas welded joints having various dimensions and shapes were systematically rearranged to obtain the (σ a )R-N f relationship. It was found that more systematic and accurate evaluation of the fatigue strength of plug- and ring-type gas-welded joints can be achieved by using (σ a )R

  7. The joint choice of tenure, dwelling type, size and location: the effect of home-oriented versus culture-oriented lifestyle

    DEFF Research Database (Denmark)

    Frenkel, Amnon; Kaplan, Sigal

    2014-01-01

    This study investigates knowledge-workers’ housing preferences in terms of tenure, dwelling type, location and size. The analysis is conducted by applying a joint multinomial-logit ordered-response model to the housing choices of knowledgeworkers residing in the Tel-Aviv metropolitan region and w...

  8. A joint model for repeated events of different types and multiple longitudinal outcomes with application to a follow-up study of patients after kidney transplant

    NARCIS (Netherlands)

    Musoro, Jammbe Z.; Geskus, Ronald B.; Zwinderman, Aeilko H.

    2015-01-01

    This paper presents an extension of the joint modeling strategy for the case of multiple longitudinal outcomes and repeated infections of different types over time, motivated by postkidney transplantation data. Our model comprises two parts linked by shared latent terms. On the one hand is a

  9. Design and Evaluation of a New Type of Knee Orthosis to Align the Mediolateral Angle of the Knee Joint with Osteoarthritis

    Directory of Open Access Journals (Sweden)

    Amir Esrafilian

    2012-01-01

    Full Text Available Background. Osteoarthritis (OA is a disease which influences the performance of the knee joint. Moreover, the force and moments applied on the joint increase in contrast to normal subjects. Various types of knee orthoses have been designed to solve the mentioned problems. However, there are other problems in terms of distal migration during walking and the alignment of the orthosis which cannot be changed following the use of brace. Therefore, the main aim of the research was to design an orthosis to solve the aforementioned problems. Method. A new type of knee orthosis was designed with a modular structure. Two patients with knee OA participated in this research project. The force applied on the foot, moment transmitted through the knee joint, and spatiotemporal gait parameters were measured by use of a motion analysis system. Results. The results of the research showed that the adduction moment applied on the knee joint decreased while subjects walked with the new knee orthosis (P-value < 0.05. Conclusion. The new design of the knee brace can be used as an effective treatment to decrease the loads applied on the knee joint and to improve the alignment whilst walking.

  10. [Internal fixation with one-hole microplate for the treatment of collateral ligament injuries of the metacarpophalangeal joint of the thumb combined with fracture].

    Science.gov (United States)

    Wang, Xi-Xun; Sun, De-Tao; Chen, Xu-Hui; Li, Jun; Cui, Yan; Hu, Ji-Chao; Shu, Zheng-Hua; He, Jian; Ding, Chao-Qi; Chen, Bo

    2015-03-01

    To study clinical effects of one-hole microplate internal fixation for the treatment of collateral ligament injuries of the metacarpophalangeal joint of the thumb combined with fracture. Twenty-two patients (16 males, 6 females) with collateral ligament injuries of the metacarpophalangeal joint of the thumb combined fracture were treated with one-hole microplate internal fixation. The age of the patients ranged from 18 to 53 years old with a mean age of 28.5 years old. The duration from injury to surgery ranged from 2 hours to 2 months, and the mean time was 6 days. All the patients had collateral ligament injuries combined with fracture of the metacarpophalangeal joint of the thumb. Thirteen patients had injuries in the right hand and 9 patients had injuries in the left hand. There were 18 cases of closed wound and 4 cases of open wound. Eighteen patients had fresh injuries ( 2 weeks). Sixteen patients had injuries in the ulnar collateral ligament of the thumb combined with fracture, 6 patients had radial collateral ligament injuries of the thumb combined with fracture, 4 cases of which were complicated with injuries of abductor pollicis brevis and the end of the flexor pollicis brevis tender. The size of the avulsed fragment was about 3.0 mm x 4.0 mm to 6.0 mm x 7.0 mm. The incisions of 22 patients healed by first intention. The follow-up periods ranged from 6 months to 5 years old,with an average of 2.5 years old. The thumb function was evaluated by Saetta and other evaluation criteria, and 20 patients got an excellent result and 2 good. The application of one-hole microplate internal fixation in treating collateral ligament injuries with fracture of the metacarpophalangeal joint of the thumb is an effective method.

  11. Does ankle joint power reflect type of muscle action of soleus and gastrocnemius during walking in cats and humans?

    Science.gov (United States)

    Cronin, Neil J; Prilutsky, Boris I; Lichtwark, Glen A; Maas, Huub

    2013-04-26

    The main objective of this paper is to highlight the difficulties of identifying shortening and lengthening contractions based on analysis of power produced by resultant joint moments. For that purpose, we present net ankle joint powers and muscle fascicle/muscle-tendon unit (MTU) velocities for medial gastrocnemius (MG) and soleus (SO) muscles during walking in species of different size (humans and cats). For the cat, patterns of ankle joint power and MTU velocity of MG and SO during stance were similar: negative power (ankle moment×angular velocityankle joint power and fascicle velocity patterns were observed for MG muscle. In humans, like cats, the patterns of ankle joint power and MTU velocity of SO and MG were similar. Unlike the cat, there were substantial differences between patterns of fascicle velocity and ankle joint power during stance in both muscles. These results indicate that during walking, only a small fraction of mechanical work of the ankle moment is either generated or absorbed by the muscle fascicles, thus confirming the contribution of in-series elastic structures and/or energy transfer via two-joint muscles. We conclude that ankle joint negative power does not necessarily indicate eccentric action of muscle fibers and that positive power cannot be exclusively attributed to muscle concentric action, especially in humans. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. Fast ion stabilization of the ion temperature gradient driven modes in the Joint European Torus hybrid-scenario plasmas: a trigger mechanism for internal transport barrier formation

    Energy Technology Data Exchange (ETDEWEB)

    Romanelli, M; Zocco, A [Euratom/CCFE Fusion Association, Culham Science Centre, Abingdon, Oxon, OX14 3DB (United Kingdom); Crisanti, F, E-mail: Michele.Romanelli@ccfe.ac.u [Associazione Euratom-ENEA sulla Fusione, C.R. Frascati, Frascati (Italy)

    2010-04-15

    Understanding and modelling turbulent transport in thermonuclear fusion plasmas are crucial for designing and optimizing the operational scenarios of future fusion reactors. In this context, plasmas exhibiting state transitions, such as the formation of an internal transport barrier (ITB), are particularly interesting since they can shed light on transport physics and offer the opportunity to test different turbulence suppression models. In this paper, we focus on the modelling of ITB formation in the Joint European Torus (JET) [1] hybrid-scenario plasmas, where, due to the monotonic safety factor profile, magnetic shear stabilization cannot be invoked to explain the transition. The turbulence suppression mechanism investigated here relies on the increase in the plasma pressure gradient in the presence of a minority of energetic ions. Microstability analysis of the ion temperature gradient driven modes (ITG) in the presence of a fast-hydrogen minority shows that energetic ions accelerated by the ion cyclotron resonance heating (ICRH) system (hydrogen, n{sub H,fast}/n{sub D,thermal} up to 10%, T{sub H,fast}/T{sub D,thermal} up to 30) can increase the pressure gradient enough to stabilize the ITG modes driven by the gradient of the thermal ions (deuterium). Numerical analysis shows that, by increasing the temperature of the energetic ions, electrostatic ITG modes are gradually replaced by nearly electrostatic modes with tearing parity at progressively longer wavelengths. The growth rate of the microtearing modes is found to be lower than that of the ITG modes and comparable to the local E x B-velocity shearing rate. The above mechanism is proposed as a possible trigger for the formation of ITBs in this type of discharges.

  13. Calculation of the temperature of asphalt concrete at making the joints of multilane road pavement of non-rigid type

    Directory of Open Access Journals (Sweden)

    Giyasov Botir Iminzhonovich

    2015-03-01

    Full Text Available The construction quality of road surface of non-rigid type essentially depend on providing the temperature regimes in the process of laying and packing of hot asphalt concrete mixtures. In order to provide the required characteristics of asphalt concrete due to the surface width it is necessary to provide the temperature regimes of hot asphalt concrete mixture in the zones of lane connection. The hot mixture is promptly cooling right after laying within several minutes, which results, according to the construction technology and the specific conditions of work production, in temperature abuse of the mixture at joints of the lanes at packing. The authors present the analysis of the technology of arranging multilane road surface by one paver with the possibility of heating the surface lane edge with the temperature of the adjacent lane. The results of the studies of the production conditions effect on the temperature of edge heating of the previously laid lanes, and the time required to achieve the maximum heating temperature depending on the relative thickness of coating layers.

  14. Joint effect of unlinked genotypes: application to type 2 diabetes in the EPIC-Potsdam case-cohort study.

    Science.gov (United States)

    Knüppel, Sven; Meidtner, Karina; Arregui, Maria; Holzhütter, Hermann-Georg; Boeing, Heiner

    2015-07-01

    Analyzing multiple single nucleotide polymorphisms (SNPs) is a promising approach to finding genetic effects beyond single-locus associations. We proposed the use of multilocus stepwise regression (MSR) to screen for allele combinations as a method to model joint effects, and compared the results with the often used genetic risk score (GRS), conventional stepwise selection, and the shrinkage method LASSO. In contrast to MSR, the GRS, conventional stepwise selection, and LASSO model each genotype by the risk allele doses. We reanalyzed 20 unlinked SNPs related to type 2 diabetes (T2D) in the EPIC-Potsdam case-cohort study (760 cases, 2193 noncases). No SNP-SNP interactions and no nonlinear effects were found. Two SNP combinations selected by MSR (Nagelkerke's R² = 0.050 and 0.048) included eight SNPs with mean allele combination frequency of 2%. GRS and stepwise selection selected nearly the same SNP combinations consisting of 12 and 13 SNPs (Nagelkerke's R² ranged from 0.020 to 0.029). LASSO showed similar results. The MSR method showed the best model fit measured by Nagelkerke's R² suggesting that further improvement may render this method a useful tool in genetic research. However, our comparison suggests that the GRS is a simple way to model genetic effects since it does not consider linkage, SNP-SNP interactions, and no non-linear effects. © 2015 John Wiley & Sons Ltd/University College London.

  15. Verification of the numerical model of insert-type joint of scaffolding in relation to experimental research

    Science.gov (United States)

    Pieńko, Michał; Błazik-Borowa, Ewa

    2018-01-01

    This paper presents the problem of comparing the results of computer simulations with the results of laboratory tests. The subject of the study was the insert-type joint of scaffolding loaded with a bending moment. The research was carried out on the real elements of the scaffolding. Due to the complexity of the connection different friction coefficients and depths of wedge insertion were taken into account in the analysis. The aim of conducting the series of analyses was to determine the sensitivity of the model to the mentioned characteristics. Since laboratory tests were carried out on the real samples, there were no preparations of surface involved in the load transfer. This approach caused many problems with the clear definition of the nature of work of individual node elements during the load. The analysis consist of two stages: the stage in which the connection is defined (the wedge is inserted into the rosette), and the loading stage (the node is loaded by the bending moment).

  16. Report of the International Review Committee of the joint proposal of the Japan Hadron Facility (KEK) and the Neutron Science Project (JAERI)

    International Nuclear Information System (INIS)

    1999-08-01

    The International Review Committee composed of twelve Japanese and foreign experts was set up under the Research Evaluation Committee of JAERI, and has reviewed the proposed joint project combining JAERI's Neutron Science Project and KEK's Japan Hadron Facility into one major facility. The review meeting took place on April 26-27, 1999, at JAERI Head quarters, Tokyo. According to the points of review given in advance, the review was implemented based on the joint project report submitted and presentations of both institutions. The Research Evaluation Committee received the review report and its explanations from the Review Committee on July 5. The Research Evaluation Committee has acknowledged appropriateness of the review results. This report describes the review results. (author)

  17. International cooperation for disaster management -- Romanian-American experience in the achievement of a joint exercise using decision support tools for radiological emergency

    International Nuclear Information System (INIS)

    Qualls, J.R.; Botirca, R.; Gabor, A.; Miron, A.

    1995-01-01

    International coordination and cooperation is rewarding but at the same time very challenging. This paper will discuss the Romanian perspective on technology transfer, its problems and its advantages. Further, the discussion will take place in the context of preparing for an international conference while at the same time exchanging civil defense expertise. The American perspective on the same subject will also be presented with healthy doses of mutual explanations. The final portion of the paper will present the joint lessons learned from the newly created interfaces and what it holds for the future. The paper aims to present the Romanian and American experts' opinion about the demonstration of using computer technology for helping the international cooperation in the field of disaster management

  18. Open capsular and ligament reconstruction with semitendinosus hamstring autograft successfully controls superior and posterior translation for type V acromioclavicular joint dislocation.

    Science.gov (United States)

    Garofalo, Raffaele; Ceccarelli, Enrico; Castagna, Alessandro; Calvisi, Vittorio; Flanagin, Brody; Conti, Marco; Krishnan, Sumant G

    2017-07-01

    Appropriate surgical management for type V complete acromioclavicular (AC) joint dislocation remains controversial. The purpose of this paper is to retrospectively report the clinical and radiographic outcomes of an open surgical technique consisting for AC joint ligamentous and capsular reconstruction using autologous hamstring tendon grafts and semi-permanent sutures. Between January 2005 and December 2011, 32 consecutive patients with symptomatic type V complete AC joint dislocation underwent surgical treatment using the same technique. The median time from injury to surgery was 45 days (range 24-90). The average median postoperative clinical and radiographic follow-up time was 30 months (range 24-33). Clinical outcomes measures included the ASES score, the visual analog score (VAS), and subjective patient satisfaction score. Minimum follow-up was 2 years. ASES score increased from a median of 38.2 ± 6.2 preoperative to 92.1 ± 4.7 postoperatively (p ≤ 0.05). The median VAS score improved from 62 mm (range 45-100 mm) preoperatively to 8 mm (range 0-20 mm) at final follow-up (p ≤ 0.05). No patient experienced pain or discomfort with either direct palpation of the AC joint or with cross-body adduction. Final radiographs demonstrated symmetric AC joint contour in 25/32 (78%) patients. Seven patients (22%) radiographically demonstrated superior translation of the distal clavicle relative to the superior margin of the acromion but less than 50% of the clavicular width. 30/32 patients (93%) were able to return to their pre-injury level of work and sports activities. This novel surgical technique using a free graft and braided suture for simultaneous coracoclavicular ligament and AC joint capsular reconstruction successfully controls superior and posterior translations after type V AC joint dislocation and minimizes the incidence of persistent postoperative AC joint subluxation. Retrospective case series, Level IV.

  19. Subjective health complaints and illness perception amongst adults with Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-HypermobilityType - a cross-sectional study.

    Science.gov (United States)

    Hope, Lena; Juul-Kristensen, Birgit; Løvaas, Helene; Løvvik, Camilla; Maeland, Silje

    2017-10-17

    To investigate the prevalence and severity of subjective health complaints and describe illness perception in a population of Joint Hypermobility Syndrome or Ehlers-Danlos Syndrome-Hypermobile Type. This study was a postal survey with a questionnaire battery on demographic data, subjective health complaints inventory, and illness perception. A total of 110 individuals diagnosed with Joint Hypermobility Syndrome or Ehlers-Danlos Syndrome-Hypermobile Type from two specialized hospitals in Norway were offered participation. Further, 140 gender- and age-matched healthy controls from statistics Norway representing the general population were sent the questionnaire for reference. Overall response rate was 30.4% (n = 76), with 44.5% (n = 49) in Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobile Type and 19.3% (n = 27) in controls. Subjective health complaints were significantly higher in Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobile Type - than in the controls (32.06 vs. 11.08; p Syndrome/Ehlers-Danlos Syndrome-Hypermobile Type had low understanding of their illness and symptoms (understanding, mean: 3.93, SD 2.88), and reported to have moderate personal and treatment control over their illness. Adults with Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobile Type reported higher frequency and severity of subjective health complaints than the matched controls from the general adult population in Norway. Furthermore, Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobile Type reported low understanding of their illness and associated symptoms, and moderate belief that their illness can be kept under control through self-management or treatment. This may indicate one of the reasons why prognosis for these patients is poor. Implications for rehabilitation Awareness of the complexity of the subjective health complaints and inquiry into illness perception could contribute with valuable information about these

  20. THE SLACS SURVEY. VIII. THE RELATION BETWEEN ENVIRONMENT AND INTERNAL STRUCTURE OF EARLY-TYPE GALAXIES

    NARCIS (Netherlands)

    Treu, Tommaso; Gavazzi, Raphael; Gorecki, Alexia; Marshall, Philip J.; Koopmans, Leon V. E.; Bolton, Adam S.; Moustakas, Leonidas A.; Burles, Scott

    2009-01-01

    We study the relation between the internal structure of early-type galaxies and their environment using 70 strong gravitational lenses from the SLACS Survey. The Sloan Digital Sky Survey (SDSS) database is used to determine two measures of overdensity of galaxies around each lens-the projected

  1. What makes and what does not make a real option? A study of equity shares in international joint ventures

    NARCIS (Netherlands)

    Cuypers, I.R.P.; Martin, Xavier

    2010-01-01

    This paper examines the boundaries of real options logic, with an application to joint ventures (JVs). We distinguish between forms of uncertainty that are resolved endogenously and those that are resolved exogenously, and theorize that only exogenous uncertainty will have the impact predicted by

  2. Spectrum of mucocutaneous manifestations in 277 patients with joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type.

    Science.gov (United States)

    Castori, Marco; Dordoni, Chiara; Morlino, Silvia; Sperduti, Isabella; Ritelli, Marco; Valiante, Michele; Chiarelli, Nicola; Zanca, Arianna; Celletti, Claudia; Venturini, Marina; Camerota, Filippo; Calzavara-Pinton, Piergiacomo; Grammatico, Paola; Colombi, Marina

    2015-03-01

    Cutaneous manifestations are a diagnostic criterion of Ehlers-Danlos syndrome, hypermobility type (EDS-HT) and joint hypermobility syndrome (JHS). These two conditions, originally considered different disorders, are now accepted as clinically indistinguishable and often segregate as a single-familial trait. EDS-HT and JHS are still exclusion diagnoses not supported by any specific laboratory test. Accuracy of clinical diagnosis is, therefore, crucial for appropriate patients' classification and management, but it is actually hampered by the low consistency of many applied criteria including the cutaneous one. We report on mucocutaneous findings in 277 patients with JHS/EDS-HT with both sexes and various ages. Sixteen objective and five anamnestic items were selected and ascertained in two specialized outpatient clinics. Feature rates were compared by sex and age by a series of statistical tools. Data were also used for a multivariate correspondence analysis with the attempt to identify non-causal associations of features depicting recognizable phenotypic clusters. Our findings identified a few differences between sexes and thus indicated an attenuated sexual dimorphism for mucocutaneous features in JHS/EDS-HT. Ten features showed significantly distinct rates at different ages and this evidence corroborated the concept of an evolving phenotype in JHS/EDS-HT also affecting the skin. Multivariate correspondence analysis identified three relatively discrete phenotypic profiles, which may represent the cutaneous counterparts of the three disease phases previously proposed for JHS/EDS-HT. These findings could be used for revising the cutaneous criterion in a future consensus for the clinical diagnosis of JHS/EDS-HT. © 2015 Wiley Periodicals, Inc.

  3. The natural history of children with joint hypermobility syndrome and Ehlers-Danlos hypermobility type: a longitudinal cohort study.

    Science.gov (United States)

    Scheper, Mark C; Nicholson, Lesley L; Adams, Roger D; Tofts, Louise; Pacey, Verity

    2017-12-01

    The objective of the manuscript was to describe the natural history of complaints and disability in children diagnosed with joint hypermobility syndrome (JHS)/Ehlers-Danlos-hypermobility type (EDS-HT) and to identify the constructs that underlie functional decline. One hundred and one JHS/EDS-HT children were observed over 3 years and assessed at three time points on the following: functional impairments, quality of life, connective tissue laxity, muscle function, postural control and musculoskeletal and multi-systemic complaints. Cluster analysis was performed to identify subgroups in severity. Clinical profiles were determined for these subgroups, and differences were assessed by multivariate analysis of covariance. Mixed linear regression models were used to determine the subsequent trajectories. Finally, an exploratory factor analysis was used to uncover the underlying constructs of functional impairment. Three clusters of children were identified in terms of functional impairment: mild, moderately and severely affected. Functional impairment at baseline was predictive of worsening trajectories in terms of reduced walking distance and decreased quality of life (P ⩽ 0.05) over 3 years. Multiple interactions between the secondary outcomes were observed, with four underlying constructs identified. All four constructs (multi-systemic effects, pain, fatigue and loss of postural control) contributed significantly to disability (P ⩽ 0.046). Children diagnosed with JHS/EDS-HT who have a high incidence of multi-systemic complaints (particularly, orthostatic intolerance, urinary incontinence and diarrhoea) and poor postural control in addition to high levels of pain and fatigue at baseline are most likely to have a deteriorating trajectory of functional impairment and, accordingly, warrant clinical prioritization. © The Author 2017. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please

  4. The role of narrative medicine in the management of joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type.

    Science.gov (United States)

    Knight, Isobel

    2015-03-01

    Joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT) is a hereditary connective tissue disorder affecting every bodily system. It is largely underdiagnosed by many practitioners, with the result of a considerable delay in diagnosis and, consequently, in the onset of adequate management schedule and treatment. Patients may also experience to be misbelieved, erroneously considered affected by a psychiatric or psychosomatic disorders, and rejected by the medical profession, which can lead to feelings of anger and resentment. Patient journeys are often long and complicated, but if doctors allowed the patient time to tell the full story, and were more prepared to think holistically, there may be a far more positive outcome. Here, the patients' perspective is presented with a narrative medicine approach, illustrating the tri-dimensional experience of a JHS/EDS-HT patient, who is also a Bowen Practitioner and a medical writer/educator. Narrative medicine would be invaluable in working with JHS/EDS-HT so that the patient can tell the story, and offer the practitioner a whole picture of her/his suffering and, often, the key for understanding the cause(s). Once this has been achieved, it might be possible to build upon a more positive and therapeutic dialogue which would result in better treatment and more effective management. It is also important for doctors to communicate with JHS/EDS-HT experts who will ultimately improve the patient journey and treatment outcomes of such a complex connective tissue disorder. © 2015 Wiley Periodicals, Inc.

  5. Truly anatomic coracoclavicular ligament reconstruction with 2 Endobutton devices for acute Rockwood type V acromioclavicular joint dislocations.

    Science.gov (United States)

    Xue, Cheng; Song, Li-Jun; Zhang, Hao; Tang, Guo-Long; Li, Xiang; Fang, Jia-Hu

    2018-06-01

    Truly anatomic coracoclavicular ligament reconstruction (TACCR) according to the original insertions is a creative new method for the treatment of severe acromioclavicular separation. This research analyzed the clinical and radiologic results of TACCR in 25 patients with at least 2-year follow-up. The study enrolled 25 patients with Rockwood type V acromioclavicular joint dislocations who underwent TACCR using 2 Endobutton (Smith & Nephew Inc., Andover, MA, USA) devices from May 2013 to October 2015. Patients were assessed with clinical and radiologic follow-up at 3, 6, 12, 18, and 24 months postoperatively. The clinical assessments consisted of the visual analog scale and the Constant score. The radiographic evaluations were performed by measurements of the coracoclavicular distance. The mean follow-up was 34 ± 6.8 months (range, 24-48 months). The visual analog scale and Constant scores revealed significant advancements from 5 ± 0.9 (range, 4-7) and 45 ± 5.6 (range, 30-54) scores preoperatively to 0 ± 0.5 (range, 0-2) and 95 ± 2.9 (range, 91-98) scores at 24 months postoperatively, respectively. The coracoclavicular distance significantly decreased from 23 ± 5.4 mm (range, 16-34 mm) preoperatively to 8 ± 0.9 mm (range, 7-10 mm) at the final follow-up. TACCR represents a safe, reliable and creative surgical technique that yields good to excellent clinical and radiologic outcomes in the treatment of severe acromioclavicular separation. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  6. Omnidirectional Internal Fixation by Double Approaches for Treating Rüedi-Allgöwer Type III Pilon Fractures.

    Science.gov (United States)

    Dai, Chong-Hua; Sun, Jun; Chen, Kun-Quan; Zhang, Hui-Bo

    In the present study, we explored the effectiveness and complications of omnidirectional internal fixation using a double approach for treating Rüedi-Allgöwer type III pilon fractures. A retrospective analysis was performed of 19 cases of Rüedi-Allgöwer type III unilateral closed pilon fracture. With preoperative preparation and correct surgical timing, the reduction was performed using anteromedial and posterolateral approaches, and the fracture fragments were fixed by omnidirectional internal fixation. Imaging evaluation was performed using the Burwell-Charnley scoring system. The Johner-Wruhs scoring system was used to assess the functional status of the patients. A comprehensive evaluation of efficacy was performed using a 5-point Likert score. The complications were also recorded and analyzed. All patients were followed up for an average of 16.2 months. The operative incisions of 15 cases healed by primary intent and with delayed healing in 4. All patients had achieved bony union at an average of 16 weeks postoperatively. No deep infection, broken nail or withdrawn nail, exposed plate, or skin flap necrosis occurred. The Burwell-Charnley imaging evaluation showed that 14 patients had anatomic reduction of the articular surface and 5 had acceptable reduction. Using the Johner-Wruhs scoring system, the results were excellent for 8, good for 7, fair for 2, and poor for 2 patients; the combined rate of excellent and good results was 78.9%. The Likert score of efficacy self-reported by the patients was 3 to 4 points for 12 patients, 2 points for 4 patients, and 0 to 1 point for 3 patients. The Likert score of therapeutic efficacy reported by the physicians was 3 to 4 points for 10 patients, 2 points for 5 patients, and 0 to 1 point for 4 patients. Omnidirectional internal fixation using double approaches was an effective method to treat Rüedi-Allgöwer type III pilon fractures with satisfactory reduction and rigid fixation, good joint function recovery, and

  7. Evidence for the involvement of cofilin in Aspergillus fumigatus internalization into type II alveolar epithelial cells.

    Science.gov (United States)

    Bao, Zhiyao; Han, Xuelin; Chen, Fangyan; Jia, Xiaodong; Zhao, Jingya; Zhang, Changjian; Yong, Chen; Tian, Shuguang; Zhou, Xin; Han, Li

    2015-08-13

    The internalization of Aspergillus fumigatus into alveolar epithelial cells (AECs) is tightly controlled by host cellular actin dynamics, which require close modulation of the ADF (actin depolymerizing factor)/cofilin family. However, the role of cofilin in A. fumigatus internalization into AECs remains unclear. Here, we demonstrated that germinated A. fumigatus conidia were able to induce phosphorylation of cofilin in A549 cells during the early stage of internalization. The modulation of cofilin activity by overexpression, knockdown, or mutation of the cofilin gene in A549 cells decreased the efficacy of A. fumigatus internalization. Reducing the phosphorylation status of cofilin with BMS-5 (LIM kinase inhibitor) or overexpression of the slingshot phosphatases also impeded A. fumigatus internalization. Both the C. botulimun C3 transferase (a specific RhoA inhibitor) and Y27632 (a specific ROCK inhibitor) reduced the internalization of A. fumigatus and the level of phosphorylated cofilin. β-1,3-glucan (the major component of the conidial cell wall) and its host cell receptor dectin-1 did not seem to be associated with cofilin phosphorylation during A. fumigatus infection. These results indicated that cofilin might be involved in the modulation of A. fumigatus internalization into type II alveolar epithelial cells through the RhoA-ROCK-LIM kinase pathway.

  8. EFFECT OF INFLIXIMAB ON DYNAMICS OF FUNCTIONAL CLASS AND RADIOLOGICAL SIGN OF BONE AND CARTILAGINOUS TISSUES ALTERATION OF JOINTS IN PATIENTS WITH DIFFERENT TYPES OF JUVENILE ARTHRITIS

    Directory of Open Access Journals (Sweden)

    E.I. Alexeeva

    2008-01-01

    Full Text Available An objective of this trial was evaluation of effect of treatment with blocker of tumor necrosis factor infliximab on dynamics of functional class and radiological changes of bone and cartilaginous tissue of joints in children with different clinical types of juvenile arthritis (JA. Infliximab was used according to standard scheme on 0, 2, 6 and then every 8 week by intravenous infusion. Mean single dose of infliximab was 6,8 ± 2,3 mg/kg. All children were treated with immunosuppressive agents (ciclosporin in 6% of patients, methotrexate in 60%, ciclosporin combined with methotrexate — 20%, ciclosporin with leflunomide — 5%, leflunomide with methotreate — 4% combined with anti cytokine treatment. 7 children were treated with oral glucocorticoids in mean dose 0,37 mg/kg daily. disorders in joint function and structural changes of joints of different severity (radiological sign were discovered in all patients before starting of treatment with infliximab. Duration of observation was 6 week — 2 years. Authors made a conclusion that treatment with infliximab prevents progressing of bone and cartilaginous destruction in all types of AJ, not depending on intensity of its clinical activity. This medication provides for full functional recovery of joints and elimination of features of disablement in patients with good clinical activity.Key words: children, juvenile arthritis, infliximab, treatment.

  9. The computed tomographic evaluation of patellofemoral joint in patellar fractures treated with open reduction and internal fixation

    International Nuclear Information System (INIS)

    Benli, I.T.; Akalin, S.; Mumcu, E.F.; Citak, M.; Kilic, M.; Pasaoglu, E.

    1992-01-01

    In this study, we examined 97 patella fractures in which open reduction and internal fixation had been performed at the 1st Orthopaedics and Trauma Clinic of Social Security Ankara Hospital between January 1983 and December 1988. After 24 to 96 months, on an average of 48.4 months follow-up period, the cases were evaluated clinically for knee function complaints and by CT and roentgenography for patellofemoral articulation. In 11 of the patients (11.5%) there was patellar displacement, 2 of the patients had patellar tilt (2.1%) and in 14 patients (14.5%) there was malalignment in which 1 patient (1.1%) had both patellar tilt and displacement. This data was obtained by measuring femoral trochlear angle (FTA) and patellar tilt angle (PTA) by CT at various degrees of knee flexion. Thirty three patients (34%) had slight and 19 patients (19.6%) had severe degenerative changes in the patellofemoral articulation. It is found that there is close relation between the variability of the pain complaints of the patients and the type of the fracture and the time of management and the postoperative rehabilitation. (author)

  10. The computed tomographic evaluation of patellofemoral joint in patellar fractures treated with open reduction and internal fixation

    Energy Technology Data Exchange (ETDEWEB)

    Benli, I.T.; Akalin, S.; Mumcu, E.F.; Citak, M.; Kilic, M.; Pasaoglu, E. (Ankara Social Security Hospital (Turkey))

    1992-08-01

    In this study, we examined 97 patella fractures in which open reduction and internal fixation had been performed at the 1st Orthopaedics and Trauma Clinic of Social Security Ankara Hospital between January 1983 and December 1988. After 24 to 96 months, on an average of 48.4 months follow-up period, the cases were evaluated clinically for knee function complaints and by CT and roentgenography for patellofemoral articulation. In 11 of the patients (11.5%) there was patellar displacement, 2 of the patients had patellar tilt (2.1%) and in 14 patients (14.5%) there was malalignment in which 1 patient (1.1%) had both patellar tilt and displacement. This data was obtained by measuring femoral trochlear angle (FTA) and patellar tilt angle (PTA) by CT at various degrees of knee flexion. Thirty three patients (34%) had slight and 19 patients (19.6%) had severe degenerative changes in the patellofemoral articulation. It is found that there is close relation between the variability of the pain complaints of the patients and the type of the fracture and the time of management and the postoperative rehabilitation. (author).

  11. A "New Type of Great Power Relationship" and Governance in the International System of the 21st

    Directory of Open Access Journals (Sweden)

    Zhongying Pang

    2013-12-01

    Full Text Available In the early decades of the 21st century, the real world of powers is neither the so-called unipolarity of the United States of America as the sole superpower, nor the trans-Atlantic domination of the joint Western hegemony. Things are no longer that simple. A fundamental fact of the contemporary international system is that several great powers co-exist – a great powers system has emerged. Clearly, the emergence of the great powers system is a major global challenge. Unfortunately, there are still no effective solutions to the challenge posed by the great powers system. However, China’s proposal a “new type of great power relationship” touches on the issue of the management of the 21st century’s great powers system. The concept of a “new type of great power relationship” still needs time to be further developed theoretically. The management of the great powers system could be the main aim of the concept. In order for 2 America to maintain its dominant position, America turns towards Asia. However, this may help consolidate American hegemony for a short time but it cannot manage the great powers system on a long-term basis. This article argues that China’s “new type of great power relationship” can be seen as a foreign policy innovation in managing the great powers system. It notices that, like China’s new proposal, similar arguments on how to deal with the global challenge posed by a great powers system are emerging in Europe and the Asia Pacific.

  12. Types of internal facilitation activities in hospitals implementing evidence-based interventions.

    Science.gov (United States)

    Baloh, Jure; Zhu, Xi; Ward, Marcia M

    2017-01-25

    Implementation models, frameworks, and theories recognize the importance of activities that facilitate implementation success. However, little is known about internal facilitation activities that hospital personnel engage in during implementation efforts. The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities. We followed 10 critical access hospitals for 2 years after the onset of implementation, conducting quarterly interviews with key informants. On the basis of the transcripts from the first two quarters, a coding template was developed using inductive analyses. The template was then applied deductively to code all interview transcripts. Using comparative analysis, we examined the characteristics that distinguish between the facilitation types. We identified four types of facilitation activities-Leadership, Buy-in, Customization, and Accountability. Individuals and teams engaged in different types of facilitation activities, both in a planned and an ad hoc manner. These activities targeted at both people and practices and exhibited varying temporal patterns (start and peak time). There are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities. New theoretical and empirical research opportunities are discussed. Understanding the types of facilitation activities and their distinguishing characteristics can assist managers in planning and executing implementations of evidence-based interventions.

  13. Distal tibial pilon fractures (AO/OTA type B, and C treated with the external skeletal and minimal internal fixation method

    Directory of Open Access Journals (Sweden)

    Milenković Saša

    2013-01-01

    Full Text Available Background/Aim. Distal tibial pilon fractures include extra-articular fractures of the tibial metaphysis and the more severe intra-articular tibial pilon fractures. There is no universal method for treating distal tibial pilon fractures. These fractures are treated by means of open reduction, internal fixation (ORIF and external skeletal fixation. The high rate of soft-tissue complications associated with primary ORIF of pilon fractures led to the use of external skeletal fixation, with limited internal fixation as an alternative technique for definitive management. The aim of this study was to estimate efficacy of distal tibial pilon fratures treatment using the external skeletal and minimal internal fixation method. Methods. We presented a series of 31 operated patients with tibial pilon fractures. The patients were operated on using the method of external skeletal fixation with a minimal internal fixation. According to the AO/OTA classification, 17 patients had type B fracture and 14 patients type C fractures. The rigid external skeletal fixation was transformed into a dynamic external skeletal fixation 6 weeks post-surgery. Results. This retrospective study involved 31 patients with tibial pilon fractures, average age 41.81 (from 21 to 60 years. The average follow-up was 21.86 (from 12 to 48 months. The percentage of union was 90.32%, nonunion 3.22% and malunion 6.45%. The mean to fracture union was 14 (range 12-20 weeks. There were 4 (12.19% infections around the pins of the external skeletal fixator and one (3.22% deep infections. The ankle joint arthrosis as a late complication appeared in 4 (12.90% patients. All arthroses appeared in patients who had type C fractures. The final functional results based on the AOFAS score were excellent in 51.61%, good in 32.25%, average in 12.90% and bad in 3.22% of the patients. Conclusion. External skeletal fixation and minimal internal fixation of distal tibial pilon fractures is a good method for

  14. Distal tibial pilon fractures (AO/OTA type B, and C) treated with the external skeletal and minimal internal fixation method.

    Science.gov (United States)

    Milenković, Sasa; Mitković, Milorad; Micić, Ivan; Mladenović, Desimir; Najman, Stevo; Trajanović, Miroslav; Manić, Miodrag; Mitković, Milan

    2013-09-01

    Distal tibial pilon fractures include extra-articular fractures of the tibial metaphysis and the more severe intra-articular tibial pilon fractures. There is no universal method for treating distal tibial pilon fractures. These fractures are treated by means of open reduction, internal fixation (ORIF) and external skeletal fixation. The high rate of soft-tissue complications associated with primary ORIF of pilon fractures led to the use of external skeletal fixation, with limited internal fixation as an alternative technique for definitive management. The aim of this study was to estimate efficacy of distal tibial pilon fratures treatment using the external skeletal and minimal internal fixation method. We presented a series of 31 operated patients with tibial pilon fractures. The patients were operated on using the method of external skeletal fixation with a minimal internal fixation. According to the AO/OTA classification, 17 patients had type B fracture and 14 patients type C fractures. The rigid external skeletal fixation was transformed into a dynamic external skeletal fixation 6 weeks post-surgery. This retrospective study involved 31 patients with tibial pilon fractures, average age 41.81 (from 21 to 60) years. The average follow-up was 21.86 (from 12 to 48) months. The percentage of union was 90.32%, nonunion 3.22% and malunion 6.45%. The mean to fracture union was 14 (range 12-20) weeks. There were 4 (12.19%) infections around the pins of the external skeletal fixator and one (3.22%) deep infections. The ankle joint arthrosis as a late complication appeared in 4 (12.90%) patients. All arthroses appeared in patients who had type C fractures. The final functional results based on the AOFAS score were excellent in 51.61%, good in 32.25%, average in 12.90% and bad in 3.22% of the patients. External skeletal fixation and minimal internal fixation of distal tibial pilon fractures is a good method for treating all types of inta-articular pilon fractures. In

  15. Belgium and France join forces in measuring instrument research. SCK-CEN and CEA are jointly developing an innovative type of gamma detector

    International Nuclear Information System (INIS)

    Vermeeren, L.

    2011-01-01

    Real-time monitoring is extremely important to accurately interpret irradiation experiments in research reactors. SCK-CEN has years of expertise in developing sensors to monitor neutron flux, temperature, gamma radiation, etc. It has been collaborating with the CEA since 2006. Both partners share research and research results in the Laboratoire Commun de Instrumentation. Recently, a joint patent application was made for a new type of sensor to measure gamma rays.

  16. A retrospective comparative study of arthroscopic fixation in acute Rockwood type IV acromioclavicular joint dislocation: single versus double paired Endobutton technique.

    Science.gov (United States)

    Xu, Jian; Liu, Haifeng; Lu, Wei; Li, Dingfu; Zhu, Weimin; Ouyang, Kan; Wu, Bing; Peng, Liangquan; Wang, Daping

    2018-05-24

    Rockwood type IV acromioclavicular joint (ACJ) dislocation is a trauma usually needs surgical treatment. Paired EndoButton technique (PET) is used in treating such condition. However, the effect of using different types of PET (single versus double PET) for fixation remains controversial. This study aims to evaluate and compare the efficacy of single and double PET and to provide a suitable option for the surgeons. We retrospectively reviewed the charts of patients with acute Rockwood type IV ACJ dislocation who had undergone arthroscopic fixation using single or double PET fixation between March 2009 and March 2015. Seventy-eight consecutive patients identified from chart review were picked and were divided into the single and double PET group with 39 cases in each group. The indexes of visual analog scale score (VAS) for pain, the radiographs of the affected shoulder at different time points of the follow-up, the time of return to activities and sports, the constant functional score, and the Karlsson acromioclavicular joint (ACJ) score, were assessed in a minimum of 2 years postoperation. The average coracoclavicular (CC) and acromioclavicular (AC) distances of the affected joints in the double PET group were significantly smaller than those of the single PET group 2 years postoperation (P  0.05). The mean VAS pain score was not significantly different, while significant difference was found for the number and times of cases return to activities and sports, constant functional score, and Karlsson ACJ score (P < 0.05) between the two groups. Therefore, the double PET group has better outcome than the single PET group. Complications including redislocation, button slippage, erosion, or AC joint instability occurred in the single PET group, while the complication in the double PET group was rare. Compared with the single PET, the double PET group achieved better outcome with less complications in arthroscopically treating acute Rockwood type IV ACJ

  17. Reliability of Tubular Joints

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Thoft-Christensen, Palle

    In this paper the preliminary results obtained by tests on tubular joints are presented. The joints are T-joints and the loading is static. It is the intention in continuation of these tests to perform tests on other types of joints (e.g. Y-joints) and also with dynamic loading. The purpose...... of the test is partly to obtain empirical data for the ultimate load-carrying capacity of tubular T-joints and partly to obtain some experience in performing tests with tubular joints. It is well known that tubular joints are usually designed in offshore engineering on the basis of empirical formulas obtained...... by experimental test results. Therefore, there is a need for performing experimental tests in this area....

  18. β-arrestins negatively control human adrenomedullin type 1-receptor internalization

    International Nuclear Information System (INIS)

    Kuwasako, Kenji; Kitamura, Kazuo; Nagata, Sayaka; Sekiguchi, Toshio; Danfeng, Jiang; Murakami, Manabu; Hattori, Yuichi; Kato, Johji

    2017-01-01

    Adrenomedullin (AM) is a potent hypotensive peptide that exerts a powerful variety of protective effects against multiorgan damage through the AM type 1 receptor (AM 1 receptor), which consists of the calcitonin receptor-like receptor (CLR) and receptor activity-modifying protein 2 (RAMP2). Two β-arrestin (β-arr) isoforms, β-arr-1 and β-arr-2, play a central role in the agonist-induced internalization of many receptors for receptor resensitization. Notably, β-arr-biased agonists are now being tested in phase II clinical trials, targeting acute pain and acute heart failure. Here, we examined the effects of β-arr-1 and β-arr-2 on human AM 1 receptor internalization. We constructed a V5-tagged chimera in which the cytoplasmic C-terminal tail (C-tail) of CLR was replaced with that of the β 2 -adrenergic receptor (β 2 -AR), and it was transiently transfected into HEK-293 cells that stably expressed RAMP2. The cell-surface expression and internalization of the wild-type or chimeric receptor were quantified by flow cytometric analysis. The [ 125 I]AM binding and the AM-induced cAMP production of these receptors were also determined. Surprisingly, the coexpression of β-arr-1 or -2 resulted in significant decreases in AM 1 receptor internalization without affecting AM binding and signaling prior to receptor internalization. Dominant-negative (DN) β-arr-1 or -2 also significantly decreased AM-induced AM 1 receptor internalization. In contrast, the AM-induced internalization of the chimeric AM 1 receptor was markedly augmented by the cotransfection of β-arr-1 or -2 and significantly reduced by the coexpression of DN-β-arr-1 or -2. These results were consistent with those seen for β 2 -AR. Thus, both β-arrs negatively control AM 1 receptor internalization, which depends on the C-tail of CLR. - Highlights: • We found that β-arrestins 1 and 2 negatively control agonist-induced GPCR internalization. • β-arrestins 1 and 2 significantly inhibits the AM

  19. Adaptation of Rural and Foreign Workers to Industry, International Joint Seminar (Wiesbaden, December 10-13, 1963). Final Report. International Seminars 1963-4.

    Science.gov (United States)

    Organisation for Economic Cooperation and Development, Paris (France). Social Affairs Div.

    The major purpose of a seminar held in Wiesbaden, Germany, was to exchange experiences and views on the methods of expediating adjustment of rural and foreign workers to industry. Major presentations for discussion were "Internal Migration" by Magda Talamo, and "International Migration" by Elie Dimitras. Some conclusions were:…

  20. Joint effects of hypertension, smoking, dyslipidemia and obesity and angiotensin-converting enzyme DD genotype on albuminuria in Taiwanese patients with type 2 diabetes mellitus.

    Science.gov (United States)

    Tseng, Chin-Hsiao; Tseng, Ching-Ping; Chong, Choon-Khim

    2010-05-01

    We investigated the individual and joint effects of hypertension, smoking, dyslipidemia, and obesity and angiotensin-converting enzyme (ACE) DD genotype on albuminuria in Taiwanese type 2 diabetic patients. ACE genotypes were determined in 519 (287 men and 232 women) patients aged 58.5 (SD: 9.0) years. Among them, 240 had albuminuria (urinary albumin-to-creatinine ratio > or =30 microg/mg). Logistic regression was used to evaluate the individual and joint effects of risk factors and DD classified by two-by-four table. The adjusted odds ratios were significant for hypertension, smoking and obesity but not for DD and dyslipidemia in models evaluating individual effects. However, while analyzing the joint effects of DD and hypertension, smoking, dyslipidemia and obesity, the respective adjusted odds ratios were 3.253 (1.261-8.391), 3.016 (1.086-8.376), 2.385 (1.010-5.630) and 2.508 (1.117-5.631). Hypertension, smoking, dyslipidemia and obesity jointly play an important role with DD genotype in mediating albuminuria. 2010 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  1. Arthroscopically Assisted Reconstruction of Acute Acromioclavicular Joint Dislocations: Anatomic AC Ligament Reconstruction With Protective Internal Bracing—The “AC-RecoBridge” Technique

    Science.gov (United States)

    Izadpanah, Kaywan; Jaeger, Martin; Ogon, Peter; Südkamp, Norbert P.; Maier, Dirk

    2015-01-01

    An arthroscopically assisted technique for the treatment of acute acromioclavicular joint dislocations is presented. This pathology-based procedure aims to achieve anatomic healing of both the acromioclavicular ligament complex (ACLC) and the coracoclavicular ligaments. First, the acromioclavicular joint is reduced anatomically under macroscopic and radiologic control and temporarily transfixed with a K-wire. A single-channel technique using 2 suture tapes provides secure coracoclavicular stabilization. The key step of the procedure consists of the anatomic repair of the ACLC (“AC-Reco”). Basically, we have observed 4 patterns of injury: clavicular-sided, acromial-sided, oblique, and midportion tears. Direct and/or transosseous ACLC repair is performed accordingly. Then, an X-configured acromioclavicular suture tape cerclage (“AC-Bridge”) is applied under arthroscopic assistance to limit horizontal clavicular translation to a physiological extent. The AC-Bridge follows the principle of internal bracing and protects healing of the ACLC repair. The AC-Bridge is tightened on top of the repair, creating an additional suture-bridge effect and promoting anatomic ACLC healing. We refer to this combined technique of anatomic ACLC repair and protective internal bracing as the “AC-RecoBridge.” A detailed stepwise description of the surgical technique, including indications, technical pearls and pitfalls, and potential complications, is given. PMID:26052493

  2. [Case-control study on minimally invasive percutaneous locking compression plate internal fixation for the treatment of type II and III pilon fractures].

    Science.gov (United States)

    Zhang, Zhi-Da; Ye, Xiu-Yi; Shang, Li-Yong; Xu, Rong-Ming; Zhu, Yan-Zhao

    2011-12-01

    To explore the clinical efficacy of delayed open reduction and internal fixation with minimally invasive percutaneous locking compression plate for the treatment of type II and III Pilon fractures. From January 2007 to September 2009, 32 patients with type II and III Pilon fractures were treated with open reduction and anatomic plate fixation (AP group) and minimally invasive percutaneous locking compression plate osteosynthesis (LCP group). There were 11 males and 6 females in AP group, with an average age of (37.4 +/- 13.3) years (ranged, 19 to 55 years). And there were 10 males and 5 females in LCP group, with an average age of (34.6 +/- 11.3) years(ranged, 21 to 56 years). The operating time, fracture healing time, aligned angulation and ankle function were compared between the two groups. All the patients were followed up, and the during ranged from 12 to 25 months, with a mean of (15.0 +/- 1.7) months. The average operation time was (76.5 +/- 8.3) min for AP group and (58.3 +/- 3.4) min for LCP group; the average time of fracture healing was (20.5 +/- 0.4) weeks for AP group and (15.7 +/- 0.2) weeks for LCP group; the total angulation between anterior posterior film and lateral film was averaged (6.6 +/- 0.5) degrees for AP group and (3.6 +/- 0.2) degrees for LCP group. As to above index, the results of LCP group were better than those of AP group (P ankle joint, the results of LCP group were better than those of AP group in ankle joint pain, wakling and ankle joint function (P fracture with less invasion, faster bone union, more stabilized fixation, quicker recovery of ankle function and fewer complications, which is more advantaged for type II and III Pilon fractures.

  3. INTERNAL EXTINCTION IN THE SLOAN DIGITAL SKY SURVEY LATE-TYPE GALAXIES

    International Nuclear Information System (INIS)

    Cho, Jungyeon; Park, Changbom

    2009-01-01

    We study internal extinction of late-type galaxies in the Sloan Digital Sky Survey. We find that the degree of internal extinction depends on both the concentration index c and K s -band absolute magnitude M K . We give simple fitting functions for internal extinction. In particular, we present analytic formulae giving the extinction-corrected magnitudes from the observed optical parameters. For example, the extinction-corrected r-band absolute magnitude can be obtained by M r,0 =-20.77 +(-1+√(1+4Δ(M r,obs +20.77+4.93Δ)))/2Δ, where Δ = 0.236{1.35(c - 2.48) 2 - 1.14} log(a/b), c = R 90 /R 50 is the the concentration index, and a/b is the isophotal axis ratio of the 25 mag arcsec -2 isophote in the i band. The 1σ error in M r,0 is 0.21 log(a/b). Late-type galaxies with very different inclinations are found to trace almost the same sequence in the (u - r)-M r diagram when our prescriptions for extinction correction are applied. We also find that (u - r) color can be a third independent parameter that determines the degree of internal extinction.

  4. Influence of Thermal Aging on Tensile and Low Cycle Fatigue Behavior of Type 316LN Austenitic Stainless Steel Weld Joint

    Science.gov (United States)

    Suresh Kumar, T.; Nagesha, A.; Ganesh Kumar, J.; Parameswaran, P.; Sandhya, R.

    2018-05-01

    Influence of short-term thermal aging on the low-cycle fatigue (LCF) behavior of 316LN austenitic stainless steel weld joint with 0.07 wt pct N has been investigated. Prior thermal exposure was found to improve the fatigue life compared with the as-welded condition. Besides, the treatment also imparted a softening effect on the weld metal, leading to an increase in the ductility of the weld joint which had a bearing on the cyclic stress response. The degree of cyclic hardening was seen to increase after aging. Automated ball-indentation (ABI) technique was employed toward understanding the mechanical properties of individual zones across the weld joint. It was observed that the base metal takes most of the applied cyclic strain during LCF deformation in the as-welded condition. In the aged condition, however, the weld also participates in the cyclic deformation. The beneficial effect of thermal aging on cyclic life is attributed to a reduction in the severity of the metallurgical notch leading to a restoration of ductility of the weld region. The transformation of δ-ferrite to σ-phase during the aging treatment was found to influence the location of crack initiation. Fatigue cracks were found to initiate in the base metal region of the joint in most of the testing conditions. However, embrittlement in the weld metal caused a shift in the point of crack initiation with increasing strain amplitude under LCF.

  5. [Effects of Electroacupuncture on Joint Function in Rheumatoid Arthritis Patients of Liver- and Kidney-Yin Deficiency Type].

    Science.gov (United States)

    Zhou, Yin; Zhu, Jun; Li, Lian-Bo; He, Tian-Feng; Chen, Xiao-Yi; Zheng, Yong-Yao; Chen, Yun-Fei

    2016-10-25

    To compare the effects between electroacupuncture (EA) plus western medicine and simple western medicine in improving clinical symptoms and local joint function of rheumatoid arthritis (RA) patients with yin deficiency of Liver and Kidney. A total of 68 RA patients of yin deficiency of Liver and Kidney were equally randomized into EA+medication group and medication group ( n =34 in each group). Both groups were given once-a-week methotrexate (7.5 mg/time) and once-a-day leflunomide (10 mg/time), while EA+medication group was additionally treated by EA at bilateral Ganshu (BL 18), Shenshu (BL 23), Xuanzhong (GB 39), Zusanli (ST 36), Taichong (LR 3), Hegu (LI 4) 3 times/week. The treatment lasted for 12 weeks. The visual analogue scale (VAS, for assessing rest pain), swollen joint count (SJC), tender joint count (TJC), patient's global assessment (PGA), physician's global assessment (PhGA), traditional Chinese medicine (TCM) symptom scoring, 28 joints activity index (disease activity score, DAS 28), American College of Rheumatology 20 (ACR 20, i.e. 20% of clinical improving rate), and health assessment questionnaire (HAQ) were assessed and erythrocyte sedimentation rate (ESR), serum C-reactive protein (CRP) levels were examined for comparison. Statistical differences were observed in before-after-treatment comparisons in both groups in reducing rest pain, SJC, TJC, serum CRP content, PGA and PhGA, HAQ scoring and DAS 28 ( P yin deficiency of Liver and Kidney.

  6. Report on the SNL/NSF International Workshop on Joint Mechanics, Arlington, Virginia, 16-18 October 2006.

    Energy Technology Data Exchange (ETDEWEB)

    Ewins, David J. (Imperial College, London England, UK); Bergman, Lawrence A. (University of Illinois, Urbana, IL); Segalman, Daniel Joseph

    2007-11-01

    The NSF/SNL joint mechanics workshop, held in Arlington, Virginia, 16-18 October, 2006, attempted to assess the current state of the art for modeling joint mechanics for the purpose of structural dynamics calculation, to identify the underlying physics issues that must be addressed to advance the field, and to propose a path forward. Distinguished participants from several countries representing research communities that focus on very different length and time scales identified multiple challenges in bridging those scales. Additionally, two complementary points of view were developed for addressing those challenges. The first approach - the 'bottom-up' perspective - attempts to bridge scales by starting from the smallest length scale and working up. The other approach starts at the length scale of application and attempts to deduce mechanics at smaller length scales through reconciliation with laboratory observation. Because interface physics is a limiting element of predictive simulation in defense and transportation, this issue will be of continuing importance for the foreseeable future.

  7. β-arrestins negatively control human adrenomedullin type 1-receptor internalization.

    Science.gov (United States)

    Kuwasako, Kenji; Kitamura, Kazuo; Nagata, Sayaka; Sekiguchi, Toshio; Danfeng, Jiang; Murakami, Manabu; Hattori, Yuichi; Kato, Johji

    2017-05-27

    Adrenomedullin (AM) is a potent hypotensive peptide that exerts a powerful variety of protective effects against multiorgan damage through the AM type 1 receptor (AM 1 receptor), which consists of the calcitonin receptor-like receptor (CLR) and receptor activity-modifying protein 2 (RAMP2). Two β-arrestin (β-arr) isoforms, β-arr-1 and β-arr-2, play a central role in the agonist-induced internalization of many receptors for receptor resensitization. Notably, β-arr-biased agonists are now being tested in phase II clinical trials, targeting acute pain and acute heart failure. Here, we examined the effects of β-arr-1 and β-arr-2 on human AM 1 receptor internalization. We constructed a V5-tagged chimera in which the cytoplasmic C-terminal tail (C-tail) of CLR was replaced with that of the β 2 -adrenergic receptor (β 2 -AR), and it was transiently transfected into HEK-293 cells that stably expressed RAMP2. The cell-surface expression and internalization of the wild-type or chimeric receptor were quantified by flow cytometric analysis. The [ 125 I]AM binding and the AM-induced cAMP production of these receptors were also determined. Surprisingly, the coexpression of β-arr-1 or -2 resulted in significant decreases in AM 1 receptor internalization without affecting AM binding and signaling prior to receptor internalization. Dominant-negative (DN) β-arr-1 or -2 also significantly decreased AM-induced AM 1 receptor internalization. In contrast, the AM-induced internalization of the chimeric AM 1 receptor was markedly augmented by the cotransfection of β-arr-1 or -2 and significantly reduced by the coexpression of DN-β-arr-1 or -2. These results were consistent with those seen for β 2 -AR. Thus, both β-arrs negatively control AM 1 receptor internalization, which depends on the C-tail of CLR. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Safety and Efficacy of NEXT-II®, a Novel Water-Soluble, Undenatured Type II Collagen inHealthy Human SubjectsSuffering from Occasional Knee Joint Pain

    Directory of Open Access Journals (Sweden)

    Orie Yoshinari

    2015-07-01

    Full Text Available Background: Oral administration of a novel water-soluble undenatured type II collagen (NEXT-II® has been demonstrated to ameliorate the signs and symptoms of rheumatoid arthritis (RA in animal models. In the present investigation, we conducted a pilot study to examine the efficacy and safety of NEXT-II® in borderline subjects defined as healthy and non-diseased state, but with potential risks in knee joint health. Method: We employed Western Ontario McMaster Index (WOMAC score and Visual Analog Scale (VAS scores to assess the extent of improvement in the knee joints in these volunteers following supplementation of 40 mg NEXT-II® (10 mg as undenatured type II collagen over a period of 12 weeks. Result: The results demonstrated that NEXT-II® treatment significantly reduced WOMAC and VAS scores compared to subjects at baseline. Specifically, in the evaluation using VAS, the borderline subjects at resting, walking, and going up and down the stairs revealed significant improvement when compared to the baseline. Conclusion: The results of the studies demonstrated that NEXT-II® might be an ingredient which is safe and effective in the application of dietary supplement in ameliorating joint pain and symptoms of the borderline subjects without any adverse events.

  9. Thermal Cycling Life Prediction of Sn-3.0Ag-0.5Cu Solder Joint Using Type-I Censored Data

    Directory of Open Access Journals (Sweden)

    Jinhua Mi

    2014-01-01

    Full Text Available Because solder joint interconnections are the weaknesses of microelectronic packaging, their reliability has great influence on the reliability of the entire packaging structure. Based on an accelerated life test the reliability assessment and life prediction of lead-free solder joints using Weibull distribution are investigated. The type-I interval censored lifetime data were collected from a thermal cycling test, which was implemented on microelectronic packaging with lead-free ball grid array (BGA and fine-pitch ball grid array (FBGA interconnection structures. The number of cycles to failure of lead-free solder joints is predicted by using a modified Engelmaier fatigue life model and a type-I censored data processing method. Then, the Pan model is employed to calculate the acceleration factor of this test. A comparison of life predictions between the proposed method and the ones calculated directly by Matlab and Minitab is conducted to demonstrate the practicability and effectiveness of the proposed method. At last, failure analysis and microstructure evolution of lead-free solders are carried out to provide useful guidance for the regular maintenance, replacement of substructure, and subsequent processing of electronic products.

  10. Alpha C-telopeptide of type I collagen is associated with subchondral bone turnover and predicts progression of joint space narrowing and osteophytes in osteoarthritis.

    Science.gov (United States)

    Huebner, Janet L; Bay-Jensen, Anne C; Huffman, Kim M; He, Yi; Leeming, Diana J; McDaniel, Gary E; Karsdal, Morten A; Kraus, Virginia B

    2014-09-01

    To evaluate joint tissue remodeling using the urinary collagen biomarkers urinary α-C-telopeptide of type I collagen (α-CTX) and urinary C-telopeptide of type II collagen (CTX-II) and to determine the association of these biomarkers with osteoarthritis (OA) severity, progression, and localized knee bone turnover. Participants (n = 149) with symptomatic and radiographic knee OA underwent fixed-flexion knee radiography at baseline and 3 years, and late-phase bone scintigraphy of both knees at baseline, which were scored semiquantitatively for osteophyte and joint space narrowing (JSN) severity and uptake intensity, with scores summed across knees. Urinary concentrations of α-CTX and CTX-II were determined by enzyme-linked immunosorbent assay. Immunohistochemical analysis of human OA knees was performed to localize the joint tissue origin of the biomarker epitopes. Urinary α-CTX concentrations correlated strongly with the intensity of bone scintigraphic uptake and with JSN progression (risk ratio 13.2) and osteophyte progression (risk ratio 3). Urinary CTX-II concentrations were strongly associated with intensity of bone scintigraphic uptake, with JSN and osteophyte severity, and with OA progression based on osteophyte score. Urinary α-CTX localized primarily to high bone turnover areas in subchondral bone. CTX-II localized to the bone-cartilage interface, the tidemark, and damaged articular cartilage. Baseline urinary α-CTX, which was localized to high turnover areas of subchondral bone, was associated with dynamic bone turnover of knees, as signified by scintigraphy, and progression of both osteophytes and JSN. Urinary CTX-II correlated with JSN and osteophyte severity and progression of osteophytes. To our knowledge, this represents the first report of serologic markers reflecting subchondral bone turnover. These collagen markers may be useful for noninvasive detection and quantification of active subchondral bone turnover and joint remodeling in knee OA

  11. γ-Aminobutyric Acid Type B (GABAB) Receptor Internalization Is Regulated by the R2 Subunit*

    Science.gov (United States)

    Hannan, Saad; Wilkins, Megan E.; Dehghani-Tafti, Ebrahim; Thomas, Philip; Baddeley, Stuart M.; Smart, Trevor G.

    2011-01-01

    γ-Aminobutyric acid type B (GABAB) receptors are important for slow synaptic inhibition in the CNS. The efficacy of inhibition is directly related to the stability of cell surface receptors. For GABAB receptors, heterodimerization between R1 and R2 subunits is critical for cell surface expression and signaling, but how this determines the rate and extent of receptor internalization is unknown. Here, we insert a high affinity α-bungarotoxin binding site into the N terminus of the R2 subunit and reveal its dominant role in regulating the internalization of GABAB receptors in live cells. To simultaneously study R1a and R2 trafficking, a new α-bungarotoxin binding site-labeling technique was used, allowing α-bungarotoxin conjugated to different fluorophores to selectively label R1a and R2 subunits. This approach demonstrated that R1a and R2 are internalized as dimers. In heterologous expression systems and neurons, the rates and extents of internalization for R1aR2 heteromers and R2 homomers are similar, suggesting a regulatory role for R2 in determining cell surface receptor stability. The fast internalization rate of R1a, which has been engineered to exit the endoplasmic reticulum, was slowed to that of R2 by truncating the R1a C-terminal tail or by removing a dileucine motif in its coiled-coil domain. Slowing the rate of internalization by co-assembly with R2 represents a novel role for GPCR heterodimerization whereby R2 subunits, via their C terminus coiled-coil domain, mask a dileucine motif on R1a subunits to determine the surface stability of the GABAB receptor. PMID:21724853

  12. The mechanisms behind decreased internalization of angiotensin II type 1 receptor.

    Science.gov (United States)

    Bian, Jingwei; Zhang, Suli; Yi, Ming; Yue, Mingming; Liu, Huirong

    2018-04-01

    The internalization of angiotensin II type 1 receptor (AT 1 R) plays an important role in maintaining cardiovascular homeostasis. Decreased receptor internalization is closely related to cardiovascular diseases induced by the abnormal activation of AT 1 R, such as hypertension. However, the mechanism behind reduced AT 1 R internalization is not fully understood. This review focuses on four parts of the receptor internalization process (the combination of agonists and receptors, receptor phosphorylation, endocytosis, and recycling) and summarizes the possible mechanisms by which AT 1 R internalization is reduced based on these four parts of the process. (1) The agonist has a large molecular weight or a stronger ability to hydrolyze phosphatidylinositol 4,5-bisphosphate (PtdIns (4,5) P 2 ), which can increase the consumption of PtdIns (4,5) P 2 . (2) AT 1 R phosphorylation is weakened because of an abnormal function of phosphorylated kinase or changes in phospho-barcoding and GPCR-β-arrestin complex conformation. (3) The abnormal formation of vesicles or AT 1 R heterodimers with fewer endocytic receptors results in less AT 1 R endocytosis. (4) The enhanced activity and upregulated expression of small GTP-binding protein 4 (Rab4) and 11 (Rab11), which regulate receptor recycling, and phosphatidylinositol 3-kinase increase AT 1 R recycling. In addition, lower expression of AT 1 R-associated protein (ATRAP) or higher expression of AT 1 R-associated protein 1 (ARAP1) can reduce receptor internalization. Copyright © 2018 Elsevier Inc. All rights reserved.

  13. Undenatured type II collagen (UC-II®) for joint support: a randomized, double-blind, placebo-controlled study in healthy volunteers.

    Science.gov (United States)

    Lugo, James P; Saiyed, Zainulabedin M; Lau, Francis C; Molina, Jhanna Pamela L; Pakdaman, Michael N; Shamie, Arya Nick; Udani, Jay K

    2013-10-24

    UC-II contains a patented form of undenatured type II collagen derived from chicken sternum. Previous preclinical and clinical studies support the safety and efficacy of UC-II in modulating joint discomfort in osteoarthritis and rheumatoid arthritis. The purpose of this study was to assess the efficacy and tolerability of UC-II in moderating joint function and joint pain due to strenuous exercise in healthy subjects. This randomized, double-blind, placebo-controlled study was conducted in healthy subjects who had no prior history of arthritic disease or joint pain at rest but experienced joint discomfort with physical activity. Fifty-five subjects who reported knee pain after participating in a standardized stepmill performance test were randomized to receive placebo (n = 28) or the UC-II (40 mg daily, n = 27) product for 120 days. Joint function was assessed by changes in degree of knee flexion and knee extension as well as measuring the time to experiencing and recovering from joint pain following strenuous stepmill exertion. After 120 days of supplementation, subjects in the UC-II group exhibited a statistically significant improvement in average knee extension compared to placebo (81.0 ± 1.3º vs 74.0 ± 2.2º; p = 0.011) and to baseline (81.0 ± 1.3º vs 73.2 ± 1.9º; p = 0.002). The UC-II cohort also demonstrated a statistically significant change in average knee extension at day 90 (78.8 ± 1.9º vs 73.2 ± 1.9º; p = 0.045) versus baseline. No significant change in knee extension was observed in the placebo group at any time. It was also noted that the UC-II group exercised longer before experiencing any initial joint discomfort at day 120 (2.8 ± 0.5 min, p = 0.019), compared to baseline (1.4 ± 0.2 min). By contrast, no significant changes were seen in the placebo group. No product related adverse events were observed during the study. At study conclusion, five individuals in the UC-II cohort

  14. Research needs related to internal dosimetry. Joint panel on occupational and environmental research for uranium production in Canada (JP-1)

    International Nuclear Information System (INIS)

    Duport, P.; Pomroy, C.; Brown, D.

    1989-01-01

    There are several important techniques of internal dosimetry for use with uranium mine and mill workers: personal radon daughter dosimetry, uranium content of urine, whole body counter to evaluate the uranium in lung burden, and assay of uranium in biopsy or autopsy tissue samples. There are problems with each of these techniques and further research is required in internal dosimetry (as well as the alternative of monitoring exposure levels). This research should be aimed at improved or supplementary dosimetry techniques, enhanced theoretical interpretation of dosimetry results and fundamental research not directly related to the techniques mentioned above. Proposals for research as presented by the working group in this report should be considered by funding organizations concerned with internal dosimetry as it relates to the uranium mining industry, and, since this report was first presented. AECB has proceeded with related projects. (author)

  15. Research needs related to internal dosimetry. Joint panel on occupational and environmental research for uranium production in Canada (JP-1)

    Energy Technology Data Exchange (ETDEWEB)

    Duport, P; Pomroy, C [Atomic Energy Control Board, Ottawa, ON (Canada); Brown, D [Saskatchewan Human Resources, Labour and Employment, Regina (Canada)

    1990-12-31

    There are several important techniques of internal dosimetry for use with uranium mine and mill workers: personal radon daughter dosimetry, uranium content of urine, whole body counter to evaluate the uranium in lung burden, and assay of uranium in biopsy or autopsy tissue samples. There are problems with each of these techniques and further research is required in internal dosimetry (as well as the alternative of monitoring exposure levels). This research should be aimed at improved or supplementary dosimetry techniques, enhanced theoretical interpretation of dosimetry results and fundamental research not directly related to the techniques mentioned above. Proposals for research as presented by the working group in this report should be considered by funding organizations concerned with internal dosimetry as it relates to the uranium mining industry, and, since this report was first presented. AECB has proceeded with related projects. (author).

  16. Exploring the relationships between International Classification of Functioning, Disability and Health (ICF) constructs of Impairment, Activity Limitation and Participation Restriction in people with osteoarthritis prior to joint replacement.

    Science.gov (United States)

    Pollard, Beth; Johnston, Marie; Dieppe, Paul

    2011-05-16

    The International Classification of Functioning, Disability and Health (ICF) proposes three main constructs, impairment (I), activity limitation (A) and participation restriction (P). The ICF model allows for all paths between the constructs to be explored, with significant paths likely to vary for different conditions. The relationships between I, A and P have been explored in some conditions but not previously in people with osteoarthritis prior to joint replacement. The aim of this paper is to examine these relationships using separate measures of each construct and structural equation modelling. A geographical cohort of 413 patients with osteoarthritis about to undergo hip and knee joint replacement completed the Aberdeen measures of Impairment, Activity Limitation and Participation Restriction (Ab-IAP). Confirmatory factor analysis was used to test the three factor (I, A, P) measurement model. Structural equation modelling was used to explore the I, A and P pathways in the ICF model. There was support from confirmatory factor analysis for the three factor I, A, P measurement model. The structural equation model had good fit [S-B Chi-square = 439.45, df = 149, CFI robust = 0.91, RMSEA robust = 0.07] and indicated significant pathways between I and A (standardised coefficient = 0.76 p < 0.0001) and between A and P (standardised coefficient = 0.75 p < 0.0001). However, the path between I and P was not significant (standardised coefficient = 0.01). The significant pathways suggest that treatments and interventions aimed at reducing impairment, such as joint replacement, may only affect P indirectly, through A, however, longitudinal data would be needed to establish this.

  17. Collector Efficiency in Downward-Type Internal-Recycle Solar Air Heaters with Attached Fins

    Directory of Open Access Journals (Sweden)

    Chii-Dong Ho

    2013-10-01

    Full Text Available The internal-recycle operation effect on collector efficiency in downward-type rectangular solar air heaters with attached fins is theoretically investigated. It is found that considerable collector efficiency is obtainable if the collector has attached fins and the operation is carried out with internal recycling. The recycling operation increases the fluid velocity to decrease the heat transfer resistance, compensating for the undesirable effect of decreasing the heat transfer driving force (temperature difference due to remixing. The attached fins provide an enlarged heat transfer area. The order of performance in a device of same size is: double pass with recycle and fins > double pass with recycle but without fins > single pass without recycle and fins.

  18. Asteroseismic modelling of solar-type stars: internal systematics from input physics and surface correction methods

    Science.gov (United States)

    Nsamba, B.; Campante, T. L.; Monteiro, M. J. P. F. G.; Cunha, M. S.; Rendle, B. M.; Reese, D. R.; Verma, K.

    2018-04-01

    Asteroseismic forward modelling techniques are being used to determine fundamental properties (e.g. mass, radius, and age) of solar-type stars. The need to take into account all possible sources of error is of paramount importance towards a robust determination of stellar properties. We present a study of 34 solar-type stars for which high signal-to-noise asteroseismic data is available from multi-year Kepler photometry. We explore the internal systematics on the stellar properties, that is, associated with the uncertainty in the input physics used to construct the stellar models. In particular, we explore the systematics arising from: (i) the inclusion of the diffusion of helium and heavy elements; and (ii) the uncertainty in solar metallicity mixture. We also assess the systematics arising from (iii) different surface correction methods used in optimisation/fitting procedures. The systematics arising from comparing results of models with and without diffusion are found to be 0.5%, 0.8%, 2.1%, and 16% in mean density, radius, mass, and age, respectively. The internal systematics in age are significantly larger than the statistical uncertainties. We find the internal systematics resulting from the uncertainty in solar metallicity mixture to be 0.7% in mean density, 0.5% in radius, 1.4% in mass, and 6.7% in age. The surface correction method by Sonoi et al. and Ball & Gizon's two-term correction produce the lowest internal systematics among the different correction methods, namely, ˜1%, ˜1%, ˜2%, and ˜8% in mean density, radius, mass, and age, respectively. Stellar masses obtained using the surface correction methods by Kjeldsen et al. and Ball & Gizon's one-term correction are systematically higher than those obtained using frequency ratios.

  19. Joint project of the international network of agencies for health technology assessment--Part 1: Survey results on diffusion, assessment, and clinical use of positron emission tomography.

    Science.gov (United States)

    Hastings, John; Adams, Elizabeth J

    2006-01-01

    The International Network of Agencies for Health Technology Assessment (INAHTA) has been tracking activities associated with the clinical use of positron emission tomography (PET) in its members' healthcare systems since 1997 and published its first Joint Project report on PET in 1999. Part 1 of this Joint Project report presents survey results on diffusion, assessment activities, and policy for clinical use related to PET among INAHTA members since 1999. INAHTA members were surveyed in 2003-2004. Twenty-seven INAHTA agencies (69 percent response rate) from nineteen countries responded to the survey. Dedicated PET systems are the most universally installed systems to date. Mobile scanners and modified gamma cameras are used occasionally as lower cost alternatives, and interest in PET-computed tomography hybrid models is rising despite limited assessment of impact on service planning. PET was used and assessed most commonly for managing patients with cancer. All respondents reported having some form of public funding for clinical PET frequently linked to data collection for the purpose of gathering evidence to refine clinical use and guide resource allocation toward indications that maximize clinical and cost-effectiveness. The use of HTA within a continuous quality improvement framework can help optimize scarce resources for evaluation and use of high cost diagnostic technologies such as PET, particularly where potential clinical or cost-effectiveness is considerable but conclusive evidence is lacking.

  20. Pharmaceutical interventions by collaboration between staff pharmacists and clinical pharmacists and implementation of Joint Commission International Accreditation Standards on medication use may optimize pharmacotherapy in geriatric patients

    Directory of Open Access Journals (Sweden)

    Chen M

    2016-11-01

    Full Text Available Meng Chen, Quan Zhou Department of Pharmacy, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of ChinaWe read with great interest the prospective study by Cortejoso et al,1 which describes the characteristics of pharmaceutical interventions in two geriatric wards (orthogeriatric ward and geriatric day unit of a general teaching hospital. We strongly agree with their finding that shows the importance of clinical pharmacist involvement in the optimization of pharmacotherapy in elderly patients. Furthermore, we especially appreciate their new and interesting findings that the clinical pharmacist was more frequently requested by physicians and nurses for information about the pharmacotherapy of the patients on the geriatric day unit, compared with the orthogeriatric ward at admission and discharge (5.7% vs 1.2% and 1.7%, respectively, P<0.05, and that the pharmacist asked for more confirmation of the physician orders on the geriatric day unit rather than the orthogeriatric ward (19.8% vs 1.8% and 15.7% at admission and discharge, respectively, P<0.05. We are from a Joint Commission International (JCI-accredited academic medical center hospital with 3200 beds in China. Safe medication management and use are pivotal to patient safety and quality of care on which the state-of-the-art standards of the Joint Commission focus. We would like to share our perspectives in the following paragraphs.View original paper by Cortejoso and colleagues. 

  1. Capacity Building in Southern Africa: Experiences and Reflections--Towards Joint Knowledge Production and Social Change in International Development Cooperation

    Science.gov (United States)

    Zeelen, Jacques; van der Linden, Josje

    2009-01-01

    The intent of capacity building in international development cooperation is to enable people to control their own development. Important premises are ownership, choice and self-esteem. The authors analyse the dynamics of the enabling process in practice, based on their own experiences working for several years in universities in developing…

  2. Computed Microtomography Quantification of Internal Pore Geometry of Soil Aggregates from Contrasting Land Management Types

    Science.gov (United States)

    Ananyeva, K.; Wang, W.; Smucker, A. J.; Kravchenko, A. N.; Chun, H. C.; Rivers, M. L.

    2010-12-01

    Structure of soil aggregate interiors controls intra-aggregate processes and provides important contributions to the biogeochemical processes of the soil profile. Applications of computed microtomography (CMT) to soil science have enabled the direct and nondestructive analyses of internal aggregate pore structures within soil volumes. The main objective of this study was to employ CMT to examine the internal pore structures of soil aggregates, 4 to 6.3 mm across, sampled at 0-20 cm depths from contrasting long-term land management types. Intra-aggregate pore-size distributions were compared among land management types. Porosity below CMT resolution (tillage, grass vegetation) than that of aggregates managed by conventional tillage (CT) used for agriculture. There was also greater percentage of intra-aggregate pores >400 µm in aggregates from NS than CT or NT management systems. In the range 15-100 µm, however, porosity of CT aggregates exceeded that of NS and NT aggregates. Total intra-aggregate porosities were similar and higher for both CT and NS (34.6 and 34.7%, correspondingly) than the 32.6% for NT aggregates. Although statistically significant, this difference (CT or NS vs. NT) was practically small, requiring at least 48 replications to be detected. These results indicate that long-term differences in management affected intra-aggregate pore size distributions. Increased 15-100 µm porosity in CT aggregates is probably related to their greater fragility. A combination of higher microporosity (400 µm in NS aggregates may generate more favorable conditions for microbial activity through a combination of larger intra-aggregate regions with high water-holding capacities and increased aeration and preferential flow pathways for intra-aggregate solute and gas transport. Our current focus is comparing and relating specifics of internal pore structures in the aggregates from contrasting land management types, to the measurements of solution and microbial flow

  3. Internal Friction in L.A.S. Type Glass and Glass-Ceramics

    OpenAIRE

    Arnault , L.; RiviÈre , A.

    1996-01-01

    Internal friction measurements have been performed on glass and glass-ceramics of the Li2O-Al2O3-SiO2 type by isothermal mechanical spectroscopy. Experiments were carried out over a large frequency range (10-4Hz - 31.6 Hz) for various temperatures between 260K and 850K. For the glass, a relaxation peak is observed at low temperature (276K for 1Hz). This peak does not appear in the glass-ceramics ; however, for each of them, two other peaks were observed : the first one at about 343K (1Hz) and...

  4. A Completely New Type of Actuator -or- This Ain't Your Grandfather's Internal Combustion Engine

    Science.gov (United States)

    Gore, Brian W.; Hawkins, Gary F.; Hess, Peter A.; Moore, Teresa A.; Fournier, Eric W.

    2010-01-01

    A completely new type of actuator - one that is proposed for use in a variety of environments from sea to land to air to space - has been designed, patented, built, and tested. The actuator is loosely based on the principle of the internal combustion engine, except that it is a completely closed system, only requiring electrical input, and the working fuel is water. This paper outlines the theory behind the electrolysis- and ignition-based cycle upon which the actuator operates and describes the performance capability test apparatus and results for the actuator. A mechanism application that harnessed the unit s power to twist a scaled rotor blade is also highlighted.

  5. Quality of life, unmet needs, and iatrogenic injuries in rehabilitation of patients with Ehlers-Danlos Syndrome hypermobility type/Joint Hypermobility Syndrome.

    Science.gov (United States)

    Bovet, Claire; Carlson, Matthew; Taylor, Matthew

    2016-08-01

    Ehlers-Danlos Syndrome, hypermobility type (EDS-HT) and the joint hypermobility syndrome (JHS) are connective tissue disorders that form an overlapping clinical syndrome and are associated with frequent medical visits and substantial morbidity. EDS-HT/JHS-associated pain correlates with poor quality of life. While physical therapy is the recommended treatment for EDS-HT/JHS, little is known about therapy-related patient experiences and iatrogenic injuries. We studied 38 adult EDS-HT/JHS patients, eliciting health-related quality of life (HRQoL) from 28 patients through the RAND SF-36 questionnaire. We also explored physical therapy experiences through focus groups with 13 patients. Our patients displayed poor HRQoL, with 71% reporting worse health over the past year. SF-36 scores were significantly lower than the scores of the average American population (P < 0.001 for 8 of 10 categories assessed), but were comparable to EDS-HT/JHS populations in Belgium, the Netherlands, Sweden, and Italy. Focus groups identified factors associated with: negative past physical therapy experiences, iatrogenic joint injuries, positive treatment experiences, and unmet rehabilitation needs. This group of EDS-HT/JHS patients has significant decrements in HRQoL and many unmet treatment needs, as well as a risk for iatrogenic injuries. We identify several approaches to help meet patients' needs and improve joint rehabilitation in patients with EDS-HT/JHS. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  6. [Analysis on the long-term effects of modified double endobutton technique in the treatment of Tossy type III acromioclavicular joint dislocations].

    Science.gov (United States)

    Yan, Rui-Jian; Lu, Jian-Wei; Zhang, Chun

    2014-01-01

    To investigate the long-term clinical effects of modified double Endobutton technique for the treatment of acromioclavicular joint dislocations of Tossy type III. A retrospective study was done in 42 patients with acromioclavicular joint dislocations of Tossy type III treated with modified double Endobutton technique from December 2008 to December 2010. There were 24 males and 18 females, ranging in age from 21 to 56 years old (averaged, 32.5 years old). All the patients were treated with open reduction, coracoclavicular ligament reconstruction using double Endobutton technique, and repair of acromioclavicular ligament. The Karlsson system was used to evaluate therapeutic effects. The distance from coracoid to clavicle was measured to evaluate reduction loss. All the patients were followed up, and the duration ranged from 2.0 to 3.2 years (averaged,2.4 years). According to Karlsson system, 32 patients got an A degree and 10 patients got a B degree at three months post-operatively; 26 patients got an A degree and 16 patients got a B degree at the latest follow-up; 6 patients got an A degree at 3 months after operation lowered to B degree at the latest follow-up. The coracoid-clavicle distance increased from (26.91 +/- 0.91) mm at 3 months after operation to (27.41 +/- 1.10) mm at the latest follow-up. Te patients treated with over-reduction during operation or with heavy physical labour work after operation had obvious widened coracoid-clavicle distance. Bone absorption was found around the plate in most cases, mainly in the clavicular side. Treatment for acromioclavicular joint dislocations of Tossy type III with modified double Endobutton technique has satisfactory early clinical results. But with time passing, loss of reduction and bone absorption around the plate could be observed, and clinical outcomes of some cases downgrade during the long-term follow-up.

  7. The CSNI International Standard Problem Programme: Overall Presentation on Objectives; Rationale and Lessons Learnt: a Joint Venture of the Thermalhydraulic International Community

    International Nuclear Information System (INIS)

    Reocreux, M.

    2008-01-01

    The CSNI International Standard Problems have been one of the key activities of the CSNI thermal hydraulics groups during the last 25 years. After recalling the way the international standard problems were initiated in the late 1970 years -they were called at that time CSNI LOCA Standard Problem- the process which has led to make from the ISPs a full CSNI activity, is described. Rules have been defined which formalized the way experimental results were provided and the way the comparison exercise were performed. The long series of ISPs from 1975 up to nowadays is described, explaining the different trends in the ISPs choices. The findings which have been obtained are reviewed on both technical and programmatic aspects.

  8. European type NPP electric power and vent systems. For safety improvement and proposal of international center

    International Nuclear Information System (INIS)

    Sugiyama, Kenichiro

    2011-01-01

    For prevention of reactor accidents of nuclear power plants, multiplicity and redundancy of emergency power would be most important. At station blackout accident, European type manually operated vent operation could minimize release amount of radioactive materials and keep safety of neighboring residents. After Fukushima Daiichi accident, nuclear power plants could not restart operation even after completion of periodical inspection. This article introduced European type emergency power and vent systems in Swiss, Sweden and Germany with state of nuclear power phaseout for reference at considering to upgrade safety and accident mitigation measures for better understanding of the public. In addition, it would be important to recover trust of nuclear technology to continue to disseminate latest information on new knowledge of accident site and decontamination technologies to domestic and overseas people. As its implementation, establishment of Fukushima international center was proposed. (T. Tanaka)

  9. Joint radiation emergency management plan of the International Organizations. Emergency preparedness and response. Date effective: 1 December 2000

    International Nuclear Information System (INIS)

    2000-12-01

    The Convention on Early Notification of a Nuclear Accident (the 'Early Notification Convention') and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention') are the prime legal instruments that establish an international framework to facilitate the exchange of information and the prompt provision of assistance in the event of a nuclear accident or radiological emergency, with the aim of minimizing the consequences. The International Atomic Energy Agency (IAEA) has specific functions allocated to it under these Conventions, to which the World Health Organization (WHO), the World Meteorological Organization (WMO) and the Food and Agriculture Organization of the United Nations (FAO) are full Parties. Since 1989, the arrangements between these organizations for facilitating the practical implementation of those articles of the two Conventions which are operational in nature have been documented by the IAEA in the Emergency Notification and Assistance Technical Operations Manual (ENATOM). This manual describes the conceptual link between the IAEA, all other relevant international intergovernmental organizations, States which are IAEA Member States and/or Parties to one or both Conventions, and other States under the terms of the two Conventions. The ENATOM is intended for use primarily by Contact Points as defined in the Convention

  10. REVERSE ENGINEERING OF THE MITKOVIC TYPE INTERNAL FIXATOR FOR LATERAL TIBIAL PLATEAU

    Directory of Open Access Journals (Sweden)

    Nikola Vitković

    2015-12-01

    Full Text Available In orthopaedic surgery it is very important to use proper fixation techniques in the treatment of various medical conditions, i.e. bone fractures or other traumas. If an internal fixation method, such as plating, is required, it is possible to use Dynamic Compression Plates (DCP or Locking Compression Plates (LCP and their variants. For DCP implants it is important to match the patient's bone shape with the most possible accuracy, so that the most frequent implant bending is applied in the surgery. For LCP implants it is not so important to match the patient’s bone shape, but additional locking screw holes are required. To improve the geometrical accuracy and anatomical correctness of the shape of DCP and to improve the LCP geometric definition, new geometrical modelling methods for the Mitkovic type internal fixator for Lateral Tibia Plateau are developed and presented in this research. The presented results are quite promising; it can be concluded that these methods can be applied to the creation of geometrical models of internal fixator customized for the given patient or optimized for a group of patients with required geometrical accuracy and morphological correctness.

  11. Mobile application to induce lifestyle modifications in type 2 diabetic patients: prototype based on international guidelines

    Science.gov (United States)

    García-Jaramillo, M.; Delgado, J. S.; León-Vargas, F.

    2015-12-01

    This paper describes a prototype app to induce lifestyle modifications in newly diagnosed type 2 diabetic patients. The app design is based on International Diabetes Federation guidelines and recommendations from clinical studies related to diabetes health-care. Two main approaches, lifestyle modification and self-management education are used owing to significant benefits reported. The method used is based on setting goals under medical support related to physical activity, nutritional habits and weight loss, in addition to educational messages. This is specially implemented to address the main challenges that have limited the success of similar mobile applications already validated on diabetic patients. A traffic light is used to show the overall state of the goals compliance. This state could be understood as excellent (green), there are aspects to improve (yellow), or some individual goals are not carrying out (red). An example of how works this method is presented in results. Furthermore, the app provides recommendations to the user in case the overall state was in yellow or red. The recommendations pretend to induce the user to make changes in their eating habits and physical activity. According to international guidelines and clinical studies, a prototype of mobile application to induce a lifestyle modification in order to prevent adverse risk factors related to diabetes was presented. The resulting application is apparently consistent with clinical judgments, but a formal clinical validation is required. The effectiveness of this app is currently under consideration for the Colombian population with type 2 diabetes.

  12. Community governance in primary health care: towards an international Ideal Type.

    Science.gov (United States)

    Meads, Geoffrey; Russell, Grant; Lees, Amanda

    2017-10-01

    Against a global background of increased resource management responsibilities for primary health care agencies, general medical practices, in particular, are increasingly being required to demonstrate the legitimacy of their decision making in market oriented environments. In this context a scoping review explores the potential utility for health managers in primary health care of community governance as a policy concept. The review of recent research suggests that applied learning from international health systems with enhanced approaches to public and patient involvement may contribute to meeting this requirement. Such approaches often characterise local health systems in Latin America and North West Europe where innovative models are beginning to respond effectively to the growing demands on general practice. The study design draws on documentary and secondary data analyses to identify common components of community governance from the countries in these regions, supplemented by other relevant international studies and sources where appropriate. Within a comprehensive framework of collaborative governance the components are aggregated in an Ideal Type format to provide a point of reference for possible adaptation and transferable learning across market oriented health systems. Each component is illustrated with international exemplars from recent organisational practices in primary health care. The application of community governance is considered for the particular contexts of GP led Clinical Commissioning Groups in England and Primary Health Networks in Australia. Some components of the Ideal Type possess potentially powerful negative as well as positive motivational effects, with PPI at practice levels sometimes hindering the development of effective local governance. This highlights the importance of careful and competent management of the growing resources attributed to primary health care agencies, which possess an increasingly diverse range of non

  13. Exploring Language and Diplomatic Thinking through Process Types: A Contrastive Study on Sino-British Diplomatic Thinking Based on the China-UK Joint Declaration

    Directory of Open Access Journals (Sweden)

    Song Chen

    2016-07-01

    Full Text Available The China-UK Joint Declaration on Building a Global Comprehensive Strategic Partnership for the 21st Century is one of the fruits of Chinese President Xi Jinping’s recent official state visit to the Great Britain. As a typical and important diplomatic language document, the Joint Declaration deserves scientific research. In this paper, based on the six process types of Halliday’s Transitivity system, we attempt to disclose the diplomatic thinking underlying the employment of process types and make a contrastive study of the diplomatic thinking of both China and the UK. The research leads to three findings. Firstly, the high frequency of material process clause in both Chinese and English versions reflects the “Action thinking”, a shared diplomatic thinking adopted by the two nations. Secondly, the Chinese version employs more relational process clauses than the English version, which is an indication of the “Relationality thinking” underlying Chinese diplomacy and it is much less emphasized or even absent in British diplomacy. Thirdly, the analysis of the mental process clauses reveals that China has an “Inclusive thinking” in its diplomatic exchange with Britain whereas the UK a “Friendship thinking”.

  14. Morphological study in internal derangement of the temporomandibular joint with MRI. The relationships between the state of the articular disc and limitation of motion of the mandibular head

    International Nuclear Information System (INIS)

    Miyazu, Hiroko; Sakurai, Takashi; Numayama, Sukenao; Furuya, Nobuaki; Kashima, Isamu

    1997-01-01

    In this study, we used MRI to investigate the relationships between these factors in temporomandibular joint (TMJ) patients, especially with regard to the range of condylar movement. Bone configurations and articular disc conditions were analyzed in a total of 367 TMJ of 255 internal derangement patients using MRI. We examined the influence of articular disc condition on functional disorder and identified the tendencies of the pathology of patients with internal derangements. Anterolateral displacement was more frequent than anteromedial displacement, and lateral rotary displacement was more frequent than medial rotary displacement. Therefore, the articular disc displaced more readily laterally, rather than medially. With regard to the relationship between the articular disc configuration and reduction, enlargement of the posterior band and biconvex discs showed a tendency for articular disc displacement that did not reduce, while discs with even thickness showed a tendency of articular disc displacement which would reduce. Folding and biconvexity tended to limit condylar movement while less limitation occurred with discs of even thickness. In cases of disc displacement without reduction, there was a significantly higher percentage of cases with limited condylar movement than in cases of displacement with reduction. (K.H.)

  15. Joint trajectories for social and physical aggression as predictors of adolescent maladjustment: Internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features

    Science.gov (United States)

    UNDERWOOD, MARION K.; BERON, KURT J.; ROSEN, LISA H.

    2011-01-01

    This investigation examined the relation between developmental trajectories jointly estimated for social and physical aggression and adjustment problems at age 14. Teachers provided ratings of children's social and physical aggression in Grades 3, 4, 5, 6, and 7 for a sample of 255 children (131 girls, 21% African American, 52% European American, 21% Mexican American). Participants, parents, and teachers completed measures of the adolescent's adjustment to assess internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. Results showed that membership in a high and rising trajectory group predicted rule-breaking behaviors and borderline personality features. Membership in a high desister group predicted internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. The findings suggest that although low levels of social and physical aggression may not bode poorly for adjustment, individuals engaging in high levels of social and physical aggression in middle childhood may be at greatest risk for adolescent psychopathology, whether they increase or desist in their aggression through early adolescence. PMID:21532919

  16. International

    International Nuclear Information System (INIS)

    Anon.

    1997-01-01

    This rubric reports on 10 short notes about international economical facts about nuclear power: Electricite de France (EdF) and its assistance and management contracts with Eastern Europe countries (Poland, Hungary, Bulgaria); Transnuclear Inc. company (a 100% Cogema daughter company) acquired the US Vectra Technologies company; the construction of the Khumo nuclear power plant in Northern Korea plays in favour of the reconciliation between Northern and Southern Korea; the delivery of two VVER 1000 Russian reactors to China; the enforcement of the cooperation agreement between Euratom and Argentina; Japan requested for the financing of a Russian fast breeder reactor; Russia has planned to sell a floating barge-type nuclear power plant to Indonesia; the control of the Swedish reactor vessels of Sydkraft AB company committed to Tractebel (Belgium); the renewal of the nuclear cooperation agreement between Swiss and USA; the call for bids from the Turkish TEAS electric power company for the building of the Akkuyu nuclear power plant answered by three candidates: Atomic Energy of Canada Limited (AECL), Westinghouse (US) and the French-German NPI company. (J.S.)

  17. Recruitment and retention of participants for an international type 1 diabetes prevention trial

    DEFF Research Database (Denmark)

    Franciscus, Margaret; Nucci, Anita; Bradley, Brenda

    2014-01-01

    for long-term follow-up assessments. PURPOSE: Our purpose is to summarize the recruitment and retention strategies used to conduct TRIGR from the perspective of the study coordinators. METHODS: TRIGR was designed to test whether weaning to formula containing hydrolyzed versus intact cow's milk protein......BACKGROUND: The Trial to Reduce Insulin Dependent Diabetes Mellitus in the Genetically at Risk (TRIGR) is the first multicenter international type 1 diabetes (T1D) prevention trial to be undertaken. A unique feature of TRIGR has been recruitment of eligible pregnant women and enrollment of newborns......-year follow-up phases of this study. The TRIGR study met the accrual goal after 4.7 years of recruitment, 2.7 years longer than projected initially. Challenges included difficulty in finding fathers with T1D, a higher than expected rate of premature delivery among T1D mothers, and implementation of new...

  18. The Agency's Agreement with the United Nations Educational, Scientific and Cultural Organization concerning the Joint Operation of the International Centre for Theoretical Physics at Trieste. Extension of the Agreement

    International Nuclear Information System (INIS)

    1983-02-01

    By an exchange of letters between the Directors General of the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the Agency, the duration of the agreement between the two organizations concerning the joint operation of the International Centre for Theoretical Physics at Trieste has been extended until 31 December 1986.

  19. The Agency's Agreement with the United Nations Educational, Scientific and Cultural Organization concerning the Joint Operation of the International Centre for Theoretical Physics at Trieste. Extension of the Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1983-02-15

    By an exchange of letters between the Directors General of the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the Agency, the duration of the agreement between the two organizations concerning the joint operation of the International Centre for Theoretical Physics at Trieste has been extended until 31 December 1986.

  20. [Classification and Treatment of Sacroiliac Joint Dislocation].

    Science.gov (United States)

    Tan, Zhen; Huang, Zhong; Li, Liang; Meng, Wei-Kun; Liu, Lei; Zhang, Hui; Wang, Guang-Lin; Huang, Fu-Guo

    2017-09-01

    To develop a renewed classification and treatment regimen for sacroiliac joint dislocation. According to the direction of dislocation of sacroiliac joint,combined iliac,sacral fractures,and fracture morphology,sacroiliac joint dislocation was classified into 4 types. Type Ⅰ (sacroiliac anterior dislocation): main fracture fragments of posterior iliac wing dislocated in front of sacroiliac joint. Type Ⅱ (sacroiliac posterior dislocation): main fracture fragments of posterior iliac wing dislocated in posterior of sacroiliac joint. Type Ⅲ (Crescent fracturedislocation of the sacroiliac joint): upward dislocation of posterior iliac wing with oblique fracture through posterior iliac wing. Type ⅢA: a large crescent fragment and dislocation comprises no more than onethird of sacroiliac joint,which is typically inferior. Type ⅢB: intermediatesize crescent fragment and dislocation comprises between one and twothirds of joint. Type ⅢC: a small crescent fragment where dislocation comprises most,but not the entire joint. Different treatment regimens were selected for different types of fractures. Treatment for type Ⅰ sacroiliac joint dislocation: anterior iliac fossa approach pry stripping reset; sacroiliac joint fixed with sacroiliac screw through percutaneous. Treatment for type Ⅱ sacroiliac joint dislocation: posterior sacroiliac joint posterior approach; sacroiliac joint fixed with sacroiliac screw under computer guidance. Treatment for type ⅢA and ⅢB sacroiliac joint dislocation: posterior sacroiliac joint approach; sacroiliac joint fixed with reconstruction plate. Treatment for type ⅢC sacroiliac joint dislocation: sacroiliac joint closed reduction; sacroiliac joint fixed with sacroiliac screw through percutaneous. Treatment for type Ⅳ sacroiliac joint dislocation: posterior approach; sacroiliac joint fixed with spinal pelvic fixation. Results of 24 to 72 months patient follow-up (mean 34.5 months): 100% survival,100% wound healing,and 100

  1. The effects of radiations on materials for core internals of PWRs: EDF-CEA-Framatome joint research programme

    International Nuclear Information System (INIS)

    Mathan, N. de; Buisine, D.; Goltrant, O.; Dubuisson, P.; Scott, P.; Deydier, D.; Trenty, A.

    1998-01-01

    The effects of neutron irradiation on materials for the core internals of PWRs (austenitic stainless steels) are potentially a significant economic and regulatory concern for EDF. The maintenance strategy for EDF relies primarily on in-service inspection, safety analysis and characterization of materials irradiated in-service. In addition, to anticipate likely future behaviour of highly irradiated materials, EDF has initiated, in collaboration with CEA and Framatome, a large R and D programme designed to (i) evaluate the effects of neutron irradiation on mechanical properties and stress corrosion cracking sensitivity (IASCC), and (ii) identify possible replacement materials. The programme, currently in progress, involves mechanical tests (tensile, fracture toughness, irradiation creep), stress corrosion cracking tests (in flux and out of flux) and metallurgical examinations. The test materials are being irradiated in several experimental reactors in France and Russia up to PWR-related end of life doses (∼ 80 dpa) at several PWR-relevant irradiation temperatures (300-400 deg. C). The presentation will describe the objectives and early results of this ongoing R and D programme. (author)

  2. The British Avant Garde: A Joint Venture Between the New York Cultural Center and Studio International Magazine

    Directory of Open Access Journals (Sweden)

    Jo Melvin

    2016-07-01

    Full Text Available This essay considers the relevance of The British Avant Garde exhibition at the New York Cultural Center in 1971 to the reputation and discussion of British artists in the US, and its subsequent impact in Britain. It situates the exhibition with reference to Conceptual Art and Conceptual Aspects at the NYCC and Information at the Museum of Modern Art, both held in 1970, and within the background milieu of a lively transatlantic and multi-directional network of artists such as Terry Atkinson, Michael Baldwin, Ian Burn, Barry Flanagan, Dan Graham, Joseph Kosuth, Christine Kozlov, Richard Long, Mel Ramsden, Sol LeWitt and Lawrence Weiner, who were developing alternative ways to make and to distribute work by using text, photocopies, and self-publication as forms of production as well as becoming the site of exhibition. Devised by Charles Harrison, assistant editor of Studio International magazine, the exhibition was a collaboration between the magazine and the NYCC, directed by Donald Karshan. Despite the mixed press reviews in New York, the exhibition paved the way for establishing institutional support for the artists in the UK.

  3. [Case-control study on effects of external fixation combined with limited internal fixation for the treatment of Pilon fractures of Rüedi-Allgower type III].

    Science.gov (United States)

    Duan, Da-Peng; You, Wu-Lin; Ji, Le; Zhang, Yong-Tao; Dang, Xiao-Qian; Wang, Kun-Zheng

    2014-01-01

    To analyze the effects of three surgical operations in the treatment of Pilon fracture of Rüedi-Allgower type III, and put forward the best therapeutic method. The clinical data of 33 patients with Pilon fracture who received surgical operations (plaster immobilization group, 10 cases; distal tibia anatomical plate group, 11 cases; external fixation with limited internal fixation group, 12 cases) from October 2009 to January 2012 were analyzed. There were 5 males and 5 females, ranging in age from 24 to 61 years in the plaster immobilization group. There were 7 males and 4 females, ranging in age from 21 to 64 years in the distal tibia anatomical plate group. There were 7 males and 5 females, ranging in age from 23 to 67 years in the external fixation with limited internal fixation group. The Ankle X-ray of Pilon fracture after operation, ankle score, early and late complications were collected. Bourne system was used to evaluate ankle joint function. After 8 months to 3 years follow-up, it was found that three kinds of treatment had significant differences in the outcomes and complications (P external fixation with limited internal fixation group got the best results. The number of anatomic reduction cases in the external fixation with limited internal fixation group (7 cases) and the distal tibia anatomical plate group (8 cases) was more than the plaster immobilization group (2 cases). According to the ankle score, 8 patients got an excellent result, 3 good and 1 poor in the limited internal fixation group ,which was better than those of distal tibia anatomical plate group (5 excellent, 4 good and 2 poor) and the plaster immobilization group (3 excellent, 4 good and 3 poor). The number of early and late complications in the external fixation with limited internal fixation group was more than those in the plaster immobilization group and the distal tibia anatomical plate group (Pexternal fixation with limited internal fixation in the treatment of Pilon fracture

  4. The initial safe range of motion of the ankle joint after three methods of internal fixation of simulated fractures of the medial malleolus.

    Science.gov (United States)

    Shimamura, Yoshio; Kaneko, Kazuo; Kume, Kazuhiko; Maeda, Mutsuhiro; Iwase, Hideaki

    2006-07-01

    Previous studies have demonstrated the safe passive range of ankle motion for inter-bone stiffness after internal fixation under load but there is a lack of information about the safe range of ankle motion for early rehabilitation in the absence of loading. The present study was designed to assess the effect of ankle movement on inter-bone displacement characteristics of medial malleolus fractures following three types of internal fixation to determine the safe range of motion. Five lower legs obtained during autopsy were used to assess three types of internal fixation (two with Kirschner-wires alone; two with Kirschner-wires plus tension band wiring; and, one with an AO/ASIF malleolar screw alone). Following a simulated fracture by sawing through the medial malleolus the displacement between the fractured bone ends was measured during a passive range of movement with continuous monitoring using omega (Omega) shaped transducers and a biaxial flexible goniometer. Statistical analysis was performed with repeated measures analysis of variance. Inter-bone displacement was not proportional to the magnitude of movement throughout the range of ankle motion as, when separation exceeded 25 microm, there was increasingly wide separation as plantar-flexion or dorsal-flexion was increased. There was no statistical significant difference between the small amount of inter-bone displacement observed with three types of fixation within the safe range of dorsal-flexion and plantar-flexion for early rehabilitation. However the inter-bone separation when fixation utilized two Kirschner-wires alone tended to be greater than when using the other two types of fixation during dorsal-flexion and eversion. The present study revealed a reproducible range of ankle motion for early rehabilitation which was estimated to be within the range of 20 degrees of dorsal-flexion and 10 degrees of plantar-flexion without eversion. Also, internal fixation with two Kirschner-wires alone does not seem to

  5. Impact of Intentional Overload on Joint Stability of Internal Implant-Abutment Connection System with Different Diameter.

    Science.gov (United States)

    Lee, Ji-Hye; Lee, Won; Huh, Yoon-Hyuk; Park, Chan-Jin; Cho, Lee-Ra

    2017-09-05

    To evaluate the axial displacement of the implant-abutment assembly of different implant diameter after static and cyclic loading of overload condition. An internal conical connection system with three diameters (Ø 4.0, 4.5, and 5.0) applying identical abutment dimension and the same abutment screw was evaluated. Axial displacement of abutment and reverse torque loss of abutment screw were evaluated under static and cyclic loading conditions. Static loading test groups were subjected to vertical static loading of 250, 400, 500, 600, 700, and 800 N consecutively. Cyclic loading test groups were subjected to 500 N cyclic loading to evaluate the effect of excessive masticatory loading. After abutment screw tightening for 30 Ncm, axial displacement was measured upon 1, 3, 10, and 1,000,000 cyclic loadings of 500 N. Repeated-measure ANOVA and 2-way ANOVA were used for statistical analysis (α = 0.05). The increasing magnitude of vertical load and thinner wall thickness of implant increased axial displacement of abutment and reverse torque loss of abutment screw (p < 0.05). Implants in the Ø 5.0 diameter group demonstrated significantly low axial displacement, and reverse torque loss after static loading than Ø 4.0 and Ø 4.5 diameter groups (p < 0.05). In the cyclic loading test, all diameter groups of implant showed significant axial displacement after 1 cycle of loading of 500 N (p < 0.05). There was no significant axial displacement after 3, 10, or 1,000,000 cycles of loading (p = 0.603). Implants with Ø 5.0 diameter demonstrated significantly low axial displacement and reverse torque loss after the cyclic and static loading of overload condition. © 2017 by the American College of Prosthodontists.

  6. 12 CFR 347.107 - Joint ventures.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Joint ventures. 347.107 Section 347.107 Banks... INTERNATIONAL BANKING § 347.107 Joint ventures. (a) Joint ventures. If a bank, directly or indirectly, acquires or holds an equity interest in a foreign organization that is a joint venture, and the bank or its...

  7. A Comparative Study of International Student Engagement and Success Based on Race/Ethnicity, Gender, and Institutional Type

    Science.gov (United States)

    Phillips, Gareth Carlington

    2013-01-01

    The study examined international students' engagement and success using NSSE 2007 data. The sample consisted of 1996 first years and 2,158 seniors. These students were compared by race/ethnicity, gender, and institutional type. The study found that students' engagement differed by race/ethnicity as well as type of institution. The null hypotheses…

  8. Joint ventures

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig

    Afhandlingen analysere de konkurrenceretlige og selskabsretlige regler som er bestemmende for hvordan et joint venture samarbejde er struktureret......Afhandlingen analysere de konkurrenceretlige og selskabsretlige regler som er bestemmende for hvordan et joint venture samarbejde er struktureret...

  9. Type 1 Diabetes TrialNet--an international collaborative clinical trials network.

    Science.gov (United States)

    Skyler, Jay S; Greenbaum, Carla J; Lachin, John M; Leschek, Ellen; Rafkin-Mervis, Lisa; Savage, Peter; Spain, Lisa

    2008-12-01

    Type 1 Diabetes TrialNet is an international consortium of clinical research centers aimed at the prevention or delay of type 1 diabetes (T1D). The fundamental goal of TrialNet is to counter the T1D disease process by immune modulation and/or enhancement of beta cell proliferation and regeneration. To achieve this goal, TrialNet researchers are working to better understand the natural history of the disease, to identify persons at risk, and to clinically evaluate novel therapies that balance potential risks and benefits. The particular focus is on studies of preventive measures. In addition, TrialNet evaluates therapies in individuals with newly diagnosed T1D with preserved beta cell function to help determine the risk/benefit profile and gain an initial assessment of potential efficacy in preservation of beta cell function, so that promising agents can be studied in prevention trials. In addition, TrialNet evaluates methodologies that enhance the conduct of its clinical trials, which includes tests of outcome assessment methodology, the evaluation of surrogate markers, and mechanistic studies laying the foundation for future clinical trials.

  10. Enviromental Effects on Internal Color Gradients of Early-Type Galaxies

    Science.gov (United States)

    La Barbera, F.; de Carvalho, R. R.; Gal, R. R.; Busarello, G.; Haines, C. P.; Mercurio, A.; Merluzzi, P.; Capaccioli, M.; Djorgovski, S. G.

    2007-05-01

    One of the most debated issues of observational and theoretical cosmology is that of how the environment affects the formation and evolution of galaxies. To gain new insight into this subject, we have derived surface photometry for a sample of 3,000 early-type galaxies belonging to 163 clusters with different richness, spanning a redshift range of 0.05 to 0.25. This large data-set is used to analyze how the color distribution inside galaxies depends on several parameters, such as cluster richness, local galaxy density, galaxy luminosity and redshift. We find that the internal color profile of galaxies strongly depends on the environment where galaxies reside. Galaxies in poor and rich clusters are found to follow two distinct trends in the color gradient vs. redshift diagram, with color gradients beeing less steep in rich rather than in poor clusters. No dependence of color gradients on galaxy luminosity is detected both for poor and rich clusters. We find that color gradients strongly depend on local galaxy density, with more shallow gradients in high density regions. Interestingly, this result holds only for low richness clusters, with color gradients of galaxies in rich clusters showing no dependence on local galaxy density. Our results support a reasonable picture whereby young early-type galaxies form in a dissipative collapse process, and then undergo increased (either major or minor) merging activity in richer rather than in poor clusters.

  11. Orthostatic Intolerance and Postural Orthostatic Tachycardia Syndrome in Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome, Hypermobility Type: Neurovegetative Dysregulation or Autonomic Failure?

    Directory of Open Access Journals (Sweden)

    Claudia Celletti

    2017-01-01

    Full Text Available Background. Joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type (JHS/EDS-HT, is a hereditary connective tissue disorder mainly characterized by generalized joint hypermobility, skin texture abnormalities, and visceral and vascular dysfunctions, also comprising symptoms of autonomic dysfunction. This study aims to further evaluate cardiovascular autonomic involvement in JHS/EDS-HT by a battery of functional tests. Methods. The response to cardiovascular reflex tests comprising deep breathing, Valsalva maneuver, 30/15 ratio, handgrip test, and head-up tilt test was studied in 35 JHS/EDS-HT adults. Heart rate and blood pressure variability was also investigated by spectral analysis in comparison to age and sex healthy matched group. Results. Valsalva ratio was normal in all patients, but 37.2% of them were not able to finish the test. At tilt, 48.6% patients showed postural orthostatic tachycardia, 31.4% orthostatic intolerance, 20% normal results. Only one patient had orthostatic hypotension. Spectral analysis showed significant higher baroreflex sensitivity values at rest compared to controls. Conclusions. This study confirms the abnormal cardiovascular autonomic profile in adults with JHS/EDS-HT and found the higher baroreflex sensitivity as a potential disease marker and clue for future research.

  12. Orthostatic Intolerance and Postural Orthostatic Tachycardia Syndrome in Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome, Hypermobility Type: Neurovegetative Dysregulation or Autonomic Failure?

    Science.gov (United States)

    Celletti, Claudia; Camerota, Filippo; Castori, Marco; Censi, Federica; Gioffrè, Laura; Calcagnini, Giovanni; Strano, Stefano

    2017-01-01

    Background . Joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type (JHS/EDS-HT), is a hereditary connective tissue disorder mainly characterized by generalized joint hypermobility, skin texture abnormalities, and visceral and vascular dysfunctions, also comprising symptoms of autonomic dysfunction. This study aims to further evaluate cardiovascular autonomic involvement in JHS/EDS-HT by a battery of functional tests. Methods . The response to cardiovascular reflex tests comprising deep breathing, Valsalva maneuver, 30/15 ratio, handgrip test, and head-up tilt test was studied in 35 JHS/EDS-HT adults. Heart rate and blood pressure variability was also investigated by spectral analysis in comparison to age and sex healthy matched group. Results . Valsalva ratio was normal in all patients, but 37.2% of them were not able to finish the test. At tilt, 48.6% patients showed postural orthostatic tachycardia, 31.4% orthostatic intolerance, 20% normal results. Only one patient had orthostatic hypotension. Spectral analysis showed significant higher baroreflex sensitivity values at rest compared to controls. Conclusions. This study confirms the abnormal cardiovascular autonomic profile in adults with JHS/EDS-HT and found the higher baroreflex sensitivity as a potential disease marker and clue for future research.

  13. The effects of neuromuscular taping on gait walking strategy in a patient with joint hypermobility syndrome/Ehlers–Danlos syndrome hypermobility type

    Science.gov (United States)

    Camerota, Filippo; Galli, Manuela; Celletti, Claudia; Ancillao, Andrea; Blow, David; Albertini, Giorgio

    2015-01-01

    Objective: In this case study, biomechanical alterations induced by neuromuscular taping (NMT) were quantified, during walking, in a patient with joint hypermobility syndrome/Ehlers–Danlos syndrome hypermobility type (JHS/EDS-HT). Methods: A female JHS/EDS-HT patient underwent NMT applications over the low back spine and bilaterally to the knee. Quantitative gait analyses were collected before the NMT application and at the end of the treatment (2 weeks after the first application of NMT). Results: At the end of treatment following the NMT application, left step length showed improvements in cadence and velocity, the left knee showed a reduction in its flexed position at initial contact, and the right ankle joint improved its position at initial contact and in the swing phase. Improvements were also found in kinetics, in terms of the ankle moment and power. Conclusions: Results show that NMT seems to be a promising low-cost intervention for improving gait strategy in patients with JHS/EDS-HT. Further investigations are needed to assess the effects of this treatment intervention on pathological symptoms. PMID:25649985

  14. The effects of neuromuscular taping on gait walking strategy in a patient with joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type.

    Science.gov (United States)

    Camerota, Filippo; Galli, Manuela; Cimolin, Veronica; Celletti, Claudia; Ancillao, Andrea; Blow, David; Albertini, Giorgio

    2015-02-01

    In this case study, biomechanical alterations induced by neuromuscular taping (NMT) were quantified, during walking, in a patient with joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT). A female JHS/EDS-HT patient underwent NMT applications over the low back spine and bilaterally to the knee. Quantitative gait analyses were collected before the NMT application and at the end of the treatment (2 weeks after the first application of NMT). At the end of treatment following the NMT application, left step length showed improvements in cadence and velocity, the left knee showed a reduction in its flexed position at initial contact, and the right ankle joint improved its position at initial contact and in the swing phase. Improvements were also found in kinetics, in terms of the ankle moment and power. Results show that NMT seems to be a promising low-cost intervention for improving gait strategy in patients with JHS/EDS-HT. Further investigations are needed to assess the effects of this treatment intervention on pathological symptoms.

  15. Two-locus maximum lod score analysis of a multifactorial trait: joint consideration of IDDM2 and IDDM4 with IDDM1 in type 1 diabetes.

    Science.gov (United States)

    Cordell, H J; Todd, J A; Bennett, S T; Kawaguchi, Y; Farrall, M

    1995-10-01

    To investigate the genetic component of multifactorial diseases such as type 1 (insulin-dependent) diabetes mellitus (IDDM), models involving the joint action of several disease loci are important. These models can give increased power to detect an effect and a greater understanding of etiological mechanisms. Here, we present an extension of the maximum lod score method of N. Risch, which allows the simultaneous detection and modeling of two unlinked disease loci. Genetic constraints on the identical-by-descent sharing probabilities, analogous to the "triangle" restrictions in the single-locus method, are derived, and the size and power of the test statistics are investigated. The method is applied to affected-sib-pair data, and the joint effects of IDDM1 (HLA) and IDDM2 (the INS VNTR) and of IDDM1 and IDDM4 (FGF3-linked) are assessed with relation to the development of IDDM. In the presence of genetic heterogeneity, there is seen to be a significant advantage in analyzing more than one locus simultaneously. Analysis of these families indicates that the effects at IDDM1 and IDDM2 are well described by a multiplicative genetic model, while those at IDDM1 and IDDM4 follow a heterogeneity model.

  16. Two-locus maximum lod score analysis of a multifactorial trait: Joint consideration of IDDM2 and IDDM4 with IDDMI in type 1 diabetes

    Energy Technology Data Exchange (ETDEWEB)

    Cordell, H.J.; Todd, J.A.; Bennett, S.T. [Univ. of Oxford (United Kingdom)] [and others

    1995-10-01

    To investigate the genetic component of multifactorial diseases such as type 1 (insulin-dependent) diabetes mellitus (IDDM), models involving the joint action of several disease loci are important. These models can give increased power to detect an effect and a greater understanding of etiological mechanisms. Here, we present an extension of the maximum lod score method of N. Risch, which allows the simultaneous detection and modeling of two unlinked disease loci. Genetic constraints on the identical-by-descent sharing probabilities, analogous to the {open_quotes}triangle{close_quotes} restrictions in the single-locus method, are derived, and the size and power of the test statistics are investigated. The method is applied to affected-sib-pair data, and the joint effects of IDDM1 (HLA) and IDDM2 (the INS VNTR) and of IDDM1 and IDDM4 (FGF3-linked) are assessed with relation to the development of IDDM. In the presence of genetic heterogeneity, there is seen to be a significant advantage in analyzing more than one locus simultaneously. Analysis of these families indicates that the effects at IDDM1 and IDDM2 are well described by a multiplicative genetic model, while those at IDDM1 and IDDM4 follow a heterogeneity model. 17 refs., 9 tabs.

  17. Achievement report for fiscal 1999. Summarized report on achievements in international joint research grant program (1997 through 2000)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-12-01

    This paper summarizes the achievements of the following activities: 1) bioprocessing of environmentally safe polymers from renewable resources and carbon dioxide, 2) researches on tunable photonic crystals from interpenetrating electroactive networks, 3) advanced nitrides; development of novel approaches, creation of electrical and magnetic properties, and theoretical calculations, 4) studies of quantumtransport in superconductor-semiconductor junctions, and 5) basic studies of quantum fluids and solids and applications to materials science and technology. In Item 1) polyhydroxy butanate and copolymers were synthesized in vitro to investigate their properties. In Item 2), photonic crystals were made to investigate their properties, in which fine SiO2 particles are laminated, or these are used as dies, and functional materials are impregnated into the clearance therein. In Item 3), mono-crystalline growth of GaN was performed by using Na as flux, whereas crystal of 5 times 3 times 0.3 mm was obtained. In Item 4), a semiconductor bonding Josephson junction having long division type gate structure was prepared, and discussions were given on transport properties of a semiconductor channel which is long and narrow being sandwiched by superconductors, from the viewpoint of the Andreev effect. (NEDO)

  18. [CT measurement and clinical application of double-row suture anchor reconstruction for the treatment of Tossy type III acromioclavicular joint dislocation].

    Science.gov (United States)

    Zhang, Chuan-Kai; Liu, Chen; Han, Bing; Feng, Hui; Chen, Qi-Zhong; Sunx, Sun Yi-Yan

    2017-04-25

    To study feasibility and reliability of reconstruction of the acromioclavicular ligament with double-row suture anchor for the treatment of acromioclavicular joint dislocation through coracoid coronal CT measurement, and to provide a new operation method for treating acromioclavicular joint dislocation. Total 60 healthy people received CT examination of shoulder joint, including 30 males and 30 females, ranging in age from 18 to 50 years old. The coronal width, thickness and 20 degree camber angle in the medial part of the toot of coronal were measured using CT scan. The results were applied to clinical treatment for 12 patients with acromioclavicular joint dislocation of Tossy III type. The width in the medial part of the root of the coracoid was(17.65±1.82) mm(left side) and (17.67±1.80) mm(right side) in males; (16.55±1.78) mm(left side) and (16.52±1.74) mm (right side) in females. The vertical thickness of the roots of the coracoid: (13.11±2.11) mm(left side) and (13.16±2.09) mm(right side) in males;(12.79±2.21) mm(left side) and (12.76±2.19) mm (right side) in females. The thickness of 20 degrees camber angle of the coracoid roots: (16.32±1.74) mm (left side) and (16.30±1.69) mm(right side) in males; (15.68±1.44) mm(left side) and (15.67±1.43) mm(right side) in females. Total 12 patients were treated with anchor nail with extraversion 20 degrees. The postoperative X-ray films showed bone anchors were located in the coracoid process, no bone splitting. Double-row suture anchor of 5 mm diameter nails can be placed into coracoid with extraversion 20 degrees, which is safety.

  19. Coracoclavicular joint

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kun Sang; Park, Chan Il; Ahn, Jae Doo; Lim, Chong Won [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1970-10-15

    The coracoclvicular joint, a rear abnormality which may be the cause of pain in the shoulder and limitation of motion of the shoulder joint, is discussed. A case of coracoclvicular joint with shoulder pain was observed in 65 yrs old Korean male.

  20. Fifth joint meeting of the American Urological Association and the Japanese Urological Association International Affiliate Society Meeting at the 105th Annual Meeting of the American Urological Association.

    Science.gov (United States)

    Myers, Robert P; Seki, Narihito; Gotoh, Momokazu; Chai, Toby C; Kaplan, Steven A; Inoue, Keiji; Trachtenberg, John; Kikuchi, Eiji; Nishiyama, Hiroyuki; Chang, Sam S; Lee, Cheryl; Muto, Satoru; Ito, Kazuto; Andriole, Gerald L; Eto, Masatoshi; Sumitomo, Makoto; Kamba, Tomomi; Wood, Chrsitopher G; Margulis, Vitaly; Naito, Seiji; Egawa, Shin

    2010-08-01

    We are heartily grateful for the warm support of all of the people concerned, including the moderators and panelists of both societies for giving us the opportunity to hold the 5(th) American Urological Association/Japanese Urological Association (AUA/JUA) International Affiliate Society Meeting, held once again at the 105th Annual Meeting of the American Urological Association (29 May-3 June 2010, San Francisco, California, USA). The year of 2010 is a memorable one, being the start of reciprocal collaborations between the AUA and the JUA. The JUA, in collaboration with the AUA, is promoting an academic exchange program whereby outstanding and promising Japanese and American junior faculty members will be given the opportunity to work in the USA and Japan for 1 month. The program not only allows the sharing of knowledge and experience, but also is designed to foster a closer alliance between the AUA and JUA, and assists in identifying future leaders within both organizations. The AUA and JUA will have an exhibit booth at each other's annual meeting, promoting our new joint activities. Both the JUA and AUA will organize educational courses in Hawaii in 2011. With all of these activities, the JUA hopes it will provide greater opportunities for young Japanese urologists to participate in educational projects in the USA. We would like to thank Professor Anton J. Bueschen, President of AUA, Professor Robert C Flanigan, Secretary General of AUA and the staff of the AUA and JUA for supporting our program. At the same time, we need the support of all the members and their valuable suggestions. We look forward to further participation of AUA members to this meeting. Seiji Naito md, President of JUA Shin Egawa md, Chairman of the International Committee of JUA.

  1. Report for fiscal 1998 on the international joint research project of medical welfare equipment; Iryo fukushi kiki kokusai kyodo kenkyu jigyo 1998 nendo chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    In connection with the international joint research project of medical welfare, a report was made on the results of the investigation conducted in 1998 concerning the technology of overseas medical welfare equipment. In the investigation of china, observation was made on the actual state of the representative medial institutions, with opinions exchanged. Obsolete equipment and old technology are the present state in China, which is strongly desirous of exchanging information with Japan. In Taiwan, being full of venture spirit, an ultrasonic thermal treatment apparatus and an ultrasonic echo device have been produced for example. In Europe, an observation tour was conducted on a German manipulator and process robot while an investigative visit and exchange of opinions were made on the living environment and facilities in Italian training center for physically handicapped persons. Japan's self-supporting and assisting system for excretion attracted many questions and comments. In the investigation in the U.S., views were exchanged concerning '{sup 13}C-MRS device for non-invasion brain metabolic measurement' in research institutions such as universities. A machine developed in Japan received a high evaluation in that {sup 13}C spectrum was obtained from a substantial depth. (NEDO)

  2. Report on a feasibility study of making an international joint research on energy in the Asia region; Asia chiiki kokusai kyodo kenkyu kanosei chosa hokokusho. 2

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    A survey was conducted on the energy situation in Thailand, Indonesia, Malaysia, the Philippines and India, and a possibility of making an international joint research. Thailand has sharply increased investments from Europe and the U.S. since 1985, and has been making a rapid industrialization. As to the energy policy, it is important to secure the stable supply and stabilize the price. Indonesia has been rapidly increasing energy consumption in accordance with the recent economic growth, and is fear of becoming a net oil importing country in the near future. They are taking a policy for securing as much domestic oil and gas as possible. Malaysia has been keeping a high growth of over 8% per year for the past 8 years and rapidly increased energy demand. It is expected that they will maintain a high level of the development of energy resources. In the Philippines, the industrial energy is mostly coal, but electricity expected in future is from the oil-fueled power generation. The stable import of oil is a problem. 45 figs., 51 tabs.

  3. Report on an international joint research project for global environment technology in fiscal 1998; 1998 nendo chikyu kankyo gijutsu kokusai kyodo kenkyu jigyo hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    In order to serve for measures against global problems taken by Japan, joint research was carried out with overseas research organizations. The research project selected ten themes considering urgency, internationality and economic proliferation effect in areas to serve for solution of global environment problems. These themes include removal or emission control of greenhouse effect gases, measures against atmospheric environment problems such as acid rains and ozone layer destruction, prevention of ocean contamination, development and effective utilization of energies and resources. When the feedback of these themes to the NEDO projects is considered, the research achievements in relation with development of the acid rain monitoring system in particular support indirectly development of carbon dioxide fixation technologies. The research achievements in developing an environmentally friendly biomass energy manufacturing process and environmental effect evaluation thereon contribute as an effective process to carbon dioxide reduction using biomass as raw materials. The achievements in research of nonlinear interfacial properties and mixed phase turbulence of low-purity carbon dioxide bubbles contribute to a project related to storage of carbon dioxide in oceans. (NEDO)

  4. Canada's Response to the Recommendations in the Tenth Biennial Report on Great Lakes Water Quality of the International Joint Commission

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    The Government of Canada and Ontario are currently renegotiating the Canada-Ontario Agreement Respecting the Great Lakes Basin Ecosystem (COA). They are committed to restoring and maintaining the basin's chemical, physical and biological integrity and ensuring that it has a healthy, sustainable future. The COA has established a strategic framework for coordinated federal-provincial responsibilities regarding the Great Lakes basin ecosystem. This document presents responses to the recommendations of the International Joint Commission's (IJC) Tenth Biennial Report on how to improve the performance and effectiveness of government programs such as the Great Lakes Water Quality Agreement. According to the IJC, there are many challenges ahead, including: cleanup of Canadian Areas of Concern; controlling and preventing the further introduction of exotic species; mitigating the impact of rapid urban growth on environmental conditions throughout the basin; and reducing contaminants transported in the atmosphere over long distances to the Great Lakes. This document presented the government's responses to each of the following IJC recommendations regarding remedial action plans, threats to human health with respect to consumption of fish, contaminated sediment, airborne toxic substances, Great Lakes binational toxics strategy, land use, alien invasive species, and information and data management. IJC also recommended that indicators should be reported regarding whether the Great Lakes surface waters are suitable for drinking, swimming and whether fish are edible.

  5. Area-wide control of fruit flies and other insect pests. Joint proceedings of the international conference on area-wide control of insect pests and the fifth international symposium on fruit flies of economic importance

    International Nuclear Information System (INIS)

    Tan, Keng-Hong

    2000-01-01

    oral presentation of general and/or a specific interest, the subject matter of which is related to the respective sessions in the meetings. This book is organised into parts that follow the sequence of the two meetings. Due to space and financial constraints, an international panel selected ninety-one papers for inclusion into this book. It contains an opening session and three parts, each with one to several sections consisting of invited contribution(s) and selected poster(s). Overview or review chapters form. the major part of these joint proceedings. At the end of this volume are appended a) the final programmes of the two meetings reflecting further the diverse topics presented but not included in this book, and b) taxonomic, author and subject indices

  6. Tensile properties of irradiated and fatigue exposed stainless steel DIN X 6 CrNi 1811 (similar to AISI type 304) plate and welded joints

    International Nuclear Information System (INIS)

    Vries, M.I. de; Schaaf, B. van der; Elen, J.D.

    1979-10-01

    Test specimens of plate metal and welded joints of stainless steel DIN 1.4948, which is similar to AISI type 304, have been irradiated at 723 K and 823 K up to fluences of 1.10 23 n.m -2 and 5.10 24 n.m -2 (E > 0.1 MeV). These are representative conditions for the SNR-300 reactor vessel and inner components after 16 years of operation. High-rate (depsilon/dt = 1 s -1 ) tensile tests were performed after fatigue exposure up to various fractions of fatigue life (D) ranging from 5% to 95% at the same temperatures as the nominal temperatures of the irradiation series

  7. Imaging findings of charcot joint

    International Nuclear Information System (INIS)

    Meng Quanfei; Zhou Chunxiang; Chen Yingming; Jiang Bo

    2003-01-01

    Objective: To analyze the MRI characters of Charcot joint, and to evaluate the diagnostic value of X-ray, CT, and MRI on Charcot joint. Methods: Eight patients with 8 Charcot joints underwent X-ray, CT, and MR examinations. 6 of them had syringomyelia, 1 patient had injury of the spinal cord, and 1 case had diabetes. All 8 patients had sensory reduction or deficit in the sick extremities. Results: There were two types of Charcot joint, hypertrophic and atrophic. Radiographic and CT features of hypertrophic joint (n=3) showed hyperostotic osteosclerosis and mammoth osteophytes in the sick bones, periarticular ossification, and articular disorganization. Radiographic and CT features of atrophic joint (n=5) showed extensive bone resorption (destruction), periarticular debris, and articular disorganization. Main MRI features of Charcot joint included hydrarthrosis within joint capsule, thickened, loose, and elongated joint capsule with para-joint, peri-diaphysis, and inter-muscular extension in a pseudopodia pattern. The irregular joint capsule wall was presented as mild hypointensity on T 1 WI, slight hyper-intensity on T 2 WI, and was markedly enhanced after Gd-DTPA was administrated, which was considered as a characteristic manifestation of the lesion. Soft tissue mass containing hypo-intense stripes on both T 1 WI and T 2 WI was commonly noted adjacent to the involved joint. Conclusion: X-rays plain film is the first choice for the diagnosis of Charcot joint, and MRI is pretty useful in the diagnosis of Charcot joint

  8. Effects of thermal aging on the microstructure of Type-II boundaries in dissimilar metal weld joints

    Science.gov (United States)

    Yoo, Seung Chang; Choi, Kyoung Joon; Bahn, Chi Bum; Kim, Si Hoon; Kim, Ju Young; Kim, Ji Hyun

    2015-04-01

    In order to investigate the effects of long-term thermal aging on the microstructural evolution of Type-II boundary regions in the weld metal of Alloy 152, a representative dissimilar metal weld was fabricated from Alloy 690, Alloy 152, and A533 Gr.B. This mock-up was thermally aged at 450 °C to accelerate the effects of thermal aging in a nuclear power plant operation condition (320 °C). The microstructure of the Type-II boundary region of the weld root, which is parallel to and within 100 μm of the fusion boundary and known to be more susceptible to material degradation, was then characterized after different aging times using a scanning electron microscope equipped with an energy dispersive X-ray spectroscope for micro-compositional analysis, electron backscattered diffraction detector for grain and grain boundary orientation analysis, and a nanoindenter for measurement of mechanical properties. Through this, it was found that a steep compositional gradient and high grain average misorientation is created in the narrow zone between the Type-II and fusion boundaries, while the concentration of chromium and number of low-angle grain boundaries increases with aging time. A high average hardness was also observed in the same region of the dissimilar metal welds, with hardness peaking with thermal aging simulating an operational time of 15 years.

  9. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement.

    Science.gov (United States)

    Colberg, Sheri R; Sigal, Ronald J; Fernhall, Bo; Regensteiner, Judith G; Blissmer, Bryan J; Rubin, Richard R; Chasan-Taber, Lisa; Albright, Ann L; Braun, Barry

    2010-12-01

    Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes, many with this chronic disease do not become or remain regularly active. High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently, but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay type 2 diabetes, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. Structured interventions combining PA and modest weight loss have been shown to lower type 2 diabetes risk by up to 58% in high-risk populations. Most benefits of PA on diabetes management are realized through acute and chronic improvements in insulin action, accomplished with both aerobic and resistance training. The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes mellitus, and safe and effective practices for PA with diabetes-related complications.

  10. Development of a clinical prediction rule for identifying women with tension-type headache who are likely to achieve short-term success with joint mobilization and muscle trigger point therapy.

    Science.gov (United States)

    Fernández-de-las-Peñas, César; Cleland, Joshua A; Palomeque-del-Cerro, Luis; Caminero, Ana Belén; Guillem-Mesado, Amparo; Jiménez-García, Rodrigo

    2011-02-01

    To identify prognostic factors from the history and physical examination in women with tension-type headache (TTH) who are likely to experience self-perceived clinical improvement following a multimodal physical therapy session including joint mobilization and muscle trigger point (TrP) therapies. No definitive therapeutic intervention is available for TTH. It would be useful for clinicians to have a clinical prediction rule for selecting which TTH patients may experience improved outcomes following a multimodal physical therapy program. Women diagnosed with pure TTH by 3 experienced neurologists according to the International Headache Society criteria from different neurology departments were included. They underwent a standardized examination (neck mobility, pressure pain thresholds, total tenderness score, presence of muscle TrPs, Medical Outcomes Study 36-Item Short Form, the Neck Disability Index [NDI], the Beck Depression Inventory, and the Headache Disability Inventory) and then a multimodal physical therapy session including joint mobilization and TrP therapies. The treatment session included a 30-second grade III or IV central posterior-anterior nonthrust mobilization applied from T4 to T1 thoracic vertebrae, at C7-T1 cervico-thoracic junction and C1-C2 vertebrae for an overall intervention time of 5 minutes Different TrP techniques, particularly soft tissue stroke, pressure release, or muscle energy were applied to head and neck-shoulder muscles (temporalis, suboccipital, upper trapezius, splenius capitis, semispinalis capitis, sternocleidomastoid) to inactivate active muscle TrPs. Participants were classified as having achieved a successful outcome 1 week after the session based on their self-perceived recovery. Potential prognostic variables were entered into a stepwise logistic regression model to determine the most accurate set of variables for prediction of success. Data for 76 subjects were included in the analysis, of which 36 experienced a

  11. Neutron irradiation test of copper alloy/stainless steel joint materials

    International Nuclear Information System (INIS)

    Yamada, Hirokazu; Kawamura, Hiroshi

    2006-01-01

    As a study about the joint technology of copper alloy and stainless steel for utilization as cooling piping in International Thermonuclear Experimental Reactor (ITER), Al 2 O 3 -dispersed strengthened copper or CuCrZr was jointed to stainless steel by three kinds of joint methods (casting joint, brazing joint and friction welding method) for the evaluation of the neutron irradiation effect on joints. A neutron irradiation test was performed to three types of joints and each copper alloy. The average value of fast neutron fluence in this irradiation test was about 2 x 10 24 n/m 2 (E>1 MeV), and the irradiation temperature was about 130degC. As post-irradiation examinations, tensile tests, hardness tests and observation of fracture surface after the tensile tests were performed. All type joints changed to be brittle by the neutron irradiation effect like each copper alloy material, and no particular neutron irradiation effect due to the effect of joint process was observed. On the casting and friction welding, hardness of copper alloy near the joint boundary changed to be lower than that of each copper alloy by the effect of joint procedure. However, tensile strength of joints was almost the same as that of each copper alloy before/after neutron irradiation. On the other hand, tensile strength of joints by brazing changed to be much lower than CuAl-25 base material by the effect of joint process before/after neutron irradiation. Results in this study showed that the friction welding method and the casting would be able to apply to the joint method of piping in ITER. This report is based on the final report of the ITER Engineering Design Activities (EDA). (author)

  12. Fiscal 1998 report on international joint research project for preventing global warming; 1998 nendo chikyu ondanka boshi kokusai kyodo kenkyu jigyo hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-12-01

    Japanese researchers were dispatched to research institutes abroad for conducting joint studies on nine subjects for which such efforts would work effectively. The researchers were sent to various research institutes in the U.S., Britain, Germany, and others. The nine subjects were (1) the application of the most up-to-date welding and bonding technologies to liquid hydrogen storage/transportation containers, (2) development of low-temperature high-activity metal catalysts for energy conservation processes, (3) study of CO2 emission behavior using a large-scale simulator of deep sea circumstances, (4) study of condensation control for steam and chemical species in the global atmosphere, (5) numerical analysis of semiconductor crystal growth for ultralow loss power device, (6) development of sulfur-rich hydrocarbon gasification technology using a metal melting furnace, (7) assessment of techniques for evaluating origins of environmental pollution gas, geothermal gas, and soil gas using multiple isotopes, (8) analysis of behavior of the steam circulation type turbine system, and (9) the embodiment of a large premixed compression ignition engine. (NEDO)

  13. The utility of international shoulder joint replacement registries and databases: a comparative analytic review of two hundred and sixty one thousand, four hundred and eighty four cases.

    Science.gov (United States)

    Bayona, Carlos Eduardo Afanador; Somerson, Jeremy S; Matsen, Frederick A

    2018-02-01

    National registries are valuable tools for understanding the results of shoulder arthroplasty across populations. These databases provide an unselected view of shoulder joint replacement within geographical areas that cannot be obtained from case series or prospective studies. They can be particularly helpful in determining which diagnoses, patients, procedures, and prostheses have higher than expected rates of revision. In an attempt to determine the generalizability of registry data, we asked, 'how similar are the patients and procedures among the different national registries?' We analyzed national shoulder arthroplasty registries and databases accessed via Internet portals and through a PubMed literature search. Seven national/regional registries and five publications regarding national shoulder arthroplasty data were identified; these sources contained a combined total of 261,484 shoulder arthroplasty cases. The percentages of hemiarthroplasty, anatomic (aTSA) and reverse total shoulders (rTSA), the diagnoses leading to arthroplasty, the mean patient age, and the distribution of patient gender varied significantly among these different databases. This study indicates that the indications for and application of shoulder arthroplasty have important geographical variations and that these variations must be considered when comparing outcomes of shoulder arthroplasty from different locations. Without controlling for age, gender, diagnosis and procedure type, the results from one national registry may not be applicable to patients from a different location. In that national data provide the opportunity to reduce costs by identifying implants and procedures with higher failure rates, the funding of registries needs to be free of conflicts of interest.

  14. Osteotomy of anterior and intern displacement of the tuberosity of the tibia (Fulkerson) in-patient with arthrosis and bad patellofemoral joint

    International Nuclear Information System (INIS)

    Carrillo Arango, German; Parada Gomez, Camilo

    2004-01-01

    The following paper is an observational study of a case series based on the analysis of 32 patients with persistent anterior knee pain, associated to degenerative joint disease and mal alignment, treated with a reorientation Fulkerson osteotomy. All patients had a previous arthroscopy that showed a control lesion type 4; according to the Outer bridge classification. Twenty-four 24 women and eight 8 men, 39 years old in average in a range between 27 and 56.They were all followed up by more than two 2 years (2 to 7 years). The evaluation was done according to the Lysbolm classification, modified by Fulkerson. According to the parameters, we found good results in 25 cases (78%) regular results in 3 cases (9%) and bad results in 4 cases (13%). During the immediate post op, the patients began to have a partial weight bearing with crutches, quadriceps isometrics and started movements in a range between o and 90 degrees. Complications: Two patients had persistent pain and one developed an infection around the osteosinthesis material

  15. Performance Comparison between Optical Fiber Type ESPI and Bulk Type ESPI for the Internal Defect in Pressure Vessel

    International Nuclear Information System (INIS)

    Kim, Seong Jong; Kang, Young June; Hong, Kyung Min; Lee, Jae Hoon; Choi, Nak Jung

    2012-01-01

    An optical defect detection method using ESPI(electronic speckle pattern interferometry) is proposed. ESPI is widely used as a non-contact measurement system which show deformation and phase map in real time. ESPI can be divided as the in-plane, out-of-plane and shearography by operation principle and target object and also divided with bulk type and optic fiber type by the optic configurations. This paper is focused on optic fiber type out-of-plane ESPI, which has the following advantages: (1) low cost: (2) reduction of the unreliable factors generated by separated optic components: (3) simplification of the optic configuration: (4) great reduction of volume: (5) flexibility, to be easily designed into different structures to adapt to inaccessible environments such as pipeline cavity and so on

  16. Prosthetic Joint Infections

    Science.gov (United States)

    Aslam, Saima; Darouiche, Rabih O.

    2012-01-01

    Prosthetic joint infections represent a major therapeutic challenge for both healthcare providers and patients. This paper reviews the predisposing factors, pathogenesis, microbiology, diagnosis, treatment and prophylaxis of prosthetic joint infection. The most optimal management strategy should be identified based on a number of considerations including type and duration of infection, antimicrobial susceptibility of the infecting pathogen, condition of infected tissues and bone stock, patient wishes and functional status. PMID:22847032

  17. Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: joint position statement. Exercise and type 2 diabetes.

    Science.gov (United States)

    Colberg, Sheri R; Albright, Ann L; Blissmer, Bryan J; Braun, Barry; Chasan-Taber, Lisa; Fernhall, Bo; Regensteiner, Judith G; Rubin, Richard R; Sigal, Ronald J

    2010-12-01

    Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes mellitus (T2DM), many with this chronic disease do not become or remain regularly active. High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently, but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay T2DM, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. Structured interventions combining PA and modest weight loss have been shown to lower T2DM risk by up to 58% in high-risk populations. Most benefits of PA on diabetes management are realized through acute and chronic improvements in insulin action, accomplished with both aerobic and resistance training. The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes, and safe and effective practices for PA with diabetes-related complications.

  18. Internal-external malalignment of the femoral component in kinematically aligned total knee arthroplasty increases tibial force imbalance but does not change laxities of the tibiofemoral joint.

    Science.gov (United States)

    Riley, Jeremy; Roth, Joshua D; Howell, Stephen M; Hull, Maury L

    2018-06-01

    The purposes of this study were to quantify the increase in tibial force imbalance (i.e. magnitude of difference between medial and lateral tibial forces) and changes in laxities caused by  2° and 4° of internal-external (I-E) malalignment of the femoral component in kinematically aligned total knee arthroplasty. Because I-E malalignment would introduce the greatest changes to the articular surfaces near 90° of flexion, the hypotheses were that the tibial force imbalance would be significantly increased near 90° flexion and that primarily varus-valgus laxity would be affected near 90° flexion. Kinematically aligned TKA was performed on ten human cadaveric knee specimens using disposable manual instruments without soft tissue release. One 3D-printed reference femoral component, with unmodified geometry, was aligned to restore the native distal and posterior femoral joint lines. Four 3D-printed femoral components, with modified geometry, introduced I-E malalignments of 2° and 4° from the reference component. Medial and lateral tibial forces were measured from 0° to 120° flexion using a custom tibial force sensor. Bidirectional laxities in four degrees of freedom were measured from 0° to 120° flexion using a custom load application system. Tibial force imbalance increased the greatest at 60° flexion where a regression analysis against the degree of I-E malalignment yielded sensitivities (i.e. slopes) of 30 N/° (medial tibial force > lateral tibial force) and 10 N/° (lateral tibial force > medial tibial force) for internal and external malalignments, respectively. Valgus laxity increased significantly with the 4° external component with the greatest increase of 1.5° occurring at 90° flexion (p < 0.0001). With the tibial component correctly aligned, I-E malalignment of the femoral component caused significant increases in tibial force imbalance. Minimizing I-E malalignment lowers the increase in the tibial force imbalance. By keeping

  19. Adaptive plasticity in mammalian masticatory joints

    Science.gov (United States)

    Ravosa, Matthew J.; Kunwar, Ravinder; Nicholson, Elisabeth K.; Klopp, Emily B.; Pinchoff, Jessie; Stock, Stuart R.; Stack, M. Sharon; Hamrick, Mark W.

    2006-08-01

    Genetically similar white rabbits raised on diets of different mechanical properties, as well as wild-type and myostatin-deficient mice raised on similar diets, were compared to assess the postweaning effects of elevated masticatory loads due to increased jaw-adductor muscle and bite forces on the proportions and properties of the mandibular symphysis and temporomandibular joint (TMJ). Microcomputed tomography (microCT) was used to quantify bone structure at a series of equidistant external and internal sites in coronal sections for a series of joint locations. Discriminant function analyses and non-parametric ANOVAs were used to characterize variation in biomineralization within and between loading cohorts. In both species, long-term excessive loading results in larger joint proportions, thicker articular and cortical bone, and increased biomineralization of hard tissues. Such adaptive plasticity appears designed to maintain the postnatal integrity of masticatory joint systems for a primary loading environment(s). This behavioral signal may be increasingly mitigated in older organisms by the interplay between adaptive and degradative joint tissue responses.

  20. Protection of welded joints against corrosion degradation

    Directory of Open Access Journals (Sweden)

    Jiří Votava

    2013-01-01

    Full Text Available Welded joints form an integral part of steel constructions. Welded joints are undetachable joints, which are however subjects of corrosion processes. The internal energy increases during the fusion welding especially in the heat affected places around the welded joint, which become initiating spot of corrosion degradation.The aim of the experiment is to put a welded joint produced by the MAG method to a test of corrosion degradation under the conditions of the norm ČSN ISO 9227 (salt-spray test. Organic and inorganic anticorrosion protections were applied on welded beads. First of all, there were prepared welded beads using the method MAG; secondly, metallographical analyses of welded metal, heat affected places and base material were processed. Further, microhardness as well as analysis of chemical composition using the EDS microscope were analysed. Based on a current trend in anticorrosion protections, there were chosen three types of protective coatings. First protective system was a double-layer synthetic system, where the base layer is formed by paint Pragroprimer S2000 and the upper layer by finishing paint Industrol S 2013. Second protective system is a duplex system formed by a combination of a base zinc coating with Zinorex paint. The last protective system was formed by zinc dipping only. Corrosion resistance of the individual tested samples was evaluated based on degradation of protective coating. The corrosion origin as well as the corrosion process were observed, the main criteria was the observation of welded bead.

  1. Dyslipidaemia and its treatment in patients with type 2 diabetes: A joint analysis of the German DIVE and DPV registries.

    Science.gov (United States)

    Bramlage, Peter; Lanzinger, Stefanie; Rathmann, Wolfgang; Gillessen, Anton; Scheper, Nikolaus; Schmid, Sebastian M; Kaltheuner, Matthias; Seufert, Jochen; Danne, Thomas; Holl, Reinhard W

    2016-09-04

    To compare lipid abnormalities in people with and without type 2 diabetes mellitus (T2DM) and to assess the effect of treatment. We combined data from the German DIVE (DIabetes Versorgungs-Evaluation) and DPV (Diabetes-Patienten-Verlaufsdokumentation) databases to produce a large cohort of people with T2DM. The characteristics of people receiving and not receiving lipid-modifying therapy (LMT) were compared, including demographics, cardiovascular (CV) risk factors and comorbidities. Lipid profiles were evaluated, and the achievement of recommended LDL cholesterol and non-HDL cholesterol targets was assessed. The effect on lipid levels in subgroups of patients aged ≥60 years, being obese or with CV disease was also investigated. A total of 363 949 people were included in the analysis. Of these, only 97 160 (26.7%) were receiving LMT. These individuals were older than those not receiving LMT, and comorbidities were more prevalent. Statins were the most commonly used agents (84.2%), with ezetimibe, fibrates and nicotinic acid taken by a small proportion of people. The median LDL cholesterol level was lower for the LMT group (100.5 vs 114.0 mg/dL; P < .001), as was the non-HDL cholesterol level (131.0 vs 143.1 mg/dL; P < .001), while the triglyceride level was higher (160.3 vs 152.0 mg/dL; P < .001). HDL cholesterol was lower in the LMT group for both men (41.0 vs 42.0 mg/dL; P < .001) and women (47.5 vs 48.0 mg/dL; P < .001). Elderly people were more likely to have achieved the target lipid levels, while obese people were less likely. For people with CV disease, there was a greater likelihood of achieving LDL, total and non-HDL cholesterol targets, but less chance of attaining a desired HDL cholesterol level. Dyslipidaemia was highly prevalent in this large population and management of lipid abnormalities was suboptimal. The distinct lipid profile of people with T2DM warrants further investigation into the use of non-statins in addition to statin LMT. © 2016 John

  2. Reinforcement of Bolted Timber Joints Using GFRP Sheets in Poplar and Pine Woods

    Directory of Open Access Journals (Sweden)

    Mehrab Madhoushi

    2013-01-01

    Full Text Available Failure in timber structures occurs mainly in crucial points such as joints areas. Therefore, the idea of using composite sheets in timber joints has been intro-duced as a method in order to increase the strength and ductility behaviour of timber joints. This research aims to study the behaviour of bolted joints in poplar and pine woods, which are reinforced by two types of GFRP sheets. A single shear bolted joint consisted of 3 timber members whose length and width were 30 cm in length and 5 cm in width. The thickness of each member was 4 cm for internal part and 2 cm for external part. The employed steel bolt was 10 cm in length and 1 cm in diameter. In this respect, one layer of GFRP sheet was used to be bonded to timber members by using epoxy resin and left between the clamps for 24 hours. They were then kept at room temperature for three weeks. Also the effect of adding a wood veneer on the reinforced joints was investigated. The tensile strength of the reinforced and control samples (un-reinforced joints was measured according to ASTM D5652-92 standard. The results show that the reinforced samples have higher tensile strength compared to that of reinforced joints, although it is not statistically signifcant. Also, two types of sheets infuence the joint behaviour as the reinforced joints display more ductility behaviour.

  3. Gonococcal Prosthetic Joint Infection.

    Science.gov (United States)

    Gassiep, Ian; Gilpin, Bradley; Douglas, Joel; Siebert, David

    2017-01-01

    Neisseria gonorrhoea is a common sexually transmitted infection worldwide. Disseminated gonococcal infection is an infrequent presentation and rarely can be associated with septic arthritis. Incidence of this infection is rising, both internationally and in older age groups. We present the first documented case of N. gonorrhoea prosthetic joint infection which was successfully treated with laparoscopic debridement and antimicrobial therapy.

  4. Vascular endothelial growth factor 121 and 165 in the subacromial bursa are involved in shoulder joint contracture in type II diabetics with rotator cuff disease.

    Science.gov (United States)

    Handa, Akiyoshi; Gotoh, Masafumi; Hamada, Kazutoshi; Yanagisawa, Kazuhiro; Yamazaki, Hitoshi; Nakamura, Masato; Ueyama, Yoshito; Mochida, Joji; Fukuda, Hiroaki

    2003-11-01

    Vascular endothelial growth factor (VEGF) is a glycoprotein that plays an important role in neovascularization and increases vascular permeability. We reported that VEGF is involved in motion pain of patients with rotator cuff disease by causing synovial proliferation in the subacromial bursa (SAB). The present study investigates whether VEGF is also involved in the development of shoulder contracture in diabetics with rotator cuff disease. We examined 67 patients with rotator cuff disease, including 36 with complete cuff tears, 20 with incomplete tears, and 11 without apparent tears (subacromial bursitis). The patients were into groups according to the presence or absence of diabetes (14 type II diabetics and 53 non-diabetics). Specimens of the synovium of the SAB were obtained from all patients during surgery. Expression of the VEGF gene in the synovium of the subacromial bursa was evaluated by using the reverse transcriptase polymerase chain reaction. The VEGF protein was localized by immunohistochemistry, and the number of vessels was evaluated based on CD34 immunoreactivity. The results showed that VEGF mRNA was expressed in significantly more diabetics (100%, 14/14) than in non-diabetics (70%, 37/53) (P=0.0159, Fisher's test). Investigation of VEGF isoform expression revealed VEGF121 in all 14 diabetics and in 37 of the 53 non-diabetics, VEGF165 in 12 of the 14 diabetics and in 21 of the 53 non-diabetics, and VEGF189 in 1 of the 14 diabetics and in 2 of the 53 non-diabetics. No VEGF206 was expressed in either group. VEGF protein was localized in both vascular endothelial cells and synovial lining cells. The mean number of VEGF-positive vessels and the vessel area were also significantly greater in the diabetics (pshoulder joint contracture were more common in the diabetics (P=0.0329 and P=0.073, respectively; Fisher's test). The mean preoperative range of shoulder motion significantly differed in terms of elevation between two groups: 103.8 degrees in

  5. [Case control study on therapeutic effects of dynamic external fixtor combined with limited internal fixation and cross K-wires fixation for the treatment of Pilon fractures of the proximal interphalangeal joint].

    Science.gov (United States)

    Miao, Dao-yi; Yang, Guo-jing; Zhang, Ling-zhou; Wu, Jian-wei

    2015-10-01

    To compare the clinical effects and safety of dynamic external fixtor combined with limited internal fixation and cross K-wires fixation for the treatment of close Pilon fractures of the proximal interphalangeal joint. From June 2012 to June 2014, totally 41 patients (45 fingers) with close interphalangeal joint Pilon fracture were treated by dynamic external fixtor combined with limited internal fixation or cross K-wires fixation, and all the patients were followed up. In the dynamic external fixtor combined with limited internal fixation group (group A), there were 21 patients with 22 fingers, including 12 males and 9 females, with an average of (30.6±5.6) years old. In the cross K-wires fixation group (group B), there were 20 patients with 23 fingers, including 11 males and 9 females, with an average of (30.1±5.3) years old. Regular re-examination of X-ray was performed to evaluate the active range of joint motion, fracture healing time, infection rate and postoperative joint motion pain. According to the evaluation criteria of upper extremity function issued by the Hand Surgery Society of Chinese Medical Association, the excellent and good cases of group A was up to 19 and 13 for group B. The evaluation results has significant differences (Z=2.558, P=0.011). The excellent and good rate of group A was obviously higher than that of group B. The average bone union time of group A was (7.9±2.1) weeks, and (8.1±2.3) weeks for group B. There was no significant difference on the mean healing time (t=-0.304, P=0.762). The infection fingers of group A was 5, and 1 for group B. The difference between the results was statistically significant (χ2=3.287, Pexternal fixtor combined with limited internal fixation is a reliable and effective method to treat Pilon fractures of the proximal interphalangeal joint. It allows early postoperative functional rehabilitation and restores the joint function.

  6. Joint Performance and Planning System

    Data.gov (United States)

    US Agency for International Development — A joint State/USAID system hosted by State that integrates resource and performance information at the program level and enables more flexible and frequent entry of...

  7. Improving cylinder-type LiFePO4 battery performance via control of internal resistance

    Science.gov (United States)

    Purwanto, Agus; Jumari, Arif; Nizam, Muhammad; Widiyandari, Hendri; Sudaryanto; Deswita; Azmin Mohamad, Ahmad

    2018-04-01

    Strategies for controlling the internal resistance to improve battery performance were systematically investigated. Electrode densification of LiFePO4 cathodes significantly reduced the internal resistance of the prepared batteries. Densification by reduction to 31.25% of initial thickness resulted in optimal electrochemical performance of the prepared LiFePO4 batteries. The addition of KS 6 graphite material improved the conductivity of the cathodes, which was indicated by a lowering of the internal resistance. The internal resistance was decreased from 73 to 54 when the KS6/AB ratio was varied from 3 to 1. Another factor in controlling the internal resistance was the location of a welded aluminum tab in the cathode. The welding of an aluminum tab in a small gap in the cathode significantly reduced the internal resistance. Thus, three main factors can be performed during fabrication to reduce the internal resistance of a LiFePO4 battery: cathode densification, KS-6 graphite addition, and the arrangement of an aluminum tab welded to the cathode. By optimizing these factors, high-performance LFP batteries were produced.

  8. Experimental Research on Seismic Performance of a New-Type of R/C Beam-Column Joints with End Plates

    Directory of Open Access Journals (Sweden)

    Shufeng Li

    2017-01-01

    Full Text Available This paper presents a new-type of fabricated beam-column connections with end plates. The joint details are as follows: the concrete beams are connected to column by end plates and six high strength long bolts passing through the core area. In addition, in order to increase the stiffness and shear strength, stirrups are replaced by the steel plate hoop in the core zone. To examine the fail behavior of the fabricated beam-column connection specimens, a quasi-static test is conducted for nine full-scale models to obtain the hysteresis curves, skeleton curves, ductility, energy dissipation capacity, and other seismic indicators. The experimental results show that all specimens failed in bending in a malleable way with a beam plastic hinge and the hysteresis curves are excellently plump for the end plate connections. From the seismic indexes, the fabricated connection specimens exhibit better seismic performance, which can provide reference for the application of prefabricated frame structure in the earthquake area.

  9. Internal exposure profile of occupational workers of a BWR type atomic power station

    International Nuclear Information System (INIS)

    Hegde, A.G.; Bhat, I.S.

    1979-01-01

    The internal exposure profile of major radionuclides, for Tarapur Atomic Power Station (India) occupational staff for the last 9 years (1970-1978) of station operation, is presented. This power station has two boiling water reactor units. The occupational staff were monitored for internal exposure with the whole body counter. It has been observed that 60 Co, 134 Cs and 137 Cs are major contaminants. The highest yearly average of internal exposure was less than 1% of maximum permissible body burden recommended by ICRP. Depending on the nature of exposures the power station employees were classified under four different groups, (i) maintenance, (ii) operations, (iii) techanical and (iv) non-technical. This study revealed that maintenance group had highest incidence of internal exposure among these. It is also observed that contribution of 60 Co is maximum in the exposure of this group. (B.G.W.)

  10. SUPPLY CHAIN MANAGEMENT OF INDIAN ENTERPRISE IN INTERNATIONAL OPERATIONS: TYPE OF MODERN LITERARY CRITIQUE

    OpenAIRE

    Deepak Hajoary

    2017-01-01

    This paper aims to explore supply chain management challenges and prospects in the international scenario. Globalization has delivered a platform for local companies to think at international level. The paper will highlights different critical scenarios of supply chain management. The study will identify key strategies that can be constructed at global supply chain. Issues of supply chain design, tools and sourcing strategy will be studied in the paper.

  11. Improvement of visualization efficiency for the nondestructive inspection image of internal defects in plate type nuclear fuel

    International Nuclear Information System (INIS)

    Park, Seung Kyu; Park, Nak Kyu; Baik, Sung Hoon; Lee, Yoon Sang; Cheong, Yong Moo; Kang, Young June

    2012-01-01

    Plate type nuclear fuel has been adopted in most research reactors. The production quality of the fuel is a key part for an efficient and stable generation of thermal energy in research reactors. Thus, a nondestructive quality inspection for the internal defects of plate type nuclear fuel is a key process during the production of nuclear fuel for safety insurance. Nondestructive quality inspections based on X rays and ultrasounds have been widely used for the defect detection of plate type nuclear fuel. X ray testing is a simple and fast inspection method, and provides an image in real time as the inspection results. Thus, the testing can be carried out by a non expert field worker. However, it is hard to detect closed type defects that should be detected during the production of plate type nuclear fuel. Ultrasonic testing is a powerful tool to detect internal defects including open type and closed type defects in plate type nuclear fuel. However, the inspection process is complicated because an immersion test should be carried out in a water tank. It is also a time consuming inspection method because area testing to acquire image is based on the scanning of the point by point inspections. Among nondestructive inspection techniques, the techniques based on laser interferometry and infrared thermography have been widely used in the detection of internal defects of plate type composite materials, such as aircraft, automotive etc. While infrared thermography technique (IRT) analyses the thermal behavior of the specimen surface, laser interferometry technique (LIT) analyses the deformation field. Both techniques are useful tools for detection and evaluation of internal defects in composite materials. Especially, the laser interferometry technique can provide the depth information of internal defects. Laser interferometry technique (LIT) is a non contact inspection method faster than thermography. Also, this technique requires less energy than thermography and the

  12. Determination of Parachute Joint Factors using Seam and Joint Testing

    Science.gov (United States)

    Mollmann, Catherine

    2015-01-01

    This paper details the methodology for determining the joint factor for all parachute components. This method has been successfully implemented on the Capsule Parachute Assembly System (CPAS) for the NASA Orion crew module for use in determining the margin of safety for each component under peak loads. Also discussed are concepts behind the joint factor and what drives the loss of material strength at joints. The joint factor is defined as a "loss in joint strength...relative to the basic material strength" that occurs when "textiles are connected to each other or to metals." During the CPAS engineering development phase, a conservative joint factor of 0.80 was assumed for each parachute component. In order to refine this factor and eliminate excess conservatism, a seam and joint testing program was implemented as part of the structural validation. This method split each of the parachute structural joints into discrete tensile tests designed to duplicate the loading of each joint. Breaking strength data collected from destructive pull testing was then used to calculate the joint factor in the form of an efficiency. Joint efficiency is the percentage of the base material strength that remains after degradation due to sewing or interaction with other components; it is used interchangeably with joint factor in this paper. Parachute materials vary in type-mainly cord, tape, webbing, and cloth -which require different test fixtures and joint sample construction methods. This paper defines guidelines for designing and testing samples based on materials and test goals. Using the test methodology and analysis approach detailed in this paper, the minimum joint factor for each parachute component can be formulated. The joint factors can then be used to calculate the design factor and margin of safety for that component, a critical part of the design verification process.

  13. The correlation of the morphological changes of ankle point and ankle joint function after surgery on the Ruedi-Allgouer type III Pilon fracture: A case series study.

    Science.gov (United States)

    Zhou, Yifei; Cai, Leyi; Lu, Xiaolang; Yu, Yang; Hong, Jianjun

    2017-08-01

    To analyze the relationship between imaging findings and postoperative curative effect by measuring the morphology of the ankle mortise in patients with the Ruedi-Allgouer type III Pilon fractures. Forty-seven patients with Ruedi-Allgouer type III Pilon fractures who underwent surgical treatment from January 2011 to January 2015 were retrospectively analyzed. At the last follow-up, x-rays of the affected ankle and the healthy side were measured. According to the Kitaoka score of ankle joint function at the last follow-up. All patients were followed up for 18-24 months (mean 21 months). This study demonstrated that compared with the healthy side, the index of the width, depth, and coronal/sagittal angles of the ankle mortise were significantly different (P  0.05). According to the Kitaoka score, the difference between the affected and the healthy sides of each index of the ankle mortise was compared between the 3 groups. That is, the intraoperative treatment of the width and depth of the ankle mortise as well as the coronal and sagittal angles of the ankle mortise were significantly correlated with the postoperative curative effect. The intraoperative treatment of ankle mortise width, depth, and ankle coronal/sagittal angle in patients with severe Pilon fractures has a significant impact on postoperative efficacy. In order to prevent the occurrence of traumatic arthritis, the anatomical morphology of the ankle should be restored as much as possible in the course of surgery. Copyright © 2017. Published by Elsevier Ltd.

  14. Alien invasive species and biological pollution of the Great Lakes Basin ecosystem[Great Lakes Water Quality Board : Report to the International Joint Commission

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-05-01

    The displacement of important native species in the Great Lakes is a result of an invasion by a succession of non indigenous aquatic species. These invasion also resulted in interference with the proper human water uses and cost billions of dollars. The problem was considered serious enough that the International Joint Commission asked the Great Lakes Water Quality Board in 1999 to review the regulations in place and make recommendations, if necessary, for the implementation of additional measures that could be considered to keep control over the introduction of alien invasive species. Escapes from aquaria, aquaculture, research and educational facilities, canal and diversion water flows, and release of live bait are all sources of this invasion. The effectiveness of alternative technologies to control the invasion was to be examined by the Board. Other efforts taking place to address the situation in the basin are being complemented by the publication of this report. It is considered that the most important source of alien invasive species (AIS) to the Great Lakes is the discharge of ballast water from shipping vessels coming from outside the United States and Canada. A major concern is the role played by vessels reporting no ballast on board (NOBOB) upon entering the basin. A number of recommendations were made concerning: (1) implementation and enforcement of the ballast water discharge standards agreed upon by both countries, (2) the evaluation of the effectiveness of alternative technologies to achieve ballast water discharge standards over the long term, combined with the use of chemical treatment while the evaluation is being performed, (3) the implementation of optimal management practices to control sediments in shipping vessels, (4) modifications to the design of shipping vessels, and (5) the monitoring and contingency plans in the event of a repeat scenario in the future. Composed of an equal number representatives from the United States and Canada, at

  15. Joint diseases

    International Nuclear Information System (INIS)

    Weissman, S.D.

    1989-01-01

    The authors discuss how x-ray examination is essential in the diagnosis and evaluation of the arthritides. Most arthritides are first suspected by the clinician, and x-ray evaluation of these entities along with laboratory testing is important for confirmation of the clinical diagnosis and in staging of the disease process. Several arthritides are often diagnosed first by the podiatrist on x-ray evaluation, including pseudogout, ankylosing spondylitis, early rheumatoid arthritis, degenerative joint disease, and tuberculosis of bone. The joint responds to insult in only a limited number of ways that become apparent on x-ray. The soft tissues surrounding the joint, the articulating bones, and alignment of the joint space may all be involved by the arthritic process. On roentgenographic examination, the soft tissues must be examined for edema, masses, calcifications, and atrophy. The articulating bones must be examined for demineralization, erosions, osteophytes, periosteal reaction, cysts and sclerosis

  16. Joint pain

    Science.gov (United States)

    ... or conditions. It may be linked to arthritis , bursitis , and muscle pain . No matter what causes it, ... Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: Gout (especially ...

  17. Joint Commission

    Science.gov (United States)

    ... for the latest publication of The Joint Commission Journal on Quality and Patient Safety (JQPS). . How We Work Process improvement program breeds quality culture, empowers staff An article in Quality Progress, June ...

  18. Fiscal 1993 international joint projects under New Sunshine Program. Surveys of bilateral cooperation and solar energy technology; 1993 nendo kokusai kyoryoku jigyo nikokukan kyoryoku taiyo energy gijutsu ni kakawaru gijutsu chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-03-01

    Concerning bilateral projects, overseas surveys were conducted about Japan-Australian and Japan-US technical cooperation. Concerning technological development, information was collected at the Solar World Congress of the International Solar Energy Society (ISES), and information was collected and opinions were exchanged at the 15th International Conference on Amorphous Semiconductors. A survey was conducted of Russia's development of solar cells and of their performance evaluation, and an overseas survey was conducted of the development of spaceborne photovoltaic power generation system practicalization technology. Surveys were conducted of international joint projects for the development of photovoltaic power generation system practicalization technology in Europe and the US. Overseas surveys were conducted of international joint projects concerning the development of photovoltaic power generation system practicalization technology, and a survey was conducted of the research and development of photovoltaic power generation in the US and of the state of introduction and diffusion of the same. A survey was also conducted of the state of element technology development for solar energy utilization in Europe. (NEDO)

  19. Fiscal 1993 international joint projects under New Sunshine Program. Surveys of bilateral cooperation and solar energy technology; 1993 nendo kokusai kyoryoku jigyo nikokukan kyoryoku taiyo energy gijutsu ni kakawaru gijutsu chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-03-01

    Concerning bilateral projects, overseas surveys were conducted about Japan-Australian and Japan-US technical cooperation. Concerning technological development, information was collected at the Solar World Congress of the International Solar Energy Society (ISES), and information was collected and opinions were exchanged at the 15th International Conference on Amorphous Semiconductors. A survey was conducted of Russia's development of solar cells and of their performance evaluation, and an overseas survey was conducted of the development of spaceborne photovoltaic power generation system practicalization technology. Surveys were conducted of international joint projects for the development of photovoltaic power generation system practicalization technology in Europe and the US. Overseas surveys were conducted of international joint projects concerning the development of photovoltaic power generation system practicalization technology, and a survey was conducted of the research and development of photovoltaic power generation in the US and of the state of introduction and diffusion of the same. A survey was also conducted of the state of element technology development for solar energy utilization in Europe. (NEDO)

  20. 22 CFR 228.34 - Joint ventures.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Joint ventures. 228.34 Section 228.34 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES ON SOURCE, ORIGIN AND NATIONALITY FOR COMMODITIES AND... Financing § 228.34 Joint ventures. A joint venture or unincorporated association is eligible only if each of...

  1. Internal carotid artery dissection in a patient with Ehlers-Danlos syndrome type IV: diagnosis and management

    Directory of Open Access Journals (Sweden)

    Michel Nasser

    2013-06-01

    Full Text Available Ehlers-Danlos syndrome (EDS type IV, also known as vascular EDS, is an inherited connective tissue disorder with an estimated prevalence of 1/100,000 to 1/250,000. In EDS type IV, vascular complications may affect all anatomical areas, with a preference for large- and medium-sized arteries. Dissections of the vertebral and carotid arteries in their extra- and intra-cranial segments are typical. The authors report the case of a patient with EDS type IV for whom the diagnosis was established based on clinical signs and who developed internal carotid artery dissection at the age of 44 years. In the absence of a specific treatment for EDS type IV, medical interventions should focus on symptomatic relief, prophylactic measures, and genetic counseling. Invasive imaging techniques are contraindicated, and a conservative approach to vascular complications is usually recommended.

  2. Validating the Danish adaptation of the World Health Organization's International Classification for Patient Safety classification of patient safety incident types

    DEFF Research Database (Denmark)

    Mikkelsen, Kim Lyngby; Thommesen, Jacob; Andersen, Henning Boje

    2013-01-01

    Objectives Validation of a Danish patient safety incident classification adapted from the World Health Organizaton's International Classification for Patient Safety (ICPS-WHO). Design Thirty-three hospital safety management experts classified 58 safety incident cases selected to represent all types.......513 (range: 0.193–0.804). Kappa and ICC showed high correlation (r = 0.99). An inverse correlation was found between the prevalence of type and inter-rater reliability. Results are discussed according to four factors known to determine the inter-rater agreement: skill and motivation of raters; clarity...

  3. The external-internal loop of interference: two types of attention and their influence on the learning abilities of mice.

    Science.gov (United States)

    Sauce, Bruno; Wass, Christopher; Smith, Andrew; Kwan, Stephanie; Matzel, Louis D

    2014-12-01

    Attention is a component of the working memory system, and is responsible for protecting task-relevant information from interference. Cognitive performance (particularly outside of the laboratory) is often plagued by interference, and the source of this interference, either external or internal, might influence the expression of individual differences in attentional ability. By definition, external attention (also described as "selective attention") protects working memory against sensorial distractors of all kinds, while internal attention (also called "inhibition") protects working memory against emotional impulses, irrelevant information from memory, and automatically-generated responses. At present, it is unclear if these two types of attention are expressed independently in non-human animals, and how they might differentially impact performance on other cognitive processes, such as learning. By using a diverse battery of four attention tests (with varying levels of internal and external sources of interference), here we aimed both to explore this issue, and to obtain a robust and general (less task-specific) measure of attention in mice. Exploratory factor analyses revealed two factors (external and internal attention) that in total, accounted for 73% of the variance in attentional performance. Confirmatory factor analyses found an excellent fit with the data of the model of attention that assumed an external and internal distinction (with a resulting correlation of 0.43). In contrast, a model of attention that assumed one source of variance (i.e., "general attention") exhibited a poor fit with the data. Regarding the relationship between attention and learning, higher resistance against external sources of interference promoted better new learning, but tended to impair performance when cognitive flexibility was required, such as during the reversal of a previously instantiated response. The present results suggest that there can be (at least) two types of

  4. EFFECTIVENESS AND SAFETY OF VELAGLUCERASE ALFA IN TREATMENT OF GAUCHER DISEASE TYPE 1 (ACCORDING TO INTERNATIONAL STUDIES

    Directory of Open Access Journals (Sweden)

    O. S. Gundobina

    2014-01-01

    Full Text Available The article is dedicated to modern approaches to treatment of Gaucher’s disease. The authors list the primary aspects of the disease and present data on the origin and introduction of pathogenetic enzyme replacement therapy to clinical practice. Review of international clinical studies demonstrates high effectiveness and safety of long-term enzyme replacement therapy with velaglucerase alfa in patients with confirmed type I Gaucher’s disease. 

  5. Seismic reflector imaging using internal multiples with Marchenko-type equations

    NARCIS (Netherlands)

    Slob, E.C.; Wapenaar, C.P.A.; Broggini, F.; Snieder, R.

    2014-01-01

    We present an imaging method that creates a map of reflection coefficients in correct one-way time with no contamination from internal multiples using purely a filtering approach. The filter is computed from the measured reflection response and does not require a background model. We demonstrate

  6. Reactor internals production under ideal conditions at Pensacola. [PWR type reactors

    Energy Technology Data Exchange (ETDEWEB)

    1975-12-01

    The Westinghouse factory at Pensacola, Florida, which specialises in the production of pressure vessel internal components for PWRs, is described. Its excellent manufacturing and inspection facilities, supported by careful attention to staff training and motivation, are responsible for the extremely high level of quality and continual improvement in productivity.

  7. New type of microengine using internal combustion of hydrogen and oxygen

    NARCIS (Netherlands)

    Svetovoy, Vitaly; Sanders, Remco G.P.; Ma, Kechun; Elwenspoek, Michael Curt

    2014-01-01

    Microsystems become part of everyday life but their application is restricted by lack of strong and fast motors (actuators) converting energy into motion. For example, widespread internal combustion engines cannot be scaled down because combustion reactions are quenched in a small space. Here we

  8. Research and development of utilization technology of solar thermal energy system for industrial and other use. International joint technology development for solar energy utilization systems; Sangyoyo nado solar system jitsuyoka gijutsu kaihatsu. Taiyo energy riyo system kokusai kyodo gijutsu kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    Takita, M [New Energy and Industrial Technology Development Organization, Tokyo (Japan)

    1994-12-01

    Described herein are the results of the FY1994 research program for international joint technology development for solar energy utilization systems. The joint study with an Indonesian research institute takes a model of lumber drying plant for the design and feasibility study. All the parts it needs are technically available in Indonesia, except carbon fiber sheets and electronic devices for controlling purposes. The drying cost is higher than that of a plant which procures charge-free wood fuel, but lower than that of a plant which procures fuel at 30$/t. A cacao drying plant model is also studied. The feasibility study shows that the initial investment for the blowing-up model is much higher by 60% to 100% than that for the conventional plant. Its fuel cost is lower by 11% than that of residual oil but 27% higher than that of wood. 4 figs.

  9. An Internal Data Non-hiding Type Real-time Kernel and its Application to the Mechatronics Controller

    Science.gov (United States)

    Yoshida, Toshio

    For the mechatronics equipment controller that controls robots and machine tools, high-speed motion control processing is essential. The software system of the controller like other embedded systems is composed of three layers software such as real-time kernel layer, middleware layer, and application software layer on the dedicated hardware. The application layer in the top layer is composed of many numbers of tasks, and application function of the system is realized by the cooperation between these tasks. In this paper we propose an internal data non-hiding type real-time kernel in which customizing the task control is possible only by change in the program code of the task side without any changes in the program code of real-time kernel. It is necessary to reduce the overhead caused by the real-time kernel task control for the speed-up of the motion control of the mechatronics equipment. For this, customizing the task control function is needed. We developed internal data non-cryptic type real-time kernel ZRK to evaluate this method, and applied to the control of the multi system automatic lathe. The effect of the speed-up of the task cooperation processing was able to be confirmed by combined task control processing on the task side program code using an internal data non-hiding type real-time kernel ZRK.

  10. Gender, diabetes education, and psychosocial factors are associated with persistent poor glycemic control in patients with type 2 diabetes in the Joint Asia Diabetes Evaluation (JADE) program.

    Science.gov (United States)

    Yin, Junmei; Yeung, Roseanne; Luk, Andrea; Tutino, Greg; Zhang, Yuying; Kong, Alice; Chung, Harriet; Wong, Rebecca; Ozaki, Risa; Ma, Ronald; Tsang, Chiu-Chi; Tong, Peter; So, Wingyee; Chan, Juliana

    2016-01-01

    Factors associated with persistent poor glycemic control were explored in patients with type 2 diabetes under the Joint Asia Diabetes Evaluation (JADE) program. Chinese adults enrolled in JADE with HbA1c ≥8% at initial comprehensive assessment (CA1) and repeat assessment were analyzed. The improved group was defined as those with a ≥1% absolute reduction in HbA1c, and the unimproved group was those with patients with HbA1c ≥8% at baseline, 1450 underwent repeat CA. After a median interval of 1.7 years (interquartile range[IQR] 1.1-2.2) between CA1 and CA2, the unimproved group (n = 677) had a mean 0.4% (95% confidence interval [CI] 0.3%, 0.5%) increase in HbA1c compared with a mean 2.8% reduction (95% CI -2.9, -2.6%) in the improved group (n = 773). The unimproved group had a female preponderance with lower education level, and was more likely to be insulin treated. Patients in the improved group received more diabetes education between CAs with improved self-care behaviors, whereas the unimproved group had worsening of health-related quality of life at CA2. Apart from female gender, long disease duration, low educational level, obesity, retinopathy, history of hypoglycemia, and insulin use, lack of education from diabetes nurses between CAs had the strongest association for persistent poor glycemic control. These results highlight the multidimensional nature of glycemic control, and the importance of diabetes education and optimizing diabetes care by considering psychosocial factors. © 2015 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

  11. Joint associations of physical activity and hypertension with the development of type 2 diabetes among urban men and women in Mainland China.

    Science.gov (United States)

    Xu, Fei; Ware, Robert S; Tse, Lap Ah; Wang, YouFa; Wang, ZhiYong; Hong, Xin; Chan, Emily Ying Yang; Dunstan, David W; Owen, Neville

    2014-01-01

    Physical activity (PA) and hypertension (HTN) are important influences on the development of type 2 diabetes (T2D). However, the joint impact of PA and HTN on T2D development is unknown. Two community-based prospective cohort studies, with the same protocols, instruments and questionnaires, were conducted among adults in urban areas of Nanjing, China, during 2004-2007 and 2007-2010. T2D was defined using World Health Organization criteria based on physicians' diagnosis and fasting blood glucose concentration. PA level (sufficient/insufficient) and blood pressure status (hypertensive/normotensive) were assessed at baseline and the third year of follow-up. We pooled and analyzed data from these two studies. Among 4550 participants aged 35 years or older, the three-year cumulative incidence of T2D was 5.1%. After adjusting for potential confounders, participants with sufficient PA were less likely to develop T2D than those with insufficient PA (OR = 0.43, 95%CI = 0.27, 0.68) and those who were normotensive were less likely to develop T2D than those who were hypertensive (OR = 0.39, 95%CI = 0.29, 0.51). Compared to participants with insufficient PA and who were hypertensive, those with sufficient PA and hypertension were at lower risk of developing T2D (OR = 0.36, 95%CI = 0.19, 0.69), as were those with insufficient PA who were normotensive (OR = 0.37, 95%CI = 0.28, 0.50) and those with sufficient PA who were normotensive (OR = 0.19, 95%CI = 0.10, 0.37). Insufficient PA was found to be associated with the development of T2D among adults with and without hypertension. These findings support a role for promoting higher physical activity levels to lower T2D risk in both hypertensive and non-hypertensive individuals.

  12. Comparative X-ray investigation of lateral and anterior-posterior ankle-joint images - comparison with pathological and anatomical findings concerning lateral ankle-joint lesions and their clinical importance, studied in a special type of holding device

    International Nuclear Information System (INIS)

    John, F.

    1982-01-01

    The study reports on a possibility to interpret the relation of the different bone structures of the upper ankle-joint to one another in the X-ray picture without using contrast media. Modern funtional diagnostic methods increasingly make use of X-ray pictures taken in fixed position. It seems useful to standardize such X-ray images of the ankle-joint in order to make them reproducible. The author developed a device that would suit these purposes. A diagnosis required the reproduction of the accidental mechanism. The clinical symptoms do not permit to clearly state the extent of the lesion of the ligaments. The results of the post-operative follow-up examinations confirm the urgent necessity of the standardized diagnostic method presented and the success of the therapy applied. The presented X-ray method permits safe diagnosis of ruptures of the ligaments. Location of a certain rupture is not possible with the fixed-position X-ray screening. For a clear assessment of lesions of the ligaments at the lateral ankle-joint, X-ray pictures must be taken both in the anterior-posterior path of rays and in the lateral one. A normal result in the lateral path of rays does not exclude a pathologic result in the anterior-posterior path of rays, and vice versa. (orig./MG) [de

  13. The influence of signal type on the internal auditory representation of a room

    Science.gov (United States)

    Teret, Elizabeth

    Currently, architectural acousticians make no real distinction between a room impulse response and the auditory system's internal representation of a room. With this lack of a good model for the auditory representation of a room, it is indirectly assumed that our internal representation of a room is independent of the sound source needed to make the room characteristics audible. The extent to which this assumption holds true is examined with perceptual tests. Listeners are presented with various pairs of signals (music, speech, and noise) convolved with synthesized impulse responses of different reverberation times. They are asked to adjust the reverberation of one of the signals to match the other. Analysis of the data show that the source signal significantly influences perceived reverberance. Listeners are less accurate when matching reverberation times of varied signals than they are with identical signals. Additional testing shows that perception of reverberation can be linked to the existence of transients in the signal.

  14. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

    Science.gov (United States)

    Wang, Hua-Fen; Jin, Jing-Fen; Feng, Xiu-Qin; Huang, Xin; Zhu, Ling-Ling; Zhao, Xiao-Ying; Zhou, Quan

    2015-01-01

    Medication errors may occur during prescribing, transcribing, prescription auditing, preparing, dispensing, administration, and monitoring. Medication administration errors (MAEs) are those that actually reach patients and remain a threat to patient safety. The Joint Commission International (JCI) advocates medication error prevention, but experience in reducing MAEs during the period of before and after JCI accreditation has not been reported. An intervention study, aimed at reducing MAEs in hospitalized patients, was performed in the Second Affiliated Hospital of Zhejiang University, Hangzhou, People's Republic of China, during the journey to JCI accreditation and in the post-JCI accreditation era (first half-year of 2011 to first half-year of 2014). Comprehensive interventions included organizational, information technology, educational, and process optimization-based measures. Data mining was performed on MAEs derived from a compulsory electronic reporting system. The number of MAEs continuously decreased from 143 (first half-year of 2012) to 64 (first half-year of 2014), with a decrease in occurrence rate by 60.9% (0.338% versus 0.132%, P<0.05). The number of MAEs related to high-alert medications decreased from 32 (the second half-year of 2011) to 16 (the first half-year of 2014), with a decrease in occurrence rate by 57.9% (0.0787% versus 0.0331%, P<0.05). Omission was the top type of MAE during the first half-year of 2011 to the first half-year of 2014, with a decrease by 50% (40 cases versus 20 cases). Intravenous administration error was the top type of error regarding administration route, but it continuously decreased from 64 (first half-year of 2012) to 27 (first half-year of 2014). More experienced registered nurses made fewer medication errors. The number of MAEs in surgical wards was twice that in medicinal wards. Compared with non-intensive care units, the intensive care units exhibited higher occurrence rates of MAEs (1.81% versus 0.24%, P<0

  15. Role of Host Type IA Phosphoinositide 3-Kinase Pathway Components in Invasin-Mediated Internalization of Yersinia enterocolitica.

    Science.gov (United States)

    Dowd, Georgina C; Bhalla, Manmeet; Kean, Bernard; Thomas, Rowan; Ireton, Keith

    2016-06-01

    Many bacterial pathogens subvert mammalian type IA phosphoinositide 3-kinase (PI3K) in order to induce their internalization into host cells. How PI3K promotes internalization is not well understood. Also unclear is whether type IA PI3K affects different pathogens through similar or distinct mechanisms. Here, we performed an RNA interference (RNAi)-based screen to identify components of the type IA PI3K pathway involved in invasin-mediated entry of Yersinia enterocolitica, an enteropathogen that causes enteritis and lymphadenitis. The 69 genes targeted encode known upstream regulators or downstream effectors of PI3K. A similar RNAi screen was previously performed with the food-borne bacterium Listeria monocytogenes The results of the screen with Y. enterocolitica indicate that at least nine members of the PI3K pathway are needed for invasin-mediated entry. Several of these proteins, including centaurin-α1, Dock180, focal adhesion kinase (FAK), Grp1, LL5α, LL5β, and PLD2 (phospholipase D2), were recruited to sites of entry. In addition, centaurin-α1, FAK, PLD2, and mTOR were required for remodeling of the actin cytoskeleton during entry. Six of the human proteins affecting invasin-dependent internalization also promote InlB-mediated entry of L. monocytogenes Our results identify several host proteins that mediate invasin-induced effects on the actin cytoskeleton and indicate that a subset of PI3K pathway components promote internalization of both Y. enterocolitica and L. monocytogenes. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  16. Joint Intentionality

    Directory of Open Access Journals (Sweden)

    Koreň Ladislav

    2016-03-01

    Full Text Available According to the shared intentionality hypothesis proposed by Michael Tomasello, two cognitive upgrades – joint and collective intentionality, respectively – make human thinking unique. Joint intentionality, in particular, is a mindset supposed to account for our early, species-specific capacity to participate in collaborative activities involving two (or a few agents. In order to elucidate such activities and their proximate cognitive-motivational mechanism, Tomasello draws on philosophical accounts of shared intentionality. I argue that his deference to such cognitively demanding accounts of shared intentional activities is problematic if his theoretical ambition is in part to show that and how early (prelinguistic and precultural capacities for joint action contribute to the development of higher cognitive capacities.

  17. Myotonic Dystrophy Type 1 RNA Crystal Structures Reveal Heterogeneous 1 × 1 Nucleotide UU Internal Loop Conformations

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Amit; Park, HaJeung; Fang, Pengfei; Parkesh, Raman; Guo, Min; Nettles, Kendall W.; Disney, Matthew D. (Scripps)

    2012-03-27

    RNA internal loops often display a variety of conformations in solution. Herein, we visualize conformational heterogeneity in the context of the 5'CUG/3'GUC repeat motif present in the RNA that causes myotonic dystrophy type 1 (DM1). Specifically, two crystal structures of a model DM1 triplet repeating construct, 5'r[{und UU}GGGC(C{und U}G){sub 3}GUCC]{sub 2}, refined to 2.20 and 1.52 {angstrom} resolution are disclosed. Here, differences in the orientation of the 5' dangling UU end between the two structures induce changes in the backbone groove width, which reveals that noncanonical 1 x 1 nucleotide UU internal loops can display an ensemble of pairing conformations. In the 2.20 {angstrom} structure, CUGa, the 5' UU forms a one hydrogen-bonded pair with a 5' UU of a neighboring helix in the unit cell to form a pseudoinfinite helix. The central 1 x 1 nucleotide UU internal loop has no hydrogen bonds, while the terminal 1 x 1 nucleotide UU internal loops each form a one-hydrogen bond pair. In the 1.52 {angstrom} structure, CUGb, the 5' UU dangling end is tucked into the major groove of the duplex. While the canonically paired bases show no change in base pairing, in CUGb the terminal 1 x 1 nucleotide UU internal loops now form two hydrogen-bonded pairs. Thus, the shift in the major groove induced by the 5' UU dangling end alters noncanonical base patterns. Collectively, these structures indicate that 1 x 1 nucleotide UU internal loops in DM1 may sample multiple conformations in vivo. This observation has implications for the recognition of this RNA, and other repeating transcripts, by protein and small molecule ligands.

  18. Introduction to the special issue on the joint meeting of the 19th IEEE International Symposium on the Applications of Ferroelectrics and the 10th European Conference on the Applications of Polar Dielectrics.

    Science.gov (United States)

    Tsurumi, Takaaki

    2011-09-01

    The joint meeting of the 19th IEEE International Symposium on the Applications of Ferroelectrics and the 10th European Conference on the Applications of Polar Dielectrics took place in Edinburgh from August 9-12, 2010. The conference was attended by 390 delegates from more than 40 different countries. There were 4 plenary speakers, 56 invited speakers, and a further 222 contributed oral presentations in 7 parallel session. In addition there were 215 poster presentations. Key topics addressed at the conference included piezoelectric materials, leadfree piezoelectrics, and multiferroics.

  19. Jet Joint Undertaking

    International Nuclear Information System (INIS)

    Keen, B.E.; O'Hara, G.W.; Pollard, I.E.

    1988-07-01

    The paper presents the Jet Joint Undertaking annual report 1987. A description is given of the JET and Euratom and International Fusion Programmes. The technical status of JET is outlined, including the development and improvements made to the system in 1987. The results of JET Operation in 1987 are described within the areas of: density effects, temperature improvements, energy confinement studies and other material effects. The contents also contain a summary of the future programme of JET. (U.K.)

  20. Modernization of Cross Section Library for VVER-1000 Type Reactors Internals and Pressure Vessel Dosimetry

    Directory of Open Access Journals (Sweden)

    Voloschenko Andrey

    2016-01-01

    Full Text Available The broad-group library BGL1000_B7 for neutron and gamma transport calculations in VVER-1000 internals, RPV and shielding was carried out on a base of fine-group library v7-200n47g from SCALE-6 system. The comparison of the library BGL1000_B7 with the library v7-200n47g and the library BGL1000 (the latter is using for VVER-1000 calculations is demonstrated on several calculation and experimental tests.

  1. Formation and evolution of dwarf early-type galaxies in the Virgo cluster I. Internal kinematics

    NARCIS (Netherlands)

    Toloba, E.; Boselli, A.; Cenarro, A. J.; Peletier, R. F.; Gorgas, J.; Gil de Paz, A.; Munoz-Mateos, J. C.

    We present new medium resolution kinematic data for a sample of 21 dwarf early-type galaxies (dEs) mainly in the Virgo cluster, obtained with the WHT and INT telescopes at the Roque de los Muchachos Observatory (La Palma, Spain). These data are used to study the origin of the dwarf elliptical galaxy

  2. New type of microengine using internal combustion of hydrogen and oxygen

    Science.gov (United States)

    Svetovoy, Vitaly B.; Sanders, Remco G. P.; Ma, Kechun; Elwenspoek, Miko C.

    2014-01-01

    Microsystems become part of everyday life but their application is restricted by lack of strong and fast motors (actuators) converting energy into motion. For example, widespread internal combustion engines cannot be scaled down because combustion reactions are quenched in a small space. Here we present an actuator with the dimensions 100 × 100 × 5 μm3 that is using internal combustion of hydrogen and oxygen as part of its working cycle. Water electrolysis driven by short voltage pulses creates an extra pressure of 0.5–4 bar for a time of 100–400 μs in a chamber closed by a flexible membrane. When the pulses are switched off this pressure is released even faster allowing production of mechanical work in short cycles. We provide arguments that this unexpectedly fast pressure decrease is due to spontaneous combustion of the gases in the chamber. This actuator is the first step to truly microscopic combustion engines. PMID:24599052

  3. New type of microengine using internal combustion of hydrogen and oxygen.

    Science.gov (United States)

    Svetovoy, Vitaly B; Sanders, Remco G P; Ma, Kechun; Elwenspoek, Miko C

    2014-03-06

    Microsystems become part of everyday life but their application is restricted by lack of strong and fast motors (actuators) converting energy into motion. For example, widespread internal combustion engines cannot be scaled down because combustion reactions are quenched in a small space. Here we present an actuator with the dimensions 100 × 100 × 5 μm(3) that is using internal combustion of hydrogen and oxygen as part of its working cycle. Water electrolysis driven by short voltage pulses creates an extra pressure of 0.5-4 bar for a time of 100-400 μs in a chamber closed by a flexible membrane. When the pulses are switched off this pressure is released even faster allowing production of mechanical work in short cycles. We provide arguments that this unexpectedly fast pressure decrease is due to spontaneous combustion of the gases in the chamber. This actuator is the first step to truly microscopic combustion engines.

  4. The prevalence of cam-type deformity of the hip joint: a survey of 4151 subjects of the Copenhagen Osteoarthritis Study

    DEFF Research Database (Denmark)

    Gosvig, K.K.; Jacobsen, S.; Sonne-Holm, S.

    2008-01-01

    . The relationships between cam malformation and self-reported hip pain were evaluated, and the relative importance of known risk factors for cam malformation estimated. RESULTS: We found a pronounced sex-related difference in cam-deformity distribution. The overall prevalence of cam deformity was approximately 17......BACKGROUND: Cam deformity is a preosteoarthritic malformation causing premature hip-joint degeneration. While the pathogenetic pathway from deformity to osteoarthrosis (OA) has been well established, almost nothing is known of the malformation's epidemiology. PURPOSE: To determine the distribution......% in men and 4% in women. The distribution of cam deformity was unaltered in subjects with normal joint-space width or other features of hip-joint degeneration. We found no significant association with self-reported hip pain, nor did we find any relative importance of possible risk factors for hip...

  5. Temporomandibular joint motion

    International Nuclear Information System (INIS)

    Maeda, M.; Kawamura, Y.; Matsuda, T.; Itou, S.; Odori, T.; Ishii, Y.; Torizuka, K.

    1990-01-01

    This paper evaluates MR imaging with the therapeutic effect after splint therapy in internal derangement of the temporomandibular joint (TMJ). Fifteen patients (19 TMJs) with internal derangement of the TMJ and five normal volunteers (10 TMJs) were examined with sagittal T1-weighted spin-echo and gradient recalled acquisition in a steady state (GRASS) MR imaging. MR studies of the patients undergoing splint therapy were performed with an without splints. Pseudodynamic images of TMJ motion provide information that was not available from spin-echo T1-weighted images

  6. En bloc resection of extra-peritoneal soft tissue neoplasms incorporating a type III internal hemipelvectomy: a novel approach

    Directory of Open Access Journals (Sweden)

    Reddy Sanjay S

    2012-10-01

    Full Text Available Abstract Background A type III hemipelvectomy has been utilized for the resection of tumors arising from the superior or inferior pubic rami. Methods In eight patients, we incorporated a type III internal hemipelvectomy to achieve an en bloc R0 resection for tumors extending through the obturator foramen or into the ischiorectal fossa. The pelvic ring was reconstructed utilizing marlex mesh. This allowed for pelvic stability and abdominal wall reconstruction with obliteration of the obturator space to prevent herniations. Results All eight patients had an R0 resection with an overall survival of 88% and with average follow up of 9.5 years. Functional evaluation utilizing the Enneking classification system, which evaluates motion, pain, stability and strength of the affected extremity, revealed a 62% excellent result and a 37% good result. No significant complications were associated with the operative procedure. Marlex mesh reconstruction provided pelvic stability and eliminated all hernial defects. Conclusion The superior and inferior pubic rami provide a barrier to a resection for tumors that arise in the extra-peritoneal pelvis extending through the obturator foramen or ischiorectal fossa. Incorporating a type III internal hemipelvectomy with a simple marlex mesh reconstruction allows for complete tumor resection without functional compromise, acute infectious issues, obturator or abdominal hernia defects.

  7. Prevalence of Celiac Disease in 52,721 Youth With Type 1 Diabetes: International Comparison Across Three Continents.

    Science.gov (United States)

    Craig, Maria E; Prinz, Nicole; Boyle, Claire T; Campbell, Fiona M; Jones, Timothy W; Hofer, Sabine E; Simmons, Jill H; Holman, Naomi; Tham, Elaine; Fröhlich-Reiterer, Elke; DuBose, Stephanie; Thornton, Helen; King, Bruce; Maahs, David M; Holl, Reinhard W; Warner, Justin T

    2017-08-01

    Celiac disease (CD) has a recognized association with type 1 diabetes. We examined international differences in CD prevalence and clinical characteristics of youth with coexisting type 1 diabetes and CD versus type 1 diabetes only. Data sources were as follows: the Prospective Diabetes Follow-up Registry (DPV) (Germany/Austria); the T1D Exchange Clinic Network (T1DX) (U.S.); the National Paediatric Diabetes Audit (NPDA) (U.K. [England/Wales]); and the Australasian Diabetes Data Network (ADDN) (Australia). The analysis included 52,721 youths 1-2 years in 18% of youths, >3-5 years in 23% of youths, and >5 years in 17% of youths. CD prevalence ranged from 1.9% in the T1DX to 7.7% in the ADDN and was higher in girls than boys (4.3% vs. 2.7%, P < 0.001). Children with coexisting CD were younger at diabetes diagnosis compared with those with type 1 diabetes only (5.4 vs. 7.0 years of age, P < 0.001) and fewer were nonwhite (15 vs. 18%, P < 0.001). Height SDS was lower in those with CD (0.36 vs. 0.48, adjusted P < 0.001) and fewer were overweight/obese (34 vs. 37%, adjusted P < 0.001), whereas mean HbA 1c values were comparable: 8.3 ± 1.5% (67 ± 17 mmol/mol) versus 8.4 ± 1.6% (68 ± 17 mmol/mol). CD is a common comorbidity in youth with type 1 diabetes. Differences in CD prevalence may reflect international variation in screening and diagnostic practices, and/or CD risk. Although glycemic control was not different, the lower height SDS supports close monitoring of growth and nutrition in this population. © 2017 by the American Diabetes Association.

  8. Joint imaging

    International Nuclear Information System (INIS)

    Hengst, W.

    1984-01-01

    Joint imaging is a proven diagnostic procedure which has become indispensable to the detection and treatment of different joint diseases in almost all disciplines. The method is suited for early diagnosis of joint affections both in soft tissue and bone which cannot be detected by X-ray or other procedures. The local activity accumulation depends on the rate of metabolism and is visualized in the scan, which in turn enables the extension and floridity of focal lesions to be evaluated and followed-up. Although joint scans may often give hints to probabilities relevant to differential diagnosis, the method is non-specific and only useful if based on the underlying clinical picture and X-ray finding, if possible. The radiation exposure is very low and does not represent a hazard in cases of adequate assessment of indication. In pregnant women and children the assessment of indication has to be based on very strict principles. The method is suited for out-patient diagnosis and can be applied in all installations equipped with a gamma camera and a technetium generator. (orig.) [de

  9. Joint purpose?

    DEFF Research Database (Denmark)

    Pristed Nielsen, Helene

    2013-01-01

    Starting from Crenshaw´s point that antiracism often fails to interrogate patriarchy and that feminism often reproduces racist practices (1991: 1252), this paper asks: What are the theoretical reasons for believing that feminism and anti-racism can be regarded as fighting for the joint purpose...

  10. Transpressional folding and associated cross-fold jointing controlling the geometry of post-orogenic vein-type W-Sn mineralization: examples from Minas da Panasqueira, Portugal

    Science.gov (United States)

    Jacques, Dominique; Vieira, Romeu; Muchez, Philippe; Sintubin, Manuel

    2018-02-01

    The world-class W-Sn Panasqueira deposit consists of an extensive, subhorizontal vein swarm, peripheral to a late-orogenic greisen cupola. The vein swarm consists of hundreds of co-planar quartz veins that are overlapping and connected laterally over large distances. Various segmentation structures, a local zigzag geometry, and the occurrence of straight propagation paths indicate that they exploited a regional joint system. A detailed orientation analysis of the systematic joints reveals a geometrical relationship with the subvertical F2 fold generation, reflecting late-Variscan transpression. The joints are consistently orthogonal to the steeply plunging S0-S2 intersection lineation, both on the regional and the outcrop scale, and are thus defined as cross-fold or ac-joints. The joint system developed during the waning stages of the Variscan orogeny, when already uplifted to an upper-crustal level. Veining reactivated these cross-fold joints under the conditions of hydraulic overpressures and low differential stress. The consistent subperpendicular orientation of the veins relative to the non-cylindrical F2 hinge lines, also when having an inclined attitude, demonstrates that veining did not occur during far-field horizontal compression. Vein orientation is determined by local stress states variable on a meter-scale but with the minimum principal stress consistently subparallel to fold hinge lines. The conspicuous subhorizontal attitude of the Panasqueira vein swarm is thus dictated by the geometry of late-orogenic folds, which developed synchronous with oroclinal buckling of the Ibero-Armorican arc.

  11. 9977 TYPE B PACKAGING INTERNAL DATA COLLECTION FEASIBILITY TESTING - MAGNETIC FIELD COMMUNICATIONS

    Energy Technology Data Exchange (ETDEWEB)

    Shull, D.

    2012-06-18

    The objective of this report is to document the findings from proof-of-concept testing performed by the Savannah River National Laboratory (SRNL) R&D Engineering and Visible Assets, Inc. for the DOE Packaging Certification Program (PCP) to determine if RuBee (IEEE 1902.1) tags and readers could be used to provide a communication link from within a drum-style DOE certified Type B radioactive materials packaging. A Model 9977 Type B Packaging was used to test the read/write capability and range performance of a RuBee tag and reader. Testing was performed with the RuBee tags placed in various locations inside the packaging including inside the drum on the outside of the lid of the containment vessel and also inside of the containment vessel. This report documents the test methods and results. A path forward will also be recommended.

  12. 9978 AND 9975 TYPE B PACKAGING INTERNAL DATA COLLECTION FEASIBILITY TESTING

    Energy Technology Data Exchange (ETDEWEB)

    Fogle, R.

    2012-05-07

    The objective of this report is to document the findings from a series of proof-of-concept tests performed by Savannah River National Laboratory (SRNL) R and D Engineering, for the DOE Packaging Certification Program to determine if a viable radio link could be established from within the stainless steel confines of several drum-style DOE certified Type B radioactive materials packagings. Two in-hand, off-the-shelf radio systems were tested. The first system was a Wi-Fi Librestream Onsight{trademark} camera with a Fortress ES820 Access Point and the second was the On-Ramp Wireless Ultra-Link Processing{trademark} (ULP) radio system. These radio systems were tested within the Model 9975 and 9978 Type B packagings at the SRNL. This report documents the test methods and results. A path forward will also be recommended.

  13. Temporomandibular joint examination reviewed

    Directory of Open Access Journals (Sweden)

    L. Guarda Nardini

    2011-09-01

    Full Text Available The temporo-mandibular joint (TMJ it’s a joint closely related to the skull base, the spine, and the jaws; all these anatomical structures must be taken in consideration when evaluating pain involving the tmj. In order to detect patients affected by pathology or dysfunctions of the tmj, physical examination is of great value in orienting the diagnosis. Inspection must consider the symmetry of the body, the dental status and the type of occlusion. Palpation is a way to assess contractiont involving the muscles of the masticatory system and of the neck. Auscultation, based on articular noise provides means to determine whether we are dealing with degeneration of the joint or a dislocation of the intrarticular disc. In order to confirm the diagnosis obtained with the clinical evaluation, it’s useful to perform imaging techniques as opt, tomography and TC of the tmj and electromyokineosiography – index of the mandibular functionality and of the muscles status. MRI and dynamic MRI are among the non invasive exams which give the greatest amount of information, regarding the disc position and the joint degeneration. Arthroscopy is an invasive technique that allows early diagnosis of degeneration and is helpful to reveal early inflammatory processes of the joint.

  14. 26 CFR 1.6015-1 - Relief from joint and several liability on a joint return.

    Science.gov (United States)

    2010-04-01

    ... they claim losses attributable to H's limited partnership interest in Partnership A. In January 2006... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Relief from joint and several liability on a... joint and several liability on a joint return. (a) In general. (1) An individual who qualifies and...

  15. [Ehlers Danlos type IV syndrome presenting with simultaneous dissection of both internal carotid and both vertebral arteries].

    Science.gov (United States)

    Mondon, K; de Toffol, B; Georgesco, G; Cassarini, J-F; Machet, M-C; Cottier, J-P; Arbeille, B; Autret, A

    2004-04-01

    Dissection of cervical arteries is a frequent cause of stroke in young subjects. We report the case of a 34-year-old patient who experienced simultaneous dissection of both internal carotid arteries and both vertebral arteries leading to repeated motor deficit of the right half-body associated with persistent otalgia. Search for an etiology led to the diagnosis of Ehlers-Danlos syndrome type IV. Search for the cause of cervical artery dissection must consider connective tIssue disease, particularly vascular forms of Ehler-Danlos syndrome. Diagnostic, therapeutic as well as prognostic aspects are discussed.

  16. Religiosity and prejudice: different patterns for two types of religious internalization.

    Science.gov (United States)

    Brambilla, Maria; Manzi, Claudia; Regalia, Camillo; Verkuyten, Maykel

    2013-01-01

    The literature on the relationship between religiosity and prejudice has shown inconsistent findings. We argue that it is necessary to distinguish between different types of religiosity and that its relationship with prejudice is mediated by different values. Results of two studies conducted in Italy show that identified religiosity and introjected religiosity predict different levels of prejudice toward Muslim immigrants. Moreover, the negative relationship between identified religiosity and prejudice was mediated by prosocial values, whereas valuing conformity mediated the positive relationship between introjected religiosity and prejudice. The results show that it is possible to better understand the relationship between religiosity and prejudice by disentangling the different ways of being religious.

  17. The International New Venture and other types of new ventures; what happens within the first 3 years?

    DEFF Research Database (Denmark)

    Rasmussen, Erik Stavnsager; Servais, Per

    2007-01-01

    We develop a typology of Danish Industrial firms in accordance with their internationalization regarding both sales and sourcing activities in combination with the geographical scope. The typology builds on a matrix with a theoretical number of nine types of firms but is limited to five types...... are highly active in sale and sourcing internationally. The difference is that the Born European firm primarily has its activities in Europe while the Born Global firm is active all over the world. A picture emerges that seems to suggest that Danish SMEs no longer follow the traditional incremental...... internationalization pattern but rather consider the world at large as a potential source for access to competitively priced input as well as sales. While some SMEs in some industries continue to focus heavily on the home market and remain born locals, others internationalize rapidly and often to geographically...

  18. On the effect of niobium on the properties of welded joints in the 2.25% Cr-1% Mo type steel with nickel and niobium additions

    International Nuclear Information System (INIS)

    Matusek, P.; Gladis, R.; Walder, V.

    The effects were studied of the chemical composition of the base material and of welding parameters on the properties of welded joints of steel 08Cr2.25Mo1NiNb for fast reactor steam generators. Welding was done using Boehler-Fox electrodes and electrodes developed in Czechoslovakia. Testing revealed that the welded joint hardened and embrittled depending on the content of free niobium. The occurrence of eutectic formation of a general composition of Nbsub(m)Xsub(n) and possible of the Fe 2 Nb phase was considered to be one of the possible unfavourable microstructural factor which affects the mechanical properties of the thermally affected zone. The effect of the cooling rate Δtausub(8/5), ie., the effect of welding technologies was also found to be a function of the free niobium content. The results of welded joint creep to the fracture showed that until the 2x10 4 fracture time no negative effect of the welding cycle on the welded joint refractoriness was found. (B.S.)

  19. FY1998 report on a survey related to joint utilization of welfare device development data using an international network; 1998 nendo kokusai network ni yoru fukushi kiki kaihatsu data no kyodo riyo ni kansuru chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    A survey was made in relation with joint utilization of welfare device development data using an international network. Developing welfare devices requires data from ergonomic and medical systems, while the cope of the objects is wide, and the kinds are various. For proliferation of welfare devices, system compatibility evaluation including that on using environment is important, including living environments that are different by countries. The present survey has identified how data for aged, handicapped and help-needing persons are accumulated and utilized in research organizations in America and Europe for both of the ergonomic and medical areas. The survey also investigated major academic societies in overseas countries, and collected database and academic network information that support the advanced research and development. At the same time, investigations were also made on organizations and corporations who are moving forward the efficient data utilization. Welfare device and service information providing systems in Japan were investigated to compare them with the trends in other countries. Conceptions and methods were compiled to utilize data internationally and jointly. Database models for device development were considered, and a proposal was made on structuring a research and development supporting database, and the operation method thereof. (NEDO)

  20. Internal Transcribed Spacer 1 (ITS1 based sequence typing reveals phylogenetically distinct Ascaris population

    Directory of Open Access Journals (Sweden)

    Koushik Das

    2015-01-01

    Full Text Available Taxonomic differentiation among morphologically identical Ascaris species is a debatable scientific issue in the context of Ascariasis epidemiology. To explain the disease epidemiology and also the taxonomic position of different Ascaris species, genome information of infecting strains from endemic areas throughout the world is certainly crucial. Ascaris population from human has been genetically characterized based on the widely used genetic marker, internal transcribed spacer1 (ITS1. Along with previously reported and prevalent genotype G1, 8 new sequence variants of ITS1 have been identified. Genotype G1 was significantly present among female patients aged between 10 to 15 years. Intragenic linkage disequilibrium (LD analysis at target locus within our study population has identified an incomplete LD value with potential recombination events. A separate cluster of Indian isolates with high bootstrap value indicate their distinct phylogenetic position in comparison to the global Ascaris population. Genetic shuffling through recombination could be a possible reason for high population diversity and frequent emergence of new sequence variants, identified in present and other previous studies. This study explores the genetic organization of Indian Ascaris population for the first time which certainly includes some fundamental information on the molecular epidemiology of Ascariasis.

  1. [Biomechanical study of internal midface distraction after different types of maxillary osteotomy in patients with cleft lip and palate].

    Science.gov (United States)

    Hou, Min; Shi, Guang-Yu; Pu, Li-Chen; Song, Da-Li; Zhang, Xi-Zhong; Liu, Chun-Ming

    2009-09-01

    To investigate the biomechanical changes of internal midface distraction after different types of maxillary osteotomy in patients with cleft lip and palate (CLP). 3-D finite element (FEM) analysis was used. 3-D models of Le Fort I, II, III osteotomy and soft tissue were established. Based on the new pattern of internal midface distractor, the distraction of maxillary complex was simulated to advance 10 mm anteriorly. The mechanical change was studied. The maxillary complex in CLP were advanced after distraction. Constriction of alveolar crest and palate occurred in Le Fort I osteotomy, but not in Le Fort II and III osteotomy. The maxillary complex was moved anteriorly en bloc after Le Fort III osteotomy, but some degree of rotation of maxillary complex was observed during the distraction after Le Fort I and II osteotomy. In vertical direction, the maxillary complex had more counterclockwise rotation after Le Fort II osteotomy. 3-D FEM analysis can be used for the study of internal distraction. It can reflect the maxillary movement and provide the theory basis for preoperative design.

  2. FY 1999 achievement report on the supporting project to form energy/environmental technology verification project - International joint verification research project. Development of the mean wind velocity prediction method and the related matters in developing countries; 1999 nendo hatten tojokoku ni oikeru heikin fusoku yosoku shuho nado no kaihatsu seika hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    Developing countries have no sufficient basic data for the analysis of meteorological conditions including wind characteristics, and there are problems in adopting simulation models there. Accordingly, the revision/development of simulation models were conducted, considering characteristics of models to predict wind characteristics from topographical/geographical aspects and widely meteorological aspect in Myanmar. At the same time, the mean wind velocity distribution chart for Myanmar was drawn up by observing wind characteristics domestically in Myanmar, by comparing the predicted results using the above-mentioned models and the measured data, and by verifying the simulation results. The items for development are as follows: (1) To make simulation models for wind characteristics in the whole Myanmar based on the information obtained from the meteorological observation system for prediction of the mean wind velocity. Also to verify the simulational results using the measured data on wind characteristics at specified points. (2) To conduct the developmental work under a research system jointly with the counterpart and to produce favorable results as an international joint research. (3) To acquire the basic data to find the relation between the photovoltaic power generation and wind characteristics for studying hybrid type power systems for renewable energy in the future. (NEDO)

  3. Fiscal 2000 project of inviting proposals for international joint research - invitation for international proposal (Energy conservation No.3). Achievement report on development of micro-scale boiling aided high efficiency heat removing device; 2000 nendo kokusai kyodo kenkyu teian kobo jigyo - kokusai teian kobo (shoe No.3). Micro scale boiling ni yoru kokoritsu honetsu device no kaihatsu seika hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    Studies are conducted about basic matters of heat transfer with boiling, such as critical heat flux intensification, prevention of dry-out, and the development of refrigerants suitable for use for heat transfer with boiling, for the purpose of developing boiling heat conduction type high-efficiency heat removing devices for use in electronics, and then heat removing devices usable as power devices in the future are experimentally designed. Activities are conducted in the three fields of (1) the study of basic micro-boiling technology, (2) development of micro-scale boiling element technology, and (3) international joint studies. Efforts are made to develop the technology of removing heat from ultrahigh heat fluxes using a micro-valve in field (1), to develop the technology of heat transfer by boiling in a micro-channel in field (2); and to develop the technology of critical heat flux intensification in a boiling heat exchanger in an electromagnetic field (3). In an effort to develop the technology of heat removal, a heat transfer plate is installed at the bottom of a path which is narrow, horizontal, and rectangular, and distilled water is allowed to flow and boil. Micro-bubble emission boiling occurs by a subcooling degree of 40K at an average flow rate of 0.5 m/s, and an ultrahigh heat flux of 2-7 times 10{sup 6} W/m{sup 2} is obtained. The value is 2-4 times as high as the current IC chip critical heat flux. (NEDO)

  4. Report for fiscal 1995 on simple operation type CAD/CAM system development through international cooperation. Research results; 1995 nendo 'kan'i sosagata denshi sekkei seisan shien system no kaihatsu ni kansuru kenkyu kyoryoku' ni kansuru hokokusho. Kenkyu seika

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    This 5-year project beginning in FY 1994 is aimed at joint researches with various Asian countries for development of simply operable electronic designs and manufacturing support systems, which supports development of supporting industries (SI) for manufacturing industries in these countries. The project is being implemented in a total of 5 countries, China, Indonesia, Malaysia, Singapore and Thailand, in cooperation with the research institutes with which NEDO has concluded the basic contracts. The following three working groups are established to study construction of the model systems and design these systems for promotion of the joint project in each country; (1) automobiles and their parts, (2) home electric/electronic appliances, and their parts, and (3) textiles and apparels. The FY 1995 project results are described. The working group (1) covers definitions of the business models and conditions for systematizing these models for the demonstration tests. The working group (2) covers development of the electronic catalogues, electronic yellow pages/preproto types, and concurrent engineering. The working group (3) covers the SGML sewing technique specification systems, surveys and utilization tests for network infrastructures, international EDI systems for the textile industry, and translation systems for technical terms of the textile industry. (NEDO)

  5. Report on the FY 1999 feasibility study for the international joint research in the Asian area. 6; 1999 nendo Asia chiiki kokusai kyodo kenkyu kanosei chosa hokokusho. 6

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    The paper surveyed the situation of the recent economic crisis, social circumstances, trends of energy policies, etc. in Asian countries. The energy consumption in Asian countries mainly including ASEAN countries and China is expected to show a large growth hereinafter together with a rapid economic growth on a long-term basis. Further, the harmony with the environmental problem has been requested. This problem is important also to Japan from a viewpoint of the regional response to the stabilized energy supply/environmental problems. The response to global environmental problems in these countries and the promotion of development/spread of new energy/energy conservation are strongly desired. For the spread of these technologies, it is effective to actually construct/operate/maintain plants under the joint research with Japan from viewpoints of personnel training, technology improvement, PR effects, etc. It is helpful also for Japan from the aspect of technology development such as data acquisition. It is necessary to accurately grasp the needs and technical levels of the other country in the case of carrying out the joint research. The survey was made about 7 countries including Thailand, Indonesia, Malaysia, the Philippines, India, China and Vietnam. (NEDO)

  6. Joint Operation Planning

    National Research Council Canada - National Science Library

    2006-01-01

    .... It sets forth joint doctrine to govern the joint operation planning activities and performance of the Armed Forces of the United States in joint operations, and provides the joint doctrinal basis...

  7. The arbitration clause of the American International Petroleum Negotiators - AIPN; A clausula compromissoria do modelo AIPN 2002 (American International Petroleum Negotiators) para 'joint operating agreement' a luz da legislacao brasileira

    Energy Technology Data Exchange (ETDEWEB)

    Caroli, Carla [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil)

    2008-07-01

    After the Brazilian Petroleum Act (Lei n. 9.478/97) was enacted and the monopoly over the conduct of E and P activities in Brazil was made flexible, in addition to PETROBRAS, other national and foreign companies could participate in such activities. This participation of different players is increasing, specially by the formation o joint ventures constituted in order to the parties to jointly explore and produce hydrocarbons. Under these new circumstances and considering that it is important to develop efficient contractual rules to discipline the E and P operations, the 2002 AIPN Model Form for Joint Operating Agreement has been often used in Brazil. However, the effectiveness of the arbitration clause provided therein must be analyzed under the applicable law to the contract. Besides, since the operations are to be conducted in Brazil, sometimes the Brazilian Law will apply or decisions rendered by an arbitral tribunal may have to be executed in Brazil. Therefore, this paper intends to analyze how the arbitration clause provided by the 2002 AIPN Model Form may be adapted to fit the Brazilian Law. (author)

  8. Expansion joints for LMFBR

    International Nuclear Information System (INIS)

    Dzenus, M.; Hundhausen, W.; Jansing, W.

    1980-01-01

    This discourse recounts efforts put into the SNR-2 project; specifically the development of compensation devices. The various prototypes of these compensation devices are described and the state of the development reviewed. Large Na (sodium)-heat transfer systems require a lot of valuable space if the component lay-out does not include compensation devices. So, in order to condense the spatial requirement as much as possible, expansion joints must be integrated into the pipe system. There are two basic types to suit the purpose: axial expansion joints and angular expansion joints. The expansion joints were developed on the basis of specific design criteria whereby differentiation is made between expansion joints of small and large nominal diameter. Expansion joints for installation in the sodium-filled primary piping are equipped with safety bellows in addition to the actual working bellows. Expansion joints must be designed and mounted in a manner to completely withstand seismic forces. The design must exclude any damage to the bellows during intermittent operations, that is, when sodium is drained the bellows' folds must be completely empty; otherwise residual solidified sodium could destroy the bellows when restarting. The expansion joints must be engineered on the basis of the following design data for the secondary system of the SNR project: working pressure: 16 bar; failure mode pressure: 5 events; failure mode: 5 sec., 28.5 bar, 520 deg. C; working temperature: 520 deg. C; temperature transients: 30 deg. C/sec.; service life: 200,000 h; number of load cycles: 10 4 ; material: 1.4948 or 1.4919; layer thickness of folds: 0.5 mm; angular deflection (DN 800): +3 deg. C or; axial expansion absorption (DN 600): ±80 mm; calculation: ASME class. The bellows' development work is not handled within this scope. The bellows are supplied by leading manufacturers, and warrant highest quality. Multiple bellows were selected on the basis of maximum elasticity - a property

  9. Radiographic evaluation of cervical spine of subjects with temporomandibular joint internal disorder Avaliação radiográfica da coluna cervical de indivíduos com distúrbios internos da articulação temporomandibular

    OpenAIRE

    Wagner Cesar Munhoz; Amélia Pasqual Marques; José Tadeu Tesseroli de Siqueira

    2004-01-01

    Although the etiopathophysiology of internal temporomandibular joint internal disorders (TMJ ID) is still unknown, it has been suggested that head and body posture could be related to its initial onset, development and perpetuation. The purpose of the present study was to observe the relationship between cervical spine X-ray abnormalities and TMJ ID. This investigation evaluated 30 subjects with internal TMJ disorder symptoms (test group) and 20 healthy subjects (control group). Subjects were...

  10. Conceptual approaches to international cooperation between higher education institutions

    Directory of Open Access Journals (Sweden)

    Tetiana Obolenska

    2016-12-01

    Full Text Available The existing conceptual and technological approaches to the organization and implementation of international cooperation between higher education institutions with the performance of international accreditation based on education quality system have been characterized in complex, considering the key trends of internationalization of higher education. Priority strategies of higher education internationalization and types of international academic cooperation between universities regarding education services were defined. It has been substantiated that the most important manifestation of higher education internationalization is international cooperation between universities regarding rendering education services, while the highest level of internationalization of this service is joint educational programs. A complex analysis of international accreditation requirements to joint education programs was made on the basis of the system of education quality improvement, its advantages were proven and its distinct features that influence the choice and substantiation of international cooperation, marketing and branding of individual programs were characterized. Technology of international accreditation for joint programs was detailed. Special attention was paid to the practical component of launching joint degree programs between Ukrainian and foreign higher education institutions. The experience of joint master’s degree programs of Kyiv National Economic University named after Vadym Hetman and the University of Redlands Business School (California, USA was analyzed.

  11. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era

    Directory of Open Access Journals (Sweden)

    Wang HF

    2015-03-01

    Full Text Available Hua-fen Wang,1 Jing-fen Jin,1 Xiu-qin Feng,1 Xin Huang,1 Ling-ling Zhu,2 Xiao-ying Zhao,3 Quan Zhou4 1Division of Nursing, 2Geriatric VIP Ward, Division of Nursing, 3Office of Quality Administration, 4Department of Pharmacy, the Second Affiliated Hospital of Zhejiang University, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China Background: Medication errors may occur during prescribing, transcribing, prescription auditing, preparing, dispensing, administration, and monitoring. Medication administration errors (MAEs are those that actually reach patients and remain a threat to patient safety. The Joint Commission International (JCI advocates medication error prevention, but experience in reducing MAEs during the period of before and after JCI accreditation has not been reported. Methods: An intervention study, aimed at reducing MAEs in hospitalized patients, was performed in the Second Affiliated Hospital of Zhejiang University, Hangzhou, People’s Republic of China, during the journey to JCI accreditation and in the post-JCI accreditation era (first half-year of 2011 to first half-year of 2014. Comprehensive interventions included organizational, information technology, educational, and process optimization-based measures. Data mining was performed on MAEs derived from a compulsory electronic reporting system. Results: The number of MAEs continuously decreased from 143 (first half-year of 2012 to 64 (first half-year of 2014, with a decrease in occurrence rate by 60.9% (0.338% versus 0.132%, P<0.05. The number of MAEs related to high-alert medications decreased from 32 (the second half-year of 2011 to 16 (the first half-year of 2014, with a decrease in occurrence rate by 57.9% (0.0787% versus 0.0331%, P<0.05. Omission was the top type of MAE during the first half-year of 2011 to the first half-year of 2014, with a decrease by 50% (40 cases versus 20 cases. Intravenous administration error was the

  12. Rapid Access to β-Trifluoromethyl-Substituted Ketones: Harnessing Inductive Effects in Wacker-Type Oxidations of Internal Alkenes

    KAUST Repository

    Lerch, Michael M.; Morandi, Bill; Wickens, Zachary K.; Grubbs, Robert H.

    2014-01-01

    We present a practical trifluoromethyl-directed Wacker-type oxidation of internal alkenes that enables rapid access to β-trifluoromethyl-substituted ketones. Allylic trifluoromethyl-substituted alkenes bearing a wide range of functional groups can be oxidized in high yield and regioselectivity. The distance dependence of the regioselectivity was established by systematic variation of the number of methylene units between the double bond and the trifluoromethyl group. The regioselectivity enforced by traditional directing groups could even be reversed by introduction of a competing trifluoromethyl group. Besides being a new powerful synthetic method to prepare fluorinated molecules, this work directly probes the role of inductive effects on nucleopalladation events. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  13. Rapid Access to β-Trifluoromethyl-Substituted Ketones: Harnessing Inductive Effects in Wacker-Type Oxidations of Internal Alkenes

    KAUST Repository

    Lerch, Michael M.

    2014-07-18

    We present a practical trifluoromethyl-directed Wacker-type oxidation of internal alkenes that enables rapid access to β-trifluoromethyl-substituted ketones. Allylic trifluoromethyl-substituted alkenes bearing a wide range of functional groups can be oxidized in high yield and regioselectivity. The distance dependence of the regioselectivity was established by systematic variation of the number of methylene units between the double bond and the trifluoromethyl group. The regioselectivity enforced by traditional directing groups could even be reversed by introduction of a competing trifluoromethyl group. Besides being a new powerful synthetic method to prepare fluorinated molecules, this work directly probes the role of inductive effects on nucleopalladation events. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  14. The joint in psoriatic arthritis.

    Science.gov (United States)

    Mortezavi, Mahta; Thiele, Ralph; Ritchlin, Christopher

    2015-01-01

    Psoriatic arthritis (PsA), a chronic inflammatory joint disease associated with psoriasis, is notable for diversity in disease presentation, course and response to treatment. Equally varied are the types of musculoskeletal involvement which include peripheral and axial joint disease, dactylitis and enthesitis. In this review, we focus on the psoriatic joint and discuss pathways that underlie synovial, cartilage and bone inflammation and highlight key histopathologic features. The pivotal inflammatory mechanisms and pathobiology of PsA parallel findings in other forms of spondyloarthritis but are distinct from disease pathways described in rheumatoid synovitis and bone disease. The diagnosis of PsA from both a clinical and imaging perspective is also discussed.

  15. Common Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Epitopes Mediate Multiple Routes for Internalization and Function

    Science.gov (United States)

    DeVay, Rachel M.; Yamamoto, Lynn; Shelton, David L.; Liang, Hong

    2015-01-01

    Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a soluble protein that directs membrane-bound receptors to lysosomes for degradation. In the most studied example of this, PCSK9 binding leads to the degradation of low density lipoprotein receptor (LDLR), significantly affecting circulating LDL-C levels. The mechanism mediating this degradation, however, is not completely understood. We show here that LDLR facilitates PCSK9 interactions with amyloid precursor like protein 2 (APLP2) at neutral pH leading to PCSK9 internalization, although direct binding between PCSK9 and LDLR is not required. Moreover, binding to APLP2 or LDLR is independently sufficient for PCSK9 endocytosis in hepatocytes, while LDL can compete with APLP2 for PCSK9 binding to indirectly mediate PCSK9 endocytosis. Finally, we show that APLP2 and LDLR are also required for the degradation of another PCSK9 target, APOER2, necessitating a general role for LDLR and APLP2 in PCSK9 function. Together, these findings provide evidence that PCSK9 has at least two endocytic epitopes that are utilized by a variety of internalization mechanisms and clarifies how PCSK9 may direct proteins to lysosomes. PMID:25905719

  16. Lipid and protein oxidation in the internal part of italian type salami containing basil essential oil (Ocimum basilicum L.

    Directory of Open Access Journals (Sweden)

    Alexandre José Cichoski

    2011-06-01

    Full Text Available Different concentrations of basil essential oil (Ocimum basilicum L. (0.19; 0.38; 0.75; 1.87; 3.75 and 6.00 mg.g-1 were evaluated in relation to their antioxidant activity using the DPPH● radical methodology. From the IC50 obtained data, the concentrations of 0.19; 0.38; 0.75; 1.87; 3.75; 6.00 and 12.00 mg.mL-1 were applied directly to the product and these were sensorially evaluated by the test of control difference. The concentrations related to the highest acceptability (0.19; 0.38 and 0.75 mg.g-1 were tested for antioxidant activity in the internal part of Italian type salami - during the processing and after 30 days of storage, in terms of lipid and protein oxidation. The oxidation of lipids was determined using the method of TBARS. The method of carbonyl compounds was employed for proteins oxidation. Five different formulations of salami were elaborated: blank (without the use of antioxidant; control (using sodium eritorbate as antioxidant; and adding 0.19; 0.38 and 0.75 mg.g-1 of basil essential oil. The product was kept between 25 ºC and 18 ºC and UR between 95% and 70%, for 28 days. Analyses were carried out on the processing day and after 2, 7, 14, 21 and 28 days, and also following 30 days of storage. The basil essential oil in vitro presented an antioxidant activity of IC50 12 mg.mL-1. In the internal part of the Italian type salami the commercial antioxidant (control and the formulation containing 0.75 mg.g-1 of basil essential oil presented antioxidant activity in relation to the lipids, but not to the proteins - during processing and storage.

  17. [Effectiveness comparison of suspension fixation plus hinged external fixator and double plate internal fixation in treatment of type C humeral intercondylar fractures].

    Science.gov (United States)

    Zhang, Jian; Lin, Xu; Zhong, Zeli; Wu, Chao; Tan, Lun

    2017-07-01

    To compare the effectiveness of suspension fixation plus hinged external fixator with double plate internal fixation in the treatment of type C humeral intercondylar fractures. Between January 2014 and April 2016, 30 patients with type C (Association for the Study of Internal Fixation, AO/ASIF) humeral intercondylar fractures were treated. Kirschner wire suspension fixation plus hinged external fixator was used in 14 cases (group A), and double plate internal fixation in 16 cases (group B). There was no significant difference in gender, age, injury cause, disease duration, injury side, and type of fracture between 2 groups ( P >0.05). There was no significant difference in operation time and hospitalization stay between 2 groups ( P >0.05). But the intraoperative blood loss in group A was significantly less than that in group B ( P internal fixation removal, the intraoperative blood loss, and VAS score at 1 day and 3 days after operation in group A were significant better than those in group B ( P external fixator and double plate internal fixation for the treatment of type C humeral intercondylar fractures have ideal outcome in elbow function. But the suspension fixation plus hinged external fixator is better than double plate internal fixation in intraoperative blood loss, postoperative VAS score, and time of internal fixation removal.

  18. Advocating vaccination of adults aged 60 years and older in Western Europe: statement by the Joint Vaccine Working Group of the European Union Geriatric Medicine Society and the International Association of Gerontology and Geriatrics-European Region.

    Science.gov (United States)

    Michel, Jean-Pierre; Chidiac, Christian; Grubeck-Loebenstein, Beatrix; Johnson, Robert W; Lambert, Paul Henri; Maggi, Stefania; Moulias, Robert; Nicholson, Karl; Werner, Hans

    2009-04-01

    Vaccines are an underused public health strategy for healthy aging. Considering the risks of vaccine-preventable diseases and the current low vaccine coverage rates in older European citizens, the two European geriatric and gerontological societies (European Union Geriatric Medicine Society [EUGMS] and International Association of Gerontology and Geriatrics-European Region [IAGG-ER]) convened a Joint Vaccine Working Group to develop a consensus document advocating routine vaccination of aging populations. The mandate of this Working Group was to improve the uptake of routine vaccinations in adults aged 60 years and over. The consensus statement underlines the need to establish, strengthen, and harmonize European policies that continue routine vaccinations to adulthood and that will include older populations. Improved vaccination rates will promote healthy aging by reducing the burden of vaccine-preventable infectious diseases in older populations, a population that is rapidly increasing in Europe.

  19. Joint Advisory Appeals Board

    CERN Multimedia

    2013-01-01

    The Joint Advisory Appeals Board has examined the internal appeal lodged by a former member of the personnel, a beneficiary of the CERN Pension Fund, against the calculation of his pension in the framework of the Progressive Retirement Programme.   The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the attention of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be available from 26 July to 11 August 2013 at the following link. HR Department Head Office

  20. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department

    2008-01-01

    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel against the decision to grant him only a periodic one-step advancement for the 2006 reference year. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the attention of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main building (bldg. 500) from 1 September to 14 September 2008. Human Resources Department (73911)

  1. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department

    2007-01-01

    The Joint Advisory Appeals Board was convened to examine an internal appeal lodged by a member of the personnel with regard to the decision not to grant him an indefinite contract. The person concerned has requested that the report of the Board and the final decision of the Director-General be brought to the notice of the members of the personnel, in accordance with Article R VI 1.18 of the Staff Regulations. The relevant documents will therefore be posted on the notice board of the Main building (Bldg. 60) from 24 September to 7 October 2007. Human Resources Department

  2. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department

    2008-01-01

    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel with regard to the decision not to award him a periodic one-step advancement for the 2006 reference year. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the notice of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main building (Bldg. 500) from 17 March to 30 March 2008. Human Resources Department Tel. 73911

  3. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department

    2008-01-01

    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel against the decision to grant him only a periodic one-step advancement for the 2006 reference year. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the attention of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main Building (Bldg. 500) from 1 September to 14 September 2008. Human Resources Department (73911)

  4. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department

    2008-01-01

    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel with regard to the decision not to grant him an indefinite contract. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the notice of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main Building (Bldg. 500) from 26 May to 6 June 2008. Human Resources Department (73911)

  5. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department

    2008-01-01

    The Joint Advisory Appeals Board was convened to examine an internal appeal lodged by a member of the personnel with regard to the decision not to grant him an indefinite contract. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the notice of the members of the personnel, in accordance with Article R VI 1.18 of the Staff Regulations. These documents will therefore be posted on the notice board of the Main Building (Bldg. 60) from 21 January to 3 February 2008. Human Resources Department (73911)

  6. Announcement of recommendations of the Reaktor-Sicherheitskommission. As of 24 July 1997. Joint recommendations of RSK and GPR for safety requirements of future nuclear PWR-type power plants. English versions published in the years 1995 through 1997

    International Nuclear Information System (INIS)

    1997-01-01

    The recommendations, most parts given in English, refer to the European Pressurized Water Reactor (EPR) and have been established by the German RSK (reactor safety commission), the corresponding French organization GPR and the German SSK (radiation protection commission). This publication continues earlier joint recommendations by the national bodies, last published by the German BMU (responsible German ministry) on 5 May 1995, in BAnz. page 7452. The safety recommendations establish the basis for further activities in the Franco-German project for development of the EPR, a PWR type reactor of the next generation. (CB) [de

  7. "We Are a Chinese School": Constructing School Identity from the Lived Experiences of Expatriate and Chinese Teaching Faculty in a Type C International School in Shanghai, China

    Science.gov (United States)

    Poole, Adam

    2018-01-01

    This study explores school identity by analysing the perceptions of Chinese and expatriate teachers in a Type C, non-traditional international school in Shanghai, China. The purpose of this study was to build on Hayden's (2016) work by offering a detailed description of this type of school which continues to be under researched. A mixed-methods…

  8. Periprosthetic joint infection: are patients with multiple prosthetic joints at risk?

    Science.gov (United States)

    Jafari, S Mehdi; Casper, David S; Restrepo, Camilo; Zmistowski, Benjamin; Parvizi, Javad; Sharkey, Peter F

    2012-06-01

    Patients who present with a periprosthetic joint infection in a single joint may have multiple prosthetic joints. The risk of these patients developing a subsequent infection in another prosthetic joint is unknown. Our purposes were (1) to identify the risk of developing a subsequent infection in another prosthetic joint and (2) to describe the time span and organism profile to the second prosthetic infection. We retrospectively identified 55 patients with periprosthetic joint infection who had another prosthetic joint in place at the time of presentation. Of the 55 patients, 11 (20%) developed a periprosthetic joint infection in a second joint. The type of organism was the same as the first infection in 4 (36%) of 11 patients. The time to developing a second infection averaged 2.0 years (range, 0-6.9 years). Copyright © 2012 Elsevier Inc. All rights reserved.

  9. Fiscal 1999 report on international joint research project on global environmental technology; 1999 nendo chikyu kankyo gijutsu kokusai kyodo kenkyu jigyo hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    As part of the above-named effort, Japanese researchers were dispatched to overseas universities and laboratories for implementing joint researches into 11 subjects selected by the NEDO (New Energy and Industrial Technology Development Organization) screening committee. When the feedback of fruits of the researches to NEDO projects is taken into account, it may be said that the accomplishments, attained relative to the development of processes for the practical application of environmentally-friendly biomass energy and measures for promoting its adoption, will contribute to the completion of an environmentally-friendly energy production process, excellent in CO2 emissions reduction, in which biomass will be the raw material. In relation to the technology of installing pipes for CO2 discharge into the ocean, some of the dispatched researchers had an opportunity of studying technological problems not deal with under NEDO research and development projects. In the study of organized structures of low-purity CO2 bubble groups, a great contribution was made to the promotion of the NEDO-implemented project of evaluating the impact of CO2 storage in the ocean upon environments. The development of remedial technologies for Microcystis aeruginosa-invaded lakes by introducing environmental engineering assumes a very important position in the endeavors for environmental improvement in developing nations in the Asia-Pacific region. (NEDO)

  10. Fiscal 1997 report on a feasibility study of international joint researches in the Asian region; 1997 nendo chosa hokokusho (Asia chiiki kokusai kyodo kenkyu kanosei chosa (4)hokokusho)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    It is thought that the energy consumption in Asian countries with ASEAN and China as center will a marked growth also in future together with a rapid economic growth, but harmony with environmental problems and economic growth is being taken as a serious problem. This is an important issue also to Japan from viewpoints of secure energy supply and regional response to the environmental issue. Accordingly, strongly desired is positive response to global environmental issues and promotion in development/spread of new energy/energy conservation in these countries. For the spread of the technologies, actual construction/operation of plants by joint researches with Japan are effective from aspects of personnel raising, technical improvement, PR effects, etc. This is also helpful for Japan in terms of technological development because Japan can also get the unobtainable data from the operation under appropriate conditions. This is a report on the studies of the trends of global environmental problems in Thailand, Indonesia, Malaysia, the Philippines, India and China. 3 figs., 72 tabs.

  11. FY 2000 survey report on possibilities of the international joint study in the Asian region; 2000 nendo Asia chiiki kokusai kyodo kenkyu kanosei chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    Study was conducted of policies on energy spread, trends of energy development, etc. in energy conservation and substitution energy fields after the economic crisis in Asian countries, and the results were summed up. In Thailand, it is expected that the effective use of solar energy can be an effective means as a substitution energy. Further, the energy conservation by demand-side management, etc. is to be urgently taken. Indonesia is abundant in energy resources and does not take energy conservation measures very much. As to petroleum substituting energy, it is expected that the diversified use of coal, natural gas, hydroelectric power, geothermal energy, etc. will be advanced. In Malaysia, a policy in which energy is dispersed to natural gas, hydroelectric power and coal is being taken for reduction of the dependence upon petroleum. In India, joint projects with developed countries are proceeded with in the fields of electric power, energy conservation and renewable energy. In China, the policy for advancing new energy utilization is being taken that the thermal power generation is optimized, hydroelectric power generation is positively adopted, and nuclear power generation is moderately used, according to characteristics in the region. (NEDO)

  12. Improved clean development mechanism and joint implementation to promote holistic sustainable development - an integrated policy and methodology for international energy collaboration

    Energy Technology Data Exchange (ETDEWEB)

    Kua Harn Wei

    2007-07-01

    The current Clean Development Mechanism/Joint Implementation framework does not emphasize on wholistic sustainability of energy projects. The Golden Standard was a good example of how this framework can be fine-tuned. However, it does not explicitly incentivize the adoption of the sustainability standards it outlines. A 4-element integrated policy strategy is proposed. A Sustainability Assessment Matrix is constructed to evaluate project proposals' sustainability performance. The Probational Sustainability Performance Demand requires continual monitoring of this performance of approved projects throughout a designated probation period. The involved countries will be awarded Sustainability Credits (measured with the matrix) in installments according to their performance within this period. The Probational Emission Reduction Demand requires investing countries to meet moderated emission reduction targets in order for them to claim the certified emission reductions/ emission reduction credits and their share of Sustainability Credits. These credits are converted into Sustainability Assistance Funds, which can be channeled back to finance either the approved projects or independent renewable energy projects in the involved countries. The MIT Energy Cost Model is used to estimate the required amount and identify the forms of such assistance package. Finally, an integrated policymaking framework is suggested to execute and monitor these interconnected policy elements. (auth)

  13. Public-private re-alignments: the role of structural economic transformations in spurring the joint international engagement of agribusiness and the Brazilian State

    Directory of Open Access Journals (Sweden)

    Niels Søndergaard

    2016-07-01

    Full Text Available The article focuses upon how changes in global agricultural markets and the transformation of the Brazilian economic model from the 1990s have redefined relations between the state and agribusiness, and affected the country´s international strategy. The central objective is to evaluate the causal impact of structural factors at the global and the national level upon the dispositions and preferences of the group of actors examined. Public-private cooperation is analyzed through institutionalist IPE and liberal IR theory, in combination with a neopluralist perspective. The article concludes that changes in global food markets and the economic liberalizations of the 1990s have spurred an export-oriented consensus between the agricultural sector and the state, with strong repercussions withi