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Sample records for undernutrition intensifies infection

  1. Undernutrition

    Science.gov (United States)

    ... for calories. Undernutrition is often obvious: People are underweight, bones often protrude, their skin is dry and ... 000 calories a day—not enough for adequate nutrition. As many as half of older people in ...

  2. Intensified tuberculosis case finding among hiv-infected individuals

    African Journals Online (AJOL)

    2011-10-02

    Oct 2, 2011 ... Intensified tuberculosis case finding among hiv-infected individuals. The HIV-TB co-epidemic requires increased surveillance and case finding. K Kranzer, MB BS, MD, MSc, MSc, MRCP. Honorary Clinical Lecturer, Faculty of Infectious Diseases, Department of Clinical Research, London School of Hygiene ...

  3. Polyparasite helminth infections and their association to anaemia and undernutrition in Northern Rwanda.

    Directory of Open Access Journals (Sweden)

    Denise Mupfasoni

    Full Text Available BACKGROUND: Intestinal schistosomiasis and soil-transmitted helminth (STH infections constitute major public health problems in many parts of sub-Saharan Africa. In this study we examined the functional significance of such polyparasite infections in anemia and undernutrition in Rwandan individuals. METHODS: Three polyparasite infection profiles were defined, in addition to a reference profile that consisted of either no infections or low-intensity infection with only one of the focal parasite species. Logistic regression models were applied to data of 1,605 individuals from 6 schools in 2 districts of the Northern Province before chemotherapeutic treatment in order to correctly identify individuals who were at higher odds of being anaemic and/or undernourished. FINDINGS: Stunted relative to nonstunted, and males compared to females, were found to be at higher odds of being anaemic independently of polyparasite infection profile. The odds of being wasted were 2-fold greater for children with concurrent infection of at least 2 parasites at M+ intensity compared to those children with the reference profile. Males compared to females and anaemic compared to nonanaemic children were significantly more likely to be stunted. None of the three polyparasite infection profiles were found to have significant effects on stunting. CONCLUSION: The present data suggest that the levels of polyparasitism, and infection intensities in the Rwandan individuals examined here may be lower as compared to other recent similar epidemiological studies in different regions across sub-Saharan Africa. Neither the odds of anaemia nor the odds of stunting were found to be significantly different in the three-polyparasite infection profiles. However, the odds of wasting were higher in those children with at least two parasites at M+ intensity compared to those children with the reference profile. Nevertheless, despite the low morbidity levels indicated in the population under

  4. Intensified microbiological investigations in adult patients admitted to hospital with lower respiratory tract infections

    DEFF Research Database (Denmark)

    Korsgaard, Jens; Rasmussen, TR; Sommer, T

    2002-01-01

    The objective of this study was to investigate the diagnostic yield of a programme with intensified microbiological investigations in immunocompetent adult patients with lower respiratory tract infections (LRTI). Patients in the study group were included prospectively and consecutively from...... of a microbiological aetiology from 37% with no infiltrates to 62% with infiltrates and recent antibiotic therapy reduced the detection of a microbiological cause of infection from 61% in 36 patients who had not received antibiotic therapy to 39% in 31 patients who had received recent antibiotic therapy prior...... to microbiological sampling. Patients in the study group with known aetiology had higher values of inflammatory markers than patients with unknown aetiology. For Streptococcus pneumoniae infection culture and urine antigen detection were complimentary depending on recent antibiotic therapy since seven of eight...

  5. Prevalence and intensity of Ascaris lumbricoides infections in relation to undernutrition among children in a tea plantation community, Sri Lanka: a cross-sectional study.

    Science.gov (United States)

    Galgamuwa, Lahiru Sandaruwan; Iddawela, Devika; Dharmaratne, Samath D

    2018-01-25

    Ascaris lumbricoides infections are one of the commonnest intestinal nematode infections in the world, with a profound negative effect on nutritional status among underprivileged populations. In Sri Lanka, Ascaris infections and low nutritional status still persist in the plantation sector. However, research regarding the association between Ascaris infections and nutritional status is scarce. The main purpose of this study was to determine the association between Ascaris infections and physical growth among children in a plantation sector in Sri Lanka. A cross sectional study was conducted among 489 children aged between 1 and 12 years ina plantation sector, Sri Lanka, from January to April 2013. Anthropometric measurements were collected to assess height-for-age (HAZ), weight-for-age (WAZ) and weight-for-height (WHZ) to determine stunting, underweight and wasting respectively. Data on socio-demographic and antihelminthic treatment were ascertained using an interviewer administrated structured questionnaire. Stool samples were subjected to wet mount preparation followed byformaldehyde-ether sedimentation technique to diagnose Ascaris infection and a Kato Katz technique was performed to determine the eggs intensity. AnthroPlus, EpiInfo and SPSS software was used to analyze data. Of the study sample, 38.4% showed Ascaris lumbricoides infections. Light intensity infections (51%) were common in the infected children, followed by moderate (30%) and heavy (19%) infections. Prevalence of Ascaris infections was significantly associated with de-worming more than six months prior to the study. Prevalence of undernutrition among children was 61.7%. Forty-five per cent were underweight, while 24.1% and 21.5% of children were stunted and wasted respectively. However, no significant association was found between Ascaris infections status and undernutrition. Meanwhile, heavy intensity infections were associated with decreased values of WHZ (p = 0.020). Ascaris infections

  6. SIgA response and incidence of upper respiratory tract infections during intensified training in youth basketball players.

    Science.gov (United States)

    Moraes, H; Aoki, M S; Freitas, C G; Arruda, Afs; Drago, G; Moreira, A

    2017-03-01

    The aim of the present study was to examine the effect of an intensified training phase followed by a tapering phase on the salivary immunoglobulin A concentration and on the upper respiratory tract infection (URTI) symptoms in young male basketball players. The session rating of perceived exertion method was used to quantify the internal training load, and the Wisconsin Upper Respiratory Symptom Survey-21 questionnaire was used to assess URTI symptoms. The Yo-Yo IR1 test and saliva collection were carried out at the beginning of the study (T1), after the intensified phase (T2), and after tapering (T3). A higher internal training load was observed for the intensified phase compared with the tapering phase (t=19.10; ptraining load followed by a tapering period negatively affects the mucosal immune function with no significant change in severity of URTI in young basketball players.

  7. SIgA response and incidence of upper respiratory tract infections during intensified training in youth basketball players

    Directory of Open Access Journals (Sweden)

    H Moraes

    2016-12-01

    Full Text Available The aim of the present study was to examine the effect of an intensified training phase followed by a tapering phase on the salivary immunoglobulin A concentration and on the upper respiratory tract infection (URTI symptoms in young male basketball players. The session rating of perceived exertion method was used to quantify the internal training load, and the Wisconsin Upper Respiratory Symptom Survey-21 questionnaire was used to assess URTI symptoms. The Yo-Yo IR1 test and saliva collection were carried out at the beginning of the study (T1, after the intensified phase (T2, and after tapering (T3. A higher internal training load was observed for the intensified phase compared with the tapering phase (t=19.10; p<0.001, and a significant decrease in salivary immunoglobulin A concentration was detected (F=7.48; p=0.004 at T3 compared to T1 (p=0.02 and T2 (p=0.05. However, there was no significant difference between phases for severity of URTI (χ2= 2.83; p=0.242. The Yo-Yo IR1 test performance increased from T2 and T3 compared to T1 (F=58.24; p<0.001. There was no significant effect of aerobic fitness level on salivary immunoglobulin A response (F=1.095; p=0.344. In summary, the present findings suggest that an intensified training load followed by a tapering period negatively affects the mucosal immune function with no significant change in severity of URTI in young basketball players.

  8. Sensitive Index to Assess Risk of Morbidity in Undernutrition | IDRC ...

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

    Most of the studies exploring the association between undernutrition and infection have used weight for age as the index of assessment. ... Journal articles. Assessment of nutritional status in Indian preschool children using WHO 2006 Growth Standards. Download PDF. Reports. Sensitive index to assess risk of morbidity in ...

  9. Nitride image intensifiers

    Science.gov (United States)

    Glesener, J. W.; Dabiran, A. M.; Estrera, J. P.

    2009-05-01

    Nitride based photocathodes for image intensifiers are of interest because of the wide span of wavelengths covered by the bandgap of the AlGaInN alloy system. The potential bandgap range for this alloy system is from 6.2 eV for AlN to 0.7 eV for InN. Coupled with microchannel plate technology, this alloy system potentially offers low noise and high gain image intensifiers over a wide wavelength range. Results from L-3 EOS work in this area are presented beginning with a brief summary of unpublished early work carried out from 1992 - 1997 on AlGaN image intensifiers. The early work wrestled with the dual issues of sealing image intensifiers along with improving the quality of the AlGaN epitaxy layer. This is followed by our current results on a GaN image intensifier sealed with a photocathode from SVTA. Imagery using 375nm LED illumination is shown. The quantum efficiency at 300nm was estimated to be 16% measured in transmission mode. This QE was achieved with a 0.15μm thick Mg doped GaN active layer.

  10. Undernutrition in ART-naïve Nigerian children

    Directory of Open Access Journals (Sweden)

    Shantakumari N

    2015-07-01

    Full Text Available Nisha Shantakumari,1 Lisha Jenny John,2 Jayadevan Sreedharan31Department of Physiology, 2Department of Pharmacology, 3Statistical Support Facility, Centre for Advanced Biomedical Research and Innovation, Gulf Medical University, Ajman, United Arab EmiratesThis letter is a response to the recent paper by Anigilaje and Olutola entitled "Prevalence and risk factors of undernutrition among antiretroviral-therapy-naïve subjects aged under 5 years old in Makurdi, Nigeria: a retrospective study", published in the International Journal of General Medicine.1 The relevance and importance of any sound research on undernutrition in HIV-infected children is high, and we strongly support publication of papers on this topic. However, while we appreciate the health awareness that could be generated by this paper, we have some concerns regarding this study.View the original paper by Anigilaje and Olutola.

  11. Fluoroscopy without image intensifier

    International Nuclear Information System (INIS)

    Canevaro, L.; Drexler, G.

    2001-01-01

    The objective of the present work was to evaluate the doses received by patients during fluoroscopy procedures carried out with an equipment without image intensifier. This evaluation is providing dose levels that our patients are presently exposed, and gives the data for epidemiological studies on risk estimate of cancer induction in patients exposed earlier when no image intensifiers existed. Diamentor M4 and E meters were used to measure the product dose-area (DAP). The data were acquired during barium enema, barium meal, barium swallow and histerosalpingographies. The measured values of DAP are considered high. This work intends to call the attention toward the optimization of the radiological protection in facilities that still use equipment without image intensifiers. While this equipment cannot be disabled, the patient exposure monitoring should be an incentive, and the application of radiological protection practices and programs of quality assurance should be of priority. (author)

  12. Undernutrition

    Science.gov (United States)

    ... The term is derived from an African word meaning “first child–second child” because a first-born ... Drugs Mentioned In This Article Generic Name Select Brand Names megestrol MEGACE cisplatin PLATINOL dronabinol MARINOL testosterone ...

  13. Undernutrition

    African Journals Online (AJOL)

    Briend A. Home-based therapy for severe malnutri- tion with ready—to-use food. Arch Dis Child, 2004. 89(6):557—61. Lutter CK. Mora]O, Habicht ]-P, Rasmussen KM,. Robson DS, and Guillermo Herrera M (1990): Age. specific responsiveness of weight and length to nu- tritional supplementation. Am] Clin Nutr 51:359-. 64.

  14. Magnifying image intensifier

    Science.gov (United States)

    Vine, J. (Inventor)

    1978-01-01

    A magnetically focused image intensifier was improved to increase the usable range of magnification without degradation of image quality. The power requirements of the focusing coils are minimal. The arrangement of the focusing coils reverses the direction of the axial magnetic field distribution between the planes of the photocathode and the phosphor screen.

  15. Neutron image intensifier tubes

    International Nuclear Information System (INIS)

    Verat, M.; Rougeot, H.; Driard, B.

    1983-01-01

    The most frequently used techniques in neutron radiography employ a neutron converter consisting of either a scintillator or a thin metal sheet. The radiation created by the neutrons exposes a photographic film that is in contact with the converter: in the direct method, the film is exposed during the time that the object is irradiated with neutrons; in the transfer method, the film is exposed after the irradiation of the object with neutrons. In industrial non-destructive testing, when many identical objects have to be checked, these techniques have several disadvantages. Non-destructive testing systems without these disadvantages can be constructed around neutron-image intensifier tubes. A description and the operating characteristics of neutron-image intensifier tubes are given. (Auth.)

  16. Radiographic intensifying screens

    International Nuclear Information System (INIS)

    Van Landeghem, W.K.; Suys, A.R.

    1979-01-01

    A fluorescent x-ray image intensifying screen is described which comprises discrete particles of fluorescent material dispersed in a binder layer. Intensifying screens are employed to increase the exposure of a photosensitive plate or film without increasing the x-ray exposure dose when struck by x-rays. The screen has an outermost layer containing solid particulate material protruding from a coherent film-forming organic binder medium and having a static friction coefficient at room temperature not higher than 0.50 on steel. The outermost layer may be characterized by micro-unevennesses of at least 3 μm and at least 9 protruding particles per 0.35 sq. cm. These particles have a static friction coefficient less than 0.3 and are made of a solid polystyrene, polyaklylene and/or a solid organic fluorinated polymer. (JTA)

  17. Tackling community undernutrition at Lake Bogoria, Kenya: The ...

    African Journals Online (AJOL)

    Undernutrition remains a major public health concern for many developing nations, particularly in sub-Saharan Africa. In Kenya, undernutrition affects a substantial portion of the Kenyan population, especially children and those living in rural areas. Local and sustainable means of addressing undernutrition is still lacking in ...

  18. Small area estimation of child undernutrition in Ethiopian woredas

    DEFF Research Database (Denmark)

    Sohnesen, Thomas Pave; Ambel, Alemayehu Azeze; Fisker, Peter Kielberg

    2017-01-01

    Reducing child undernutrition is a key social policy objective of the Ethiopian government. Despite substantial reduction over the last decade and a half, child undernutrition is still high; with 48 percent of children either stunted, underweight or wasted, undernutrition remains an important child...

  19. Determinants of undernutrition among primary school children ...

    African Journals Online (AJOL)

    2012-07-03

    Jul 3, 2012 ... focused mainly on preschoolers who are presumed more vulnerable.[10,11] However, interventions on school-aged children could supplement efforts in the preschool years. Determinants of undernutrition ..... socioeconomic inequality in childhood malnutrition: The case of Nigeria. Int. J Equity Health 2009 ...

  20. Gut Microbiota in Obesity and Undernutrition

    NARCIS (Netherlands)

    de Clercq, Nicolien C.; Groen, Albert K.; Romijn, Johannes A.; Nieuwdorp, Max

    2016-01-01

    Malnutrition is the result of an inadequate balance between energy intake and energy expenditure that ultimately leads to either obesity or undernutrition. Several factors are associated with the onset and preservation of malnutrition. One of these factors is the gut microbiota, which has been

  1. The European View of Hospital Undernutrition

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Balknäs, Ulla N.; Camilo, Maria E.

    2003-01-01

    Disease-related undernutrition is significant in European hospitals but is seldom treated or prevented. In 1999, the Council of Europe decided to collect information regarding nutrition programs in hospitals, and for this purpose, a network consisting of national experts from 12 of the Partial Ag...

  2. Adult Undernutrition in Rural Post-conflict Northern Uganda

    DEFF Research Database (Denmark)

    Schramm, Stine; Sodemann, Morten

    2017-01-01

    -conflict areas, such as substance use, and disruption of traditional values and norms will be discussed. The high prevalence of undernutrition among men may be a result of a “syndemic” interaction between mental illness, HIV, substance abuse, and undernutrition itself, which further interacts with the social......This chapter outlines the prevalence and high-risk groups for adult undernutrition and discusses the social, behavioral, and structural mechanisms that can lead to food insecurity and undernutrition in a post-conflict setting like northern Uganda. In summary, adult undernutrition is higher...... in the post-conflict area of Uganda compared to areas that did not experience the war. Undernutrition varies by gender and age groups, higher among men than women, with young men and elderly being most likely to be underweight. Social and behavioral risk factors for undernutrition specific to post...

  3. Small area estimation of child undernutrition in Ethiopian woredas

    DEFF Research Database (Denmark)

    Sohnesen, Thomas Pave; Ambel, Alemayehu Azeze; Fisker, Peter Kielberg

    2017-01-01

    Reducing child undernutrition is a key social policy objective of the Ethiopian government. Despite substantial reduction over the last decade and a half, child undernutrition is still high; with 48 percent of children either stunted, underweight or wasted, undernutrition remains an important child....... The estimates are small area estimations based on the 2014 Demographic and Health Survey and the latest population census. It is shown that small area estimations are powerful predictors of undernutrition, even compared to household characteristics, such as wealth and education, and hence a valuable targeting...

  4. Intensifying screens in transaxial tomography

    International Nuclear Information System (INIS)

    Debelder, M.H.; Bollen, R.H.

    1981-01-01

    This patent claim by Agfa-Gevaert relates to a method for the production of transaxial tomographs, a combination of materials therefor and X-ray intensifying screens incorporating at least one reflecting element for use in transaxial tomography, wherein the exposure of a photographic silver halide emulsion material proceeds at an angle within the range of 2 0 to 10 0 in conjunction with an X-ray fluorescent intensifying screen including an ultra-violet and/or visible radiation reflective coating or sheet to increase the radiation output of the screen and to reduce the exposure time and radiation dose e.g. in medical X-ray applications. (author)

  5. The European View of Hospital Undernutrition

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Balknäs, Ulla N.; Camilo, Maria E.

    2003-01-01

    of clearly defined responsibilities, 2) lack of sufficient education, 3) lack of influence and knowledge of the patients, 4) lack of cooperation between different staff groups, and 5) lack of involvement from the hospital management. To solve the problems highlighted, a combined timely and concerted effort...... is required from national authorities and hospital staff, including managers, to ensure appropriate nutritional care and support.......Disease-related undernutrition is significant in European hospitals but is seldom treated or prevented. In 1999, the Council of Europe decided to collect information regarding nutrition programs in hospitals, and for this purpose, a network consisting of national experts from 12 of the Partial...

  6. Undernutrition of orphans and vulnerable children: a comparison of ...

    African Journals Online (AJOL)

    Undernutrition of orphans and vulnerable children: a comparison of cash transfer beneficiaries and non beneficiaries in korogocho slums, Nairobi. ... undernutrition was significantly (p<0.05) associated with number of household members, number of children 6-59 months in the household and income spent on food.

  7. Factors associated with undernutrition and overweight in elderly ...

    African Journals Online (AJOL)

    Background: Undernutrition and overweight are commonly overlooked health problems of the elderly, often due to the implicit assumption that undernutrition is a rare occurrence in old age and overweight is an invariable consequence of ageing. Method: A cross-sectional descriptive study of 500 patients aged 60 years and ...

  8. Undernutrition and associated factors in a Portuguese older adult community

    Directory of Open Access Journals (Sweden)

    Ana Luísa Moreira dos Santos

    2015-06-01

    Full Text Available OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6; being institutionalized (OR=12.6; 95%CI=1.7-90.5; or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1 were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

  9. The European View of Hospital Undernutrition

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Balknäs, Ulla N.; Camilo, Maria E.

    2003-01-01

    Disease-related undernutrition is significant in European hospitals but is seldom treated or prevented. In 1999, the Council of Europe decided to collect information regarding nutrition programs in hospitals, and for this purpose, a network consisting of national experts from 12 of the Partial...... Agreement member states was established. The aim was to review the current practices in Europe regarding hospital food provision, to highlight deficiencies, and to issue recommendations to improve the nutritional care and support of hospitalized patients. Five major common problems were identified: 1) lack...... of clearly defined responsibilities, 2) lack of sufficient education, 3) lack of influence and knowledge of the patients, 4) lack of cooperation between different staff groups, and 5) lack of involvement from the hospital management. To solve the problems highlighted, a combined timely and concerted effort...

  10. X-ray intensifying screens

    International Nuclear Information System (INIS)

    Bossomaier, T.R.J.; Sangway, P.C.

    1979-01-01

    It is claimed that stabilization of X-ray intensifying screens against discolouration and hydrolysis of lanthanum or gadolinium oxyhalide phosphors can be achieved by incorporating into the phosphor/binder formulation a compound containing free epoxy groups. Suitable epoxy compounds include gamma glycidoxy trimethoxy silane and dimethyl di(m-glycidoxy methylphenyl) methane. The oxyhalide may be activated by Tb, Tm or Yb and may be mixed with other phosphors. Plasticisers and organo-tin stabilisers for the formulation are given. Many binders are specified, preferably these should not react with the free epoxy groups. (UK)

  11. Developments in Undernutrition in Indian Children Under Five

    DEFF Research Database (Denmark)

    Nie, Peng; Rammohan, Anu; Gwozdz, Wencke

    This study uses two waves (2004-2005 and 2011-2012) of the nationally representative Indian Human Development Survey to conduct a systematic decompositional analysis of the demographic and socio-economic factors contributing to undernutrition among children under five in India. The analytic method...... improvements on some measures, undernutrition among India's young children remains widespread. The improvements we do identify are partly attributable to changes in household wealth and maternal characteristics like body mass index and education....

  12. Intergenerational influences on child growth and undernutrition.

    Science.gov (United States)

    Martorell, Reynaldo; Zongrone, Amanda

    2012-07-01

    Intergenerational effects on linear growth are well documented. Several generations are necessary in animal models to 'wash out' effects of undernutrition, consistent with the unfolding of the secular trend in height in Europe and North America. Birthweight is correlated across generations and short maternal stature, which reflects intrauterine and infant growth failure, is associated with low birthweight, child stunting, delivery complications and increased child mortality, even after adjusting for socio-economic status. A nutrition intervention in Guatemala reduced childhood stunting; it also improved growth of the next generation, but only in the offspring of girls. Possible mechanisms explaining intergenerational effects on linear growth are not mutually exclusive and include, among others, shared genetic characteristics, epigenetic effects, programming of metabolic changes, and the mechanics of a reduced space for the fetus to grow. There are also socio-cultural factors at play that are important such as the intergenerational transmission of poverty and the fear of birthing a large baby, which leads to 'eating down' during pregnancy. It is not clear whether there is an upper limit for impact on intrauterine and infant linear growth that programmes in developing countries could achieve that is set by early childhood malnutrition in the mother. Substantial improvements in linear growth can be achieved through adoption and migration, and in a few selected countries, following rapid economic and social development. It would seem, despite clear documentation of intergenerational effects, that nearly normal lengths can be achieved in children born to mothers who were malnourished in childhood when profound improvements in health, nutrition and the environment take place before conception. To achieve similar levels of impact through public health programmes alone in poor countries is highly unlikely. The reality in poor countries limits the scope, quality and

  13. Prevalence and risk factors of undernutrition among antiretroviral-therapy-naïve subjects aged under 5 years old in Makurdi, Nigeria: a retrospective study

    Directory of Open Access Journals (Sweden)

    Anigilaje EA

    2015-03-01

    Full Text Available Emmanuel Ademola Anigilaje,1 Ayodotun Olutola2 1Department of Paediatrics, Benue State University, Makurdi, 2Center for Clinical Care and Clinical Research, Abuja, Nigeria Background: Undernutrition is common in human immunodeficiency virus (HIV infection and it contributes significantly to its morbidity and mortality. However, as far as we are aware, few studies have described the risk factors of undernutrition among HIV-infected Nigerian children. The study reported here aimed to determine the prevalence and risk factors of undernutrition among HIV-infected, antiretroviral therapy (ART-naïve children aged under 5 years old in Makurdi, Nigeria. Methods: A retrospective, cross-sectional study was undertaken at the Federal Medical Centre, Makurdi, between June 2010 and June 2011. Logistic regression modelling was used to determine the risk factors of undernutrition. Results: Data on 182 HIV-infected children (88 males and 94 females, aged between 6 weeks and 59 months were studied. The prevalence of undernutrition was 12.1%, 33.5%, and 54.4% for underweight, wasting, and stunting, respectively. In multivariate regression analyses, being female (adjusted odds ratio [AOR] 0.292, 95% [confidence interval] CI 0.104–0.820, P=0.019, the child's caregiver being on ART (AOR 0.190, 95% CI 0.039–0.925, P=0.04, and the absence of tuberculosis in the child (AOR 0.034, 95% CI 0.003–0.357, P=0.005 were independently protective against underweight. Subjects who were exclusively breastfed in the first 6 months of life were protected from stunting (AOR 0.136, 95% CI 0.032–0.585, P=0.007. No factor impacted significantly on wasting in multivariate analyses. Conclusion: Undernutrition among HIV-infected, ART-naïve children aged under 5 years old may be reduced if programmatic interventions are guided toward early initiation of ART among eligible HIV-infected caregivers and the promotion of HIV/tuberculosis coinfection control efforts. Also, the importance

  14. Undernutrition management and the role of protein-enriched meals for older adults

    NARCIS (Netherlands)

    Ziylan, Canan

    2016-01-01

    Undernutrition is a major health problem in the growing elderly population. It is estimated that one in ten Dutch community-dwelling older adults is suffering from undernutrition, and one in three Dutch older adults who receive home care. Undernutrition may lead to many negative consequences,

  15. Undernutrition as an underlying cause of malaria morbidity and mortality in children less than five years old.

    Science.gov (United States)

    Caulfield, Laura E; Richard, Stephanie A; Black, Robert E

    2004-08-01

    Undernutrition is highly prevalent in many areas in which morbidity and mortality from malaria is unacceptably high. That undernutrition exacerbates diarrhea and respiratory infections is widely demonstrated; however, research suggests that it may exacerbate, palliate, or have little effect on malaria outcomes. This review examines the global burden of malaria associated with various nutrient deficiencies as well as underweight status in children 0-4 years of age. Although the association is complex and requires additional research, improved nutritional status lessens the severity of malaria episodes and results in fewer deaths due to malaria. Deficiencies in vitamin A, zinc, iron, folate, as well as other micronutrients are responsible for a substantial proportion of malaria morbidity and mortality. It is recommended that nutrition programs be integrated into existing malaria intervention programs. Copyright 2004 The American Society of Tropical Medicine and Hygiene

  16. Lexicon and Description of Sui Adjective Intensifiers

    Directory of Open Access Journals (Sweden)

    James N. Stanford

    2007-01-01

    Full Text Available Sui, an indigenous minority language of southwest China, has an elaborate system of adjective intensification. Adjectives are intensified with word-specific, bound morphemes that usually either rhyme with the base or alliterate with the base. Stanford (2007 notes morpho-phonological patterns that suggest reduplication, rhyme, alliteration, The Emergence of the Unmarked (McCarthy & Prince 1994, Yip 2001, identity avoidance, and “Copy But Don’t Repeat” (Kennard 2004. However, the adjective intensifiers defy a simple, fully predictable explanation in such terms; the intensifier lexicon may be best described as “patterned variety,” a case of lexicalized poetry or a poeticized lexicon. Word formation is guided by general patterns, but each specific intensifier may vary within those overall guidelines. Many adjectives have multiple intensifiers that bear subtle semantic and pragmatic distinctions. The current paper serves as a complement to Stanford (2007 by providing a detailed lexicon of the Sui adjective intensifiers for future reference and further analysis. This lexicon is based on the author’s fieldwork and represents the first detailed account of Sui adjective intensifiers for the wider linguistic community.

  17. The association between chronic undernutrition and malaria among ...

    African Journals Online (AJOL)

    The United Nations Food and Agriculture Organization estimates that nearly 870 ... To assess the relationship between malaria and chronic undernutrition in children aged 6 - 59 months at Bahir-Dar special zone,. Ethiopia. Methods. ..... impairment of antibody formation, decreased complement formation, and atrophy of ...

  18. Assessing the prevalence of undernutrition using the Composite ...

    African Journals Online (AJOL)

    Z-scores were calculated, and undernutrition defined as z-scores below minus two standard deviations from the median of the standard World Health Organization reference population. Results: The mean age of the children was 30.46 ± 16.40 months. There were 62 females (62.6%) and 37 males (37.4%). The data ...

  19. Determinants of undernutrition among women of reproductive age in ...

    African Journals Online (AJOL)

    2015-05-01

    May 1, 2015 ... who gave birth two months prior to the survey, had undernutrition, while 48% of women aged ... In order to improve women's nutritional status, policies should focus on improving family wealth and education. Peer reviewed. ..... In: Marge Koblinsky, Judith Timyan and Jill Gay, editors. The health of women: a ...

  20. The association between chronic undernutrition and malaria among ...

    African Journals Online (AJOL)

    The association between chronic undernutrition and malaria among Ethiopian children aged 6 - 59 months: A facility-based case-control study. ... Anthropometric data were converted into nutritional indices using World Health Organization Anthro software version 3.2.2 and exported to SPSS for cleaning and analysis.

  1. Does Economic Growth Reduce Childhood Undernutrition in Ethiopia?

    Science.gov (United States)

    Biadgilign, Sibhatu; Shumetie, Arega; Yesigat, Habtamu

    2016-01-01

    Policy discussions and debates in the last couple of decades emphasized efficiency of development policies for translating economic growth to development. One of the key aspects in this regard in the developing world is achieving improved nutrition through economic development. Nonetheless, there is a dearth of literature that empirically verifies the association between economic growth and reduction of childhood undernutrition in low- and middle-income countries. Thus, the aim of the study is to assess the interplay between economic growth and reduction of childhood undernutrition in Ethiopia. The study used pooled data of three rounds (2000, 2005 and 2010) from the Demographic and Health Surveys (DHS) of Ethiopia. A multilevel mixed logistic regression model with robust standard errors was utilized in order to account for the hierarchical nature of the data. The dependent variables were stunting, underweight, and wasting in children in the household. The main independent variable was real per capita income (PCI) that was adjusted for purchasing power parity. This information was obtained from World Bank. A total of 32,610 children were included in the pooled analysis. Overall, 11,296 (46.7%) [46.0%-47.3%], 8,197(33.8%) [33.2%-34.4%] and 3,175(13.1%) [12.7%-13.5%] were stunted, underweight, and wasted, respectively. We found a strong correlation between prevalence of early childhood undernutrition outcomes and real per capita income (PCI). The proportions of stunting (r = -0.1207, peconomic growth substantially reduced stunting [β = -0.0016, SE = 0.00013, pEconomic growth reduces child undernutrition in Ethiopia. This verifies the fact that the economic growth of the country accompanied with socio-economic development and improvement of the livelihood of the poor. Direct nutrition specific and nutrition sensitive interventions could also be recommended in order to have an impact on the massive reduction of childhood undernutrition in the country.

  2. X-ray image intensifier photography

    International Nuclear Information System (INIS)

    Richter, K.; Angerstein, W.; Steinhardt, L.

    1980-01-01

    The present treatise on X-ray image intensifier photography starts with introductory remarks on the history of X-ray imaging and image intensifiers. In the physical-technological part especially the quality of image and the methods of its measurement are discussed in detail. The relevant equipment such as image intensifier cameras, X-ray television, video recorder and devices of display and evaluation of images are presented as well as problems of radiation doses and radiation protection. Based on 25,000 examinations of the digestive, the biliary and the urinary tract, resp., as well as of the blood vessels the applicability of the X-ray image intensifier photography and its diagnostic value are demonstrated in the medical part of the book

  3. Characteristics of image converters and image intensifiers

    International Nuclear Information System (INIS)

    Gurvich, A.M.; Shamanov, A.A.; Rozenberg, A.M.; Fajnberg, V.S.; Kavtorova, V.P.; Salyuk, L.V.; Yakovleva, F.B.

    1978-01-01

    The characteristics of image converters and image intensifiers, which determine the range of the X-radiation dose rates used and the image quality, are considered. The equations for calculating the requirements to be imposed on the separate intensifier elements from known parameters of other elements with an allowance for the nonlinearity of the television system and the role of fluctuation in the space distribution of X-radiation quanta are given

  4. Climate change, crop yields, and undernutrition: development of a model to quantify the impact of climate scenarios on child undernutrition.

    Science.gov (United States)

    Lloyd, Simon J; Kovats, R Sari; Chalabi, Zaid

    2011-12-01

    Global climate change is anticipated to reduce future cereal yields and threaten food security, thus potentially increasing the risk of undernutrition. The causation of undernutrition is complex, and there is a need to develop models that better quantify the potential impacts of climate change on population health. We developed a model for estimating future undernutrition that accounts for food and nonfood (socioeconomic) causes and can be linked to available regional scenario data. We estimated child stunting attributable to climate change in five regions in South Asia and sub-Saharan Africa (SSA) in 2050. We used current national food availability and undernutrition data to parameterize and validate a global model, using a process-driven approach based on estimations of the physiological relationship between a lack of food and stunting. We estimated stunting in 2050 using published modeled national calorie availability under two climate scenarios and a reference scenario (no climate change). We estimated that climate change will lead to a relative increase in moderate stunting of 1-29% in 2050 compared with a future without climate change. Climate change will have a greater impact on rates of severe stunting, which we estimated will increase by 23% (central SSA) to 62% (South Asia). Climate change is likely to impair future efforts to reduce child malnutrition in South Asia and SSA, even when economic growth is taken into account. Our model suggests that to reduce and prevent future undernutrition, it is necessary to both increase food access and improve socioeconomic conditions, as well as reduce greenhouse gas emissions.

  5. Undernutrition screening survey in 564,063 patients: patients with a positive undernutrition screening score stay in hospital 1.4 d longer

    NARCIS (Netherlands)

    Mariël Klos; Abel Thijs; Luc Bastiaanse; Getty Huisman-de Waal; Peter Weijs; Hinke Kruizenga; Dr. Harriët Jager-Wittenaar; Ben Witteman; Wineke Remijnse-Meester; Sandra Beijer; Cora Jonkers-Schuitema; Suzanne van Keeken

    2016-01-01

    ackground: Undernutrition is a common complication of disease and a major determinant of hospital stay outcome. Dutch hospitals are required to screen for undernutrition on the first day of admission. Objective: We sought to determine the prevalence of the screening score “undernourished” with the

  6. Reemergence of Mycobacterium chimaera in Heater–Cooler Units despite Intensified Cleaning and Disinfection Protocol

    Science.gov (United States)

    Schreiber, Peter W.; Kuster, Stefan P.; Hasse, Barbara; Bayard, Cornelia; Rüegg, Christian; Kohler, Philipp; Keller, Peter M.; Bloemberg, Guido V.; Maisano, Francesco; Bettex, Dominique; Halbe, Maximilian; Sommerstein, Rami

    2016-01-01

    Invasive Mycobacterium chimaera infections after open-heart surgery have been reported internationally. These devastating infections result from aerosols generated by contaminated heater–cooler units used with extracorporeal circulation during surgery. Despite intensified cleaning and disinfection, surveillance samples from factory-new units acquired during 2014 grew nontuberculous mycobacteria after a median of 174 days. PMID:27649345

  7. Prevalence of Undernutrition and Its Associated Factors among Children below Five Years of Age in Bure Town, West Gojjam Zone, Amhara National Regional State, Northwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Desalegne Amare

    2016-01-01

    Full Text Available Background. Malnutrition is the major public health problem over the world. Developing countries are highly affected. Asian and Sub-Saharan African countries, including Ethiopia, contribute the highest of all. The main aim of this study was to assess the prevalence of undernutrition and its associated factors among children below five years of age. Methods. Community-based cross-sectional survey was conducted on 342 study participants. Simple random sampling technique was used to select sampling kebeles and study units. Weight and height were measured using calibrated instruments. The data were entered into EpiData version 3.1 software and calculated using SPSS version 20.0 statistical software and/or World Health Organization Anthro software with aid of Stat/Transfer. Results. Overall prevalence of undernutrition was 35.5%, of which 85 (24.9%, 38 (11.1%, and 49 (14.3% were stunting, wasting, and underweight, respectively. Male children were more affected in both severe and moderate nutritional problems compared to female children. The finding showed that 27 (7.9% had severe stunting, 15 (4.4% had severe wasting, and 11 (3.2% had severe underweight, respectively. Conclusion. Undernutrition was high in Bure town among children below five years of age. Male sex, maternal educational status, low household income, preterm babies, absence of antenatal follow-up, diarrhea, and respiratory infections within one-month duration were factors affecting undernutrition.

  8. A survey of undernutrition in children under three years of age in rural Western China.

    Science.gov (United States)

    Pei, Leilei; Ren, Lin; Yan, Hong

    2014-02-05

    Childhood undernutrition adversely impacts child health and is one of China's largest health burdens. However, there is limited information on the current rate of childhood undernutrition in rural Western China. The purpose of this study was to investigate the prevalence of childhood undernutrition and explore its association with socio-economic characteristics in Western China. A total of 13,532 children of 0 ~ 36 months of age were recruited as subjects from 45 counties and 10 provinces in Western China with a 3-stage probability proportion to size sampling. The composite index of anthropometric failure (CIAF) was used to assess the childhood undernutrition. The association between socio-economic characteristics and childhood undernutrition was analyzed using a two-level logistic regression. Based on CIAF, the prevalence of undernutrition among children under three years of age in rural Western China in 2005 was 21.7%. The two-level logistic analysis presented a large difference in undernutrition among the 10 provinces with the highest odds ratio in Guizhou (OR: 2.15, 95%CI: 1.50, 3.08). Older children had a higher prevalence of undernutrition. As compared to girls, boys were more likely to be undernourished (OR 1.27, 95% CI: 1.16, 1.39). The likelihood of undernutrition was lower in subjects of Han ethnicity as opposed to subjects of minority ethnicities (OR 0.77, 95%CI: 0.65, 0.90). In addition, the education levels of the mother as well as wealth index were both negatively associated with childhood undernutrition. Childhood undernutrition still remains a large health challenge in rural Western China. This study has important policy implications for the Chinese government to improve childhood undernutrition in the surveyed areas.

  9. Dichoptic fusion of thermal and intensified imagery

    NARCIS (Netherlands)

    Toet, A.; Hogervorst, M.A.; Hoeven, M. van der

    2006-01-01

    Subjects used the dichoptic combination of a monocular image intensifier (NVG) and a monocular uncooled microbolometer (LWIR) to detect and localise both visual targets and camouflaged thermal targets while moving through a dimly lit complex environment. The NVG imagery enabled the subjects to move

  10. Human water consumption intensifies hydrological drought worldwide

    NARCIS (Netherlands)

    Wada, Y.|info:eu-repo/dai/nl/341387819; van Beek, L.P.H.|info:eu-repo/dai/nl/14749799X; Wanders, N.|info:eu-repo/dai/nl/364253940; Bierkens, M.F.P.|info:eu-repo/dai/nl/125022794

    2013-01-01

    Over the past 50 years, human water use has more than doubled and affected streamflow over various regions of the world. However, it remains unclear to what degree human water consumption intensifies hydrological drought (the occurrence of anomalously low streamflow). Here, we quantify over the

  11. Perinatal undernutrition programmes thyroid function in the adult rat offspring.

    Science.gov (United States)

    Ayala-Moreno, Rosario; Racotta, Radu; Anguiano, Brenda; Aceves, Carmen; Quevedo, Lucía

    2013-12-01

    Increasing evidence suggests that alterations in early nutrition programme physiological changes in adulthood. In the present study, we determined the effects of undernutrition during gestation and lactation on the programming of thyroid function in adult rat offspring. Perinatal undernutrition was achieved by a 40% food restriction in female Wistar rats from the mating day to weaning. On postpartum day 21, the offspring of the control and food-restricted dams were weaned and given free access to a commercial diet until adulthood. The results showed that undernourished rats exhibited decreased 3,5,3'-triiodothyronine (T3) levels but had normal thyroxine (T4) and thyrotropin (TSH) levels at weaning; on day 90, these rats displayed a significant flip, exhibiting normalised T3 (total and free) and total T4 levels, but low free T4 and persistently higher TSH levels, which were maintained even on postnatal day 140. This profile was accompanied by a scarce fat depot, a lower RMR and an exacerbated sympathetic brown adipose tissue (BAT) tone (deiodinase type 2 expression) in basal conditions. Moreover, when a functional challenge (cold exposure) was applied, the restricted group exhibited partial changes in TSH (29 v. 100%) and T4 (non-response v. 17%) levels, a significant decrease in leptin levels (75 v. 32%) and the maintenance of a sympathetic BAT over-response (higher noradrenaline levels) in comparison with the control group. The findings of the present study suggest that undernutrition during the perinatal period produces permanent changes in the hypothalamus-pituitary-thyroid axis with consequent low body weight and decreased RMR and facultative thermogenesis. We hypothesise that these changes predispose individuals to exhibiting adult subclinical hypothyroidism.

  12. Prenatal undernutrition and cognitive function in late adulthood

    OpenAIRE

    de Rooij, Susanne R.; Wouters, Hans; Yonker, Julie E.; Painter, Rebecca C.; Roseboom, Tessa J.

    2010-01-01

    At the end of World War II, a severe 5-mo famine struck the cities in the western part of The Netherlands. At its peak, the rations dropped to as low as 400 calories per day. In 1972, cognitive performance in 19-y-old male conscripts was reported not to have been affected by exposure to the famine before birth. In the present study, we show that cognitive function in later life does seem affected by prenatal undernutrition. We found that at age 56 to 59, men and women exposed to famine during...

  13. The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients

    NARCIS (Netherlands)

    Visser, Marlieke; van Venrooij, Lenny M. W.; Wanders, Dominique C. M.; de Vos, Rien; Wisselink, Willem; van Leeuwen, Paul A. M.; de Mol, Bas A. J. M.

    2012-01-01

    Background & aims: In cardiac surgical patients, undernutrition increases the risk of adverse clinical outcome. We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods: In 325 cardiac surgical patients, we

  14. [Health Council of the Netherlands underestimates interactions in undernutrition in the elderly].

    NARCIS (Netherlands)

    Asselt, D.Z.B. van; Olde Rikkert, M.

    2012-01-01

    The Health Council of the Netherlands has recently published a report on undernutrition in the elderly. Undernutrition is a huge problem associated with negative health outcomes, especially in the frail elderly. Although its review of the recent literature is useful, the report does not contribute

  15. Nutritional interventions in community-dwelling Alzheimer patients with (risk of) undernutrition : a systematic review

    NARCIS (Netherlands)

    Droogsma, Erika; van Asselt, Dieneke; van Steijn, Jolanda; Veeger, Nic; van Dusseldorp, Ingeborg; De Deyn, Peter Paul

    Background: Weight loss and undernutrition are common in patients with Alzheimer's disease (AD) and associated with negative health outcomes. In the current guidelines on diagnosis and treatment of AD, no recommendations for treatment of (risk of) undernutrition in community-dwelling AD patients are

  16. A self triggered intensified Ccd (Stic)

    International Nuclear Information System (INIS)

    Charon, Y.; Laniece, P.; Bendali, M.

    1990-01-01

    We are developing a new device based on the results reported previously of the successfull coincidence detection of β- particles with a high spatial resolution [1]. The novelty of the device consists in triggering an intensified CCD, i.e. a CCD coupled to an image intensifier (II), by an electrical signal collected from the II itself. This is a suitable procedure for detecting with high efficiency and high resolution low light rare events. The trigger pulse is obtained from the secondary electrons produced by multiplication in a double microchannel plate (MCP) and collected on the aluminized layer protecting the phosphor screen in the II. Triggering efficiencies up to 80% has been already achieved

  17. A self triggered intensified CCD (STIC)

    Science.gov (United States)

    Charon, Y.; Laniece, P.; Bendali, M.; Gaillard, J. M.; Leblanc, M.; Mastrippolito, R.; Tricoire, H.; Valentin, L.

    1991-12-01

    We are developing a new device based on the results reported previously of the successful coincidence detection of β - particles with a high spatial resolution. The novelty of the device consists in triggering and intensified CCD, i.e. a CCD coupled to an image intensifier (II), by an electrical signal collected from the II itself. This is a suitable procedure for detecting low light and rare events with high efficiency and high resolution. The trigger pulse is obtained from the secondary electrons produced by multiplication in a double microchannel plate (MCP) and collected on the aluminized layer protecting the phosphor screen in the II. Triggering efficiencies up to 80% have already been achieved.

  18. Utilization of Image Intensifiers in Astronomy

    Directory of Open Access Journals (Sweden)

    S. Vítek

    2012-01-01

    Full Text Available In this paper we present the properties of image intensifiers, used together with fast TV cameras for astronomical purposes within the MAIA project(Meteor Automatic Imager and Analyser, primarily focused on observing meteoric events with high time resolution. The main objective of our paper is to evaluate the suitability of these devices for astronomical purposes in terms of noise, temporal and spectral analysis.

  19. Human water consumption intensifies hydrological drought worldwide

    International Nuclear Information System (INIS)

    Wada, Yoshihide; Van Beek, Ludovicus P H; Wanders, Niko; Bierkens, Marc F P

    2013-01-01

    Over the past 50 years, human water use has more than doubled and affected streamflow over various regions of the world. However, it remains unclear to what degree human water consumption intensifies hydrological drought (the occurrence of anomalously low streamflow). Here, we quantify over the period 1960–2010 the impact of human water consumption on the intensity and frequency of hydrological drought worldwide. The results show that human water consumption substantially reduced local and downstream streamflow over Europe, North America and Asia, and subsequently intensified the magnitude of hydrological droughts by 10–500%, occurring during nation- and continent-wide drought events. Also, human water consumption alone increased global drought frequency by 27 (±6)%. The intensification of drought frequency is most severe over Asia (35 ± 7%), but also substantial over North America (25 ± 6%) and Europe (20 ± 5%). Importantly, the severe drought conditions are driven primarily by human water consumption over many parts of these regions. Irrigation is responsible for the intensification of hydrological droughts over the western and central US, southern Europe and Asia, whereas the impact of industrial and households’ consumption on the intensification is considerably larger over the eastern US and western and central Europe. Our findings reveal that human water consumption is one of the more important mechanisms intensifying hydrological drought, and is likely to remain as a major factor affecting drought intensity and frequency in the coming decades. (letter)

  20. The prevalence of undernutrition upon hospitalization in children in a developing country: A single hospital study from Malaysia

    Directory of Open Access Journals (Sweden)

    Way-Seah Lee

    2017-10-01

    Conclusion: The prevalence of undernutrition among children admitted to a tertiary hospital in Malaysia was 14%. Strategies for systematic screening and provision of nutritional support in children at risk of undernutrition as well as treatment of undernutrition in children requiring hospitalization are needed.

  1. In utero undernutrition programs skeletal and cardiac muscle metabolism

    Directory of Open Access Journals (Sweden)

    Brittany eBeauchamp

    2016-01-01

    Full Text Available In utero undernutrition is associated with increased risk for insulin resistance, obesity, and cardiovascular disease during adult life. A common phenotype associated with low birth weight is reduced skeletal muscle mass. Given the central role of skeletal muscle in whole body metabolism, alterations in its mass as well as its metabolic characteristics may contribute to disease risk. This review highlights the metabolic alterations in cardiac and skeletal muscle associated with in utero undernutrition and low birth weight. These tissues have high metabolic demands and are known to be sites of major metabolic dysfunction in obesity, type 2 diabetes, and cardiovascular disease. Recent research demonstrates that mitochondrial energetics are decreased in skeletal and cardiac muscles of adult offspring from undernourished mothers. These effects apparently lead to the development of a thrifty phenotype, which may represent overall a compensatory mechanism programmed in utero to handle times of limited nutrient availability. However, in an environment characterized by food abundance, the effects are maladaptive and increase adulthood risks of metabolic disease.

  2. 21 CFR 892.1960 - Radiographic intensifying screen.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiographic intensifying screen. 892.1960 Section... (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1960 Radiographic intensifying screen. (a) Identification. A radiographic intensifying screen is a device that is a thin radiolucent sheet...

  3. An Empirical Method for Intensifying Communication Skill

    Science.gov (United States)

    Harada, Shoji

    Quick globalization increases the necessity of higher communication skill for everybody. However, in reality, modern tools such as mobile and internet spoil the face-to-face communication ability among young people. In this paper, reviewing related books of communication skill in conjunction with speaking, hearing, reading and writing is first done on English as well as on Japanese. Parallel to this, self experience-based method for intensifying communication skill is described. Emphasizing points for improving each communication skill are concretely proposed in the body.

  4. X-ray sensitive image intensifier tubes

    International Nuclear Information System (INIS)

    Wang, S.-H.; Robbins, C.D.

    1979-01-01

    In this patent, X-ray sensitive image intensifier tubes which provide multi-stage light amplification between a flat scintillator screen and the output display screen are described. A first amplification stage is constituted by a first photocathode and an intermediate display screen. A second amplification stage comprises a fibreoptic plate, a second photocathode and the output display screen. Accelerating electrostatic potentials are applied respectively between the first display screen and the first photocathode and between the second photocathode and the output display screen. Three or more amplification stages may be used. (author)

  5. Interrelationships of undernutrition and neurotoxicity: food for thought and research attention.

    Science.gov (United States)

    Spencer, Peter S; Palmer, Valerie S

    2012-06-01

    The neurotoxic actions of chemical agents on humans and animals are usually studied with little consideration of the subject's nutritional status. States of protein-calorie, vitamin and/or mineral undernutrition are associated with a range of neurodevelopmental, neurological and psychiatric disorders, commonly with involvement of both the central and the peripheral nervous system. Undernutrition can modify risk for certain chemical-induced neurologic diseases, and in some cases undernutrition may be a prerequisite for neurotoxicity to surface. In addition, neurologic disease associated with undernutrition or neurotoxicity may show similarities in clinical and neuropathological expression, especially in the peripheral nervous system. The combined effects of undernutrition and chemical neurotoxicity are most relevant to people with low incomes who experience chronic hunger, parasitism and infectious disease, monotonous diets of plants with neurotoxic potential (notably cassava), environmental pollution from rapid industrial development, chronic alcohol abuse, or prolonged treatment with certain therapeutic drugs. Undernutrition alone or in combination with chemical exposure is also important in high-income societies in the setting of drug and alcohol abuse, old age, food faddism, post-bariatric surgery, and drug treatment for certain medical conditions, including cancer and tuberculosis. The nutritional demands of pregnancy and lactation increase the risk of fetal and infant undernutrition and chemical interactions therewith. Copyright © 2012. Published by Elsevier B.V.

  6. Limits to Economic Growth: Why Direct Investments Are Needed to Address Child Undernutrition in India.

    Science.gov (United States)

    Subramanian, S V; Subramanyam, Malavika A

    2015-11-01

    About two of every five undernourished young children of the world live in India. These high levels of child undernutrition have persisted in India for several years, even in its relatively well-developed states. Moreover, this pattern was observed during a period of rapid economic growth. Evidence from India and other developing countries suggests that economic growth has little to no impact on reducing child undernutrition. We argue that a growth-mediated strategy is unlikely to be effective in tackling child undernutrition unless growth is pro-poor and leads to investment in programs addressing the root causes of this persistent challenge.

  7. Prenatal origins of hypertension induced by gestational undernutrition or environmental chemical exposure

    Science.gov (United States)

    Epidemiological studies have shown that babies of low birth weight have high blood pressure (BP) as children and adults, suggesting prenatal cardiovascular programming. This programming has been attributed to factors including undernutrition and maternal stress during pregnancy. ...

  8. Interventions targeting child undernutrition in developing countries may be undermined by dietary exposure to aflatoxin.

    Science.gov (United States)

    Watson, Sinead; Gong, Yun Yun; Routledge, Michael

    2017-06-13

    Child undernutrition, a form of malnutrition, is a major public health burden in developing countries. Supplementation interventions targeting the major micronutrient deficiencies have only reduced the burden of child undernutrition to a certain extent, indicating that there are other underlying determinants that need to be addressed. Aflatoxin exposure, which is also highly prevalent in developing countries, may be considered an aggravating factor for child undernutrition. Increasing evidence suggests that aflatoxin exposure can occur in any stage of life, including in utero through a trans-placental pathway and in early childhood (through contaminated weaning food and family food). Early life exposure to aflatoxin is associated with adverse effects on low birth weight, stunting, immune suppression, and the liver function damage. The mechanisms underlying impaired growth and aflatoxin exposure are still unclear but intestinal function damage, reduced immune function, and alteration in the insulin-like growth factor axis caused by the liver damage are the suggested hypotheses. Given the fact that both aflatoxin and child undernutrition are common in sub-Saharan Africa, effective interventions aimed at reducing undernutrition cannot be satisfactorily achieved until the interactive relationship between aflatoxin and child undernutrition is clearly understood, and an aflatoxin mitigation strategy takes effect in those vulnerable mothers and children.

  9. Upwards Intensifiers in the English, German and Croatian Language

    Directory of Open Access Journals (Sweden)

    Anita Pavić Pintarić

    2014-12-01

    Full Text Available This paper investigates the upwards intensifiers (adverbs of intensifying in the English, German and Croatian language. Intensity as an important human cognitive category, and language expressivity is differently treated in grammars and dictionaries of all three languages, especially with respect to different degrees of intensity. In this paper we argue that it is possible to model a typology of upwards adverb intensifiers in the three languages, according to their morphosyntactic and semantic aspects. When it comes to intensifiers, it is necessary to describe which collocates are modified by intensifiers and which semantic fields the collocates belong to. The results of the corpus analysis based on Harry Potter novels show that all the three languages express the category of the upwards intensity in the same way: the number of intensifiers is similar, the collocates mostly belong to the same semantic fields and word classes, they have similar syntactic functions.

  10. FRAGILE ENVIRONMENT, SEASONALITY AND MATERNAL AND CHILDHOOD UNDERNUTRITION IN BANGLADESH.

    Science.gov (United States)

    Mohsena, Masuda; Hossain, Mahabub; Chakraborty, Barnali; Bayes, Abdul; Rahman, A N Mahfuzur

    2017-09-18

    This study assessed whether agricultural and household incomes were the same across different agro-ecological environments in Bangladesh. An in-depth analysis of the effect of unfavourable ecologies on maternal and child malnutrition was carried out. Data were from a longitudinal data set comprising a nationally representative data sample collected in 2014 and the Food Security Nutrition Surveillance Project (FSNSP) conducted in 2011 and 2012. Anthropometric indices were used to assess the nutritional status of mothers and under-five children. The key variables of interest were food seasonality and geographical location. Data were analysed using the General Linear Model and multinomial and binary logistic regression analysis. Panel data analysis showed that household income was not equal across agro-ecological zones, indicating that the fragility of the environment affects a household's ability to access food, and thus the nutritional status of mothers and children. Coastal areas of Bangladesh were found to be less dependent on agriculture, particularly cultivation, which had diminished during last few decades. Per capita income has been increasing in coastal areas of Bangladesh, led by remittance (money sent home by migrant workers) growing at 8% per year against 6% in other areas. Regression analysis showed that a household in a coastal zone earned 19% less than one in more favourable zones. Although the income from farm practices was found to be lower in unfavourable areas, the deficiency was compensated by increased non-farm incomes. The results from the FSNSP data showed that overall the rates of stunting and wasting among under-five children were 37% and 11.7%, respectively, and nearly 28% of mothers suffered from undernutrition. A highly significant regional heterogeneity in undernutrition was found, with alarmingly high levels in the Haor Basin and coastal belt areas. There were significantly higher rates of underweight and wasting in the monsoon season

  11. Undernutrition in Patients with COPD and Its Treatment

    Directory of Open Access Journals (Sweden)

    Hiroyuki Nakamura

    2013-04-01

    Full Text Available Chronic obstructive pulmonary disease (COPD is a chronic inflammatory disorder of the lung and whole body caused mainly by tobacco smoking. Patients with advanced COPD are in a state of undernutrition, referred to as pulmonary cachexia; the exercise performance and quality of life (QOL of these patients are deteriorated, the vital prognosis is unfavorable, and the medico-economic burden posed by poorly nourished COPD patients is high. The mainstays of COPD treatment are pharmacotherapy, mainly with bronchodilators, and non-pharmacotherapeutic approaches such as respiratory rehabilitation and nutrition counseling. Nutritional supplement therapy, consisting primarily of high calorie intake, has been demonstrated to be effective for maintaining and improving the muscle strength and exercise tolerance in poorly nourished COPD patients. The efficacy of intake of various nutrients, besides a high calorie intake, for amelioration of the disease state of COPD has also been reported. The roles of adipokines in the pathophysiology of COPD have begun to receive attention recently, and not only their regulatory effects on appetite and nutritional status, but also their influence on systemic inflammation have been increasingly clarified. We review the papers on COPD and nutrition and discuss the role of nutritional supplement therapy in the treatment of COPD.

  12. Body weight, anorexia, and undernutrition in older people.

    Science.gov (United States)

    Soenen, Stijn; Chapman, Ian M

    2013-09-01

    Ideal body weight for maximum life expectancy increases with advancing age. Older people, however, tend to weigh less than younger adults, and old age is also associated with a tendency to lose weight. Weight loss in older people is associated with adverse outcomes, particularly if unintentional, and initial body weight is low. When older people lose weight, more of the tissue lost is lean tissue (mainly skeletal muscle) than in younger people. When excessive, the loss of lean muscle tissue results in sarcopenia, which is associated with poor health outcomes. Unintentional weight loss in older people may be a result of protein-energy malnutrition, cachexia, the physiological anorexia of aging, or a combination of these. The physiological anorexia of aging is a decrease in appetite and energy intake that occurs even in healthy people and is possibly caused by changes in the digestive tract, gastrointestinal hormone concentrations and activity, neurotransmitters, and cytokines. A greater understanding of this decrease in appetite and energy intake during aging, and the responsible mechanisms, may aid the search for ways to treat undernutrition and weight loss in older people. Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  13. The prevalence of undernutrition upon hospitalization in children in a developing country: A single hospital study from Malaysia.

    Science.gov (United States)

    Lee, Way-Seah; Ahmad, Zulfadly

    2017-10-01

    Undernourished children who require hospital care have a longer duration of hospitalization and respond poorly to modern medical therapy. The objective of the present study was to ascertain the nutritional status of children admitted to a pediatric tertiary center in Malaysia and the risk factors leading to undernutrition upon admission. In this cross-sectional, hospital-based study, anthropometric measurements [weight, length/height, mid-upper arm circumference (MUAC), triceps skinfold thickness were performed in 285 children aged from 3 months to 15 years who were admitted to University Malaya Medical Centre, Kuala Lumpur in November 2013. Acute (wasting) and chronic (stunting) undernutrition were defined as weight-for-height (WFH) and height-for-age (HFA) standard deviation (S.D.), respectively. Underweight was defined as weight-for-age definition for acute undernutrition (HFA definition of acute undernutrition, an additional eight patients were noted to have acute undernutrition (n = 40, 14%). No significant risk factors associated with undernutrition were identified. The prevalence of undernutrition among children admitted to a tertiary hospital in Malaysia was 14%. Strategies for systematic screening and provision of nutritional support in children at risk of undernutrition as well as treatment of undernutrition in children requiring hospitalization are needed. Copyright © 2017. Published by Elsevier B.V.

  14. Assessing the Potential to Intensify Pastureland Use

    Science.gov (United States)

    Morishige, A. E.; Foley, J. A.; Sheehan, J.; Mueller, N. D.; Gerber, J. S.; Laser, M. S.; Lynd, L. R.

    2010-12-01

    Optimizing pastureland use has the potential to be a key part of sustainably meeting the growing global demands for food, feed, fiber, and fuel. This study identified where and to what degree we can utilize pastureland more intensively. We quantified and mapped the pasture utilization intensity, which is the ratio of current to potential pastureland productivity, at the global, continent, country, and 5’ x 5’ grid cell levels. We used the United Nations’ Food and Agricultural Organization’s 2005 Gridded Livestock of the World maps of cattle, sheep, and goat density as the measure of current pastureland productivity. For the potential pastureland productivity scenarios, we considered all possible combinations of three climate-based, globally distributed net primary productivity (NPP) models and optimistic, medium, and pessimistic conversions from NPP to livestock density. Using the utilization intensities calculated in each scenario, we assigned a logical yes, no, or maybe pastureland intensification is possible to each location on the globe. The locations for which most of the scenarios resulted in a yes are ripe for pasture intensification. Our logical maps of potential pastureland intensification highlight a number of locations where pastureland could be used more intensively, indicating that intensified pastureland use could contribute to meeting the increasing demand for livestock products and for land on which to grow plants for bioenergy. This globally distributed pasture productivity gap analysis highlights areas for further research into global land use optimization. There is a need to more closely investigate the specific conditions that constrain land use decisions at the local, national, and international levels in order to inform robust, sustainable, long-term land use planning and execution of those plans.

  15. Prevalence of undernutrition among children in the Garhwal Himalayas.

    Science.gov (United States)

    Dutta, Anuradha; Pant, Kiran; Puthia, Rekha; Sah, Archana

    2009-03-01

    Nutritional status is the best indicator of the global well-being of children. In India every third child is underweight, whereas in the Garhwal Himalayas only one-fifth of the children are nutritionally normal. Information regarding the causes of such low nutritional status in children of Garhwal is lacking. The present study was designed to identify factors that may influence the nutritional status of the children of the Garhwal Himalayas. Stunting, signifying long-term irreversible chronic undernutrition, was studied, along with wasting, which signifies acute undernutrition among children. Forty families from one town and one village in each of the three major agroclimatic situations (high, middle, and low hills) were selected at random (total 240 families). The nutritional status of 353 children (0 to 12 years of age) was assessed by nutritional anthropometry and compared with tables of weight-for-age and height-for-age z-scores (WAZ and HAZ) identifying wasting and stunting, respectively, and compared with the World Health Organization (WHO) Growth Reference charts 2007. Chi-square test was applied to analyze the effects of age, sex, altitude, and area on the nutritional status of children. Of the 353 children studied, 38.2% belonged to the school-aged group, with 7% more girls than boys. Only 11.3% of the children had normal HAZ while 10.3% had normal WAZ. The largest percentages of children (31.8% HAZ and 29.1% WAZ) were clustered in the SD1 group, that is the severely stunted or wasted group. In every age group except the 9- to 12-year group, most of the children were found in the WAZ SD1 category. Gender appeared to influence the SD1 category significantly. There were 17.0% severely stunted girls (SD1), as compared to 14.8% boys; while the percentages of WAZ girls was 16.1% and boys was 13%. The situation in the urban areas was slightly better: 6.4% of the sample had normal HAZ and 7.1% had normal WAZ, compared with 4.4% and 4.6% of the rural children. In

  16. Role of parental education in reduction of prevalence of childhood undernutrition in Bangladesh.

    Science.gov (United States)

    Hossain, Md Belal; Khan, Md Hasinur Rahaman

    2018-02-19

    Despite progress, levels of malnutrition among children in Bangladesh are among the highest in the world and this is one of the major causes of death in children. The pace of reduction in the prevalence of undernutrition among children is still relatively low. The present study aimed to examine the association between parental education and childhood undernutrition among Bangladeshi children under 5 years of age when adjusting for potential risk factors. The data set was extracted from a nationally representative survey based on a cross-sectional study, the Bangladesh Demographic and Health Survey (BDHS) 2014. The base survey was conducted using a two-stage stratified sample of households. In the first stage, 600 enumeration areas (EA) were selected with probability proportional to EA size (207 EA from urban areas, 393 EA from rural areas). A total of 7173 children under 5 years from 17 863 households were considered for the analysis. A modified Poisson regression model was implemented to the data for assessing the relationship between parental education and childhood undernutrition when demographic and socio-economic covariates for the child, parents, households and clustering were adjusted. Higher parental education level was associated with lower levels of stunting and underweight, but not with wasting. Maternal and paternal education were both significantly associated with the reduction in prevalence of childhood undernutrition in Bangladesh. Paternal education appears equally as important as maternal education in reducing undernutrition prevalence among children under 5 years in Bangladesh.

  17. Undernutrition among Honduran children 12-71 months old

    Directory of Open Access Journals (Sweden)

    Nestel Penelope

    1999-01-01

    Full Text Available In 1996, the Ministry of Health of Honduras conducted a national micronutrient survey that included anthropometric measurements to determine the nutrition status of children 12-71 months old. Among the 1 744 children who participated, 38% of them were stunted, including 14% who were severely stunted; 24% were underweight, of which 4% were severely underweight; and 1% were wasted, of which 0.1% were severely wasted. The country can be divided into three groupings based on the level of stunting and underweight: 1 lowest prevalence: Tegucigalpa, San Pedro Sula, and medium cities; 2 medium prevalence: other urban areas, the rural north, and the rural south; and 3 highest prevalence: the rural west. Using logistic regression analysis, the important determinants of stunting were found to be: mother/caretaker's and father's schooling, source of water, the dominion (geographic location and strata in which the child lived, and the "possession score" for ownership of such items as a radio, television, refrigerator, stereo system, and electric iron. The predictors for underweight were micronutrient status, diarrhea, maternal/caretaker's schooling, type of toilet, and possession score. Historical data indicate that the national prevalence of chronic undernutrition has changed little over the last 10 years despite the number of national food and nutrition plans implemented and the significant improvements in health services. It is possible that these positive interventions have been offset by the slow progress in economic development. Future nutrition interventions should take into account household-level perceived needs and priorities in order to set realistic nutrition targets.

  18. Periconceptional Undernutrition in Sheep Affects Adult Phenotype Only in Males

    Directory of Open Access Journals (Sweden)

    Anne L. Jaquiery

    2012-01-01

    Full Text Available Periconceptional undernutrition (PCUN in sheep alters fetal growth and metabolism and postnatal growth regulation, but effects on adult body composition are unknown. We investigated the effects of PCUN on adult phenotype. Singleton lambs of ewes fed normally (N, n=17 or undernourished before (UN-61-0 d, n=23, before and after (UN-61-30 d, n=19, or after (UN-2-30d, n=17 mating (d0 were weighed at birth, 12 weeks, and intermittently to adulthood. At the age of 3-4 years, body composition was assessed by dual-emission X-ray absorptiometry followed by postmortem examination. Compared with N animals, male, but not female, offspring of all UN groups had greater % fat mass (all UN versus N: 9±1 versus 2±1%, P<0.001 and perirenal fat (544±36 versus 222±44 g, P=0.002, and proportionately smaller hearts (4.5±0.1 versus 5.2±0.2 g·kg−1, lungs (9.1±0.2 versus 10.6±0.5 g·kg−1, and adrenals (0.06±0.002 versus 0.08±0.003 g·kg−1. UN males also had larger testes (726±21 versus 545±32 g, P=0.007, but UN females had smaller ovaries (2.7±0.08 versus 3.4±0.4 g, P=0.01. Changes were independent of birth weight or postnatal growth velocity. Brief PCUN has sex-specific effects on adult phenotype, predominantly affecting males, which may contribute to adverse metabolic outcomes.

  19. New feature of the neutron color image intensifier

    Science.gov (United States)

    Nittoh, Koichi; Konagai, Chikara; Noji, Takashi; Miyabe, Keisuke

    2009-06-01

    We developed prototype neutron color image intensifiers with high-sensitivity, wide dynamic range and long-life characteristics. In the prototype intensifier (Gd-Type 1), a terbium-activated Gd 2O 2S is used as the input-screen phosphor. In the upgraded model (Gd-Type 2), Gd 2O 3 and CsI:Na are vacuum deposited to form the phosphor layer, which improved the sensitivity and the spatial uniformity. A europium-activated Y 2O 2S multi-color scintillator, emitting red, green and blue photons with different intensities, is utilized as the output screen of the intensifier. By combining this image intensifier with a suitably tuned high-sensitive color CCD camera, higher sensitivity and wider dynamic range could be simultaneously attained than that of the conventional P20-phosphor-type image intensifier. The results of experiments at the JRR-3M neutron radiography irradiation port (flux: 1.5×10 8 n/cm 2/s) showed that these neutron color image intensifiers can clearly image dynamic phenomena with a 30 frame/s video picture. It is expected that the color image intensifier will be used as a new two-dimensional neutron sensor in new application fields.

  20. Adaptive changes in basal metabolic rate and thermogenesis in chronic undernutrition

    International Nuclear Information System (INIS)

    Shetty, P.S.

    1993-01-01

    Metabolic adaptation during chronic undernutrition represents a complex integration of several processes which affect the total energy expenditure of the individual. Basal metabolic rate (BMR) is reduced; reductions in BMR per unit fat free mass (FFM) is difficult to demonstrate. BMR changes in undernutrition reflect the low body weight as well as alterations in the composition of the FFM; more specifically changes in the ratio of viscera to muscle compartments of the FFM. Thermogenic responses to norepinephrine are transiently suppressed but recover rapidly on repeated stimulation. Dietary thermogenesis is enhanced possible the result of increases in tissue synthesis within the body. Changes in BMR and thermogenesis suggestive of an increase in metabolic efficiency is thus difficult to demonstrate in chronic undernutrition. (author). 15 refs, 2 figs, 7 tabs

  1. Dyslipidaemia and Undernutrition in Children from Impoverished Areas of Maceió, State of Alagoas, Brazil

    Directory of Open Access Journals (Sweden)

    Telma M. M. T. Florêncio

    2010-11-01

    Full Text Available Chronic undernutrition causes reduced growth and endocrine adaptations in order to maintain basic life processes. In the present study, the biochemical profiles of chronically undernourished children were determined in order to test the hypothesis that chronic undernutrition also causes changes in lipid profile in pre-school children. The study population comprised 80 children aged between 12 and 71 months, including 60 with moderate undernutrition [height-for-age Z (HAZ scores ≤ −2 and > −3] and 20 with severe undernutrition (HAZ scores ≤ −3. Socioeconomic, demographic and environmental data were obtained by application of a questionnaire, and anthropometric measurements and information relating to sex, age and feeding habits were collected by a trained nutritionist. Blood samples were analysed for haemoglobin, vitamin A, insulin-like growth factor 1 (IGF-1 and serum lipids, while cortisol was assayed in the saliva. Faecal samples were submitted to parasitological investigation. Analysis of variance and χ2 methods were employed in order to select the variables that participated in the multivariate logistic regression analysis. The study population was socioeconomically homogeneous, while the lack of a treated water supply was clearly associated with the degree of malnutrition. Most children were parasitised and anaemia was significantly more prevalent among the severely undernourished. Levels of IGF-1 decreased significantly with increasing severity of undernutrition. Lipid analysis revealed that almost all of the children had dyslipidemia, while low levels of high-density lipoprotein were associated with the degree of undernutrition. It is concluded that chronic malnutrition causes endocrine changes that give rise to alterations in the metabolic profile of pre-school children.

  2. Improved intensifying screen reduces X-ray exposure

    Science.gov (United States)

    Buchanan, R. A.

    1972-01-01

    X-ray intensifying screen may make possible radiographic procedures where detection speed and X-ray tube power have been the limiting factors. Device will reduce total population exposure to harmful radiation in the United States.

  3. Pengaruh Jenis Lembar Penguat (Intensifying Screen) Terhadap Densitas Radiografi

    OpenAIRE

    Nasrullah

    2007-01-01

    good ABSTRACT As done research on the influence of type to the density radiography with the objective to define radiography value third-density intensifying screen brand green emitting variation factors exposure and Focus Film Distance is different. Influence of type of intensifying screen to the density radiography is obtained through measurements of the value of radiography density using the densitometer with object stepwedge. The results of this research show that the average dens...

  4. The time to address undernutrition in infants and young children is ...

    African Journals Online (AJOL)

    complementary feeding after six months, and in populations with insufficient food, food supplements or conditional cash transfers, supplementation of vitamin A, iron and zinc for children and the prevention of infectious diseases that contribute to undernutrition by improving sanitation and water supply. Sufficient evidence ...

  5. Relationships between undernutrition prevalence among children and adult women at national and subnational level.

    NARCIS (Netherlands)

    Nube, M.

    2005-01-01

    Objectives: The objective of this study is to analyze the relationships between undernutrition prevalence rates among children and adults, both at the level of countries and at the level of smaller geographical subunits within countries (districts, provinces). Results are considered of relevance for

  6. Food insecurity and Under-Nutrition in Guatemala 107141-001

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

    31 Dic 2015 ... The research process ended with two main outputs: i) a systemic model that helps to understand the dynamics of chronic undernutrition in different territories of Guatemala. It identifies variables, relationships and structures that should be taken into account when implementing food security policies and ...

  7. Temporary undernutrition during early gestation, corpora lutea morphometrics, ovarian progesterone secretion and embryo survival in gilts

    NARCIS (Netherlands)

    Langendijk, P.; Bouwman, E.G.; Chen, T.; Koopmanschap, R.E.; Soede, N.M.

    2017-01-01

    The present study reports effects of severe undernutrition on luteal function and pregnancy in pigs. Gilts were inseminated and either fasted on Day 10 and 11 after conception (n = 11) or fully fed throughout (n = 10). Fasting did not affect LH or progesterone pulsatile secretion pattern on Day 11

  8. Building convergence in science, programs, and policy actions on child undernutrition: symposium rationale and overview.

    Science.gov (United States)

    Menon, Purnima; Stoltzfus, Rebecca J

    2012-03-01

    Childhood stunting and wasting are often portrayed as relatively distinct manifestations of undernutrition. Little is known about how children progress from one manifestation of undernutrition to another as they grow older, nor how intervention strategies need to consider the potential overlap of these manifestations of undernutrition. While much is known about the causes of growth faltering in general, much less is known about which pre-disposing contextual and biological factors cause children to become stunted as opposed to wasted or both. Increasingly, nutrition researchers have tended to focus on one form of malnutrition or the other, lacking an integrated framework for understanding both phenomena. Similarly, some practitioner communities focus on prevention of stunting while others focus on recuperative treatment of wasting. The fragmentation of interests and perspectives on childhood undernutrition has negative consequences for advocacy efforts that aim to bring attention and resources to child nutrition across the globe. It also has serious implications for how children worldwide receive nutrition interventions and services. The symposium aimed to bring together a set of speakers from academic, practice and policy communities to discuss and debate these issues.

  9. Socioeconomic Inequalities in Childhood Undernutrition in India: Analyzing Trends between 1992 and 2005

    Science.gov (United States)

    Subramanyam, Malavika A.; Kawachi, Ichiro; Berkman, Lisa F.; Subramanian, S. V.

    2010-01-01

    Background India experienced a rapid economic boom between 1991 and 2007. However, this economic growth has not translated into improved nutritional status among young Indian children. Additionally, no study has assessed the trends in social disparities in childhood undernutrition in the Indian context. We examined the trends in social disparities in underweight and stunting among Indian children aged less than three years using nationally representative data. Methods We analyzed data from the three cross-sectional rounds of National Family Health Survey of India from 1992, 1998 and 2005. The social factors of interest were: household wealth, maternal education, caste, and urban residence. Using multilevel modeling to account for the nested structure and clustering of data, we fit multivariable logistic regression models to quantify the association between the social factors and the binary outcome variables. The final models additionally included age, gender, birth order of child, religion, and age of mother. We analyzed the trend by testing for interaction of the social factor and survey year in a dataset pooled from all three surveys. Results While the overall prevalence rates of undernutrition among Indian children less than three decreased over the 1992–2005 period, social disparities in undernutrition over these 14 years either widened or stayed the same. The absolute rates of undernutrition decreased for everyone regardless of their social status. The disparities by household wealth were greater than the disparities by maternal education. There were no disparities in undernutrition by caste, gender or rural residence. Conclusions There was a steady decrease in the rates of stunting in the 1992–2005 period, while the decline in underweight was greater between 1992 and 1998 than between 1998 and 2005. Social disparities in childhood undernutrition in India either widened or stayed the same during a time of major economic growth. While the advantages of

  10. Socioeconomic inequalities in childhood undernutrition in India: analyzing trends between 1992 and 2005.

    Science.gov (United States)

    Subramanyam, Malavika A; Kawachi, Ichiro; Berkman, Lisa F; Subramanian, S V

    2010-06-30

    India experienced a rapid economic boom between 1991 and 2007. However, this economic growth has not translated into improved nutritional status among young Indian children. Additionally, no study has assessed the trends in social disparities in childhood undernutrition in the Indian context. We examined the trends in social disparities in underweight and stunting among Indian children aged less than three years using nationally representative data. We analyzed data from the three cross-sectional rounds of National Family Health Survey of India from 1992, 1998 and 2005. The social factors of interest were: household wealth, maternal education, caste, and urban residence. Using multilevel modeling to account for the nested structure and clustering of data, we fit multivariable logistic regression models to quantify the association between the social factors and the binary outcome variables. The final models additionally included age, gender, birth order of child, religion, and age of mother. We analyzed the trend by testing for interaction of the social factor and survey year in a dataset pooled from all three surveys. While the overall prevalence rates of undernutrition among Indian children less than three decreased over the 1992-2005 period, social disparities in undernutrition over these 14 years either widened or stayed the same. The absolute rates of undernutrition decreased for everyone regardless of their social status. The disparities by household wealth were greater than the disparities by maternal education. There were no disparities in undernutrition by caste, gender or rural residence. There was a steady decrease in the rates of stunting in the 1992-2005 period, while the decline in underweight was greater between 1992 and 1998 than between 1998 and 2005. Social disparities in childhood undernutrition in India either widened or stayed the same during a time of major economic growth. While the advantages of economic growth might be reaching everyone

  11. Time-constrained mother and expanding market: emerging model of under-nutrition in India

    Directory of Open Access Journals (Sweden)

    S. Chaturvedi

    2016-07-01

    Full Text Available Abstract Background Persistent high levels of under-nutrition in India despite economic growth continue to challenge political leadership and policy makers at the highest level. The present inductive enquiry was conducted to map the perceptions of mothers and other key stakeholders, to identify emerging drivers of childhood under-nutrition. Methods We conducted a multi-centric qualitative investigation in six empowered action group states of India. The study sample included 509 in-depth interviews with mothers of undernourished and normal nourished children, policy makers, district level managers, implementer and facilitators. Sixty six focus group discussions and 72 non-formal interactions were conducted in two rounds with primary caretakers of undernourished children, Anganwadi Workers and Auxiliary Nurse Midwives. Results Based on the perceptions of the mothers and other key stakeholders, a model evolved inductively showing core themes as drivers of under-nutrition. The most forceful emerging themes were: multitasking, time constrained mother with dwindling family support; fragile food security or seasonal food paucity; child targeted market with wide availability and consumption of ready-to-eat market food items; rising non-food expenditure, in the context of rising food prices; inadequate and inappropriate feeding; delayed recognition of under-nutrition and delayed care seeking; and inadequate responsiveness of health care system and Integrated Child Development Services (ICDS. The study emphasized that the persistence of child malnutrition in India is also tied closely to the high workload and consequent time constraint of mothers who are increasingly pursuing income generating activities and enrolled in paid labour force, without robust institutional support for childcare. Conclusion The emerging framework needs to be further tested through mixed and multiple method research approaches to quantify the contribution of time limitation of

  12. Time-constrained mother and expanding market: emerging model of under-nutrition in India.

    Science.gov (United States)

    Chaturvedi, S; Ramji, S; Arora, N K; Rewal, S; Dasgupta, R; Deshmukh, V

    2016-07-25

    Persistent high levels of under-nutrition in India despite economic growth continue to challenge political leadership and policy makers at the highest level. The present inductive enquiry was conducted to map the perceptions of mothers and other key stakeholders, to identify emerging drivers of childhood under-nutrition. We conducted a multi-centric qualitative investigation in six empowered action group states of India. The study sample included 509 in-depth interviews with mothers of undernourished and normal nourished children, policy makers, district level managers, implementer and facilitators. Sixty six focus group discussions and 72 non-formal interactions were conducted in two rounds with primary caretakers of undernourished children, Anganwadi Workers and Auxiliary Nurse Midwives. Based on the perceptions of the mothers and other key stakeholders, a model evolved inductively showing core themes as drivers of under-nutrition. The most forceful emerging themes were: multitasking, time constrained mother with dwindling family support; fragile food security or seasonal food paucity; child targeted market with wide availability and consumption of ready-to-eat market food items; rising non-food expenditure, in the context of rising food prices; inadequate and inappropriate feeding; delayed recognition of under-nutrition and delayed care seeking; and inadequate responsiveness of health care system and Integrated Child Development Services (ICDS). The study emphasized that the persistence of child malnutrition in India is also tied closely to the high workload and consequent time constraint of mothers who are increasingly pursuing income generating activities and enrolled in paid labour force, without robust institutional support for childcare. The emerging framework needs to be further tested through mixed and multiple method research approaches to quantify the contribution of time limitation of the mother on the current burden of child under-nutrition.

  13. On the phonetics of intensifying emphasis in German.

    Science.gov (United States)

    Niebuhr, Oliver

    2010-01-01

    This paper presents an exploratory study in the field of emphasis in German. It provides a comprehensive acoustic analysis for a type of emphasis that intensifies lexical meanings either positively or negatively. A speech corpus was recorded using an elicitation method adapted to yield natural-sounding, conversational, expressive speech under controlled conditions. Supporting the distinction between positive and negative intensification, two clearly different phonetic profiles emerged. These phonetic profiles of positive and negative intensification involve voice quality as well as the dynamics of the speech signal across its segmental and prosodic layers. By means of these profiles, the intensifying emphases were correctly classified by a discriminant analysis as positive or negative in around 90% of the cases. Moreover, indications were found for a third type of intensifying emphasis, which was called 'reinforcement'. Its multidimensional phonetic profile falls in between the ones of positive and negative intensification. Copyright © 2010 S. Karger AG, Basel.

  14. Halo performance on low light level image intensifiers

    Science.gov (United States)

    Cui, Dongxu; Ren, Ling; Chang, Benkang; Shi, Feng; Shi, Jifang; Qian, Yunsheng; Wang, Honggang; Zhang, Junju

    To analyze the formation mechanism of the halo on low light level image intensifiers and the influencing factors on the halo size, a halo tester has been designed. Under the illumination between 10-2 lx and 10-4 lx, we use the tester to collect a 0.1922 mm hole image directly with CoolSNAPK4 charge-coupled device (CCD) in a darkroom. The practical measurement result shows that the amplification ratio is 343.4. Then we put the super second and third generation image intensifiers after the hole, and the halo sizes of the hole images on the screens are determined as 0.2388 and 0.5533 mm respectively. The results are helpful to improve the quality of the low light level image intensifiers.

  15. Is economic growth associated with reduction in child undernutrition in India?

    Science.gov (United States)

    Subramanyam, Malavika A; Kawachi, Ichiro; Berkman, Lisa F; Subramanian, S V

    2011-03-01

    Economic growth is widely perceived as a major policy instrument in reducing childhood undernutrition in India. We assessed the association between changes in state per capita income and the risk of undernutrition among children in India. Data for this analysis came from three cross-sectional waves of the National Family Health Survey (NFHS) conducted in 1992-93, 1998-99, and 2005-06 in India. The sample sizes in the three waves were 33,816, 30,383, and 28,876 children, respectively. After excluding observations missing on the child anthropometric measures and the independent variables included in the study, the analytic sample size was 28,066, 26,121, and 23,139, respectively, with a pooled sample size of 77,326 children. The proportion of missing data was 12%-20%. The outcomes were underweight, stunting, and wasting, defined as more than two standard deviations below the World Health Organization-determined median scores by age and gender. We also examined severe underweight, severe stunting, and severe wasting. The main exposure of interest was per capita income at the state level at each survey period measured as per capita net state domestic product measured in 2008 prices. We estimated fixed and random effects logistic models that accounted for the clustering of the data. In models that did not account for survey-period effects, there appeared to be an inverse association between state economic growth and risk of undernutrition among children. However, in models accounting for data structure related to repeated cross-sectional design through survey period effects, state economic growth was not associated with the risk of underweight (OR 1.01, 95% CI 0.98, 1.04), stunting (OR 1.02, 95% CI 0.99, 1.05), and wasting (OR 0.99, 95% CI 0.96, 1.02). Adjustment for demographic and socioeconomic covariates did not alter these estimates. Similar patterns were observed for severe undernutrition outcomes. We failed to find consistent evidence that economic growth leads to

  16. Nanoparticle generation by intensified solution crystallization using cold plasma

    NARCIS (Netherlands)

    Radacsi, N.; Heijden, A.E.D.M. van der; Stankiewicz, A.I.; Horst, J.H. ter

    2013-01-01

    In this study, atmospheric pressure cold plasma (surface dielectric barrier discharge) was used as an alternative energy form to intensify solution crystallization and produce nano-sized organic crystals. Nano-sized particles can have beneficial product properties such as improved internal quality

  17. Dynamic behavior of the intensified alternative configurations for quaternary distillation

    DEFF Research Database (Denmark)

    Ramirez-Marquez, Cesar; Cabrera-Ruiz, Julián; Juan Gabriel Segovia-Hernandez, Juan Gabriel

    2016-01-01

    value decomposition technique in all frequency domain. In order to complete the control study, the distillation schemes were subjected to closed-loop dynamic simulations. The results show that there are cases in which the intensified sequences do not only provide energy savings, but also may offer...

  18. Panel type X-ray image intensifier tube

    International Nuclear Information System (INIS)

    Wang, S.P.

    1977-01-01

    A panel shaped, proximity type, X-ray image intensifier tube for medical X-ray diagnostic is disclosed. It has all linear components and yet a high brightness gain, in the range of 500 to 20,000 cd-sec/m 2 -R, the tube being comprised of a rugged metallic tube envelope, an inwardly concave metallic input window of full size output display screen, an alkaline-halide scintillator photocathode screen suspended on insulators within the envelope and in between the input window and the output screen, and a high Z glass output window to reduce X-ray backscatter inside and outside of the tube. An X-ray sensitive photographic camera for medical diagnostic use is also disclosed which includes an X-ray sensitive image intensifier means of the proximity type and a reduction type optical system having an effective foral length in excess of 100mm for focusing the emage generated on the output display screen of the image intensifier tube onto a small size but directly viewable photographic film. The parameters of the image intensifier, the optics and the film are specified and linked to each other in a manner which maximizes the image quality for a camera system of this type and at the same time restricts the system speed of the camera to a range of 500 to 5,000 R -1 for the film to achieve a net density of 1.0. (Auth.)

  19. Intensified multifactorial intervention and cardiovascular outcome in type 2 diabetes

    DEFF Research Database (Denmark)

    Pedersen, Oluf; Gaede, Peter

    2003-01-01

    We recently published the results of the Steno-2 study, which evaluated the benefits of intensified integrated behavior modification and targeted polypharmacy. The results provide abundant evidence that an ambitious treatment strategy is superior to a conventional one. The study involved 160 high...

  20. Use of Linguistic Qualifiers and Intensifiers in a Computer Conference.

    Science.gov (United States)

    Fahy, Patrick J.

    2002-01-01

    Describes a study that investigated a possible gender-related communications difference, the use of linguistic qualifiers and intensifiers, in the online computer conference transcript in a graduate course. Explains the use of sentences as the units of analysis and the use of a new tool for coding, the Transcript Analysis Tool. (Author/LRW)

  1. Detective quantum efficiency of medical x-ray image intensifiers

    CSIR Research Space (South Africa)

    Thirlwall, JT

    1998-11-01

    Full Text Available The recognition of small features of low contrast in the image recorded by an x-ray image intensifier is usually limited by photon noise. This detail-contrast perceptibility is dependent on the detective quantum efficiency (DQE) and the modulation...

  2. Factors Influencing Child Undernutrition in Bangladesh: A comparative study of FSNSP and DHS data

    International Nuclear Information System (INIS)

    Hasan, Md. Mehedi; Hasib Chowdhury, G.E.

    2014-01-01

    Full text: Background: Including Bangladesh, undernutrition remains a major problem throughout the world. Evidence from Food Security Nutritional Surveillance Project (FSNSP) and Bangladesh Demographic and Health Survey (BDHS) conducted both in 2011 reveal that nutritional vulnerability in the form of stunting (FSNSP: 40% vs. BDHS: 41%), underweight (FSNSP: 34% vs. BDHS: 36%) and wasting (FSNSP: 12% vs. BDHS: 16%) still exists highly in Bangladesh. This study aims at exploring the factors associated with child undernutrition in Bangladesh. Methodology: Two nationally representative, FSNSP conducted in 2012 and BDHS conducted in 2011, data sets were used to conduct this study. Using standard cut-offs, anthropometric criterion were applied to define child nutritional status followed by household food insecurity access scale for measuring household food security in both data sets. Bivariate and multivariate analyses were carried out to meet the study objectives. Studies were restricted among alive under five children born during last delivery of their mother. Cases having missing values for all anthropometric measurements were excluded from this study. Results: Compared to nourish mothers and food secured households, rates of stunting, underweight and wasting-both for severe and moderate- were found significantly higher among children of undernourished mothers and food insecured households. Significant lower rates of undernutrition were found among children born to educated mothers compared to that of illiterate mothers. Both FSNSP and BDHS data evidenced that children of undernourished mothers (BMI<18.5 kg/m2) were at higher risk of being moderately wasted (FSNSP: OR = 1.86, p<0.01 vs. BDHS: OR = 1.77, p<0.01), stunted (FSNSP: OR = 1.55, p<0.01 vs. BDHS: OR = 1.66, p<0.01) and underweight (FSNSP: OR = 1.69, p<0.01 vs. BDHS: OR = 1.98, p<0.01) compared to that of nourished mothers (BMI≥18.5 kg/m2) in unadjusted models. Likewise, children of food insecured households

  3. Maternal undernutrition and fetal developmental programming of obesity: the glucocorticoid connection.

    Science.gov (United States)

    Correia-Branco, Ana; Keating, Elisa; Martel, Fátima

    2015-02-01

    An adequate maternal nutrition during pregnancy is crucial for the health outcome of offspring in adulthood. Maternal undernutrition during critical periods of fetal development can program the fetus for metabolic syndrome (MetS) later in life, especially when postnatally challenged with a hypernutritive diet. Adipogenesis, which begins in utero and accelerates in neonatal life, is a major candidate for developmental programming. During fetal development, the hypothalamic-pituitary-adrenal (HPA) axis is extremely susceptible to programming, and the HPA tone is increased throughout life in undernourished conditions. As a consequence, an alteration in the expression and function of glucocorticoid (GC) receptors and of the major GC regulatory enzymes (11β-hydroxysteroid dehydrogenase 1 and -2) occurs. In this review, we will give insights into the role of maternoplacental adverse interactions under the specific context of maternal undernutrition, for later-in-life MetS development, with a special emphasis on the role of GCs. © The Author(s) 2014.

  4. Child overweight and undernutrition in Thailand: is there an urban effect?

    Science.gov (United States)

    Firestone, Rebecca; Punpuing, Sureeporn; Peterson, Karen E; Acevedo-Garcia, Dolores; Gortmaker, Steven L

    2011-05-01

    An urban advantage in terms of lower risk of child undernutrition has been observed in many developing countries, but child obesity is often more prevalent in urban than rural areas. This study aimed to assess whether urban-rural disparities in undernutrition and obesity were attributable to concentrations of socioeconomically advantaged children into urban communities or to specific aspects of the urban environment. A sample of 4610 children ages 2-10 years was derived from the 2004 Round of the Kanchanaburi Demographic Surveillance System, monitoring health and demographic change in the province of Kanchanaburi, Thailand. We used multi-level logistic regression to model the odds of short stature, underweight, and obesity for children in 102 communities. Models tested whether child socioeconomic conditions accounted for urban-rural disparities or if aspects of the social and physical environment accounted for disparities, adjusting for child characteristics. 27.8% of children were underweight, while 19.9% had short stature, and 8.3% were obese. Bivariate associations showed urban residence associated with lower risk of undernutrition and a greater risk of obesity. Urban-rural disparities in odds of short stature and underweight were accounted for by child socioeconomic characteristics. Urban residence persisted as a risk factor for obesity after adjusting for child characteristics. Community wealth concentration, television coverage, and sanitation coverage were independently associated with greater risk of obesity. Undernutrition was strongly associated with household poverty, while household affluence and characteristics of the urban environment were associated with odds of obesity. Further research is needed to characterize how urban environments contribute to children's risks of obesity in developing countries. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. Nutrition profile of under-five year rural children and correlates of undernutrition in central India

    Directory of Open Access Journals (Sweden)

    Venkaiah Kodavalla

    2015-12-01

    Full Text Available Background: High prevalence of undernutrition in Madhya Pradesh contributing to high mortality and morbidities among young children. Aims & objectives: to assess prevalence of undernutrition and its co-relates among under 5 year children in Madhya Pradesh. Materials & Methods: It was a community based cross- sectional study carried out in all the districts of Madhya Pradesh, India using systematic random sampling. Results: A total of 22,895 children (Boys:12379, Girls:10516, mean age 26.1 months, SD 15.9, were covered. The overall prevalence of underweight, stunting and wasting was about 52%, 49% and 26% respectively. The prevalence was significantly (p<0.01 higher among boys as compared to girls. The risk of underweight, stunting and wasting was significantly higher among children belonging to SC+ST communities (OR: 1.36, 1.21 & 1.23 as compared to others, among children of illiterate parents and landless labourers (OR: 1.27, 1.32 & 1.15. The risk of stunting was significantly higher among children living in HHs without electricity (OR: 1.41 and HHs not using sanitary latrine (OR: 1.29. Similarly, the risk of wasting was significantly higher among households not having access to safe drinking water, mothers not cleaning their hands before feeding and among children with history of morbidity during preceding fortnight. Prevalence of underweight (28%, stunting (17% and wasting (34% was significantly (p<0.01 lower among children who were exclusively breast fed up to 6 months. Conclusions: Multiple risk factors are associated with childhood undernutrition and needs multi-pronged and multi-sector approach to tackle the problem. The results will help planners to develop and implement appropriate intervention strategies, for effective control and prevention of undernutrition among under-five year children in Madhya Pradesh

  6. Maternal and child undernutrition and overweight in low-income and middle-income countries.

    Science.gov (United States)

    Black, Robert E; Victora, Cesar G; Walker, Susan P; Bhutta, Zulfiqar A; Christian, Parul; de Onis, Mercedes; Ezzati, Majid; Grantham-McGregor, Sally; Katz, Joanne; Martorell, Reynaldo; Uauy, Ricardo

    2013-08-03

    Maternal and child malnutrition in low-income and middle-income countries encompasses both undernutrition and a growing problem with overweight and obesity. Low body-mass index, indicative of maternal undernutrition, has declined somewhat in the past two decades but continues to be prevalent in Asia and Africa. Prevalence of maternal overweight has had a steady increase since 1980 and exceeds that of underweight in all regions. Prevalence of stunting of linear growth of children younger than 5 years has decreased during the past two decades, but is higher in south Asia and sub-Saharan Africa than elsewhere and globally affected at least 165 million children in 2011; wasting affected at least 52 million children. Deficiencies of vitamin A and zinc result in deaths; deficiencies of iodine and iron, together with stunting, can contribute to children not reaching their developmental potential. Maternal undernutrition contributes to fetal growth restriction, which increases the risk of neonatal deaths and, for survivors, of stunting by 2 years of age. Suboptimum breastfeeding results in an increased risk for mortality in the first 2 years of life. We estimate that undernutrition in the aggregate--including fetal growth restriction, stunting, wasting, and deficiencies of vitamin A and zinc along with suboptimum breastfeeding--is a cause of 3·1 million child deaths annually or 45% of all child deaths in 2011. Maternal overweight and obesity result in increased maternal morbidity and infant mortality. Childhood overweight is becoming an increasingly important contributor to adult obesity, diabetes, and non-communicable diseases. The high present and future disease burden caused by malnutrition in women of reproductive age, pregnancy, and children in the first 2 years of life should lead to interventions focused on these groups. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. High Prevalence of Undernutrition among Elderly People in Northwest Ethiopia: A Cross Sectional Study

    OpenAIRE

    Molla Mesele Wassie

    2014-01-01

    "Background: Nutritional status of elderly is an important determinant of their health and quality of life. Elderly people are more vulnerable for nutritional insults as compared to adults. Undernutrition among elderly people is becoming significantly high regardless of the progress on health care system. This study was aimed to assess prevalence and associated factors of under nutrition among elderly people in Gondar town, Northwest Ethiopia. Methods: A community based cross-sectional st...

  8. Undernutrition and oxidative stress as risk factors for high blood pressure in older Mexican adults.

    Science.gov (United States)

    Mendoza-Núñez, Víctor Manuel; Sánchez-Rodríguez, Martha A; Correa-Muñoz, Elsa

    2009-01-01

    To determine the relationship between undernutrition and oxidative stress as risk factors for high blood pressure (HBP) in older Mexican adults. We carried out a case-control study in a convenience sample of 62 older adults, 60-80 years of age; 32 without HBP (mean age 75.8 +/- 5.1 years) and 30 with HBP (mean age 65.2 +/- 6.8 years). We measured serum lipoperoxide (LPO) levels, antioxidant enzymes, total antioxidant activity and lipid profile; in addition, we evaluated the nutritional status with anthropometric measurements, the Mini Nutritional Assessment and food intake frequency. Data were analyzed with Student t and odds ratio (OR) statistical tests. We observed significantly higher LPO levels in subjects with HBP than in normotensive subjects (0.303 +/- 0.10 vs. 0.256 +/- 0.06 micromol/l; p or = 0.320 micromol/l) and an OR of 5.0 (95% CI 1.1-23.0, p < 0.05) in those with undernutrition. Our findings suggest that high LPO levels and undernutrition are significant risk factors for HBP. 2009 S. Karger AG, Basel.

  9. High prevalence of underweight and undernutrition in Japanese inpatients with schizophrenia: a nationwide survey

    Science.gov (United States)

    Sugai, Takuro; Suzuki, Yutaro; Yamazaki, Manabu; Shimoda, Kazutaka; Mori, Takao; Ozeki, Yuji; Matsuda, Hiroshi; Sugawara, Norio; Yasui-Furukori, Norio; Minami, Yoshitake; Okamoto, Kurefu; Sagae, Toyoaki; Someya, Toshiyuki

    2015-01-01

    Objectives To clarify the prevalence of underweight and overweight/obesity, and laboratory data for nutritional status in Japanese outpatients and inpatients with schizophrenia. Design Cross-sectional study. Setting A questionnaire conducted in inpatient and outpatient facilities in Japan. Participants The population of adult patients with schizophrenia in Japan (N=23 116). Main outcome measures The prevalence of underweight and undernutrition in Japanese inpatients and outpatients with schizophrenia. Results We conducted a large-scale investigation of the prevalence of underweight and undernutrition in 520 outpatient facilities and 247 inpatient facilities belonging to the Japan Psychiatric Hospitals Association between January 2012 and July 2013. There were 7655 outpatients and 15 461 inpatients with schizophrenia. There was a significant difference in the distribution of three body mass index levels between outpatients and inpatients (punderweight inpatients with schizophrenia was significantly higher than that among outpatients (punderweight individuals aged ≥40 years was higher in inpatients than in outpatients and in the general Japanese population. The proportion of individuals with hypocholesterolaemia was significantly higher in inpatients with schizophrenia than in outpatients (punderweight between outpatients and inpatients with schizophrenia; the proportion of severe underweight in inpatients was twofold higher than in outpatients. Conclusions The prevalence of underweight and undernutrition in Japanese inpatients with schizophrenia was higher than in outpatients and the general population. Therefore, the physical risk of inpatients should be carefully considered in clinical practice. PMID:26656016

  10. Epigenetic changes in fetal hypothalamic energy regulating pathways are associated with maternal undernutrition and twinning.

    Science.gov (United States)

    Begum, Ghazala; Stevens, Adam; Smith, Emma Bolton; Connor, Kristin; Challis, John R G; Bloomfield, Frank; White, Anne

    2012-04-01

    Undernutrition during pregnancy is implicated in the programming of offspring for the development of obesity and diabetes. We hypothesized that maternal programming causes epigenetic changes in fetal hypothalamic pathways regulating metabolism. This study used sheep to examine the effect of moderate maternal undernutrition (60 d before to 30 d after mating) and twinning to investigate changes in the key metabolic regulators proopiomelanocortin (POMC) and the glucocorticoid receptor (GR) in fetal hypothalami. Methylation of the fetal hypothalamic POMC promoter was reduced in underfed singleton, fed twin, and underfed twin groups (60, 73, and 63% decrease, respectively). This was associated with reduced DNA methyltransferase activity and altered histone methylation and acetylation. Methylation of the hypothalamic GR promoter was decreased in both twin groups and in maternally underfed singleton fetuses (52, 65, and 55% decrease, respectively). This correlated with changes in histone methylation and acetylation and increased GR mRNA expression in the maternally underfed singleton group. Alterations in GR were hypothalamic specific, with no changes in hippocampi. Unaltered levels of OCT4 promoter methylation indicated gene-specific effects. In conclusion, twinning and periconceptional undernutrition are associated with epigenetic changes in fetal hypothalamic POMC and GR genes, potentially resulting in altered energy balance regulation in the offspring.

  11. Undernutrition and its determinants among daily laborers working in Cobblestone project in Ethiopia

    Directory of Open Access Journals (Sweden)

    Geteneh Moges

    2016-01-01

    Full Text Available Background Undernutrition is among the most significant public health problems in the world. It is an important underlying cause of illness and death in Africa and imposes a huge cost both in human and economic terms. The aim of this study is to assess the level of undernutrition and its determinants among daily laborers working in cobblestone projects, Yeka Sub City, Addis Ababa, Ethiopia. Methods A workplace-based cross-sectional study was conducted among 423 cobblestone daily laborers from February 20 to April 1, 2015. Systematic random sampling method was employed (with proportional allocation in three cobblestone project sites. An interviewer-administered questionnaire and anthropometric measurements (weight and height were used to collect the data. The data was entered by Epi Info version 3.5.3 then transferred to SPSS version 20 for data analysis. Results Overall, 423 respondents (of which 300, or 71%, were male participated in this study, making the response rate 100%. Among the study participants, 141 (33.3%; 95% CI: 28.8 - 38.0 were underweight (BMI<18.50. Males were more likely to experience underweight than their female counterparts: 112 (37.3% versus 29 (23.6%. Educational status, family size, income, dietary diversity and smoking had statistical significance with undernutrition in multivariate analysis. Study participants who had no education were significantly more likely to be undernourished [AOR = 7.83; 95% CI (3.78, 16.22] compared with those above secondary level education. Daily laborers with a larger family size (≥3 were three times [AOR=2.88; 95%CI; 1.54-5.40] more likely to be undernourished compared to low family size (≤2. Daily laborers who had low monthly income (<1500 ETB were significantly more likely to be undernourished [AOR= 9.77; 95%CI (4.92, 19.39] than those with high income (≥2500 ETB. Daily laborers who smoke were significantly more likely to be undernourished [AOR = 2.02; 95% CI (1.06 – 3

  12. The Response of Western Boundary Currents to Intensifying Global Winds

    Science.gov (United States)

    Beal, L. M.; Elipot, S.

    2016-02-01

    Western boundary currents, such as the Agulhas Current, are the most intense meridional flows in the ocean, carrying heat away from the tropics and towards the poles. There is evidence that these current systems are shifting and/or intensifying under anthropogenic climate change, potentially exacerbating warming and extreme weather events in the mid-latitudes. We use new ocean measurements to show that since the early 1990s the Agulhas Current has not strengthened, despite an increase in sea surface temperature indicative of intensification. Rather, the current has been widening, which we attribute to increased eddy activity. Recent analyses of the Kuroshio and East Australia Current hint at similar trends. These results suggest that increased energy input by the winds may be increasing the instability of boundary currents, rather than intensifying their mean flow, with potential impacts on ocean mixing, ventilation, and shelf interactions. Sustained measurements are needed to properly understand the role of these current systems in future climate change.

  13. Optimization of gated x-ray intensifier screens

    Science.gov (United States)

    Walsh, P. J.; Oertel, J.; Lanier, N. E.; Archuleta, T. N.; Chelli, S. J.; Lvovsky, Marina

    2006-10-01

    Gated x-ray intensifiers are primary imaging diagnostics in high energy density physics and inertial confinement fusion experiments. We describe recent work in optimization of the phosphor screens used in these intensifiers. One avenue for improvement in resolution, contrast, and brightness is improved phosphor screens. Efforts have been directed at improving luminosity, resolution, and contrast with an aluminized thin (screens. Thinner phosphors, coupled with thinner aluminum overcoats (screen accelerating voltages for this class of instrument. Higher resolution is achieved by coupling increased extraction voltage (ph/e-) with less interparticle photon diffusion and increased photon capture (aluminum overcoat). The contribution of the aluminum overcoat to capturing backscattered screen photons is examined. Improved transmission of an ITO electrode used in the cataphoretic deposition technique is demonstrated.

  14. Multiple event 2D image intensifier scintillation detector

    International Nuclear Information System (INIS)

    Thieberger, P.; Wegner, H.E.; Lee, R.C.

    1981-01-01

    An image intensifier scintillation detector has been developed for the simultaneous detection of multiple light or heavy ions down to very low energies. The relative X-Y positions of each ion are read out by digitization of a television image of the light amplified scintillations. The maximum data rate is limited by the present television scan speed to 15 multiple events per second and to about one event second by the microcomputer presently used to store and process the data. (orig.)

  15. Fetal programming of insulin-like growth factor (IGF)-I and IGF-binding protein-3: evidence for an altered response to undernutrition in late gestation following exposure to periconceptual undernutrition in the sheep.

    Science.gov (United States)

    Gallaher, B W; Breier, B H; Keven, C L; Harding, J E; Gluckman, P D

    1998-12-01

    It has been demonstrated in several animal models that undernutrition in utero has significant long lasting effects on subsequent fetal and postnatal development. To address the hypothesis that the insulin-like growth factors (IGFs) may mediate such effects, our study examined whether a period of periconceptual maternal undernutrition could have a lasting influence on the IGF axis in the fetal sheep. Ewes were either allowed to feed ad libitum or kept undernourished from day 60 prior to mating until day 30 after conception, and then both groups were allowed to feed ad libitum. These groups were further divided at day 105 of gestation, either being fed ad libitum or undernourished until day 115 of gestation. Fetal and maternal blood samples were obtained at both day 105 and 115 of gestation. We describe the development of a specific homologous RIA to measure ovine IGF-binding protein-3 (IGFBP-3) in fetal and maternal sheep plasma. Fetal plasma IGFBP-3 and IGF-I concentrations were significantly (Pfetal plasma IGFBP-2 levels were unchanged. The degree of reduction in fetal plasma IGFBP-3 and IGF-I between day 105 and 115 of gestation as a response to acute maternal undernutrition was significantly greater (Pfetal plasma IGFBP-3 concentrations were not the result of increased proteolytic activity. These results suggest that exposure to maternal periconceptual undernutrition reprograms IGFBP-3 and IGF-I regulation in the developing sheep fetus, altering its response to undernutrition in late gestation.

  16. Achieving interlocking nails without using an image intensifier.

    Science.gov (United States)

    Ikem, Innocent C; Ogunlusi, Johnson D; Ine, Henry R

    2007-08-01

    Interlocking nails are commonly performed using an image intensifier. These are expensive and are not readily available in most resource-poor countries of the world. The aim of this study was to achieve interlocking nailing without the use of an image intensifier. This is a prospective descriptive analysis of 40 consecutive cases seen with shaft fractures of the humerus, femur, and tibia. Fracture fixation was done using Surgical Implant Generation Network (SIGN) nails. Forty limbs in 34 patients were studied. There were 12 females and 22 males, giving a ratio of 1:2. The mean age (years) was 35.75+/-13.16 and the range was 17-70 years. The studied bones were: humerus 10%, femur 65%, and tibia 25%. The fracture lines were: transverse 40%, oblique 15%, and communited 45%. Fracture grades were: closed 90%, grade I, 5%, grade II, 2.5%, and grade IIIA, 2.5%. Surgical approaches were: antegrade 62.5% and retrograde 37.5%. Indications for fixation were: recent fracture 92.5%, non-union 5%, and malunion 3%. Methods of reductions were: open 85% and closed 15%. The mean follow-up period (years) was 1.50+/-0.78. The union time averaged 3 months. Complication was mainly screw loosening due to severe osteoporoses in one case. It is, therefore, concluded that, with the aid of external jigs and slot finders, interlocking can be achieved without an image intensifier.

  17. Infections

    Science.gov (United States)

    ... Type b) How to Take Your Child's Temperature Impetigo Infant Botulism Infections That Pets Carry Influenza (Flu) ... Herpes Hand, Foot, and Mouth Disease Hives (Urticaria) Impetigo Infections That Pets Carry Lyme Disease Measles Molluscum ...

  18. Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: the relationship and risk factors

    Science.gov (United States)

    2013-01-01

    Background Poor nutritional status of mothers has a direct and indirect consequence on their own health and that of their children. The objective of this study was to determine the relationship between nutritional status of mothers and their children and the risk factors for under-nutrition among mothers and children in rural and urban communities of Lagos State, Nigeria. Methods This was a cross sectional survey conducted using the multistage random sampling technique. A total of 300 mother-child pairs were studied, consisting of 150 each from rural and urban communities. Under-nutrition in mothers and children was determined using standard criteria. Results The prevalence of under-nutrition among mothers was significantly higher in rural than urban communities (10.7% vs. 2.7%, p = 0.014). The prevalences of underweight and stunted children were also significantly higher in rural than urban communities (19.4% vs. 9.3%, p maternal and child under nutrition differs across rural and urban communities. Conclusions The prevalence of maternal and child under-nutrition is high in both communities although higher in rural communities. Efforts at reducing the vicious cycle of under-nutrition among mothers and children should concentrate on addressing risk factors specific for each community. PMID:23880121

  19. Does planning of births affect childhood undernutrition? Evidence from demographic and health surveys of selected South Asian countries.

    Science.gov (United States)

    Rana, Md Juel; Goli, Srinivas

    2018-03-01

    The prevalence of child undernutrition in South Asia is high, as is also the unmet need for family planning. In previous literature, the biodemographic relationship of family planning, particularly birth order and birth spacing, and nutritional status of children have been assessed separately. The aim of this study was to work on the hypothesis that the planning of births comprising timing, spacing, and number of births improves child undernutrition, especially in the areas with high prevalence of stunting and underweight. We used recent Demographic and Health Survey data from four selected South Asian countries. Binary logistic regression models were applied to estimate the adjusted percentage of stunting and underweight by identified independent factors. Findings suggested that after controlling for other socioeconomic factors, children in the first birth order with >24 mo of interval between marriage and first birth have a lower risk for stunting (20%; p planning of births. The probability of child undernutrition is lower among children born with >24 mo of birth spacing than its counterpart in all birth orders, but the significance of birth spacing reduces with increasing birth orders. Appropriate planning of births using family planning methods in countries with high birth rates has the potential to reduce childhood undernutrition. Thus, the planning of births emerges as an important biodemographic approach to eradicate childhood undernutrition especially in developing regions like South Asia and thereby to achieve sustainable development goals by 2030. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Effect of correcting for gestational age at birth on population prevalence of early childhood undernutrition.

    Science.gov (United States)

    Perumal, Nandita; Roth, Daniel E; Perdrizet, Johnna; Barros, Aluísio J D; Santos, Iná S; Matijasevich, Alicia; Bassani, Diego G

    2018-01-01

    Postmenstrual and/or gestational age-corrected age (CA) is required to apply child growth standards to children born preterm (age). Yet, CA is rarely used in epidemiologic studies in low- and middle-income countries (LMICs), which may bias population estimates of childhood undernutrition. To evaluate the effect of accounting for GA in the application of growth standards, we used GA-specific standards at birth (INTERGROWTH-21st newborn size standards) in conjunction with CA for preterm-born children in the application of World Health Organization Child Growth Standards postnatally (referred to as 'CA' strategy) versus postnatal age for all children, to estimate mean length-for-age (LAZ) and weight-for-age (WAZ) z scores at 0, 3, 12, 24, and 48-months of age in the 2004 Pelotas (Brazil) Birth Cohort. At birth (n = 4066), mean LAZ was higher and the prevalence of stunting (LAZ age (mean ± SD): - 0.36 ± 1.19 versus - 0.67 ± 1.32; and 8.3 versus 11.6%, respectively. Odds ratio (OR) and population attributable risk (PAR) of stunting due to preterm birth were attenuated and changed inferences using CA versus postnatal age at birth [OR, 95% confidence interval (CI): 1.32 (95% CI 0.95, 1.82) vs 14.7 (95% CI 11.7, 18.4); PAR 3.1 vs 42.9%]; differences in inferences persisted at 3-months. At 12, 24, and 48-months, preterm birth was associated with stunting, but ORs/PARs remained attenuated using CA compared to postnatal age. Findings were similar for weight-for-age z scores. Population-based epidemiologic studies in LMICs in which GA is unused or unavailable may overestimate the prevalence of early childhood undernutrition and inflate the fraction of undernutrition attributable to preterm birth.

  1. The double burden of undernutrition and excess body weight in Ecuador.

    Science.gov (United States)

    Freire, Wilma B; Silva-Jaramillo, Katherine M; Ramírez-Luzuriaga, María J; Belmont, Philippe; Waters, William F

    2014-12-01

    Ecuador's current nutrition policies have not taken adequate notice of the double burden of malnutrition and continue to focus on stunting and to a lesser extent on overweight, without addressing the simultaneous presence of undernutrition, micronutrient deficiencies, and overweight or obesity (OW/OB). The aim of this article was to describe the prevalence and distribution of undernutrition (stunting, anemia, and zinc deficiency), overweight, and obesity in Ecuador to explore the evolving double burden of malnutrition at the national, household, and individual levels and to discuss whether current public health policies are addressing the double burden. Data from the 2012 Ecuadorian National Health and Nutrition Survey (ENSANUT-ECU) was used to estimate the dual burden of malnutrition at the national, household, and individual levels in children <5 y old, school-aged children, and women of reproductive age. In 13.1% of households, mothers with excess body weight coexist with a stunted child <5 y old. Moreover, among households with overweight or obese mothers, 12.6% have an anemic child and 14% have a zinc-deficient child. At the individual levels, the coexistence of OW/OB and stunting, anemia, or zinc deficiency was found in 2.8%, 0.7%, and 8.4% of school-aged children, respectively. In addition, 8.9% and 32.6% of women aged 12-49 y have excess body weight and anemia or zinc deficiency, respectively. This article shows the coexistence of high rates of undernutrition and OW/OB at the individual, household, and national levels in Ecuador. Although integrated approaches to address the emerging double burden are required, public health policies to date have not responded adequately. © 2014 American Society for Nutrition.

  2. Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles.

    Science.gov (United States)

    Caulfield, Laura E; de Onis, Mercedes; Blössner, Monika; Black, Robert E

    2004-07-01

    Previous analyses derived the relative risk (RR) of dying as a result of low weight-for-age and calculated the proportion of child deaths worldwide attributable to underweight. The objectives were to examine whether the risk of dying because of underweight varies by cause of death and to estimate the fraction of deaths by cause attributable to underweight. Data were obtained from investigators of 10 cohort studies with both weight-for-age category (-1 SD) and cause of death information. All 10 studies contributed information on weight-for-age and risk of diarrhea, pneumonia, and all-cause mortality; however, only 6 studies contributed information on deaths because of measles, and only 3 studies contributed information on deaths because of malaria or fever. With use of weighted random effects models, we related the log mortality rate by cause and anthropometric status in each study to derive cause-specific RRs of dying because of undernutrition. Prevalences of each weight-for-age category were obtained from analyses of 310 national nutrition surveys. With use of the RR and prevalence information, we then calculated the fraction of deaths by cause attributable to undernutrition. The RR of mortality because of low weight-for-age was elevated for each cause of death and for all-cause mortality. Overall, 52.5% of all deaths in young children were attributable to undernutrition, varying from 44.8% for deaths because of measles to 60.7% for deaths because of diarrhea. A significant proportion of deaths in young children worldwide is attributable to low weight-for-age, and efforts to reduce malnutrition should be a policy priority.

  3. Effects of gestational maternal undernutrition on growth, carcass composition and meat quality of rabbit offspring.

    Directory of Open Access Journals (Sweden)

    George K Symeon

    Full Text Available An experiment was conducted in order to evaluate the effects of gestational undernutrition of rabbit does on growth, carcass composition and meat quality of the offsprings. Thirty primiparous non lactating rabbit does were artificially inseminated and randomly divided in three treatment groups: Control (C; fed to 100% of maintenance requirements throughout gestation, n = 10, early undernourished (EU; fed to 50% of maintenance requirements during days 7-19 of gestation, n = 10 and late undernourished (LU; fed to 50% of maintenance requirements during days 20-27 of gestation, n = 10. During the 4th week of the gestation period, LU does significantly lost weight compared to C and EU groups (P<0.05. At kindling, C does produced litters with higher proportions of stillborn kits (P<0.05 while the total litter size (alive and stillborn kits was not different among groups (10.7, 12.8 and 12.7 kits in C, EU and LU groups, respectively. Kit birth weight tended to be lower in the LU group. During fattening, body weight and feed intake were not different among offsprings of the three experimental groups. Moreover, the maternal undernutrition did not have any impact on carcass composition of the offsprings in terms of carcass parts and internal organs weights as well as meat quality of L. lumborum muscle (pH24, colour, water holding capacity and shear values at slaughter (70 days of age. Therefore, it can be concluded that the gestational undernutrition of the mother does not have detrimental effects on the productive and quality traits of the offsprings.

  4. Effects of intensified training and taper on immune function

    Directory of Open Access Journals (Sweden)

    Elena Papacosta

    2013-03-01

    Full Text Available Although resting immune function is not very different in athletes compared with non-athletes periods of intensified training (overreaching in already well trained athletes can result in a depression of immunity in the resting state. Illness-prone athletes appear to have an altered cytokine response to antigen stimulation and exercise. Having low levels of salivary IgA secretion also makes athletes more susceptible to upper respiratory tract infections. Overtraining is associated with recurrent infections and immunodepression is common, but immune functions do not seem to be reliable markers of impending overtraining. There are several possible causes of the diminution of immune function associated with periods of heavy training. One mechanism may simply be the cumulative effects of repeated bouts of intense exercise (with or without tissue damage with the consequent elevation of stress hormones, particularly glucocorticoids such as cortisol, causing temporary inhibition of TH-1 cytokines with a relative dampening of the cell-mediated response. When exercise is repeated frequently there may not be sufficient time for the immune system to recover fully. Tapering has been described as a gradual reduction in the training load which allows the recovery of physiological capacities that were impaired by previous intensive training and permits further training-induced adaptations to occur accompanied by competition performance enhancements. The majority of the studies that have examined the recovery of immunoendocrine responses during 1-3 week tapers in trained athletes have mainly reported enhanced performance, often accompanied by increased anabolic activity, reduced physiological stress and restoration of mucosal immunity and immune function.Quando se compara a função imune, em repouso, de atletas e não atletas, não se verificam grandes diferenças. Porém, períodos de treinamento intensificado ("overreaching" em atletas bem treinados podem

  5. Effects of maternal and pre-weaning undernutrition in rat offspring: Age at reproductive senescence and intergenerational pup growth and viability

    Science.gov (United States)

    Maternal and/or postnatal undernutrition are widespread in human populations and are components of many experimental developmental and reproductive toxicology bio-assays. This study investigated in utero and/or pre-weaning undernutrition effects on reproductive maturation and se...

  6. Decomposing the Gap in Childhood Undernutrition between Poor and Non–Poor in Urban India, 2005–06

    Science.gov (United States)

    Kumar, Abhishek; Singh, Aditya

    2013-01-01

    Background Despite the growing evidence from other developing countries, intra-urban inequality in childhood undernutrition is poorly researched in India. Additionally, the factors contributing to the poor/non-poor gap in childhood undernutrition have not been explored. This study aims to quantify the contribution of factors that explain the poor/non-poor gap in underweight, stunting, and wasting among children aged less than five years in urban India. Methods We used cross-sectional data from the third round of the National Family Health Survey conducted during 2005–06. Descriptive statistics were used to understand the gap in childhood undernutrition between the urban poor and non-poor, and across the selected covariates. Blinder–Oaxaca decomposition technique was used to explain the factors contributing to the average gap in undernutrition between poor and non-poor children in urban India. Result Considerable proportions of urban children were found to be underweight (33%), stunted (40%), and wasted (17%) in 2005–06. The undernutrition gap between the poor and non-poor was stark in urban India. For all the three indicators, the main contributing factors were underutilization of health care services, poor body mass index of the mothers, and lower level of parental education among those living in poverty. Conclusions The findings indicate that children belonging to poor households are undernourished due to limited use of health care services, poor health of mothers, and poor educational status of their parents. Based on the findings the study suggests that improving the public services such as basic health care and the education level of the mothers among urban poor can ameliorate the negative impact of poverty on childhood undernutrition. PMID:23734231

  7. Decomposing the gap in childhood undernutrition between poor and non-poor in urban India, 2005-06.

    Science.gov (United States)

    Kumar, Abhishek; Singh, Aditya

    2013-01-01

    Despite the growing evidence from other developing countries, intra-urban inequality in childhood undernutrition is poorly researched in India. Additionally, the factors contributing to the poor/non-poor gap in childhood undernutrition have not been explored. This study aims to quantify the contribution of factors that explain the poor/non-poor gap in underweight, stunting, and wasting among children aged less than five years in urban India. We used cross-sectional data from the third round of the National Family Health Survey conducted during 2005-06. Descriptive statistics were used to understand the gap in childhood undernutrition between the urban poor and non-poor, and across the selected covariates. Blinder-Oaxaca decomposition technique was used to explain the factors contributing to the average gap in undernutrition between poor and non-poor children in urban India. Considerable proportions of urban children were found to be underweight (33%), stunted (40%), and wasted (17%) in 2005-06. The undernutrition gap between the poor and non-poor was stark in urban India. For all the three indicators, the main contributing factors were underutilization of health care services, poor body mass index of the mothers, and lower level of parental education among those living in poverty. The findings indicate that children belonging to poor households are undernourished due to limited use of health care services, poor health of mothers, and poor educational status of their parents. Based on the findings the study suggests that improving the public services such as basic health care and the education level of the mothers among urban poor can ameliorate the negative impact of poverty on childhood undernutrition.

  8. Improved fluorescent X-ray image intensifying screen

    International Nuclear Information System (INIS)

    Landeghem, W.K. van; Suys, A.R.

    1981-01-01

    An X-ray image intensifying screen is described, which includes at least one fluorescent layer comprising phosphor particles dispersed in a binder and on top of such layer a protective layer containing a crosslinked polymer mass obtained by an acid-catalyzed reaction of a polymer or mixture of polymers containing reactive hydrogen atoms and a cross-linking agent, the cross-linking agent being an organic compound containing a plurality of etherified N-methylol groups. Examples are given of appropriate polymers and cross-linking agents. (author)

  9. Selection of Rational Heat Transfer Intensifiers in the Heat Exchanger

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    S. A. Burtsev

    2016-01-01

    Full Text Available The paper considers the applicability of different types of heat transfer intensifiers in the heat exchange equipment. A review of the experimental and numerical works devoted to the intensification of the dimpled surface, surfaces with pins and internally ribbed surface were presented and data on the thermal-hydraulic characteristics of these surfaces were given. We obtained variation of thermal-hydraulic efficiency criteria for 4 different objective functions and 15 options for the intensification of heat transfer. This makes it possible to evaluate the advantages of the various heat transfer intensifiers. These equations show influence of thermal and hydraulic characteristics of the heat transfer intensifiers (the values of the relative heat transfer and drag coefficients on the basic parameters of the shell-and-tube heat exchanger: the number and length of the tubes, the volume of the heat exchanger matrix, the coolant velocity in the heat exchanger matrix, coolant flow rate, power to pump coolant (or pressure drop, the amount of heat transferred, as well as the average logarithmic temperature difference. The paper gives an example to compare two promising heat transfer intensifiers in the tubes and shows that choosing the required efficiency criterion to search for optimal heat exchanger geometry is of importance. Analysis is performed to show that a dimpled surface will improve the effectiveness of the heat exchanger despite the relatively small value of the heat transfer intensification, while a significant increase in drag of other heat transfer enhancers negatively affects their thermalhydraulic efficiency. For example, when comparing the target functions of reducing the heat exchanger volume, the data suggest that application of dimpled surfaces in various fields of technology is possible. But there are also certain surfaces that can reduce the parameters of a heat exchanger. It is shown that further work development should be aimed at

  10. Intensified Religious Pluralism and De-differentiation: the British Example.

    Science.gov (United States)

    Woodhead, Linda

    Drawing on surveys of religion and values in Great Britain, this paper suggests that Peter Berger's paradigm of two pluralisms can be usefully supplemented by taking account of a third kind of intensified pluralism. This involves the breakdown of the boundaries between religions, and between the religious and the secular, and is therefore a pluralism of de-differentiation. It helps explain many features of contemporary religion and identity, including the rise of the "nones" and the increasing reluctance of each new generation to identify with religious (and secular) labels and packages.

  11. X-ray intensifying screen visible light detection meter.

    Science.gov (United States)

    McLean, D; Eisenhuth, J; Knight, P; Bui, Q

    1997-06-01

    A light meter has been designed and built for the purpose of measuring the light emitted from an intensifying screen during x-ray irradiation. The meter uses a photodiode detector with a minimal drift amplification system. The meter repeatability was better than 0.5% and was found to be linear. A significant x-ray induced signal was recorded during measurement which needed to be subtracted from readings to deduce the intensification screen light output. The energy response of four screen types was subsequently measured.

  12. Performance characteristics of solar blind UV image intensifier tube

    Science.gov (United States)

    Cheng, Hongchang; Shi, Feng; Feng, Liu; Liu, Hui; Ren, Bing; Zhang, Lian-dong

    2009-07-01

    The UV radiation of spectrum range of 200~320nm almost is zero on the earth surface because UV radiation is greatly absorbed by ozone in atmosphere. So this spectrum range is called "Solar Blind Range". Because Solar Blind UV(SBUV) can't be influenced by atmosphere, it is easy to detect them as soon as SBUV radiation objects appear in the earth surface. If UV photoelectric image devices are used to observe them, high contrast picture will be acquired, that bright object's image lie in full black background. It is easy to identify the picture by human eye or other optical sensor (CCD). A solar blind UV(Ultra Violet) image intensifier tube(SBUV-IIT) is a special image intensifier tube, which was developed on double proximity focused Generation low-light-level image intensifier tube. It only responses spectrum range of 200~320 nm., SBUV-IIT can be used to observe UV faint radiation object, because UV sensitivity is high and response time is rapid and radiation gain is high. Low-altitude-flying missile can be observed by detecting its tail fog with SBUV-IIT, because its tail fog emits plenty of SBUV. By this way high contrast UV picture can be acquired to achieve missile warning, and this way has been widely used in foreign ordnance equipment. SBUV-IIT has been described in this paper. It is double proximity focused MCP (Micro-channel plate) image intensifier tube. It is 18mm active diameter of photocathode and phosphor screen. Input and output window is quartz glass and fiber optics faceplate respective. Photocathode material and phosphor screen is tellurium cesium compound and P20. It has been developed with a limiting UV resolution of 39 line pair per millimeter, and spectral response of 200~320 nm, photocathode maximum sensitivity of 29.5 milli-ampere per watt at wavelength 254 nm and a mass of 35g. It can be coupled with CCD easily. It has been well suited for fingerprint identify and camera system, It'll be used for UV hail testing, UV earthquake forecasting and

  13. Adoption of Moringa oleifera to combat under-nutrition viewed through the lens of the "Diffusion of innovations" theory.

    Science.gov (United States)

    Thurber, Melanie D; Fahey, Jed W

    2009-01-01

    Moringa oleifera, an edible tree found worldwide in the dry tropics, is increasingly being used for nutritional supplementation. Its nutrient-dense leaves are high in protein quality, leading to its widespread use by doctors, healers, nutritionists and community leaders, to treat under-nutrition and a variety of illnesses. Despite the fact that no rigorous clinical trial has tested its efficacy for treating under-nutrition, the adoption of M. oleifera continues to increase. The "Diffusion of innovations theory" describes well, the evidence for growth and adoption of dietary M. oleifera leaves, and it highlights the need for a scientific consensus on the nutritional benefits. Copyright © Taylor & Francis Group, LLC

  14. Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

    Directory of Open Access Journals (Sweden)

    Tomstad ST

    2012-03-01

    Full Text Available Solveig T Tomstad1, Ulrika Söderhamn2, Geir Arild Espnes3, Olle Söderhamn21Department of Social Work and Health Science, Faculty of Sciences and Technology Management, NTNU, Trondheim, Norway and Centre for Caring Research – Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway; 2Centre for Caring Research – Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway; 3Research Centre for Health Promotion and Resources HiST-NTNU, Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, NTNU, Trondheim, NorwayBackground: Being at risk of undernutrition is a global problem among older people. Undernutrition can be considered inadequate nutritional status, characterized by insufficient food intake and weight loss. There is a lack of Norwegian studies focusing on being at risk of undernutrition and self-care ability, sense of coherence, and health-related issues among older home-dwelling people.Aim: To describe the prevalence of being at risk of undernutrition among a group of older home-dwelling individuals in Norway, and to relate the results to reported self-care ability, sense of coherence, perceived health and other health-related issues.Methods: A cross-sectional design was applied. A questionnaire with instruments for nutritional screening, self-care ability, and sense of coherence, and health-related questions was sent to a randomized sample of 450 persons (aged 65+ years in southern Norway. The study group included 158 (35.1% participants. Data were analysed using statistical methods.Results: The results showed that 19% of the participants were at medium risk of undernutrition and 1.3% at high risk. Due to the low response rate it can be expected that the nonparticipants can be at risk of undernutrition. The nutritional at-risk group had lower self-care ability and weaker sense of coherence. Living alone, receiving help

  15. Undernutrition status and associated factors in under-5 children, in Tigray, Northern Ethiopia.

    Science.gov (United States)

    Alemayehu, Mussie; Tinsae, Fitiwi; Haileslassie, Kiday; Seid, Oumer; Gebregziabher, Gebremedhin; Yebyo, Henock

    2015-01-01

    The aim of this study was to assess the nutritional status and associated factors in children sources (AOR, 2.13; 95% CI, 1.09-4.14). In all children, initiation of breast-feeding within 1 to 3 h after birth (AOR, 4.06; 95% CI, 1.77-9.33), having mothers who could make financial decisions (AOR, 0.09; 95% CI, 0.02-0.51), and being breast-fed for 12 to 23 mo (AOR, 0.07; 95% CI, 0.01-0.40) were predictors of wasting. Moreover, in girls (AOR, 1.84; 95% CI, 1.25, 2.69), initiation of breast-feeding 6 h after birth (AOR, 12.94; 95% CI, 4.04-41.49) and having mothers who could make financial decisions (AOR, 0.33; 95% CI, 0.15-0.74) were predictors of being underweight. The undernutrition status among children sex, source of water, parents' educational status, type of food used for starting of complementary feeding, and mothers' financial decision-making ability could have an influence in undernutrition of children in this age group. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Peanuts, Aflatoxins and Undernutrition in Children in Sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Innocent Mupunga

    2017-11-01

    Full Text Available Peanuts (Arachis hypogaea is an important and affordable source of protein in most of Sub-Saharan Africa (SSA and a popular commodity and raw material for peanut butter, paste and cooking oil. It is a popular ingredient for foods used at the point of weaning infants from mother’s milk. It is at this critical point that childhood undernutrition occurs and the condition manifests as stunting, wasting and growth restriction and accounts for nearly half of all deaths in children under five years of age in SSA. Undernutrition is multi-factorial but weaning foods contaminated with microbiological agents (bacteria and fungi and natural toxins have been shown to play a big part. While peanuts may provide good nutrition, they are also highly prone to contamination with mycotoxigenic fungi. The high nutritive value of peanuts makes them a perfect substrate for fungal growth and potential aflatoxin contamination. Aflatoxins are highly carcinogenic and mutagenic mycotoxins. This article reviews the nutritional value and aflatoxin contamination of peanuts, the role they play in the development of childhood malnutrition (including the different theories of aetiology and immunological problems in children. We also discuss the control strategies that have been explored and advocacy work currently taking shape in Africa to create more awareness of aflatoxins and thus combat their occurrence with the goal of reducing exposure and enhancing trade and food safety.

  17. Under-nutrition among adolescents: a survey in five secondary schools in rural Goa.

    Science.gov (United States)

    Banerjee, Sohini; Dias, Amit; Shinkre, Rajal; Patel, Vikram

    2011-01-01

    This study was done in 2008-09 to assess the nutritional status among adolescents (10-19 years of age, Classes V-XII) in 5 schools in rural Goa to inform the content of a health promotion intervention in these schools. Three methods were used. First, nutritional status was measured by assessing body mass index among 1015 students during a health camp in each school. Second, a diet analysis was done to measure energy and protein Intake of 76 randomly selected underweight students. Third, a self-report questionnaire survey measured the prevalence of hunger among 684 students. One-third of students (338; 37.8% boys and 27.5% girls) who attended the health camps were underweight and 59.2% of the 684 students who completed the survey reported experiencing hunger due to inadequate food consumption. More boys were underweight than girls (pissue and ways to address it. There is an immediate need to address the high burden of hunger and under-nutrition in adolescents of both sexes in schools by instituting routine annual monitoring of nutritional status, extending the mid-day meal programme to all school-going adolescents, providing nutritional counselling for underweight adolescents and expanding research on the causes and impact of under-nutrition and evaluation of the impact of the enhanced mid-day meal programme.

  18. Assessment of undernutrition among children below 5, using Composite Index of Anthropometric Failure (CIAF

    Directory of Open Access Journals (Sweden)

    Garima Gupta

    2017-03-01

    Full Text Available Background: SDG 2.2 aims to end all forms of malnutrition by 2030. Weight for age estimate misses out chronic and acute on chronic malnutrition. An aggregate indicator-the Composite Index of Anthropometric Failure (CIAF can help in addressing this concern. Aim & Objective: To assess the nutritional status of under five children using CIAF and compare it with other indices. Material & Methods: A cross-sectional, descriptive study was conducted in a resettlement colony of Delhi, between June to July 2015. Anthropometric measurements were taken using standard operative procedures. Mothers of the study children were interviewed to obtain relevant information. Z scores were calculated using WHO-ANTHRO software. Nutritional status indicators were determined as per the World Health Organization 2006 child growth standards. Results: A total of 100 under-5 children were assessed. The prevalence of CIAF was 62% in our study. 35% of children were found to be underweight, 25% were wasted and 43% stunted. Mid Upper Arm Circumference detected 58.5% as undernourished. Using weight-for-age criterion for identifying undernourished children led to underestimation of the prevalence by 27%. Conclusion: CIAF can be used to provide a single, aggregated assessment of undernutrition. Use of this tool by field level workers will improve the diagnosis of undernutrition and help in early initiation of treatment.

  19. Understanding the Rapid Reduction of Undernutrition in Nepal, 2001-2011.

    Directory of Open Access Journals (Sweden)

    Derek D Headey

    Full Text Available South Asia has long been synonymous with unusually high rates of undernutrition. In the past decade, however, Nepal has arguably achieved the fastest recorded decline in child stunting in the world and has done so in the midst of civil war and post-conflict political instability. Given recent interest in reducing undernutrition-particularly the role of nutrition-sensitive policies-this paper aims to quantitatively understand this surprising success story by analyzing the 2001, 2006, and 2011 rounds of Nepal's Demographic Health Surveys. To do so, we construct models of the intermediate determinants of child and maternal nutritional change and then decompose predicted changes in nutrition outcomes over time. We identify four broad drivers of change: asset accumulation, health and nutrition interventions, maternal educational gains, and improvements in sanitation. Many of these changes were clearly influenced by policy decisions, including increased public investments in health and education and community-led health and sanitation campaigns. Other factors, such as rapid growth in migration-based remittances, are more a reflection of household responses to changing political and economic circumstances.

  20. Prenatal undernutrition disrupted the sexual maturation, but not the sexual behavior, in male rats.

    Science.gov (United States)

    Matsuzaki, Toshiya; Munkhzaya, Munkhsaikhan; Tungalagsuvd, Altankhuu; Mayila, Yiliyasi; Iwasa, Takeshi; Yano, Kiyohito; Yanagihara, Rie; Tokui, Takako; Kato, Takeshi; Kuwahara, Akira; Matsui, Sumika; Irahara, Minoru

    2017-10-01

    Exposure to various stressors, including psychological, metabolic, and immune, in the perinatal period induces long-lasting effects in physiological function and increase the risk of metabolic disorders in later life. In the present study, sexual maturation and sexual behavior were assessed in prenatally undernourished mature male rats. All the pregnant rats were divided into the maternal normal nutrition (mNN) group and the maternal undernutrition (mUN) group. The mUN mothers received 50% of the amount of the daily food intake of the mNN mothers. Preputial separation and sexual behavior were observed in randomly selected pups of the mNN and mUN groups. The body weight of the mothers was significantly lighter in the mUN group than in the mNN group. Similarly, the pups in the mUN group showed a significantly lower body weight than those in the mNN group from postnatal day (PND) 1 to PND 15. The preputial separation day was significantly delayed in the mUN group, compared to the mNN group. Sexual behavior did not show any significant difference between the two groups. These findings indicated that prenatal undernutrition delayed sexual maturation, but did not suppress sexual behavior, in mature male rats.

  1. An Integrated FDD Approach for an Intensified HEX/Reactor

    Directory of Open Access Journals (Sweden)

    Mei Zhang

    2018-01-01

    Full Text Available In this paper, a fault detection and diagnosis (FDD scheme is developed for a class of intensified HEX/reactor, in which faults caused by sensor, actuator, and process are taken into account in the unified framework. By considering overall heat transfer coefficient as a function of fouling and fluid flow rate, a dynamic model which is capable of identifying these two faults simultaneously is derived. Sensor measurements, together with estimation by adaptive high gain observers, are processed, aimed at identifying sensor faults and providing adequate estimation to substitute faulty measurements. Then reliable measurements are fed to several banks of interval filters to generate several banks of residuals; each bank of residuals is sensitive to a particular process parameter/actuator. By evaluating these residuals, process/actuator fault isolation and identification are achieved. The proposed strategy is applied to actual data retrieved from a new intensified heat exchanger reactor. Simulation results confirm the applicability and robustness of the proposed methodology.

  2. Research for gate drive technology based on image intensifier

    Science.gov (United States)

    Xu, Guangqiang; Liu, Baiyu; Gou, Yongsheng

    2016-03-01

    In order to improve the dynamic range and the signal-noise ratio of the image intensifier, keep the flux of the screen of image intensifier constant. In the article, introduced a design of the switching power supply and tested its performance. Firstly, used a sampling amplifier amplify the feedback current signals. The feedback signals were converted into square wave signals through a digital circuit. Then, using the MOSFET in the post stage circuit produced high voltage and high speed adjustable square pulses. The frequency of the pulse is 1 kHz, the speed of the cutting edge is 20ns and the amplitude is 200V. The photoelectron emission time of the photocathode is short when the width of the high speed pulse is narrow for strong illumination. On the contrary, the time is long when the width is wide for weak illumination. The number of photoelectron is a constant no matter what kind of the illumination. It keeps the flux reaching the phosphor screen constant.

  3. Prevalence of undernutrition and associated factors: A cross-sectional study among rural adolescents in West Bengal, India

    Directory of Open Access Journals (Sweden)

    Amitava Pal

    2017-03-01

    Conclusions: Poverty is found to be an important factor of undernutrition among the adolescents. So there is a require to implement well-thought poverty reduction actions along with providing mass education regarding nutrition and health with a special focus on economically and socially deprived sections of the society.

  4. Weight loss and undernutrition in community-dwelling patients with Alzheimer's dementia From population based studies to clinical management

    NARCIS (Netherlands)

    Droogsma, E.; Asselt, D.; De Deyn, Peter

    Weight loss and undernutrition are commonly described in patients with Alzheimer's disease (AD) and have been associated with various adverse outcomes. Therefore, it is important to know what the best approach is to community-dwelling AD patients with a risk of developing a poor nutritional status;

  5. UNDERNUTRITION DURING PREGNANCY IN GOATS AND SHEEP, THEIR REPERCUSSION ON MOTHER-YOUNG RELATIONSHIP AND BEHAVIOURAL DEVELOPMENT OF THE YOUNG

    Directory of Open Access Journals (Sweden)

    Angelica Terrazas

    2011-12-01

    Full Text Available Undernutrition during pregnancy dramatically affects physiology and behaviour of mother and offspring. In the mother, undernutrition causes low body condition, which deteriorates good milk production. Likewise, it affects metabolism endocrinology and learning processes controls on offspring. Effects on females can be observed if the animal is exposed to nutrient restriction, as well as by limiting consumption, which may induce to a state of frustration due to need for food. Once given birth, consequences in the mother are mainly reflected by a poor maternal performance, low milk production, loss of body condition and limited bonding with the neonate. In the offspring case, the effects of undernutrition in prenatal life are immediate and can be observed, such as low weight at birth, lack of vitality and viability, as well as cognitive processes deterioration. Therefore, this situation may have immediate and long-term repercussions, such as: postnatal death, and alterations in cognitive capacity and normal behaviour. Conversely, it has been shown in goats that supplemental nutrition at the end of pregnancy can be a strategy that can eliminate and revert the majority of physiological and behavioural abnormalities previously mentioned. The aim of the present work is to describe the findings of undernutrition effects, during pregnancy in goats and ewes, on mother-young relationship and behavioural development of kids in the first months of life.

  6. Undernutrition, fatty acid and micronutrient status in relation to cognitive performance in Indian school children: a cross-sectional study

    NARCIS (Netherlands)

    Eilander, A.; Muthayya, S.; Knaap, van der H.; Srinivasan, K.; Thomas, T.; Kok, F.J.; Kurpad, A.V.; Osendarp, S.J.M.

    2010-01-01

    While undernutrition and anaemia have previously been linked to poor development of children, relatively little is known about the role of B-vitamins and fatty acids on cognition. The present study aims to explore the associations between indicators of body size, fatty acid and micronutrient status

  7. Undernutrition in children with profound intellectual and multiple disabilities (PIMD): its prevalence and influence on quality of life.

    Science.gov (United States)

    Holenweg-Gross, C; Newman, C J; Faouzi, M; Poirot-Hodgkinson, I; Bérard, C; Roulet-Perez, E

    2014-07-01

    To estimate the prevalence of undernutrition among children with profound intellectual and multiple disabilities (PIMD) and to explore its influence on quality of life. Seventy-two children with PIMD (47 male; 25 female; age range 2 to 15 years 4 months; mean age 8.6, SD 3.6) underwent an anthropometric assessment, including body weight, triceps skinfold thickness, segmental measures and recumbent length. Undernutrition was determined using tricipital skinfold percentile and z-scores of weight-for-height and height-for-age. The quality of life of each child was evaluated using the QUALIN questionnaire adapted for profoundly disabled children. Twenty-five children (34.7%) were undernourished and seven (9.7%) were obese. Among undernourished children only eight (32 %) were receiving food supplements and two (8%) had a gastrostomy, of which one was still on a refeeding programme. On multivariate analysis, undernutrition was one of the independent predictors of lower quality of life. Undernutrition remains a matter of concern in children with PIMD. There is a need to better train professionals in systematically assessing the nutritional status of profoundly disabled children in order to start nutritional management when necessary. © 2013 John Wiley & Sons Ltd.

  8. Household Food Insecurity, Low Dietary Diversity, and Early Marriage Were Predictors for Undernutrition among Pregnant Women Residing in Gambella, Ethiopia

    Directory of Open Access Journals (Sweden)

    Mamo Nigatu

    2018-01-01

    Full Text Available Background. Maternal undernutrition affects the health of both mothers and children and, as a result, has broad impacts on economic and social development. Objective. The aim of this study was to assess magnitude of undernutrition and associated factors among pregnant women in Gambella town, 2014. Methods. Community based cross-sectional study was conducted on 338 randomly selected pregnant women from March to April 2014. Bivariate and multivariable logistic regressions were used for data analysis. Result. The prevalence of undernutrition among pregnant women in Gambella town was 28.6%. Pregnant women who were married before their age of eighteen, who were from food insecure households, and who had low dietary diversity score were nearly four (AOR = 3.9, 95% CI: 2.2–6.9, two (AOR = 2.3, 95% CI : 1.2–3.6, and two (AOR = 2.1, 95% CI: 1.3–4.16 times more likely to be undernourished as compared to their counterparts, respectively. Conclusion. Prevalence of undernutrition among pregnant women in Gambella town was unacceptably high. Stake holders should give due consideration to health education to delay age at first marriage and mainstreaming and strengthening nutritional activities that contribute to reduction of food insecurity and consumption of unbalanced nutrients.

  9. The low light level image intensifier's application in x-ray imaging

    Science.gov (United States)

    Yu, Chunyu; Kong, Lingli; Zhang, Junju; Zhang, Shengdong

    2011-08-01

    The low light level image intensifier was usually applied in the night observation, and it has been developed and improved for a long history. While it can also be used in the x ray imaging system for its specialty in photos multiplying and conversion, so in this paper, the technology development of the low light level image intensifier was described at first and then a novel x ray image intensifier designed by our research group is introduced. The x ray intensifying screen was the x ray sensor converting the x ray into the visible light. For the visible light from the x ray image intensifier was too weak to see the image, the low light level image intensifier was used to intensify the light further. When the low light level image intensifier was selected, the novel x ray image intensifier's performance was modeled, which can given the comparison in resolution and brightness between with and without the low light level image intensifier. In conclusion, the novel x ray imaging system's performance is good enough to be applied to security checking, non-destructive testing, and industry detection.

  10. Evolution of trees and mycorrhizal fungi intensifies silicate mineral weathering.

    Science.gov (United States)

    Quirk, Joe; Beerling, David J; Banwart, Steve A; Kakonyi, Gabriella; Romero-Gonzalez, Maria E; Leake, Jonathan R

    2012-12-23

    Forested ecosystems diversified more than 350 Ma to become major engines of continental silicate weathering, regulating the Earth's atmospheric carbon dioxide concentration by driving calcium export into ocean carbonates. Our field experiments with mature trees demonstrate intensification of this weathering engine as tree lineages diversified in concert with their symbiotic mycorrhizal fungi. Preferential hyphal colonization of the calcium silicate-bearing rock, basalt, progressively increased with advancement from arbuscular mycorrhizal (AM) to later, independently evolved ectomycorrhizal (EM) fungi, and from gymnosperm to angiosperm hosts with both fungal groups. This led to 'trenching' of silicate mineral surfaces by AM and EM fungi, with EM gymnosperms and angiosperms releasing calcium from basalt at twice the rate of AM gymnosperms. Our findings indicate mycorrhiza-driven weathering may have originated hundreds of millions of years earlier than previously recognized and subsequently intensified with the evolution of trees and mycorrhizas to affect the Earth's long-term CO(2) and climate history.

  11. Sustainable and Intensified Design of a Biodiesel Production Process

    DEFF Research Database (Denmark)

    Mansouri, Seyed Soheil; Ismail, Muhammad I.; Babi, Deenesh Kavi

    impact and maximum profitability is needed. In this work a computer-aided framework for process synthesis and process intensification is applied for sustainable production of biodiesel from pure/waste palm oil as the feedstock. This approach examines several biodiesel processing routes that were...... collected through available data and current technologies reported in the literature. Using this information, a generic superstructure of processing routes was created that described a network of configurations representing multiple designs for the production of biodiesel. Therefore, based on the currently...... of economic and environmental sustainability was identified. For the case of biodiesel production, the intensified process alternative turned out to be the most economical and more sustainable than other alternatives. The computer-aided methods and tools used in this work are: SustainPro (method and tool...

  12. Computed tomography with image intensifier: imaging and characterization of materials

    International Nuclear Information System (INIS)

    Rao, D.V.; Cesareo, R.; Brunetti, A.

    1999-01-01

    Computed tomographic images, nondestructive evaluation of materials of ceramics, electrical insulators, wood and other samples obtained, using a new tomographic system based on an image intensifier replacing earlier system (Cesareo et al., Nucl. Instr. and Meth. A 356 (1995) 573). It consists of a charge coupled device camera and an acquisition board. The charge coupled device and the acquisition board allows image processing, filtration and restoration. A reconstruction programme, written in PASCAL is able to give the reconstruction matrix of the linear attenuation coefficients, and simulates the matrix and the related tomography. The flux emitted by the tube is filtered using appropriate filters at chosen energy and reasonable monochromacy is achieved for all the images. The effect of collimators is also studied at various energies with filters and the optimum value is used for better image quality

  13. Marfan syndrome gene search intensifies following identification of basic defect

    Energy Technology Data Exchange (ETDEWEB)

    Randall, T.

    1990-10-03

    Somewhere, quite possible along chromosomes 8 and/or 15, the gene(s) for Marfan syndrome will be found. The search is intensifying following a report that faulty scaffolding in the body's connective tissue appears to be the long sought after defect behind the syndrome, and inherited disorder that has caused the premature death of young, healthy-looking individuals. Finding that something in the living masonry of the human body has proven to be a 30-year inquisition of nearly two dozen molecules that has engaged investigators worldwide. Historically, researchers have searched for a structural flaw in one of the collagen molecules to explain the cause of Marfan Syndrome. Using monoclonal antibodies, researchers have implicated microfibrils, the extracellular filaments that provide a matrix for the deposit of elastin during embryonic development.

  14. Sustainable and Intensified Design of a Biodiesel Production Process

    DEFF Research Database (Denmark)

    Mansouri, Seyed Soheil; Ismail, Muhammad I.; Babi, Deenesh Kavi

    impact and maximum profitability is needed. In this work a computer-aided framework for process synthesis and process intensification is applied for sustainable production of biodiesel from pure/waste palm oil as the feedstock. This approach examines several biodiesel processing routes that were...... of economic and environmental sustainability was identified. For the case of biodiesel production, the intensified process alternative turned out to be the most economical and more sustainable than other alternatives. The computer-aided methods and tools used in this work are: SustainPro (method and tool......The growing concerns about the global warming and greenhouse gas emissions (GHG) have led to an increase in the interest to produce fuel from biomass and from the fact that such fuels can relieve the reliance on imported oil and price. To this end, numerous production facilities are being set up...

  15. Poverty and childhood undernutrition in developing countries: a multi-national cohort study.

    Science.gov (United States)

    Petrou, Stavros; Kupek, Emil

    2010-10-01

    The importance of reducing childhood undernutrition has been enshrined in the United Nations' Millennium Development Goals. This study explores the relationship between alternative indicators of poverty and childhood undernutrition in developing countries within the context of a multi-national cohort study (Young Lives). Approximately 2000 children in each of four countries - Ethiopia, India (Andhra Pradesh), Peru and Vietnam - had their heights measured and were weighed when they were aged between 6 and 17 months (survey one) and again between 4.5 and 5.5 years (survey two). The anthropometric outcomes of stunted, underweight and wasted were calculated using World Health Organization 2006 reference standards. Maximum-likelihood probit estimation was employed to model the relationship within each country and survey between alternative measures of living standards (principally a wealth index developed using principal components analysis) and each anthropometric outcome. An extensive set of covariates was incorporated into the models to remove as much individual heterogeneity as possible. The fully adjusted models revealed a negative and statistically significant coefficient on wealth for all outcomes in all countries, with the exception of the outcome of wasted in India (Andhra Pradesh) and Vietnam (survey one) and the outcome of underweight in Vietnam (surveys one and two). In survey one, the partial effects of wealth on the probabilities of stunting, being underweight and wasting was to reduce them by between 1.4 and 5.1 percentage points, 1.0 and 6.4 percentage points, and 0.3 and 4.5 percentage points, respectively, with each unit (10%) increase in wealth. The partial effects of wealth on the probabilities of anthropometric outcomes were larger in the survey two models. In both surveys, children residing in the lowest wealth quintile households had significantly increased probabilities of being stunted in all four study countries and of being underweight in

  16. Temporary undernutrition during early gestation, corpora lutea morphometrics, ovarian progesterone secretion and embryo survival in gilts.

    Science.gov (United States)

    Langendijk, P; Bouwman, E G; Chen, T Y; Koopmanschap, R E; Soede, N M

    2017-07-01

    The present study reports effects of severe undernutrition on luteal function and pregnancy in pigs. Gilts were inseminated and either fasted on Day 10 and 11 after conception (n=11) or fully fed throughout (n=10). Fasting did not affect LH or progesterone pulsatile secretion pattern on Day 11 in samples taken from blood vessels draining an ovary. Ultrasonographic measurements of the size of the corpora lutea did not show any effect of fasting either. However, fasted gilts had 10 to 30% lower systemic progesterone from Day 12 through Day 15 after conception (Pgilts farrowed, but fasted gilts had fewer born piglets than fully fed gilts (8.8±0.8 vs 10.9±0.5 respectively; P<0.05). In conclusion, fasting during embryo elongation can compromise embryonic survival by affecting ovarian function in the days after fasting, without having an immediate effect on LH secretion and progesterone output by the ovaries.

  17. Multidisciplinary nutritional support for undernutrition in nursing home and home-care

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Gøgsig Christensen, Annette; Stenbæk Hansen, Birthe

    2016-01-01

    Objective To assess the effect of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care identified with the validated Eating Validation Scheme (EVS). Methods An 11 wk cluster randomized trial with a home-care (3 clusters) or nursing home (3 clusters...... was on treatment of the potentially modifiable nutritional risk factors identified with the EVS, by involving the physiotherapist, registered dietitian, and occupational therapist, as relevant and independent of the municipality's ordinary assessment and referral system. Outcome parameters were quality of life (by.......3] versus 1.3 [0.5], P = 0.021) was observed. There was a almost significant difference in mortality (2% versus 13%, P = 0.079). Conclusions Multidisciplinary nutritional support in older adults in nursing home and home-care could have a positive effect on quality of life, muscle strength, and oral care....

  18. Climate Change and Global Food Systems: Potential Impacts on Food Security and Undernutrition.

    Science.gov (United States)

    Myers, Samuel S; Smith, Matthew R; Guth, Sarah; Golden, Christopher D; Vaitla, Bapu; Mueller, Nathaniel D; Dangour, Alan D; Huybers, Peter

    2017-03-20

    Great progress has been made in addressing global undernutrition over the past several decades, in part because of large increases in food production from agricultural expansion and intensification. Food systems, however, face continued increases in demand and growing environmental pressures. Most prominently, human-caused climate change will influence the quality and quantity of food we produce and our ability to distribute it equitably. Our capacity to ensure food security and nutritional adequacy in the face of rapidly changing biophysical conditions will be a major determinant of the next century's global burden of disease. In this article, we review the main pathways by which climate change may affect our food production systems-agriculture, fisheries, and livestock-as well as the socioeconomic forces that may influence equitable distribution.

  19. Prenatal undernutrition and postnatal overnutrition alter thyroid hormone axis function in sheep

    DEFF Research Database (Denmark)

    Johnsen, Lærke; Kongsted, Anna Hauntoft; Nielsen, Mette Olaf

    2013-01-01

    Mounting evidence led us to hypothesize that: 1) function of the thyroid hormone (TH) axis can be programmed by late-gestation undernutrition (LG-UN), and 2) early-postnatal-life overnutrition (EL-ON) exacerbates the fetal impacts on TH-axis function. In a 2×2 factorial experiment, 21 twin......-bearing sheep were fed one of two diets during late gestation: NORM (fulfilling energy and protein requirements) or LOW (50% of NORM). From day-3 to 6-months after birth (around puberty) the twin lambs were assigned to each their diet: conventional (CONV) or high-carbohydrate-high-fat (HCHF), where after half...... the lambs were slaughtered. Remaining sheep (exclusively females) were fed the same moderate diet until 2-years of age (young adults). At 6-months and 2-years of age fasting challenges were conducted and target tissues were collected at autopsy. LG-UN caused adult hyperthyroidism associated with increased...

  20. Prevalence and determinants of child undernutrition and stunting in semiarid region of Brazil

    Directory of Open Access Journals (Sweden)

    Luciano Lima Correia

    2014-02-01

    Full Text Available OBJECTIVE : To analyze the evolution in the prevalence and determinants of malnutrition in children in the semiarid region of Brazil. METHODS : Data were collected from two cross-sectional population-based household surveys that used the same methodology. Clustering sampling was used to collect data from 8,000 families in Ceará, Northeastern Brazil, for the years 1987 and 2007. Acute undernutrition was calculated as weight/age < -2 standard deviation (SD; stunting as height/age < -2 SD; wasting as weight/height < -2 SD. Data on biological and sociodemographic determinants were analyzed using hierarchical multivariate analyses based on a theoretical model. RESULTS : A sample of 4,513 and 1,533 children under three years of age, in 1987 and 2007, respectively, were included in the analyses. The prevalence of acute malnutrition was reduced by 60.0%, from 12.6% in 1987 to 4.7% in 2007, while prevalence of stunting was reduced by 50.0%, from 27.0% in 1987 to 13.0% in 2007. Prevalence of wasting changed little in the period. In 1987, socioeconomic and biological characteristics (family income, mother’s education, toilet and tap water availability, children’s medical consultation and hospitalization, age, sex and birth weight were significantly associated with undernutrition, stunting and wasting. In 2007, the determinants of malnutrition were restricted to biological characteristics (age, sex and birth weight. Only one socioeconomic characteristic, toilet availability, remained associated with stunting. CONCLUSIONS : Socioeconomic development, along with health interventions, may have contributed to improvements in children’s nutritional status. Birth weight, especially extremely low weight (< 1,500 g, appears as the most important risk factor for early childhood malnutrition.

  1. Environmental correlates of undernutrition among children of 3–6 years of age, Rajkot, Gujarat, India

    Directory of Open Access Journals (Sweden)

    Zalak Rameshbhai Matariya

    2016-01-01

    Full Text Available Introduction: There are lots of studies focusing on the role of reproductive and child health factors and dietary factors on the nutrition status of the child. The present study is an attempt to highlight the role of macro- and micro-environmental factors in predicting the occurrence of undernutrition in children. Methods: This was a cross-sectional study conducted in field practice area of Community Medicine Department, PDU Medical College, Rajkot. The nutrition status of children was assessed using the weight for age WHO reference standards, 2006. Children below two standard deviation of the reference median (weight for age were considered as malnourished. Data were collected for sociodemographic factors, sanitation, hygiene, and attitude of mother toward her child, etc., Data were entered in MS excel, and logistic regression was used. Results: Analysis of 495 selected children showed 24% prevalence of undernutrition. Employment status of mothers (adjusted odds ratio [AOR] 1.65, drinking water quality (AOR 1.53, and cleanliness of mother's hands and clothes (AOR 1.91 significantly affected the nutrition status of the child. Children classified in fair or poor category for Briscoe's sanitation scale had 1.34 and1.92 times higher odds of being undernourished (P > 0.05, respectively. Children classified in fair or poor category for Elizabeth's microenvironment scale had 2.05 and 2.41 times higher odds of being undernourished (P < 0.05, respectively. Conclusions: Water, sanitation, and hygiene-related factors, as well as microenvironmental factors, significantly affected the nutrition status of the children.

  2. PREVALENCE OF CHILDHOOD OBESITY AND UNDERNUTRITION AMONG URBAN SCHOOL CHILDREN IN BANGLADESH.

    Science.gov (United States)

    Sultana, Niru; Afroz, Sadya; Tomalika, Nehlin; Momtaz, Hasina; Kabir, Md Humayun

    2018-04-10

    SummaryDespite the ongoing problems of undernutrition and infectious disease, obesity and overweight have become a major problem in developing countries, including Bangladesh. This cross-sectional study was undertaken to determine the prevalence of obesity, overweight and underweight among school children aged 6-12 years in Bangladesh. The study was conducted from June 2012 to May 2013 and the study sample comprised 1768 children (980 boys; 788 girls) from eight purposively selected schools in different areas of Dhaka city. Students were interviewed about their diet and physical activity, and anthropometric measurements were made, including height, weight, mid-upper-arm circumference (MUAC), waist circumference, hip circumference and body mass index (BMI). Undernutrition, overweight and obesity were defined using internationally accepted BMI cut-off points. Mean height, weight, BMI, MUAC, waist circumference and hip circumference values were found to be higher in boys than in girls, except at age 12 when these were found to be significantly higher in girls than in boys (p<0.05). The mean prevalence of overweight was 10.0% (boys 10.2%; girls 9.8%), and that of obesity 5.0% (boys 4.3%; girls 5.8%). The prevalence of underweight was 16.3% in boys and 12.7% in girls. The prevalence of underweight was significantly higher in poor than in rich children (22.1% vs 11.2%) and that of obesity was higher in rich than in poor children (9.9% vs 1.3%; p<0.001). A family history of obesity and hypertension emerged as a significant predictor of developing overweight and obesity (p<0.001). The data suggest that underweight and obesity co-exist in urban areas of Bangladesh, posing a challenge for the nutritional health of Bangladeshi children.

  3. Infection

    Science.gov (United States)

    2010-09-01

    Klebsiella pneumoniae ). Staphylococcus species is by far the most studied pathogen in musculoskeletal infections and can produce a multilayered biofilm...the immune system and may be involved in both the response to sepsis and malignancy. For example, in neonatal mice, BMP signaling is a normal part of

  4. Spectral matching consideration in the design of a novel x-ray image intensifier

    Science.gov (United States)

    Yu, Chunyu; Chang, Benkang; Wei, Dianxiu

    2006-12-01

    In this article, a novel x-ray image intensifier is introduced. It is mainly composed of an x-ray intensifying screen and a low-light-level (L3) image intensifier. In order to obtain a bright enough image, the spectral compatibility among three different combinations of the x-ray intensifying screen and the photocathode is analyzed. The comparison indicates that a (Zn,Cd)S:Ag screen is superior to either a CaWO4 screen or a Gd2O2S :Tb screen when combined with the Super S25 photocathode and spectral compatibility analysis is a useful guide when designing an optoelectronic imaging device.

  5. Impacts of intensified agriculture developments on marsh wetlands.

    Science.gov (United States)

    Luan, Zhaoqing; Zhou, Demin

    2013-01-01

    A spatiotemporal analysis on the changes in the marsh landscape in the Honghe National Nature Reserve, a Ramsar reserve, and the surrounding farms in the core area of the Sanjiang Plain during the past 30 years was conducted by integrating field survey work with remote sensing techniques. The results indicated that intensified agricultural development had transformed a unique natural marsh landscape into an agricultural landscape during the past 30 years. Ninety percent of the natural marsh wetlands have been lost, and the areas of the other natural landscapes have decreased very rapidly. Most dry farmland had been replaced by paddy fields during the progressive change of the natural landscape to a farm landscape. Attempts of current Chinese institutions in preserving natural wetlands have achieved limited success. Few marsh wetlands have remained healthy, even after the establishment of the nature reserve. Their ecological qualities have been declining in response to the increasing threats to the remaining wetland habitats. Irrigation projects play a key role in such threats. Therefore, the sustainability of the natural wetland ecosystems is being threatened by increased regional agricultural development which reduced the number of wetland ecotypes and damaged the ecological quality.

  6. Professional commitment: Does it buffer or intensify job demands?

    Science.gov (United States)

    Nesje, Kjersti

    2017-04-01

    The purpose of this study is to investigate whether professional commitment can be seen as a moderator in the relationship between job demands and emotional exhaustion among Norwegian nurses. Inspired by the job demands-resources model, this study explores whether having a strong commitment to the nursing profession can be seen as a resource that buffers the effect of job demands on emotional exhaustion or, conversely, intensifies the impact of job demands. A survey that comprised Norwegian nurses who had graduated three years previously (N = 388) was conducted. Multiple regression was performed to test the hypothesis. The results provide support to a buffering effect; thus, individuals with a higher degree of professional commitment conveyed a weaker association between job demands and emotional exhaustion compared with nurses with a lower degree of commitment. Developing a better understanding of the potential buffering effect of professional commitment is of great interest. The present study is the first to utilize professional commitment as a resource within the job demands-resources framework. © 2017 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  7. Impacts of Intensified Agriculture Developments on Marsh Wetlands

    Directory of Open Access Journals (Sweden)

    Zhaoqing Luan

    2013-01-01

    Full Text Available A spatiotemporal analysis on the changes in the marsh landscape in the Honghe National Nature Reserve, a Ramsar reserve, and the surrounding farms in the core area of the Sanjiang Plain during the past 30 years was conducted by integrating field survey work with remote sensing techniques. The results indicated that intensified agricultural development had transformed a unique natural marsh landscape into an agricultural landscape during the past 30 years. Ninety percent of the natural marsh wetlands have been lost, and the areas of the other natural landscapes have decreased very rapidly. Most dry farmland had been replaced by paddy fields during the progressive change of the natural landscape to a farm landscape. Attempts of current Chinese institutions in preserving natural wetlands have achieved limited success. Few marsh wetlands have remained healthy, even after the establishment of the nature reserve. Their ecological qualities have been declining in response to the increasing threats to the remaining wetland habitats. Irrigation projects play a key role in such threats. Therefore, the sustainability of the natural wetland ecosystems is being threatened by increased regional agricultural development which reduced the number of wetland ecotypes and damaged the ecological quality.

  8. Direct view panel type X-ray image intensifier tube

    International Nuclear Information System (INIS)

    Yang, S.-P.; Robbins, C.D.; Merrit, E.

    1977-01-01

    A panel shaped, proximity type, X-ray image intensifier tube for medical X-ray fluoroscopy use is described. It has all linear components and yet a high brightness gain, in excess of 4,000 cd-sec/m 2 -R, the tube being comprised of a rugged metallic tube envelope, an inwardly concave metallic input window, a directly viewable full size output display screen, and a scintillator-photocathode screen having a thickness of at least 200 microns for a high X-ray photon utilization ability as well as X-ray stopping power, the scintillator-photocathode screen being suspended on insulators within the envelope and in between the input window and the output screen. The scintillator-photocathode screen is spaced from the output screen by at least 8mm to allow the application of a high negative potential at the scintillator-photocathode screen with respect to the output screen for high gain with low field emission, since all of the remaining components within the tube envelope are at neutral potential with respect to the output display screen. (Auth.)

  9. Luminance distribution of x-ray image intensifiers

    International Nuclear Information System (INIS)

    Tsuda, Motohisa; Kimura, Yutaro; Tanaka, Shuji

    1986-01-01

    For a number of reasons, the luminance distribution of the output image of an X-ray image intensifier (I.I.) tube is not uniform but has a tendency to decrease toward the periphery. The reasons for this were investigated by measurement and calculation using two types of variable field I.I. with different viewing-field sizes and distances from the focal spot of the X-ray tube to the entrance plane (FED). The most significant cause of the nonuniformity in the luminance distribution is nonuniformity of the local area demagnification ratio (or distortion) of the image and the second is nonuniformity of the local photoelectric sensitivity of the input screen. The nonuniformity of an I.I. can be improved by selecting a smaller viewing field or a larger FED. The distortion of the image is divided into that from the entrance plane to the input screen and that from the input screen to the output screen, the latter being rather more significant. (author)

  10. X-ray image intensifier camera tubes and semiconductor targets

    International Nuclear Information System (INIS)

    1979-01-01

    A semiconductor target for use in an image intensifier camera tube and a camera using the target are described. The semiconductor wafer for converting an electron image onto electrical signal consists mainly of a collector region, preferably n-type silicon. It has one side for receiving the electron image and an opposite side for storing charge carriers generated in the collector region by high energy electrons forming a charge image. The first side comprises a highly doped surface layer covered with a metal buffer layer permeable to the incident electrons and thick enough to dissipate some of the incident electron energy thereby improving the signal-to-noise ratio. This layer comprises beryllium on niobium on the highly doped silicon surface zone. Low energy Kα X-ray radiation is generated in the first layer, the radiation generated in the second layer (mainly Lα radiation) is strongly absorbed in the silicon layer. A camera tube using such a target with a photocathode for converting an X-ray image into an electron image, means to project this image onto the first side of the semiconductor wafer and means to read out the charge pattern on the second side are also described. (U.K.)

  11. Estimating the Impact of Reducing Under-Nutrition on the Tuberculosis Epidemic in the Central Eastern States of India: A Dynamic Modeling Study.

    Directory of Open Access Journals (Sweden)

    Olivia Oxlade

    Full Text Available Tuberculosis (TB and under-nutrition are widespread in many low and middle-income countries. Momentum to prioritize under-nutrition has been growing at an international level, as demonstrated by the "Scaling Up Nutrition" movement. Low body mass index is an important risk factor for developing TB disease. The objective of this study was to project future trends in TB related outcomes under different scenarios for reducing under-nutrition in the adult population in the Central Eastern states of India.A compartmental TB transmission model stratified by body mass index was parameterized using national and regional data from India. We compared TB related mortality and incidence under several scenarios that represented a range of policies and programs designed to reduce the prevalence of under-nutrition, based on the experience and observed trends in similar countries.The modeled nutrition intervention scenarios brought about reductions in TB incidence and TB related mortality in the Central Eastern Indian states ranging from 43% to 71% and 40% to 68% respectively, relative to the scenario of no nutritional intervention. Modest reductions in under-nutrition averted 4.8 (95% UR 0.5, 17.1 million TB cases and 1.6 (95% UR 0.5, 5.2 million TB related deaths over a period of 20 years of intervention, relative to the scenario of no nutritional intervention. Complete elimination of under-nutrition in the Central Eastern states averted 9.4 (95% UR 1.5, 30.6 million TB cases and 3.2 (95% UR 0.7-, 10.1 million TB related deaths, relative to the scenario of no nutritional intervention.Our study suggests that intervening on under-nutrition could have a substantial impact on TB incidence and mortality in areas with high prevalence of under-nutrition, even if only small gains in under-nutrition can be achieved. Focusing on under-nutrition may be an effective way to reduce both rates of TB and other diseases associated with under-nutrition.

  12. The association of parental education with childhood undernutrition in low- and middle-income countries: Comparing the role of paternal and maternal education

    OpenAIRE

    Vollmer, Sebastian; Bommer, Christian; Krishna, Aditi; Harttgen, Kenneth; Subramanian, SV

    2017-01-01

    Background: Most existing research on the association of parental education with childhood undernutrition focuses on maternal education and often ignores paternal education. We systematically investigate differences in maternal and paternal education and their association with childhood undernutrition. Methods: One hundred and eighty Demographic and Health Surveys from 62 countries performed between 1990 and 2014 were analysed. We used linear-probability models to predict ch...

  13. 21 CFR 892.1660 - Non-image-intensified fluoroscopic x-ray system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Non-image-intensified fluoroscopic x-ray system... fluoroscopic x-ray system. (a) Identification. A non-image-intensified fluoroscopic x-ray system is a device... of x-radiation into a visible image. This generic type of device may include signal analysis and...

  14. Measurement and analysis of signal to noise ratio for image intensifier tube, 18mm microchannel plate

    Science.gov (United States)

    Bai, Xiaofeng; Shi, Feng; Feng, Hanliang; Liu, Rong; Yin, Lei; He, Yingping

    2011-08-01

    Output signal to noise ratio is an important technical index for evaluating detectability of microchannel plate image intensifier tube, and the characteristic for detecting of microchannel plate image intensifier tube restricts the detectability of the night vision system. It has been proved in theory and in practice that the value of output signal to noise ratio of image intensifier tube equipped for night vision system decides the farthest distance and imaging definition of system which used under low light level in square root way. In this article, method and device for measuring the output signal to noise ratio of 18mm microchannel plate image intensifier tube has been introduced in detail. Output signal to noise ratio values of several 18mm microchannel plate image intensifier tube selected have been measured. Contacting to work condition of image intensifier tube, relationship between voltage of cathode, microchannel plate, screen and output signal to noise ratio of 18mm microchannel plate image intensifier tube bas been studied, which is available for other image intensifier tube.

  15. The association of parental education with childhood undernutrition in low- and middle-income countries: comparing the role of paternal and maternal education.

    Science.gov (United States)

    Vollmer, Sebastian; Bommer, Christian; Krishna, Aditi; Harttgen, Kenneth; Subramanian, S V

    2017-02-01

    Most existing research on the association of parental education with childhood undernutrition focuses on maternal education and often ignores paternal education. We systematically investigate differences in maternal and paternal education and their association with childhood undernutrition. One hundred and eighty Demographic and Health Surveys from 62 countries performed between 1990 and 2014 were analysed. We used linear-probability models to predict childhood undernutrition prevalences, measured as stunting, underweight and wasting, for all combinations of maternal and paternal attainment in school. Models were adjusted for demographic and socio-economic covariates for the child, mother and household, country-level fixed effects and clustering. Additional specifications adjust for local area characteristics instead of country fixed effects. Both higher maternal and paternal education levels are associated with lower childhood undernutrition. In regressions adjusted for child age and sex as well as country-level fixed effects, the association is stronger for maternal education than for paternal education when their combined level of education is held constant. In the fully adjusted models, the observed differences in predicted undernutrition prevalences are strongly attenuated, suggesting a similar importance of maternal and paternal education. These findings are confirmed by the analysis of composite schooling indicators. We find that paternal education is similarly important for reducing childhood undernutrition as maternal education and should therefore receive increased attention in the literature. © The Author 2016; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association

  16. Weight loss and undernutrition in community-dwelling patients with Alzheimer's dementia: From population based studies to clinical management.

    Science.gov (United States)

    Droogsma, E; van Asselt, D; De Deyn, P P

    2015-06-01

    Weight loss and undernutrition are commonly described in patients with Alzheimer's disease (AD) and have been associated with various adverse outcomes. Therefore, it is important to know what the best approach is to community-dwelling AD patients with a risk of developing a poor nutritional status; however, there is currently no evidence on which to base nutritional recommendations. Expert based recommendations are that the nutritional status should be part of the work-up of all AD patients. If weight loss of 5% or more has occurred in 3-6 months or if the mini-nutritional assessment (MNA) classifies a patient as undernourished, a nutritional intervention should be started. The intervention should be multifactorial and encompass treatment of the underlying proposed causes and risk factors of weight loss and undernutrition as well as improvement of the nutritional status by increasing energy and protein intake combined with daily physical activity.

  17. The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: the P-MaMiE study.

    Science.gov (United States)

    Medhin, Girmay; Hanlon, Charlotte; Dewey, Michael; Alem, Atalay; Tesfaye, Fikru; Lakew, Zufan; Worku, Bogale; Aray, Mesfin; Abdulahi, Abdulreshid; Tomlinson, Mark; Hughes, Marcus; Patel, Vikram; Prince, Martin

    2010-04-30

    Although maternal common mental disorder (CMD) appears to be a risk factor for infant undernutrition in South Asian countries, the position in sub-Saharan Africa (SSA) is unclear A population-based cohort of 1065 women, in the third trimester of pregnancy, was identified from the demographic surveillance site (DSS) in Butajira, to investigate the effect of maternal CMD on infant undernutrition in a predominantly rural Ethiopian population. Participants were interviewed at recruitment and at two months post-partum. Maternal CMD was measured using the locally validated Self-Reported Questionnaire (score of > or = six indicating high levels of CMD). Infant anthropometry was recorded at six and twelve months of age. The prevalence of CMD was 12% during pregnancy and 5% at the two month postnatal time-point. In bivariate analysis antenatal CMD which had resolved after delivery predicted underweight at twelve months (OR = 1.71; 95% CI: 1.05, 2.50). There were no other statistically significant differences in the prevalence of underweight or stunted infants in mothers with high levels of CMD compared to those with low levels. The associations between CMD and infant nutritional status were not significant after adjusting for pre-specified potential confounders. Our negative finding adds to the inconsistent picture emerging from SSA. The association between CMD and infant undernutrition might be modified by study methodology as well as degree of shared parenting among family members, making it difficult to extrapolate across low- and middle-income countries.

  18. Epigenetic changes in the hypothalamic proopiomelanocortin and glucocorticoid receptor genes in the ovine fetus after periconceptional undernutrition.

    Science.gov (United States)

    Stevens, Adam; Begum, Ghazala; Cook, Alice; Connor, Kristin; Rumball, Christopher; Oliver, Mark; Challis, John; Bloomfield, Frank; White, Anne

    2010-08-01

    Maternal food restriction is associated with the development of obesity in offspring. This study examined how maternal undernutrition in sheep affects the fetal hypothalamic glucocorticoid receptor (GR) and the appetite-regulating neuropeptides, proopiomelanocortin (POMC) and neuropeptide Y, which it regulates. In fetuses from ewes undernourished from -60 to +30 d around conception, there was increased histone H3K9 acetylation (1.63-fold) and marked hypomethylation (62% decrease) of the POMC gene promoter but no change in POMC expression. In the same group, acetylation of histone H3K9 associated with the hypothalamic GR gene was increased 1.60-fold and the GR promoter region was hypomethylated (53% decrease). In addition, there was a 4.7-fold increase in hypothalamic GR expression but no change in methylation of GR gene expression in the anterior pituitary or hippocampus. Interestingly, hypomethylation of both POMC and GR promoter markers in fetal hypothalami was also identified after maternal undernutrition from -60 to 0 d and -2 to +30 d. In comparison, the Oct4 gene, was hypermethylated in both control and underfed groups. Periconceptional undernutrition is therefore associated with marked epigenetic changes in hypothalamic genes. Increase in GR expression in the undernourished group may contribute to fetal programming of a predisposition to obesity, via altered GR regulation of POMC and neuropeptide Y. These epigenetic changes in GR and POMC in the hypothalamus may also predispose the offspring to altered regulation of food intake, energy expenditure, and glucose homeostasis later in life.

  19. Adolescents' undernutrition and its determinants among in-school communities of Ambo town, West Oromia, Ethiopia.

    Science.gov (United States)

    Alemayehu, T; Haidar, J; Habte, D

    2010-09-01

    Adolescence is the most important period of life where growth and development are accompanied by various physical, physiological, behavioral, and social changes leading to increased demand for nutrients which could pose a greater risk of malnutrition. To assess the magnitude of adolescents' undernutrition and its determinants in public schools of Ambo town. A cross-sectional study design with analytical component was conducted between March 20 and April 10, 2008. A total of 425 in-school adolescents were assessed for their nutritional status. Weight, height and other important socio-demographic and dietary information were taken using pre-tested questionnaire. Body Mass Index (BMI) was computed and compared to the reference standards. The overall prevalence of underweight and overweight was 27.5% and 4.3% respectively. The proportion of underweight was higher in males (29.8%) than females (24.6%) while overweight were higher in females (4.9%) than males (3.8%). However, the difference noted was not significant (P = 0.4). Underweight was significantly higher in early (38.1%) than late (18.6%) adolescent (p = 0.001). The most important predictors identified for underweight were adolescent's age, menarche onset, food source for consumption and family possession of cattle (p adolescents is prevalent. To help adolescents build better futures with more civic education and life skills, an integrated nutrition and health related services that meet the needs of adolescents in the school community is recommended.

  20. Effect of undernutrition in foetal life on energy expenditure during gestation in ewes

    DEFF Research Database (Denmark)

    Kiani, Alishir; Chwalibog, André; Tygesen, Malin P

    2008-01-01

    The long-term effect of early life undernutrition on late gestation energy expenditure (EEgest) was investigated in sheep. Ewes were fed either adequate (100%) or restricted (60%) energy and protein during late foetal life as well as during last trimester of gestation later in life, resulting...... development (EEconceptus) and homeorhetic adaptations in maternal metabolism (EEhomeorhetic). Late gestational energy and protein restriction reduced the EEgest in the AR ewes (4.1 MJ x d(-1)) but not in the RR ewes (5.2 MJ x d(-1)) compared with the AA ewes (6.8 MJ x d(-1)). Based on conceptus......-weight, no significant difference was found in EEhomeorhetic among the groups; 172, 175 and 169 kJ/kg x d(-1) in AA, AR and RR ewes, respectively. However, EEconceptus was significantly lower in AR (135 kJ/kg x d(-1)) in comparison with AA (298 kJ/kg x d(-1)) and RR (252 kJ/kg x d(-1)) ewes. In conclusion, exposure...

  1. Energy-conserving mechanisms as adaptation to undernutrition and water deprivation in the African Zebu

    International Nuclear Information System (INIS)

    Finch, V.A.; King, J.M.

    1982-01-01

    In a study designed to simulate pastoral cattle management practices on marginal and rangelands in Kenya, the physiological adaptations for energy conservation were investigated in African Zebu cattle during a period of undernutrition and water deprivation. In experimental design, the food available to cattle was restricted to 50% of maintenance, watering reduced to every 2 d and distances walked increased from 8 to 16 km/d. Restricting food for nearly 3 months resulted in a 13-14% weight loss in cattle. A 2-day watering regime did not decrease food intake. Cattle that walked the longer distances lost slightly more weight but not significantly more. There was a significant overall reduction in water requirements. Slowing water turnover is seen as adaptive in a water-limited environment. The water turnover rate was determined using the tritiated water dilution technique. Higher solar intensities increased water turnover somewhat, as did extending walking distances. The resting metabolic rate of cattle on restricted food and water was reduced to 30% below that of well-fed and daily watered cattle. This reduction in metabolic requirements would result in conserving energy in dry seasons. Cattle became more thermolabile when offered smaller quantities of food. A heat debt was incurred at night and sweating rates were regulated at low levels during the day, resulting in heat storage. It is suggested that this is a mechanism by which energy is conserved through increasing thermogenesis to maintain body temperature within the normal range

  2. [Influence of human body target's spectral characteristics on visual range of low light level image intensifiers].

    Science.gov (United States)

    Zhang, Jun-Ju; Yang, Wen-Bin; Xu, Hui; Liu, Lei; Tao, Yuan-Yaun

    2013-11-01

    To study the effect of different human target's spectral reflective characteristic on low light level (LLL) image intensifier's distance, based on the spectral characteristics of the night-sky radiation and the spectral reflective coefficients of common clothes, we established a equation of human body target's spectral reflective distribution, and analyzed the spectral reflective characteristics of different human targets wearing the clothes of different color and different material, and from the actual detection equation of LLL image intensifier distance, discussed the detection capability of LLL image intensifier for different human target. The study shows that the effect of different human target's spectral reflective characteristic on LLL image intensifier distance is mainly reflected in the average reflectivity rho(-) and the initial contrast of the target and the background C0. Reflective coefficient and spectral reflection intensity of cotton clothes are higher than polyester clothes, and detection capability of LLL image intensifier is stronger for the human target wearing cotton clothes. Experimental results show that the LLL image intensifiers have longer visual ranges for targets who wear cotton clothes than targets who wear same color but polyester clothes, and have longer visual ranges for targets who wear light-colored clothes than targets who wear dark-colored clothes. And in the full moon illumination conditions, LLL image intensifiers are more sensitive to the clothes' material.

  3. A year's experience with a 57 cm image intensifier in a general X-ray room

    International Nuclear Information System (INIS)

    Georgi, M.; Prager, P.; Busch, H.P.; Strauss, L.; Wetzel, E.; Neumann, D.; Weiher, M.; Regenfuss, W.

    1985-01-01

    3342 patients were examined by means of a 57 cm image intensifier during one year. The installation permits examination with the patient standing or lying. The resolution was measured with a lead grid under conditions resembling actual practice and were found to be similar to those obtained with angiographic equipment. Using a medium format technique for examining the gut and vascular system resulted in radiographic quality which was not significantly different from the use of a large format technique. For examination of the skeleton, radiographic quality, using the intensifier, was markedly poorer than that resulting from Bucky examinations. There was no diagnostic difference when carrying out lymphograms. The large intensifier window of 53 cm was particularly advantageous for DSA of the pelvic and lower limb vessels when compared with smaller intensifiers. Possible savings of film and contrast medium costs are discussed. (orig.) [de

  4. Examination of the lumbar vertebral column using large-screen image intensifier photofluorography

    International Nuclear Information System (INIS)

    Soimakallio, S.; Manninen, H.; Mahlamaeki, S.; Kuopio Central Hospital

    1985-01-01

    The OPTILUX 57 device with its large image intensifying screen is very efficient in visualizing the lumbar vertebrae. The article explains the techniques and summarizes results obtained in the examination of young sportsmen. (orig.) [de

  5. Reduction of background luminance generated in the output screen of x-ray image intensifier tubes

    International Nuclear Information System (INIS)

    Tsuda, Motohisa; Kimura, Yutaro

    1985-01-01

    Background luminance of several origins introduced into an X-ray image intensifier tube deteriorates the contrast of its output image. The output screen, which consists of a phosphor layer usually prepared on a transparent substrate, generates influential background luminance in the X-ray image intensifier tube. A theoretical and experimental study on how reduce the background luminance of the output screen by increasing the thickness of the substrate is presented. In evaluating the effect of the background luminance, we calculated and measured the contrast ratio usually used as a characteristic index of the image intensifier tube. The theory and results from the experimental image intensifier tubes show good agreement. This method of background luminance reduction is not only more economical but also superior to the other methods utilizing dark substrates or optical fiber plates. (author)

  6. Intensified dust storm activity and Valley fever infection in the southwestern United States

    Science.gov (United States)

    Tong, Daniel Q.; Wang, Julian X. L.; Gill, Thomas E.; Lei, Hang; Wang, Binyu

    2017-05-01

    Climate models have consistently projected a drying trend in the southwestern United States, aiding speculation of increasing dust storms in this region. Long-term climatology is essential to documenting the dust trend and its response to climate variability. We have reconstructed long-term dust climatology in the western United States, based on a comprehensive dust identification method and continuous aerosol observations from the Interagency Monitoring of Protected Visual Environments (IMPROVE) network. We report here direct evidence of rapid intensification of dust storm activity over American deserts in the past decades (1988-2011), in contrast to reported decreasing trends in Asia and Africa. The frequency of windblown dust storms has increased 240% from 1990s to 2000s. This dust trend is associated with large-scale variations of sea surface temperature in the Pacific Ocean, with the strongest correlation with the Pacific Decadal Oscillation. We further investigate the relationship between dust and Valley fever, a fast-rising infectious disease caused by inhaling soil-dwelling fungus (Coccidioides immitis and C. posadasii) in the southwestern United States. The frequency of dust storms is found to be correlated with Valley fever incidences, with a coefficient (r) comparable to or stronger than that with other factors believed to control the disease in two endemic centers (Maricopa and Pima County, Arizona).

  7. Development of a screening tool for detecting undernutrition and dietary inadequacy among rural elderly in Malaysia: simple indices to identify individuals at high risk.

    Science.gov (United States)

    Shahar, S; Dixon, R A; Earland, J

    1999-11-01

    Undernutrition and the consumption of poor diets are prevalent among elderly people in developing countries. Recognising the importance of the early identification of individuals at high nutritional risk, this study aimed to develop a simple tool for screening. A cross-sectional study was conducted on 11 randomly selected villages among the 62 in Mersing District, Malaysia. Undernutrition was assessed using body mass index, plasma albumin and haemoglobin on 285 subjects. Dietary inadequacy (a count of nutrients falling below two-thirds of the Recommended Dietary Allowances) was examined for 337 subjects. Logistic regression analysis was performed to identify significant predictors of undernutrition and dietary inadequacy from social and health factors, and to derive appropriate indices based on these predictions. The multivariate predictors of undernutrition were 'no joint disease', 'smoker', 'no hypertension', 'depended on others for economic resource', 'respiratory disease', 'perceived weight loss' and 'chewing difficulty', with a joint sensitivity of 56% and specificity of 84%. The equivalent predictors of dietary inadequacy were 'unable to take public transport', 'loss of appetite', 'chewing difficulty', 'no regular fruit intake' and 'regularly taking less than three meals per day', with a joint sensitivity of 77% and specificity of 47%. These predictions, with minor modification to simplify operational use, led to the production of a simple screening tool. The tool can be used by public health professionals or community workers or leaders as a simple and rapid instrument to screen individual at high risk of undernutrition and/or dietary inadequacy.

  8. Household food insecurity and dietary diversity as correlates of maternal and child undernutrition in rural Cambodia.

    Science.gov (United States)

    McDonald, C M; McLean, J; Kroeun, H; Talukder, A; Lynd, L D; Green, T J

    2015-02-01

    To assess household food insecurity and dietary diversity as correlates of maternal and child anthropometric status and anemia in rural Cambodia. Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. The height, weight and hemoglobin concentration of the mother and youngest child under 5 years in each household were measured. Multivariate logistic regression models were constructed to assess the association between household food insecurity and dietary diversity, and child stunting and wasting, maternal thinness, maternal and child anemia. The mean (s.d.) HFIAS and HDDS scores were 5.3 (3.9) and 4.7 (1.6), respectively. The respective prevalences of mild, moderate and severe food insecurity were 33, 37 and 12%. Maternal thinness, child stunting and child wasting were present in 14.6, 25.4 and 8.1% of respondents, respectively. The risk of maternal thinness, but not child stunting or wasting, increased as the severity of household food insecurity increased. Household food insecurity was also positively associated with maternal, but not child, anemia. Household dietary diversity status was not significantly associated with any of the outcomes we assessed. Efforts to improve household food security are important as a means of promoting maternal nutritional status; however, additional research is needed to better understand the role of other factors that are driving the burden of child undernutrition in Cambodia.

  9. Quantifying and exploiting the age dependence in the effect of supplementary food for child undernutrition.

    Directory of Open Access Journals (Sweden)

    Milinda Lakkam

    Full Text Available Motivated by the lack of randomized controlled trials with an intervention-free control arm in the area of child undernutrition, we fit a trivariate model of weight-for-age z score (WAZ, height-for-age z score (HAZ and diarrhea status to data from an observational study of supplementary feeding (100 kCal/day for children with WAZ [Formula: see text] in 17 Guatemalan communities. Incorporating time lags, intention to treat (i.e., to give supplementary food, seasonality and age interactions, we estimate how the effect of supplementary food on WAZ, HAZ and diarrhea status varies with a child's age. We find that the effect of supplementary food on all 3 metrics decreases linearly with age from 6 to 20 mo and has little effect after 20 mo. We derive 2 food allocation policies that myopically (i.e., looking ahead 2 mo minimize either the underweight or stunting severity - i.e., the sum of squared WAZ or HAZ scores for all children with WAZ or HAZ [Formula: see text]. A simulation study based on the statistical model predicts that the 2 derived policies reduce the underweight severity (averaged over all ages by 13.6-14.1% and reduce the stunting severity at age 60 mo by 7.1-8.0% relative to the policy currently in use, where all policies have a budget that feeds [Formula: see text]% of children. While these findings need to be confirmed on additional data sets, it appears that in a low-dose (100 kCal/day supplementary feeding setting in Guatemala, allocating food primarily to 6-12 mo infants can reduce the severity of underweight and stunting.

  10. Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status.

    Science.gov (United States)

    Feldblum, Ilana; German, Larisa; Castel, Hana; Harman-Boehm, Ilana; Bilenko, Natalya; Eisinger, Miruna; Fraser, Drora; Shahar, Danit R

    2007-11-02

    Undernutrition among older people is a continuing source of concern, particularly among acutely hospitalized patients. The purpose of the current study is to compare malnourished elderly patients with those at nutritional risk and identify factors contributing to the variability between the groups. The study was carried out at the Soroka University Medical Center in the south of Israel. From September 2003 through December 2004, all patients 65 years-of-age or older admitted to any of the internal medicine departments, were screened within 72 hours of admission to determine nutritional status using the short version of the Mini Nutritional Assessment (MNA-SF). Patients at nutritional risk were entered the study and were divided into malnourished or 'at risk' based on the full version of the MNA. Data regarding medical, nutritional, functional, and emotional status were obtained by trained interviewers. Two hundred fifty-nine elderly patients, 43.6% men, participated in the study; 18.5% were identified as malnourished and 81.5% were at risk for malnutrition according to the MNA. The malnourished group was less educated, had a higher depression score and lower cognitive and physical functioning. Higher prevalence of chewing problems, nausea, and vomiting was detected among malnourished patients. There was no difference between the groups in health status indicators except for subjective health evaluation which was poorer among the malnourished group. Lower dietary score indicating lower intake of vegetables fruits and fluid, poor appetite and difficulties in eating distinguished between malnourished and at-risk populations with the highest sensitivity and specificity as compare with the anthropometric, global, and self-assessment of nutritional status parts of the MNA. In a multivariate analysis, lower cognitive function, education food consumption as well as poor appetite and chewing problems are associated with the development of malnutrition. Given the critical

  11. Undernutrition among HIV-positive children in Dar es Salaam, Tanzania: antiretroviral therapy alone is not enough

    Directory of Open Access Journals (Sweden)

    Sunguya Bruno F

    2011-11-01

    Full Text Available Abstract Background The prevalence of HIV/AIDS has exacerbated the impact of childhood undernutrition in many developing countries, including Tanzania. Even with the provision of antiretroviral therapy, undernutrition among HIV-positive children remains a serious problem. Most studies to examine risk factors for undernutrition have been limited to the general population and ART-naive HIV-positive children, making it difficult to generalize findings to ART-treated HIV-positive children. The objectives of this study were thus to compare the proportions of undernutrition among ART-treated HIV-positive and HIV-negative children and to examine factors associated with undernutrition among ART-treated HIV-positive children in Dar es Salaam, Tanzania. Methods From September to October 2010, we conducted a cross-sectional survey among 213 ART-treated HIV-positive and 202 HIV-negative children in Dar es Salaam, Tanzania. We measured the children's anthropometrics, socio-demographic factors, food security, dietary habits, diarrhea episodes, economic status, and HIV clinical stage. Data were analyzed using both univariate and multivariate methods. Results ART-treated HIV-positive children had higher rates of undernutrition than their HIV-negative counterparts. Among the ART-treated HIV-positive children, 78 (36.6% were stunted, 47 (22.1% were underweight, and 29 (13.6% were wasted. Households of ART-treated HIV-positive children exhibited lower economic status, lower levels of education, and higher percentages of unmarried caregivers with higher unemployment rates. Food insecurity was prevalent in over half of ART-treated HIV-positive children's households. Furthermore, ART-treated HIV-positive children were more likely to be orphaned, to be fed less frequently, and to have lower body weight at birth compared to HIV-negative children. In the multivariate analysis, child's HIV-positive status was associated with being underweight (AOR = 4.61, 95% CI 1

  12. The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: The P-MaMiE study

    Directory of Open Access Journals (Sweden)

    Abdulahi Abdulreshid

    2010-04-01

    Full Text Available Abstract Background Although maternal common mental disorder (CMD appears to be a risk factor for infant undernutrition in South Asian countries, the position in sub-Saharan Africa (SSA is unclear Methods A population-based cohort of 1065 women, in the third trimester of pregnancy, was identified from the demographic surveillance site (DSS in Butajira, to investigate the effect of maternal CMD on infant undernutrition in a predominantly rural Ethiopian population. Participants were interviewed at recruitment and at two months post-partum. Maternal CMD was measured using the locally validated Self-Reported Questionnaire (score of ≥ six indicating high levels of CMD. Infant anthropometry was recorded at six and twelve months of age. Result The prevalence of CMD was 12% during pregnancy and 5% at the two month postnatal time-point. In bivariate analysis antenatal CMD which had resolved after delivery predicted underweight at twelve months (OR = 1.71; 95% CI: 1.05, 2.50. There were no other statistically significant differences in the prevalence of underweight or stunted infants in mothers with high levels of CMD compared to those with low levels. The associations between CMD and infant nutritional status were not significant after adjusting for pre-specified potential confounders. Conclusion Our negative finding adds to the inconsistent picture emerging from SSA. The association between CMD and infant undernutrition might be modified by study methodology as well as degree of shared parenting among family members, making it difficult to extrapolate across low- and middle-income countries.

  13. Association of infant and young child feeding practices with undernutrition in children: evidence from the Nepal Demographic and Health Survey.

    Science.gov (United States)

    Lamichhane, Dirga Kumar; Leem, Jong Han; Kim, Hwan Cheol; Park, Myung Sook; Lee, Ji Young; Moon, So Hyun; Ko, Jung Keun

    2015-07-27

    Childhood undernutrition remains a highly influential risk factor in terms of the global burden of disease. Increasing evidence links infant and young child feeding (IYCF) practices to undernutrition. However, the results are inconsistent, and more country-specific studies are needed. To determine the associations between IYCF practices and nutritional outcomes among children aged 0-23 months using a nationally representative dataset. The study used data from the 2011 Nepal Demographic and Health Survey, and the data were analysed for children aged 0-23.9 months who had corresponding data for the outcome variables of interest (n = 890). Multiple linear and logistic regressions were undertaken and adjusted for the complex design of the survey, controlling for child, maternal, household and community characteristics. Of the 890 children included in the study, 83% received age-appropriate breastfeeding but only 48% were breastfed within 1 hour of birth. Exclusive breastfeeding under 6 months of age was associated with a higher weight-for-age Z-score (WAZ) and a lower probability of wasting, but the estimated effects were of borderline significance. A significant negative association was found between continued breastfeeding at 1 year and WAZ and weight-for-height Z-score (WHZ). Timely introduction of complementary feeding in children aged 6-8 months was associated with a higher WAZ [effect size (ES) 0.6, P Children who achieved minimum meal frequency had a higher WAZ (ES 0.3, P feeding practices with a sustained focus on exclusive breastfeeding to reduce undernutrition in infants and young children.

  14. Lived experiences of self-care among older, home-dwelling individuals identified to be at risk of undernutrition

    Directory of Open Access Journals (Sweden)

    Tomstad ST

    2012-12-01

    Full Text Available Solveig T Tomstad,1,2 Ulrika Söderhamn,2 Geir Arild Espnes,3 Olle Söderhamn21Department of Social Work and Health Science, Norwegian University of Science and Technology, Trondheim, Norway; 2Centre for Caring Research – Southern Norway, University of Agder, Grimstad, Norway; 3Research Centre for Health Promotion and Resources HiST-NTNU, Department of Social Work and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayIntroduction: In a society where most older people live in their own homes, it may be expected of older individuals to exercise their potential to take care of themselves in daily life. Nutrition is a central aspect of self-care, and groups of older, home-dwelling people are at risk of undernutrition.Aim: The aim of this study was to describe the lived experiences of self-care and features that influence health and self-care among older, home-dwelling individuals identified to be at risk of undernutrition.Methods: Qualitative interviews were performed with eleven home-dwelling individuals who had been identified as being at risk of undernutrition. The interviews were recorded, transcribed verbatim, and analyzed with a descriptive phenomenological method.Findings: Self-care as a lived experience among older, home-dwelling individuals identified to be at risk of undernutrition is about being aware of food choices and making decisions about taking healthy steps or not. In the presence of health problems, the appetite often decreases. Being able to take care of oneself in daily life is important, as is receiving help when needing it. Working at being physically and socially active and engaged may stimulate the appetite. Having company at meals is important and missed when living alone. Being present and taking each day by day, as well as considering oneself in the light of past time and previous experiences and looking ahead, is central, even when having fears for the future and the end of life

  15. Risk factors for chronic undernutrition among children in India: Estimating relative importance, population attributable risk and fractions.

    Science.gov (United States)

    Corsi, Daniel J; Mejía-Guevara, Iván; Subramanian, S V

    2016-05-01

    Nearly 40% of the world's stunted children live in India and the prevalence of undernutrition has been persistently high in recent decades. Given numerous available interventions for reducing undernutrition in children, it is not clear of the relative importance of each within a multifactorial framework. We assess the simultaneous contribution of 15 known risk factors for child chronic undernutrition in India. Data are from the 3rd Indian National Family Health Survey (NFHS-3), a nationally representative cross-sectional survey undertaken in 2005-2006. The study population consisted of children aged 6-59 months [n = 26,842 (stunting/low height-for-age), n = 27,483 (underweight/low weight-for-age)]. Risk factors examined for their association with undernutrition were: vitamin A supplementation, vaccination, use of iodized salt, household air quality, improved sanitary facilities, safe disposal of stools, improved drinking water, prevalence of infectious disease, initiation of breastfeeding, dietary diversity, age at marriage, maternal BMI, height, education, and household wealth. Age/sex-adjusted and multivariable adjusted effect sizes (odds ratios) were calculated for risk factors along with Population Attributable Risks (PAR) and Fractions (PAF) using logistic regression. In the mutually adjusted models, the five most important predictors of childhood stunting/underweight were short maternal stature, mother having no education, households in lowest wealth quintile, poor dietary diversity, and maternal underweight. These five factors had a combined PAR of 67.2% (95% CI: 63.3-70.7) and 69.7% (95% CI: 66.3-72.8) for stunting and underweight, respectively. The remaining factors were associated with a combined PAR of 11.7% (95% CI: 6.0-17.4) and 15.1% (95% CI: 8.9-21.3) for stunting and underweight, respectively. Implementing strategies focused on broader progress on social circumstances and infrastructural domains as well as investments in nutrition specific

  16. The routine use of antibiotics to promote animal growth does little to benefit protein undernutrition in the developing world

    DEFF Research Database (Denmark)

    Collignon, P.; Wegener, Henrik Caspar; Braam, P.

    2005-01-01

    Some persons argue that the routine addition of antibiotics to animal feed will help alleviate protein undernutrition in developing countries by increasing meat production. In contrast, we estimate that, if all routine antibiotic use in animal feed were ceased, there would be negligible effects...... in these countries. Poultry and pork production are unlikely to decrease by more than 2%. Average daily protein supply would decrease by no more than 0.1 g per person (or 0.2% of total protein intake). Eliminating the routine use of in-feed antibiotics will improve human and animal health, by reducing...... the development and spread of antibiotic-resistant bacteria....

  17. Accuracy of quick and easy undernutrition screening tools--Short Nutritional Assessment Questionnaire, Malnutrition Universal Screening Tool, and modified Malnutrition Universal Screening Tool--in patients undergoing cardiac surgery

    NARCIS (Netherlands)

    van Venrooij, Lenny M. W.; van Leeuwen, Paul A. M.; Hopmans, Wendy; Borgmeijer-Hoelen, Mieke M. M. J.; de Vos, Rien; de Mol, Bas A. J. M.

    2011-01-01

    The objective of this study was to compare the quick-and-easy undernutrition screening tools, ie, Short Nutritional Assessment Questionnaire and Malnutrition Universal Screening Tool, in patients undergoing cardiac surgery with respect to their accuracy in detecting undernutrition measured by a

  18. A highly intensified ART regimen induces long-term viral suppression and restriction of the viral reservoir in a simian AIDS model.

    Directory of Open Access Journals (Sweden)

    Iart Luca Shytaj

    Full Text Available Stably suppressed viremia during ART is essential for establishing reliable simian models for HIV/AIDS. We tested the efficacy of a multidrug ART (highly intensified ART in a wide range of viremic conditions (10³-10⁷ viral RNA copies/mL in SIVmac251-infected rhesus macaques, and its impact on the viral reservoir. Eleven macaques in the pre-AIDS stage of the disease were treated with a multidrug combination (highly intensified ART consisting of two nucleosidic/nucleotidic reverse transcriptase inhibitors (emtricitabine and tenofovir, an integrase inhibitor (raltegravir, a protease inhibitor (ritonavir-boosted darunavir and the CCR5 blocker maraviroc. All animals stably displayed viral loads below the limit of detection of the assay (i.e. <40 RNA copies/mL after starting highly intensified ART. By increasing the sensitivity of the assay to 3 RNA copies/mL, viral load was still below the limit of detection in all subjects tested. Importantly, viral DNA resulted below the assay detection limit (<2 copies of DNA/5*10⁵ cells in PBMCs and rectal biopsies of all animals at the end of the follow-up, and in lymph node biopsies from the majority of the study subjects. Moreover, highly intensified ART decreased central/transitional memory, effector memory and activated (HLA-DR⁺ effector memory CD4⁺ T-cells in vivo, in line with the role of these subsets as the main cell subpopulations harbouring the virus. Finally, treatment with highly intensified ART at viral load rebound following suspension of a previous anti-reservoir therapy eventually improved the spontaneous containment of viral load following suspension of the second therapeutic cycle, thus leading to a persistent suppression of viremia in the absence of ART. In conclusion, we show, for the first time, complete suppression of viral load by highly intensified ART and a likely associated restriction of the viral reservoir in the macaque AIDS model, making it a useful platform for testing

  19. Understanding the null-to-small association between increased macroeconomic growth and reducing child undernutrition in India: role of development expenditures and poverty alleviation.

    Science.gov (United States)

    Joe, William; Rajaram, Ramaprasad; Subramanian, S V

    2016-05-01

    Empirical evidence suggests that macroeconomic growth in India is not correlated with any substantial reductions in the prevalence of child undernutrition over time. This study investigates the two commonly hypothesized pathways through which macroeconomic growth is expected to reduce child undernutrition: (1) an increase in public developmental expenditure and (2) a reduction in aggregate income-poverty levels. For the anthropometric data on children, we draw on the data from two cross-sectional waves of National Family Health Survey conducted in 1992-1993 and 2005-2006, while the data for per capita net state domestic product and per capita public spending on developmental expenditure and headcount ratio of poverty were obtained from the Reserve Bank of India and the Government of India expert committee reports. We find that between 1992-1993 and 2005-2006, state-level macroeconomic growth was not associated with any substantial increases in public development expenditure or substantial reductions in poverty at the aggregate level. Furthermore, the association between changes in public development expenditure or aggregate poverty and changes in undernutrition was small. In summary, it appears that the inability of macroeconomic growth to translate into reductions in child undernutrition in India is likely a consequence of the macroeconomic growth not translating into substantial investments in development expenditure that could matter for children's nutritional status and neither did it substantially improve incomes of the poor, a group where undernutrition is also the highest. The findings here build a case to advocate a 'support-led' strategy for reducing undernutrition rather than simply relying on a 'growth-mediated' strategy. Key messages Increases in macroeconomic growth have not been accompanied by substantial increases in public developmental spending or reduction in aggregate poverty headcount ratio in India. Association between increases in public

  20. Understanding the null‐to‐small association between increased macroeconomic growth and reducing child undernutrition in India: role of development expenditures and poverty alleviation

    Science.gov (United States)

    Joe, William; Rajaram, Ramaprasad

    2016-01-01

    Abstract Empirical evidence suggests that macroeconomic growth in India is not correlated with any substantial reductions in the prevalence of child undernutrition over time. This study investigates the two commonly hypothesized pathways through which macroeconomic growth is expected to reduce child undernutrition: (1) an increase in public developmental expenditure and (2) a reduction in aggregate income‐poverty levels. For the anthropometric data on children, we draw on the data from two cross‐sectional waves of National Family Health Survey conducted in 1992–1993 and 2005–2006, while the data for per capita net state domestic product and per capita public spending on developmental expenditure and headcount ratio of poverty were obtained from the Reserve Bank of India and the Government of India expert committee reports. We find that between 1992–1993 and 2005–2006, state‐level macroeconomic growth was not associated with any substantial increases in public development expenditure or substantial reductions in poverty at the aggregate level. Furthermore, the association between changes in public development expenditure or aggregate poverty and changes in undernutrition was small. In summary, it appears that the inability of macroeconomic growth to translate into reductions in child undernutrition in India is likely a consequence of the macroeconomic growth not translating into substantial investments in development expenditure that could matter for children's nutritional status and neither did it substantially improve incomes of the poor, a group where undernutrition is also the highest. The findings here build a case to advocate a ‘support‐led’ strategy for reducing undernutrition rather than simply relying on a ‘growth‐mediated’ strategy. Key messages Increases in macroeconomic growth have not been accompanied by substantial increases in public developmental spending or reduction in aggregate poverty headcount ratio in India

  1. Prevalence and Association of Undernutrition with Quality of Life among Swedish People Aged 60 Years and Above: Results of the SNAC-B Study.

    Science.gov (United States)

    Naseer, M; Fagerström, C

    2015-12-01

    This study aimed to assess the prevalence of undernutrition among elderly and to investigate the association of risk of undernutrition with health-related quality of life and life satisfaction controlling for age, gender, marital status, economic status, housing arrangement, education level, functional ability, and diseases. A cross-sectional study design was used for this study. The baseline data (2001-2003) of "The Swedish National Study of Aging and Care-Blekinge (SNAC-B)" was used. This population-based study focused on both home-living and special-housing residents. The participants (n=1402) were randomly selected and included both males and females 60-96 years of age residing in a municipality of south-east Sweden. The risk of undernutrition was estimated by the occurrence of at least one anthropometric measure (body mass index, mid-arm circumference, and calf circumference) below cut-off, in addition to the presence of at least one subjective measure (declined food intake, weight loss, and eating difficulty). The dependent variables, health-related quality of life and life satisfaction, were measured by the validated short form health survey (SF-12) and Liang's life satisfactions index A (LSIA), respectively. According to the criterion, 8.5% of the participants were at risk of undernutrition, and subjects at nutritional risk were significantly older, female, unmarried/widowed/divorced, residing in special housing, and functionally impaired. The risk of undernutrition was significantly associated with poor health-related quality of life, both in the physical (OR 2.31, 95% CI 1.18-4.52) and mental (OR 2.34, 95% CI 1.22-4.47) dimensions. However, no significant association was observed between nutritional status and life satisfaction (OR 1.30, 95% CI 0.70-2.40). The risk of undernutrition significantly increases the risk of poor physical and mental health-related quality of life but has negligible impact on life satisfaction. This study also highlights the

  2. Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status

    Directory of Open Access Journals (Sweden)

    Eisinger Miruna

    2007-11-01

    Full Text Available Abstract Background Undernutrition among older people is a continuing source of concern, particularly among acutely hospitalized patients. The purpose of the current study is to compare malnourished elderly patients with those at nutritional risk and identify factors contributing to the variability between the groups. Methods The study was carried out at the Soroka University Medical Center in the south of Israel. From September 2003 through December 2004, all patients 65 years-of-age or older admitted to any of the internal medicine departments, were screened within 72 hours of admission to determine nutritional status using the short version of the Mini Nutritional Assessment (MNA-SF. Patients at nutritional risk were entered the study and were divided into malnourished or 'at risk' based on the full version of the MNA. Data regarding medical, nutritional, functional, and emotional status were obtained by trained interviewers. Results Two hundred fifty-nine elderly patients, 43.6% men, participated in the study; 18.5% were identified as malnourished and 81.5% were at risk for malnutrition according to the MNA. The malnourished group was less educated, had a higher depression score and lower cognitive and physical functioning. Higher prevalence of chewing problems, nausea, and vomiting was detected among malnourished patients. There was no difference between the groups in health status indicators except for subjective health evaluation which was poorer among the malnourished group. Lower dietary score indicating lower intake of vegetables fruits and fluid, poor appetite and difficulties in eating distinguished between malnourished and at-risk populations with the highest sensitivity and specificity as compare with the anthropometric, global, and self-assessment of nutritional status parts of the MNA. In a multivariate analysis, lower cognitive function, education Conclusion Our study indicates that low food consumption as well as poor appetite

  3. Flood-Exposure is Associated with Higher Prevalence of Child Undernutrition in Rural Eastern India.

    Science.gov (United States)

    Rodriguez-Llanes, Jose Manuel; Ranjan-Dash, Shishir; Mukhopadhyay, Alok; Guha-Sapir, Debarati

    2016-02-06

    Child undernutrition and flooding are highly prevalent public health issues in Asia, yet epidemiological studies investigating this association are lacking. To investigate to what extent floods exacerbate poor nutritional status in children and identify most vulnerable groups, we conducted a population-based survey of children aged 6-59 months inhabiting flooded and non-flooded communities of the Jagatsinghpur district, Odisha (India), one year after large floods in 2008. Anthropometric measurements on 879 children and child, parental and household level variables were collected through face-to-face interviews in September 2009. The association between flooding and the prevalence of wasting, stunting and underweight was examined using weighted multivariate logistic regression for children inhabiting communities exposed solely to floods in 2008 and those communities repeatedly flooded (2006 and 2008) controlling for parental education and other relevant variables. We examined the influence of age on this association. Propensity score matching was conducted to test the robustness of our findings. The prevalence of wasting among children flooded in 2006 and 2008 was 51.6%, 41.4% in those flooded only in 2008, and 21.2% in children inhabiting non-flooded communities. Adjusting by confounders, the increased prevalence relative to non-flooded children in the exposed groups were 2.30 (adjusted prevalence ratio (aPR); 95% CI: 1.86, 2.85) and 1.94 (95% CI: 1.43, 2.63), respectively. Among repeatedly flooded communities, cases of severe wasting in children were 3.37 times more prevalent than for children inhabiting in those non-flooded (95% CI: 2.34, 4.86) and nearly twice more prevalent relative to those flooded only once. Those children younger than one year during previous floods in 2006 showed the largest difference in prevalence of wasting compared to their non-flooded counterparts (aPR: 4.01; 95% CI: 1.51, 10.63). RESULTS were robust to alternative adjusted models and

  4. Estimation of undernutrition and mean calorie intake in Africa: methodology, findings and implications

    Directory of Open Access Journals (Sweden)

    Nubé Maarten

    2009-06-01

    Full Text Available Abstract Background As poverty and hunger are basic yardsticks of underdevelopment and destitution, the need for reliable statistics in this domain is self-evident. While the measurement of poverty through surveys is relatively well documented in the literature, for hunger, information is much scarcer, particularly for adults, and very different methodologies are applied for children and adults. Our paper seeks to improve on this practice in two ways. One is that we estimate the prevalence of undernutrition in sub-Saharan Africa (SSA for both children and adults based on anthropometric data available at province or district level, and secondly, we estimate the mean calorie intake and implied calorie gap for SSA, also using anthropometric data on the same geographical aggregation level. Results Our main results are, first, that we find a much lower prevalence of hunger than presented in the Millennium Development reports (17.3% against 27.8% for the continent as a whole. Secondly, we find that there is much less spread in mean calorie intake across the continent than reported by the Food and Agricultural Organization (FAO in the State of Food and Agriculture, 2007, the only estimate that covers the whole of Africa. While FAO estimates for calorie availability vary from a low of 1760 Kcal/capita/day for Central Africa to a high of 2825 Kcal/capita/day for Southern Africa, our estimates lay in a range of 2245 Kcal/capita/day (Eastern Africa to 2618 Kcal/capita/day for Southern Africa. Thirdly, we validate the main data sources used (the Demographic and Health Surveys by comparing them over time and with other available data sources for various countries. Conclusion We conclude that the picture of Africa that emerges from anthropometric data is much less negative than that usually presented. Especially for Eastern and Central Africa, the nutritional status is less critical than commonly assumed and also mean calorie intake is higher, which implies

  5. Estimation of undernutrition and mean calorie intake in Africa: methodology, findings and implications.

    Science.gov (United States)

    van Wesenbeeck, Cornelia F A; Keyzer, Michiel A; Nubé, Maarten

    2009-06-27

    As poverty and hunger are basic yardsticks of underdevelopment and destitution, the need for reliable statistics in this domain is self-evident. While the measurement of poverty through surveys is relatively well documented in the literature, for hunger, information is much scarcer, particularly for adults, and very different methodologies are applied for children and adults. Our paper seeks to improve on this practice in two ways. One is that we estimate the prevalence of undernutrition in sub-Saharan Africa (SSA) for both children and adults based on anthropometric data available at province or district level, and secondly, we estimate the mean calorie intake and implied calorie gap for SSA, also using anthropometric data on the same geographical aggregation level. Our main results are, first, that we find a much lower prevalence of hunger than presented in the Millennium Development reports (17.3% against 27.8% for the continent as a whole). Secondly, we find that there is much less spread in mean calorie intake across the continent than reported by the Food and Agricultural Organization (FAO) in the State of Food and Agriculture, 2007, the only estimate that covers the whole of Africa. While FAO estimates for calorie availability vary from a low of 1760 Kcal/capita/day for Central Africa to a high of 2825 Kcal/capita/day for Southern Africa, our estimates lay in a range of 2245 Kcal/capita/day (Eastern Africa) to 2618 Kcal/capita/day for Southern Africa. Thirdly, we validate the main data sources used (the Demographic and Health Surveys) by comparing them over time and with other available data sources for various countries. We conclude that the picture of Africa that emerges from anthropometric data is much less negative than that usually presented. Especially for Eastern and Central Africa, the nutritional status is less critical than commonly assumed and also mean calorie intake is higher, which implies that agricultural production and hence income must also

  6. Flood-Exposure is Associated with Higher Prevalence of Child Undernutrition in Rural Eastern India

    Directory of Open Access Journals (Sweden)

    Jose Manuel Rodriguez-Llanes

    2016-02-01

    Full Text Available Background: Child undernutrition and flooding are highly prevalent public health issues in Asia, yet epidemiological studies investigating this association are lacking. Methods: To investigate to what extent floods exacerbate poor nutritional status in children and identify most vulnerable groups, we conducted a population-based survey of children aged 6–59 months inhabiting flooded and non-flooded communities of the Jagatsinghpur district, Odisha (India, one year after large floods in 2008. Anthropometric measurements on 879 children and child, parental and household level variables were collected through face-to-face interviews in September 2009. The association between flooding and the prevalence of wasting, stunting and underweight was examined using weighted multivariate logistic regression for children inhabiting communities exposed solely to floods in 2008 and those communities repeatedly flooded (2006 and 2008 controlling for parental education and other relevant variables. We examined the influence of age on this association. Propensity score matching was conducted to test the robustness of our findings. Results: The prevalence of wasting among children flooded in 2006 and 2008 was 51.6%, 41.4% in those flooded only in 2008, and 21.2% in children inhabiting non-flooded communities. Adjusting by confounders, the increased prevalence relative to non-flooded children in the exposed groups were 2.30 (adjusted prevalence ratio (aPR; 95% CI: 1.86, 2.85 and 1.94 (95% CI: 1.43, 2.63, respectively. Among repeatedly flooded communities, cases of severe wasting in children were 3.37 times more prevalent than for children inhabiting in those non-flooded (95% CI: 2.34, 4.86 and nearly twice more prevalent relative to those flooded only once. Those children younger than one year during previous floods in 2006 showed the largest difference in prevalence of wasting compared to their non-flooded counterparts (aPR: 4.01; 95% CI: 1.51, 10.63. Results

  7. Association between socio-economic status and childhood undernutrition in Bangladesh; a comparison of possession score and poverty index.

    Science.gov (United States)

    Mohsena, Masuda; Mascie-Taylor, C G Nicholas; Goto, Rie

    2010-10-01

    To determine how much of the variation in nutritional status of Bangladeshi children under 5 years old can be attributed to the socio-economic status of the family. Nutritional status used reference Z-scores of weight-for-age (WAZ), height-for-age (HAZ) and weight-for-height (WHZ). A 'possession score' was generated based on ownership of a radio, television, bicycle, motorcycle and telephone, and the availability of electricity, with categories of 0 to 4+ possessions. A five-point (quintile) 'poverty index' was created using principal component analysis. The Bangladesh Demographic and Health Survey 2004 was the source of data. A sample of 4891 children aged sex. Children of mothers with no education or no possessions were, on average, about 1 sd more underweight and stunted than those with higher educated mothers or with 4+ possessions. The possession score provided much greater discrimination of undernutrition than the poverty index. Nearly 50 % of children from households with no possessions were stunted, wasted or underweight (only 27 % in the poorest quintile), compared with only 3-6 % of children from households with 4+ possessions (over 13 % in the richest quintile). Maternal education and possession score were the main predictors of a child's nutritional status. Possession score was a much better indicator of undernutrition than the poverty index.

  8. Does Having a Migrant Parent Reduce the Risk of Undernutrition for Children Who Stay Behind in South-East Asia?

    Science.gov (United States)

    Graham, Elspeth; Jordan, Lucy P

    2013-12-01

    Many parents from South-East Asia who go overseas to work are motivated by a desire to secure a better future for their children, yet the health consequences for children who stay behind are poorly understood. This study is the first cross-country comparison to explore the relationships between parental migration and the risk of undernutrition (stunting) for primary school-aged children. The analysis uses data from the CHAMPSEA Project for children aged 9 to 11 years in the Philippines (N = 480) and Vietnam (N = 482). A series of logistic regression models compares outcomes for children living in transnational households and children living with both parents in non-migrant households in the same communities. We find no general advantage of having a migrant parent. Rather there is a reduced risk of stunting only for some left-behind children in the Philippines, whereas having a caregiver with low educational attainment is a major risk factor for all children. The findings point to a complex set of relationships between parental migration and child nutrition, possibly reflecting differential opportunities for accumulating household wealth through overseas earnings. Moreover, differences between the two countries caution against generalizing across national or cultural groups. We conclude by considering the implications of the findings for theories of transnationalism and for the UN Millennium Development Goal of reducing childhood undernutrition.

  9. Ribosome abundance regulates the recovery of skeletal muscle protein mass upon recuperation from postnatal undernutrition in mice.

    Science.gov (United States)

    Fiorotto, Marta L; Davis, Teresa A; Sosa, Horacio A; Villegas-Montoya, Carolina; Estrada, Irma; Fleischmann, Ryan

    2014-12-01

    Nutritionally-induced growth faltering in the perinatal period has been associated with reduced adult skeletal muscle mass; however, the mechanisms responsible for this are unclear. To identify the factors that determine the recuperative capacity of muscle mass, we studied offspring of FVB mouse dams fed a protein-restricted diet during gestation (GLP) or pups suckled from postnatal day 1 (PN1) to PN11 (E-UN), or PN11 to PN22 (L-UN) on protein-restricted or control dams. All pups were refed under control conditions following the episode of undernutrition. Before refeeding, and 2, 7 and 21 days later, muscle protein synthesis was measured in vivo. There were no long-term deficits in protein mass in GLP and E-UN offspring, but in L-UN offspring muscle protein mass remained significantly smaller even after 18 months (P muscle protein synthesis when refed (P protein kinases were similar among treatments. However, activation of the ribosomal S6 kinase 1 via mTOR (P muscles to recover following perinatal undernutrition depends on developmental age as this establishes whether ribosome abundance can be enhanced sufficiently to promote the protein synthesis rates required to accelerate protein deposition for catch-up growth. © 2014 The Authors. The Journal of Physiology © 2014 The Physiological Society.

  10. Development of UV image intensifier tube with GaN photocathode

    Science.gov (United States)

    Mizuno, I.; Nihashi, T.; Nagai, T.; Niigaki, M.; Shimizu, Y.; Shimano, K.; Katoh, K.; Ihara, T.; Okano, K.; Matsumoto, M.; Tachino, M.

    2008-04-01

    We developed an UV image intensifier tube with a GaN photocathode in semi-transparent mode. In UV spectroscopy and low-light-level UV-imaging applications, there are strong demands for improved detectors which have higher quantum efficiency, low dark current, sharper wavelength cut-off response, and stable and robust characteristics. III-Nitrides semiconductor is one of the promising candidate materials to meet these demands. We developed a GaN photocathode which is epitaxially grown by MOCVD method. It has flat and high quantum efficiency from 200 nm to 360 nm. The cathode is incorporated into an image intensifier tube, which shows good gating performance and fine imaging resolution. With these improved performances, the UV image intensifier tube with GaN photocathode will expand its application fields to include UV spectroscopy and UV-imaging in low light.

  11. Fabry-Perot interferometry using an image-intensified rotating-mirror streak camera

    International Nuclear Information System (INIS)

    Seitz, W.L.; Stacy, H.L.

    1983-01-01

    A Fabry-Perot velocity interferometer system is described that uses a modified rotating mirror streak camera to recrod the dynamic fringe positions. A Los Alamos Model 72B rotating-mirror streak camera, equipped with a beryllium mirror, was modified to include a high aperture (f/2.5) relay lens and a 40-mm image-intensifier tube such that the image normally formed at the film plane of the streak camera is projected onto the intensifier tube. Fringe records for thin (0.13 mm) flyers driven by a small bridgewire detonator obtained with a Model C1155-01 Hamamatsu and Model 790 Imacon electronic streak cameras are compared with those obtained with the image-intensified rotating-mirror streak camera (I 2 RMC). Resolution comparisons indicate that the I 2 RMC gives better time resolution than either the Hamamatsu or the Imacon for total writing times of a few microseconds or longer

  12. State of development and development trends of X-ray image intensifier television systems

    International Nuclear Information System (INIS)

    Pfeiler, M.; Haendle, J.

    1975-01-01

    Following a survey on the development of X-ray image intensifier television systems up to now, their further development is critically discussed with regard to the better image quality to be expected. The introduction of the high-resolving X-ray image intensifier already meant an improvement in image quality even though the television system remained the same. In the image intensifier television system, the distinguishability of small details suffers from noise effects. Therefore, a better image quality is especially advantageous in those ranges of application which allow a higher picture dose. 'Electronic' radiography, intermittent screening, co-storage of the spotfilm radiographs, videometry, video area kymography, and cardiac stroboscopy are examples some of which have already been tested in clinical practice. (orig./AK) [de

  13. Investigation into the efficiency of a fin and wound wire intensifier

    Science.gov (United States)

    Komov, A. T.; Varava, A. N.; Dedov, A. V.; Zakharenkov, A. V.; Boltenko, E. A.; Agishev, B. Yu.; Smorchkova, Yu. V.

    2017-08-01

    The work continues the experimental investigations into heat transfer enhancement carried out at NIU MPEI. To verify the obtained results and extend the range of geometric characteristics of the intensifier, additional systematic experiments were performed. The investigations were carried out under the program of improvement of existing water-cooled water-moderated reactors to create a base of reliable experimental data and design correlations that could be required in developing reactors of the fourth generation. Among the methods for improving the safety of the core and of the overall reactor is the replacement of conventional fuel rods in fuel assemblies with tubular ones and development of spacers that best suit fuel assemblies. A design of an intensifier that can be used in a spacer grid is examined. A brief description of the test section and the design of developed intensifiers with a list of their basic geometric characteristics are presented. New systematic experimental data are given on hydraulic resistance factors and heat transfer coefficients for single-phase convection with the use of a fin-and-wound wire intensifier. This investigation extends the range of intensifier geometric characteristics and operating conditions: the mass flow rate range was ρ w = 1000-4000 kg/(m2 s), the pressure range was p = 3.0-7.0 MPa, the coolant temperature at the test section inlet was 100°C, and the heat flux range was q = 0.23-0.70 MW/m2. The experiments revealed a considerable increase in the heat transfer coefficient on the convex heated surface and dependence of the hydraulic resistance factors and the heat transfer coefficients on the wire winding pitch. The relative pin heights offering a higher increase in heat transfer as compared with an increase in hydraulic resistance were established. Empirical correlations for predicting the heat transfer coefficients and the hydraulic resistance factors as a function of the intensifier geometric characteristics are

  14. High-speed videography combined with an x-ray image intensifier for dynamic radiography

    Energy Technology Data Exchange (ETDEWEB)

    Bryant, L.E. Jr.

    1983-01-01

    The Spin Physics SP-2000 high-speed video system can be combined with an x-ray source, a dynamic event having internal (not directly visible) movement and an x-ray image intensifier to perform dynamic radiography. The cesium iodide input fluor and P-20 output fluor of the image intensifier have rapid decay to allow x-ray imaging up to 12,000 pictures per second. Applications of this technique include internal functioning of a compressor, turbulent-water action, and other mechanical actions.

  15. An intensified esterification process of palm oil fatty acid distillate catalyzed by delipidated rice bran lipase.

    Science.gov (United States)

    Chong, Fui Chin; Tey, Beng Ti; Dom, Zanariah Mohd; Ibrahim, Nordin; Rahman, Russly Abd; Ling, Tau Chuan

    2006-09-07

    An intensified esterification process was operated by circulating 10 l of reaction mixtures, consisting of palm oil fatty acid distillate (PFAD) and glycerol in hexane, through a packed-bed reactor (PBR) filled with 10 kg of delipidated rice bran lipase (RBL). The influence of the process parameters, such as reaction temperature and type of water-removal agent, on the performance of this intensified esterification process were investigated. The highest degree of esterification (61%) was achieved at a reaction temperature of 65 masculineC, using silica gels as the water-removal agent. Thin-layer chromatography (TLC) analysis showed that the major composition of the esterified product was diacylglycerol.

  16. Intensified multifactorial intervention in patients with type 2 diabetes mellitus and microalbuminuria

    DEFF Research Database (Denmark)

    Gaede, P; Vedel, P; Parving, H H

    1999-01-01

    BACKGROUND: In type 2 diabetes mellitus the aetiology of long-term complications is multifactorial. We carried out a randomised trial of stepwise intensive treatment or standard treatment of risk factors in patients with microalbuminuria. METHODS: In this open, parallel trial patients were....... INTERPRETATION: Intensified multifactorial intervention in patients with type 2 diabetes and microalbuminuria slows progression to nephropathy, and progression of retinopathy and autonomic neuropathy. However, further studies are needed to establish the effect of intensified multifactorial treatment...... allocated standard treatment (n=80) or intensive treatment (n=80). Standard treatment followed Danish guidelines. Intensive treatment was a stepwise implementation of behaviour modification, pharmacological therapy targeting hyperglycaemia, hypertension, dyslipidaemia, and microalbuminuria. The primary...

  17. Model for the brightness uniformity of fluorescence screen of image intensifier

    Science.gov (United States)

    Qiu, YaFeng; Chang, BenKang; Qian, YunSheng; Fu, RongGuo; Gao, Youtang; Si, Tian

    2007-01-01

    The three elements of photoelectrical cathode, microchannel plate and fluorescence screen are important parts to imaging quality of low light and ultraviolet Image intensifier. To do research and analysis work on the Fluorescence screen parameter testing have practical significance to the understanding of the performance of fluorescence screen and then can help to know where improvement should be made and then achieve a best performance entire tube, This article mainly introduce the testing theory of the brightness uniformity of fluorescence screen of Image Intensifier and how to build a mathematic model.

  18. Gender discrimination in undernutrition with mediating factors among Bengalee school children from Eastern India.

    Science.gov (United States)

    Mondal, Prakash Ranjan; Biswas, Sadaruddin; Bose, Kaushik

    2012-04-01

    This study was undertaken to determine age and sex variations in the prevalence of underweight and stunting, and to assess the impact of some socio-economic variables on undernutrition among 6-16 year old school children of Bengalee ethnicity in Chapra, West Bengal, India. The subjects were selected randomly from various schools and madrassas of the Chapra Block. A total of 725 children (342 boys and 383 girls) aged 6-16 years were measured and data on their socio-economic status were collected. Age and sex combined rates of underweight and stunting were 44.40% and 37.20%, respectively. Weight-for-age Z-score (WAZ) showed significant association with per-capita income (PCI) among boys (F=5.45) and girls (F=8.14). Height-for-age Z-score (HAZ) has also shown the association with per-capita income among boys (F=4.43) and girls (F=9.69). The WAZ was significantly associated with fathers' educational status (FOS) (t=-2.95) and the number of living rooms (NLR) (t=-2.91) among girls. The HAZ showed significant association with number of siblings (NS) among girls (F=4.25). Linear regression analyses revealed that NLR (t=2.04) and NS (t=1.95) had a significant impact on HAZ among boys. Among girls, PCI (t=3.38), FOS (t=2.87) and NLR (t=2.81) had a significant impact on WAZ and also PCI (t=3.28) and FOS (t=2.90) had a significant impact on HAZ. NLR had significant associations with underweight (χ(2)=3.59) and stunting (χ(2)=4.20) among boys. Among girls, PCI had significant associations with underweight (χ(2)=11.15) and stunting (χ(2)=11.64). FOS also showed significant associations with underweight (χ(2)=8.10) as well as stunting (χ(2)=8.28) among girls. NLR showed a significant association with underweight (χ(2)=7.75). Logistics regression analyses revealed that FOS (Wald=8.00) and NLR (Wald=4.09) were significant predictors of stunting among boys. Among girls, PCI was a significant predictor of underweight (Wald=10.95) as well as stunting (Wald=10.45). FOS, NLR and

  19. Maternal undernutrition does not alter Sertoli cell numbers or the expression of key developmental markers in the mid-gestation ovine fetal testis

    Directory of Open Access Journals (Sweden)

    Andrade Luis P

    2013-01-01

    Full Text Available Abstract Background The aim of this study was to determine the effects of maternal undernutrition on ovine fetal testis morphology and expression of relevant histological indicators. Maternal undernutrition, in sheep, has been reported, previously, to alter fetal ovary development, as indicated by delayed folliculogenesis and the altered expression of ovarian apoptosis-regulating gene products, at day 110 of gestation. It is not known whether or not maternal undernutrition alters the same gene products in the day 110 fetal testis. Design and methods Mature Scottish Blackface ewes were fed either 100% (Control; C or 50% (low; L of estimated metabolisable energy requirements of a pregnant ewe, from mating to day 110 of gestation. All pregnant ewes were euthanized at day 110 and a sub-set of male fetuses was randomly selected (6 C and 9 L for histology studies designed to address the effect of nutritional state on several indices of testis development. Sertoli cell numbers were measured using a stereological method and Ki67 (cell proliferation index, Bax (pro-apoptosis, Mcl-1 (anti-apoptosis, SCF and c-kit ligand (development and apoptosis gene expression was measured in Bouins-fixed fetal testis using immunohistochemistry. Results No significant differences were observed in numbers of Sertoli cells or testicular Ki67 positive cells. The latter were localised to the testicular cords and interstitium. Bax and Mcl-1 were localised specifically to the germ cells whereas c-kit was localised to both the cords and interstitium. SCF staining was very sparse. No treatment effects were observed for any of the markers examined. Conclusions These data suggest that, unlike in the fetal ovary, maternal undernutrition for the first 110 days of gestation affects neither the morphology of the fetal testis nor the expression of gene products which regulate apoptosis. It is postulated that the effects of fetal undernutrition on testis function may be expressed

  20. Trends in nutrient intakes, nutritional status, and correlates of undernutrition among rural children below 5 years of age: The National Nutrition Monitoring Bureau Survey 2012

    Directory of Open Access Journals (Sweden)

    I I Meshram

    2017-01-01

    Full Text Available Background: In spite of several national nutrition intervention programs that have been in operation since the past four decades, undernutrition continues to be an important public health problem in India. Aim: The aim of the present study was to assess the trends in food and nutrient intakes and nutritional status of children in India below 5 years of age. Setting and Design: A community-based, cross-sectional study was carried out in ten National Nutrition Monitoring Bureau states by adopting a multistage random sampling procedure. Methods: Data were collected on the household (HH socioeconomic and demographic particulars, and anthropometric measurements of the children, such as their length/height and weight, were noted. A 24-h dietary recall method was used for assessing dietary intake. Results: Intake of all the foodstuffs except pulses, vegetables, and fats and oils declined over a period of time (1975–1979 to 2011–2012 while the intake of all the micronutrients except Vitamins A and C declined during the same period. The prevalence of undernutrition, i.e. underweight, stunting, and wasting has declined from 76%, 82%, and 27%, respectively in 1975–1979 to 42%, 44%, and 19%,respectively, in 2011–2012 among 1-5 year children. The severe form of undernutrition has also declined during the same period. The prevalence of undernutrition was significantly (P < 0.01 higher among children of illiterate mothers, those belonging to lower socioeconomic status, and those living in nuclear families. Conclusions: The prevalence of undernutrition declined over the period despite the decrease in food and nutrient intake. However, the pace of decline was slower and it was attributed to improved health-care services coupled with control of communicable diseases and increase in the HHs income. Further efforts are needed to improve the literacy of parents, environmental and personal hygiene, along with the food security of HHs through a public

  1. Response of x-ray intensifying screens to scattered and primary radiation

    NARCIS (Netherlands)

    Koedooder, K.; Venema, H. W.

    1984-01-01

    The energy dependence of the luminance ratio due to scattered and primary radiation has been determined for four types of X-ray intensifying screens. A water phantom of 30 cm X 30 cm X 20 cm was used as the scattering medium. Ten narrow band X-ray spectra were used as incident radiation: the mean

  2. Performance evaluation of image enhancement techniques on a digital image-intensifier

    NARCIS (Netherlands)

    Dijk, J.; Bijl, P.; Bouma, H.

    2009-01-01

    Recently new techniques for night-vision cameras are developed. Digital image-intensifiers are becoming available on the market. Also, so-called EMCCD cameras are developed, which may even be able to record color information about the scene. However, in low-light situations all night-vision imagery

  3. Image Intensifier-Based CT Volume Imager For Angiography: System Evaluation

    Science.gov (United States)

    Ning, Ruola; Kruger, Robert A.; Hu, Hui

    1989-05-01

    A prototype volume CT system for use in angiography has been modified and tested using three different phantoms. This system consists of a fixed x-ray tube, a conventional image intensifier coupled to a charge-coupled device (CCD) camera, a computer-controlled turntable on which phantoms were placed. In order to explore the imaging performance of the system for reconstructing a three dimension (3D) vascular structure, two sets of projection images of a vascular phantom, acquired over 250 projection angles with two different sizes of image intensifier were digitized and used for a direct 3D cone beam reconstruction. The spatial resolution limits of the system were measured from the 3D reconstructed images of a specially-designed resolution phantom. The direct 3D reconstructions of a Humanoid chest phantom were obtained using this system to show the perspective of the system for a general medical application with 3D imaging. The quality of the reconstructed images indicates that the system can be used for achieving a direct 3D reconstruction of a vascular structure as well as a general 3D object. The measured spatial resolution of the system is nearly half of the nominal resolution of the image intensifier and is reduced around the edge of the image intensifier, primarily because of the pincushion distortion.

  4. Absolute spectral calibration of an intensified CCD camera using twin beams

    Czech Academy of Sciences Publication Activity Database

    Haderka, O.; Peřina Jr., J.; Michálek, Václav; Hamar, Martin

    2014-01-01

    Roč. 31, č. 10 (2014), B1-B7 ISSN 0740-3224 R&D Projects: GA ČR GAP205/12/0382 Institutional support: RVO:68378271 Keywords : spectral calibration * intensified CCD camera * twin beams * photon pairs Subject RIV: BH - Optics, Masers, Lasers Impact factor: 1.970, year: 2014

  5. Extrapolating intensified forest inventory data to the surrounding landscape using landsat

    Science.gov (United States)

    Evan B. Brooks; John W. Coulston; Valerie A. Thomas; Randolph H. Wynne

    2015-01-01

    In 2011, a collection of spatially intensified plots was established on three of the Experimental Forests and Ranges (EFRs) sites with the intent of facilitating FIA program objectives for regional extrapolation. Characteristic coefficients from harmonic regression (HR) analysis of associated Landsat stacks are used as inputs into a conditional random forests model to...

  6. A model-based framework for design of intensified enzyme-based processes

    DEFF Research Database (Denmark)

    Román-Martinez, Alicia

    This thesis presents a generic and systematic model-based framework to design intensified enzyme-based processes. The development of the presented methodology was motivated by the needs of the bio-based industry for a more systematic approach to achieve intensification in its production plants wi...

  7. Simulation of dental intensifying screen for intraoral radiographic using MCNP5 code

    International Nuclear Information System (INIS)

    Ferreira, Vanessa M.; Oliveira, Renato C.M.; Barros, Graiciany P.; Oliveira, Arno H.; Veloso, M. Auxiliadora F.

    2011-01-01

    One of basic principles for radiological protection is the optimization of techniques for obtain radiographic images, in way that the dose in the patient is kept as low as reasonably achievable (ALARA). Intensifying screens are used in medical radiology, which reduce considerably the dose rates in the production of radiographic images, maintaining the quality of these, while in dental radiology, there is no a intensifying screen available for intraoral examinations. From this technological requirement, this paper evaluates a computational modeling of an intensifying screen for use in intraoral radiography. For this, it was used the Monte Carlo code MCNP5 that allows the radiography simulation through the transport of electrons and photons in the different materials present in this examination. The goal of an intensifying screen is the conversion of X-ray photons to photons in the visible spectrum, knowing that radiographic films are more sensitive to light photons than to X-ray photons. So the screen should be composed of an efficient material for converting x-rays photons in light photons, therefore was made simulations using different materials, thicknesses and positions possible for placing screen in radiographic film in order to find the way more technically feasible. (author)

  8. Intensified heat transfer in modulated rotating Rayleigh–Bénard convection

    NARCIS (Netherlands)

    Geurts, Bernardus J.; Kunnen, Rudie P.J.

    2014-01-01

    Heat transfer in a Rayleigh-Bénard configuration consisting of a vertical cylinder, which is rotating about its axis, can be intensified considerably when the rotation rate is modulated harmonically in time. Such time-dependent rotation introduces an Euler force into the governing equations which

  9. Intensified Voice Therapy: A New Model for the Rehabilitation of Patients Suffering from Functional Dysphonias

    Science.gov (United States)

    Fischer, Michael J.; Gutenbrunner, Christoph; Ptok, Martin

    2009-01-01

    The objective of this study was to evaluate a new intervention for chronic dysphonias, consisting of a 2-week outpatient treatment period using intensified voice therapy combined with elements of physical medicine, including physiotherapy (orthotherapy, detonisation and training of the trunk muscles, respiratory therapy and others), manual therapy…

  10. Investigating the Effectiveness of Audio Input Enhancement on EFL Learners' Retention of Intensifiers

    Science.gov (United States)

    Negari, Giti Mousapour; Azizi, Aliye; Arani, Davood Khedmatkar

    2018-01-01

    The present study attempted to investigate the effects of audio input enhancement on EFL learners' retention of intensifiers. To this end, two research questions were formulated. In order to address these research questions, this study attempted to reject two null hypotheses. Pretest-posttest control group quasi-experimental design was employed to…

  11. Justification Paper for Intensified Pre-school and Primary Grade Program Development.

    Science.gov (United States)

    Hill, Kenneth G.

    Information presented in this paper was used as a rationale for implementing a developmentally appropriate primary education program in the Redwood City School District, Redwood City, California. The purpose of the paper was to emphasize the need for intensifying the entry level program for students in order to insure a successful school…

  12. Dust visualisation in TJ-II with intensified visible Fast Cameras

    Energy Technology Data Exchange (ETDEWEB)

    Cal, E. de la; Pablos, J. L. de; Carralero, D.; Hidalgo, C.

    2010-10-21

    A visible fast camera equipped with an image Intensifier and atomic line filters is used in TJ-II for spectroscopic dust observation. First results show characteristic features depending on filter and clearly differing from those without the filters as is usually done in existing experiments. Preliminary discussions of the observed results are presented. (Author) 5 refs.

  13. Simulation of dental intensifying screen for intraoral radiographic using MCNP5 code

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Vanessa M.; Oliveira, Renato C.M., E-mail: vanessamachado@ufmg.br [Curso Superior de Tecnologia em Radiologia. Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Barros, Graiciany P.; Oliveira, Arno H.; Veloso, M. Auxiliadora F. [Departamento de Engenharia Nuclear. Escola de Engenharia. Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil)

    2011-07-01

    One of basic principles for radiological protection is the optimization of techniques for obtain radiographic images, in way that the dose in the patient is kept as low as reasonably achievable (ALARA). Intensifying screens are used in medical radiology, which reduce considerably the dose rates in the production of radiographic images, maintaining the quality of these, while in dental radiology, there is no a intensifying screen available for intraoral examinations. From this technological requirement, this paper evaluates a computational modeling of an intensifying screen for use in intraoral radiography. For this, it was used the Monte Carlo code MCNP5 that allows the radiography simulation through the transport of electrons and photons in the different materials present in this examination. The goal of an intensifying screen is the conversion of X-ray photons to photons in the visible spectrum, knowing that radiographic films are more sensitive to light photons than to X-ray photons. So the screen should be composed of an efficient material for converting x-rays photons in light photons, therefore was made simulations using different materials, thicknesses and positions possible for placing screen in radiographic film in order to find the way more technically feasible. (author)

  14. Public Narratives under Intensified Market Conditions: Chile as a Critical Case

    Science.gov (United States)

    Santori, Diego

    2018-01-01

    This paper aims to extend existing theorisations around the notion of public narratives by analysing their regulatory effects under intensified market conditions. My analysis suggests that public narratives constitute a liminal space, one that it is not exclusively real or imaginary, factual or normative, but that simultaneously affects and is…

  15. The Minimum Cost of a Nutritious Diet Study: Building an evidence-base for the prevention of undernutrition in Afghanistan

    International Nuclear Information System (INIS)

    Qarizada, Ahmad Nawid

    2014-01-01

    Full text: Background: In Afghanistan, mortality rates are amongst the highest in the world. Mean life expectancy is 62 years, U5MR is 97 deaths per 1,000 live births, and the MMR is 327 deaths per 100,000 live births while 33% of the population is food insecure. Undernutrition is alarmingly high in children under-five with global acute malnutrition rates of 8.7%, stunting 60.5% and underweight 37.7% , , and 72% are iodine and iron deficient. As part of their prevention efforts, WFP and the MOPH carried out a Cost of Diet study (CoD) in Afghanistan in late-2012. Cost of Diet Study The CoD assesses a household’s food and nutrition security based on economic constraints in accessing their nutrient requirements, especially for the most vulnerable, such as children U2 years. Objectives: 1. How important is access to nutritious food to overcome undernutrition in different areas of Afghanistan? 2. Is a nutritious diet available and affordable to the local populations? Methodology: The CoD tool used linear optimization to generate following output from market surveys and secondary household data: • A diet and the corresponding food baskets meet all nutritional requirements of a typical family, including a child U2 years, and its costs. Any other diet would be more expensive and/or would not meet their nutritional requirements. The tool calculated minimum cost of nutritious diet (MCNUT) in four livelihood zones (LHZ) of Afghanistan. Results: The MCNUT is the baseline nutritious diet. When compared to household income, it shows the number of households who cannot afford to meet their nutrient needs. The MCNUT calculates cheapest combination of food items and quantities to ensure all energy and nutrient requirements are met. It is theoretical and sometimes unrealistic. The Locally Adapted, Cost Optimised Diet (LACON), obtained using questionnaires and focus group discussions, provides a more realistic diet based on dietary preferences. Findings showed that approximately

  16. Prenatal factors contribute to the emergence of kwashiorkor or marasmus in severe undernutrition: evidence for the predictive adaptation model.

    Directory of Open Access Journals (Sweden)

    Terrence E Forrester

    Full Text Available Severe acute malnutrition in childhood manifests as oedematous (kwashiorkor, marasmic kwashiorkor and non-oedematous (marasmus syndromes with very different prognoses. Kwashiorkor differs from marasmus in the patterns of protein, amino acid and lipid metabolism when patients are acutely ill as well as after rehabilitation to ideal weight for height. Metabolic patterns among marasmic patients define them as metabolically thrifty, while kwashiorkor patients function as metabolically profligate. Such differences might underlie syndromic presentation and prognosis. However, no fundamental explanation exists for these differences in metabolism, nor clinical pictures, given similar exposures to undernutrition. We hypothesized that different developmental trajectories underlie these clinical-metabolic phenotypes: if so this would be strong evidence in support of predictive adaptation model of developmental plasticity.We reviewed the records of all children admitted with severe acute malnutrition to the Tropical Metabolism Research Unit Ward of the University Hospital of the West Indies, Kingston, Jamaica during 1962-1992. We used Wellcome criteria to establish the diagnoses of kwashiorkor (n = 391, marasmus (n = 383, and marasmic-kwashiorkor (n = 375. We recorded participants' birth weights, as determined from maternal recall at the time of admission. Those who developed kwashiorkor had 333 g (95% confidence interval 217 to 449, p<0.001 higher mean birthweight than those who developed marasmus.These data are consistent with a model suggesting that plastic mechanisms operative in utero induce potential marasmics to develop with a metabolic physiology more able to adapt to postnatal undernutrition than those of higher birthweight. Given the different mortality risks of these different syndromes, this observation is supportive of the predictive adaptive response hypothesis and is the first empirical demonstration of the advantageous effects of such a

  17. Risk factors for child under-nutrition with a human rights edge in rural villages of North Wollo, Ethiopia.

    Science.gov (United States)

    Haidar, J; Abate, G; Kogi-Makau, W; Sorensen, P

    2005-12-01

    To identify the factors associated with childhood under-nutrition in North Wollo, Ethiopia. A cross-sectional study. Four purposefully selected rural villages (kebeles) in North Wollo zone of the Amhara Region, Ethiopia. One hundred-forty four sampled households with under five year old children (n=200) comprising of 96 male-headed, 24 female-headed and 24 landless with children aged between six and 59 months. Determinations of anthropometric measurements and various socio-economic factors. The overall prevalence rate of under nutrition as determined by stunting, underweight and wasting was 44.5%, 25.0% and 9.0% respectively with more preponderance among the toddlers. The proportion of under nutrition was higher in female-headed households. Shortage of farmland, lack of irrigation, dispossession of livestock, shortage of non-farm employment options, parental illiteracy, high number of children, water inadequacy, food taboos and wrong eating habits of families, poor child feeding practices, deprivation of health nutrition education as well as maternal attributes such as young motherhood, low body mass index and short stature of mothers influenced the nutritional status of the children. The prominent risk factors for undernutrition among children were dispossession of livestock, child food taboos and wrong eating habits of families, deprivation of health/nutrition education, short stature and early marriage of mothers. This study led to the conclusion that improvement of household resources through promotion of irrigation and initiation of income generating livelihood options can reverse the nutrition situation for better. Health and nutrition education focusing on appropriate child feeding, eradication of harmful traditional practices such as early marriage and inequitable intra-household food distribution, encouragement of family planning and nutrition interventions including food diversification is recommended.

  18. Periconceptional undernutrition and being a twin each alter kidney development in the sheep fetus during early gestation.

    Science.gov (United States)

    MacLaughlin, Severence M; Walker, Simon K; Kleemann, David O; Tosh, Darran N; McMillen, I Caroline

    2010-03-01

    Adaptive growth responses of the embryo and fetus to nutritional restraint are important in ensuring early survival, but they are implicated in the programming of hypertension. It has been demonstrated that kidney growth and nephrogenesis are each regulated by intrarenal factors, including the insulin-like growth factors, glucocorticoids, and the renin-angiotensin system. Therefore, we have investigated the impact of periconceptional undernutrition (PCUN; from approximately 6 wk before to 7 days after conception) in singleton (control, n = 18; PCUN, n = 16) and twin pregnancies (control, n = 6; PCUN, n = 5) on the renal mRNA expression of 11beta- hydroxysteroid dehydrogensase type 1 and type 2 (11beta-HSD-1 and -2), the glucocorticoid (GR), and mineralocorticoid receptors, angiotensinogen, angiotensin receptor type 1 (AT1R) and 2 (AT2R), IGF-1 and IGF-2, and IGF1R and IGF2R at approximately 55 days gestation. There was no effect of PCUN or fetal number on fetal weight on relative kidney weight at approximately day 55 of gestation. There was an inverse relationship between the relative weight of the fetal kidney at approximately day 55 and maternal weight loss during the periconceptional period in fetuses exposed to PCUN. Exposure to PCUN resulted in a higher expression of IGF1 in the fetal kidney in singleton and twin pregnancies. Being a twin resulted in higher intrarenal expression of IGF-1 and IGF-2, GR, angiotensinogen, AT1R, and AT2R mRNA at 55 days gestation. Renal 11beta-HSD-2 mRNA expression was higher in PCUN singletons, but not PCUN twins, compared with controls. Thus, there may be an adaptive response in the kidney to the early environment of a twin pregnancy, which precedes the fetal growth restriction that occurs later in pregnancy. The kidney of the twin fetus exposed to periconceptional undernutrition may also be less protected from the consequences of glucocorticoid exposure.

  19. Influence of range-gated intensifiers on underwater imaging system SNR

    Science.gov (United States)

    Wang, Xia; Hu, Ling; Zhi, Qiang; Chen, Zhen-yue; Jin, Wei-qi

    2013-08-01

    Range-gated technology has been a hot research field in recent years due to its high effective back scattering eliminating. As a result, it can enhance the contrast between a target and its background and extent the working distance of the imaging system. The underwater imaging system is required to have the ability to image in low light level conditions, as well as the ability to eliminate the back scattering effect, which means that the receiver has to be high-speed external trigger function, high resolution, high sensitivity, low noise, higher gain dynamic range. When it comes to an intensifier, the noise characteristics directly restrict the observation effect and range of the imaging system. The background noise may decrease the image contrast and sharpness, even covering the signal making it impossible to recognize the target. So it is quite important to investigate the noise characteristics of intensifiers. SNR is an important parameter reflecting the noise features of a system. Through the use of underwater laser range-gated imaging prediction model, and according to the linear SNR system theory, the gated imaging noise performance of the present market adopted super second generation and generation Ⅲ intensifiers were theoretically analyzed. Based on the active laser underwater range-gated imaging model, the effect to the system by gated intensifiers and the relationship between the system SNR and MTF were studied. Through theoretical and simulation analysis to the image intensifier background noise and SNR, the different influence on system SNR by super second generation and generation Ⅲ ICCD was obtained. Range-gated system SNR formula was put forward, and compared the different effect influence on the system by using two kind of ICCDs was compared. According to the matlab simulation, a detailed analysis was carried out theoretically. All the work in this paper lays a theoretical foundation to further eliminating back scattering effect, improving

  20. Role of routine abdominal ultrasonography in intensified tuberculosis case finding algorithms at HIV clinics in high TB burden settings.

    Science.gov (United States)

    Spalgais, Sonam; Agarwal, Upasna; Sarin, Rohit; Chauhan, Devesh; Yadav, Anita; Jaiswal, Anand

    2017-05-18

    High proportion of TB in people living with HIV (PLHIV) is undiagnosed. Due to this active TB case finding is recommended for HIV clinics in high TB burden countries. Presently sputum examination and chest radiography are frontline tests recommended for HIV infected TB presumptives. Abdominal TB which occurs frequently in PLHIV may be missed even by existing programmatic intensified case finding protocols. This study evaluated the routine use of ultrasonography (USG) for active case finding of abdominal TB in HIV clinics. Retrospective analysis of eight years' data from an HIV Clinic in a TB hospital in India. Patients underwent chest x-ray, sputum examination, USG abdomen and routine blood tests at entry to HIV care. Case forms were scrutinized for diagnosis of TB, USG findings and CD4 cell counts. Abdominal TB was classified as probable or possible TB. Probable TB was based on presence of two major USG (abdomen) findings suggestive of active TB, or one major USG finding with at least two minor USG findings or at least two symptoms, or any USG finding with microbiologically confirmed active TB at another site. Possible TB was based on the presence of one major USG finding, or the presence of two minor USG findings with at least two symptoms. Bacteriological confirmation was not obtained. Eight hundred and eighty-nine people PLHIV underwent a baseline USG abdomen. One hundred and thirteen of 340 cases already diagnosed with TB and 87 of the 91 newly diagnosed with TB at time of HIV clinic registration had abdominal TB. Non-abdominal symptoms like weight loss, fever and cough were seen in 53% and 22% cases had no symptoms at all. Enlarged abdominal lymph nodes with central caseation, ascitis, splenic microabsesses, bowel thickening and hepatosplenomegaly were the USG findings in these cases. Abdominal TB is a frequent TB site in PLHIV presenting with non-abdominal symptoms. It can be easily detected on basis of features seen on a simple abdominal ultrasound

  1. Improved pregnancy outcome in type 1 diabetic women with microalbuminuria or diabetic nephropathy: effect of intensified antihypertensive therapy?

    DEFF Research Database (Denmark)

    Nielsen, Lene Ringholm; Damm, Peter; Mathiesen, Elisabeth R

    2009-01-01

    To describe pregnancy outcome in type 1 diabetic women with normoalbuminuria, microalbuminuria, or diabetic nephropathy after implementation of an intensified antihypertensive therapeutic strategy.......To describe pregnancy outcome in type 1 diabetic women with normoalbuminuria, microalbuminuria, or diabetic nephropathy after implementation of an intensified antihypertensive therapeutic strategy....

  2. Undernutrition, Vitamin A and Iron Deficiency Are Associated with Impaired Intestinal Mucosal Permeability in Young Bangladeshi Children Assessed by Lactulose/Mannitol Test.

    Directory of Open Access Journals (Sweden)

    Md Iqbal Hossain

    Full Text Available Lactulose/mannitol (L:M test has been used as a non-invasive marker of intestinal mucosal -integrity and -permeability (enteropathy. We investigated the association of enteropathy with anthropometrics, micronutrient- status, and morbidity in children.The urine and blood samples were collected from 925 children aged 6-24 months residing in Mirpur slum of Dhaka, Bangladesh during November 2009 to April 2013. L:M test and micronutrient status were assessed in the laboratory of International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b following standard procedure.Mean±SD age of the children was 13.2±5.2 months and 47.8% were female. Urinary- lactulose recovery was 0.264±0.236, mannitol recovery was 3.423±3.952, and L:M was 0.109±0.158. An overall negative correlation (Spearman's-rho of L:M was found with age (rs = -0.087; p = 0.004, weight-for-age (rs = -0.077; p = 0.010, weight-for-length (rs = -0.060; p = 0.034, mid-upper-arm-circumference (rs = -0.098; p = 0.001 and plasma-retinol (rs = -0.105; p = 0.002; and a positive correlation with plasma α-1-acid glycoprotein (rs = 0.066; p = 0.027. However, most of the correlations were not very strong. Approximately 44% of children had enteropathy as reflected by L:M of ≥0.09. Logistic regression analysis revealed that younger age (infancy (adjusted odds ratio (AOR = 1.35; p = 0.027, diarrhea (AOR = 4.00; p = 0.039 or fever (AOR = 2.18; p = 0.003 within previous three days of L:M test were the risk factors of enteropathy (L:M of ≥0.09.Enteropathy (high L:M is associated with younger age, undernutrition, low vitamin A and iron status, and infection particularly diarrhea and fever.

  3. Undernutrition and associated factors among children aged 6-59 months in East Belesa District, northwest Ethiopia: a community based cross-sectional study

    Directory of Open Access Journals (Sweden)

    Wagaye Fentahun

    2016-06-01

    Full Text Available Abstract Background Undernutrition remains the major public health concern in Ethiopia and continues as the underlying cause of child mortality. However, there is a scarcity of information on the magnitude and determinant factors of undernutrition. Therefore, this study aimed to assess the prevalence of undernutrition and associated factors among children aged 6–59 months in East Belesa District, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from April to May, 2014. A multistage stratified sampling technique was used to select 633 study participants. A structured interviewer-administered questionnaire was used to collect data. In order to identify factors associated with undernutrition (stunting and wasting a multivariate logistic regression analysis was employed. The Adjusted Odds Ratio (AOR with a 95 % Confidence Interval (CI was computed to show the strength of the association. In the multivariate analysis, variables with a p-value of <0.05 were considered as statistically significant. Results In this study, about 57.7 and 16 % of the children were stunted and wasted, respectively. The odds of stunting were higher in children born to mothers who gave their first birth before 15 years of age (AOR = 2.4; 95 % CI: 1.19, 5.09 and gave prelacteal feeding to their child (AOR = 1.83; 95 % CI: 1.28, 2.61. However, lower odds of stunting were observed among children aged 36–47 months (AOR = 0.41; 95 % CI: 0.22, 0.78 and had higher family monthly income, Et. Br. 750–1000, (AOR = 0.61; 95 % CI: 0.39, 0.92. Moreover, the odds of wasting were higher among children who received butter as prelacteal food (AOR = 2.32; 95 % CI:1.82, 5.31. Conclusion Child undernutrition is a critical public health problem in the study area. Advanced age of children (36–47 months and higher family monthly income were inversely associated with stunting. However, higher odds of stunting were observed among

  4. The limits of adaptation of functional protein synthesis to severe undernutrition

    International Nuclear Information System (INIS)

    Forrester, T.; Jahoor, F.; Reeds, P.

    1996-01-01

    This project was designed to investigate the limits of adaptation of protein metabolism in the stree of severe childhood malnutrition, representing as it does chronic dietary insufficiency of macronutrients and superimposed infection. The tasks included measurement of concentrations and rates of synthesis of nutrient transport proteins and hepatic acute phase proteins inseverely malnourished children during their acute illness and a recovery

  5. Intensified multifactorial intervention in type 2 diabetics with microalbuminuria leads to long-term renal benefits

    DEFF Research Database (Denmark)

    Oellgaard, Jens; Gæde, Peter; Rossing, Peter

    2017-01-01

    (GFR), and development of end stage renal disease (ESRD). In total, 160 patients with type 2 diabetes and microalbuminuria were recruited and assigned to conventional or intensified therapy targeting multiple risk factors. The mean duration of the intervention was 7.8 years after which all patients......In the present post hoc analyses we studied the impact of intensified, multifactorial treatment on renal outcomes in patients with type 2 diabetes and microalbuminuria enrolled in the Steno-2 Study. Outcome measures were progression to macroalbuminuria, decline in the glomerular filtration rate...... different with 3.1 ml/min/year in the intensive-therapy group compared to 4.0 in the conventional-therapy group. Progression to ESRD trended towards a decreased hazard with an adjusted ratio in the intensive group of 0.36 [0.12, 1.05]. ESRD combined with death had a significantly reduced hazard ratio of 0...

  6. Intensified Multifactorial Intervention in Type 2 Diabetes and Microalbuminuria Reduces End Stage Renal Disease and Mortality

    DEFF Research Database (Denmark)

    Oellgaard, Jens; Gæde, Peter; Rossing, Peter

    2016-01-01

    Jens Oellgaard (jchq@steno.dk)1 2 3; Peter Gæde1 2, Peter Rossing3 4 7, Hans-Henrik Parving5 6, Oluf Pedersen5 7 1) University of Southern Denmark; 2) Slagelse Hospital; 3) Steno Diabetes Center; 4) University of Aarhus; 5) University of Copenhagen; 6) Rigshospitalet; 7) Novo Nordisk Foundation...... with type 2 diabetes and microalbuminuria and the influence of an intensified, multifactorial treatment regimen. Methods: 160 patients with type 2 diabetes and microalbuminuria assigned to conventional or intensified multifactorial intervention targeting multiple risk factors in a prospective, open...... Center for Basic Metabolic research. Background: Despite declining rates of late diabetic complications in other organ systems, renal complication rates do not decline to the same extent according to epidemiological studies. The objective was to describe renal outcomes over 21.2 years in patients...

  7. An Intensified Esterification Process of Palm Oil Fatty Acid Distillate Catalyzed by Delipidated Rice Bran Lipase

    Directory of Open Access Journals (Sweden)

    Fui Chin Chong

    2006-01-01

    Full Text Available An intensified esterification process was operated by circulating 10 l of reaction mixtures, consisting of palm oil fatty acid distillate (PFAD and glycerol in hexane, through a packed-bed reactor (PBR filled with 10 kg of delipidated rice bran lipase (RBL. The influence of the process parameters, such as reaction temperature and type of water-removal agent, on the performance of this intensified esterification process were investigated. The highest degree of esterification (61% was achieved at a reaction temperature of 65°C, using silica gels as the water-removal agent. Thin-layer chromatography (TLC analysis showed that the major composition of the esterified product was diacylglycerol.

  8. Intensified primary health care for cancer patients : Utilisation of medical services

    OpenAIRE

    Johansson, Birgitta

    2000-01-01

    The aim of the present thesis is to evaluate the effects of an Intensified Primary Health Care (IPHC) intervention on GPs' and home care nurses' possibilities to monitor and support cancer patients, and on cancer patients utilisation of medical services. A further aim is to identify determinants of cancer patients' utilisation of such services. A total of 485 patients newly diagnosed with breast, colorectal, gastric or prostate cancer were randomised to the intervention or to a control group....

  9. Thoracic X-ray radiography with a large-size image intensifier

    International Nuclear Information System (INIS)

    Powell, T.

    1987-01-01

    A new system is explained for chest radiography, equipped with a 57 cm image intensifier and a 100 mm camera. Contrast and detail resolution are comparable with thorax images taken on a large-format film, but the radiation exposure is reduced by more than the factor 7. The system is convenient in practice and has met with full acceptance on the part of patients, medical technicians, and radiology personnel, except for just a few reservations. (orig.) [de

  10. Role of proteolytic enzymes in increasing malt activity and intensifying alcohol fermentation

    Energy Technology Data Exchange (ETDEWEB)

    Rimareva, L.V.; Voinarskii, I.N.

    1981-01-01

    Treatment of malt with Protoorizin G10X, Prototerrizin P10X (from Aspergillus oryzae), or papain increased the activity of amylase by 48% and the activity of dextranase by 81%. The saccharification of malt increased by 72%. The use of activated malt intensified alcohol fermentation 1.5-1.7-fold. The fungal proteases were more effective than papain. The activation is apparently due to the release of bound amylolytic enzymes.

  11. Intensifier l'inclusion financière des femmes et des jeunes en Afrique ...

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

    Intensifier l'inclusion financière des femmes et des jeunes en Afrique subsaharienne. Bien que d'énormes progrès aient été accomplis en vue d'offrir des services financiers à un plus large éventail de clients dans de nombreux pays de l'Afrique subsaharienne, des femmes et des jeunes marginalisés sont toujours laissés ...

  12. Improving lactate metabolism in an intensified CHO culture process: productivity and product quality considerations.

    Science.gov (United States)

    Xu, Sen; Hoshan, Linda; Chen, Hao

    2016-11-01

    In this study, we discussed the development and optimization of an intensified CHO culture process, highlighting medium and control strategies to improve lactate metabolism. A few strategies, including supplementing glucose with other sugars (fructose, maltose, and galactose), controlling glucose level at Productivity and product quality attributes differences between batch, fed-batch, and concentrated fed-batch cultures were discussed. The importance of process and cell metabolism understanding when adapting the existing process to a new operational mode was demonstrated in the study.

  13. A directional fast neutron detector using scintillating fibers and an intensified CCD camera system

    International Nuclear Information System (INIS)

    Holslin, Daniel; Armstrong, A.W.; Hagan, William; Shreve, David; Smith, Scott

    1994-01-01

    We have been developing and testing a scintillating fiber detector (SFD) for use as a fast neutron sensor which can discriminate against neutrons entering at angles non-parallel to the fiber axis (''directionality''). The detector/convertor component is a fiber bundle constructed of plastic scintillating fibers each measuring 10 cm long and either 0.3 mm or 0.5 mm in diameter. Extensive Monte Carlo simulations were made to optimize the bundle response to a range of fast neutron energies and to intense fluxes of high energy gamma-rays. The bundle is coupled to a set of gamma-ray insenitive electro-optic intensifiers whose output is viewed by a CCD camera directly coupled to the intensifiers. Two types of CCD cameras were utilized: 1) a standard, interline RS-170 camera with electronic shuttering and 2) a high-speed (up to 850 frame/s) field-transfer camera. Measurements of the neutron detection efficiency and directionality were made using 14 MeV neutrons, and the response to gamma-rays was performed using intense fluxes from radioisotopic sources (up to 20 R/h). Recently, the detector was constructed and tested using a large 10 cm by 10 cm square fiber bundle coupled to a 10 cm diameter GEN I intensifier tube. We present a description of the various detector systems and report the results of experimental tests. ((orig.))

  14. Real time pulse width monitor for Intensified Charge Coupled Device (ICCD) electro-optic shutters

    Energy Technology Data Exchange (ETDEWEB)

    Yates, G.J.

    1996-12-01

    A method is described or controlling and measuring the pulse width of electrical gate pulses used for optical shuttering of image intensifier. The intensifiers are coupled to high frame rate Charge-Coupled-Devices (CCD) or Focus-Projection Scan (FPS) vidicon TV cameras for readout and telemetry of time resolved image sequences. The shutter duration or gate width of individual shutters is measured in real time and encoded in the video frame corresponding to a given shutter interval. The shutter information is updated once catch video frame by strobing new data with each TV camera vertical sync pulse. This circuitry is used in conjunction with commercial video insertion/annotation equipment to provide die shutter width information in alpha numeric text form along with the time resolved video image on a frame-by-frame basis. The measurement technique and circuitry involving a combination of high speed digital counters and analog integrators for measurements in the Ins to 1024 ns range are described. The accuracy obtained is compared with measurements obtained using batch speed DSOs. The measured data are provided in 10-bit Binary (Bi) and four decades of Binary Coded Decimal (BCD) and also displayed on four digit seven segment displays. The control circuitry including digital and analog input means for gate width selection are described. The implementation of both measurement and control circuitry into an Intensified Shuttered CCD (ISCCD) radiometric system for recording fast shuttered images at RS-170 to 4 KHz frame rates is presented.

  15. Study protocol: cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care: cluster randomized controlled trial

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Gøgsig Christensen, Annette; Stenbæk Hansen, Birthe

    2014-01-01

    BACKGROUND: Older adults in nursing home and home-care are a particularly high-risk population for weight loss or poor nutrition. One negative consequence of undernutrition is increased health care costs. Several potentially modifiable nutritional risk factors increase the likelihood of weight loss......-effectiveness of nutritional support among undernourished older adults and none of these have used such a multidisciplinary approach. METHODS: An 11 week cluster randomized trial to assess the cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home.......The primary outcome parameter will be change in quality of life (by means of Euroquol-5D-3L). Secondary outcomes will be: physical performance (chair stand), nutritional status (weight, Body Mass Index and hand-grip strength), oral care, fall incidents, hospital admissions, rehabilitation stay, moving...

  16. THE RETURNS OF FAMILY PLANNING: MACRO-LEVEL ASSESSMENT OF THE EFFECT OF CONTRACEPTIVE USE ON WOMEN'S ANAEMIA AND CHILDHOOD UNDERNUTRITION.

    Science.gov (United States)

    Rana, Md Juel; Goli, Srinivas

    2017-11-01

    This study investigated the effect of family planning on the levels of women's anaemia and child undernutrition at the aggregate level using the compiled databases of the World Bank, UNICEF and the Economist Intelligence Unit. Correlation scatter matrix plots and multivariate OLS regression models were employed to assess the effect of family planning on women's anaemia and child nutritional status across countries. At the aggregate level, the bivariate correlation estimates found that the Contraceptive Prevalence Rate (CPR) was negatively associated with women's anaemia (r=-0.62, pplanning influences the nutritional status of women and children. Family planning helps in avoiding shorter birth intervals, unintended pregnancy and unsafe abortion, which would otherwise result in nutrient depletion among mothers and further increase the risk of undernutrition in their children.

  17. Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study.

    Science.gov (United States)

    Burtscher, Doris; Burza, Sakib

    2015-12-01

    Since 2009, Médecins Sans Frontières has implemented a community management of acute malnutrition (CMAM) programme in rural Biraul block, Bihar State, India that has admitted over 10 000 severely malnourished children but has struggled with poor coverage and default rates. With the aim of improving programme outcomes we undertook a qualitative study to understand community perceptions of childhood undernutrition, the CMAM programme and how these affected health-seeking behaviour. Semi-structured and narrative interviews were undertaken with families of severely malnourished children, non-undernourished children and traditional and allopathic health-care workers. Analysis of transcripts was by qualitative content analysis. Biraul, Bihar State, India, 2010. One hundred and fifty people were interviewed in individual or group discussions during fifty-eight interviews. Undernutrition was not viewed as a disease; instead, local disease concepts were identified that described the clinical spectrum of undernutrition. These concepts informed perception, so caregivers were unlikely to consult health workers if children were 'only skinny'. Hindu and Muslim priests and other traditional health practitioners were more regularly consulted and perceived as easier to access than allopathic health facilities. Senior family members and village elders had significant influence on the health-seeking behaviour of parents of severely malnourished children. The results reaffirm how health education and CMAM programmes should encompass local disease concepts, beliefs and motivations to improve awareness that undernutrition is a disease and one that can be treated. CMAM is well accepted by the community; however, programmes must do better to engage communities, including traditional healers, to enable development of a holistic approach within existing social structures.

  18. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition).

    Science.gov (United States)

    Becker, Patricia J; Nieman Carney, Liesje; Corkins, Mark Richard; Monczka, Jessica; Smith, Elizabeth; Smith, Susan Elizabeth; Spear, Bonnie A; White, Jane V

    2014-12-01

    The Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition, utilizing an evidence-informed, consensus-derived process, recommend that a standardized set of diagnostic indicators be used to identify and document pediatric malnutrition (undernutrition) in routine clinical practice. The recommended indicators include z scores for weight for height/length, body mass index for age, length/height for age, or mid-upper arm circumference when a single data point is available. When two or more data points are available, indicators may also include weight-gain velocity (younger than 2 years of age), weight loss (2 to 20 years of age), deceleration in weight for length/height z score, and inadequate nutrient intake. The purpose of this consensus statement is to identify a basic set of indicators that can be used to diagnose and document undernutrition in the pediatric population (ages 1 month to 18 years). The indicators are intended for use in multiple settings, such as acute, ambulatory care/outpatient, residential care, etc. Several screening tools have been developed for use in hospitalized children. However, identifying criteria for use in screening for nutritional risk is not the purpose of this paper. Clinicians should use as many data points as available to identify and document the presence of malnutrition. The universal use of a single set of diagnostic parameters will expedite the recognition of pediatric undernutrition, lead to the development of more accurate estimates of its prevalence and incidence, direct interventions, and promote improved outcomes. A standardized diagnostic approach will also inform the prediction of the human and financial responsibilities and costs associated with the prevention and treatment of undernutrition in this vulnerable population, and help to further ensure the provision of high-quality, cost-effective, nutrition care. Copyright © 2014 Academy of Nutrition and Dietetics and the American

  19. Increasing socioeconomic inequality in childhood undernutrition in urban India: trends between 1992-93, 1998-99 and 2005-06.

    Science.gov (United States)

    Kumar, Abhishek; Kumari, Divya; Singh, Aditya

    2015-10-01

    This article examines the trends and pattern in socioeconomic inequality in stunting, underweight and wasting among children aged inequality in childhood undernutrition in urban India has increased over the study period. The salient findings of this study call for separate programmes targeting the children of lower socioeconomic groups in urban population of India. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  20. Periconceptional undernutrition programs changes in insulin-signaling molecules and microRNAs in skeletal muscle in singleton and twin fetal sheep.

    Science.gov (United States)

    Lie, Shervi; Morrison, Janna L; Williams-Wyss, Olivia; Suter, Catherine M; Humphreys, David T; Ozanne, Susan E; Zhang, Song; Maclaughlin, Severence M; Kleemann, David O; Walker, Simon K; Roberts, Claire T; McMillen, I Caroline

    2014-01-01

    Maternal undernutrition around the time of conception is associated with an increased risk of insulin resistance in adulthood. We determined the effect of maternal undernutrition in the periconceptional period (PCUN, i.e., 60 days prior to 6 days after conception) and the preimplantation period (PIUN, i.e., 0-6 days after conception) on mRNA expression and protein abundance of key insulin-signaling molecules as well as the global microRNA expression in quadriceps muscle of singleton and twin fetal sheep in late gestation. In singleton fetuses, exposure to PCUN resulted in lower protein abundance of PIK3CB (P < 0.01), PRKCZ (P < 0.05), and pPRKCZ (Thr410) (P < 0.05) in skeletal muscle compared to controls. In PIUN singletons, there was a higher protein abundance of IRS1 (P < 0.05), PDPK1 (P < 0.05), and SLC2A4 (P < 0.05) compared to controls. In twins, PCUN resulted in higher protein abundance of IRS1 (P < 0.05), AKT2 (P < 0.05), PDPK1 (P < 0.05), and PRKCZ (P < 0.001), while PIUN also resulted in higher protein abundance of IRS1 (P < 0.05), PRKCZ (P < 0.001), and SLC2A4 (P < 0.05) in fetal muscle compared to controls. There were specific patterns of the types and direction of changes in the expression of 22 microRNAs in skeletal muscle after exposure to PCUN or PIUN and clear differences in these patterns between singleton and twin pregnancies. These findings provide evidence that maternal undernutrition around the time of conception induces changes in the expression of microRNAs, which may play a role in altering the abundance of the key insulin-signaling molecules in skeletal muscle and in the association between PCUN undernutrition and insulin resistance in adult life.

  1. High-Risk Behaviour among Hepatitis B Virus-Infected Patients in a ...

    African Journals Online (AJOL)

    -risk behaviour for hepatitis B virus (HBV) transmission among HBV-infected Nigerian adults in order to provide clues for intensifying HBV prevention and control. Methodology: 200 hepatitis B surface antigen (HBsAg) positive patients attending ...

  2. The relationship of undernutrition/psychosocial factors and developmental outcomes of children in extreme poverty in Ethiopia.

    Science.gov (United States)

    Worku, Berhanu Nigussie; Abessa, Teklu Gemechu; Wondafrash, Mekitie; Vanvuchelen, Marleen; Bruckers, Liesbeth; Kolsteren, Patrick; Granitzer, Marita

    2018-02-09

    Extreme poverty is severe deprivation of basic needs and services. Children living in extreme poverty may lack adequate parental care and face increased developmental and health risks. However, there is a paucity of literature on the combined influences of undernutrition and psychosocial factors (such as limited play materials, playground, playtime, interactions of children with their peers and mother-child interaction) on children's developmental outcomes. The main objective of this study was, therefore, to ascertain the association of developmental outcomes and psychosocial factors after controlling nutritional indices. A community-based cross-sectional study design was used to compare the developmental outcomes of extremely poor children (N = 819: 420 girls and 399 boys) younger than 5 years versus age-matched reference children (N = 819: 414 girls and 405 boys) in South-West Ethiopia. Using Denver II-Jimma, development in personal-social, language, fine and gross motor skills were assessed, and social-emotional skills were evaluated using the Ages and Stages Questionnaires: Social-Emotional (ASQ: SE). Nutritional status was derived from the anthropometric method. Independent samples t-test was used to detect mean differences in developmental outcomes between extremely poor and reference children. Multiple linear regression analysis was employed to identify nutritional and psychosocial factors associated with the developmental scores of children in extreme poverty. Children in extreme poverty performed worse in all the developmental domains than the reference children. Among the 819 extremely poor children, 325 (39.7%) were stunted, 135 (16.5%) were underweight and 27 (3.3%) were wasted. The results also disclosed that stunting and underweightness were negatively associated with all the developmental skills. After taking into account the effects of stunting and being underweight on the developmental scores, it was observed that limited play activities

  3. Factors Involved in Schistosoma mansoni Infection, in Rural Areas of Northeast Brazil

    Directory of Open Access Journals (Sweden)

    Coutinho Eridan M

    1997-01-01

    Full Text Available Two contiguous villages in Tracunhaém county (State of Pernambuco, endemic for schistosomiasis, were studied: Itapinassu (138 inhabitants and São Joaquim (91 inhabitants. Agriculture predominates in the former region while ceramics is the main activity in the latter. Although no statistical difference was found regarding prevalence, severe infection (>400 epg predominated in Itapinassu, probably related to the kind of occupation. No association was found between parasite burden and severity of disease, in spite of the high infection rates for Schistosoma mansoni in both communities (approx. 60%. Typical epidemiological features of schistosomiasis such as age-related prevalences and intensities of infection (high in children, low in adults were also mutual characteristics. Nutritional status determined through anthropometric evaluation was carried out by measuring specific anthropometric indicators. A deficit of energy intake, as well as vitamin A and riboflavin deficiencies were detected. The prevalence of moderate or severe undernutrition in patients under 18 years old was 21.9% in Itapinassu and 24.1% in São Joaquim. In this group an association was found between prevalence of schistosomiasis and chronic undernutrition. Similarly, for patients over 18 year old the prevalence of undernutrition was higher than 20%. However, in this case no association between nutritional status and either prevalence of schistosomiasis or parasite burden could be detected. The two communities had not been treated for eight years.

  4. The limits of adaptation of functional protein synthesis to sever undernutrition

    International Nuclear Information System (INIS)

    Jahoor, F.; Bhattiprolu, S.; Reeds, P.; Forrester, T.; Boyne, M.

    1994-01-01

    Our goal is to determine how the stress of infections alters the adaptation to reduced food intake in children. We think that an important element is the need for hepatic synthesis of rapidly turning over acute-phase proteins, a critical factor in overall maintenance of host defenses. When the child's prior intake has been adequate, even though growth may temporarily cease, the presence of adequate amino acid stores in tissues allows the hepatic response to stress to be maintained at the same time as an adequate rate of synthesis of nutrient transport proteins. However, when the immune system is activated in a children whose nutrition is already suboptimal the ability of the liver to synthesize nutrient transport proteins is compromised thereby further impeding nutrient utilization. We will use stable isotope tracer methodology to determine the effects of severe protein energy malnutrition, with and without infection, on the rates of synthesis of nutrient transport proteins and acute-phase proteins in undernourished children at three time points during treatment; in the early resuscitative period, after appetite has returned, and at the end of the catch-up growth phase when normal growth has resumed. (author). 12 refs, 1 fig., 1 tab

  5. Catch-up growth following food restriction exacerbates adulthood glucose intolerance in pigs exposed to intrauterine undernutrition.

    Science.gov (United States)

    Wang, Jun; Cao, Meng; Zhuo, Yong; Che, Lianqiang; Fang, Zhengfeng; Xu, Shengyu; Lin, Yan; Feng, Bin; Wu, De

    2016-01-01

    The aim of this study was to evaluate the effects of food restriction followed by controlled refeeding on glucose tolerance in pigs exposed to intrauterine malnutrition. Pregnant sows (n = 11) were assigned to either a control (C) group or an undernutrition (U) group (75% of C) during gestation. At postnatal 68 d, the offspring (n = 16) were placed on either a cafeteria feeding (CF) group or a food-restricted (FR) group (75% of CF) for 6 wk. After that, all offspring were fed ad libitum until 189 d (dpn189). The results showed that maternal malnutrition induced offspring glucose intolerance, which was demonstrated by increased serum glucose and triacylglycerol content at dpn189, as well as increased area under the blood glucose curve (AUC) during the intravenous glucose tolerance test (i.v.GTT) (P food restriction followed by controlled refeeding further increased serum glucose content at dpn189 and AUC during i.v.GTT in pigs born from U sows (P food restriction can exacerbate glucose intolerance in offspring exposed to intrauterine malnutrition. This may be caused by increased hepatic gluconeogenesis, decreased muscle glucose transport, and impaired hepatic insulin signaling. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. From Undernutrition to Overnutrition: The Evolution of Overweight and Obesity among Young Men in Switzerland since the 19th Century.

    Science.gov (United States)

    Staub, Kaspar; Bender, Nicole; Floris, Joël; Pfister, Christian; Rühli, Frank J

    2016-01-01

    The global obesity epidemic continues, new approaches are needed to understand the causes. We analyzed data from an evolutionary perspective, stressing developmental plasticity. We present diachronical height, weight, and BMI data for 702,902 Swiss male conscripts aged 18-20 years, a representative, standardized and unchanged data source. From 1875 to 1879, the height distribution was slightly left-skewed; 12.1% of the conscripts were underweight, overweight and obesity were rare. The BMI-to-height relationship was positive but not linear, and very short conscripts were particularly slim. Since the 1870s, Swiss conscripts became taller, a trend that markedly slowed in the 1990s. In contrast, weight increased in two distinct steps at the end of the 1980s and again after 2002. Since 2010, BMI did not increase but stabilized at a high level. The body of young men adapted differently to varying living conditions over time: First, less investment in height and weight under conditions of undernutrition and food uncertainty; second, more investment in height under more stable nutritional conditions; third, development of obesity during conditions of plateaued height growth, overnutrition, and decreasing physical activity. This example contributes to the evaluation of hypotheses on human developmental plasticity. © 2016 The Author(s) Published by S. Karger GmbH, Freiburg.

  7. Targeting the underlying causes of undernutrition. Cost-effectiveness of a multifactorial personalized intervention in community-dwelling older adults: A randomized controlled trial.

    Science.gov (United States)

    van der Pols-Vijlbrief, Rachel; Wijnhoven, Hanneke A H; Bosmans, Judith E; Twisk, Jos W R; Visser, Marjolein

    2017-12-01

    Undernutrition in old age is associated with increased morbidity, mortality and health care costs. Treatment by caloric supplementation results in weight gain, but compliance is poor in the long run. Few studies targeted underlying causes of undernutrition in community-dwelling older adults. This study aimed to evaluate the cost-effectiveness of a multifactorial personalized intervention focused on eliminating or managing the underlying causes of undernutrition to prevent and reduce undernutrition in comparison with usual care. A randomized controlled trial was performed among 155 community-dwelling older adults receiving home care with or at risk of undernutrition. The intervention included a personalized action plan and 6 months support. The control group received usual care. Body weight, and secondary outcomes were measured in both groups at baseline and 6 months follow-up. Multiple imputation, linear regression and generalized estimating equation analyses were used to analyze intervention effects. In the cost-effectiveness analyses regression models were bootstrapped to estimate statistical uncertainty. This intervention showed no statistically significant effects on body weight, mid-upper arm circumference, grip strength, gait speed and 12-Item Short-Form Health Survey physical component scale as compared to usual care, but there was an effect on the 12-Item Short-Form Health Survey mental component scale (0-100) (β = 8.940, p=0.001). Borderline significant intervention effects were found for both objective and subjective physical function measures, Short Physical Performance Battery (0-12) (β = 0.56, p=0.08) and ADL-Barthel score (0-20) (β = 0.69, p=0.09). Societal costs in the intervention group were statistically non-significantly lower than in the control group (mean difference -274; 95% CI -1111; 782). Cost-effectiveness acceptability curves showed that the probability of cost-effectiveness was 0.72 at a willingness-to-pay of 1000

  8. British Standard method for determining the luminance distribution of electro-optical x-ray image intensifiers

    International Nuclear Information System (INIS)

    1982-01-01

    Under the direction of the Light Electrical Engineering Standards Committee, a British Standard method has been prepared for determining the luminance distribution of electro-optical X-ray image intensifiers. The luminance distribution is determined from the measurement of the luminance over the area of the output image related to conditions of uniform exposure rate in the entrance plane of an electro-optical X-ray image intensifier. (U.K.)

  9. Technology discussion of reducing the equivalent background illumination of Gen Ⅲ Image Intensifier

    Science.gov (United States)

    Zhu, Yu-feng; Zhang, Ni; Li, Dan; Nie, Jing; Zhang, Tai-min; Liu, Xiao-jian; Liu, Zhao-lu; Fu, Ling-Yun

    2013-08-01

    As the development of Gen III Image Intensifier, photocathode sensitivity, spatial static resolution and signal-to-noise ratio of the devices are continuously improved except for the view effect. However, for most devices, the equivalent background illumination (EBI) is excessive, and considerable part is more than an order of magnitude. Many factors have an effect on the EBI of the Gen III Image Intensifier. By academic analysis and experiment research, it is demonstrated that: It is the thermal electron emission of photocathode, dark current, gain of micro-channel plate (MCP) with ion barrier film(IBF), electric field strength between MCP and photocathode and the light feedback of phosphor that lend to the EBI, but for the phosphor screen made by the normal process, because of the aluminum film, EBI caused by the optical feedback is slightly lower, which can not cause the excessive EBI. For the MCP with IBF after normal processing, even the first focused voltage is added to 350V, the EBI does not exceed the highest value of 1.66×10-7 allowed by national military standard. Needless to say the photocathode is the focus factor of the EBI after excluding the phosphor screen, the MCP and other influencing factors. It is believed that the thermal electron emission of photocathode leads to the excessive EBI. Finally, without reducing the photocathode sensitivity, by optimizing activation technics, i.e., reduce CsO quantity, and aging test disposal, the thermal electron emission is weaken, the EBI is becoming lower, most of the products satisfy with request of technical standard in this index. That is valuable to accelerate the engineering of Gen III Image Intensifier.

  10. A comparative study of CaWO4 and rare earth intensifying screens

    International Nuclear Information System (INIS)

    Ambiger, T.Y.; Ayappan, P.

    1978-01-01

    Three brands of commercially available calcium tungstate intensifying screens and a brand of rare earth screen emitting blue light have been used with two types of fast medical x-ray films, one imported and the other indigenous in various film-screen combinations and their sensitometric properties have been determined and compared. The rare earth screen has been found to be about 3 to 4 times faster than the tungstate screens without reduction in contrast. This indicates that the use of rare earth screen in medical radiography will help to reduce the patient dose by the same factor. (M.G.B.)

  11. Analysis and correction of imperfections in the image-intensifier TV-digitizer imaging chain

    International Nuclear Information System (INIS)

    Boone, J.M.; Seibert, J.A.; Barrett, W.A.

    1989-01-01

    Image-intensifier/television/video-digitizer (II/TV/VD) systems are commonly available tools for digital planar image acquisition in radiology. However, the well-known shortcomings of these systems limit their usefulness in research applications, for which quantitatively correct images are required. The authors have investigated software correction techniques by which both the spatial and gray-scale quantitative integrity can be restored to II/TV/VD systems. They have used previously reported and new correction techniques to reduce veiling glare, pincushion distortion, and vignetting and residual shading artifacts. The results show that excellent quantitative integrity can be achieved by use of straightforward artifact-reduction techniques

  12. Effects of Intensifying Labor Market Programs on Post-Unemployment Wages: Evidence From a Controlled Experiment

    DEFF Research Database (Denmark)

    Sørensen, Kenneth Lykke

    This paper investigates effects on wages of a Danish field experiment intensifying Active Labor Market Policies (ALMP).We link unemployed workers who participated in an ALMP experiment called “Quickly Back” carried out by the Danish Ministry of Employment 2005-2006 in two counties to matched...... employer-employee and public transfer register data up to 2008 enabling us to analyze exact labor market transitions and jobs of the participants. Men in one of the counties experienced significant higher probability of earning higher short and long term wages after treatment. Treated men in the other...

  13. Monte Carlo simulation of image properties of an X-ray intensifying screen

    CERN Document Server

    Wang Yi; Wang Kui Lu; Liu Guo Zhi; Liu Ya Qian

    2000-01-01

    A Monte Carlo simulation program named MCPEP has been developed. Based on the existing simulation program that simulates the transfer of X-ray photons and the secondary electrons, MCPEP also simulates the light photons in the screen. The performances of an intensifying screen (Gd sub 2 O sub 2 S : Tb) with different thickness and different X-ray energies have been analyzed by MCPEP. The calculated light photon probability distribution, average light photon number per absorbed X-ray photon, statistical factor for light emission, X-ray detection efficiency, detective quantum efficiency (DQE) and point spread function (PSF) of the screen are presented.

  14. The analysis of the defects of the view field of the UV image intensifier

    Science.gov (United States)

    Fu, RongGuo; Wei, YiFang; Yang, Qi; Yang, Xu; Wang, GuiYuan

    2017-05-01

    UV(ultraviolet) image intensifier is a vacuum image device with Cs2Te (Cesium Tellurium) photocathode. It converts the incident ultraviolet(UV) light from the optical lens into electronic signal, then the electronic signal is converted into responding visible image on the phosphor screen. Defects of different sizes can be seen on the screen when it works. A system is build to inspect the distribution of the defects, then the sources and category of the defects of the view field are analyzed, including photocathode, microchannel plate and phosphor screen, some improving technique is brought to decrease the defects.

  15. Wide-field single photon counting imaging with an ultrafast camera and an image intensifier

    Science.gov (United States)

    Zanda, Gianmarco; Sergent, Nicolas; Green, Mark; Levitt, James A.; Petrášek, Zdeněk; Suhling, Klaus

    2012-12-01

    We are reporting a method for wide-field photon counting imaging using a CMOS camera with a 40 kHz frame rate coupled with a three-stage image intensifier mounted on a standard fluorescence microscope. This system combines high frame rates with single photon sensitivity. The output of the phosphor screen, consisting of single-photon events, is collected by a CMOS camera allowing to create a wide-field image with parallel positional and timing information of each photon. Using a pulsed excitation source and a luminescent sample, the arrival time of hundreds of photons can be determined simultaneously in many pixels with microsecond resolution.

  16. Performance in sports--With specific emphasis on the effect of intensified training.

    Science.gov (United States)

    Bangsbo, J

    2015-12-01

    Performance in most sports is determined by the athlete's technical, tactical, physiological and psychological/social characteristics. In the present article, the physical aspect will be evaluated with a focus on what limits performance, and how training can be conducted to improve performance. Specifically how intensified training, i.e., increasing the amount of aerobic high-intensity and speed endurance training, affects physiological adaptations and performance of trained subjects. Periods of speed endurance training do improve performance in events lasting 30 s-4 min, and when combined with aerobic high-intensity sessions, also performance during longer events. Athletes in team sports involving intense exercise actions and endurance aspects, such as soccer and basketball, can also benefit from intensified training. Speed endurance training does reduce energy expenditure and increase expression of muscle Na(+), K(+) pump α subunits, which may preserve muscle cell excitability and delay fatigue development during intense exercise. When various types of training are conducted in the same period (concurrent training), as done in a number of sports, one type of training may blunt the effect of other types of training. It is not, however, clear how various training modalities are affecting each other, and this issue should be addressed in future studies. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. The ultraviolet detection component based on Te-Cs image intensifier

    Science.gov (United States)

    Qian, Yunsheng; Zhou, Xiaoyu; Wu, Yujing; Wang, Yan; Xu, Hua

    2017-05-01

    Ultraviolet detection technology has been widely focused and adopted in the fields of ultraviolet warning and corona detection for its significant value and practical meaning. The component structure of ultraviolet ICMOS, imaging driving and the photon counting algorithm are studied in this paper. Firstly, the one-inch and wide dynamic range CMOS chip with the coupling optical fiber panel is coupled to the ultraviolet image intensifier. The photocathode material in ultraviolet image intensifier is Te-Cs, which contributes to the solar blind characteristic, and the dual micro-channel plates (MCP) structure ensures the sufficient gain to achieve the single photon counting. Then, in consideration of the ultraviolet detection demand, the drive circuit of the CMOS chip is designed and the corresponding program based on Verilog language is written. According to the characteristics of ultraviolet imaging, the histogram equalization method is applied to enhance the ultraviolet image and the connected components labeling way is utilized for the ultraviolet single photon counting. Moreover, one visible light video channel is reserved in the ultraviolet ICOMS camera, which can be used for the fusion of ultraviolet and visible images. Based upon the module, the ultraviolet optical lens and the deep cut-off solar blind filter are adopted to construct the ultraviolet detector. At last, the detection experiment of the single photon signal is carried out, and the test results are given and analyzed.

  18. X-ray image intensifier tube and radiographic camera incorporating same

    International Nuclear Information System (INIS)

    1981-01-01

    An X-ray sensitive image intensifier tube is described. It has an input window comprising at least one of iron, chromium and nickel for receiving an X-ray image. There is a flat scintillator screen adjacent for converting the X-ray image into a light pattern image. Adjacent to this is a flat photocathode layer for emitting photoelectrons in a pattern corresponding to the light pattern image. Parallel to this and spaced from it is a flat phosphor display screen. Electrostatic voltage is applied to the display screen and the photocathode layer to create an electric field between them to accelerate the photoelectrons towards the display screen. The paths of such parallel straight trajectories are governed solely by the electrostatic voltage applied, the image at the display screen being substantially equal in size to that of the X-ray image received at the input window. The tube envelope is preferably metallic to enable the basic components to be kept at a neutral potential and avoid spurious emissions. A radiographic camera with such an intensifier tube is also described. (U.K.)

  19. Effects of 21 days of intensified training on markers of overtraining.

    Science.gov (United States)

    Slivka, Dustin R; Hailes, Walther S; Cuddy, John S; Ruby, Brent C

    2010-10-01

    The purpose of this study was to impose a period of quantifiable intensified training to determine if commonly used diagnostic markers of overtraining parallel changes in physical performance and thus overtraining status. Eight trained male cyclists (24 ± 1 years, 71 ± 3 kg, VO2peak = 4.5 ± 0.1·L·min⁻¹) performed 21 days (3,211 km) of intensified training in the field where volume and intensity were increased over normal training. Salivary IgA, testosterone, and cortisol, 1-hour time trial performance, heart rate response, and profile of mood states (POMS) were collected and analyzed throughout the 21-day training period. The POMS category vigor declined from day 1 to day 4 and remained lower throughout (p overtraining parameters. However, individuals who demonstrated 2 or more symptoms of overtraining at any point throughout the 21 days were considered symptomatic and had a lower (p overtraining did not decline (p > 0.05). These data demonstrate that markers of overtraining do not parallel a decrease in performance and should be interpreted with caution.

  20. Design and test of a high resolution plastic scintillating fiber detector with intensified CCD readout

    International Nuclear Information System (INIS)

    Rebourgeard, P.

    1991-01-01

    We present the design of a particle detector involving a coherent array of 100 000 plastic scintillating microfibers, with an individual core diameter around 50 micrometers, and an intensified bidimensional CCD array. We investigate both theoretically and experimentally the use of polystyrene based scintillators in optical multimodal fibers. The isotropic excitation of modes and the characteristics of energy transfers between the polystyrene matrix and the added fluorescent dyes are of particular interest. An experimental approach is proposed and applied to the development of a new binary scintillator. In order to study the transmission of the signal from the interaction area to the output face, we specify the loss factors, the resolution and the signal to noise ratio within the fiber array. The low light level at the output face of the detector leads us to use image intensifiers in photon counting mode. This requires a detailed analysis of resolutions, gain, noise and detectivity concepts. We propose to describe these strongly correlated notions by the moment generation formalism. Thus, a previous modelisation of the photoelectronic devices allows us to evaluate the performance of the readout chain. A complete detector has been assembled and tested on a high energy hadron beam; the measurements are in good agreement with the modelisation [fr

  1. Intensified Vegetation Water Use due to Soil Calcium Leaching under Acid Deposition

    Science.gov (United States)

    Lanning, M.; Wang, L.; Scanlon, T. M.; Vadeboncoeur, M. A.; Adams, M. B.; Epstein, H. E.; Druckenbrod, D.

    2017-12-01

    Despite the important role vegetation plays in the global water cycle, the exact controls of vegetation water use, especially the role of soil biogeochemistry, remain elusive. Nitrate and sulfate deposition from fossil fuel burning has caused significant soil acidification, leading to the leaching of soil base cations. From a physiological perspective, plants require various soil cations as signaling and regulatory ions as well as integral parts of structural molecules; a depletion of soil cations can cause reduced productivity and abnormal responses to environmental change. A deficiency in calcium could also potentially prolong stomatal opening, leading to increased transpiration until enough calcium had been acquired to stimulate stomatal closure. Based on the plant physiology and the nature of acidic deposition, we hypothesize that depletion of the soil calcium supply, induced by acid deposition, would intensify vegetation water use at the watershed scale. We tested this hypothesis by analyzing a long-term and unique data set (1989-2012) of soil lysimeter data along with stream flow and evapotranspiration data at the Fernow Experimental Forest. We show that depletion of soil calcium by acid deposition can intensify vegetation water use ( 10% increase in evapotranspiration and depletion in soil water) for the first time. These results are critical to understanding future water availability, biogeochemical cycles, and surficial energy flux and may help reduce uncertainties in terrestrial biosphere models.

  2. Design and analysis of a flux intensifying permanent magnet embedded salient pole wind generator

    Science.gov (United States)

    Guo, Yujing; Jin, Ping; Lin, Heyun; Yang, Hui; Lyu, Shukang

    2018-05-01

    This paper presents an improved flux intensifying permanent magnet embedded salient pole wind generator (FI-PMESPWG) with mirror symmetrical magnetizing directions permanent magnet (PM) for improving generator's performances. The air-gap flux densities, the output voltage, the cogging torque and the d- and q-axis inductances of FI-PMESPWG are all calculated and analyzed by using the finite element method (FEM). To highlight the advantages of the proposed FI-PMESPWG, an original permanent magnet embedded salient pole wind generator (PMESPWG) model is adopted for comparison under the same operating conditions. The calculating results show that the air-gap flux densities of FI-PMESPWG are intensified with the same magnet amounts because the PMs are set in a form of V shape in each pole. The difference between d-axis inductance and q-axis inductance of the proposed FI-PMESPWG is reduced. Thus, the output power of the proposed FI-PMESPWG reaches a higher value than that of the original PMESPWG at the same current phase angle. The cogging torque is diminished because the flux path is changed. All the analysis results indicate that the electromagnetic characteristics of the proposed FI-PMESPWG are significantly better than that of the original PMESPWG.

  3. Intensified aridity in northern China during the middle Piacenzian warm period

    Science.gov (United States)

    Ji, Shunchuan; Nie, Junsheng; Breecker, Daniel O.; Luo, Zeng; Song, Yougui

    2017-10-01

    Dryland areas are predicted to expand significantly due to global climate change and such expansion would reduce carbon sequestration and enhance warming, forming a positive feedback. However, a contrasting theory is that Earth's thermal equator will move northward in a warm climate, resulting in precipitation increase and dryland shrinking. A study of past warm periods analogous to future climate can help distinguish between these predictions. The middle Piacenzian warm period during ∼3.3-3 Ma is the best pre-Quaternary analog to late 21st century climate, but Pliocene terrestrial paleoclimatic records that can resolve orbital-timescale variations are scarce. Here we present a pedogenic carbonate oxygen isotope record spanning the entire Pliocene from the Chinese Loess Plateau. The record reveals intensified evaporation-induced aridity during the warm phases of the middle Piacenzian period. These records provide the first evidence demonstrating that intensified evaporation in northern China counteracted any precipitation increase associated with thermal equator migration during the warm periods. These results suggest that Asian drylands will likely expand with future warming, requiring a revision of model simulation which predicts increases in humidity.

  4. Intensified emotion perception in depression: Differences in physiological arousal and subjective perceptions.

    Science.gov (United States)

    Wenzler, Sofia; Hagen, Marleen; Tarvainen, Mika P; Hilke, Marietheres; Ghirmai, Naddy; Huthmacher, Ann-Caitlin; Trettin, Marco; van Dick, Rolf; Reif, Andreas; Oertel-Knöchel, Viola

    2017-07-01

    People suffering from depression perceive themselves and their surroundings as more negative than healthy ones. An explanation might be that depressed individuals experience negative information as more stressful than non-depressed subjects and, consequently, respond in an amplified manner on a subjective and physiological level. To test this proposition, we presented 41 patients with recurrent depressive episodes and 42 controls with stimuli from the International Affective Picture System split into three valence categories while different parameters of physiological arousal (e.g., heart rate variability) and subjective perceptions of valence and arousal were assessed. Furthermore, we examined social skills and emotional competence. Results regarding physiological arousal revealed an elevated skin temperature and a more accentuated respiratory frequency in depressed subjects. Furthermore, depressed subjects rated the stimuli as more negative and arousing, which was associated with reduced social and emotional competence. Variation in antidepressant medication, menstrual cycle and other factors that have an impact on HRV are a potential bias. Our findings suggest an intensified perception of negative emotion in depressed individuals as compared to controls that manifests itself in an increased physiological arousal as well as on a subjective level. This intensified emotion perception is further associated with deficits in social and emotional competence. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  5. Nutritional intervention in acute heart failure patients with undernutrition and normalbuminemia: A subgroup analysis of PICNIC study.

    Science.gov (United States)

    Ramiro-Ortega, Esmeralda; Bonilla-Palomas, Juan L; Gámez-López, Antonio L; Moreno-Conde, Mirian; López-Ibáñez, María C; Alhambra-Expósito, Rosa; Anguita Sánchez, Manuel

    2017-07-14

    Hypoalbuminemia is common in acute heart failure (HF) patients and has been associated with increased hospital mortality and long-term mortality. Undernutrition is a factor causing hypoalbuminemia. The PICNIC study results show that a nutritional intervention in undernourished acute HF patients reduces the risks of all-cause death and of readmission for HF. We aimed to investigate whether the efficacy of a nutritional intervention is consistent among the subgroups of patients with and without hypoalbuminemia. In PICNIC study, a total of 120 malnourished hospitalized patients due to acute HF were randomized to conventional HF treatment or conventional HF treatment combined with an individualized nutritional intervention. The primary endpoint was a composite of all-cause death or readmission for worsening of HF, with a maximum follow-up of 12 months. In this post-hoc sub-analysis we assessed the interaction of the effects of a nutritional intervention among patients with and without hypoalbuminemia. Analysis was by intention to treat. 59 (49,2%) patients demonstrated hypoalbuminemia and 61 (50,8%) had normalbuminemia. At 12 months, the number of events for the primary endpoint in the intervention group compared with the control group was consistent among patients with hypoalbuminemia (28.6% intervention vs 61.3% control, HR 0,35, 95% CI 0,15-0,81) and those without (25.8% intervention vs 60% control, HR 0,35, 95% CI 0,15-0,79; interaction p = 0,86). There was no evidence that the relative efficacy of a nutritional intervention in undernourished acute HF patients was different between patients with normalbuminemia and those with hypoalbuminemia. Copyright © 2017 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  6. Influence of Maternal Undernutrition and Overfeeding on Cardiac Ciliary Neurotrophic Factor Receptor and Ventricular Size in Fetal Sheep

    Science.gov (United States)

    Dong, Feng; Ford, Stephen P.; Nijland, Mark J.; Nathanielsz, Peter W.; Ren, Jun

    2008-01-01

    Intrauterine nutrition status is reported to correlate with risk of cardiovascular diseases in adulthood. Either under- or over-nutrition during early to mid gestation contributes to altered fetal growth and ventricular geometry. This study was designed to examine myocardial expression of ciliary neurotrophic factor receptor α (CTNFRα) and its down-stream mediator signal transducer and activator of transcription 3 (STAT3) on maternal under- or over-nutrition-induced changes in fetal heart weight. Multiparous ewes were fed with 50% (nutrient-restricted, NR), 100% (control) or 150% (overfed, OF) of NRC requirements from 28 to 78 days of gestation (dG; Term 148 dG). Ewes were euthanized on day 78, and the gravid uteri and fetuses recovered. Ventricular protein expression of CTNFRα, STAT3, phosphorylated STAT3, insulin-like growth factor I receptor (IGF-1R) and IGF binding protein 3 (IGFBP3) were quantitated using western blot. Plasma cortisol levels were higher in both NR and OF fetuses whereas plasma IGF-1 levels were lower and higher, in NR and OF fetuses. Fetal weights were reduced by 29.9% in NR ewes and were increased by 22.2% in fetuses from OF ewes compared to control group. Nutrient restriction did not affect fetal heart or ventricular weights whereas overfeeding increased heart and ventricular weights. Protein expression of CTNFRα in fetal ventricular tissue was reduced in OF group whereas STAT3 and pSTAT3 levels were reduced in both NR and OF groups. Expression of IGF-1R and IGFBP3 was unaffected in either NR or OF group. These data suggested that compared with maternal undernutrition, intrauterine overfeeding during early to mid gestation is associated with increases fetal blood concentrations of cortisol and IGF-1 in association with ventricular hypertrophy where reduced expression of CNTFRα and STAT3 may play a role. PMID:17869083

  7. Under-nutrition at baseline and health services utilization and mortality over a one-year period in older adults receiving Medicare home health services

    Science.gov (United States)

    Yang, Yongbin; Brown, Cynthia J.; Burgio, Kathryn L.; Kilgore, Meredith L.; Ritchie, Christine S.; Roth, David L.; West, Delia Smith; Locher, Julie L.

    2010-01-01

    Objective Older adults receiving Medicare home health services who experience under-nutrition may be at increased risk of experiencing adverse outcomes. We sought to identify the association between baseline nutritional status and subsequent health service utilization and mortality over a one-year period in older adults receiving Medicare home health services. Design This was a longitudinal study using questionnaires and anthropometric measures designed to assess nutritional status (Mini-Nutritional Assessment [MNA]) at baseline and health services utilization and mortality status at six-month and one-year follow-ups. Setting Participants were evaluated in their homes. Participants 198 older adults who were receiving Medicare home health services. Results Based upon MNA, 12.0% of patients were Malnourished, 51.0% were At Risk for Malnourishment, and 36.9% had Normal Nutrition Status. Based upon body mass index (BMI), 8.1% of participants were underweight, 37.9% were normal weight, 25.3% were overweight, and 28.8% were obese. Using multivariate binary logistic regression analyses, participants who were Malnourished or At Risk for Malnourishment were more likely to experience subsequent hospitalization, emergency room visit, home health aide use, and mortality for the entire sample and hospitalization and nursing home stay for overweight and obese participants. Conclusions Experiencing under-nutrition at the time of receipt of Medicare home health services was associated with increased health services utilization and mortality for the entire sample, and with increased health services utilization only for the overweight and obese subsample. Opportunities exist to address risk of under-nutrition in patients receiving home health services, including those who are overweight or obese, to prevent subsequent adverse health outcomes. PMID:21527170

  8. Impact of embryo number and maternal undernutrition around the time of conception on insulin signaling and gluconeogenic factors and microRNAs in the liver of fetal sheep.

    Science.gov (United States)

    Lie, Shervi; Morrison, Janna L; Williams-Wyss, Olivia; Suter, Catherine M; Humphreys, David T; Ozanne, Susan E; Zhang, Song; MacLaughlin, Severence M; Kleemann, David O; Walker, Simon K; Roberts, Claire T; McMillen, I Caroline

    2014-05-01

    This study aimed to determine whether exposure of the oocyte and/or embryo to maternal undernutrition results in the later programming of insulin action in the liver and factors regulating gluconeogenesis. To do this, we collect livers from singleton and twin fetal sheep that were exposed to periconceptional (PCUN; -60 to 7 days) or preimplantation (PIUN; 0-7 days) undernutrition at 136-138 days of gestation (term = 150 days). The mRNA and protein abundance of insulin signaling and gluconeogenic factors were then quantified using qRT-PCR and Western blotting, respectively, and global microRNA expression was quantified using deep sequencing methodology. We found that hepatic PEPCK-C mRNA (P < 0.01) and protein abundance and the protein abundance of IRS-1 (P < 0.01), p110β (P < 0.05), PTEN (P < 0.05), CREB (P < 0.01), and pCREB (Ser(133); P < 0.05) were decreased in the PCUN and PIUN singletons. In contrast, hepatic protein abundance of IRS-1 (P < 0.01), p85 (P < 0.01), p110β (P < 0.001), PTEN (P < 0.01), Akt2 (P < 0.01), p-Akt (Ser(473); P < 0.01), and p-FOXO-1 (Thr24) (P < 0.01) was increased in twins. There was a decrease in PEPCK-C mRNA (P < 0.01) but, paradoxically, an increase in PEPCK-C protein (P < 0.001) in twins. Both PCUN and PIUN altered the hepatic expression of 23 specific microRNAs. We propose that the differential impact of maternal undernutrition in the presence of one or two embryos on mRNAs and proteins involved in the insulin signaling and gluconeogenesis is explained by changes in the expression of a suite of specific candidate microRNAs.

  9. Impact of embryo number and periconceptional undernutrition on factors regulating adipogenesis, lipogenesis, and metabolism in adipose tissue in the sheep fetus.

    Science.gov (United States)

    Lie, Shervi; Morrison, Janna L; Williams-Wyss, Olivia; Ozanne, Susan E; Zhang, Song; Walker, Simon K; Kleemann, David O; MacLaughlin, Severence M; Roberts, Claire T; McMillen, I Caroline

    2013-10-15

    Maternal undernutrition around the time of conception is associated with an increased risk of insulin resistance in adulthood. We hypothesized that maternal undernutrition during the periconceptional (PCUN: -60 to 7 days) and/or preimplantation (PIUN: 0-7 days) periods would result in a decrease in UCP1 expression and the abundance of insulin signaling molecules and an increase in the abundance of factors that regulate adipogenesis and lipogenesis in fetal perirenal adipose tissue (PAT) and that these effects would be different in singletons and twins. Maternal PCUN and PIUN resulted in a decrease in UCP1 expression in PAT, and PIUN resulted in higher circulating insulin concentrations, an increased abundance of pPKCζ and PDK4, and a decreased abundance of Akt1, phosphorylated mTOR, and PPARγ in PAT in singleton and twin fetuses. In singletons, there was also a decrease in the abundance of p110β in PAT in the PCUN and PIUN groups and an increase in total AMPKα in PAT in the PIUN group. In twins, however, there was an increase in the abundance of mTOR in the PCUN group and an increase in PDK2 and decrease in total AMPKα in the PIUN group. Thus exposure to periconceptional undernutrition programs changes in the thermogenic capacity and the insulin and fatty acid oxidation signaling pathway in visceral fat, and these effects are different in singletons and twins. These findings are important, as the thermogenic capacity of brown fat and the insulin sensitivity of visceral fat are important determinants of the risk of developing obesity and an insulin resistance phenotype in later life.

  10. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition).

    Science.gov (United States)

    Becker, Patricia; Carney, Liesje Nieman; Corkins, Mark R; Monczka, Jessica; Smith, Elizabeth; Smith, Susan E; Spear, Bonnie A; White, Jane V

    2015-02-01

    The Academy of Nutrition and Dietetics (the Academy) and the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), utilizing an evidence-informed, consensus-derived process, recommend that a standardized set of diagnostic indicators be used to identify and document pediatric malnutrition (undernutrition) in routine clinical practice. The recommended indicators include z scores for weight-for-height/length, body mass index-for-age, or length/height-for-age or mid-upper arm circumference when a single data point is available. When 2 or more data points are available, indicators may also include weight gain velocity (Dietetics.

  11. Nanoparticles generated by laser in liquids as contrast medium and radiotherapy intensifiers

    Science.gov (United States)

    Restuccia, Nancy; Torrisi, Lorenzo

    2018-01-01

    The synthesis of Au and Ag nanoparticles (NP) though laser ablation in liquids as a function the laser parameters is presented. Spherical NPs with diameter distribution within 1 and 100 nm were prepared by laser ablation in water. The nanoparticles characterization was performed using optical spectroscopy and electronic microscopy (SEM and TEM) measurements. Studies of the possible use of metallic nanoparticles as intensifier of diagnostics imaging contrast medium and absorbing dose from ionizing radiations in traditional radiotherapy and protontherapy are presented. Examples of in vitro (in tissue equivalent materials) and in vivo (in mice), were conducted thank to simulation programs permitting to evaluate the enhancement of efficiency in imaging and therapy as a function of the NPs concentrations and irradiation conditions.

  12. Nanoparticles generated by laser in liquids as contrast medium and radiotherapy intensifiers

    Directory of Open Access Journals (Sweden)

    Restuccia Nancy

    2018-01-01

    Full Text Available The synthesis of Au and Ag nanoparticles (NP though laser ablation in liquids as a function the laser parameters is presented. Spherical NPs with diameter distribution within 1 and 100 nm were prepared by laser ablation in water. The nanoparticles characterization was performed using optical spectroscopy and electronic microscopy (SEM and TEM measurements. Studies of the possible use of metallic nanoparticles as intensifier of diagnostics imaging contrast medium and absorbing dose from ionizing radiations in traditional radiotherapy and protontherapy are presented. Examples of in vitro (in tissue equivalent materials and in vivo (in mice, were conducted thank to simulation programs permitting to evaluate the enhancement of efficiency in imaging and therapy as a function of the NPs concentrations and irradiation conditions.

  13. Has the Competition among Professions in the Nordic Welfare States Intensified? A Danish Case

    Directory of Open Access Journals (Sweden)

    John Storm Pedersen

    2014-06-01

    Full Text Available Has the competition among professions in the Nordic welfare states intensified in recent decades? Yes, and in a manner that has resulted in predictable classic struggles and conflicts among professions. We argue that the struggles and conflicts that arise translate into insufficient provision of welfare services for taxpayers’ money. To avoid this predicament, further developing co-operation among professions is important. Public managers, as argued in this article using a Danish case, play a significant role in achieving this. The Danish case studied shows how some public managers, in their efforts to create co-operation among professions, have developed a modern, dialogue-based management technique built on dialectical refutation, similar to Socratic elenchus.

  14. Influence of veiling glare in the image intensifier on cinefluorographic sensitometry

    International Nuclear Information System (INIS)

    Matsuda, Eiji; Sanada, Taizo; Hitomi, Go; Ishii, Koushi; Yoshida, Akira

    1998-01-01

    We have experienced variations in the shape of the cinesensitometric curve when the exposure field is greatly altered. The veiling glare that arises from the scattering of x-ray photons, electrons, and light in the x-ray image intensifier (X-I.I.) depends on the size of the exposure field. Also, the effect of adjacent chemicals that occurs during the development process depends on the size of the exposed area on film. The veiling glare in the X-I.I. and the adjacent chemical effect on cine film processing may be responsible for these phenomena. This study investigated the influences of veiling glare on the shape of the cinesensitometric curve. Results showed that the veiling glare of the X-I.I. acts to increase the sensitivity of the cinesensitometric curve on the X-I.I. when the exposed area on the X-I.I. is larger. (author)

  15. Lead foil in dental X-ray film: Backscattering rejection or image intensifier?

    Energy Technology Data Exchange (ETDEWEB)

    Hönnicke, M.G., E-mail: marcelo.honnicke@unila.edu.br [Universidade Federal da Integração Latino-Americana, Foz do Iguaçu (Brazil); Delben, G.J. [Faculdade de Tecnologia Tupy, Curitiba (Brazil); Godoi, W.C. [Universidade Tecnológica Federal do Paraná, Curitiba (Brazil); Swinka-Filho, V. [Instituto de Tecnologia para o Desenvolvimento – LACTEC, Curitiba (Brazil)

    2014-11-01

    Dental X-ray films are still largely used due to sterilization issues, simplicity and, mainly, economic reasons. These films almost always are double coated (double emulsion) and have a lead foil in contact with the film for X-ray backscattering rejection. Herein we explore the use of the lead foil as an image intensifier. In these studies, spatial resolution was investigated when images were acquired on the dental X-ray films with and without the lead foil. Also, the lead foil was subjected to atomic analysis (fluorescent measurements) and structure analysis (X-ray diffraction). We determined that the use of the lead foil reduces the exposure time, however, does not affect the spatial resolution on the acquired images. This suggests that the fluorescent radiation spread is smaller than the grain sizes of the dental X-ray films.

  16. Control of a Biological Nitrogen Removal Process in an Intensified Single Reactor Configuration

    DEFF Research Database (Denmark)

    Vangsgaard, Anna Katrine; Mauricio Iglesias, Miguel; Gernaey, Krist

    2013-01-01

    The nitrogen removing granular sludge process is a novel and intensified process. However, its stable operation and control remains a challenging problem. In this contribution, a new process oriented approach is used to develop, evaluate and benchmark control strategies to ensure stable operation...... and rejection of disturbances. Three control strategies were developed: a feedforward control (case 1), a rule-based feedback control (case 2), and a feedforward-feedback controller, in which the feedback loop updates the set point of the feedforward loop (case 3). The case 1 controller, based on influent...... measurements, was giving the best performance against disturbances in the ammonium concentration, whereas case 2 was providing the best performance against disturbances in the organic carbon concentration. The case 3 controller rejected both disturbances satisfactorily. Thus, this controller provided...

  17. Control of a Biological Nitrogen Removal Process in an Intensified Single Reactor Configuration

    DEFF Research Database (Denmark)

    Vangsgaard, Anna Katrine; Mauricio Iglesias, Miguel; Gernaey, Krist

    2013-01-01

    The nitrogen removing granular sludge process is a novel and intensified process. However, its stable operation and control remains a challenging problem. In this contribution, a new process oriented approach is used to develop, evaluate and benchmark control strategies to ensure stable operation...... and rejection of disturbances. Three control strategies were developed: a feedforward control (case 1), a rule-based feedback control (case 2), and a feedforward-feedback controller, in which the feedback loop updates the set point of the feedforward loop (case 3). The case 1 controller, based on influent...... measurements, showed the best performance against disturbances in the ammonium concentration, whereas case 2 was providing the best performance against disturbances in the organic carbon concentration. The case 3 controller rejected both disturbances satisfactorily. Thus, this controller provided versatility...

  18. Performance in sports - with specific emphasis on the effect of intensified training

    DEFF Research Database (Denmark)

    Bangsbo, Jens

    2015-01-01

    Performance in most sports is determined by the athlete's technical, tactical, physiological and psychological/social characteristics. In the present article, the physical aspect will be evaluated with a focus on what limits performance, and how training can be conducted to improve performance...... with aerobic high-intensity sessions, also performance during longer events. Athletes in team sports involving intense exercise actions and endurance aspects, such as soccer and basketball, can also benefit from intensified training. Speed endurance training does reduce energy expenditure and increase...... expression of muscle Na(+) , K(+) pump α subunits, which may preserve muscle cell excitability and delay fatigue development during intense exercise. When various types of training are conducted in the same period (concurrent training), as done in a number of sports, one type of training may blunt the effect...

  19. Position sensitive detection of individual nuclear particle scintillations using image intensifier tubes

    International Nuclear Information System (INIS)

    Sinha, A.; Panchal, C.G.; Shyam, A.; Srinivasan, M.; Joshi, V.M.

    1996-01-01

    An imaging position sensitive detector for charged particles, neutrons, X-and gamma rays has been developed. The novel feature of this scintillation imaging radiation detector is its ability to detect individual nuclear particle scintillations with a h igh degree of spatial resolution. The key elements of this detector system are a high gain, low noise image intensifier tube, a CCD camera and commercially available image processing hardware and software. This detector system is highly effective for applications such as low fluence and real time neutron radiography, mapping of radioactive contamination in nuclear reactor fuel rods, X-ray diffraction imaging, high speed autoradiography and in general position sensitive detection of nuclear radiation. Results of some of the exploratory experiments carried out using this detector system are presented in this paper. (orig.)

  20. Intensified Particle Swarm Optimization For The Minimum Order Frequency Assignment Problem

    Directory of Open Access Journals (Sweden)

    Osman M. S. A.

    2017-10-01

    Full Text Available The Minimum Order Frequency Assignment Problem MO-FAP is one of the main four schemes of the frequency assignment problem. The MO-FAP is a process of resource management of using the limited available spectrum in communication systems efficiently. The main objective is to minimize the total number of different used frequencies in the spectrum while satisfying the increasing capacity of customers and quality of the service. In this paper a modified PSO is called Intensified Particle Swarm Optimization IPSO. The proposed modified PSO is used for solving MO-FAP while tackling the original PSO of being trapped in local minimum in the search space. The execution of the IPSO incurred using LabView programming. The effectiveness and robustness of the proposed algorithm have been demonstrated on a well-known benchmark problems and comparing the results with a number of previously related works.

  1. Radial-pulse propagation and impedance characteristics of optically shuttered channel intensifier tubes

    International Nuclear Information System (INIS)

    Detch, J.L. Jr.; Noel, B.W.

    1981-01-01

    Electrically gated proximity-focused channel intensifier tubes are often used as optical shutters. Optimum nanosecond shuttering requires both understanding the electrical pulse propagation across the device structure and proper impedance matching. A distributed-transmission-line model is developed that describes analytically the voltage- and current-wave propagation characteristics as functions of time for any point on the surface. The optical gain's spatial uniformity and shutter-open times are shown to depend on the electrical pulse width and amplitude, and on the applied bias. The driving-point impedance is derived from the model and is expressed as a function of an infinite sum of terms in the complex frequency. The synthesis in terms of lumped-constant network elements is realized in first- and second-Foster equivalent circuits. Experimental impedance data are compared with the model's predictions and deviations from the ideal model are discussed

  2. Correlated observations of intensified whistler waves and electron acceleration around the geostationary orbit

    International Nuclear Information System (INIS)

    Xiao Fuliang; He Zhaoguo; Tang Lijun; Zong Qiugang; Wang Chengrui; Su Zhenpeng

    2012-01-01

    We report correlated observations of enhanced whistler waves and energetic electron acceleration collected by multiple satellites specifically near the geostationary orbit during the 7–10 November 2004 superstorms, together with multi-site observations of ULF wave power measured on the ground. Energetic (>0.6 MeV) electron fluxes are found to increase significantly during the recovery phase, reaching a peak value by ∼100 higher than the prestorm level. In particular, such high electron flux corresponds to intensified whistler wave activities but to the weak ULF wave power. This result suggests that wave–particle interaction appears to be more important than inward radial diffusion in acceleration of outer radiation belt energetic electrons in this event, assisting to better understand the acceleration mechanism. (paper)

  3. Towards improved biomonitoring tools for an intensified sustainable multi-use environment.

    Science.gov (United States)

    van der Meer, Jan Roelof

    2016-09-01

    The increasing use of our environment for multiple contrasting activities (e.g. fisheries, tourism) will have to be accompanied by improved monitoring of environmental quality, to avoid transboundary conflicts and ensure long-term sustainable intensified usage. Biomonitoring approaches are appropriate for this, since they can integrate biological effects of environmental exposure rather than measure individual compound concentrations. Recent advances in biomonitoring concepts and tools focus on single-cell assays and purified biological components that can be miniaturized and integrated in automated systems. Despite these advances, we are still very far from being able to deploy bioassays routinely in environmental monitoring, mostly because of lack of experience in interpreting responses and insufficient robustness of the biosensors for their environmental application. Further future challenges include broadening the spectrum of detectable compounds by biosensors, accelerate response times and combining sample pretreatment strategies with bioassays. © 2016 The Author. Microbial Biotechnology published by John Wiley & Sons Ltd and Society for Applied Microbiology.

  4. Mechanism analysis of Gen Ⅲ LLL image intensifier GaAs cathode photoelectric emission disability

    Science.gov (United States)

    Xu, Jiangtao; Yan, Lei; Cheng, Yaojin; Han, Kunye; Liu, Beibei; Zhang, Taimin

    2013-08-01

    The focus of the third generation image intensifier photocathode sensitivity decreases in the GaAs are analyzed, and proposed solutions,experimental results show that the tube microchannel plate(mcp), screen GaAs cathode discharge gas is caused by decreased sensitivity of the main reasons. Paper used two-layer model, and even negative electron affinity(NET) interface barrier theory of the photoelectric cathode drop mechanism was discussed , when the photocathode emission levels of CO adsorption and other harmful gas, chemical adsorption layer of ionic bond formation will lead to production of cathode surface barrier interfaces. Cathode surface adsorption of the pollutants more ,the interface barrier becomes thicker, the smaller the electron surface escape probability, when the cathode interface thicker barrier to the electron surface escape is zero, the cathode photoemission end of life.

  5. Matrix based method for synthesis of main intensified and integrated distillation sequences

    International Nuclear Information System (INIS)

    Khalili-Garakani, Amirhossein; Kasiri, Norollah; Ivakpour, Javad

    2016-01-01

    The objective of many studies in this area has involved access to a column-sequencing algorithm enabling designers and researchers alike to generate a wide range of sequences in a broad search space, and be as mathematically and as automated as possible for programing purposes and with good generality. In the present work an algorithm previously developed by the authors, called the matrix method, has been developed much further. The new version of the algorithm includes thermally coupled, thermodynamically equivalent, intensified, simultaneous heat and mass integrated and divided-wall column sequences which are of gross application and provide vast saving potential both on capital investment, operating costs and energy usage in industrial applications. To demonstrate the much wider searchable space now accessible, a three component separation has been thoroughly examined as a case study, always resulting in an integrated sequence being proposed as the optimum.

  6. The visible intensified cameras for plasma imaging in the TJ-II stellarator

    Energy Technology Data Exchange (ETDEWEB)

    Cal, E. de la; Carralero, D.; Pablos, J.L. de; Alonso, A.; Rios, L.; Garcia Sanchez, P.; Hidalgo, C. (Laboratorio Nacional de Fusion, Asociacion Euratom-Ciemat, Av. Complutense 22, E-28040 Madrid)

    2011-09-15

    Visible cameras are widely used in fusion experiments for diagnosis and for machine safety issues. They are generally used to monitor the plasma emission, but are also sensible to surface Blackbody radiation and Bremsstrahlung. Fast or high speed cameras capable of operating in the 10{sup 5} frames per second speed range are today commercially available and offer the opportunity to plasma fusion researchers of two-dimensional (2D) imaging of fast phenomena such as turbulence, ELMs, disruptions, dust, etc. The tracking of these fast phenomena requires short exposure times down to the {mu} s range and the light intensity can be often near the signal to noise ratio limit especially in low plasma emission regions such as the far SOL Additionally, when using interference filters to monitor, e.g. impurity line emission, the photon flux is strongly reduced and the emission cannot be imaged at high speed. Therefore, the use of image intensifiers that amplify the light intensity onto the camera sensor can be of great help. The present work describes the use of intensifiers in the visible fast cameras of TJ-II stellarator. We have achieved spectroscopic plasma imaging of filtered impurity atomic line emission at short exposure times down to the 10 {mu} s range depending on atomic line and concentration. Additionally, plasma movies at velocities of 2x10{sup 5} frames per second near the camera operation limit can be recorded with exposure times well below 1 {mu} s with sufficient signal to noise ratio. Although an increasing degradation of the image quality appears when raising the light amplification, an effective gain of up to two orders of magnitude of the light intensity is feasible for many applications (copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  7. A New Class of Transients Marking Intensified Accretion onto Supermassive Black Holes

    Science.gov (United States)

    Trakhtenbrot, Benny; Arcavi, Iair; Ricci, Claudio; Horesh, Assaf; Tacchella, Sandro; Stern, Daniel

    2018-01-01

    Our understanding of the demographics and evolution of supermassive black holes (SMBHs) beyond the local universe is limited to actively growing SMBHs, where relatively stable accretion of gas persists over several hundreds of millions of years. A growing number of transient and/or variable phenomena in galaxy nuclei have recently begun to shed new light on SMBH demographics and the physics of gas accretion onto these objects, tracing events where this accretion has drastically intensified. We present such an event, identified in the nucleus of an early-type galaxy at z=0.064, in which a previously-active SMBH experienced a dramatic increase in ultraviolet-optical emission. The emerging optical spectrum exhibits a mix of emission features, some of which are typical of luminous, unobscured active galactic nuclei. Other observed emission features of high-ionization species are likely driven by Bowen fluorescence -- seen for the first time in high-velocity lines, with ~2000 km/s, in a galaxy nucleus -- originating in dense, metal-rich gas that is exposed to the recently intensified UV radiation. Our multiwavelength space- and ground-based monitoring campaign shows that the spectral features and elevated UV flux show little to no evolution, over a period of at least six months. This disfavours the tidal disruption of a star as the origin of the UV “flash”, but suggests a rather longer-term re-ignition event. This event joins two other recently reported transients with similar emission properties, forming a new class of transients which has important implications for the identification and understanding of tidal disruption events, as well as other drivers of SMBH re-ignition.

  8. The performance of the intensified constructed wetlands for organic matter and nitrogen removal: A review.

    Science.gov (United States)

    Ilyas, Huma; Masih, Ilyas

    2017-08-01

    The effects of different aeration strategies including tidal flow (TF), effluent recirculation (ER) and artificial aeration (AA) on performance of vertical flow constructed wetland (VFCW), horizontal flow constructed wetland (HFCW) and hybrid constructed wetland (HCW) are comprehensively and critically reviewed in this paper. The removal efficiencies of nine types of intensified constructed wetlands (CWs) were examined in detail and their mean and standard deviation were estimated at 89 ± 11%, 84 ± 12%, 81 ± 17% and 63 ± 20% for total suspended solids (TSS), chemical oxygen demand (COD), ammonium-nitrogen (NH 4 + N) and total nitrogen (TN), respectively. From the studied CWs, ER-HCW, TF-HCW, AA-VFCW and ER-VFCW emerged as the four best performing systems. The overall removal efficiency of TSS, COD, NH 4 + N and TN by ER-HCW was 98 ± 2%, 85 ± 11%, 83 ± 15% and 73 ± 11%, respectively. Specifically, the ER enhances the interactions between pollutants and micro-organisms, consequently, the efficient removal of NH 4 + N and TN has been achieved in ER-HCW. The TF has a positive effect in refreshing the wetland with fresh air to enhance the dissolved oxygen (DO) in the system. In case of AA, intermittent aeration is more effective than continuous aeration, as it facilitates the establishment of aerobic and anaerobic conditions suitable for nitrification and denitrification. Statistical analysis shows that DO, organic loading rate and specific surface area requirement are the most significant factors that influence the performance of intensified CWs. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Research on voltage characteristic of the third generation low-light-level image intensifier tube's output signal to noise ratio

    Science.gov (United States)

    Bai, Xiaofeng; Yin, Lei; Hu, Wen; Shi, Feng; Hou, Zhipeng; Shi, Hongli; He, Yingping

    2012-10-01

    Signal to noise ratio is an important parameter to evaluate the 3rd generation low-light-level image intensifier. In this article, voltage in different poles have been changed respectively, output signal to noise ratio referring to different voltages have been studied, and the relationship between each voltage and output signal to noise ratio has been analyzed. The study results show that voltage of photocathode is not less than 150 V, voltage of MCP is between 800 V and 900 V, and voltage of screen is between 5000 V and 6000 V while output signal to noise ratio of filmed image intensifier is optimized. The study in this article is worthwhile for developing signal to noise ratio of the 3rd low-light-level image intensifier sufficiently.

  10. C.C.D. Readout Of A Picosecond Streak Camera With An Intensified C.C.D.

    Science.gov (United States)

    Lemonier, M.; Richard, J. C.; Cavailler, C.; Mens, A.; Raze, G.

    1985-02-01

    This paper deals with a digital streak camera readout device. The device consists in a low light level television camera made of a solid state C.C.D. array coupled to an image intensifier associated to a video-digitizer coupled to a micro-computer system. The streak camera images are picked-up as a video signal, digitized and stored. This system allows the fast recording and the automatic processing of the data provided by the streak tube. Starting from the output screen of the streak camera, the constitutive elements are : - A fiber optic taper (A.O. Scientific Instruments) set in contact with the fiber optic output window of the streak tube achieves the image demagnification ; - A double proximity focused image intensifier (RTC - XX1410 SP) achieves the bright-ness amplification without any distortion ; - A second fiber optic taper achieves the dimensional matching between intensifier output and C.C.D. sensitive area ;

  11. Assessment of the Future Health Burden Attributable to Undernutrition under the Latest Scenario Framework for Climate Change Research

    Science.gov (United States)

    Ishida, Hiroyuki; Kobayashi, Shota; Yoshikawa, Sayaka; Kanae, Shinjiro; Hasegawa, Tomoko; Fujimori, Shinichiro; Shin, Yonghee; Takahashi, Kiyoshi; Masui, Toshihiko; Tanaka, Akemi; Honda, Yasushi

    2014-05-01

    There are growing concerns that future food security will be negatively affected by various factors, such as changes in socioeconomic and climate conditions. The health burden attributable to childhood undernutrition is among the most severe problems related to food crisis in the world. This study assessed the health burden attributable to childhood underweight through 2050 focusing on disability-adjusted life years (DALYs), by considering the latest scenarios for climate change studies (Representative Concentration Pathways (RCPs) and Shared Socioeconomic Pathways (SSPs)) and conducting sensitivity analysis. We used three SSPs (SSP1, SSP2 and SSP3) as future population and gross domestic products (GDP), three RCPs (RCP2.6, RCP4.5 and RCP8.5) for a greenhouse gas emissions constraint, and 12 Global Circulation Models (12 GCMs) to estimate climate conditions. A regression model for estimating DALYs attributable to childhood underweight (DAtU) was developed using the relationship between DAtU and childhood stunting. A logarithmic relationship was proposed for the regression model. We combined a global computable general equilibrium model, a crop model (M-GAEZ), and two regression models to assess the future health burden. We found that i) world total DAtU decreases from 2005 by 23 ~ 60% in 2030 depending on the socioeconomic scenarios. DAtU decreases further by 2050 for SSP1 and SSP2 scenario, whereas it slightly increases for SSP3. Per capita DAtU also decreases in all regions under either scenario in 2050, but the decreases vary significantly by regions and scenarios. ii) the impact of climate change is relatively small in the framework of this study but, on the other hand, socioeconomic conditions have a great impact on the future health burden. The impact of changes in socioeconomic conditions on the health burden is greater in the regions where current health burden is high. iii) parameter uncertainty of the regression models is the second largest factor on

  12. Impact of maternal undernutrition on the hypothalamic-pituitary-adrenal axis responsiveness in sheep at different ages postnatal.

    Science.gov (United States)

    Chadio, S E; Kotsampasi, B; Papadomichelakis, G; Deligeorgis, S; Kalogiannis, D; Menegatos, I; Zervas, G

    2007-03-01

    cortisol levels at the age of 5.5 months (P < 0.01, P < 0.001 respectively) and with higher cortisol levels (P < 0.01) at 10 months of age than males. It is concluded that the HPA axis is programmable by altered nutrition in utero. The sensitivity of the axis to exogenous stimulation is enhanced during early postnatal life and attenuated with age, suggesting a role for the postnatal influences in resetting of the HPA axis and emphasizing the importance of identifying the impact of maternal undernutrition at several time points after birth.

  13. Feedback circuit design of an auto-gating power supply for low-light-level image intensifier

    Science.gov (United States)

    Yang, Ye; Yan, Bo; Zhi, Qiang; Ni, Xiao-bing; Li, Jun-guo; Wang, Yu; Yao, Ze

    2015-11-01

    This paper introduces the basic principle of auto-gating power supply which using a hybrid automatic brightness control scheme. By the analysis of current as image intensifier to special requirements of auto-gating power supply, a feedback circuit of the auto-gating power supply is analyzed. Find out the reason of the screen flash after the auto-gating power supply assembled image intensifier. This paper designed a feedback circuit which can shorten the response time of auto-gating power supply and improve screen slight flicker phenomenon which the human eye can distinguish under the high intensity of illumination.

  14. Age variations in anthropometric and body composition characteristics and undernutrition among female Bathudis: a tribal population of Keonjhar District, Orissa, India.

    Science.gov (United States)

    Bose, Kaushik; Chakraborty, Falguni; Bisai, Samiran

    2007-09-01

    A cross-sectional study of 183 female Bathudis, a tribal population of the Keonjhar District, Orissa, India, was undertaken to investigate age variations in anthropometric and body composition characteristics and nutritional status. The subjects were categorized into three age groups: 50 years. Height, weight, circumferences and skinfolds data were collected. Body mass index (BMI) and several body composition variables and indices were derived using standard equations. The results revealed that there existed significant negative age variations for most of the anthropometric and body composition variables and indices. Correlation studies of age with these variables and indices revealed significant negative correlations. Linear regression analyses revealed that for all variables, age had a significant negative impact. Studies on the nutritional status of these women revealed that with increasing age, there was an increase in the frequency of undernutrition. In conclusion, this study demonstrated that among Bathudi women, age was significantly negatively related with anthropometric and body composition variables and indices. Moreover, with increasing age, the level of undernutrition increased.

  15. Are edible insects more or less 'healthy' than commonly consumed meats? A comparison using two nutrient profiling models developed to combat over- and undernutrition.

    Science.gov (United States)

    Payne, C L R; Scarborough, P; Rayner, M; Nonaka, K

    2016-03-01

    Insects have been the subject of recent attention as a potentially environmentally sustainable and nutritious alternative to traditional protein sources. The purpose of this paper is to test the hypothesis that insects are nutritionally preferable to meat, using two evaluative tools that are designed to combat over- and under-nutrition. We selected 183 datalines of publicly available data on the nutrient composition of raw cuts and offal of three commonly consumed meats (beef, pork and chicken), and six commercially available insect species, for energy and 12 relevant nutrients. We applied two nutrient profiling tools to this data: The Ofcom model, which is used in the United Kingdom, and the Nutrient Value Score (NVS), which has been used in East Africa. We compared the median nutrient profile scores of different insect species and meat types using non-parametric tests and applied Bonferroni adjustments to assess for statistical significance in differences. Insect nutritional composition showed high diversity between species. According to the Ofcom model, no insects were significantly 'healthier' than meat products. The NVS assigned crickets, palm weevil larvae and mealworm a significantly healthier score than beef (Pinsects were statistically less healthy than meat. Insect nutritional composition is highly diverse in comparison with commonly consumed meats. The food category 'insects' contains some foods that could potentially exacerbate diet-related public health problems related to over-nutrition, but may be effective in combating under-nutrition.

  16. Progress towards Millennium Development Goal 1 in Latin America and the Caribbean: the importance of the choice of indicator for undernutrition.

    Science.gov (United States)

    Lutter, Chessa K; Chaparro, Camila M; Muñoz, Sergio

    2011-01-01

    To assess the effect of using stunting versus underweight as the indicator of child undernutrition for determining whether countries in Latin America and the Caribbean are on track to meet the component of Millennium Development Goal (MDG) 1 pertaining to the eradication of hunger, namely to reduce undernutrition by half between 1990 and 2015. The prevalence of underweight and stunting among children less than 5 years of age was calculated for 13 countries in Latin America and the Caribbean by applying the WHO Child Growth Standards to nationally-representative, publicly available anthropometric data. The predicted trend (based on the trend in previous years) and the target trend (based on MDG 1) for stunting and underweight were estimated using linear regression. The choice of indicator affects the conclusions regarding which countries are on track to reach MDG 1. All countries are on track when underweight is used to assess progress towards the target prevalence, but only 6 of them are on track when stunting is used instead. Another two countries come within 2 percentage points of the target prevalence of stunting. Whether countries are determined to be on track to meet the nutritional component of MDG 1 or not depends on the choice of stunting versus underweight as the indicator. Unfortunately, underweight is the indicator officially used to monitor progress towards MDG 1. In Latin America and the Caribbean, the use of underweight for this purpose will fail to take account of the large remaining burden of stunting.

  17. Association between economic growth and early childhood undernutrition: evidence from 121 Demographic and Health Surveys from 36 low-income and middle-income countries.

    Science.gov (United States)

    Vollmer, Sebastian; Harttgen, Kenneth; Subramanyam, Malavika A; Finlay, Jocelyn; Klasen, Stephan; Subramanian, S V

    2014-04-01

    Economic growth is widely regarded as a necessary, and often sufficient, condition for the improvement of population health. We aimed to assess whether macroeconomic growth was associated with reductions in early childhood undernutrition in low-income and middle-income countries. We analysed data from 121 Demographic and Health Surveys from 36 countries done between Jan 1, 1990, and Dec 31, 2011. The sample consisted of nationally representative cross-sectional surveys of children aged 0-35 months, and the outcome variables were stunting, underweight, and wasting. The main independent variable was per-head gross domestic product (GDP) in constant prices and adjusted for purchasing power parity. We used logistic regression models to estimate the association between changes in per-head GDP and changes in child undernutrition outcomes. Models were adjusted for country fixed effects, survey-year fixed effects, clustering, and demographic and socioeconomic covariates for the child, mother, and household. Sample sizes were 462,854 for stunting, 485,152 for underweight, and 459,538 for wasting. Overall, 35·6% (95% CI 35·4-35·9) of young children were stunted (ranging from 8·7% [7·6-9·7] in Jordan to 51·1% [49·1-53·1] in Niger), 22·7% (22·5-22·9) were underweight (ranging from 1·8% [1·3-2·3] in Jordan to 41·7% [41·1-42·3] in India), and 12·8% (12·6-12·9) were wasted (ranging from 1·2% [0·6-1·8] in Peru to 28·8% [27·5-30·0] in Burkina Faso). At the country level, no association was seen between average changes in the prevalence of child undernutrition outcomes and average growth of per-head GDP. In models adjusted only for country and survey-year fixed effects, a 5% increase in per-head GDP was associated with an odds ratio (OR) of 0·993 (95% CI 0·989-0·995) for stunting, 0·986 (0·982-0·990) for underweight, and 0·984 (0·981-0·986) for wasting. ORs after adjustment for the full set of covariates were 0·996 (0·993-1·000) for stunting, 0

  18. Implementation of an intensified antibiotic stewardship programme targeting third-generation cephalosporin and fluoroquinolone use in an emergency medicine department.

    Science.gov (United States)

    Borde, Johannes P; Kern, Winfried V; Hug, Martin; Steib-Bauert, Michaela; de With, Katja; Busch, Hans-Jörg; Kaier, Klaus

    2015-07-01

    Early initiation of antimicrobial treatment for acute infection is an important task in the emergency department (ED) with a likely impact on the hospital-wide antibiotic use pattern. We implemented an antibiotic stewardship (ABS) programme focused on non-trauma emergency patients at a large university hospital centre targeting broad-spectrum cephalosporin and fluoroquinolone use. Guidelines and focused discussion groups emphasised reduced prescription of third-generation cephalosporins and fluoroquinolones and encouraged penicillins. Antibiotic consumption expressed as monthly drug density in WHO-Anatomical Therapeutic Chemical defined and locally recommended daily doses (DDD and RDD) per 100 patient days was analysed before (January 2008 to October 2011) and after starting the intervention (January 2012 to October 2013). We performed a before-and-after uncontrolled interventional study using interrupted time-series (ITS) analysis in one ED to investigate ABS intervention-related effects in a quasiexperimental research setting. The mean monthly total antibiotic use density declined from 111 RDD (138 DDD) per 100 patient days before the intervention to 86 RDD (128 DDD) per 100 patient days after starting the intervention. Among the different antibacterial drug classes, the consumption of third-generation cephalosporins showed the largest reduction and dropped significantly by -68% between preintervention and postintervention periods. Using the RDD dataset, ITS confirmed a highly significant postintervention change in level of third-generation cephalosporins (-15.2, 95% CI (-24.08 to -6.311)) and a corresponding increase in the use of aminopenicillin/betalactamase inhibitor formulations (+6.6, 95% CI (4.169 to 9.069)). The drug use densities for fluoroquinolones and for overall antibiotics declined, however, the postinterventional level changes missed statistical significance--overall (95% CI (-39.99 to 0.466), fluoroquinolones 95% CI (-11.72 to 4.333)). An

  19. Preventing undernutrition in Cambodia

    DEFF Research Database (Denmark)

    Skau, Jutta Kloppenborg Heick

    The first 1000 days (from conception to 24 months) of a child’s life are critical for long-term mental and physical development. This period is clearly marked as the optimal period of preventing malnutrition and named the “window of opportunity”. The first phase of complementary feeding (about 6......-12 months) is the most critical. This is the transitional phase when solid foods gradually start to replace breast milk. The typical diet of complementary food in low-income countries is dominated by a single starch-rich staple, with little vegetables and fruits and few or no animal source foods (ASF...... technique. Linear regression was used to assess the association of sex, breastfeeding, stunting and wasting as correlates of fat-free mass index (FFMI), fat mass index (FMI) and body mass index (BMI). This study showed that boys had a higher FFMI at 6 and 15 months of age. Stunted infants aged 6 months had...

  20. Influence of an intensified competition on fatigue and match performance in junior rugby league players.

    Science.gov (United States)

    Johnston, Rich D; Gabbett, Tim J; Jenkins, David G

    2013-09-01

    The aim of this study was to assess the physiological responses to an intensified rugby league competition and explore the relationships between fatigue and match performance. Prospective cohort study. Fifteen junior rugby league players (n=8 forwards, 7 backs; mean±SE, age 16.6±0.2 years; body mass 81.6±3.0kg; and height 178.9±1.8cm) competed in five 40min games over 5 days (two games each on days 1 and 2, one game on day 4, and no games on days 3 and 5). Over the competition, players performed a countermovement jump to assess neuromuscular fatigue, provided a fingertip blood sample to measure blood creatine kinase, and completed a questionnaire to monitor perceived wellbeing; ratings of perceived effort were recorded following each game. Global positioning system and video analysis of each game were used to assess match performance. Over the first 3 days, there were progressive and large increases in neuromuscular fatigue which peaked 12h after game 4 (forwards ES=4.45, p=0.014; backs ES=3.62, p=0.029), and muscle damage which peaked 1h post game 4 (forwards ES=4.45, p=0.004; backs ES=3.94 p=0.012), as well as reductions in perceived wellbeing. These measures gradually recovered over the final 2 days of the competition. Compared to the backs, the forwards experienced greater increases in creatine kinase following game 2 (ES=1.30) and game 4 (ES=1.24) and reductions in perceived wellbeing (ES=0.25-0.46). Match intensity, high-speed running, and repeated-high intensity effort bouts decreased in games 4 and 5 of the competition. Small to large associations were observed between the changes in fatigue, muscle damage and match performance, with significant correlations between creatine kinase and repeated high-intensity effort bout number (r=-0.70, p=0.031) and frequency (r=0.74, p=0.002) and low-speed activity (r=-0.56, p=0.029). Fatigue and muscle damage accumulate over an intensified competition, which is likely to contribute to reductions in high

  1. Intensified hydrologic cycle and increased marine productivity during Oceanic Anoxic Event 2

    Science.gov (United States)

    van Helmond, N. A.; Sluijs, A.; Reichart, G.; Sinninghe Damsté, J. S.; Slomp, C. P.; Brinkhuis, H.

    2012-12-01

    The late Cretaceous (~94 Ma) Oceanic Anoxic Event 2 (OAE2) represents one of the most pronounced OAEs and ranks among the largest global carbon cycle perturbations in the Phanerozoic. An extended succession of strata spanning OAE2 and the Cenomanian-Turonian Boundary, was recovered from the Bass River borehole, New Jersey (Ocean Drilling Program Leg 174AX). The OAE2 interval at this site, identified by biostratigraphy and a ~2.5‰ positive shift in the δ13C of organic carbon and foraminifer calcite, comprises a 15 m thick, dark gray laminated, fossiliferous silty clay section, deposited at relatively shallow paleodepth. We employed biomarker analyses and dinoflagellate cyst (dinocyst) micropaleontology to assess temperature, environmental, and ecosystem changes across the event. TEX86H sea surface temperature (SST) reconstructions show a relatively rapid (~30kyr) 2.5°C pre-OAE2 warming starting from background values of ~34°C. During the onset of OAE2, SSTs remain stable at ~36,5°C. Two distinct cooling events are recorded within OAE2, of ~3°C and ~1°C. These cooling pulses were recorded previously and attributed to decreasing atmospheric CO2-levels as a result of enhanced global carbon burial. Towards the termination of OAE2 SSTs rose to ~37°C, while they gradually decrease towards pre-OAE2 values after the event. Pre-OAE2 dinocyst assemblages are dominated by typical open marine species (e.g. Spiniferites spp.). Dinocyst assemblages change during the onset of OAE2 and become dominated by Paleohystrichophora and Senegalinium, suggesting intensified continental run off, leading to water column stratification, and increased marine productivity. The runoff indicating species decrease in abundance during the two cooling events. Furthermore, the cooler episodes are marked by the influx of high latitude species (e.g. those belonging to the Cyclonephelium compactum-membraniphorum complex). Additionally, saccate gymnosperm pollen, presumably transported by wind

  2. High incidence of pseudotumours after hip resurfacing even in low risk patients; results from an intensified MRI screening protocol.

    NARCIS (Netherlands)

    Weegen, W. van der; Smolders, J.M.; Sijbesma, T.; Hoekstra, H.J.; Brakel, K.; Susante, J.L.C. van

    2013-01-01

    We intensified our screening protocol for the presence of pseudotumours in a consecutive series of patients with a hip resurfacing arthroplasty (HRA), to establish whether we should be alert to the presence of 'silent' pseudotumours. Patients categorised with high risk (11 hips) and low risk (10

  3. Psychological effects of the intensified follow-up of the CEAwatch trial after treatment for colorectal cancer

    NARCIS (Netherlands)

    Zhan, Zhuozhao; Verberne, Charlotte J.; van den Heuvel, Edwin R.; Grossmann, Irene; Ranchor, Adelita V.; Wiggers, Theo; de Bock, Geertruida H.

    2017-01-01

    Background: The aim of the study was to evaluate psychological effects of the state-of-art intensified follow-up protocol for colorectal cancer patients in the CEAwatch trial. Method: At two time points during the CEAwatch trial questionnaires regarding patients' attitude towards follow-up,

  4. Cleaning of used rotary nickel-titanium files in an ultrasonic bath by locally intensified acoustic cavitation

    NARCIS (Netherlands)

    Bryson, L.M.; Fernandez Rivas, David; Boutsioukis, C.

    2017-01-01

    Aim To compare the pre-sterilization cleaning of rotary Ni-Ti files of different sizes previously used a. ex vivo and b. clinically by a washer disinfector, a regular ultrasonic bath, and the same ultrasonic bath in combination with a recently developed cavitation intensifying method. Methodology

  5. A randomized trial of insulin aspart with intensified basal NPH insulin supplementation in people with Type 1 diabetes

    NARCIS (Netherlands)

    DeVries, J. H.; Lindholm, A.; Jacobsen, J. L.; Heine, R. J.; Home, P. D.

    2003-01-01

    Aims Insulin aspart has been shown to improve post-prandial and overall glycaemic control in people with Type 1 diabetes. We hypothesized that insulin aspart with intensified basal NPH insulin supplementation would result in better overall glycaemic control than human regular insulin with standard

  6. Effect of intensified training on muscle ion kinetics, fatigue development and repeated short term performance in endurance trained cyclists

    DEFF Research Database (Denmark)

    Gunnarsson, Thomas Gunnar Petursson; Christensen, Peter Møller; Thomassen, Martin

    2013-01-01

    The effects of intensified training in combination with a reduced training volume on muscle ion kinetics, transporters and work capacity were examined. Eight well-trained cyclists replaced their regular training with speed-endurance training (12x30-s sprints) 2-3 times per wk and aerobic high...

  7. Eastern Pacific tropical cyclones intensified by El Niño delivery of subsurface ocean heat.

    Science.gov (United States)

    Jin, F-F; Boucharel, J; Lin, I-I

    2014-12-04

    The El Niño Southern Oscillation (ENSO) creates strong variations in sea surface temperature in the eastern equatorial Pacific, leading to major climatic and societal impacts. In particular, ENSO influences the yearly variations of tropical cyclone (TC) activities in both the Pacific and Atlantic basins through atmospheric dynamical factors such as vertical wind shear and stability. Until recently, however, the direct ocean thermal control of ENSO on TCs has not been taken into consideration because of an apparent mismatch in both timing and location: ENSO peaks in winter and its surface warming occurs mostly along the Equator, a region without TC activity. Here we show that El Niño--the warm phase of an ENSO cycle--effectively discharges heat into the eastern North Pacific basin two to three seasons after its wintertime peak, leading to intensified TCs. This basin is characterized by abundant TC activity and is the second most active TC region in the world. As a result of the time involved in ocean transport, El Niño's equatorial subsurface 'heat reservoir', built up in boreal winter, appears in the eastern North Pacific several months later during peak TC season (boreal summer and autumn). By means of this delayed ocean transport mechanism, ENSO provides an additional heat supply favourable for the formation of strong hurricanes. This thermal control on intense TC variability has significant implications for seasonal predictions and long-term projections of TC activity over the eastern North Pacific.

  8. Early 20th-century Arctic warming intensified by Pacific and Atlantic multidecadal variability

    Science.gov (United States)

    Tokinaga, Hiroki; Xie, Shang-Ping; Mukougawa, Hitoshi

    2017-01-01

    With amplified warming and record sea ice loss, the Arctic is the canary of global warming. The historical Arctic warming is poorly understood, limiting our confidence in model projections. Specifically, Arctic surface air temperature increased rapidly over the early 20th century, at rates comparable to those of recent decades despite much weaker greenhouse gas forcing. Here, we show that the concurrent phase shift of Pacific and Atlantic interdecadal variability modes is the major driver for the rapid early 20th-century Arctic warming. Atmospheric model simulations successfully reproduce the early Arctic warming when the interdecadal variability of sea surface temperature (SST) is properly prescribed. The early 20th-century Arctic warming is associated with positive SST anomalies over the tropical and North Atlantic and a Pacific SST pattern reminiscent of the positive phase of the Pacific decadal oscillation. Atmospheric circulation changes are important for the early 20th-century Arctic warming. The equatorial Pacific warming deepens the Aleutian low, advecting warm air into the North American Arctic. The extratropical North Atlantic and North Pacific SST warming strengthens surface westerly winds over northern Eurasia, intensifying the warming there. Coupled ocean–atmosphere simulations support the constructive intensification of Arctic warming by a concurrent, negative-to-positive phase shift of the Pacific and Atlantic interdecadal modes. Our results aid attributing the historical Arctic warming and thereby constrain the amplified warming projected for this important region. PMID:28559341

  9. Intensified nitrogen and phosphorus removal in a novel electrolysis-integrated tidal flow constructed wetland system.

    Science.gov (United States)

    Ju, Xinxin; Wu, Shubiao; Zhang, Yansheng; Dong, Renjie

    2014-08-01

    A novel electrolysis-integrated tidal flow constructed wetland (CW) system was developed in this study. The dynamics of intensified nitrogen and phosphorus removal and that of hydrogen sulphide control were evaluated. Ammonium removal of up to 80% was achieved with an inflow concentration of 60 mg/L in wetland systems with and without electrolysis integration. Effluent nitrate concentration decreased from 2 mg/L to less than 0.5 mg/L with the decrease in current intensity from 1.5 mA/cm(2) to 0.57 mA/cm(2) in the electrolysis-integrated wetland system, thus indicating that the current intensity of electrolysis plays an important role in nitrogen transformations. Phosphorus removal was significantly enhanced, exceeding 95% in the electrolysis-integrated CW system because of the in-situ formation of a ferric iron coagulant through the electro-dissolution of a sacrificial iron anode. Moreover, the electrolyzed wetland system effectively inhibits sulphide accumulation as a result of a sulphide precipitation coupled with ferrous-iron electro-dissolution and/or an inhibition of bacterial sulphate reduction under increased aerobic conditions. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Thermodynamic and Kinetic Studies for Intensifying Selective Decomposition of Zinc Ferrite

    Science.gov (United States)

    Han, Junwei; Liu, Wei; Qin, Wenqing; Jiao, Fen; Wang, Dawei; Liang, Chao

    2016-09-01

    A novel method to intensify the selective decomposition of zinc ferrite by a roasting process including reduction and magnetization stages was proposed. The relevant thermodynamic analysis with HSC [enthalpy (H), entropy (S) and heat capacity (C)] Chemistry 5.0 and experimental research on a laboratory scale were investigated. The thermodynamic calculations show that increasing the temperature and the CO amount promote not only the decomposition of zinc ferrite but also the formation of wustite, which can be converted to magnetite using sufficient CO2 at 823 K. The experimental results indicate that the zinc ferrite was decomposed into zinc oxide and wustite by reduction roasting under a gas mixture of 20% CO, 20% CO2 and 60% N2 at 1023 K for 90 min, and the decomposition degree of zinc ferrite reached 94%. Then, the generated wustite was transformed into magnetite by magnetization roasting under CO2 atmosphere at 823 K for 75 min, after which the selective extraction of zinc from zinc ferrite could be well achieved by low acid leaching. Increasing temperature and time were conducive to the magnetization within low temperature range, but when the temperature was above 823 K the zinc ferrite could be regenerated.

  11. intensifying and reorienting transfer of low carbon technologies for climate change prevention

    International Nuclear Information System (INIS)

    Pisani-Ferry, Jean; Monange, Herve; Gorges, Delphine; Senne, Valerie; Roulle, Jean-Michel

    2013-10-01

    The transfer of 'low carbon' technologies is crucial in order to moderate greenhouse gas (GHG) emissions by developing countries, which are set to rise significantly. Their implementation will determine the success of a global agreement on climate change in 2015, and this is the task of the Technology Mechanism, created in 2010. This policy brief sets out the principal results of a study commissioned from the Mines ParisTech Industrial Economics Centre (CERNA). The study shows that, unlike China, Mexico, South Africa and, to a lesser extent, Brazil, India is currently left out of international flows of low carbon technologies transfer - it is therefore a top priority, as is the rest of developing Asia, Africa and Eastern Europe. To intensify these transfers, ambitious greenhouse gas emissions reduction policies need to be implemented and absorptive capacities need to be created in countries that receive such technologies. In emerging countries, which possess a genuine capacity for innovation, and which are involved in international trade, the strengthening of intellectual property rights and the lowering of barriers to trade and investment are to be recommended. However, in the least developed countries, emphasis must be placed on technology absorptive capacities and in particular on the development of a qualified labour force

  12. Intensified heat transfer in modulated rotating Rayleigh–Bénard convection

    International Nuclear Information System (INIS)

    Geurts, Bernard J.; Kunnen, Rudie P.J.

    2014-01-01

    Heat transfer in a Rayleigh-Bénard configuration consisting of a vertical cylinder, which is rotating about its axis, can be intensified considerably when the rotation rate is modulated harmonically in time. Such time-dependent rotation introduces an Euler force into the governing equations which leads to a particular modification of the flow that is shown to support a Nusselt number (Nu) that is considerably higher than in case of constant rotation. We use direct numerical simulation of the incompressible Navier–Stokes equations to perform a comprehensive parameter study of the flow-structuring and associated heat transfer investigating primarily the effect of variations in the frequency with which the rotation rate varies. We consider flow in an upright cylinder of unit aspect ratio which is heated from below and cooled at the top. At sufficiently strong Euler forces the temporal variation of Nu shows a striking dynamics with periods of gradual increase in Nu with more rapid oscillations superimposed, next to rather catastrophic events in which the entire flow-structure that supported high levels of Nu collapses entirely and it returns to a value more similar to that attained at steady rotation. During periods of oscillatory build-up of Nu, high levels of turbulence gradually become more pronounced from the outer cylinder wall inward and a gradually stronger thermal column arises along the centreline of the cylinder. This flow structure can support Nu up to 250% larger than without rotation, a value otherwise achievable only by employing phase transition

  13. The Role of Cultural Diplomacy for Intensifying the Cross Border Cooperation within Danube Region

    Directory of Open Access Journals (Sweden)

    Krasimir Koev

    2013-08-01

    Full Text Available Objectives: The main objective of the paper is to highlight the role of cultural diplomacy for strengthening the international cooperation within the Danube macro-region. Prior Work: Some leading points of view in the field of cultural diplomacy serve as a theoretical background of the paper. In order to prove the theses of the research, existing empirical results are discussed and analyzed. Approach: The research uses interdisciplinary approach to conceptualization of cultural diplomacy and applies the methods of observation and systematic analysis and synthesis. Results: The presented empirical data indicate that some measures and actions are needed in the Danube macro-region in order to enhance the culture-based awareness of its citizens and intensify the intercultural cooperation. The establishment of a University Centre for Cultural Diplomacy in the Danube Region (UCDR is presented as a possible tool for the achievement of this goal. Implications: The results of the study can be interesting for public authorities and academics. Value: the promotion of the idea for UCDR is the first of its kind.

  14. Intensified summer monsoon and the urbanization of Indus Civilization in northwest India.

    Science.gov (United States)

    Dixit, Yama; Hodell, David A; Giesche, Alena; Tandon, Sampat K; Gázquez, Fernando; Saini, Hari S; Skinner, Luke C; Mujtaba, Syed A I; Pawar, Vikas; Singh, Ravindra N; Petrie, Cameron A

    2018-03-09

    Today the desert margins of northwest India are dry and unable to support large populations, but were densely occupied by the populations of the Indus Civilization during the middle to late Holocene. The hydroclimatic conditions under which Indus urbanization took place, which was marked by a period of expanded settlement into the Thar Desert margins, remains poorly understood. We measured the isotopic values (δ 18 O and δD) of gypsum hydration water in paleolake Karsandi sediments in northern Rajasthan to infer past changes in lake hydrology, which is sensitive to changing amounts of precipitation and evaporation. Our record reveals that relatively wet conditions prevailed at the northern edge of Rajasthan from ~5.1 ± 0.2 ka BP, during the beginning of the agricultural-based Early Harappan phase of the Indus Civilization. Monsoon rainfall intensified further between 5.0 and 4.4 ka BP, during the period when Indus urban centres developed in the western Thar Desert margin and on the plains of Haryana to its north. Drier conditions set in sometime after 4.4 ka BP, and by ~3.9 ka BP an eastward shift of populations had occurred. Our findings provide evidence that climate change was associated with both the expansion and contraction of Indus urbanism along the desert margin in northwest India.

  15. Climate change and ocean deoxygenation within intensified surface-driven upwelling circulations.

    Science.gov (United States)

    Bakun, Andrew

    2017-09-13

    Ocean deoxygenation often takes place in proximity to zones of intense upwelling. Associated concerns about amplified ocean deoxygenation arise from an arguable likelihood that coastal upwelling systems in the world's oceans may further intensify as anthropogenic climate change proceeds. Comparative examples discussed include the uniquely intense seasonal Somali Current upwelling, the massive upwelling that occurs quasi-continuously off Namibia and the recently appearing and now annually recurring 'dead zone' off the US State of Oregon. The evident 'transience' in causal dynamics off Oregon is somewhat mirrored in an interannual-scale intermittence in eruptions of anaerobically formed noxious gases off Namibia. A mechanistic scheme draws the three examples towards a common context in which, in addition to the obvious but politically problematic remedy of actually reducing 'greenhouse' gas emissions, the potentially manageable abundance of strongly swimming, finely gill raker-meshed small pelagic fish emerges as a plausible regulating factor.This article is part of the themed issue 'Ocean ventilation and deoxygenation in a warming world'. © 2017 The Author(s).

  16. Intensifying the Casimir force between two silicon substrates within three different layers of materials

    International Nuclear Information System (INIS)

    Seyedzahedi, A.; Moradian, A.; Setare, M.R.

    2016-01-01

    We investigate the Casimir force for a system composed of two thick slabs as substrates within three different homogeneous layers. We use the scattering approach along with the Matsubara formalism in order to calculate the Casimir force at finite temperature. First, we focus on constructing the reflection matrices and then we calculate the Casimir force for a water–lipid system. According to the conventional use of silicon as a substrate, we apply the formalism to calculate the Casimir force for layers of Au, VO 2 , mica, KCl and foam rubber on the thick slabs of silicon. Afterwards, introducing an increasing factor, we compare our results with Lifshitz force in the vacuum between two semispaces of silicon in order to illustrate the influence of the layers on intensifying the Casimir force. We also calculate the Casimir force between two slabs of the forementioned materials with finite thicknesses to indicate the substrate's role in increasing the obtained Casimir force. Our simple calculation is interesting since one can extend it along with the Rigorous Coupled Wave Analysis to systems containing inhomogeneous layers as good candidates for designing nanomechanical devices.

  17. Intensifying the Casimir force between two silicon substrates within three different layers of materials

    Energy Technology Data Exchange (ETDEWEB)

    Seyedzahedi, A. [Department of Science, University of Kurdistan, Sanandaj (Iran, Islamic Republic of); Moradian, A., E-mail: a.moradian@uok.ac.ir [Department of Science, Campus of Bijar, University of Kurdistan, Bijar (Iran, Islamic Republic of); Setare, M.R., E-mail: rezakord@ipm.ir [Department of Science, University of Kurdistan, Sanandaj (Iran, Islamic Republic of)

    2016-04-01

    We investigate the Casimir force for a system composed of two thick slabs as substrates within three different homogeneous layers. We use the scattering approach along with the Matsubara formalism in order to calculate the Casimir force at finite temperature. First, we focus on constructing the reflection matrices and then we calculate the Casimir force for a water–lipid system. According to the conventional use of silicon as a substrate, we apply the formalism to calculate the Casimir force for layers of Au, VO{sub 2}, mica, KCl and foam rubber on the thick slabs of silicon. Afterwards, introducing an increasing factor, we compare our results with Lifshitz force in the vacuum between two semispaces of silicon in order to illustrate the influence of the layers on intensifying the Casimir force. We also calculate the Casimir force between two slabs of the forementioned materials with finite thicknesses to indicate the substrate's role in increasing the obtained Casimir force. Our simple calculation is interesting since one can extend it along with the Rigorous Coupled Wave Analysis to systems containing inhomogeneous layers as good candidates for designing nanomechanical devices.

  18. Early 20th Century Arctic Warming Intensified by Pacific and Atlantic Multidecadal Variability

    Science.gov (United States)

    Tokinaga, H.; Xie, S. P.; Mukougawa, H.

    2017-12-01

    We investigate the influence of Pacific and Atlantic multidecadal variability on the Arctic temperature, with a particular focus on the early 20th century Arctic warming. Arctic surface air temperature increased rapidly over the early 20th century, at rates comparable to those of recent decades despite much weaker greenhouse gas forcing than at present. We find that the concurrent phase shift of Pacific and Atlantic multidecadal variability is the major driver for the early 20th century Arctic warming. Atmospheric model simulations reproduce the early Arctic warming when the interdecadal variability of sea surface temperature (SST) is properly prescribed. The early Arctic warming is associated with the cold-to-warm phase shifts of Atlantic and Pacific multidecadal variability modes, a SST pattern reminiscent of the positive phase of the Pacific decadal and Atlantic multidecadal oscillations. The extratropical North Atlantic and North Pacific SST warming strengthens surface westerly winds over northern Eurasia, intensifying the warming there. The equatorial Pacific warming deepens the Aleutian low, advecting warm air to the North American Arctic. Coupled ocean-atmosphere simulations support the constructive intensification of Arctic warming by a concurrent, cold-to-warm phase shift of the Pacific and Atlantic multidecadal variability. Our results aid attributing the historical Arctic warming and thereby constrain the amplified warming projected for this important region.

  19. Early 20th-century Arctic warming intensified by Pacific and Atlantic multidecadal variability

    Science.gov (United States)

    Tokinaga, Hiroki; Xie, Shang-Ping; Mukougawa, Hitoshi

    2017-06-01

    With amplified warming and record sea ice loss, the Arctic is the canary of global warming. The historical Arctic warming is poorly understood, limiting our confidence in model projections. Specifically, Arctic surface air temperature increased rapidly over the early 20th century, at rates comparable to those of recent decades despite much weaker greenhouse gas forcing. Here, we show that the concurrent phase shift of Pacific and Atlantic interdecadal variability modes is the major driver for the rapid early 20th-century Arctic warming. Atmospheric model simulations successfully reproduce the early Arctic warming when the interdecadal variability of sea surface temperature (SST) is properly prescribed. The early 20th-century Arctic warming is associated with positive SST anomalies over the tropical and North Atlantic and a Pacific SST pattern reminiscent of the positive phase of the Pacific decadal oscillation. Atmospheric circulation changes are important for the early 20th-century Arctic warming. The equatorial Pacific warming deepens the Aleutian low, advecting warm air into the North American Arctic. The extratropical North Atlantic and North Pacific SST warming strengthens surface westerly winds over northern Eurasia, intensifying the warming there. Coupled ocean-atmosphere simulations support the constructive intensification of Arctic warming by a concurrent, negative-to-positive phase shift of the Pacific and Atlantic interdecadal modes. Our results aid attributing the historical Arctic warming and thereby constrain the amplified warming projected for this important region.

  20. Climate change and ocean deoxygenation within intensified surface-driven upwelling circulations

    Science.gov (United States)

    Bakun, Andrew

    2017-08-01

    Ocean deoxygenation often takes place in proximity to zones of intense upwelling. Associated concerns about amplified ocean deoxygenation arise from an arguable likelihood that coastal upwelling systems in the world's oceans may further intensify as anthropogenic climate change proceeds. Comparative examples discussed include the uniquely intense seasonal Somali Current upwelling, the massive upwelling that occurs quasi-continuously off Namibia and the recently appearing and now annually recurring `dead zone' off the US State of Oregon. The evident `transience' in causal dynamics off Oregon is somewhat mirrored in an interannual-scale intermittence in eruptions of anaerobically formed noxious gases off Namibia. A mechanistic scheme draws the three examples towards a common context in which, in addition to the obvious but politically problematic remedy of actually reducing `greenhouse' gas emissions, the potentially manageable abundance of strongly swimming, finely gill raker-meshed small pelagic fish emerges as a plausible regulating factor. This article is part of the themed issue 'Ocean ventilation and deoxygenation in a warming world'.

  1. Dynamic flat panel detector versus image intensifier in cardiac imaging: dose and image quality

    Science.gov (United States)

    Vano, E.; Geiger, B.; Schreiner, A.; Back, C.; Beissel, J.

    2005-12-01

    The practical aspects of the dosimetric and imaging performance of a digital x-ray system for cardiology procedures were evaluated. The system was configured with an image intensifier (II) and later upgraded to a dynamic flat panel detector (FD). Entrance surface air kerma (ESAK) to phantoms of 16, 20, 24 and 28 cm of polymethyl methacrylate (PMMA) and the image quality of a test object were measured. Images were evaluated directly on the monitor and with numerical methods (noise and signal-to-noise ratio). Information contained in the DICOM header for dosimetry audit purposes was also tested. ESAK values per frame (or kerma rate) for the most commonly used cine and fluoroscopy modes for different PMMA thicknesses and for field sizes of 17 and 23 cm for II, and 20 and 25 cm for FD, produced similar results in the evaluated system with both technologies, ranging between 19 and 589 µGy/frame (cine) and 5 and 95 mGy min-1 (fluoroscopy). Image quality for these dose settings was better for the FD version. The 'study dosimetric report' is comprehensive, and its numerical content is sufficiently accurate. There is potential in the future to set those systems with dynamic FD to lower doses than are possible in the current II versions, especially for digital cine runs, or to benefit from improved image quality.

  2. Star tracking method based on multiexposure imaging for intensified star trackers.

    Science.gov (United States)

    Yu, Wenbo; Jiang, Jie; Zhang, Guangjun

    2017-07-20

    The requirements for the dynamic performance of star trackers are rapidly increasing with the development of space exploration technologies. However, insufficient knowledge of the angular acceleration has largely decreased the performance of the existing star tracking methods, and star trackers may even fail to track under highly dynamic conditions. This study proposes a star tracking method based on multiexposure imaging for intensified star trackers. The accurate estimation model of the complete motion parameters, including the angular velocity and angular acceleration, is established according to the working characteristic of multiexposure imaging. The estimation of the complete motion parameters is utilized to generate the predictive star image accurately. Therefore, the correct matching and tracking between stars in the real and predictive star images can be reliably accomplished under highly dynamic conditions. Simulations with specific dynamic conditions are conducted to verify the feasibility and effectiveness of the proposed method. Experiments with real starry night sky observation are also conducted for further verification. Simulations and experiments demonstrate that the proposed method is effective and shows excellent performance under highly dynamic conditions.

  3. Study on measurement conformity to JIS of relative conversion factor in image intensifier

    International Nuclear Information System (INIS)

    Seguchi, Shigenobu; Ishikawa, Yoshinobu; Kuwahara, Kazuyoshi; Kawai, Kiyomi; Ohbo, Isamu; Mizuno, Shouta; Nakamura, Akio

    1997-01-01

    Relative conversion factor (Gx) measurement with certain reappearance is necessary for the management of fatigue over the course of time in an image intensifier (I.I.). Therefore it is desirable to make the measurement method as close as possible to the Japanese Industrial Standards (JIS). We studied a relative Gx measurement method on the premise that it is done by the user. Study of both output luminance and exposure rate indicated that Gx depends on radiation quality. The exposure rate increased by up to about 10% as a result of back scatter from the I.I. when measuring. We measured luminance through the first lens because it is difficult to measure I.I. output fluorescence by output luminance. When the distance between first lens and the luminance meter is within 30 cm to 120 cm, output luminance is not influenced by measurement distance. When measuring reflection luminance from the distributor mirror, we must pay attention to the distribution rate. A luminance measurement area within the cine iris diameter makes it possible to measure from the cine camera output. (author)

  4. Intensified imaging photon-counting technology for enhanced flash lidar performance

    Science.gov (United States)

    Grund, Christian J.; Harwit, Alex

    2010-04-01

    Intensified Imaging Photon Counting (I2PC) is a new approach to flash lidar that employs direct coupling of a photocathode and microchannel plate front end to a high-speed, pipelined, all-digital ASIC to achieve photon-counting temporal waveform capture in each pixel on each laser return pulse. A unique characteristic of the Ball architecture is the absence of analog components that limit temporal resolution and dynamic range. Implemented in 65nm CMOS technology, the current generation I2PC is expected to record up to 300 photon arrivals in each pixel with 100 ps resolution on each pulse return, and with up to 6000 range bins in each 55 μm pixel. Additional advantages of this architecture are operation at any wavelength where photocathodes are available, intrinsically low f/# and high fill factor capability, array sizes to >3000×3000 pixels with COTS components, extremely high dynamic range, and extremely low false alarm rates. In addition to long-range and low-power hard target imaging, I2PC extends the scannerless capabilities of flash lidar to distributed target applications such as range-resolved waveform captures for atmospheric aerosol and chemistry sensing, vegetation canopies, and camouflage penetration. As a passive imager, I2PC also brings unprecedented speed and dynamic range to low-light and UV imaging applications.

  5. Root growth of tomato seedlings intensified by humic substances from peat bogs

    Directory of Open Access Journals (Sweden)

    Alexandre Christofaro Silva

    2011-10-01

    Full Text Available Peats are an important reserve of humified carbon in terrestrial ecosystems. The interest in the use of humic substances as plant growth promoters is continuously increasing. The objective of this study was to evaluate the bioactivity of alkaline soluble humic substances (HS, humic (HA and fulvic acids (FA isolated from peats with different decomposition stages of organic matter (sapric, fibric and hemic in the Serra do Espinhaço Meridional, state of Minas Gerais. Dose-response curves were established for the number of lateral roots growing from the main plant axis of tomato seedlings. The bioactivity of HA was greatest (highest response in lateral roots at lowest concentration while FA did not intensify root growth. Both HS and HA stimulated root hair formation. At low concentrations, HS and HA induced root hair formation near the root cap, a typical hormonal imbalance effect in plants. Transgenic tomato with reporter gene DR5::GUS allowed the observation that the auxin-related signalling pathway was involved in root growth promotion by HA.

  6. Partitioning oxidative fuels during cold exposure in humans: muscle glycogen becomes dominant as shivering intensifies

    Science.gov (United States)

    Haman, François; Péronnet, François; Kenny, Glen P; Massicotte, Denis; Lavoie, Carole; Weber, Jean-Michel

    2005-01-01

    The effects of changes in shivering intensity on the relative contributions of plasma glucose, muscle glycogen, lipids and proteins to total heat production are unclear in humans. The goals of this study were: (1) to determine whether plasma glucose starts playing a more prominent role as shivering intensifies, (2) to quantify overall changes in fuel use in relation to the severity of cold exposure, and (3) to establish whether the fuel selection pattern of shivering is different from the classic fuel selection pattern of exercise. Using a combination of indirect calorimetry and stable isotope methodology, fuel metabolism was monitored in non-acclimatized adult men exposed for 90 mins to 10°C (low-intensity shivering (L)) or 5°C (moderate-intensity shivering (M)). Results show that plasma glucose oxidation is strongly stimulated by moderate shivering (+122% from L to M), but the relative contribution of this pathway to total heat generation always remains minor (shivering (∼30% for M). We conclude that shivering and exercise of similar energy requirements appear to be supported by different fuel mixtures. Investigating the physiological mechanisms underlying why a muscle producing only heat (shivering), or significant movement (exercise), shows a different pattern of fuel selection at the same power output strikes us as a fascinating area for future research. PMID:15831534

  7. Intensified voice therapy: a new model for the rehabilitation of patients suffering from functional dysphonias.

    Science.gov (United States)

    Fischer, Michael J; Gutenbrunner, Christoph; Ptok, Martin

    2009-12-01

    The objective of this study was to evaluate a new intervention for chronic dysphonias, consisting of a 2-week outpatient treatment period using intensified voice therapy combined with elements of physical medicine, including physiotherapy (orthotherapy, detonisation and training of the trunk muscles, respiratory therapy and others), manual therapy (mobilization of the cervical spine), inhalations, vibration massages, thermotherapy, classical massages and active relaxation (e.g. autogenic training, progressive muscle relaxation). In addition, the autonomous regulation was influenced by hydrotherapy according to Kneipp. A handicap questionnaire was given to 37 patients with diverse aetiologies of dysphonia before and after intervention. The change score was compared between baseline handicap levels (none, mild, moderate, severe), and between patients with organic and functional dysphonias. The questionnaire was also given to 40 healthy volunteers for comparison with patients' baseline values. Overall handicap was significantly reduced in patients with moderate baseline handicap values, whereas no significant changes could be detected in patients with severe handicap; patients with mild handicap values did receive some benefit. A significant difference in the intervention outcome was found between patients with organic and functional dysphonias. In conclusion, the results suggest that ambulatory rehabilitative measures are most effective in patients with moderate functional dysphonias, and that severe dysphonias with organic backgrounds may require longer rehabilitation phases.

  8. Ambient light effect on the uniformity of image intensifier fluorescence screen brightness

    Science.gov (United States)

    Qiu, YaFeng; Chang, BenKang; Sun, LianJun; Zhang, JunJu; Gao, YouTang; Fu, RongGuo

    2008-02-01

    When testing the uniformity of Image intensifier fluorescence screen brightness, the million scale CCD brightness meter is used. Due to the distance between the meter and fluorescence screen, the effect of ambient light on the testing result is essential to the design of testing system. Test with super second generation tube, input a constant voltage to insure the fluorescence screen brightness to be constant. Collect the brightness of the same fluorescence screen in different ambient luminance environment of 1×102Lx, 1×101Lx, 1Lx, 1×10-1Lx, 1×10-2Lx, 1×10-3Lx. Study the results with software MATLAB. It is concluded as: In ambient luminance environment of 1×10-1Lx the CCD has the best result. The testing result in ambient luminance environment of above 1×103Lx show untrue image. The testing result in ambient luminance environment of below 1×10-3Lx shows its own noise image and is unbelievable either.

  9. An Intensified Photodiode Array for Characterizing Argon Plasma Jets on the Plasma Liner Experiment

    Science.gov (United States)

    Davis, J. S.; Awe, T. J.; Hsu, S. C.; Case, A.

    2011-10-01

    The Plasma Liner Experiment (PLX) will merge 30 high Mach number plasma jets to form an imploding spherical plasma liner for high energy density physics and magneto-inertial fusion studies. The peak stagnation pressures achieved will be highly dependent on the implosion velocity of the liner, which is in turn dependent on the velocities of the merging plasma jets. For initial experiments characterizing single jet propagation, an array of three intensified photodiode (gain of roughly 25 dB and a spectral range of 350-1100 nm) will be used to measure the jet's velocity (up to 50 km/s) and acceleration (if any) as it travels from the chamber wall toward the center of a 9 ft. diameter spherical vacuum chamber. By adding filters to the photodiodes, it will be possible to correlate stages of jet evolution to specific argon emission lines, thus providing information on the state of the argon plasma as it propagates. Alignment and light collection are achieved via an aperture, lens, and fiber optic chain with the photodiodes themselves situated in an electromagnetically shielded ``screen cage.'' This poster will discuss the detailed design, setup, alignment, and initial experimental data of the photodiode array. Supported by DOE Fusion Energy Sciences.

  10. Identifying solar energy potentials and intensifying the climate-friendly use of photovoltaics within urban areas.

    Science.gov (United States)

    de Lange, N.

    2016-04-01

    Limited non-renewable fossil energy reserves and the essential ideas of sustainability have caused an increase in the demand for solar energy. The intensified use of renewable energy in Germany is primarily encouraged by the German renewable-energy-law. Solar panels mounted on roofs generate electricity using the energy radiated from the sun by taking advantage of the photovoltaic effect. However, not every roof is usable for power generation through solar energy. Therefore, web-based solar energy registers for multiple regions in Germany have been developed that provide detailed information on roofs suitable for carrying solar panels. The analyses are based on a digital object model derived from airborne laser scanning data of high accuracy and a fully automated technology to classify the points. First, roof points are separated according to their single roof sides and are converted into polygons. Then, exposure, slope, size of the roof, and particularly shading effects are computed to calculate the solar potential of each roof side. The web-GIS provides detailed information about the roof's suitability, such as the installable capacity and the expected generation of electricity. Thus, it helps house owners to calculate their investment and later revenues.

  11. Multiscale hydrodynamic investigation to intensify the biogas production in upflow anaerobic reactors.

    Science.gov (United States)

    Jiang, Jiankai; Wu, Jing; Zhang, Jinbai; Poncin, Souhila; Li, Huai Z

    2014-03-01

    Hydrodynamics plays a main role for the performance of an anaerobic reactor involving three phases: wastewater, sludge granules and biogas bubbles. The present work was focused on an original approach to investigate the hydrodynamics at different scales and then to intensify the performance of such complex reactors. The experiments were carried out respectively in a 3D reactor at macroscale, a 2D reactor at mesoscale and a 1D anaerobic reactor at microscale. A Particle Image Velocimetry (PIV), a micro-PIV and a high-speed camera were employed to quantify the liquid flow fields and the relative motion between sludge granules and bubbles. Shear rates exerted on sludge granules were quantified from liquid flow fields. The optimal biogas production is obtained at mean shear rate varying from 28 to 48s(-1), which is controlled by two antagonistic mechanisms. The multiscale approach demonstrates pertinent mechanisms proper to each scale and allows a better understanding of such reactors. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Early 20th-century Arctic warming intensified by Pacific and Atlantic multidecadal variability.

    Science.gov (United States)

    Tokinaga, Hiroki; Xie, Shang-Ping; Mukougawa, Hitoshi

    2017-06-13

    With amplified warming and record sea ice loss, the Arctic is the canary of global warming. The historical Arctic warming is poorly understood, limiting our confidence in model projections. Specifically, Arctic surface air temperature increased rapidly over the early 20th century, at rates comparable to those of recent decades despite much weaker greenhouse gas forcing. Here, we show that the concurrent phase shift of Pacific and Atlantic interdecadal variability modes is the major driver for the rapid early 20th-century Arctic warming. Atmospheric model simulations successfully reproduce the early Arctic warming when the interdecadal variability of sea surface temperature (SST) is properly prescribed. The early 20th-century Arctic warming is associated with positive SST anomalies over the tropical and North Atlantic and a Pacific SST pattern reminiscent of the positive phase of the Pacific decadal oscillation. Atmospheric circulation changes are important for the early 20th-century Arctic warming. The equatorial Pacific warming deepens the Aleutian low, advecting warm air into the North American Arctic. The extratropical North Atlantic and North Pacific SST warming strengthens surface westerly winds over northern Eurasia, intensifying the warming there. Coupled ocean-atmosphere simulations support the constructive intensification of Arctic warming by a concurrent, negative-to-positive phase shift of the Pacific and Atlantic interdecadal modes. Our results aid attributing the historical Arctic warming and thereby constrain the amplified warming projected for this important region.

  13. Knowledge of integrated management of childhood illnesses community and family practices (C-IMCI) and association with child undernutrition in Northern Uganda: a cross-sectional study.

    Science.gov (United States)

    Mukunya, David; Kizito, Samuel; Orach, Tonny; Ndagire, Regina; Tumwakire, Emily; Rukundo, Godfrey Zari; Mupere, Ezekiel; Kiguli, Sarah

    2014-09-19

    Childhood undernutrition is a major challenge in Uganda with a prevalence of wasting and stunting at 5% and 33%, respectively. Community and family practices of the Integrated Management of Childhood Illnesses (C-IMCI) was introduced in sub-Saharan Africa early after the year 2000. C-IMCI was postulated to address major childhood morbidity and mortality challenges with nutrition as one of the outcomes. The association between knowledge patterns of C-IMCI and undernutrition has not been fully established especially in sub-Saharan Africa. This study was done to address the prevalence of stunting and wasting and the association with the knowledge and practices of C-IMCI among caretakers in Gulu district, Northern Uganda. This was a community-based cross-sectional study among 442 caretaker-child pairs. A standardized questionnaire was employed to assess the knowledge and practices of the C-IMCI among caretakers including four practices: breastfeeding, immunization, micronutrient supplementation and complementary feeding. Weight and height of children (6-60 months) were recorded. Wasting and stunting were defined as weight-for-height and height-for-age z-score, respectively, with a cut-off reporting Odds Ratios (OR) with 95% confidence intervals (CI) was used to explore associations using SAS statistical software. The percentage of caretakers who had adequate knowledge on C-IMCI (basic knowledge within each pillar) was 13%. The prevalence of wasting and stunting were 8% and 21%, respectively. Caretakers' lack of knowledge of C-IMCI was associated with both wasting (OR 24.5, 95% CI 4.2-143.3) and stunting (OR 4.0, 95% CI 1.3-12.4). Rural residence was also associated with both wasting (OR = 3.1, 95% CI 1.5-6.5) and stunting (OR = 1.7, 95% CI 1.0-2.7). Children younger than 25 months were more likely to be wasted (OR = 3.3, 95% CI 1.7-10.0). We found a low level of overall knowledge of the C-IMCI of 13.3% (n = 59). There is also a high prevalence of childhood

  14. Social determinants of inequities in under-nutrition (weight-for-age) among under-5 children: a cross sectional study in Gumla district of Jharkhand, India.

    Science.gov (United States)

    Chatterjee, Keya; Sinha, Rajesh Kumar; Kundu, Alok Kumar; Shankar, Dhananjay; Gope, Rajkumar; Nair, Nirmala; Tripathy, Prasanta K

    2016-07-08

    Jharkhand, a state with substantial tribal population in Eastern India has very high rate of undernutrition. The study tries to understand the social determinants of inequities in under-nutrition (weight-for-age) among children aged less than 5 years, in Gumla District of the State. Cross sectional study of 1070 children from 32 villages of 4 Blocks of Gumla District. 54.3 % (95 % CI 51.3-57.3) children were found to be underweight (less than -2SD), with insignificant difference between girls and boys. Multivariate analysis showed that poverty was the single most important predictor of undernutrition, where a child from the poorest quintile was 70 % more likely to be underweight (aOR 1.70, CI 1.13-2.57), compared to one from the least poor group (Quintile 5). While the difference in weight-for-age status between Scheduled Tribes and "OBC and other communities" was non-significant (95 % OR 1.12, CI 0.88-1.42) in the study context; community disaggregated data revealed that there were large variations within the tribal community, and numerically smaller communities also ranked lower in wealth, and their children showed poorer nutritional status. Other factors like maternal education beyond matriculation level also had some bearing. Bivariate analysis showed that chances of a child being underweight (Educational attainment of mothers did not show any significant difference between tribal and non-tribal communities. Overall nutritional status of children in Gumla is very grim and calls for immediate interventions, with universal coverage. Risk was almost equal for both genders, and for tribal and non-tribal population, though within tribal communities, it was slightly higher for smaller tribal communities, calling for soft targeting. Comprehensive programme addressing poverty and higher education for girls would be important to overcome the structural barriers, and should be integral part of any intervention. The study highlights the importance of soft targeting

  15. Urogenital schistosomiasis and soil-transmitted helminthiasis (STH) in Cameroon: An epidemiological update at Barombi Mbo and Barombi Kotto crater lakes assessing prospects for intensified control interventions.

    Science.gov (United States)

    Campbell, Suzy J; Stothard, J Russell; O'Halloran, Faye; Sankey, Deborah; Durant, Timothy; Ombede, Dieudonné Eloundou; Chuinteu, Gwladys Djomkam; Webster, Bonnie L; Cunningham, Lucas; LaCourse, E James; Tchuem-Tchuenté, Louis-Albert

    2017-02-27

    The crater lakes of Barombi Mbo and Barombi Kotto are well-known transmission foci of schistosomiasis and soil-transmitted helminthiasis having had several important control initiatives previously. To collect contemporary epidemiological information, a cross-sectional survey was undertaken inclusive of: signs and symptoms of disease, individual treatment histories, local water, sanitation and hygiene (WASH)-related factors and malacological surveillance, with molecular characterisation of specimens. At each lake, a community cross-sectional survey was undertaken using a combination of stool and urine parasitological sampling, and interview with pro-forma questionnaires. A total of 338 children and adults participated. Material from snail and parasite species were characterised by DNA methods. Egg-patent prevalence of urogenital schistosomiasis was 8.7% at Barombi Mbo (all light-intensity infections) and 40.1% at Barombi Kotto (21.2% heavy-intensity infections). Intestinal schistosomiasis was absent. At Barombi Kotto, significantly more women reported signs and symptoms associated with female genital schistosomiasis. While there had been extensive recent improvement in WASH-related infrastructure at Barombi Mbo, water contact risk scores were higher among schistosomiasis-infected participants (P STH was very low (6.3%) evidencing an impressive decrease of 79.0% over the last decade; neither Strongyloides stercoralis nor Ascaris lumbricoides were found. A total of 29 freshwater sampling sites were inspected for snails, 13 in Barombi Mbo and 16 in Barombi Kotto; water chemistry differed significantly (P STH is currently at very low levels while urogenital schistosomiasis is of greatest concern at Barombi Kotto. This assessment highlights a unique opportunity for further study of the epidemiological dynamics at these crater lakes, to evaluate future intensified interventions both in terms of gaining and sustaining control at Barombi Kotto or in moving towards local

  16. Protective roles of selenium and zinc against postnatal protein-undernutrition-induced alterations in Ca(2+)-homeostasis leading to cognitive deficits in Wistar rats.

    Science.gov (United States)

    Adebayo, Olusegun L; Sandhir, Rajat; Adenuga, Gbenga A

    2015-06-01

    Postnatal protein-undernutrition impacts on mental development and cognition in children and can lead to problem with attention and unresponsiveness which compromise children's ability to learn. These behavioral disorders might be due to alteration in calcium homeostasis as calcium plays critical roles in fundamental functions of neuron. The role of low protein diet as well as Se and Zn supplementation on intracellular calcium concentration ([Ca(2+)]i), Ca(2+)-ATPase, Na(+)-K(+)-ATPase, calpain and caspase-3 activities from rat cortex and cerebellum were investigated. Well-fed (WF) and low protein diet-fed (LPDF) rats were given diets containing 16% and 5% casein, respectively, for a period of 10 weeks. Then, the rats were supplemented with Se and Zn at a concentration of 0.15 mgL(-1) and 227 mgL(-1), respectively, in drinking water for 3 weeks. The results obtained from the study showed a significant increase in [Ca(2+)]i; calpain and caspase-3 activities as well as increase transfer latency in water maze study and reductions in Ca(2+)-ATPase and Na(+)-K(+)-ATPase activities for LPDF rats compared to WF rats. Se and Zn supplementation to LPDF rats reversed the elevation in [Ca(2+)]i, calpain and caspase-3 activities and restored the cognitive deficits and the activities of Ca(2+)-ATPase and Na(+)-K(+)-ATPase. Conclusively, protein-undernutrition results in the accumulation of synaptosomal calcium and inhibition of calcium transporters presumably via free radical generations and results in cognitive impairment which also probably results from neuronal death in rats through calpain activation and the caspase cascade mechanisms. However, Se and Zn supplementations ameliorated the anomalies observed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Validity and user-friendliness of the minimal eating observation and nutrition form – version II (MEONF – II for undernutrition risk screening

    Directory of Open Access Journals (Sweden)

    Christina Vallén

    2011-01-01

    Full Text Available Objective: To analyze the criterion-related validity and user-friendliness of the Minimal Eating Observation and Nutrition Form – Version II (MEONF – II and Malnutrition Universal Screening Tool (MUST in relation to the Mini Nutritional Assessment (MNA. In addition, the effect of substituting body mass index (BMI with calf circumference (CC was explored for the MEONF-II. Methods: The study included 100 patients who were assessed for nutritional status with the MNA (full version, considered here to be the gold standard, and screened with the MUST and the MEONF-II. The MEONF-II includes assessments of involuntary weight loss, BMI (or calf circumference, eating difficulties, and presence of clinical signs of undernutrition. Results: The MEONF-II sensitivity (0.73 and specificity (0.88 were acceptable. Sensitivity and specificity for the MUST were 0.57 and 0.93, respectively. Replacing the BMI with CC in the MEONF-II gave similar results (sensitivity 0.68, specificity 0.90. Assessors considered MEONF-II instructions and items to be relevant, easy to understand and complete (100%, and the questions to be relevant (98%. MEONF-II and MUST took 8.8 and 4.7 minutes to complete, respectively, and both were considered relevant and easy to finish. In addition, MEONF-II was thought to reveal problems that allows for nursing interventions. Conclusions: The MEONF-II is an easy to use, relatively quick, and sensitive screening tool to assess risk of undernutrition among hospital inpatients, which allows for substituting BMI with CC in situations where measures of patient height and weight cannot be easily obtained. High sensitivity is of primary concern in nutritional screening and the MEONF-II outperforms the MUST in this regard.

  18. Embryonic protein undernutrition by albumen removal programs the hepatic amino acid and glucose metabolism during the perinatal period in an avian model.

    Directory of Open Access Journals (Sweden)

    Els Willems

    Full Text Available Different animal models have been used to study the effects of prenatal protein undernutrition and the mechanisms by which these occur. In mammals, the maternal diet is manipulated, exerting both direct nutritional and indirect hormonal effects. Chicken embryos develop independent from the hen in the egg. Therefore, in the chicken, the direct effects of protein deficiency by albumen removal early during incubation can be examined. Prenatal protein undernutrition was established in layer-type eggs by the partial replacement of albumen by saline at embryonic day 1 (albumen-deprived group, compared to a mock-treated sham and a non-treated control group. At hatch, survival of the albumen-deprived group was lower compared to the control and sham group due to increased early mortality by the manipulation. No treatment differences in yolk-free body weight or yolk weight could be detected. The water content of the yolk was reduced, whereas the water content of the carcass was increased in the albumen-deprived group, compared to the control group, indicating less uptake of nutrients from the yolk. At embryonic day 16, 20 and at hatch, plasma triiodothyronine (T3, corticosterone, lactate or glucose concentrations and hepatic glycogen content were not affected by treatment. At embryonic day 20, the plasma thyroxine (T4 concentrations of the albumen-deprived embryos was reduced compared to the control group, indicating a decreased metabolic rate. Screening for differential protein expression in the liver at hatch using two-dimensional difference gel electrophoresis revealed not only changed abundance of proteins important for amino acid metabolism, but also of enzymes related to energy and glucose metabolism. Interestingly, GLUT1, a glucose transporter, and PCK2 and FBP1, two out of three regulatory enzymes of the gluconeogenesis were dysregulated. No parallel differences in gene expressions causing the differences in protein abundance could be detected

  19. Exposure to Hyperbaric Oxygen Intensified Vancomycin-Induced Nephrotoxicity in Rats.

    Directory of Open Access Journals (Sweden)

    Itay M Sabler

    Full Text Available It has been suggested that oxidative stress is a potential mechanism for vancomycin-induced nephrotoxicity and hyperbaric oxygen therapy (HBO has been shown to be effective in treating renal toxicity that has been pharmacologically induced in animal models. The aim of this study was to investigate the effect of HBO therapy on vancomycin-induced nephrotoxicity in rats. The study group comprised 36 Sprague Dawley male rats. We treated 30 with 500 mg/kg of intraperitoneal vancomycin once a day for 7 days. Half of these rats received a daily 1-hour treatment with HBO at 2 Atmospheres (ATM on the same 7 days and formed the HBO+ group. The other 15 subjects received no HBO treatment (HBO- group. The remaining six rats served as the control group, three received HBO treatments alone and no treatment was administered to the other three rats. Laboratory results were obtained on day 8 and the intervention and control groups were compared. Rats in the HBO+ group gained less weight than the HBO- group (11.6 grams vs 22.6 grams; P = 0,008 and had significantly higher serum blood urea nitrogen (99.6 vs 52.6 mg/dL; P<0.001, serum creatinine (0.42 vs 0.16 mg/dL; P = 0.001 and magnesium (3.6 vs 3.1 mg/dL; P = 0.014. The vancomycin blood levels were also higher in the HBO+ group (27.8 vs 6.7 μg/mL; P = 0.078. There were no pathological kidney changes in the control group. All the kidneys from the treated groups (vancomycin +HBO and vancomycin HBO- showed moderate to severe histopathological changes with no statistical significance between them. This study demonstrated that exposure to hyperbaric oxygen intensified vancomycin-induced nephrotoxicity in rats.

  20. Impact of improving postprandial glycemic control with intensifying insulin therapy in type 2 diabetes.

    Science.gov (United States)

    Yacoub, Tamer

    2017-11-01

    Worldwide, many people with type 2 diabetes are not at recommended glycemic targets and remain at increased risk of microvascular and macrovascular complications. Reaching recommended glycemic targets requires normalizing both fasting and postprandial glucose (PPG). For some patients, this will require addition of a prandial insulin delivered by injection to control PPG excursions. Evidence from epidemiological studies suggests an association between postprandial hyperglycemia and cardiovascular disease, and thus, expert guidelines recommend that treatment for elevated PPG not be delayed. Indeed, studies have demonstrated that PPG makes the greatest contribution to HbA 1c in patients who are approaching, but have not yet reached HbA 1c insulin is critical in suppressing hepatic glucose output (and therefore PPG levels) after a meal. Rapid-acting insulin analogs, with their faster onset and shorter duration of action, offer advantages over regular human insulin. Unfortunately, even with improved pharmacokinetic/pharmacodynamic characteristics, rapid-acting insulin analogs are still unable to fully reproduce the rapid release of insulin into the portal circulation and suppression of hepatic glucose output that occurs in the individual without diabetes after starting a meal. The next generation of rapid-acting insulin analogs will have an even more favorable pharmacokinetic profile that should allow patients to further improve glycemic control. Continuous subcutaneous insulin infusion (CSII) represents another option for intensifying therapy and improving postprandial control in some patients, and studies have shown that the benefits are sustainable long-term. However, it is currently unclear which patients stand to benefit the most from the extra expense and complexity of a CSII regimen, and further studies are needed.

  1. Enzymatically modified isoquercitrin supplementation intensifies plantaris muscle fiber hypertrophy in functionally overloaded mice.

    Science.gov (United States)

    Kohara, Akiko; Machida, Masanao; Setoguchi, Yuko; Ito, Ryouichi; Sugitani, Masanori; Maruki-Uchida, Hiroko; Inagaki, Hiroyuki; Ito, Tatsuhiko; Omi, Naomi; Takemasa, Tohru

    2017-01-01

    Enzymatically modified isoquercitrin (EMIQ) is produced from rutin using enzymatic hydrolysis followed by treatment with glycosyltransferase in the presence of dextrin to add glucose residues. EMIQ is absorbed in the same way as quercetin, a powerful antioxidant reported to prevent disused muscle atrophy by targeting mitochondria and to have ergogenic effects. The present study investigated the effect of EMIQ on skeletal muscle hypertrophy induced by functional overload. In Study 1, 6-week-old ICR male mice were divided into 4 groups: sham-operated control, sham-operated EMIQ, overload-operated control, and overload-operated EMIQ groups. In Study 2, mice were divided into 3 groups: overload-operated whey control, overload-operated whey/EMIQ (low dose), and overload-operated whey/EMIQ (high dose) groups. The functional overload of the plantaris muscle was induced by ablation of the synergist (gastrocnemius and soleus) muscles. EMIQ and whey protein were administered with food. Three weeks after the operation, the cross-sectional area and minimal fiber diameter of the plantaris muscle fibers were measured. In Study 1, functional overload increased the cross-sectional area and minimal fiber diameter of the plantaris muscle. EMIQ supplementation significantly increased the cross-sectional area and minimal fiber diameter of the plantaris muscle in both the sham-operated and overload-operated groups. In Study 2, EMIQ supplementation combined with whey protein administration significantly increased the cross-sectional area and minimal fiber diameter of the plantaris muscle. EMIQ, even when administered as an addition to whey protein supplementation, significantly intensified the fiber hypertrophy of the plantaris muscle in functionally overloaded mice. EMIQ supplementation also induced fiber hypertrophy of the plantaris in sham-operated mice.

  2. Intensified association between waist circumference and hypertension in abdominally overweight children.

    Science.gov (United States)

    Dong, Bin; Wang, Zhiqiang; Yang, Yide; Wang, Hai-Jun; Ma, Jun

    2016-01-01

    Abdominal adiposity is an important risk factor for childhood hypertension. The present study aimed to compare the strength of the association between waist circumference (WC) and hypertension in children with different WC levels. A total of 82,413 Chinese children aged 9-17 years were selected. An abdominally overweight child was defined as a child with WC ≥75th sex- and age-specific percentile. Hypertension was categorised as ≥95th sex-, age- and height-specific percentile. Logistic regression model was applied to calculate the odds ratio (OR) and 95% confidence interval (CI) of WC for hypertension after WC was transformed into sex- and age-specific z-score. Abdominally overweight children presented a higher risk of hypertension (OR: 2.39; 95% CI: 2.26, 2.54) than children with normal WC. In children with normal WC, one sex- and age-specific standard deviation increase in WC was associated with a 42% increase in odds of hypertension (OR: 1.42; 95% CI: 1.30, 1.55). That increase was elevated to 74% in abdominally overweight children (OR: 1.74; 95% CI: 1.66, 1.82). A similar pattern was also observed in different sex and area groups, and in children 9-14 years old. An intensified association between WC and hypertension was observed in abdominally overweight Chinese children. The gain in WC was associated with greater increase in hypertensive risk in abdominally overweight children than that of children with normal WC. These findings could improve intervention strategies for hypertension risk reduction in children. Copyright © 2015 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  3. Cough and expiration reflexes elicited by inhaled irritant gases are intensified in ovalbumin-sensitized mice.

    Science.gov (United States)

    Zhang, Cheng; Lin, Ruei-Lung; Hong, Jeff; Khosravi, Mehdi; Lee, Lu-Yuan

    2017-05-01

    This study was designed to determine the effect of active sensitization with ovalbumin (Ova) on cough responses to inhaled irritant gases in mice. Conscious mice moved freely in a recording chamber, while the pressure change in the chamber and audio and video signals of the mouse movements were recorded simultaneously to measure the frequencies of cough reflex (CR) and expiration reflex (ER). To further verify the accuracy of cough analysis, the intrapleural pressure was also recorded by a telemetry sensor surgically implanted in the intrapleural space in a subgroup of mice. During the irritant gas inhalation challenge, sulfur dioxide (SO 2 ; 200 and 400 ppm) or ammonia (NH 3 ; 0.1% and 0.2%) was drawn into the chamber at a constant flow rate for 8 min. Ova sensitization and sham sensitization with vehicle (Veh) were performed over a 25-day period in separate groups of mice. Our results showed that 1 ) both SO 2 and NH 3 inhalation challenges increased CR and ER frequencies in a concentration-dependent manner before Ova sensitization; 2 ) the baseline CR frequency was significantly elevated after Ova sensitization, accompanied by pronounced airway inflammation; and 3 ) Ova sensitization also markedly augmented the responses of CR and ER to both SO 2 and NH 3 inhalation challenges; in sharp contrast, the cough responses did not change after sham sensitization in the Veh group. In conclusion, Ova sensitization caused distinct and lingering increases in baseline cough frequency, and also intensified both CR and ER responses to inhaled irritant gases, which probably resulted from an allergic inflammation-induced hypersensitivity of airway sensory nerves. Copyright © 2017 the American Physiological Society.

  4. Improved survival outcome of childhood acute myeloid leukemia with intensified chemotherapy in Chinese children.

    Science.gov (United States)

    Zhai, Xiao Wen; Cheng, Frankie Wai Tsoi; Lee, Vincent; Leung, Wing Kwan; Ng, Margaret Heung Ling; Tsang, Kam Sze; Shing, Ming Kong; Li, Chi Kong

    2011-05-01

    With the use of intensive chemotherapy and hematopoietic stem cell transplantation (HSCT), the prognosis of childhood acute myeloid leukemia (AML) improved over the last 2 decades. Survival data of Chinese pediatric patients were seldom reported. The authors adopted modified UK Medical Research Council (MRC) AML protocols for treatment of childhood AML since 1994. From 1994 to 2008, the outcomes of Chinese AML patients were studied. Sixty-eight patients were studied. The median age at diagnosis was 9.9 years. Twenty-five patients (36.8%) had favorable cytogenetic karyotypes, including t(15;17), t(8;21) and inv(16). Complete remission (CR) rate was 91.2%. The relapse rate was 29.4%. For non-M3 patients, the 5-year overall survival (pOS) was 64% ± 7% and event-free survival (pEFS) was 53% ± 7%. For those non-good-risk patients who achieved CR, there were no significant differences in outcomes between patients who received HSCT in CR1 and those received chemotherapy alone (5-year pOS 80% ± 13% and 69% ± 9%, P = .52), 5-year pEFS 69% ± 15% and 55% ± 10%, P = .40). The pOS of the 20 relapsed patients was 29% ± 11%. Sixteen patients with t(8;21) and inv(16) had similar outcome with those without favorable cytogenetics (pOS 66% ± 12% versus 65% ± 7%, P = .39; pEFS 60% ± 11% versus 54% ± 8%, P = .45). Patients who achieved CR after 2 or more courses of chemotherapy and presenting white blood cell count (WBC) ≥ 100 × 10(9)/L had poorer outcome (pOS 40% versus 80%P < .01; 43% versus 70%, P = .02, respectively). Intensified chemotherapy improved outcome of Chinese AML children. CR after first course of chemotherapy and WBC at diagnosis were important prognostic factors.

  5. Neutron diffraction tomography: a unique, 3D inspection technique for crystals using an intensifier TV system

    International Nuclear Information System (INIS)

    Davidson, J.B.; Case, A.L.

    1978-01-01

    The application of phosphor-intensifier-TV techniques to neutron topography and tomography of crystals is described. The older, analogous x-ray topography using wavelengths approximately 1.5A is widely used for surface inspection. However, the crystal must actually be cut in order to see diffraction anomalies beneath the surface. Because 1.5-A thermal neutrons are highly penetrating, much larger and thicker specimens can be used. Also, since neutrons have magnetic moments, they are diffracted by magnetic structures within crystals. In neutron volume topography, the entire crystal or a large part of it is irradiated, and the images obtained are superimposed reflections from the total volume. In neutron tomography (or section topography), a collimated beam irradiates a slice (0.5 to 10 mm) of the crystal. The diffracted image is a tomogram from this part only. A series of tomograms covering the crystal can be taken as the specimen is translated in steps across the narrow beam. Grains, voids, twinning, and other defects from regions down to 1 mm in size can be observed and isolated. Although at present poorer in resolution than the original neutron and film methods, the TV techniques are much faster and, in some cases, permit real-time viewing. Two camera systems are described: a counting camera having a 150 mm 6 Li-ZnS screen for low-intensity reflections which are integrated in a digital memory, and a 300-mm system using analog image storage. Topographs and tomograms of several crystals ranging in size from 4 mm to 80 mm are shown

  6. Maternal high-fat diet intensifies the metabolic response to stress in male rat offspring.

    Science.gov (United States)

    Karbaschi, Roxana; Zardooz, Homeira; Khodagholi, Fariba; Dargahi, Leila; Salimi, Mina; Rashidi, FatemehSadat

    2017-01-01

    The mother's consumption of high-fat food can affect glucose metabolism and the hypothalamic-pituitary-adrenal axis responsiveness in the offspring and potentially affect the metabolic responses to stress as well. This study examines the effect of maternal high-fat diet on the expression of pancreatic glucose transporter 2 and the secretion of insulin in response to stress in offspring. Female rats were randomly divided into normal and high-fat diet groups and were fed in accordance with their given diets from pre-pregnancy to the end of lactation. The offspring were divided into control (NC and HFC) and stress (NS and HFS) groups based on their mothers' diet and exposure to stress in adulthood. After the two-week stress induction period was over, an intraperitoneal glucose tolerance test (IPGTT) was performed and plasma glucose and insulin levels were assessed. The pancreas was then removed for measuring insulin secretion from the isolated islets as well as glucose transporter 2 mRNA expression and protein levels. According to the results obtained, plasma corticosterone concentrations increased significantly on days 1 and 14 of the stress induction period and were lower on the last day compared to on the first day. In both the NS and HFS groups, stress reduced plasma insulin concentration in the IPGTT without changing the plasma glucose concentration, suggesting an increased insulin sensitivity in the NS and HFS groups, although more markedly in the latter. Stress reduced insulin secretion (at high glucose concentrations) and increased glucose transporter 2 mRNA and protein expression, especially in the HFS group. Mothers' high-fat diet appears to intensify the stress response by changing the programming of the neuroendocrine system in the offspring.

  7. Exogenous Acrolein intensifies sensory hypersensitivity after spinal cord injury in rat.

    Science.gov (United States)

    Butler, Breanne; Acosta, Glen; Shi, Riyi

    2017-08-15

    Acrolein, an α,β-unsaturated aldehyde associated with oxidative stress, is also a major toxic component of tobacco cigarette smoke, which has been reported in the clinic to coincide with the exacerbation of neuropathic pain after SCI. Previous reports have shown that acrolein involvement in spinal cord injury (SCI) is crucial to the development and persistence of neuropathic pain. Through the activation and upregulation of the transient receptor protein ankyrin-1 (TRPA1) cation channel, acrolein is capable of sensitizing the central nervous system in the acute and chronic stages of SCI. Here, we report that the acute or delayed nasal exposure of acrolein, apart from cigarette smoke but at concentrations similar to that found in cigarette smoke, resulted in increased neuropathic pain behaviors in a rat model of contusion SCI. We also found that this hyperalgesia occurred concurrently with an augmentation in systemic acrolein, detected by an acrolein-glutathione metabolite in the urine. The application of an acrolein scavenger, phenelzine, was shown to reduce the hyperalgesic effect of acrolein inhalation. The previously determined ability of acrolein to bind to and activate the TRPA1 channel and elicit algesic responses may be a mechanism of the phenomenon seen in this study. Upon the exposure to actual cigarette smoke after SCI, intensified neuropathic pain behaviors were also observed and persisted for at least 1week after the cessation of the exposure period. Taken together, these results indicate that cigarette smoke, through mechanisms involving acrolein, poses a threat to the vulnerable CNS after SCI and can contribute to neuropathic pain. This investigation also provides further evidence for the potential utility of acrolein scavengers as a therapeutic strategy in SCI-resultant neuropathic pain. Copyright © 2017. Published by Elsevier B.V.

  8. Application of an image intensifier to the study on hadrons in air shower, 4

    International Nuclear Information System (INIS)

    Tsushima, Itsuro; Kawasumi, Norio; Hashimoto, Katsumi; Machida, Masaharu

    1975-01-01

    As the apparatus for observing cosmic ray air shower, the particle detection apparatus combining spark chamber, scintillator and photomultiplier tube is frequently used, but the exact detection of particle number is impossible with it when particle density is large. The authors have carried out the experiment to measure nuclear active particles in air shower and to grasp the central part of air shower as energy flow by utilizing an image intensifier tube. On the roof of building S, a laboratory was built, and a core detector of 2 m x 2 m area, 13 AS detectors of 0.25 m 2 and an AS detector of 1 m 2 were installed. The gate of the II was opened by utilizing coincidence pulses, and the position and amount of scintillation in the core detector was taken into a camera through the II. The time of observation was 289 hours, and the time of II operation was 113 hours. Total number of air shower recorded was 218 cases, and the centers of 120 cases among them were determined in the AS detectors at four corners. The centers of 39 cases were within the area of the core detector. In the coincident counting of air shower and burst carried out in the present experiment, the total delay time from the arrival of air shower to the gate pulse actuating the II was 1.6 sec. The core of air shower of about 10 6 size and 1.3 age was caught by this method. The problems for future are the determination of core position for the air shower of smaller size, and the meaning of spot images of II. (Kako, I.)

  9. Characterization of the QUartz Photon Intensifying Detector (QUPID) for noble liquid detectors

    Science.gov (United States)

    Teymourian, A.; Aharoni, D.; Baudis, L.; Beltrame, P.; Brown, E.; Cline, D.; Ferella, A. D.; Fukasawa, A.; Lam, C. W.; Lim, T.; Lung, K.; Meng, Y.; Muramatsu, S.; Pantic, E.; Suyama, M.; Wang, H.; Arisaka, K.

    2011-10-01

    Dark matter and double beta decay experiments require extremely low radioactivity within the detector materials. For this purpose, the University of California, Los Angeles and Hamamatsu Photonics have developed the QUartz Photon Intensifying Detector (QUPID), an ultra-low background photodetector based on the Hybrid Avalanche Photo Diode (HAPD) and entirely made of ultraclean synthetic fused silica. In this work we present the basic concept of the QUPID and the testing measurements on QUPIDs from the first production line.Screening of radioactivity at the Gator facility in the Laboratori Nazionali del Gran Sasso has shown that the QUPIDs safely fulfill the low radioactive contamination requirements for the next generation zero background experiments set by Monte Carlo simulations.The quantum efficiency of the QUPID at room temperature is >30% at the xenon scintillation wavelength. At -100 °C, the QUPID shows a leakage current smaller than 1 nA and a global gain of 105. In these conditions, the photocathode and the anode show >95% linearity up to 1μA for the cathode and 3 mA for the anode. The photocathode and collection efficiency are uniform to 80% over the entire surface. In parallel with single photon counting capabilities, the QUPIDs have a good timing response: 1.8 ±0.1 ns rise time, 2.5 ±0.2 ns fall time, 4.20 ±0.05 ns (FWHM) pulse width, and 160 ±30 ps (FWHM) transit time spread.The QUPIDs have also been tested in a liquid xenon environment, and scintillation light from 57Co and 210Po radioactive sources was observed.

  10. Alterations of growth, blood biochemical components and hormone profiles by intensified nutrition in growth retarded Japanese Black cattle.

    Science.gov (United States)

    Watanabe, Daisaku; Ikeda, Hiroki; Kazamatsuri, Hiroyuki; Ando, Takaaki; Ohtsuka, Hiromichi; Kobayashi, Shigeki; Oikawa, Masaaki; Sugimoto, Yoshikazu

    2010-09-01

    In order to determine the clinical conditions of Japanese Black (JB) cattle with growth retardation, we determined the changes of body growth, blood profiles of metabolism and hormones caused by intensified nutrition (sufficient total digestible nutrients and digestible crude protein for a target daily gain set at 1.2-1.3 kg/day) in three cattle. The daily gain (DG) was increased during the intensified period (Intense) compared with the preparation period (Pre), but the DG in the Intense period was 36-66% of the target DG. Serum albumin, total cholesterol, insulin and IGF-1 increased during the Intense period compared with the Pre period. Serum GH showed high levels in the Pre period, whereas it showed lower levels in the Intense period. These results suggested that the present growth retarded cattle had abnormalities in their metabolic systems and lacked nutrient absorption.

  11. Effects of reforestation and intensified land use on vascular plant species richness in traditionally managed hay meadows

    OpenAIRE

    Myklestad, Åse; Sætersdal, Magne

    2003-01-01

    In this study of 130 sites with different management we investigated whether vascular plant species richness is significantly reduced when traditionally managed hay meadows are abandoned and reforested. We also compared the effects of reforestation with those of intensified land-use to see which have the largest effects on species richness. Finally, we investigated the relative importance of relevant ecological factors for species richness. While the use of artificial fertilizers in tradition...

  12. The effects of intensified training on resting metabolic rate (RMR), body composition and performance in trained cyclists.

    Science.gov (United States)

    Woods, Amy L; Rice, Anthony J; Garvican-Lewis, Laura A; Wallett, Alice M; Lundy, Bronwen; Rogers, Margot A; Welvaert, Marijke; Halson, Shona; McKune, Andrew; Thompson, Kevin G

    2018-01-01

    Recent research has demonstrated decreases in resting metabolic rate (RMR), body composition and performance following a period of intensified training in elite athletes, however the underlying mechanisms of change remain unclear. Therefore, the aim of the present study was to investigate how an intensified training period, designed to elicit overreaching, affects RMR, body composition, and performance in trained endurance athletes, and to elucidate underlying mechanisms. Thirteen (n = 13) trained male cyclists completed a six-week training program consisting of a "Baseline" week (100% of regular training load), a "Build" week (~120% of Baseline load), two "Loading" weeks (~140, 150% of Baseline load, respectively) and two "Recovery" weeks (~80% of Baseline load). Training comprised of a combination of laboratory based interval sessions and on-road cycling. RMR, body composition, energy intake, appetite, heart rate variability (HRV), cycling performance, biochemical markers and mood responses were assessed at multiple time points throughout the six-week period. Data were analysed using a linear mixed modeling approach. The intensified training period elicited significant decreases in RMR (F(5,123.36) = 12.0947, p = performance (F(5,121.87) = 8.2622, p = performance (F(5,118.26) = 2.766, p = 0.02) and increase in total mood disturbance (F(5, 110.61) = 8.1159, p = training periods elicit greater energy demands in trained cyclists, which, if not sufficiently compensated with increased dietary intake, appears to provoke a cascade of metabolic, hormonal and neural responses in an attempt to restore homeostasis and conserve energy. The proactive monitoring of energy intake, power output, mood state, body mass and HRV during intensified training periods may alleviate fatigue and attenuate the observed decrease in RMR, providing more optimal conditions for a positive training adaptation.

  13. Safety enhancement by transposition of the nitration of toluene from semi-batch reactor to continuous intensified heat exchanger reactor

    OpenAIRE

    Di Miceli Raimondi, Nathalie; Olivier Maget, Nelly; Gabas, Nadine; Cabassud, Michel; Gourdon, Christophe

    2015-01-01

    International audience; The behaviour of a continuous intensified heat exchanger (HEX) reactor in case of process failure is analysed and compared to the behaviour of a semi-continuous reactor. The nitration of toluene is considered as test reaction to identify the main failure scenarios that can lead to thermal runaway in both processes using the HAZOP method.No flow rate of process fluid and utility fluid in the continuous process. No stirring during feeding of the reactor followed by norma...

  14. Dynamic imaging with a triggered and intensified CCD camera system in a high-intensity neutron beam

    International Nuclear Information System (INIS)

    Vontobel, P.; Frei, G.; Brunner, J.; Gildemeister, A.E.; Engelhardt, M.

    2005-01-01

    When time-dependent processes within metallic structures should be inspected and visualized, neutrons are well suited due to their high penetration through Al, Ag, Ti or even steel. Then it becomes possible to inspect the propagation, distribution and evaporation of organic liquids as lubricants, fuel or water. The principle set-up of a suited real-time system was implemented and tested at the radiography facility NEUTRA of PSI. The highest beam intensity there is 2x10 7 cm -2 s -1 , which enables to observe sequences in a reasonable time and quality. The heart of the detection system is the MCP intensified CCD camera PI-Max with a Peltier cooled chip (1300x1340 pixels). The intensifier was used for both gating and image enhancement, where as the information was accumulated over many single frames on the chip before readout. Although, a 16-bit dynamic range is advertised by the camera manufacturers, it must be less due to the inherent noise level from the intensifier. The obtained result should be seen as the starting point to go ahead to fit the different requirements of car producers in respect to fuel injection, lubricant distribution, mechanical stability and operation control. Similar inspections will be possible for all devices with repetitive operation principle. Here, we report about two measurements dealing with the lubricant distribution in a running motorcycle motor turning at 1200rpm. We were monitoring the periodic stationary movements of piston, valves and camshaft with a micro-channel plate intensified CCD camera system (PI-Max 1300RB, Princeton Instruments) triggered at exactly chosen time points

  15. Design and analysis of a new flux-intensifying permanent magnet brushless motor with multilayer flux barriers

    Directory of Open Access Journals (Sweden)

    Shen Yang

    2017-05-01

    Full Text Available This paper proposes a new flux-intensifying permanent magnet brushless motor for potential application in electric vehicles. The key of the proposed motor is to adopt the concept of flux-intensifying effect, thus the preferable flux-weakening ability and extended speed range can be achieved. The usage of segmented and relatively thinner permanent magnet (PM in the proposed motor contributes to the increase of d-axis inductance Ld. In addition, the multilayer flux barriers along q-axis flux path will effectively decrease q-axis inductance Lq. As a result, the unique feature of Ld>Lq can be obtained, which is beneficial to extending the speed range of the proposed motor. Furthermore, the flux-intensifying effect can reduce the risk of irreversible demagnetization in PMs. The electromagnetic performances of the proposed motor are analyzed and investigated in details by using the finite element methods, which demonstrate the excellent flux-weakening capability and wide speed range can be achieved in the proposed FI-PMBL motor.

  16. Research on testing instrument and method for correction of the uniformity of image intensifier fluorescence screen brightness

    Science.gov (United States)

    Qiu, YaFeng; Chang, BenKang; Qian, YunSheng; Fu, RongGuo

    2011-09-01

    To test the parameters of image intensifier screen is the precondition for researching and developing the third generation image intensifier. The picture of brightness uniformity of tested fluorescence screen shows bright in middle and dark at edge. It is not so direct to evaluate the performance of fluorescence screen. We analyze the energy and density distribution of the electrons, After correction, the image in computer is very uniform. So the uniformity of fluorescence screen brightness can be judged directly. It also shows the correction method is reasonable and close to ideal image. When the uniformity of image intensifier fluorescence screen brightness is corrected, the testing instrument is developed. In a vacuum environment of better than 1×10-4Pa, area source electron gun emits electrons. Going through the electric field to be accelerated, the high speed electrons bombard the screen and the screen luminize. By using testing equipment such as imaging luminance meter, fast storage photometer, optical power meter, current meter and photosensitive detectors, the screen brightness, the uniformity, light-emitting efficiency and afterglow can be tested respectively. System performance are explained. Testing method is established; Test results are given.

  17. Design and analysis of a new flux-intensifying permanent magnet brushless motor with multilayer flux barriers

    Science.gov (United States)

    Yang, Shen; Zhu, Xiaoyong; Xiang, Zixuan; Fan, Deyang; Wu, Wenye; Yin, Jianing

    2017-05-01

    This paper proposes a new flux-intensifying permanent magnet brushless motor for potential application in electric vehicles. The key of the proposed motor is to adopt the concept of flux-intensifying effect, thus the preferable flux-weakening ability and extended speed range can be achieved. The usage of segmented and relatively thinner permanent magnet (PM) in the proposed motor contributes to the increase of d-axis inductance Ld. In addition, the multilayer flux barriers along q-axis flux path will effectively decrease q-axis inductance Lq. As a result, the unique feature of Ld>Lq can be obtained, which is beneficial to extending the speed range of the proposed motor. Furthermore, the flux-intensifying effect can reduce the risk of irreversible demagnetization in PMs. The electromagnetic performances of the proposed motor are analyzed and investigated in details by using the finite element methods, which demonstrate the excellent flux-weakening capability and wide speed range can be achieved in the proposed FI-PMBL motor.

  18. Forecast simulation of rapidly-intensified typhoon in the Eddy-Rich Northwest Pacific region

    Science.gov (United States)

    Kim, Kyeong Ok; Yuk, Jin-Hee; Jung, Kyung Tae; Kuh Kang, Suk

    2017-04-01

    The real-time typhoon predictions in the Northwest Pacific (NWP) are being distributed by various agencies (for example, KMA, JMA, JTWC, NMC, CWB, HKO and PAGASA). Currently the movement of the typhoon can be predicted with an error of less than 100 km in 48 hours, however it is difficult to the predict of the intensity of the typhoon especially the Rapidly Intensified (RI) Typhoons. The mean occurrence of RI typhoon amounts to 5.4 times a year during 39 years (1977-2015), occupying 21% of typhoons in NWP. Especially the RI typhoon in the Eddy-Rich Northwest Pacific (ER-NWP) occurred 1.8 times a year, covering 29% of typhoons in ER-NWP. A RI typhoon, NEPARTAK (T201601), occurred in July 2016. It was formed in Caroline Islands and moved northwest, straightly heading for Taiwan. However, at the beginning stage many forecasting agencies predicts as move to the Yellow Sea. The accuracy of prediction data of the Typhoon NEPARTAK (T201601) from KMA, JMA and JTWC was compared with the adjusted best-track data from Digital-Typhoon (JMA-RSMC). The sequential prediction data are summarized with 6-hour interval from 3th to 10th July 2016.The JMA prediction of the typhoon track and the JTWC predictions of the maximum wind speed were found to be best. The numerical simulations using WRF model forced with NCEP GFS prediction data and microwave SST is compared. The simulations using one domain (D1), two domains (D2) using a moving nest scheme, and with or without the spectral nudging (-SN) are compared. Comparison of the errors on the track shows the differences of 100 km in 48-hour prediction and200 km in 72-hour prediction on average. The best results on the track prediction are shown in the D2 case of WRF model. However, underestimation of the maximum wind speed of WRF prediction still exists, obviously requiring better understanding of RI-related processes to improve the model prediction.

  19. Do biomass burning aerosols intensify drought in equatorial Asia during El Niño?

    Directory of Open Access Journals (Sweden)

    M. G. Tosca

    2010-04-01

    in the region intensifies drought stress during El Niño.

  20. Do biomass burning aerosols intensify drought in equatorial Asia during El Niño?

    Energy Technology Data Exchange (ETDEWEB)

    Tosca, M G; Randerson, J; Zender, C S; Flanner, M G; Rasch, Philip J

    2010-04-16

    intensifies drought stress during El Niño.

  1. The effects of intensified training on resting metabolic rate (RMR, body composition and performance in trained cyclists.

    Directory of Open Access Journals (Sweden)

    Amy L Woods

    Full Text Available Recent research has demonstrated decreases in resting metabolic rate (RMR, body composition and performance following a period of intensified training in elite athletes, however the underlying mechanisms of change remain unclear. Therefore, the aim of the present study was to investigate how an intensified training period, designed to elicit overreaching, affects RMR, body composition, and performance in trained endurance athletes, and to elucidate underlying mechanisms.Thirteen (n = 13 trained male cyclists completed a six-week training program consisting of a "Baseline" week (100% of regular training load, a "Build" week (~120% of Baseline load, two "Loading" weeks (~140, 150% of Baseline load, respectively and two "Recovery" weeks (~80% of Baseline load. Training comprised of a combination of laboratory based interval sessions and on-road cycling. RMR, body composition, energy intake, appetite, heart rate variability (HRV, cycling performance, biochemical markers and mood responses were assessed at multiple time points throughout the six-week period. Data were analysed using a linear mixed modeling approach.The intensified training period elicited significant decreases in RMR (F(5,123.36 = 12.0947, p = <0.001, body mass (F(2,19.242 = 4.3362, p = 0.03, fat mass (F(2,20.35 = 56.2494, p = <0.001 and HRV (F(2,22.608 = 6.5212, p = 0.005; all of which improved following a period of recovery. A state of overreaching was induced, as identified by a reduction in anaerobic performance (F(5,121.87 = 8.2622, p = <0.001, aerobic performance (F(5,118.26 = 2.766, p = 0.02 and increase in total mood disturbance (F(5, 110.61 = 8.1159, p = <0.001.Intensified training periods elicit greater energy demands in trained cyclists, which, if not sufficiently compensated with increased dietary intake, appears to provoke a cascade of metabolic, hormonal and neural responses in an attempt to restore homeostasis and conserve energy. The proactive monitoring of energy

  2. Conventional nutritional indices and Composite Index of Anthropometric Failure: which seems more appropriate for assessing under-nutrition among children? A cross-sectional study among school children of the Bengalee Muslim Population of North Bengal,Indi

    Directory of Open Access Journals (Sweden)

    Jaydip Sen

    2011-06-01

    Full Text Available

    Background: Stunting, wasting and under-weight have been conventionally utilized to assess the prevalence of under-nutrition among children. As these indices grossly underestimate this prevalence mainly due to overlapping of the children into multiple categories of anthropometric failure, there is a need for an appropriate single measure to assess this prevalence and identify the more susceptible individuals. The present study tries to ascertain whether the use of the Composite Index of Anthropometric Failure (CIAF is more appropriate than the conventional indices for the estimation of under-nutrition among children.

    Methods: The present cross-sectional study was undertaken to compare the prevalence of under-nutrition using both the conventional indices and the CIAF among 1143 children aged between 5 years to 11 years (565 boys; 578 girls belonging to the Bengalee Muslim Population (BMP, and residing in the district of Darjeeling, West Bengal, India. The children were selected using a multi-stage stratified random sampling procedure. The data was collected during the period from February 2009 to May 2010. Height and weight of the children were recorded using standard procedures. The conventional anthropometric indices and the CIAF were compared with the National Center for Health Statistics reference data to determine the prevalence of under-nutrition. A child having a value 2SD’s below that of the reference median in any of these indices was classified as suffering from under-nutrition. All the necessary approvals and consents were obtained from the Gram Panchayets and school authorities, and the study was conducted in accordance with the ethical guidelines for human experiments as laid down in the Helsinki Declaration of 2000.

    Results: Using the conventional indices, the prevalence of under-nutrition was observed to be 17.4% (wasting, 38.5% (stunting and 47.0% (under

  3. [Can implementation of intensified perinatal survey be effective in improving the quality of perinatal care?].

    Science.gov (United States)

    Troszyński, Michał

    2010-01-01

    Intensive scientific research and rapid technical progress have influenced the rapid fall in term newborn mortality. At the same time new problems have arisen such as saving the lives of infants with low and very low birth weight. Solving these problems needs reorganization of perinatal care, better equipment, especially in reference units and in outpatient clinics, as well as more intensive staff training. to obtain information whether implementation of intensified perinatal survey of fetus and newborn mortality can improve the quality of perinatal care in Poland. Implementation of the survey based on Central Statistics Office (GUS) data, Ministry of Health MZ-29 section X Document and the author's own studies. In the year 2008 newborn with birth weight less than 2500 g, constituted 6,06% liveborn infants, newborn weighing from 1000 to 2499 g - 5%, those with weight from 500 to 999 g - 0.51% of all live born infants. These figures differ according to voivodeship. The intensive survey concerning birth weight and perinatal mortality indeces in voivodeshipPoland, as well as in individual voivodeships, showed differences between data from the Central Statistics Office and data from the Ministry of Health MZ-29 document. This may be due to different methods of registrating newborn deaths eg. newborns transfered in the first weekoflife from the maternity ward to intensive care neonatal ward or to other specialistic departaments. Another reason for the difference may be discharge of the newborn data according to the place of birth or the mother's place of permanent domicile registration. This causes disturbances in flow of infomation resulting in ineffective analysis of perinatal mortality and of perinatal care evaluation. In the ongoing analysis it was found that in Poland stillbirths occur twice as often as perinatal deaths (4.3 per thousands) stillbirths and 2.15 per thousands perinatal deaths), with significant differences between voivodeships. This makes it

  4. Brief Communication: Sexual dimorphic expression of myostatin and follistatin like-3 in a rat trans-generational under-nutrition model

    Directory of Open Access Journals (Sweden)

    Mitchell Murray D

    2010-05-01

    Full Text Available Abstract The detrimental effects of maternal under-nutrition during gestation on fetal development are well known with an increased propensity of metabolic disorders identified in the adult offspring. Understanding exactly how and by which molecular pathways inadequate nutrition can impact upon offspring phenotype is critical and necessary for the development of treatment methods and ultimately prevention of any negative health effects. Myostatin, a negative regulator of muscle development, has recently been shown to effect glucose homeostasis and fat deposition. The involvement of myostatin in glucose metabolism and adipogenesis thus supports its ability to act in the continued alterations to the postnatal phenotype of the offspring. This hypothesis was examined in the current study using a trans-generational gestationally under-nourished rat model exposed to a high-fat (HF diet post-weaning. The body weight, body fat, plasma glucose and insulin concentrations of the offspring, both male and female, were investigated in relation to the protein expression of myostatin and its main inhibitor; follistatin like-3 (FSTL-3, in skeletal muscle of mature offspring. Sexual dimorphism was clearly evident in the majority of these measures, including myostatin and FSTL-3 expression. Generally males displayed higher (P myostatin precursor and dimer expression than females, which was especially apparent (P in both chow and HF trans-generationally undernourished (UNAD groups. In females only, myostatin precursor and dimer expression was altered by both trans-generational under-nutrition and postnatal diet. Overall FSTL-3 expression did not differ between sexes, although difference between sexes within certain treatments and diets were evident. Most notably, HF fed UNAD females had higher (P FSTL-3 expression than HF fed UNAD males. The former group also displayed higher (P FSTL-3 expression compared to all other female groups. In summary, myostatin may prove

  5. (DURIP 10) High Speed Intensified Imaging System For Studies Of Mixing And Combustion In Supersonic Flows And Hydrocarbon Flame Structure Measurements At Elevated Pressures

    Science.gov (United States)

    2016-11-09

    AFRL-AFOSR-VA-TR-2016-0357 (DURIP 10) HIGH- SPEED INTENSIFIED IMAGING SYSTEM FOR STUDIES OF MIXING AND COMBUSTION IN SUPERSONIC FLOWS AND HYDROCARBON...comments regarding this burden estimate or   any other aspect of this collection of information, including suggestions for reducing the burden, to...COVERED (From - To) 03 Sep 2010 to 29 Sep 2011 4. TITLE AND SUBTITLE (DURIP 10) HIGH- SPEED INTENSIFIED IMAGING SYSTEM FOR STUDIES OF MIXING AND COMBUSTION

  6. BUTIMBA: Intensifying the Hunt for Child TB in Swaziland through Household Contact Tracing.

    Science.gov (United States)

    Mandalakas, Anna Maria; Ngo, Katherine; Alonso Ustero, Pilar; Golin, Rachel; Anabwani, Florence; Mzileni, Bulisile; Sikhondze, Welile; Stevens, Robert

    2017-01-01

    Limited data exists to inform contact tracing guidelines in children and HIV-affected populations. We evaluated the yield and additionality of household contact and source case investigations in Swaziland, a TB/HIV high-burden setting, while prioritizing identification of childhood TB. In partnership with 7 local TB clinics, we implemented standardized contact tracing of index cases (IC) receiving TB treatment. Prioritizing child contacts and HIV-affected households, screening officers screened contacts for TB symptoms and to identify risk factors associated with TB. We ascertained factors moderating the yield of contact tracing and measured the impact of our program by additional notifications. From March 2013 to November 2015, 3,258 ICs (54% bacteriologically confirmed; 70% HIV-infected; 85% adults) were enrolled leading to evaluation of 12,175 contacts (median age 18 years, IQR 24-42; 45% children; 9% HIV-infected). Among contacts, 196 TB cases (56% bacteriologically confirmed) were diagnosed resulting in a program yield of 1.6% for all forms of TB. The number needed to screen (NNS) to identify a bacteriologically confirmed TB case or all forms TB case traced from a child IC <5 years was respectively 62% and 40% greater than the NNS for tracing from an adult IC. In year one, we demonstrated a 32% increase in detection of bacteriologically confirmed child TB. Contacts were more likely to have TB if <5 years (OR = 2.0), HIV-infected (OR = 4.9), reporting ≥1 TB symptoms (OR = 7.7), and sharing a bed (OR = 1.7) or home (OR = 1.4) with the IC. There was a 1.4 fold increased chance of detecting a TB case in households known to be HIV-affected. Contact tracing prioritizing children is not only feasible in a TB/HIV high-burden setting but contributes to overall case detection. Our findings support WHO guidelines prioritizing contact tracing among children and HIV-infected populations while highlighting potential to integrate TB and HIV case finding.

  7. The Signal Chain - how the Removal of an Image Intensifier at the AERE Reactor in Bangladesh Improves Neutron Imaging

    Science.gov (United States)

    Schillinger, Burkhard; Saha, Sudipta

    Most neutron imaging systems use a neutron sensitive scintillation screen and camera. Due to the highly exothermic nature of the detection reaction, many thousand photons are produced for one detected neutron. If an additional image intensifier is used, the signal generated by very few neutrons may saturate the camera without delivering sufficient neutron statistics to examine a neutron radiography sample. This article takes a look at the signal chain for neutron radiography and tries to give some help for estimating required statistics and exposure times.

  8. [Radiological study of the thorax. Evaluation of efficacy-efficiency of a large-field image intensifier in mass screening].

    Science.gov (United States)

    Bonetti, M G; Gregori, S; Lamarche, V; Radice, E; Spiga, G; Maggi, S; Giorgini, P; Giovagnoni, A; De Nigris, E; Amici, F

    1989-09-01

    Chest X-ray is the most frequent examination in radiology and accounts for a considerable portion of total population radiation exposure, mostly in screening programs. The ideal radiographic system is the one providing the best image quality together with the lowest dose to the patient, at a low cost. In this paper the authors analyze the potentials of a new chest X-ray examination unit equipped with a large-screen image intensifier (TS 57-Siemens). Two-thousand subjects were examined with this unit. The technical aspects of everyday practice are analyzed from the radiologist's point of view, together with the dose to the patient, image quality, and costs.

  9. The use of the Leeds test tools in evaluating image intensifiers fitted to fluoroscopic x-ray machines

    International Nuclear Information System (INIS)

    Burnell, S.A.; Hamilton, D.J.

    1984-01-01

    A set of specialised phantoms for the non-invasive testing of the image intensifiers and associated television equipment fitted to fluoroscopic x-ray machines has been developed in the Medical Physics Department of the University of Leeds. The Radiation Control Section of the South Australian Health Commission has acquired a set of the Leeds Test Tools to use in its program of inspecting and testing diagnotic x-ray equipment. The tools and their use are described, and some preliminary results for South Australia are given

  10. Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention.

    Science.gov (United States)

    Killer, S C; Svendsen, I S; Jeukendrup, A E; Gleeson, M

    2017-07-01

    Few studies have investigated the effects of exercise training on sleep physiology in well-trained athletes. We investigated changes in sleep markers, mood state and exercise performance in well-trained cyclists undergoing short-term intensified training and carbohydrate nutritional intervention. Thirteen highly-trained male cyclists (age: 25 ± 6y, [Formula: see text]O 2max : 72 ± 5 ml/kg/min) participated in two 9-day periods of intensified training while undergoing a high (HCHO) or moderate (CON) carbohydrate nutritional intervention before, during and after training sessions. Sleep was measured each night via wristwatch actigraphy. Mood state questionnaires were completed daily. Performance was assessed with maximal oxygen uptake ([Formula: see text]. Percentage sleep time fell during intensified training (87.9 ± 1.5 to 82.5 ± 2.3%; p Sleep efficiency decreased during intensified training (83.1 ± 5.3 to 77.8 ± 8.6%; p sleep time was significantly higher in CON than HCHO throughout intensified training. Mood disturbance increased during intensified training and was higher in CON than HCHO (p sleep quality, mood state and maximal exercise performance.

  11. Hypogonadotropic hypogonadism in human immunodeficiency virus-infected men: uncommonly low testosterone levels.

    Science.gov (United States)

    Gomes, Ana Coelho; Aragüés, José Maria; Guerra, Sílvia; Fernandes, Joana; Mascarenhas, Mário Rui

    2017-01-01

    Hypogonadotropic hypogonadism (HH) is common and occurs prematurely in HIV-infected men. However, HH with very low testosterone has not been described. Three men with normal pubertal development and HIV1 diagnosis at the ages of 22, 34 and 35 years. All complained of decreased libido, anejaculation and erectile dysfunction thirteen years, six months and one year after HIV diagnosis, respectively. Two had depressive syndrome and two were treated with antiretroviral therapy. Laboratory tests revealed isolated HH in all. Sellar and head CT scans were normal and all had normal CD4 count. They started testosterone replacement therapy, with symptoms improvement. Causes of HH in HIV-infected men include undernutrition, severe illness, drugs, pituitary dysfunction and comorbidities. Despite having none of these conditions (except two that were treated with low-dose psychotropics), our patients had HH with uncommonly low testosterone. This suggests that a different mechanism contributes to severe HH in HIV-infected men. The pathogenesis of hypogonadotropic hypogonadism in HIV-infected men is multifactorial and androgen deficiency is more often a consequence of secondary hypogonadism than primary hypogonadism.Causes of hypogonadotropic hypogonadism in HIV-infected men include undernutrition, severe illness, drugs (psychotropics, opiates, megestrol acetate or steroids), pituitary dysfunction (tumor, hyperprolactinemia), an AIDS-related lesion (very rarely) and comorbid conditions, such as antibody to hepatitis C virus seropositivity and injection drug use.Highly active antiretroviral therapy (HAART), particularly protease inhibitor therapy has been associated with sexual dysfunction in men, but the causal nature of this relation has not been clearly established.Hypogonadotropic hypogonadism with uncommonly low testosterone levels are not usually associated with the conditions referred and this suggests that a different mechanism could contribute to severe hypogonadotropic

  12. Differential effect of chronic undernutrition on the fiber type composition of fascicles in the extensor digitorum longus muscles of the rat.

    Science.gov (United States)

    Vázquez-Mendoza, Enrique; Rodríguez-Torres, Erika Elizabeth; López-García, Kenia; Hinojosa-Rodríguez, Cindy Xilonen; Jiménez-Estrada, Ismael

    2017-05-01

    Several studies have shown that chronic low food consumption alters the composition and metabolism of the extensor digitorum longus muscle (EDLm) fiber types. EDLm is constituted by four independent fascicles (F2-F5) of different sizes; their constitution and metabolism, however, as well as how chronic undernourishment affects these is virtually unknown. Thus, the aim of this study is to evaluate the relative fiber type composition and metabolism of each independent fascicle in the EDLm, using control and chronically undernourished young male rats by using the alkaline ATPase and NADH-TR histochemical techniques. Our results indicate that all control fascicles showed a higher percentage of intermediate fibers (P0.05), except for F3, in which oxidative fibers increased (P<0.05). After determining the possible predominant metabolism expressed in intermediate fibers, we propose that chronic undernutrition induces the transformation of fast-glycolytic to intermediate-oxidative/glycolytic fibers, mainly in F3 and F5. Our observations confirm that chronic undernourishment differentially affects the fiber types of each fascicle in the EDLm, which could alter their individual physiological contractile properties. Copyright © 2017 Elsevier GmbH. All rights reserved.

  13. Programming maternal and child overweight and obesity in the context of undernutrition: current evidence and key considerations for low- and middle-income countries.

    Science.gov (United States)

    Jaacks, Lindsay M; Kavle, Justine; Perry, Abigail; Nyaku, Albertha

    2017-05-01

    The goals of the present targeted review on maternal and child overweight and obesity were to: (i) understand the current situation in low- and middle-income countries (LMIC) with regard to recent trends and context-specific risk factors; and (ii) building off this, identify entry points for leveraging existing undernutrition programmes to address overweight and obesity in LMIC. Trends reveal that overweight and obesity are a growing problem among women and children in LMIC; as in Ghana, Kenya, Niger, Sierra Leone, Tanzania and Zimbabwe, where the prevalence among urban women is approaching 50 %. Four promising entry points were identified: (i) the integration of overweight and obesity into national nutrition plans; (ii) food systems (integration of food and beverage marketing regulations into existing polices on the marketing of breast-milk substitutes and adoption of policies to promote healthy diets); (iii) education systems (integration of nutrition into school curricula with provision of high-quality foods through school feeding programmes); and (iv) health systems (counselling and social and behaviour change communication to improve maternal diet, appropriate gestational weight gain, and optimal infant and young child feeding practices). We conclude by presenting a step-by-step guide for programme officers and policy makers in LMIC with actionable objectives to address overweight and obesity.

  14. Progress in Reversing the HIV Epidemic through Intensified Access to Antiretroviral Therapy: Results from a Nationally Representative Population-Based Survey in Kenya, 2012

    Science.gov (United States)

    Kim, Andrea A.; Mukui, Irene; N’gan’ga, Lucy; Katana, Abraham; Koros, Dan; Wamicwe, Joyce; De Cock, Kevin M.

    2016-01-01

    Background In 2014, the Joint United Nations Programme on HIV/AIDS (UNAIDS) called for 90% of persons living with HIV (PLHIV) to know their status, 90% of these to be on antiretroviral therapy (ART), and 90% of these to be virally suppressed by 2020 (90-90-90). It is not clear whether planned ART scale-up in countries whose eligibility criteria for ART initiation are based on recommendations from the 2013 World Health Organization treatment guidelines will be sufficient to meet UNAIDS' new global targets. Materials and Methods Using data from a nationally representative population-based household survey of persons in Kenya we compared coverage and unmet need associated with HIV diagnosis, ART, and viral suppression among PLHIV aged 15–64 years in 2012 based on criteria outlined in the 2014 national ART guidelines and UNAIDS’ 90-90-90 goals. Estimates were weighted to account for sampling probability and nonresponse. Results Eight in ten PLHIV aged 15–64 years needed ART based on treatment eligibility. Need for treatment based on the national treatment policy was 97.4% of treatment need based on UNAIDS’ 90-90-90 goals, requiring an excess of 24,000 PLHIV to access treatment beyond those eligible for ART to achieve UNAIDS’ 90-90-90 treatment target. The gap in treatment coverage was high, ranging from 43.1% nationally to 52.3% in Nyanza among treatment-eligible PLHIV and 44.6% nationally to 52.4% in Nyanza among all PLHIV. Conclusion Maintaining the current pace of ART scale-up in Kenya will result in thousands of PLHIV unreached, many with high viral load and at-risk of transmitting infection to others. Careful strategies for reaching 90-90-90 will be instrumental in determining whether intensified access to treatment can be achieved to reach all who require ART. PMID:26930291

  15. Staphylococcal Infections

    Science.gov (United States)

    Staph is short for Staphylococcus, a type of bacteria. There are over 30 types, but Staphylococcus aureus causes most staph infections (pronounced "staff infections"), including Skin infections Pneumonia ...

  16. Investigations using an X-ray image intensifier and a TV camera for imaging transverse sections in humans

    International Nuclear Information System (INIS)

    Arnot, R.N.; Willetts, R.J.; Batten, J.R.; Orr, J.S.

    1984-01-01

    A computed tomography method using equipment available on some radiotherapy simulators is described. An offset narrow fan beam of X rays passes transversely through the object and is continuously detected by an image intensifier and TV camera system while the beam and detector complete a rotation about the object in 30 seconds. Several TV lines of the images obtained at equal angular increments are digitised and summed to produce transmission projections from which a transverse section is formed by filtered back-projection. The dynamic range required of the camera is reduced by modifying the beam with a shaped metal filter. Images are produced without logarithmic processing or X-ray output calibration. Digital control circuitry is used for digitisation and spatial filtering, and a high-speed arithmetic array processor and digital frame store used for back projection and image storage (Cynosure Imaging Systems Ltd.). Phantom studies using an object on a turntable with a stationary X-ray tube and intensifier showed the system capable of good spatial resolution and reasonable density resolution. Acceptable images of humans were produced with the equipment added to a Ximascan simulator (TEM Instruments Ltd.). Radiation dose to the irradiated section can be as little as 200 μGy (20 mrad). (author)

  17. Measurement of the uniformity of X-ray image-intensifier television systems and of the system components

    International Nuclear Information System (INIS)

    Cooney, P.; Maher, K.P.; Malone, J.F.

    1989-01-01

    This paper presents work on the use of the National Electrical Manufacturers' Association definition of uniformity for gamma cameras and its refinement for application in the field with image intensified television (II-TV) chains as whole systems. Methods of measurement employed using on-site high-quality videotape recording combined with an off-site and off-line digital image processor are described. Impact of noise reduction and matrix size on the results is outlined. The contribution of individual components of the chain to the non-uniformity have also been assessed in detail using methods of measurement and definitions specifically developed to be suitable for application in the hospital environment by an experienced physicist. The methods and results for (i) the X-ray beam, (ii) the image intensifier and (iii) the TV system are presented. These methods have been tested by applying them to a sample of 10 II-TV systems in routine hospital use and results are reported. (author)

  18. Measurement of the uniformity of X-ray image-intensifier television systems and of the system components

    International Nuclear Information System (INIS)

    Cooney, P.; Maher, K.P.; Malone, J.F.

    1989-01-01

    Uniformity is a well defined term used to describe the response of a gamma camera to a ''uniform'' radiation input. A similar quantity is required in the specification of the image-intensifier (II) television (TV) chains used in fluoroscopic imaging, particularly in vascular, cardiac and digital applications. This paper presents work on the use of the National Electrical Manufacturers' Association definition of uniformity for gamma cameras and its refinement for application in the field with II-TV chains as whole systems. The methods of measurement employed using on-site high-quality videotape recording combined with an off-site and off-line digital image processor are described. The impact of noise reduction and matrix size on the results in outlined. The contribution of individual components of the chain to the non-uniformity have also been assessed in detail using methods of measurement and definitions specifically developed to be suitable for application in the hospital environment by an experienced physicist. The methods and results for (i) the X-ray beam, (ii) the image intensifier and (iii) the TV system are presented. These methods have been tested by applying them to a sample of 10 II-TV systems in routine hospital use and the results are reported. (author)

  19. Therapeutic inertia and intensified treatment in diabetes mellitus prescription patterns: A nationwide population-based study in Taiwan.

    Science.gov (United States)

    Huang, Li-Ying; Yeh, Hseng-Long; Yang, Ming-Chin; Shau, Wen-Yi; Su, Syi; Lai, Mei-Shu

    2016-12-01

    Objective To measure therapeutic inertia by characterizing prescription patterns using secondary data obtained from the nationwide diabetes mellitus pay-for-performance (DM-P4P) programme in Taiwan. Methods Using reimbursement claims from Taiwan's National Health Insurance Research Database, a nationwide retrospective cohort study was undertaken of patients with diabetes mellitus who participated in the DM-P4P programme from 2006-2008. Glycosylated haemoglobin results were used to evaluate modifications in therapy in response to poor diabetes control. Prescription patterns were used to assign patients to either a therapeutic inertia group or an intensified treatment group. Therapeutic inertia was defined as the failure to act on a known problem. Results The research sample comprised of 168 876 patients with diabetes mellitus who had undergone 899 135 tests. Of these, 37.4% (336 615 visits) of prescriptions were for a combination of two types of drug and 27.7% (248 788 visits) were for a combination of three types of drug. The proportion of patients in the intensified therapy group who were prescribed more than two types of drug was considerably higher than that in the therapeutic inertia group. Conclusion In many cases in the therapeutic inertia group only a single type of hypoglycaemic drug was prescribed or the dosage remained unchanged.

  20. Phase 2 study of intensified chemotherapy and allogeneic hematopoietic stem cell transplantation for older patients with acute lymphoblastic leukemia.

    Science.gov (United States)

    Fathi, Amir T; DeAngelo, Daniel J; Stevenson, Kristen E; Kolitz, Jonathan E; Asch, Julie D; Amrein, Philip C; Attar, Eyal C; Steensma, David P; Wadleigh, Martha; Foster, Julia; Connolly, Christine; Galinsky, Ilene; Devoe, Craig E; Stone, Richard M; Neuberg, Donna S; Ballen, Karen K

    2016-08-01

    Outcomes among older patients with acute lymphoblastic leukemia remain poor. This study sought to determine the efficacy of an intensified, multi-agent approach derived from a Dana-Farber consortium trial in younger adults for patients older than 50 years (trial identifier NCT00973752). The primary endpoint was overall survival (OS) at 1 year. Patients received induction chemotherapy with vincristine, prednisone, doxorubicin, and pegylated asparaginase. Imatinib was incorporated for Philadelphia chromosome-positive disease. After induction, the first consolidation incorporated clofarabine. Patients in remission could proceed to allogeneic hematopoietic cell transplantation (HCT) after induction and consolidation I. Those not receiving HCT went on to receive central nervous system, consolidation II, and continuation phases of treatment. Thirty patients were enrolled: 19 achieved a complete remission (CR) after induction and 1 achieved CR after consolidation I for a CR rate of 67%. Sixteen patients underwent HCT. The proportion surviving at 1 year was 63%, and this met the primary endpoint. The 2-year OS rate was 52% (n = 30), and the 2-year disease-free survival rate was 52% for patients achieving CR (n = 20). There was no survival advantage among those undergoing HCT. Therapy-related hyperbilirubinemia prompted adjustments and limitations to asparaginase dosing. Intensified chemotherapy can result in improved outcomes in comparison with historical data. Additional studies of similarly intensive regimens are warranted in this population. Cancer 2016;122:2379-2388. © 2016 American Cancer Society. © 2016 American Cancer Society.

  1. Sensitometric effects of varying the intensifying screens used with Agfa Dentus ST8G and RP6 panoramic radiographic films.

    Science.gov (United States)

    Wakoh, M; Farman, A G; Scarfe, W C; Kitagawa, H; Kuroyanagi, K

    1997-07-01

    To compare the sensitometric effects and information yield of varying the intensifying screens used with both Dentus ST8G and RP6 Agfa Gevaert, Dormagen, Germany panoramic radiographic films. Four screen-film combinations were employed for each of the two film types. The screens used were blue fluorescing PX-III (Kasei Optonix, Tokyo, Japan) and Special (Siemens AG, Bensheim, Germany), as well as green fluorescing Lanex Regular (Eastman Kodak, Rochester, NY, USA) and Trimax T16 (3M, Mineapolis, Minnesota, USA). The density response for each screen-film combination was evaluated using the characteristic curves generated. Information yield, as determined by the radiographic detection of defects in an aluminium test object, was evaluated by nine observers. The characteristic curves for ST8G were different when green and blue fluorescing screens were used; however, those for RP6 varied little irrespective of the choice of intensifying screens. Observers were able to perceive defects at significantly lower radiation exposures for ST8G combined with green fluorescing screens compared with blue emitting screens. RP6 with all screen combinations provided similar image detail perceptibility at comparable exposures with ST8G with green-fluorescing screens. RP6 is suitable for use with either the spectrally matched blue emitting screens or green-emitting screens. ST8G radiographic film should always be matched to rare earth screens.

  2. Confrontation of Major Counteracting Forces in the Globalized Market as a Process of Resolving / Intensifying its Contradictions

    Directory of Open Access Journals (Sweden)

    Deyneka Tetyana A.

    2016-11-01

    Full Text Available The aim of the article is to study the process of resolving/intensifying the contradictions of the contemporary globalized market by means of identifying the counteracting forces that are critical for the period of the formation of post-industrial relations. It is proved that in the context of globalization and gradual establishment of principles of the post-industrial economy, the confrontation of major counteracting market forces is undergoing changes, which is manifested through the processes of resolving/ intensifying the market contradictions. There identified the content of these changes, in particular: if at early stages of the market development the confrontation «state—market» was of decisive importance, at the present time it is the confrontation «civil society – TNCs». There described a multivariate character of the interaction between the major market forces — states, international organizations, TNCs, civil society (both with the effect of achieving community of their interests and with the effect of their disunity. It is proved that the confrontation between the civil society and international corporations objectifies in the globalized economy a new form of contradiction between labor and capital that corresponds to the post-industrial content of economic relations and, in particular the content of property relations

  3. Symptomatic and asymptomatic Campylobacter infections associated with reduced growth in Peruvian children.

    Science.gov (United States)

    Lee, Gwenyth; Pan, William; Peñataro Yori, Pablo; Paredes Olortegui, Maribel; Tilley, Drake; Gregory, Michael; Oberhelman, Richard; Burga, Rosa; Chavez, Cesar Banda; Kosek, Margaret

    2013-01-01

    Although diarrheal illnesses are recognized as both a cause and effect of undernutrition, evidence for the effect of specific enteropathogens on early childhood growth remains limited. We estimated the effects of undernutrition as a risk factor for campylobacteriosis, as well as associations between symptomatic and asymptomatic Campylobacter infections and growth. Using data from a prospective cohort of 442 children aged 0-72 months, the effect of nutritional status on the incidence of Campylobacter infection was estimated using uni- and multivariate Poisson models. Multivariate regression models were developed to evaluate the effect of Campylobacter infection on weight gain and linear growth. Overall, 8.3% of diarrheal episodes were associated with Campylobacter (crude incidence rate = 0.37 episodes/year) and 4.9% of quarterly asymptomatic samples were Campylobacter positive. In univariate models, the incidence of Campylobacter infection was marginally higher in stunted than non-stunted children (IRR 1.270, 95% CI (0.960, 1.681)(p = 0.095). When recent diarrheal burdens were included in the analysis, there was no difference in risk between stunted and unstunted children. Asymptomatic and symptomatic Campylobacter infections were associated with reduced weight gain over a three-month period (65.5 g (95% CI: -128.0, -3.0)(p = 0.040) and 43.9 g (95% CI:-87.6, -1.0)(p = 0.049) less weight gain, respectively). Symptomatic Campylobacter infections were only marginally associated with reduced linear growth over a nine month period (-0.059 cm per episode, 95% CI: -0.118, 0.001)(p = 0.054), however relatively severe episodes were associated with reduced linear growth (-0.169 cm/episode, 95% CI -0.310, -0.028)(p = 0.019). Our findings suggest that Campylobacter is not as benign as commonly assumed, and that there is evidence to support expanding the indications for antibiotic therapy in campylobacteriosis in children.

  4. Protein-energy malnutrition alters IgA responses to rotavirus vaccination and infection but does not impair vaccine efficacy in mice

    Science.gov (United States)

    Maier, Elizabeth A.; Weage, Kristina J.; Guedes, Marjorie M; Denson, Lee A.; McNeal, Monica M.; Bernstein, David I.; Moore, Sean R.

    2013-01-01

    Background Conflicting evidence links malnutrition to the reduced efficacy of rotavirus vaccines in developing countries, where diarrhea and undernutrition remain leading causes of child deaths. Here, we adapted mouse models of rotavirus vaccination (rhesus rotavirus, RRV), rotavirus infection (EDIM), and protein-energy malnutrition (PEM) to test the hypothesis that undernutrition reduces rotavirus vaccine immunogenicity and efficacy. Methods We randomized wild type Balb/C dams with 3-day-old pups to a control diet (CD) or an isocaloric, multideficient regional basic diet (RBD) that produces PEM. At 3 weeks of age, we weaned CD and RBD pups to their dams’ diet and subrandomized weanlings to receive a single dose of either live oral rotavirus vaccine (RRV) or PBS. At 6 weeks of age, we orally challenged all groups with murine rotavirus (EDIM). Serum and stool specimens were collected before and after RRV and EDIM administration to measure viral shedding and antibody responses by ELISA. Results RBD pups and weanlings exhibited significant failure to thrive compared to age-matched CD mice (Pvaccination induced higher levels of serum anti-RV IgA responses in RBD vs. CD mice (PVaccination protected CD and RBD mice equally against EDIM infection, as measured by viral shedding. In unvaccinated RBD mice, EDIM shedding peaked 1 day earlier (Pvaccination (Pvaccination mitigated stool IgA responses to EDIM more in CD vs. RBD mice (Pvaccination and infection, undernutrition does not impair rotavirus vaccine efficacy nor exacerbate infection in this mouse model of protein-energy malnutrition. Alternative models are needed to elucidate host-pathogen factors undermining rotavirus vaccine effectiveness in high-risk global settings. PMID:24200975

  5. Exposure time, running and skill-related performance in international u20 rugby union players during an intensified tournament

    Science.gov (United States)

    Carling, Christopher J.; Flanagan, Eamon; O’Doherty, Pearse; Piscione, Julien

    2017-01-01

    Purpose This study investigated exposure time, running and skill-related performance in two international u20 rugby union teams during an intensified tournament: the 2015 Junior World Rugby Championship. Method Both teams played 5 matches in 19 days. Analyses were conducted using global positioning system (GPS) tracking (Viper 2™, Statsports Technologies Ltd) and event coding (Opta Pro®). Results Of the 62 players monitored, 36 (57.1%) participated in 4 matches and 23 (36.5%) in all 5 matches while player availability for selection was 88%. Analyses of team running output (all players completing >60-min play) showed that the total and peak 5-minute high metabolic load distances covered were likely-to-very likely moderately higher in the final match compared to matches 1 and 2 in back and forward players. In individual players with the highest match-play exposure (participation in >75% of total competition playing time and >75-min in each of the final 3 matches), comparisons of performance in matches 4 and 5 versus match 3 (three most important matches) reported moderate-to-large decreases in total and high metabolic load distance in backs while similar magnitude reductions occurred in high-speed distance in forwards. In contrast, skill-related performance was unchanged, albeit with trivial and unclear changes, while there were no alterations in either total or high-speed running distance covered at the end of matches. Conclusions These findings suggest that despite high availability for selection, players were not over-exposed to match-play during an intensified u20 international tournament. They also imply that the teams coped with the running and skill-related demands. Similarly, individual players with the highest exposure to match-play were also able to maintain skill-related performance and end-match running output (despite an overall reduction in the latter). These results support the need for player rotation and monitoring of performance, recovery and

  6. The theoretical simulation on electrostatic distribution of 1st proximity region in proximity focusing low-light-level image intensifier

    Science.gov (United States)

    Zhang, Liandong; Bai, Xiaofeng; Song, De; Fu, Shencheng; Li, Ye; Duanmu, Qingduo

    2015-03-01

    Low-light-level night vision technology is magnifying low light level signal large enough to be seen by naked eye, which uses the photons - photoelectron as information carrier. Until the micro-channel plate was invented, it has been possibility for the realization of high performance and miniaturization of low-light-level night vision device. The device is double-proximity focusing low-light-level image intensifier which places a micro-channel plate close to photocathode and phosphor screen. The advantages of proximity focusing low-light-level night vision are small size, light weight, small power consumption, no distortion, fast response speed, wide dynamic range and so on. It is placed parallel to each other for Micro-channel plate (both sides of it with metal electrode), the photocathode and the phosphor screen are placed parallel to each other. The voltage is applied between photocathode and the input of micro-channel plate when image intensifier works. The emission electron excited by photo on the photocathode move towards to micro-channel plate under the electric field in 1st proximity focusing region, and then it is multiplied through the micro-channel. The movement locus of emission electrons can be calculated and simulated when the distributions of electrostatic field equipotential lines are determined in the 1st proximity focusing region. Furthermore the resolution of image tube can be determined. However the distributions of electrostatic fields and equipotential lines are complex due to a lot of micro-channel existing in the micro channel plate. This paper simulates electrostatic distribution of 1st proximity region in double-proximity focusing low-light-level image intensifier with the finite element simulation analysis software Ansoft maxwell 3D. The electrostatic field distributions of 1st proximity region are compared when the micro-channel plates' pore size, spacing and inclination angle ranged. We believe that the electron beam movement

  7. New approaches to determine fatigue in elite athletes during intensified training: Resting metabolic rate and pacing profile.

    Directory of Open Access Journals (Sweden)

    Amy L Woods

    Full Text Available Elite rowers complete a high volume of training across a number of modalities to prepare for competition, including periods of intensified load, which may lead to fatigue and short-term performance decrements. As yet, the influence of substantial fatigue on resting metabolic rate (RMR and exercise regulation (pacing, and their subsequent utility as monitoring parameters, has not been explicitly investigated in elite endurance athletes.Ten National-level rowers completed a four-week period of intensified training. RMR, body composition and energy intake were assessed PRE and POST the four-week period using indirect calorimetry, Dual-Energy X-Ray Densitometry (DXA, and three-day food diary, respectively. On-water rowing performance and pacing strategy was evaluated from 5 km time trials. Wellness was assessed weekly using the Multicomponent Training Distress Scale (MTDS.Significant decreases in absolute (mean ± SD of difference, p-value: -466 ± 488 kJ.day-1, p = 0.01 and relative RMR (-8.0 ± 8.1 kJ.kg.FFM-1, p = 0.01 were observed. Significant reductions in body mass (-1.6 ± 1.3 kg, p = 0.003 and fat mass (-2.2 ± 1.2 kg, p = 0.0001 were detected, while energy intake was unchanged. On-water 5 km rowing performance worsened (p < 0.05 and an altered pacing strategy was evident. Fatigue and total mood disturbance significantly increased across the cycle (p < 0.05, and trends were observed for reduced vigour and increased sleep disturbance (p < 0.1.Four weeks of heavy training decreased RMR and body composition variables in elite rowers and induced substantial fatigue, likely related to an imbalance between energy intake and output. This study demonstrates that highly experienced athletes do not necessarily select the correct energy intake during periods of intensified training, and this can be assessed by reductions in RMR and body composition. The shortfall in energy availability likely affected recovery from training and altered 5 km time trial

  8. Influence of Intensified Supervision by Health Care Inspectorates on Online Patient Ratings of Hospitals: A Multilevel Study of More Than 43,000 Online Ratings

    Science.gov (United States)

    Kleefstra, Sophia Martine; Borghans, Ine; Atsma, Femke; van de Belt, Tom H

    2016-01-01

    Background In the Netherlands, hospitals with quality or safety issues are put under intensified supervision by the Dutch Health Care Inspectorate, which involves frequent announced and unannounced site visits and other measures. Patient rating sites are an upcoming phenomenon in health care. Patient reviews might be influenced by perceived quality including the media coverage of health care providers when the health care inspectorate imposes intensified supervision, but no data are available to show how these are related. Objective The aim of this study was to investigate whether and how being under intensified supervision of the health care inspectorate influences online patient ratings of hospitals. Methods We performed a longitudinal study using data from the patient rating site Zorgkaart Nederland, from January 1, 2010 to December 31, 2015. We compared data of 7 hospitals under intensified supervision with a control group of 28 hospitals. The dataset contained 43,856 ratings. We performed a multilevel logistic regression analysis to account for clustering of ratings within hospitals. Fixed effects in our analysis were hospital type, time, and the period of intensified supervision. Random effect was the hospital. The outcome variable was the dichotomized rating score. Results The period of intensified supervision was associated with a low rating score for the hospitals compared with control group hospitals; both 1 year before intensified supervision (odds ratio, OR, 1.67, 95% CI 1.06-2.63) and 1 year after (OR 1.79, 95% CI 1.14-2.81) the differences are significant. For all periods, the odds on a low rating score for hospitals under intensified supervision are higher than for the control group hospitals, corrected for time. Time is also associated with low rating scores, with decreasing ORs over time since 2010. Conclusions Hospitals that are confronted with intensified supervision by the health care inspectorate have lower ratings on patient rating sites. The

  9. Tuberculosis and non-tuberculous mycobacteria among HIV-infected individuals in Ghana

    DEFF Research Database (Denmark)

    Bjerrrum, Stephanie; Oliver-Commey, Joseph; Kenu, Ernest

    2016-01-01

    OBJECTIVES: To assess the prevalence and clinical importance of previously unrecognised tuberculosis (TB) and isolation of non-tuberculous mycobacteria (NTM) among HIV-infected individuals in a teaching hospital in Ghana. METHODS: Intensified mycobacterial case finding was conducted among HIV...

  10. Secondary Infections with Ebola Virus in Rural Communities, Liberia and Guinea, 2014-2015.

    Science.gov (United States)

    Lindblade, Kim A; Nyenswah, Tolbert; Keita, Sakoba; Diallo, Boubakar; Kateh, Francis; Amoah, Aurora; Nagbe, Thomas K; Raghunathan, Pratima; Neatherlin, John C; Kinzer, Mike; Pillai, Satish K; Attfield, Kathleen R; Hajjeh, Rana; Dweh, Emmanuel; Painter, John; Barradas, Danielle T; Williams, Seymour G; Blackley, David J; Kirking, Hannah L; Patel, Monita R; Dea, Monica; Massoudi, Mehran S; Barskey, Albert E; Zarecki, Shauna L Mettee; Fomba, Moses; Grube, Steven; Belcher, Lisa; Broyles, Laura N; Maxwell, T Nikki; Hagan, Jose E; Yeoman, Kristin; Westercamp, Matthew; Mott, Joshua; Mahoney, Frank; Slutsker, Laurence; DeCock, Kevin M; Marston, Barbara; Dahl, Benjamin

    2016-09-01

    Persons who died of Ebola virus disease at home in rural communities in Liberia and Guinea resulted in more secondary infections than persons admitted to Ebola treatment units. Intensified monitoring of contacts of persons who died of this disease in the community is an evidence-based approach to reduce virus transmission in rural communities.

  11. Jamaica, Three Years Later: Effects of Intensified Pro-Gay Activism on Severe Prejudice Against Lesbians and Gay Men.

    Science.gov (United States)

    West, Keon

    2016-01-01

    Jamaica has developed an international reputation for severe anti-gay prejudice. However, in the past few years, between 2012 and 2015, intensified waves of activism have increased the visibility of lesbian, gay, bisexual, and transgender (LGBT) Jamaicans, and supported their social and legal inclusion in Jamaican society. This research investigated the effects of that activism by taking advantage of two large, representative surveys of Jamaicans' attitudes toward lesbians and gay men: one in 2012 and one in 2015. Over the three-year period there were significant reductions in desire for social distance and opposition to gay rights. However, there was no significant change in anti-gay attitudes, and there was evidence of an increase in anti-gay behaviors. There was also no evidence of polarization of responses to gay men and lesbians; rather, the most prejudiced Jamaicans showed the largest reductions in bias. Implications of these findings for activism in Jamaica and other anti-gay countries are discussed.

  12. Development of an image intensifier-TV digital imaging system with a multiple-slit scanning x-ray beam

    International Nuclear Information System (INIS)

    Kume, Y.; Doi, K.

    1986-01-01

    The authors are developing a new digital x-ray imaging system employing a multiple-slit assembly (MSA) and an image intensifier (II)-TV digital system. The final image consisting of primary radiation is digitally reconstructed from multiple slit images obtained with the MSA. This system can significantly reduce the scattered radiation from an object and the veiling glare from II-TV system. The quality of the reconstructed image is related to many parameters, such as slit width, the number of image frames, and the image reconstruction algorithm. They present the effect of these various parameters on basic imaging properties and the practicability of the method in comparison with conventional wide beam imaging

  13. PQ Improvement by Moderation of Multi-Level Inverter Controlling Techniques and Intensifying the Performance of DVR

    Directory of Open Access Journals (Sweden)

    Vinay Kumar Awaar

    2015-01-01

    Full Text Available A novel control scheme is proposed for the enhancement of Dynamic Voltage Restorer (DVR performance. In this paper, the moderation of inverter controlling techniques has been adopted to intensify the DVR characteristics and thereby to improve the Power Quality. The proposed model verification has been obtained by simulation of the PWM patterns which provides the better utilization of the device (DVR for the compensation of voltage deviations during voltage sag. Also, it has been shown that Dynamic Voltage Restorer can be worked as a harmonic compensator for the compensation of the current and voltage harmonics. Obtained simulation results verify that the control approach gives very effective regulation and performs excellent voltage compensation by adopting multilevel inverter.

  14. Uses of microchannel plate intensified detectors for imaging applications in the X-ray, EUV and visible wavelength regions

    International Nuclear Information System (INIS)

    Read, P.D.; Carter, M.K.; Pike, C.D.; Harrison, R.A.; Kent, B.J.; Swinyard, B.M.; Patchett, B.E.; Redfern, R.M.; Shearer, A.; Colhoun, M.

    1997-01-01

    The Rutherford Appleton laboratory photon counting detector (RALPCD) has been refined to meet project requirements for a flexible imaging arrangement with applications at X-ray, EUV and visible wavelengths. The basic detector design comprises commercially available high gain microchannel plate intensifiers fibre optically coupled to CID or CCD cameras, to form a modular detector arrangement with the appropriate RAL detection and centroiding software. Frames of data from the cameras are detected and centroided in a transputer or C40 parallel processor array where correction algorithms use look up tables to produce pattern free images at high resolution. Data from completed applications are used to illustrate the performance and future advances are discussed. (orig.)

  15. Effects of oxygen delivery, dietary nitrate, intensified training and prior exercise on oxygen uptake kinetics and performance in humans

    DEFF Research Database (Denmark)

    Christensen, Peter Møller

    In response to an increase in the metabolic demand the oxygen uptake (VO2) increases in an exponential fashion in exercising muscles and stabilizes after 1-2 min eventually reaching a plateau or steady state where the energy demand is matched by the l vel of VO2. VO2 kinetics describes the distinct...... from the exercising muscle is not clear. A key factor is distribution of blood flow which at present cannot be determined in absolute terms. However reductions of oxygen delivery in the range of 25-50% can attenuate the rise in muscle VO2 during high intensity exercise. There appears to be limited...... benefits from supplementing with nitrate to improve exercise efficiency and performance in endurance trained subjects. Furthermore it appears difficult to improve VO2 kinetics with intensified training in trained athletes; however intense exercise can amplify the VO2 response during subsequent high...

  16. Development and evaluation of a novel low power, high frequency piezoelectric-based ultrasonic reactor for intensifying the transesterification reaction

    Directory of Open Access Journals (Sweden)

    Mortaza Aghbashlo

    2016-12-01

    Full Text Available In this study, a novel low power, high frequency piezoelectric-based ultrasonic reactor was developed and evaluated for intensifying the transesterification process. The reactor was equipped with an automatic temperature control system, a heating element, a precise temperature sensor, and a piezoelectric-based ultrasonic module. The conversion efficiency and specific energy consumption of the reactor were examined under different operational conditions, i.e., reactor temperature (40‒60 °C, ultrasonication time (6‒10 min, and alcohol/oil molar ratio (4:1‒8:1. Transesterification of waste cooking oil (WCO was performed in the presence of a base-catalyst (potassium hydroxide using methanol. According to the obtained results, alcohol/oil molar ratio of 6:1, ultrasonication time of 10 min, and reactor temperature of 60 °C were found as the best operational conditions. Under these conditions, the reactor converted WCO to biodiesel with a conversion efficiency of 97.12%, meeting the ASTM standard satisfactorily, while the lowest specific energy consumption of 378 kJ/kg was also recorded. It should be noted that the highest conversion efficiency of 99.3 %, achieved at reactor temperature of 60 °C, ultrasonication time of 10 min, and alcohol/oil molar ratio of 8:1, was not favorable as the associated specific energy consumption was higher at 395 kJ/kg. Overall, the low power, high frequency piezoelectric-based ultrasonic module could be regarded as an efficient and reliable technology for intensifying the transesterification process in terms of energy consumption, conversion efficiency, and processing time, in comparison with high power, low frequency ultrasonic system reported previously. Finally, this technology could also be considered for designing, developing, and retrofitting chemical reactors being employed for non-biofuel applications as well.

  17. Acceleration of peat drying by intensifying the heat and mass transfer; Turpeen kuivumisen nopeuttaminen laemmoen- ja aineensiirtoa tehostamalla

    Energy Technology Data Exchange (ETDEWEB)

    Hillebrand, K.

    1996-12-31

    The efficiency of peat production can be increased by intensifying peat drying. To intensify drying one has to know the effects of the different factors affecting the heat and mass transfer in the drying layer and in the soil. The objective of the study is to increase the degree of utilization of solar energy in drying of peat from the present level of 30% to 40% of the total incoming solar energy. In this way it is possible to reduce the peat production costs about 10%. A numerical drying model has been developed which describes the transfer of liquid water, water vapor and heat in the drying layer and in the soil. In addition, the interaction between the atmosphere and the drying layer, as well as the rainfall interception by the layer, infiltration, evaporation, and drainage have been taking into account. Daily input requirements include global solar radiation, air temperature and relative humidity, wind speed and precipitation. In addition to the weather data one has to know the characteristics of the drying layer and the soil. The numerical drying model was also used to study the effect of soil frost on peat drying and the possibilities to hinder the frost formation. Producing peat on the field which is still partly frozen, the drying of peat takes 10 - 25% longer time than under normal conditions, which means 5 - 25 hours longer drying period. By forming a porous, insulating layer on the top of the soil surface, one can hinder the frost formation significantly. Raising the groundwater level prevents, however, only a little the frost formation in peat soil

  18. Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers.

    Science.gov (United States)

    Burke, Louise M; Ross, Megan L; Garvican-Lewis, Laura A; Welvaert, Marijke; Heikura, Ida A; Forbes, Sara G; Mirtschin, Joanne G; Cato, Louise E; Strobel, Nicki; Sharma, Avish P; Hawley, John A

    2017-05-01

    Three weeks of intensified training and mild energy deficit in elite race walkers increases peak aerobic capacity independent of dietary support. Adaptation to a ketogenic low carbohydrate, high fat (LCHF) diet markedly increases rates of whole-body fat oxidation during exercise in race walkers over a range of exercise intensities. The increased rates of fat oxidation result in reduced economy (increased oxygen demand for a given speed) at velocities that translate to real-life race performance in elite race walkers. In contrast to training with diets providing chronic or periodised high carbohydrate availability, adaptation to an LCHF diet impairs performance in elite endurance athletes despite a significant improvement in peak aerobic capacity. We investigated the effects of adaptation to a ketogenic low carbohydrate (CHO), high fat diet (LCHF) during 3 weeks of intensified training on metabolism and performance of world-class endurance athletes. We controlled three isoenergetic diets in elite race walkers: high CHO availability (g kg -1  day -1 : 8.6 CHO, 2.1 protein, 1.2 fat) consumed before, during and after training (HCHO, n = 9); identical macronutrient intake, periodised within or between days to alternate between low and high CHO availability (PCHO, n = 10); LCHF (diets providing chronic or periodised high-CHO availability, and despite a significant improvement in V̇O2 peak , adaptation to the topical LCHF diet negated performance benefits in elite endurance athletes, in part due to reduced exercise economy. © 2016 The Authors. The Journal of Physiology published by John Wiley & Sons Ltd on behalf of The Physiological Society.

  19. Arm studio to intensify the upper limb rehabilitation after stroke: concept, acceptance, utilization and preliminary clinical results.

    Science.gov (United States)

    Buschfort, R; Brocke, J; Hess, A; Werner, C; Waldner, A; Hesse, Stefan

    2010-04-01

    To assess the acceptance, utilization and clinical results of an arm studio designed to intensify treatment of the severely to moderately affected arm after stroke. In line with a distal bilateral approach, the equipment comprised 4 workstations, 1 finger trainer, and 3 machines for bilateral training of selected distal and proximal movements. Open study. Of 119 treated patients after subacute stroke, 30 completed a questionnaire and 24 were assessed. All patients completed 15 sessions, each of 30-45 min duration, on each of 2 workstations. Based on the patients' impairment level they were divided into 3 groups, as follows: group A, plegic; group B, proximal and distal movements but hand non-functional; and group C, able to grasp and release an object. Motor functions were assessed with the Fugl-Meyer Score (FM, 0-66) for groups A (n = 6) and B (n = 6), and the Action Arm Research Test (ARAT, 0-57) for group C (n = 12). No side-effects occurred. The patients regarded the training positively. The initial FM was 8.5 (standard deviation (SD) 3.3) and final FM 21.2 (SD 4.4) for group A, initial FM 25.3 (SD 6.9) and final FM 44.3 (SD 9.1) for group B, and initial ARAT 33.3 (SD 11.2) and final ARAT 43.5 (SD 10.7) for group C. The use of the arm studio to intensify upper limb rehabilitation after stroke is promising, and a controlled study is warranted.

  20. The Solid-State X-Ray Image Intensifier (SSXII): An EMCCD-Based X-Ray Detector.

    Science.gov (United States)

    Kuhls-Gilcrist, Andrew; Yadava, Girijesh; Patel, Vikas; Jain, Amit; Bednarek, Daniel R; Rudin, Stephen

    2008-01-01

    The solid-state x-ray image intensifier (SSXII) is an EMCCD-based x-ray detector designed to satisfy an increasing need for high-resolution real-time images, while offering significant improvements over current flat panel detectors (FPDs) and x-ray image intensifiers (XIIs). FPDs are replacing XIIs because they reduce/eliminate veiling glare, pincushion or s-shaped distortions and are physically flat. However, FPDs suffer from excessive lag and ghosting and their performance has been disappointing for low-exposure-per-frame procedures due to excessive instrumentation-noise. XIIs and FPDs both have limited resolution capabilities of ~3 cycles/mm. To overcome these limitations a prototype SSXII module has been developed, consisting of a 1k x 1k, 8 mum pixel EMCCD with a fiber-optic input window, which views a 350 mum thick CsI(Tl) phosphor via a 4:1 magnifying fiber-optic-taper (FOT). Arrays of such modules will provide a larger field-of-view. Detector MTF, DQE, and instrumentation-noise equivalent exposure (INEE) were measured to evaluate the SSXIIs performance using a standard x-ray spectrum (IEC RQA5), allowing for comparison with current state-of-the-art detectors. The MTF was 0.20 at 3 cycles/mm, comparable to standard detectors, and better than 0.05 up to 7 cycles/mm, well beyond current capabilities. DQE curves indicate no degradation from high-angiographic to low-fluoroscopic exposures (INEE of < 0.2 muR was measured for the highest-resolution mode (32 mum effective pixel size). Comparison images between detector technologies qualitatively demonstrate these improved imaging capabilities provided by the SSXII.

  1. The solid state x-ray image intensifier (SSXII): an EMCCD-based x-ray detector

    Science.gov (United States)

    Kuhls-Gilcrist, Andrew; Yadava, Girijesh; Patel, Vikas; Jain, Amit; Bednarek, Daniel R.; Rudin, Stephen

    2008-03-01

    The solid-state x-ray image intensifier (SSXII) is an EMCCD-based x-ray detector designed to satisfy an increasing need for high-resolution real-time images, while offering significant improvements over current flat panel detectors (FPDs) and x-ray image intensifiers (XIIs). FPDs are replacing XIIs because they reduce/eliminate veiling glare, pincushion or s-shaped distortions and are physically flat. However, FPDs suffer from excessive lag and ghosting and their performance has been disappointing for low-exposure-per-frame procedures due to excessive instrumentation-noise. XIIs and FPDs both have limited resolution capabilities of ~3 cycles/mm. To overcome these limitations a prototype SSXII module has been developed, consisting of a 1k x 1k, 8 μm pixel EMCCD with a fiber-optic input window, which views a 350 μm thick CsI(Tl) phosphor via a 4:1 magnifying fiber-optic-taper (FOT). Arrays of such modules will provide a larger field-of- view. Detector MTF, DQE, and instrumentation-noise equivalent exposure (INEE) were measured to evaluate the SSXIIs performance using a standard x-ray spectrum (IEC RQA5), allowing for comparison with current state-of-the-art detectors. The MTF was 0.20 at 3 cycles/mm, comparable to standard detectors, and better than 0.05 up to 7 cycles/mm, well beyond current capabilities. DQE curves indicate no degradation from high-angiographic to low-fluoroscopic exposures (INEE of < 0.2 μR was measured for the highest-resolution mode (32 μm effective pixel size). Comparison images between detector technologies qualitatively demonstrate these improved imaging capabilities provided by the SSXII.

  2. Component Level Modular Design of a Solid State X-ray Image Intensifier for an M×N Array.

    Science.gov (United States)

    Huang, Ying; Qu, Bin; Sharma, Prateek; Kuhls-Gilcrist, Andrew; Wang, Weiyuan; Titus, Albert H; Cartwright, Alexander N; Bednarek, Daniel R; Rudin, Stephen

    2010-10-30

    The Solid-State X-ray Image Intensifier (SSXII) is a novel dynamic x-ray imager, based on an array of electron-multiplying CCDs (EMCCDs), that can significantly improve performance compared to conventional x-ray image intensifiers (XIIs) and flat panel detectors (FPDs). To expand the field-of-view (FOV) of the SSXII detectors while maintaining high resolution, a scalable component level modular design is presented. Each module can be fit together with minimum dead-space and optically coupled to one contiguous x-ray converter plate. The electronics of each of the modules consists of a detachable head-board, on which is mounted the EMCCD, and a driver board. The size of the head-boards is minimized to ensure that the modules fit together properly. The driver boards connect with the head-boards via flat cables and are designed to be plugged into the main mother-board that contains an FPGA chip that generates the driving clock signals for the EMCCDs and analog-to-digital converter (ADC). At the front-end, a high speed ADC on each of the driver boards samples and digitizes the EMCCD analog output signal and an extensible modular digital multiplexer back-end is used to acquire and combine image data from multiple modules. The combined digital data is then transmitted to a PC via a standard Camera Link interface. Eventually, this modular design will be extended to a 3×3 or larger array to accomplish full clinical FOVs and enable the SSXII to replace conventional lower-resolution XIIs or FPDs.

  3. Radiography and image-intensified fluoroscopy of barium passage through the gastrointestinal tract in six healthy Amazon parrots (Amazona aestiva).

    Science.gov (United States)

    Vink-Nooteboom, Mariette; Lumeij, J T; Wolvekamp, W T C

    2003-01-01

    Gastrointestinal contrast studies were performed in six clinically healthy blue-fronted Amazon parrots (Amazona aestiva) using radiography and image-intensified fluoroscopy. During examination, the birds were confined in a perspex cage. The quality of the lateral radiographs was adequate for assessment of the contrast medium-filled gastrointestinal tract. Thirty minutes after administration of 20 mL/kg of a 25% barium sulphate suspension directly in the crop, in all birds the ventriculus was totally outlined by barium. After 60 min, the small intestine was filled in five of six birds. After 180 min, the crop was empty in all birds. The barium-outlined ventriculus had differences in shape on radiographs of individual birds and also between birds. The colon and cloaca had further filling after 120 to 300 min. With image-intensified fluoroscopy, gastrointestinal motility was evaluated. Contractions of the crop were seen, and boluses of contrast medium passing through the esophagus toward the proventriculus were easily identified. Proventricular contractions were rarely noted, but ventriculus motility was present and clearly defined. The ventriculus had a mean of 3.7 contraction cycles/min. In the duodenum and small intestine, rapid antegrade and retrograde peristaltic movements in combination with segmental contractions were seen. In the colon, occasionally very slow peristaltic activity, mainly of segmental nature, was present. During the examinations, no defeacation was recorded. Confinement in a small perspex cage provides an adequate and handy radiological set-up for evaluation of gastrointestinal passage and motility in birds, minimizing the influences of stress and anesthesia.

  4. Does intensified case finding increase tuberculosis case notification among children in resource-poor settings? A report from Nigeria.

    Science.gov (United States)

    Oshi, Daniel C; Chukwu, Joseph N; Nwafor, Charles C; Meka, Anthony O; Madichie, Nelson O; Ogbudebe, Chidubem L; Onyeonoro, Ugochukwu U; Ikebudu, Joy N; Ekeke, Ngozi; Anyim, Moses C; Ukwaja, Kingsley N; Aguwa, Emmanuel N

    2016-03-01

    Tuberculosis (TB) is a major cause of morbidity and mortality in developing countries. Passive case detection in national TB programmes is associated with low case notification, especially in children. This study was undertaken to improve detection of childhood TB in resource-poor settings through intensified case-finding strategies. A community-based intervention was carried out in six states in Nigeria. The creation of TB awareness was undertaken, and work aids, guidelines, and diagnostic charts were produced, distributed, and used. Various cadres of health workers and ad hoc project staff were trained. Child contacts with TB patients were screened in their homes, and children presenting at various hospital units were screened for TB. Baseline and intervention data were collected for evaluation populations and control populations. Detection of childhood TB increased in the evaluation population during the intervention, with a mean quarterly increase of 4.0% [new smear positive (NSP), although the increasing trend was not statistically significant (χ(2)=1.8; p<.179)]. Additionally, there was a mean quarterly increase of 3% for all forms of TB, although the trend was not statistically significant (χ(2)=1.48; p<.224). Conversely, there was a decrease in case notification in the control population, with a mean decline of 3% (all forms). Compared to the baseline, there was an increase of 31% (all forms) and 22% (NSP) in the evaluation population. Intensified case finding combined with capacity building, provision of work aids/guidelines, and TB health education can improve childhood-TB notification. Copyright © 2015 Asian-African Society for Mycobacteriology. Published by Elsevier Ltd. All rights reserved.

  5. The double burden household in sub-Saharan Africa: maternal overweight and obesity and childhood undernutrition from the year 2000: results from World Health Organization Data (WHO) and Demographic Health Surveys (DHS).

    Science.gov (United States)

    Wojcicki, Janet M

    2014-10-31

    Previous studies have characterized an increasing trend of double burden households, or households with individuals experiencing both undernutrition and obesity, in countries undergoing a nutrition transition. Although most prior studies indicate the prevalence of double burden households is highest in middle-income countries, there is some support for an increase in double burden households in sub-Saharan African countries as well. Using data from the Demographic Health Surveys (DHS) and the World Health Organization (WHO), the prevalence of double burden households in sub-Saharan African countries was calculated and the associations between prevalence of overweight/obese adults and underweight, stunted and wasted children were evaluated at the country and household (DHS only) levels. Restricted analyses and frequencies were calculated using urban-only datasets. Surveys from 28 African countries were available using WHO data and 26 from the DHS surveys. Only surveys that were conducted after 2000 were included in analyses. Using the WHO datasets, there were inverse associations between the prevalence of overweight and obesity in adults and underweight, stunting and wasting in children. Correspondingly, there were positive associations between adult underweight and child underweight, stunting and wasting. These associations were not significant in a smaller sample size using urban-only surveys. The prevalence of double burden households in DHS datasets was low: under 5 percent for obese mothers and underweight, stunted or wasted child pairs with a slightly higher percentage for overweight mothers and children with undernutrition. Restricting the analysis to urban only populations did not increase the frequencies of double burden households significantly. There was a low prevalence of double burden households in recent data from sub-Saharan Africa. Countries that have a high prevalence of child undernutrition correspondingly have a high prevalence of adult

  6. Postpartum infections

    DEFF Research Database (Denmark)

    Ahnfeldt-Mollerup, Peder; Petersen, Line Kirkeby; Kragstrup, Jakob

    2012-01-01

    % of all women had experienced one or more self-reported episode of infection. Breast infections (12%) were most frequent, followed by wound (3%), airway (3%), vaginal (3%) and urinary tract infections (3%), endometritis (2%) and "other infections" (2%). Of the women with an infection, 66% (265 of 395...

  7. Pinworm Infection

    Science.gov (United States)

    Pinworm infection Overview Pinworm infection is the most common type of intestinal worm infection in the United States and one of the most common worldwide. Pinworms are thin and white, measuring about 1/4 ...

  8. The Response of the South Asian Summer Monsoon Circulation to Intensified Irrigation in Global Climate Model Simulations

    Science.gov (United States)

    Shukla, Sonali P.; Puma, Michael J.; Cook, Benjamin I.

    2013-01-01

    Agricultural intensification in South Asia has resulted in the expansion and intensification of surface irrigation over the twentieth century. The resulting changes to the surface energy balance could affect the temperature contrasts between the South Asian land surface and the equatorial Indian Ocean, potentially altering the South Asian Summer Monsoon (SASM) circulation. Prior studies have noted apparent declines in the monsoon intensity over the twentieth century and have focused on how altered surface energy balances impact the SASM rainfall distribution. Here, we use the coupled Goddard Institute for Space Studies ModelE-R general circulation model to investigate the impact of intensifying irrigation on the large-scale SASM circulation over the twentieth century, including how the effect of irrigation compares to the impact of increasing greenhouse gas (GHG) forcing. We force our simulations with time-varying, historical estimates of irrigation, both alone and with twentieth century GHGs and other forcings. In the irrigation only experiment, irrigation rates correlate strongly with lower and upper level temperature contrasts between the Indian sub-continent and the Indian Ocean (Pearson's r = -0.66 and r = -0.46, respectively), important quantities that control the strength of the SASM circulation. When GHG forcing is included, these correlations strengthen: r = -0.72 and r = -0.47 for lower and upper level temperature contrasts, respectively. Under irrigated conditions, the mean SASM intensity in the model decreases only slightly and insignificantly. However, in the simulation with irrigation and GHG forcing, inter-annual variability of the SASM circulation decreases by *40 %, consistent with trends in the reanalysis products. This suggests that the inclusion of irrigation may be necessary to accurately simulate the historical trends and variability of the SASM system over the last 50 years. These findings suggest that intensifying irrigation, in concert with

  9. Genomic patterns resembling BRCA1- and BRCA2-mutated breast cancers predict benefit of intensified carboplatin-based chemotherapy

    Science.gov (United States)

    2014-01-01

    Introduction BRCA-mutated breast cancer cells lack the DNA-repair mechanism homologous recombination that is required for error-free DNA double-strand break (DSB) repair. Homologous recombination deficiency (HRD) may cause hypersensitivity to DNA DSB-inducing agents, such as bifunctional alkylating agents and platinum salts. HRD can be caused by BRCA mutations, and by other mechanisms. To identify HRD, studies have focused on triple-negative (TN) breast cancers as these resemble BRCA1-mutated breast cancer closely and might also share this hypersensitivity. However, ways to identify HRD in non-BRCA-mutated, estrogen receptor (ER)-positive breast cancers have remained elusive. The current study provides evidence that genomic patterns resembling BRCA1- or BRCA2-mutated breast cancers can identify breast cancer patients with TN as well as ER-positive, HER2-negative tumors that are sensitive to intensified, DSB-inducing chemotherapy. Methods Array comparative genomic hybridization (aCGH) was used to classify breast cancers. Patients with tumors with similar aCGH patterns as BRCA1- and/or BRCA2-mutated breast cancers were defined as having a BRCA-likeCGH status, others as non-BCRA-likeCGH. Stage-III patients (n = 249) had participated in a randomized controlled trial of adjuvant high-dose (HD) cyclophosphamide-thiotepa-carboplatin (CTC) versus 5-fluorouracil-epirubicin-cyclophosphamide (FE90C) chemotherapy. Results Among patients with BRCA-likeCGH tumors (81/249, 32%), a significant benefit of HD-CTC compared to FE90C was observed regarding overall survival (adjusted hazard ratio 0.19, 95% CI: 0.08 to 0.48) that was not seen for patients with non-BRCA-likeCGH tumors (adjusted hazard ratio 0.90, 95% CI: 0.53 to 1.54) (P = 0.004). Half of all BRCA-likeCGH tumors were ER-positive. Conclusions Distinct aCGH patterns differentiated between HER2-negative patients with a markedly improved outcome after adjuvant treatment with an intensified DNA-DSB-inducing regimen

  10. Overweight and Undernutrition in the Cases of School-Going Adolescents in Wolaita Sodo Town, Southern Ethiopia: Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Dereje Yohannes Teferi

    2018-01-01

    Full Text Available Background. This study aimed to assess the prevalence of malnutrition and associated factors among school adolescents in Wolaita Sodo town, Southern Ethiopia. Methods. A school-based cross-sectional study was conducted from May 18–June 10, 2015. A multistage sampling was used to select a random sample of 690 adolescents from selected schools. Data on sociodemographic information were collected by using an interviewer-administered questionnaire, and anthropometric measurements were made by using a digital Seca scale and height measuring board by trained data collectors. Data were entered into Epi-Data version 3.1 software and exported to SPSS version 20. World Health Organization (WHO Anthro-plus software was used to analyze anthropometric data. Both binary and multinomial logistic regression analyses were done to identify factors associated with the malnutrition of adolescents. Result. The overall prevalence of thinness, stunting, and overweight/obesity among school adolescents was 4.7% (95% CI: 3%–6.4%; 5.2% (95% CI: 3.4%–7%; and 5.0% (95% CI: 3.4%–6.7%, respectively. Being male (AOR = 4.07; 95% CI: 2.35–7.02, learning at a government school (AOR = 0.37; 95% CI: 0.20–0.65, mothers with no formal education (AOR = 4.03; 95% CI: 1.82–8.92, owning no cattle (AOR = 4.92; 95% CI: 2.08–11.64, skipping meals (AOR = 1.70; 95% CI: 1.05–2.74, and illness in 2 weeks prior to survey (AOR = 2.67; 95% CI: 1.49–4.78 were significantly associated with thinness. However, males, students who had their house, and no cattle were more likely to develop overweight/obesity. Maternal education of secondary school (AOR = 0.214; 95% CI: 0.054–0.846 was significantly associated with the stunting. Conclusion. The study showed the coexistence of undernutrition and overnutrition among school adolescents in the study area. There needs to implement evidence-based school nutrition education and health policies and programs to

  11. Influence of Intensified Supervision by Health Care Inspectorates on Online Patient Ratings of Hospitals: A Multilevel Study of More Than 43,000 Online Ratings

    NARCIS (Netherlands)

    Kool, R.B.; Kleefstra, S.M.; Borghans, H.J.; Atsma, F.; Belt, T.H. van de

    2016-01-01

    BACKGROUND: In the Netherlands, hospitals with quality or safety issues are put under intensified supervision by the Dutch Health Care Inspectorate, which involves frequent announced and unannounced site visits and other measures. Patient rating sites are an upcoming phenomenon in health care.

  12. Perineal wound healing after abdominoperineal resection for rectal cancer: a two-centre experience in the era of intensified oncological treatment

    NARCIS (Netherlands)

    Musters, Gijsbert D.; Sloothaak, Didi A. M.; Roodbeen, Sapho; van Geloven, Anna A. W.; Bemelman, Willem A.; Tanis, Pieter J.

    2014-01-01

    Intensified treatment for distal rectal cancer has improved oncological outcome, but at the expense of more perineal wound complications in patients undergoing an abdominoperineal resection (APR). The aim of this study was to analyse perineal wound healing after APR with primary perineal wound

  13. Concept Formation in Environmental Education: 14-Year Olds' Work on the Intensified Greenhouse Effect and the Depletion of the Ozone Layer. Research Report

    Science.gov (United States)

    Osterlind, Karolina

    2005-01-01

    A case study is presented describing the work of three pupils in the upper level of compulsory school. The pupils were learning about the intensified greenhouse effect and the depletion of the ozone layer. In their work, the need for certain domain-specific knowledge becomes apparent; for example, understanding such concepts as photosynthesis,…

  14. Intensified pharmaceutical care is improving immunosuppressive medication adherence in kidney transplant recipients during the first post-transplant year: a quasi-experimental study.

    Science.gov (United States)

    Joost, Robert; Dörje, Frank; Schwitulla, Judith; Eckardt, Kai-Uwe; Hugo, Christian

    2014-08-01

    Medication adherence is critical for transplant patients because the consequences of non-adherence can result in allograft loss and may be life threatening. A prospective study with 74 renal transplant recipients using a sequential control group design was performed to investigate the impact of a pharmaceutical intensified care programme led by a clinical pharmacist on daily drug adherence during the first year after renal transplantation. Thirty-nine patients of the control group received the already established standardized drug and transplant training, while 35 patients of the intensified care group (ICG) received additional inpatient and outpatient pharmaceutical care and counselling by a dedicated clinical pharmacist. Applied interventions were clustered and classified using the behaviour change technique taxonomy according to Michie. Adherence to immunosuppressive drug therapy was monitored up to 1 year using a medication event monitoring system, pill count (PC), drug holiday (DH) occurrence, Morisky questionnaire and self-report. Sixty-seven patients (35 of the standard care and 32 of the ICG) were analysed. Implementation of DA was significantly (P = 0.014) improved in patients of the ICG (91%) compared with SCG (75%) during the first year after transplantion. Daily adherence measures were already improved within 30-40 days after start of intensified patient care and continued throughout the study period. Intensified care patients also showed significantly better results for taking adherence (P = 0.006), PC (P = 0.008) and DHs (P = 0.001). The additional, intensified pharmaceutical care improved patients' medication adherence remarkably, suggesting that the applied additional care programme has the potential to improve outcomes after organ transplantation. © The Author 2014. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

  15. How the novel integration of electrolysis in tidal flow constructed wetlands intensifies nutrient removal and odor control.

    Science.gov (United States)

    Ju, Xinxin; Wu, Shubiao; Huang, Xu; Zhang, Yansheng; Dong, Renjie

    2014-10-01

    Intensified nutrient removal and odor control in a novel electrolysis-integrated tidal flow constructed wetland were evaluated. The average removal efficiencies of COD and NH4(+)-N were above 85% and 80% in the two experimental wetlands at influent COD concentration of 300 mg/L and ammonium nitrogen concentration of 60 mg/L regardless of electrolysis integration. Effluent nitrate concentration decreased from 2.5mg/L to 0.5mg/L with the reduction in current intensity from 1.5 mA/cm(2) to 0.57 mA/cm(2). This result reveals the important role of current intensity in nitrogen transformation. Owing to the ferrous and ferric iron coagulant formed through the electro-dissolution of the iron anode, electrolysis integration not only exerted a positive effect on phosphorus removal but also effectively inhibited sulfide accumulation for odor control. Although electrolysis operation enhanced nutrient removal and promoted the emission of CH4, no significant difference was observed in the microbial communities and abundance of the two experimental wetlands. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. The epidemiology of Plasmodium vivax and Plasmodium falciparum malaria in China, 2004-2012: from intensified control to elimination.

    Science.gov (United States)

    Zhang, Qian; Lai, Shengjie; Zheng, Canjun; Zhang, Honglong; Zhou, Sheng; Hu, Wenbiao; Clements, Archie C A; Zhou, Xiao-Nong; Yang, Weizhong; Hay, Simon I; Yu, Hongjie; Li, Zhongjie

    2014-11-03

    In China, the national malaria elimination programme has been operating since 2010. This study aimed to explore the epidemiological changes in patterns of malaria in China from intensified control to elimination stages. Data on nationwide malaria cases from 2004 to 2012 were extracted from the Chinese national malaria surveillance system. The secular trend, gender and age features, seasonality, and spatial distribution by Plasmodium species were analysed. In total, 238,443 malaria cases were reported, and the proportion of Plasmodium falciparum increased drastically from population. The areas affected by Plasmodium vivax malaria shrunk, while areas affected by P. falciparum malaria expanded from 294 counties in 2004 to 600 counties in 2012. This study demonstrated that malaria has decreased dramatically in the last five years, especially since the Chinese government launched a malaria elimination programme in 2010, and areas with reported falciparum malaria cases have expanded over recent years. These findings suggest that elimination efforts should be improved to meet these changes, so as to achieve the nationwide malaria elimination goal in China in 2020.

  17. The potential to intensify sulforaphane formation in cooked broccoli (Brassica oleracea var. italica) using mustard seeds (Sinapis alba).

    Science.gov (United States)

    Ghawi, Sameer Khalil; Methven, Lisa; Niranjan, Keshavan

    2013-06-01

    Sulforaphane, a naturally occurring cancer chemopreventive, is the hydrolysis product of glucoraphanin, the main glucosinolate in broccoli. The hydrolysis requires myrosinase isoenzyme to be present in sufficient activity; however, processing leads to its denaturation and hence reduced hydrolysis. In this study, the effect of adding mustard seeds, which contain a more resilient isoform of myrosinase, to processed broccoli was investigated with a view to intensify the formation of sulforaphane. Thermal inactivation of myrosinase from both broccoli and mustard seeds was studied. Thermal degradation of broccoli glucoraphanin was investigated in addition to the effects of thermal processing on the formation of sulforaphane and sulforaphane nitrile. Limited thermal degradation of glucoraphanin (less than 12%) was observed when broccoli was placed in vacuum sealed bag (sous vide) and cooked in a water bath at 100°C for 8 and 12 min. Boiling broccoli in water prevented the formation of any significant levels of sulforaphane due to inactivated myrosinase. However, addition of powdered mustard seeds to the heat processed broccoli significantly increased the formation of sulforaphane. Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.

  18. DRASTIC ENHANCEMENT OF PROPENE YIELD FROM 1-HEXENE CATALYTIC CRACKING USING A SHAPE INTENSIFIED MESO-SAPO-34 CATALYST

    Directory of Open Access Journals (Sweden)

    ZEESHAN NAWAZ

    2009-12-01

    Full Text Available A shape intensified Meso-SAPO-34 catalyst was designed and used to improve the yield and selectivity of propene from 1-hexene cracking. The propene was produced with an optimal selectivity of 73.9 wt.% with high feed conversion 98.2 wt.% at 14 per hour WHSV. Robust exponential control of the stereochemistry was observed over the Meso-SAPO-34 shape selective catalyst’s cracking. The influence of the operating parameters on 1-hexene catalytic cracking, such as reaction temperature, time-on-stream effect on product distribution and conversion variations were systematically studied. The yield of propene and conversion rapidly increased with the reaction temperature, until 575oC. Shape intensification and topological integration of SAPO-34 increases the diffusion opportunities for feed, and this phenomenon was found to be responsible for drastic increase in 1-hexene conversion and propene yield. One other reason for this increase is the suppression of surface reactions (isomerization and hydride transfer owing to better diffusion opportunities. About 55 wt.% propene yield and higher total olefins content was achieved over Meso-SAPO-34.

  19. Online full two-dimensional imaging of pulsed muon beams at J-PARC MUSE using a gated image intensifier

    Energy Technology Data Exchange (ETDEWEB)

    Ito, T.U., E-mail: ito.takashi15@jaea.go.jp [Advanced Science Research Center, Japan Atomic Energy Agency, Tokai, Ibaraki 319-1195 (Japan); Materials and Life Science Division, J-PARC Center, Tokai, Ibaraki 319-1195 (Japan); Toyoda, A. [Institute of Particle and Nuclear Studies, High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801 (Japan); Higemoto, W. [Advanced Science Research Center, Japan Atomic Energy Agency, Tokai, Ibaraki 319-1195 (Japan); Materials and Life Science Division, J-PARC Center, Tokai, Ibaraki 319-1195 (Japan); Tajima, M.; Matsuda, Y. [Graduate School of Arts and Sciences, The University of Tokyo, Meguro, Tokyo 153-8902 (Japan); Shimomura, K. [Materials and Life Science Division, J-PARC Center, Tokai, Ibaraki 319-1195 (Japan); Institute of Materials Structure Science, High Energy Accelerator Research Organization (KEK), Tsukuba, Ibaraki 305-0801 (Japan)

    2014-08-01

    A new muon beam profile monitor (MBPM) was developed to diagnose pulsed muon beams at J-PARC MUSE, mainly composed of a scintillation screen, a gated image intensifier (II), and a cooled CCD camera. The MBPM was designed to be compact so that it could be inserted into the bore of the μSR spectrometer in the D1 area and used concurrently. The spatial resolution of the MBPM was evaluated to be better than 1.4 mm, depending on the II gain. Such high-resolution muon beam profiles were obtained online for a positive muon beam with a kinetic energy of approximately 4 MeV. The contribution from the decay positrons to beam profiles was significantly reduced owing to the II gating. The linearity of the MBPM was evaluated on the basis of the number of decay positrons monitored by the μSR spectrometer. A linear response within a deviation of ±5% was confirmed over more than two orders of magnitude. In addition, a 3D imaging capability, used in vacuum, and immunity against moderate magnetic fields were demonstrated.

  20. Design, Characterization, and Modeling for a Modular High-Resolution Solid-State X-Ray Image Intensifier (SSXII)

    Science.gov (United States)

    Huang, Ying; Qu, Bin; Jain, Amit; Kuhls-Gilcrist, Andrew T.; Titus, Albert H.; Cartwright, Alexander N.; Bednarek, Daniel R.; Rudin, Stephen

    2013-02-01

    A high resolution x-ray imaging system designated the solid state x-ray image intensifier (SSXII) is being developed as a potential replacement of conventional lower-resolution x-ray detectors for neurovascular interventions. The SSXII consists of a CsI(Tl) phosphor to convert x-rays to light, a fiber optic taper to extend the field-of-view and to couple the phosphor to an Electron-Multiplying CCD (EMCCD) which has a built-in gain to boost the signal above the read-out noise floor. A parallel cascade linear-system model is explored and applied to quantitatively analyze the signal and noise transfer at each stage, and optimize the detector performance. The modulation transfer function (MTF), detective quantum efficiency (DQE) and frequency dependent instrumentation noise equivalent exposure (INEE) can be obtained from the theoretical model and experimental measurement. Agreement of these results validates the effectiveness of the model. Finally, compared with the traditional flat-panel detector (FPD), the SSXII exhibits better performance with higher spatial resolution, higher DQE and lower INEE.

  1. High time resolution CCD camera with X-ray image intensifier for SPring-8 BL40XU

    CERN Document Server

    Oka, T; Yagi, N

    2003-01-01

    SPring-8 BL40XU is designed to use high flux X-ray for small angle X-ray scattering and multi purpose. The flux at the experimental hutch is about 1 x 10 sup 1 sup 5 photons/sec at 12.4 KeV, which is larger 2 approx 3 figures than other beamlines at SPring-8. To utilize the high flux X-ray efficiently, new high-speed detector is needed. Therefore, a high frame rate CCD camera C7770 (Hamamatsu) and a new 6-inch X-ray image intensifier V5445P (Hamamatsu) were developed for BL40XU. The CCD camera has three CCD chips to increase the readout speed. Three identical images are created by a prism system in the CCD camera and projected onto the three chips. The pixel number of the CCD is 640 x 480 and the frame rate is 291 frames/sec. Reduction of the number of horizontal lines leads to a faster frame rate up to a few thousands. The combination of the CCD and with an X-ray shutter also leads to faster discrete data acquisition. (author)

  2. Fast Data Acquisition in Heavy Ion CT Using Intensifying Screen—EMCCD Camera System With Beam Intensity Monitor

    Science.gov (United States)

    Muraishi, Hiroshi; Abe, Shinji; Satoh, Hitoshi; Hara, Hidetake; Mogaki, Tatsuya; Hara, Satoshi; Miyake, Shoko; Watanabe, Yusuke; Koba, Yusuke

    2012-10-01

    We investigated the feasibility of fast data acquisition in heavy ion CT (IonCT) technique with an X-ray intensifying screen-charged coupled device (CCD) camera system. This technique is based on measuring the residual range distribution of heavy ions after passing through an object. We took a large number of images with a CCD camera for one projection by changing the range shifter (RS) thickness to obtain a characteristic curve similar to a Bragg curve and then to estimate the relative residual range. We used a high quality Electron Multiplying CCD (EMCCD) camera, which drastically reduced data acquisition time. We also used a parallel-plate ionization chamber upstream of an object to monitor the time variation in heavy ion beam intensity from a synchrotron accelerator and to perform beam intensity correction for all EMCCD images. Experiments were conducted using a broad beam of 12C, which was generated by spreading out the pencil beam accelerated up to 400 MeV/u by the Heavy Ion Medical Accelerator, in Chiba (HIMAC) at the National Institute of Radiological Sciences, with a scatterer. We demonstrated that a fast CT data acquisition, 14 min for 256 projections, is possible for an electron density phantom, consisting of six rods with a relative electron density resolution of 0.017, using the proposed technique with HIMAC.

  3. Intensifying radiation induced grafting of 4-vinylpyridine/glycidyl methacrylate mixtures onto poly(ethylene-co-tetrafluoroethylene) films using ultrasound

    International Nuclear Information System (INIS)

    Nasef, Mohamed Mahmoud; Sithambaranathan, Paveswari; Ahmad, Arshad; Abouzari-lotf, Ebrahim

    2017-01-01

    A new ultrasound-aided method was used to enhance grafting of 4-vinylpyridine (4-VP) and glycidyl methacrylate (GMA) monomers mixtures onto electron beam (EB) irradiated poly(ethylene-co-tetrafluoroethylene) (ETFE) film for the first time. The effects of reaction parameters such as absorbed dose, monomer concentration, reaction time on both of degree of grafting (DG) and grafting efficiency (GE) were investigated under sonication and conventional grafting at similar temperatures. Fourier transform infrared (FTIR) and atomic force microscopy (AFM) were used to monitor the impact of the applied ultrasound on composition and surfaces of the grafted films whereas 1 H-NMR was used to investigate composition of the grafting residues. The ultrasound-aided grafting of 4-VP/GMA was found to enhance both of DG% and GE remarkably. Moreover, it produced grafted ETFE films having smoother surfaces without homopolymer contamination compared to grafted films obtained from conventional grafting. The results of this study suggest that the use of ultrasound is a promising way for intensifying grafting process and improving its economy. - Highlights: • Grafting of 4-VP/GMA onto ETFE films was carried out with the aid of ultrasound. • Degree of grafting was found to be strongly dependent on reaction parameters. • Sonication remarkably enhanced the reaction kinetics and grafting efficiency. • Grafted films with smoother surfaces without homopolymer contamination were obtained. • Ultrasound aided grafting is superior to conventional one and promotes intensification.

  4. Odontogenic Infections.

    Science.gov (United States)

    Ogle, Orrett E

    2017-04-01

    The pathogenesis of odontogenic infection is polymicrobial, consisting of various facultative and strict anaerobes. The dominant isolates are strictly anaerobic gram-negative rods and gram-positive cocci. The periapical infection is the most common form of odontogenic infection. Although odontogenic infections are usually confined to the alveolar ridge vicinity, they can spread into deep fascial spaces. Cavernous sinus thrombosis, brain abscess, airway obstruction, and mediastinitis are possible complications of dental infections. The most important element in treating odontogenic infections is elimination of the primary source of the infection with antibiotics as adjunctive therapy. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Intensifying the Atmospheric

    DEFF Research Database (Denmark)

    Liebst, Lasse Suonperä

    2012-01-01

    understanding of atmospheres as aesthetically ‘radiating’ from the surfaces of space, thinks physiognomically, the article argues for a spatial morphological perspective on atmospheres. Thus, post-phenomeno¬logically, it is argued that the atmospheric given is given by the density of pedestrians, which...... are ‘compressed’ by the spatial morphologies of urban space. In this perspective atmospheres are to be understood as an emergent property that develops when the spatial morphological compression of urban life passes a certain threshold, that is, when the affective rhythm of the urban assemblages becomes...... sufficiently intense. All things considered, the paper should be read as a sociological contribution to theoretically reconstruct the concept of urban atmospheres in the light of spatial morphology....

  6. Intensifying the Atmospheric

    DEFF Research Database (Denmark)

    Liebst, Lasse Suonperä

    2012-01-01

    The phenomenological concept of urban atmospheres is more often applied as an aesthetic description of the metropolitan space as such. This conceptualization is supported in this paper; however, I strive to give the concept a post-phenomenological axial turn. While phenomenology, due to its under...... sufficiently intense. All things considered, the paper should be read as a sociological contribution to theoretically reconstruct the concept of urban atmospheres in the light of spatial morphology....

  7. Management of a cluster of Clostridium difficile infections among patients with osteoarticular infections

    Directory of Open Access Journals (Sweden)

    Jacqueline Färber

    2017-02-01

    Full Text Available Abstract Background Here we describe a cluster of hospital-acquired Clostridium difficile infections (CDI among 26 patients with osteoarticular infections. The aim of the study was to define the source of C. difficile and to evaluate the impact of general infection control measures and antibiotic stewardship on the incidence of CDI. Methods Epidemiological analysis included typing of C. difficile strains and analysis of possible patient to patient transmission. Infection control measures comprised strict isolation of CDI patients, additional hand washings, and intensified environmental cleaning with sporicidal disinfection. In addition an antibiotic stewardship program was implemented in order to prevent the use of CDI high risk antimicrobials such as fluoroquinolones, clindamycin, and cephalosporins. Results The majority of CDI (n = 15 were caused by C. difficile ribotype 027 (RT027. Most RT027 isolates (n = 9 showed high minimal inhibitory concentrations (MIC for levofloxacin, clindamycin, and remarkably to rifampicin, which were all used for the treatment of osteoarticular infections. Epidemiological analysis, however, revealed no closer genetic relationship among the majority of RT027 isolates. The incidence of CDI was reduced only when a significant reduction in the use of fluoroquinolones (p = 0.006, third generation cephalosporins (p = 0.015, and clindamycin (p = 0.001 was achieved after implementation of an intensified antibiotic stewardship program which included a systematic review of all antibiotic prescriptions. Conclusion The successful reduction of the CDI incidence demonstrates the importance of antibiotic stewardship programs focused on patients treated for osteoarticular infections.

  8. Short-term Risk of Serious Fall Injuries in Older Adults Initiating and Intensifying Treatment with Antihypertensive Medication

    Science.gov (United States)

    Shimbo, Daichi; Bowling, C. Barrett; Levitan, Emily B.; Deng, Luqin; Sim, John J.; Huang, Lei; Reynolds, Kristi; Muntner, Paul

    2016-01-01

    Background Antihypertensive medication use has been associated with an increased risk of falls in some but not all studies. Few data are available on the short-term risk of falls following antihypertensive medication initiation and intensification. Methods and Results We examined the association between initiating and intensifying antihypertensive medication and serious fall injuries in a case-crossover study of 90,127 Medicare beneficiaries who were ≥65 years old and had a serious fall injury between July 1, 2007 and December 31, 2012, based on emergency department and inpatient claims. Antihypertensive medication initiation was defined by a prescription fill with no fills in the prior year. Intensification was defined by the addition of a new antihypertensive class, and, separately, titration by the addition of a new class or increase in dosage of a current class. Exposures were ascertained for the 15 days before the fall (case period) and six 15-day earlier periods (control periods). Overall, 272, 1508, and 3113 Medicare beneficiaries initiated, added a new class of antihypertensive medication or titrated therapy, respectively, within 15 days of their serious fall injury. The odds for a serious fall injury was increased during the 15 days following antihypertensive medication initiation [odds ratio, OR, 1.36 (95% CI 1.19, 1.55)], adding a new class [OR 1.16 (95% CI 1.10, 1.23)], and titration [OR 1.13 (95% CI 1.08, 1.18)]. These associations were attenuated beyond 15 days. Conclusions Antihypertensive medication initiation and intensification was associated with a short-term, but not long-term, increased risk of serious fall injuries among older adults. PMID:27166208

  9. Optimising management of hypertension in primary care: the Valsartan Intensified Primary Care Reduction of Blood Pressure (Viper-Bp) study.

    Science.gov (United States)

    Stewart, Simon; Carrington, Melinda J; Swemmer, Carla; Kurstjens, Nicol; Jennings, Garry L

    2011-12-15

    The Valstartan Intensified Primary CarE Reduction of Blood Pressure Study (VIPER-BP) Study is an open-label, randomised controlled trial comparing usual primary care management with an intensive BP management strategy using three forms of valsartan-based therapy (mono-therapy, thiazide diuretic or calcium channel blocker combinations) to achieve individualised BP control. To identify the features of General Practitioner (GP) management of hypertension in Australia, we analyse the response to a case scenario-based survey of 500 GPs. We subsequently recruited a national cohort of GP Investigators to enrol up to 2500 patients into the VIPER-BP Study. GP responses clearly demonstrated that, compared to the VIPER-BP intervention, a heterogeneous approach to the primary care management of hypertension persists in Australia. By November 2010, 2157 hypertensive patients from 272 actively recruiting GP Investigators were enrolled into the study. Of these, 1965 (91%) patients were entered into a standardised "run-in" phase of 28 days of valsartan 80 mg/day. Subsequently, 1285 patients were randomised to usual care (n=435) or the VIPER-BP intervention (n=850). There was a predominance of males (62%), whilst 55% had pre-existing diabetes or cardiovascular disease and 63% had been previously treated for hypertension. Mean systolic and diastolic BP on randomisation for men and women, respectively, was 148 ± 15/88 ± 11 and 148 ± 18/87 ± 10 mm Hg. In contrast to typical primary care management of hypertension, VIPER-BP combines more intensive and aggressive therapies with structured management to more rapidly attain and sustain individualised BP targets in hypertensive patients. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  10. Seismo-Ionospheric Coupling as Intensified EIA Observed by Satellite Electron Density and GPS-TEC Data

    Science.gov (United States)

    Ryu, K.; Jangsoo, C.; Kim, S. G.; Jeong, K. S.; Parrot, M.; Pulinets, S. A.; Oyama, K. I.

    2014-12-01

    Examples of intensified EIA features temporally and spatially related to large earthquakes observed by satellites and GPS-TEC are introduced. The precursory, concurrent, and ex-post enhancements of EIA represented by the equatorial electron density, which are thought to be related to the M8.7 Northern Sumatra earthquake of March 2005, the M8.0 Pisco earthquake of August 2007, and the M7.9 Wenchuan Earthquake of 12 May 2008, are shown with space weather condition. Based on the case studies, statistical analysis on the ionospheric electron density data measured by the Detection of Electro-Magnetic Emissions Transmitted from Earthquake Regions satellite (DEMETER) over a period of 2005-2010 was executed in order to investigate the correlation between seismic activity and equatorial plasma density variations. To simplify the analysis, three equatorial regions with frequent earthquakes were selected and then one-dimensional time series analysis between the daily seismic activity indices and the EIA intensity indices were performed for each region with excluding the possible effects from the geomagnetic and solar activity. The statistically significant values of the lagged cross-correlation function, particularly in the region with minimal effects of longitudinal asymmetry, indicate that some of the very large earthquakes with M > 7.0 in the low latitude region can accompany observable seismo-ionospheric coupling phenomena in the form of EIA enhancements, even though the seismic activity is not the most significant driver of the equatorial ionospheric evolution. The physical mechanisms of the seismo-ionospheric coupling to explain the observation and the possibility of earthquake prediction using the EIA intensity variation are discussed.

  11. Prenatal undernutrition results in greater lipopolysaccharide-induced changes in hypothalamic TNF-α expression, but does not affect the equivalent changes in the serum levels of luteinizing hormone and testosterone, in adult male rats.

    Science.gov (United States)

    Iwasa, Takeshi; Matsuzaki, Toshiya; Tungalagsuvd, Altankhuu; Munkhzaya, Munkhsaikhan; Yiliyasi, Mayila; Kato, Takeshi; Kuwahara, Akira; Irahara, Minoru

    2016-02-01

    Immune stress can cause reproductive dysfunction. Some hypothalamic factors such as pro-inflammatory cytokines play pivotal roles in reproductive disorders under immune stress conditions. Recently, it has been reported that prenatal undernutrition affects not only metabolic functions, but also the responses of physiological functions to immune stress in adulthood. In this study, the long-term effects of prenatal undernutrition on the responses of hypothalamic pro-inflammatory cytokine (interleukin (IL)-1β, tumor necrosis factor (TNF)-α, and IL-6) expression; reproductive endocrine factors; i.e., the serum levels of gonadotropins and testosterone; and hypothalamic kisspeptin expression to lipopolysaccharide (LPS) were examined in male rats. Pregnant rats were divided into two groups; i.e., the normally nourished group and the undernourished (50% food restricted) group. The offspring of the normally nourished mothers (control) and undernourished mothers (the intrauterine growth restriction [IUGR] group) were sub-divided into saline-injected and LPS (500 μg, i.p.)-injected groups at 10 weeks of age. The rats' hypothalamic pro-inflammatory cytokine levels and serum luteinizing hormone (LH) and testosterone levels were measured and compared between the control and IUGR groups. The hypothalamic pro-inflammatory cytokine mRNA levels of the LPS-injected rats were significantly higher than those of the saline-injected rats in both the control and IUGR groups. The changes in the hypothalamic expression level of TNF-α, but not those of the other cytokines, induced in response to LPS were more marked in the IUGR group than in the control group. On the other hand, although the serum LH and testosterone levels of the LPS-injected rats were significantly lower than those of the saline-injected rats in both the control and IUGR groups, their levels did not differ between the control and IUGR groups under the LPS-injected conditions. These results suggest that prenatal

  12. Campylobacter Infections

    Science.gov (United States)

    Campylobacter infection is a common foodborne illness. You usually get it from eating contaminated food, especially raw ... You can also get it from drinking contaminated water or raw milk, or handling infected animal feces ( ...

  13. Staphylococcal Infections

    Science.gov (United States)

    ... arthritis), and a number of skin infections (eg, impetigo, pimples, boils). Staphylococcus aureus also causes toxin-related ... cases clear up in 7 to 10 days. Impetigo is a common and contagious skin infection in ...

  14. Rotavirus Infections

    Science.gov (United States)

    Rotavirus is a virus that causes gastroenteritis. Symptoms include severe diarrhea, vomiting, fever, and dehydration. Almost all ... the U.S. are likely to be infected with rotavirus before their 5th birthday. Infections happen most often ...

  15. Vaginal Infections

    Science.gov (United States)

    ... around your vagina , or a problem with your vaginal discharge (fluid). If you've had sexual contact with ... discharge Types of vaginal infections Ways to avoid vaginal infections Abnormal discharge top You may wonder if the fluid, or ...

  16. A comparative study about the efficiency of several industrial radiographic intensifying screens types by evaluation factor and the equivalent penetrometer sensitivity

    International Nuclear Information System (INIS)

    Ramos, C.W.; Gante, V.; Ribeiro, L.M.

    1992-05-01

    When a x-ray or gamma-ray beam strikes a film usually less than 1% of the energy is absorbed resulting in a photographic effect. Obviously, any mean of utilizing more fully the unabsorbed percentage of energy without complicating too much the technical radiographic procedure is highly desirable. One very common procedure is to use the film between two intensifying screens. These screens have the property of emitting electrons (lead screens) or become fluorescent (fluorescent screens) when stricken by electromagnetic radiation thus resulting in a supplementary photographic action on the film emulsion. This work presents an efficiency comparison of the more usual varieties of these intensifying screens for energies of x-ray until 300 K V. (author)

  17. Heterologous Immunity and Persistent Murine Cytomegalovirus Infection.

    Science.gov (United States)

    Che, Jenny W; Daniels, Keith A; Selin, Liisa K; Welsh, Raymond M

    2017-01-15

    the history of LCMV infection intensifies MCMV immunopathology, enhances MCMV burden in multiple organs, and suppresses MCMV-specific T cell memory inflation. In the reverse infection sequence, we show that some of the long-term MCMV-immune mice mount a robust CD8 T cell cross-reactive response between a newly defined putative MCMV epitope sequence and a normally subdominant LCMV epitope. These results further illustrate how a history of infection can substantially influence the immune responses and immune pathology associated with infections with an unrelated virus. Copyright © 2017 American Society for Microbiology.

  18. Position and time resolution measurements with a microchannel plate image intensifier: A comparison of monolithic and pixelated CeBr{sub 3} scintillators

    Energy Technology Data Exchange (ETDEWEB)

    Ackermann, Ulrich, E-mail: ulrich.ackermann@unibw.de [Universität der Bundeswehr München, Institut für angewandte Physik und Messtechnik (LRT2), Werner-Heisenberg-Weg 39, 85577 Neubiberg (Germany); Eschbaumer, Stephan, E-mail: stephan.eschbaumer@unibw.de [Universität der Bundeswehr München, Institut für angewandte Physik und Messtechnik (LRT2), Werner-Heisenberg-Weg 39, 85577 Neubiberg (Germany); Bergmaier, Andreas, E-mail: andreas.bergmaier@unibw.de [Universität der Bundeswehr München, Institut für angewandte Physik und Messtechnik (LRT2), Werner-Heisenberg-Weg 39, 85577 Neubiberg (Germany); Egger, Werner, E-mail: werner.egger@unibw.de [Universität der Bundeswehr München, Institut für angewandte Physik und Messtechnik (LRT2), Werner-Heisenberg-Weg 39, 85577 Neubiberg (Germany); Sperr, Peter, E-mail: peter.sperr@unibw.de [Universität der Bundeswehr München, Institut für angewandte Physik und Messtechnik (LRT2), Werner-Heisenberg-Weg 39, 85577 Neubiberg (Germany); Greubel, Christoph, E-mail: christoph.greubel@unibw.de [Universität der Bundeswehr München, Institut für angewandte Physik und Messtechnik (LRT2), Werner-Heisenberg-Weg 39, 85577 Neubiberg (Germany); and others

    2016-07-01

    To perform Four Dimensional Age Momentum Correlation measurements in the near future, where one obtains the positron lifetime in coincidence with the three dimensional momentum of the electron annihilating with the positron, we have investigated the time and position resolution of two CeBr{sub 3} scintillators (monolithic and an array of pixels) using a Photek IPD340/Q/BI/RS microchannel plate image intensifier. The microchannel plate image intensifier has an active diameter of 40 mm and a stack of two microchannel plates in chevron configuration. The monolithic CeBr{sub 3} scintillator was cylindrically shaped with a diameter of 40 mm and a height of 5 mm. The pixelated scintillator array covered the whole active area of the microchannel plate image intensifier and the shape of each pixel was 2.5·2.5·8 mm{sup 3} with a pixel pitch of 3.3 mm. For the monolithic setup the measured mean single time resolution was 330 ps (FWHM) at a gamma energy of 511 keV. No significant dependence on the position was detected. The position resolution at the center of the monolithic scintillator was about 2.5 mm (FWHM) at a gamma energy of 662 keV. The single time resolution of the pixelated crystal setup reached 320 ps (FWHM) in the region of the center of the active area of the microchannel plate image intensifier. The position resolution was limited by the cross-section of the pixels. The gamma energy for the pixel setup measurements was 511 keV.

  19. Data processing correction of the irising effect of a fast-gating intensified charge-coupled device on laser-pulse-excited spectra

    Czech Academy of Sciences Publication Activity Database

    Ondič, Lukáš; Dohnalová, Kateřina; Pelant, Ivan; Žídek, K.; de Boer, W.D.A.M.

    2010-01-01

    Roč. 81, č. 6 (2010), 063104/1-063104/5 ISSN 0034-6748 R&D Projects: GA AV ČR KAN400100701; GA AV ČR(CZ) IAA101120804; GA MŠk LC510; GA AV ČR KJB100100903 Institutional research plan: CEZ:AV0Z10100521 Keywords : irising effect * intensifier charge-coupled device Subject RIV: BM - Solid Matter Physics ; Magnetism Impact factor: 1.598, year: 2010

  20. Fungal Infections

    Science.gov (United States)

    ... Body Mind Sexual Health Food & Fitness Diseases & Conditions Infections Drugs & Alcohol School & Jobs Sports Expert Answers (Q&A) Staying Safe Videos for Educators Search English Español Fungal Infections KidsHealth / For Kids / Fungal Infections What's in this ...

  1. Biofilm Infections

    DEFF Research Database (Denmark)

    as being important in chronic infection. In 1993 the American Society for Microbiology (ASM) recognized that the biofilm mode of growth was relevant to microbiology. This book covers both the evidence for biofilms in many chronic bacterial infections as well as the problems facing these infections...

  2. TORCH infections.

    Science.gov (United States)

    Neu, Natalie; Duchon, Jennifer; Zachariah, Philip

    2015-03-01

    TORCH infections classically comprise toxoplasmosis, Treponema pallidum, rubella, cytomegalovirus, herpesvirus, hepatitis viruses, human immunodeficiency virus, and other infections, such as varicella, parvovirus B19, and enteroviruses. The epidemiology of these infections varies; in low-income and middle-income countries, TORCH infections are major contributors to prenatal, perinatal, and postnatal morbidity and mortality. Evidence of infection may be seen at birth, in infancy, or years later. For many of these pathogens, treatment or prevention strategies are available. Early recognition, including prenatal screening, is key. This article covers toxoplasmosis, parvovirus B19, syphilis, rubella, hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. virtX - a computer based system for training the intrasurgical use of mobile image intensifier systems

    Directory of Open Access Journals (Sweden)

    Pretschner, Dietrich Peter

    2006-11-01

    Full Text Available Background and objectives: Currently the correct intrasurgical positioning and adjustment of mobile X-ray image intensifiers (C-arm can be learned theoretically through the use of textbooks, the practical training with the device itself suffers from the lack of visual feedback, i.e. radiographs corresponding to the adjustment of the C-arm. This leads to the question, whether the training of correct operation and adjustment of a C-arm in different operation scenarios can be supported by a C-arm simulation system being part of a CBT system (Computer Based Training. Methods: In co-operation with physicians from accident surgery and radiology the computer-based training system virtX was developed. virtX confronts the user with different exercises of C-arm adjustment and evaluates their execution and the results. These tasks can be created with the help of an authoring tool and can be accomplished by the trainee in different modes: a pure virtual mode and a combined virtual-real mode. In the pure virtual mode the user controls the virtual C-arm in a virtual operating theatre via the graphic-interactive virtX user interface. In the virtual-real mode however the position and orientation of a real C-arm are detected and mapped onto the virtual C-arm. At any time during the completion of an exercise the user can produce a close-to-reality, virtual radiograph and can control all parameters, like the positions of the apertures, X-ray intensity, etc. virtX was used on a three-day course for OR personnel with 120 participants and evaluated using questionnaires.Results: 79 of the participants returned a questionnaire. The average age of the 62 female and 15 male participants (two n.s. was 34 ± 9 years, their professional experience was 8.3 ± 7.6 years. 18 persons (23% indicated to work occasionally with a C-arm, 61 (77% worked regularly with it. Over 83% of the interviewed participants considered virtX a useful addition to the conventional C-arm training

  4. Intensified Separation of Steviol Glycosides from a Crude Aqueous Extract of Stevia rebaudiana Leaves Using Centrifugal Partition Chromatography.

    Science.gov (United States)

    Hubert, Jane; Borie, Nicolas; Chollet, Sébastien; Perret, Joël; Barbet-Massin, Claire; Berger, Monique; Daydé, Jean; Renault, Jean-Hugues

    2015-11-01

    Aqueous extracts of Stevia rebaudiana leaves have been approved since 2008 by the Joint Expert Committee for Food Additives as sugar substitutes in many food and beverages in Western and Far East Asian countries. The compounds responsible for the natural sweetness of Stevia leaves include a diversity of diterpenoid glycosides derived from a steviol skeleton. These steviol glycosides also exhibit a low calorific value as well as promising therapeutic applications, particularly for the treatment of sugar metabolism disturbances. In this work, centrifugal partition chromatography is proposed as an efficient technical alternative to purify steviol glycosides from crude aqueous extracts of Stevia leaves on a multigram scale. Two different commercial instruments, including an ASCPC250® and a FCPE300® made of columns containing 1890 and 231 twin-cells, respectively, were evaluated and compared. All experiments were performed with a polar biphasic solvent system composed of ethyl acetate, n-butanol, and water in a gradient elution mode. When using the 1890 partition cell centrifugal partition chromatography column of 250 mL, 42 mg of stevioside, 68 mg of dulcoside A, and 172 mg of rebaudioside A, three major constituents of the initial extract were obtained from 1 g of the initial mixture at purities of 81%, 83%, and 99%, respectively. The productivity was further improved by intensifying the procedure on the 231 partition cell centrifugal partition chromatography column of 303 mL with the sample mass loading increased up to 5 g, resulting in the recovery of 1.2 g of stevioside, 100 mg of dulcoside A, and 1.1 g of rebaudioside A at purities of 79%, 62%, and 98%, respectively. The structures of the isolated compounds were validated by HPLC-UV, ESI-MS, (1)H, and (13)C NMR analyses. Altogether, the results demonstrate that the column design (i.e., the partition cell number) is an important aspect to be considered for a larger scale centrifugal partition chromatography

  5. Staphylococcus aureus Hijacks a Skin Commensal to Intensify Its Virulence: Immunization Targeting β-Hemolysin and CAMP Factor

    OpenAIRE

    Lo, Chih-Wei; Lai, Yiu-Kay; Liu, Yu-Tsueng; Gallo, Richard L.; Huang, Chun-Ming

    2010-01-01

    The need for a new anti-Staphylococcus aureus therapy that can effectively cripple bacterial infection, neutralize secretory virulence factors, and lower the risk of creating bacterial resistance is undisputed. Here, we propose what is, to our knowledge, a previously unreported infectious mechanism by which S. aureus may commandeer Propionibacterium acnes, a key member of the human skin microbiome, to spread its invasion and highlight two secretory virulence factors (S. aureus β-hemolysin and...

  6. Effect of intensified feeding of heifer calves on growth, pubertal age, calving age, milk yield, and economics.

    Science.gov (United States)

    Davis Rincker, L E; Vandehaar, M J; Wolf, C A; Liesman, J S; Chapin, L T; Weber Nielsen, M S

    2011-07-01

    calving, daily gain during gestation, withers height at calving, body condition score at calving, calving difficulty score, and calf BW were not different. Energy-corrected, age-uncorrected 305-d milk yield was not different, averaging 9,778 kg and 10,069 kg for heifers fed the conventional and intensive diets, respectively. However, removing genetic variation in milk using parent average values as a covariate resulted in a tendency for greater milk from heifers fed the intensive diet. Preweaning costs were higher for heifers fed the intensive diet. However, total costs measured through first lactation were not different. Intensified feeding of calves can be used to decrease age at first calving without negatively affecting milk yield or economics. Copyright © 2011 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  7. PIDOTIMOD A NEW EFFICIENT PRODUCT IN IMMUNOLOGICAL PROPHYLAXIS AND IMMUNOLOGICAL THERAPY OF RESPIRATORY INFECTIONS IN CHILDREN

    OpenAIRE

    A.V. Karaulov

    2008-01-01

    The article contains analysis of results of international trial of pidotimod (imunorix) efficiency. pidotimod is a new safe immunomodulator, which is both efficient in prophylactic use and as a medication. At the same time, the drug is capable of intensify the effect of antibiotics and other medications. This fact is confirmed by the results of controlled trials with participation of a large number of patients. pidotimod is ministerial to a faster disappearance of signs and symptoms of infect...

  8. Cognitive Therapy and Task Concentration Training Applied as Intensified Group Therapies for Social Anxiety Disorder with Fear of Blushing-A Randomized Controlled Trial.

    Science.gov (United States)

    Härtling, Samia; Klotsche, Jens; Heinrich, Anke; Hoyer, Jürgen

    2016-11-01

    The current study examines the efficacy of intensified group therapy for social anxiety disorder with fear of blushing. Task concentration training (TCT) and cognitive therapy (CT) were applied during one weekend and compared with a waiting list condition in a randomized controlled trial including 82 patients. On a second weekend, another intervention was added (resulting in TCT-CT and CT-TCT sequences) to examine order effects. Task concentration training and CT were both superior to the waiting list and equally effective after the first therapy weekend. Also, no differences were found between the sequences TCT-CT and CT-TCT at post-assessment. At 6- and 12-month follow-up, effects remained stable or further improved. At the 6-month follow-up, remission rates in completers, established by diagnostic status, were between 69% and 73%. Intensified group therapy is highly effective in treating social anxiety disorder with fear of blushing. Group formats for patients sharing a common primary concern may contribute to the dissemination of cognitive-behavioural therapy. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Message: This study focuses on blushing from fearful individuals within the SAD spectrum to improve evidence for treatment efficacy in those whose social fears are centred around observable bodily sensations. This study integrates task concentration training into the SAD model of Clark and Wells to combine two evidence-based treatments for SAD under one treatment model. This study uses an innovative format of brief, intensified group therapy, conducted on two full-day weekend group sessions delivered over two weekends, with strong observed effect sizes. Copyright © 2015 John Wiley & Sons, Ltd.

  9. BRCA1-like profile is not significantly associated with survival benefit of non-myeloablative intensified chemotherapy in the GAIN randomized controlled trial.

    Science.gov (United States)

    van Rossum, A G J; Schouten, P C; Weber, K E; Nekljudova, V; Denkert, C; Solbach, C; Köhne, C H; Thomssen, C; Forstbauer, H; Hoffmann, G; Kohls, A; Schmatloch, S; Schem, C; von Minckwitz, G; Karn, T; Möbus, V J; Linn, S C; Loibl, S; Marmé, F

    2017-12-01

    The BRCA1-like profile identifies tumors with a defect in homologous recombination due to inactivation of BRCA1. This profile has been shown to predict which stage III breast cancer patients benefit from myeloablative, DNA double-strand-break-inducing chemotherapy. We tested the predictive potential of the BRCA1-like profile for adjuvant non-myeloablative, intensified dose-dense chemotherapy in the GAIN trial. Lymph node positive breast cancer patients were randomized to 3 × 3 dose-dense cycles of intensified epirubicin, paclitaxel, and cyclophosphamide (ETC) or 4 cycles concurrent epirubicin and cyclophosphamide followed by 10 cycles of weekly paclitaxel combined with 4 cycles capecitabine (EC-TX). Only triple negative breast cancer patients (TNBC) for whom tissue was available were included in these planned analyses. BRCA1-like or non-BRCA1-like copy number profiles were derived from low coverage sequencing data. 119 out of 163 TNBC patients (73%) had a BRCA1-like profile. After median follow-up of 83 months, disease free survival (DFS) was not significantly different between BRCA1-like and non-BRCA1-like patients [adjusted hazard ratio (adj.HR) 1.02; 95% confidence interval (CI) 0.55-1.86], neither was overall survival (OS; adj.HR 1.26; 95% CI 0.58-2.71). When split by BRCA1-like status, DFS and OS were not significantly different between treatments. However, EC-TX seemed to result in a trend to an improvement in DFS in patients with a BRCA1-like tumor, while the reverse accounted for ETC treatment in patients with a non-BRCA1-like tumor (p for interaction = 0.094). The BRCA1-like profile is not associated with survival benefit for a non-myeloablative, intensified regimen in this study population. Considering the limited cohort size, capecitabine might have additional benefit for TNBC patients.

  10. Kidney Infection

    Science.gov (United States)

    ... symptoms. If you're being treated for a urinary tract infection but your signs and symptoms aren't improving, make an appointment. Severe kidney ... Seek immediate medical attention if you have kidney infection symptoms combined with ... that enter your urinary tract through the tube that carries urine from ...

  11. Campylobacter Infections

    Science.gov (United States)

    ... Head Neck & Nervous System Heart Infections Learning Disabilities Obesity ... Body Campylobacter are a type of bacteria that produce infections in the GI tract. They are a major bacterial cause of diarrheal sickness among children in the United States. You may hear ...

  12. Giardia infection

    Science.gov (United States)

    Giardia, or giardiasis, is an infection of the small intestine. A tiny parasite called Giardia lamblia causes it. ... from some of the medicines used to treat giardia are: Metallic ... used to treat the infection can be harmful to the unborn baby.

  13. Impact of HIV infection and smoking on lung immunity and related disorders.

    Science.gov (United States)

    Rossouw, Theresa M; Anderson, Ronald; Feldman, Charles

    2015-12-01

    HIV-infected persons not only have higher rates of smoking than the general population, but are also unusually vulnerable to the associated adverse health effects, both infective and noninfective in origin. Indeed, in the setting of well-organised care and availability of highly active antiretroviral therapy, HIV-infected smokers lose more life-years to smoking than to HIV infection per se, presenting a major challenge to healthcare providers. Not surprisingly, the respiratory system is particularly susceptible to the damaging interactive chronic inflammatory and immunosuppressive effects of HIV and smoking, intensifying the risk of the development of opportunistic infections, as well as lung cancer and obstructive lung disorders. The impact of smoking on the immunopathogenesis and frequencies of these respiratory conditions in the setting of HIV infection, as well as on the efficacy of antiretroviral therapy, represent the primary focus of this review. Copyright ©ERS 2015.

  14. [Intrauterine infections].

    Science.gov (United States)

    Jakobovits, Akos

    2006-09-10

    A broad variety of microorganisms are capable of causing fetal infections. Among viral agents prominent are the human cytomegaly virus (HCMV), herpes simplex virus (HSV), human immundeficiency virus (HIV), varicella, herpes zooster, rubella, parvovirus B19, measles and the hepatitis B and C viruses. Protozoa such as toxoplasma and spirocheta pallida, causing congenital syphilis are equally important. Bacterial infections are responsible for in uterus aquired listeriosis, tuberculosis, and group B streptococcus infections. Fungi including candida albicans complete the circle of infections pathogens. Infectious microrganisms may reach the fetus through the placenta are may ascend through the birth canal. The quoted pathological agents threaten the health and life of the fetus directly by the biological derangements they cause and also by inducing abortion or premature birth. The clinical manifestations include retarded growth, central nervous system damage and skin lesions. The invariable therapeutic measures vary but in general, are limited value in cases of in utero acquired infections.

  15. Differences of X-ray exposure between X-ray diagnostics with a conventional X-ray screen-system and with an image-intensifier-television-unit

    International Nuclear Information System (INIS)

    Loehr, H.; Vogel, H.; Reinhart, J.; Jantzen, R.

    1977-01-01

    During X-ray diagnostics of patients in the II. Medizinische Poliklinik the X-ray exposure was determined. It corresponded to the data described in literature. Two groups were compared: 518 patients examined with a conventional X-ray screen-system and 642 patients examined with an image-intensifier-television-system. The results demonstrated that with exception of thoracical X-ray examination the replacing of the old system by the television system brought a remarkable increase of the X-ray exposure. The doses depended of the patients constitution to a high degree. (orig.) [de

  16. Symptomatic and Asymptomatic Campylobacter Infections Associated with Reduced Growth in Peruvian Children

    Science.gov (United States)

    Lee, Gwenyth; Pan, William; Peñataro Yori, Pablo; Paredes Olortegui, Maribel; Tilley, Drake; Gregory, Michael; Oberhelman, Richard; Burga, Rosa; Chavez, Cesar Banda; Kosek, Margaret

    2013-01-01

    Background Although diarrheal illnesses are recognized as both a cause and effect of undernutrition, evidence for the effect of specific enteropathogens on early childhood growth remains limited. We estimated the effects of undernutrition as a risk factor for campylobacteriosis, as well as associations between symptomatic and asymptomatic Campylobacter infections and growth. Methodology/Principal Findings Using data from a prospective cohort of 442 children aged 0–72 months, the effect of nutritional status on the incidence of Campylobacter infection was estimated using uni- and multivariate Poisson models. Multivariate regression models were developed to evaluate the effect of Campylobacter infection on weight gain and linear growth. Overall, 8.3% of diarrheal episodes were associated with Campylobacter (crude incidence rate = 0.37 episodes/year) and 4.9% of quarterly asymptomatic samples were Campylobacter positive. In univariate models, the incidence of Campylobacter infection was marginally higher in stunted than non-stunted children (IRR 1.270, 95% CI (0.960, 1.681)(p = 0.095). When recent diarrheal burdens were included in the analysis, there was no difference in risk between stunted and unstunted children. Asymptomatic and symptomatic Campylobacter infections were associated with reduced weight gain over a three-month period (65.5 g (95% CI: −128.0, −3.0)(p = 0.040) and 43.9 g (95% CI:−87.6, −1.0)(p = 0.049) less weight gain, respectively). Symptomatic Campylobacter infections were only marginally associated with reduced linear growth over a nine month period (−0.059 cm per episode, 95% CI: −0.118, 0.001)(p = 0.054), however relatively severe episodes were associated with reduced linear growth (−0.169 cm/episode, 95% CI −0.310, −0.028)(p = 0.019). Conclusions/Significance Our findings suggest that Campylobacter is not as benign as commonly assumed, and that there is evidence to support expanding the indications for

  17. Staphylococcus aureus hijacks a skin commensal to intensify its virulence: immunization targeting β-hemolysin and CAMP factor.

    Science.gov (United States)

    Lo, Chih-Wei; Lai, Yiu-Kay; Liu, Yu-Tsueng; Gallo, Richard L; Huang, Chun-Ming

    2011-02-01

    The need for a new anti-Staphylococcus aureus therapy that can effectively cripple bacterial infection, neutralize secretory virulence factors, and lower the risk of creating bacterial resistance is undisputed. Here, we propose what is, to our knowledge, a previously unreported infectious mechanism by which S. aureus may commandeer Propionibacterium acnes, a key member of the human skin microbiome, to spread its invasion and highlight two secretory virulence factors (S. aureus β-hemolysin and P. acnes CAMP (Christie, Atkins, Munch-Peterson) factor) as potential molecular targets for immunotherapy against S. aureus infection. Our data demonstrate that the hemolysis and cytolysis by S. aureus were noticeably augmented when S. aureus was grown with P. acnes. The augmentation was significantly abrogated when the P. acnes CAMP factor was neutralized or β-hemolysin of S. aureus was mutated. In addition, the hemolysis and cytolysis of recombinant β-hemolysin were markedly enhanced by recombinant CAMP factor. Furthermore, P. acnes exacerbated S. aureus-induced skin lesions in vivo. The combination of CAMP factor neutralization and β-hemolysin immunization cooperatively suppressed the skin lesions caused by coinfection of P. acnes and S. aureus. These observations suggest a previously unreported immunotherapy targeting the interaction of S. aureus with a skin commensal.

  18. Evaluation of a program to improve diabetes care through intensified care management activities and diabetes medication copayment reduction.

    Science.gov (United States)

    Kogut, Stephen J; Johnson, Scott; Higgins, Tara; Quilliam, Brian

    2012-05-01

    Medication copayment reduction can be integrated with disease management programs to incentivize patient engagement in chronic care management. While disease management programs in diabetes have been evaluated across a range of settings and designs, less is known regarding the effectiveness of copayment reduction as a component of disease management. To evaluate the short-term results of a diabetes-focused disease management program that included copayment reduction, care coordination, and patient goal setting, focusing on rates of evidence-based care processes and all-cause pharmacy and health care costs. Blue Cross Blue Shield of Rhode Island offered large employer groups the opportunity to participate in a diabetes disease management initiative that featured reduced copayments (from $7/$25/$40 for generic, tier 2, and tier 3 drugs, respectively, to $0 for generic and $0-$2 for brand drugs) for diabetes-related medications. In return for the copayment reduction, participants agreed to the following: (a) participate in care coordination with a case manager, (b) have an annual physical examination, (c) have a hemoglobin A1c blood test at least twice annually, and (d) have a low-density lipoprotein cholesterol (LDL-C) test at least once annually. Patients received personalized support provided by a registered nurse and dietician, disease-related education provided by nurses, and intensified case management services, including working with a health coach to establish healthy behavioral change goals. All study subjects were aged 18 years or older and had at least 1 ICD-9-CM code for diabetes and at least 1 claim for an antidiabetic drug during a 12-month measurement period, which was each subject's most recent 12-month period of continuous enrollment from January 1, 2008, through May 31, 2010. Administrative claims data were used to determine the percentage of intervention (participating) and nonintervention (nonparticipating) subjects from among all of the plan

  19. ANALISIS IMPLEMENTASI PROGRAM PENANGGULANGAN GIZI BURUK PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS MEDAN LABUHAN, KOTA MEDAN TAHUN 2008 (ANALYSIS OF THE IMPLEMENTATION OF CHILDREN UNDERNUTRITION IMPROVEMENT PROGRAM IN WORKING AREA MEDAN LABUHAN HEALTH C

    Directory of Open Access Journals (Sweden)

    Zulhaida Lubis

    2012-06-01

    Full Text Available ABSTRACT Medan Labuan Health Centre has the highest number of severe underweight children among the other health centrein Medan City, North Sumatera Province. The study performed to analyze the implementation of children undernutrition improvement programme. This research is descriptive qualitative study conducted in February-May 2009. The subjects of the research are head of health centre, nutritionist, and 25 cadre leaders of Posyandu. The data from in-depth interviews is processed using the EZ-Tex, presented in a matrix, and data is analyzed using comparison methods of Fixed (constant comparative method. Nutritionist is only found one person for 2 villages with 25 subvillages, while many cadres are not active, frequently changing and less skilled. The infrastructure is limited, the scales are not standardized and there are no tools for body length/height measurements. One of two villages does not undertake 5 tables Posyandu. Growth monitoring of underfive children are still low. Achievement of toddler weight gain (N/D from January to December 2008 is 34.58 percent to 69.35 percent of the target coverage of 80 percent. Complementary feeding distribution is not in accordance with the guidelines. The feeding that is only purposed to undernutrition children from poor families are also given to all the children who come to Posyandu. Coverage of exclusive breastfeeding between January-November 2008 is 1.45 to 6.36 percent, rather than the target coverage of 80 percent. These problems are caused by insufficient knowledge and awareness of community about child carring pattern and the lack of cadres participation in Posyandu. From input, process, or output perspective, the of malnutrition improvement programme implementation in Medan Labuan health care is not good enough. Keywords: undernutrition, children under-fives, program, implementation       ABSTRAK Puskesmas Medan Labuhan merupakan Puskesmas yang memiliki jumlah balita gizi buruk paling

  20. Rotavirus infection

    Science.gov (United States)

    Crawford, Sue E.; Ramani, Sasirekha; Tate, Jacqueline E.; Parashar, Umesh D.; Svensson, Lennart; Hagbom, Marie; Franco, Manuel A.; Greenberg, Harry B.; O’Ryan, Miguel; Kang, Gagandeep; Desselberger, Ulrich; Estes, Mary K.

    2017-01-01

    Rotavirus infections are a leading cause of severe, dehydrating gastroenteritis in children rotavirus over a decade ago, rotavirus infections still result in >200,000 deaths annually, mostly in low-income countries. Rotavirus primarily infects enterocytes and induces diarrhoea through the destruction of absorptive enterocytes (leading to malabsorption), intestinal secretion stimulated by rotavirus non-structural protein 4 and activation of the enteric nervous system. In addition, rotavirus infections can lead to antigenaemia (which is associated with more severe manifestations of acute gastroenteritis) and viraemia, and rotavirus can replicate in systemic sites, although this is limited. Reinfections with rotavirus are common throughout life, although the disease severity is reduced with repeat infections. The immune correlates of protection against rotavirus reinfection and recovery from infection are poorly understood, although rotavirus-specific immunoglobulin A has a role in both aspects. The management of rotavirus infection focuses on the prevention and treatment of dehydration, although the use of antiviral and anti-emetic drugs can be indicated in some cases. PMID:29119972

  1. Nail infections.

    Science.gov (United States)

    Jules, K T; Bonar, P L

    1989-04-01

    Nail infections are and will continue to be a diagnostic and therapeutic challenge to all foot physicians. Attention to basic concepts of accurate detailed history and physical examination will aid in the determination of the etiology of these infections. Following basic guidelines of incision and drainage, gram stain, soaks, and antibiotics will be the cornerstone of initial treatment of pyogenic infections. Upon resolution of the acute infection a permanent treatment plan can be constituted based on the etiology. Nail infections of mycotic nature require an understanding by both patient and doctor as to the difficulty and resistance to treatment of this problem. It is the authors' opinion that aggressive persistent treatment will provide the best long-term result when dealing with mycotic infections. This may require nail removal, local and systemic treatment as well as change in shoe environment. As we have seen and is stated throughout this text, the nail and its pathologic processes can be a mirror of systemic disease. Many times a dystrophic infected nail may be the initial clinical presentation of a much more involved disease process. It is the responsibility and duty of all foot physicians to have a total understanding of knowledge of normal and pathologic process that affect the nail plates, nail bed, and surrounding nail proper. I hope this article will stimulate the foot physician to approach the disease of the nail with a high index of suspicion and respect.

  2. Performance of Clinical Screening Algorithms for Tuberculosis Intensified Case Finding among People Living with HIV in Western Kenya.

    Directory of Open Access Journals (Sweden)

    Surbhi Modi

    Full Text Available To assess the performance of symptom-based screening for tuberculosis (TB, alone and with chest radiography among people living with HIV (PLHIV, including pregnant women, in Western Kenya.Prospective cohort study.PLHIV from 15 randomly-selected HIV clinics were screened with three clinical algorithms [World Health Organization (WHO, Ministry of Health (MOH, and "Improving Diagnosis of TB in HIV-infected persons" (ID-TB/HIV study], underwent chest radiography (unless pregnant, and provided two or more sputum specimens for smear microscopy, liquid culture, and Xpert MTB/RIF. Performance of clinical screening was compared to laboratory results, controlling for the complex design of the survey.Overall, 738 (85.6% of 862 PLHIV enrolled were included in the analysis. Estimated TB prevalence was 11.2% (95% CI, 9.9-12.7. Sensitivity of the three screening algorithms was similar [WHO, 74.1% (95% CI, 64.1-82.2; MOH, 77.5% (95% CI, 68.6-84.5; and ID-TB/HIV, 72.5% (95% CI, 60.9-81.7]. Sensitivity of the WHO algorithm was significantly lower among HIV-infected pregnant women [28.2% (95% CI, 14.9-46.7] compared to non-pregnant women [78.3% (95% CI, 67.3-86.4] and men [77.2% (95% CI, 68.3-84.2]. Chest radiography increased WHO algorithm sensitivity and negative predictive value to 90.9% (95% CI, 86.4-93.9 and 96.1% (95% CI, 94.4-97.3, respectively, among asymptomatic men and non-pregnant women.Clinical screening missed approximately 25% of laboratory-confirmed TB cases among all PLHIV and more than 70% among HIV-infected pregnant women. National HIV programs should evaluate the feasibility of laboratory-based screening for TB, such as a single Xpert MTB/RIF test for all PLHIV, especially pregnant women, at enrollment in HIV services.

  3. Effects of Helicobacter pylori infection on gut appetite peptide (leptin, ghrelin) expression in elderly inpatients.

    Science.gov (United States)

    Salles, Nathalie; Ménard, Armelle; Georges, Agnès; Salzmann, Mélanie; de Ledinghen, Victor; de Mascarel, Antoine; Emeriau, Jean-Paul; Lamouliatte, Hervé; Mégraud, Francis

    2006-11-01

    The aim of the study was to investigate the relationship between gastritis and leptin and ghrelin in elderly patients. Patients older than 75 years undergoing an endoscopy were included. We reported data on nutritional status and Helicobacter pylori infection diagnosis (serology, 13C-urea breath test, culture, histology, and polymerase chain reaction on gastric biopsies). Gastric messenger RNA expression of leptin and ghrelin were quantified by real-time polymerase chain reaction. Sixty-two patients were included (84.7 +/- 5.2 years). H. pylori infection was associated with decreased gastric expression of leptin (p = .021), ghrelin (p =.002), and plasma ghrelin levels (p = .018). Atrophy was associated with decreased gastric leptin (p = .007) and ghrelin (p = .02). H. pylori infection correlated negatively with patient energy intake (r = -0.36; p = .001) and body mass index (r = -0.34; p = .018). The negative association between ghrelin and H. pylori infection may be related to a higher prevalence of atrophy and raises the possibility that H. pylori may be contributing to undernutrition in some older people.

  4. Computational fluid dynamics modeling of mass-transfer behavior in a bioreactor for hairy root culture. II. Analysis of ultrasound-intensified process.

    Science.gov (United States)

    Liu, Rui; Sun, Wei; Liu, Chun-Zhao

    2011-01-01

    Recently, cichoric acid production from hairy roots of Echinacea purpurea was significantly improved by ultrasound stimulation in an airlift bioreactor. In this article, the possible mechanism on ultrasound-intensified hairy root culture of E. purpurea in the bioreactor was elucidated with the help of computational fluid dynamics (CFD) simulation, membrane permeability detection, dissolved oxygen concentration detection, confocal laser-scanning microscopy (LSM) observation, and phenylalanine ammonium lyase (PAL) activity analysis. The CFD model developed in Part I was used to simulate the hydrodynamics and oxygen mass transfer in hairy root bioreactor culture stimulated by ultrasound. A dynamic mesh model combined with a changing Schmidt number method was used for the simulation of the ultrasound field. Simulation results and experimental data illustrated that ultrasound intensified oxygen mass transfer in the hairy root clump, which subsequently stimulated root growth and cichoric acid biosynthesis. Ultrasound increased the hairy root membrane permeability, and a high root membrane permeability of 0.359 h(-1) was observed at the bottom region in the bioreactor. LSM observation showed that the change in the membrane permeability recovered to normal in the further culture after ultrasound stimulation. PAL activity in the hairy roots was stimulated by ultrasound increase and was correlated well to cichoric acid accumulation in the hairy roots of E. purpurea. Copyright © 2011 American Institute of Chemical Engineers (AIChE).

  5. Gonad doses for male patients from stomach examination and oral cholegraphy using the X-ray image intensifying technique and television fluoroscopy

    International Nuclear Information System (INIS)

    Steinbach, W.; Richter, K.; Koenig, W.; Menzel, B.; Reisinger, W.; Uhlich, F.

    1979-01-01

    The gonad dose was measured for male patients undergoing stomach examinations and oral cholegraphy by means of a diagnostic twelve pulse generator (TuR D 1500) and an X-ray apparatus 'Diagnost 100' (Philips-Mueller). In a small group of patients the gonad dose was ascertained per exposure to a 70 mm single spot film, to a 24 cm x 30 cm full size radiograph, and per minute of exposure to image intensifier fluoroscopy. The total gonad dose in both the diagnostic techniques was determined seperately in larger groups of patients. In stomach examination large size radiography led to a gonad dose 20 times higher than that obtained with the spot film technique, while exposure from cholegraphy was 10 times higher. The gonad dose per exposure of a single spot film was about 0.5 mrad. In examinations of the stomach the gonad dose from one minute fluroscopy was 18 times higher than the doses determined for a single spot film, and in cholegraphy it was 10 times higher. Supposing mean values of the number of radiographs and of the fluoroscopy time according to the conditions applied, the gonad dose in stomach examination from the film-screen technique is about twice that from the television image-intensifying technique. By comparison, oral cholegraphy exclusively performed by large-size radiography yielded about the same gonad dose as the spot film television technique. Total dose values determined separately confirmed these evaluations. (author)

  6. Comparison of vessel contrast measured with a scanning-beam digital x-ray system and an image intensifier/television system

    International Nuclear Information System (INIS)

    Speidel, Michael A.; Wilfley, Brian P.; Heanue, Joseph A.; Betts, Timothy D.; Van Lysel, Michael S.

    2001-01-01

    Vessel contrast was measured in the fluoroscopic images produced by a scanning-beam digital x-ray (SBDX) system and an image intensifier/television (II/TV) based system. The SBDX system electronically scans a series of pencil x-ray beams across the patient, each of which is directed at a distant small-area detector array. The reduction in detected scatter achieved with this geometry was expected to provide an increase in image contrast. Vessel contrast was evaluated from images of a phantom containing iodinated tubes. The vessels were inserted into an acrylic stack to provide a patient-mimicking scattering medium. Vessel diameter ranged from 0.3 to 3.1 mm. Images were acquired at 100 kVp with the SBDX and II/TV systems and averaged to reduce x-ray noise. The II/TV system was operated in the 6-in. image intensifier mode with an anti-scatter grid. The increase in contrast in the SBDX images, expressed as a ratio of the measured SBDX and II/TV contrasts, ranged from 1.63 to 1.79 for individual vessels. This agreed well with a prediction of the contrast improvement ratio for this experiment, based on measurements of the scatter fraction, object-plane line spread functions, and consideration of the source spectrum and detector absorption properties. The predicted contrast improvement ratio for SBDX relative to II/TV images was 1.62 to 1.77

  7. Process for increasing the capacity and/or energetic efficiency of pressure-intensifying stations of petroleum and natural gas pipelines

    Energy Technology Data Exchange (ETDEWEB)

    Belcsak, Z.; Luptak, E.; Palfalvi, G.; Vadas, Z.; Vasvari, V.; Wenzel, B.

    1982-03-30

    The invention is used in the field of pressure-intensifying stations of natural gas and oil pipelines. The essential character of the process according to the invention is that steam is produced in a boiler heated with the outgoing flue gas of a gas turbine driving the compressor. The steam is conducted into the steam turbine for futher driving the compressor. The main feature of the equipment according to the invention is that the ratio of the simultaneously operating gas turbines and steam turbines may vary from the equivalent to triple value, the ratio is suitably double, and the stand-by machine unit is driven always by gas turbine, separate flue gas boiler is connected to each of the gas turbines, while the boilers are equipped with supplementary and/or substituting automatic heater. Advantages of the invention are that it: reduces the self-consumption by about 1/3 rd, and improves the safety of the pressure-intensification realizable in existing pressure-intensifying stations.

  8. Data processing correction of the irising effect of a fast-gating intensified charge-coupled device on laser-pulse-excited luminescence spectra.

    Science.gov (United States)

    Ondic, L; Dohnalová, K; Pelant, I; Zídek, K; de Boer, W D A M

    2010-06-01

    Intensified charge-coupled devices (ICCDs) comprise the advantages of both fast gating detectors and spectrally broad CCDs into one device that enables temporally and spectrally resolved measurements with a few nanosecond resolution. Gating of the measured signal occurs in the image intensifier tube, where a high voltage is applied between the detector photocathode and a microchannel plate electron multiplier. An issue arises in time-resolved luminescence spectroscopy when signal onset characterization is required. In this case, the transient gate closing process that causes the detected signal always arises in the middle of the ICCD chip regardless of the spectral detection window--the so-called irising effect. We demonstrate that in case when the detection gate width is comparable to the opening/closing time and the gate is pretriggered with respect to the signal onset, the irising effect causes the obtained data to be strongly distorted. At the same time, we propose a software procedure that leads to the spectral correction of the irising effect and demonstrate its validity on the distorted data.

  9. New type of x-ray-wafer image intensifier with CsI-CsI/MCP photocathodes: its design and assessment

    Science.gov (United States)

    Xiang, Shiming; Zhao, Hong

    1993-04-01

    The article introduces a new type of x-ray wafer image intensifier with a double proximity focusing system, (Phi) 50 CsI-CsI/MCP photocathode, and a series of welding constructions of glass window or ceramic components with metal rings. This kind of x-ray image intensifier has been widely used in the field of medical diagnosis and industrial non-destructive detection by means of sophisticated portable x-ray diagnoscopes, featuring a number of satisfactory performances such as low x-ray dosage, miniature x-ray tube and power supply, high output brightness and good resolution, light weight, small volume, low cost, and easy operation without any condition constrained by working environment and illumination. In the paper, the authors have given a series of formulae to determine characteristic parameters of the device, i.e., the quantum detection efficiencies of both reflection mode (CsI/MCP) and transmission mode (glass window CsI/MCP) photocathode, the brightness conversion factor, and resolution. The relations of the mentioned parameters with the performances of constituent components, which include CsI photocathodes layer thickness, MCP bias angle and gain, phosphor screen conversion efficiency, and double proximity focusing distances, are also briefly analyzed. The analysis thought and methods mentioned in the paper have been successfully used for the optimal design and assessment work of our devices and shows that they have a good coincidence with experimental results.

  10. Accuracy of quick and easy undernutrition screening tools--Short Nutritional Assessment Questionnaire, Malnutrition Universal Screening Tool, and modified Malnutrition Universal Screening Tool--in patients undergoing cardiac surgery.

    Science.gov (United States)

    van Venrooij, Lenny M W; van Leeuwen, Paul A M; Hopmans, Wendy; Borgmeijer-Hoelen, Mieke M M J; de Vos, Rien; De Mol, Bas A J M

    2011-12-01

    The objective of this study was to compare the quick-and-easy undernutrition screening tools, ie, Short Nutritional Assessment Questionnaire and Malnutrition Universal Screening Tool, in patients undergoing cardiac surgery with respect to their accuracy in detecting undernutrition measured by a low-fat free mass index (FFMI; calculated as kg/m(2)), and secondly, to assess their association with postoperative adverse outcomes. Between February 2008 and December 2009, a single-center observational cohort study was performed (n=325). A low FFMI was set at ≤14.6 in women and ≤16.7 in men measured using bioelectrical impedance spectroscopy. To compare the accuracy of the Malnutrition Universal Screening Tool and Short Nutritional Assessment Questionnaire in detecting low FFMI sensitivity, specificity, and other accuracy test characteristics were calculated. The associations between the Malnutrition Universal Screening Tool and Short Nutritional Assessment Questionnaire and adverse outcomes were analyzed using logistic regression analyses with odds ratios and 95% confidence intervals (CI) presented. Sensitivity and receiver operator characteristic-based area under the curve to detect low FFMI were 59% and 19%, and 0.71 (95% CI: 0.60 to 0.82) and 0.56 (95% CI: 0.44 to 0.68) for the Malnutrition Universal Screening Tool and Short Nutritional Assessment Questionnaire, respectively. Accuracy of the Malnutrition Universal Screening Tool improved when age and sex were added to the nutritional screening process (sensitivity 74%, area under the curve: 0.72 [95% CI: 0.62 to 0.82]). This modified version of the Malnutrition Universal Screening Tool, but not the original Malnutrition Universal Screening Tool or Short Nutritional Assessment Questionnaire, was associated with prolonged intensive care unit and hospital stay (odds ratio: 2.1, 95% CI: 1.3 to 3.4; odds ratio: 1.6, 95% CI: 1.0 to 2.7). The accuracy to detect a low FFMI was considerably higher for the Malnutrition

  11. Implementing an intensified antibiotic stewardship programme targeting cephalosporin and fluoroquinolone use in a 200-bed community hospital in Germany.

    Science.gov (United States)

    Borde, J P; Litterst, S; Ruhnke, M; Feik, R; Hübner, J; deWith, K; Kaier, K; Kern, W V

    2015-02-01

    Prescription of third-generation cephalosporins and fluoroquinolones has been linked to an increasing incidence of gram-negative bacteria producing extended-spectrum beta-lactamases, methicillin-resistant Staphylococcus aureus and nosocomial infection with Clostridium difficile. Antibiotic stewardship (ABS) programmes offer evidence-based tools to control antibiotic prescription rates and thereby influence the incidence of nosocomial infection and contain the development of multidrug-resistant bacteria, but there is limited experience with such programmes at community hospitals. We implemented an ABS programme at a 200-bed community hospital and aimed at a > 30 % reduction of cephalosporin and fluoroquinolone consumption within 1 year. Pharmacy data were obtained to estimate hospital-wide drug use density expressed in WHO-ATC-defined daily doses (DDD) or hospital-adapted recommended daily doses (RDD) per 1,000 patient days. The effect of the ABS intervention on drug use density was analysed using interrupted time-series analysis for the periods between January 2011 and March 2013 as pre-intervention, and between April 2013 and March 2014 as post-intervention period. The CDI incidence was calculated based on microbiology laboratory data. Cephalosporin use (measured in RDD/1,000 patient days) decreased by 33 %, and fluoroquinolone use decreased by 31 %, respectively. Interrupted time-series analysis confirmed significant changes in the drug use density trends for both cephalosporins and fluoroquinolones after the intervention as well as for total antibiotic use that decreased by 11 % while no significant effect was noted for CDI incidence rates. ABS programmes can be effective in community hospitals and may help establish ecologically advantageous antibiotic strategies when needed.

  12. Protein-energy malnutrition alters IgA responses to rotavirus vaccination and infection but does not impair vaccine efficacy in mice.

    Science.gov (United States)

    Maier, Elizabeth A; Weage, Kristina J; Guedes, Marjorie M; Denson, Lee A; McNeal, Monica M; Bernstein, David I; Moore, Sean R

    2013-12-17

    Conflicting evidence links malnutrition to the reduced efficacy of rotavirus vaccines in developing countries, where diarrhea and undernutrition remain leading causes of child deaths. Here, we adapted mouse models of rotavirus vaccination (rhesus rotavirus, RRV), rotavirus infection (EDIM), and protein-energy malnutrition (PEM) to test the hypothesis that undernutrition reduces rotavirus vaccine immunogenicity and efficacy. We randomized wild type Balb/C dams with 3-day-old pups to a control diet (CD) or an isocaloric, multideficient regional basic diet (RBD) that produces PEM. At 3 weeks of age, we weaned CD and RBD pups to their dams' diet and subrandomized weanlings to receive a single dose of either live oral rotavirus vaccine (RRV) or PBS. At 6 weeks of age, we orally challenged all groups with murine rotavirus (EDIM). Serum and stool specimens were collected before and after RRV and EDIM administration to measure viral shedding and antibody responses by ELISA. RBD pups and weanlings exhibited significant failure to thrive compared to age-matched CD mice (Pprotein-energy malnutrition. Alternative models are needed to elucidate host-pathogen factors undermining rotavirus vaccine effectiveness in high-risk global settings. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. Norovirus Infection

    Science.gov (United States)

    ... if you experience severe vomiting, bloody stools, abdominal pain or dehydration. Causes Noroviruses are highly contagious and are shed in the feces of infected humans and animals. Methods of transmission include: Eating contaminated food Drinking ...

  14. MRSA Infection

    Science.gov (United States)

    ... Runny nose MRSA infection Symptoms & causes Diagnosis & treatment Advertisement Mayo Clinic does not endorse companies or products. ... a Job Site Map About This Site Twitter Facebook Google YouTube Pinterest Mayo Clinic is a not- ...

  15. Pinworm Infection

    Science.gov (United States)

    ... and vomiting Pinworm infection Symptoms & causes Diagnosis & treatment Advertisement Mayo Clinic does not endorse companies or products. ... a Job Site Map About This Site Twitter Facebook Google YouTube Pinterest Mayo Clinic is a not- ...

  16. Infective Endocarditis

    Science.gov (United States)

    ... your bloodstream. (You may have heard the term bacterial endocarditis , subacute bacterial endocarditis , or SBE. These terms are used for endocarditis ... to repair or replace the damaged valve. Tags: bacterial endocarditis , endocardium , infection of the heart , subacute bacterial endocarditis ( ...

  17. Staph Infections

    Science.gov (United States)

    ... Impetigo (pronounced: im-puh-TIE-go) is a superficial skin infection that mostly happens in young children, ... and treatment, consult your doctor. © 1995- The Nemours Foundation. All rights reserved. Images provided by The Nemours ...

  18. Campylobacter Infections

    Science.gov (United States)

    ... tur) bacteria live in the intestines of many wild and domestic animals. They can pass to humans ... matter (poop) from an infected person (especially a child in diapers). Household pets can carry and spread ...

  19. Anaerobic Infections

    Science.gov (United States)

    ... a dental infection or procedure such as a tooth extraction or oral surgery or after trauma to the ... diagnosed, your doctor may treat it with intravenous antibiotics (eg, penicillin, ampicillin) for 4 to 6 weeks, ...

  20. Spinal Infections

    Science.gov (United States)

    ... Epidural Steroid Injections Exercise: The Backbone of Spine Treatment Spondylolisthesis ... by bacteria or fungal organisms. Spinal infections may occur following surgery or spontaneously in patients with certain risk factors. ...